Sample records for warsaw pact nations

  1. The Warsaw Pact Baltic Fleet.

    DTIC Science & Technology

    1984-09-01

    Some analysts have concluded that the Warsaw Pact already controls the Baltic Sea. As Marian K. Leighton wrote, .. .the USSR, assisted by its East German...Naval Institute Proceedings, January 1981. Baird , Gregory C., "Glavnoe Komandovanie: The Soviet Theater Command," Naval War College Review, v. 32, no... Marian K., The Soviet Threat to NATO’s Northern Flank, National Security Information Center, Inc., 1979. 128 Libbey, Miles A., "The Missing Link," U. S

  2. Methodologies used by Warsaw Pact countries (except USSR) in obtaining US technologies. Student report

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

    Cheeseman, R.J.

    1987-04-01

    The Warsaw Pact countries obtain U.S. technologies by legal and illegal means. Methods of collection include espionage, overt collection, acquisition by scientific and educational exchange participants, and illegal trade activities. Examples of methods used by the Warsaw Pact countries (except the USSR) are provided. The US faces barriers to preventing loss of its technologies. Among these are resistance from US business interests, insufficient cooperation between US government agencies and overseas allies, lack of US counterintelligence personnel, and the openess of American society. The study concludes that the Warsaw Pact's countries have narrowed NATO's qualitative lead in weaponry as a resultmore » of the Warsaw Pact's acquisition effort.« less

  3. NATO-Warsaw Pact. Force Mobilization

    DTIC Science & Technology

    1988-01-01

    DVatxbuftln Unlimited I A R- P-4 90 11 20 0354 NATO-WARSAW PACT FORCE MOBILIZATION Aeo~lu orDTIC "Is WWI LECTEN0V2 119901 L , S~E 1 Distrib~ut i on ...2 G; 06 s1 rJ N%0’ t- N C- W 00 m C7 0 z r4 Mi .0 u ON ~ cm rt ~o rv-n- 0, 0r 2N le 00~% m 0 o Z z ’-0 Z UJ U 2 z< RD R2 6’z z D u 34 SIMON NATO (6.09...debate.’" Some Soviet works completely ignore the issue. Sukhomlinov’s proposal fell victim to rapidly unfolding events and pressure from France on

  4. Organizing for Coalition Warfare: The Role of East European Warsaw Pact Forces in Soviet Military Planning

    DTIC Science & Technology

    1988-09-01

    1:1 ’Came described in Table 17."Sovist/Warsaw Pact divisions facing AFCENT forces plus Danish forces and the Scleawik- Holstein Command include 92...8217Osvoboditel’naia missiia Sovetskikh vooru- zuimnykh sil v Evtope vo Vtoroi Mirovoi Voine," Dokumenty i materialy, Voenizdat, Mos- cow , 1985. "All...illustrative NATO forces: the 1st German Corps, the joint German/Danish troops of the Allied Land Forces Schleswig- Holstein and Jutland, the joint forces of

  5. Warsaw Pact: The Question of Cohesion. Phase II, Volume 2. Poland, German Democratic Republic and Romania,

    DTIC Science & Technology

    1984-11-01

    integrated with the other members of the system. AccA ~zsiorj For -TAB -. f tion Ile r Cods mt/ori 2// ,a ft1 ___"-.- i ’ ,:,, un:ocl [] R9SUM9 Le...4. 100 Eugeniusz Walczuk, "Oficerowie, Polityka, 29 April 1972, pp. 1, 4-8. 101 Hinterhoft, "Armia Rokossowskiego." 102 Karel Kaplan , Rada vzajemne...and L.S. Kaplan , eds., The Warsaw Pact: Political Purpose and Military Means (Wilmington, Del.: Scholarly Resources, Inc., 1982), p. 149. 4 The

  6. Bulgarian military neurosurgery: from Warsaw Pact to the North Atlantic Treaty Organization.

    PubMed

    Enchev, Yavor; Eftimov, Tihomir

    2010-05-01

    After 45 years as a closest ally of the Soviet Union in the Warsaw Pact, founded mainly against the US and the Western Europe countries, and 15 years of democratic changes, since 2004 Bulgaria has been a full member of NATO and an equal and trusted partner of its former enemies. The unprecedented transformation has affected all aspects of the Bulgarian society. As a function of the Bulgarian Armed Forces, Bulgarian military medicine and in particular Bulgarian military neurosurgery is indivisibly connected with their development. The history of Bulgarian military neurosurgery is the history of the transition from the Union of Soviet Socialist Republics military system and military medicine to NATO standards in every aspect. The career of the military neurosurgeon in Bulgaria is in many ways similar to that of the civilian neurosurgeon, but there are also many peculiarities. The purpose of this study was to outline the background and the history of Bulgarian military neurosurgery as well as its future trends in the conditions of world globalization.

  7. The Bear and the Foxes Understanding Soviet Policy in the Warsaw Pact.

    DTIC Science & Technology

    1981-06-01

    view was challenged by some Western critics, and labeled as a "lost opportunity", there is every reason to believe that Stalin was seeking a tactical...fraternal friendship between free and equal Nations." (171, C. EARLY STRUCTURE The language of the Warsaw Treaty itself, while similar to its NATO...the soldiers of the fraternal armies speak in different languages , but they think in the same way. In this regard they are like brothers ... and

  8. Beyond the Warsaw Pact: Russian Foreign Policy in East Central Europe

    DTIC Science & Technology

    1992-06-01

    Western Overview." Problems of Communism 37 (May/August 1988): 56-60. 134 Brzezinski , Zbigniew. "East-West Relations and Eastern Europe...A Special...Bonn Press EC Superpower Role." Times (London), 17 October 1991, 10. Brzezinski , Zbigniew. "A Common House, a Common Home." The New York Times, 15...December 1990): 27. Aleksandrowicz, Piotr . "October Economic Performance Indicators Reported" (text). Warsaw Rzeczvospolita in Polish, 10-11 November

  9. Recent Naval Postgraduate School Publications.

    DTIC Science & Technology

    1983-05-01

    An appli-cation of calculus --o linguistics IN UMAP (Undergraduate Math. Aplications Proj ect) Instructional modulez (Un-it 334) , Sept., 1§81, p.1...and national mobilization in Romania: A Warsaw Pact country faces the Warsaw Pact threat Southeastern Reqional Conf. of the Inter-Univ. Seminar on Arme...and Social Sci., vol. 463, p. 69-83, (Sept., 1982). Burke D P Defense and mass mobilization in Romania Armed Forces and Soc., p. 31 etc., (Fall, 1980

  10. Invalid performance and the ImPACT in national collegiate athletic association division I football players.

    PubMed

    Szabo, Ashley J; Alosco, Michael L; Fedor, Andrew; Gunstad, John

    2013-01-01

    Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) is a computerized cognitive test battery commonly used for concussion evaluation. An important aspect of these procedures is baseline testing, but researchers have suggested that many users do not use validity indices to ensure adequate effort during testing. No one has examined the prevalence of invalid performance for college football players. To examine the prevalence of invalid scores on ImPACT testing. Cross-sectional study. National Collegiate Athletic Association Division I university. A total of 159 athletes (age = 20.3 ± 1.41 years; range = 17.8-23.7 years) from a Division I collegiate football team participated. An informational intervention regarding the importance of concussion testing to promote safety was administered before testing for the most recent season. We examined preseason ImPACT testing data across a 3-year period (total assessments = 269). Based on invalid and sandbagging indices denoted by the ImPACT manual, protocols were examined to indicate how many invalid indices each athlete had. A total of 27.9% (n = 75) of assessments were suggestive of invalid scores, with 4.1% (n = 11) suggesting invalid responding only, 17.5% (n = 47) indicating "sandbagging" only, and 6.3% (n = 17) showing both invalid and sandbagging responding. The informational intervention did not reduce the prevalence of invalid responding. These findings highlight the need for further information about the ImPACT validity indices and whether they truly reflect poor effort. Future work is needed to identify practices to reliably target and reduce invalid responding.

  11. Contracting with NATO Industry: U.S. or Foreign Procurement Regulations?

    DTIC Science & Technology

    1981-09-01

    U.S. procurement regulations Instead, these nations desire to apply their own procurement %nmi ati nn4 h , enat~ 4 ,4.,4 DO A 72", 1473 ’EITION OF INOV ...situation in Poland (1981), and the sustained arms build-up by the Warsaw Pact countries. To further this policy, the Department of Defense (DOD) and... Poland (1981), and the sustained arms build-up by the Warsaw Pact countries. The principal objective in Europe is to deter a Soviet invasion but should

  12. Developing a New National Strategy for U.S.-Russian Relations

    DTIC Science & Technology

    1993-02-24

    National Startegy for U.S.-Russian Relations 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d. PROJECT NUMBER 5e. TASK...command economy to a free market economy. Judging by the problems being experienced integrating the old East German economy, viewed by many experts...as the most advanced of the Warsaw Pact countries, it’s becoming clear that moving to a market oriented economy is more costly, difficult, and

  13. Methodologies Used by Warsaw Pact Countries (Except U.S.S.R.) in Obtaining U.S. Technologies

    DTIC Science & Technology

    1987-04-01

    SOURCE OF FUNDING NUMBERS PROGRAM ELEMENT NO. PROJECT NO. TASK NO WORK UNIT ACCESSION NO. 11. TITLE (Include Security Classification...in March 196’/. In 1970 he attended Southwest Texas State University under the Airman Education and Commissioning Program CAF1T). Major Cheeseman...critical U. S. technologies. Chapter One INTRODUCTION THE THREAT-AN OVERVIEV The United States is faced with loss of its technologies to the Warsaw

  14. [THE PROFESSORS OF THE NATIONAL MUSEUM OF NATURAL HISTORY AND THE SOCIETY OF THE FRIENDS OF THE SCIENCES OF WARSAW (1800-1832)].

    PubMed

    Daszkiewicz, Piotr

    2015-01-01

    The National Museum of Natural History played a crucial role in the formation of Polish scientific elites in the 19th century. Many Polish students were attending in Paris natural history, botany, zoology, chemistry and mineralogy courses. The Warsaw Society of Friends of Learning was the largest scientific society and one of the most important scientific institutions in Poland. It had also an impact on the political and cultural life of the country, occupied and deprived of freedom at that time. Amongst its founders and members, could be found listeners to the lectures of Lamarck, Haüy, Vauquelin, Desfontaines, Jussieu. Moreover, seven professors of the National Museum of Natural History were elected foreign members of the Warsaw Society of Friends of Learning: Cuvier, Desfontaines, Haüy, Jussieu, Latreille, Mirbel, Vauquelin. The article analyses this choice and underlines the relationship between these scientists and Warsaw's scientists. The results of this research allow to confirm that the National Museum of Natural History was the most important foreign institution in the 19th century for Polish science, and more specifically natural sciences.

  15. Situation analysis of the National Comprehensive Cancer Control Program (2013) in the I. R. of Iran; assessment and recommendations based on the IAEA imPACT mission.

    PubMed

    Rouhollahi, Mohammad Reza; Mohagheghi, Mohammad Ali; Mohammadrezai, Narges; Ghiasvand, Reza; Ghanbari Motlagh, Ali; Harirchi, Iraj; Zendehdel, Kazem

    2014-04-01

    Iran was engaged in the Program of Action for Cancer Therapy (PACT) in 2012, and delegates from the International Atomic Energy Agency (IAEA), and the World Health Organization (WHO) evaluated the National Cancer Control Program (NCCP) status (the imPACT mission), based on which they provided recommendations for improvements of NCCP in the I.R. of Iran. We reported the results of this situational analysis and discussed the recommendations and their implication in the promotion of NCCP in the I.R. of Iran.  International delegates visited the I.R. of Iran and evaluated different aspects and capacities of NCCP in Iran. In addition, a Farsi version of the WHO/IAEA self-assessment tool was completed by local experts and stakeholders, including experts from different departments of the Ministry of Health and Medical Education (MOHME) and representatives from the National Cancer Research Network (NCRN). Following these evaluations, the PACT office provided recommendations for improving the NCCP in Iran. Almost all the recommendations were endorsed by MOHME. The PACT program provided 31 recommendations for improvement of NCCP in Iran in six categories, including planning, cancer registration and information, prevention, early detection, diagnosis and treatment, and palliative care. The most important recommendation was to establish a strong, multi-sectoral NCCP committee and develop an updated national cancer control program. The imPACT mission report provided a comprehensive view about the NCCP status in Iran. An appropriate response to these recommendations and filing the observed gaps will improve the NCCP status in the I.R. of Iran.

  16. Measuring cognitive change with ImPACT: the aggregate baseline approach.

    PubMed

    Bruce, Jared M; Echemendia, Ruben J; Meeuwisse, Willem; Hutchison, Michael G; Aubry, Mark; Comper, Paul

    2017-11-01

    The Immediate Post-Concussion Assessment and Cognitive Test (ImPACT) is commonly used to assess baseline and post-injury cognition among athletes in North America. Despite this, several studies have questioned the reliability of ImPACT when given at intervals employed in clinical practice. Poor test-retest reliability reduces test sensitivity to cognitive decline, increasing the likelihood that concussed athletes will be returned to play prematurely. We recently showed that the reliability of ImPACT can be increased when using a new composite structure and the aggregate of two baselines to predict subsequent performance. The purpose of the present study was to confirm our previous findings and determine whether the addition of a third baseline would further increase the test-retest reliability of ImPACT. Data from 97 English speaking professional hockey players who had received at least 4 ImPACT baseline evaluations were extracted from a National Hockey League Concussion Program database. Linear regression was used to determine whether each of the first three testing sessions accounted for unique variance in the fourth testing session. Results confirmed that the aggregate baseline approach improves the psychometric properties of ImPACT, with most indices demonstrating adequate or better test-retest reliability for clinical use. The aggregate baseline approach provides a modest clinical benefit when recent baselines are available - and a more substantial benefit when compared to approaches that obtain baseline measures only once during the course of a multi-year playing career. Pending confirmation in diverse samples, neuropsychologists are encouraged to use the aggregate baseline approach to best quantify cognitive change following sports concussion.

  17. [Frequency of hypotrophic births in the Warsaw population].

    PubMed

    Pawlus, Beata; Wiśniewski, Andrzej

    2010-01-01

    Newborn's reduced body mass and length are regarded as an important symptom. The diagnosis requires careful observation of the individual's course of growth and metabolic condition. Various criteria are used to diagnose hypotrophy; 3rd, 5th or 10th percentile body mass are the most common, although others recommend using a value of -2.0 SDS body mass and length. To define the frequency of body mass and length deficiency in newborns in the Warsaw population. 4096 children born in single deliveries in 2009 at one Warsaw hospital. Body dimensions at birth were compared against the following standards, taking gestation period and sex into consideration: 1. Usher and McLean (UML). 2. A standard generally used in Warsaw maternity wards, drawn up by the Mother and Baby Institute (IMiD). 3. A standard drawn up in Wielkopolska (WLKP). Hypotrophy was diagnosed retrospectively on the basis of -2.0 SDS body mass and/or body length and 10th percentile body mass criterion. Regardless of sex and the standard being applied, at least one of the analysed body dimensions fell at or below -2.0 SDS in approximately 1% of all children. In newborn boys hypotrophy was diagnosed significantly less frequently using the UML standard than using the national ones, while in newborn girls it was diagnosed less frequently using the IMiD standard than UML or WLKP. Birth mass below the 10th percentile was found in approximately 7% and in just over 3% of all newborns using the IMiD and WLKP standards respectively. The absence of national standards for body length at birth makes the -2.0 SDS criterion difficult to use, while basing the diagnosis purely on evaluating body mass results in too few diagnoses of hypotrophy. Using the 10th percentile criterion allows for diagnosing hypotrophy in a few percent of newborns, while the Warsaw and Wielkopolska standards result in more diagnoses. Taking population trends into account, we postulate the need to prepare new national standards of body dimensions of

  18. The Yugoslav All-People’s Defense System: A Pessimistic Appraisal.

    DTIC Science & Technology

    1981-06-01

    to invade (hypothetical), was the feeling that the order of modifiers used by the Yugoslav Foreign Minister, Milos Minic, "Yugoslavia is a European...strategically nestled in the Balkans amidst seven nations. Three of them, Hungary, Romania, and Bulgaria, 14 are members of the Warsaw Pact; two of them

  19. Americans on Target: U.S. Army Tank Gunnery Excellence Canadian Army Trophy Competition 1987

    DTIC Science & Technology

    1989-08-01

    CAT 󈨛 and future Canadian Army Trophy competitions is you, the Warsaw Pact! The leadership of the Allied armies has long recognized the value of CAT...relative allied military strength versus the Warsaw Pact that does not fully exist today -- but could exist in the future, if the NATO allies continue...training program is long and grueling for the contestants--the winners and the others. Consequently, CAT may have positive or negative effects--and the

  20. JPRS Report, East Europe

    DTIC Science & Technology

    1990-10-16

    Rajch; place and date not given: "The Road to Security "] [Text] [Rajch] It is a truism that lately European rela- tions have been experiencing profound...destabilizing European security ? [Nowak] The North Atlantic Treaty Organization alli- ance is a sound, effective, and efficient and organism. It has...Warsaw Pact could participate in the dialogue on European security . Thus, the Warsaw Pact should change so as to provide a platform for countries

  1. The implementation of the Plan Esperanza and response to the imPACT Review.

    PubMed

    Vidaurre, Tatiana; Santos, Carlos; Gómez, Henry; Sarria, Gustavo; Amorin, Edgar; López, Marga; Regalado, Roxana; Manrique, Javier; Tarco, Duniska; Ayestas, Carlos; Calderón, Mónica; Mas, Luis; Neciosup, Silvia; Salazar, Miriam; Chávez, Juan Carlos; Ubillus, Milward; Limache, Abel; Ubillus, José Carlos; Navarro, Jeannie; Sarwal, Kavita; Sutcliffe, Simon; Gutiérrez-Aguado, Alfonso; Silva, Marianela; Mena, Amalia; Guillén, María Eugenia; Castañeda, Carlos; Abugattas, Julio

    2017-10-01

    Following the implementation of the National Cancer Prevention and Control Results-based Budget Programme (PpR Cancer-024) in 2011, the Peruvian Government approved the Plan Esperanza-a population-based national cancer control plan-in 2012. Legislation that ensured full government-supported funding for people who were otherwise unable to access or afford care and treatment accompanied the Plan. In 2013, the Ministry of Health requested an integrated mission of the Programme of Action for Cancer Therapy (imPACT) report to strengthen cancer control in Peru. The imPACT Review, which was executed in 2014, assessed Peru's achievements in cancer control, and areas for improvement, including cancer control planning, further development of population-based cancer registration, increased prevention, early diagnosis, treatment and palliative care, and the engagement and participation of civil society in the health-care system. This Series paper gives a brief history of the development of the Plan Esperanza, describes the innovative funding model that supports it, and summarises how funds are disseminated on the basis of disease, geography, and demographics. An overview of the imPACT Review, and the government's response in the context of the Plan Esperanza, is provided. The development and execution of the Plan Esperanza and the execution of and response to the imPACT Review demonstrates the Peruvian Government's commitment to fighting cancer across the country, including in remote and urban areas. Copyright © 2017 Elsevier Ltd. All rights reserved.

  2. Long-term reliability of ImPACT in professional ice hockey.

    PubMed

    Echemendia, Ruben J; Bruce, Jared M; Meeuwisse, Willem; Comper, Paul; Aubry, Mark; Hutchison, Michael

    2016-02-01

    This study sought to assess the test-retest reliability of Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) across 2-4 year time intervals and evaluate the utility of a newly proposed two-factor (Speed/Memory) model of ImPACT across multiple language versions. Test-retest data were collected from non-concussed National Hockey League (NHL) players across 2-, 3-, and 4-year time intervals. The two-factor model was examined using different language versions (English, French, Czech, Swedish) of the test using a one-year interval, and across 2-4 year intervals using the English version of the test. The two-factor Speed index improved reliability across multiple language versions of ImPACT. The Memory factor also improved but reliability remained below the traditional cutoff of .70 for use in clinical decision-making. ImPACT reliabilities remained low (below .70) regardless of whether the four-composite or the two-factor model was used across 2-, 3-, and 4-year time intervals. The two-factor approach increased ImPACT's one-year reliability over the traditional four-composite model among NHL players. The increased stability in test scores improves the test's ability to detect cognitive changes following injury, which increases the diagnostic utility of the test and allows for better return to play decision-making by reducing the risk of exposing an athlete to additional trauma while the brain may be at a heightened vulnerability to such trauma. Although the Speed Index increases the clinical utility of the test, the stability of the Memory index remains low. Irrespective of whether the two-factor or traditional four-composite approach is used, these data suggest that new baselines should occur on a yearly basis in order to maximize clinical utility.

  3. X-Ray Psoralen Activated Cancer Therapy (X-PACT)

    PubMed Central

    Oldham, Mark; Yoon, Paul; Fathi, Zak; Beyer, Wayne F.; Adamson, Justus; Liu, Leihua; Alcorta, David; Xia, Wenle; Osada, Takuya; Liu, Congxiao; Yang, Xiao Y.; Dodd, Rebecca D.; Herndon, James E.; Meng, Boyu; Kirsch, David G.; Lyerly, H. Kim; Dewhirst, Mark W.; Fecci, Peter; Walder, Harold; Spector, Neil L.

    2016-01-01

    This work investigates X-PACT (X-ray Psoralen Activated Cancer Therapy): a new approach for the treatment of solid cancer. X-PACT utilizes psoralen, a potent anti-cancer therapeutic with current application to proliferative disease and extracorporeal photopheresis (ECP) of cutaneous T Cell Lymphoma. An immunogenic role for light-activated psoralen has been reported, contributing to long-term clinical responses. Psoralen therapies have to-date been limited to superficial or extracorporeal scenarios due to the requirement for psoralen activation by UVA light, which has limited penetration in tissue. X-PACT solves this challenge by activating psoralen with UV light emitted from novel non-tethered phosphors (co-incubated with psoralen) that absorb x-rays and re-radiate (phosphoresce) at UV wavelengths. The efficacy of X-PACT was evaluated in both in-vitro and in-vivo settings. In-vitro studies utilized breast (4T1), glioma (CT2A) and sarcoma (KP-B) cell lines. Cells were exposed to X-PACT treatments where the concentrations of drug (psoralen and phosphor) and radiation parameters (energy, dose, and dose rate) were varied. Efficacy was evaluated primarily using flow cell cytometry in combination with complimentary assays, and the in-vivo mouse study. In an in-vitro study, we show that X-PACT induces significant tumor cell apoptosis and cytotoxicity, unlike psoralen or phosphor alone (p<0.0001). We also show that apoptosis increases as doses of phosphor, psoralen, or radiation increase. Finally, in an in-vivo pilot study of BALBc mice with syngeneic 4T1 tumors, we show that the rate of tumor growth is slower with X-PACT than with saline or AMT + X-ray (p<0.0001). Overall these studies demonstrate a potential therapeutic effect for X-PACT, and provide a foundation and rationale for future studies. In summary, X-PACT represents a novel treatment approach in which well-tolerated low doses of x-ray radiation are delivered to a specific tumor site to generate UVA light which

  4. Detente and the European Force Reduction Negotiations.

    ERIC Educational Resources Information Center

    Hopmann, P. Terrence

    The paper discusses and analyzes negotiations between the Warsaw Pact and NATO nations to reduce military forces in Central Europe. These negotations have taken place in Vienna since 1973. Material is organized in three major sections. Section I offers a general survey of the political and strategic context within which the negotiations have taken…

  5. Payload crew training scheduler (PACTS) user's manual

    NASA Technical Reports Server (NTRS)

    Shipman, D. L.

    1980-01-01

    The operation of the payload specialist training scheduler (PACTS) is discussed in this user's manual which is used to schedule payload specialists for mission training on the Spacelab experiments. The PACTS program is a fully automated interactive, computerized scheduling program equipped with tutorial displays. The tutorial displays are sufficiently detailed for use by a program analyst having no computer experience. The PACTS program is designed to operate on the UNIVAC 1108 computer system, and has the capability to load output into a PDP 11/45 Interactive Graphics Display System for printing schedules. The program has the capacity to handle up to three overlapping Spacelab missions.

  6. Production Assistance for Cellular Therapies (PACT): four-year experience from the United States National Heart, Lung, and Blood Institute (NHLBI) contract research program in cell and tissue therapies.

    PubMed

    Reed, William; Noga, Stephen J; Gee, Adrian P; Rooney, Cliona M; Wagner, John E; McCullough, Jeffrey; McKenna, David H; Whiteside, Theresa L; Donnenberg, Albert D; Baker, Acacia K; Lindblad, Robert W; Wagner, Elizabeth L; Mondoro, Traci Heath

    2009-04-01

    In 2002, the US National Heart, Lung, and Blood Institute (NHLBI) conducted a workshop to determine needs of the cell therapy community. A consensus emerged that improved access to cGMP facilities, regulatory assistance, and training would foster the advancement of cellular therapy. A 2003 NHLBI request for proposals resulted in four contracts being awarded to three cell-manufacturing facilities (Baylor College of Medicine, University of Minnesota, and University of Pittsburgh) and one administrative center (The EMMES Corporation). As a result, Production Assistance for Cellular Therapies (PACT) was formed. As of October 1, 2008, PACT has received 65 preliminary applications of which 45 have been approved for product manufacture. A variety of cell therapies are represented including T-regulatory cells, natural killer cells, adipose-derived stem cells, cardiac progenitor cells for cardiac disease, hematopoietic progenitor cells (HPCs) for central nervous system applications, cytotoxic T lymphocytes, and dendritic cells. A total of 169 products have been administered under 12 applications and 2 reagents were manufactured and delivered. Fourteen peer-reviewed publications and 15 abstracts have resulted from the PACT project to date. A cell therapy textbook is nearly complete. PACT technical projects have addressed assay development, rapid endotoxin testing, shipping of cell products, and CD34+ HPC isolation from low-volume marrow. Educational Web seminars and on-site training through workshops have been conducted. PACT is an active and successful cell therapy manufacturing resource in the United States, addressing research and training while forging relationships among academia, industry, and participating institutions.

  7. Production Assistance for Cellular Therapies (PACT): five-year experience from the United States National Heart, Lung, and Blood Institute (NHLBI) contract research program in cell and tissue therapies

    PubMed Central

    Reed, William; Noga, Stephen J.; Gee, Adrian P.; Rooney, Cliona M.; Wagner, John E.; McCullough, Jeffrey; McKenna, David H.; Whiteside, Theresa L.; Donnenberg, Albert D.; Baker, Acacia K.; Lindblad, Robert W.; Wagner, Elizabeth L.; Mondoro, Traci Heath

    2014-01-01

    BACKGROUND In 2002, the US National Heart, Lung, and Blood Institute (NHLBI) conducted a workshop to determine needs of the cell therapy community. A consensus emerged that improved access to cGMP facilities, regulatory assistance, and training would foster the advancement of cellular therapy. STUDY DESIGN AND METHODS A 2003 NHLBI request for proposals resulted in four contracts being awarded to three cell-manufacturing facilities (Baylor College of Medicine, University of Minnesota, and University of Pittsburgh) and one administrative center (The EMMES Corporation). As a result, Production Assistance for Cellular Therapies (PACT) was formed. RESULTS As of October 1, 2008, PACT has received 65 preliminary applications of which 45 have been approved for product manufacture. A variety of cell therapies are represented including T-regulatory cells, natural killer cells, adipose-derived stem cells, cardiac progenitor cells for cardiac disease, hematopoietic progenitor cells (HPCs) for central nervous system applications, cytotoxic T lymphocytes, and dendritic cells. A total of 169 products have been administered under 12 applications and 2 reagents were manufactured and delivered. Fourteen peer-reviewed publications and 15 abstracts have resulted from the PACT project to date. A cell therapy textbook is nearly complete. PACT technical projects have addressed assay development, rapid endotoxin testing, shipping of cell products, and CD34+ HPC isolation from low-volume marrow. Educational Web seminars and onsite training through workshops have been conducted. CONCLUSIONS PACT is an active and successful cell therapy manufacturing resource in the United States, addressing research and training while forging relationships among academia, industry, and participating institutions. PMID:19170985

  8. Resource Rivalry in the Third World,

    DTIC Science & Technology

    1984-03-31

    and specifically includes comparative NATO/Warsaw Pact dependence on critical resources , externally supplied ; determination of the extent, ways and...essential, especially defense-related, industry, the nation thereby becoming significantly dependent on the supplies of such resource from foreign...8217 consequences; 2. lac’. of adequate domestic resources ; 3. lim- ited potential for suitable substitute materials; and 4. lack of alternative sources

  9. Twitter as a place where people meet to make suicide pacts.

    PubMed

    Lee, S Y; Kwon, Y

    2018-06-01

    To examine how Twitter is used as a place where people seek others to make suicide pacts. This is an exploratory quantitative study. We used Twitter application programming interfaces to collect all Korean tweets containing the term 'suicide pact' between October 16, 2017 and November 30, 2017. A Python program and human coders were employed to further identify tweets that aimed to seek others to make a suicide pact and analyze the content of each tweet. Poisson regression analysis was used to examine the characteristics of the tweets that attracted more replies. During the data collection period comprising 43 days, 1702 tweets posted by 551 users were aimed to find others to make suicide pacts. Many of the tweets contained detailed information such as the name of city, gender and age of the user, preferred contact method, and preferred gender of a partner. The number of replies to a tweet seeking a suicide pact varied according to the types of the information contained in the tweet. The results of this study indicate that Twitter might be an attractive place where people try to meet others to make a suicide pact. Thus, the government should try to prevent cases of suicides caused by suicide pacts made via Twitter. Copyright © 2018 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  10. What Do We Really Know about the EdTPA? Research, PACT, and Packaging a Local Teacher Performance Assessment for National Use

    ERIC Educational Resources Information Center

    Hébert, Cristyne

    2017-01-01

    This article calls attention to the overreliance on research about the Performance Assessment for California Teachers (PACT)--often labeled edTPA's predecessor--as justification for the edTPA. The article argues that the distinctions between the assessments are too vast to rely on PACT data to support the edTPA, given the localized nature of PACT…

  11. Essays on Strategy VII

    DTIC Science & Technology

    1990-01-01

    framework for a post -Cold War strategy, but rather to give examples of the elements such a strategy might con- tain, as well as some suggestions of...aspects of our national strategy. We are, for example , rcvising our conception of the Warsaw Pact nations as a single entity and our perception of...imaginatively with the issues of the post -Cold War period. One of them addresses general US strategy for the 1990s. Three focus on high-level strategic

  12. Young Children Create Partner-Specific Referential Pacts with Peers

    ERIC Educational Resources Information Center

    Köymen, Bahar; Schmerse, Daniel; Lieven, Elena; Tomasello, Michael

    2014-01-01

    In 2 studies, we investigated how peers establish a "referential pact" to call something, for example, a "cushion" versus a "pillow" (both equally felicitous). In Study 1, pairs of 4-and 6-year-old German-speaking peers established a referential pact for an artifact, for example, a "woman's shoe," in a…

  13. Hermann Mooser, Typhus, Warsaw 1941.

    PubMed

    Lindenmann, Jean

    2002-01-01

    Hermann Mooser (1891-1971), a Swiss rickettsiologist, sent his friend Peyton Rous (1879-1970) of the Rockefeller Institute (New York) a telegram on November 3, 1941, asking for financial help for the manufacture of typhus vaccine in Zurich for the Warsaw Ghetto. His explanatory letter from November 4 reached Rous too late to have any influence on the negative decision (by the Rockefeller Foundation and the American Red Cross) in this matter. Contrary to Weindling's affirmation Mooser was neither in Warsaw in 1941, nor was he a member of the Swiss Sanitary Missions to the eastern front.

  14. The role of PACT in the RNA silencing pathway

    PubMed Central

    Lee, Yoontae; Hur, Inha; Park, Seong-Yeon; Kim, Young-Kook; Suh, Mi Ra; Kim, V Narry

    2006-01-01

    Small RNA-mediated gene silencing (RNA silencing) has emerged as a major regulatory pathway in eukaryotes. Identification of the key factors involved in this pathway has been a subject of rigorous investigation in recent years. In humans, small RNAs are generated by Dicer and assembled into the effector complex known as RNA-induced silencing complex (RISC) by multiple factors including hAgo2, the mRNA-targeting endonuclease, and TRBP (HIV-1 TAR RNA-binding protein), a dsRNA-binding protein that interacts with both Dicer and hAgo2. Here we describe an additional dsRNA-binding protein known as PACT, which is significant in RNA silencing. PACT is associated with an ∼500 kDa complex that contains Dicer, hAgo2, and TRBP. The interaction with Dicer involves the third dsRNA-binding domain (dsRBD) of PACT and the N-terminal region of Dicer containing the helicase motif. Like TRBP, PACT is not required for the pre-microRNA (miRNA) cleavage reaction step. However, the depletion of PACT strongly affects the accumulation of mature miRNA in vivo and moderately reduces the efficiency of small interfering RNA-induced RNA interference. Our study indicates that, unlike other RNase III type proteins, human Dicer may employ two different dsRBD-containing proteins that facilitate RISC assembly. PMID:16424907

  15. Secondary combined suicide pact.

    PubMed

    Jayanth, S H; Girish Chandra, Y P; Hugar, Basappa S; Kainoor, Sunilkumar

    2014-03-01

    This article reports a combined suicide pact, where in a young couple; a 26 year old male and a 20 year old female committed suicide by using two methods. The couple had resorted to hanging and self-immolation to prevent failure of single method alone. In secondary combined suicides, several other methods of suicide are tried after the first method chosen has failed. It is primary combined suicide only when two or more methods are used simultaneously. Both types of combined suicide by one individual is well reported in the literature whereas the same by two persons together is rare. In this report, the deceased were disappointed lovers, poor and the family members were against their marriage. The investigation of scene, methods employed to commit suicide, autopsy findings and the interview with their relatives altogether suggested that it was a secondary combined suicide pact. Copyright © 2014 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

  16. JPRS Report, Arms Control

    DTIC Science & Technology

    1989-06-06

    Withdrawing From Hungary [A. Kaverznev; KOMSOMOLSKAY A PRAVDA 26 Apr] 30 WEST EUROPE FEDERAL REPUBLIC OF GERMANY Complaints Heard on Soviet Maneuver...toward the Soviet Union. On the SNF issue, the Federal Germany , for its own national interests, opposes modernization of the NATO aging Lance...substantial reduction of the Warsaw Pact conventional forces. However, Federal Germany seems not to go along with such a vague approach and wants

  17. Sport and Other Motor Activities of Warsaw Students

    ERIC Educational Resources Information Center

    Biernat, Elzbieta

    2011-01-01

    Study aim: To assess the engagement of students of Warsaw university schools in sports and in recreational motor activities. Material and methods: A cohort (n = 1100) of students attending B.S. or M.S. courses at 6 university schools in Warsaw were studied by applying questionnaire techniques. The questions pertained to participation in…

  18. Tangible Results and Progress in Flood Risks Management with the PACTES Initiative

    NASA Astrophysics Data System (ADS)

    Costes, Murielle; Abadie, Jean-Paul; Ducuing, Jean-Louis; Denier, Jean-Paul; Stéphane

    The PACTES project (Prévention et Anticipation des Crues au moyen des Techniques Spatiales), initiated by CNES and the French Ministry of Research, aims at improving flood risk management, over the following three main phases : - Prevention : support and facilitate the analysis of flood risks and socio-economic impacts (risk - Forecasting and alert : improve the capability to predict and anticipate the flooding event - Crisis management : allow better situation awareness, communication and sharing of In order to achieve its ambitious objectives, PACTES: - integrates state-of-the-art techniques and systems (integration of the overall processing chains, - takes advantage of integrating recent model developments in wheather forecasting, rainfall, In this approach, space technology is thus used in three main ways : - radar and optical earth observation data are used to produce Digital Elevation Maps, land use - earth observation data are also an input to wheather forecasting, together with ground sensors; - satellite-based telecommunication and mobile positioning. Started in December 2000, the approach taken in PACTES is to work closely with users such as civil security and civil protection organisms, fire fighter brigades and city councils for requirements gathering and during the validation phase. It has lead to the development and experimentation of an integrated pre-operational demonstrator, delivered to different types of operational users. Experimentation has taken place in three watersheds representative of different types of floods (flash and plain floods). After a breaf reminder of what the PACTES project organization and aims are, the PACTES integrated pre-operational demonstrator is presented. The main scientific inputs to flood risk management are summarized. Validation studies for the three watersheds covered by PACTES (Moselle, Hérault and Thoré) are detailed. Feedback on the PACTES tangible results on flood risk management from an user point of view

  19. Development of Photodynamic Antimicrobial Chemotherapy (PACT) for Clostridium difficile.

    PubMed

    De Sordi, Luisa; Butt, M Adil; Pye, Hayley; Kohoutova, Darina; Mosse, Charles A; Yahioglu, Gokhan; Stamati, Ioanna; Deonarain, Mahendra; Battah, Sinan; Ready, Derren; Allan, Elaine; Mullany, Peter; Lovat, Laurence B

    2015-01-01

    Clostridium difficile is the leading cause of antibiotic-associated diarrhoea and pseudo membranous colitis in the developed world. The aim of this study was to explore whether Photodynamic Antimicrobial Chemotherapy (PACT) could be used as a novel approach to treating C. difficile infections. PACT utilises the ability of light-activated photosensitisers (PS) to produce reactive oxygen species (ROS) such as free radical species and singlet oxygen, which are lethal to cells. We screened thirteen PS against C. difficile planktonic cells, biofilm and germinating spores in vitro, and cytotoxicity of effective compounds was tested on the colorectal adenocarcinoma cell-line HT-29. Three PS were able to kill 99.9% of bacteria in both aerobic and anaerobic conditions, both in the planktonic state and in a biofilm, after exposure to red laser light (0.2 J/cm2) without harming model colon cells. The applicability of PACT to eradicate C. difficile germinative spores indirectly was also shown, by first inducing germination with the bile salt taurocholate, followed by PACT. This innovative and simple approach offers the prospect of a new antimicrobial therapy using light to treat C. difficile infection of the colon.

  20. Automation of PCXMC and ImPACT for NASA Astronaut Medical Imaging Dose and Risk Tracking

    NASA Technical Reports Server (NTRS)

    Bahadori, Amir; Picco, Charles; Flores-McLaughlin, John; Shavers, Mark; Semones, Edward

    2011-01-01

    To automate astronaut organ and effective dose calculations from occupational X-ray and computed tomography (CT) examinations incorporating PCXMC and ImPACT tools and to estimate the associated lifetime cancer risk per the National Council on Radiation Protection & Measurements (NCRP) using MATLAB(R). Methods: NASA follows guidance from the NCRP on its operational radiation safety program for astronauts. NCRP Report 142 recommends that astronauts be informed of the cancer risks from reported exposures to ionizing radiation from medical imaging. MATLAB(R) code was written to retrieve exam parameters for medical imaging procedures from a NASA database, calculate associated dose and risk, and return results to the database, using the Microsoft .NET Framework. This code interfaces with the PCXMC executable and emulates the ImPACT Excel spreadsheet to calculate organ doses from X-rays and CTs, respectively, eliminating the need to utilize the PCXMC graphical user interface (except for a few special cases) and the ImPACT spreadsheet. Results: Using MATLAB(R) code to interface with PCXMC and replicate ImPACT dose calculation allowed for rapid evaluation of multiple medical imaging exams. The user inputs the exam parameter data into the database and runs the code. Based on the imaging modality and input parameters, the organ doses are calculated. Output files are created for record, and organ doses, effective dose, and cancer risks associated with each exam are written to the database. Annual and post-flight exposure reports, which are used by the flight surgeon to brief the astronaut, are generated from the database. Conclusions: Automating PCXMC and ImPACT for evaluation of NASA astronaut medical imaging radiation procedures allowed for a traceable and rapid method for tracking projected cancer risks associated with over 12,000 exposures. This code will be used to evaluate future medical radiation exposures, and can easily be modified to accommodate changes to the risk

  1. Analysis of Internet Suicide Pacts Reported by the Media in Mainland China.

    PubMed

    Jiang, Fang-Fan; Xu, Hui-Lan; Liao, Hui-Ying; Zhang, Ting

    2017-01-01

    In mainland China, frequent Internet suicide pacts in recent years have raised strong concerns from several social sectors and the influence of social networks on suicide is constantly growing. To identify the epidemiological characteristics of media-reported Internet suicide pacts in mainland China. Our study comprised 62 Internet suicide pacts involving 159 victims in mainland China before June 1, 2015. Kendall's randomness test, a trend test, and a circular distribution test were applied to identify the rising or concentrated trends in the time of occurrence of Internet suicide pacts. The overall male-to-female ratio was 2.3:1. Suicide victims were mainly people in their 20s to 30s (84.1%). In all, 87.1% suicide victims completed suicide in sealed hotels or rental housing, and charcoal-burning suicide accounted for 80.6% of cases. People who complete suicide as part of an Internet suicide pact are more likely to be males, aged 20-30 years. Charcoal-burning suicide in sealed hotels or rental housing was the commonest way of dying.

  2. (Relatively) Smooth Sailing: How a Large State University Successfully Adopted the PACT Teaching Event

    ERIC Educational Resources Information Center

    Gainsburg, Julie; Ericson, Bonnie

    2015-01-01

    In this article, the PACT Coordinator and former Department Chair of the Department of Secondary Education at a large state university describe how the PACT Teaching Event was introduced, piloted and implemented in their department. Despite the size and complexity of this department, PACT implementation went relatively smoothly, with widespread…

  3. Lessons from the 1999 Round of NATO Enlargement

    DTIC Science & Technology

    2003-12-01

    to maintain a strong level of association and cooperation for membership. Some of the newly independent countries of Europe see it as a first step...within the ranks as well as Soviet advisors being placed at the corps level of command.8 In its international dimension, the Warsaw Pact -- including...constitutions so as to provide a legal basis for defense as well as the drafting of national security strategies and defense doctrines; • The

  4. Translations on Eastern Europe, Political, Sociological, and Military Affairs, Number 1320

    DTIC Science & Technology

    1976-11-17

    behavior we should condemn. True enough, in the public pressure affecting our standard-of- living policies we can discover elements which are influenced...so that the supply of high- grade, healthful foods becomes still more polymorphic , abundant and appetiz- ing. Together with the All-Union Institute...death the Warsaw Pact nations will exert political and military pressure on Yugoslavia—and if need be will invade it—in order to force it to return to

  5. The content of trace elements in the diet of adolescents in Warsaw.

    PubMed

    Dybkowska, Ewa; Swiderski, Franciszek; Waszkiewicz-Robak, Bozena

    2011-01-01

    The aim of the study is to assess the contents of iron, zinc and copper in the diet among of adolescents living in Warsaw. The intake ofselected trace elements was estimated on the basis of three-day dietary records. Microelement contents in the diet were calculated using Food Composition Tables. The percentage of the RDA realization for the safe level was calculated on the basis of standards for Polish population, developed by National Food and Nutrition Institute. It was demonstrated that adolescents living in Warsaw had 50-60% copper-deficient diets. The content of iron and zinc in the diet of adolescents was about 10-40% lower than recommended. Deficiency of iron in the body causes anaemia and influences learning process, therefore the content of this element in the diet of young people is especially important.

  6. The experience of Patient Aligned Care Team (PACT) members.

    PubMed

    Ladebue, Amy C; Helfrich, Christian D; Gerdes, Zachary T; Fihn, Stephan D; Nelson, Karin M; Sayre, George G

    2016-01-01

    In April 2010, the Veterans Health Administration (VHA) launched the Patient Aligned Care Team (PACT) initiative to implement a patient-centered medical home (PCMH) model. Few evaluations have addressed the effects of PCMH on health care professionals' experiences. The aim of this study was to contribute to evaluation of the PACT initiative and the broader literature on PCMH by assessing respondents' experiences of implementing a PCMH model and becoming a teamlet. A retrospective qualitative analysis of open-text responses in a survey fielded to all VHA Primary Care personnel (VHA Primary Care physicians, nurse practitioners, physician assistants, nurse care managers, clinical associates, and administrative clerks) in May and June 2012 (approximately 2 years into the 5-year planned implementation of PACT) using deductive and inductive content analysis. The main measures were two open-response fields: "Is there anything else you would like us to relay to the VA leadership in Central Office?" and "Do you have any other comments or feedback on PACT?" The data consisted of free text responses of 3,868 survey participants who provided text for one or both of the open-response fields. Although respondents viewed PACT positively as a model and reported it improved relationships with patients and increased patient satisfaction, they described multiple barriers to achieving functioning teamlets and unintended consequences, including reduced time with patients, increased participant burnout, and decreased team efficacy because of low-performing team members. A central theme related to staffing being insufficient for the new model. Insufficient staffing of PCMH teams is a critical barrier to realizing the benefits of the new model. Frontline staff have concrete recommendations for other problems, such as using back-up teams to cover during absences, but that will require providing more opportunities for feedback from staff to be heard.

  7. Electrocardiogram‐gated coronary CT angiography dose estimates using ImPACT

    PubMed Central

    Asada, Yasuki; Matsubara, Kosuke; Suzuki, Shouichi; Koshida, Kichiro; Matsunaga, Yuta; Haba, Tomonobu; Kawaguchi, Ai; Toyama, Hiroshi; Kato, Ryoichi

    2016-01-01

    The primary study objective was to assess radiation doses using a modified form of the Imaging Performance Assessment of Computed Tomography (CT) scanner (ImPACT) patient dosimetry for cardiac applications on an Aquilion ONE ViSION Edition scanner, including the Ca score, target computed tomography angiography (CTA), prospective CTA, continuous CTA/cardiac function analysis (CFA), and CTA/CFA modulation. Accordingly, we clarified the CT dose index (CTDI) to determine the relationship between heart rate (HR) and X‐ray exposure. As a secondary objective, we compared radiation doses using modified ImPACT, a whole‐body dosimetry phantom study, and the k‐factor method to verify the validity of the dose results obtained with modified ImPACT. The effective dose determined for the reference person (4.66 mSv at 60 beats per minute (bpm) and 33.43 mSv at 90 bpm) were approximately 10% less than those determined for the phantom study (5.28 mSv and 36.68 mSv). The effective doses according to the k‐factor (0.014 mSv·mGy−1·cm−1; 2.57 mSv and 17.10 mSv) were significantly lower than those obtained with the other two methods. In the present study, we have shown that ImPACT, when modified for cardiac applications, can assess both absorbed and effective doses. The results of our dose comparison indicate that modified ImPACT dose assessment is a promising and practical method for evaluating coronary CTA. PACS number(s): 87.57.Q‐, 87.59.Dj, 87.57.uq PMID:27455500

  8. 77 FR 50548 - Agency Information Collection: (PACT Qualitative Evaluation: Patient & Caregiver Interviews...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-21

    ... Systems Redesign and the PACT Demo Lab innovations and will inform the redesign and demo lab innovations in real time. It will also gather information on patient characteristics and their experiences with... Patient Aligned Care Teams (PACT) Systems Redesign, document patients' and their informal caregivers...

  9. Sensitivity and specificity of the online version of ImPACT in high school and collegiate athletes.

    PubMed

    Schatz, Philip; Sandel, Natalie

    2013-02-01

    The utility of postconcussion neurocognitive testing versus symptom data has been debated. The sensitivity of the desktop version of the Immediate Post-concussion assessment and cognitive testing (ImPACT) tool has been documented, but psychometric properties of the recently released online version of ImPACT have yet to be fully established. To document the sensitivity of the online ImPACT version in samples of (1) symptomatic concussed (high school and collegiate) athletes, and (2) asymptomatic concussed (high school and collegiate) athletes suspected of hiding their concussions. Cohort study; level of evidence, 3. A total of 81 athletes observed to sustain a concussion by a certified athletic trainer or team physician, a finding that was confirmed with reported postconcussion symptoms, completed the ImPACT test within 3 days of injury. Data were compared with an independent sample of 81 athletes who completed preseason baseline cognitive assessments using ImPACT and who were matched (with concussed athletes) on the basis of sex, age, sport, concussion history, and absence of attention deficit hyperactivity disorder and learning disability. An independent group of 37 athletes who were also observed to sustain a concussion completed ImPACT within 3 days of injury. These athletes reported no postconcussion symptoms but were noted for suspected invalid response patterns on ImPACT (impulse control index >30 and verbal memory index <69%). The subscale data from the assessments (excluding those contributing to the aforementioned indices) were compared with a matched sample of 37 athletes who completed preseason baseline cognitive assessments in ImPACT (using the same criteria described above). Data from the ImPACT online version yielded 91.4% sensitivity and 69.1% specificity. For asymptomatic athletes suspected of hiding their concussion, data from ImPACT yielded 94.6% sensitivity and 97.3% specificity. The online version of the ImPACT tool is a valid measure of

  10. International Armaments Cooperation: A Case Study of the Modular Standoff Weapons

    DTIC Science & Technology

    1988-09-01

    members of the Alliance will be in a better position to deal with the problems of removing trade barriers within NATO as a whole in order to create a...costs and responsibll - itles for any or all of the following by two or more nations or organizations: research, development, production, and follow-on...significant barriers remain. As a result of the lack of a coordinated defense posture and the numerical and qualitative gains made by the Warsaw Pact

  11. Reconstruction of War Damaged Buildings - A Problem that Still Stands. The Case of the National Economy Bank in Warsaw Restored During the Second World War

    NASA Astrophysics Data System (ADS)

    Łotysz, Sławomir

    2016-12-01

    The Polish national historiography remains silent on the reconstruction of damaged towns and cities that was undertaken by the German administration after capturing Poland in September 1939. This paper, on the war-time restoration of the National Economy Bank's headquarters in Warsaw, is an attempt to at least partially fill the gap. Designed by celebrated architect Rudolf Świerczyński in the late 1920s in accordance with contemporary air raid defence regulations, it was bombed and nevertheless seriously damaged during the September Campaign. Under the German management of the bank, the building was reconstructed and even modernized by commissioned Polish engineers.

  12. WindPACT Reference Wind Turbines

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

    Dykes, Katherine L; Rinker, Jennifer

    To fully understand how loads and turbine cost scale with turbine size, it is necessary to have identical turbine models that have been scaled to different rated powers. The report presents the WindPACT baseline models, which are a series of four baseline models that were designed to facilitate investigations into the scalings of loads and turbine cost with size. The models have four different rated powers (750 kW, 1.5 MW, 3.0 MW, and 5.0 MW), and each model was designed to its specified rated power using the same design methodology. The models were originally implemented in FAST_AD, the predecessor tomore » NREL's open-source wind turbine simulator FAST, but have yet to be implemented in FAST. This report contains the specifications for all four WindPACT baseline models - including structural, aerodynamic, and control specifications - along with the inherent assumptions and equations that were used to calculate the model parameters. It is hoped that these baseline models will serve as extremely useful resources for investigations into the scalings of costs, loads, or optimization routines.« less

  13. Antiviral activity of double-stranded RNA-binding protein PACT against influenza A virus mediated via suppression of viral RNA polymerase.

    PubMed

    Chan, Chi-Ping; Yuen, Chun-Kit; Cheung, Pak-Hin Hinson; Fung, Sin-Yee; Lui, Pak-Yin; Chen, Honglin; Kok, Kin-Hang; Jin, Dong-Yan

    2018-03-07

    PACT is a double-stranded RNA-binding protein that has been implicated in host-influenza A virus (IAV) interaction. PACT facilitates the action of RIG-I in the activation of the type I IFN response, which is suppressed by the viral nonstructural protein NS1. PACT is also known to interact with the IAV RNA polymerase subunit PA. Exactly how PACT exerts its antiviral activity during IAV infection remains to be elucidated. In the current study, we demonstrated the interplay between PACT and IAV polymerase. Induction of IFN-β by the IAV RNP complex was most robust when both RIG-I and PACT were expressed. PACT-dependent activation of IFN-β production was suppressed by the IAV polymerase subunits, polymerase acidic protein, polymerase basic protein 1 (PB1), and PB2. PACT associated with PA, PB1, and PB2. Compromising PACT in IAV-infected A549 cells resulted in the augmentation of viral RNA (vRNA) transcription and replication and IFN-β production. Furthermore, vRNA replication was boosted by knockdown of PACT in both A549 cells and IFN-deficient Vero cells. Thus, the antiviral activity of PACT is mediated primarily via its interaction with and inhibition of IAV polymerase. Taken together, our findings reveal a new facet of the host-IAV interaction in which the interplay between PACT and IAV polymerase affects the outcome of viral infection and antiviral response.-Chan, C.-P., Yuen, C.-K., Cheung, P.-H. H., Fung, S.-Y., Lui, P.-Y., Chen, H., Kok, K.-H., Jin, D.-Y. Antiviral activity of double-stranded RNA-binding protein PACT against influenza A virus mediated via suppression of viral RNA polymerase.

  14. The Prospect of Increased Japanese Military Burdensharing

    DTIC Science & Technology

    1988-03-30

    defense issues, the understanding of Japan’s future will be a key asset in formulating an effective negotiation strategy. 5 I,~ SOME COMMON MISPERCEPTIONS...entire Warsaw Pact nations and the Soviet Union together. 3 A Rand Corporation study also concluded that Asia’s economy will play a larger part in a...military roles in the area, they warfi that Japan will steal our technologies for other uses. Bashing a key friend and ally in this manner is, to say

  15. [Silence pact from the perspective of caretakers of palliative care patients].

    PubMed

    Cejudo López, Ángela; López López, Begoña; Duarte Rodríguez, Miguel; Crespo Serván, María Pilar; Coronado Illescas, Concepción; de la Fuente Rodríguez, Carlota

    2015-01-01

    To determine why terminally-ill patients, family caregivers and health care providers make a pact of silence about the terminal status of the patient, and to identify the attitudes, experiences and opinions of family caregivers concerning the conspiracy of silence in palliative care. A qualitative phenomenological study based on an interpretive analysis, conducted in Primary Health Care, Seville, Spain. Study dimensions: knowledge of the diagnosis and prognosis of the condition; disclosure of information; reaction to information received, feelings and approach to death; information disclosed to the patient and reasons behind partial disclosure; communication between patients, families, and health care providers. Family caregivers of patients on palliative care suspicious about a pact of silence. Family caregivers hamper professional-patient communication; use of deceit to conceal the truth; suspicion that the patient knows the truth; the clinician conceals the truth; paternalist attitudes; feelings of sadness, grief, resignation, acceptance of the disease. The pact of silence has negative effects on coping with death, quality of life in the last days of life, and mourning. Communication between patients, health care providers, and families should be improved to prevent the pact of silence, and help patients cope with death. Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

  16. Mutual antagonism between the Ebola virus VP35 protein and the RIG-I activator PACT determines infection outcome.

    PubMed

    Luthra, Priya; Ramanan, Parameshwaran; Mire, Chad E; Weisend, Carla; Tsuda, Yoshimi; Yen, Benjamin; Liu, Gai; Leung, Daisy W; Geisbert, Thomas W; Ebihara, Hideki; Amarasinghe, Gaya K; Basler, Christopher F

    2013-07-17

    The cytoplasmic pattern recognition receptor RIG-I is activated by viral RNA and induces type I IFN responses to control viral replication. The cellular dsRNA binding protein PACT can also activate RIG-I. To counteract innate antiviral responses, some viruses, including Ebola virus (EBOV), encode proteins that antagonize RIG-I signaling. Here, we show that EBOV VP35 inhibits PACT-induced RIG-I ATPase activity in a dose-dependent manner. The interaction of PACT with RIG-I is disrupted by wild-type VP35, but not by VP35 mutants that are unable to bind PACT. In addition, PACT-VP35 interaction impairs the association between VP35 and the viral polymerase, thereby diminishing viral RNA synthesis and modulating EBOV replication. PACT-deficient cells are defective in IFN induction and are insensitive to VP35 function. These data support a model in which the VP35-PACT interaction is mutually antagonistic and plays a fundamental role in determining the outcome of EBOV infection. Copyright © 2013 Elsevier Inc. All rights reserved.

  17. Nordic Balance: Sweden, a Case Study.

    DTIC Science & Technology

    A strategic appraisal of the Swedish Armed Forces is set against the background of other elements of national power. Although Sweden is a small country, the analysis leads to the conclusion that the strength of the Swedish Armed Forces contributes significantly to the military balance of the Scandinavian region. Situated between the major power blocs represented by NATO and the Warsaw Pact countries, Sweden pursues an alliance-free foreign policy which also enhances regional military/ political stability , termed ’Nordic Balance’. (Modified author abstract)

  18. 77 FR 50548 - Agency Information Collection: (PACT Clinical Innovation Study: Engaging Caregivers in the Care...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-21

    ... Collection: (PACT Clinical Innovation Study: Engaging Caregivers in the Care of Veterans With Dementia... announces that the Department of Veterans Affairs (VA), will submit to the Office of Management and Budget... Form 10-0537). SUPPLEMENTARY INFORMATION: Title: PACT Clinical Innovation Study: Engaging Caregivers in...

  19. [Activity of sanitary surveillances/offices in Warsaw at the time of the second republic of Poland].

    PubMed

    Berner, Włodzimierz

    2006-01-01

    At the time of the Second Republic of Poland, Warsaw, the capital of the rebirth country, was a neglected town as regards sanitary conditions. The genesis of this situation dates back to the period of the national bondage by the Russian partitioner, and since 1915 by the German invader who did not care about the problems associated with public health. The sanitary and hygienic conditions worsened significantly in 1916, after incorporating into Warsaw large out-of-town regions whose housing was of the rural character with numerous wooden cottages, field roads, without any sanitary sewage system. Poor municipal sanitary-maintenance conditions and infectious diseases spreading in Warsaw made the Town Authorities implement preventive action and entrust sanitary surveillances with this difficult task. These surveillances were set up at the time of the First World War, and after 1920 were changed into sanitary offices. Their duties included control of acute infectious diseases, sanitary inspection of living quarters, sites of production and selling of food articles, plants, service outlets, shops of a different character, as well as surveillance of food purchased by the inhabitants. In each sanitary office a doctor was employed who supervised the work of one, two or three sanitary inspectors.

  20. PACT Manual: Parent and Community Teams for School Success. ABC Dropout Prevention and Intervention Series.

    ERIC Educational Resources Information Center

    Larson, Katherine; Rumberger, Russell

    This manual describes the PACT (Parent and Community Team) for School Success concept, which was developed from insights and techniques gained from three dropout and intervention projects with high-risk junior high school youth and families. PACT focuses on ways to initiate and maintain a group that meets frequently to create ongoing cohesive…

  1. 75 FR 27613 - Culturally Significant Objects Imported for Exhibition Determinations: “The Holocaust (Warsaw...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-17

    ... DEPARTMENT OF STATE [Public Notice 7009] Culturally Significant Objects Imported for Exhibition Determinations: ``The Holocaust (Warsaw Ghetto)'' SUMMARY: Notice is hereby given of the following determinations... Holocaust (Warsaw Ghetto),'' imported from abroad for temporary exhibition within the United States, are of...

  2. 77 FR 50551 - Agency Information Collection: Emergency Submission for OMB Review (PACT VISN20 Health Care...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-21

    ... Collection: Emergency Submission for OMB Review (PACT VISN20 Health Care Experiences of Patients With.... 2900-New (VA Form 10-0535). SUPPLEMENTARY INFORMATION: Title: PACT VISN20 Health Care Experiences of...: Veterans Health Administration, Department of Veterans Affairs. ACTION: Notice. SUMMARY: In compliance with...

  3. Courage under Adversity: Luba Bielicka-Blum (1906-1973) and the Nursing School of the Warsaw Ghetto.

    PubMed

    Ben-Sefer, Ellen; Shields, Linda

    2016-01-01

    The Warsaw Ghetto was a place where Jews were kept until deportation to Nazi death camps. It contained a nursing school, run by Luba Bielicka-Blum. We explore the contribution of Luba Bielicka-Blum to nursing and specifically, the nursing school of the Warsaw Ghetto by using primary sources of Bielicka-Blum's daughter's archive held by Yad Veshem, supported by secondary sources. We conclude that, despite extreme hardship and abject horror, the nursing school in the Warsaw Ghetto continued to provide the highest level of nursing education possible. The relatively unknown story of Luba Bielicka-Blum and her determination to continue the education of nurses in the Warsaw Ghetto demonstrates the courage of a nursing leader during dreadful times.

  4. 75 FR 59690 - Endangered and Threatened Wildlife; Notice of 90-Day Finding on a Petition To List Warsaw Grouper...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-28

    ... Warsaw Grouper as Threatened or Endangered Under the Endangered Species Act (ESA) AGENCY: National Marine... authority for this action is the Endangered Species Act of 1973, as amended (16 U.S.C. 1531 et seq.). Dated... practicable, that within 90 days of receipt of a petition to list a species as threatened or endangered, the...

  5. Why perversion?: 'False love' and the perverse pact.

    PubMed

    Stein, Ruth

    2005-06-01

    In this paper, the author works with the awareness that perversion is a socially, historically and theologically loaded term, at the same time as it may be the latest frontier in psychoanalysis, both clinically, and in relation to contemporary art and culture which emphasize the perverse. Positioning itself against tendencies to deny the existence of a category of 'perversion' or, inversely, to abuse it for the power that accrues from the act of diagnosing, she also points to other liabilities in the history of the treatment of this term, such as the narrowing down of perversion to the exclusively sexual domain, or, alternatively, the overextension of it to polymorphously erotic practices that enhance sexual excitement. The paradoxes of perversion and the difficulties of distinguishing the perverse from the non-perverse are addressed. The case is also made that, in order to understand perversion, one must unlink it from the narrow notion of sexual practice and see what is involved on a deeper level--an approach initiated when psychoanalysis turned to perversion as a defense against psychotic anxieties, and began considering the necessary place of perversion in the transference--countertransference. Two features common to both sexual and non-sexual perverse relations are the seductive and bribing aspects of perversion, and its means-ends reversal. Perversion is a haven for the disguising of hatred and suspicion as excitement and (false) love. Displaced child and beating father, entitled child and seductive mother, are both prototypes of psychoanalytic reflection on parents who excite, deceive and corrupt their children and establish perverse pacts with them. The notion of the perverse pact is foregrounded in Alice's analysis, where first the resurrection and then the dismantling of such a pact were effected through various analytic means.

  6. Partnered research in healthcare delivery redesign for high-need, high-cost patients: development and feasibility of an Intensive Management Patient-Aligned Care Team (ImPACT).

    PubMed

    Zulman, Donna M; Ezeji-Okoye, Stephen C; Shaw, Jonathan G; Hummel, Debra L; Holloway, Katie S; Smither, Sasha F; Breland, Jessica Y; Chardos, John F; Kirsh, Susan; Kahn, James S; Asch, Steven M

    2014-12-01

    We employed a partnered research healthcare delivery redesign process to improve care for high-need, high-cost (HNHC) patients within the Veterans Affairs (VA) healthcare system. Health services researchers partnered with VA national and Palo Alto facility leadership and clinicians to: 1) analyze characteristics and utilization patterns of HNHC patients, 2) synthesize evidence about intensive management programs for HNHC patients, 3) conduct needs-assessment interviews with HNHC patients (n = 17) across medical, access, social, and mental health domains, 4) survey providers (n = 8) about care challenges for HNHC patients, and 5) design, implement, and evaluate a pilot Intensive Management Patient-Aligned Care Team (ImPACT) for a random sample of 150 patients. HNHC patients accounted for over half (52 %) of VA facility patient costs. Most (94 %) had three or more chronic conditions, and 60 % had a mental health diagnosis. Formative data analyses and qualitative assessments revealed a need for intensive case management, care coordination, transitions navigation, and social support and services. The ImPACT multidisciplinary team developed care processes to meet these needs, including direct access to team members (including after-hours), chronic disease management protocols, case management, and rapid interventions in response to health changes or acute service use. Two-thirds of invited patients (n = 101) enrolled in ImPACT, 87 % of whom remained actively engaged at 9 months. ImPACT is now serving as a model for a national VA intensive management demonstration project. Partnered research that incorporated population data analysis, evidence synthesis, and stakeholder needs assessments led to the successful redesign and implementation of services for HNHC patients. The rigorous design process and evaluation facilitated dissemination of the intervention within the VA healthcare system. Employing partnered research to redesign care for high-need, high

  7. PACT - a bottom pressure based, compact deep-ocean tsunameter with acoustic surface coupling

    NASA Astrophysics Data System (ADS)

    Macrander, A.; Gouretski, V.; Boebel, O.

    2009-04-01

    The German-Indonsian Tsunami Early Warning System (GITEWS) processes a multitude of information to comprehensively and accurately evaluate the possible risks inherent to seismic events around Indonesia. Within just a few minutes, measurements of the vibration and horizontal movements off the coastal regions of Indonesia provide a clear picture of the location and intensity of a seaquake. However, not every seaquake causes a tsunami, nor is every tsunami caused by a seaquake. To avoid nerve-wrecking and costly false alarms and to protect against tsunamis caused by landslides, the oceanic sea-level must be measured directly. This goal is pursued in the GITEWS work package "ocean instrumentation", aiming at a a highest reliability and redundancy by developing a set of independent instruments, which measure the sea-level both offshore in the deep ocean and at the coast on the islands off Indonesia. Deep ocean sea-level changes less than a centimetre can be detected by pressure gauges deployed at the sea floor. Based on some of the concepts developed as part of the US DART system, a bottom pressure based, acoustically coupled tsunami detector (PACT) was developed under the auspices of the AWI in collaboration with two German SME and with support of University of Bremen and University of Rhode Island. The PACT system records ocean bottom pressure, performs on-board tsunami detection and acoustically relays the data to the surface buoy. However, employing computational powers and communication technologies of the new millennium, PACT integrates the entire sea-floor package (pressure gauge, data logger and analyzer, acoustic modem, acoustic release and relocation aids) into a single unit, i.e. a standard benthos sphere. PACT thereby reduces costs, minimizes the deployment efforts, while maximizing reliability and maintenance intervals. Several PACT systems are scheduled for their first deployment off Indonesia during 2009. In this presentation, the technical specifications

  8. A two-factor theory for concussion assessment using ImPACT: memory and speed.

    PubMed

    Schatz, Philip; Maerlender, Arthur

    2013-12-01

    We present the initial validation of a two-factor structure of Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) using ImPACT composite scores and document the reliability and validity of this factor structure. Factor analyses were conducted for baseline (N = 21,537) and post-concussion (N = 560) data, yielding "Memory" (Verbal and Visual) and "Speed" (Visual Motor Speed and Reaction Time) Factors; inclusion of Total Symptom Scores resulted in a third discrete factor. Speed and Memory z-scores were calculated, and test-retest reliability (using intra-class correlation coefficients) at 1 month (0.88/0.81), 1 year (0.85/0.75), and 2 years (0.76/0.74) were higher than published data using Composite scores. Speed and Memory scores yielded 89% sensitivity and 70% specificity, which was higher than composites (80%/62%) and comparable with subscales (91%/69%). This emergent two-factor structure has improved test-retest reliability with no loss of sensitivity/specificity and may improve understanding and interpretability of ImPACT test results.

  9. Prevention the spread of norovirus infection on airborne route by using Plasma Assisted Catalytic Technology (PACT) device.

    PubMed

    Tanaka, Yoshimoto; Fujino, Kan; Larkins, Gerald Andrew; Osawa, Atsushi; Hayashi, Yuji; Taharaguchi, Satoshi

    2018-04-30

    Zoonosis becomes a popular word. Highly pathogenic influenza virus (HPI), Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS) recently occurred at around Africa, Meddle-East and South-East Asia area, whose virus is classified as airborne. Sterilization capability was investigated by using chemical reactor of PACT device. Test on airborne infection was carried out by Feline Calicivirus Vaccine (FCV) strain F9, which is also surrogated human norovirus. It was found that PACT device could sterilize instantly FCV when passing through the plasma space of PACT device. Sterilization rate may be more than 99.99% (below the detection limit). This result may be available to sterilize various virus including human norovirus and airborne-infectious microorganisms.

  10. Investigation into the susceptibility of Burkholderia cepacia complex isolates to photodynamic antimicrobial chemotherapy (PACT)

    NASA Astrophysics Data System (ADS)

    Cassidy, C. M.; Watters, A. L.; Donnelly, R. F.; Tunney, M. M.

    2009-06-01

    The main cause of morbidity and mortality in cystic fibrosis (CF) sufferers is progressive pulmonary damage caused by recurrent and often unremitting respiratory tract infection. Causative organisms include Pseudomonas aeruginosa and Haemophilus influenzae, but in recent years the Burkholderia cepacia complex has come to the fore. This group of highly drug-resistant Gram-negative bacteria are associated with a rapid decline in lung function and the often fatal cepacia syndrome, with treatment limited to patient segregation and marginally effective antibacterial regimens. Thus, development of an effective treatment is of the upmost importance. PACT, a non-target specific therapy, has proven successful in killing both Gram-positive and Gram-negative bacteria. In this study, planktonic cultures of six strains of the B. cepacia complex were irradiated (635 nm, 200 J cm-2,10 minutes irradiation) following 30 seconds incubation with methylene blue (MB) or meso-tetra (N-methyl-4-pyridyl) porphine tetra tosylate (TMP). Rates of kill of > 99 % were achieved with MB- and TMP-PACT. A MB concentration of 50 μg ml-1 and TMP concentration of 500 μg ml-1 were associated with highest percentage kills for each photosensitizer. PACT is an attractive option for treatment of B.cepacia complex infection. Further study, involving biofilm culture susceptibility, delivery of light to the target and in vivo testing will be necessary before it PACT becomes a viable treatment option for CF patients who are colonised or infected with B. cepacia complex.

  11. Waulsortian mound development in Warsaw at Broughton field, Ill.

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

    Whitaker, S.T.

    1995-04-17

    Oil production in the Lower Mississippian Ullin (Warsaw) limestone was first established in Illinois over 40 years ago. Exploration for hydrocarbons in this zone, however, was limited until recently due to a lack of a suitable explanation for reservoir development in this interval. The theory that Waulsortian mound development may explain many of these reservoirs was first presented in 1990. Research effort led by Zakaria Lasemi at the Illinois State Geological Survey has since established an excellent model for the generation of these bioherms. Lasemi performed numerous examinations of outcrops, cores, and well cuttings to develop his theory on themore » development and evolution of these biohermal features. This article presents an application of Lasemi`s model to an oil field in the Illinois basin. Similar applications could improve exploration and development success in Warsaw reservoirs.« less

  12. Translations on Eastern Europe, Political, Sociological, and Military Affairs, Number 1473

    DTIC Science & Technology

    1977-11-16

    Semerdzhiev, Col Gen Kiril Kosev and Col Gan Khristo Dobrev. With the publishing of this work, the Military Publishing House has filled in a gap. Many...backbone of the Warsaw Pact. In actuality the words of Georgi Dimitrov are being realized that our army must be trained and indoctrinated in the

  13. Spatial Distribution and Conservation of Speckled Hind and Warsaw Grouper in the Atlantic Ocean off the Southeastern U.S.

    PubMed Central

    Farmer, Nicholas A.; Karnauskas, Mandy

    2013-01-01

    There is broad interest in the development of efficient marine protected areas (MPAs) to reduce bycatch and end overfishing of speckled hind (Epinephelus drummondhayi) and warsaw grouper (Hyporthodus nigritus) in the Atlantic Ocean off the southeastern U.S. We assimilated decades of data from many fishery-dependent, fishery-independent, and anecdotal sources to describe the spatial distribution of these data limited stocks. A spatial classification model was developed to categorize depth-grids based on the distribution of speckled hind and warsaw grouper point observations and identified benthic habitats. Logistic regression analysis was used to develop a quantitative model to predict the spatial distribution of speckled hind and warsaw grouper as a function of depth, latitude, and habitat. Models, controlling for sampling gear effects, were selected based on AIC and 10-fold cross validation. The best-fitting model for warsaw grouper included latitude and depth to explain 10.8% of the variability in probability of detection, with a false prediction rate of 28–33%. The best-fitting model for speckled hind, per cross-validation, included latitude and depth to explain 36.8% of the variability in probability of detection, with a false prediction rate of 25–27%. The best-fitting speckled hind model, per AIC, also included habitat, but had false prediction rates up to 36%. Speckled hind and warsaw grouper habitats followed a shelf-edge hardbottom ridge from North Carolina to southeast Florida, with speckled hind more common to the north and warsaw grouper more common to the south. The proportion of habitat classifications and model-estimated stock contained within established and proposed MPAs was computed. Existing MPAs covered 10% of probable shelf-edge habitats for speckled hind and warsaw grouper, protecting 3–8% of speckled hind and 8% of warsaw grouper stocks. Proposed MPAs could add 24% more probable shelf-edge habitat, and protect an additional 14–29% of

  14. The Preventable Admissions Care Team (PACT): A Social Work-Led Model of Transitional Care.

    PubMed

    Basso Lipani, Maria; Holster, Kathleen; Bussey, Sarah

    2015-10-01

    In 2010, the Preventable Admissions Care Team (PACT), a social work-led transitional care model, was developed at Mount Sinai to reduce 30-day readmissions among high-risk patients. PACT begins with a comprehensive bedside assessment to identify the psychosocial drivers of readmission. In partnership with the patient and family, a patient-centered action plan is developed and carried out through phone calls, accompaniments, navigations and home visits, as needed, in the first 30 days following discharge. 620 patients were enrolled during the pilot from September 2010-August 2012. Outcomes demonstrated a 43% reduction in inpatient utilization and a 54% reduction in emergency department visits among enrollees. In addition, 93% of patients had a follow-up appointment within 7-10 days of discharge and 90% of patients attended the appointment. The success of PACT has led to additional funding from the Centers for Medicare and Medicaid Services under the Community-based Care Transitions Program and several managed care companies seeking population health management interventions for high risk members.

