WorldWideScience

Sample records for 4-year post-secondary institutions

  1. Understanding young adult physical activity, alcohol and tobacco use in community colleges and 4-year post-secondary institutions: A cross-sectional analysis of epidemiological surveillance data

    Directory of Open Access Journals (Sweden)

    Lust Katherine

    2010-04-01

    Full Text Available Abstract Background Young adults experience many adverse health behavior changes as they transition from adolescence into adulthood. A better understanding of the relationships between health promoting and risky health behaviors may aid in the development of health promotion interventions for various types of young adult post-secondary students. Therefore, the purpose of this study was to examine associations between alcohol and tobacco use and physical activity among 2-year and 4-year college students. Methods Cross-sectional analyses were conducted using 2007 survey data, collected as part of an on-going post-secondary health surveillance system in Minnesota. Students were randomly selected to participant from 14 Minnesota colleges and universities (six 2-year community and/or technical colleges, eight 4-year post-secondary institutions. The 2007 surveillance data included 9,931 respondents. Results The prevalence of demographic characteristics and health behaviors (e.g., physical activity, tobacco use differed between young adults attending 2-year and 4-year post-secondary institutions; in general, those attending 2-year institutions are representative of more at-risk populations. Overall, higher levels of moderate, vigorous and strengthening physical activity were associated with higher levels of alcohol consumption and lower levels of smoking. In general, despite the disparities in the prevalence of these risk behaviors, the associations between the behaviors did not differ substantially between 2-year and 4-year post-secondary populations. Conclusions These findings illustrate links between leading risk behaviors. Interventions targeting multiple risk behaviors among young adults may warrant further consideration. Overall, future research is needed to support and inform young adult health promotion efforts that may be implemented in a wide array of post-secondary institutions.

  2. Post-Secondary Vocational Education and Training: Pathways and Partnerships. Institutional Management in Higher Education

    Science.gov (United States)

    OECD Publishing (NJ3), 2012

    2012-01-01

    Rapid growth of tertiary education is partly due to the expansion of post-secondary vocational education and training (PSV). A well developed post-secondary PSV system and links between universities and VET institutions improve skills and employment opportunities. What is post-secondary PSV and how does it relate to other components of the…

  3. Movement Among B.C. Public Post-Secondary Institutions. Research Report

    Science.gov (United States)

    Heslop, Joanne

    2008-01-01

    The Student Transitions Project (STP) is a collaborative effort of British Columbia's (BC's) Ministries of Education and Advanced Education and Labour Market Development and BC's public post-secondary institutions. STP research is helping school districts, post-secondary institutions and the Ministries of Education and Advanced Education and…

  4. 22 CFR 196.3 - Grants to post-secondary education institutions.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Grants to post-secondary education institutions. 196.3 Section 196.3 Foreign Relations DEPARTMENT OF STATE INTERNATIONAL COMMERCIAL ARBITRATION THOMAS...-secondary education institutions. The Department of State may make a grant to a post-secondary...

  5. Government, Coercive Power and the Perceived Legitimacy of Canadian Post-Secondary Institutions

    Science.gov (United States)

    McQuarrie, Fiona A. E.; Kondra, Alex Z.; Lamertz, Kai

    2013-01-01

    Governments regulate and control organizations, yet their role in determining organizational legitimacy is largely unexamined. In the changing Canadian post-secondary landscape, legitimacy is an increasingly important issue for post-secondary institutions as they compete amongst themselves for access to ever-shrinking resources. Using an…

  6. English Proficiency Requirements at BC Post-Secondary Institutions: Challenges Posed for Students. Research Results

    Science.gov (United States)

    Cooke, Jim

    2011-01-01

    This newsletter presents key observations from a review of BC post-secondary institutional websites undertaken to assess any differences in admission requirements for entry into standard First Year English courses and in institutional English admission requirements. Recommendations are made on possible actions that could be taken to clarify…

  7. Case Study of a Post-Secondary Institution and Its Response to Student Homelessness

    NARCIS (Netherlands)

    K. Kovacs Burns (Kathy); M.S. Richter (Magdalena); Y. Mao (Yuping); S. Mogale (Shirley); M. Danko (Margaret)

    2016-01-01

    textabstractFrom the moment students are accepted into post-secondary institutions, the focus is on their studies and successful completion. Far less is known about what institutions understand about students’ personal stresses and issues with their finances, housing and especially student homelessn

  8. Case Study of a Post-Secondary Institution and Its Response to Student Homelessness

    NARCIS (Netherlands)

    K. Kovacs Burns (Kathy); M.S. Richter (Magdalena); Y. Mao (Yuping); S. Mogale (Shirley); M. Danko (Margaret)

    2016-01-01

    textabstractFrom the moment students are accepted into post-secondary institutions, the focus is on their studies and successful completion. Far less is known about what institutions understand about students’ personal stresses and issues with their finances, housing and especially student homelessn

  9. An Overview of Admissions Practices at BC Post-Secondary Institutions

    Science.gov (United States)

    Heath, Nick

    2011-01-01

    Each year, the public post-secondary institutions in British Columbia admit large numbers of new students to their various programs. Each institution has autonomy in making choices in the selection of its students and, as a result, a variety of methods and processes are used. A survey conducted by the British Columbia Council on Admissions and…

  10. Supporting Successful Transitions to Post-Secondary Education for Indigenous Students: Lessons from an Institutional Ethnography in Ontario, Canada

    Directory of Open Access Journals (Sweden)

    Jean-Paul Restoule

    2013-11-01

    Full Text Available This study examines some of the ways institutional policies and practices can support or hinder the successful transition to post-secondary education for Indigenous people. Tracing the path from Indigenous high school student to post-secondary education applicant and utilizing knowledge gained from interviews, focus groups, and online surveys as part of an institutional ethnography approach, we offer recommendations for institutions and applicants to help increase enrollment and enhance the success of Indigenous post-secondary students. We share implications for institutions and post-secondary education applicants utilizing self-identification or cultural identity tracking.

  11. Campus Sustainability Governance in Canada: A Content Analysis of Post-Secondary Institutions' Sustainability Policies

    Science.gov (United States)

    Vaughter, Philip; McKenzie, Marcia; Lidstone, Lauri; Wright, Tarah

    2016-01-01

    Purpose: This paper aims to provide an overview of a content analysis of sustainability policies from Canadian post-secondary education institutions. The paper reports findings on the orientations to sustainability evident in the policies; references to other policies within the documents; and other key themes on how sustainability is engaged in…

  12. Cyberbullying Presence, Extent, & Forms in a Midwestern Post-Secondary Institution

    Science.gov (United States)

    Smith, J. A.; Yoon, J.

    2013-01-01

    This research study was an investigative inquiry as to the forms and characteristics of cyberbullying present in a midwestern post-secondary educational institution during the 2011-2012 academic year. Cyberbullying incidents have increased in educational situations bringing new ethical and legal issues to light; however, most of the research has…

  13. Campus Sustainability Governance in Canada: A Content Analysis of Post-Secondary Institutions' Sustainability Policies

    Science.gov (United States)

    Vaughter, Philip; McKenzie, Marcia; Lidstone, Lauri; Wright, Tarah

    2016-01-01

    Purpose: This paper aims to provide an overview of a content analysis of sustainability policies from Canadian post-secondary education institutions. The paper reports findings on the orientations to sustainability evident in the policies; references to other policies within the documents; and other key themes on how sustainability is engaged in…

  14. Sustainability in Canadian Post-Secondary Institutions: The Interrelationships among Sustainability Initiatives and Geographic and Institutional Characteristics

    Science.gov (United States)

    Beveridge, Dan; McKenzie, Marcia; Vaughter, Philip; Wright, Tarah

    2015-01-01

    Purpose: This paper aims to report on a census of high-level sustainability initiatives at all accredited post-secondary institutions in Canada by documenting the institutions that have undertaken sustainability assessments, have signed one or more sustainability declarations, have sustainability offices or officers or have sustainability…

  15. Sustainability in Canadian Post-Secondary Institutions: The Interrelationships among Sustainability Initiatives and Geographic and Institutional Characteristics

    Science.gov (United States)

    Beveridge, Dan; McKenzie, Marcia; Vaughter, Philip; Wright, Tarah

    2015-01-01

    Purpose: This paper aims to report on a census of high-level sustainability initiatives at all accredited post-secondary institutions in Canada by documenting the institutions that have undertaken sustainability assessments, have signed one or more sustainability declarations, have sustainability offices or officers or have sustainability…

  16. Movement of All Registrants among B.C. Public Post-Secondary Institutions. Research Results from the Student Transitions Project

    Science.gov (United States)

    Ministry of Advanced Education and Labour Market Development, 2009

    2009-01-01

    In this study, the Student Transitions Project (STP) examined the movement of all British Columbia (BC) pubic post-secondary registrants between post-secondary institutions from 2003/03 to the Fall of 2007. This is an expansion of STP's previous research focusing on the movement and outcomes of a cohort of BC secondary school graduates. (Contains…

  17. Quality Education Management in self-funded Post Secondary Education Institutions in Hong Kong

    Directory of Open Access Journals (Sweden)

    Wong Edwin K. P.

    2014-11-01

    Full Text Available This article discusses the management of external validation exercises (academic audit. Such exercises are now seen as providing an important means for assessing the quality of education in self-funded Post Secondary Education Institutions in Hong Kong, and therefore careful preparation for them is essential. Relevant individual's implicit/tacit knowledge has been converted to explicit knowledge for organizational formal transfer. Ten implementation strategies for the achievement of key performance results are proposed, and a check list of twenty tasks is formulated, against which institutions might assess their level of achievement and evaluate their readiness for external validation.

  18. Reducing Energy Waste in Post-secondary Educational Institutions using Artificial Intelligence

    Science.gov (United States)

    Motta Cabrera, David Francisco

    This thesis focuses on computer-related and lighting energy consumption in post-secondary educational institutions. In this respect, artificial intelligence and data association mining are proposed as tools to identify and reduce energy waste. First, an artificial intelligence-based method for forecasting computer usage is proposed. Based on the models' forecast, workstations can be turned on and off, in order to strike a balance between energy savings and user comfort. The models are evaluated on different datasets and their results compared to commercially available alternatives. Second, a data association mining-based approach is proposed to uncover possible relationships between occupancy patterns and lighting-related energy waste in classrooms. A wireless data collection system is used to log data from both lighting consumption and occupancy states during a year. Next, energy savings results of using the proposed approach are compared to those of an occupancy-activated lighting control system for classrooms.

  19. Connecting the Dots...: Information Sharing by Post-Secondary Educational Institutions under the Family Education Rights and Privacy Act (FERPA)

    Science.gov (United States)

    Graham, Richard; Hall, Richard; Gilmer, W. Gerry

    2008-01-01

    Misunderstanding of privacy laws and regulations impedes appropriate information sharing by post-secondary educational institutions under the Family Educational Rights and Privacy Act of 1974 ("FERPA"). Post-Virginia Tech regulatory amendments allow institutions to "connect the dots" regarding a student's behavior and to be…

  20. Student Services/One Stop Centers: A Qualitative Examination of Implementation at Three Post-Secondary Institutions

    Science.gov (United States)

    Becker, Janine M.

    2012-01-01

    This research investigates Student Services/One Stop Centers at three post-secondary institutions, looking at the origination of the centers and success through the lens of behavioral theories. Comparing the 3-stage Group Dynamics Theory of Lewin (1947), Social Learning Theory of Bandura (1977), and the 8-stage Change Management Model of Kotter…

  1. Research Results from the Student Transitions Project: Movement Among B.C. Public Post-Secondary Institutions

    Science.gov (United States)

    Ministry of Advanced Education and Labour Market Development, 2008

    2008-01-01

    The Student Transitions Project (STP) studied the flow of a group of 2001/02 grade 12 graduates over five years, from 2002/03 to 2006/07 to track their movement into and among B.C. public post-secondary institutions and analyze their retention and credential completion outcomes. The primary research question of interest is: "What is the flow…

  2. A Survey of Movers: Students Who Move between BC Public Post-Secondary Institutions. A Summary of Findings

    Science.gov (United States)

    British Columbia Council on Admissions and Transfer, 2013

    2013-01-01

    Over the last several years, there has been a wealth of new data on student mobility in British Columbia's postsecondary system. Quantitative information from the Student Transitions Project (STP) has allowed current and prospective students, the BC Council on Admissions and Transfer (BCCAT), public post-secondary institutions, the Ministry…

  3. Student Services/One Stop Centers: A Qualitative Examination of Implementation at Three Post-Secondary Institutions

    Science.gov (United States)

    Becker, Janine M.

    2012-01-01

    This research investigates Student Services/One Stop Centers at three post-secondary institutions, looking at the origination of the centers and success through the lens of behavioral theories. Comparing the 3-stage Group Dynamics Theory of Lewin (1947), Social Learning Theory of Bandura (1977), and the 8-stage Change Management Model of Kotter…

  4. Orchestrating Organizational Change in One Traditional Post-Secondary Institution in the Midst of Trying Times

    Science.gov (United States)

    Weiss, Joanne

    2012-01-01

    American higher education finds itself in a veritable upheaval as it attempts to respond to shifting social, economic, and political times. Raising tuition, cutting or consolidating programs, furloughing staff and faculty, drawing down endowments, and capping enrollments are common responses by public and private institutions. This qualitative…

  5. Orchestrating Organizational Change in One Traditional Post-Secondary Institution in the Midst of Trying Times

    Science.gov (United States)

    Weiss, Joanne

    2012-01-01

    American higher education finds itself in a veritable upheaval as it attempts to respond to shifting social, economic, and political times. Raising tuition, cutting or consolidating programs, furloughing staff and faculty, drawing down endowments, and capping enrollments are common responses by public and private institutions. This qualitative…

  6. Polish Post-Secondary Vocational Schools and Canadian Community Colleges: A Comparison Using the School as an Organization and Social Institution as a Conceptual Framework

    Science.gov (United States)

    Butler, Norman L.; Davidson, Barry S.; Pachocinski, Ryszard; Griffith, Kimberly Grantham; Kritsonis, Wiilliam Allan

    2007-01-01

    The aim of this study is to compare Polish post-secondary vocational institutions with Canadian community colleges. The research concentrates upon programs in tourism and information technology delivered by the two following Polish schools: "Policealne Studium Zawodowe" (Cracow, Poland), Cracow School of Information Technology; and three Canadian…

  7. Analyzing the Success of Student Transitions from 2- to 4-Year Institutions within a State

    Science.gov (United States)

    Ehrenberg, Ronald G.; Smith, Christopher L.

    2004-01-01

    Multiple 2- and 4-year public institutions exist within many states in the United States. Our paper develops a methodology that can be used to help evaluate how each 2-year public institution in a state is doing in preparing those of its students who transfer to 4-year public institutions in the state to successfully complete 4-year programs.…

  8. The Theory of Planned Behavior and Acceptance of Disability: Understanding Intentions to Request Instructional Accommodations in Post-Secondary Institutions

    Science.gov (United States)

    Rivas, JoAnn

    2013-01-01

    Graduating high-school students with disabilities are making the decision to pursue a post-secondary education in greater numbers. While many students with disabilities self-identify at enrollment as having a disability and thereby qualify for instructional accommodations, few of them request accommodations to assist with meeting course…

  9. The Theory of Planned Behavior and Acceptance of Disability: Understanding Intentions to Request Instructional Accommodations in Post-Secondary Institutions

    Science.gov (United States)

    Rivas, JoAnn

    2013-01-01

    Graduating high-school students with disabilities are making the decision to pursue a post-secondary education in greater numbers. While many students with disabilities self-identify at enrollment as having a disability and thereby qualify for instructional accommodations, few of them request accommodations to assist with meeting course…

  10. Preparing the Workforce: Early Childhood Teacher Preparation at 2- and 4-year Institutions of Higher Education.

    Science.gov (United States)

    Early, Diane M.; Winton, Pamela J.