  15. "You Have Betrayed Us for a Little Dirty Money!" The Prague Spring as Seen by Primary School Teachers

    ERIC Educational Resources Information Center

    Zounek, Jirí; Šimáne, Michal; Knotová, Dana

    2018-01-01

    This study focuses on the everyday operation of primary schools in Czechoslovakia during the so-called Prague Spring and the subsequent communist political clampdown after the invasion by the Warsaw Pact forces. The authors focus primarily on the experiences of teachers, how events in this complex period affected their professional lives, and how…

  16. Design, methodology, and baseline data of the Personalized Addition Lenses Clinical Trial (PACT)

    PubMed Central

    Yu, Xinping; Zhang, Binjun; Bao, Jinhua; Zhang, Junxiao; Wu, Ge; Xu, Jinling; Zheng, Jingwei; Drobe, Björn; Chen, Hao

    2017-01-01

    Abstract Background: The aim of this study was to describe the design, methods, and baseline characteristics of children enrolled in the Personalized Addition lenses Clinical Trial (PACT). PACT aims to test the myopia control efficacy of progressive addition lenses (PALs) with personalized addition values compared with standard (+2.00 D) addition PALs and single vision lenses (SVLs). Methods: PACT is a randomized, controlled, double-masked clinical trial. Two hundred eleven myopic Chinese children (7–12 years) were enrolled and randomized into 1 of the 3 following groups: personalized addition PALs; +2.00 addition PALs; and SVLs. Personalized addition values were determined based on the highest addition that satisfied Sheard criterion. Axial length and other biometric data were also recorded. Results: At baseline, no differences were found between the right and left eyes for any of the main parameters. The enrolled children were 9.7 ± 1.1 years’ old with cycloplegic autorefraction (right eye [OD]: −2.36 ± 0.64 D), near phoria (1.0 ± 5.0 prism diopter esophoria), lag of accommodation (1.40 ± 0.50 D) and axial length (OD: 24.58 ± 0.74 mm). The personalized addition values ranged from +0.75 to +3.00 (average ± SD: 2.19 ± 0.73 D). Conclusion: PACT is a clinical trial evaluating whether myopia progression in children can be slowed by wearing personalized addition PALs compared with fixed addition PALs and SVLs as measured by cycloplegic autorefraction and axial length. Baseline data were comparable with those of previous myopia control studies in children. Subjects will be followed up every 6 months for 2 years. PMID:28296722

  17. The Warsaw Ghetto: A Shattered Window on the Holocaust.

    ERIC Educational Resources Information Center

    Burstin, Barbara Stern

    1980-01-01

    Reviews literature about the Warsaw ghetto uprising in April, 1943, in which Jewish resistance fighters fought to the last against the Nazi war machine. The author notes that history textbooks at both high school and college levels give virtually no mention of the revolt. (Author/KC)

  18. JPRS Report, East Europe.

    DTIC Science & Technology

    1990-01-02

    published in the FRG. 5 And philosopher Paul What is true is what serves the interests of capital-that Feyerabend writes in his book entitled...Warsaw Pact 6. P. Feyerabend , "Erkenntnis fuer freie Menschen" stipulates that if in 19 years, i.e. 1 year prior to its [Knowledge for Free Men], Suhrkamp

  19. Low-Level Wind Systems in the Warsaw Pact Countries.

    DTIC Science & Technology

    1985-03-01

    CLASSIFICATION OF THIS PAGE o i REPORT DOCUMENTATION PAGE I le. REPORT SECURITY CLASSIFICATION lb. RESTRICTIVE MARKINGS Unclassified 2e, SECURITY...CLASSIFICATION AUTHORITY 3. OISTRIBUTION/AVAI LAOBILfTY OF REPORT 2b. ECLSSIICAIONDOWNRADNG CHEULEApproved for public release; distribution * 2b OELASSFICTIO...OOWGRAING CHEULEunlimited * 4. PERFORMING ORGANIZATION REPORT NUMBER(S) 5. MONITORING ORGANIZATION REPORT NUMBER(S) USAFETAC/TN-85/0Ol 6a. NAME OF

  20. The Polish Armed Forces: Warsaw Pact Reliability in Question.

    DTIC Science & Technology

    1983-12-01

    December 1983 Thesis Advisor: R. Looney Approved for public release distribution unlimite |i ( I’ jUN 0 )84 L 84 06 01 037 SECURITY CLASMICATION OF THIS...Edward Duffy Lieutenant Commander, United States Navy B.A., College of the Holy Cross, 1971 Submitted in partial fulfillment of the requirements for ...Poland has little choice in the matter. Poland is the most important piece of real estate vital to the security of the Soviet Union. The words of

  1. East European Military Establishments: The Warsaw Pact Northern Tier.

    DTIC Science & Technology

    1980-12-01

    grant is contributing to student fellowships for dissertation preparation, curriculum development, work- shops and tutorials, and a series of visiting...assistance is a source of consid- erable professional satisfaction for the Polish militarv officer and as such constitutes a source of solidaritv...with the Soviet military. Yet there is clear evidence that in the mid-1960s considerable dis- satisfaction existed within the Polish officer corns

  2. The America's Cup & PACT 95: An Example of Technology Education Leadership.

    ERIC Educational Resources Information Center

    Nannay, Robert W.

    1995-01-01

    Partners for America's Cup Technology--Maine (PACT 95) emphasizes the educational linkages associated with the famous sailboat race. The learning activities used relate to problem solving, communication skills, and cooperative learning. These activities can be designed to reinforce established goals, objectives, and competencies. (JOW)

  3. Politics of Policy: Assessing the Implementation, Impact, and Evolution of the Performance Assessment for California Teachers (PACT) and edTPA

    ERIC Educational Resources Information Center

    Reagan, Emilie Mitescu; Schram, Thomas; McCurdy, Kathryn; Chang, Te-Hsin; Evans, Carla M.

    2016-01-01

    Summative performance assessments in teacher education, such as the Performance Assessment for California Teachers (PACT) and the edTPA, have been heralded through polices intended to enhance the quality of the teaching profession and raise its stature among other professions. However, the development and implementation of the PACT, and…

  4. Mammalian and avian embryology at Warsaw University (Poland) from XIX century to the present.

    PubMed

    Tarkowski, Andrzej K; Maleszewski, Marek; Rogulska, Teresa; Ciemerych, Maria A; Borsuk, Ewa

    2008-01-01

    In this article, we describe the history (between the XIX century and World War II) of embryological research conducted at Warsaw University, together with current research activities being carried out at the Department of Embryology. During the partition of Poland, the Imperial (Russian) Warsaw University conducted research on avian embryology (and to a smaller extent, on reptilian embryology). When Poland regained independence in 1918, these studies were continued under the Chair of Comparative Anatomy headed by Professor Jan Tur. A new Department of Embryology created in 1954 was first headed by Professor Stanislaw Bilewicz and since 1964 by Professor Andrzej Tarkowski, who in 2003 was succeeded by Dr. Marek Maleszewski D.Sc. During the last 45 years, embryological research at Warsaw University has concentrated mainly on mammalian development with special emphasis on the regulative capabilities of early embryos and also on experimental chimaeras, nucleo-cytoplasmic interactions in oogenesis and early embryogenesis (including regulation of DNA replication and transcription), experimental parthenogenesis and fertilization.

  5. AirMSPI Level 1B2 V006 New Data for the NASA/JPL/Caltech ImPACT-PM Campaign

    Atmospheric Science Data Center

    2018-05-17

    AirMSPI Level 1B2 V006 New Data for the NASA/JPL/Caltech ImPACT-PM Campaign ImPACT-PM Wednesday, May 16, 2018 The NASA Langley Atmospheric Science Data Center (ASDC) and Jet Propulsion ... flight campaign.   AirMSPI flies in the nose of NASA's high-altitude ER-2 aircraft. The instrument was built by JPL and the ...

  6. Flood Frequency Analysis using different flood descriptors - the Warsaw reach of the river Vistula case study

    NASA Astrophysics Data System (ADS)

    Karamuz, Emilia; Kochanek, Krzysztof; Romanowicz, Renata

    2014-05-01

    Flood frequency analysis (FFA) is customarily performed using annual maximum flows. However, there is a number of different flood descriptors that could be used. Among them are water levels, peaks over the threshold, flood-wave duration, flood volume, etc. In this study we compare different approaches to FFA for their suitability for flood risk assessment. The main goal is to obtain the FFA curve with the smallest possible uncertainty limits, in particular for the distribution tail. The extrapolation of FFA curves is crucial in future flood risk assessment in a changing climate. We compare the FFA curves together with their uncertainty limits obtained using flows, water levels, flood inundation area and volumes for the Warsaw reach of the river Vistula. Moreover, we derive the FFA curves obtained using simulated flows. The results are used to derive the error distribution for the maximum simulated and observed values under different modelling techniques and assess its influence on flood risk predictions for ungauged catchments. MIKE11, HEC-RAS and transfer function model are applied in average and extreme conditions to model flow propagation in the Warsaw Vistula reach. The additional questions we want to answer are what is the range of application of different modelling tools under various flow conditions and how can the uncertainty of flood risk assessment be decreased. This work was partly supported by the projects "Stochastic flood forecasting system (The River Vistula reach from Zawichost to Warsaw)" and "Modern statistical models for analysis of flood frequency and features of flood waves", carried by the Institute of Geophysics, Polish Academy of Sciences on the order of the National Science Centre (contracts Nos. 2011/01/B/ST10/06866 and 2012/05/B/ST10/00482, respectively). The water level and flow data were provided by the Institute of Meteorology and Water Management (IMGW), Poland.

  7. Minimising post-operative risk using a Post-Anaesthetic Care Tool (PACT): protocol for a prospective observational study and cost-effectiveness analysis.

    PubMed

    Street, Maryann; Phillips, Nicole M; Kent, Bridie; Colgan, Stephen; Mohebbi, Mohammadreza

    2015-06-01

    While the risk of adverse events following surgery has been identified, the impact of nursing care on early detection of these events is not well established. A systematic review of the evidence and an expert consensus study in post-anaesthetic care identified essential criteria for nursing assessment of patient readiness for discharge from the post-anaesthetic care unit (PACU). These criteria were included in a new nursing assessment tool, the Post-Anaesthetic Care Tool (PACT), and incorporated into the post-anaesthetic documentation at a large health service. The aim of this study is to test the clinical reliability of the PACT and evaluate whether the use of PACT will (1) enhance the recognition and response to patients at risk of deterioration in PACU; (2) improve documentation for handover from PACU nurse to ward nurse; (3) result in improved patient outcomes and (4) reduce healthcare costs. A prospective, non-randomised, pre-implementation and post-implementation design comparing: (1) patients (n=750) who have surgery prior to the implementation of the PACT and (2) patients (n=750) who have surgery after PACT. The study will examine the use of the tool through the observation of patient care and nursing handover. Patient outcomes and cost-effectiveness will be determined from health service data and medical record audit. Descriptive statistics will be used to describe the sample and compare the two patient groups (pre-intervention and post-intervention). Differences in patient outcomes between the two groups will be compared using the Cochran-Mantel-Haenszel test and regression analyses and reported as ORs with the corresponding 95% CIs. This study will test the clinical reliability and cost-effectiveness of the PACT. It is hypothesised that the PACT will enable nurses to recognise and respond to patients at risk of deterioration, improve handover to ward nurses, improve patient outcomes, and reduce healthcare costs. Published by the BMJ Publishing Group

  8. Minimising post-operative risk using a Post-Anaesthetic Care Tool (PACT): protocol for a prospective observational study and cost-effectiveness analysis

    PubMed Central

    Phillips, Nicole M; Kent, Bridie; Colgan, Stephen; Mohebbi, Mohammadreza

    2015-01-01

    Introduction While the risk of adverse events following surgery has been identified, the impact of nursing care on early detection of these events is not well established. A systematic review of the evidence and an expert consensus study in post-anaesthetic care identified essential criteria for nursing assessment of patient readiness for discharge from the post-anaesthetic care unit (PACU). These criteria were included in a new nursing assessment tool, the Post-Anaesthetic Care Tool (PACT), and incorporated into the post-anaesthetic documentation at a large health service. The aim of this study is to test the clinical reliability of the PACT and evaluate whether the use of PACT will (1) enhance the recognition and response to patients at risk of deterioration in PACU; (2) improve documentation for handover from PACU nurse to ward nurse; (3) result in improved patient outcomes and (4) reduce healthcare costs. Methods and analysis A prospective, non-randomised, pre-implementation and post-implementation design comparing: (1) patients (n=750) who have surgery prior to the implementation of the PACT and (2) patients (n=750) who have surgery after PACT. The study will examine the use of the tool through the observation of patient care and nursing handover. Patient outcomes and cost-effectiveness will be determined from health service data and medical record audit. Descriptive statistics will be used to describe the sample and compare the two patient groups (pre-intervention and post-intervention). Differences in patient outcomes between the two groups will be compared using the Cochran-Mantel-Haenszel test and regression analyses and reported as ORs with the corresponding 95% CIs. Conclusions This study will test the clinical reliability and cost-effectiveness of the PACT. It is hypothesised that the PACT will enable nurses to recognise and respond to patients at risk of deterioration, improve handover to ward nurses, improve patient outcomes, and reduce healthcare

  9. Assessment of processing speed in children with mild TBI: a "first look" at the validity of pediatric ImPACT.

    PubMed

    Newman, Julie B; Reesman, Jennifer H; Vaughan, Christopher G; Gioia, Gerard A

    2013-01-01

    Deficit in the speed of cognitive processing is a commonly identified neuropsychological change in children recovering from a mild TBI. However, there are few validated child assessment instruments that allow for serial assessment over the course of recovery in this population. Pediatric ImPACT is a novel measure that purports to assess cognitive speed, learning, and efficiency in this population. The current study sought to validate the use of this new measure by comparing it to traditional paper and pencil measures of processing speed. One hundred and sixty-four children (71% male) age 5-12 with mild TBI evaluated in an outpatient concussion clinic were administered Pediatric ImPACT and other neuropsychological test measures as part of a flexible test battery. Performance on the Response Speed Composite of Pediatric ImPACT was more strongly associated with other measures of cognitive processing speed, than with measures of immediate/working memory and learning/memory in this sample of injured children. There is preliminary support for convergent and discriminant validity of Pediatric ImPACT as a measure for use in post-concussion evaluations of processing speed in children.

  10. Utility of the ImPACT test with deaf adolescents.

    PubMed

    Reesman, Jennifer; Pineda, Jill; Carver, Jenny; Brice, Patrick J; Zabel, T Andrew; Schatz, Philip

    2016-02-01

    The goals of the study included empirical examination of the utility of the Immediate and Post-Concussion Assessment and Cognitive Testing (ImPACT) test with adolescents who are deaf or hard-of-hearing and to investigate patterns of performance at baseline that may arise in the assessment of this population. Baseline assessment of student-athletes has been conducted on a widespread scale with focus on performance of typically developing student-athletes and some clinical groups, though to date no studies have examined adolescents who are deaf or hard-of-hearing. Retrospective and de-identified ImPACT baseline test used with deaf and hard-of-hearing high-school student-athletes (N = 143; 66% male, mean age = 16.11) was examined. Review indicated significant differences in some composite scores between the deaf and hard-of-hearing group and hearing normative comparisons. A possible marker of task misunderstanding was identified to occur more frequently within the deaf and hard-of-hearing sample (13% in deaf sample vs. .31% in hearing sample). Results may provide support for the consideration and use of additional measures to ensure comprehension of task demands when considering this tool for use with deaf and hard-of-hearing adolescents.

  11. Parent-mediated communication-focused treatment in children with autism (PACT): a randomised controlled trial.

    PubMed

    Green, Jonathan; Charman, Tony; McConachie, Helen; Aldred, Catherine; Slonims, Vicky; Howlin, Pat; Le Couteur, Ann; Leadbitter, Kathy; Hudry, Kristelle; Byford, Sarah; Barrett, Barbara; Temple, Kathryn; Macdonald, Wendy; Pickles, Andrew

    2010-06-19

    Results of small trials suggest that early interventions for social communication are effective for the treatment of autism in children. We therefore investigated the efficacy of such an intervention in a larger trial. Children with core autism (aged 2 years to 4 years and 11 months) were randomly assigned in a one-to-one ratio to a parent-mediated communication-focused (Preschool Autism Communication Trial [PACT]) intervention or treatment as usual at three specialist centres in the UK. Those assigned to PACT were also given treatment as usual. Randomisation was by use of minimisation of probability in the marginal distribution of treatment centre, age (42 months), and autism severity (Autism Diagnostic Observation Schedule-Generic [ADOS-G] algorithm score 12-17 or 18-24). Primary outcome was severity of autism symptoms (a total score of social communication algorithm items from ADOS-G, higher score indicating greater severity) at 13 months. Complementary secondary outcomes were measures of parent-child interaction, child language, and adaptive functioning in school. Analysis was by intention to treat. This study is registered as an International Standard Randomised Controlled Trial, number ISRCTN58133827. 152 children were recruited. 77 were assigned to PACT (London [n=26], Manchester [n=26], and Newcastle [n=25]); and 75 to treatment as usual (London [n=26], Manchester [n=26], and Newcastle [n=23]). At the 13-month endpoint, the severity of symptoms was reduced by 3.9 points (SD 4.7) on the ADOS-G algorithm in the group assigned to PACT, and 2.9 (3.9) in the group assigned to treatment as usual, representing a between-group effect size of -0.24 (95% CI -0.59 to 0.11), after adjustment for centre, sex, socioeconomic status, age, and verbal and non-verbal abilities. Treatment effect was positive for parental synchronous response to child (1.22, 0.85 to 1.59), child initiations with parent (0.41, 0.08 to 0.74), and for parent-child shared attention

  12. Neurocognitive performance and symptom profiles of Spanish-speaking Hispanic athletes on the ImPACT test.

    PubMed

    Ott, Summer; Schatz, Philip; Solomon, Gary; Ryan, Joseph J

    2014-03-01

    This study documented baseline neurocognitive performance of 23,815 athletes on the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) test. Specifically, 9,733 Hispanic, Spanish-speaking athletes who completed the ImPACT test in English and 2,087 Hispanic, Spanish-speaking athletes who completed the test in Spanish were compared with 11,955 English-speaking athletes who completed the test in English. Athletes were assigned to age groups (13-15, 16-18). Results revealed a significant effect of language group (p < .001; partial η(2) = 0.06) and age (p < .001; partial η(2) = 0.01) on test performance. Younger athletes performed more poorly than older athletes, and Spanish-speaking athletes completing the test in Spanish scored more poorly than Spanish-speaking and English-speaking athletes completing the test in English, on all Composite scores and Total Symptom scores. Spanish-speaking athletes completing the test in English also performed more poorly than English-speaking athletes completing the test in English on three Composite scores. These differences in performance and reported symptoms highlight the need for caution in interpreting ImPACT test data for Hispanic Americans.

  13. Euroguidelines in Central and Eastern Europe (ECEE) conference and the Warsaw Declaration - a comprehensive meeting report.

    PubMed

    Kowalska, J D; Oprea, C; de Witt, S; Pozniak, A; Gökengin, D; Youle, M; Lundgren, J D; Horban, A

    2017-05-01

    The objective of this paper is to summarize the outcomes of the Euroguidelines in Central and Eastern Europe (ECEE) conference held in Warsaw in February 2016. The main aim of this conference was to facilitate a discussion on European AIDS Clinical Society (EACS) guidelines implementation across the region and neighbouring countries and to present the current obstacles in benchmarking HIV care in Europe. During a 2-day meeting, there were country-based presentations using a predefined template so as to make the data comparable and focus the discussion. Areas covered were country epidemiology, surveillance, national strategy for treatment and prevention, standards of care, access to care and treatment availability. Each participant filled in a questionnaire investigating HIV guidelines usage per country. In total, 16 Central and Eastern Europe (CEE) and neighbouring countries were represented at the conference: Albania, Armenia, Belarus, Croatia, Czech Republic, Estonia, Georgia, Hungary, Lithuania, Moldova, Poland, Romania, Russia, Serbia, Slovakia and Turkey. EACS guidelines version 7.1 were used in 14 (87%) countries. In 11 (69%) countries, national guidelines were available, of which eight had been recently updated. Half of the countries declared that they use World Health Organization (WHO) and Department of Health and Human Services (DHHS) guidelines, over one-third the European Centre for Disease Prevention and Control (ECDC) HIV testing guidelines and one in five the International Antiviral Society-USA (IAS-USA) Panel guidelines from 2012. Participants declared their will to promote the widespread use of EACS guidelines for HIV infection in the CEE region and neighbouring countries by signing the Warsaw Declaration. They also emphasized the need to increase publishing of data from national cohorts in that region. © 2016 British HIV Association.

  14. The Debate about Soviet Military Doctrine and Forces

    DTIC Science & Technology

    1990-01-01

    reduction announcement, and in various Warsaw Pact meetings in 1989.51 Moreover, as new elites emerge within the East European countries, greater emphasis...military officials and writers and the West European governments and their elites . President Gorbachev underscored the importance of these contacts...essentially to create organized civilian elites in order to rationalize military strategy, based on assumptions of inherent civilian advantages, threaten

  15. Probability and Confidence Trade-Space (PACT) Evaluation: Accounting for Uncertainty in Sparing Assessments

    NASA Technical Reports Server (NTRS)

    Anderson, Leif; Box, Neil; Carter-Journet, Katrina; DiFilippo, Denise; Harrington, Sean; Jackson, David; Lutomski, Michael

    2012-01-01

    Purpose of presentation: (1) Status update on the developing methodology to revise sub-system sparing targets. (2) To describe how to incorporate uncertainty into spare assessments and why it is important to do so (3) Demonstrate hardware risk postures through PACT evaluation

  16. Multinational development of a questionnaire assessing patient satisfaction with anticoagulant treatment: the 'Perception of Anticoagulant Treatment Questionnaire' (PACT-Q©)

    PubMed Central

    Prins, Martin H; Marrel, Alexia; Carita, Paulo; Anderson, David; Bousser, Marie-Germaine; Crijns, Harry; Consoli, Silla; Arnould, Benoit

    2009-01-01

    Background The side effects and burden of anticoagulant treatments may contribute to poor compliance and consequently to treatment failure. A specific questionnaire is necessary to assess patients' needs and their perceptions of anticoagulant treatment. Methods A conceptual model of expectation and satisfaction with anticoagulant treatment was designed by an advisory board and used to guide patient (n = 31) and clinician (n = 17) interviews in French, US English and Dutch. Patients had either atrial fibrillation (AF), deep venous thrombosis (DVT), or pulmonary embolism (PE). Following interviews, three PACT-Q language versions were developed simultaneously and further pilot-tested by 19 patients. Linguistic validations were performed for additional language versions. Results Initial concepts were developed to cover three areas of interest: 'Treatment', 'Disease and Complications' and 'Information about disease and anticoagulant treatment'. After clinician and patient interviews, concepts were further refined into four domains and 17 concepts; test versions of the PACT-Q were then created simultaneously in three languages, each containing 27 items grouped into four domains: "Treatment Expectations" (7 items), "Convenience" (11 items), "Burden of Disease and Treatment" (2 items) and "Anticoagulant Treatment Satisfaction" (7 items). No item was deleted or added after pilot testing as patients found the PACT-Q easy to understand and appropriate in length in all languages. The PACT-Q was divided into two parts: the first part to measure the expectations and the second to measure the convenience, burden and treatment satisfaction, for evaluation prior to and after anticoagulant treatment, respectively. Eleven additional language versions were linguistically validated. Conclusion The PACT-Q has been rigorously developed and linguistically validated. It is available in 14 languages for use with thromboembolic patients, including AF, PE and DVT patients. Its validation and

  17. DSSD detectors development PACT, a new space Compton telescope at the horizon 2025

    NASA Astrophysics Data System (ADS)

    Laurent, P.; Khalil, M.; Dolgorouki, Y.; Bertoli, W.; Oger, R.; Bréelle, E.

    2015-07-01

    PACT is a Pair and Compton telescope that aims to make a sensitive survey of the gamma-ray sky between 100 keV and 100 MeV . It will be devoted to the detection of radioactivity lines from present and past supernova explosions, the observation of thousands of new blazars, and the study of polarized radiations from gamma-ray bursts, pulsars and accreting black holes. It will reach a sensitivity of one to two orders of magnitude lower than COMPTEL/CGRO (e.g. about 50 times lower for the broad-band, survey sensitivity at 1 MeV after 5 years). The PACT telescope is based upon three main components: a silicon-based gamma-ray tracker, a crystal-based calorimeter (e.g. CeBr3), and an anticoincidence detector made of plastic scintillator panels. Prototypes of the Silicon detector planes have been optimized and are currently tested in the APC laboratory.

  18. [Sociodemographic indicators of the Andean Pact countries].

    PubMed

    1991-12-01

    The Andean Pact, also known as the Cartagena Accord, was signed on May 26, 1969, with the goal of promoting the socioeconomic integration of the countries of the subregion (Venezuela, Colombia, Ecuador, Peru, and Bolivia). 1992 marked a new stage in the Andean Pact by the consolidation of the integration process with the establishment of the Andean Free Trade Zone, allowing the uninhibited flow of goods. The subregion's population was 91.8 million in 1990, the most populous being Colombia with 32.9 million people. 71.5% of the total population (65 million people) live in cities with a high level of urban growth. During the period of 1990-95 the average rate of population growth was the highest in Bolivia with 2.8% and the lowest in Colombia with 1.95%. By comparison, the rate of growth was 0.2% in western Europe and 0.7% in the US. According to projections of the UN, approximately 113 million people will be living in the subregion in the year 2000. The indices of life expectancy and infant mortality have improved in recent decades; however, they are still poor compared to those of developed countries. The highest rate of infant mortality was registered in Bolivia with 93/1000 live births, followed by Peru with 76/1000, Ecuador with 53/1000, Colombia with 37/1000, and Venezuela with 33/1000 live births. The average rate of European countries is 7/1000 live births. Life expectancy increased from an average of 50 years in 1950 to 65.4 years in 1990. In 1990, average life expectancy was 76 years in the US, indicating that there are significant differences in medical care and social security between the countries of the region and developed countries.

  19. Types of Weapon Programs and Their Implications for NATO Standardization or Interoperability

    DTIC Science & Technology

    1978-07-01

    mines , etc.). 3. Enemy Counter-measures. Lack of standardisation or Interoperability complicates Warsaw Pact problem by forcing them to counter...Licensed Production U.K. Sikorsky S-5F helicopter (U.S.) (Westland, "Hessex") Canada Canadair CC-106 transport (derivative of the Bristol Britannia ...U.K.) Canadair CP-107 Argus maritime reconnaissance aircraft (modification of the Bristol Britannia , U.K.) Federal Republic of Germany Air-Fouga

  20. [Willingness of Warsaw inhabitants to cooperate with health service. III. Use of different types of treatment].

    PubMed

    Supranowicz, Piotr; Wysocki, Mirosław J; Car, Justyna; Debska, Anna; Gebska-Kuczerowska, Anita

    2012-01-01

    The global economic crisis led to the need to reduce the public expenditure, including health care. In a situation of reduction of the publicly guaranteed benefits, some services may be available only in private physicians for particular patients. Therefore, there is a need to examine factors determining the use of both types of health care. The aim of the study was to assess the association between the use of free treatment of general practitioner and the use of private physician services on one hand, and health and its disorders, assessment of physician, and expenditure on treatment of the Warsaw inhabitants on other hand. The data were collected from 402 Warsaw inhabitants by not-addressed questionnaire elaborated in Health Promotion and Postgraduate Education Department of the National Institute of Public Health-National Institute of Hygiene. Our findings showed that the majority of respondents used the both types of health care. Males, people from the youngest and the oldest group, those having elementary education, students and unemployed were more likely to use only free treatment from general practitioner, whereas people aged 30-44 years, higher educated, employed and those depending on other people were more often treated only by private physicians. The beneficiaries of only private physician services higher evaluated their health, physically felt better, perceived stronger social support and rarely remained at home due to illness. Private physicians were evaluated more positively in comparison with general practitioner practicing in public health care, nevertheless, the difference was not large. With respect to their own financial situation, the people using private physician services did not find higher medical expenses than those using only the general practitioner of public health care. CONCLUSIONS. Our research indicates that uncontrolled development of private medical services market may increase inequality in access to health care, if not protected

  1. Pacific Association for Clinical Training (PACT): lessons learned and next steps in developing a sustainable continuing health professionals education system in the United States-Affiliated Pacific Island (USAPI) jurisdictions.

    PubMed

    Buenconsejo-Lum, Lee E; Maskarinec, Gregory G; Palafox, Neal A

    2007-03-01

    In response to the 1998 Institute of Medicine report, "Pacific Partnerships for Health ", acknowledging the need for the continuing education of health workers in the United States-Affiliated Pacific Island (USAPI) jurisdictions, the U.S. Health Resources and Services Administration (HRSA) awarded a grant (1999-2003) to the University of Washington for a continuing education project in the Pacific. When shortfalls in HRSA funding threatened continuation of the program, Pacific advocates aggressively made a case for refunding of this important project. In 2003, HRSA announced competitive funding for a new program for continuing education. The Department of Family Medicine and Community Health (DFMCH) at the University of Hawai'i (UH), John A. Burns School of Medicine (JABSOM) was awarded the HRSA Cooperative Agreement to run from September 2003 through August 2007, creating PACT the Pacific Association for Clinical Training. PACT assembled a professional, community-based advisory board, most of whom were indigenous Pacific Islanders, and conducted a continuing clinical education needs assessment in every jurisdiction, subsequently developing and delivering programs utilizing distance education relevant to the needs of each USAPI jurisdiction. Priority health areas included diabetes, oral health and geriatrics, as mandated by HRSA. This report describes the processes, accomplishments, challenges and lessons learned from the project. PACT needs assessment reports for each jurisdiction and an executive summary are published as Original Articles in this issue of Pacific Health Dialog. As funding for PACT comes to an end, it is clear that much work remains to be done in the region. "Continuing clinical education" is only one part of a continuum of human resources for health (HRH) workforce development. Continued USAPI regional, U.S. national and international collaboration and resources are needed to achieve the ultimate goal of improved health and health care delivery

  2. The DTIC Review. Volume 1, Number 1: Nuclear Proliferation and Deterrence in a Changing Political World

    DTIC Science & Technology

    1995-08-01

    Mathematical Expectation" by David Schmeidler and Peter Wakker, "Expected Utility Hypothesis" by Mark Machina, "Rational Behavior" by Amartya Sen ...other regional adversaries are not secure and, hence, are highly sen - sitive to this form of pressure. The question is whether such threats can be used...Warsaw Pact." Moreover, conventional military capabilities are constantly changing through advances in armor, avionics, sen - sors, munitions. etc

  3. Air Base Attacks and Defensive Counters: Historical Lessons and Future Challenges

    DTIC Science & Technology

    2015-01-01

    I. Reid, Murray Scot Tanner, and Barry Wilson, A Question of Balance: Political Context and Military Aspects of the China–Taiwan Dispute, Santa...this case, Ramstein AB, Germany) placed fighter shelters on loops in woods . Although the shelters are clearly visible from directly overhead in...this image, placing them in woods would have made target acquisition and attack more difficult for Warsaw Pact fighters. That is because, in the 1970s

  4. The fate of the Warsaw Ghetto Medical Faculty.

    PubMed

    Weisz, George M; Grzybowski, Andrzej; Albury, William Randall

    2012-04-01

    The Warsaw Ghetto, in existence from 1940 to 1943, was the largest ghetto in Nazi-occupied Europe. The 400,000-500,000 Jews incarcerated within its walls were deprived not only of food and medicine but also of education. Nonetheless, Jewish physicians served the community as befits their profession, and against all odds obtained permission to conduct a course on sanitary measures to combat epidemics, which they transformed into a veritable, clandestine medical school. This review follows the fate of the school faculty, with an emphasis on the achievements of the survivors.

  5. Ethanol-induced conditioned taste aversion in Warsaw Alcohol High-Preferring (WHP) and Warsaw Alcohol Low-Preferring (WLP) rats.

    PubMed

    Dyr, Wanda; Wyszogrodzka, Edyta; Paterak, Justyna; Siwińska-Ziółkowska, Agnieszka; Małkowska, Anna; Polak, Piotr

    2016-03-01

    The aversive action of the pharmacological properties of ethanol was studied in selectively bred Warsaw Alcohol High-Preferring (WHP) and Warsaw Alcohol Low-Preferring (WLP) rats. For this study, a conditioned-taste aversion test was used. Male WHP and WLP rats were submitted to daily 20-min sessions for 5 days, in which a saccharin solution (1.0 g/L) was available (pre-conditioning phase). Next, this drinking was paired with the injection of ethanol (0, 0.5, 1.0 g/kg), intraperitoneally [i.p.] immediately after removal of the saccharin bottle (conditioning phase). Afterward, the choice between the saccharin solution and water was extended for 18 subsequent days for 20-min daily sessions (post-conditioning phase). Both doses of ethanol did not produce an aversion to saccharin in WLP and WHP rats in the conditioning phase. However, injection of the 1.0 g/kg dose of ethanol produced an aversion in WLP rats that was detected by a decrease in saccharin intake at days 1, 3, 7, and 10 of the post-conditioning phase, with a decrease in saccharin preference for 16 days of the post-conditioning phase. Conditioned taste aversion, measured as a decrease in saccharin intake and saccharin preference, was only visible in WHP rats at day 1 and day 3 of the post-conditioning phase. This difference between WLP and WHP rats was apparent despite similar blood ethanol levels in both rat lines following injection of 0.5 and 1.0 g/kg of ethanol. These results may suggest differing levels of aversion to the post-ingestional effects of ethanol between WLP and WHP rats. These differing levels of aversion may contribute to the selected line difference in ethanol preference in WHP and WLP rats. Copyright © 2016 Elsevier Inc. All rights reserved.

  6. Evaluation Of Irritable Bowel Syndrome Symptoms Amongst Warsaw University Students.

    PubMed

    Niemyjska, Sylwia; Ukleja, Anna; Ławiński, Michał

    2015-05-01

    Irritable bowel syndrome (IBS) belongs to functional gastrointestinal disorders and is characterized by abdominal pain and change in stool consistency and/or bowel habits. Etiological factors include gastrointestinal peristalsis disturbances, visceral hypersensitivity, chronic inflammation of the mucous membrane, dysbacteremia, intestinal infections, psychosomatic and nutritional factors. Gastrointestinal motility disturbances in case of IBS are manifested by the inhibition of the intestinal passage, which favors the development of constipation or occurrence of diarrhea. The aim of the study was to evaluate IBS symptoms and demonstrate the relationship between physical activity and place of residence amongst Warsaw University students. The study was conducted in march, 2014 using a specific questionnaire, amongst Warsaw University students. The study group comprised 120 female patients, aged between 19 and 27 years (M=23.43; SD=1.29). The chi-square test was used for analysis, p<0.05 was considered as statistically significant. The BMI of investigated patients ranged between 16.30-31.22 kg/m2 (M=21.27; SD=2.71). The majority of respondents (76.6%) weighed within the normal limits. Abdominal pain or discomfort occurred more frequently in the group of students who considered their physical activity as low. In case of respondents with a low physical activity bowel movement disorders and stool continence changes occurred more often, as compared to those with moderate physical activity. The most common symptom was rectal tenesmus, the least common-presence of mucous in the stool. Analysis showed that students with low physical activity were more frequently absent from school/work, due to abdominal symptoms. The respondents with moderate activity more often considered their abdominal symptoms, being associated with stress. IBS symptoms are common amongst Warsaw University students. In case of respondents with low physical activity, abdominal pain or discomfort occurred

  7. Parent-mediated social communication therapy for young children with autism (PACT): long-term follow-up of a randomised controlled trial.

    PubMed

    Pickles, Andrew; Le Couteur, Ann; Leadbitter, Kathy; Salomone, Erica; Cole-Fletcher, Rachel; Tobin, Hannah; Gammer, Isobel; Lowry, Jessica; Vamvakas, George; Byford, Sarah; Aldred, Catherine; Slonims, Vicky; McConachie, Helen; Howlin, Patricia; Parr, Jeremy R; Charman, Tony; Green, Jonathan

    2016-11-19

    It is not known whether early intervention can improve long-term autism symptom outcomes. We aimed to follow-up the Preschool Autism Communication Trial (PACT), to investigate whether the PACT intervention had a long-term effect on autism symptoms and continued effects on parent and child social interaction. PACT was a randomised controlled trial of a parent-mediated social communication intervention for children aged 2-4 years with core autism. Follow-up ascertainment was done at three specialised clinical services centres in the UK (London, Manchester, and Newcastle) at a median of 5·75 years (IQR 5·42-5·92) from the original trial endpoint. The main blinded outcomes were the comparative severity score (CSS) from the Autism Diagnostic Observation Schedule (ADOS), the Dyadic Communication Assessment Measure (DCMA) of the proportion of child initiatiations when interacting with the parent, and an expressive-receptive language composite. All analyses followed the intention-to-treat principle. PACT is registered with the ISRCTN registry, number ISRCTN58133827. 121 (80%) of the 152 trial participants (59 [77%] of 77 assigned to PACT intervention vs 62 [83%] of 75 assigned to treatment as usual) were traced and consented to be assessed between July, 2013, and September, 2014. Mean age at follow-up was 10·5 years (SD 0·8). Group difference in favour of the PACT intervention based on ADOS CSS of log-odds effect size (ES) was 0·64 (95% CI 0·07 to 1·20) at treatment endpoint and ES 0·70 (95% CI -0·05 to 1·47) at follow-up, giving an overall reduction in symptom severity over the course of the whole trial and follow-up period (ES 0·55, 95% CI 0·14 to 0·91, p=0·004). Group difference in DCMA child initiations at follow-up showed a Cohen's d ES of 0·29 (95% CI -0.02 to 0.57) and was significant over the course of the study (ES 0·33, 95% CI 0·11 to 0·57, p=0·004). There were no group differences in the language composite at follow-up (ES 0·15, 95% CI -0

  8. The German Reunification Issue: A Soviet Perspective.

    DTIC Science & Technology

    1981-09-01

    relationship with the Soviet Union is central to its viability, its economic stability, and the maintenance of its position in the Warsaw Pact. The...tion, and consumer spending is twice as high in the GDR than in the USSR. This voracious consumption is visible to Soviet troops. The Soviet Union...response to the prolonged Polish crisis, East and West Germany appear to be mutually shielding their special relationship from the cold East-West winds

  9. East Europe Report, Political, Sociological and Military Affairs

    DTIC Science & Technology

    1984-10-09

    those of a probing attack. The object of this article was to call attention to the many opportunities of the Warsaw Pact ground forces to form combat... attention has been paid to middle-aged men, the group most vulnerable to health problems, their mortality rate has risen. Infant mortality, while lower than...up areas: The unit was divided into reconnaissance, attack, and security troops. The security group took up a position, a couple of reconnaissance

  10. From ’Battle’ to the ’Battle of Ideas’: The Meaning and Misunderstanding of Information Operations

    DTIC Science & Technology

    2010-12-10

    significant effort US forces placed on finding NVA units. As a result, Army forces could rapidly and unexpectedly, concentrate firepower. However, air...military success of American forces during the Gulf War and the disintegration of the Warsaw pact (and with it the Cold War) would lead to significant...This was because “the United States did not come close to its potential to move the most useful information rapidly to those who needed it most

  11. 77 FR 50549 - Agency Information Collection: Emergency Submission for OMB Review (VISN 23 PACT Demonstration...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-21

    ... concerning attitudes toward healthcare. The VHA PACT Demo Lab is a new grant-funded project. No existing... Preferences Surveys); Comment Request AGENCY: Veterans Health Administration, Department of Veterans Affairs... for information needed to improve health care for veterans. DATES: Comments must be submitted on or...

  12. Relationship between concussion history and neurocognitive test performance in National Football League draft picks.

    PubMed

    Solomon, Gary S; Kuhn, Andrew

    2014-04-01

    There are limited empirical data available regarding the relationship between concussion history and neurocognitive functioning in active National Football League (NFL) players in general and NFL draft picks in particular. Potential NFL draft picks undergo 2 neurocognitive tests at the National Invitational Camp (Scouting Combine) every year: the Wonderlic and, since 2011, the Immediate Post-concussion Assessment and Cognitive Testing (ImPACT). After conclusion of the combine and before the draft, NFL teams invite potential draft picks to their headquarters for individual visits where further assessment may occur. To examine the relationship between concussion history and neurocognitive performance (ImPACT and Wonderlic) in a sample of elite NFL draft picks. Cohort study; Level of evidence, 3. Over 7 years, 226 potential draft picks were invited to visit a specific NFL team's headquarters after the combine. The athletes were divided into 3 groups based on self-reported concussion history: no prior concussions, 1 prior concussion, and 2 or more prior concussions. Neurocognitive measures of interest included Wonderlic scores (provided by the NFL team) and ImPACT composite scores (administered either at the combine or during a visit to the team headquarters). The relationship between concussion history and neurocognitive scores was assessed, as were the relationships among the 2 neurocognitive tests. Concussion history had no relationship to neurocognitive performance on either the Wonderlic or ImPACT. Concussion history did not affect performance on either neurocognitive test, suggesting that for this cohort, a history of concussion may not have adverse effects on neurocognitive functioning as measured by these 2 tests. This study reveals no correlation between concussion history and neurocognitive test scores (ImPACT, Wonderlic) in soon-to-be active NFL athletes.

  13. The Warsaw Pact Short-Warning Nuclear Attack: How Viable an Option?

    DTIC Science & Technology

    1979-05-01

    yion in&vc err mi Iiar-j districts urhhvearmirked for north ern -.nd centr:al ~nc mlom.: n pls soviot, East Germa -- n , Czcchoslo%-akian and Pclii units...special- ists in 5-ill time tazn-lo%-, ent and several interr-tionallv kn7ca-. n inistitutions in business. There are as mzany ways to leck at the...o..W *0e - ~~~~Breerlavmnoo, tsmn: po n , Garstedt( y NETHERLANDS ~FEDERAL~ %,.JPLN I 2 EP BLI * GERMAN -5?’ ~52- GEMM A NY DEMOCRATIC REPUBLIC Bonn@®O

  14. Soviet-Warsaw Pact Western Theater of Military Operations: Organization and Missions.

    DTIC Science & Technology

    1987-08-01

    Khabarovsk Border Troops Gen A Gerasino Transbaykal Border Group Gen I Zaytsev District I Troops Dist Primorskiy Border Troops Amur Natl*Gen A Afanas’yev...while Dutch and German Leopards battled T-72s. In the air, F-15s and F-16s would fight various MiGs. The U.S. technological advantage in electronics...achieved along the Amur River in 1945 could not be repeated on the Rhine. 5See Velikaya otechestvennaya voyna Sovetskogo soyuza (The Great Patriotic

  15. SU-C-204-06: Monte Carlo Dose Calculation for Kilovoltage X-Ray-Psoralen Activated Cancer Therapy (X-PACT): Preliminary Results

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

    Mein, S; Gunasingha, R; Nolan, M

    Purpose: X-PACT is an experimental cancer therapy where kV x-rays are used to photo-activate anti-cancer therapeutics through phosphor intermediaries (phosphors that absorb x-rays and re-radiate as UV light). Clinical trials in pet dogs are currently underway (NC State College of Veterinary Medicine) and an essential component is the ability to model the kV dose in these dogs. Here we report the commissioning and characterization of a Monte Carlo (MC) treatment planning simulation tool to calculate X-PACT radiation doses in canine trials. Methods: FLUKA multi-particle MC simulation package was used to simulate a standard X-PACT radiation treatment beam of 80kVp withmore » the Varian OBI x-ray source geometry. The beam quality was verified by comparing measured and simulated attenuation of the beam by various thicknesses of aluminum (2–4.6 mm) under narrow beam conditions (HVL). The beam parameters at commissioning were then corroborated using MC, characterized and verified with empirically collected commissioning data, including: percent depth dose curves (PDD), back-scatter factors (BSF), collimator scatter factor(s), and heel effect, etc. All simulations were conducted for N=30M histories at M=100 iterations. Results: HVL and PDD simulation data agreed with an average percent error of 2.42%±0.33 and 6.03%±1.58, respectively. The mean square error (MSE) values for HVL and PDD (0.07% and 0.50%) were low, as expected; however, longer simulations are required to validate convergence to the expected values. Qualitatively, pre- and post-filtration source spectra matched well with 80kVp references generated via SPEKTR software. Further validation of commissioning data simulation is underway in preparation for first-time 3D dose calculations with canine CBCT data. Conclusion: We have prepared a Monte Carlo simulation capable of accurate dose calculation for use with ongoing X-PACT canine clinical trials. Preliminary results show good agreement with measured data

  16. Foreign Policy Benefits from Subsidization of Trade with Eastern Europe

    DTIC Science & Technology

    1989-02-01

    AFUDC, the projected cost per kilowatt is $2440. A reactor containment for a 1000 MW pressur - ized water reactor costs about $100 million;96 let us ...diffprencpe in interests between the Soviet Union and its East European allies in the Warsaw Pact. It examines the use of economic policy by the West as a...instead to Soviet armies, fronts, or theaters of military operations (TVDs). The Groups of Soviet Forces are stationed in Eastern Europe in part in an

  17. Global War Game: Second Series, 1984-1988

    DTIC Science & Technology

    2004-08-01

    Poland Netherlands Belgium Luxembourg 14°6° 48° 52° R hine Schleswig- Holstein Kiel Canal Denmark E lbe Elbe W eser Bremerhaven Frankfurt Fulda...consolidation continued on D+11, and two Polish armies pushed into Schleswig- Holstein , cutting off Denmark from the rest of NATO. The Warsaw Pact offensive...Switzerland Liechtenstein Italy Austria Czech Republic Poland Netherlands Belgium Luxembourg 14°6° 48° 52° R hine Schleswig- Holstein Kiel Canal Denmark FRG

  18. Photodynamic antimicrobial chemotherapy (PACT) against oral microorganisms with the use of blue LED associated to curcumin

    NASA Astrophysics Data System (ADS)

    Sampaio, Fernando José P.; Pires-Santos, Gustavo M.; de Oliveira, Susana C. P. S.; Monteiro, Juliana S. C.; Bagnato, Vanderlei S.; Pinheiro, Antônio L. B.

    2016-03-01

    The use of curcumin as antimicrobial agent has been suggested and this effect may be potentialized by appropriate light. This study evaluated the effect of PACT using blue LED (λ450ηm +/- 5ηm, 220mW and spot of 0.785 cm2) associated to Curcumin at different concentrations (75, 37.5, 18.75, 9.37 and 4.68 μg /mL). Microorganisms from the oral mucosa and the posterior region of the tongue were collected and inoculated into test tubes containing 8mL of TSB medium. For these assays were performed 16 readings. In the assays were used culture plate of 24 wells. To each well was added 400 μL of the suspension containing the microorganisms. Suspensions without curcumin were placed in eight wells. Elsewhere, curcumin was applied varying concentrations with pre-irradiation time of 5 min. After stirring, 200 μL aliquot was taken from each well and the readings were immediately carried out by a spectrophotometer (SPECTRA MAX). Assessments of turbidity were performed following CLSI standard methods. After 1 hour of incubation in a bacteriological oven, 200 μL aliquot was removed from the remaining wells for a second reading. The results showed a decrease of total microorganisms in the most of test groups. The best result of the PACT was with 75 μg/mL, showing 81% of inhibition. It is concluded that PACT with blue LED associated to Curcumin could be a potential mechanism for controlling microorganism proliferation on the oral cavity.

  19. "Not Bread Alone": Clandestine Schooling and Resistance in the Warsaw Ghetto during the Holocaust.

    ERIC Educational Resources Information Center

    Kardos, Susan M.

    2002-01-01

    In the Warsaw Ghetto during the Holocaust, clandestine schooling became a form of resistance to Nazi attempts to eradicate Jewish culture. A variety of community groups provided schooling that attempted to give a sense of normalcy as well as hope. (Contains 144 endnotes.) (SK)

  20. Evaluating the test-retest reliability of symptom indices associated with the ImPACT post-concussion symptom scale (PCSS).

    PubMed

    Merritt, Victoria C; Bradson, Megan L; Meyer, Jessica E; Arnett, Peter A

    2018-05-01

    The Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) is a commonly used tool in sports concussion assessment. While test-retest reliabilities have been established for the ImPACT cognitive composites, few studies have evaluated the psychometric properties of the ImPACT's Post-Concussion Symptom Scale (PCSS). The purpose of this study was to establish the test-retest reliability of symptom indices associated with the PCSS. Participants included 38 undergraduate students (50.0% male) who underwent neuropsychological testing as part of their participation in their psychology department's research subject pool. The majority of the participants were Caucasian (94.7%) and had no history of concussion (73.7%). All participants completed the ImPACT at two time points, approximately 6 weeks apart. The PCSS was the main outcome measure, and eight symptom indices were calculated (a total symptom score, three symptom summary indices, and four symptom clusters). Pearson correlations (r) and intraclass correlation coefficients (ICCs) were computed as measures of test-retest reliability. Overall, reliabilities ranged from low to high (r = .44 to .80; ICC = .44 to .77). The cognitive symptom cluster exhibited the highest test-retest reliability (r = .80, ICC = .77), followed by the positive symptom total (PST) index, an indicator of the total number of symptoms endorsed (r = .71, ICC = .69). In contrast, the commonly used total symptom score showed lower test-retest reliability (r = .67, ICC = .62). Paired-samples t tests revealed no significant differences between test and retest for any of the symptom variables (all p > .01). Finally, reliable change indices (RCI) were computed to determine whether differences observed between test and retest represented clinically significant change. RCI values were provided for each symptom index at the 80%, 90%, and 95% confidence intervals. These results suggest that evaluating additional symptom

  1. International Psychological Applications Conference and Trends (InPACT) Proceedings (Ljubljana, Slovenia, May 2-4, 2015)

    ERIC Educational Resources Information Center

    Pracana, Clara, Ed.

    2015-01-01

    We are delighted to welcome you to the International Psychological Applications Conference and Trends (InPACT) 2015, taking place in Ljubljana, Slovenia, from 2 to 4 of May. Psychology, nowadays, offers a large range of scientific fields where it can be applied. The goal of understanding individuals and groups (mental functions and behavioral…

  2. Lidar derived properties of air-masses advected from Ukraine, Sahara and Carpathian mountains to Warsaw, Poland on 9 - 11 August 2015

    NASA Astrophysics Data System (ADS)

    Janicka, Lucja; Szczepanik, Dominika; Borek, Karolina; Heese, Birgit; Stachlewska, Iwona S.

    2018-04-01

    The aerosol layers of different origin, suspended in the atmosphere on 9-11 August 2015 were observed with the PollyXT-UW lidar in Warsaw, Poland. The HYSPLIT ensemble backward trajectories indicate that the observed air-masses attribute to a few different sources, among others, possible transport paths from Ukraine, Slovakia, and Africa. In this paper, we attempt to analyse and discuss the properties of aerosol particles of different origin that were suspended over Warsaw during this event.

  3. RNA-induced silencing complex (RISC) Proteins PACT, TRBP, and Dicer are SRA binding nuclear receptor coregulators

    PubMed Central

    Redfern, Andrew D.; Colley, Shane M.; Beveridge, Dianne J.; Ikeda, Naoya; Epis, Michael R.; Li, Xia; Foulds, Charles E.; Stuart, Lisa M.; Barker, Andrew; Russell, Victoria J.; Ramsay, Kerry; Kobelke, Simon J.; Li, Xiaotao; Hatchell, Esme C.; Payne, Christine; Giles, Keith M.; Messineo, Adriana; Gatignol, Anne; Lanz, Rainer B.; O’Malley, Bert W.; Leedman, Peter J.

    2013-01-01

    The cytoplasmic RNA-induced silencing complex (RISC) contains dsRNA binding proteins, including protein kinase RNA activator (PACT), transactivation response RNA binding protein (TRBP), and Dicer, that process pre-microRNAs into mature microRNAs (miRNAs) that target specific mRNA species for regulation. There is increasing evidence for important functional interactions between the miRNA and nuclear receptor (NR) signaling networks, with recent data showing that estrogen, acting through the estrogen receptor, can modulate initial aspects of nuclear miRNA processing. Here, we show that the cytoplasmic RISC proteins PACT, TRBP, and Dicer are steroid receptor RNA activator (SRA) binding NR coregulators that target steroid-responsive promoters and regulate NR activity and downstream gene expression. Furthermore, each of the RISC proteins, together with Argonaute 2, associates with SRA and specific pre-microRNAs in both the nucleus and cytoplasm, providing evidence for links between NR-mediated transcription and some of the factors involved in miRNA processing. PMID:23550157

  4. RNA-induced silencing complex (RISC) Proteins PACT, TRBP, and Dicer are SRA binding nuclear receptor coregulators.

    PubMed

    Redfern, Andrew D; Colley, Shane M; Beveridge, Dianne J; Ikeda, Naoya; Epis, Michael R; Li, Xia; Foulds, Charles E; Stuart, Lisa M; Barker, Andrew; Russell, Victoria J; Ramsay, Kerry; Kobelke, Simon J; Li, Xiaotao; Hatchell, Esme C; Payne, Christine; Giles, Keith M; Messineo, Adriana; Gatignol, Anne; Lanz, Rainer B; O'Malley, Bert W; Leedman, Peter J

    2013-04-16

    The cytoplasmic RNA-induced silencing complex (RISC) contains dsRNA binding proteins, including protein kinase RNA activator (PACT), transactivation response RNA binding protein (TRBP), and Dicer, that process pre-microRNAs into mature microRNAs (miRNAs) that target specific mRNA species for regulation. There is increasing evidence for important functional interactions between the miRNA and nuclear receptor (NR) signaling networks, with recent data showing that estrogen, acting through the estrogen receptor, can modulate initial aspects of nuclear miRNA processing. Here, we show that the cytoplasmic RISC proteins PACT, TRBP, and Dicer are steroid receptor RNA activator (SRA) binding NR coregulators that target steroid-responsive promoters and regulate NR activity and downstream gene expression. Furthermore, each of the RISC proteins, together with Argonaute 2, associates with SRA and specific pre-microRNAs in both the nucleus and cytoplasm, providing evidence for links between NR-mediated transcription and some of the factors involved in miRNA processing.

  5. Long-term (1992-2004) record of lead, cadmium, and zinc air contamination in Warsaw, Poland: determination by chemical analysis of moss bags and leaves of Crimean linden.

    PubMed

    Dmuchowski, Wojciech; Bytnerowicz, Andrzej

    2009-12-01

    Between 1992 and 2004, air contamination with lead (Pb), cadmium (Cd), and zinc (Zn) in Warsaw, Poland, was monitored annually with moss (Sphagnum fallax) bags on a network of 230 sites covering the entire city. During the study the highest contamination was near the Warszawa Steel Mill, northwestern Warsaw. Lead concentrations in moss bags decreased in time, while those of Cd and Zn did not show clear trends. Between 1994 and 2004, Pb, Cd, and Zn were also monitored in the Crimean linden (Tilia Euchlora) foliage along the main city avenue and in a northwestern warsaw park. Lead concentrations decreased more near the avenue than in the park, indicating that the phasing-out of leaded gasoline had a major effect on reduced Pb contamination in Warsaw. At the same time, foliar concentrations of Cd and Zn in both areas decreased much less.

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

    Nagler, R.G.

    This report, based solely on information available from unclassified sources, provides a coherent picture of the scope and trends of ballistic missile proliferation. The focus is on countries developing, producing, or owning ballistic missiles capable of threatening the military forces, assets, or populations of neighboring or geographically remote countries. The report also identifies other countries expected to obtain operational ballistic missile capabilities, discusses expected growth in performance, and examines the projected availability of warheads of mass destruction. The emphasis is on ballistic missiles of ranges greater than approximately 300 km, though shorter range battlefield weapons are discussed as forerunners. Themore » assessment excludes principal U.S. allies and countries formerly in the Warsaw Pact, except where these countries have sold missiles, technology; or personnel services to developing nations in support of their missile programs.« less

  7. Translations on Eastern Europe: Political, Sociological and Military Affairs No. 1605

    DTIC Science & Technology

    1978-11-06

    9000091^ 1 1 R Approved for Public Release L U U U U L I J I I W Distribution Unlimited U. S. JOINT PUBLICATIONS RESEARCH SERVICE...for other continents. We are proud, Comrade J , Fojtik stressed, that our republic, at the side of the Soviet Union, is—as a member of the Warsaw Pact...communist party and all people of the CSSR fully identify with this program and support it actively. However, we witness at present, Comrade J . Fojtik

  8. Soviet News and Propaganda Analysis Based on RED STAR (The Official Newspaper of the Soviet Defense Establishment) for the Period 1-30 April 1985. Volume 5, Number 4.

    DTIC Science & Technology

    1985-04-30

    May. " The CIA is responsible for aiding Nazi war criminals to escape to South America. There are 40,000 Nazis that live in Paraguay, Argentina and...University professor). -20- fI -7 777 " Poverty in the United States and Western Europe. - West Germany has over 200,000 homeless people and 2.6 million...delegations from Warsaw Pact countries. The occasion for the event was the 40th anniversary of the Great Victory and the solidarity of socialist block

  9. JPRS Report, East Europe

    DTIC Science & Technology

    1989-12-13

    the armies of 5 Warsaw Pact countries in Czechoslovakia in 1968 and Breznev’s document "Lessons From the Crisis ." R.: A question keeps coming up in...Committee and deputy to the Supreme Soviet, whom the author dares to brand "a communist in quotation marks". If this trend continues, and everything so...return once more to the freedom of expression or the policy of glasnost, which I do not consider as identical with a real and full freedom of

  10. Long-term Stability and Reliability of Baseline Cognitive Assessments in High School Athletes Using ImPACT at 1-, 2-, and 3-year Test-Retest Intervals.

    PubMed

    Brett, Benjamin L; Smyk, Nathan; Solomon, Gary; Baughman, Brandon C; Schatz, Philip

    2016-08-18

    The ImPACT (Immediate Post-Concussion Assessment and Cognitive Testing) neurocognitive testing battery is a widely used tool used for the assessment and management of sports-related concussion. Research on the stability of ImPACT in high school athletes at a 1- and 2-year intervals have been inconsistent, requiring further investigation. We documented 1-, 2-, and 3-year test-retest reliability of repeated ImPACT baseline assessments in a sample of high school athletes, using multiple statistical methods for examining stability. A total of 1,510 high school athletes completed baseline cognitive testing using online ImPACT test battery at three time periods of approximately 1- (N = 250), 2- (N = 1146), and 3-year (N = 114) intervals. No participant sustained a concussion between assessments. Intraclass correlation coefficients (ICCs) ranged in composite scores from 0.36 to 0.90 and showed little change as intervals between assessments increased. Reliable change indices and regression-based measures (RBMs) examining the test-retest stability demonstrated a lack of significant change in composite scores across the various time intervals, with very few cases (0%-6%) falling outside of 95% confidence intervals. The results suggest ImPACT composites scores remain considerably stability across 1-, 2-, and 3-year test-retest intervals in high school athletes, when considering both ICCs and RBM. Annually ascertaining baseline scores continues to be optimal for ensuring accurate and individualized management of injury for concussed athletes. For instances in which more recent baselines are not available (1-2 years), clinicians should seek to utilize more conservative range estimates in determining the presence of clinically meaningful change in cognitive performance. © The Author 2016. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  11. The influence of validity criteria on Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) test-retest reliability among high school athletes.

    PubMed

    Brett, Benjamin L; Solomon, Gary S

    2017-04-01

    Research findings to date on the stability of Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) Composite scores have been inconsistent, requiring further investigation. The use of test validity criteria across these studies also has been inconsistent. Using multiple measures of stability, we examined test-retest reliability of repeated ImPACT baseline assessments in high school athletes across various validity criteria reported in previous studies. A total of 1146 high school athletes completed baseline cognitive testing using the online ImPACT test battery at two time periods of approximately two-year intervals. No participant sustained a concussion between assessments. Five forms of validity criteria used in previous test-retest studies were applied to the data, and differences in reliability were compared. Intraclass correlation coefficients (ICCs) ranged in composite scores from .47 (95% confidence interval, CI [.38, .54]) to .83 (95% CI [.81, .85]) and showed little change across a two-year interval for all five sets of validity criteria. Regression based methods (RBMs) examining the test-retest stability demonstrated a lack of significant change in composite scores across the two-year interval for all forms of validity criteria, with no cases falling outside the expected range of 90% confidence intervals. The application of more stringent validity criteria does not alter test-retest reliability, nor does it account for some of the variation observed across previously performed studies. As such, use of the ImPACT manual validity criteria should be utilized in the determination of test validity and in the individualized approach to concussion management. Potential future efforts to improve test-retest reliability are discussed.

  12. International Psychological Applications Conference and Trends (InPACT) 2016 (Lisbon, Portugal, April 30-May 2, 2016)

    ERIC Educational Resources Information Center

    Pracana, Clara, Ed.; Wang, Michael, Ed.

    2016-01-01

    We are delighted to welcome you to the International Psychological Applications Conference and Trends (InPACT) 2016, taking place in Lisbon, Portugal, from 30 of April to 2 of May, 2016. Psychology, nowadays, offers a large range of scientific fields where it can be applied. The goal of understanding individuals and groups (mental functions and…

  13. Evaluation of photodynamic antimicrobial therapy (PACT) against promastigotes form of the Leishmania (Viannia) braziliensis: in vitro study

    NASA Astrophysics Data System (ADS)

    Barbosa, Artur F. S.; Sangiorgi, Bruno B.; Galdino, Suely L.; Pitta, Ivan R.; Barral Netto, Manoel; Correia, Neandder A.; Pinheiro, Antônio L. B.

    2012-03-01

    Leishmaniasis is a complex disease that affects more than 12 million people in 88 countries worldwide. Leishmania (Viannia) braziliensis is the most common species in the Americas and the most important causative agent of cutaneous and mucocutaneous leishmaniasis in Brazil. The therapeutic arsenal routinely employed to treat patients with leishmaniasis is limited and unsatisfactory. For cutaneous leishmaniasis, pentavalent antimonials are the first line therapeutic scheme recommended by the WHO. These compounds are highly toxic, poorly tolerated and their effectiveness highly variable. In this work, a technique with, so far, an unknown disadvantage is discussed. The aim of this study was to verify the effectiveness of PACT in vitro, as a new technique for the treatment of Leishmaniasis. For this, semiconductor laser (λ = 660nm, 40mW, 4.2J/cm2, CW) associated to phenothiazine's derivatives (5 and 10 μg/ml, TBO, Methylene Blue or Phenothiazine) on the promastigotes form of Leishmania braziliensis in a single session was used. Viability of the parasites was assessed in quadruplicates of each group. The samples were removed and analyzed in a hemocytometer 72h after PACT. We found an important decrease in the number of viable parasites on all treated groups in comparison to their controls. The results of present study showed significant percentage of lethality (above 95%) of the protocol. The 99.23% of lethality was achieved with 10 μg/ml of TBO. No lethality was seen on groups treated neither with laser nor with each compounds separately. The results are promising and indicative that the use of PACT may be a powerful treatment of leishmaniasis when compared to already available ones.

  14. A novel acenocoumarol pharmacogenomic dosing algorithm for the Greek population of EU-PACT trial.

    PubMed

    Ragia, Georgia; Kolovou, Vana; Kolovou, Genovefa; Konstantinides, Stavros; Maltezos, Efstratios; Tavridou, Anna; Tziakas, Dimitrios; Maitland-van der Zee, Anke H; Manolopoulos, Vangelis G

    2017-01-01

    To generate and validate a pharmacogenomic-guided (PG) dosing algorithm for acenocoumarol in the Greek population. To compare its performance with other PG algorithms developed for the Greek population. A total of 140 Greek patients participants of the EU-PACT trial for acenocoumarol, a randomized clinical trial that prospectively compared the effect of a PG dosing algorithm with a clinical dosing algorithm on the percentage of time within INR therapeutic range, who reached acenocoumarol stable dose were included in the study. CYP2C9 and VKORC1 genotypes, age and weight affected acenocoumarol dose and predicted 53.9% of its variability. EU-PACT PG algorithm overestimated acenocoumarol dose across all different CYP2C9/VKORC1 functional phenotype bins (predicted dose vs stable dose in normal responders 2.31 vs 2.00 mg/day, p = 0.028, in sensitive responders 1.72 vs 1.50 mg/day, p = 0.003, in highly sensitive responders 1.39 vs 1.00 mg/day, p = 0.029). The PG algorithm previously developed for the Greek population overestimated the dose in normal responders (2.51 vs 2.00 mg/day, p < 0.001). Ethnic-specific dosing algorithm is suggested for better prediction of acenocoumarol dosage requirements in patients of Greek origin.

  15. Spain’s Role in the Defense of Allied Security in NATO.

    DTIC Science & Technology

    1986-04-07

    4 NEEm .7hiEmmmhhhmhmhhl Ime W &. 1110= MICROCOPY RESOLUTION TESI*CH~ART NAT ’.N4.. U rN[m-. . % 4 a) (0 0 00 ------- T’ The views expressed in this...the Warsaw Pact forces even if forward defense were to fail. Spain’s peninsular location, magnified by the Canary Islands astride the vital oil tanker...payments deficit reached $13.4 billion in 1980. This deficit, has been caused primarily by the increase in the cost of imported oil . Despite current

  16. The use of the Hurst exponent to predict changes in trends on the Warsaw Stock Exchange

    NASA Astrophysics Data System (ADS)

    Domino, Krzysztof

    2011-01-01

    The local properties of the time series of the evolution of share prices of 126 significant companies traded on the Warsaw Stock Exchange during the period between 1991-2008 have been investigated. The analysis was applied to daily financial returns. I have used the local DFA to obtain the Hurst exponent (diffusion coefficient) while searching for negative correlations by which changes of long-term trends would be effected. A certain evidence, proving that after the signature of anti-correlation-the drop in the Hurst exponent-the change in the trend and in the return rate of an investment is probable, was pointed out. Hence after further investigation this method may be useful as a part of an investment strategy. As the Warsaw Stock Exchange is relatively smaller and younger than other significant world Stock Exchanges-and as the developing market is less efficient-the generalization for others markets needs further investigation.

  17. The nucleocapsid proteins of mouse hepatitis virus and severe acute respiratory syndrome coronavirus share the same IFN-β antagonizing mechanism: attenuation of PACT-mediated RIG-I/MDA5 activation

    PubMed Central

    Ding, Zhen; Fang, Liurong; Yuan, Shuangling; Zhao, Ling; Wang, Xunlei; Long, Siwen; Wang, Mohan; Wang, Dang; Foda, Mohamed Frahat; Xiao, Shaobo

    2017-01-01

    Coronaviruses (CoVs) are a huge threat to both humans and animals and have evolved elaborate mechanisms to antagonize interferons (IFNs). Nucleocapsid (N) protein is the most abundant viral protein in CoV-infected cells, and has been identified as an innate immunity antagonist in several CoVs, including mouse hepatitis virus (MHV) and severe acute respiratory syndrome (SARS)-CoV. However, the underlying molecular mechanism(s) remain unclear. In this study, we found that MHV N protein inhibited Sendai virus and poly(I:C)-induced IFN-β production by targeting a molecule upstream of retinoic acid-induced gene I (RIG-I) and melanoma differentiation gene 5 (MDA5). Further studies showed that both MHV and SARS-CoV N proteins directly interacted with protein activator of protein kinase R (PACT), a cellular dsRNA-binding protein that can bind to RIG-I and MDA5 to activate IFN production. The N–PACT interaction sequestered the association of PACT and RIG-I/MDA5, which in turn inhibited IFN-β production. However, the N proteins from porcine epidemic diarrhea virus (PEDV) and porcine reproductive and respiratory syndrome virus (PRRSV), which are also classified in the order Nidovirales, did not interact and counteract with PACT. Taken together, our present study confirms that both MHV and SARS-CoV N proteins can perturb the function of cellular PACT to circumvent the innate antiviral response. However, this strategy does not appear to be used by all CoVs N proteins. PMID:28591694

  18. The nutritional habits among centenarians living in Warsaw.

    PubMed

    Kołłajtis-Dołowy, Anna; Pietruszka, Barbara; Kałuza, Joanna; Pawlińiska-Chmara, Romana; Broczek, Katarzyna; Mossakowska, Małgorzata

    2007-01-01

    The aim of the study was to determine the preferences and nutritional habits of Warsaw centenarians during their "third period" of life. The study was conducted by a questionnaire method among 29 centenarians. Most of centenarians had general good health condition. Almost 60% of centenarians performed manual labor in the past. Then they drank small amounts of alcohol irregularly. Several percent of centenarians smoked in the past. Before the age of sixty less people then at present snacked between meals. Sweets both now and in the past were preferred products, however, in the past sweets were rarely eaten by centenarians. At the present time centenarians ate more often yogurt, skim curd, fish, lean meat products, plant oils and sweets. The changes in eating habits were probably caused by civilization changes.

  19. The Maritime Security of the Baltic Approaches. NATO and the Warsaw Pact.

    DTIC Science & Technology

    1983-06-01

    the last of which was transferred in 1970 when Poland received a SAM Kotlin class destroyer. They have also received several coastal patrol craft...conscripts). 4 W-class submarines. I Kotlin destroyer with two Goa SAM. 13 Osa FAC(M) with Styx SSM. 17 FAC(T): 4 Pilica, 10 Wisla, 3 P-6. 23 large...cruisers CG (Kara, Kresta, Kynda) 2 2 - Light cruisers CL (Sverdlov, Chapaev 4 5 2 Guided missile destroyers DDG (Kashin, Kilden, Kanin, Kivak, Kotlin (SAM

  20. Design and implementation of a Synthetic Aperture Radar for Open Skies (SAROS) aboard a C-135 aircraft

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

    Cooper, D.W.; Murphy, M.; Rimmel, G.