    2001-01-01

    Details investigation of characteristics of early childhood teacher preparation programs at 2- and 4-year institutions through a survey of program chairs or directors. Presents findings on faculty characteristics, including racial makeup; course and practica requirements; comparisons between early childhood programs and the institutions as whole…

  11. Initiating Innovation in Post-Secondary Institutions--Customizing Teaching and Learning Environments for the Twenty-First Century: Collective Reflections from the 2014 Cohort of 3M National Student Fellows

    Science.gov (United States)

    Carroll, Heather; Chandrashekhar, Shwetha; Huang, Danny; Kim, David; Liu, Peter

    2015-01-01

    In light of the enormous changes unfolding in the higher education landscape, we don't have to look too far to recognize evidence of the transformation and redefinition of the construct of both teaching and learning in the information age. With a growing focus on teaching and learning at all levels of post-secondary institutions, innovation is…

  12. Sweet and salty. An assessment of the snacks and beverages sold in vending machines on US post-secondary institution campuses.

    Science.gov (United States)

    Byrd-Bredbenner, Carol; Johnson, Michelle; Quick, Virginia M; Walsh, Jennifer; Greene, Geoffrey W; Hoerr, Sharon; Colby, Sarah M; Kattelmann, Kendra K; Phillips, Beatrice W; Kidd, Tandalayo; Horacek, Tanya M

    2012-06-01

    This study assessed the nutritional quality of snacks and beverages sold in vending machines. The contents of snack and beverage vending machines in 78 buildings on 11 US post-secondary education campuses were surveyed. Of the 2607 snack machine slots surveyed, the most common snacks vended were salty snacks (e.g., chips, pretzels) and sweets (i.e., candy and candy bars). The 1650 beverage machine slots assessed contained twice as many sugar-sweetened beverages as non-calorie-containing beverages. Only two institutions sold both milk and 100% juice in vending machines. The portion of snacks and beverages sold averaged more than 200 cal. Neither snacks nor beverages were nutrient dense. The majority of snacks were low in fiber and high in calories and fat and almost half were high in sugar. Most beverages were high in calories and sugar. This study's findings suggest that vending machines provide limited healthful choices. Findings from benchmark assessments of components of the food environment, like the vending options reported here, can provide valuable input to campus administrators, health services, food service, and students who want to establish campus policies to promote healthful eating. Copyright © 2012 Elsevier Ltd. All rights reserved.

  13. Students at Less-Than-4-Year Institutions. National Postsecondary Student Aid Study. Statistical Analysis Report. Contractor Report.

    Science.gov (United States)

    Byce, Chuck; Schmitt, Carl M.

    This report examines the characteristics of less-than-4-year institutions and the students who attend them. Data are presented on the number and size of less-than-4-year institutions, their educational offerings, types of degrees awarded, and on student demographic and socioeconomic characteristics, attendance costs, and financial aid. Following…

  14. From community college to 4-year institutions: Latinas' successful completion of STEM baccalaureate degrees

    Science.gov (United States)

    Zamudio, Rocio

    The purpose of this qualitative study was to explore the narrative of Latina graduates who successfully navigated through community college and 4-year institutions in the STEM fields. Rather than focus on what these students lack as much of the current research does, the study explored what assets these students bring that supports their success in STEM fields. Utilizing an ethnographic interview approach, participants who attained STEM baccalaureates in California were interviewed. Qualitative findings revealed various experiences, attitudes, and cultural influences that led to successful completion of a STEM degree. First, the study found that successful community college Latina STEM graduates exhibit grit, are resilient, determined, and have positive attitudes about their underrepresentation in STEM. Second, participants sought after peer, faculty, and staff relationships that helped them be successful. Lastly, participants had the support of their families and reported a high level of connectedness to their culture. Implications, recommendations for practice, and directions for future research are discussed.

  15. Leading Indicators: Increasing Statewide Bachelor's Degree Completion Rates at 4-Year Public Institutions

    Science.gov (United States)

    Davidson, Jeffrey Cody

    2014-01-01

    For the United States to maintain national and global economic stability, colleges must graduate more students. Four-year completion rates have declined and less than one-third of full-time, degree-seeking students graduate in 4 years. Some researchers and policymakers have suggested "leading indicators" to track postsecondary…

  16. Examination of Factors That Predict Academic Adjustment and Success of Community College Transfer Students in STEM at 4-Year Institutions

    Science.gov (United States)

    Lopez, Carlos; Jones, Stephanie J.

    2017-01-01

    There are a limited number of individuals who possess the skills to fulfill the workforce demand in STEM (science, technology, engineering, and math) in the United States. Therefore, community colleges and 4-year institutions must be able to identify academic and social factors that impact students' participation in the areas of STEM. These…

  17. Retention and Graduation Rates as Performance Indicators in 2-Year and 4-Year Postsecondary Institutions

    Science.gov (United States)

    Watson, Lisa

    2010-01-01

    The focus of this dissertation is on performance indicators--specifically, retention and graduation indicators--that impact allocation of the ever-dwindling public sources of money. Decreasing revenue trends make understanding the performance indicators that are often used to fund postsecondary institutions very important. There is a significant…

  18. Steady Stream of High School Graduates Enter B.C. Public Post-Secondary Education for the First Time Each Year. Research Results from the Student Transitions Project

    Science.gov (United States)

    Student Transitions Project, 2014

    2014-01-01

    The Student Transition project (STP) has collected eleven years of grade 12 and post-secondary enrollment data, since it's inception in 2003. This information is used to track student transitions from grade 12 graduation into post-secondary education, student mobility between post-secondary institutions and post-secondary credential completions.…

  19. Predicting Technology Use in Post-Secondary Teaching

    Science.gov (United States)

    Williams, Jada Octavia

    2015-01-01

    This study examined the relationships between UTAUT [Unified Theory of Acceptance and Use of Technology] scores, academic discipline, institutional characteristics, and technology use in post-secondary teaching. (Abstract shortened by ProQuest.). [The dissertation citations contained here are published with the permission of ProQuest LLC. Further…

  20. Quality Assurance in Post-Secondary Education: Some Common Approaches

    Science.gov (United States)

    Law, Dennis Chung Sea

    2010-01-01

    Purpose: The common approaches to quality assurance (QA), as practiced by most post-secondary education institutions for internal quality monitoring and most QA authorities for external quality monitoring (EQM), have been considered by many researchers as having largely failed to address the essence of educational quality. The purpose of this…

  1. Post-Secondary Educators' Perceptions of Students' Test Anxiety

    Science.gov (United States)

    Connon, Hannah A.; Rash, Joshua A.; Allen Gerwing, Alyssa M.; Bramble, Beverly; Landine, Jeff; Gerwing, Travis G.

    2016-01-01

    Student test anxiety (TA) is a far-reaching concern in many post-secondary institutions as it can have a negative impact on student performance and retention. Educator perceptions of TA may influence the incidence of TA as well as treatment success. As such, we surveyed educators at a medium-sized Canadian university about their perceptions and…

  2. Predicting Technology Use in Post-Secondary Teaching

    Science.gov (United States)

    Williams, Jada Octavia

    2015-01-01

    This study examined the relationships between UTAUT [Unified Theory of Acceptance and Use of Technology] scores, academic discipline, institutional characteristics, and technology use in post-secondary teaching. (Abstract shortened by ProQuest.). [The dissertation citations contained here are published with the permission of ProQuest LLC. Further…

  3. Quality Assurance in Post-Secondary Education: Some Common Approaches

    Science.gov (United States)

    Law, Dennis Chung Sea

    2010-01-01

    Purpose: The common approaches to quality assurance (QA), as practiced by most post-secondary education institutions for internal quality monitoring and most QA authorities for external quality monitoring (EQM), have been considered by many researchers as having largely failed to address the essence of educational quality. The purpose of this…

  4. Strategic Planning for Technological Innovation in Canadian Post Secondary Education

    Directory of Open Access Journals (Sweden)

    Denise Stockley

    2004-06-01

    Full Text Available In this study, institution-wide strategic plans that were available online were examined in detail to determine how educational technology was referred to in these documents. Based on this data and the literature, a schedule of principles for supporting the implementation of educational technology in post-secondary teaching was developed. Institutions that are formatively evaluating local efforts to understand and improve technologically supported instruction can use this checklist diagnostically.