    1994-08-01

    NATO and former Warsaw Pact nations have agreed to allow overflights of their countries in the interest of easing world tension. The United States has decided to implement two C-135 aircraft with a Synthetic Aperture Radar (SAR) that has a 3-meter resolution. This work is being sponsored by the Defense Nuclear Agency (DNA) and will be operational in Fall 1995. Since the SAR equipment must be exportable to foreign nations, a 20-year-old UPD-8 analog SAR system was selected as the front-end and refurbished for this application by Loral Defense Systems. Data processing is being upgraded to a currently exportable digitalmore » design by Sandia National Laboratories. Amplitude and phase histories will be collected during these overflights and digitized on VHS cassettes. Ground stations will use reduction algorithms to process the data and convert it to magnitude-detected images for member nations. System Planning Corporation is presently developing a portable ground station for use on the demonstration flights. Aircraft integration into the C-135 aircraft is being done by the Air Force at Wright-Patterson AFB, Ohio.« less

  1. Quantitative Proteomic Analysis of the Influenza A Virus Nonstructural Proteins NS1 and NS2 during Natural Cell Infection Identifies PACT as an NS1 Target Protein and Antiviral Host Factor

    PubMed Central

    Tawaratsumida, Kazuki; Phan, Van; Hrincius, Eike R.; High, Anthony A.; Webby, Richard; Redecke, Vanessa

    2014-01-01

    ABSTRACT Influenza A virus (IAV) replication depends on the interaction of virus proteins with host factors. The viral nonstructural protein 1 (NS1) is essential in this process by targeting diverse cellular functions, including mRNA splicing and translation, cell survival, and immune defense, in particular the type I interferon (IFN-I) response. In order to identify host proteins targeted by NS1, we established a replication-competent recombinant IAV that expresses epitope-tagged forms of NS1 and NS2, which are encoded by the same gene segment, allowing purification of NS proteins during natural cell infection and analysis of interacting proteins by quantitative mass spectrometry. We identified known NS1- and NS2-interacting proteins but also uncharacterized proteins, including PACT, an important cofactor for the IFN-I response triggered by the viral RNA-sensor RIG-I. We show here that NS1 binds PACT during virus replication and blocks PACT/RIG-I-mediated activation of IFN-I, which represents a critical event for the host defense. Protein interaction and interference with IFN-I activation depended on the functional integrity of the highly conserved RNA binding domain of NS1. A mutant virus with deletion of NS1 induced high levels of IFN-I in control cells, as expected; in contrast, shRNA-mediated knockdown of PACT compromised IFN-I activation by the mutant virus, but not wild-type virus, a finding consistent with the interpretation that PACT (i) is essential for IAV recognition and (ii) is functionally compromised by NS1. Together, our data describe a novel approach to identify virus-host protein interactions and demonstrate that NS1 interferes with PACT, whose function is critical for robust IFN-I production. IMPORTANCE Influenza A virus (IAV) is an important human pathogen that is responsible for annual epidemics and occasional devastating pandemics. Viral replication and pathogenicity depends on the interference of viral factors with components of the host

  2. The Lvov-Warsaw School: The forgotten tradition of historical psychology.

    PubMed

    Citlak, Amadeusz

    2016-05-01

    This article is an attempt to reconstruct the psychological achievements of the representatives of the Lvov-Warsaw School of historical psychology, virtually forgotten and unknown in the world's psychological literature. Kazimierz Twardowski (1866-1938), founder of the school, developed a philosophical and psychological program on the basis of (among other things) the theory of actions and products, including the research program that is now included in the thread of historical psychology. His student, Wladyslaw Witwicki (1878-1948), developed the cratism theory (the theory of power) on the basis Twardowski's assumptions, providing an alternative to Alfred Adler's theory of striving for superiority while also declaring it a few years before Adler. The consequence of Witwicki's theory and the methodological assumptions was the creation of psychobiography: the first nonpsychoanalytical psychobiography of Socrates (Witwicki, 1909, 1922) and the psychobiography of Jesus Christ (Witwicki, 1958). The school's activities weakened for political reasons, particularly the outbreak of the First World War. The members of the school dispersed after 1918, and they lost international connections with the world of science. Their significant achievements in the field of psychology remained unknown to psychologists for nearly a century. In this article, I would like to present the school's unique but unfinished program of reconstructing mental life through the psychological interpretation of cultural products (literature, arts, diaries), and its value for the practice of research in historical psychology. This program required additional development, but because of the war this never happened. Some of the school's theoretical findings and the first attempts to apply them have still significant value and show us the originality of Lvov-Warsaw School psychology. (c) 2016 APA, all rights reserved).

  3. Alcohol and cigarette use among Warsaw adolescents: Factors associated with risk and resilience

    PubMed Central

    Pisarska, Agnieszka; Eisman, Andria; Ostaszewski, Krzysztof; Zimmerman, Marc A.

    2016-01-01

    Background Youth in Poland are at notable risk for substance use. Guided by resiliency theory, we examine if developmental risk and promotive factors are associated with substance abuse risk. Objectives We examined the association between adolescent cigarette and alcohol use and related risk and promotive factors including maternal support, neighbours’ informal social control, friends’ acceptance of substance use, and alcohol and cigarette use by nonparental adults. Method Data were collected from a random sample of 13–14-year old students attending Warsaw middle schools (N=3029). We used hierarchical regression models and examined compensatory and protective models of resilience, controlling for sociodemograhic factors. Results Our results indicated that friends’ acceptance of substance use and perceived drug use among nonparental adults was associated with increased risk cigarette and alcohol use among youth. We found that maternal support moderated the relationship between friends’ acceptance of substance use and cigarette use (protective model of resilience). Thus, maternal support buffered the negative effects of friends’ acceptance of use on youths’ cigarette use. Neighbor’s informal social control and maternal support were associated with reduced risk of alcohol use (compensatory model of resilience). Conclusion Collectively, results of the study support compensatory and protective models of resilience in a large representative sample of Warsaw adolescents. PMID:27223142

  4. [Branches of the National Institute of Hygiene].

    PubMed

    Gromulska, Marta

    2008-01-01

    National Epidemiological Institute (National Institute of Hygiene, from 7th September 1923) was established in 1918 in Warsaw and acted at national level. Its actions in the field of diseases combat were supported by bacteriological stations and vaccine production in voivodeship cities, which were taken charge of by the state, and names "National Epidemiological Institutes". According to the ministers resolution from 6th July 1921,Epidemiological Institutes were merged to National Central Epidemiological Institutes (PZH), the epidemiological institutes outside Warsaw were named branches, which were to be located in every voivodeship city, according to the initial organizational resolutions. There were country branches of NCEI in: Cracow, Lwów, Lódź, Toruń, Lublin, and Wilno in the period 1919-1923. New branches in Poznań (1925), Gdynia(1934), Katowice (Voivodeship Institute of Hygiene (1936), Luck (1937), Stanisławów (1937), Kielce(1938), and Brześć/Bug (Municipal Station acting as branch of National Central Epidemiological Institute. Branches were subordinated to NCEI-PZH) in Warsaw where action plans and unified research and diagnostic method were established and annual meeting of the country branches managers took place. All branches cooperated with hospitals, national health services, district general practitioners and administration structure in control of infectious diseases. In 1938, the post of branch inspector was established, the first of whom was Feliks Przesmycki PhD. Branches cooperated also with University of Cracow, University of Lwów and University of Wilno. In 1935, National Institutes of Food Research was incorporated in PZH, Water Department was established, and these areas of activity began to develop in the branches accordingly. In 1938 there were 13 branches of PZH, and each had three divisions: bacteriological, food research and water research. Three branches in Cracow, Kielce and Lublin worked during World War II under German

  5. Assessment of the Accountability and Control of Arms, Ammunition, and Explosives (AA&E) Provided to the Security Forces of Afghanistan

    DTIC Science & Technology

    2009-09-11

    Corps to verify weapons and ammunition accountability. It conducted a serial number inventory of 67 weapons, including ten M16 rifles, 40 AK47 ...11. Mossberg M590A1 pump 12 gauge Former Warsaw Pact Weapons (FWP) 1. AK47 rifle and variants ( AK47 , AK74, AMD65, VZ58, AKMS) 2. RPK light machine...recorded as EL 4910  AK47 : 30 counted o Serial No. IA0499 recorded as IA0489  VZ58: 90 counted o 2 weapons were in the wrong boxes

  6. Effects of urban agglomeration on surface-UV doses: a comparison of Brewer measurements in Warsaw and Belsk, Poland, for the period 2013-2015

    NASA Astrophysics Data System (ADS)

    Czerwińska, Agnieszka E.; Krzyścin, Janusz W.; Jarosławski, Janusz; Posyniak, Michał

    2016-11-01

    Specific aerosols and cloud properties over large urban regions seem to generate an island, similar to the well-known urban heat island, leading to lower ultraviolet (UV) radiation intensity compared to the surrounding less polluted areas, thus creating a shield against excessive human exposure to UV radiation. The present study focuses on differences between erythemal and UVA (324 nm) doses measured by the Brewer spectrophotometers in Warsaw (52.3° N, 21.0° E) and Belsk (51.8° N, 20.8° E). The latter is a rural region located about 60 km south-west of the city. Ratios between erythemal and UVA partly daily doses, obtained during all-sky and cloudless-sky conditions for the period May 2013-December 2015, were analysed to infer a specific cloud and aerosol forcing on the surface UV doses over Warsaw. Radiative model simulations were carried out to find sources of the observed differences between the sites. It was found that Warsaw urban agglomeration induced 8 and 6 % attenuation of the erythemal and UVA doses respectively. This is mostly due to the lower sun elevation in Warsaw during the near-noon measurements and the larger optical depth of the city aerosols and increased cloudiness. It could be hypothesised that the expected stronger absorption of the solar UV radiation by urban aerosols is compensated for here by a higher surface reflectivity over the city.

  7. In vitro study of the photodynamic antimicrobial therapy (PACT) against promastigotes form of the leishmania (viannia) braziliensis: in vitro study

    NASA Astrophysics Data System (ADS)

    Barbosa, Artur F. S.; Sangiorgi, Bruno B.; Galdino, Suely L.; Pitta, Ivan R.; Barral-Netto, Manoel; Pinheiro, Antônio L. B.

    2013-03-01

    Leishmaniasis, a protozoan parasitic disease that remains a major worldwide health problem with high endemicity in developing countries. Treatment of cutaneous Leishmaniasis (CL) should be decided by the clinical lesions, etiological species and its potential to develop into mucosal Leishmaniasis. High cost, systemic toxicity, and diminished efficacy due to development of parasite resistance are the serious drawbacks of current treatment options. Thus, identifying new, effective, and safer anti-leishmanial drug(s) is of paramount importance. The aim of this study was to verify the effectiveness of PACT in vitro, as a new technique for the treatment of Leishmaniasis. For this, semiconductor laser (λ = 660nm, 40mW, 8.4J/cm2, CW) associated to phenothiazine's derivatives (5 and 10 μg/ml, TBO, Methylene Blue or Phenothiazine) on the promastigotes form of Leishmania braziliensis in a single session was used. Viability of the parasites was assessed in quadruplicates of each group. The samples were removed and analyzed in a hemocytometer 72h after PACT. We found an important decrease in the number of viable parasites on all treated groups in comparison to their controls. The results of present study showed significant percentage of lethality (above 92%) of the protocol. The 98.33% of lethality was achieved with 10 μg/ml of FTZ. No lethality was seen on groups treated neither with laser nor with each compounds separately. The results are promising and indicative that the use of PACT may be a powerful treatment of Leishmaniasis when compared to already available ones.

  8. A Trust-Based Pact in Research Biobanks. From Theory to Practice.

    PubMed

    Sanchini, Virginia; Bonizzi, Giuseppina; Disalvatore, Davide; Monturano, Massimo; Pece, Salvatore; Viale, Giuseppe; Di Fiore, Pier Paolo; Boniolo, Giovanni

    2016-05-01

    Traditional Informed Consent is becoming increasingly inadequate, especially in the context of research biobanks. How much information is needed by patients for their consent to be truly informed? How does the quality of the information they receive match up to the quality of the information they ought to receive? How can information be conveyed fairly about future, non-predictable lines of research? To circumvent these difficulties, some scholars have proposed that current consent guidelines should be reassessed, with trust being used as a guiding principle instead of information. Here, we analyse one of these proposals, based on a Participation Pact, which is already being offered to patients at the Istituto Europeo di Oncologia, a comprehensive cancer hospital in Milan, Italy. © 2015 John Wiley & Sons Ltd.

  9. Temporal variations in optical and microphysical properties of mineral dust and biomass burning aerosol derived from daytime Raman lidar observations over Warsaw, Poland

    NASA Astrophysics Data System (ADS)

    Janicka, Lucja; Stachlewska, Iwona S.; Veselovskii, Igor; Baars, Holger

    2017-11-01

    In July 2013, favorable weather conditions caused a severe events of advection of biomass burning particles of Canadian forest fires to Europe. The smoke layers were widely observed, especially in Western Europe. An unusual atmospheric aerosol composition was measured at the EARLINET site in Warsaw, Central Poland, during a short event that occurred between 11 and 21 UTC on 10th July 2013. Additionally to the smoke layer, mineral dust was detected in a separate layer. The long-range dust transport pathway followed an uncommon way; originating in Western Sahara, passing above middle Atlantic, and circulating over British Islands, prior to its arrival to Poland. An effective radius of 560 nm was obtained for Saharan dust over Warsaw. This relatively small effective radius is likely due to the long time of the transport. The aerosol-polarization-Raman PollyXT-UW lidar was used for a successful daytime Raman retrieval of the aerosol optical properties at selected times during this short event. The aerosol vertical structure during the inflow over Warsaw in terms of optical properties and depolarization was analyzed, indicating clear distinction of the layers. The microphysical properties were inverted from the lidar derived optical data for selected ranges as representing the smoke and the mineral dust. For smoke, the effective radius was in the range of 0.29-0.36 μm and the complex refractive index 1.36 + 0.008i, on average. For dust, the values of 0.33-0.56 μm and 1.56 + 0.004i were obtained. An evolution of the aerosol composition over Warsaw during the day was analyzed.

  10. Evaluation of Photodynamic Antimicrobial Therapy (PACT) against Trypomastigotes of Trypanosoma cruzi: In Vitro Study

    NASA Astrophysics Data System (ADS)

    Barbosa, Artur F. S.; Soares, Luiz G. P.; Aciole, Jouber M. S.; Aciole, Gilberth T. S.; Pitta, Ivan R.; Galdino, Suely L.; Pinheiro, Antonio L. B.

    2011-08-01

    Policies to combat Chagas disease presents a considerable degree of negligence and is classified at level III by TDR, where the focus of research is based on the improvement and wider dissemination of existing tools and strategies for combating them. The PACT is based on topical or systemic administration of a nontoxic dye sensitive to light, followed by low dose irradiation with visible light of wavelength appropriate. In the presence of oxygen found in the cells, the photosensitizer (FS) enabled may react with molecules in its vicinity by electron transfer or hydrogen, leading to production of free radicals (type I reaction) or by energy transfer to oxygen (type II reaction), leading to production of singlet oxygen. Both paths can lead to cell death and the destruction of diseased tissue. In this work, we verify the effectiveness of PACT associated with a semiconductor laser InGaAlP, a wavelength (λ) equal to 660 nm±10 nm, 30 mW optical power, emitting red light in the visible spectrum, with a dose of 4 J/cm2 in continuous mode, using methylene blue in five differents concentrations on the infective trypomastigote forms of Trypanosoma cruzi. To determine the viability of the parasites, one sample from each treatment group at each concentration was removed and analyzed in a hemocytometer, observing the decrease in the number of live parasites for the solution without treatment. The results demonstrated significant percentage of parasite lysis (up to 86% lethality), what can not be observed in the groups treated with laser or with the FS.

  11. Impact of urban environmental pollution on growth, leaf damage, and chemical constituents of Warsaw urban trees

    Treesearch

    Waldemar Chmielewski; Wojciech Dmuchowski; Stanislaw Suplat

    1998-01-01

    In the last 10 years, 3.5 percent of the tree population died annually in PolandÕs largest and most polluted cities, which is a problem of economic importance. Dieback of streetside trees in Warsaw is a long term process. It is an effect of biological reactions of trees to unfavorable conditions in the urban environment, particularly air and soil pollution and water...

  12. A case matched study examining the reliability of using ImPACT to assess effects of multiple concussions.

    PubMed

    Barker, Trevor; Russo, Stephen A; Barker, Gaytri; Rice, Mark A; Jeffrey, Mary G; Broderick, Gordon; Craddock, Travis J A

    2017-04-28

    Approximately 3.8 million sport and recreational concussions occur per year, creating a need for accurate diagnosis and management of concussions. Researchers and clinicians are exploring the potential dose-response cumulative effects of concussive injuries using computerized neuropsychological exams, however, results have been mixed and/or contradictory. This study starts with a large adolescent population and applies strict inclusion criteria to examine how previous mild traumatic brain injuries affect symptom reports and neurocognitive performance on the Immediate Post-concussion Assessment and Cognitive Testing (ImPACT) computerized tool. After applying exclusion criteria and case matching, 204 male and 99 female participants remained. These participants were grouped according to sex and the number of previous self-reported concussions and examined for overall differences on symptoms reported and scores obtained on the ImPACT neurocognitive battery composites. In an effort to further reduce confounding factors due to the varying group sizes, participants were then case matched on age, sex, and body mass index and analyzed for differences on symptoms reported and scores obtained on the ImPACT neurocognitive battery composites. Case matched analysis demonstrated males with concussions experience significantly higher rates of dizziness (p = .027, η 2  = .035), fogginess (p = .038, η 2  = .032), memory problems (p = .003, η 2  = .055), and concentration problems (p = .009, η 2  = .046) than males with no reported previous concussions. No significant effects were found for females, although females reporting two concussions demonstrated a slight trend for experiencing higher numbers of symptoms than females reporting no previous concussions. The results suggest that male adolescent athletes reporting multiple concussions have lingering concussive symptoms well after the last concussive event; however, these symptoms were found to

  13. Burden of Mortality and Disease Attributable to Multiple Air Pollutants in Warsaw, Poland

    PubMed Central

    Kałuszko, Andrzej; Nahorski, Zbigniew

    2017-01-01

    Air pollution is a significant public health issue all over the world, especially in urban areas where a large number of inhabitants are affected. In this study, we quantify the health burden due to local air pollution for Warsaw, Poland. The health impact of the main air pollutants, PM, NOX, SO2, CO, C6H6, BaP and heavy metals is considered. The annual mean concentrations are predicted with the CALPUFF air quality modeling system using the year 2012 emission and meteorological data. The emission field comprises point, mobile and area sources. The exposure to these pollutants was estimated using population data with a spatial resolution of 0.5 × 0.5 km2. Changes in mortality and in disability-adjusted life-years (DALYs) were estimated with relative risk functions obtained from literature. It has been predicted that local emissions cause approximately 1600 attributable deaths and 29,000 DALYs per year. About 80% of the health burden was due to exposure to fine particulate matter (PM2.5). Mobile and area sources contributed 46% and 52% of total DALYs, respectively. When the inflow from outside was included, the burden nearly doubled to 51,000 DALYs. These results indicate that local decisions can potentially reduce associated negative health effects, but a national-level policy is required for reducing the strong environmental impact of PM emissions. PMID:29117145

  14. Design of the central region in the Warsaw K-160 cyclotron

    NASA Astrophysics Data System (ADS)

    Toprek, Dragan; Sura, Josef; Choinski, Jaroslav; Czosnyka, Tomas

    2001-08-01

    This paper describes the design of the central region for h=2 and 3 modes of acceleration in the Warsaw K-160 cyclotron. The central region is unique and compatible with the two above-mentioned harmonic modes of operation. Only one spiral type inflector will be used. The electric field distribution in the inflector and in the four acceleration gaps has been numerically calculated from an electric potential map produced by the program RELAX3D. The geometry of the central region has been tested with the computations of orbits carried out by means of the computer code CYCLONE. The optical properties of the spiral inflector and the central region were studied by using the programs CASINO and CYCLONE, respectively.

  15. Comparison of baseline and post-concussion ImPACT test scores in young athletes with stimulant-treated and untreated ADHD.

    PubMed

    Gardner, Ryan M; Yengo-Kahn, Aaron; Bonfield, Christopher M; Solomon, Gary S

    2017-02-01

    Baseline and post-concussion neurocognitive testing is useful in managing concussed athletes. Attention deficit hyperactivity disorder (ADHD) and stimulant medications are recognized as potential modifiers of performance on neurocognitive testing by the Concussion in Sport Group. Our goal was to assess whether individuals with ADHD perform differently on post-concussion testing and if this difference is related to the use of stimulants. Retrospective case-control study in which 4373 athletes underwent baseline and post-concussion testing using the ImPACT battery. 277 athletes self-reported a history of ADHD, of which, 206 reported no stimulant treatment and 69 reported stimulant treatment. Each group was matched with participants reporting no history of ADHD or stimulant use on several biopsychosocial characteristics. Non-parametric tests were used to assess ImPACT composite score differences between groups. Participants with ADHD had worse verbal memory, visual memory, visual motor speed, and reaction time scores than matched controls at baseline and post-concussion, all with p ≤ .001 and |r|≥ 0.100. Athletes without stimulant treatment had lower verbal memory, visual memory, visual motor speed, and reaction time scores than controls at baseline (p ≤ 0.01, |r|≥ 0.100 [except verbal memory, r = -0.088]) and post-concussion (p = 0.000, |r|> 0.100). Athletes with stimulant treatment had lower verbal memory (Baseline: p = 0.047, r = -0.108; Post-concussion: p = 0.023, r = -0.124) and visual memory scores (Baseline: p = 0.013, r = -0.134; Post-concussion: p = 0.003, r = -0.162) but equivalent visual motor speed and reaction time scores versus controls at baseline and post-concussion. ADHD-specific baseline and post-concussion neuropsychological profiles, as well as stimulant medication status, may need to be considered when interpreting ImPACT test results. Further investigation into the effects of ADHD and stimulant use on recovery from

  16. Pain associated with the musculoskeletal system in children from Warsaw schools.

    PubMed

    Słowińska, Iwona; Kwiatkowska, Małgorzata; Jednacz, Ewa; Mańczak, Małgorzata; Rutkowska-Sak, Lidia; Raciborski, Filip

    2015-01-01

    To assess the prevalence of pain in the musculoskeletal system and possible reasons for these complaints among early age children from Warsaw schools. The study was conducted in 34 randomly selected primary schools in Warsaw in 2011. 2748 survey-questionnaires were given to parents or legal guardians by children. Of these, 1509 surveys were subject to a final analysis. The survey included 66 questions regarding, among other things, pain in the musculoskeletal system in children. Additionally, there were questions about possibly occurring diseases, any postural defects, significant obesity, as well as effects of these complaints on the child's physical activity. Survey data regarded 6-7-year-old children. In the group of 1509 respondents, 242 children (16%) complained about pain in the musculoskeletal system. Pain was located most frequently in the knee joints, and more rarely in the spine and joints in the upper extremities. In the group of children who complained about pain, moderate physical activity was statistically significantly limited. According to parents, physicians did not diagnose any medical conditions in 106 children. Joint disease was diagnosed in 33 children. Postural defects were diagnosed in 589 children. In 123 children complaining about pain at least one postural defect was diagnosed. Such defects were diagnosed statistically significantly more rarely (p = 0.011) in 1234 children who did not complain about pain (460 children). Platypodia or other foot deformation was observed in 25% of these children, spinal curvature in 12%, abnormal knee joint position in 11% and uneven hip position in 2% children. Of note, 17% of all children were significantly overweight. In overweight children the prevalence of pain, especially in the knee joints and feet, was significantly higher. This study aims to underline the problem of musculoskeletal pain in early-age children which limits their physical activity. Also the authors draw attention to the issue of

  17. Probability and Confidence Trade-space (PACT) Evaluation: Accounting for Uncertainty in Sparing Assessments

    NASA Technical Reports Server (NTRS)

    Anderson, Leif; Box, Neil; Carter, Katrina; DiFilippo, Denise; Harrington, Sean; Jackson, David; Lutomski, Michael

    2012-01-01

    There are two general shortcomings to the current annual sparing assessment: 1. The vehicle functions are currently assessed according to confidence targets, which can be misleading- overly conservative or optimistic. 2. The current confidence levels are arbitrarily determined and do not account for epistemic uncertainty (lack of knowledge) in the ORU failure rate. There are two major categories of uncertainty that impact Sparing Assessment: (a) Aleatory Uncertainty: Natural variability in distribution of actual failures around an Mean Time Between Failure (MTBF) (b) Epistemic Uncertainty : Lack of knowledge about the true value of an Orbital Replacement Unit's (ORU) MTBF We propose an approach to revise confidence targets and account for both categories of uncertainty, an approach we call Probability and Confidence Trade-space (PACT) evaluation.

  18. [The scientific conference: Konstanty Janicki (1876-1932): Professor of Warsaw University, eminent zoologist and protistologist, creator of the Polish parasitological school].

    PubMed

    Moskwa, Bozena; Siński, Edward; Kazubski, Stanisław L

    2005-01-01

    The conference was organized for celebrating the memory of professor Konstanty Janicki, one of the most important Polish zoologist, protistologist and parasitologist. Professors Joanna Pijanowska, Edward Siński and Maria Doligalska were the hosts of the meeting at the Warsaw University. Four lectures were given during the conference. Professor Leszek Kuźnicki presented professor Janicki's life and followers who continued his research. Professor Stanisław Kazubski reminded the main topics of the parasitological studies conducted by professor Janicki. That lecture was illustrated by coloured diagrams taken from original papers published by Janicki. In the next lecture, professor Teresa Pojmańska reminded "the theory of the cercomer". She viewed some polemics and discussions made by the opponents of the theory. Professor Alicja Guttowa presented a paper on the history of the exploration of the D. latum life cycle and the main scientific researches carried out on each life stages of the broad tapeworm. Afterwards the lectures, professor Kazubski showed several pictures taken inside and outside of the Main School of the Warsaw University at the time when professor Janicki had been working there. The professor's students were also seen in these pictures. Next, associate professor Bozena Moskwa, the President of the Polish Parasitological Society presented the Konstanty Janicki Medal, awarded for outstanding activities for the benefit of parasitology. Up to data, 17 scientists and one school: the Warsaw Uniwersity was honored with this Medal. After the conference, participants visited the Powazki Cementary, where the renovated sepulchral monument of professor Konstanty Janicki was uncovered.

  19. Occurrence of antidepressant residues in the sewage-impacted Vistula and Utrata rivers and in tap water in Warsaw (Poland).

    PubMed

    Giebułtowicz, Joanna; Nałęcz-Jawecki, Grzegorz

    2014-06-01

    Antidepressants, even at low concentrations, can reveal some adverse effects on aquatic life due to disturbing homeostasis throughout the central and peripheral nervous system both in vertebrates and invertebrates. To date there have not been any reports regarding the presence of these pharmaceuticals in surface and tap waters in Eastern Europe. Therefore the aim of this study was to determine the presence of 21 antidepressant pharmaceuticals at specific points of the main Polish river - the Vistula, a smaller river of the Warsaw region - the Utrata, as well as in tap water samples of Warsaw. Samples were collected twice at one month intervals and analysed using solid-phase extraction (SPE) technique coupled with the liquid chromatography-electrospray ionisation-tandem mass spectrometer (LC-MS/MS) method operated under the multiple reaction monitoring mode (MRM). This is the first study where active compounds such as moclobemid or trazodone in the environment have been investigated. Environmental risk assessment of antidepressants in Poland was estimated on the basis of annuals sale data extracted from the NFZ (Narodowy Fundusz Zdrowia-National Health Service) base of reimbursed pharmaceuticals(1). Predicted environmental concentration (PEC) of target pharmaceuticals were compared with their measured concentration (MEC). Moreover, the application of the EMEA/CHMP guideline for environmental risk assessment of the antidepressants was discussed. The highest concentration of antidepressants was observed in the small river Utrata. In tap water only trace amounts of antidepressants including citalopram (up to 1.5ng/l), mianserin (up to 0.9ng/l), sertraline (<3.1ng/l), moclobemid (up to 0.3ng/l) and venlafaxine (up to 1.9ng/l) were detected. However this highlights their inadequate elimination in the drinking waste treatment facility. The presence of antidepressants in drinking water and the aquatic environment could have long-term effects even at low exposure level

  20. Dosimetry in radiobiological studies with the heavy ion beam of the Warsaw cyclotron

    NASA Astrophysics Data System (ADS)

    Kaźmierczak, U.; Banaś, D.; Braziewicz, J.; Czub, J.; Jaskóła, M.; Korman, A.; Kruszewski, M.; Lankoff, A.; Lisowska, H.; Malinowska, A.; Stępkowski, T.; Szefliński, Z.; Wojewódzka, M.

    2015-12-01

    The aim of this study was to verify various dosimetry methods in the irradiation of biological materials with a 12C ion beam at the Heavy Ion Laboratory of the University of Warsaw. To this end the number of ions hitting the cell nucleus, calculated on the basis of the Si-detector system used in the set-up, was compared with the number of ion tracks counted in irradiated Solid State Nuclear Track Detectors and with the number of ion tracks detected in irradiated Chinese Hamster Ovary cells processed for the γ-H2AX assay. Tests results were self-consistent and confirmed that the system serves its dosimetric purpose.

  1. 10th Annual Symposium on Self-Monitoring of Blood Glucose, April 27–29, 2017, Warsaw, Poland

    PubMed Central

    Homberg, Anita; Hinzmann, Rolf

    2018-01-01

    Abstract International experts in the field of diabetes and diabetes technology met in Warsaw, Poland, for the 10th Annual Symposium on Self-Monitoring of Blood Glucose. The goal of these meetings is to establish a global network of experts to facilitate new collaborations and research projects that can improve the lives of people with diabetes. The 2017 meeting comprised a comprehensive scientific program, parallel interactive workshops, and four keynote lectures. PMID:29135283

  2. A survey of foodstuffs fortified with vitamins available on the market in Warsaw.

    PubMed

    Sicińska, Ewa; Jeruszka-Bielak, Marta; Masalska, Katarzyna; Wronowski, Sylwester

    2013-01-01

    Foodstuffs fortified with vitamins and/or minerals are nowadays continually being developed, leading to an increasing diversity of these products being available on the market. This contributes to increased consumption of added nutrients, which can be an effective tool for improving public health. To identify and characterise products fortified with vitamins, available on the Warsaw foodstuff market, which can thereby be used as a source of information for the assessment of dietary micronutrient intake. Data were gathered using the information provided on labels from foodstuff products found in 14 Warsaw supermarkets during March to October 2012. There were 588 products found to be fortified with vitamins. The number of vitamins added ranged from one in 193 products to twelve in 14 products. The group of vitamins used for enrichment consisted of: A, D, E, B1, B2, B6, B12, C, niacin, pantothenic acid, folic acid and biotin. Juices, non-alcoholic beverages (29.4%) and cereal products (18.9%) constituted the largest product groups. In addition, fortified vitamins were also significantly present in sweets (15.8%), instant beverages and desserts (13.6%), milk products, fat spreads and soy products. The most frequently added vitamins were: vitamin C (58% products), vitamin B6 (46%) and B12 (45%), whilst the least frequently added was biotin (16%). The highest content of vitamins A and D were seen in fat spreads, whereas the highest levels of B vitamins, vitamin C and E were observed in certain sweets. The wide range of fortified products available can serve to increase vitamin intake in many population groups, especially in children and teenagers. In order that consumers can make informed choices in buying these product types, appropriate education is necessary to raise public awareness of the health issues involved.

  3. Short Communications Prepared for the Second Congress of the International Association for the Scientific Study of Mental Deficiency (Warsaw, 1970).

    ERIC Educational Resources Information Center

    Academy of Pedagogical Sciences of the USSR, Moscow. Inst. of Defectology.

    Presented are 24 brief papers prepared by members of the Institute of Defectology in the Soviet Union for a congress on the scientific study of mental deficiency held in Warsaw in 1970. Major papers have the following titles: "Principal Directions of the Study of Anomalous Children in the U.S.S.R.", "Etiopathogenesis and…

  4. Implementation of the Geriatric Patient-Aligned Care Team Model in the Veterans Health Administration (VA).

    PubMed

    Sullivan, Jennifer L; Eisenstein, Rina; Price, Thomas; Solimeo, Samantha; Shay, Kenneth

    2018-01-01

    Here, we describe the implementation of a specialty primary care medical home (PCMH) model called Geriatric Patient-Aligned Care Teams (GeriPACT) in the Veterans' Health Administration (VA) that is focused on serving older complex patients. In particular, our aims in this article are to describe how the GeriPACT model was developed and implemented in VA sites, provide a closer look at how GeriPACT functions by presenting a case study, and highlight data showing national variation in the implementation of GeriPACT staffing models and PCMH practices. Stakeholder feedback regarding the GeriPACT model was obtained from a GeriPACT team and the director of GeriPACT in VA. Here, we present national data regarding variations in GeriPACT staffing and PCMH practices. Following the adoption and implementation of the GeriPACT model and release of the GeriPACT handbook, sites were able to adopt the model's principles. The VA's adoption of PCMH reinforced the mission of patient-centered primary care by integrating psychosocial and environmental determinants of health. This was accomplished with enhancements to staff support through new full-time employment equivalents, but also by optimizing staff productivity through improved team function and interpersonal care. The GeriPACT model was implemented in a bottom-up fashion that has led to variation in how GeriPACTs are structured and staffed, as well as how they conform to various PCMH principles. GeriPACT is one approach for bringing an interdisciplinary, patient-centric perspective to primary care in a manner that can likely support the higher staffing costs with economies realized from diminished reliance on institutional placement and highly technologic health care. It is a model which can provide training for the next generation of providers and clinicians. © Copyright 2018 by the American Board of Family Medicine.

  5. Cost-effectiveness analysis of an 18-week exercise programme for patients with breast and colon cancer undergoing adjuvant chemotherapy: the randomised PACT study.

    PubMed

    May, Anne M; Bosch, Marcel J C; Velthuis, Miranda J; van der Wall, Elsken; Steins Bisschop, Charlotte N; Los, Maartje; Erdkamp, Frans; Bloemendal, Haiko J; de Roos, Marnix A J; Verhaar, Marlies; Ten Bokkel Huinink, Daan; Peeters, Petra H M; de Wit, G Ardine

    2017-03-06

    Meta-analyses show that exercise interventions during cancer treatment reduce cancer-related fatigue. However, little is known about the cost-effectiveness of such interventions. Here we aim to assess the cost-effectiveness of the 18-week physical activity during cancer treatment (PACT) intervention for patients with breast and colon cancer. The PACT trial showed beneficial effects for fatigue and physical fitness. Cost-effectiveness analyses with a 9-month time horizon (18 weeks of intervention and 18 weeks of follow-up) within the randomised controlled multicentre PACT study. Outpatient clinics of 7 hospitals in the Netherlands (1 academic and 6 general hospitals) PARTICIPANTS: 204 patients with breast cancer and 33 with colon cancer undergoing adjuvant treatment including chemotherapy. Supervised 1-hour aerobic and resistance exercise (twice per week for 18 weeks) or usual care. Costs, quality-adjusted life years (QALY) and the incremental cost-effectiveness ratio. For colon cancer, the cost-effectiveness analysis showed beneficial effects of the exercise intervention with incremental costs savings of €4321 and QALY improvements of 0.03. 100% of bootstrap simulations indicated that the intervention is dominant (ie, cheaper and more effective). For breast cancer, the results did not indicate that the exercise intervention was cost-effective. Incremental costs were €2912, and the incremental effect was 0.01 QALY. At a Dutch threshold value of €20 000 per QALY, the probability that the intervention is cost-effective was 2%. Our results suggest that the 18-week exercise programme was cost-effective for colon cancer, but not for breast cancer. ISRCTN43801571. 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/.

  6. Estimating peak skin and eye lens dose from neuroperfusion examinations: use of Monte Carlo based simulations and comparisons to CTDIvol, AAPM Report No. 111, and ImPACT dosimetry tool values.

    PubMed

    Zhang, Di; Cagnon, Chris H; Villablanca, J Pablo; McCollough, Cynthia H; Cody, Dianna D; Zankl, Maria; Demarco, John J; McNitt-Gray, Michael F

    2013-09-01

    CT neuroperfusion examinations are capable of delivering high radiation dose to the skin or lens of the eyes of a patient and can possibly cause deterministic radiation injury. The purpose of this study is to: (a) estimate peak skin dose and eye lens dose from CT neuroperfusion examinations based on several voxelized adult patient models of different head size and (b) investigate how well those doses can be approximated by some commonly used CT dose metrics or tools, such as CTDIvol, American Association of Physicists in Medicine (AAPM) Report No. 111 style peak dose measurements, and the ImPACT organ dose calculator spreadsheet. Monte Carlo simulation methods were used to estimate peak skin and eye lens dose on voxelized patient models, including GSF's Irene, Frank, Donna, and Golem, on four scanners from the major manufacturers at the widest collimation under all available tube potentials. Doses were reported on a per 100 mAs basis. CTDIvol measurements for a 16 cm CTDI phantom, AAPM Report No. 111 style peak dose measurements, and ImPACT calculations were performed for available scanners at all tube potentials. These were then compared with results from Monte Carlo simulations. The dose variations across the different voxelized patient models were small. Dependent on the tube potential and scanner and patient model, CTDIvol values overestimated peak skin dose by 26%-65%, and overestimated eye lens dose by 33%-106%, when compared to Monte Carlo simulations. AAPM Report No. 111 style measurements were much closer to peak skin estimates ranging from a 14% underestimate to a 33% overestimate, and with eye lens dose estimates ranging from a 9% underestimate to a 66% overestimate. The ImPACT spreadsheet overestimated eye lens dose by 2%-82% relative to voxelized model simulations. CTDIvol consistently overestimates dose to eye lens and skin. The ImPACT tool also overestimated dose to eye lenses. As such they are still useful as a conservative predictor of dose for CT

  7. Estimating peak skin and eye lens dose from neuroperfusion examinations: Use of Monte Carlo based simulations and comparisons to CTDIvol, AAPM Report No. 111, and ImPACT dosimetry tool values

    PubMed Central

    Zhang, Di; Cagnon, Chris H.; Villablanca, J. Pablo; McCollough, Cynthia H.; Cody, Dianna D.; Zankl, Maria; Demarco, John J.; McNitt-Gray, Michael F.

    2013-01-01

    Purpose: CT neuroperfusion examinations are capable of delivering high radiation dose to the skin or lens of the eyes of a patient and can possibly cause deterministic radiation injury. The purpose of this study is to: (a) estimate peak skin dose and eye lens dose from CT neuroperfusion examinations based on several voxelized adult patient models of different head size and (b) investigate how well those doses can be approximated by some commonly used CT dose metrics or tools, such as CTDIvol, American Association of Physicists in Medicine (AAPM) Report No. 111 style peak dose measurements, and the ImPACT organ dose calculator spreadsheet. Methods: Monte Carlo simulation methods were used to estimate peak skin and eye lens dose on voxelized patient models, including GSF's Irene, Frank, Donna, and Golem, on four scanners from the major manufacturers at the widest collimation under all available tube potentials. Doses were reported on a per 100 mAs basis. CTDIvol measurements for a 16 cm CTDI phantom, AAPM Report No. 111 style peak dose measurements, and ImPACT calculations were performed for available scanners at all tube potentials. These were then compared with results from Monte Carlo simulations. Results: The dose variations across the different voxelized patient models were small. Dependent on the tube potential and scanner and patient model, CTDIvol values overestimated peak skin dose by 26%–65%, and overestimated eye lens dose by 33%–106%, when compared to Monte Carlo simulations. AAPM Report No. 111 style measurements were much closer to peak skin estimates ranging from a 14% underestimate to a 33% overestimate, and with eye lens dose estimates ranging from a 9% underestimate to a 66% overestimate. The ImPACT spreadsheet overestimated eye lens dose by 2%–82% relative to voxelized model simulations. Conclusions: CTDIvol consistently overestimates dose to eye lens and skin. The ImPACT tool also overestimated dose to eye lenses. As such they are still

  8. Relationship between alcohol consumption and cardiovascular mortality--the Warsaw Pol-MONICA Project.

    PubMed

    Waśkiewicz, Anna; Sygnowska, Elzbieta; Drygas, Wojciech

    2004-06-01

    Cardioprotective effects of alcohol recently gained wide spread interest and have been examined in several studies. To assess the effects of alcohol consumption on mortality due to cardiovascular diseases (CV) in the population of the Eastern part of Warsaw. The study group consisted of representative, independent and randomly selected samples of the populations of two Warsaw districts (Praga Północ and Praga Południe), aged between 35 and 64 years. The studied subjects were examined in 1984 (2570 subjects), in 1988 (1397 subjects) and in 1993 (1485 subjects). Their survival rates were followed up until 1998. The annual beer, wine and vodka intake was assessed using a standardised questionnaire and calculated for a daily pure ethanol intake. The studied subjects were divided into four groups: abstinents and three groups according to the tertile distribution of the alcohol intake (mean alcohol intake in the first tertile: males 1.1 g/day, females 0.2 g/day, in the second tertile: 3.9 and 0.4 g/day, respectively, and in the third tertile: 28.2 and 2.8 g/day, respectively). The relative risk of death in the analysed groups was assessed using the proportional hazard Cox analysis. In total, 471 males and 244 females died during the follow-up period. There were 221 CV deaths among males and 85 among females. The relative risk of CV death after adjustment for other parameters (age, screening, cigarette smoking, body mass index, education level, cholesterol level, anginal symptoms, systolic blood pressure and self-assessed health status) was approximately 40% lower among males who consumed alcohol compared with the abstinents. The lowest risk of CV death was noted in the first tertile group. Females who consumed alcohol, had a 40-70% lower CV risk of death than abstinents the lowest risk was documented for the third tertile group. Alcohol consumption independently lowers the risk of death due to cardio-vascular diseases.

  9. The Need for Instructional Sensitivity and Construct Clarity in Pact: A Commentary on "Examining the Internal Structure Evidence for the Performance Assessment for California Teachers"

    ERIC Educational Resources Information Center

    Wilkerson, Judy R.

    2015-01-01

    This commentary on the article titled "Examining the Internal Structure Evidence for the Performance Assessment for California Teachers: A Validation Study of the Elementary Literacy Teaching Event for Tier 1 Teacher Licensure" provides an overview of Performance Assessment for California Teachers (PACT), its relationship to edTPA and…

  10. Occurrence of cardiovascular drugs in the sewage-impacted Vistula River and in tap water in the Warsaw region (Poland).

    PubMed

    Giebułtowicz, Joanna; Stankiewicz, Albert; Wroczyński, Piotr; Nałęcz-Jawecki, Grzegorz

    2016-12-01

    In recent years, cardiovascular diseases were the second most common cause of death worldwide. Therefore, the consumption of drugs used to treat cardiovascular diseases is high. So far, there were no such comprehensive reports regarding the presence of cardiovascular drugs in surface and tap waters, particularly in Central and Eastern Europe. The aim of our study was to determine the presence of 30 pharmaceutically active compounds and some of their metabolites, at specific points of the Vistula River and in tap water samples in the Warsaw region. The analysis was performed using the liquid chromatography-electrospray ionization-tandem mass spectrometry method, coupled to solid-phase extraction. To the best of the authors' knowledge, this is the first time where the presence of ciprofibrate in the environment was investigated. Cardiovascular drugs found at the highest concentrations (reaching 1 μg/L or higher) in surface water were beta-blockers, sartans and diuretics. In tap water samples, trace amounts of pharmaceuticals were detected, for almost all target compounds. This highlights their inadequate elimination by the treatment facility used in the Warsaw region. The presence of cardiovascular compounds in the aquatic environment could have a long-term effect even at a low exposure level, since synergy effects amongst pharmaceuticals may occur.

  11. A Hybrid Web-Based and In-Person Self-Management Intervention to Prevent Acute to Chronic Pain Transition After Major Lower Extremity Trauma (iPACT-E-Trauma): Protocol for a Pilot Single-Blind Randomized Controlled Trial

    PubMed Central

    2017-01-01

    Background Acute pain frequently transitions to chronic pain after major lower extremity trauma (ET). Several modifiable psychological risk and protective factors have been found to contribute to, or prevent, chronic pain development. Some empirical evidence has shown that interventions, including cognitive and behavioral strategies that promote pain self-management, could prevent chronic pain. However, the efficacy of such interventions has never been demonstrated in ET patients. We have designed a self-management intervention to prevent acute to chronic pain transition after major lower extremity trauma (iPACT-E-Trauma). Objective This pilot randomized controlled trial (RCT) aims to evaluate the feasibility and research methods of the intervention, as well as the potential effects of iPACT-E-Trauma, on pain intensity and pain interference with daily activities. Methods A 2-arm single-blind pilot RCT will be conducted. Participants will receive the iPACT-E-Trauma intervention (experimental group) or an educational pamphlet (control group) combined with usual care. Data will be collected at baseline, during iPACT-E-Trauma delivery, as well as at 3 and 6 months post-injury. Primary outcomes are pain intensity and pain interference with daily living activities at 6 months post-injury. Secondary outcomes are pain self-efficacy, pain acceptance, pain catastrophizing, pain-related fear, anxiety and depression symptoms, health care service utilization, and return to work. Results Fifty-three patients were recruited at the time of manuscript preparation. Comprehensive data analyses will be initiated in July 2017. Study results are expected to be available in 2018. Conclusions Chronic pain is an important problem after major lower ET. However, no preventive intervention has yet been successfully proven in these patients. This study will focus on developing a feasible intervention to prevent acute to chronic pain transition in the context of ET. Findings will allow for the

  12. [Smoking among patients of selected specialist clinics of Miedzylesie Specialist Hospital in Warsaw].

    PubMed

    Pytka, Dorota; Doboszyńska, Anna

    2011-01-01

    The purpose of the study is to examine the issue of smoking among patients of selected clinics of the Miedzylesie Specialist Hospital in Warsaw, assessment of nicotine addiction of smokers and motivation to give up smoking. The survey was carried out in June and July 2009 after obtaining the consent of the Director of Miedzylesie Specialist Hospital in Warsaw. The survey was participated in by 100 patients of selected specialist clinics. The survey was carried out on the basis of a questionnaire consisting of 7 questions. Furthermore, the "Test of motivation to give up smoking" (Schneider's test) and the "Assessment of nicotine addiction level" (Fagerström's test), published in the "Consensus regarding recognition and treatment of nicotine addiction", were used. When processing data, the descriptive statistics were applied. Those surveyed included 53 former cigarette smokers 47 active smokers and. In the group of former smokers, 19 people still were exposed to passive smoking. In the past, the problem regarded 41 people. Thirty former smokers smoked cigarettes among non-smokers, including young children (18 people) and when pregnant and breastfeeding (2 people). Also 30 respondents smoked despite medical contraindications and bad conscience. For 27 people, expenditures on cigarettes constituted a considerable burden of their respective household budgets, and 20 said that it was a significant item in their expenditures. Smokers have been smoking cigarettes for 30 years, on average 20 cigarettes a day. Those patients began to smoke at the age of 20. Thirty one active smokers exposed other people to passive smoking and 38 respondents smoked cigarettes despite medical contraindications and with bad conscience. For 22 people, expenditures related to smoking are a considerable burden of the household budget and for 21 people, it is a significant expenditure. Almost one half of the patients smoke cigarettes although they should brake off smoking for medical reasons. Most

  13. Raman lidar water vapor profiling over Warsaw, Poland

    NASA Astrophysics Data System (ADS)

    Stachlewska, Iwona S.; Costa-Surós, Montserrat; Althausen, Dietrich

    2017-09-01

    Water vapor mixing ratio and relative humidity profiles were derived from the multi-wavelength Raman PollyXT lidar at the EARLINET site in Warsaw, using the Rayleigh molecular extinction calculation based on atmospheric temperature and pressure from three different sources: i) the standard atmosphere US 62, ii) the Global Data Assimilation System (GDAS) model output, and iii) the WMO 12374 radiosoundings launched at Legionowo. With each method, 136 midnight relative humidity profiles were obtained for lidar observations from July 2013 to August 2015. Comparisons of these profiles showed in favor of the latter method (iii), but it also indicated that the other two data sources could replace it, if necessary. Such use was demonstrated for an automated retrieval of water vapor mixing ratio from dusk until dawn on 19/20 March 2015; a case study related to an advection of biomass burning aerosol from forest fires over Ukraine. Additionally, an algorithm that applies thresholds to the radiosounding relative humidity profiles to estimate macro-physical cloud vertical structure was used for the first time on the Raman lidar relative humidity profiles. The results, based on a subset of 66 profiles, indicate that below 6 km cloud bases/tops can be successfully obtained in 53% and 76% cases from lidar and radiosounding profiles, respectively. Finally, a contribution of the lidar derived mean relative humidity to cloudy conditions within the range of 0.8 to 6.2 km, in comparison to clear-sky conditions, was estimated.

  14. The Effects of White Boards on Student Achievement in Fourth Grade Mathematics as Measures on the Palmetto Achievement Test (PACT) at Selected Schools in North Central South Carolina

    ERIC Educational Resources Information Center

    Campbell, Tanya Lighty

    2010-01-01

    The purpose of this study was to investigate whether the use of interactive Whiteboard technology in mathematics class could improve student achievement as measured by scores achieved on the South Carolina State Palmetto Achievement Test (PACT). The study examined fourth grade mathematics achievement test scores for students whose teachers used…

  15. PLASMA-2013: International Conference on Research and Applications of Plasmas (Warsaw, Poland, 2-6 September 2013)

    NASA Astrophysics Data System (ADS)

    Sadowski, Marek J.

    2014-05-01

    The PLASMA-2013 International Conference on Research and Applications of Plasmas was held in Warsaw (Poland) from 2 to 6 September 2013. The conference was organized by the Institute of Plasma Physics and Laser Microfusion, under the auspices of the Polish Physical Society. The scope of the PLASMA conferences, which have been organized every two years since 1993, covers almost all issues of plasma physics and fusion research as well as selected problems of plasma technology. The PLASMA-2013 conference topics included: •Elementary processes and general plasma physics. •Plasmas in tokamaks and stellarators (magnetic confinement fusion). •Plasmas generated by laser beams and inertial confinement fusion. •Plasmas produced by Z-pinch and plasma-focus discharges. •Low-temperature plasma physics. •Space plasmas and laboratory astrophysics. •Plasma diagnostic methods and applications of plasmas. This conference was designed not only for plasma researchers and engineers, but also for students from all over the world, in particular for those from Central and Eastern Europe. Almost 140 participants had the opportunity to hear 9 general lectures, 11 topical talks and 26 oral presentations, as well as to see and discuss around 120 posters. From about 140 contributions, after the preparation of about 100 papers and the peer review process, only 74 papers have been accepted for publication in this topical issue. Acknowledgments Acting on behalf of the International Scientific Committee I would like to express our thanks to all the invited speakers and all the participants of the PLASMA-2013 conference for their numerous contributions. In particular, I wish to thank all of the authors of papers submitted for publication in this topical issue of Physica Scripta . Particular thanks are due to all of the reviewers for their valuable reports and comments, which helped to improve the quality of many of the papers. International Scientific Committee Marek J Sadowski, NCBJ

  16. The use of the Hurst exponent to investigate the global maximum of the Warsaw Stock Exchange WIG20 index

    NASA Astrophysics Data System (ADS)

    Domino, Krzysztof

    2012-01-01

    The WIG20 index-the index of the 20 biggest companies traded on the Warsaw Stock Exchange-reached the global maximum on 29th October 2007. I have used the local DFA (Detrended Functional Analysis) to obtain the Hurst exponent (diffusion exponent) and investigate the signature of anti-correlation of share price evolution around the maximum. The analysis was applied to the share price evolution for variable DFA parameters. For many values of parameters, the evidence of anti-correlation near the WIG20 maximum was pointed out.

  17. Drug-Coated Balloon Treatment of Femoropopliteal Lesions for Patients With Intermittent Claudication and Ischemic Rest Pain: 2-Year Results From the IN.PACT Global Study.

    PubMed

    Micari, Antonio; Brodmann, Marianne; Keirse, Koen; Peeters, Patrick; Tepe, Gunnar; Frost, Martin; Wang, Hong; Zeller, Thomas

    2018-05-28

    The IN.PACT Global Study is the largest prospective, multicenter, independently adjudicated trial to evaluate a paclitaxel drug-coated balloon in patients with lifestyle-limiting claudication and/or ischemic rest pain due to atherosclerotic disease of the femoropopliteal artery and includes complex lesions beyond what are typically included in randomized controlled trials. Randomized controlled trials have demonstrated the safety and efficacy of drug-coated balloons for the treatment of Trans-Atlantic Inter-Society Consensus Document II A and B lesions, but there is a need for large-scale prospective studies to evaluate a broader range of lesions. The IN.PACT Global Study enrolled 1,535 subjects, and 1,406 (1,773 lesions) were included in the pre-defined clinical cohort analysis. Freedom from clinically driven target lesion revascularization was evaluated at 24 months. The safety composite endpoint was freedom from device- and procedure-related death through 30 days and freedom from target limb major amputation and clinically driven target vessel revascularization within 24 months. Mean lesion length was 12.1 cm, 35.5% were total occlusions, and 18.0% had in-stent restenosis. Freedom from clinically driven target lesion revascularization at 24 months was 83.3%, the composite safety endpoint was met in 81.7%, the 2-year all-cause mortality rate was 7.0%, and the major target limb amputation rate was 0.7%. Increased lesion length and the presence of de novo in-stent restenosis or coronary artery disease were associated with increased risk for clinically driven target lesion revascularization by 24 months. This real-world study of femoropopliteal artery disease treatment with drug-coated balloons confirmed positive findings reported from more strictly designed randomized controlled trials and showed that outcomes are durable in this population up to 2 years after treatment. (IN.PACT Global Clinical Study; NCT01609296). Copyright © 2018 The Authors. Published by

  18. Results from a first production of enhanced Silicon Sensor Test Structures produced by ITE Warsaw

    NASA Astrophysics Data System (ADS)

    Bergauer, T.; Dragicevic, M.; Frey, M.; Grabiec, P.; Grodner, M.; Hänsel, S.; Hartmann, F.; Hoffmann, K.-H.; Hrubec, J.; Krammer, M.; Kucharski, K.; Macchiolo, A.; Marczewski, J.

    2009-01-01

    Monitoring the manufacturing process of silicon sensors is essential to ensure stable quality of the produced detectors. During the CMS silicon sensor production we were utilising small Test Structures (TS) incorporated on the cut-away of the wafers to measure certain process-relevant parameters. Experience from the CMS production and quality assurance led to enhancements of these TS. Another important application of TS is the commissioning of new vendors. The measurements provide us with a good understanding of the capabilities of a vendor's process. A first batch of the new TS was produced at the Institute of Electron Technology in Warsaw Poland. We will first review the improvements to the original CMS test structures and then discuss a selection of important measurements performed on this first batch.

  19. The effectiveness and cost effectiveness of the PAtient-Centred Team (PACT) model: study protocol of a prospective matched control before-and-after study.

    PubMed

    Bergmo, Trine S; Berntsen, Gro K; Dalbakk, Monika; Rumpsfeld, Markus

    2015-10-23

    The present study protocol describes the evaluation of a comprehensive integrated care model implemented at two hospital sites at the University Hospital of North Norway (UNN). The PAtient Centred Team (PACT) model includes proactive, patient-centred interdisciplinary teams that aim to improve the continuum and quality of care of frail elderly patients and reduce health care costs. The main objectives of the evaluation are to analyse the effectiveness and cost effectiveness of using patient-centred teams as part of routine service provision for this patient group. The evaluation will analyse the effect on patient health and functional status, patient experiences and hospital utilisation, and it will conduct an economic evaluation. This paper describes the PACT model and the rationale for and design of the planned effectiveness and cost-effectiveness study. This is a prospective, non-randomised matched control before-and-after intervention study. Patients in the intervention group will be recruited from the hospital sites that have implemented the PACT model. The controls will be recruited from two hospitals without the model. The control patients and the index patients will be matched according to sex, age and number of long-term conditions. The study aims to include 600 patients in each group, which will provide sufficient power to detect a clinical change in the primary outcome. The primary outcome is the physical dimension of the Short Form Health Survey (SF-36). Secondary outcomes are the Patient Generated Index (PGI), the Patient Activation Measure (PAM), the Patient Assessment of Chronic Illness Care (PACIC), hospitalisation and length of stay. The cost-effectiveness study takes a health provider perspective and calculates the cost per quality-adjusted life-years (QALYs) gained. The data will be collected at baseline, 6 and 12 months. The data will be analysed using techniques and models that recognise the lack of randomisation and the correlation of cost

  20. Law, bioethics and practice in France: forging a new legislative pact.

    PubMed

    Berthiau, Denis

    2013-02-01

    In France, bioethics norms have emerged in close interaction with medical practices. The first bioethics laws were adopted in 1994, with provisions for updates in 2004 and most recently, in 2011. As in other countries, bioethics laws indirectly refer to certain fundamental values. The purpose of this paper is threefold. First, I shall briefly describe the construction of the French bioethics laws and the values they are meant to protect. Secondly, I will show that the practice of clinical ethics, as reported in a few studies on ART, living organ donation and PGD, challenge the role attributed to doctors as "gatekeepers" of those fundamental values. Thirdly, I will suggest that the quality of medical practices would improve if the law focused on strengthening the tacit pact between doctors and patients, rather than putting doctors in charge of enforcing societal values. Doctors, for their part, would limit their role to what they can do best: provide sufficient patient support and safe care. Against those who argue that we should dispense with bioethics laws altogether, I hold that the laws are useful in order to limit the development of abusive practices. However, a new legislative approach should be adopted which would a positive presumption in favor of patients' requests.

  1. Nighttime lidar water vapor mixing ratio profiling over Warsaw - impact of the relative humidity profile on cloud formation

    NASA Astrophysics Data System (ADS)

    Costa Surós, Montserrat; Stachlewska, Iwona S.

    2016-04-01

    A long-term study, assessing ground-based remote Raman lidar versus in-situ radiosounding has been conducted with the aim of improving the knowledge on the water content vertical profile through the atmosphere, and thus the conditions for cloud formation processes. Water vapor mixing ratio (WVMR) and relative humidity (RH) profiles were retrieved from ADR Lidar (PollyXT-type, EARLINET site in Warsaw). So far, more than 100 nighttime profiles averaged over 1h around midnight from July 2013 to December 2015 have been investigated. Data were evaluated with molecular extinctions calculated using two approximations: the US62 standard atmosphere and the radiosounding launched in Legionowo (12374). The calibration factor CH2O for lidar retrievals was obtained for each profile using the regression method and the profile method to determine the best calibration factor approximation to be used in the final WVMR and RH calculation. Thus, statistically representative results for comparisons between lidar WVMR median profiles obtained by calibrating using radiosounding profiles and using atmospheric synthetic profiles, all of them with the best calibration factor, will be presented. Finally, in order to constrain the conditions of cloud formation in function of the RH profile, the COS14 algorithm, capable of deriving cloud bases and tops by applying thresholds to the RH profiles, was applied to find the cloud vertical structure (CVS). The algorithm was former applied to radiosounding profiles at SGP-ARM site and tested against the CVS obtained from the Active Remote Sensing of Clouds (ARSCL) data. Similarly, it was applied for lidar measurements at the Warsaw measurement site.

  2. Amnion allografts prepared in the Central Tissue Bank in Warsaw.

    PubMed

    Tyszkiewicz, J T; Uhrynowska-Tyszkiewicz, I A; Kaminski, A; Dziedzic-Goclawska, A

    1999-01-01

    Applications of allogenic amnion grafts range from wound dressing of severe burns, dermabrasions and lower extremity ulcer treatments to plastic surgery, laryngology and ophthalmology. The aim of the present study was to elaborate the method of processing, preservation and sterilization of human amnion allografts prepared as wound dressing used mainly for burned patients. During the amniotic sac processing (after separation of chorion) special attention was paid to ensure that the epithelial side of amnion is placed directly on polyester net used as a support. After application on the wound, the epithelial side with the basement membrane is facing outwards; this will promote migration, attachment and spreading of the host cells encouraging epithelialization. Human amnion allografts were preserved by lyophilization or deep-freezing and subsequently radiation-sterilized with a dose of 35 kGy. It has been observed, however, that lyophilized irradiated allografts are resorbed within a few days, while frozen irradiated ones better adhere to wound and persist even 3 weeks after grafting, therefore, it has been decided to preserve amnion by deep-freezing. Since the beginning of 1998 over 400 preserved radiation-sterilized amnion allografts (with a total surface area over 40,000 cm2) have been prepared at the Central Tissue Bank in Warsaw and distributed to clinics and hospitals throughout the country.

  3. The use of paediatric artemisinin combinations in sub-Saharan Africa: a snapshot questionnaire survey of health care personnel

    PubMed Central

    2011-01-01

    Background Paediatric drug formulations for artemisinin combination therapy (P-ACT) have been developed over the past few years and have been shown to improve the therapeutic management of young children with uncomplicated falciparum malaria. This process was however not equally paralleled by a timely adoption of P-ACT in national and international treatment recommendations. National malaria programmes in sub-Saharan Africa have not yet widely embraced this new therapeutic tool. To which extent P-ACT is used in the field in sub-Saharan Africa is not known to date. Methods This snapshot questionnaire survey aimed to provide an overview on the current routine practices for the availability and use of P-ACT as anti-malarial treatment for young children in sub-Saharan Africa. Health care personnel in seven countries in West-, Central, and East-Africa were invited to answer a structured questionnaire assessing use and availability of P-ACT. Results A total of 71 respondents including doctors, nurses and pharmacy personnel responsible for the anti-malarial treatment of young children were interviewed. P-ACT was used by 83% (95% confidence interval: 73-90%; n = 59) as first-line treatment for young children. Use of 15 different P-ACT products was reported among which only two have received WHO prequalification status and approval by a stringent registration authority. Use of a specific P-ACT product was not linked to consumer prices or availability of supporting clinical trial data, but may depend more on the marketing capacity of the manufacturer. Major differences in frequency and dosing of anti-malarial regimens with identical anti-malarial compounds and the marketing of loose combinations were recorded. Conclusion Paediatric ACT is widely used for the treatment of uncomplicated malaria in young children. However, the majority of P-ACT formulations in use do not meet highest international quality standards evoking concerns for patients' safety and the induction of drug

  4. Feasibility studies and pre-design simulation of Warsaw's new wastewater treatment plant.

    PubMed

    Oleszkiewicz, J A; Kalinowska, E; Dold, P; Barnard, J L; Bieniowski, M; Ferenc, Z; Jones, R; Rypina, A; Sudol, J

    2004-12-01

    The proposed transfer of wastewater from the western part of Warsaw, across the Wisla (Vistula) River for joint treatment at the existing eastern side "Czajka" wastewater treatment plant (WWTP) will result in combined winter flows of approx. 580,000 m3 d(-1). One-year of pilot-scale studies defined the COD characteristics and kinetics of nitrogen removal and VFA production from primary sludge. BioWin simulation was used to size and price the optional processes and pointed to the Westbank process as the most cost-effective. The process consists of a sequence of a RAS pre-denitrification zone followed by an anaerobic, anoxic and aerobic zone. Some 100-150 t d(-1) of 10% methanol would be needed to remove 2-4 mg l(-1) of NO3-N above the recommended effluent level TN = 10 mg l(-1). Applying the principle of annual average 80% TN removal, and allowing for use of daily composite samples (rather than grab) could annually save the municipality over 1.5 million Euro on external carbon source.

  5. An operations-partnered evaluation of care redesign for high-risk patients in the Veterans Health Administration (VHA): Study protocol for the PACT Intensive Management (PIM) randomized quality improvement evaluation.

    PubMed

    Chang, Evelyn T; Zulman, Donna M; Asch, Steven M; Stockdale, Susan E; Yoon, Jean; Ong, Michael K; Lee, Martin; Simon, Alissa; Atkins, David; Schectman, Gordon; Kirsh, Susan R; Rubenstein, Lisa V

    2018-06-01

    Patient-centered medical homes have made great strides providing comprehensive care for patients with chronic conditions, but may not provide sufficient support for patients at highest risk for acute care use. To address this, the Veterans Health Administration (VHA) initiated a five-site demonstration project to evaluate the effectiveness of augmenting the VA's Patient Aligned Care Team (PACT) medical home with PACT Intensive Management (PIM) teams for Veterans at highest risk for hospitalization. Researchers partnered with VHA leadership to design a mixed-methods prospective multi-site evaluation that met leadership's desire for a rigorous evaluation conducted as quality improvement rather than research. We conducted a randomized QI evaluation and assigned high-risk patients to participate in PIM and compared them with high-risk Veterans receiving usual care through PACT. The summative evaluation examines whether PIM: 1) decreases VHA emergency department and hospital use; 2) increases satisfaction with VHA care; 3) decreases provider burnout; and 4) generates positive returns on investment. The formative evaluation aims to support improved care for high-risk patients at demonstration sites and to inform future initiatives for high-risk patients. The evaluation was reviewed by representatives from the VHA Office of Research and Development and the Office of Research Oversight and met criteria for quality improvement. VHA aims to function as a learning organization by rapidly implementing and rigorously testing QI innovations prior to final program or policy development. We observed challenges and opportunities in designing an evaluation consistent with QI standards and operations priorities, while also maintaining scientific rigor. This trial was retrospectively registered at ClinicalTrials.gov on April 3, 2017: NCT03100526. Protocol v1, FY14-17. Copyright © 2018 Elsevier Inc. All rights reserved.

  6. Community mental health centres initiated by the South-Eastern Europe Stability Pact: evaluation in seven countries.

    PubMed

    Priebe, Stefan; Matanov, Aleksandra; Demi, Neli; Blagovcanin Simic, Joka; Jovanovic, Sandra; Gajic, Milena; Radonic, Elizabeta; Bajraktarov, Stojan; Boderscova, Larisa; Konatar, Monika; Nica, Raluca; Muijen, Matthijs

    2012-06-01

    Eight community mental health care centres (initiated by the South-Eastern Europe Stability Pact) in Albania, Bosnia-Herzegovina, Croatia, Macedonia, Moldova, Montenegro and Romania were evaluated. Characteristics of patients, patient reported outcomes and patient views of care were assessed in 305 psychiatric patients. Patient characteristics varied across centres, with most patients having long term psychotic disorders. Treatment satisfaction and therapeutic relationships were rated favourably. Subjective quality of life mean scores were rather low, with higher satisfaction with health and dissatisfaction with the financial and employment situation. Being unemployed was the only factor associated with poor quality of life and lower treatment satisfaction. Most developing centres target patients with persistent psychotic disorders. Care appears highly valued by the patients. The findings encourage establishing more centres in the region and call for employment schemes for people with mental illnesses.

  7. Outbreak of Ceftazidime-Resistant Klebsiella pneumoniae in a Pediatric Hospital in Warsaw, Poland: Clonal Spread of the TEM-47 Extended-Spectrum β-Lactamase (ESBL)-Producing Strain and Transfer of a Plasmid Carrying the SHV-5-Like ESBL-Encoding Gene

    PubMed Central

    Gniadkowski, Marek; Pałucha, Andrzej; Grzesiowski, Paweł; Hryniewicz, Waleria

    1998-01-01

    In 1996 a large, 300-bed pediatric hospital in Warsaw, Poland, started a program of monitoring infections caused by extended-spectrum β-lactamase (ESBL)-producing microorganisms. Over the first 3-month period eight Klebsiella pneumoniae isolates were identified as being resistant to ceftazidime. Six of these were found to produce the TEM-47 ESBL, which we first described in a K. pneumoniae strain recovered a year before in a pediatric hospital in Łódź, Poland, which is 140 km from Warsaw. Typing results revealed a very close relatedness among all these isolates, which suggested that the clonal outbreak in Warsaw was caused by a strain possibly imported from Łódź. The remaining two isolates expressed the SHV-5-like ESBL, which resulted from the horizontal transfer of a plasmid carrying the blaSHV gene between nonrelated strains. The data presented here exemplify the complexity of the epidemiological situation concerning ESBL producers typical for large Polish hospitals, in which no ESBL-monitoring programs were in place prior to 1995. PMID:9835494

  8. MAIA pathfinder: Imaging Polarimetric Assessment and Characterization of Tropospheric Particulate Matter (ImPACT-PM) field campaign

    NASA Astrophysics Data System (ADS)

    Kalashnikova, O. V.; Seidel, F. C.; Xu, F.; Garay, M. J.; Wu, L.; Bruegge, C. J.; van Harten, G.; Val, S.; Diner, D. J.; Seinfeld, J.; Bates, K. H.; Cappa, C. D.; Bradley, C. L.; Kupinski, M.; Clements, C. B.; Camacho, C.; Yorks, J. E.

    2016-12-01

    The Multi-Angle Imager for Aerosols (MAIA) instrument, which was recently selected under NASA's third Earth Venture Instrument call, will improve aerosol particle type sensitivity through the atmospheric column as well as at the surface through the use of multiangular, multispectral, and polarimetric observations. MAIA will provide new information that enables estimates of speciated (size- and particle type classifications) surface particulate matter (PM) from space over major cities around the globe, and enable improved associations between particulate air pollution and human health. As a pathfinder to MAIA, the ImPACT-PM field campaign was a joint JPL/Caltech effort to combine measurements from MISR and AirMSPI with in situ airborne measurements and a chemical transport model to validate remote sensing retrievals of different types of airborne particulate matter. We will present highlights of the successfully completed ImPACT-PM field campaign which took place in the California Central Valley on July 5-8, 2016. We had two NASA ER-2/ CIRPAS Twin Otter collocated flights coincident with Terra/MISR overpasses on Tuesday and Thursday July 5 and 7; and two ER-2/Twin Otter collocations over local fires on Friday, July 8th. The AirMSPI, AirSPEX, and CPL instruments were integrated on the ER-2, and Caltech aerosol/cloud in-situ instruments were integrated on the CIRPAS Twin Otter aircraft in addition to the normal Twin Otter payload. We also deployed the JPL/University of Arizona GroundMSPI instrument and a ground-based lidar from San José State University at the Fresno California Air Resources Board super-site. While the overall aerosol and PM levels were low at this time, we were able to see a gradient of pollution in specially processed MISR high-resolution 4.4 km resolution aerosol data on both days. We will present initial results of AirMSPI WRF-Chem-constrained retrievals in comparison with EPA Speciation Trends Network stations in Fresno and Bakersfield, and with

  9. Airport Catchment Area- Example Warsaw Modlin Airport

    NASA Astrophysics Data System (ADS)

    Błachut, Jakub

    2017-10-01

    The form and functions of airports change over time, just like the form and function of cities. Historically, airports are understood as places of aircraft landing, control towers operation and location of other facilities used for communication and transport. This traditional model is giving way to the concept of so-called Airport Cities, based on the assumption that, in addition to its infrastructure and air services, also non-air services are performed, constituting a source of income. At the same time, their reach and impact on the economy of the areas around the airport are expanding. Idea City Airport appeared in the United States in the late twentieth century. The author is J. D. Kasarda, he believes that it is around these big air ports that airport cities develop. In the world, there are currently 45 areas which can be classified in this category, out of which 12 are located in Europe. Main air traffic hubs in Europe are not only the most important passenger traffic junctions, but also largest centres dispatching goods (cargo). It can be said that, among the 30 largest airports, 24 are the largest in terms of both passenger and freight traffic. These airports cover up to 89.9% of the total freight transport of all European airports. At the same time, they serve 56.9% of all passengers in Europe. Based on the concept of Airport City was developed document THE INTEGRATED REGIONAL POLYCENTRIC DEVELOPMENT PLANS FOR THE WARSAW MODLIN AIRPORT CATCHMENT AREA. The plan developed takes into account the findings of the Mazovian voivodeship spatial development plan, specifying the details of its provisions where possible. The development is the first step for the implementation of the concept of the Modlin Airport City. The accomplishment of this ambitious vision will only be possible with hard work of a number of entities, as well as taking into account the former Modlin Fortress, currently under revitalisation, in concepts and plans.

  10. Too lonely to die alone: internet suicide pacts and existential suffering in Japan.

    PubMed

    Ozawa-de Silva, Chikako

    2008-12-01

    Most striking in the recent rise of suicide in Japan are the increase in suicide among young Japanese and the emergence of Internet suicide pacts. An ethnography of suicide-related Web sites reveals a distinctive kind of existential suffering among visitors that is not reducible to categories of mental illness and raises questions regarding the meaning of an individual "choice" to die, when this occurs in the context of an intersubjective decision by a group of strangers, each of whom is too afraid to die alone. Anthropology's recent turn to subjectivity enables analyses of individual suffering in society that provide a more nuanced approach to the apparent dichotomy between agency and structure and that connect the phenomenon of suicide in Japan to Japanese conceptions of selfhood and the afterlife. The absence of ikigai [the worth of living] among suicide Web site visitors and their view of suicide as a way of healing show, furthermore, that analyses of social suffering must be expanded to include questions of meaning and loss of meaning and, also, draw attention to Japanese conceptions of self in which relationality in all things, including the choice to die, is of utmost importance.