  5. Governance in Transition: Mothballing Manitoba's Council on Post-Secondary Education

    Science.gov (United States)

    Smith, Dan

    2015-01-01

    Examining the Government of Manitoba decision in 2014 to eliminate the Council on Post-Secondary Education, this article argues that government sought to exercise greater control over the public post-secondary system and its institutions in the province for the purpose of exacting greater control over system integration. While the elimination of…

  6. Transitioning Roles of Post-Secondary Education and Community Colleges Worldwide

    Science.gov (United States)

    Wiseman, Alexander W.; Chase-Mayoral, Audree

    2013-01-01

    This special issue of Research in Comparative and International Education investigates the spread and development of two-year and community college institutions worldwide. While not all post-secondary education falls within the scope or definition of community colleges, both post-secondary and community college education tend to serve the needs of…

  7. Post-Secondary Expectations and Educational Attainment

    Science.gov (United States)

    Sciarra, Daniel T.; Ambrosino, Katherine E.

    2011-01-01

    This study utilized student, teacher, and parent expectations during high school to analyze their predictive effect on post-secondary education status two years after scheduled graduation. The sample included 5,353 students, parents and teachers who participated in the Educational Longitudinal Study (ELS; 2002-2006). The researchers analyzed data…

  8. Academic Transfer Shock and Social Integration: A Comparison of Outcomes for Traditional and Nontraditional Students Transferring from 2-Year to 4-Year Institutions

    Science.gov (United States)

    Strahn-Koller, Brooke Lindsey

    2012-01-01

    The purpose of this study was to explore whether traditional and nontraditional students who transferred from 2-year to 4-year institutions experienced differences in transfer shock, academic integration, and social integration. A substantial body of knowledge comparing transfer students to native students on transfer shock exists, while only a…

  9. Academic Transfer Shock and Social Integration: A Comparison of Outcomes for Traditional and Nontraditional Students Transferring from 2-Year to 4-Year Institutions

    Science.gov (United States)

    Strahn-Koller, Brooke Lindsey

    2012-01-01

    The purpose of this study was to explore whether traditional and nontraditional students who transferred from 2-year to 4-year institutions experienced differences in transfer shock, academic integration, and social integration. A substantial body of knowledge comparing transfer students to native students on transfer shock exists, while only a…

  10. Exploring the Academic and Social Experiences of Latino Engineering Community College Transfer Students at a 4-Year Institution: A Qualitative Research Study

    Science.gov (United States)

    Hagler, LaTesha R.

    As the number of historically underrepresented populations transfer from community college to university to pursue baccalaureate degrees in science, technology, engineering, and mathematics (STEM), little research exists about the challenges and successes Latino students experience as they transition from 2-year colleges to 4-year universities. Thus, institutions of higher education have limited insight to inform their policies, practices, and strategic planning in developing effective sources of support, services, and programs for underrepresented students in STEM disciplines. This qualitative research study explored the academic and social experiences of 14 Latino engineering community college transfer students at one university. Specifically, this study examined the lived experiences of minority community college transfer students' transition into and persistence at a 4-year institution. The conceptual framework applied to this study was Schlossberg's Transition Theory, which analyzed the participant's social and academic experiences that led to their successful transition from community college to university. Three themes emerged from the narrative data analysis: (a) Academic Experiences, (b) Social Experiences, and (c) Sources of Support. The findings indicate that engineering community college transfer students experience many challenges in their transition into and persistence at 4-year institutions. Some of the challenges include lack of academic preparedness, environmental challenges, lack of time management skills and faculty serving the role as institutional agents.

  11. A new expectation for post-secondary librarians: Faculty status, collective agreements, and the online evidence of teaching

    DEFF Research Database (Denmark)

    Prange, Laurie

    The majority of librarians at Canadian post-secondary institutions have recently attained faculty status. However, the collective agreements of the faculty associations do not always explicitly state that librarian members participate in all three traditional faculty activities: teaching, scholar...

  12. Lost in the lifeworld: Technology help seeking and giving on diverse, post-secondary campuses / Perdu dans le monde vécu: solliciter et fournir une aide technologique dans les institutions postsecondaires marquées par la diversité

    Directory of Open Access Journals (Sweden)

    Derek Tannis

    2013-02-01

    Full Text Available Information and communications technology (ICT is integrated throughout a student’s lived experience in their post-secondary learning environment. In order for students with limited or no background with ICT to achieve their academic goals, a central part of their adaptation involves an intensive period of ICT help seeking. Using anecdotes from phenomenological research, this paper explores what we can learn about our practice as help givers through reflecting upon the lived experience of cross-cultural ICT help seeking and giving on diverse, post-secondary campuses. What surfaces from this investigation is the importance of developing an ICT support and training structure that appreciates the inter-subjective, activity-embedded nature of ICT help seeking and giving. An phenomenological educational approach to ICT help giving would be thoughtfully interwoven into a post-secondary learning environment, not as a remedial construct, but as an integral part of the learning, and help seeking, experience itself. Solliciter et fournir une aide technologique font de toute évidence partie intégrante de l’expérience étudiante, et ce, tout au long de la formation postsecondaire. Pour permettre aux étudiants avec peu ou pas d’expérience en TIC d’atteindre leurs objectifs universitaires, on doit présumer qu’une composante cruciale de leur adaptation consiste en une phase intensive de demandes d’aide technologique. À partir d’anecdotes tirées de la recherche phénoménologique, cet article explore ce que l’on peut apprendre sur nos pratiques d’assistance grâce à une réflexion sur l’expérience de demande d’aide technologique en contexte interculturel dans les institutions d’enseignement supérieur marquées par la diversité. Les résultats de cette enquête mettent en évidence l’importance de développer une structure d’aide et de formation en TIC qui prend en considération la nature intersubjective et active de la

  13. Instructors' Use of Technology in Post-Secondary Undergraduate Mathematics Teaching: A Local Study

    Science.gov (United States)

    Jesso, A. T.; Kondratieva, M. F.

    2016-01-01

    In this study, instructors of undergraduate mathematics from post-secondary institutions in Newfoundland were surveyed (N = 13) and interviewed (N = 8) about their use of, experiences with, and views on, technologically assisted teaching. It was found that the majority of them regularly use technologies for organizational and communication…

  14. Exploring Motivational and Learning Differences with Mature Students in Post-Secondary Education

    Science.gov (United States)

    Murray, William C.; Smith, Leslie; Nielson, Keith

    2010-01-01

    This study examines the differences that exist among various age cohorts attending a post-secondary educational institution. Respondents were from the New Brunswick Community College's six separate campuses (n = 251). Significant differences were found to exist predominantly around social and family issues. Although differences did appear based on…

  15. Alberta Post-Secondary Graduate Outcomes Survey: Class of 2005-06

    Science.gov (United States)

    Alberta Advanced Education and Technology, 2008

    2008-01-01

    In November of 2007, Alberta Advanced Education and Technology contracted Insightrix Research, Inc. to conduct a survey of individuals who graduated from post-secondary institutions in Alberta in the fall of 2005 or the spring of 2006 (excluding apprenticeship graduates, who are surveyed through a separate initiative). The purpose of the survey is…

  16. Alberta Post-Secondary Graduate Outcomes Survey: 2005-06 Transfer Graduates

    Science.gov (United States)

    Alberta Advanced Education and Technology, 2008

    2008-01-01

    In November of 2007, Alberta Advanced Education and Technology contracted Insightrix Research, Inc. to conduct a survey of individuals who graduated from post-secondary institutions in Alberta in the fall of 2005 or the spring of 2006 (excluding apprenticeship graduates, who are surveyed through a separate initiative). The purpose of the survey is…

  17. Perceptions of veterinary admissions committee members of undergraduate credits earned from community colleges or online compared to traditional 4-year institutions

    Directory of Open Access Journals (Sweden)

    L.R. Kogan

    2015-06-01

    Full Text Available Veterinary admission committees are asked to create and implement a fair, reliable, and valid system to select the candidates most likely to succeed in veterinary school from a large pool of applicants. Although numerous studies have explored grade point average (GPA as a predictive value of later academic success, there has been little attention paid to how and where an applicant acquires his/her undergraduate coursework. Quality of academic program is an important component of applicant files, and it is suggested that the source of a candidate’s coursework might influence admissions committee decisions, perhaps even outside of the committee’s immediate awareness. Options for undergraduate education include taking classes at a traditional four-year institution, a community college, or online. This study provides an overview of the current state of online courses and community colleges in the US as a foundation to explore the views of veterinary admissions committee members pertaining to coursework completed at traditional residential 4-year schools or at community colleges and whether they are delivered on campus or online (at either type of institution. Survey participants reported a pattern of preference for traditional four-year residential coursework compared to online or community college courses. These results are interesting given the exponential growth of students taking online courses and data showing community colleges are providing a successful gateway to obtaining a four-year degree. This also points to the need for admission committees to discuss potential biases since the information about type of school and/or course may not be consistently available for all applicants. Finally, at a time when admitting a diverse class of students is a goal of many programs, it is of special concern that there are potential biases against courses taken online or from community colleges - venues that tend to draw a more diverse population than

  18. Perceptions of veterinary admissions committee members of undergraduate credits earned from community colleges or online compared to traditional 4-year institutions.