  11. Determinants of self-rated health of Warsaw inhabitants.

    PubMed

    Supranowicz, Piotr; Wysocki, Mirosław J; Car, Justyna; Debska, Anna; Gebska-Kuczerowska, Anita

    2012-01-01

    Self-rated health is a one-point measure commonly used for recognising subjectively perceived health and covering a wide range of individual's health aspects. The aim of our study was to examine the extent to which self-rated health reflects the differences due to demographic characteristics, physical, psychical and social well-being, health disorders, occurrence of chronic disease and negative life events in Polish social and cultural conditions. Data were collected by non-addressed questionnaire methods from 402 Warsaw inhabitants. The questionnaire contained the questions concerning self-rated health, physical, psychical and social well-being, the use of health care services, occurrence of chronic disease and contact with negative life events. The analysis showed that worse self-rated health increased exponentially with age and less sharply with lower level of education. Pensioners were more likely to assess their own health worse then employed or students. Such difference was not found for unemployed. Compared to married, the self-rated health of divorced or widowed respondents was lower. Gender does not differentiate self-rated health. In regard to well-being, self-rated health linearly decreased for physical well-being, for social and, especially, for psychical well-being the differences were significant, but more complicated. Hospitalisation, especially repeated, strongly determined worse self-rated health. In contrast, relationship between self-rated health and sickness absence or frequency of contact with physician were lower. Chronic diseases substantially increased the risk of poorer self-rated health, and their co-morbidity increased the risk exponentially. The patients with cancer were the group, in which the risk several times exceeded that reported for the patients of other diseases. Regarding negative life events, only experience with violence and financial difficulties were resulted in worse self-rated health. Our findings confirmed the usefulness

  12. "Eurotrain for Training." Proceedings of a European Congress on Continuing Education and Training (4th, Berlin, Germany; Warsaw, Poland; Prague, Czechoslovakia; Budapest, Hungary; Vienna, Austria, October 5-9, 1992).

    ERIC Educational Resources Information Center

    Wisser, Ulrike, Ed.; Grootings, Peter, Ed.

    1992-01-01

    A "travelling" congress was conducted in five European cities (Berlin, Warsaw, Prague, Budapest, and Vienna) to promote a mutual exchange of views between east and west. The participants stressed the growing European Community interest in current examples of cooperation with neighbors in central and eastern Europe. In addition to…

  13. Burden of disease caused by local transport in Warsaw, Poland

    PubMed Central

    Tainio, Marko

    2015-01-01

    Transport is a major source of air pollution, noise, injuries and physical activity in the urban environment. The quantification of the health risks and benefits arising from these factors would provide useful information for the planning of cost-effective mitigation actions. In this study we quantified the burden of disease caused by local transport in the city of Warsaw, Poland. The disability-adjusted life-years (DALYs) were estimated for transport related air pollution (particulate matter (PM), nitrogen oxides (NOx), sulfur dioxide (SO2), benzo[a]pyrene (BaP), cadmium, lead and nickel), noise, injuries and physical activity. Exposure to these factors was based on local and international data, and the exposure-response functions (ERFs) were based on published reviews and recommendations. The uncertainties were quantified and propagated with the Monte Carlo method. Local transport generated air pollution, noise and injuries were estimated to cause approximately 58,000 DALYs in the study area. From this burden 44% was due to air pollution and 46% due to noise. Transport related physical activity was estimated to cause a health benefit of 17,000 DALYs. Main quantified uncertainties were related to disability weight for the annoyance (due to noise) and to the ERFs for fine particulate matter (PM2.5) air pollution and walking. The results indicate that the health burden of transport could be mitigated by reducing motorized transport, which causes air pollution and noise, and by encouraging walking and cycling in the study area. PMID:26516622

  14. European snapshot homeless survey: results of questions asked of passers-by in 11 European cities.

    PubMed

    Brandon, D; Khoo, R; Maglajlic, R; Abuel-Ealeh, M

    2000-02-01

    Passers-by were interviewed outside McDonalds restaurants in 11 European cities during November and December 1998. Eight questions were asked, mainly exploring the stigma levels of a particularly socially and economically excluded group (homeless people) and also the preferred remedies for homelessness. Answers varied, especially between the countries in Western Europe and those in the former Warsaw Pact countries. Stigma levels were very high in Bucharest, Kiev and Zagreb, presumably making resettlement work difficult. People in these cities saw homeless people as 'dangerous': repositories of infectious disease and likely to make unprovoked attacks. Most passers-by also believed homeless people were under threat, especially from the police, sometimes from other passers-by, from exposure to the winters and, in Cambridge, Vienna and Zagreb, from malnutrition. Suggested remedies were increased employment, improved training and increased affordable housing, rather than the imprisonment of beggars.

  15. Expression levels of the microRNA maturing microprocessor complex component DGCR8 and the RNA-induced silencing complex (RISC) components argonaute-1, argonaute-2, PACT, TARBP1, and TARBP2 in epithelial skin cancer.

    PubMed

    Sand, Michael; Skrygan, Marina; Georgas, Dimitrios; Arenz, Christoph; Gambichler, Thilo; Sand, Daniel; Altmeyer, Peter; Bechara, Falk G

    2012-11-01

    The microprocessor complex mediates intranuclear biogenesis of precursor microRNAs from the primary microRNA transcript. Extranuclear, mature microRNAs are incorporated into the RNA-induced silencing complex (RISC) before interaction with complementary target mRNA leads to transcriptional repression or cleavage. In this study, we investigated the expression profiles of the microprocessor complex subunit DiGeorge syndrome critical region gene 8 (DGCR8) and the RISC components argonaute-1 (AGO1), argonaute-2 (AGO2), as well as double-stranded RNA-binding proteins PACT, TARBP1, and TARBP2 in epithelial skin cancer and its premalignant stage. Patients with premalignant actinic keratoses (AK, n = 6), basal cell carcinomas (BCC, n = 15), and squamous cell carcinomas (SCC, n = 7) were included in the study. Punch biopsies were harvested from the center of the tumors (lesional), from healthy skin sites (intraindividual controls), and from healthy skin sites in a healthy control group (n = 16; interindividual control). The DGCR8, AGO1, AGO2, PACT, TARBP1, and TARBP2 mRNA expression levels were detected by quantitative real-time reverse transcriptase polymerase chain reaction. The DGCR8, AGO1, AGO2, PACT, and TARBP1 expression levels were significantly higher in the AK, BCC, and SCC groups than the healthy controls (P < 0.05). There was no significant difference in the TARBP2 expression levels between groups (P > 0.05). This study indicates that major components of the miRNA pathway, such as the microprocessor complex and RISC, are dysregulated in epithelial skin cancer. Copyright © 2011 Wiley Periodicals, Inc.

  16. Public private partnership in in-service training of physicians: the millennium development goal 6-partnership for African clinical training (M-PACT) approach.

    PubMed

    Oleribe, Obinna Ositadimma; Salako, Babatunde Lawal; Akpalu, Albert; Anteyi, Emmanuel; Ka, Mamadou Mourtalla; Deen, Gibrilla; Akande, Temilola; Abellona U, Mei Ran; Lemoine, Maud; McConnochie, Mairi; Foster, Matthew; Walker, Richard; Taylor-Robinson, Simon David; Jawad, Ali

    2018-01-01

    in-service training of healthcare workers is essential for improving healthcare services and outcome. The Millennium Development Goal (MDG) 6 Partnership for African Clinical Training (M-PACT) program was an innovative in-service training approach designed and implemented by the Royal College of Physicians (RCP) and West African College of Physicians (WACP) with funding from Eco Bank Foundation. The goal was to develop sustainable capacity to tackle MDG 6 targets in West Africa through better postgraduate medical education. Five training centres were establised: Nigeria (Abuja, Ibadan), Ghana (Accra), Senegal (Dakar) and Sierra Leone (Freetown) for training 681 physicians from across West Africa. A curriculum jointly designed by the RCP-WACP team was used to deliver biannual 5-day training courses over a 3-year period. Of 602 trained in clinical medicine, 358 (59.5%) were males and 535 (88.9%) were from hosting countries. 472 (78.4%) of participants received travel bursaries to participate, while 318 (52.8%) were residents in Internal Medicine in the respective institutions. Accra had the highest number of participants (29.7%) followed by Ibadan, (28.7%), Dakar, (24.9%), Abuja, (11.0%) and Freetown, (5.6%). Pre-course clinical knowledge scores ranged from 35.1% in the Freetown Course to 63.8% in Accra Course 1; whereas post-course scores ranged from 50.5% in the Freetown course to 73.8% in Accra course 1. M-PACT made a positive impact to quality and outcome of healthcare services in the region and is a model for continued improvement for healthcare outcomes, e.g malaria, HIV and TB incidence and mortality in West Africa.

  17. Prevalence of ESBL-producing Pseudomonas aeruginosa isolates in Warsaw, Poland, detected by various phenotypic and genotypic methods

    PubMed Central

    Róg, Patrycja; Smolińska-Król, Katarzyna; Ćmiel, Milena; Słoczyńska, Alicja; Patzer, Jan; Dzierżanowska, Danuta; Wolinowska, Renata; Starościak, Bohdan; Tyski, Stefan

    2017-01-01

    Knowledge of the prevalence of ESBL enzymes among P. aeruginosa strains compared to the Enterobacteraiceae family is limited. The phenotypic tests recommended by EUCAST for the detection of ESBL-producing Enterobacteriaceae are not always suited for P. aeruginosa strains. This is mainly due to the presence of other families of ESBLs in P. aeruginosa isolates more often than in Enterobacteriaceae, production of natural AmpC cephalosporinase and its overexpression, and co-production of metallo-β-lactamases. The aim of this study was to determine the occurrence of ESBLs in P. aeruginosa isolated from patients from hospitals in Warsaw, to evaluate the ESBL production of these isolates using currently available phenotypic tests, their modifications, multiplex PCR and molecular typing of ESBL-positive isolates by PFGE. Clinical isolates of P. aeruginosa were collected in 2000-2014 from four Warsaw hospitals. Based on the data obtained in this study, we suggest using three DDST methods with inhibitors, such as clavulanic acid, sulbactam and imipenem, to detect ESBL-producing P. aeruginosa strains. Depending on the appearance of the plates, we suggest a reduction in the distance between discs with antibiotics to 15 mm and the addition of boronic acid at 0.4 mg per disc. The analysed isolates carried genes encoding ESBL from the families VEB (69 isolates with VEB-9), GES (6 with GES-1, 1 GES-5, 5 GES-13 and 2 with GES-15), OXA-2 (12 with OXA-15, 1 OXA-141, 1 OXA-210, 1 OXA-543 and 1 with OXA-544) and OXA-10 (5 isolates with OXA-74 and one with OXA-142). The most important result of this study was the discovery of three new genes, blaGES-15, blaOXA-141 and blaOXA-142; their nucleotide sequences have been submitted to the NCBI GenBank. It is also very important to note that this is the first report on the epidemiological problem of VEB-9-producing bacterial strains, not only in Poland but also worldwide. PMID:28658322

  18. Evaluation of AirMSPI photopolarimetric retrievals of smoke properties with in-situ observations collected during the ImPACT-PM field campaign

    NASA Astrophysics Data System (ADS)

    Kalashnikova, O. V.; Garay, M. J.; Xu, F.; Seidel, F.; Diner, D. J.; Seinfeld, J.; Bates, K. H.; Kong, W.; Kenseth, C.; Cappa, C. D.

    2017-12-01

    We introduce and evaluate an approach for obtaining closure between in situ and polarimetric remote sensing observations of smoke properties obtained during the collocated CIRPAS Twin Otter and ER-2 aircraft measurements of the Lebec fire event on July 8, 2016. We investigate the utility of multi-angle, spectropolarimetric remote sensing imagery to evaluate the relative contribution of organics, non-organic and black carbon particles to smoke particulate composition. The remote sensing data were collected during the Imaging Polarimetric and Characterization of Tropospheric Particular Matter (ImPACT-PM) field campaign by the Airborne Multiangle SpectroPolarimetric Imager (AirMSPI), which flew on NASA's high-altitude ER-2 aircraft. The ImPACT-PM field campaign was a joint JPL/Caltech effort to combine measurements from the Terra Multi-angle Imaging SpectroRadiometer (MISR), AirMSPI, in situ airborne measurements, and a chemical transport model to validate remote sensing retrievals of different types of airborne particulate matter with a particular emphasis on carbonaceous aerosols. The in-situ aerosol data were collected with a suite of Caltech instruments on board the CIRPAS Twin Otter aircraft and included the Aerosol Mass Spectrometer (AMS), the Differential Mobility Analyzer (DMA), and the Single Particle Soot Photometer (SP-2). The CIRPAS Twin Otter aircraft was also equipped with the Particle Soot Absorption Photometer (PSAP), nephelometer, a particle counter, and meteorological sensors. We found that the multi-angle polarimetric observations are capable of fire particulate emission monitoring by particle type as inferred from the in-situ airborne measurements. Modeling of retrieval sensitivities show that the characterization of black carbon is the most challenging. The work aims at evaluating multi-angle, spectropolarimetric capabilities for particulate matter characterization in support of the Multi-Angle Imager for Aerosols (MAIA) satellite investigation

  19. How have the Eastern European countries of the former Warsaw Pact developed since 1990? A bibliometric study.

    PubMed

    Kozak, Marcin; Bornmann, Lutz; Leydesdorff, Loet

    Did the demise of the Soviet Union in 1991 influence the scientific performance of the researchers in Eastern European countries? Did this historical event affect international collaboration by researchers from the Eastern European countries with those of Western countries? Did it also change international collaboration among researchers from the Eastern European countries? Trying to answer these questions, this study aims to shed light on international collaboration by researchers from the Eastern European countries (Russia, Ukraine, Belarus, Moldova, Bulgaria, the Czech Republic, Hungary, Poland, Romania, and Slovakia). The number of publications and normalized citation impact values are compared for these countries based on InCites (Thomson Reuters), from 1981 up to 2011. The international collaboration by researchers affiliated to institutions in Eastern European countries at the time points of 1990, 2000 and 2011 was studied with the help of Pajek and VOSviewer software, based on data from the Science Citation Index (Thomson Reuters). Our results show that the breakdown of the communist regime did not lead, on average, to a huge improvement in the publication performance of the Eastern European countries and that the increase in international co-authorship relations by the researchers affiliated to institutions in these countries was smaller than expected. Most of the Eastern European countries are still subject to changes and are still awaiting their boost in scientific development.

  20. The European Military Environment: NATO and the Warsaw Pact. Volume 1. The European Environment (Update: 1982-Present).

    DTIC Science & Technology

    1987-04-01

    title of the study. This document. may be reproduced for use in other resetrch reports or educational pursuits contingent upon the fol ,owiog...stipulations: -- t’pr,,duCL n ri ;,|ht s do not extend to any copyrighted material that may be contained in the research report . A: r .pr)t uc d copi es inu:-st...s) o: tae report’s author(s). -- t for’nat mo.,i ficat ion is necessary to better serv, !,ie user’:; ieeds, adjustments may be made to tnis report

  1. Warsaw Pact: The Question of Cohesion. Phase II, Volume 1. The Greater Socialist Army: Integration and Reliability,

    DTIC Science & Technology

    1984-02-01

    crystallized, but at the same tIen integrat iVe_ mechanisms have been improved a great deal. The "Allied" Forces Characteristics Outwardly there are few if...32 - military officers ranked low in comparison with other occupations. But the economic and social rewards of a military pi fession improved in...the military unity of the socialist countries and their defence preparedness," and by the need to improve ideological work in socialist armies

  2. Republic of the Marshall Islands assessment for a continuing health care professional development program.

    PubMed

    Langidrik, Justina R; Riklon, Sheldon; Lanwi, Salome; Gunawardane, Kamal; Soe, Tin; Jack, Tom; Balaoing, Grace Ann; Buenconsejo-Lum, Lee E

    2007-03-01

    In 2003, the University of Hawai'i Department of Family Medicine and Community Health entered a 4-year cooperative agreement with the U.S. Health Resources and Services Administration to establish the "Pacific Association for Clinical Training" (PACT). PACT's goal is to develop effective distance education methods to improve the education and skills of healthcare professionals in the U.S.-Affiliated Pacific Island nations. To determine the situation existing in 2004, one of PACT's first projects was to perform site visits to each jurisdiction, conducting needs assessments through interviews with key health care professionals, hospital administrators, and government officials. This article highlights findings of PACT's assessment of Republic of the Marshall Islands. Meant to establish a baseline for future reference, all data are those collected in 2004/2005 and have not been updated.

  3. Novel candidate genes for alcoholism--transcriptomic analysis of prefrontal medial cortex, hippocampus and nucleus accumbens of Warsaw alcohol-preferring and non-preferring rats.

    PubMed

    Stankiewicz, Adrian M; Goscik, Joanna; Dyr, Wanda; Juszczak, Grzegorz R; Ryglewicz, Danuta; Swiergiel, Artur H; Wieczorek, Marek; Stefanski, Roman

    2015-12-01

    Animal models provide opportunity to study neurobiological aspects of human alcoholism. Changes in gene expression have been implicated in mediating brain functions, including reward system and addiction. The current study aimed to identify genes that may underlie differential ethanol preference in Warsaw High Preferring (WHP) and Warsaw Low Preferring (WLP) rats. Microarray analysis comparing gene expression in nucleus accumbens (NAc), hippocampus (HP) and medial prefrontal cortex (mPFC) was performed in male WHP and WLP rats bred for differences in ethanol preference. Differential and stable between biological repeats expression of 345, 254 and 129 transcripts in NAc, HP and mPFC was detected. Identified genes and processes included known mediators of ethanol response (Mx2, Fam111a, Itpr1, Gabra4, Agtr1a, LTP/LTD, renin-angiotensin signaling pathway), toxicity (Sult1c2a, Ces1, inflammatory response), as well as genes involved in regulation of important addiction-related brain systems such as dopamine, tachykinin or acetylcholine (Gng7, Tac4, Slc5a7). The identified candidate genes may underlie differential ethanol preference in an animal model of alcoholism. Names of genes are written in italics, while names of proteins are written in standard font. Names of human genes/proteins are written in all capital letters. Names of rodent genes/proteins are written in capital letter followed by small letters. Copyright © 2015 Elsevier Inc. All rights reserved.

  4. Terrazzo floor from the Jewish Historical Institute in Warsaw - mineralogical characterization, conservation and impact of fire

    NASA Astrophysics Data System (ADS)

    Bartz, Wojciech; Martusewicz, Jacek

    2017-12-01

    Samples of historical terrazzo floor from the Jewish Historical Institute in Warsaw, dated back to the thirties of the twentieth century, have been analysed. Investigations by polarised optical microscopy, scanning microscopy, powder X-ray diffraction and simultaneous thermal analysis were preformed. Based on the results obtained, it was concluded that terrazzo tiles were prepared on the basis of ordinary Portland cement and aggregate, dominated with crushed stone (marble, serpentinite, limestone and marl), accompanied by sparse quartz sand grains. The binding mass was colourised with the use of pigments containing iron ions. The occurrence of altered serpentinite and marble grains, the latter clouded and partly replaced with micrite, the presence of portlandite, indicate the terrazzo tiles were subjected to thermal impact. This is related to the fire that took place at the beginning of World War II. Based on this study, repair mortars were formulated, on one hand compatible with the authentic ones, on the other retaining traces of fire.

  5. Be Healthy as a Fish Educational Program at the International Institute of Molecular and Cell Biology in Warsaw, Poland

    PubMed Central

    Szymańska, Ewelina; Białek-Wyrzykowska, Urszula; Wiweger, Małgorzata; Kuźnicki, Jacek

    2016-01-01

    Abstract The purpose of the Be Healthy as a Fish educational program that is organized by the International Institute of Molecular and Cell Biology (IIMCB) in Warsaw, Poland, is to educate children about the ways in which zebrafish can be used as a model organism to help scientists understand the way the human body works. We introduce Be Healthy as a Fish workshops to children in fourth to sixth grades of primary school (9–11 years old), together with two kinds of materials under the same title: a book and a movie. We focus on the field of biology in a way that complements the children's classroom curriculum and encourages them to broaden their interests in biology in the future. The Be Healthy as a Fish educational program was inaugurated in 2014 at the Warsaw Science Festival. As of October 31, 2015, 526 primary school students participated in 27 workshops. Approximately 2000 people have received the book and nearly 1700 people have watched the movie. Be Healthy as a Fish: Origin of the Title There is a popular saying in Poland that someone is “healthy as a fish” meaning that one enjoys good health. Does this imply that fish are really that healthy? Obviously, some fish may not be healthy. Just like other animals and humans, they can and do get sick. However, this common and deceptive impression of “healthy fish” results from the fact that people hardly ever have an opportunity to observe a fish that is sick. Why does our educational program have such a possibly misleading title that may not always be true? We took advantage of this provocative title and commonly known expression and assigned to it a completely new meaning: fish can get sick, but they are important for human health. Notably, this catchy sentence intrinsically combines two keywords—health and fish—which, in our opinion, makes it a good title for a successful educational program. PMID:27028803

  6. Be Healthy as a Fish Educational Program at the International Institute of Molecular and Cell Biology in Warsaw, Poland.

    PubMed

    Goś, Daria; Szymańska, Ewelina; Białek-Wyrzykowska, Urszula; Wiweger, Małgorzata; Kuźnicki, Jacek

    2016-08-01

    The purpose of the Be Healthy as a Fish educational program that is organized by the International Institute of Molecular and Cell Biology (IIMCB) in Warsaw, Poland, is to educate children about the ways in which zebrafish can be used as a model organism to help scientists understand the way the human body works. We introduce Be Healthy as a Fish workshops to children in fourth to sixth grades of primary school (9-11 years old), together with two kinds of materials under the same title: a book and a movie. We focus on the field of biology in a way that complements the children's classroom curriculum and encourages them to broaden their interests in biology in the future. The Be Healthy as a Fish educational program was inaugurated in 2014 at the Warsaw Science Festival. As of October 31, 2015, 526 primary school students participated in 27 workshops. Approximately 2000 people have received the book and nearly 1700 people have watched the movie. Be Healthy as a Fish: Origin of the Title There is a popular saying in Poland that someone is "healthy as a fish" meaning that one enjoys good health. Does this imply that fish are really that healthy? Obviously, some fish may not be healthy. Just like other animals and humans, they can and do get sick. However, this common and deceptive impression of "healthy fish" results from the fact that people hardly ever have an opportunity to observe a fish that is sick. Why does our educational program have such a possibly misleading title that may not always be true? We took advantage of this provocative title and commonly known expression and assigned to it a completely new meaning: fish can get sick, but they are important for human health. Notably, this catchy sentence intrinsically combines two keywords-health and fish-which, in our opinion, makes it a good title for a successful educational program.

  7. West European and East Asian perspectives on defense, deterrence, and strategy. Volume 2. Western European perspectives on defense, deterrence, and strategy. Technical report, 1 December 1982-15 May 1984

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

    Pfaltzgraff, R.L.; Davis, J.K.; Dougherty, J.E.

    1984-05-16

    A survey of contemporary West European perspectives on defense, deterrence, and strategy, with special emphasis on the role of nuclear weapons deployed in, or assigned to, the NATO area. Changes have occurred during the past decade in the relative military strength of NATO and the Warsaw Pact, particularly as a result of the substantial growth in Soviet nuclear-capable systems and conventional forces assigned to Europe, and the momentum manifested by the Soviet Union in its deployments of intercontinental ballistic missiles. There has also been a substantial shift in West European thinking and attitudes about security and strategy. Together, these trendsmore » have created a need to reassess the posture of NATO forces generally, and especially nuclear weapons, both in a broader Euro-strategic framework and on the Central Front in the 1980s. The survey is on such issues as the future of the British and French national strategic nuclear forces; the role of the U.S.-strategic nuclear forces in the deterrence of conflict in Europe; the prospects of raising the nuclear threshold by the deployment of new conventional technologies; the impact of strategic defense initiatives on U.S.-NATO security; and the modernization of NATO intermediate-range nuclear capabilities, especially in light of the continuing deployment of the Soviet Union of new generation Euro-strategic forces targeted against Western Europe.« less

  8. Case Study of Lebanon: Can the U.S. Build Upon Socio-Economic Influences in Order to Foster Good Citizenship versus Insurgency?

    DTIC Science & Technology

    2007-12-01

    of Syria Lebanon. At this point in Lebanese history, they were actually a largely Christian enclave, but an expansion of Lebanon that would include...Lebanon established a government based upon an unwritten National Pact. The Pact required the president to be Christian and its prime minister to be...establishment of an independent Christian state on Mount Lebanon, the second the creation of a radical, hostile state on the Syrian western border

  9. Determinants of Defense Budget Process in Post-Communist Poland: From the Warsaw Pact to the 21st Century

    DTIC Science & Technology

    2004-06-01

    seietle informacji Rady Ministrow o jego realizacji w roku 2001.” Warszawa: Druk Sejmowy nr 100. 27 November 2001. p. 1. 33 instead of improving the...modernizacji technicznej Sil Zbrojnych Rzeczypospolitej w latach 2001-2006 w seietle informacji Rady Ministrow o jego realizacji w roku 2001

  10. Large-scale tissue clearing (PACT): Technical evaluation and new perspectives in immunofluorescence, histology, and ultrastructure.

    PubMed

    Neckel, Peter H; Mattheus, Ulrich; Hirt, Bernhard; Just, Lothar; Mack, Andreas F

    2016-09-29

    Novel techniques, like CLARITY and PACT, render large tissue specimens transparent and thereby suitable for microscopic analysis. We used these techniques to evaluate their potential in the intestine as an exemplary organ with a complex tissue composition. Immunohistochemistry, light sheet-, and confocal scanning-microscopy enabled us to follow complex three-dimensional structures, like nerve fibers, vessels, and epithelial barriers throughout the entire organ. Moreover, in a systematic electron microscopic study, we analyzed the morphology and preservation of tissue on ultrastructural level during the clearing process. We also connect tissue clearing with classical histology and demonstrate that cleared tissues can be stained with Hematoxylin-Eosin and Heidenhain's Azan stain, suggesting potential use in histopathology. These experiments showed that a neutral pH during the clearing process results in much better preservation of tissue ultrastructure and standard stainability. Volume changes of specimens were monitored and quantified during the course of the protocol. Additionally, we employed the technique to visualize the enteric nervous system and the epithelial barrier in post mortem human gut preparations. Our data show the high potential of tissue clearing throughout different tissue types supporting its usefulness in research and diagnosis, and contribute to the technical discussion of ultrastructural tissue-retention.

  11. Large-scale tissue clearing (PACT): Technical evaluation and new perspectives in immunofluorescence, histology, and ultrastructure

    PubMed Central

    Neckel, Peter H.; Mattheus, Ulrich; Hirt, Bernhard; Just, Lothar; Mack, Andreas F.

    2016-01-01

    Novel techniques, like CLARITY and PACT, render large tissue specimens transparent and thereby suitable for microscopic analysis. We used these techniques to evaluate their potential in the intestine as an exemplary organ with a complex tissue composition. Immunohistochemistry, light sheet-, and confocal scanning-microscopy enabled us to follow complex three-dimensional structures, like nerve fibers, vessels, and epithelial barriers throughout the entire organ. Moreover, in a systematic electron microscopic study, we analyzed the morphology and preservation of tissue on ultrastructural level during the clearing process. We also connect tissue clearing with classical histology and demonstrate that cleared tissues can be stained with Hematoxylin-Eosin and Heidenhain’s Azan stain, suggesting potential use in histopathology. These experiments showed that a neutral pH during the clearing process results in much better preservation of tissue ultrastructure and standard stainability. Volume changes of specimens were monitored and quantified during the course of the protocol. Additionally, we employed the technique to visualize the enteric nervous system and the epithelial barrier in post mortem human gut preparations. Our data show the high potential of tissue clearing throughout different tissue types supporting its usefulness in research and diagnosis, and contribute to the technical discussion of ultrastructural tissue-retention. PMID:27680942

  12. Copper and cadmium in bottom sediments dredged from Wyścigi Pond, Warsaw, Poland--contamination and bioaccumulation study.

    PubMed

    Wojtkowska, Małgorzata; Karwowska, Ewa; Chmielewska, Iwona; Bekenova, Kundyz; Wanot, Ewa

    2015-12-01

    This research covered an evaluation of the copper and cadmium concentrations in bottom sediments dredged from one of the ponds in Warsaw. The samples of sediments, soil, and plants were analyzed in terms of Cu and Cd content. The research concerned the heap of dredged bottom sediments from Wyścigi Pond, Warsaw, Poland. Two boreholes were made to obtain sediment cores with depths of A 162.5 cm and B 190.0 cm. The cores were divided into 10 sub-samples with a thickness of about 15-20 cm. A control sample of soil was taken from the horse racecourse several hundred meters away from the heap. The vegetation was sampled directly from the heap. The predominating plants were tested: Urtica dioica, Glechoma hederacea, Euonymus verrucosus, and Drepanocladus aduncus. A control sample of U. dioica taken outside of the heap was also tested. The commercial PHYTOTOXKIT microbiotest was applied to evaluate the influence of heavy metal-contaminated sediments (used as soil) on germination and growth of the chosen test plants. The analyses of cadmium and copper concentrations revealed that the metal concentration in sediments was diverse at different depths of sampling, probably reflecting their concentration in stored layers of sediments. Moreover, the metal content in core A was four to five times lower than that in core B, which reveals heterogeneity of the sediments in the tested heap. In core A, the copper concentration ranged from 4.7 to 13.4 mg/kg d.w. (average 8.06 ± 0.71 mg/kg d.w.), while in core B, it ranged from 9.2 to 82.1 mg/kg d.w. (average 38.56 ± 2.6 mg/kg d.w.). One of the results of the heavy metal presence in soils is their bioaccumulation in plants. Comparing plant growth, more intensive growth of roots was observed in the case of plants growing on the control (reference) soil than those growing on sediments. The intensive development of both primary and lateral roots was noticed. During this early growth, metal accumulation in plants occurred.

  13. Evaluation of vitamins A, C and E content in diets of adolescents living in Warsaw, Poland.

    PubMed

    Dybkowska, Ewa; Waszkiewicz-Robak, Bozena; Piekot, Edyta

    2014-01-01

    Antioxidant vitamins such as alpha-tocopherol (vitamin E), ascorbic acid (vitamin C), and beta-carotene (provitamin A), play a significant role in protecting the body from an excess of free radicals. The vitamin content of the diet is thus very important. To assess whether the dietary intake of vitamins A, C and E is adequate in a selected group of adolescents living in Warsaw. The mean vitamin consumption was estimated using three-day dietary records whilst vitamin contents of selected foodstuffs were obtained from Food Composition Tables. Both were related to Polish nutrition standards applied to adolescents; i.e. EAR (Estimated Average Requirement) for vitamins A and C and AI (Adequate Intake) for vitamin E. Dietary vitamin C in adolescents and vitamin E in girls were around 18-25% lower than that recommended. Diets that were deficient in vitamins C and E were recorded in 47% to 67% adolescents. It is therefore necessary to increase the consumption of vegetables and fruit which provide a valuable dietary source for these vitamins.

  14. Detect and Defeat - The Complexities of Accomplishing the HLS Mission with Existing Intelligence Collection Practices

    DTIC Science & Technology

    2007-09-01

    Community’s Five Year: Strategic Human Capital Plan (Washington, D.C.: Government Printing Office, 2006), 5-6, 8. 13 Richard Posner, Not a Suicide Pact... overworked Border Patrol agents, and have added the movement of personnel into the United States by means of ground transportation and human smugglers to...last accessed 5 July 2007]. Posner, Richard. Not a Suicide Pact: The Constitution in a Time of National Emergency. New York, NY: Oxford

  15. The Feasibility of a Novel School Peer-Led Mentoring Model to Improve the Physical Activity Levels and Sedentary Time of Adolescent Girls: The Girls Peer Activity (G-PACT) Project.

    PubMed

    Owen, Michael B; Kerner, Charlotte; Taylor, Sarah L; Noonan, Robert J; Newson, Lisa; Kosteli, Maria-Christina; Curry, Whitney B; Fairclough, Stuart J

    2018-05-31

    Regular physical activity (PA) is associated with numerous physical and psychological health benefits. Adolescents, specifically girls, are at risk of physical inactivity. To date, there is limited research on PA interventions involving peers, which could encourage more adolescent girls to engage in PA. The investigation aimed to evaluate the feasibility of a novel school three-tier peer-led mentoring model designed to improve PA levels and reduce sedentary time (ST) of adolescent girls. Two-hundred and forty-nine Year 9 adolescent girls (13⁻15 years old) from three UK secondary schools were invited to participate in a peer-led mentoring intervention (Girls Peer Activity (G-PACT) project). The peer-led mentoring model was delivered in all three schools. Two of the schools received an additional after-school PA component. PA and ST were assessed through wrist-worn accelerometry. Girls who received an exercise class after-school component significantly increased their whole day moderate-to-vigorous PA (MVPA) (3.2 min, p = 0.009, d = 0.33). Girls who received no after-school component significantly decreased their MVPA (3.5 min, p = 0.016, d = 0.36) and increased their ST (17.2 min, p = 0.006, d = 0.43). The G-PACT intervention demonstrated feasibility of recruitment and data collection procedures for adolescent girls. The peer-led mentoring model shows promise for impacting girls' MVPA levels when combined with an after-school club PA opportunity.

  16. Acceptance of, inclination for, and barriers in genetic testing for gene mutations that increase the risk of breast and ovarian cancers among female residents of Warsaw

    PubMed Central

    Dera, Paulina; Religioni, Urszula; Duda-Zalewska, Aneta; Deptała, Andrzej

    2016-01-01

    Aim of the study To check the degree of acceptance of, inclination for, and barriers in genetic testing for gene mutations that increase the risk of breast and ovarian cancers among female residents of Warsaw Material and methods This study involved 562 women between 20 and 77 years of age, all of whom were patients visiting gynaecologists practising in clinics in the City of Warsaw. The studied population was divided into six age categories. The study method was a diagnostic poll conducted with the use of an original questionnaire containing 10 multiple-choice questions. Results Nearly 70% of the women showed an interest in taking a test to detect predispositions to develop breast and ovarian cancer. More than 10% did not want to take such a test, while every fifth women was undecided. No statistically significant differences between the respondents’ willingness to pay and education were found (p = 0.05). The most frequent answer given by women in all groups was that the amount to pay was too high. Such an answer was given by 52.17% of women with primary education, 65.22% of women with vocational education, 58.61% of women with secondary education, and 41.62% of women with higher education. Conclusions Women with a confirmed increased risk of developing breast and/or ovarian cancer due to inter alia the presence of BRCA1 and BRCA2 gene mutations should pay particular attention to 1st and 2nd level prophylaxis. PMID:27095945

  17. Development of an intervention to support patients and clinicians with advanced lung cancer when considering systematic anticancer therapy: protocol for the PACT study.

    PubMed

    Anagnostou, Despina; Sivell, Stephanie; Noble, Simon; Lester, Jason; Byrne, Anthony; Sampson, Catherine; Longo, Mirella; Nelson, Annmarie

    2017-07-12

    Patient-centred care is essential to the delivery of healthcare; however, this necessitates direct patient involvement in clinical decision-making and can be challenging for patients diagnosed with advanced non-small cell lung cancer where there may be misunderstanding of the extent of disease, prognosis and aims of treatment. In this context, decisions are complex and there is a need to balance the risks and benefits, including treatment with palliative intent. The aim of the PACT study is to identify the information and decision support needs of patients, leading to the development of an intervention to support patients with advanced lung cancer when considering treatment options. PACT is a five-stage, multimethod and multicentre study. Participants : Patients and health professionals will be recruited from three health boards. Methods : Non-participant observation of multidisciplinary team meetings (n=12) will be used to determine patients' allocation to treatment pathways (stage I). Non-participant observation of patient-clinician consultations (n=20-30) will be used to explore communication of treatment options and decision-making. Extent of participation in decision-making will be assessed using the Observing Patient Involvement in Shared Decision-Making tool. Interviews with patients (stage III) and their clinicians (stage IV) will explore the perception of treatment options and involvement in decision-making. Based on stages I-IV, an expert consensus meeting will finalise the content and format of the intervention. Cognitive interviews with patients will then determine the face validity of the intervention (stage V). Analysis : analysis will be according to data type and research question and will include mediated discourse analysis, thematic analysis, framework analysis and interpretative phenomenological analysis. Ethical approval has been granted. The study findings will contribute to and promote shared and informed decision-making in the best interest

  18. Effects of visitor pressure on understory vegetation in Warsaw forested parks (Poland).

    PubMed

    Sikorski, Piotr; Szumacher, Iwona; Sikorska, Daria; Kozak, Marcin; Wierzba, Marek

    2013-07-01

    Visitor's access to understorey vegetation in park forest stands results in the impoverishment of plant species composition and a reduction in habitat quality. The phenomenon of biotic homogenisation is typical in urban landscapes, but it can proceed differently depending on the scale, a detail that has not been observed in previous studies. This research was carried out in seven Warsaw parks (both public and restricted access). Thirty-four forested areas were randomly selected, some subjected to strong visitors' pressure and some within restricted access areas, free of such impacts. The latter category included woodlands growing in old forest and secondary habitats. Public access to the study areas contributed to the disappearance of some forest species and their replacement by cosmopolitan non-forest species, leading to loss of floristic biodiversity in areas of high ecological importance at the city scale. Some human-induced factors, including soil compaction and changes in soil pH, moisture and capillary volume, were found to cause habitat changes that favoured native non-forest plants. Despite changes in species composition, the taxonomic similarity of understorey vegetation in both categories--public access and restricted access--was comparable. In a distance gradient of measurements taken around selected individual trees, there was found to be significant variation (in light, soil pH and compaction) affecting the quality and quantity of understorey vegetation (including rare species). In conclusion, the protection of rare forest species could be achieved by limiting access to forested areas, particularly in old forest fragments, and we highly recommend its consideration in the proposal of future park restoration plans.

  19. The use of copula functions for modeling the risk of investment in shares traded on the Warsaw Stock Exchange

    NASA Astrophysics Data System (ADS)

    Domino, Krzysztof; Błachowicz, Tomasz

    2014-11-01

    In our work copula functions and the Hurst exponent calculated using the local Detrended Fluctuation Analysis (DFA) were used to investigate the risk of investment made in shares traded on the Warsaw Stock Exchange. The combination of copula functions and the Hurst exponent calculated using local DFA is a new approach. For copula function analysis bivariate variables composed of shares prices of the PEKAO bank (a big bank with high capitalization) and other banks (PKOBP, BZ WBK, MBANK and HANDLOWY in decreasing capitalization order) and companies from other branches (KGHM-mining industry, PKNORLEN-petrol industry as well as ASSECO-software industry) were used. Hurst exponents were calculated for daily shares prices and used to predict high drops of those prices. It appeared to be a valuable indicator in the copula selection procedure, since Hurst exponent’s low values were pointing on heavily tailed copulas e.g. the Clayton one.

  20. Jakub Penson and his studies on acute renal failure during typhus epidemics in Warsaw Ghetto.

    PubMed

    Rutkowski, Boleslaw

    2004-01-01

    In the Warsaw Ghetto established by the German Nazis as a special district for Polish Jews in 1940 there were two typhus epidemics. Many patients affected by this disease (1500 during the first and 6500 during second epidemic) were treated at The Department of Infectious Disease of Czyste Hospital headed by Dr Jakub Penson--a Polish physician of Jewish origin. A heroic group of 20 physicians not only treated patients in these tragic circumstances, but also performed in defiance of Nazi prohibition, scientific studies on the clinical course of typhus with special attention on hyperazotemia and renal complication. The results of their observations were presented in 1941-42 during clinical meetings in Czyste Hospital and later published by Penson in 1946 in the Polish Physicians Weekly. Among other clinical statements a description of acute renal failure of extrarenal origin, caused by dehydration and toxic influence of primary disease seems the most important one. It has to be taken into account that acute renal failure appearing during Crush Syndrome was described by Bywaters in 1941. Jakub Penson survived the German Nazi occupation and later become a head of the Internal Medicine Department in Gdansk Medical University and one of the precursors of clinical nephrology in Poland.

  1. Knowledge to action: Rationale and design of the Patient-Centered Care Transitions in Heart Failure (PACT-HF) stepped wedge cluster randomized trial.

    PubMed

    Van Spall, Harriette G C; Lee, Shun Fu; Xie, Feng; Ko, Dennis T; Thabane, Lehana; Ibrahim, Quazi; Mitoff, Peter R; Heffernan, Michael; Maingi, Manish; Tjandrawidjaja, Michael C; Zia, Mohammad I; Panju, Mohamed; Perez, Richard; Simek, Kim D; Porepa, Liane; Graham, Ian D; Haynes, R Brian; Haughton, Dilys; Connolly, Stuart J

    2018-05-01

    Heart Failure (HF) is a common cause of hospitalization in older adults. The transition from hospital to home is high-risk, and gaps in transitional care can increase the risk of re-hospitalization and death. Combining health care services supported by meta-analyses, we designed the PACT-HF transitional care model. Adopting an integrated Knowledge Translation (iKT) approach in which decision-makers and clinicians are partners in research, we implement and test the effectiveness of PACT-HF among patients hospitalized for HF. We use a pragmatic stepped wedge cluster randomized trial design to introduce the complex health service intervention to 10 large hospitals in a randomized sequence until all hospitals initiate the intervention. The goal is for all patients hospitalized with HF to receive self-care education, multidisciplinary care, and early follow-up with their health care providers; and in addition, for high-risk patients to receive post-discharge nurse-led home visits and outpatient care in Heart Function clinics. This requires integration of care across hospitals, home care agencies, and outpatient clinics in our publicly funded health care system. While hospitals are the unit of recruitment and analysis, patients (estimated sample size of 3200) are the unit of analysis. Primary outcomes are hierarchically ordered as time to composite all-cause readmissions / emergency department (ED) visits / death at 3 months and time to composite all-cause readmissions / ED visits at 30 days. In a nested study of 8 hospitals, we measure the patient-centered outcomes of Discharge Preparedness, Care Transitions Quality, and Quality Adjusted Life Years (QALY); and the 6-month health care resource use and costs. We obtain all clinical and cost outcomes via linkages to provincial administrative databases. This protocol describes the implementation and testing of a transitional care model comprising health care services informed by high-level evidence. The study adopts an i

  2. The N-Pact Factor: Evaluating the Quality of Empirical Journals with Respect to Sample Size and Statistical Power

    PubMed Central

    Fraley, R. Chris; Vazire, Simine

    2014-01-01

    The authors evaluate the quality of research reported in major journals in social-personality psychology by ranking those journals with respect to their N-pact Factors (NF)—the statistical power of the empirical studies they publish to detect typical effect sizes. Power is a particularly important attribute for evaluating research quality because, relative to studies that have low power, studies that have high power are more likely to (a) to provide accurate estimates of effects, (b) to produce literatures with low false positive rates, and (c) to lead to replicable findings. The authors show that the average sample size in social-personality research is 104 and that the power to detect the typical effect size in the field is approximately 50%. Moreover, they show that there is considerable variation among journals in sample sizes and power of the studies they publish, with some journals consistently publishing higher power studies than others. The authors hope that these rankings will be of use to authors who are choosing where to submit their best work, provide hiring and promotion committees with a superior way of quantifying journal quality, and encourage competition among journals to improve their NF rankings. PMID:25296159

  3. Study protocol: identifying and delivering point-of-care information to improve care coordination.

    PubMed

    Hysong, Sylvia J; Che, Xinxuan; Weaver, Sallie J; Petersen, Laura A

    2015-10-19

    The need for deliberately coordinated care is noted by many national-level organizations. The Department of Veterans Affairs (VA) recently transitioned primary care clinics nationwide into Patient Aligned Care Teams (PACTs) to provide more accessible, coordinated, comprehensive, and patient-centered care. To better serve this purpose, PACTs must be able to successfully sequence and route interdependent tasks to appropriate team members while also maintaining collective situational awareness (coordination). Although conceptual frameworks of care coordination exist, few explicitly articulate core behavioral markers of coordination or the related information needs of team members attempting to synchronize complex care processes across time for a shared patient population. Given this gap, we partnered with a group of frontline primary care personnel at ambulatory care sites to identify the specific information needs of PACT members that will enable them to coordinate their efforts to provide effective, coordinated care. The study has three objectives: (1) development of measurable, prioritized point-of-care criteria for effective PACT coordination; (2) identifying the specific information needed at the point of care to optimize coordination; and (3) assessing the effect of adopting the aforementioned coordination standards on PACT clinicians' coordination behaviors. The study consists of three phases. In phase 1, we will employ the Productivity Measurement and Enhancement System (ProMES), a structured approach to performance measure creation from industrial/organizational psychology, to develop coordination measures with a design team of 6-10 primary care personnel; in phase 2, we will conduct focus groups with the phase 1 design team to identify point-of-care information needs. Phase 3 is a two-arm field experiment (n PACT = 28/arm); intervention arm PACTs will receive monthly feedback reports using the measures developed in phase 1 and attend brief monthly

  4. Analysis of Deformations of the Skylight Construction at the Main Hall of the Warsaw University of Technology

    NASA Astrophysics Data System (ADS)

    Odziemczyk, Waldemar

    2015-02-01

    The paper presents technology and results of measurements of the steel construction of the skylight of the Main Hall of the Warsaw University of Technology. The new version of the automated measuring system has been used for measurements. This system is based on Leica TCRP1201+ total station and the TCcalc1200 software application, developed by the author, which operates on a laptop computer connected with the total station by the wire. Two test measurements were performed. Each of them consisted of cyclic measurement using the polar method, from one station; points located on the skylight construction, as well as control points located on concrete, bearing poles, were successively measured. Besides geometrical values (such as Hz, V angles and the slope distance D), the changes of temperature and atmospheric pressure, were also recorded. Processed results of measurements contained information concerning the behaviour of the skylight; asymmetry of horizontal displacements with respect to the X axis have been proved. Changes of parameters of the instrument telescope and changes of the instrument orientation were also stated; they were connected with changes of the temperature. The most important results of works have been presented in the form of diagrams.

  5. [The problems of food adulteration in the publications of a Warsaw pharmacist Alfons Bukowski (1858-1921)].

    PubMed

    Trojanowska, Anna

    2014-01-01

    In the second half of the 19th century, the economic changes, industrial development and migration of the population from rural to urban areas in Europe, there was an increasing demand for cheap foodstuffs, which contributed to the growth of mass food production, as well as to the increase in adulteration of foodstuffs. In the Kingdom of Poland, the research on this problem was conducted by a Warsaw pharmacist and chemist, Alfons Bukowski (1858-1921), the author of the first Polish textbook on bromatology Podrqcznik do badania pokarmów (1884) ("A manual for food testing"). The methods and results of his research were published in magazines, among others, in "WiadomoSci Farmaceutyczne" ("Pharmasist News"), "Zdrowie" ("The Health") and "Czasopisma Towarzystwa Aptekarskiego" ("Journals of the Pharmasist Association"). He paid attention to the social noxiousness of the adulterations, indicating that it is especially the poor people, who buy the cheapest products that are particularly vulnerable to adulteration of foodstuffs. In this paper, there have been presented selected issues related to adulteratibn of food products, issues to which Bukowski paid particular attention, and which were significantly affected by contemporary development of food chemistry, among other the development of methods of chemical and microscopic analysis and the generation of new surrogates, which replaced the natural food products.

  6. Factors Affecting Attitude Toward Organ Donation Among Nursing Students in Warsaw, Poland.

    PubMed

    Mikla, M; Rios, A; Lopez-Navas, A; Gotlib, J; Kilanska, D; Martinez-Alarcón, L; Ramis, G; Ramirez, P; Lopez Montesinos, M J

    2015-11-01

    The opinion of future nursing professionals can influence the number of transplants. The objective of this study was to analyze the attitude of nursing students at the Medical University of Warsaw in the center of Poland toward organ donation and determine the factors that affect this attitude. The study was conducted in the 2011 to 2012 academic year. The study population consisted of nursing students. Type of sampling consisted of sampling in points of compulsory attendance, in the 5 nursing courses with the higher degree of fulfillment of 80%. Measuring instrument used was the validated questionnaire (PCID-DTO Rios). The questionnaire was completed anonymously and was self-administered. The completion rate was 96% (793 of 828). Of the students surveyed (n = 793), 69% (n = 547) were in favor of organ donation and transplantation, 25% (n = 201) were undecided, and 6% (n = 45) were against. This attitude was related to being in favor of donating the organs of a relative (OR = 3.174; P < .001); discussion of the subject with the family (OR = 2.188; P < .001); positive attitude toward donation and transplantation of the father (OR = 3.039; P = .001); considered to having good information on the subject (OR = 8.695; P < .001); being a regular donor blood (OR = 3.597; P = .001); not worried by the possible mutilation of the body after donation (OR = 6.802; P < .001); and accepting other treatment options of the body such as the burial (OR = 1.683; P = .015). More than 30% of the nursing students are not in favor of organ donation, but this attitude is conditioned by several psychosocial factors. Copyright © 2015 Elsevier Inc. All rights reserved.

  7. Association of Access to Publicly Funded Family Planning Services With Adolescent Birthrates in California Counties

    PubMed Central

    Chabot, Marina J.; Navarro, Sandy; Swann, Diane; Darney, Philip; Thiel de Bocanegra, Heike

    2014-01-01

    Objectives. We examined the association of adolescent birthrates (ABRs) with access to and receipt of publicly funded family planning services in California counties provided through 2 state programs: Medi-Cal, California’s Medicaid program, and the Family Planning, Access, Care, and Treatment (Family PACT) program. Methods. Our key data sources included the California Health Interview Survey and California Women’s Health Survey, Medi-Cal and Family PACT claims data, and the Birth Statistical Master File. We constructed a linear regression analysis measuring the relationship of access to and receipt of family planning services with ABRs when controlling for counties’ select covariates. Results. The regression analysis indicated that a higher access rate to Family PACT in a county was associated with a lower ABR (B = −0.19; P < .01) when controlling for unemployment rate, percentage of foreign-born adolescents, and percentage of adult low-income births. Conclusions. Efforts to reduce ABRs, specifically in counties that had persistently high rates are critical to achieving a healthy future for the state and the nation. Family PACT played a crucial role in helping adolescents avoid unintended and early childbearing. PMID:24354841

  8. How to think about nuclear war

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

    Luttwak, E.N.

    1982-08-01

    Mr. Luttwak, a professional defense consultant, observes the arguments of nuclear freeze proponents can be refuted on both strategic and moral grounds. The freeze concept is illogical, he notes, because it is political systems - not state boundaries - that separate sides and because the Warsaw Pact countries are more heavily armed than the North Atlantic Treaty Organization (NATO) countries. An important factor keeping NATO forces at a disadvantage is their defensive orientation, which keeps forces militarily diffuse and dependent on nuclear weapons and preemptive action as a deterrent. Mr. Luttwak feels the shock effect of any use of nuclearmore » weapons would probably shorten a war rather than expand it because of the instinct for survival on both sides; further only nuclear weapons have this awesome power to deter. The proposal for universal disarmament under world government control is not a serious one, he thinks, and reflects an indifference to the possibility of a long non-nuclear war. The effect would be to trade the risk of nuclear death for the inevitability of many non-nuclear casualties. (DCK)« less

  9. Cultural evolution of military camouflage.

    PubMed

    Talas, Laszlo; Baddeley, Roland J; Cuthill, Innes C

    2017-07-05

    While one has evolved and the other been consciously created, animal and military camouflage are expected to show many similar design principles. Using a unique database of calibrated photographs of camouflage uniform patterns, processed using texture and colour analysis methods from computer vision, we show that the parallels with biology are deeper than design for effective concealment. Using two case studies we show that, like many animal colour patterns, military camouflage can serve multiple functions. Following the dissolution of the Warsaw Pact, countries that became more Western-facing in political terms converged on NATO patterns in camouflage texture and colour. Following the break-up of the former Yugoslavia, the resulting states diverged in design, becoming more similar to neighbouring countries than the ancestral design. None of these insights would have been obtained using extant military approaches to camouflage design, which focus solely on concealment. Moreover, our computational techniques for quantifying pattern offer new tools for comparative biologists studying animal coloration.This article is part of the themed issue 'Animal coloration: production, perception, function and application'. © 2017 The Author(s).

  10. Two-year Test-Retest Reliability in High School Athletes Using the Four- and Two-Factor ImPACT Composite Structures: The Effects of Learning Disorders and Headache/Migraine Treatment History.

    PubMed

    Brett, Benjamin L; Solomon, Gary S; Hill, Jennifer; Schatz, Philip

    2018-03-01

    This study examined the test-retest reliability of the four- and two-factor structures (i.e., Memory and Speed) of ImPACT over a 2-year interval across multiple groups with premorbid conditions, including those with a history of special education or learning disorders (LD; n = 114), treatment history for headache/migraine (n = 81), and a control group (n = 792). Nine hundred and eighty seven high school athletes completed baseline testing using online ImPACT across a 2-year interval. Paired-samples t-tests documented improvement from initial to follow-up assessments. Test stability was examined using Regression-based measures (RBM) and Reliable change indices (RCI). Reliability was examined using intraclass correlation coefficients (ICC). Significant improvement on all four composites were observed for the control group over a 2-year interval; whereas significant differences were observed only on Visual Motor Speed for the LD and headache/migraine treatment history groups. ICCs ranges were similar across groups and greater or comparable reliability was observed for the two-factor structure on Memory (0.67-0.73) and Speed (0.76-0.78) composites. RCIs and RBMs demonstrated stability for the four- and two-factor structures, with few cases falling outside the range of expected change within a healthy sample at the 90% and 95% CIs. Typical practices of obtaining new baselines every 2 years in the high school population can be applied to athletes with a history of special education or LD and headache/migraine treatment. The two-factor structure has potential to increase test-retest reliability. Further research regarding clinical utility is needed. © The Author 2017. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  11. Validation of new satellite aerosol optical depth retrieval algorithm using Raman lidar observations at radiative transfer laboratory in Warsaw

    NASA Astrophysics Data System (ADS)

    Zawadzka, Olga; Stachlewska, Iwona S.; Markowicz, Krzysztof M.; Nemuc, Anca; Stebel, Kerstin

    2018-04-01

    During an exceptionally warm September of 2016, the unique, stable weather conditions over Poland allowed for an extensive testing of the new algorithm developed to improve the Meteosat Second Generation (MSG) Spinning Enhanced Visible and Infrared Imager (SEVIRI) aerosol optical depth (AOD) retrieval. The development was conducted in the frame of the ESA-ESRIN SAMIRA project. The new AOD algorithm aims at providing the aerosol optical depth maps over the territory of Poland with a high temporal resolution of 15 minutes. It was tested on the data set obtained between 11-16 September 2016, during which a day of relatively clean atmospheric background related to an Arctic airmass inflow was surrounded by a few days with well increased aerosol load of different origin. On the clean reference day, for estimating surface reflectance the AOD forecast available on-line via the Copernicus Atmosphere Monitoring Service (CAMS) was used. The obtained AOD maps were validated against AODs available within the Poland-AOD and AERONET networks, and with AOD values obtained from the PollyXT-UW lidar. of the University of Warsaw (UW).

  12. Linking clinician interaction and coordination to clinical performance in Patient-Aligned Care Teams.

    PubMed

    Hysong, Sylvia J; Thomas, Candice L; Spitzmüller, Christiane; Amspoker, Amber B; Woodard, LeChauncy; Modi, Varsha; Naik, Aanand D

    2016-01-15

    Team coordination within clinical care settings is a critical component of effective patient care. Less is known about the extent, effectiveness, and impact of coordination activities among professionals within VA Patient-Aligned Care Teams (PACTs). This study will address these gaps by describing the specific, fundamental tasks and practices involved in PACT coordination, their impact on performance measures, and the role of coordination task complexity. First, we will use a web-based survey of coordination practices among 1600 PACTs in the national VHA. Survey findings will characterize PACT coordination practices and assess their association with clinical performance measures. Functional job analysis, using 6-8 subject matter experts who are 3rd and 4th year residents in VA Primary Care rotations, will be utilized to identify the tasks involved in completing clinical performance measures to standard. From this, expert ratings of coordination complexity will be used to determine the level of coordinative complexity required for each of the clinical performance measures drawn from the VA External Peer Review Program (EPRP). For objective 3, data collected from the first two methods will evaluate the effect of clinical complexity on the relationships between measures of PACT coordination and their ratings on the clinical performance measures. Results from this study will support successful implementation of coordinated team-based work in clinical settings by providing knowledge regarding which aspects of care require the most complex levels of coordination and how specific coordination practices impact clinical performance.

  13. Immediate post-concussion assessment and cognitive testing (ImPACT) practices of sports medicine professionals.

    PubMed

    Covassin, Tracey; Elbin, Robert J; Stiller-Ostrowski, Jennifer L; Kontos, Anthony P

    2009-01-01

    Computerized neurocognitive testing is becoming popular among clinicians evaluating sport-related concussions across all levels of sport. Baseline neurocognitive testing has been recommended to provide more accurate representation of the preconcussion cognitive status of individual athletes. However, little is known about the use of baseline neurocognitive testing in concussion assessment and management. To examine implementation and practice trends of sports medicine professionals using baseline neurocognitive testing at the high school and collegiate levels. Quantitative survey research. Online survey. Certified athletic trainers (ATs) from approximately 1209 US institutions listed on the ImPACT Web site were recruited. A total of 399 ATs completed the survey, for a response return rate of 32.7%. Survey questions addressed educational level, years of certification, employment setting, percentage of athletes baseline tested, and accuracy of baseline tests. Other items addressed postconcussive neurocognitive testing protocols and scenarios for return-to-play decisions based on neurocognitive testing. Nearly all ATs (94.7%) administered baseline computerized neurocognitive testing to their athletes. However, only 51.9% examined these baseline tests for validity. The majority of ATs indicated that they administer baseline neurocognitive tests most frequently to football players (88.4%), followed by women's soccer players (78.8%) and men's soccer players (71.2%). Nearly all respondents (95.5%) stated that they would not return a symptomatic athlete to play if the athlete's neurocognitive scores were back to baseline. However, when asked if they would return an athlete who is symptom free but who scores below his or her baseline, 86.5% responded no, 9.8% responded yes, and 3.8% indicated that it depended on the importance of the competition. The use of baseline testing, baseline testing readministration, and postconcussion protocols among ATs is increasing. However

  14. Final Environmental Assessment for National Air & Space Intelligence Center and US Air Force School of Aerospace Medicine Field Training Activities at Wright-Patterson Air Force Base, Ohio

    DTIC Science & Technology

    2011-04-14

    characteristics in many locations and consequently most of the base has been mapped as disturbed urban land complexes. Major soil complexes represented...at WPAFB include: Warsaw-Fill land complex, Sloan-Fill land complex, Miamian- Urban land complex, Fox- Urban land complex, Linwood Muck, Westland- Urban ...land complex, and Warsaw- Urban land complex. 3.6.1 Proposed Action The project area for the alternative includes approximately 3.7 acres of property

  15. Population-Tailored Care for Homeless Veterans and Acute Care Use, Cost, and Satisfaction: A Prospective Quasi-Experimental Trial

    PubMed Central

    Johnson, Erin E.; Borgia, Matthew; Noack, Amy; Yoon, Jean; Gehlert, Elizabeth; Lo, Jeanie

    2018-01-01

    Introduction Although traditional patient-centered medical homes (PCMHs) are effective for patients with complex needs, it is unclear whether homeless-tailored PCMHs work better for homeless veterans. We examined the impact of enrollment in a Veterans Health Administration (VHA) homeless-tailored PCMH on health services use, cost, and satisfaction compared with enrollment in a traditional, nontailored PCMH. Methods We conducted a prospective, multicenter, quasi-experimental, single-blinded study at 2 VHA medical centers to assess health services use, cost, and satisfaction during 12 months among 2 groups of homeless veterans: 1) veterans receiving VHA homeless-tailored primary care (Homeless-Patient Aligned Care Team [H-PACT]) and 2) veterans receiving traditional primary care services (PACT). A cohort of 266 homeless veterans enrolled from June 2012 through January 2014. Results Compared with PACT patients, H-PACT patients had more social work visits (4.6 vs 2.7 visits) and fewer emergency department (ED) visits for ambulatory care-sensitive conditions (0 vs 0.2 visits); a significantly smaller percentage of veterans in H-PACT were hospitalized (23.1% vs 35.4%) or had mental health–related ED visits (34.1% vs 47.6%). We found significant differences in primary care provider–specific visits (H-PACT, 5.1 vs PACT, 3.6 visits), mental health care visits (H-PACT, 8.8 vs PACT, 13.4 visits), 30-day prescription drug fills (H-PACT, 40.5 vs PACT, 58.8 fills), and use of group therapy (H-PACT, 40.1% vs PACT, 53.7%). Annual costs per patient were significantly higher in the PACT group than the H-PACT group ($37,415 vs $28,036). In logistic regression model of acute care use, assignment to the H-PACT model was protective as was rating health “good” or better. Conclusion Homeless veterans enrolled in the population-tailored primary care approach used less acute care and costs were lower. Tailored-care models have implications for care coordination in the US Department

  16. Impact of selected personal factors on seasonal variability of recreationist weather perceptions and preferences in Warsaw (Poland)

    NASA Astrophysics Data System (ADS)

    Lindner-Cendrowska, Katarzyna; Błażejczyk, Krzysztof

    2018-01-01

    Weather and climate are important natural resources for tourism and recreation, although sometimes they can make outdoor leisure activities less satisfying or even impossible. The aim of this work was to determine weather perception seasonal variability of people staying outdoors in urban environment for tourism and recreation, as well as to determine if personal factors influence estimation of recreationist actual biometeorological conditions and personal expectations towards weather elements. To investigate how human thermal sensations vary upon meteorological conditions typical for temperate climate, weather perception field researches were conducted in Warsaw (Poland) in all seasons. Urban recreationists' preference for slightly warm thermal conditions, sunny, windless and cloudless weather, were identified as well as PET values considered to be optimal for sightseeing were defined between 27.3 and 31.7 °C. The results confirmed existence of phenomena called alliesthesia, which manifested in divergent thermal perception of comparable biometeorological conditions in transitional seasons. The results suggest that recreationist thermal sensations differed from other interviewees' responses and were affected not only by physiological processes but they were also conditioned by psychological factors (i.e. attitude, expectations). Significant impact of respondents' place of origin and its climate on creating thermal sensations and preferences was observed. Sex and age influence thermal preferences, whereas state of acclimatization is related with thermal sensations to some point.

  17. Impact of selected personal factors on seasonal variability of recreationist weather perceptions and preferences in Warsaw (Poland).

    PubMed

    Lindner-Cendrowska, Katarzyna; Błażejczyk, Krzysztof

    2018-01-01

    Weather and climate are important natural resources for tourism and recreation, although sometimes they can make outdoor leisure activities less satisfying or even impossible. The aim of this work was to determine weather perception seasonal variability of people staying outdoors in urban environment for tourism and recreation, as well as to determine if personal factors influence estimation of recreationist actual biometeorological conditions and personal expectations towards weather elements. To investigate how human thermal sensations vary upon meteorological conditions typical for temperate climate, weather perception field researches were conducted in Warsaw (Poland) in all seasons. Urban recreationists' preference for slightly warm thermal conditions, sunny, windless and cloudless weather, were identified as well as PET values considered to be optimal for sightseeing were defined between 27.3 and 31.7 °C. The results confirmed existence of phenomena called alliesthesia, which manifested in divergent thermal perception of comparable biometeorological conditions in transitional seasons. The results suggest that recreationist thermal sensations differed from other interviewees' responses and were affected not only by physiological processes but they were also conditioned by psychological factors (i.e. attitude, expectations). Significant impact of respondents' place of origin and its climate on creating thermal sensations and preferences was observed. Sex and age influence thermal preferences, whereas state of acclimatization is related with thermal sensations to some point.

  18. Career readiness and externalizing behaviors of children affected by maternal HIV/AIDS: 15-year outcomes of the PACT study.

    PubMed

    Murphy, Debra A; Marelich, William D; Herbeck, Diane M; Cook, Mekeila

    2016-01-01

    The purpose of this 15-year longitudinal study was to assess the effects of maternal HIV/AIDS on child/adolescent career readiness and externalizing behaviors. Interviews were conducted with 66 pairs of healthy children and their mothers living with HIV/AIDS (MLH), who are participants in the Parents And children Coping Together (PACT) project begun in 1997. All study participants were English or Spanish speaking. About half (48.5%) of the youth were female. Maternal health status (e.g., viral load biomedical marker, illness symptoms, physical functioning and depression) and child/adolescent outcomes (e.g., career readiness, conduct disorder, drug use, sexual behaviors, parent attachment and youth autonomy) were assessed over 20 time-points. Individual growth and GEE logistic regression models showed lower variability in maternal viral load was positively associated with better career readiness and parent attachment among adolescent/young adults. Externalizing behaviors (conduct disorder, alcohol and crystal methamphetamine use) were positively associated with maternal depression. Adolescent coping efficacy was shown to be a protective factor when applied to models on career readiness. Stability in MLH health positively affects children's career readiness over time, particularly career planning and career choices. The finding that adolescent coping efficacy may act as a protective factor against poor career planning has important implications for developing interventions to assist children in coping with parental HIV.

  19. Career readiness and externalizing behaviors of children affected by maternal HIV/AIDS: 15-year outcomes of the PACT study

    PubMed Central

    Murphy, Debra A.; Marelich, William D.; Herbeck, Diane M.; Cook, Mekeila

    2017-01-01

    The purpose of this 15-year longitudinal study was to assess the effects of maternal HIV/AIDS on child/adolescent career readiness and externalizing behaviors. Interviews were conducted with 66 pairs of healthy children and their mothers living with HIV/AIDS (MLH), who are participants in the Parents And children Coping Together (PACT) project begun in 1997. All study participants were English or Spanish speaking. About half (48.5%) of the youth were female. Maternal health status (e.g., viral load biomedical marker, illness symptoms, physical functioning and depression) and child/adolescent outcomes (e.g., career readiness, conduct disorder, drug use, sexual behaviors, parent attachment and youth autonomy) were assessed over 20 time-points. Individual growth and GEE logistic regression models showed lower variability in maternal viral load was positively associated with better career readiness and parent attachment among adolescent/young adults. Externalizing behaviors (conduct disorder, alcohol and crystal methamphetamine use) were positively associated with maternal depression. Adolescent coping efficacy was shown to be a protective factor when applied to models on career readiness. Stability in MLH health positively affects children’s career readiness over time, particularly career planning and career choices. The finding that adolescent coping efficacy may act as a protective factor against poor career planning has important implications for developing interventions to assist children in coping with parental HIV. PMID:28983322

  20. Cross-infections with Pseudomonas aeruginosa in patients with cystic fibrosis attending the Warsaw Centre.

    PubMed

    Milczewska, Justyna; Wołkowicz, Tomasz; Zacharczuk, Katarzyna; Kwiatkowska, Monika

    2015-01-01

    1. To assess the prevalence of cross-infections with P. aeruginosa in order to evaluate the epidemiological situation of this infection in patients with cystic fibrosis attending our centre; 2. To correlate the clinical features of the patients carrying a potentially transmissible strain with the entire study group in order to determine the risk factors and possible effects of its acquisition. 170 Pseudomonas aeruginosa strains obtained from the respiratory tract of 75 cystic fibrosis patients attending the Warsaw Centre in 2011 and 2012 were typed using restriction enzyme analysis-pulsed field gel electrophoresis (Spe I restriction enzyme was used). Simultaneously, the information concerning contacts between patients, as well as several clinical data regarding the course of the disease were collected. Twenty four clusters of strains were detected. The main cluster included 49 isolates derived from 21 patients. The other detected clusters included 2 to 12 isolates derived from 1 to 7 patients. Three clusters comprised the isolates derived from three pairs of siblings. There were 15 clusters containing 2 to 7 strains belonging to the same patient. The remaining 24 patients were infected with their own strains, not fitting any clonal group. Several clinical parameters showed that the 21 patients whose strains constituted the main cluster, were in worse clinical condition than the other patients in the study group. Moreover, the total duration of their hospitalizations in order to perform intravenous antibiotic treatment was longer. 1. Frequent hospitalizations of CF patients with a more severe course of the disease seem to be a risk factor of cross-infections with P. aeruginosa. 2. Intensification of measures to prevent cross-infection, such as hygienic precautions, patient segregation, introduction of home intravenous antibiotic therapy programme, as well as further education of patients and their parents should lead to the improvement of the epidemiological

  1. Contrasting academic and tobacco industry estimates of illicit cigarette trade: evidence from Warsaw, Poland.

    PubMed

    Stoklosa, Michal; Ross, Hana

    2014-05-01

    To compare two different methods for estimating the size of the illicit cigarette market with each other and to contrast the estimates obtained by these two methods with the results of an industry-commissioned study. We used two observational methods: collection of data from packs in smokers' personal possession, and collection of data from packs discarded on streets. The data were obtained in Warsaw, Poland in September 2011 and October 2011. We used tests of independence to compare the results based on the two methods, and to contrast those with the estimate from the industry-commissioned discarded pack collection conducted in September 2011. We found that the proportions of cigarette packs classified as not intended for the Polish market estimated by our two methods were not statistically different. These estimates were 14.6% (95% CI 10.8% to 19.4%) using the survey data (N=400) and 15.6% (95% CI 13.2% to 18.4%) using the discarded pack data (N=754). The industry estimate (22.9%) was higher by nearly a half compared with our estimates, and this difference is statistically significant. Our findings are consistent with previous evidence of the tobacco industry exaggerating the scope of illicit trade and with the general pattern of the industry manipulating evidence to mislead the debate on tobacco control policy in many countries. Collaboration between governments and the tobacco industry to estimate tobacco tax avoidance and evasion is likely to produce upward-biased estimates of illicit cigarette trade. If governments are presented with industry estimates, they should strictly require a disclosure of all methodological details and data used in generating these estimates, and should seek advice from independent experts. 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.

  2. The PACT study protocol: a time series study investigating the impact, acceptability and cost of an integrated model for psychosocial screening, care and treatment of patients with urological and head and neck cancers

    PubMed Central

    Girgis, Afaf; Kelly, Brian; Boyes, Allison; Haas, Marion; Viney, Rosalie; Descallar, Joseph; Candler, Hayley; Bellamy, Douglas; Proietto, Anthony

    2014-01-01

    Introduction While there is good evidence of the effectiveness of a variety of interventions and services to prevent and/or relieve distress experienced by people affected by cancer, much of this psychosocial morbidity is undetected and untreated, with consequent exacerbated suffering, decreased satisfaction with care, impaired adherence to treatment regimens and poorer morbidity and mortality outcomes. The objective of this study is to develop, implement and assess the impact, acceptability and cost of an integrated, patient-centred Psychosocial Assessment, Care and Treatment (PACT) model of care for patients with urological and head and neck cancers. Methods and analysis A time series research design will be used to test the PACT model of care, newly introduced in an Australian tertiary hospital. The primary outcome is system-level impact, assessed through audit of patients’ medical records and Medicare claims for follow-up care. The secondary outcomes are impact of the model on patients' experience and healthcare professionals’ (HCPs) knowledge and confidence, assessed via patient and HCP surveys at baseline and at follow-up. Acceptability of the intervention will be assessed through HCP interviews at follow-up, and cost will be assessed from Medicare and Pharmaceutical Benefits Scheme claims information and information logged pertaining to intervention activities (eg, time spent by the newly appointed psycho-oncology staff in direct patient contact, providing training sessions, engaging in case review) and their associated costs (eg, salaries, training materials and videoconferencing). Ethics and dissemination Ethics approval was obtained from the Human Research Ethics Committees of Hunter New England Local Health District and the University of NSW. Results The results will be widely disseminated to the funding body and through peer-reviewed publications, HCP and consumer publications, oncology conferences and meetings. Trial registration The study is

  3. Individuals motivated to participate in adherence, care and treatment (imPACT): development of a multi-component intervention to help HIV-infected recently incarcerated individuals link and adhere to HIV care.

    PubMed

    Golin, Carol E; Knight, Kevin; Carda-Auten, Jessica; Gould, Michele; Groves, Jennifer; L White, Becky; Bradley-Bull, Steve; Amola, Kemi; Fray, Niasha; Rosen, David L; Mugavaro, Michael J; Pence, Brian W; Flynn, Patrick M; Wohl, David

    2016-09-06

    Policy-makers promote a seek, test, treat and retain (STTR) strategy to expand HIV testing, support linkage and engagement in care, and enhance the continuous use of antiretroviral therapy for those HIV-infected. This HIV prevention strategy is particularly appropriate in correctional settings where HIV screening and treatment are routinely available yet many HIV-infected individuals have difficulty sustaining sufficient linkage and engagement in care, disease management, and viral suppression after prison release. Our research team developed Project imPACT (individuals motivated to Participate in Adherence, Care and Treatment), a multi-component approach for HIV-Infected recently incarcerated individuals that specifically targets their care linkage, retention, and medication adherence by addressing multiple barriers to care engagement after release. The ultimate goals of this intervention are to improve the health of HIV-infected individuals recently released from prison and reduce HIV transmission to their communities by maintaining viral suppression. This paper describes the intervention and technology development processes, based on best practices for intervention development and process evaluation. These processes included: 1) identifying the target population; 2) clarifying the theoretical basis for intervention design; 3) describing features of its foundational interventions; 4) conducting formative qualitative research; 5) integrating and adapting foundational interventions to create and refine intervention content based on target audience feedback. These stages along with the final intervention product are described in detail. The intervention is currently being evaluation and a two arm randomized, controlled trial in two US state prison systems. Based on a literature review, qualitative research, integration of proven interventions and behavioral theory, the final imPACT intervention focused on the transition period two to three months before and three

  4. Fractional Market Model and its Verification on the Warsaw STOCK Exchange

    NASA Astrophysics Data System (ADS)

    Kozłowska, Marzena; Kasprzak, Andrzej; Kutner, Ryszard

    We analyzed the rising and relaxation of the cusp-like local peaks superposed with oscillations which were well defined by the Warsaw Stock Exchange index WIG in a daily time horizon. We found that the falling paths of all index peaks were described by a generalized exponential function or the Mittag-Leffler (ML) one superposed with various types of oscillations. However, the rising paths (except the first one of WIG which rises exponentially and the most important last one which rises again according to the ML function) can be better described by bullish anti-bubbles or inverted bubbles.2-4 The ML function superposed with oscillations is a solution of the nonhomogeneous fractional relaxation equation which defines here our Fractional Market Model (FMM) of index dynamics which can be also called the Rheological Model of Market. This solution is a generalized analog of an exactly solvable fractional version of the Standard or Zener Solid Model of viscoelastic materials commonly used in modern rheology.5 For example, we found that the falling paths of the index can be considered to be a system in the intermediate state lying between two complex ones, defined by short and long-time limits of the Mittag-Leffler function; these limits are given by the Kohlrausch-Williams-Watts (KWW) law for the initial times, and the power-law or the Nutting law for asymptotic time. Some rising paths (i.e., the bullish anti-bubbles) are a kind of log-periodic oscillations of the market in the bullish state initiated by a crash. The peaks of the index can be viewed as precritical or precrash ones since: (i) the financial market changes its state too early from the bullish to bearish one before it reaches a scaling region (defined by the diverging power-law of return per unit time), and (ii) they are affected by a finite size effect. These features could be a reminiscence of a significant risk aversion of the investors and their finite number, respectively. However, this means that the

  5. Sandia National Laboratories: Sandia inks pact with Fire and Rescue

    Science.gov Websites

    ; Technology Defense Systems & Assessments About Defense Systems & Assessments Program Areas Robotics R&D 100 Awards Laboratory Directed Research & Development Technology Deployment Centers Audit Sandia's Economic Impact Licensing & Technology Transfer Browse Technology Portfolios

  6. Two baselines are better than one: Improving the reliability of computerized testing in sports neuropsychology.

    PubMed

    Bruce, Jared; Echemendia, Ruben; Tangeman, Lindy; Meeuwisse, Willem; Comper, Paul; Hutchison, Michael; Aubry, Mark

    2016-01-01

    Computerized neuropsychological tests are frequently used to assist in return-to-play decisions following sports concussion. However, due to concerns about test reliability, the Centers for Disease Control and Prevention recommends yearly baseline testing. The standard practice that has developed in baseline/postinjury comparisons is to examine the difference between the most recent baseline test and postconcussion performance. Drawing from classical test theory, the present study investigated whether temporal stability could be improved by taking an alternate approach that uses the aggregate of 2 baselines to more accurately estimate baseline cognitive ability. One hundred fifteen English-speaking professional hockey players with 3 consecutive Immediate Postconcussion Assessment and Testing (ImPACT) baseline tests were extracted from a clinical program evaluation database overseen by the National Hockey League and National Hockey League Players' Association. The temporal stability of ImPACT composite scores was significantly increased by aggregating test performance during Sessions 1 and 2 to predict performance during Session 3. Using this approach, the 2-factor Memory (r = .72) and Speed (r = .79) composites of ImPACT showed acceptable long-term reliability. Using the aggregate of 2 baseline scores significantly improves temporal stability and allows for more accurate predictions of cognitive change following concussion. Clinicians are encouraged to estimate baseline abilities by taking into account all of an athlete's previous baseline scores.

  7. Patient-centered medical home implementation and primary care provider turnover.

    PubMed

    Sylling, Philip W; Wong, Edwin S; Liu, Chuan-Fen; Hernandez, Susan E; Batten, Adam J; Helfrich, Christian D; Nelson, Karin; Fihn, Stephan D; Hebert, Paul L

    2014-12-01

    The Veterans Health Administration (VHA) began implementing a patient-centered medical home (PCMH) model of care delivery in April 2010 through its Patient Aligned Care Team (PACT) initiative. PACT represents a substantial system reengineering of VHA primary care and its potential effect on primary care provider (PCP) turnover is an important but unexplored relationship. This study examined the association between a system-wide PCMH implementation and PCP turnover. This was a retrospective, longitudinal study of VHA-employed PCPs spanning 29 calendar quarters before PACT and eight quarters of PACT implementation. PCP employment periods were identified from administrative data and turnover was defined by an indicator on the last quarter of each uncensored period. An interrupted time series model was used to estimate the association between PACT and turnover, adjusting for secular trend and seasonality, provider and job characteristics, and local unemployment. We calculated average marginal effects (AME), which reflected the change in turnover probability associated with PACT implementation. The quarterly rate of PCP turnover was 3.06% before PACT and 3.38% after initiation of PACT. In adjusted analysis, PACT was associated with a modest increase in turnover (AME=4.0 additional PCPs per 1000 PCPs per quarter, P=0.004). Models with interaction terms suggested that the PACT-related change in turnover was increasing in provider age and experience. PACT was associated with a modest increase in PCP turnover, concentrated among older and more experienced providers, during initial implementation. Our findings suggest that policymakers should evaluate potential workforce effects when implementing PCMH.

  8. The relationship among neurocognitive performances and biopsychosocial characteristics of elite National Football League draft picks: an exploratory investigation.

    PubMed

    Solomon, Gary S; Haase, Richard F; Kuhn, Andrew

    2013-02-01

    Sports neuropsychology has emerged as a specialty area within the field of clinical neuropsychology. The role of the sports neuropsychologist, rooted in baseline and post-concussion testing, has evolved to include other clinical domains, including the clinical assessment of potential draft picks. There is no published information on the neurocognitive characteristics of these draft picks. We sought to determine whether elite NFL draft picks differed from NFL roster athletes on neurocognitive (ImPACT) and biopsychosocial characteristics, and given that no published data exists for this population, adopted null hypotheses. Null hypotheses were rejected for two of the four ImPACT scores, as elite draft picks scored higher on measures of visual motor speed and reaction time than roster NFL athletes. Subtle but distinct neurocognitive differences are noted when comparing elite NFL draft picks with norms from a cumulative roster of a single NFL team.

  9. Novel Passive Clearing Methods for the Rapid Production of Optical Transparency in Whole CNS Tissue.

    PubMed

    Woo, Jiwon; Lee, Eunice Yoojin; Park, Hyo-Suk; Park, Jeong Yoon; Cho, Yong Eun

    2018-05-08

    Since the development of CLARITY, a bioelectrochemical clearing technique that allows for three-dimensional phenotype mapping within transparent tissues, a multitude of novel clearing methodologies including CUBIC (clear, unobstructed brain imaging cocktails and computational analysis), SWITCH (system-wide control of interaction time and kinetics of chemicals), MAP (magnified analysis of the proteome), and PACT (passive clarity technique), have been established to further expand the existing toolkit for the microscopic analysis of biological tissues. The present study aims to improve upon and optimize the original PACT procedure for an array of intact rodent tissues, including the whole central nervous system (CNS), kidneys, spleen, and whole mouse embryos. Termed psPACT (process-separate PACT) and mPACT (modified PACT), these novel techniques provide highly efficacious means of mapping cell circuitry and visualizing subcellular structures in intact normal and pathological tissues. In the following protocol, we provide a detailed, step-by-step outline on how to achieve maximal tissue clearance with minimal invasion of their structural integrity via psPACT and mPACT.

  10. Selected Compendium of Student Research. Volume 1

    DTIC Science & Technology

    1990-01-01

    ending that violence in Colombia. This began with the establishment of the National Front, the political pact that ended la violencia , the conflict...revolutionary language of an indigenous Jamaican religious movement--the Rastafarians. Most people, even if they are familiar with the term Rastafarians

  11. Quarter Modernization of Construction Residential "New Praga" in Warsaw - Risks and Possibilities/ Modernizacja Kwartału Zabudowy Mieszkaniowej "Nowej Pragi" W Warszawie, Zagrożenia I Możliwości

    NASA Astrophysics Data System (ADS)

    Majewska, Anna; Denis, Małgorzata

    2015-06-01

    The district "New Praga" is located on the right-bank of Warsaw in North Praga which is one of the oldest districts of the city. The citizens of this district, where an analyzed building quarter is located, are people with a lower social status than the rest of Warsaw's population, who benefit from the social assistance (30%); moreover, there are a large number of crimes and high unemployment among young people in this area. These data show how difficult is to modernize this area because the improvement of a construction tissue is not enough to fully help the local community. Financial resources are needed to increase the level of education that allows finding new jobs and improves the quality of life. Afterwards, the modernization of tenements should be taken care for. Rejon "Nowa Praga" usytuowany jest na Pradze Północ, która jest jedną z najstarszych dzielnic miasta. Mieszkańcy tego rejonu, w którym usytuowany jest analizowany kwartał zabudowy, to osoby często o niższym statusie społecznym niż reszta ludności stolicy. Często są to enklawy biedy, bezrobocia i przestępczości. Teren ten jest trudny do modernizacji, ponieważ poprawa tkanki budowlanej, to nie wszystko, aby w pełni pomóc społeczności lokalnej. Potrzebne są środki finansowe również na działania społeczne, które umożliwią mieszkańcom na poprawę jakości życia. W artykule przedstawiono propozycję modernizacji wybranego kwartału zabudowy, co wymaga interdyscyplinarnego podejścia do danego zagadnienia.

  12. Protection of Children's Human Rights and Health: A Legacy of Julian Kramsztyk, Janusz Korczak, and Ludwik Rajchman.

    PubMed

    Woltanowski, Piotr; Wincewicz, Andrzej; Sulkowski, Stanisław

    2018-01-01

    Tutor of generations of Warsaw medical doctors, Julian Kramsztyk (1851-1926) was son of Rabbi Izaak Kramsztyk, Polish patriot and fighter for independent Poland. Julian Kramsztyk graduated in medicine from Warsaw University in 1873 to soon work as a supervisor of the Internal Diseases Department of Bersohns and Baumans Children's Hospital from 1878 to 1910, and despite of refusing professorship from Imperial Warsaw University, he worked as a lecturer of pediatric disorders from 1880 with strong association of his medical practice with scientific and editorial tasks as well as engaging in charity. This article focuses on selective retrieval of biographical data of social and scientific achievements of followers of Julian Kramsztyk: his student, pioneer of children human rights, and pioneer of healthy patterns of nutrition of children, pediatrician Janusz Korczak (Henryk Goldszmit; 1878 or 1879-1942); and a skilled bacteriologist and a brilliant epidemiologist who was a prominent activist of the League of Nations (later United Nations Organization), cofounder of the UNICEF (United Nations Children's Emergency Fund), and the first chairman of the Organization from 1946 to 1950, which was primarily dedicated to "provide emergency food and health care to children in postwar time," Ludwik Rajchman (1881-1965). Janusz Korczak works laid foundation for international recognition of children rights to health, respect, education, privacy, and all the other human rights to be included in the United Nations Convention on the Rights of the Child (UNCRC). In 1989, nutrition and vaccination issues were the main medical interests of these medical doctors and still remain major fields of UNICEF actions.

  13. Molecular Analysis of VanA Outbreak of Enterococcus faecium in Two Warsaw Hospitals: The Importance of Mobile Genetic Elements

    PubMed Central

    Wardal, Ewa; Markowska, Katarzyna; Żabicka, Dorota; Wróblewska, Marta; Giemza, Małgorzata; Mik, Ewa; Połowniak-Pracka, Hanna; Woźniak, Agnieszka; Hryniewicz, Waleria; Sadowy, Ewa

    2014-01-01

    Vancomycin-resistant Enterococcus faecium represents a growing threat in hospital-acquired infections. Two outbreaks of this pathogen from neighboring Warsaw hospitals have been analyzed in this study. Pulsed-field gel electrophoresis (PFGE) of SmaI-digested DNA, multilocus VNTR analysis (MLVA), and multilocus sequence typing (MLST) revealed a clonal variability of isolates which belonged to three main lineages (17, 18, and 78) of nosocomial E. faecium. All isolates were multidrug resistant and carried several resistance, virulence, and plasmid-specific genes. Almost all isolates shared the same variant of Tn1546 transposon, characterized by the presence of insertion sequence ISEf1 and a point mutation in the vanA gene. In the majority of cases, this transposon was located on 50 kb or 100 kb pRUM-related plasmids, which lacked, however, the axe-txe toxin-antitoxin genes. 100 kb plasmid was easily transferred by conjugation and was found in various clonal backgrounds in both institutions, while 50 kb plasmid was not transferable and occurred solely in MT159/ST78 strains that disseminated clonally in one institution. Although molecular data indicated the spread of VRE between two institutions or a potential common source of this alert pathogen, epidemiological investigations did not reveal the possible route by which outbreak strains disseminated. PMID:25003118

  14. Contextual Analysis of the Decision To Adopt a Regional Satellite System: The Case of the Andean CONDOR.

    ERIC Educational Resources Information Center

    Ferreira, Leonardo; Mody, Bella

    Acknowledging the importance of communications in economic development, this paper discusses the rationale behind the decision of the Andean Pact nations of Bolivia, Colombia, Ecuador, Peru, and Venezuela to develop a regional satellite communication system to be known as CONDOR. The application of contextual theorizing to the decision-making…

  15. [Sanitation of the health service centre in Warsaw (Samodzielny Zespół Publicznych Zakładów Lecznictwa Otwartego Warszawa-Mokotów). Financial and economic analysis].

    PubMed

    Buczak-Stec, Elzbieta

    2010-01-01

    The aim of the financial and economic analysis, conducted in March 2010, was to identify all significant factors that had a positive influence on the restructuring process in the health service centre (Samodzielny Zespół Publicznych Zakładów Lecznictwa Otwartego Warszawa--Mokotów) in Warsaw. Within the framework of the analysis, financial data form time period 1999-2009 were analyzed. Also the managing director and financial director were interviewed. Taking into consideration research results it can be stated that not a single factor but a collection of the purposeful efforts influenced the improvement of the health service centre condition. Apart from received public help, the most significant factors include: rational restructuring process, managing of personnel development, professionally managed financial department, cooperation between departments, good internal communication and use of modern management techniques.

  16. Application of instrumental neutron activation and X-ray fluorescence analysis to the examination of objects of art

    NASA Astrophysics Data System (ADS)

    Panczyk, E.; Ligeza, M.; Walis, L.

    1999-01-01

    In the Institute of Nuclear Chemistry and Technology in Warsaw in collaboration with the Department of Preservation and Restoration of Works of Art of the Academy of Fine Arts in Cracow and National Museum in Warsaw systematic studies using nuclear methods, particulary instrumental neutron activation analysis and X-ray fluorescence analysis, have been carried out on the panel paintings from the Krakowska- Nowosadecka School and Silesian School of the period from the XIV-XVII century, Chinese and Thai porcelains and mummies fillings of Egyptian sarcophagi. These studies will provide new data to the existing data base, will permit to compare materials used by various schools and individual artists.

  17. Platelet-activated clotting time does not measure platelet reactivity during cardiac surgery.

    PubMed

    Shore-Lesserson, L; Ammar, T; DePerio, M; Vela-Cantos, F; Fisher, C; Sarier, K

    1999-08-01

    Platelet dysfunction is a major contributor to bleeding after cardiopulmonary bypass (CPB), yet it remains difficult to diagnose. A point-of-care monitor, the platelet-activated clotting time (PACT), measures accelerated shortening of the kaolin-activated clotting time by addition of platelet activating factor. The authors sought to evaluate the clinical utility of the PACT by conducting serial measurements of PACT during cardiac surgery and correlating postoperative measurements with blood loss. In 50 cardiac surgical patients, blood was sampled at 10 time points to measure PACT. Simultaneously, platelet reactivity was measured by the thrombin receptor agonist peptide-induced expression of P-selectin, using flow cytometry. These tests were temporally analyzed. PACT values, P-selectin expression, and other coagulation tests were analyzed for correlation with postoperative chest tube drainage. PACT and P-selectin expression were maximally reduced after protamine administration. Changes in PACT did not correlate with changes in P-selectin expression at any time interval. Total 8-h chest tube drainage did not correlate with any coagulation test at any time point except with P-selectin expression after protamine administration (r = -0.4; P = 0.03). The platelet dysfunction associated with CPB may be a result of depressed platelet reactivity, as shown by thrombin receptor activating peptide-induced P-selectin expression. Changes in PACT did not correlate with blood loss or with changes in P-selectin expression suggesting that PACT is not a specific measure of platelet reactivity.

  18. Protection of Children’s Human Rights and Health: A Legacy of Julian Kramsztyk, Janusz Korczak, and Ludwik Rajchman

    PubMed Central

    Woltanowski, Piotr; Wincewicz, Andrzej; Sulkowski, Stanisław

    2018-01-01

    Tutor of generations of Warsaw medical doctors, Julian Kramsztyk (1851-1926) was son of Rabbi Izaak Kramsztyk, Polish patriot and fighter for independent Poland. Julian Kramsztyk graduated in medicine from Warsaw University in 1873 to soon work as a supervisor of the Internal Diseases Department of Bersohns and Baumans Children’s Hospital from 1878 to 1910, and despite of refusing professorship from Imperial Warsaw University, he worked as a lecturer of pediatric disorders from 1880 with strong association of his medical practice with scientific and editorial tasks as well as engaging in charity. This article focuses on selective retrieval of biographical data of social and scientific achievements of followers of Julian Kramsztyk: his student, pioneer of children human rights, and pioneer of healthy patterns of nutrition of children, pediatrician Janusz Korczak (Henryk Goldszmit; 1878 or 1879-1942); and a skilled bacteriologist and a brilliant epidemiologist who was a prominent activist of the League of Nations (later United Nations Organization), cofounder of the UNICEF (United Nations Children’s Emergency Fund), and the first chairman of the Organization from 1946 to 1950, which was primarily dedicated to “provide emergency food and health care to children in postwar time,” Ludwik Rajchman (1881-1965). Janusz Korczak works laid foundation for international recognition of children rights to health, respect, education, privacy, and all the other human rights to be included in the United Nations Convention on the Rights of the Child (UNCRC). In 1989, nutrition and vaccination issues were the main medical interests of these medical doctors and still remain major fields of UNICEF actions. PMID:29383326

  19. The Foundation of the Turkish National Student Union and the Attendance of the International Student Union at the Second Warsaw Congress

    ERIC Educational Resources Information Center

    Batir, Betül

    2017-01-01

    In the early twentieth century many countries across the world established national student unions and sent representatives to the International Student Union. Believing this to be a fundamental need in a globalising world, the new Turkish state did not wait long before joining this union. In fact, several student associations in Turkey attended…

  20. Theoretical and practical outline of the Copenhagen PACT narrative-based exercise counselling manual to promote physical activity in post-therapy cancer survivors.

    PubMed

    Midtgaard, Julie

    2013-02-01

    Sedentary behaviour and reduced exercise capacity are potential persisting effects of anti-cancer therapy that may predispose to serious health conditions. It is well-established that physical exercise may prevent some of these problems. However, the extent to which cancer survivors are able to adopt long-term physical activity habits depends largely on their motivation. This theoretical paper aims to outline how researchers and practitioners can draw from Antonovsky's salutogenetic theory and White & Epston's Narrative Therapy to develop and implement intervention efforts centered on promotion of long-term physical activity behaviour, while at the same time increasing the individual cancer survivor's sense of meaning and personal health resources. The Copenhagen PACT (Physical Activity after Cancer Treatment) Study targeting adoption and maintenance of regular physical activity in post-therapy cancer survivors is briefly presented including a brief review of the theoretical rationale behind the psychological component of the intervention, i.e. a narrative-based exercise counselling programme. Subsequently, particular attention is given to the core principles, different components and structure of the counselling manual including sample questions and examples of written documents that have emanated from the individual counselling sessions. The discussion includes consideration of some methodological challenges that arise when attempting to evaluate narrative-based interventions in the context of physical activity promotion in cancer rehabilitation and survivorship care.

  1. Genetic Identification of Communist Crimes' Victims (1944-1956) Based on the Analysis of One of Many Mass Graves Discovered on the Powazki Military Cemetery in Warsaw, Poland.

    PubMed

    Ossowski, Andrzej; Diepenbroek, Marta; Kupiec, Tomasz; Bykowska-Witowska, Milena; Zielińska, Grażyna; Dembińska, Teresa; Ciechanowicz, Andrzej

    2016-11-01

    As the result of the communist terror in Poland, during years 1944-1956 more than 50,000 people died. Their bodies were buried secretly, and most places are still unknown. The research presents the results of identification of people buried in one of many mass graves, which were found at the cemetery Powązki Military in Warsaw, Poland. Exhumation revealed the remains of eight people, among which seven were identified genetically. Well-preserved molars were used for the study. Reference material was collected from the closest living relatives. In one case, an exhumation of victim's parents had to be performed. DNA from swabs was extracted with a PrepFiler ® BTA Forensic DNA Extraction Kit and organic method. Autosomal, Y-STR amplification, and mtDNA sequencing were performed. The biostatistical calculations resulted in LR values from 1608 to 928 × 10 18 . So far, remains of more than 50 victims were identified. © 2016 American Academy of Forensic Sciences.

  2. Researching Together: A CTSA Partnership of Academicians and Communities for Translation

    PubMed Central

    Nearing, Kathryn; Felzien, Maret; Green, Larry; Calonge, Ned; Pineda‐Reyes, Fernando; Jones, Grant; Tamez, Montelle; Miller, Sara; Kramer, Andrew

    2013-01-01

    Abstract Background The Colorado Clinical and Translational Sciences Institute (CCTSI) aims to translate discovery into clinical practice. The Partnership of Academicians and Communities for Translation (PACT) represents a robust campus–community partnership. Methods The CCTSI collected data on all PACT activities including meeting notes, staff activity logs, stakeholder surveys and interviews, and several key component in‐depth evaluations. Data analysis by Evaluation and Community Engagement Core and PACT Council members identified critical shifts that changed the trajectory of community engagement efforts. Results Ten “critical shifts” in six broad rubrics created change in the PACT. Critical shifts were decision points in the development of the PACT that represented quantitative and qualitative changes in the work and trajectory. Critical shifts occurred in PACT management and leadership, financial control and resource allocation, and membership and voice. Discussion The development of a campus–community partnership is not a smooth linear path. Incremental changes lead to major decision points that represent an opportunity for critical shifts in developmental trajectory. We provide an enlightening, yet cautionary, tale to others considering a campus–community partnership so they may prepare for crucial decisions and critical shifts. The PACT serves as a genuine foundational platform for dynamic research efforts aimed at eliminating health disparities. PMID:24127922

  3. Occurrence of immunosuppressive drugs and their metabolites in the sewage-impacted Vistula and Utrata Rivers and in tap water from the Warsaw region (Poland).

    PubMed

    Giebułtowicz, Joanna; Nałęcz-Jawecki, Grzegorz

    2016-04-01

    Immunosuppresive therapy following organ transplant frequently includes treatment with tacrolimus and mycophenolic acid derivatives. These pharmaceuticals may enter the environment through wastewater treatment plant (WWTP) effluents and may have a potentially harmful effect on aquatic biota. Tacrolimus, mycophenolic acid and their metabolites were measured at specific points of a large Polish river (Vistula), a smaller river (Utrata) and in tap water samples from the Warsaw region. Analysis was performed using liquid chromatography tandem mass spectrometry, after solid phase extraction for water samples, or QuEChERS extraction for sediments. Residues of tacrolimus were below quantitation limits in both water and sediment samples. However, in water samples mycophenolic acid concentrations were measured at up to 180 ng L(-1) downstream of WWTP outfalls. No immunosuppressive drugs were detected in tap water. Concentrations of mycophenolic acid exceeded the predicted no effect concentration (PNEC) value in some Polish surface water, and risk calculations predicted at least twice higher concentrations in some other countries of the European Union. To the best of the authors' knowledge, this is the first report of these immunosuppressive drug concentrations in the environment. Copyright © 2016 Elsevier Ltd. All rights reserved.

  4. WE-FG-BRA-01: Cancer Treatment Utilizing Photo-Activation of Psoralen with KV X-Rays

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

    Oldham, M; Yoon, S; Meng, B

    Purpose: This work investigates X-PACT (X-ray Psoralen Activated Cancer Therapy): a new approach for the treatment of cancer. X-PACT utilizes psoralen, a potent anti-cancer therapeutic with immunogenic anti-cancer potential. Psoralen therapies have been limited due to the requirement for psoralen activation by UVA light. X-PACT solves this challenge by activating psoralen with UV light emitted from novel non-tethered phosphors (co-incubated with psoralen) that absorb x-rays and reradiate (phosphoresce) at UV wavelengths. Methods: The efficacy of X-PACT was evaluated in both in-vitro and in-vivo settings. In-vitro studies utilized breast (4T1), glioma (CT2A) and sarcoma (KP-B) cell lines. Cells were exposed tomore » X-PACT treatments where the concentrations of drug (psoralen and phosphor) and radiation parameters (energy, dose, and dose rate) were varied. Efficacy was evaluated primarily using flow cell cytometry to investigate treatment induced apoptosis. Methylene blue staining, and WST assays were also used. X-PACT was then evaluated in an in-vivo pilot study on BALBc mice with syngeneic 4T1 tumors, including control arms for X-PACT components. Analysis focused on tumor growth delay. Results: A multivariable regression analysis of 36 independent in-vitro irradiation experiments demonstrated that X-PACT induces significant tumor cell apoptosis and cytotoxicity on all three tumor cell lines in-vitro (p<0.0001). Neither psoralen nor phosphor alone had a strongly significant effect. The in-vivo studies show a pronounced tumor growth delay when compared to controls (42% reduction at 25 days, p=0.0002). Conclusions: These studies demonstrate for the first time a therapeutic effect for X-PACT, and provide a foundation and rationale for future studies. X-PACT represents a novel treatment approach in which well-tolerated low doses of x-ray radiation generate UVA light in-situ (including deep seated lesions) which in-turn photo-activates powerful anticancer therapeutics

  5. Reservoir development in bryozoan bafflestone facies of the Ullin (Warsaw) Limestone (Middle Mississippian) in the Illinois basin

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

    Lasemi, Z.; Treworgy, J.D.; Norby, R.D.

    1994-08-01

    Recent drilling in Enfield South and Johnsonville fields in southern Illinois has encountered prolific petroleum-producing zones within the Ullin (Warsaw) Limestone. This and large cumulative production from a number of older wells in the Illinois basin indicate that the Ullin has greater reservoir potential than previously recognized. The Ullin reservoir facies is mainly a fenestrate bryozoan-dominated bafflestone developed on the flanks of Waulsortian-type mud mounds or on transported skeletal sand buildups. Subsurface geology and petrography reveal such porous bryozoan bafflestone facies (some with shows of oil) at various horizons within the Ullin. However, in part because of water problems inmore » some areas, only the upper part of the Ullin has been tested thus far and, as a result, significant reservoirs in the deeper part of the unit may have been missed. Preliminary data indicate several facies in the Ullin that vary in their aerial distribution in the basin. These facies include (1) skeletal sand-wave facies and/or bryozoan bafflestone in the upper Ullin, (2) bryozoan bafflestone with a dense Waulsortian mud mound core, (3) thick bryozoan bafflestone over a skeletal grainstone facies, and (4) thick mud mound-dominated facies with thin porous flanking bafflestone/grainstone facies. Areas with facies type 1 and 2 have the highest potential for commercial reservoir development. Facies type 3, although quite porous, is commonly wet, and the porous facies type 4 may be localized and not extensive enough to be commercial. Petrographic examination shows excellent preservation of primary intra- and interparticle porosities within the bryozoan bafflestone facies. The generally stable original mineralogy prevented extensive dissolution-reprecipitation and occlusion of porosity. Further, the stable mineralogy and minor early marine cementation prevented later compaction and burial diagenesis.« less

  6. The Warsaw breakage syndrome-related protein DDX11 is required for ribosomal RNA synthesis and embryonic development.

    PubMed

    Sun, Xinliang; Chen, Hongbo; Deng, Zaian; Hu, Bo; Luo, Hui; Zeng, Xiaobin; Han, Liqiao; Cai, Guoping; Ma, Lan

    2015-09-01

    DDX11 was recently identified as a cause of Warsaw breakage syndrome (WABS). However, the functional mechanism of DDX11 and the contribution of clinically described mutations to the pathogenesis of WABS are elusive. Here, we show that DDX11 is a novel nucleolar protein that preferentially binds to hypomethylated active ribosomal DNA (rDNA) gene loci, where it interacts with upstream binding factor (UBF) and the RNA polymerase I (Pol I). DDX11 knockdown changed the epigenetic state of rDNA loci from euchromatic structures to more heterochromatic structures, reduced the activity of UBF, decreased the recruitment of UBF and RPA194 (a subunit of Pol I) to rDNA promoter, suppressed rRNA transcription and thereby inhibited growth and proliferation of HeLa cells. Importantly, two indentified WABS-derived mutants, R263Q and K897del, and a Fe-S deletion construct demonstrated significantly reduced binding abilities to rDNA promoters and lowered DNA-dependent ATPase activities compared with wild-type DDX11. Knockdown of the zebrafish ortholog of human DDX11 by morpholinos resulted in growth retardation and vertebral and craniofacial malformations in zebrafish, concomitant with the changes in histone epigenetic modifications at rDNA loci, the reduction of Pol I recruitment to the rDNA promoter and a significant decrease in nascent pre-RNA levels. These growth disruptions in zebrafish in response to DDX11 reduction showed similarities to the clinically described developmental abnormalities found in WABS patients for the first time in any vertebrate. Thus, our results indicate that DDX11 functions as a positive regulator of rRNA transcription and provides a novel insight into the pathogenesis of WABS. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  7. [National plan for prevention in agriculture state of art and prosecution].

    PubMed

    Ariano, Eugenio

    2013-01-01

    Agricultural work submits to high risks for safety and health. In 2009, in execution of "workplace health protection pact" (DPCM 17.12.2007), has been defined the National Plan for prevention in agriculture and forestry, whose first three-year program ended in 2012. Goals were: to Systematize and to standardize direction and control activity, defining the number of factories to control, in most italian regions, for high and ubiquitous risks applying homogeneous standards, spending special attention to risks of fatal and serious injury; to develop agricultural machinery trade control, for new and second-hand machinery, for normalizing the whole fleet; to contribute to monitoring of risk factors and injury dynamics, for a better definition of prevention policies; to increase the knowledge of public health agency officers; to identify and to promote technical solutions, helping to define, in proper way, good practices for complex problems; to promote coordination between economic develop policies and prevention policies for agriculture, breeding and forestry, paying attention also to financial helps. The plan, divided in regional plans, obtained most of defined goals and allowed to build a permanent interregional net of referents and expert officers. Next years perspective is to enhance in developing the faced themes and objectives.

  8. Solving "Smart City" Transport Problems by Designing Carpooling Gamification Schemes with Multi-Agent Systems: The Case of the So-Called "Mordor of Warsaw".

    PubMed

    Olszewski, Robert; Pałka, Piotr; Turek, Agnieszka

    2018-01-06

    To reduce energy consumption and improve residents' quality of life, "smart cities" should use not only modern technologies, but also the social innovations of the "Internet of Things" (IoT) era. This article attempts to solve transport problems in a smart city's office district by utilizing gamification that incentivizes the carpooling system. The goal of the devised system is to significantly reduce the number of cars, and, consequently, to alleviate traffic jams, as well as to curb pollution and energy consumption. A representative sample of the statistical population of people working in one of the biggest office hubs in Poland (the so-called "Mordor of Warsaw") was surveyed. The collected data were processed using spatial data mining methods, and the results were a set of parameters for the multi-agent system. This approach made it possible to run a series of simulations on a set of 100,000 agents and to select an effective gamification methodology that supports the carpooling process. The implementation of the proposed solutions (a "serious game" variation of urban games) would help to reduce the number of cars by several dozen percent, significantly reduce energy consumption, eliminate traffic jams, and increase the activity of the smart city residents.

  9. Joint reconstruction of the initial pressure and speed of sound distributions from combined photoacoustic and ultrasound tomography measurements

    NASA Astrophysics Data System (ADS)

    Matthews, Thomas P.; Anastasio, Mark A.

    2017-12-01

    The initial pressure and speed of sound (SOS) distributions cannot both be stably recovered from photoacoustic computed tomography (PACT) measurements alone. Adjunct ultrasound computed tomography (USCT) measurements can be employed to estimate the SOS distribution. Under the conventional image reconstruction approach for combined PACT/USCT systems, the SOS is estimated from the USCT measurements alone and the initial pressure is estimated from the PACT measurements by use of the previously estimated SOS. This approach ignores the acoustic information in the PACT measurements and may require many USCT measurements to accurately reconstruct the SOS. In this work, a joint reconstruction method where the SOS and initial pressure distributions are simultaneously estimated from combined PACT/USCT measurements is proposed. This approach allows accurate estimation of both the initial pressure distribution and the SOS distribution while requiring few USCT measurements.

  10. Interobserver reliability of the prism and alternate cover test in children with esotropia.

    PubMed

    2009-01-01

    To determine 95% limits of agreement on a measurement and on a difference between 2 measurements for the prism and alternate cover test (PACT) at distance and at near fixation. In a test-retest reliability study, 143 children aged 60 months or younger with esotropia were examined by 2 masked examiners on 1 or 2 occasions yielding 199 test-retest pairs for PACT at distance fixation and 239 test-retest pairs for PACT at near fixation. For angles greater than 20 prism diopters (PD), the 95% limits of agreement on a measurement and on a difference between 2 measurements were +/-7.3 PD and +/-10.4 PD, respectively, for PACT at distance and +/-8.3 PD and +/-11.7 PD, respectively, for PACT at near. For angles of 10 to 20 PD, the 95% limits of agreement on a measurement and on a difference between 2 measurements were +/-4.1 PD and +/-5.8 PD, respectively, for PACT at distance and +/-3.3 PD and +/-4.7 PD, respectively, for PACT at near. In childhood esotropia, differences of 12 PD or more for angles greater than 20 PD and differences of 6 PD or more for angles between 10 PD and 20 PD are likely to indicate real change. Smaller differences could be real change but could also be due to measurement error.

  11. Cluster randomized trial of a multilevel evidence-based quality improvement approach to tailoring VA Patient Aligned Care Teams to the needs of women Veterans.

    PubMed

    Yano, Elizabeth M; Darling, Jill E; Hamilton, Alison B; Canelo, Ismelda; Chuang, Emmeline; Meredith, Lisa S; Rubenstein, Lisa V

    2016-07-19

    The Veterans Health Administration (VA) has undertaken a major initiative to transform care through implementation of Patient Aligned Care Teams (PACTs). Based on the patient-centered medical home (PCMH) concept, PACT aims to improve access, continuity, coordination, and comprehensiveness using team-based care that is patient-driven and patient-centered. However, how VA should adapt PACT to meet the needs of special populations, such as women Veterans (WVs), was not considered in initial implementation guidance. WVs' numerical minority in VA healthcare settings (approximately 7-8 % of users) creates logistical challenges to delivering gender-sensitive comprehensive care. The main goal of this study is to test an evidence-based quality improvement approach (EBQI) to tailoring PACT to meet the needs of WVs, incorporating comprehensive primary care services and gender-specific care in gender-sensitive environments, thereby accelerating achievement of PACT tenets for women (Women's Health (WH)-PACT). EBQI is a systematic approach to developing a multilevel research-clinical partnership that engages senior organizational leaders and local quality improvement (QI) teams in adapting and implementing new care models in the context of prior evidence and local practice conditions, with researchers providing technical support, formative feedback, and practice facilitation. In a 12-site cluster randomized trial, we will evaluate WH-PACT model achievement using patient, provider, staff, and practice surveys, in addition to analyses of secondary administrative and chart-based data. We will explore impacts of receipt of WH-PACT care on quality of chronic disease care and prevention, health status, patient satisfaction and experience of care, provider experience, utilization, and costs. Using mixed methods, we will assess pre-post practice contexts; document EBQI activities undertaken in participating facilities and their relationship to provider/staff and team actions

  12. Safety and efficacy of preoperative or postoperative chemotherapy for resectable pancreatic adenocarcinoma (PACT-15): a randomised, open-label, phase 2-3 trial.

    PubMed

    Reni, Michele; Balzano, Gianpaolo; Zanon, Silvia; Zerbi, Alessandro; Rimassa, Lorenza; Castoldi, Renato; Pinelli, Domenico; Mosconi, Stefania; Doglioni, Claudio; Chiaravalli, Marta; Pircher, Chiara; Arcidiacono, Paolo Giorgio; Torri, Valter; Maggiora, Paola; Ceraulo, Domenica; Falconi, Massimo; Gianni, Luca

    2018-06-01

    Pancreatic ductal adenocarcinoma are known to metastasise early and a rationale exists for the investigation of preoperative chemotherapy in patients with resectable disease. We aimed to assess the role of combination chemotherapy in this setting in the PACT-15 trial. We did this randomised, open-label, phase 2-3 trial in ten hospitals in Italy. We report the phase 2 part here. Patients aged 18-75 years who were previously untreated for pancreatic ductal adenocarcinoma, with Karnofsky performance status of more than 60, and pathologically confirmed stage I-II resectable disease were enrolled. Patients were randomly assigned (1:1:1), with a minimisation algorithm that stratified treatment allocation by centre and concentrations of carbohydrate antigen 19-9 (CA19-9 ≤5 × upper limit of normal [ULN] vs >5 × ULN), to receive surgery followed by adjuvant gemcitabine 1000 mg/m 2 on days 1, 8, 15 every 4 weeks for six cycles (arm A), surgery followed by six cycles of adjuvant PEXG (cisplatin 30 mg/m 2 , epirubicin 30 mg/m 2 , and gemcitabine 800 mg/m 2 on days 1 and 15 every 4 weeks and capecitabine 1250 mg/m 2 on days 1-28; arm B), or three cycles of PEXG before and three cycles after surgery (arm C). Patients and investigators who gave treatments or assessed outcomes were not masked to treatment allocation. The primary endpoint was the proportion of patients who were event-free at 1 year. The primary endpoint was analysed in the per-protocol population. Safety analysis was done for all patients receiving at least one dose of study treatment. The trial is registered with ClinicalTrials.gov, number NCT01150630. Between Oct 5, 2010, and May 30, 2015, 93 patients were randomly allocated to treatment. One centre was found to be non-compliant with the protocol, and all five patients at this centre were excluded from the study. Thus, 88 patients were included in the final study population: 26 in group A, 30 in group B, and 32 in group C. In the per

  13. Development of the Japanese Version of the Psychosocial Assessment of Candidates for Transplantation in Allogeneic Hematopoietic Stem Cell Transplantation.

    PubMed

    Harashima, Saki; Yoneda, Ryo; Horie, Takeshi; Kayano, Mami; Fujioka, Yosei; Nakamura, Fumihiko; Kurokawa, Mineo; Yoshiuchi, Kazuhiro

    The Psychosocial Assessment of Candidates for Transplantation (PACT) is a validated instrument for evaluating psychosocial risk factors in transplant candidates. This study examined reliability and validity of the Japanese version of the PACT (J-PACT). PACT is a clinician-rated scale consisting of an initial rating, 8 subscales, and a final rating. J-PACT was developed through a translation and back-translation procedure. Seventy adult patients who underwent allogeneic hematopoietic stem cell transplant between April 2009 and December 2013 received retrospective J-PACT ratings based on medical records. Interrater reliability and concurrent validity with Hospital Anxiety and Depression Scale (HADS) and Profile of Mood Status (POMS) scores were assessed. Interrater reliability for each J-PACT item was generally high, ranging from 0.53 (drug and alcohol use)-0.93 (support stability). The concurrent validity analyses revealed the following significant relationships (p < 0.05). Higher support stability was associated with lower HADS depression (p = 0.02), POMS anger (p = 0.001), POMS fatigue (p = 0.03), and POMS confusion (p = 0.01) scores. Higher support availability was associated with lower POMS anger scores (p = 0.01). More suitable personality was associated with lower HADS anxiety (p = 0.04) and HADS depression (p = 0.048) scores. Better scores on lifestyle factors and alcohol use were both associated with lower POMS confusion scores (p = 0.01, 0.04, respectively). Better final rating was associated with lower HADS anxiety (p = 0.03) and HADS depression (p = 0.02) scores. J-PACT was reliable and valid, although further study is needed to confirm these findings. Copyright © 2017 The Academy of Psychosomatic Medicine. Published by Elsevier Inc. All rights reserved.

  14. Family eczema-history in 2-year olds with eczema; a prospective, population-based study. The PACT-study, Norway

    PubMed Central

    2011-01-01

    Background A maternal line of inheritance regarding eczema has been described in several studies, whereas others find associations to both a maternal as well as a paternal line of inheritance. When studying family history of eczema symptoms, cohort studies including siblings are rare. Time point for assessing family eczema-history could be of importance when studying the associations between family eczema-history and children with eczema, as parents with unaffected children may not recall mild symptoms in other siblings or their own disease history. We therefore aimed to study the associations between reported eczema in mother, father and siblings and reported eczema in index child where information on family history was collected at two different ages of index child. Methods Parents/children participating in The Prevention of Allergy among Children in Trondheim (PACT) study were given questionnaires on reported eczema symptoms in mother, father and siblings at 6 weeks and 1 year. When index child was 2 years of age, a detailed questionnaire on different health issues with emphasize on different allergy related disorders were filled in. Results Both maternal and paternal reports on eczema were significantly associated with eczema in index child. Reporting family eczema-history at 1 year (N = 3087), "eczema sibling only" [adjusted odds ratio (aOR) = 3.13 (2.27-4.33)] as well as all other family-groups containing siblings with eczema were strongly associated with eczema 2 years. When family eczema-history was reported at 6 weeks (N = 2657), reporting of "eczema sibling only" was not associated to reported eczema at 2 years in index child [aOR = 1.31 (0.77-2.23)]. Conclusions Having sibling(s) with eczema strengthened the associations between maternal and paternal reports on eczema with eczema in index child only when exposure was reported at 1 year. These findings indicate that results from questionnaires-based studies of family eczema-history depend on whether or

  15. Role of a Standardized Prism Under Cover Test in the Assessment of Dissociated Vertical Deviation.

    PubMed

    Klaehn, Lindsay D; Hatt, Sarah R; Leske, David A; Holmes, Jonathan M

    2018-03-01

    Dissociated vertical deviation (DVD) is commonly measured using a prism and alternate cover test (PACT), but some providers use a prism under cover test (PUCT). The aim of this study was to compare a standardized PUCT measurement with a PACT measurement, for assessing the magnitude of DVD. Thirty-six patients with a clinical diagnosis of DVD underwent measurement of the angle of deviation with the PACT, fixing with the habitually fixing eye, and with PUCT, fixing both right and left eyes. The PUCT was standardized, using a 10-second cover for each prism magnitude, until the deviation was neutralized. The magnitude of hyperdeviation by PACT and PUCT was compared for the non-fixing eye, using paired non-parametric tests. The frequency of discrepancies more than 4 prism diopters (PD) between PACT and PUCT was calculated. The magnitude of hyperdeviation was greater when measured with PUCT (range 8PD hypodeviation to 20PD hyperdeviation) vs. PACT (18PD hypodeviation to 25PD hyperdeviation) with a median difference of 4.5PD (range -5PD to 21PD); P < 0.0001. Eighteen (50%) of 36 measurements elicited >4PD hyperdeviation (or >4PD less hypodeviation) by PUCT than by PACT. A standardized 10-second PUCT yields greater values than a prism and alternate cover test in the majority of patients with DVD, providing better quantification of the severity of DVD, which may be important for management decisions.

  16. Teaching Democracy in East Central Europe: The Case of Poland. ERIC Digest.

    ERIC Educational Resources Information Center

    Remy, Richard C.

    This ERIC digest discusses the Education for Democratic Citizenship in Poland (EDCP) project, a cooperative effort of the Polish Ministry of National Education, the Mershon Center at The Ohio State University, and the Bureau for Civic Education in Local Control Schools at Warsaw, Poland. The digest discusses the background of the project, the…

  17. Effect of powdered activated carbon technology on short-cut nitrogen removal for coal gasification wastewater.

    PubMed

    Zhao, Qian; Han, Hongjun; Xu, Chunyan; Zhuang, Haifeng; Fang, Fang; Zhang, Linghan

    2013-08-01

    A combined process consisting of a powdered activated carbon technology (PACT) and short-cut biological nitrogen removal reactor (SBNR) was developed to enhance the removal efficiency of the total nitrogen (TN) from the effluent of an upflow anaerobic sludge bed (UASB) reactor, which was used to treat coal gasification wastewater (CGW). The SBNR performance was improved with the increasing of COD and TP removal efficiency via PACT. The average removal efficiencies of COD and TP in PACT were respectively 85.80% and 90.30%. Meanwhile, the NH3-N to NO2-N conversion rate was achieved 86.89% in SBNR and the total nitrogen (TN) removal efficiency was 75.54%. In contrast, the AOB in SBNR was significantly inhibited without PACT or with poor performance of PACT in advance, which rendered the removal of TN. Furthermore, PAC was demonstrated to remove some refractory compounds, which therefore improved the biodegradability of the coal gasification wastewater. Copyright © 2013 The Authors. Published by Elsevier Ltd.. All rights reserved.

  18. Computer Assisted Exercise Environment for Terrorist Attack Consequence Management

    DTIC Science & Technology

    2006-09-01

    security and crisis management. Fig. 3. Third Generation SSR for Integrated Security Sector MoD MoI MoEM MoFA Special Services Integrated Security...Ministries: MoEM , MoI, MoD, MH, MoEW, MoE, MoAF National Media, NGOs, other agencies District EOC / LEMA MHS/IDS/WIS Field EOC MHS/IDS/WIS MHS IDS...SRA EDA DG Environment ... EU SR Fund MoD MoI MoE&S MoEM ... National USA Great Britain Netherlands Germany ... Bilateral BSEC Stab. Pact ... Regional

  19. Concussion Baseline Testing: Preexisting Factors, Symptoms, and Neurocognitive Performance.

    PubMed

    Cottle, Jordan E; Hall, Eric E; Patel, Kirtida; Barnes, Kenneth P; Ketcham, Caroline J

    2017-02-01

    Neurocognitive test scores are often considered an important aspect of concussion management. To best use these data, clinicians must understand potential factors that may influence baseline performance on these tests. To determine preexisting factors that may influence performance on the Immediate Post-Concussion Assessment and Cognitive Test (ImPACT). Cross-sectional study. Research laboratory. A total of 486 National Collegiate Athletic Association Division I collegiate student-athletes. To determine neurocognitive functioning and total symptom score at baseline, ImPACT was administered. Outcomes were verbal memory, visual memory, visual motor speed, reaction time, and total symptom score. A self-report demographic section at the beginning of ImPACT was used to gather information concerning previous treatment for headaches, migraines, and psychiatric conditions; diagnosis of attention-deficit/hyperactivity disorder; and exposure to previous strenuous exercise. We conducted multivariate analyses of variance to determine if the ImPACT composite and total symptom scores differed according to preexisting factors (P < .0083). Sex showed an effect on verbal memory (P = .001), visual motor speed (P < .001), and reaction time (P = .006), with women performing better than men. A previous diagnosis of attention-deficit/hyperactivity disorder affected visual motor speed (P = .008). Previous treatment for headaches (P < .001), migraines (P = .001), a psychiatric condition (P < .001), or a diagnosis of attention-deficit/hyperactivity disorder (P < .001) all showed effects on the total symptom score. Strenuous exercise did not affect neurocogntive performance or total symptom score. Based on our findings and the previous literature, we suggest that many preexisting factors influence baseline neurocognitive data. Baseline testing is an important aspect of concussion management. Sports medicine professionals should be cognizant of these factors when developing concussion

  20. Concussion Baseline Testing: Preexisting Factors, Symptoms, and Neurocognitive Performance

    PubMed Central

    Cottle, Jordan E.; Hall, Eric E.; Patel, Kirtida; Barnes, Kenneth P.; Ketcham, Caroline J.

    2017-01-01

    Context: Neurocognitive test scores are often considered an important aspect of concussion management. To best use these data, clinicians must understand potential factors that may influence baseline performance on these tests. Objective: To determine preexisting factors that may influence performance on the Immediate Post-Concussion Assessment and Cognitive Test (ImPACT). Design: Cross-sectional study. Setting: Research laboratory. Patients or Other Participants: A total of 486 National Collegiate Athletic Association Division I collegiate student-athletes. Main Outcome Measure(s): To determine neurocognitive functioning and total symptom score at baseline, ImPACT was administered. Outcomes were verbal memory, visual memory, visual motor speed, reaction time, and total symptom score. A self-report demographic section at the beginning of ImPACT was used to gather information concerning previous treatment for headaches, migraines, and psychiatric conditions; diagnosis of attention-deficit/hyperactivity disorder; and exposure to previous strenuous exercise. We conducted multivariate analyses of variance to determine if the ImPACT composite and total symptom scores differed according to preexisting factors (P < .0083). Results: Sex showed an effect on verbal memory (P = .001), visual motor speed (P < .001), and reaction time (P = .006), with women performing better than men. A previous diagnosis of attention-deficit/hyperactivity disorder affected visual motor speed (P = .008). Previous treatment for headaches (P < .001), migraines (P = .001), a psychiatric condition (P < .001), or a diagnosis of attention-deficit/hyperactivity disorder (P < .001) all showed effects on the total symptom score. Strenuous exercise did not affect neurocogntive performance or total symptom score. Conclusions: Based on our findings and the previous literature, we suggest that many preexisting factors influence baseline neurocognitive data. Baseline testing is an important aspect of

  1. NATO (North Atlantic Treaty Organization) deterrence and defense after the INF (Intermediate-Range Nuclear Forces) treaty. Final report, June 1988-June 1989

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

    Garrett, S.A.

    1989-06-21

    The treaty between the Soviet Union and the United States eliminating a whole class of intermediate-range nuclear forces (INF) in Europe raises a number of questions about NATO's future ability to deter Warsaw Pact aggression. Future choices on Alliance strategy and doctrine will be influenced by a variety of factors, including the image of new thinking in Soviet security policy enunciated by General Secretary Gorbachev, changing West European opinion toward the use of nuclear weapons for NATO deterrence, the complications inherent in further nuclear and conventional arms-control negotiations, assessments of the current conventional arms balance in Europe, and ongoing questionsmore » about NATO cohesion as well as the continued coupling of American security with that of her European allies. In the post-INF environment it may well be that U.S. Navy nuclear assets will assume an increasingly important role, particularly the Tomahawk Land Attack Missile/Nuclear (TLAM/N). The TLAM/N has many attractive attributes that can be supportive of NATO deterrence of the WTO, but there are also a number of unresolved questions to be addressed concerning this particular weapons system. Modernization of NATO's land-based short-range nuclear forces (SNF), such as the Lance missile, is also seen by many as critical to the maintenance of Alliance security in the aftermath of INF.« less

  2. PACT Act

    THOMAS, 113th Congress

    Sen. Casey, Robert P., Jr. [D-PA

    2013-03-21

    Senate - 03/21/2013 Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  3. PACT Act

    THOMAS, 112th Congress

    Sen. Casey, Robert P., Jr. [D-PA

    2012-07-11

    Senate - 07/11/2012 Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  4. PACT Act

    THOMAS, 113th Congress

    Rep. Peters, Scott H. [D-CA-52

    2014-07-09

    House - 09/08/2014 Referred to the Subcommittee on Africa, Global Health, Global Human Rights and International Organizations. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  5. Analysis of Undesignated Work

    DTIC Science & Technology

    2016-04-01

    hours are dedicated to watch stations. The remaining 14 hours are where the other elements are allocated . PM/CM/FM and OUS hours are computed for each...PACT), SMEs worked together to allocate GENDET BA to ratings and then to PACT requirements. They also identified PACT-in ratings and quotas.7...ultimate rating assignments, they used mostly qualitative methods to allocate BA. SMEs, drawn from the Enlisted Community Managers, NAVMAC, PERs 4010

  6. National Hematopoietic Stem Cells Transplant Registry in Poland: Nationwide Internet Reporting System and Results.

    PubMed

    Łęczycka, A; Dudkiewicz, M; Czerwiński, J; Malanowski, P; Żalikowska-Hołoweńko, J; Danielewicz, R

    2016-06-01

    History of hematopoietic stem cell transplantations in Poland begins in early 1980s; the 1st bone marrow allotransplantation was performed in 1983 in the Central Clinical Hospital of the Military Medical Academy in Warsaw. Following years brought the 1st autologous stem cell transplantations. Ten years later, unrelated bone marrow transplantation was performed for the 1st time by the team of the Hematology and Blood and Marrow Transplantation Unit in Katowice. Since then, hematopoietic stem cell transplantation developed to be standard procedure and one of the most important therapies applied in leukemia treatment. The number of allotransplantations in Poland has grown significantly in the past 2 decades, which generated new needs and problems. In 2005, based on a new Transplant Law, a National Transplants Registry was created. Its main role is to collect data (registration of procedures and follow-up data) related to every transplantation case for stem cells and tissues as well as for organs. We present statistics concerning stem cell transplantations performed in Poland, as collected in the National Transplants Registry in the years 2006-2014. There are 18 centers transplanting hematopoietic stem cells in Poland. The total number of hematopoietic stem cell transplantations performed in 2006-2014 was 3,537, with allotransplantations from relatives accounted for 1,491 and from unrelated donors for 2,046. The main indication for allotransplantation in past years was acute leukemia. Copyright © 2016 Elsevier Inc. All rights reserved.

  7. The NATO Warsaw Summit: How to Strengthen Alliance Cohesion (Strategic Forum, Number 296)

    DTIC Science & Technology

    2016-06-01

    the Center for Strategic Research , Institute for National Strategic Studies , at the National Defense University. Key Points ◆◆ In July 2016 NATO...Strategic Research within the Institute for National Strategic Studies provides advice to the Secre- tary of Defense, Chairman of the Joint Chiefs of...Staff, and unified combatant commands through studies , reports, briefings, and memoranda. The center conducts directed research and analysis in the

  8. The Psychosocial Assessment of Candidates for Transplantation: A Cohort Study of its Association With Survival Among Lung Transplant Recipients.

    PubMed

    Hitschfeld, Mario J; Schneekloth, Terry D; Kennedy, Cassie C; Rummans, Teresa A; Niazi, Shehzad K; Vasquez, Adriana R; Geske, Jennifer R; Petterson, Tanya M; Kremers, Walter K; Jowsey-Gregoire, Sheila G

    2016-01-01

    The United Network for Organ Sharing mandates a psychosocial assessment of transplant candidates before listing. A quantified measure for determining transplant candidacy is the Psychosocial Assessment of Candidates for Transplant (PACT) scale. This instrument's predictive value for survival has not been rigorously evaluated among lung transplantation recipients. We reviewed medical records of all patients who underwent lung transplantation at Mayo Clinic, Rochester from 2000-2012. A transplant psychiatrist had assessed lung transplant candidates for psychosocial risk with the PACT scale. Recipients were divided into high- and low psychosocial risk cohorts using a PACT score cutoff of 2. The main outcome variable was posttransplant survival. Mortality was analyzed using the Kaplan-Meier estimator and Cox proportional hazard models. This study included 110 lung recipients: 57 (51.8%) were females, 101 (91.8%) Whites, mean age: 56.4 years. Further, 7 (6.4%) recipients received an initial PACT score <2 (poor or borderline candidates) and later achieved a higher score, allowing transplant listing; 103 (93.6%) received initial scores ≥2 (acceptable, good or great candidates). An initial PACT score < 2 was modestly associated with higher mortality (adjusted hazard ratio = 2.73, p = 0.04). Lung transplant recipients who initially received a low score on the PACT scale, reflecting poor or borderline psychosocial candidacy, experienced greater likelihood of mortality. This primary finding suggests that the psychosocial assessment, as measured by the PACT scale, may provide additional mortality risk stratification for lung transplant candidates. Copyright © 2016 The Academy of Psychosomatic Medicine. Published by Elsevier Inc. All rights reserved.

  9. System Optimization and Iterative Image Reconstruction in Photoacoustic Computed Tomography for Breast Imaging

    NASA Astrophysics Data System (ADS)

    Lou, Yang

    Photoacoustic computed tomography(PACT), also known as optoacoustic tomography (OAT), is an emerging imaging technique that has developed rapidly in recent years. The combination of the high optical contrast and the high acoustic resolution of this hybrid imaging technique makes it a promising candidate for human breast imaging, where conventional imaging techniques including X-ray mammography, B-mode ultrasound, and MRI suffer from low contrast, low specificity for certain breast types, and additional risks related to ionizing radiation. Though significant works have been done to push the frontier of PACT breast imaging, it is still challenging to successfully build a PACT breast imaging system and apply it to wide clinical use because of various practical reasons. First, computer simulation studies are often conducted to guide imaging system designs, but the numerical phantoms employed in most previous works consist of simple geometries and do not reflect the true anatomical structures within the breast. Therefore the effectiveness of such simulation-guided PACT system in clinical experiments will be compromised. Second, it is challenging to design a system to simultaneously illuminate the entire breast with limited laser power. Some heuristic designs have been proposed where the illumination is non-stationary during the imaging procedure, but the impact of employing such a design has not been carefully studied. Third, current PACT imaging systems are often optimized with respect to physical measures such as resolution or signal-to-noise ratio (SNR). It would be desirable to establish an assessing framework where the detectability of breast tumor can be directly quantified, therefore the images produced by such optimized imaging systems are not only visually appealing, but most informative in terms of the tumor detection task. Fourth, when imaging a large three-dimensional (3D) object such as the breast, iterative reconstruction algorithms are often utilized to

  10. Whole-body ring-shaped confocal photoacoustic computed tomography of small animals in vivo.

    PubMed

    Xia, Jun; Chatni, Muhammad R; Maslov, Konstantin; Guo, Zijian; Wang, Kun; Anastasio, Mark; Wang, Lihong V

    2012-05-01

    We report a novel small-animal whole-body imaging system called ring-shaped confocal photoacoustic computed tomography (RC-PACT). RC-PACT is based on a confocal design of free-space ring-shaped light illumination and 512-element full-ring ultrasonic array signal detection. The free-space light illumination maximizes the light delivery efficiency, and the full-ring signal detection ensures a full two-dimensional view aperture for accurate image reconstruction. Using cylindrically focused array elements, RC-PACT can image a thin cross section with 0.10 to 0.25 mm in-plane resolutions and 1.6  s/frame acquisition time. By translating the mouse along the elevational direction, RC-PACT provides a series of cross-sectional images of the brain, liver, kidneys, and bladder.

  11. Whole-body ring-shaped confocal photoacoustic computed tomography of small animals in vivo

    NASA Astrophysics Data System (ADS)

    Xia, Jun; Chatni, Muhammad R.; Maslov, Konstantin; Guo, Zijian; Wang, Kun; Anastasio, Mark; Wang, Lihong V.

    2012-05-01

    We report a novel small-animal whole-body imaging system called ring-shaped confocal photoacoustic computed tomography (RC-PACT). RC-PACT is based on a confocal design of free-space ring-shaped light illumination and 512-element full-ring ultrasonic array signal detection. The free-space light illumination maximizes the light delivery efficiency, and the full-ring signal detection ensures a full two-dimensional view aperture for accurate image reconstruction. Using cylindrically focused array elements, RC-PACT can image a thin cross section with 0.10 to 0.25 mm in-plane resolutions and 1.6 s/frame acquisition time. By translating the mouse along the elevational direction, RC-PACT provides a series of cross-sectional images of the brain, liver, kidneys, and bladder.

  12. The delegation of tasks in the era of e-health to support community interventions in maternal and child health: lessons learned from the PACT-Denbaya project.

    PubMed

    Bagayoko, C-O; Niang, M; Anne, A; Traoré, D; Sangho, H; Traoré, A-K; Geissbuhler, A

    2017-11-01

    The PACT-Denbaya project (Program for community access to telemedicine for families) aimed to help improve the health of mothers and child in rural communities through the delegation of obstetric-gynecologic and pediatric tasks, supported by teleconsultations. This operational research took place in 6 community health centers in the Dioïla health district in Mali. Our method was based of the delegation of tasks, supported by teleconsultations. Experts in pediatrics and obstetrics/gynecology provided a week-long training program to general practitioners and midwives, in the management of the most common problems in the field and in the use of the "Bogou" teleconsultation and "Dudal" tele-education platforms to ensure exchanges and follow-up. Overall, 17 healthcare providers, that is, general practitioners, nurse-obstetricians, and midwives participated in sessions to strengthen gynecology-obstetric and pediatric capacity in the field. The evaluation of knowledge and of the indicators compared with the baseline of 8359 pregnancies and 1991 documented deliveries and of user satisfaction showed that this type of service resulted in decreased maternal and child mortality. In view of these results, we can deduce that the delegation of tasks, when it is supported by telehealth, encounters no resistance from the specialists and contributes to the significant improvement of maternal and infant health in remote areas. A long-term impact study is necessary to reinforce these results.

  13. Patient-centered medical home initiative produced modest economic results for Veterans Health Administration, 2010-12.

    PubMed

    Hebert, Paul L; Liu, Chuan-Fen; Wong, Edwin S; Hernandez, Susan E; Batten, Adam; Lo, Sophie; Lemon, Jaclyn M; Conrad, Douglas A; Grembowski, David; Nelson, Karin; Fihn, Stephan D

    2014-06-01

    In 2010 the Veterans Health Administration (VHA) began a nationwide initiative called Patient Aligned Care Teams (PACT) that reorganized care at all VHA primary care clinics in accordance with the patient-centered medical home model. We analyzed data for fiscal years 2003-12 to assess how trends in health care use and costs changed after the implementation of PACT. We found that PACT was associated with modest increases in primary care visits and with modest decreases in both hospitalizations for ambulatory care-sensitive conditions and outpatient visits with mental health specialists. We estimated that these changes avoided $596 million in costs, compared to the investment in PACT of $774 million, for a potential net loss of $178 million in the study period. Although PACT has not generated a positive return, it is still maturing, and trends in costs and use are favorable. Adopting patient-centered care does not appear to have been a major financial risk for the VHA. Project HOPE—The People-to-People Health Foundation, Inc.

  14. The photodynamic effect of methylene blue and toluidine blue on Candida albicans is dependent on medium conditions.

    PubMed

    Carvalho, Gabriela Guimarães; Felipe, Monalisa Poliana; Costa, Maricilia Silva

    2009-10-01

    Due to the increased number of immunocompromised patients, the infections associated with the pathogen of the genus Candida and other fungi have increased dramatically. Photodynamic antimicrobial chemotherapy (PACT) has been presented as a potential antimicrobial therapy, in a process that combines light and a photosensitizing drug, which promotes a phototoxic response by the treated cells. In this work, we studied the effects of the different medium conditions during PACT, using either methylene blue (MB) or toluidine blue (TB) on Candida albicans. The inhibition of the growth produced by PACT was decreased for different pH values (6.0, 7.0, and 8.0) in a buffered medium. The phototoxic effects were observed only in the presence of saline (not buffered medium). PACT was modulated by calcium in a different manner using either MB or TB. Also when using MB both verapamil or sodium azide were able to decrease the phototoxic effects on the C. albicans. These results show that PACT is presented as a new and promising antifungal therapy, however, new studies are necessary to understand the mechanism by which this event occurs.

  15. Dose Estimating Application Software Modification: Additional Function of a Size-Specific Effective Dose Calculator and Auto Exposure Control.

    PubMed

    Kobayashi, Masanao; Asada, Yasuki; Matsubara, Kosuke; Suzuki, Shouichi; Matsunaga, Yuta; Haba, Tomonobu; Kawaguchi, Ai; Daioku, Tomihiko; Toyama, Hiroshi; Kato, Ryoichi

    2017-05-01

    Adequate dose management during computed tomography is important. In the present study, the dosimetric application software ImPACT was added to a functional calculator of the size-specific dose estimate and was part of the scan settings for the auto exposure control (AEC) technique. This study aimed to assess the practicality and accuracy of the modified ImPACT software for dose estimation. We compared the conversion factors identified by the software with the values reported by the American Association of Physicists in Medicine Task Group 204, and we noted similar results. Moreover, doses were calculated with the AEC technique and a fixed-tube current of 200 mA for the chest-pelvis region. The modified ImPACT software could estimate each organ dose, which was based on the modulated tube current. The ability to perform beneficial modifications indicates the flexibility of the ImPACT software. The ImPACT software can be further modified for estimation of other doses. © The Author 2016. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  16. Internal-illumination photoacoustic computed tomography

    NASA Astrophysics Data System (ADS)

    Li, Mucong; Lan, Bangxin; Liu, Wei; Xia, Jun; Yao, Junjie

    2018-03-01

    We report a photoacoustic computed tomography (PACT) system using a customized optical fiber with a cylindrical diffuser to internally illuminate deep targets. The traditional external light illumination in PACT usually limits the penetration depth to a few centimeters from the tissue surface, mainly due to strong optical attenuation along the light propagation path from the outside in. By contrast, internal light illumination, with external ultrasound detection, can potentially detect much deeper targets. Different from previous internal illumination PACT implementations using forward-looking optical fibers, our internal-illumination PACT system uses a customized optical fiber with a 3-cm-long conoid needle diffuser attached to the fiber tip, which can homogeneously illuminate the surrounding space and substantially enlarge the field of view. We characterized the internal illumination distribution and PACT system performance. We performed tissue phantom and in vivo animal studies to further demonstrate the superior imaging depth using internal illumination over external illumination. We imaged a 7.5-cm-deep leaf target embedded in optically scattering medium and the beating heart of a mouse overlaid with 3.7-cm-thick chicken tissue. Our results have collectively demonstrated that the internal light illumination combined with external ultrasound detection might be a useful strategy to improve the penetration depth of PACT in imaging deep organs of large animals and humans.

  17. SX User's Manual for SX version 2. 0

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

    Brown, S.A.; Braddy, D.

    1993-01-04

    Scheme is a lexically scoped, properly tail recursive dialect of the LISP programming language. The PACT implementation is described abstractly in Abelson and Sussman's book, Structure and Interpretation of Computer Programs. It features all of the essential procedures'' described in the Revised Report on Scheme'' which defines the standard for Scheme. In PACT, Scheme is implemented as a library; however, a small driver delivers a stand alone Scheme interpreter. The PACT implementation features a reference counting incremental garbage collector. This distributes the overhead of memory management throughout the running of Scheme code. It also tends to keep Scheme from tryingmore » to grab the entire machine on which it is running which some garbage collection schemes will attempt to do. SX is perhaps the ultimate PACT statement. It is simply Scheme plus the other parts of PACT. A more precise way to describe it is as a dialect of LISP with extensions for PGS, PDB, PDBX, PML, and PANACEA. What this yields is an interpretive language whose primitive procedures span the functionality of all of PACT. Like the Scheme implementation which it extends, SX provides both a library and a stand alone application. The stand alone interpreter is the engine behind applications such as PDBView and PDBDiff. The SX library is the heart of TRANSL, a tool to translate data files from one database format to another. The modularization and layering make it possible to use the PACT components like building blocks. In addition, SX contains functionality which is the generalization of that found in ULTRA II. This means that as the development of SX proceeds, an SX driven application will be able to,perform arbitrary dimensional presentation, analysis, and manipulation tasks. Because of the fundamental unity of these two PACT parts, they are documented in a single manual. The first part will cover the standard Scheme functionality and the second part will discuss the SX extensions.« less

  18. SX User`s Manual for SX version 2.0

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

    Brown, S.A.; Braddy, D.

    1993-01-04

    Scheme is a lexically scoped, properly tail recursive dialect of the LISP programming language. The PACT implementation is described abstractly in Abelson and Sussman`s book, Structure and Interpretation of Computer Programs. It features all of the ``essential procedures`` described in the ``Revised Report on Scheme`` which defines the standard for Scheme. In PACT, Scheme is implemented as a library; however, a small driver delivers a stand alone Scheme interpreter. The PACT implementation features a reference counting incremental garbage collector. This distributes the overhead of memory management throughout the running of Scheme code. It also tends to keep Scheme from tryingmore » to grab the entire machine on which it is running which some garbage collection schemes will attempt to do. SX is perhaps the ultimate PACT statement. It is simply Scheme plus the other parts of PACT. A more precise way to describe it is as a dialect of LISP with extensions for PGS, PDB, PDBX, PML, and PANACEA. What this yields is an interpretive language whose primitive procedures span the functionality of all of PACT. Like the Scheme implementation which it extends, SX provides both a library and a stand alone application. The stand alone interpreter is the engine behind applications such as PDBView and PDBDiff. The SX library is the heart of TRANSL, a tool to translate data files from one database format to another. The modularization and layering make it possible to use the PACT components like building blocks. In addition, SX contains functionality which is the generalization of that found in ULTRA II. This means that as the development of SX proceeds, an SX driven application will be able to,perform arbitrary dimensional presentation, analysis, and manipulation tasks. Because of the fundamental unity of these two PACT parts, they are documented in a single manual. The first part will cover the standard Scheme functionality and the second part will discuss the SX extensions.« less

  19. The Bear and Dragon Embrace: Russian-Chinese Security Cooperation

    DTIC Science & Technology

    2017-04-21

    weapons and the Soviets refused.30 In 1958, Mao rebuffed a Russian request to build a joint submarine communications and repair facility in Chinese...between these two nations works against a formal defense pact. China and Russia no longer share the ideology of communism . However, they both...nations’ interactions with one another and the rest of the international community . For many centuries after Russia formed, China and Russia had little

  20. [The impact of UV radiation B and C in vitro on different of bacteria strains isolated from patients hospitalized in the Warsaw Medical University Clinics].

    PubMed

    Rongies, Witold; Wultańska, Dorota; Kot, Katarzyna; Bogusz, Aleksandra; Rongies, Magdalena; Świercz, Paweł; Swierszcz, Paweł; Lewandowska, Monika; Cholewińska, Grazyna; Meisel-Mikołajczyk, Felicja

    2011-01-01

    Infections in human body caused by various microbes are a significant problem in modern medicine. Special attention is put to infections of wounds, which are a significant threat to the life of patients. Attempts to treat these wounds base mainly on the application of various chemical preparations (locally) and systematic antibiotic treatment. UV radiation, because of its anti-bacterial activity, appear a complementary issue in therapy. AIM OF THE SURVEY: The aim of this study was an examination of the sensitivity of bacteria strains isolated from patients hospitalised in the Warsaw Medical University clinics, and prove that antibiotics and operation of UV B and C radiation with Endolamp 474 may become a complementary or alternative method of treatment. The study used 65 strains grown aerobically (15 strains of Escherichia coli, 20 strains of Pseudomonas aeruginosa, 15 strains of Staphylococcus aureus, 15 strains of Streptococcus and Enterococcus sp). The same strains were planted on different excipients and were subjected to UV radiation using Endolamp 474. Correctly prepared strains were radiated from a 25 cm distance in various durations (from 5 seconds to 105 seconds). As a result of UV irradiation of microorganisms studied B and C using 474 Endolampy received varied, but the great sensitivity to the effects of this radiation, in all tested bacterial strains. UV radiation on microorganisms requires further study, also in vivo.