    Science.gov (United States)

    Kogan, L R; Stewart, S M; Schoenfeld-Tacher, R; Hellyer, P W

    2015-01-01

    Veterinary admission committees are asked to create and implement a fair, reliable, and valid system to select the candidates most likely to succeed in veterinary school from a large pool of applicants. Although numerous studies have explored grade point average (GPA) as a predictive value of later academic success, there has been little attention paid to how and where an applicant acquires his/her undergraduate coursework. Quality of academic program is an important component of applicant files, and it is suggested that the source of a candidate's coursework might influence admissions committee decisions, perhaps even outside of the committee's immediate awareness. Options for undergraduate education include taking classes at a traditional four-year institution, a community college, or online. This study provides an overview of the current state of online courses and community colleges in the US as a foundation to explore the views of veterinary admissions committee members pertaining to coursework completed at traditional residential 4-year schools or at community colleges and whether they are delivered on campus or online (at either type of institution). Survey participants reported a pattern of preference for traditional four-year residential coursework compared to online or community college courses. These results are interesting given the exponential growth of students taking online courses and data showing community colleges are providing a successful gateway to obtaining a four-year degree. This also points to the need for admission committees to discuss potential biases since the information about type of school and/or course may not be consistently available for all applicants. Finally, at a time when admitting a diverse class of students is a goal of many programs, it is of special concern that there are potential biases against courses taken online or from community colleges - venues that tend to draw a more diverse population than traditional 4-year

  19. In Quest of Indigeneity, Quality, and Credibility in Aboriginal Post-Secondary Education in Canada: Problematic, Contexts, and Potential Ways Forward

    Science.gov (United States)

    Paquette, Jerald; Fallon, Gerald

    2014-01-01

    Learning involves conceptual frameworks embedded in worldviews and values. The overarching problematic of Aboriginal post-secondary education is complex and multifaceted. Normative and institutional forces as well as the credentialing and certification agenda of post-secondary education limit the degree to which Aboriginal education at any level…

  20. Post-Secondary Distance Education in a Contemporary Colonial Context: Experiences of Students in a Rural First Nation in Canada

    Directory of Open Access Journals (Sweden)

    Kevin Burton

    2014-02-01

    Full Text Available Post-secondary distance education gives students and their families living in remote and rural regions the option to stay in their communities while they study instead of moving closer to the universities in cities. Post-secondary distance education is an option in many rural and remote First Nation (Indigenous communities in Canada; however there are many challenges to successful adoption in these communities. There are also many opportunities for post-secondary institutions to expand their abilities and capacity in developing and delivering appropriate content supporting these unique, self-governing environments in Canada. We explore the experiences of students from a rural First Nation in Canada with post-secondary distance education, focusing on how different delivery methods offer both opportunities and challenges for community-based students. The study is situated in the context of contemporary colonialism in Canada.

  1. Faculty Attitudes Toward Leadership in Post-Secondary Institutions.

    Science.gov (United States)

    Lopez, Roberto; Ramey, Gerald W.

    Using the existing body of knowledge about both management and higher education, it is argued that the managerial climate surrounding professional level people should lean toward Douglas McGregor's Theory Y, a nonauthoritarian, nonautocratic style of leadership. A number of theories of leadership in organizations are brought into the discussion,…

  2. Blind Curves or Open Roads? Student Leaders Speak on the Future of Canadian Post-Secondary Education

    Science.gov (United States)

    Demenoff, Selena; Genest-Richard, Pascal; Labbé, Jolène; Bourgault, Rébecca; Lewis, Johanna; Robinson, Alannah; Pritz, John; Bell, Cameron; Beach, Laura; Beaupré-Lavallée, Alexandre; Barudin, Jessica; Howard, Ray Charles; Liu, Mimi; Nichols, Sarah

    2013-01-01

    In working to build a better, more just future, post-secondary institutions play a crucial role in shaping the students of today and tomorrow. Many institutions already employ a number of innovative programs aimed at broadening students' horizons. We can now look forward to seeing these initiatives grow. As students, we outline our views on some…

  3. Greening the Ivory Tower: A Review of Educational Research on Sustainability in Post-Secondary Education

    Directory of Open Access Journals (Sweden)

    Lauri Lidstone

    2013-05-01

    Full Text Available There is a deficit of multi-site studies examining the integration of sustainability in the policies and practices of post-secondary institutions. This paper reviews what comparative empirical research has been undertaken on sustainability in post-secondary education (PSE within eight leading international journals publishing on sustainability and education. Three predominant themes of research on the topic are identified within the review: research comparing sustainability curricula across institutions (both within specific disciplines of study and across disciplines; research comparing campus operations policies and practice across multiple institutions; and research on how to best measure or audit approaches and outputs in sustainability in PSE. This review of the research literature supports the contention within the literature on sustainability in PSE that most research on the topic is focused on case studies rather than comparison of multiple institutions. The comparative research that is emerging from the field is concentrated on assessing measurable outputs for environmental externalities within institutional operations, with little examination of sustainability uptake and outcomes across broader institutional policies and practices.

  4. Towards 3000: The Dynamics of Future Post-Secondary Education.

    Science.gov (United States)

    Teng, Jaan

    This document presents a systems theory approach to post-secondary education. Terms such as entropy, energy, and "essergy" together with the laws of thermodynamics are applied to educational concepts. A philosophical approach with interspersed quotations from Hegel, Korzybski, and Adelman is used to design a new educational paradigm based upon…

  5. Applied Gamification: Reframing Evaluation in Post-Secondary Classrooms

    Science.gov (United States)

    Kulpa, Anastasia

    2017-01-01

    This piece reports on an early attempt at gamification (reframing post-secondary classrooms drawing on the structure of games). The attempt began in the 2011-2012 academic year and is structured to allow students substantial autonomy in determining which assignments, and how many of them, to complete over the course of the semester. Initial…

  6. Post secondary project-based learning in science, technology, engineering and mathematics

    Directory of Open Access Journals (Sweden)

    Rachel A Ralph

    2016-03-01

    Full Text Available Project-based learning (PjBL - to distinguish from problem-based learning - PBL has become a recurrent practice in K-12 classroom environments. As PjBL has become prominent in K-12 classrooms, it has also surfaced in post-secondary institutions.  The purpose of this paper is to examine the research that has studied a variety of science, technology, engineering and mathematic subjects using PjBL in post-secondary classrooms. Eleven articles (including qualitative, quantitative and mixed methods were included.  The format includes: an introduction and background (which defines PjBL and STEM, research methods, quality appraisal used, results, and a discussion, future research and a conclusion.  Two tables and two figures are included. In this paper, theoretical backgrounds and key terms were identified, followed by a literature review discussing four themes: content knowledge, interdisciplinary skills, collaboration and skill development for future education and careers.  Results suggested that there is a positive connection between content knowledge learning and PjBL in collaborative settings.  Additionally, some negative perceptions arose regarding teamwork situations.  Interdisciplinary skills were achieved, but quite limited in post-secondary classrooms.  PjBL and STEM were perceived to be important for future education and careers.  Future research needs to be completed and institutional curriculum changes informed by the results of this research need to occur to further explore interdisciplinary courses and the use of PjBL.