  1. Providing pediatric palliative care: PACT in action.

    PubMed

    Duncan, Janet; Spengler, Emily; Wolfe, Joanne

    2007-01-01

    High-quality pediatric palliative care should be an expected standard in the United States, especially since the publication of the numerous position statements such as "Precepts of Palliative Care for Children and Adolescents and Their Families," a joint statement created by the Association of Pediatric Oncology Nurses, the National Association of Neonatal Nurses, and the Society of Pediatric Nurses. Although many barriers still exist, dedicated individuals and teams strive to promote models of excellence and improve care for children with life-threatening conditions and their families. The Pediatric Advanced Care Team, a joint project of Dana-Farber Cancer Institute and Children's Hospital, Boston, is one such interdisciplinary pediatric palliative care consultation service. Founded in 1997, we have grown and learned from formal study and our extensive clinical work with families, children, and our colleagues. This article describes our journey as an interdisciplinary team forging a new service within two renowned medical institutions in which historically the primary emphasis of care has been on cure and innovation. Although these values remain, our work has resulted in an increased acceptance of balancing treatment of the underlying disease or condition along with treatment of the physical, psychosocial, and spiritual needs of the child and family through life or death. One of our goals is to help promote a balance of hope for cure with hope for comfort, dignity, and integrity for every child and family.

  2. Expression of Clostridium acetobutylicum ATCC 824 Genes in Escherichia coli for Acetone Production and Acetate Detoxification

    PubMed Central

    Bermejo, Lourdes L.; Welker, Neil E.; Papoutsakis, Eleftherios T.

    1998-01-01

    A synthetic acetone operon (ace4) composed of four Clostridium acetobutylicum ATCC 824 genes (adc, ctfAB, and thl, coding for the acetoacetate decarboxylase, coenzyme A transferase, and thiolase, respectively) under the control of the thl promoter was constructed and was introduced into Escherichia coli on vector pACT. Acetone production demonstrated that ace4 is expressed in E. coli and resulted in the reduction of acetic acid levels in the fermentation broth. Since different E. coli strains vary significantly in their growth characteristics and acetate metabolism, ace4 was expressed in three E. coli strains: ER2275, ATCC 11303, and MC1060. Shake flask cultures of MC1060(pACT) produced ca. 2 mM acetone, while both strains ER2275(pACT) and ATCC 11303(pACT) produced ca. 40 mM acetone. Glucose-fed cultures of strain ATCC 11303(pACT) resulted in a 150% increase in acetone titers compared to those of batch shake flask cultures. External addition of sodium acetate to glucose-fed cultures of ATCC 11303(pACT) resulted in further increased acetone titers. In bioreactor studies, acidic conditions (pH 5.5 versus 6.5) improved acetone production. Despite the substantial acetone evaporation due to aeration and agitation in the bioreactor, 125 to 154 mM acetone accumulated in ATCC 11303(pACT) fermentations. These acetone titers are equal to or higher than those produced by wild-type C. acetobutylicum. This is the first study to demonstrate the ability to use clostridial genes in nonclostridial hosts for solvent production. In addition, acetone-producing E. coli strains may be useful hosts for recombinant protein production in that detrimental acetate accumulation can be avoided. PMID:9501448

  3. Serratia marcescens resistance profile and its susceptibility to photodynamic antimicrobial chemotherapy.

    PubMed

    Parente, Ticiana Mont Alverne Lopes; Rebouças, Emanuela de Lima; Santos, Vitor Coutinho Vieira Dos; Barbosa, Francisco Cesar Barroso; Zanin, Iriana Carla Junqueira

    2016-06-01

    Some authors have reported the antimicrobial action of photodynamic antimicrobial chemotherapy (PACT) on bacteria related to nosocomial infections but there are few studies evaluating PACT on Serratia marcescens grown as planktonic cultures or as biofilms. The purpose of this study was to analyze the S. marcescens resistance profile and its susceptibility to PACT. Initially, 55 S. marcescens strains isolated from environmental, oral and extra-oral infections were tested by antimicrobial resistance to cefotaxime (CTX), imipenem (IPM), ciprofloxacin (CIP), tobramycin (TOB) and doxycycline (DOX) using E-test(®). Following, isolates grown as planktonic cultures or biofilms were submitted to PACT using the association of a light-emitting diode and toluidine blue (TBO). The E-test(®) results demonstrated intermediated sensitive strains to CTX, IMP, TOB, and DOX; and resistant strains to CTX, TOB, DOX and CIP. Also, CTX and IMP demonstrated variation when CLSI 2007 and CLSI 2015 were compared. Planktonic cultures and biofilms submitted to PACT demonstrated counts varying from 10(11) to 10(7) for planktonic cultures and 10(10) to 10(7) for biofilms. There were no statistical differences in the results when planktonic cultures and biofilms were compared. Increase in the profile of S. marcescens resistance was observed when CLSI 2007 and CLSI 2015 were compared. Also, IMP remains as the drug with lower rate of resistance. Additionally, both S. marcescens planktonic cultures and early biofilms are susceptible to PACT under tested conditions. Copyright © 2016 Elsevier B.V. All rights reserved.

  4. Clinical photoacoustic computed tomography of the human breast in vivo within a single breath hold

    NASA Astrophysics Data System (ADS)

    Lin, Li; Hu, Peng; Shi, Junhui; Appleton, Catherine M.; Maslov, Konstantin; Wang, Lihong V.

    2018-03-01

    We have developed a single-breath-hold photoacoustic computed tomography (SBH-PACT) system to detect tumors and reveal detailed angiographic information about human breasts. SBH-PACT provides high spatial and temporal resolutions with a deep in vivo penetration depth of over 4 cm. A volumetric breast image can be acquired by scanning the breast within a single breath hold ( 15 sec). We imaged a healthy female volunteer and seven breast cancer patients. SBH-PACT clearly identified all tumors by revealing higher blood vessel densities and lower compliance associated with the tumors

  5. Radiological and archaeological investigation of a mummy from Roman Egypt curated in the National Museum of Lithuania.

    PubMed

    Piombino-Mascali, Dario; Jankauskas, Rimantas; Snitkuvienė, Aldona; Rutkauskas, Tadas; Sutherland, M Linda

    2016-01-01

    Among the collections belonging to the National Museum of Lithuania at Vilnius, resides an ancient Egyptian coffin containing a mummified human body. The coffin and its occupant are believed to have belonged to the King of Poland and to have been located in his palace at Warsaw. At the turn of the last century, Egyptologists dated the coffin to the end of the 21st dynasty (1070 BC-945 BC), and described the item as coming from Thebes, belonging to Hori, priest of Amun-Ra. However, no investigation was ever carried out on the human body associated with the coffin. Within the framework of the Lithuanian Mummy Project, the preserved human remains underwent computed tomographic investigation in order to reconstruct the biological profile of the subject and to determine the embalming method employed. This led to the identification of a young adult male. Additionally, the mummy shroud was stylistically assessed in order to determine the mummy's chronology in Egyptian history. Interestingly, the body could be ascribed to the Roman period of Egypt (30 BC-395 AD) due to analogies with the burial shrouds of the Soter group. This indicates a reuse of the coffin at some point in history.

  6. 76 FR 1640 - Agency Information Collection Activities: Proposed Collection; Comments Requested

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-11

    ... of Information Collection Under Review: Prevent All Cigarette Trafficking (PACT) Act Registration... Cigarette Trafficking (PACT) Act Registration Form. (3) Agency form number, if any, and the applicable... this information collection is to register delivery sellers of cigarettes and/or smokeless tobacco...

  7. Farewell to Arms: A Plan for Evaluating the 2001 Authorization for Use of Military Force and Its Alternatives

    DTIC Science & Technology

    2014-09-01

    the constitution is not a suicide pact, and the President has unchallenged authority to prevent an imminent threat to the United States.”242 In...long. It soon wastes, exhausts, and murders itself. There was never a democracy yet that did not commit suicide .”291 The judiciary has deferred to...Constitution Project aptly describes, “When national security decisions are said to rest on secret information not widely shared with Congress, the temptation

  8. JPRS Report, Nuclear Developments.

    DTIC Science & Technology

    1989-03-28

    TIMES 28 Feb] 3 EAST EUROPE POLAND Institute Director Defends Energy Development [ZOLNIERZ WOLNOSCI28-29 Jan ] 4 Chernobyl Continues To Figure in...Kuwait AL- WA TAN 1 Dec] 11 Pact Between India, Asian Nations Urged [Bombay THE TIMES OF INDIA 6 Jan ] 12 Egypt, Morocco Sign Energy Protocol...Cairo AL- AKHBAR I Feb] 14 Egypt Reportedly Researches Weapons With Argentina, Iraq [TelAviv DAVAR 5 Feb] ....""!!!""!!!! 14 EGYPT Rebuilding

  9. Examination of the Test-Retest Reliability of a Computerized Neurocognitive Test Battery.

    PubMed

    Nakayama, Yusuke; Covassin, Tracey; Schatz, Philip; Nogle, Sally; Kovan, Jeff

    2014-08-01

    Test-retest reliability is a critical issue in the utility of computer-based neurocognitive assessment paradigms employing baseline and postconcussion tests. Researchers have reported low test-retest reliability for the Immediate Post Concussion Assessment and Cognitive Testing (ImPACT) across an interval of 45 and 50 days. To re-examine the test-retest reliability of the ImPACT between baseline, 45 days, and 50 days. Descriptive laboratory study. Eighty-five physically active college students (51 male, 34 female) volunteered for this study. Participants completed the ImPACT as well as a 15-item memory test at baseline, 45 days, and 50 days. Intraclass correlation coefficients (ICCs) were calculated for ImPACT composite scores, and change scores were calculated using reliable change indices (RCIs) and regression-based methods (RBMs) at 80% and 95% confidence intervals (CIs). The respective ICCs for baseline to day 45, day 45 to day 50, baseline to day 50, and overall were as follows: verbal memory (0.76, 0.69, 0.65, and 0.78), visual memory (0.72, 0.66, 0.60, and 0.74), visual motor (processing) speed (0.87, 0.88, 0.85, and 0.91), and reaction time (0.67, 0.81, 0.71, and 0.80). All ICCs exceeded the threshold value of 0.60 for acceptable test-retest reliability. All cases fell well within the 80% CI for both the RCI and RBM, while 1% to 5% of cases fell outside the 95% CI for the RCI and 1% for the RBM. Results suggest that the ImPACT is a reliable neurocognitive test battery at 45 and 50 days after the baseline assessment. The current findings agree with those of other reliability studies that have reported acceptable ICCs across 30-day to 1-year testing intervals, and they support the utility of the ImPACT for the multidisciplinary approach to concussion management. This study suggests that the computerized neurocognitive test battery, ImPACT, is a reliable test for postconcussion serial assessments. However, when managing concussed athletes, the ImPACT should

  10. U.S./Poland Cooperative Telemedicine Program

    DTIC Science & Technology

    2006-06-01

    Vitel Net) and the Military Institute of Health Service ( MIHS ) worked together with the goal of improving health care for Polish military personnel. In...May 2006, a telecommunication system connecting military hospitals in Warsaw and Wroclaw, Poland was completed. Physicians at the MIHS will now be...of Health Services ( MIHS ) in Warsaw, a comprehensive project called the Military Telemedicine Program (incorporating the military hospitals in Warsaw

  11. Origins of the Tactical Nuclear Weapons Modernization Program: 1969-1979

    NASA Astrophysics Data System (ADS)

    Yaffe, Michael David

    On December 12, 1979, the North Atlantic Treaty Organization decided to deploy new long-range theater nuclear forces, Pershing II and Ground-Launched Cruise Missiles. This marked the first major change in NATO's nuclear stockpile since the adoption of the flexible response strategy in 1967. The decision was controversial inasmuch as the Allies disagreed on the fundamental role of nuclear weapons in this strategy and, thereby, the types and number of weapons required for an effective deterrent posture. Europeans generally preferred long-range weapons capable of striking the Soviet Union and small conventional forces while Americans preferred shorter-range nuclear weapons and a stalwart conventional defense. Thus, the December decision is often described as purely politically motivated, in which the Americans reluctantly acquiesced to a European initiative for long-range weapons, prominently expressed by West German Chancellor Helmut Schmidt in 1977. Recently declassified US government documents reveal, however, that long-range missiles were part of a long-term comprehensive nuclear modernization program conceived in the Pentagon under Defense Secretary James Schlesinger during the period of 1973 through 1975, and presented to skeptical European elites who favored arms control negotiations over costly new deployments. This program was motivated as much by changes in the American national security culture as by an increase in the Soviet military threat to Europe. It was grounded on a clear military rationale: "that a feasible and affordable conventional defense is only possible if NATO has modern nuclear forces" that can effectively hold at risk Warsaw Pact ground and air forces throughout the depth of their employment from the inner-German border to the western military districts of the Soviet Union. When the new US administration in 1977 disagreed with the modernization plan and its rationale, opting instead for more conventional forces, the Allies in a reversal of

  12. Design of a prototype position actuator for the primary mirror segments of the European Extremely Large Telescope

    NASA Astrophysics Data System (ADS)

    Jiménez, A.; Morante, E.; Viera, T.; Núñez, M.; Reyes, M.

    2010-07-01

    European Extremely Large Telescope (E-ELT) based in 984 primary mirror segments achieving required optical performance; they must position relatively to adjacent segments with relative nanometer accuracy. CESA designed M1 Position Actuators (PACT) to comply with demanding performance requirements of EELT. Three PACT are located under each segment controlling three out of the plane degrees of freedom (tip, tilt, piston). To achieve a high linear accuracy in long operational displacements, PACT uses two stages in series. First stage based on Voice Coil Actuator (VCA) to achieve high accuracies in very short travel ranges, while second stage based on Brushless DC Motor (BLDC) provides large stroke ranges and allows positioning the first stage closer to the demanded position. A BLDC motor is used achieving a continuous smoothly movement compared to sudden jumps of a stepper. A gear box attached to the motor allows a high reduction of power consumption and provides a great challenge for sizing. PACT space envelope was reduced by means of two flat springs fixed to VCA. Its main characteristic is a low linear axial stiffness. To achieve best performance for PACT, sensors have been included in both stages. A rotary encoder is included in BLDC stage to close position/velocity control loop. An incremental optical encoder measures PACT travel range with relative nanometer accuracy and used to close the position loop of the whole actuator movement. For this purpose, four different optical sensors with different gratings will be evaluated. Control strategy show different internal closed loops that work together to achieve required performance.

  13. Choosing Training Delivery Media.

    ERIC Educational Resources Information Center

    Hybert, Peter R.

    2000-01-01

    Focuses on decisionmaking about delivery media, and introduces CADDI's Performance-based, Accelerated, Customer-Stakeholder-driven Training & Development(SM) (PACT) Processes for training and development (T&D). Describes the media decisions that correspond with the design three levels of PACT: Curriculum Architecture Design, Modular Curriculum…

  14. USSR and Eastern Europe Scientific Abstracts, Cybernetics, Computers, and Automation Technology, Number 28

    DTIC Science & Technology

    1977-08-24

    exceeded a million rubles. POLAND SOME METHODOLOGICAL REMARKS RELATING TO THE FORECASTING MODEL OF COMPUTER DEVELOPMENT Warsaw INFORMATYKA in...PROCESSING SYSTEMS Warsaw INFORMATYKA in Polish Vol 11 No 10, Oct 76 pp 19-20 SEKULA, ZOFIA, Wroclaw [Abstract] The author presents critical remarks...TO ODRA 1300 SYSTEM Warsaw INFORMATYKA in Polish Vol 11 No 9, Sep 76 pp 1-4 BZDULA, CZESLAW, Research and Development Center of MERA-ELWRO Digital

  15. Properties of body composition of female representatives of the Polish national fencing team - the sabre event.

    PubMed

    Jagiełło, Władysław; Marina, Jagiełło; Maciej, Kalina Roman; Jan, Barczyński Bartłomiej; Artur, Litwiniuk; Jarosław, Klimczak

    2017-12-01

    Fencing is a combat sport whose form of direct confrontation involves hitting the opponent with a weapon. The purpose of the study was to determine the properties of body composition of female representatives of the Polish national fencing team. The study involved 11 female athletes of the Polish national fencing team. Their age was 16-22 years (19±2.32), body weight 52-78 kg (59.7±7.4), body height 158-183 cm (167.46±6.10) and the training experience 7.64±3.47 years. The reference group consisted of 153 students of Warsaw University of Technology (Poland). Twenty basic somatic characteristics were measured. The following indices were calculated: slenderness, Rohrer's, BMI, Manouvrier's, and pelvic-shoulder indices. Density of the body, total body fat, active tissue, the overall profile of body composition and internal proportions of the body were determined. Analysis of internal proportions of factors of the athletes' body composition revealed significant differences in particular groups of features. The total size of the athletes' bodies is due to less-than-average magnitude of the length and stoutness characteristics and a high magnitude of adiposity (M = 0.63) in the Polish female national team of fencers (sabre) calculated from the normalized values for the control group. The proportions of features within the analysed factors revealed a significant advantage of the length of the upper extremity over the lower one and a distinct advantage of forearm musculature. The specific profile of body composition of female athletes practising sabre fencing is most likely due to long-term effects of training as well as the system of selection of persons with specific somatic prerequisites developed in the course of many years of training practice.

  16. 75 FR 36443 - Agency Information Collection Activities: Proposed Collection; Comments Requested

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-25

    ... Emergency Notice of Information Collection Under Review: Prevent All Cigarette Trafficking (PACT) Act...) The title of the form/collection: Prevent All Cigarette Trafficking (PACT) Act Registration Form. (3... cigarettes and/or smokeless tobacco products with the Attorney General in order to continue to sell and/or...

  17. Objective Quality Control of Artillery Computer Meteorological Messages.

    DTIC Science & Technology

    1980-04-01

    Veazey , 1977, Proposed AMS-A for Corps TACFIRE (PACT) System Description, ASL Internal Report, White Sands Missile Range, NM 6 1nclosure 1, "Software...R. Veazey , 1977, Proposed AMS-A for Corps TACFIRE (PACT) System Description, ASL Internal Report, Atmospheric Sciences Laboratory, White Sands Missile

  18. Detection of Hand-to-Mouth Gestures Using a RF Operated Proximity Sensor for Monitoring Cigarette Smoking.

    PubMed

    Lopez-Meyer, Paulo; Patil, Yogendra; Tiffany, Tiffany; Sazonov, Edward

    2013-01-01

    Common methods for monitoring of cigarette smoking, such as portable puff-topography instruments or self-report questionnaires, tend to be biased due to conscious or unconscious underreporting. Additionally, these methods may change the natural smoking behavior of individuals. Our long term objective is the development of a wearable non-invasive monitoring system (Personal Automatic Cigarette Tracker - PACT) to reliably monitor cigarette smoking behavior under free living conditions. PACT monitors smoking by observing characteristic breathing patterns of smoke inhalations that follow a cigarette-to-mouth hand gesture. As envisioned, PACT does not rely on self-report or require any conscious effort from the user. A major element of the PACT is a proximity sensor that detects typical cigarette-to-mouth gesture during cigarette smoking. This study describes the design and validation of a prototype RF proximity sensor that captures hand-to-mouth gestures with a high sensitivity (0.90), and a methodology that can reject up to 68% of artifacts gestures originating from activities other than cigarette smoking.

  19. Whole-body tissue stabilization and selective extractions via tissue-hydrogel hybrids for high-resolution intact circuit mapping and phenotyping

    PubMed Central

    Treweek, Jennifer B; Deverman, Benjamin E; Greenbaum, Alon; Lignell, Antti; Xiao, Cheng; Cai, Long; Ladinsky, Mark S; Bjorkman, Pamela J; Fowlkes, Charless C; Gradinaru, Viviana

    2016-01-01

    To facilitate fine-scale phenotyping of whole specimens, we describe here a set of tissue fixation-embedding, detergent-clearing and staining protocols that can be used to transform excised organs and whole organisms into optically transparent samples within 1–2 weeks without compromising their cellular architecture or endogenous fluorescence. PACT (passive CLARITY technique) and PARS (perfusion-assisted agent release in situ) use tissue-hydrogel hybrids to stabilize tissue biomolecules during selective lipid extraction, resulting in enhanced clearing efficiency and sample integrity. Furthermore, the macromolecule permeability of PACT- and PARS-processed tissue hybrids supports the diffusion of immunolabels throughout intact tissue, whereas RIMS (refractive index matching solution) grants high-resolution imaging at depth by further reducing light scattering in cleared and uncleared samples alike. These methods are adaptable to difficult-to-image tissues, such as bone (PACT-deCAL), and to magnified single-cell visualization (ePACT). Together, these protocols and solutions enable phenotyping of subcellular components and tracing cellular connectivity in intact biological networks. PMID:26492141

  20. Whole-body tissue stabilization and selective extractions via tissue-hydrogel hybrids for high-resolution intact circuit mapping and phenotyping.

    PubMed

    Treweek, Jennifer B; Chan, Ken Y; Flytzanis, Nicholas C; Yang, Bin; Deverman, Benjamin E; Greenbaum, Alon; Lignell, Antti; Xiao, Cheng; Cai, Long; Ladinsky, Mark S; Bjorkman, Pamela J; Fowlkes, Charless C; Gradinaru, Viviana

    2015-11-01

    To facilitate fine-scale phenotyping of whole specimens, we describe here a set of tissue fixation-embedding, detergent-clearing and staining protocols that can be used to transform excised organs and whole organisms into optically transparent samples within 1-2 weeks without compromising their cellular architecture or endogenous fluorescence. PACT (passive CLARITY technique) and PARS (perfusion-assisted agent release in situ) use tissue-hydrogel hybrids to stabilize tissue biomolecules during selective lipid extraction, resulting in enhanced clearing efficiency and sample integrity. Furthermore, the macromolecule permeability of PACT- and PARS-processed tissue hybrids supports the diffusion of immunolabels throughout intact tissue, whereas RIMS (refractive index matching solution) grants high-resolution imaging at depth by further reducing light scattering in cleared and uncleared samples alike. These methods are adaptable to difficult-to-image tissues, such as bone (PACT-deCAL), and to magnified single-cell visualization (ePACT). Together, these protocols and solutions enable phenotyping of subcellular components and tracing cellular connectivity in intact biological networks.

  1. JPRS Report, Near East & South Asia.

    DTIC Science & Technology

    1988-02-25

    Turnover With Nepal 2 INDIA Gandhi Plans Revealed for Disarmament 2 President Given List of Key Issues in Punjab 3 Gandhi Opens Nation’s First...Meets 25 Nov 24 India , Brazil Agree To Set Up Joint Ventures *.\\, 24 Pact for Increased Trade With Romania Signed 25 Swedish Memo to India INsures...Vows To Continue Struggle 37 Removal of Ban on Student Unions Urged 37 NPP Chairman Expresses Doubt on Fair Elections 38 India Seeking To Control

  2. The Growing Complexity of Sino-Indian Ties

    DTIC Science & Technology

    2014-06-01

    with a record of dealing with North Korea , Iran , and Libya, reflects China’s growing diplomatic confidence and underscores its view of Pakistan as a...issues. Dr. Pant’s most recent books include The US-India Nuclear Pact: Policy, Process and Great Power Politics (Oxford Univer- sity Press, 2011...membership at the United Nations (UN) but also opposed attempts to condemn the PRC for its actions in Korea . Yet, the issue of Tibet soon emerged as the

  3. A primary health-care intervention on pre- and postnatal risk factor behavior to prevent childhood allergy. The Prevention of Allergy among Children in Trondheim (PACT) study.

    PubMed

    Storrø, Ola; Oien, Torbjørn; Dotterud, Christian K; Jenssen, Jon A; Johnsen, Roar

    2010-07-28

    This study aimed to evaluate the impact of a primary prevention intervention program on risk behavior for allergic diseases among children up to 2 years of age. The setting was in ordinary pre- and postnatal primary health care in Trondheim, Norway. The Prevention of Allergy among Children in Trondheim, Norway (PACT) study invited all pregnant women and parents to children up to 2 years of age in the community to participate in a non-randomized, controlled, multiple life-style intervention study. Interventional topics was increased dietary intake of cod liver oil and oily fish for women during pregnancy and for infants during the first 2 years of life, reduced parental smoking and reduced indoor dampness. A control cohort was established prior to the intervention cohort with "follow up as usual". Questionnaires were completed in pregnancy, 6 weeks after birth and at 1 and 2 years of age. Trends in exposure and behavior are described. Intake of oily fish and cod liver oil increased statistically significantly among women and infants in the intervention cohort compared to the control cohort. There was a low postnatal smoking prevalence in both cohorts, with a trend towards a decreasing smoking prevalence in the control cohort. There was no change in indoor dampness or in behavior related to non- intervened life-style factors. The dietary intervention seemed to be successful. The observed reduced smoking behavior could not be attributed to the intervention program, and the latter had no effect on indoor dampness. (Current Controlled Trials registration number: ISRCTN28090297).

  4. Family influences on breakfast frequency and quality among primary school pupils in Warsaw and its surrounding areas.

    PubMed

    Zielińska, Monika; Hamułka, Jadwiga; Gajda, Karolina

    2015-01-01

    Regular consumption of a well balanced breakfast is a pre-requisite for normal growth and child development, along with the acquisition of proper eating habits. The family environment is crucial place where children learn such patterns of behaviour that form the basis for their development. To determine how family factors affect the regular eating of breakfast and types of foodstuffs consumed in primary school pupils, including food purchases made from vending machines and school tuck shops. Subjects were 836 pupils (435 girls and 401 boys, aged 6 - 13) from Warsaw and the surrounding areas. Appropriate socio-demographic data and relevant eating habits were obtained from direct interviewing of the subjects by means of a custom designed questionnaire. Statistical analyses were performed by the Kohonen type cluster analysis model and Chi-square test (Chi(2)); (p≤0.05). Three clusters of pupils were identified by their differing socio-demographics and eating habits (eg. rates of breakfast consumption, buying from vending machines or school tuck shops). The first and third clusters were mainly pupils from two-parent families with parents proportionally spending similar times at work, where respective breakfast (87% and 91%) and second breakfast (77% and 72%) consumption rates were also similar together with food shopping rates during school time (respectively 69% and 63%). Pupils with single-parents, multi-generation families or if both parents were profession- ally active, predominated in the second cluster. These ate breakfast (73%) and second breakfast (67%) more rarely, but more frequently shopped for food at school (84%). A small number of pupils had a packed second breakfast from home, rarely ate sandwiches, fruit and/or vegetables and dairy products but ate more sweets, sweet rolls and savoury snacks. However, a large number of subjects bought sandwiches, fresh fruit and/or vegetables and fast-food at school. Family factors were found to affect eating habits

  5. USSR and Eastern Europe Scientific Abstracts, Cybernetics, Computers and Automation Technology, Number 36.

    DTIC Science & Technology

    1978-10-11

    REQUIREMENTS OF COMPUTER USERS Warsaw INFORMATYKA in Polish Vol 12 No 8, 1977 pp 12-14 CHELCHOWSKI, JERZY, Academy of Economics, Wroclaw [Abstract...Western. 11 E. Hardware POLAND SQUARE-LOOP FERRITE CORES IN THE WORKING STORAGE OF MODERN COMPUTERS Warsaw INFORMATYKA in Polish Vol 12 No 5...INDUSTRY PLANT Warsaw INFORMATYKA in Polish Vol 12 No 10, 1977 Pp 20-22 BERNATOWICZ, KRYSTYN [Text] Next to mines, steelworks and shipyards, The H

  6. 76 FR 17151 - Agency Information Collection Activities: Proposed Collection; Comments Requested

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-28

    ... Communities Together (PACT) 360 Needs Assessment Survey. The Department of Justice (DOJ) Office of Community... (PACT) 360 Needs Assessment Survey. (3) Agency form number, if any, and the applicable component of the... estimated public burden or associated response time, suggestions, or need a copy of the proposed information...

  7. Cost-effectiveness of ceftolozane/tazobactam plus metronidazole versus piperacillin/tazobactam as initial empiric therapy for the treatment of complicated intra-abdominal infections based on pathogen distributions drawn from national surveillance data in the United States.

    PubMed

    Prabhu, Vimalanand S; Solomkin, Joseph S; Medic, Goran; Foo, Jason; Borse, Rebekah H; Kauf, Teresa; Miller, Benjamin; Sen, Shuvayu S; Basu, Anirban

    2017-01-01

    The prevalence of antimicrobial resistance among gram-negative pathogens in complicated intra-abdominal infections (cIAIs) has increased. In the absence of timely information on the infecting pathogens and their susceptibilities, local or regional epidemiology may guide initial empirical therapy and reduce treatment failure, length of stay and mortality. The objective of this study was to assess the cost-effectiveness of ceftolozane/tazobactam + metronidazole compared with piperacillin/tazobactam in the treatment of hospitalized US patients with cIAI at risk of infection with resistant pathogens. We used a decision-analytic Monte Carlo simulation model to compare the costs and quality-adjusted life years (QALYs) of persons infected with nosocomial gram-negative cIAI treated empirically with either ceftolozane/tazobactam + metronidazole or piperacillin/tazobactam. Pathogen isolates were randomly drawn from the Program to Assess Ceftolozane/Tazobactam Susceptibility (PACTS) database, a surveillance database of non-duplicate bacterial isolates collected from patients with cIAIs in medical centers in the USA from 2011 to 2013. Susceptibility to initial therapy was based on the measured susceptibilities reported in the PACTS database determined using standard broth micro-dilution methods as described by the Clinical and Laboratory Standards Institute (CLSI). Our model results, with baseline resistance levels from the PACTS database, indicated that ceftolozane/tazobactam + metronidazole dominated piperacillin/tazobactam, with lower costs ($44,226/patient vs. $44,811/patient respectively) and higher QALYs (12.85/patient vs. 12.70/patient, respectively). Ceftolozane/tazobactam + metronidazole remained the dominant choice in one-way and probabilistic sensitivity analyses. Based on surveillance data, ceftolozane/tazobactam is more likely to be an appropriate empiric therapy for cIAI in the US. Results from a decision-analytic simulation model indicate that use of

  8. JPRS Report, East Europe.

    DTIC Science & Technology

    1990-01-17

    Technology Progress and Appli- ponement of payments of Polish debt, compensation to cations. Hence, the "National" background was chiefly Poles for...predatory 19th century capitalism. Nowadays a conservative liberal, "so that I would have someone to we are somewhat better technologically , better...issue in this matter is mostly the development of cost- 26000004B Warsaw TRYBUNA LUDU in Polish effective technologies of materiel repair performed in 23

  9. Visits to Registered Nurses

    PubMed Central

    Parker, Emese C.; Kong, Kevin; Watts, Leslie A.; Schwarz, Eleanor B.; Darney, Philip D.; Thiel de Bocanegra, Heike

    2017-01-01

    Background In 2013, California passed Assembly Bill (A.B.) 2348, approving registered nurses (RNs) to dispense patient self-administered hormonal contraceptives and administer injections of hormonal contraceptives. The Family Planning, Access, Care and Treatment (Family PACT) program, which came into effect in 1997 to expand low-income, uninsured California resident access to contraceptives at no cost, is one program in which qualified RNs can dispense and administer contraceptives. Aims The aims of this study were to (a) describe utilization of RN visits within California's Family PACT program and (b) evaluate the impact of RN visits on client birth control acquisition during the first 18 months after implementation of A.B. 2348 (January 1, 2013 to June 30, 2014). Methods A descriptive observational design using administrative databases was used. Family PACT claims were retrieved for RN visits and contraception. Paid claims for contraceptive dispensing and/or administration visits by physicians, nurse practitioners, certified nurse midwives, and physician assistants were compared before and after the implementation of A.B. 2348 at practice sites where RN visits were and were not utilized. Contraceptive methods and administration procedures were identified using Healthcare Common Procedure Coding System codes, National Drug Codes, and Common Procedural Terminology codes. Claims data for healthcare facilities were abstracted by site location based on a unique combination of National Provider Identifier (NPI), NPI Owner, and NPI location number. Results RN visits were found mainly in Northern California and the Central Valley (73%). Sixty-eight percent of RN visits resulted in same-day dispensing and/or administration of hormonal (and/or barrier) methods. Since benefit implementation, RN visits resulted in a 10% increase in access to birth control dispensing and/or administration visits. RN visits were also associated with future birth control acquisition and other

  10. Visits to Registered Nurses: An Opportunity to Increase Contraceptive Access in California.

    PubMed

    Parker, Emese C; Kong, Kevin; Watts, Leslie A; Schwarz, Eleanor B; Darney, Philip D; Thiel de Bocanegra, Heike

    In 2013, California passed Assembly Bill (A.B.) 2348, approving registered nurses (RNs) to dispense patient self-administered hormonal contraceptives and administer injections of hormonal contraceptives. The Family Planning, Access, Care and Treatment (Family PACT) program, which came into effect in 1997 to expand low-income, uninsured California resident access to contraceptives at no cost, is one program in which qualified RNs can dispense and administer contraceptives. The aims of this study were to (a) describe utilization of RN visits within California's Family PACT program and (b) evaluate the impact of RN visits on client birth control acquisition during the first 18 months after implementation of A.B. 2348 (January 1, 2013 to June 30, 2014). A descriptive observational design using administrative databases was used. Family PACT claims were retrieved for RN visits and contraception. Paid claims for contraceptive dispensing and/or administration visits by physicians, nurse practitioners, certified nurse midwives, and physician assistants were compared before and after the implementation of A.B. 2348 at practice sites where RN visits were and were not utilized. Contraceptive methods and administration procedures were identified using Healthcare Common Procedure Coding System codes, National Drug Codes, and Common Procedural Terminology codes. Claims data for healthcare facilities were abstracted by site location based on a unique combination of National Provider Identifier (NPI), NPI Owner, and NPI location number. RN visits were found mainly in Northern California and the Central Valley (73%). Sixty-eight percent of RN visits resulted in same-day dispensing and/or administration of hormonal (and/or barrier) methods. Since benefit implementation, RN visits resulted in a 10% increase in access to birth control dispensing and/or administration visits. RN visits were also associated with future birth control acquisition and other healthcare utilization within the

  11. Photodynamic antimicrobial chemotherapy using zinc phthalocyanine derivatives in treatment of bacterial skin infection

    NASA Astrophysics Data System (ADS)

    Chen, Zhuo; Zhang, Yaxin; Wang, Dong; Li, Linsen; Zhou, Shanyong; Huang, Joy H.; Chen, Jincan; Hu, Ping; Huang, Mingdong

    2016-01-01

    Photodynamic antimicrobial chemotherapy (PACT) is an effective method for killing bacterial cells in view of the increasing problem of multiantibiotic resistance. We herein reported the PACT effect on bacteria involved in skin infections using a zinc phthalocyanine derivative, pentalysine β-carbonylphthalocyanine zinc (ZnPc-Lys). Compared with its anionic ZnPc counterpart, ZnPc-Lys showed an enhanced antibacterial efficacy in vitro and in an animal model of localized infection. Meanwhile, ZnPc-Lys was observed to significantly reduce the wound skin blood flow during wound healing, indicating an anti-inflammation activity. This study provides new insight on the mechanisms of PACT in bacterial skin infection.

  12. Assessment with an "End in View"

    ERIC Educational Resources Information Center

    Whittaker, Andrea; Nelson, Carolyn

    2013-01-01

    This article uses Dewey's (1938) concept of "end in view" to frame one California State University's purposeful action in implementing the Performance Assessment for California Teachers (PACT). The authors provide a chronology of events that reveal the ways in which teacher education faculty were engaged in examining PACT outcomes and…

  13. Performance Assessment for California Teachers and English-Language Arts Candidates in a Rural Border Community

    ERIC Educational Resources Information Center

    Ajayi, Lasisi

    2014-01-01

    This study explores the appropriateness of the Performance Assessment for California Teachers (PACT) as an instrument of assessing English-language arts (ELA) teacher candidates' effectiveness in a rural border community. Eight -candidates participated in the study. The findings call into question the adequacy of PACT to assess the candidates'…

  14. Post-Admission Cognitive Therapy: A Brief Intervention for Psychiatric Inpatients Admitted After a Suicide Attempt

    ERIC Educational Resources Information Center

    Ghahramanlou-Holloway, Marjan; Cox, Daniel W.; Greene, Farrah N.

    2012-01-01

    To date, no empirically based inpatient intervention for individuals who have attempted suicide exists. We present an overview of a novel psychotherapeutic approach, Post-Admission Cognitive Therapy (PACT), currently under development and empirical testing for inpatients who have been admitted for a recent suicide attempt. PACT is adapted from an…

  15. A Phosphorus Phthalocyanine Formulation with Intense Absorbance at 1000 nm for Deep Optical Imaging

    PubMed Central

    Zhou, Yang; Wang, Depeng; Zhang, Yumiao; Chitgupi, Upendra; Geng, Jumin; Wang, Yuehang; Zhang, Yuzhen; Cook, Timothy R.; Xia, Jun; Lovell, Jonathan F.

    2016-01-01

    Although photoacoustic computed tomography (PACT) operates with high spatial resolution in biological tissues deeper than other optical modalities, light scattering is a limiting factor. The use of longer near infrared wavelengths reduces scattering. Recently, the rational design of a stable phosphorus phthalocyanine (P-Pc) with a long wavelength absorption band beyond 1000 nm has been reported. Here, we show that when dissolved in liquid surfactants, P-Pc can give rise to formulations with absorbance of greater than 1000 (calculated for a 1 cm path length) at wavelengths beyond 1000 nm. Using the broadly accessible Nd:YAG pulse laser emission output of 1064 nm, P-Pc could be imaged through 11.6 cm of chicken breast with PACT. P-Pc accumulated passively in tumors following intravenous injection in mice as observed by PACT. Following oral administration, P-Pc passed through the intestine harmlessly, and PACT could be used to non-invasively observe intestine function. When the contrast agent placed under the arm of a healthy adult human, a PACT transducer on the top of the arm could readily detect P-Pc through the entire 5 cm limb. Thus, the approach of using contrast media with extreme absorption at 1064 nm readily enables high quality optical imaging in vitro and in vivo in humans at exceptional depths. PMID:27022416

  16. 50 CFR 622.181 - Prohibited and limited-harvest species.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Federal waters. (3) Speckled hind and warsaw grouper. Speckled hind and warsaw grouper may not be... than two cubera snapper measuring 30 inches (76.2 cm), TL, or larger, per day in the South Atlantic EEZ...

  17. 50 CFR 622.181 - Prohibited and limited-harvest species.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ....e., in state or Federal waters. (3) Speckled hind and warsaw grouper. Speckled hind and warsaw... than two cubera snapper measuring 30 inches (76.2 cm), TL, or larger, per day in the South Atlantic EEZ...

  18. Defense.gov Special Report: Travels With Hagel

    Science.gov Websites

    Posture Agreement The new U.S.-Australia force posture agreement will advance America's ongoing strategic U.S.-Australia Force Posture Pact A New force posture agreement between the U.S. and Australia capture of Kerry and Australian official signing a pact. U.S., Australia Sign Landmark Agreement More

  19. Parenting acceptance and commitment therapy: a randomised controlled trial of an innovative online course for families of children with cerebral palsy.

    PubMed

    Whittingham, Koa; Sheffield, Jeanie; Boyd, Roslyn N

    2016-10-19

    Cerebral palsy (CP) impacts on the entire family in a manner that is long-term, complex and multifactorial. In addition, the quality of the parent-child relationship impacts on many and varied child outcomes, making the provision of easily accessible and evidence-based support to parents of children with CP a priority. This paper reports the protocol of a randomised controlled trial of an innovative and translatable online intervention, parenting acceptance and commitment therapy (PACT), for families of children with CP. We predict that participating in the PACT programme will be associated with improvements in the parent-child relationship, in child functioning and in adjustment and quality of life for both parent and child. We aim to recruit 66 parents of children (2-10 years old) diagnosed with CP to this study. Families will be randomly assigned to two groups: wait-list control and PACT. PACT is a parenting intervention grounded in acceptance and commitment therapy (ACT) and developed into an online course 'PARENT101 Parenting with Purpose' using the edX platform. All participants will be offered PACT before completion of the study. Assessments will take place at baseline, following completion of PACT and at 6-month follow-up (retention) and will focus on the parent-child relationship, parent and child adjustment and parent and child quality of life. Analysis will follow standard methods for randomised controlled trials using general linear models, specifically analysis of variance or analysis of covariance. Ethics approvals have been obtained through the Children's Health Queensland Hospital and Health Service Human Research Ethics Committee (HREC/15/QRCH/115) and The University of Queensland (2015001743). If efficacy is demonstrated, then the PARENT101 course has the potential to be disseminated widely in an accessible manner and at minimal cost. Further, the PACT framework may provide a blueprint for similar online courses with parents in a full range of

  20. An Assessment of the Economic Reform in Poland’s State-Owned Industry

    DTIC Science & Technology

    1988-05-01

    Jan Lipinski, "Funkcjonowanie Prezedsieborstw w 1985 Roku ," Raporty, Instytut Gospodarki Narodowej, Warsaw, 1986. Wojciechowska, Urszula, Grazyna...Pasznik, and Andrzej Szeworski, "Sytuacja ekonomiczna przedsiebiorstw przemyslowych w 1985 roku ," Raporty, Instytut Gospodarki Narodowej, Warsaw, 1987

  1. Calculation of Organ Doses for a Large Number of Patients Undergoing CT Examinations.

    PubMed

    Bahadori, Amir; Miglioretti, Diana; Kruger, Randell; Flynn, Michael; Weinmann, Sheila; Smith-Bindman, Rebecca; Lee, Choonsik

    2015-10-01

    The objective of our study was to develop an automated calculation method to provide organ dose assessment for a large cohort of pediatric and adult patients undergoing CT examinations. We adopted two dose libraries that were previously published: the volume CT dose index-normalized organ dose library and the tube current-exposure time product (100 mAs)-normalized weighted CT dose index library. We developed an algorithm to calculate organ doses using the two dose libraries and the CT parameters available from DICOM data. We calculated organ doses for pediatric (n = 2499) and adult (n = 2043) CT examinations randomly selected from four health care systems in the United States and compared the adult organ doses with the values calculated from the ImPACT calculator. The median brain dose was 20 mGy (pediatric) and 24 mGy (adult), and the brain dose was greater than 40 mGy for 11% (pediatric) and 18% (adult) of the head CT studies. Both the National Cancer Institute (NCI) and ImPACT methods provided similar organ doses (median discrepancy < 20%) for all organs except the organs located close to the scanning boundaries. The visual comparisons of scanning coverage and phantom anatomies revealed that the NCI method, which is based on realistic computational phantoms, provides more accurate organ doses than the ImPACT method. The automated organ dose calculation method developed in this study reduces the time needed to calculate doses for a large number of patients. We have successfully used this method for a variety of CT-related studies including retrospective epidemiologic studies and CT dose trend analysis studies.

  2. Implementation of the patient-centered medical home in the Veterans Health Administration: associations with patient satisfaction, quality of care, staff burnout, and hospital and emergency department use.

    PubMed

    Nelson, Karin M; Helfrich, Christian; Sun, Haili; Hebert, Paul L; Liu, Chuan-Fen; Dolan, Emily; Taylor, Leslie; Wong, Edwin; Maynard, Charles; Hernandez, Susan E; Sanders, William; Randall, Ian; Curtis, Idamay; Schectman, Gordon; Stark, Richard; Fihn, Stephan D

    2014-08-01

    In 2010, the Veterans Health Administration (VHA) began implementing the patient-centered medical home (PCMH) model. The Patient Aligned Care Team (PACT) initiative aims to improve health outcomes through team-based care, improved access, and care management. To track progress and evaluate outcomes at all VHA primary care clinics, we developed and validated a method to assess PCMH implementation. To create an index that measures the extent of PCMH implementation, describe variation in implementation, and examine the association between the implementation index and key outcomes. We conducted an observational study using data on more than 5.6 million veterans who received care at 913 VHA hospital-based and community-based primary care clinics and 5404 primary care staff from (1) VHA clinical and administrative databases, (2) a national patient survey administered to a weighted random sample of veterans who received outpatient care from June 1 to December 31, 2012, and (3) a survey of all VHA primary care staff in June 2012. Composite scores were constructed for 8 core domains of PACT: access, continuity, care coordination, comprehensiveness, self-management support, patient-centered care and communication, shared decision making, and team-based care. Patient satisfaction, rates of hospitalization and emergency department use, quality of care, and staff burnout. Fifty-three items were included in the PACT Implementation Progress Index (Pi2). Compared with the 87 clinics in the lowest decile of the Pi2, the 77 sites in the top decile exhibited significantly higher patient satisfaction (9.33 vs 7.53; P < .001), higher performance on 41 of 48 measures of clinical quality, lower staff burnout (Maslach Burnout Inventory emotional exhaustion subscale, 2.29 vs 2.80; P = .02), lower hospitalization rates for ambulatory care-sensitive conditions (4.42 vs 3.68 quarterly admissions for veterans 65 years or older per 1000 patients; P < .001), and lower emergency

  3. Evaluation of Nintendo Wii Balance Board as a Tool for Measuring Postural Stability After Sport-Related Concussion

    PubMed Central

    Merchant-Borna, Kian; Jones, Courtney Marie Cora; Janigro, Mattia; Wasserman, Erin B.; Clark, Ross A.; Bazarian, Jeffrey J.

    2017-01-01

    Context: Recent changes to postconcussion guidelines indicate that postural-stability assessment may augment traditional neurocognitive testing when making return-to-participation decisions. The Balance Error Scoring System (BESS) has been proposed as 1 measure of balance assessment. A new, freely available software program to accompany the Nintendo Wii Balance Board (WBB) system has recently been developed but has not been tested in concussed patients. Objective: To evaluate the feasibility of using the WBB to assess postural stability across 3 time points (baseline and postconcussion days 3 and 7) and to assess concurrent and convergent validity of the WBB with other traditional measures (BESS and Immediate Post-Concussion Assessment and Cognitive Test [ImPACT] battery) of assessing concussion recovery. Design: Cohort study. Setting: Athletic training room and collegiate sports arena. Patients or Other Participants: We collected preseason baseline data from 403 National Collegiate Athletic Association Division I and III student-athletes participating in contact sports and studied 19 participants (age = 19.2 ± 1.2 years, height = 177.7 ± 8.0 cm, mass = 75.3 ± 16.6 kg, time from baseline to day 3 postconcussion = 27.1 ± 36.6 weeks) who sustained concussions. Main Outcome Measure(s): We assessed balance using single-legged and double-legged stances for both the BESS and WBB, focusing on the double-legged, eyes-closed stance for the WBB, and used ImPACT to assess neurocognition at 3 time points. Descriptive statistics were used to characterize the sample. Mean differences and Spearman rank correlation coefficients were used to determine differences within and between metrics over the 3 time points. Individual-level changes over time were also assessed graphically. Results: The WBB demonstrated mean changes between baseline and day 3 postconcussion and between days 3 and 7 postconcussion. It was correlated with the BESS and ImPACT for several measures and

  4. Evaluation of Nintendo Wii Balance Board as a Tool for Measuring Postural Stability After Sport-Related Concussion.

    PubMed

    Merchant-Borna, Kian; Jones, Courtney Marie Cora; Janigro, Mattia; Wasserman, Erin B; Clark, Ross A; Bazarian, Jeffrey J

    2017-03-01

    Recent changes to postconcussion guidelines indicate that postural-stability assessment may augment traditional neurocognitive testing when making return-to-participation decisions. The Balance Error Scoring System (BESS) has been proposed as 1 measure of balance assessment. A new, freely available software program to accompany the Nintendo Wii Balance Board (WBB) system has recently been developed but has not been tested in concussed patients. To evaluate the feasibility of using the WBB to assess postural stability across 3 time points (baseline and postconcussion days 3 and 7) and to assess concurrent and convergent validity of the WBB with other traditional measures (BESS and Immediate Post-Concussion Assessment and Cognitive Test [ImPACT] battery) of assessing concussion recovery. Cohort study. Athletic training room and collegiate sports arena. We collected preseason baseline data from 403 National Collegiate Athletic Association Division I and III student-athletes participating in contact sports and studied 19 participants (age = 19.2 ± 1.2 years, height = 177.7 ± 8.0 cm, mass = 75.3 ± 16.6 kg, time from baseline to day 3 postconcussion = 27.1 ± 36.6 weeks) who sustained concussions. We assessed balance using single-legged and double-legged stances for both the BESS and WBB, focusing on the double-legged, eyes-closed stance for the WBB, and used ImPACT to assess neurocognition at 3 time points. Descriptive statistics were used to characterize the sample. Mean differences and Spearman rank correlation coefficients were used to determine differences within and between metrics over the 3 time points. Individual-level changes over time were also assessed graphically. The WBB demonstrated mean changes between baseline and day 3 postconcussion and between days 3 and 7 postconcussion. It was correlated with the BESS and ImPACT for several measures and identified 2 cases of abnormal balance postconcussion that would not have been identified via the BESS. When

  5. Examining postconcussion symptoms of dizziness and imbalance on neurocognitive performance in collegiate football players.

    PubMed

    Honaker, Julie A; Lester, Houston F; Patterson, Jessie N; Jones, Sherri M

    2014-07-01

    This study examined the effects of symptom reports of dizziness and imbalance on cognitive function in concussed collegiate football players. Retrospective, descriptive. University athletic medicine facility. Twenty-seven collegiate football players were included in the final analysis: 16 with symptoms of dizziness/imbalance resulting from concussion and 11 without dizziness/imbalance resulting from concussion. Participants completed the Immediate Postconcussion Assessment and Cognitive Testing (ImPACT) at baseline, at 1 to 2 days postconcussion and 5 to 7 days postconcussion. The ImPACT neurocognitive assessment consists of 6 modules, yielding 4 composite scores: verbal memory, visual memory, visual-motor processing speed, and reaction time. In addition, it includes a postconcussion symptom scale total score. Results revealed that participants with reports of dizziness and imbalance had significantly lower scores on the ImPACT composite scores; however, these individuals also had an overall higher symptom inventory. When accounting for the additional postconcussion symptoms, time was the only significant effect. Dizziness and imbalance are common symptoms postconcussion; however, these symptoms did not predict performance on acute ImPACT scores. Further research is needed to understand the mechanisms causing postconcussion symptoms, including symptoms of dizziness and imbalance, and influence on outcomes postconcussion.

  6. A forward-adjoint operator pair based on the elastic wave equation for use in transcranial photoacoustic computed tomography

    PubMed Central

    Mitsuhashi, Kenji; Poudel, Joemini; Matthews, Thomas P.; Garcia-Uribe, Alejandro; Wang, Lihong V.; Anastasio, Mark A.

    2017-01-01

    Photoacoustic computed tomography (PACT) is an emerging imaging modality that exploits optical contrast and ultrasonic detection principles to form images of the photoacoustically induced initial pressure distribution within tissue. The PACT reconstruction problem corresponds to an inverse source problem in which the initial pressure distribution is recovered from measurements of the radiated wavefield. A major challenge in transcranial PACT brain imaging is compensation for aberrations in the measured data due to the presence of the skull. Ultrasonic waves undergo absorption, scattering and longitudinal-to-shear wave mode conversion as they propagate through the skull. To properly account for these effects, a wave-equation-based inversion method should be employed that can model the heterogeneous elastic properties of the skull. In this work, a forward model based on a finite-difference time-domain discretization of the three-dimensional elastic wave equation is established and a procedure for computing the corresponding adjoint of the forward operator is presented. Massively parallel implementations of these operators employing multiple graphics processing units (GPUs) are also developed. The developed numerical framework is validated and investigated in computer19 simulation and experimental phantom studies whose designs are motivated by transcranial PACT applications. PMID:29387291

  7. Iterative image reconstruction in elastic inhomogenous media with application to transcranial photoacoustic tomography

    NASA Astrophysics Data System (ADS)

    Poudel, Joemini; Matthews, Thomas P.; Mitsuhashi, Kenji; Garcia-Uribe, Alejandro; Wang, Lihong V.; Anastasio, Mark A.

    2017-03-01

    Photoacoustic computed tomography (PACT) is an emerging computed imaging modality that exploits optical contrast and ultrasonic detection principles to form images of the photoacoustically induced initial pressure distribution within tissue. The PACT reconstruction problem corresponds to a time-domain inverse source problem, where the initial pressure distribution is recovered from the measurements recorded on an aperture outside the support of the source. A major challenge in transcranial PACT brain imaging is to compensate for aberrations in the measured data due to the propagation of the photoacoustic wavefields through the skull. To properly account for these effects, a wave equation-based inversion method should be employed that can model the heterogeneous elastic properties of the medium. In this study, an iterative image reconstruction method for 3D transcranial PACT is developed based on the elastic wave equation. To accomplish this, a forward model based on a finite-difference time-domain discretization of the elastic wave equation is established. Subsequently, gradient-based methods are employed for computing penalized least squares estimates of the initial source distribution that produced the measured photoacoustic data. The developed reconstruction algorithm is validated and investigated through computer-simulation studies.

  8. Opinions of employees of the National Institute of Public Health--National Institute of Hygiene in Warsaw on influenza vaccination.

    PubMed

    Supranowicz, Piotr; Brydak, Lidia Bernadeta

    2013-01-01

    Improving influenza vaccination coverage is an important action to prevent influenza epidemics and reduce the costs caused by the epidemics. Recognising the motives to be vaccinated or failure to vaccinate, especially among health care workers, is needed. The aim of presented papers is: 1) recognising the influenza vaccination coverage among NIPH-NIH employees, 2) examining the determinants of decision be vaccinated/not vaccinated, 3) estimating the effectiveness of influenza vaccination in relation to sickness absence due to respiratory infection. The study was carried out in NIPH-NIH by e-mail questionnaire. Out of 345 employees, 187 (54,2%) participated in the study. The questionnaire contained information on influenza vaccination and determinants that would potentially affect the decision to vaccinate. 18,7% of the participants was vaccinated in the previous epidemic season and the half of employees were vaccinated at least one time in the previous 10 seasons. Only every fourth family/occupational doctor encouraged their patients to vaccinate. The NIPH-NIH employees would be more likely to be vaccinated, if the employer has provided free vaccines. The estimation of influenza vaccination effectiveness in decreasing the sickness absence due to respiratory infection amounted 37%. Our findings confirmed that influenza vaccination contributes to noticeable decreasing of sickness absence. Providing free vaccination against influenza by employer could increase considerably the coverage.

  9. Evaluation of the effect of photodynamic antimicrobial therapy in dentin caries: a pilot in vivo study

    NASA Astrophysics Data System (ADS)

    Borges, F. M. C.; de-Melo, M. A. S.; Lima, J. M. P.; Zanin, I. C. J.; Rodrigues, L. K. A.; Nobre-dos-Santos, M.

    2010-02-01

    In vitro and in situ studies have demonstrated that the photodynamic antimicrobial therapy (PACT) is effective in reducing Streptococcus mutans population in artificially carious dentin. This pilot in vivo study evaluated the antimicrobial effect of PACT using toluidine blue O (TBO) and a light-emitting diode (LED) in carious dentin lesions. Five healthy adult volunteers (19-36 yr), with at least 4 active carious cavities each, participated in this study. Teeth of each volunteer were randomly divided into four groups: (1) without TBO and without light (Control); (2) with TBO alone (TBO); (3) with LED at 94/J cm2 alone (LED); and (4) with TBO plus LED at 94 J/cm2 (PACT). Each cavity was divided into two halves. The baseline carious dentin sample was collected from half of each cavity. Following, the treatments were performed using a random distribution of tooth into treatments. Then, the second collection of carious dentin samples was performed. Before and after treatments, dentin samples were analyzed with regard to the counts of total viable microorganisms, total streptococci, mutans streptococci, and lactobacilli. The data were statistically analyzed by Kruskal-Wallis and Student-Newman-Keuls tests (α=5%). Log reductions ranged from -0.12 to 2.68 and significant reductions were observed for PACT (group 4) when compared to the other groups (1, 2, and 3) for total streptococci and mutans streptococci. Concluding, PACT was effective in killing oral microorganisms present in in vivo carious dentin lesions and may be a promising technique for eliminating bacteria from dentin before restoration.

  10. Utility of the Psychosocial Assessment of Candidates for Transplantation in Patients Undergoing Continuous-Flow Left Ventricular Assist Device Implantation.

    PubMed

    Halkar, Meghana; Nowacki, Amy S; Kendall, Kay; Efeovbokhan, Nephertiti; Gorodeski, Eiran Z; Moazami, Nader; Starling, Randall C; Young, James B; Lee, Sangjin; Tang, W H Wilson

    2018-01-01

    Psychosocial assessment of patients comprises an important element in the selection process of appropriate candidates for left ventricular assist device (LVAD) implantation. We sought to determine the association of the well-validated psychosocial assessment of candidates for transplantation (PACT) scale to clinical outcomes post-LVAD implantation. The PACT scale was used retrospectively to reconstruct psychosocial profiles of all patients who underwent a continuous-flow LVAD implantation for all indications at our institution between March 2008 and August 2012 (N = 230). Psychosocial elements including social support, psychological health, lifestyle factors, comprehension of the operation, and follow-up were evaluated. The primary outcome was overall survival, and the secondary outcomes were hospital readmission, pump thrombosis, hemolysis, gastrointestinal (GI) bleeding, and LVAD driveline infections. The mean age of patients was 55.3 years, with 83% being male; 58% (N = 135) were bridge to transplant and 42% (N = 95) were destination therapy. Up to 1-year post-LVAD implant, there were no statistical differences among the 5 PACT candidate groups in terms of survival ( P = .79), hospital readmissions ( P = .55), suspected or confirmed pump thrombosis ( P = .31), hemolysis ( P = .43), GI bleeding ( P = .71), or driveline infections ( P = .06). In this single-center retrospective review, post hoc reconstruction of psychosocial profiles using the PACT scale and independent assessment of postimplant outcomes, including survival and adverse events, did not show any association. However, given the small number of patients in the low score PACT groups as well as limited duration of follow-up, further studies are required to elucidate the association.

  11. Pilot Trial of Inpatient Cognitive Therapy for the Prevention of Suicide in Military Personnel with Acute Stress Disorder or Post-Traumatic Stress Disorder

    DTIC Science & Technology

    2010-08-01

    Therapy (PACT) as a targeted inpatient treatment for individuals admitted for a recent suicide attempt to a military hospital . (2) To assess the... therapy (PACT). Invited presentation at the Department of Defense Suicide Prevention Research Program Working Group, Frederick, MD. Martin, J. S ...depressed and anxious outpatients. Cognitive Behaviour Therapy , 36, 170-178. Bhar, S ., Ghahramanlou-Holloway, M., Brown, G., & Beck, A. T. (2008). Self

  12. Balance of power in host-virus arms races.

    PubMed

    Kok, Kin-Hang; Jin, Dong-Yan

    2013-07-17

    The sensing of viral RNA by the host innate immune system is mediated by RIG-I and its partner PACT. In this issue of Cell Host & Microbe, Luthra et al. (2013) show that the Ebola virus VP35 protein counteracts the action of PACT at the cost of compromising its own function in viral replication. Copyright © 2013 Elsevier Inc. All rights reserved.

  13. A First Look at PCMH Implementation for Minority Veterans: Room for Improvement.

    PubMed

    Hernandez, Susan E; Taylor, Leslie; Grembowski, David; Reid, Robert J; Wong, Edwin; Nelson, Karin M; Liu, Chuan-Fen; Fihn, Stephan D; Hebert, Paul L

    2016-03-01

    Implementation of Patient Aligned Care Teams (PACT), a patient-centered medical home model, has been inconsistent among the >900 primary care facilities in the Veterans Health Administration. Estimate if the degree of PACT implementation at a facility varied with the percentage of minority veteran patients at the facility. Cross-sectional, facility-level analysis of PACT implementation measures in 2012. Veterans Health Administration hospital-based and community-based primary care facilities. We used a previously validated PACT Implementation Progress Index (Pi) and its 8 domains: access, continuity of care, care coordination, comprehensiveness, self-management support, and patient-centered care and communication, shared decision-making domains, and team functioning. Facilities were categorized as low (<5.2%, n=208), medium (5.2%-25.8%, n=413), and high (>25.8%, n=206) percent minority based on the percent of their own veteran population. Most minority veterans received care in high minority (69%) and medium minority facilities (29%). In adjusted analyses, medium and high minority facilities scored 0.773 (P=0.009) and 0.930 (P=0.008) points lower on the Pi score relative to low minority facilities. Relative to low minority facilities, both medium and high minority facilities were less likely of having high Pi scores (≥2) and more likely of having low Pi scores (≤-2). Both medium and high minority facilities had the same 3 domain scores lower than low minority facilities (care coordination, comprehensiveness, and self-management). Overall PACT implementation varied with respect to the racial/ethnic composition of a facility, with medium and high minority facilities having a lower implementation scores.

  14. Effects of Sleep Loss on Subjective Complaints and Objective Neurocognitive Performance as Measured by the Immediate Post-Concussion Assessment and Cognitive Testing.

    PubMed

    Stocker, Ryan P J; Khan, Hassen; Henry, Luke; Germain, Anne

    2017-05-01

    This study examined the effects of total and partial sleep deprivation on subjective symptoms and objective neurocognitive performance, as measured by the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) in a sample of healthy adults. One-hundred and two, right-handed, healthy participants (between ages 18 and 30 years old) completed three consecutive nights in the sleep laboratory with concurrent continuous polysomnography monitoring. Night 1 served as a baseline night. Prior to Night 2, they were randomly assigned to one of three sleep conditions: undisrupted normal sleep (N = 34), sleep restriction (50% of habitual sleep, N = 37), or total sleep deprivation (N = 31). Participants slept undisturbed on Night 3. ImPACT was administered on three separate occasions. Sleep loss was associated with increased severity of subjectively reported affective, cognitive, physical, and sleep symptoms. Although objective neurocognitive task scores derived from the ImPACT battery did not corroborate subjective complaints, sleep loss was associated with significant differences on tasks of visual memory, reaction time, and visual motor speed over time. While self-report measures suggested marked impairments following sleep loss, deficits in neurocognitive performance were observed only on three domains measured with ImPACT. ImPACT may capture subtle changes in neurocognitive performance following sleep loss; however, independent and larger validation studies are needed to determine its sensitivity to acute sleep loss and recovery sleep. Neurocognitive screening batteries may be useful for detecting the effects of more severe or chronic sleep loss under high-stress conditions that mimic high-risk occupations. © The Author 2017. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  15. Worldwide Report, Arms Control

    DTIC Science & Technology

    1986-02-28

    NACHRICHTEN , 18 Oct 85) 39 Presummit Polish Reporting on SDI Issues (Warsaw RZECZPOSPOLITA, 19-20 Oct 85; Warsaw ZYCIE WARSZAWY, 15 Oct 85) 42...28 February 1986 SDI AND SPACE ARMS MEETING REVEALS SOME SUPPORT FOR EUREKA LINK TO MILITARY Puesseldbrf VDI NACHRICHTEN in German 18 Oct 85 p 10

  16. Generation of anatomically realistic numerical phantoms for photoacoustic and ultrasonic breast imaging

    NASA Astrophysics Data System (ADS)

    Lou, Yang; Zhou, Weimin; Matthews, Thomas P.; Appleton, Catherine M.; Anastasio, Mark A.

    2017-04-01

    Photoacoustic computed tomography (PACT) and ultrasound computed tomography (USCT) are emerging modalities for breast imaging. As in all emerging imaging technologies, computer-simulation studies play a critically important role in developing and optimizing the designs of hardware and image reconstruction methods for PACT and USCT. Using computer-simulations, the parameters of an imaging system can be systematically and comprehensively explored in a way that is generally not possible through experimentation. When conducting such studies, numerical phantoms are employed to represent the physical properties of the patient or object to-be-imaged that influence the measured image data. It is highly desirable to utilize numerical phantoms that are realistic, especially when task-based measures of image quality are to be utilized to guide system design. However, most reported computer-simulation studies of PACT and USCT breast imaging employ simple numerical phantoms that oversimplify the complex anatomical structures in the human female breast. We develop and implement a methodology for generating anatomically realistic numerical breast phantoms from clinical contrast-enhanced magnetic resonance imaging data. The phantoms will depict vascular structures and the volumetric distribution of different tissue types in the breast. By assigning optical and acoustic parameters to different tissue structures, both optical and acoustic breast phantoms will be established for use in PACT and USCT studies.

  17. Teaching cross-cultural communication skills online: a multi-method evaluation.

    PubMed

    Lee, Amy L; Mader, Emily M; Morley, Christopher P

    2015-04-01

    Cultural competency education is an important and required part of undergraduate medical education. The objective of this study was to evaluate whether an online cross-cultural communication module could increase student use of cross-cultural communication questions that assess the patient's definition of the problem, the way the problem affects their life, their concerns about the problem, and what the treatment should be (PACT). We used multi-method assessment of students assigned to family medicine clerkship blocks that were randomized to receive online cultural competency and PACT training added to their standard curriculum or to a control group receiving the standard curriculum only. Outcomes included comparison, via analysis of variance, of number of PACT questions used during an observed Standardized Patient Exercise, end-of-year OSCE scores, and qualitative analysis of student narratives. Students (n=119) who participated in the online module (n=60) demonstrated increased use of cross-cultural communication PACT questions compared to the control group (n=59) and generally had positive themes emerge from their reflective writing. The module had the biggest impact on students who later went on to match in high communication specialties. Online teaching of cross-cultural communication skills can be effective at changing medical student behavior.

  18. Keep Our PACT Act

    THOMAS, 112th Congress

    Rep. Van Hollen, Chris [D-MD-8

    2011-03-01

    House - 03/21/2011 Referred to the Subcommittee on Early Childhood, Elementary, and Secondary Education. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  19. Keep Our PACT Act

    THOMAS, 111th Congress

    Rep. Van Hollen, Chris [D-MD-8

    2009-02-13

    House - 03/30/2009 Referred to the Subcommittee on Early Childhood, Elementary, and Secondary Education. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  20. Keep Our PACT Act

    THOMAS, 113th Congress

    Rep. Van Hollen, Chris [D-MD-8

    2014-09-18

    House - 11/17/2014 Referred to the Subcommittee on Early Childhood, Elementary, and Secondary Education. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  1. Nine Days to Oder: An Alternate NATO Strategy for Central Region, Europe.

    DTIC Science & Technology

    1980-06-01

    in the formulation of the air campaign plans. To all these colleagues in the profession of arms, the authors offer their thanks. ii TABLE OF CONTENTS ...Risk Assessment ...................... 144 iv TABLE OF CONTENTS CONTINUED Page XI. THE COST OF THE ALTERNATE STRATEGY ... ........... ... 149 XII. PACT...Encyclopedia of Military History, p. 261. 2. Basil Liddell Hart, The Sword and the Pen, p. 319. 3. Ibid., p. 318. 3 CHAPTER II SOVIET STRATEGY AND PACT

  2. Involuntary psychiatric holds - the structure of admissions on the example of Institute of Psychiatry and Neurology in Warsaw.

    PubMed

    Markiewicz, Inga; Heitzman, Janusz; Gardyńska-Ziemba, Ewa

    2016-01-01

    The aim of the study was to analyse the structure of involuntary psychiatric holds in Institute of Psychiatry and Neurology in Warsaw, throughout the year. Our research interests included socio-demographic profiles of the patients, time of admissions (time of a day/night/ season), type of diagnoses at admission and suicide attempts preceding the admission. We also analysed the normative aspect of involuntary admissions, i.e. which Articles of the Polish Mental Health Act constituted the basis for these patients admission, and if the choice of articles was justifiable by a diagnosis of the mental disorder. The primary research tool consisted of an original questionnaire allowing for the collection of relevant data. The material was submitted to statistical analysis, using primarily simple percentage methods. Involuntary psychiatric holds constituted 15.8% of the total number of admissions to the Institute of Psychiatry and Neurology (3,498 persons) in 2012. 522 persons with mental disorders were subject to involuntary admission on emergency basis (292 women and 260 men). Majority of patients was over 40 years old. The number of patients admitted to the Institute of Psychiatry and Neurology on emergency basis without the consent ranged from 38 to 62 people per month. Season did not differentiate significantly the number of admitted persons, majority of patients was admitted during the day (82%). Among the diagnosed patients, paranoid schizophrenia was the most frequent illness (43%), delirium tremens (7%), bipolar disorders (6%), dementia (5%), other psychotic disorders (5%), paranoid syndrome (5%), schizoaffective disorder (5%), other diagnoses (less than 1%). 4% of admissions to the Institute of Psychiatry and Neurology were due to attempted suicide. 37% of patients were admitted to the Institute of Psychiatry and Neurology under Article 23.1 of the Mental Health Act, 34% under Article 22.2, in accordance with Article 24.1 - only 7% of patients. Invoking Article 28

  3. Baseline neurocognitive testing in sports-related concussions: the importance of a prior night's sleep.

    PubMed

    McClure, D Jake; Zuckerman, Scott L; Kutscher, Scott J; Gregory, Andrew J; Solomon, Gary S

    2014-02-01

    The management of sports-related concussions (SRCs) utilizes serial neurocognitive assessments and self-reported symptom inventories to assess recovery and safety for return to play (RTP). Because postconcussive RTP goals include symptom resolution and a return to neurocognitive baseline levels, clinical decisions rest in part on understanding modifiers of this baseline. Several studies have reported age and sex to influence baseline neurocognitive performance, but few have assessed the potential effect of sleep. We chose to investigate the effect of reported sleep duration on baseline Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) performance and the number of patient-reported symptoms. We hypothesized that athletes receiving less sleep before baseline testing would perform worse on neurocognitive metrics and report more symptoms. Cross-sectional study; Level of evidence, 3. We retrospectively reviewed 3686 nonconcussed athletes (2371 male, 1315 female; 3305 high school, 381 college) with baseline symptom and ImPACT neurocognitive scores. Patients were stratified into 3 groups based on self-reported sleep duration the night before testing: (1) short, <7 hours; (2) intermediate, 7-9 hours; and (3) long, ≥9 hours. A multivariate analysis of covariance (MANCOVA) with an α level of .05 was used to assess the influence of sleep duration on baseline ImPACT performance. A univariate ANCOVA was performed to investigate the influence of sleep on total self-reported symptoms. When controlling for age and sex as covariates, the MANCOVA revealed significant group differences on ImPACT reaction time, verbal memory, and visual memory scores but not visual-motor (processing) speed scores. An ANCOVA also revealed significant group differences in total reported symptoms. For baseline symptoms and ImPACT scores, subsequent pairwise comparisons revealed these associations to be most significant when comparing the short and intermediate sleep groups. Our

  4. Development of a Multisensory Wearable System for Monitoring Cigarette Smoking Behavior in Free-Living Conditions

    PubMed Central

    Imtiaz, Masudul Haider; Ramos-Garcia, Raul I.; Senyurek, Volkan Yusuf; Tiffany, Stephen; Sazonov, Edward

    2017-01-01

    This paper presents the development and validation of a novel multi-sensory wearable system (Personal Automatic Cigarette Tracker v2 or PACT2.0) for monitoring of cigarette smoking in free-living conditions. The contributions of the PACT2.0 system are: (1) the implementation of a complete sensor suite for monitoring of all major behavioral manifestations of cigarette smoking (lighting events, hand-to-mouth gestures, and smoke inhalations); (2) a miniaturization of the sensor hardware to enable its applicability in naturalistic settings; and (3) an introduction of new sensor modalities that may provide additional insight into smoking behavior e.g., Global Positioning System (GPS), pedometer and Electrocardiogram(ECG) or provide an easy-to-use alternative (e.g., bio-impedance respiration sensor) to traditional sensors. PACT2.0 consists of three custom-built devices: an instrumented lighter, a hand module, and a chest module. The instrumented lighter is capable of recording the time and duration of all lighting events. The hand module integrates Inertial Measurement Unit (IMU) and a Radio Frequency (RF) transmitter to track the hand-to-mouth gestures. The module also operates as a pedometer. The chest module monitors the breathing (smoke inhalation) patterns (inductive and bio-impedance respiratory sensors), cardiac activity (ECG sensor), chest movement (three-axis accelerometer), hand-to-mouth proximity (RF receiver), and captures the geo-position of the subject (GPS receiver). The accuracy of PACT2.0 sensors was evaluated in bench tests and laboratory experiments. Use of PACT2.0 for data collection in the community was validated in a 24 h study on 40 smokers. Of 943 h of recorded data, 98.6% of the data was found usable for computer analysis. The recorded information included 549 lighting events, 522/504 consumed cigarettes (from lighter data/self-registered data, respectively), 20,158/22,207 hand-to-mouth gestures (from hand IMU/proximity sensor, respectively) and

  5. A New Arab Alliance System: Causes of the Iraq-Iran War and the Reaction of Various Arab States.

    DTIC Science & Technology

    1981-06-01

    the downfall of the Iraqi monarchy in July, 1958 and the proclamation of a Republic by Abd al-Karim Kassem , the relationship between monarchical Iran...and republican Iraq was significantly damaged. This was due to the fact that Kassem , under severe Arab pres- sure, departed from the "Baghdad Pact...34 between Iraq, Turkey, 13 Iran, Pakistan and Great Britain. Kassem departed from the pro-Western orientation of the "Baghdad Pact" states and adopted an

  6. Identification of needs and requirements defined by services subordinated to the Minister of the Interior and Administration in key technology and user interfaces to develop a concept of the Video Signals Integrator (VSI) system

    NASA Astrophysics Data System (ADS)

    Bukowiecka, Danuta; Tyburska, Agata; Struniawski, Jarosław; Jastrzebski, Pawel; Jewartowski, Blazej; Pozniak, Krzysztof; Kasprowicz, Grzegorz; Pastuszak, Grzegorz; Trochimiuk, Maciej; Abramowski, Andrzej; Gaska, Michal; Frasunek, Przemysław; Nalbach-Moszynska, Małgorzata; Brawata, Sebastian; Bubak, Iwona; Gloza, Małgorzata

    2016-09-01

    Preventing and eliminating the risks of terrorist attacks or natural disasters as well as an increase in the security of mass events and critical infrastructure requires the application of modern technologies. Therefore there is a proposal to construct a tool that integrates video signals transmitted by devices that are a part of video monitoring systems functioning in Poland. The article presents selected results of research conducted by the Police Academy in Szczytno under the implemented project for national defense and security on "Video Signals Integrator" Acronym - VSI. Project Leader: Warsaw University of Technology. The consortium: Police Academy in Szczytno, Atende Software Ltd., VORTEX Ltd. No. DOBBio7/ 01/02/2015 funded by the National Centre for Research and Development.