  7. Post-Secondary Partnership : BCcampus Library Services, Learning Objects, and Virtual Reference

    OpenAIRE

    Rosseel, Trish

    2006-01-01

    Describes the BCcampus Library Services Gateway, chat reference pilot project and planning for a provincial post-secondary virtual reference service. The rationale, vision, models, and challenges for a post-secondary virtual reference service are discussed.

  8. Accreditation and Quality Assurance in Post Secondary Education in the Kingdom of Saudi Arabia

    Directory of Open Access Journals (Sweden)

    Abdullah ALMUSALLAM

    2013-12-01

    Full Text Available Saudi Arabia has a diverse system of post-secondary education, and it is expanding rapidly in response to demographic changes and increasing demands for participation. There is also very rapid economic and industrial development and increasing exposure to international competition in many areas of activity. Post-secondary education must continue to expand and standards of education and training that are equivalent to international best practice must be achieved and widely recognized. The standards must be achieved in all institutions and in all programs. These requirements have led the government to establish the National Commission for Academic Accreditation and Assessment as an independent agency for quality assurance and accreditation. The Commission has responsibility for establishing standards, supporting quality improvement, and accreditation and in all post-secondary institutions other than those in defense. Its focus will be on both quality of institutions as a whole, and the quality of education and training programs. Principles underlying the system the Commission is developing include encouraging continuing improvement rather than being satisfied with minimally acceptable standards, encouraging diversity, ensuring cooperation and mutual support among the different agencies involved and designing approaches tailored to Saudi Arabia’s traditions and requirements rather than adopting a system developed elsewhere. In doing this the Commission is drawing on the best ideas we can find elsewhere in the world, but the system we develop will be our own. Pilot programs have been conducted in two universities involving institutional and program self-studies and independent external reviews to trial and refine the procedures involved. Developmental reviews are being carried out in a number of other universities and colleges to provide experience with the new processes. Most higher education institutions conducted initial self-evaluations based

  9. Understanding Student Mobility in the B.C. Public Post-Secondary System. Highlights from the Student Transitions Project: Post-Secondary Student Mobility

    Science.gov (United States)

    British Columbia Council on Admissions and Transfer, 2013

    2013-01-01

    This annual newsletter summarizes the work of the Post-secondary Student Mobility (PSM) Subcommittee of the Student Transitions Project (STP) . In an effort to better understand student mobility in the B.C. public post-secondary system, the Student Transitions Project continues to describe and quantify the numerous education pathways of students…

  10. Individualized Mathematics Instruction: How Effective Has It Been in Secondary and Post Secondary Schools?

    Science.gov (United States)

    Schoen, Harold L.

    A review of studies comparing self-paced individualized programs with other teaching approaches at the secondary and post secondary level is presented in this paper. First, the teaching approaches used and the statistical design employed in the studies are described. Then, the studies are classified as secondary or post secondary, and the results…

  11. The Politics of Access: Measuring the Social Returns on Post-Secondary Education

    Science.gov (United States)

    Conlon, Michael

    2006-01-01

    This article examines the most recent data on the cost and financing of a post-secondary education. It also examines the burgeoning debate in Canada about the relationship between tuition fees and access to post-secondary education. In recent years longitudinal data collection has improved and there is now a relatively wide body of research…

  12. The Scholarship of Teaching and Learning in Canadian Post-Secondary Mathematics: 2000-2010

    Science.gov (United States)

    Chan, Bernard S.; Wahl, Lindi M.

    2013-01-01

    Published accounts of pedagogical experience and pedagogical research are critical resources to post-secondary mathematics instructors, and yet the quantity and scope of this literature is rarely summarized or reviewed. In this contribution, we analyze recent peer-reviewed journal publications regarding post-secondary mathematics, published by…

  13. Academic Motivation in Post-Secondary Students: Effects of Career Outcome Expectations and Type of Aspiration

    Science.gov (United States)

    Domene, Jose F.; Socholotiuk, Krista D.; Woitowicz, Lyndsay A.

    2011-01-01

    Using a social cognitive theory framework, we examined the effects of career outcome expectations (COE) and aspiration to enter a science, technology, or math (STM) career on post-secondary academic motivation. Data were collected online from a sample of 380 post-secondary students in Canada and the United States. Analysis of covariance revealed…

  14. Breaking the Cycle: A Phenomenological Approach to Broadening Access to Post-Secondary Education

    Science.gov (United States)

    Cefai, Carmel; Downes, Paul; Cavioni, Valeria

    2016-01-01

    Over the past decades, there has been a substantial increase in post-secondary education participation in most Organisation for Economic Co-operation and Development (OECD) and European Union countries. This increase, however, does not necessarily reflect a parallel equitable growth in post-secondary education, and early school leaving is still an…

  15. People, Processes, and Policy-Making in Canadian Post-secondary Education, 1990-2000

    Science.gov (United States)

    Axelrod, Paul; Desai-Trilokekar, Roopa; Shanahan, Theresa; Wellen, Richard

    2011-01-01

    Policy-making in Canadian post-secondary education is rarely the subject of intensive, systematic study. This paper seeks to identify the distinctive ways in which Canadian post-secondary education policy decisions were constructed and implemented, and to posit an analytical framework for interpreting policy-making process in post-secondary…

  16. Part I - A case study in post-secondary mathematics: the importance of mental health awareness

    CERN Document Server

    Resch, Janelle

    2015-01-01

    Due to the shift of civilization from the Industrial Age to the Information Age, mathematical literacy has become a necessity in the twenty-first century. However, in order to learn and contribute to the mathematical community, one has to be in a state of good mental health. When I say 'good mental health,' I mean one has to develop a set of healthy coping strategies, be in a positive learning environment, and have a social support system. Traditionally, universities have been the venue of such higher learning. If these institutions want to remain as thriving grounds for higher education and engines of research, post-secondary institutions need to be aware of these factors and actively contribute to the well-being of its students and faulty. Unfortunately, students do not always receive the support necessary to be mentally healthy. The purpose of this paper is to examine how social awareness and sensitivity of mental health in a university setting is a key component for individuals to flourish academically an...

  17. Post-Secondary Education in a Prison: Theory and Praxis.

    Science.gov (United States)

    Duguid, Stephen

    1980-01-01

    The University of Victoria program at Matsqui Institution is based on Kohlberg's theory of moral development. The replicability of the program is discussed, and analyzed in terms of relations with the institution, type of courses, program climate, and staffing. The necessity for developing student identity is emphasized. (MSE)

  18. Off-loading Responsibility in Alberta's Post-Secondary System

    Directory of Open Access Journals (Sweden)

    Robert J. Barnetson

    1997-12-01

    Full Text Available The introduction of a performance-based funding mechanism by Alberta's provincial  government alters the public definition of "educational quality" and fully shifts the  responsibility for declining educational quality from the provincial government onto institutions. This article outlines the process by which the provincial government has  compelled institutions to accept this redefinition and transfer despite the substantial  loss of institutional autonomy it entails. The implications of this change are explored  and possible reasons are suggested.

  19. Environmental Scan of BC Post-Secondary Admissions: 2009

    Science.gov (United States)

    Heath, Nick

    2009-01-01

    In 2008, British Columbia Council on Admissions and Transfer (BCCAT) commissioned an environmental scan on the possible need for system-wide work on institutional admissions processes and practices. This scan is intended to seek system input and to provide guidance on the choice of research projects and other related work in the coming year. This…

  20. Preferences of Residents in Four Northern Alberta Communities Regarding Local Post-Secondary Programming

    Directory of Open Access Journals (Sweden)

    Patrick J. Fahy

    2009-06-01

    Full Text Available The western Canadian province of Alberta has used some of the proceeds from exploitation of its extraordinary natural resources to make available a range of post-secondary training and education opportunities to residents. While these provisions appear comprehensive, this study examined how well they actually suit the express needs of the residents of remote, Northern areas of the province, many of them Aboriginal. The literature shows that while Aboriginal people are underrepresented in Canada in university enrollments, they are no longer underrepresented in college or other institutions, suggesting that gains have been made for some residents of rural and remote parts of Canada. Further, when Northern residents (especially Aboriginal males complete advanced training, Statistics Canada reports they are highly successful in employment and income. Access is the pivotal issue, however: leaving the local community to attend training programs elsewhere is often disruptive and unsuccessful. As will be seen, the issue of access arose in this study’s findings with direct implications for distance delivery and support.This study was conducted as part of Athabasca University’s Learning Communities Project (LCP, which sought information about the views and experiences of a broad range of northern Alberta residents concerning their present post-secondary training and education opportunities. The study addresses an acknowledged gap in such information in relation to Canada in comparison with other OECD countries.Results are based on input from 165 individuals, obtained through written surveys (some completed by the researchers in face-to-face exchanges with the respondents, interviews, discussions, and observations, conducted with full-time or part-time residents of the study communities during 2007 and 2008. The four northern Alberta communities studied were Wabasca, Fox Lake, Ft. McKay (sometimes MacKay, and Ft. Chipewyan, totaling just over 6

  1. Non-Formal Adult Learning Programs at Canadian Post-Secondary Institutions: Trends, Issues, and Practices

    Science.gov (United States)

    Kirby, Dale; Curran, Vernon; Hollett, Ann

    2009-01-01

    A number of recent policy reports have suggested that Canadian universities and community colleges should play a more significant role in response to the adult education and training needs of Canada's workforce. This article discusses the results of a study that examined investment trends and the characteristics of non-formal adult learner…

  2. Course Modality Choice and Student Performance in Business Statistics Courses in Post Secondary Institutions

    Science.gov (United States)

    Radners, Richard Harry, Jr.

    2011-01-01

    Limited research has been conducted on the role of course modality choice (face-to-face [FTF] or online [OL]) on course grades. At the study site, an independent college, the research problem was the lack of research on the proportions of undergraduate students who completed a statistics course as part of their academic program, in either OL or…

  3. Course Modality Choice and Student Performance in Business Statistics Courses in Post Secondary Institutions

    Science.gov (United States)

    Radners, Richard Harry, Jr.

    2011-01-01

    Limited research has been conducted on the role of course modality choice (face-to-face [FTF] or online [OL]) on course grades. At the study site, an independent college, the research problem was the lack of research on the proportions of undergraduate students who completed a statistics course as part of their academic program, in either OL or…

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

    Science.gov (United States)

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

    2015-01-01

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

  5. Enhancing Student Learning and Critical Thinking through Academic Controversy in Post Secondary Macroeconomics

    Science.gov (United States)

    Santicola, Craig F.

    2011-01-01

    There is a lack of student learning and critical thinking skills in post-secondary macroeconomics courses. The literature indicates that the lack of learning outcomes can be attributed to the reliance on traditional lecture and the failure to adopt innovative instructional techniques. The purpose of this study was to investigate the student…

  6. Enhancing Student Learning and Critical Thinking through Academic Controversy in Post Secondary Macroeconomics

    Science.gov (United States)

    Santicola, Craig F.

    2011-01-01

    There is a lack of student learning and critical thinking skills in post-secondary macroeconomics courses. The literature indicates that the lack of learning outcomes can be attributed to the reliance on traditional lecture and the failure to adopt innovative instructional techniques. The purpose of this study was to investigate the student…

  7. Austerity, Ontario and Post-Secondary Education: The Case of "Canada's Capital University"

    Science.gov (United States)

    Fanelli, Carlo; Meades, James

    2011-01-01

    As austerity measures intensify around the world, the axe has come down particularly hard on post-secondary education (PSE). So-called education "reform" has shown itself to be a lightning rod for confrontation. In order to deal with unprecedented government budget shortfalls, caused, it must be recalled, by the lead agents of the…

  8. Transcending Disciplinary Lines to Promote Student Achievement at the Post-Secondary Level

    Science.gov (United States)

    Bentley, Erinn; Brown, Jennifer

    2014-01-01

    Writing proficiencies in the K-12 setting and at the post-secondary level have become stagnant and have decreased in some instances. Several studies indicated using peer review was beneficial for students by increasing student engagement and providing appropriate feedback. The purpose of this study was to examine the use of a peer review workshop…

  9. Decolonizing Education: A Critical Discourse Analysis of Post-Secondary Humanities Textbooks

    Science.gov (United States)

    Harper, Kimberly C.

    2012-01-01

    This dissertation examines nine post-secondary humanities textbooks published between 2001 and 2011 using an approach that includes both qualitative and quantitative methodology to analyze the written and visual content of humanities textbooks. This dissertation engages in current debates that address bias in humanities textbooks and contributes…

  10. Post-Secondary Educational Experiences in the Acculturation of Resettled Refugees in the United States

    Science.gov (United States)

    Ross, Tara W.

    2013-01-01

    A global refugee crisis necessitates an understanding of policymaking governing the resettlement of refugees in the United States. Resettling more refugees than all other countries combined, the United States emphasizes rapid employment over post-secondary education for adult resettled refugees in order to compel their self-sufficiency. However,…

  11. An Approach to Improvisation Pedagogy in Post-Secondary Jazz Programmes Based on Negative Dialectics

    Science.gov (United States)

    Louth, Joseph Paul

    2012-01-01

    This article argues that an approach to jazz improvisation pedagogy based on negative dialectics may provide a viable solution to the threat of codification of the jazz language as a result of the academisation of improvisation studies at the post-secondary level. Some tentative means of incorporating such an approach into the design of university…

  12. An Analysis of Foster Care Placement History and Post-Secondary Graduation Rates

    Science.gov (United States)

    Day, Angelique; Dworsky, Amy; Feng, Wenning

    2013-01-01

    Prior research has document significant disparities in post-secondary educational attainment between young adults who had been in foster care and their peers in the general population. This study uses survival analysis to compare the four-year college graduation rate of students who had been in foster care to the graduation rate of first…

  13. Use of Reading Pen Assistive Technology to Accommodate Post-Secondary Students with Reading Disabilities

    Science.gov (United States)

    Schmitt, Ara J.; McCallum, Elizabeth; Hennessey, Jenna; Lovelace, Temple; Hawkins, Renee O.

    2012-01-01

    Reading pens are a form of assistive technology that may be used to bypass weak word decoding and vocabulary skills of students with reading disabilities. Only two known studies have examined the effects of reading pens on the comprehension of school-aged students, and no known studies have been published regarding post-secondary students. The…

  14. The Impact of Guided Notes on Post-Secondary Student Achievement: A Meta-Analysis

    Science.gov (United States)

    Larwin, Karen H.; Larwin, David A.

    2013-01-01

    The common practice of using of guided notes in the post-secondary classroom is not fully appreciated or understood. In an effort to add to the existing research about this phenomenon, the current investigation expands on previously published research and one previously published meta-analysis that examined the impact of guided notes on…

  15. A Systematic Review of Small-Group Communication in Post-Secondary Online Courses

    Science.gov (United States)

    Jahng, Namsook

    2012-01-01

    This systematic review establishes a comprehensive understanding of research trends and the findings of current studies that focus on small-group communication in post-secondary online courses. The review includes 18 journal articles which are categorised and summarised on the basis of their common themes. This review finds that a majority of the…

  16. Lost in the Lifeworld: Technology Help Seeking and Giving on Diverse, Post-Secondary Campuses

    Science.gov (United States)

    Tannis, Derek

    2013-01-01

    Information and communications technology (ICT) is integrated throughout a student's lived experience in their post-secondary learning environment. In order for students with limited or no background with ICT to achieve their academic goals, a central part of their adaptation involves an intensive period of ICT help seeking. Using anecdotes from…

  17. The Effects of Student Financial Contributions toward Their Post-Secondary Educational Experience

    Science.gov (United States)

    Kane, Eva Marie

    2016-01-01

    The college student population in USA is predicted to increase from 13 million to 21 million between 2003-2015 (Strom & Storm, 2004). This increase along with the exponentially increasing cost of post-secondary education has caused an increase in the financial burden placed on students. Between 2000 and 2012, the two major post-secondary…

  18. Decolonizing Education: A Critical Discourse Analysis of Post-Secondary Humanities Textbooks

    Science.gov (United States)

    Harper, Kimberly C.