  7. Trends in Adolescent Substance Use: The Mokotow Study 1988-2004

    ERIC Educational Resources Information Center

    Ostaszewski, Krzysztof; Pisarska, Agnieszka

    2008-01-01

    This study, conducted every 4 years since 1984, is aimed at monitoring alcohol, tobacco, tranquillizers and illegal drug-use trends among 15-year-olds from Warsaw. The self-report data are taken from a representative sample of students attending schools in three districts of Warsaw (sample size ranged from 1461 to 3918 in the different study…

  8. BNL 56 MHz HOM damper prototype fabrication at JLAB

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

    Huque, N.; McIntyre, G.; Daly, E. F.

    A prototype Higher-Order Mode (HOM) Damper was fabricated at JLab for the Relativistic Heavy-Ion Collider’s (RHIC) 56 MHz cavity at Brookhaven National Laboratory (BNL). Primarily constructed from high RRR Niobium and Sapphire, the coaxial damper presented significant challenges in electron-beam welding (EBW), brazing and machining via acid etching. The results of the prototype operation brought about changes in the damper design, due to overheating braze alloys and possible multi-pacting. Five production HOM dampers are currently being fabricated at JLab. This paper outlines the challenges faced in the fabrication process, and the solutions put in place.

  9. BNL 56 MHz HOM Damper Prototype Fabrication at JLab

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

    Huque, Naeem A.; Daly, Edward F.; Clemens, William A.

    A prototype Higher-Order Mode (HOM) Damper was fabricated at JLab for the Relativistic Heavy-Ion Collider's (RHIC) 56 MHz cavity at Brookhaven National Laboratory (BNL). Primarily constructed from high RRR Niobium and Sapphire, the coaxial damper presented significant challenges in electron-beam welding (EBW), brazing and machining via acid etching. The results of the prototype operation brought about changes in the damper design, due to overheating braze alloys and possible multi-pacting. Five production HOM dampers are currently being fabricated at JLab. This paper outlines the challenges faced in the fabrication process, and the solutions put in place.

  10. The possibility of establishing causes of death on the basis of the exhumed remains of prisoners executed during the communist regime in Poland: the exhumations at Powązki Military Cemetery in Warsaw.

    PubMed

    Szleszkowski, Łukasz; Thannhäuser, Agata; Szwagrzyk, Krzysztof; Jurek, Tomasz

    2015-07-01

    This study presents the results of the analysis of forensic examinations of the remains of 194 prisoners exhumed at Powązki Military Cemetery in Warsaw. In all probability, most of those buried there were judicially sentenced to death by firing squad or hanging in connection with activities of the Polish independence underground in its struggles with the postwar communist regime. Forensic medical research focussed on determining causes of death and reconstructing the mechanisms of injury leading to death. Most probable causes of death were found in 108 of 194 cases; of these, 76 were isolated gunshot wounds to the head, mostly directed to the occipital region. In 29 of 194 cases, only extensive skull fractures were observed, making it impossible to determine the mechanism of injury. The condition of these skulls do not permit the exclusion of injuries due to gunshots, which were very likely given the historical context of the studied location. In one case, it is assumed that the cause of death could be blunt force trauma to the head. In 86 of 194 cases, it was not possible to determine the cause of death. Of these cases, 20 skeletons were in such poor condition that erosive changes could have completely obliterated even very extensive head injuries leading to death. No injuries were observed that could be associated with execution by hanging.

  11. Development of laser technology in Poland: 2016

    NASA Astrophysics Data System (ADS)

    Jankiewicz, Zdzisław; Jabczyński, Jan K.; Romaniuk, Ryszard S.

    2016-12-01

    The paper is an introduction to the volume of proceedings and a concise digest of works presented during the XIth National Symposium on Laser Technology (SLT2016) [1]. The Symposium is organized since 1984 every three years [2-8]. SLT2016 was organized by the Institute of Optoelectronics, Military University of Technology (IO, WAT) [9], Warsaw, with cooperation of Warsaw University of Technology (WUT) [10], in Jastarnia on 27-30 September 2016. Symposium Proceedings are traditionally published by SPIE [11-19]. The meeting has gathered around 150 participants who presented around 120 research and technical papers. The Symposium, organized every 3 years is a good portrait of laser technology and laser applications development in Poland at university laboratories, governmental institutes, company R&D laboratories, etc. The SLT also presents the current technical projects under realization by the national research, development and industrial teams. Topical tracks of the Symposium, traditionally divided to two large areas - sources and applications, were: laser sources in near and medium infrared, picosecond and femtosecond lasers, optical fiber lasers and amplifiers, semiconductor lasers, high power and high energy lasers and their applications, new materials and components for laser technology, applications of laser technology in measurements, metrology and science, military applications of laser technology, laser applications in environment protection and remote detection of trace substances, laser applications in medicine and biomedical engineering, laser applications in industry, technologies and material engineering.

  12. Anatomical and metabolic small-animal whole-body imaging using ring-shaped confocal photoacoustic computed tomography

    NASA Astrophysics Data System (ADS)

    Xia, Jun; Chatni, Muhammad; Maslov, Konstantin; Wang, Lihong V.

    2013-03-01

    Due to the wide use of animals for human disease studies, small animal whole-body imaging plays an increasingly important role in biomedical research. Currently, none of the existing imaging modalities can provide both anatomical and glucose metabolic information, leading to higher costs of building dual-modality systems. Even with image coregistration, the spatial resolution of the metabolic imaging modality is not improved. We present a ring-shaped confocal photoacoustic computed tomography (RC-PACT) system that can provide both assessments in a single modality. Utilizing the novel design of confocal full-ring light delivery and ultrasound transducer array detection, RC-PACT provides full-view cross-sectional imaging with high spatial resolution. Scanning along the orthogonal direction provides three-dimensional imaging. While the mouse anatomy was imaged with endogenous hemoglobin contrast, the glucose metabolism was imaged with a near-infrared dye-labeled 2-deoxyglucose. Through mouse tumor models, we demonstrate that RC-PACT may be a paradigm shifting imaging method for preclinical research.

  13. Effect of education and language on baseline concussion screening tests in professional baseball players.

    PubMed

    Jones, Nathaniel S; Walter, Kevin D; Caplinger, Roger; Wright, Daniel; Raasch, William G; Young, Craig

    2014-07-01

    The purpose of the present study was to investigate the possible effects of sociocultural influences, specifically pertaining to language and education, on baseline neuropsychological concussion testing as obtained via immediate postconcussion assessment and cognitive testing (ImPACT) of players from a professional baseball team. A retrospective chart review. Baseline testing of a professional baseball organization. Four hundred five professional baseball players. Age, languages spoken, hometown country location (United States/Canada vs overseas), and years of education. The 5 ImPACT composite scores (verbal memory, visual memory, visual motor speed, reaction time, impulse control) and ImPACT total symptom score from the initial baseline testing. The result of t tests revealed significant differences (P < 0.05) when comparing native English to native Spanish speakers in many scores. Even when corrected for education, the significant differences (P < 0.05) remained in some scores. Sociocultural differences may result in differences in computer-based neuropsychological testing scores.

  14. Preventing Spacecraft Failures Due to Tribological Problems

    NASA Technical Reports Server (NTRS)

    Fusaro, Robert L.

    2001-01-01

    Many mechanical failures that occur on spacecraft are caused by tribological problems. This publication presents a study that was conducted by the author on various preventatives, analyses, controls and tests (PACTs) that could be used to prevent spacecraft mechanical system failure. A matrix is presented in the paper that plots tribology failure modes versus various PACTs that should be performed before a spacecraft is launched in order to insure success. A strawman matrix was constructed by the author and then was sent out to industry and government spacecraft designers, scientists and builders of spacecraft for their input. The final matrix is the result of their input. In addition to the matrix, this publication describes the various PACTs that can be performed and some fundamental knowledge on the correct usage of lubricants for spacecraft applications. Even though the work was done specifically to prevent spacecraft failures the basic methodology can be applied to other mechanical system areas.

  15. Ludwik Zamenhof: a major contributor to world culture, on the 150(th) anniversary of his birth.

    PubMed

    Grzybowski, Andrzej

    2010-01-01

    More than 200 universal languages have been proposed to replace the nearly 3,000 existing languages. Esperanto, developed by the Polish-Jewish ophthalmologist Ludwik Zamenhof in 1887, became the most widely used artificial language of the 20(th) century. It is estimated that between one million and 15 million people in the world can speak or read Esperanto. Zamenhof was nominated 14 times for the Nobel Peace Prize, and also received the French Legion of Honor, and the Medal of Isabelle of Spain the Catholic. Ludwik Zamenhof started his professional training in ophthalmology at the Jewish Hospital in Warsaw, later spent several months in Vienna, and finally started a private ophthalmology practice in Warsaw, where he remained for most of his life. His son Adam was an associate professor of ophthalmology at the University of Warsaw and head of ophthalmology in the Jewish Hospital in Czyste, the biggest and most modern hospital in Warsaw at that time. Some lesser known aspects of Zamenhof's life and work drawn from the original 19(th) century Russian and 20(th) century Esperanto documents are described. Copyright 2010 Elsevier Inc. All rights reserved.

  16. Type II Forward Storage Site Facilities. POMCUS System. Volume 1

    DTIC Science & Technology

    1980-09-01

    GENERAL ILLUM! NATTO . jl 37 900 ’ M23218 -DICAL EQUIPMENT SET S,.TTALI1.; a 115 1,355 N54691 LHARGER BATTERY 2 i8 200 N82364 PERISCOPE BATTER’ COMMA!-D I 3...the Pact has improved its capability to exploit these advantages , the United States has responded by improving its reinforcement capability. In...areas, but they are also large enough and positioned in such a way as to cp-italize on their basic advantages . Hence it is possible * that the Pact

  17. Nuclear Winter Revisited: can it Make a Difference This Time?

    NASA Astrophysics Data System (ADS)

    Schneider, S.

    2006-12-01

    Some 23 years ago, in the middle of a Cold War and the threat of a strategic nuclear weapons exchange between NATO and the Warsaw Pact nations, atmospheric scientists pointed out that the well-anticipated side effects of a large-scale nuclear war ozone depletion, radioactive contamination and some climatic effects had massively underestimated the more likely implications: massive fires, severe dimming and cooling beneath circulating smoke clouds, disruption to agriculture in non-combatant nations, severe loss of imports of food to already-food-deficient regions and major alterations to atmospheric circulation. While the specific consequences were dependent on both scenarios of weapons use and injections and removals of smoke and dust and other chemicals into the atmosphere, it was clear that this would be despite passionately argued uncertainties a large major additional effect. As further investigations of smoke removal, patchy transport, etc., were pursued, the basic concerns remained, but the magnitude calculated with one-dimensional models diminished creating an unfortunate media debate over nuclear winter vs. nuclear autumn. Of course, one can't grow summer crops in any autumn natural or nuclear but that concern often got lost in the contentious political debate. Of course, it was pointed out that anyone who required knowing the additional environmental consequences of a major nuclear exchange to be finally deterred was already so far from the reality of the direct effects of the blasts that they might never see the concerns. But for non-combatants, it was a major awakening of their inability to escape severe consequences of the troubles of others, even if they were bystanders in the east-west conflicts. Two decades later, things have radically changed: the prospect of a massive strategic nuclear exchange is greatly diminished good news but the possibility of limited regional exchanges or terrorist incidents is widely believed to have greatly increased bad

  18. Implementation and Research on the Operational Use of the Mesoscale Prediction Model COAMPS in Poland

    DTIC Science & Technology

    2007-09-30

    COAMPS model. Bogumil Jakubiak, University of Warsaw – participated in EGU General Assembly , Vienna Austria 15-20 April 2007 giving one oral and two...conditional forecast (background) error probability density function using an ensemble of the model forecast to generate background error statistics...COAMPS system on ICM machines at Warsaw University for the purpose of providing operational support to the general public using the ICM meteorological

  19. PM Origin or Exposure Duration? Health Hazards from PM-Bound Mercury and PM-Bound PAHs among Students and Lecturers

    PubMed Central

    Majewski, Grzegorz; Widziewicz, Kamila; Rogula-Kozłowska, Wioletta; Rogula-Kopiec, Patrycja; Kociszewska, Karolina; Rozbicki, Tomasz; Majder-Łopatka, Małgorzata; Niemczyk, Mariusz

    2018-01-01

    This study assessed inhalation exposure to particulate matter (PM1)-bound mercury (Hgp) and PM1-bound polycyclic aromatic hydrocarbons (PAHs) among university students. For this purpose, simultaneous indoor (I) and outdoor (O) measurements were taken from two Polish technical universities (in Gliwice and Warsaw) located in distinct areas with respect to ambient concentrations and major sources of PM. The indoor geometric mean concentrations of Hgp were found to be 1.46 pg·m−3 and 6.38 pg·m−3 in Warsaw and Gliwice, while the corresponding outdoor concentrations were slightly lower at 1.38 pg·m−3 and 3.03 pg·m−3, respectively. A distinct pattern was found with respect to PAH concentrations with estimated I/O values of 22.2 ng·m−3/22.5 ng·m−3 in Gliwice and 10.9 ng·m−3/11.12 ng·m−3 in Warsaw. Hazard quotients (HQs) as a result of exposure to Hgp for students aged 21 ranged from 3.47 × 10−5 (Warsaw) to 1.3 × 10−4 (Gliwice) in terms of reasonable maximum exposure (RME). The non-cancer human health risk value related to Hgp exposure was thus found to be below the acceptable risk level value of 1.0 given by the US EPA. Daily exposure values for lecture hall occupants, adjusted to the benzo(a)pyrene (BaP) toxicity equivalent (BaPeq), were 2.9 and 1.02 ng·m−3 for the Gliwice and Warsaw students, respectively. The incremental lifetime cancer risk (ILCR) values with respect to exposure to PM1-bound PAHs during the students’ time of study were 5.49 × 10−8 (Warsaw) and 1.43 × 10−7 (Gliwice). Thus, students’ exposure to indoor PAHs does not lead to increased risk of lung cancer. PMID:29439524

  20. Genetic Variation in Selenoprotein Genes, Lifestyle, and Risk of Colon and Rectal Cancer

    PubMed Central

    Slattery, Martha L.; Lundgreen, Abbie; Welbourn, Bill; Corcoran, Christopher; Wolff, Roger K.

    2012-01-01

    Background Associations between selenium and cancer have directed attention to role of selenoproteins in the carcinogenic process. Methods We used data from two population-based case-control studies of colon (n = 1555 cases, 1956 controls) and rectal (n = 754 cases, 959 controls) cancer. We evaluated the association between genetic variation in TXNRD1, TXNRD2, TXNRD3, C11orf31 (SelH), SelW, SelN1, SelS, SepX, and SeP15 with colorectal cancer risk. Results After adjustment for multiple comparisons, several associations were observed. Two SNPs in TXNRD3 were associated with rectal cancer (rs11718498 dominant OR 1.42 95% CI 1.16,1.74 pACT 0.0036 and rs9637365 recessive 0.70 95% CI 0.55,0.90 pACT 0.0208). Four SNPs in SepN1 were associated with rectal cancer (rs11247735 recessive OR 1.30 95% CI 1.04,1.63 pACT 0.0410; rs2072749 GGvsAA OR 0.53 95% CI 0.36,0.80 pACT 0.0159; rs4659382 recessive OR 0.58 95% CI 0.39,0.86 pACT 0.0247; rs718391 dominant OR 0.76 95% CI 0.62,0.94 pACT 0.0300). Interaction between these genes and exposures that could influence these genes showed numerous significant associations after adjustment for multiple comparisons. Two SNPs in TXNRD1 and four SNPs in TXNRD2 interacted with aspirin/NSAID to influence colon cancer; one SNP in TXNRD1, two SNPs in TXNRD2, and one SNP in TXNRD3 interacted with aspirin/NSAIDs to influence rectal cancer. Five SNPs in TXNRD2 and one in SelS, SeP15, and SelW1 interacted with estrogen to modify colon cancer risk; one SNP in SelW1 interacted with estrogen to alter rectal cancer risk. Several SNPs in this candidate pathway influenced survival after diagnosis with colon cancer (SeP15 and SepX1 increased HRR) and rectal cancer (SepX1 increased HRR). Conclusions Findings support an association between selenoprotein genes and colon and rectal cancer development and survival after diagnosis. Given the interactions observed, it is likely that the impact of cancer susceptibility from genotype is modified by lifestyle

  1. Sleep disturbance and neurocognitive function during the recovery from a sport-related concussion in adolescents.

    PubMed

    Kostyun, Regina O; Milewski, Matthew D; Hafeez, Imran

    2015-03-01

    Sleep disturbances are a hallmark sign after a sport-related concussion (SRC). Poor sleep has been shown to adversely affect baseline neurocognitive test scores, but it is not comprehensively understood how neurocognitive function is affected by disrupted sleep during recovery from a concussion. To identify the correlation between adolescent athletes' neurocognitive function and their self-reported sleep quantity and sleep disturbance symptoms during recovery from SRC. Cross-sectional study; Level of evidence, 3. Immediate Post-Concussion Assessment and Cognition Testing (ImPACT) data were retrospectively collected for 545 adolescent athletes treated for SRC at a sports medicine concussion clinic. Patients were stratified into groups based on 2 criteria: self-reported sleep duration and self-reported sleep disturbance symptoms during postinjury ImPACT testing. Sleep duration was classified as short (<7 hours), intermediate (7-9 hours), and long (>9 hours). Sleep disturbance symptoms were self-reported as part of the Post-Concussion Symptom Scale (PCSS) as either sleeping less than normal, sleeping more than normal, or having trouble falling asleep. One-way analyses of variance were conducted to examine the effects that sleep duration as well as self-reported sleep disturbance symptoms had on composite scores. A total of 1067 ImPACT tests were analyzed: test 1, 545; test 2, 380; and test 3, 142. Sleeping fewer than 7 hours the night before testing correlated with higher PCSS scores (P < .001), whereas sleeping longer than 9 hours correlated with worse visual memory (P = .01), visual motor speed (P <.001), and reaction time (P = .04) composite scores. With regard to self-reported sleep disturbance symptoms, patients demonstrated worse composite scores during ImPACT testing when they self-reported sleeping more than normal (ImPACT test 1: verbal memory, P < .001; visual motor speed, P = .05; reaction time, P = .01; ImPACT test 2: verbal memory, P < .001; visual memory

  2. The effect of days since last concussion and number of concussions on cognitive functioning in Division I athletes.

    PubMed

    Thoma, Robert J; Cook, Julia A; McGrew, Christopher; King, John H; Mayer, Andrew R; Lewine, Jeffrey D; Yeo, Ronald A; Campbell, Richard

    2015-01-01

    Cognitive recovery from sports concussion may be incomplete after resolution of other symptoms. It was hypothesized that independent effects of the number of days since last concussion (Days) and total number of concussions (Number) would predict poorer cognitive functioning. Cognition was assessed in an NCAA Division I student-athlete population (n = 87) using the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) battery. In a MANOVA, the five ImPACT Composite scores were dependent variables, with Group (Concussion, Unaffected) as the independent variable and prior number of concussions (Number) and days since last concussion (Days; 68-2495 days) entered as covariates. The hypothesis that Days and Number would each independently affect cognitive functioning (as assessed by ImPACT Composite scores) was only partly supported. A significant, multivariate, main effect of Days (p = 0.01) indicated that more Days predicted better cognitive functioning overall (p = 0.01). Univariate effects emerged such that more Days specifically predicted better visual memory (p = 0.004) and faster reaction times (p = 0.02). A trend toward a Group*Days*Number three-way interaction for reaction time emerged (p = 0.06), such that smaller Number and more Days each predicted slower reaction time. Cognitive recovery following sports concussion may take far longer than was previously thought, the aetiology of cognitive reductions may be very complex and the ImPACT appears to be sensitive to subtle changes in cognition across time.

  3. Elements of team-based care in a patient-centered medical home are associated with lower burnout among VA primary care employees.

    PubMed

    Helfrich, Christian D; Dolan, Emily D; Simonetti, Joseph; Reid, Robert J; Joos, Sandra; Wakefield, Bonnie J; Schectman, Gordon; Stark, Richard; Fihn, Stephan D; Harvey, Henry B; Nelson, Karin

    2014-07-01

    A high proportion of the US primary care workforce reports burnout, which is associated with negative consequences for clinicians and patients. Many protective factors from burnout are characteristics of patient-centered medical home (PCMH) models, though even positive organizational transformation is often stressful. The existing literature on the effects of PCMH on burnout is limited, with most findings based on small-scale demonstration projects with data collected only among physicians, and the results are mixed. To determine if components of PCMH related to team-based care were associated with lower burnout among primary care team members participating in a national medical home transformation, the VA Patient Aligned Care Team (PACT). Web-based, cross-sectional survey and administrative data from May 2012. A total of 4,539 VA primary care personnel from 588 VA primary care clinics. The dependent variable was burnout, and the independent variables were measures of team-based care: team functioning, time spent in huddles, team staffing, delegation of clinical responsibilities, working to top of competency, and collective self-efficacy. We also included administrative measures of workload and patient comorbidity. Overall, 39 % of respondents reported burnout. Participatory decision making (OR 0.65, 95 % CI 0.57, 0.74) and having a fully staffed PACT (OR 0.79, 95 % CI 0.68, 0.93) were associated with lower burnout, while being assigned to a PACT (OR 1.46, 95 % CI 1.11, 1.93), spending time on work someone with less training could do (OR 1.29, 95 % CI 1.07, 1.57) and a stressful, fast-moving work environment (OR 4.33, 95 % CI 3.78, 4.96) were associated with higher burnout. Longer tenure and occupation were also correlated with burnout. Lower burnout may be achieved by medical home models that are appropriately staffed, emphasize participatory decision making, and increase the proportion of time team members spend working to the top of their competency level.

  4. Linear-array based full-view high-resolution photoacoustic computed tomography of whole mouse brain functions in vivo

    NASA Astrophysics Data System (ADS)

    Li, Lei; Zhang, Pengfei; Wang, Lihong V.

    2018-02-01

    Photoacoustic computed tomography (PACT) is a non-invasive imaging technique offering high contrast, high resolution, and deep penetration in biological tissues. We report a photoacoustic computed tomography (PACT) system equipped with a high frequency linear array for anatomical and functional imaging of the mouse whole brain. The linear array was rotationally scanned in the coronal plane to achieve the full-view coverage. We investigated spontaneous neural activities in the deep brain by monitoring the hemodynamics and observed strong interhemispherical correlations between contralateral regions, both in the cortical layer and in the deep regions.

  5. A clustered controlled trial of the implementation and effectiveness of a medical home to improve health care of people with serious mental illness: study protocol.

    PubMed

    Young, Alexander S; Cohen, Amy N; Chang, Evelyn T; Flynn, Anthony W P; Hamilton, Alison B; Oberman, Rebecca; Vinzon, Merlyn

    2018-06-07

    People with serious mental illness (SMI) die many years prematurely, with rates of premature mortality two to three times greater than the general population. Most premature deaths are due to "natural causes," especially cardiovascular disease and cancer. Often, people with SMI are not well engaged in primary care treatment and do not receive high-value preventative and medical services. There have been numerous efforts to improve this care, and few controlled trials, with inconsistent results. While people with SMI often do poorly with usual primary care arrangements, research suggests that integrated care and medical care management may improve treatment and outcomes, and reduce treatment costs. This hybrid implementation-effectiveness study is a prospective, cluster controlled trial of a medical home, the SMI Patient-Aligned Care Team (SMI PACT), to improve the healthcare of patients with SMI enrolled with the Veterans Health Administration. The SMI PACT team includes proactive medical nurse care management, and integrated mental health treatment through regular psychiatry consultation and a collaborative care model. Patients are recruited to receive primary care through SMI PACT based on having a serious mental illness that is manageable with treatment, and elevated risk for hospitalization or death. In a site-level prospective controlled trial, this project studies the effect, relative to usual care, of SMI PACT on provision of appropriate preventive and medical treatments, health-related quality of life, satisfaction with care, and medical and mental health treatment utilization and costs. Research includes mixed-methods formative evaluation of usual care and SMI PACT implementation to strengthen the intervention and assess barriers and facilitators. Investigators examine relationships among organizational context, intervention factors, and patient and clinician outcomes, and identify patient factors related to successful patient outcomes. This will be one of

  6. [Construction of the Brazilian Sanitary Surveillance System: arguments to debate].

    PubMed

    De Seta, Marismary Horsth; Dain, Sulamis

    2010-11-01

    This paper analyzes the Brazilian Sanitary Surveillance System as an arrangement aimed at regulating and reducing health risks associated with consumption of products, use of health services and the environment. Historical, political and tax aspects were considered and their development compared with the National Health Surveillance System, which has received strong international cooperation. The comparison was based on the trajectory of their national systems and related federal agencies, as well as on criteria adopted for decentralization. The central category of analysis is federative coordination and was based on the framework of federalism and intergovernmental relations. The institutional context of health and sanitary surveillance presents strong political competition, instability in the project and probable reduction of the ability of federal coordination after the Pact for Health. The National Sanitary Surveillance System due to its nature of public good and high externality in its field of action requires federal coordination for increasing the regional and local cooperation, also because of the structural heterogeneity of Brazilian municipalities.

  7. Knowledge of the Concept of Encephalic Death: Is This an Obstacle in the Acceptance of Donation and Transplantation of Organs Among Students of Nursing at the Medical University of Warsaw in Poland?

    PubMed

    Mikla, M; Rios, A; Lopez-Navas, A; Gotlib, J; Kilanska, D; Martinez-Alarcón, L; Ramis, G; Ramirez, P; Lopez Montesinos, M J

    2016-09-01

    The knowledge and acceptance of the concept of brain death among future health professionals is essential. The objective of this study was to analyze the knowledge of the concept of brain death among nursing students at the Medical University of Warsaw and determine the factors that affect it. Academic year 2011-2012, nursing students of the University of Poland. Sampling points in 5 compulsory-attendance nursing courses with a completion rate >80%. Validated questionnaire (PCID-DTO Rios), anonymous and self-administered. The completion rate was 96% (793/828); 71% (n = 561) knew the concept of brain death, 22% (n = 178) did not know it, and 7% (n = 54) did not know that it implies the death of the patient. Variables related to the correct knowledge: 1) to be studying in 4th year compared with 1st year (85% vs 60%; P ≤ .001); 2) discuss the subject with family (76% vs 61%; P ≤ .001); 3) discuss with friends (73% vs 63%; P = .009); and 4) having a favorable attitude toward organ donation (74% vs 65%; P = .011). In the multivariate analysis, the variables that remained independent were studying in 4th year (odds ratio [OR], 3.809; 95% confidence interval [CI], 2.006-5.823; P ≤ .001) and discussed with family concerning donation and transplantation (OR, 1.718; 95% CI, 1.241-2.381; P ≤ .001). One-third of the nursing students were unfamiliar with the concept of brain death. Copyright © 2016 Elsevier Inc. All rights reserved.

  8. The Example of Using the Xiaomi Cameras in Inventory of Monumental Objects - First Results

    NASA Astrophysics Data System (ADS)

    Markiewicz, J. S.; Łapiński, S.; Bienkowski, R.; Kaliszewska, A.

    2017-11-01

    At present, digital documentation recorded in the form of raster or vector files is the obligatory way of inventorying historical objects. Today, photogrammetry is becoming more and more popular and is becoming the standard of documentation in many projects involving the recording of all possible spatial data on landscape, architecture, or even single objects. Low-cost sensors allow for the creation of reliable and accurate three-dimensional models of investigated objects. This paper presents the results of a comparison between the outcomes obtained when using three sources of image: low-cost Xiaomi cameras, a full-frame camera (Canon 5D Mark II) and middle-frame camera (Hasselblad-Hd4). In order to check how the results obtained from the two sensors differ the following parameters were analysed: the accuracy of the orientation of the ground level photos on the control and check points, the distribution of appointed distortion in the self-calibration process, the flatness of the walls, the discrepancies between point clouds from the low-cost cameras and references data. The results presented below are a result of co-operation of researchers from three institutions: the Systems Research Institute PAS, The Department of Geodesy and Cartography at the Warsaw University of Technology and the National Museum in Warsaw.

  9. Toward a nuclear weapons free world?

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

    Maaranen, S.A.

    Doubts about the wisdom of relying on nuclear weapons are as old as nuclear weapons themselves. But despite this questioning, nuclear weapons came to be seen as the indispensable element of American (indeed Western) security during the Cold War. By the 1970s and 1980s, however, discontent was growing about the intense US-Soviet nuclear arms competition, as it failed to provide any enduring improvement in security; rather, it was seen as creating ever greater risks and dangers. Arms control negotiations and limitations, adopted as a means to regulate the technical competition, may also have relieved some of the political pressures andmore » dangers. But the balance of terror, and the fears of it, continued. The Strategic Defense Initiative (SDI) under President Reagan was a very different approach to escaping from the precarious protection of nuclear weapons, in that it sought a way to continue to defend the US and the West, but without the catastrophic risks of mutual deterrence. As such, SDI connoted unhappiness with the precarious nuclear balance and, for many, with nuclear weapons in general. The disappearance of the Warsaw Pact, the disintegration of the Soviet Union, and the sudden end of the Cold War seemed to offer a unique opportunity to fashion a new, more peaceful world order that might allow for fading away of nuclear weapons. Scholars have foreseen two different paths to a nuclear free world. The first is a fundamental improvement in the relationships between states such that nuclear weapons are no longer needed. The second path is through technological development, e.g., missile defenses which could provide effective protection against nuclear attacks. The paper discusses nuclear weapon policy in the US, views of other nuclear states, the future of nuclear weapons, and issues in a less-nuclear world.« less

  10. The influence of sleep duration and sleep-related symptoms on baseline neurocognitive performance among male and female high school athletes.

    PubMed

    Sufrinko, Alicia; Johnson, Eric W; Henry, Luke C

    2016-05-01

    Typically, the effects of sleep duration on cognition are examined in isolation. This study examined the effects of restricted sleep and related symptoms on neurocognitive performance. Baseline Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) and postconcussion symptom scale (PCSS) were administered to athletes (N = 7,150) ages 14-17 (M = 15.26, SD = 1.09) prior to sport participation. Three groups of athletes were derived from total sleep duration: sleep restriction (≤5 hours), typical sleep (5.5-8.5 hours), and optimal sleep (≥9 hours). A MANCOVA (age and sex as covariates) was conducted to examine differences across ImPACT/PCSS. Follow-up MANOVA compared ImPACT/PCSS performance among symptomatic (e.g., trouble falling asleep, sleeping less than usual) adolescents from the sleep restriction group (n = 78) with asymptomatic optimal sleepers (n = 99). A dose-response effect of sleep duration on ImPACT performance and PCSS was replicated (Wilk's λ = .98, F2,7145 = 17.25, p < .001, η2 = .01). The symptomatic sleep restricted adolescents (n = 78) had poorer neurocognitive performance: verbal memory, F = 11.60, p = .001, visual memory, F = 6.57, p = .01, visual motor speed, F = 6.19, p = .01, and reaction time (RT), F = 5.21, p = .02, compared to demographically matched controls (n = 99). Girls in the sleep problem group performed worse on RT (p = .024). Examining the combination of sleep-related symptoms and reduced sleep duration effectively identified adolescents at risk for poor neurocognitive performance than sleep duration alone. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  11. Organ dose measurement using Optically Stimulated Luminescence Detector (OSLD) during CT examination

    NASA Astrophysics Data System (ADS)

    Yusuf, Muhammad; Alothmany, Nazeeh; Abdulrahman Kinsara, Abdulraheem

    2017-10-01

    This study provides detailed information regarding the imaging doses to patient radiosensitive organs from a kilovoltage computed tomography (CT) scan procedure using OSLD. The study reports discrepancies between the measured dose and the calculated dose from the ImPACT scan, as well as a comparison with the dose from a chest X-ray radiography procedure. OSLDs were inserted in several organs, including the brain, eyes, thyroid, lung, heart, spinal cord, breast, spleen, stomach, liver and ovaries, of the RANDO phantom. Standard clinical scanning protocols were used for each individual site, including the brain, thyroid, lung, breast, stomach, liver and ovaries. The measured absorbed doses were then compared with the simulated dose obtained from the ImPACT scan. Additionally, the equivalent doses for each organ were calculated and compared with the dose from a chest X-ray radiography procedure. Absorbed organ doses measured by OSLD in the RANDO phantom of up to 17 mGy depend on the organ scanned and the scanning protocols used. A maximum 9.82% difference was observed between the target organ dose measured by OSLD and the results from the ImPACT scan. The maximum equivalent organ dose measured during this experiment was equal to 99.899 times the equivalent dose from a chest X-ray radiography procedure. The discrepancies between the measured dose with the OSLD and the calculated dose from the ImPACT scan were within 10%. This report recommends the use of OSLD for measuring the absorbed organ dose during CT examination.

  12. Photodynamic antimicrobial chemotherapy on Streptococcus mutans using curcumin and toluidine blue activated by a novel LED device.

    PubMed

    Paschoal, Marco Aurelio; Lin, Meng; Santos-Pinto, Lourdes; Duarte, Simone

    2015-02-01

    Photodynamic antimicrobial chemotherapy (PACT) is an antimicrobial approach that uses photosensitizers (PS) in combination with light sources at specific wavelengths aiming the production of reactive oxygen species. The long illumination time necessary to active PS is a challenge in PACT. Thus, this study investigated the antimicrobial effect of a novel single source of light-emitting diode (LED) light that covers the entire spectrum of visible light beyond interchangeable probes at high power intensity. Blue and red LED probes were used into different exposure times to active different concentrations of curcumin (C) and toluidine blue (T) on planktonic suspensions of Streptococcus mutans UA 159 (S. mutans). S. mutans were standardized and submitted to (1) PACT treatment at three concentrations of C and T exposure at three radiant exposures of a blue LED (BL) (C+BL+) and a red LED (RL) (T+RL+), (2) C (C+BL-) or T alone (T+RL-), (3) both LED lights (C-BL+ and T-RL+), and (4) neither PS nor LED illumination (control group: C-BL- and T-RL-). Aliquots of the suspensions were diluted and cultured on blood agar plates. The number of colony-forming units was calculated after 48 h. The groups submitted to PACT presented a lethal photokilling rate to all PS concentrations at tested dosimetries. The comparison to control group when PS and LED lights used alone demonstrated no decrease in the number of viable bacterial counts. The novel LED device in combination with curcumin and toluidine blue promoted an effective photoinactivation of S. mutans suspensions at ultrashort light illumination times.

  13. Lustration: Transitional Justice in Poland and Its Continuous Struggle to Make Means With the Past

    DTIC Science & Technology

    2008-06-01

    Warsaw, just as the secret police did over its citizens. The skyline of Warsaw, dominated by this building, offers a daily reminder of life under the...the communist regime (especially acts of collaboration with the secret police) and in turn disqualifying members of these groups from holding high...Ministry of Interior for their name to be vetted through the Secret Police files of the former regime.3 A similar approach was adopted in Poland, but due

  14. JPRS Report, East Europe.

    DTIC Science & Technology

    1992-09-18

    AND LA W supplement) in Polish 13 Aug 92 p VII [Article by lawyer Piotr Miodowski: "The Small Consti- tution: Revelatory, Compromising, or a...waived or replaced with a new constitution. Assessment of Claims Filed Against Iraq 92EP0648A Warsaw RZECZPOSPOLITA (ECONOMY AND LA W supplement...11.8 8.6 12.6 16 Finance Official on Importance of Wage Tax 92EP0637A Warsaw RZECZPOSPOLITA (ECONOMY AND LA W supplement) in Polish 6 Aug 92 p VIII

  15. Prevalence of Invalid Computerized Baseline Neurocognitive Test Results in High School and Collegiate Athletes

    PubMed Central

    Schatz, Philip; Moser, Rosemarie Scolaro; Solomon, Gary S.; Ott, Summer D.; Karpf, Robin

    2012-01-01

    Context: Limited data are available regarding the prevalence and nature of invalid computerized baseline neurocognitive test data. Objective: To identify the prevalence of invalid baselines on the desktop and online versions of ImPACT and to document the utility of correcting for left-right (L-R) confusion on the desktop version of ImPACT. Design: Cross-sectional study of independent samples of high school (HS) and collegiate athletes who completed the desktop or online versions of ImPACT. Participants or Other Participants: A total of 3769 HS (desktop  =  1617, online  =  2152) and 2130 collegiate (desktop  =  742, online  =  1388) athletes completed preseason baseline assessments. Main Outcome Measure(s): Prevalence of 5 ImPACT validity indicators, with correction for L-R confusion (reversing left and right mouse-click responses) on the desktop version, by test version and group. Chi-square analyses were conducted for sex and attentional or learning disorders. Results: At least 1 invalid indicator was present on 11.9% (desktop) versus 6.3% (online) of the HS baselines and 10.2% (desktop) versus 4.1% (online) of collegiate baselines; correcting for L-R confusion (desktop) decreased this overall prevalence to 8.4% (HS) and 7.5% (collegiate). Online Impulse Control scores alone yielded 0.4% (HS) and 0.9% (collegiate) invalid baselines, compared with 9.0% (HS) and 5.4% (collegiate) on the desktop version; correcting for L-R confusion (desktop) decreased the prevalence of invalid Impulse Control scores to 5.4% (HS) and 2.6% (collegiate). Male athletes and HS athletes with attention deficit or learning disorders who took the online version were more likely to have at least 1 invalid indicator. Utility of additional invalidity indicators is reported. Conclusions: The online ImPACT version appeared to yield fewer invalid baseline results than did the desktop version. Identification of L-R confusion reduces the prevalence of invalid baselines (desktop only

  16. The Effect of Pretest Exercise on Baseline Computerized Neurocognitive Test Scores.

    PubMed

    Pawlukiewicz, Alec; Yengo-Kahn, Aaron M; Solomon, Gary

    2017-10-01

    Baseline neurocognitive assessment plays a critical role in return-to-play decision making following sport-related concussions. Prior studies have assessed the effect of a variety of modifying factors on neurocognitive baseline test scores. However, relatively little investigation has been conducted regarding the effect of pretest exercise on baseline testing. The aim of our investigation was to determine the effect of pretest exercise on baseline Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) scores in adolescent and young adult athletes. We hypothesized that athletes undergoing self-reported strenuous exercise within 3 hours of baseline testing would perform more poorly on neurocognitive metrics and would report a greater number of symptoms than those who had not completed such exercise. Cross-sectional study; Level of evidence, 3. The ImPACT records of 18,245 adolescent and young adult athletes were retrospectively analyzed. After application of inclusion and exclusion criteria, participants were dichotomized into groups based on a positive (n = 664) or negative (n = 6609) self-reported history of strenuous exercise within 3 hours of the baseline test. Participants with a positive history of exercise were then randomly matched, based on age, sex, education level, concussion history, and hours of sleep prior to testing, on a 1:2 basis with individuals who had reported no pretest exercise. The baseline ImPACT composite scores of the 2 groups were then compared. Significant differences were observed for the ImPACT composite scores of verbal memory, visual memory, reaction time, and impulse control as well as for the total symptom score. No significant between-group difference was detected for the visual motor composite score. Furthermore, pretest exercise was associated with a significant increase in the overall frequency of invalid test results. Our results suggest a statistically significant difference in ImPACT composite scores between

  17. Barriers and facilitators to providing primary care-based weight management services in a patient centered medical home for Veterans: a qualitative study.

    PubMed

    Jay, Melanie; Chintapalli, Sumana; Squires, Allison; Mateo, Katrina F; Sherman, Scott E; Kalet, Adina L

    2015-11-14

    Obesity is highly prevalent among Veterans. In the United States, the Veterans Health Administration (VHA) offers a comprehensive weight management program called MOVE!. Yet, fewer than 10 % of eligible patients ever attend one MOVE! visit. The VHA has a patient-centered medical home (PCMH) model of primary care (PC) called Patient-Aligned Care Teams (PACT) at all Veterans Affairs (VA) Medical Centers. PACT teamlets conduct obesity screening, weight management counseling, and refer to MOVE!. As part of a needs assessment to improve delivery of weight management services, the purpose of this study was to assess PACT teamlet and MOVE! staff: 1) current attitudes and perceptions regarding obesity care; 2) obesity-related counseling practices 3) experiences with the MOVE! program; and 4) targets for interventions to improve implementation of obesity care in the PC setting. We recruited 25 PACT teamlet members from a single VA study site-11 PC physicians, 5 registered nurses, 5 licensed practical nurses, 1 clerical assistant, and 3 MOVE! staff (2 dietitians, 1 psychologist)-for individual interviews using a combination of convenience and snowball sampling. Audio recorded interviews were professionally transcribed and iteratively coded by two independent reviewers. The analytic process was guided by discourse analysis in order to discover how the participants perceived and provided weight management care and what specific attitudes affected their practices, all as bounded within the organization. Emerging themes included: 1) role perceptions, 2) anticipated outcomes of weight management counseling and programs, and 3) communication and information dissemination. Perceived role among PCPs was influenced by training, whereas personal experience with their own weight management impacted role perception among LPNs/RNs. Attitudes about whether or not they could impact patients' weight outcomes via counseling or referral to MOVE! varied. System-level communication about VHA

  18. Genetic variation in peroxisome proliferator-activated receptor gamma, soy, and mammographic density in Singapore Chinese women.

    PubMed

    Lee, Eunjung; Hsu, Chris; Van den Berg, David; Ursin, Giske; Koh, Woon-Puay; Yuan, Jian-Min; Stram, Daniel O; Yu, Mimi C; Wu, Anna H

    2012-04-01

    PPARγ is a transcription factor important for adipogenesis and adipocyte differentiation. Data from animal studies suggest that PPARγ may be involved in breast tumorigenesis, but results from epidemiologic studies on the association between PPARγ variation and breast cancer risk have been mixed. Recent data suggest that soy isoflavones can activate PPARγ. We investigated the interrelations of soy, PPARγ, and mammographic density, a biomarker of breast cancer risk in a cross-sectional study of 2,038 women who were members of the population-based Singapore Chinese Health Study Cohort. We assessed mammographic density using a computer-assisted method. We used linear regression to examine the association between 26 tagging single-nucleotide polymorphisms (SNP) of PPARγ and their interaction with soy intake and mammographic density. To correct for multiple testing, we calculated P values adjusted for multiple correlated tests (P(ACT)). Out of the 26 tested SNPs in the PPARγ, seven SNPs were individually shown to be statistically significantly associated with mammographic density (P(ACT) = 0.008-0.049). A stepwise regression procedure identified that only rs880663 was independently associated with mammographic density which decreased by 1.89% per-minor allele (P(ACT) = 0.008). This association was significantly stronger in high-soy consumers as mammographic density decreased by 3.97% per-minor allele of rs880663 in high-soy consumers (P(ACT) = 0.006; P for interaction with lower soy intake = 0.017). Our data support that PPARγ genetic variation may be important in determining mammographic density, particularly in high-soy consumers. Our findings may help to identify molecular targets and lifestyle intervention for future prevention research. ©2012 AACR.

  19. Polyelectrolyte assisted charge titration spectrometry: Applications to latex and oxide nanoparticles.

    PubMed

    Mousseau, F; Vitorazi, L; Herrmann, L; Mornet, S; Berret, J-F

    2016-08-01

    The electrostatic charge density of particles is of paramount importance for the control of the dispersion stability. Conventional methods use potentiometric, conductometric or turbidity titration but require large amount of samples. Here we report a simple and cost-effective method called polyelectrolyte assisted charge titration spectrometry or PACTS. The technique takes advantage of the propensity of oppositely charged polymers and particles to assemble upon mixing, leading to aggregation or phase separation. The mixed dispersions exhibit a maximum in light scattering as a function of the volumetric ratio X, and the peak position XMax is linked to the particle charge density according to σ∼D0XMax where D0 is the particle diameter. The PACTS is successfully applied to organic latex, aluminum and silicon oxide particles of positive or negative charge using poly(diallyldimethylammonium chloride) and poly(sodium 4-styrenesulfonate). The protocol is also optimized with respect to important parameters such as pH and concentration, and to the polyelectrolyte molecular weight. The advantages of the PACTS technique are that it requires minute amounts of sample and that it is suitable to a broad variety of charged nano-objects. Copyright © 2016 Elsevier Inc. All rights reserved.

  20. Enhancement of photoacoustic tomography by ultrasonic computed tomography based on optical excitation of elements of a full-ring transducer array.

    PubMed

    Xia, Jun; Huang, Chao; Maslov, Konstantin; Anastasio, Mark A; Wang, Lihong V

    2013-08-15

    Photoacoustic computed tomography (PACT) is a hybrid technique that combines optical excitation and ultrasonic detection to provide high-resolution images in deep tissues. In the image reconstruction, a constant speed of sound (SOS) is normally assumed. This assumption, however, is often not strictly satisfied in deep tissue imaging, due to acoustic heterogeneities within the object and between the object and the coupling medium. If these heterogeneities are not accounted for, they will cause distortions and artifacts in the reconstructed images. In this Letter, we incorporated ultrasonic computed tomography (USCT), which measures the SOS distribution within the object, into our full-ring array PACT system. Without the need for ultrasonic transmitting electronics, USCT was performed using the same laser beam as for PACT measurement. By scanning the laser beam on the array surface, we can sequentially fire different elements. As a first demonstration of the system, we studied the effect of acoustic heterogeneities on photoacoustic vascular imaging. We verified that constant SOS is a reasonable approximation when the SOS variation is small. When the variation is large, distortion will be observed in the periphery of the object, especially in the tangential direction.

  1. In vitro toxicity of photodynamic antimicrobial chemotherapy on human keratinocytes proliferation.

    PubMed

    Migliario, Mario; Rizzi, Manuela; Rocchetti, Vincenzo; Cannas, Mario; Renò, Filippo

    2013-02-01

    This in vitro experimental study has been designed to assess the effects of photodynamic antimicrobial chemotherapy (PACT) on human keratinocytes proliferation. Human keratinocytes (HaCaT) monolayers (∼0.5 cm(2)) have been irradiated with 635 nm red laser light with a fluence of 82.5 or 112.5 J/cm(2) in the absence or presence of toluidine (TB). Cell proliferation, monolayer area coverage, cytokeratin 5 (K5) and filaggrin (Fil) expression, and metalloproteinase (MMP)-2 and MMP-9 activity were measured after 72 h from laser irradiation. HaCaT proliferation was reduced by TB staining. Cell exposure to both low- and high-fluence laser irradiation in both presence and absence of TB staining reduced their proliferation and monolayer area extension. Moreover both laser treatments were able to reduce K5 and Fil expression and MMP-9 production in keratinocytes not treated with TB. These data indicate that PACT could exert toxic effects on normal proliferating keratinocytes present around parodontal pockets. The observed reduced cell proliferation along with a reduced production of enzymes involved in wound healing could alter the clinical outcome of the patients treated with PACT.

  2. Does Game Participation Impact Cognition and Symptoms in Elite Football Players?

    PubMed

    Mrazik, Martin; Naidu, Dhiren; Manning, David E; Brooks, Brian L

    2016-09-01

    To measure neurocognitive functioning in college and professional football players after game participation. Retrospective, cross-sectional cohort design. Ninety-four male university and professional football players. All participants completed Immediate Postconcussion Assessment and Cognitive Testing (ImPACT) testing at baseline, and either at postconcussion (group 1) or postgame (group 2) participation. Results from the 5 ImPACT composite scores (Verbal Memory, Visual Memory, Visual Motor Speed, Reaction Time and Impulse Control) and Total Symptom Score. Repeated-measures analysis of variance demonstrated a significant main effect for time (improvements) in 3 of 5 domains for the postconcussion group, but no improvements in the postgame group. The postconcussion group presented with significantly improved results on 4 of 5 ImPACT domains compared with the postgame group at the follow-up time interval. Participation in a football game with potential cumulative head contacts did not yield increased symptoms or cognitive impairment. However, the absence of improvement in cognitive functioning in noninjured football players, which was found in those players who were returned to play after an injury, may suggest that there is a measureable impact as a result of playing football.

  3. Clinical use of photodynamic antimicrobial chemotherapy for the treatment of deep carious lesions

    NASA Astrophysics Data System (ADS)

    Guglielmi, Camila De Almeida B.; Simionato, Maria Regina L.; Ramalho, Karen Müller; Imparato, José Carlos P.; Pinheiro, Sérgio Luiz; Luz, Maria A. A. C.

    2011-08-01

    The purpose of this study was to assess photodynamic antimicrobial chemotherapy (PACT) via irradiation, using a low power laser associated with a photosensitization dye, as an alternative to remove cariogenic microorganisms by drilling. Remaining dentinal samples in deep carious lesions on permanent molars (n = 26) were treated with 0.01% methylene blue dye and irradiated with a low power laser (InGaAIP - indium gallium aluminum phosphide; λ = 660 nm; 100 mW; 320 Jcm-2 90 s; 9J). Samples of dentin from the pulpal wall region were collected with a micropunch before and immediately after PACT and kept in a transport medium for microbiological analysis. Samples were cultured in plates of Brucella blood agar, Mitis Salivarius Bacitracin agar and Rogosa SL agar to determine the total viable bacteria, mutans streptococci and Lactobacillus spp. counts, respectively. After incubation, colony-forming units were counted and microbial reduction was calculated for each group of bacteria. PACT led to statistically significant reductions in mutans streptococci (1.38 log), Lactobacillus spp. (0.93 log), and total viable bacteria (0.91 log). This therapy may be an appropriate approach for the treatment of deep carious lesions using minimally invasive procedures.

  4. Novel drug delivery strategies for porphyrins and porphyrin precursors

    NASA Astrophysics Data System (ADS)

    Morrow, D. I. J.; Donnelly, R. F.

    2009-06-01

    superficial lesions, such as actinic keratosis. In addition, photodynamic antimicrobial chemotherapy (PACT) is attracting increasing interest for the treatment of infection. However, delivery strategies for topical PDT and PACT are still based on application of rather simplistic cream and solution formulations, with little consideration given to thermodynamics, targeting or the physicochemical properties of the active agent. Purpose-designed dosage forms for topical delivery of aminolevulinic acid or its esters include creams containing penetration enhancers and/or iron chelators, pressure sensitive patches and bioadhesive patches. Such systems aim to enhance drug delivery across the stratum corneum and keratinised debris overlying neoplastic lesions and improve subsequent protoporphyrin IX (PpIX) production. The alternative to using porphyrin precursors is the use of pre-formed photosensitisers. However, owing to their relatively high molecular weights, conventional topical application is not appropriate. Innovative strategies, such as the use of needle-free injections and microneedle arrays, bypass the stratum corneum, enabling rapid and targeted delivery not only porphyrin precursors but also pre-formed photosensitisers. This presentation will review drug delivery work published to date in the fields of PDT and PACT. In addition, the benefits of employing the latest advances in pharmaceutical technology will be highlighted.

  5. Factor Structure of ImPACT® in Adolescent Student Athletes.

    PubMed

    Gerrard, Paul B; Iverson, Grant L; Atkins, Joseph E; Maxwell, Bruce A; Zafonte, Ross; Schatz, Philip; Berkner, Paul D

    2017-02-01

    ImPACT ® (Immediate Post-Concussion Assessment and Cognitive Testing) is a computerized neuropsychological screening battery, which is widely used to measure the acute effects of sport-related concussion and to monitor recovery from injury. This study examined the factor structure of ImPACT ® in several samples of high school student athletes. We hypothesized that a 2-factor structure would be present in all samples. A sample of 4,809 adolescent student athletes was included, and subgroups with a history of treatment for headaches or a self-reported history of learning problems or attention-deficit hyperactivity disorder were analyzed separately. Exploratory principal axis factor analyses with Promax rotations were used. As hypothesized, both the combination of Verbal Memory and Visual Memory Composite scores loaded on one (Memory) factor, while Visual Motor Speed and Reaction Time loaded on a different (Speed) factor, in the total sample and in all subgroups. These results provide reasonably compelling evidence, across multiple samples, which ImPACT ® measures 2 distinct factors: memory and speed. © The Author 2016. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  6. Early transduction produces highly functional chimeric antigen receptor-modified virus-specific T-cells with central memory markers: a Production Assistant for Cell Therapy (PACT) translational application.

    PubMed

    Sun, Jiali; Huye, Leslie E; Lapteva, Natalia; Mamonkin, Maksim; Hiregange, Manasa; Ballard, Brandon; Dakhova, Olga; Raghavan, Darshana; Durett, April G; Perna, Serena K; Omer, Bilal; Rollins, Lisa A; Leen, Ann M; Vera, Juan F; Dotti, Gianpietro; Gee, Adrian P; Brenner, Malcolm K; Myers, Douglas G; Rooney, Cliona M

    2015-01-01

    Virus-specific T-cells (VSTs) proliferate exponentially after adoptive transfer into hematopoietic stem cell transplant (HSCT) recipients, eliminate virus infections, then persist and provide long-term protection from viral disease. If VSTs behaved similarly when modified with tumor-specific chimeric antigen receptors (CARs), they should have potent anti-tumor activity. This theory was evaluated by Cruz et al. in a previous clinical trial with CD19.CAR-modified VSTs, but there was little apparent expansion of these cells in patients. In that study, VSTs were gene-modified on day 19 of culture and we hypothesized that by this time, sufficient T-cell differentiation may have occurred to limit the subsequent proliferative capacity of the transduced T-cells. To facilitate the clinical testing of this hypothesis in a project supported by the NHLBI-PACT mechanism, we developed and optimized a good manufacturing practices (GMP) compliant method for the early transduction of VSTs directed to Epstein-Barr virus (EBV), Adenovirus (AdV) and cytomegalovirus (CMV) using a CAR directed to the tumor-associated antigen disialoganglioside (GD2). Ad-CMVpp65-transduced EBV-LCLs effectively stimulated VSTs directed to all three viruses (triVSTs). Transduction efficiency on day three was increased in the presence of cytokines and high-speed centrifugation of retroviral supernatant onto retronectin-coated plates, so that under optimal conditions up to 88% of tetramer-positive VSTs expressed the GD2.CAR. The average transduction efficiency of early-and late transduced VSTs was 55 ± 4% and 22 ± 5% respectively, and early-transduced VSTs maintained higher frequencies of T cells with central memory or intermediate memory phenotypes. Early-transduced VSTs also had higher proliferative capacity and produced higher levels of TH1 cytokines IL-2, TNF-α, IFN-γ, MIP-1α, MIP-1β and other cytokines in vitro. We developed a rapid and GMP compliant method for the early transduction of

  7. Concussion-Related Protocols and Preparticipation Assessments Used for Incoming Student-Athletes in National Collegiate Athletic Association Member Institutions

    PubMed Central

    Kerr, Zachary Y.; Snook, Erin M.; Lynall, Robert C.; Dompier, Thomas P.; Sales, Latrice; Parsons, John T.; Hainline, Brian

    2015-01-01

    Context  National Collegiate Athletic Association (NCAA) legislation requires that member institutions have policies to guide the recognition and management of sport-related concussions. Identifying the nature of these policies and the mechanisms of their implementation can help identify areas of needed improvement. Objective  To estimate the characteristics and prevalence of concussion-related protocols and preparticipation assessments used for incoming NCAA student-athletes. Design  Cross-sectional study. Setting  Web-based survey. Patients or Other Participants  Head athletic trainers from all 1113 NCAA member institutions were contacted; 327 (29.4%) completed the survey. Intervention(s)  Participants received an e-mail link to the Web-based survey. Weekly reminders were sent during the 4-week window. Main Outcome Measure(s)  Respondents described concussion-related protocols and preparticipation assessments (eg, concussion history, neurocognitive testing, balance testing, symptom checklists). Descriptive statistics were compared by division and football program status. Results  Most universities provided concussion education to student-athletes (95.4%), had return-to-play policies (96.6%), and obtained the number of previous concussions sustained by incoming student-athletes (97.9%). Fewer had return-to-learn policies (63.3%). Other concussion-history–related information (eg, symptoms, hospitalization) was more often collected by Division I universities. Common preparticipation neurocognitive and balance tests were the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT; 77.1%) and Balance Error Scoring System (46.5%). In total, 43.7% complied with recommendations for preparticipation assessments that included concussion history, neurocognitive testing, balance testing, and symptom checklists. This was due to moderate use of balance testing (56.6%); larger proportions used concussion history (99.7%), neurocognitive testing (83

  8. Polish Foundation for Energy Efficiency

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

    NONE

    1995-12-31

    The Polish Foundation for Energy Efficiency (FEWE) was established in Poland at the end of 1990. FEWE, as an independent and non-profit organization, has the following objectives: to strive towards an energy efficient national economy, and to show the way and methods by use of which energy efficiency can be increased. The activity of the Foundation covers the entire territory of Poland through three regional centers: in Warsaw, Katowice and Cracow. FEWE employs well-known and experienced specialists within thermal and power engineering, civil engineering, economy and applied sciences. The organizer of the Foundation has been Battelle Memorial Institute - Pacificmore » Northwest Laboratories from the USA.« less

  9. Buried paleo-sedimentary basins in the north-eastern Black Sea-Azov Sea area and tectonic implications (DOBRE-2)

    NASA Astrophysics Data System (ADS)

    Starostenko, Vitaly; Stephenson, Randell; Janik, Tomasz; Tolkunov, Anatoly

    2014-05-01

    there are major, rift-like, sedimentary basins underlying the area of the Azov Sea and the inverted north-eastern margin of the Black Sea. It can be speculated that one of these basins may represent the previously unknown western prolongation of the Jurassic-aged Greater Caucasus back-arc basin and that the other may be the legacy of earlier - Late Palaeozoic-Triassic - extensional tectonics in this area. Individuals (in alphabetical order) from each institution involved scientifically in DOBRE-2 (listed alphabetically according to country) include: H. Thybo (Department of Geography and Geology, University of Copenhagen, Denmark); A. Dannowski and E. Flüh (IFM-GEOMAR, Kiel, Germany); W. Czuba, A. Guterch and P. Środa (Institute of Geophysics, Polish Academy of Sciences, Warsaw, Poland); M. Grad (Institute of Geophysics, University of Warsaw, Warsaw, Poland); D. Gryn, K. Kolomiyets, O. Legostaeva, D. Lysynchuk, V. Omelchenko and O. Rusakov (Institute of Geophysics, National Academy of Sciences of Ukraine, Kyiv); M. Pobedash, N. Polyvach, G. Sydorenko and Z. Voitsytskyi (Ukrgeofisika, Kyiv, Ukraine); as well as the named co-authors of this presentation.

  10. Konrad Bajer

    NASA Astrophysics Data System (ADS)

    2014-10-01

    These Proceedings are dedicated to our co-editor Konrad Bajer, who carried the lion's share of the work involved until his sudden and untimely death from cancer on 29th August 2014. Konrad was one of the key Organisers of the program "Topological Dynamics in the Physical and Biological Sciences" held at the Isaac Newton Institute for Mathematical Sciences in Cambridge from July to December 2012. During that time, he was on leave from the University of Warsaw, and held a Visiting Fellow Commonership at Trinity College, Cambridge. He had particular responsibility for the satellite workshop Tangled Magnetic Fields in Astro- and Plasma Physics, held at ICMS, Edinburgh, in October 2012. Konrad graduated in Physics from the University of Warsaw in 1980, and took his PhD in Fluid Dynamics at DAMTP, Cambridge, 1984-89. He was active in EUROMECH, having been a principal organiser of the European Turbulence Conference (ETC13) in Warsaw 2011, and the meeting Turbulence: the Historical Perspective that followed it. He has been equally active in IUTAM; his distinction was recognised by his very recent election to the Congress Committee of IUTAM. Konrad's research interests were in magnetohydrodynamics and vortex dynamics in classical and quantum systems; also in problems of gasifcation, in which he played a coordinating role at the University of Warsaw. He impressed all with his exceptionally warm and friendly personality, and will be greatly missed in the whole scientifc community.

  11. Laplace deep level transient spectroscopy: Embodiment and evolution

    NASA Astrophysics Data System (ADS)

    Peaker, A. R.; Markevich, V. P.; Hawkins, I. D.; Hamilton, B.; Bonde Nielsen, K.; Gościński, K.

    2012-08-01

    This paper is to commemorate the work of Leszek Dobaczewski who devoted much of his life to the development and application of high resolution DLTS. Under good experimental conditions Laplace DLTS provides an order of magnitude higher energy resolution than conventional DLTS techniques. This has had a profound effect on electrical defect spectroscopy enabling the effect of external probes, such as uniaxial stress, and internal perturbations, such as the proximity of atoms isovalent with the host, to be quantified in terms of electronic behaviour. Laplace DLTS provides a synergy with other techniques that was difficult or impossible to achieve previously. In this paper we present an overview of the development of LDLTS and illustrate some of its uses by describing its application in a number of key areas of defect research. Leszek Dobaczewski was born on 25th December 1954. He received his education in Warsaw taking his PhD in 1986 with Jerzy Langer at the Institute of Physics on “Recombination Processes at defects with the large lattice relaxation”. He held a research position at the institute in Warsaw until he came to Manchester in 1990 and thereafter alternated between Manchester and Warsaw. He worked primarily on the development and application of high resolution DLTS. He was awarded the degree of DSc in 1994 for his work on DX centres and held an appointment as full professor in Warsaw with Visiting Professor posts at Manchester and Aarhus. Professor Leszek Dobaczewski died in April 2010.

  12. [The otorhinolaryngological achievements of surgeon Hipolit Korzeniowski (1827-1897)].

    PubMed

    Kierzek, Andrzej

    2006-01-01

    The professional and scientific activities of Hipolit Korzeniowski (1827-1879), an eminent Varsovian surgeon, his thorough medical education in various European centries is shortly outlined. He was a head of the surgical ward especially at the Infant Jesus Hospital in Warsaw and at the medical schools in Warsaw. Korzeniowski's succesful surgical treatment of rhinolaryngological diseases, such as scarlet fever of ear, treatment of deaf-mutism, sinusitis paranasales, operations of jaws, plastic reconstruction of the palate, foreign bodies of larynx, tracheotomy in the tuberculosis of larynx, are described in some more detail.

  13. ESO Science Outreach Network in Poland during 2011-2013

    NASA Astrophysics Data System (ADS)

    Czart, Krzysztof

    2014-12-01

    ESON Poland works since 2010. One of the main tasks of the ESO Science Outreach Network (ESON) is translation of various materials at ESO website, as well as contacts with journalists. We support also science festivals, conferences, contests, exhibitions, astronomy camps and workshops and other educational and outreach activities. During 2011-2013 we supported events like ESO Astronomy Camp 2013, ESO Industry Days in Warsaw, Warsaw Science Festival, Torun Festival of Science and Art, international astronomy olympiad held in Poland and many others. Among big tasks there was also translation of over 60 ESOcast movies.

  14. Dr Adam Zamenhof (1888-1940) and his insight into ophthalmology.

    PubMed

    Wincewicz, Andrzej; Sulkowska, Mariola; Lieberman, E James; Bakunowicz-Lazarczyk, Alina; Sulkowski, Stanislaw

    2009-02-01

    Adam Zamenhof was greatly influenced by his father, Ludwik Zamenhof, who designed the international language Esperanto. Like his father, he became an ophthalmologist and joined the Esperanto movement. He published in the field of ophthalmology and was soon chosen as head of an ophthalmology department. He subsequently became Chief of the Orthodox Jewish Hospital at Czystem in Warsaw. He was active in the leadership of the Bialystok-Warsaw Chamber of Medical Doctors. He perished in the Nazi Holocaust (Shoah) but all Zamenhof's ideals that Adam served as a doctor and social activist remain still alive.

  15. Comparison Between 10- and 14-Day Hybrid Regimens for Helicobacter pylori Eradication: A Randomized Clinical Trial.

    PubMed

    Metanat, Hassan Ali; Valizadeh, Seyed Mohammad; Fakheri, Hafez; Maleki, Iradj; Taghvaei, Tarang; Hosseini, Vahid; Bari, Zohreh

    2015-08-01

    Helicobacter pylori (H. pylori) eradication has always been a concern. In our previous study, 14-day hybrid regimen showed ideal results. Based on these findings, we decided to compare the efficacy of 10- and 14-day hybrid regimens for H. pylori eradication. Two hundred and seventy patients with peptic ulcer disease and H. pylori infection were enrolled in the study. One hundred and thirty-four patients received 10-day hybrid regimen (PACT-10): pantoprazole, 40 mg, and amoxicillin, 1 g, both twice daily for 10 days; plus clarithromycin, 500 mg, and tinidazole, 500 mg, both twice daily just during the last 5 days. One hundred and thirty-six patients received 14-day hybrid regimen (PACT-14): pantoprazole, 40 mg, and amoxicillin, 1 g, both twice a day for 14 days; plus clarithromycin, 500 mg, and tinidazole, 500 mg, both twice daily just for the last 7 days. Eight weeks after treatment, (14) C-urea breath test was performed to evaluate H. pylori eradication. Two hundred and fifty patients (124 patients in PACT-10 and 126 patients in PACT-14 regimens) completed the study. The intention-to-treat eradication rates were 77.6% (95% confidence interval (CI): 70.6-84.6%) and 86% (95% CI: 80-92%) for the two regimens, respectively (p = .17). Per-protocol eradication rates were 83.8% (95% CI: 80-86%) and 92.8% (95% CI: 88-96%), respectively (p < .01). There were no significant intergroup differences in compliance to treatment or discontinuation of therapy due to severe side effects. Ten-day hybrid regimen could not achieve acceptable eradication rate. However, 14-day hybrid regimen seems to be an acceptable option for H. pylori eradication in Iran. © 2015 John Wiley & Sons Ltd.

  16. Impact of Paclitaxel Dose on Tissue Pharmacokinetics and Vascular Healing: A Comparative Drug-Coated Balloon Study in the Familial Hypercholesterolemic Swine Model of Superficial Femoral In-Stent Restenosis.

    PubMed

    Gongora, Carlos A; Shibuya, Masahiko; Wessler, Jeffrey D; McGregor, Jenn; Tellez, Armando; Cheng, Yanping; Conditt, Gerard B; Kaluza, Greg L; Granada, Juan F

    2015-07-01

    This study sought to compare the effect of paclitaxel-coated balloon (PCB) concentration on tissue levels and vascular healing using 3 different PCB technologies (In.Pact Pacific = 3 μg/mm(2), Lutonix = 2 μg/mm(2) and Ranger = 2 μg/mm(2)) in the experimental setting. The optimal therapeutic dose for PCB use has not been determined yet. Paclitaxel tissue levels were measured up to 60 days following PCB inflation (Ranger and In.Pact Pacific) in the superficial femoral artery of healthy swine (18 swine, 36 vessels). The familial hypercholesterolemic swine model of superficial femoral artery in-stent restenosis (6 swine, 24 vessels) was used in the efficacy study. Two weeks following bare-metal stent implantation, each in-stent restenosis site was randomly treated with a PCB or an uncoated control balloon (Sterling). Quantitative vascular analysis and histology evaluation was performed 28 days following PCB treatment. All PCB technologies displayed comparable paclitaxel tissue levels 4 h following balloon inflation. At 28 days, all PCB had achieved therapeutic tissue levels; however, the In.Pact PCB resulted in higher tissue concentrations than did the other PCB groups at all time points. Neointimal inhibition by histology was decreased in all PCB groups compared with the control group, with a greater decrease in the In.Pact group. However, the neointima was more mature and contained less peri-strut fibrin deposits in both 2-μg/mm(2) PCB groups. Compared with the clinically established PCB dose, lower-dose PCB technologies achieve lower long-term tissue levels but comparable degrees of neointimal inhibition and fewer fibrin deposits. The impact of these findings in restenosis reduction and clinical outcomes needs to be further investigated. Copyright © 2015 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  17. Multimethod evaluation of the VA's peer-to-peer Toolkit for patient-centered medical home implementation.

    PubMed

    Luck, Jeff; Bowman, Candice; York, Laura; Midboe, Amanda; Taylor, Thomas; Gale, Randall; Asch, Steven

    2014-07-01

    Effective implementation of the patient-centered medical home (PCMH) in primary care practices requires training and other resources, such as online toolkits, to share strategies and materials. The Veterans Health Administration (VA) developed an online Toolkit of user-sourced tools to support teams implementing its Patient Aligned Care Team (PACT) medical home model. To present findings from an evaluation of the PACT Toolkit, including use, variation across facilities, effect of social marketing, and factors influencing use. The Toolkit is an online repository of ready-to-use tools created by VA clinic staff that physicians, nurses, and other team members may share, download, and adopt in order to more effectively implement PCMH principles and improve local performance on VA metrics. Multimethod evaluation using: (1) website usage analytics, (2) an online survey of the PACT community of practice's use of the Toolkit, and (3) key informant interviews. Survey respondents were PACT team members and coaches (n = 544) at 136 VA facilities. Interview respondents were Toolkit users and non-users (n = 32). For survey data, multivariable logistic models were used to predict Toolkit awareness and use. Interviews and open-text survey comments were coded using a "common themes" framework. The Consolidated Framework for Implementation Research (CFIR) guided data collection and analyses. The Toolkit was used by 6,745 staff in the first 19 months of availability. Among members of the target audience, 80 % had heard of the Toolkit, and of those, 70 % had visited the website. Tools had been implemented at 65 % of facilities. Qualitative findings revealed a range of user perspectives from enthusiastic support to lack of sufficient time to browse the Toolkit. An online Toolkit to support PCMH implementation was used at VA facilities nationwide. Other complex health care organizations may benefit from adopting similar online peer-to-peer resource libraries.

  18. VHDL Modeling of PRC-70 Radio ASICs for Reverse Engineering

    DTIC Science & Technology

    1994-08-01

    VDVDDvm TZMP ATRWa-T IMPML4MM) pact mWu (1155_0, 1184-0, 1199.0); somork map (DE.AY-> 1uw FANC ~m3 VDDO.VDD. port mwap (M19.0 191 10.. fl0...)*, 194: mnv...IWMDEAY1> fl, VDD-VDD, M eMMUR1T 1F1O𔃽ATU3) part map(1139) ,RCIR...9Qj14Q)); gen ricmap (DELAYm.o I r, 1IANOUYF.o1, VD~mVDD, pact map (1140YNJ136YW9Y...8217URE-TEMPBRATURE) port map (N945,N2467); 11341: inv generic map (DELAY->1 as, FANC )UT->1, VDD->VDD, TEMPERATURE->TEMPMRThRB) pod map (N24M h25 1); 11344

  19. Recruitment and Participation of African American Men in Church-Based Health Promotion Workshops.

    PubMed

    Saunders, Darlene R; Holt, Cheryl L; Le, Daisy; Slade, Jimmie L; Muwwakkil, Bettye; Savoy, Alma; Williams, Ralph; Whitehead, Tony L; Wang, Min Qi; Naslund, Michael J

    2015-12-01

    Health promotion interventions in African American communities are frequently delivered in church settings. The Men's Prostate Awareness Church Training (M-PACT) intervention aimed to increase informed decision making for prostate cancer screening among African American men through their churches. Given the significant proportion and role of women in African American churches, the M-PACT study examined whether including women in the intervention approach would have an effect on study outcomes compared with a men-only approach. The current analysis discusses the men's participation rates in the M-PACT intervention, which consisted of a series of 4 bimonthly men's health workshops in 18 African American churches. Data suggest that once enrolled, retention rates for men ranged from 62 to 69 % over the workshop series. Among the men who were encouraged to invite women in their lives (e.g., wife/partner, sister, daughter, friend) to the workshops with them, less than half did so (46 %), suggesting under-implementation of this "health partner" approach. Finally, men's participation in the mixed-sex workshops were half the rate as compared to the men-only workshops. We describe recruitment techniques, lessons learned, and possible reasons for the observed study group differences in participation, in order to inform future interventions to reach men of color with health information.

  20. Ingestible roasted barley for contrast-enhanced photoacoustic imaging in animal and human subjects.

    PubMed

    Wang, Depeng; Lee, Dong Hyeun; Huang, Haoyuan; Vu, Tri; Lim, Rachel Su Ann; Nyayapathi, Nikhila; Chitgupi, Upendra; Liu, Maggie; Geng, Jumin; Xia, Jun; Lovell, Jonathan F

    2018-08-01

    Photoacoustic computed tomography (PACT) is an emerging imaging modality. While many contrast agents have been developed for PACT, these typically cannot immediately be used in humans due to the lengthy regulatory process. We screened two hundred types of ingestible foodstuff samples for photoacoustic contrast with 1064 nm pulse laser excitation, and identified roasted barley as a promising candidate. Twenty brands of roasted barley were further screened to identify the one with the strongest contrast, presumably based on complex chemical modifications incurred during the roasting process. Individual roasted barley particles could be detected through 3.5 cm of chicken-breast tissue and through the whole hand of healthy human volunteers. With PACT, but not ultrasound imaging, a single grain of roasted barley was detected in a field of hundreds of non-roasted particles. Upon oral administration, roasted barley enabled imaging of the gut and peristalsis in mice. Prepared roasted barley tea could be detected through 2.5 cm chicken breast tissue. When barley tea was administered to humans, photoacoustic imaging visualized swallowing dynamics in healthy volunteers. Thus, roasted barley represents an edible foodstuff that should be considered for photoacoustic contrast imaging of swallowing and gut processes, with immediate potential for clinical translation. Copyright © 2018 Elsevier Ltd. All rights reserved.

  1. The relation between Euro-based nuclear weapons and conventional arms control

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

    Herman, P.T.

    1989-11-01

    The social and economic changes currently underway in the Soviet Union and other member nations of the Warsaw Treaty Organization (WTO) surpass anything that has happened in that geopolitical region since 1945. These changes will influence all aspects of the East-West relationship in ways that cannot be predicted today. There are hopes the result will be an East-West relationship devoid of confrontation. There are fears that instabilities might develop that could lead to armed conflict. The challenge to all nations is to achieve a mutually agreeable future order among nations that is inherently stable. This will require vision and statesmanshipmore » on the part of our leaders; it will require understanding and self-discipline on the part of our citizens. Despite occasional periods of tension between member nations of the NATO and WTO, the East-West relationship has been marked by its avoidance of military conflict. Two elements of this relationship have been major contributors to this enduring coexistence. The first has been the existence of two viable alliances: NATO and WTO. These organizations have largely co-opted the national security agendas of their respective member nations and have preempted the option of unilateral pursuit of national objectives through armed conflict in Europe.« less

  2. Primary Care-Mental Health Integration in the Veterans Affairs Health System: Program Characteristics and Performance.

    PubMed

    Cornwell, Brittany L; Brockmann, Laurie M; Lasky, Elaine C; Mach, Jennifer; McCarthy, John F

    2018-06-01

    The Veterans Health Administration (VHA) has achieved substantial national implementation of primary care-mental health integration (PC-MHI) services. However, little is known regarding program characteristics, variation in characteristics across settings, or associations between program fidelity and performance. This study identified core elements of PC-MHI services and evaluated their associations with program characteristics and performance. A principal-components analysis (PCA) of reports from 349 sites identified factors associated with PC-MHI fidelity. Analyses assessed the correlation among factors and between each factor and facility type (medical center or community-based outpatient clinic), primary care population size, and performance indicators (receipt of PC-MHI services, same-day access to mental health and primary care services, and extended duration of services). PCA identified seven factors: core implementation, care management (CM) assessments and supervision, CM supervision receipt, colocated collaborative care (CCC) by prescribing providers, CCC by behavioral health providers, participation in patient aligned care teams (PACTs) for special populations, and treatment of complex mental health conditions. Sites serving larger populations had greater core implementation scores. Medical centers and sites serving larger populations had greater scores for CCC by prescribing providers, CM assessments and supervision, and participation in PACTs. Greater core implementation scores were associated with greater same-day access. Sites with greater scores for CM assessments and supervision had lower scores for treatment of complex conditions. Outpatient clinics and sites serving smaller populations experienced challenges in integrated care implementation. To enhance same-day access, VHA should continue to prioritize PC-MHI implementation. Providing brief, problem-focused care may enhance CM implementation.

  3. Diagnostic of structures in heat and power generating industries with utilization of 3D digital image correlation

    NASA Astrophysics Data System (ADS)

    Malesa, M.; Kujawińska, M.; Malowany, K.; Siwek, B.

    2013-04-01

    In the paper we present implementation of 3D DIC method for in-situ diagnostic measurements of expansion bellows in heating chambers. The simultaneous measurements of a supply and a return pipeline were carried out in a heating chamber in Warsaw at the peak of the heating season in cooperation with Dalkia Warszawa. Results of the measurements enabled assessment of the risk of failure of expansion bellows. In-situ measurements were preceded by feasibility tests carried out in the Institute of Heat Engineering of Warsaw University of Technology. Potential implementations and a direction of future works are discussed in conclusions.

  4. Genetics Home Reference: Warsaw breakage syndrome

    MedlinePlus

    ... helicase. Helicases are enzymes that attach (bind) to DNA and temporarily unwind the two spiral strands (double helix) of the DNA molecule. This unwinding is necessary for copying ( replicating ) ...

  5. Nutrients in the Nation?s streams and groundwater: National Findings and Implications

    USGS Publications Warehouse

    Dubrovsky, Neil M.; Hamilton, Pixie A.

    2010-01-01

    A comprehensive national analysis of the distribution and trends of nutrient concentrations in streams and groundwater from 1992 through 2004 is provided by the National Water-Quality Assessment (NAWQA) Program of the United States Geological Survey (USGS). Findings describe the distribution and causes of varying nutrient concentrations in streams and groundwater throughout the Nation and examine the primary sources that contribute to elevated concentrations. Results show that excessive nutrient enrichment is a widespread cause of ecological degradation in streams and that nitrate contamination of groundwater used for drinking water, particularly shallow domestic wells in agricultural areas, is a continuing human-health concern. Finally, despite major Federal, State and local nonpoint-source nutrient control efforts for streams and watersheds across the Nation, USGS trend analyses for 1993?2003 suggest limited national progress to reduce the impacts of nonpoint sources of nutrients during this period. Instead, concentrations have remained the same or increased in many streams and aquifers across the Nation, and continue to pose risks to aquatic life and human health. This Fact Sheet highlights selected national findings and their implications, and serves as a companion product to the complete analysis reported in the USGS Circular titled ?The Quality of Our Nation?s Waters?Nutrients in the Nation?s Streams and Groundwater, 1992?2004.?

  6. Phototoxic effects of silicon bis (dimetilaminoetanoxi)-phthalocyanine (SiPc) on the viability of Leishmania major and Leishmania braziliensis promastigotes

    NASA Astrophysics Data System (ADS)

    Guerra Pinto, Juliana; Ferreira-Strixino, Juliana; Mittmann, Josane

    2016-06-01

    American cutaneous leishmaniasis (ACL) is an infectious disease caused by protozoans of the genus Leishmania. The treatment may consist of pentavalent antimonials or pentamidine and amphotericin. However, these treatments are extremely aggressive. Photodynamic antimicrobial chemotherapy (PACT) involves the same mechanism of photodynamic therapy which associates a photosensitizer with oxygen and a light source generating a photochemical reaction leading to cell death. The aim of this study was to verify the potential use of silicon bis (dimetilaminoetanoxi)-phthalocyanine (SiPc) compound in photodynamic treatment through evaluation of its phototoxic effect in promastigotes of the genus Leishmania braziliensis and Leishmania major. Treatment with SiPc was able to drastically affect the viability of the parasites as well as affect their growth and morphology, after PACT treatment. The data shown in this study allows us to conclude that SiPc is a promising photosensitizer (PS) since it does not affect parasite growth and viability in the dark. After PACT with this phthalocyanine, over 99% of parasites were killed with the higher concentration and a light dose used. These results suggest that SiPc can be used in future to treat CL, however, further studies are necessary to determine whether the PS are toxic to mononuclear phagocytic cells and epithelial cells which will also be affected by therapy when applied topically.

  7. Fertility in four regions spanning large contrasts in serum levels of widespread persistent organochlorines: a cross-sectional study

    PubMed Central

    Toft, Gunnar; Axmon, Anna; Giwercman, Aleksander; Thulstrup, Ane Marie; Rignell-Hydbom, Anna; Pedersen, Henning Sloth; Ludwicki, Jan K; Zvyezday, Valentina; Zinchuk, Andery; Spano, Marcello; Manicardi, Gian Carlo; Bonefeld-Jørgensen, Eva C; Hagmar, Lars; Bonde, Jens Peter

    2005-01-01

    Background Persistent organochlorine pollutants (POPs) may interfere with reproductive function but direct evidence in humans is very limited. Methods Fertility was examined in four regions with contrasting blood levels of POPs. Pregnant women and their partners in Warsaw (Poland), Kharkiv (Ukraine) and Greenland were consecutively enrolled during antenatal visits. Swedish fishermen and their spouses were recruited separately and independently of current pregnancy. Lipid adjusted serum concentrations of 2,2',4,4',5,5'-hexachlorobiphenyl (CB-153) and 1,1-dichloro-2,2-bis (p-chlorophenyl)-ethylene (DDE) were available for both partners. Time to pregnancy interviews were obtained among 2269 women and 798 men provided a semen sample. Results Inuits had high levels of both POP markers, Swedish fishermen were high in CB-153 but low in DDE, men from Kharkiv were high in DDE and low in CB-153 while men from Warsaw were low in CB-153 and had intermediate DDE levels. Compared to Warsaw couples, fecundability was reduced among couples from Kharkiv [adjusted fecundability ratio (FR) 0.64 (95% CI 0.5–0.8)] and elevated in Swedish fishermen families [FR 1.26 (95% CI 1.0–1.6)]. Adjusted geometric means of sperm counts and morphology did not differ between regions while sperm motility was higher in men living in Warsaw. Conclusion We observed regional differences in time to pregnancy and sperm motility that may be related to regional differences in POP blood levels, but other interpretations are also plausible. In particular, differences in access to safe contraception and in the prevalence of contraceptive failures are most likely to bias comparisons of time to pregnancy. PMID:16280075

  8. Nasolabial esthetics in children with complete unilateral cleft lip and palate after 1- versus 3-stage treatment protocols.

    PubMed

    Fudalej, Piotr; Katsaros, Christos; Bongaarts, Catharina; Dudkiewicz, Zofia; Kuijpers-Jagtman, Anne Marie

    2009-08-01

    Facial esthetics play an important role in social interactions. However, children with a repaired complete unilateral cleft lip and palate usually show some disfigurement of the nasolabial area. To date, few studies have assessed the nasolabial appearance after different treatment protocols. The aim of the present study was to compare the nasolabial esthetics after 1- and 3-stage treatment protocols. Four components of the nasolabial appearance (nasal form, nasal deviation, mucocutaneous junction, and profile view) were assessed by 4 raters in 108 consecutively treated children who had undergone either 1-stage closure (Warsaw group, 41 boys and 19 girls, mean age 10.8 years, SD 2.0) or 3-stage (Nijmegen group, 30 boys and 18 girls, mean age 8.9 years, SD 0.7). A 5-grade esthetic index of Asher-McDade was used, in which grade 1 indicates the most esthetic and grade 5 the least esthetic outcome. The nasal form was judged the least esthetic in both groups and graded 3.1 (SD 1.1) and 3.2 (SD 1.1). The nasal deviation, mucocutaneous junction, and profile view were scored from 2.1 (SD 0.8) to 2.3 (SD 1.0) in both groups. The treatment outcome after the Warsaw and Nijmegen protocols was comparable. Neither overall nor any of the 4 components of the nasolabial appearance showed intercenter differences (P > .1). The nasolabial appearance after the Warsaw (1-stage) and Nijmegen (3-stage) protocols was comparable. The technique of lip repair (triangular flap in Warsaw and Millard rotation advancement in Nijmegen) gave comparable results for the esthetics of the nasolabial area.

  9. National Intelligence and National Prosperity

    ERIC Educational Resources Information Center

    Hunt, Earl; Wittmann, Werner

    2008-01-01

    What is the relation between the cognitive competence of a national population that nation's economic prosperity? Lynn and Vanhanen [Lynn, R. & Vanhanen, T. (2002). "IQ and the wealth of nations." Westport, CT: Praeger.] presented data pointing to an exceptionally strong relationship between IQ scores and Gross Domestic Product per…

  10. Treatment Effect of Drug-Coated Balloons Is Durable to 3 Years in the Femoropopliteal Arteries

    PubMed Central

    Laird, John R.; Tepe, Gunnar; Brodmann, Marianne; Zeller, Thomas; Scheinert, Dierk; Metzger, Christopher; Micari, Antonio; Sachar, Ravish; Jaff, Michael R.; Wang, Hong; Hasenbank, Melissa S.; Krishnan, Prakash

    2018-01-01

    Background— Randomized controlled trials have reported favorable 1-year outcomes with drug-coated balloons (DCBs) for the treatment of symptomatic peripheral arterial disease when compared with standard percutaneous transluminal angioplasty (PTA). Evidence remains limited on the durability of the treatment effect with DCBs in the longer term. Methods and Results— IN.PACT SFA is a single-blind, randomized trial (Randomized Trial of IN.PACT Admiral Paclitaxel-Coated Percutaneous Transluminal Angioplasty [PTA] Balloon Catheter vs Standard PTA for the Treatment of Atherosclerotic Lesions in the Superficial Femoral Artery [SFA] and/or Proximal Popliteal Artery [PPA]) that enrolled 331 patients with symptomatic (Rutherford 2–4) femoropopliteal lesions up to 18 cm in length. Patients were randomized 2:1 to receive treatment with DCB or PTA. The 36-month assessments included primary patency, freedom from clinically driven target lesion revascularization, major adverse events, and functional outcomes. At 36 months, primary patency remained significantly higher among patients treated with DCB compared with PTA (69.5% versus 45.1%; log rank P<0.001). The rates of clinically driven target lesion revascularization were 15.2% and 31.1% (P=0.002) for the DCB and PTA groups, respectively. Functional outcomes were similarly improved between treatment groups even though subjects in the DCB group required significantly fewer reinterventions versus those in the PTA group (P<0.001 for target lesion revascularization, P=0.001 for target vessel revascularization). There were no device- or procedure-related deaths as adjudicated by an independent Clinical Events Committee. Conclusions— Three-year results demonstrate a durable and superior treatment effect among patients treated with DCB versus standard PTA, with significantly higher primary patency and lower clinically driven target lesion revascularization, resulting in similar functional improvements with reduced need for repeat

  11. Streptococcus Mutans Photoinactivation by Combination of Short Exposure of a Broad-Spectrum Visible Light and Low Concentrations of Photosensitizers

    PubMed Central

    Paschoal, Marco Aurelio; Santos-Pinto, Lourdes; Lin, Meng

    2014-01-01

    Abstract Objective: Investigate the photodynamic antimicrobial effect by the combination of a novel noncoherent broad spectrum visible light and low concentrations of curcumin and toluidine blue over suspensions of Streptococcus mutans. Background data: Long illumination times to activate photosensitizers (PS) and the use of high concentrations of these drugs in photodynamic antimicrobial chemotherapy (PACT) are limitations of its application as an antimicrobial technology in dental practice. Materials and methods: Planktonic suspensions of S. mutans were standardized and submitted to PACT treatment at low concentrations of curcumin (C) (0.075; 0.75 and 7.5 μM) and toluidine blue (T) (0.25; 2.5 and 25 μM) exposed to 42 J/cm2 (12.2 sec; set power: 3.930 mW) of a white light (WL) (output wavelength range: 400–700 nm; beam diameter: 12 mm) (C+WL+ and T+WL+, PACT groups; incubation time, C: 60 sec; T: 5 min); isolated effect of both C (C+WL−) and T concentrations (T+WL−); effect of light source (C−WL+ and T−WL+) and suspensions neither submitted to PS nor to light-emitting diode (LED) illumination (control groups, C−WL− and T−WL−). Aliquots of each group were diluted and cultured on blood agar plates and the number of colony-forming units (CFU)/mL was recorded, transformed into log10 and analyzed by ANOVA and Tukey's test at a cutoff value at 0.05. Results: The groups submitted to PACT presented a bacterial reduction value of>5-log10 to both tested PS in comparison with control groups (p<0.05). PS or light source used alone demonstrated no antimicrobial effect on the number of viable bacterial counts. Conclusions: The combination of a novel noncoherent light at short illumination exposure time with low concentrations of studied PS achieved a lethal photoinactivation of S. mutans, and can be considered an effective antimicrobial in vitro approach for reducing the number of micro-organisms involved with the dental caries process. PMID

  12. Streptococcus mutans photoinactivation by combination of short exposure of a broad-spectrum visible light and low concentrations of photosensitizers.

    PubMed

    Paschoal, Marco Aurelio; Santos-Pinto, Lourdes; Lin, Meng; Duarte, Simone

    2014-03-01

    Investigate the photodynamic antimicrobial effect by the combination of a novel noncoherent broad spectrum visible light and low concentrations of curcumin and toluidine blue over suspensions of Streptococcus mutans. Long illumination times to activate photosensitizers (PS) and the use of high concentrations of these drugs in photodynamic antimicrobial chemotherapy (PACT) are limitations of its application as an antimicrobial technology in dental practice. Planktonic suspensions of S. mutans were standardized and submitted to PACT treatment at low concentrations of curcumin (C) (0.075; 0.75 and 7.5 μM) and toluidine blue (T) (0.25; 2.5 and 25 μM) exposed to 42 J/cm2 (12.2 sec; set power: 3.930 mW) of a white light (WL) (output wavelength range: 400-700 nm; beam diameter: 12 mm) (C+WL+ and T+WL+, PACT groups; incubation time, C: 60 sec; T: 5 min); isolated effect of both C (C+WL-) and T concentrations (T+WL-); effect of light source (C-WL+ and T-WL+) and suspensions neither submitted to PS nor to light-emitting diode (LED) illumination (control groups, C-WL- and T-WL-). Aliquots of each group were diluted and cultured on blood agar plates and the number of colony-forming units (CFU)/mL was recorded, transformed into log10 and analyzed by ANOVA and Tukey's test at a cutoff value at 0.05. The groups submitted to PACT presented a bacterial reduction value of>5-log10 to both tested PS in comparison with control groups (p<0.05). PS or light source used alone demonstrated no antimicrobial effect on the number of viable bacterial counts. The combination of a novel noncoherent light at short illumination exposure time with low concentrations of studied PS achieved a lethal photoinactivation of S. mutans, and can be considered an effective antimicrobial in vitro approach for reducing the number of micro-organisms involved with the dental caries process.

  13. Facts about Anencephaly

    MedlinePlus

    ... for Prevention Birth Defects are Common, Costly, and Critical Videos & Podcasts Buttons Prevent to Protect PACT Quiz ... front part of the brain (forebrain) and the thinking and coordinating part of the brain (cerebrum). The ...

  14. Optimized optical clearing method for imaging central nervous system

    NASA Astrophysics Data System (ADS)

    Yu, Tingting; Qi, Yisong; Gong, Hui; Luo, Qingming; Zhu, Dan

    2015-03-01

    The development of various optical clearing methods provides a great potential for imaging entire central nervous system by combining with multiple-labelling and microscopic imaging techniques. These methods had made certain clearing contributions with respective weaknesses, including tissue deformation, fluorescence quenching, execution complexity and antibody penetration limitation that makes immunostaining of tissue blocks difficult. The passive clarity technique (PACT) bypasses those problems and clears the samples with simple implementation, excellent transparency with fine fluorescence retention, but the passive tissue clearing method needs too long time. In this study, we not only accelerate the clearing speed of brain blocks but also preserve GFP fluorescence well by screening an optimal clearing temperature. The selection of proper temperature will make PACT more applicable, which evidently broaden the application range of this method.

  15. Effects of Two Concussions on the Neuropsychological Functioning and Symptom Reporting of High School Athletes.

    PubMed

    Tsushima, William T; Geling, Olga; Arnold, Monica; Oshiro, Ross

    2016-01-01

    To assess the effects of two sports-related concussions on neuropsychological functioning and symptom reporting, the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) was administered to 483 high school athletes. Three groups of athletes were determined based on the number of previous concussions: no concussion (n = 409), 1 concussion (n = 58), and 2 concussions (n = 16). The results showed that the three groups did not differ in terms of their ImPACT composite scores (Verbal Memory, Visual Memory, Reaction Time, and Processing Speed) and the Total Symptom Score. As there are only a few studies that have reported the sequelae of 2 concussions in high school athletes, it is premature to declare that a repeated concussion does not have persistent neurocognitive effects on high school athletes.

  16. The International Workshop on Flame Chemistry (1st) Held in Warsaw, Poland on 28-29 July 2012

    DTIC Science & Technology

    2012-07-01

    National Lab, USA) Frederick L. Dryer (Princeton University, USA) 12:15 – 13:30 Lunch Session 3: Uncertainty Quantification... Dryer , and Ju, CF 2010 N-decane Toluene 0 300 600 900 1200 1500 1800 -2.00E-04 -1.50E-04 -1.00E-04 -5.00E-05 0.00E+00 5.00E-05 1.00E-04 1.50E-04...diffusion flames 0.1 mm Won, Sun, Dooley, Dryer , and Ju, CF 2010 H Diffusion loss High pressure hydrogen kinetics: ignition and flames 0.00 0.20

  17. Adjusting Conceptual Pacts in Three-Party Conversation

    ERIC Educational Resources Information Center

    Yoon, Si On; Brown-Schmidt, Sarah

    2014-01-01

    During conversation, partners develop representations of jointly known information--the common ground--and use this knowledge to guide subsequent linguistic exchanges. Extensive research on 2-party conversation has offered key insights into this process, in particular, its partner-specificity: Common ground that is shared with 1 partner is not…

  18. Comparison of seven optical clearing methods for mouse brain

    NASA Astrophysics Data System (ADS)

    Wan, Peng; Zhu, Jingtan; Yu, Tingting; Zhu, Dan

    2018-02-01

    Recently, a variety of tissue optical clearing techniques have been developed to reduce light scattering for imaging deeper and three-dimensional reconstruction of tissue structures. Combined with optical imaging techniques and diverse labeling methods, these clearing methods have significantly promoted the development of neuroscience. However, most of the protocols were proposed aiming for specific tissue type. Though there are some comparison results, the clearing methods covered are limited and the evaluation indices are lack of uniformity, which made it difficult to select a best-fit protocol for clearing in practical applications. Hence, it is necessary to systematically assess and compare these clearing methods. In this work, we evaluated the performance of seven typical clearing methods, including 3DISCO, uDISCO, SeeDB, ScaleS, ClearT2, CUBIC and PACT, on mouse brain samples. First, we compared the clearing capability on both brain slices and whole-brains by observing brain transparency. Further, we evaluated the fluorescence preservation and the increase of imaging depth. The results showed that 3DISCO, uDISCO and PACT posed excellent clearing capability on mouse brains, ScaleS and SeeDB rendered moderate transparency, while ClearT2 was the worst. Among those methods, ScaleS was the best on fluorescence preservation, and PACT achieved the highest increase of imaging depth. This study is expected to provide important reference for users in choosing most suitable brain optical clearing method.

  19. [Global Adult Tobacco Survey in Poland--the aim and current experiences].

    PubMed

    Kaleta, Dorota; Kozieł, Anna; Miśkiewicz, Paulina

    2009-01-01

    Poland is one of the countries, where smoking is widely spread and smoking-induced diseases have become a significant health and socio-economic issue. Since 1999, the World Health Organization (WHO) and Centers for Disease Control and Prevention (CDC), in cooperation with partner organizations have been working on the implementation of the global control system known as the Global Tobacco Surveillance System (GTSS). This system expands the opportunities of individual countries in the area of designing, implementing and evaluating comprehensive anti-tobacco programs. The Global Adult Tobacco Survey (GATS) has been incorporated into the GTSS system in 2007. The aim of the work is to explain and promote the objectives of GATS and the process of its implementation in Poland based on current experiences of the WHO Country Office for Poland. GATS concentrates on monitoring of tobacco use by adults (aged over 15 years). It is a representative, national survey of households, standardized on a global scale. GATS is supported by Bloomberg Philanthropies as a part of the Bloomberg Global Initiative to Reduce Tobacco Use. Two executive agencies, the M. Skłodowska-Curie Institute of Oncology, Warsaw and the Warsaw Medical University, have been assigned to implement the Global Adult Tobacco Survey in Poland. The prepatory works for pre-testing and further stages of the survey implementation are currently under the final phase. Data gathered by GATS will enable us to learn more about the use of tobacco by the adult population in Poland. They will also indicate the most effective methods of the tobacco control in our country.

  20. Reconstruction of gas distribution pipelines in MOZG in Poland using PE and PA pipes

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

    Borowicz, W.; Podziemski, T.; Kramek, E.

    1996-12-31

    MOZG--Warsaw Regional Gas Distribution Company was established in 1856. Now it is one of six gas distribution companies in Poland. Due to steadily increasing safety demands, some of the pipelines will need reconstruction. The majority of the substandard piping is located in urban areas. The company wanted to gain experiences in applying reconstruction technologies using two different plastic materials polyethylene and polyamide. They also wanted to assess the technical and economic practicalities of performing relining processes. A PE project--large diameter polyethylene relining (450 mm) conducted in Warsaw in 1994/95 and PA projects--relining using polyamide pipes, projects conducted in Radom andmore » in Warsaw during 1993 and 1994 are the most interesting and representative for this kind of works. Thanks to the experience obtained whilst carrying out these projects, reconstruction of old gas pipelines has become routine. Now they often use polyethylene relining of smaller diameters and they continue both construction and reconstruction of gas network using PA pipes. This paper presents the accumulated knowledge showing the advantages and disadvantages of applied methods. It describes project design and implementation with details and reports on the necessary preparation work, on site job organization and the most common problems arising during the construction works.« less

  1. Automatic Trading Agent. RMT Based Portfolio Theory and Portfolio Selection

    NASA Astrophysics Data System (ADS)

    Snarska, M.; Krzych, J.

    2006-11-01

    Portfolio theory is a very powerful tool in the modern investment theory. It is helpful in estimating risk of an investor's portfolio, arosen from lack of information, uncertainty and incomplete knowledge of reality, which forbids a perfect prediction of future price changes. Despite of many advantages this tool is not known and not widely used among investors on Warsaw Stock Exchange. The main reason for abandoning this method is a high level of complexity and immense calculations. The aim of this paper is to introduce an automatic decision-making system, which allows a single investor to use complex methods of Modern Portfolio Theory (MPT). The key tool in MPT is an analysis of an empirical covariance matrix. This matrix, obtained from historical data, biased by such a high amount of statistical uncertainty, that it can be seen as random. By bringing into practice the ideas of Random Matrix Theory (RMT), the noise is removed or significantly reduced, so the future risk and return are better estimated and controlled. These concepts are applied to the Warsaw Stock Exchange Simulator {http://gra.onet.pl}. The result of the simulation is 18% level of gains in comparison with respective 10% loss of the Warsaw Stock Exchange main index WIG.

  2. [Patients with chronic obstructive pulmonary disease (COPD)--similarities and differences of the study group participating in the project of National Center for Research and Development project "Chronic obstructive pulmonary disease (COPD)--systemic disease, the biggest threat of XXI century"].

    PubMed

    Rubinsztajn, Renata; Przybyłowski, Tadeusz; Karwat, Krzysztof; Maskey-Warzęchowska, Marta; Chazan, Ryszarda

    2015-12-01

    Chronic obstructive pulmonary disease (COPD) is a significant clinical problem wich is dependent on many environmental factors. of the study was to present a characteristic of examined group in the moment of including into the project. Based on data obtained from studies conducted in six medical universities in Poland we present the characteristics of 445 patients (M-69%), median age 66.2 years, suffering from COPD with median disease duration 7.7 years. The analysis included: age, education, risk factors, exacerbations and hospitalizations, comorbidities, severity of the disease, drug use and the results of selected tests and the quality of life of patients in relation with their place of residence. Some differences were found among the participating centers. The youngest patients came from Wrocław and the oldest from Katowice. The largest number of patients with higher education were from Warsaw, while the lowest number was noted in Poznań; patients with primary education were most numerous in Lublin. Patients from Warsaw had the highest number of pack-years, smoking history was least relevant in patients from Wrocław. The highest values of spirometrical parameters were observed in Gdańsk, while the lowest--in Poznań. COPD treatment mainly comprised of long-acting beta2 agonists, followed by anticholinergic agents, more than 50% of patients were treated with inhaled glucocorticosteroids. The most common comorbidities were cardiovascular diseases. The study group showed characteristics similar to those of other cohorts of patients with COPD described in the literature, but we found some differences between patients from different centers which participated in the study. © 2015 MEDPRESS.

  3. Does it matter how I perceive my nation? National symbols, national identification and attitudes toward immigrants.

    PubMed

    Finell, Eerika; Olakivi, Antero; Liebkind, Karmela; Lipsanen, Jari

    2013-12-01

    We examined how the ways of imagining one's own nation relate to the relationship between national identification and individuals' attitudes towards immigrants. National imagination is studied through two types of national symbols representing the nation in terms of confrontation between groups (i.e., war and sports) and a unique entity (i.e., nature and traditional culture). We found that national identification was positively associated with the degree to which individuals perceived their nation through a historical war and sports, which, in turn, enhanced negative attitudes toward immigrants. Unexpectedly, the degree to which individuals perceived their nation through nature and traditional culture was positively associated with positive intergroup attitudes. The results emphasize that the degree to which individuals perceive their nation through different national symbols is an important factor for understanding intergroup relations. © 2013 The Scandinavian Psychological Associations.

  4. 76 FR 31988 - Agency Information Collection Activities: Proposed Collection; Comments Requested

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-02

    ... DEPARTMENT OF JUSTICE Office of Community Oriented Policing Services [OMB Number 1103-NEW] Agency Information Collection Activities: Proposed Collection; Comments Requested ACTION: 30-Day Notice of Information Collection under Review: COPS Police and Communities Together (PACT) 360 Needs Assessment Survey...

  5. Medicine Use among Warsaw Ninth-Grade Students

    ERIC Educational Resources Information Center

    Pisarska, Agnieszka; Ostaszewski, Krzysztof

    2011-01-01

    Aim: This study examined the prevalence of medicine use for headache, stomachache, difficulties in getting to sleep, nervousness, depression and lack of energy among 15- to 16-year-old students; the relationship between medicine use and students' health status; and the relationship between medicine and nicotine, illegal drug, and alcohol use.…

  6. NATO’s Warsaw Summit: In Brief

    DTIC Science & Technology

    2016-11-14

    Congressional Research Service 9 met the NATO guideline to spend 20% of defense budgets on new equipment and defense modernization and 23 allies spent... budget for FY2017, the Administration requested a fourfold increase in funding for the ERI, primarily to enable “a quicker and more robust response...European allies’ commitment given continued strains on European defense budgets . In addition, some analysts express concern about an apparently growing

  7. Surgical Coagulator With Carbon Dioxide Laser For Gynecology

    NASA Astrophysics Data System (ADS)

    Wolinski, Wieslaw; Kazmirowski, Antoni; Korobowicz, Witold; Olborski, Zbigniew

    1987-10-01

    The technical data and parameters of the CO2 surgical laser for gynecology are given. Coagulator was designed and constructed in Institute of Microelectronics and Optoelectronics Warsaw Technical University.

  8. National Will: Achilles Heel in United States National Strategy

    DTIC Science & Technology

    1990-05-01

    value of the psychosocial or national-will. element of power is significantly underrated by national leaders in developing an appropriate national... developing and using the political, economic, and psychosocial powers of a nation, together with its armed forces during peace and war to secure National...employ the 5 M RI psychosocial element of power. Colonel Summers argues that, this failure to develop and use national will was our major strategic

  9. [Stanisława Adamowiczowa--first editor in-chief of Journal "Przeglad Epidemiologiczny"].

    PubMed

    Gromulska, Marta

    2010-01-01

    First issue of Epidemiological Review was published in 1920. First editor in chief was Stanisława Adamowiczowa, PhD (1888-1965), who had worked in National Central Epidemiological Institute since 1919, and later, for period of 45 years, interrupted by breaks resulting from political situation, worked in National Institute of Hygiene. In this jubilee article, we present scientific resume of S. Adamowiczowa which focuses on her achievements in infectious diseases epidemiology, and particularly in analysis and evaluation of current epidemiological data distribution in Poland and worldwide in the period. She was the pioneer in systemic organization of registries of new cases of diseases in the highly populated Polish cities; she initiated use of statistical methods in this field. As editor in chief of Epidemiological Review, she started publishing Epidemiological Chronicle, which is continuously added as a supplement to every second issue, each year. Name of S. Adamowiczowa is associated with Ludwik Rajchman--director of Hygiene Section in League of Nations, with Witold Chodźko PhD--she led courses in National School of Hygiene in Warsaw, with prof. Marcin Kacprzak--as co-author and co-editor of books on hygiene and epidemiology. A brief list of scientific publications of S. Adamowiczowa is also presented.

  10. Los Alamos National Lab: National Security Science

    Science.gov Websites

    SKIP TO PAGE CONTENT Los Alamos National Laboratory Delivering science and technology to protect Permit for Storm Water Public Reading Room Environment Home News Los Alamos National Lab: National deposition operations for the Center for Integrated Nanotechnologies at Los Alamos. Innovation drives his

  11. [A two-year evaluation of the development of preterm babies born in the region of Warsaw: a prospective cohort study Prematuritas].

    PubMed

    Rutkowska, Magdalena; Helwich, Ewa; Szamotulska, Katarzyna; Rudzińska-Chazan, Maria; Kułakowska, Zofia; Jeziorek, Aneta; Seroczyńska, Małgorzata; Nowakowska-Szyrwińska, Ewa; Romaniuk-Doroszewska, Anna

    2005-01-01

    Complex evaluation of the development of infants until the end of the second year of life, including neurological and sensory development. A prospective cohort study. 1) 264 premature babies born between 24 and 32 weeks of gestation during the period 1st of Oct 1998 and 30th of Sept 1999 in the region of Warsaw. 2) Age of examination at: 4th, 8th and 12th month of postconceptional age and 18th and 24th month of calendar age. 3) Neurological examination according to modified Denver's test, including the development of motor skills, coordination of vision and movement, speech and social contacts. Final division of development into: normal, uncertain and pathological. 4) Cerebral palsy was diagnosed according to the definition and classification proposed by the European Commission in 2002. 5) Retinopathy of prematurity (ROP): back of the eye (Fison's speculum) examination conducted from the 30th day of life, and follow-up depending of the escalation of changes. In cases of diagnosed ROP, stage 3 or 4 laser photocoagulation was performed. 6) Hearing examination: behavioral evaluation, in cases of uncertain or abnormal results ABR (auditory brain stem response) was carried out. 162 children participated in the examination at the age of 2, which comprises 87% of the study population. While evaluating motor and sensory development of study population at 2 years of age, normal development was seen among 88% of children, cerebral palsy of different types (with majority of serious cases) was diagnosed in 8% of children and 2 children were blind. Uncertain development was stated for 4% of children, and 1 of them was deaf. 20% of children experienced delay in speech development and hyperactivity. Among babies born before 28th week of gestational age, 2-3 times higher percentage of 3rd stage of retinopathy of prematurity (ROP) was stated in comparison with developed countries. Nevertheless, no case of blindness was observed in this group of children, which may prove effective

  12. ‘Other’ Posts in ‘Other’ Places: Poland through a Postcolonial Lens?

    PubMed Central

    Mayblin, Lucy; Piekut, Aneta; Valentine, Gill

    2016-01-01

    Postcolonial theory has tended to focus on those spaces where European colonialism has had a territorial and political history. This is unsurprising, as much of the world is in this sense ‘postcolonial’. But not all of it. This article focuses on Poland, often theorised as peripheral to ‘old Europe’, and explores the application of postcolonial analyses to this ‘other’ place. The article draws upon reflections arising from a study of responses to ethnic diversity in Warsaw, Poland. In doing so we conclude that postcolonialism does indeed offer some important insights into understanding Polish attitudes to other nationalities, and yet more work also needs to be done to make the theoretical bridge. In the case of Poland we propose the ‘triple relation’ be the starting point for such work. PMID:26877557

  13. 1990 Hydrology Prize awarded

    NASA Astrophysics Data System (ADS)

    The International Association of Hydrological Sciences awarded its 1990 International Hydrology Prize to Z. Kaczmarek of Warsaw, Poland. The award was presented on March 16 in Paris, France, during Unesco's Commemorative Symposium on 25 Years of the International Hydrological Decade/International Hydrological Program.The IAHS International Hydrology Prize, a silver medal, was first approved in 1979 as an annual award to a person who has made an outstanding contribution to hydrology and gives the candidate universal recognition of his international stature. The IAHS national committees give nominations to the IAHS Secretary General for consideration by a nominating committee, which consists of the IAHS president, the first and second vice presidents and representatives of Unesco and the World Meteorological Organization. The citation for the award to Kaczmarek, which was given by IAHS president Vit Klemes, follows.

  14. Culinary nationalism.

    PubMed

    Ferguson, Priscilla Parkhurst

    2010-01-01

    Culinary consciousness raisers, cooking texts often serve as vehicles of national identification. From Pampille (Marthe Allard Daudet) and her cookbook, Les Bons Plats de France, in 1913 to the international culinary competitions of today such as the Bocuse d'or, culinary distinction promotes national interests. In contrast to the strident nationalism of the early twentieth century, culinary nationalism today operates in an increasingly globalized world. National culinary distinction defines the nation and sells its products in a highly competitive international arena. A recent culinary text, the South Korean film Le Grand Chef [Sik Gaek ] (2007), illustrates the phenomenon, subsuming national culinary promotion in a mega culinary competition, all in the service of Korean culinary achievement.

  15. 75 FR 35302 - Cigarettes and Smokeless Tobacco-Prohibited in All Outbound and Inbound International Mail

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-22

    ... POSTAL SERVICE 39 CFR Part 20 Cigarettes and Smokeless Tobacco--Prohibited in All Outbound and...]) 136.4, pertaining to the mailing of tobacco cigarettes and smokeless tobacco. These provisions implement specific requirements of the Prevent All Cigarette Trafficking (PACT) Act, which restricts the...

  16. Program Brings Science to Elementary Students.

    ERIC Educational Resources Information Center

    Worthy, Ward

    1988-01-01

    Describes "Parents and Children for Terrific Science (PACTS)" program sponsored by the American Chemical Society's Education Division for encouraging the development of family science projects at the elementary and intermediate school levels. Discusses some examples and the results of the project. (YP)

  17. 75 FR 67119 - Agency Information Collection Activities: Proposed Collection; Comments Requested

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-01

    ... of Information Collection Under Review: Prevent All Cigarette Trafficking (PACT) Act Registration...: Extension of a currently approved collection. (2) The title of the form/collection: Prevent All Cigarette... register delivery sellers of cigarettes and/or smokeless tobacco products with the Attorney General in...

  18. Effect of Photodynamic Antimicrobial Chemotherapy on Mono- and Multi-Species Cariogenic Biofilms: A Literature Review

    PubMed Central

    de Freitas, Maria Tayara Marques; Soares, Talyta Teixeira; Aragão, Maria Gerusa Brito; Lima, Ramille Araújo; Duarte, Simone

    2017-01-01

    Abstract Objective: The aim of this literature review is to study the effect of photodynamic antimicrobial chemotherapy (PACT) on mono- and multi-species cariogenic biofilms. Methods: To this purpose, the database, PubMed, was searched using the descriptors, photodynamic therapy, antimicrobial photodynamic chemotherapy, and photoinactivation, associated with the mandatory presence of the word biofilm. A total of 98 references published from 2003 to 2016 were selected. Moreover, literature reviews (15), investigations that did not have biofilms related to dental caries (65), and those that did not have Streptococcus mutans count as an outcome (7) were excluded, yielding a final amount of 11 publications. Results: The results revealed that Toluidine Blue O was the most used photosensitizer. Among the sources of light, light-emitting diode was the choice, and the biofilm models varied between in vitro and in situ. Multi-species biofilms were more resistant to the antimicrobial effects of PACT due to the thickness and complexity they have, which impede the penetration of the photosensitizer. This fact may also be associated with the type of photosensitizer used as well as with the light exposure time since the antimicrobial effect seems to be dose dependent. Despite this, in all the included publications, the therapy was effective in reducing S. mutans count. Conclusions: This review demonstrated that under different conditions, PACT is effective in reducing S. mutans count in monospecies biofilms. Multi-species biofilms were more resistant to the antimicrobial action of the therapy, possibly due to their thickness and complexity. PMID:28121497

  19. Nitrogen removal from coal gasification wastewater by activated carbon technologies combined with short-cut nitrogen removal process.

    PubMed

    Zhao, Qian; Han, Hongjun; Hou, Baolin; Zhuang, Haifeng; Jia, Shengyong; Fang, Fang

    2014-11-01

    A system combining granular activated carbon and powdered activated carbon technologies along with shortcut biological nitrogen removal (GAC-PACT-SBNR) was developed to enhance total nitrogen (TN) removal for anaerobically treated coal gasification wastewater with less need for external carbon resources. The TN removal efficiency in SBNR was significantly improved by introducing the effluent from the GAC process into SBNR during the anoxic stage, with removal percentage increasing from 43.8%-49.6% to 68.8%-75.8%. However, the TN removal rate decreased with the progressive deterioration of GAC adsorption. After adding activated sludge to the GAC compartment, the granular carbon had a longer service-life and the demand for external carbon resources became lower. Eventually, the TN removal rate in SBNR was almost constant at approx. 43.3%, as compared to approx. 20.0% before seeding with sludge. In addition, the production of some alkalinity during the denitrification resulted in a net savings in alkalinity requirements for the nitrification reaction and refractory chemical oxygen demand (COD) degradation by autotrophic bacteria in SBNR under oxic conditions. PACT showed excellent resilience to increasing organic loadings. The microbial community analysis revealed that the PACT had a greater variety of bacterial taxons and the dominant species associated with the three compartments were in good agreement with the removal of typical pollutants. The study demonstrated that pre-adsorption by the GAC-sludge process could be a technically and economically feasible method to enhance TN removal in coal gasification wastewater (CGW). Copyright © 2014. Published by Elsevier B.V.

  20. Noninvasive photoacoustic computed tomography of mouse brain metabolism in vivo

    NASA Astrophysics Data System (ADS)

    Yao, Junjie; Xia, Jun; Maslov, Konstantin; Avanaki, Mohammadreza R. N.; Tsytsarev, Vassiliy; Demchenko, Alexei V.; Wang, Lihong V.

    2013-03-01

    To control the overall action of the body, brain consumes a large amount of energy in proportion to its volume. In humans and many other species, the brain gets most of its energy from oxygen-dependent metabolism of glucose. An abnormal metabolic rate of glucose and/or oxygen usually reflects a diseased status of brain, such as cancer or Alzheimer's disease. We have demonstrated the feasibility of imaging mouse brain metabolism using photoacoustic computed tomography (PACT), a fast, noninvasive and functional imaging modality with optical contrast and acoustic resolution. Brain responses to forepaw stimulations were imaged transdermally and transcranially. 2-NBDG, which diffuses well across the blood-brain-barrier, provided exogenous contrast for photoacoustic imaging of glucose response. Concurrently, hemoglobin provided endogenous contrast for photoacoustic imaging of hemodynamic response. Glucose and hemodynamic responses were quantitatively unmixed by using two-wavelength measurements. We found that glucose uptake and blood perfusion around the somatosensory region of the contralateral hemisphere were both increased by stimulations, indicating elevated neuron activity. The glucose response amplitude was about half that of the hemodynamic response. While the glucose response area was more homogenous and confined within the somatosensory region, the hemodynamic response area showed a clear vascular pattern and spread about twice as wide as that of the glucose response. The PACT of mouse brain metabolism was validated by high-resolution open-scalp OR-PAM and fluorescence imaging. Our results demonstrate that 2-NBDG-enhanced PACT is a promising tool for noninvasive studies of brain metabolism.

  1. Validity and Reliability of Baseline Testing in a Standardized Environment.

    PubMed

    Higgins, Kathryn L; Caze, Todd; Maerlender, Arthur

    2017-08-11

    The Immediate Postconcussion Assessment and Cognitive Testing (ImPACT) is a computerized neuropsychological test battery commonly used to determine cognitive recovery from concussion based on comparing post-injury scores to baseline scores. This model is based on the premise that ImPACT baseline test scores are a valid and reliable measure of optimal cognitive function at baseline. Growing evidence suggests that this premise may not be accurate and a large contributor to invalid and unreliable baseline test scores may be the protocol and environment in which baseline tests are administered. This study examined the effects of a standardized environment and administration protocol on the reliability and performance validity of athletes' baseline test scores on ImPACT by comparing scores obtained in two different group-testing settings. Three hundred-sixty one Division 1 cohort-matched collegiate athletes' baseline data were assessed using a variety of indicators of potential performance invalidity; internal reliability was also examined. Thirty-one to thirty-nine percent of the baseline cases had at least one indicator of low performance validity, but there were no significant differences in validity indicators based on environment in which the testing was conducted. Internal consistency reliability scores were in the acceptable to good range, with no significant differences between administration conditions. These results suggest that athletes may be reliably performing at levels lower than their best effort would produce. © The Author 2017. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  2. Education and Nationalism in Scotland: Governing a "Learning Nation"

    ERIC Educational Resources Information Center

    Arnott, Margaret; Ozga, Jenny

    2016-01-01

    Nationalism is a key resource for the political work of governing Scotland, and education offers the Scottish National Party (SNP) government a policy space in which political nationalism (self determination) along with social and cultural forms of civic nationalism can be formed and propagated, through referencing "inwards" to…

  3. National Parks

    Treesearch

    Jill S. Baron; Craig D. Allen; Erica Fleishman; Lance Gunderson; Don McKenzie; Laura Meyerson; Jill Oropeza; Nate Stephenson

    2008-01-01

    Covering about 4% of the United States, the 338,000 km2 of protected areas in the National Park System contain representative landscapes of all of the nation's biomes and ecosystems. The U.S. National Park Service Organic Act established the National Park System in 1916 "to conserve the scenery and the natural and historic objects and...

  4. The National Education Goals Report. Volume One: National Data.

    ERIC Educational Resources Information Center

    National Education Goals Panel, Washington, DC.

    The "1994 National Education Goals Report" consists of three documents, a central report focusing on core indicators, a volume of state data, and this volume of national data about the educational progress the nation and states are making. This volume contains comprehensive sets of measures to describe national progress toward the eight…

  5. National forests

    Treesearch

    Linda A. Joyce; Geoffry M. Blate; Jeremy S. Littell; Steven G. McNulty; Constance I. Millar; Susanne C. Moser; Ronald P. Neilson; Kathy O' Halloran; David L. Peterson

    2008-01-01

    The National Forest System (NFS) is composed of 155 national forests (NFs) and 20 national grasslands (NGs), which encompass a wide range of ecosystems, harbor much of the nation’s biodiversity, and provide myriad goods and services. The mission of the U.S. Forest Service (USFS), which manages the NFS, has broadened from water and timber to sustaining ecosystem health...

  6. NATO and Hybrid Conflict: Unresolved Issues from the Past or Unresolvable Threats of the Present?

    DTIC Science & Technology

    2012-09-01

    order to strengthen the relationship between the UK and France, the Treaty of Dunkirk was signed in March 1947 expressing the Western European... Dunkirk Treaty was mainly a projection of European concerns about the reemergence of German aggression. The Rio Pact was more a representation of

  7. Dredging-Related Mortality of Dungeness Crabs Associated with Four Dredges Operating in Grays Harbor, Washington.

    DTIC Science & Technology

    1981-03-01

    Oncorhynchus nerka ) Smolts Subjected to Entrainment During Hydraulic Dredging in the Fräser River Estuary. Environment Canada, Fisheries and Marine...Technical Report Series No. PAC/T-76-16. 35 pages. Tutty, B.D. and J. McBride. 1976. Histopathology of Chum ( Oncorhynchus keta) and Sockeye

  8. Team-Based Learning: Moderating Effects of Metacognitive Elaborative Rehearsal and Middle School History Content Recall

    ERIC Educational Resources Information Center

    Roberts, Greg; Scammacca, Nancy; Osman, David J.; Hall, Colby; Mohammed, Sarojani S.; Vaughn, Sharon

    2014-01-01

    Promoting Acceleration of Comprehension and Content through Text (PACT) and similar team-based models directly engage and support students in learning situations that require cognitive elaboration as part of the processing of new information. Elaboration is subject to metacognitive control, as well (Karpicke, "Journal of Experimental…

  9. 75 FR 51947 - Mailing of Cigarettes and Smokeless Tobacco Products to APO/FPO/DPO Destination Addresses

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-24

    ... PACT Act allows for gift shipments sent by certain individuals. The Postal Service implemented this... and smokeless tobacco sent as gifts between individual adults to APO/FPO/DPO destinations. With this... cigarettes and smokeless tobacco as gifts in overseas military mail? A. That depends. Some overseas host...

  10. Radio Frequency Based Programmable Logic Controller Anomaly Detection

    DTIC Science & Technology

    2013-09-01

    include wireless radios, IEEE 802.15 Blue- tooth devices, cellular phones, and IEEE 802.11 WiFi networking devices. While wireless communication...MacKenzie, H. Shamoon Malware and SCADA Security What are the Im- pacts? . Technical Report, Tofino Security, Sep 2012. 61. Mateti,P. Hacking Techniques

  11. English Learner and Non-English Learner Students with Disabilities: Content Acquisition and Comprehension

    ERIC Educational Resources Information Center

    Wanzek, Jeanne; Swanson, Elizabeth; Vaughn, Sharon; Roberts, Greg; Fall, Anna-Mária

    2016-01-01

    This study investigated the effects of Promoting Adolescent Comprehension Through Text (PACT), a content knowledge and comprehension treatment for English learner and non--English learner students with disabilities who were provided instruction in general education social studies classrooms. Eighth-grade students with disabilities in the treatment…

  12. History and status of embryology and developmental biology at Polish Medical Faculties and Schools.

    PubMed

    Bartel, Hieronim

    2008-01-01

    In Poland, medical embryology (both scientific research and teaching of the subject) has traditionally involved Chairs of Histology and Embryology rather than Obstetrics and Gynecology. Before World War II, the most buoyant centers for embryological research among the five universities at the time (in Warsaw, Krakow, Poznan, Lvov and Vilnius), were the Chairs of Embryology and Histology at Medical Faculties of the Jagiellonian University in Krakow and the University of Vilnius. After World War II, eleven Medical Academies (Universities of Medicine) came into being (Warsaw, Krakow, Poznan, Lodz, Gdansk, Bialystok, Bydgoszcz, Szczecin, Wroclaw, Katowice and Lublin). They conduct scientific research on normal development of the human embryo as well as teratology studies. In the XX century, eminent medicine-related embryologist included professors Emil Godlewski Jr., Stanislaw Hiller and Stefan Baginski.

  13. In vivo rat deep brain imaging using photoacoustic computed tomography (Conference Presentation)

    NASA Astrophysics Data System (ADS)

    Lin, Li; Li, Lei; Zhu, Liren; Hu, Peng; Wang, Lihong V.

    2017-03-01

    The brain has been likened to a great stretch of unknown territory consisting of a number of unexplored continents. Small animal brain imaging plays an important role charting that territory. By using 1064 nm illumination from the side, we imaged the full coronal depth of rat brains in vivo. The experiment was performed using a real-time full-ring-array photoacoustic computed tomography (PACT) imaging system, which achieved an imaging depth of 11 mm and a 100 μm radial resolution. Because of the fast imaging speed of the full-ring-array PACT system, no animal motion artifact was induced. The frame rate of the system was limited by the laser repetition rate (50 Hz). In addition to anatomical imaging of the blood vessels in the brain, we continuously monitored correlations between the two brain hemispheres in one of the coronal planes. The resting states in the coronal plane were measured before and after stroke ligation surgery at a neck artery.

  14. Gatekeepers as Care Providers: The Care Work of Patient-centered Medical Home Clerical Staff.

    PubMed

    Solimeo, Samantha L; Ono, Sarah S; Stewart, Kenda R; Lampman, Michelle A; Rosenthal, Gary E; Stewart, Greg L

    2017-03-01

    International implementation of the patient-centered medical home (PCMH) model for delivering primary care has dramatically increased in the last decade. A majority of research on PCMH's impact has emphasized the care provided by clinically trained staff. In this article, we report our ethnographic analysis of data collected from Department of Veterans Affairs staff implementing PACT, the VA version of PCMH. Teams were trained to use within-team delegation, largely accomplished through attention to clinical licensure, to differentiate staff in providing efficient, patient-centered care. In doing so, PACT may reinforce a clinically defined culture of care that countermands PCMH ideals. Such competing rubrics for care are brought into relief through a focus on the care work performed by clerks. Ethnographic analysis identifies clerks' care as a kind of emotional dirty work, signaling important areas for future anthropological study of the relationships among patient-centered care, stigma, and clinical authority. © 2016 by the American Anthropological Association.

  15. Assessment of Automated Analyses of Cell Migration on Flat and Nanostructured Surfaces

    PubMed Central

    Grădinaru, Cristian; Łopacińska, Joanna M.; Huth, Johannes; Kestler, Hans A.; Flyvbjerg, Henrik; Mølhave, Kristian

    2012-01-01

    Motility studies of cells often rely on computer software that analyzes time-lapse recorded movies and establishes cell trajectories fully automatically. This raises the question of reproducibility of results, since different programs could yield significantly different results of such automated analysis. The fact that the segmentation routines of such programs are often challenged by nanostructured surfaces makes the question more pertinent. Here we illustrate how it is possible to track cells on bright field microscopy images with image analysis routines implemented in an open-source cell tracking program, PACT (Program for Automated Cell Tracking). We compare the automated motility analysis of three cell tracking programs, PACT, Autozell, and TLA, using the same movies as input for all three programs. We find that different programs track overlapping, but different subsets of cells due to different segmentation methods. Unfortunately, population averages based on such different cell populations, differ significantly in some cases. Thus, results obtained with one software package are not necessarily reproducible by other software. PMID:24688640

  16. The national science agenda as a ritual of modern nation-statehood: The consequences of national "Science for National Development" projects

    NASA Astrophysics Data System (ADS)

    Drori, Gili S.

    This study is a comparative investigation of the ways by which the globalization of modern science affects the characteristics of different nation-states. Whereas much research and policy discussion focuses on science as an instrumental, or technical, system with immediate consequences for national conditions, such as economic development, science should also be regarded as a general cultural framework, which is highly institutionalized at the global level. As such, the institutionalization of science at both the global and national levels affects a wide variety of national properties. Following this line of reasoning, this dissertation study employs cross-national and longitudinal data and multiple-indicator methods to show national-level consequences of scientific expansion on the processes of rationalization and modernization of social and political life. It appears that the cross-national expansion of science practice results in, or is associated with, a variety of measures of (a) the standardization of civil and governmental procedures and (b) the expansion of the political rights and political engagement. I conclude from these empirical findings that scientization encourages (a) greater general societal rationalization and (b) expanded notions of social actorhood and agency. This evidence demonstrates how the globalization of science alters local conditions, both civil and political, by supporting the institutionalization of bureaucratic practices and participatory politics. Thus, the expansion of science--clearly affected by global processes--carries a general secularized faith in a rationalized world and in human agency. In this sense, the practice of science is a national ritual, whose social role is as a legitimacy-providing institution, rather then a technically functional institution. On a broader level, the study emphasizes the relations between globalization processes and the sovereignty of the nation-state. I conclude that science carries modernist

  17. Childhood in National Consciousness and National Consciousness in Childhood.

    ERIC Educational Resources Information Center

    Koester, David

    1997-01-01

    Examines the place of national imagery and the experience of the nation in childhood. Draws a comparison between such experiences in Iceland and Kamchatka, Russia. Describes ways in which these experiences become resources for expressing a distinct national identity. (EV)

  18. Improving Reading and Social Studies Learning for Secondary Students with Reading Disabilities

    ERIC Educational Resources Information Center

    Capin, Philip; Vaughn, Sharon

    2017-01-01

    This article describes evidence-based practices that beginning special education teachers can readily implement in special or general education settings that promote reading and content outcomes for students with disabilities as well as general education students. We describe two approaches: (a) Promoting Adolescents' Comprehension of Text (PACT),…

  19. "Let's Spend More Time Together Like This!": Fussy Baby Network® Infusion in a Baltimore Homeless Nursery Program

    ERIC Educational Resources Information Center

    Cosgrove, Kim; Norris-Shortle, Carole

    2015-01-01

    The development of babies whose families are homeless can easily be affected by their uncertain living arrangements. The PACT Therapeutic Nursery's attachment-based, trauma-informed, mindfully focused family interventions help these children and families move beyond the trauma of shelter living. In the past year, Nursery clinicians have infused…

  20. The Making of "The Transfer Agreement": A Library Odyssey.

    ERIC Educational Resources Information Center

    Black, Edwin

    1984-01-01

    Describes author's use of numerous library resources in preparation for writing untold story of secret pact between the Third Reich and Jewish Palestine. Library of Congress, Asher Library (Chicago), Zionist Library (New York City), Klau Library (Cincinnati, Ohio), public libraries (Chicago, Boston, New York), availability of materials, and…

  1. The microRNA effector RNA-induced silencing complex in hidradenitis suppurativa: a significant dysregulation within active inflammatory lesions.

    PubMed

    Hessam, S; Sand, M; Skrygan, M; Bechara, Falk G

    2017-09-01

    Recently, we could show that the expression levels of the key regulators of the microRNA (miRNA) maturation and transport were dysregulated in inflamed hidradenitis suppurativa (HS) tissue (Heyam et al. in Wiley Interdiscip Rev RNA 6:271-289, 2015). The RNA-induced silencing complex (RISC) is the central element of the miRNA pathway and regulates miRNA formation and function. We investigated the expression of the RISC components, namely transactivation-responsive RNA-binding protein-1 (TRBP1), TRBP2, protein activator (PACT) of the interferon-induced protein kinase R, Argonaute RISC Catalytic Component-1 (AGO1) and Component-2 (AGO2), metadherin, and staphylococcal nuclease and Tudor domain-containing-1 (SND1) in inflamed HS tissue compared to healthy and psoriatic controls by real-time reverse transcription polymerase chain reaction. Expression levels of all investigated components were significantly lower in lesional HS skin (n = 18) compared to healthy controls (n = 10). TRBP1, PACT, AGO1, AGO2, and SND1 expression levels were significantly down-regulated in lesional HS skin compared to healthy-appearing perilesional skin (n = 7). TRBP2 and SND1 expression levels were significantly lower in healthy-appearing perilesional skin compared to healthy controls. In lesional HS skin, expression levels of PACT, AGO1, and AGO2 were significantly lower compared to psoriatic skin (n = 10). In summary, our data showed that all investigated components of RISC are dysregulated in the skin of HS patients, providing support for the hypothesis that miRNAs may have a pathological role in the inflammatory pathogenesis of HS.

  2. Gender Differences in Symptom Reporting on Baseline Sport Concussion Testing Across the Youth Age Span.

    PubMed

    Moser, Rosemarie Scolaro; Olek, Lauren; Schatz, Philip

    2018-02-06

    Little is known regarding gender differences in concussion symptom reporting developmentally across the age span, specifically in pre-adolescent athletes. The present study asks: Do boys and girls differ in symptom reporting across the pre-adolescent to post-adolescent age span? This retrospective study utilized baseline assessments from 11,695 10-22 year-old athletes assigned to 3 independent groups: Pre-adolescent 10-12 year olds (n = 1,367; 12%), Adolescent 13-17 year olds (n = 2,974; 25%), and Late Adolescent 18-22 year olds (n = 7,354; 63%). Males represented 60% of the sample. Baseline ImPACT composite scores and Post-Concussion Symptom Scale scores (Total, Physical, Cognitive, Emotional, Sleep) were analyzed for the effects of age and gender. Statistically significant main effects were found for age and gender on all ImPACT composites, Total Symptoms, and Symptom factors. Significant interaction effects were noted between age and gender for all ImPACT composites, Total Symptoms, and Symptom factors. Total Symptoms and all Symptom factors were highest in adolescents (ages 13-17) for males and females. In the 10-12 age group, females displayed lower Total Symptoms, Physical, and Sleep factors than males. The notion of females being more likely than males to report symptoms does not appear to apply across the developmental age span, particularly prior to adolescence. Females show greater emotional endorsement across the youth age span (10-22 years). Adolescence (13-17 years) appears to be a time of increased symptomatology that may lessen after the age of 18. © The Author(s) 2018. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  3. Introducing a checking technician allows pharmacists to spend more time on patient-focused activities.

    PubMed

    Napier, Patti; Norris, Pauline; Braund, Rhiannon

    2018-04-01

    Internationally there is an increasing focus on the clinical and cognitive services that pharmacists can provide. Lack of time has been identified as a barrier to pharmacists increasing their clinical activities. Within the pharmacy workplace there are many tasks that can only be performed by a pharmacist. The final accuracy check of a dispensed prescription is currently the sole responsibility of pharmacists in New Zealand. This takes up a significant amount of time during a pharmacist's work day. The introduction of a checking technician role has been suggested to allow pharmacists more time to do more patient focused work. To investigate the amount of time pharmacy staff spend on specific activities and to establish whether the introduction of a checking technician into twelve pilot sites increased the amount of time that the pharmacists could spend on patient focused activities. This study utilised a self-reported work sampling technique in twelve pilot sites, selected from both the hospital and community settings. Work sampling using an electronic device was conducted at two time-points (before the implementation of a Pharmacy Accuracy Checking Technician (PACT) role and when the PACT was in place). Data was collected at 10 min intervals for the period of five days, a working week. Tasks were grouped into patient focused, dispensing and personal activities. The introduction of the PACT into the pilot sites saw a mean increase of 19% in pharmacists' patient focused activities and a mean 20% decrease in dispensing activities. The introduction of a checking technician role into New Zealand pharmacies demonstrated the potential to provide pharmacists with more time to spend on patient focused activities. Copyright © 2017 Elsevier Inc. All rights reserved.

  4. National Lakes Assessment

    EPA Pesticide Factsheets

    The National Lakes Assessment is a collaborative, statistical survey of the nation's lakes. It is one of four national surveys that EPA and its partners conduct to assess the condition and health of the nation's water resources.

  5. Developing Photoacoustic Tomography Devices for Translational Medicine and Basic Science Research

    NASA Astrophysics Data System (ADS)

    Wong, Terence Tsz Wai

    Photoacoustic (PA) tomography (PAT) provides volumetric images of biological tissue with scalable spatial resolutions and imaging depths, while preserving the same imaging contrast--optical absorption. Taking the advantage of its 100% sensitivity to optical absorption, PAT has been widely applied in structural, functional, and molecular imaging, with both endogenous and exogenous contrasts, at superior depths than pure optical methods. Intuitively, hemoglobin has been the most commonly studied biomolecule in PAT due to its strong absorption in the visible wavelength regime. One of the main focuses of this dissertation is to investigate an underexplored wavelength regime--ultraviolet (UV), which allows us to image cell nuclei without labels and generate histology-like images naturally from unprocessed biological tissue. These preparation-free and easy-to-interpret characteristics open up new possibilities for PAT to become readily applicable to other important biomedical problems (e.g., surgical margin analysis, Chapter 2) or basic science studies (e.g., whole-organ imaging, Chapter 3). For instance, we developed and optimized a PA microscopy system with UV laser illumination (UV-PAM) to achieve fast, label-free, multilayered, and histology-like imaging of human breast cancer in Chapter 2. These imaging abilities are essential to intraoperative surgical margin analysis, which enables promptly directed re-excision and reduces the number of repeat surgeries. We have incorporated the Gruneisen relaxation (GR) effect with UV-PAM to improve the performance of our UV-PAM system (e.g., the axial resolution), thus providing more accurate three-dimensional (3D) information (Chapter 4). The nonlinear PA signals caused by the GR effect enable optical sectioning capability, revealing important 3D cell nuclear distributions and internal structures for cancer diagnosis. In the final focus of this dissertation, we have implemented a low-cost PA computed tomography (PACT) system

  6. Integrating Teacher- and Peer-Assessments of Group Coursework Assignments in Business Education: Some Innovative Methods

    ERIC Educational Resources Information Center

    Onyia, Okey Peter

    2014-01-01

    This paper is a sequel to an earlier one that examines "the efficacy of two innovative peer-assessment templates ("PET" and "PACT") introduced to enable students provide evidence of their fairness in evaluating peer contributions to group project work" (Onyia, O. P. and Allen, S., 2012). In the present paper, three…

  7. Canada in the International Economy: A Teaching Unit.

    ERIC Educational Resources Information Center

    Hunter, William T.; Staunton, Ted, Ed.

    One of a series of teaching units designed to introduce secondary school students to the Canadian economy, this handbook contains instructional materials on Canada's role in the world economy. Ten sections contain readings and suggestions for activities related to Canadian trade, tariffs, the Canada-United States automobile pact, Canada-United…

  8. Defense | NREL

    Science.gov Websites

    Maritime Academy training ships to test promising energy saving technologies and increase steaming days between refuelings. The Maritime Pre-Screening Assessment of Conservation Technologies (M-PACT) project uses a ship-board test-bed with sophisticated sensors and a calibrated model to evaluate new and

  9. A bivalent cationic dye enabling selective photo-inactivation against Gram-negative bacteria.

    PubMed

    Li, Ke; Zhang, Yang-Yang; Jiang, Guo-Yu; Hou, Yuan-Jun; Zhang, Bao-Wen; Zhou, Qian-Xiong; Wang, Xue-Song

    2015-05-07

    A piperazine-modified Crystal Violet was found to be able to selectively inactivate Gram-negative bacteria upon visible light irradiation but left Gram-positive bacteria less damaged, which can serve as a blueprint for the development of novel narrow-spectrum agents to replenish the current arsenal of photodynamic antimicrobial chemotherapy (PACT).

  10. Integrating Academic Language into Content Methodology: Supporting Math and Science Teacher Candidates to Meet Students' Language Needs

    ERIC Educational Resources Information Center

    Freking, Frederick; Park, Jaime; Francois, Annamarie

    2015-01-01

    This article describes how a teacher-education program (TEP), whose mission is to improve schooling for linguistically diverse students, develops its' teacher candidate's critical dispositions and pedagogy related to academic-language (AL) development and how candidate performance on PACT can help TEPs better assess and improve how AL…

  11. NATIONAL COASTAL ASSESSMENT

    EPA Science Inventory

    The purpose of the National Coastal Assessment (NCA) is to estimate the status and trends of the condition of the nation's coastal resources on a state, regional and national basis. Based on NCA monitoring from 1999-2001, 100% of the nation's estuarine waters (at over 2500 locati...

  12. National Programs | Frederick National Laboratory for Cancer Research

    Cancer.gov

    The Frederick National Laboratoryis a shared national resource that offers access to a suite of advanced biomedical technologies, provides selected science and technology services, and maintains vast repositories of research materials available

  13. VizieR Online Data Catalog: OGLE-III. Magellanic Clouds stellar proper motions (Poleski+, 2012)

    NASA Astrophysics Data System (ADS)

    Poleski, R.; Soszynski, I.; Udalski, A.; Szymanski, M. K.; Kubiak, M.; Pietrzynski, G.; Wyrzykowski, L.; Ulaczyk, K.

    2012-06-01

    The OGLE-III project observed the MCs between 2001 and 2009 with 1.3-m Warsaw telescope, which is situated at the Las Campanas Observatory, Chile. The observatory is operated by the Carnegie Institution for Science. (4 data files).

  14. Medication prescribing advice and drug utilization: a review from the United Kingdom.

    PubMed

    Law, J; Thompson, A

    1996-01-01

    General Medical Practitioners (GPs) in the United Kingdom are usually the first point of contact with the National Health Service (NHS) for patients. They provide the majority of ambulatory care for their practice population and act as 'gatekeepers' for referral onwards to other services. This article investigates the influence of the purchasing authority prescribing advisors (PAs), including pharmacists and GPs on the prescribing habits in Salford, England, an inner city area in the North of England, close to the city of Manchester. The PAs became known as the prescribing CIA, and used the strategy of Control, progressing to Influence and Autonomy, to develop a mature partnership between the GPs, PAs and other health care professionals. Information collated from prescribing (PACT) data, by the Prescription Pricing Authority, was used to make comparisons between different practices within an area. Savings made by making rational changes in prescribing, were used to enhance practice development for the benefit of patient care.

  15. The Rio-Warsaw Connection: Encouraging Interculturalism among Students

    ERIC Educational Resources Information Center

    Dart, Hugo

    2015-01-01

    In this article Brazilian teacher, Hugo Dart, describes how he partnered with Polish teacher, Karolina Isio-Kurpinska, to set up an online community where students from different places could interact and make discoveries about each other's culture while practicing their English. The article discusses the ten-week project that was developed for…

  16. Exploring the national benefits of Alaska's tongass national forest

    Treesearch

    Steward D. Allen; David N. Bengston; David P. Fan

    2000-01-01

    A large sample of national news media stories about the Tongass National Forest--covering January 1, 1985, through July 31, 1997--was analyzed using the InfoTrend software and method. The main purpose of the analysis was to explore the national-level benefits and values reflected in news accounts about the Tongass. Results indicate that the nature of social debate...

  17. 35. VIEW LOOKING EAST IN PUMP ROOM. AIR COMPRESSOR ON ...

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

    35. VIEW LOOKING EAST IN PUMP ROOM. AIR COMPRESSOR ON LEFT, FUEL OIL PUMP BEHIND ON LEFT, FUEL OIL HEATERS AND PUMPS IN BACKGROUND WITH DRAIN SYSTEM - Georgetown Steam Plant, South Warsaw Street, King County Airport, Seattle, King County, WA

  18. Practice Teachers' Responses to a Suicidal Student.

    ERIC Educational Resources Information Center

    Davidson, Michael; Range, Lillian M.

    1997-01-01

    Observes that because of the rate of suicides and attempted suicides among young people, teachers can expect to face suicidal students during their careers. Explores whether teachers can effectively employ no-suicide pacts with children. Finds that teachers took any suicide threat seriously but were uncomfortable using a no-suicide agreement. (DSK)

  19. Nurses are leading the way in changing attitudes to dementia.

    PubMed

    Bates, Jane

    2016-08-10

    My father and I had a pact - we would never repeat the daft things my grandmother said. We just couldn't bear people laughing at her. My granny had always been warm, witty and wise. Now in her eighties, she was in good form physically, but her memory had left the building.

  20. A Mixed-Method Evaluation of the Feasibility and Acceptability of a Telehealth-Based Parent-Mediated Intervention for Children with Autism Spectrum Disorder

    ERIC Educational Resources Information Center

    Pickard, Katherine E.; Wainer, Allison L.; Bailey, Kathryn M.; Ingersoll, Brooke R.

    2016-01-01

    Research within the autism spectrum disorder field has called for the use of service delivery models that are able to more efficiently disseminate evidence-based practices into community settings. This study employed telehealth methods in order to deliver an Internet-based, parent training intervention for autism spectrum disorder, ImPACT Online.…