    2012-01-01

    This dissertation examines nine post-secondary humanities textbooks published between 2001 and 2011 using an approach that includes both qualitative and quantitative methodology to analyze the written and visual content of humanities textbooks. This dissertation engages in current debates that address bias in humanities textbooks and contributes…

  19. An Approach to Improvisation Pedagogy in Post-Secondary Jazz Programmes Based on Negative Dialectics

    Science.gov (United States)

    Louth, Joseph Paul

    2012-01-01

    This article argues that an approach to jazz improvisation pedagogy based on negative dialectics may provide a viable solution to the threat of codification of the jazz language as a result of the academisation of improvisation studies at the post-secondary level. Some tentative means of incorporating such an approach into the design of university…

  20. Post-Secondary Educational Experiences in the Acculturation of Resettled Refugees in the United States

    Science.gov (United States)

    Ross, Tara W.

    2013-01-01

    A global refugee crisis necessitates an understanding of policymaking governing the resettlement of refugees in the United States. Resettling more refugees than all other countries combined, the United States emphasizes rapid employment over post-secondary education for adult resettled refugees in order to compel their self-sufficiency. However,…

  1. Visualizing the Future of Research on Post Secondary Correctional Education: Designs, Data, and Deliverables

    Science.gov (United States)

    Wheeldon, J.

    2011-01-01

    Providing post-secondary education in correctional settings has emerged as one of the best ways to reduce recidivism, save taxpayer dollars, and promote post release employment and community reintegration. While a number of studies exist, this paper argues persistent challenges connected to research design, data collection, and the communication…

  2. Faculty Employment at 4-Year Colleges and Universities

    Science.gov (United States)

    Zhang, Liang; Liu, Xiangmin

    2010-01-01

    We examine the variation in employment levels of part-time faculty, full-time teaching faculty, and full-time professorial faculty across 4-year colleges and universities in the United States. Employment structures and practices in higher education institutions are determined by a variety of economic and institutional factors. For example, a 1%…

  3. A Case Study of Two Sign Language Interpreters Working in Post-Secondary Education in New Zealand

    Science.gov (United States)

    Powell, Denise

    2013-01-01

    A case study of two qualified New Zealand Sign Language interpreters working in a post-secondary education setting in New Zealand was undertaken using both qualitative and quantitative methods. Educational sign language interpreting at the post-secondary level requires a different set of skills and is a reasonably new development in New Zealand.…

  4. Post-Secondary Distance Education in a Contemporary Colonial Context: Experiences of Students in a Rural First Nation in Canada

    Science.gov (United States)

    Simon, Jesse; Burton, Kevin; Lockhart, Emily; O'Donnell, Susan

    2014-01-01

    Post-secondary distance education gives students and their families living in remote and rural regions the option to stay in their communities while they study instead of moving closer to the universities in cities. Post-secondary distance education is an option in many rural and remote First Nation (Indigenous) communities in Canada; however…

  5. Working Memory Training in Post-Secondary Students with ADHD: A Randomized Controlled Study

    OpenAIRE

    Karizma Mawjee; Steven Woltering; Rosemary Tannock

    2015-01-01

    Objectives To determine whether standard-length computerized training enhances working memory (WM), transfers to other cognitive domains and shows sustained effects, when controlling for motivation, engagement, and expectancy. Methods 97 post-secondary students (59.8% female) aged 18–35 years with Attention-Deficit/Hyperactivity Disorder, were randomized into standard-length adaptive Cogmed WM training (CWMT; 45-min/session), a shortened-length adaptive version of CWMT (15 min/session) that c...

  6. The impact of the DoH Commissioning for Quality and Innovation incentive on the success of venous thromboembolism risk assessment in hospitalised patients. A single institution experience in a quality outcome improvement over a 4-year cycle.

    Science.gov (United States)

    Shlebak, Abdul; Sandhu, Polly; Ali, Vernisha; Jones, Garth; Baker, Christopher

    2016-06-01

    To i) demonstrate compliance with the Commissioning for Quality and Innovation for venous thromboembolism risk assessment ii) to undertake root cause analysis of Hospital Acquired Thrombosis and to investigate its impact on quality of care. Prospective monitoring of all admissions. Imperial College Healthcare Hospitals, London. All Hospital Provider Spells as defined on the NHS Data Model and Dictionary. i) Percentage of patients undergoing Venous Thromboembolism Risk Assessment (VTE-RA) at and 24-hours after admission ii) root cause analysis of Hospital Acquired Thrombosis up to 90 days following discharge. Over a 48-month cycle 83% were overall VTE-RA assessed with 36% in the first 12 months but with significant improvement to ≥95% between April 2013 and April 2015, achieving compliance target since April 2012 involving a massive 633, 850 Spells over the 4 year period. We undertook root cause analysis of all VTE episodes from April 2013 to March 2014, to ascertain Hospital Acquired Thrombosis (HAT), we analysed 433, 174 inpatient days and found a HAT rate of 1 per 1000 with 23% and 24% for DVTs and PEs potentially avoidable respectively. We further analysed VTE risk stratification (n = 1000) and found 37.0% at high risk, 44.4% at medium risk and 18.6 % at low risk, indicating the need of thromboprophylaxis in 81.4% (high and medium) of whom 33.6% were excluded. We achieved 95% RA compliance which has favourably impacted on our daily practice and improved the quality of the clinical care.

  7. Safety and efficacy of granulocyte colony-stimulating factor biosimilars in engraftment after autologous stem cell transplantation for haematological malignancies: a 4-year, single institute experience with different conditioning regimens

    Science.gov (United States)

    Bassi, Simona; Stroppa, Elisa M.; Moroni, Carlo F.; Arbasi, Maria C.; Trabacchi, Elena; Di Franco, Anna; Lazzaro, Antonio; Bernuzzi, Patrizia; Moretto, Mauro; Arcari, Annalisa; Bosi, Costanza; Riva, Alessandra; Cavanna, Luigi; Vallisa, Daniele

    2015-01-01

    Background Filgrastim biosimilars have recently been introduced into clinical practice. To date biosimilars have demonstrated comparable efficacy and safety as the originator in chemotherapy-induced neutropenia. Published experience in engraftment after autologous stem cell transplantation (ASCT) is limited and concerns relatively few patients. Materials and methods With the aim of assessing the efficacy and the safety of filgrastim biosimilars in post-ASCT bone marrow recovery, we conducted a single institution, retrospective study in 56 lymphoma and myeloma patients who received filgrastim biosimilars (Tevagrastim® and Zarzio®) at standard doses from day 5. We compared our results with recently published data on the originator. A cost analysis of each biosimilar was performed. Results Neutrophil counts recovered in 55 patients. The median number of filgrastim biosimilar vials injected was seven per patient. The median time to neutrophil and platelet recovery was 10 and 12 days, respectively. Twenty-six patients had febrile neutropenia, in half of whom the agent involved was identified. In the cost analysis, the use of Tevagrastim® and Zarzio® was associated with cost reductions of 56% and of 86%, respectively. Discussion Despite differences in CD34+ cell counts and time of starting filgrastim, our results in terms of time to engraftment and median number of vials injected are similar to published data. Comparing our results by single conditioning regimen to recent literature data, the time to engraftment and duration of hospitalisation were equivalent. Significant differences were observed in the incidence of febrile neutropenia, perhaps due to different preventive and prophylactic protocols for infections. Although prospective studies should be performed to confirm our results, filgrastim biosimilars were found to be effective and safe in engraftment after ASCT. PMID:25761321

  8. Educational Equity in the Access to Post-Secondary Education: A Comparison of Ethnic Minorities in China with Aboriginals in Canada

    Science.gov (United States)

    Wang, Fei

    2013-01-01

    This study provides insight into equity issues in post-secondary education by exploring and assessing the history, the reality and the potential developments in higher education for minority students in China, in comparison to post-secondary education for aboriginal students in Canada. It highlights access to post-secondary education by these…

  9. Unemployment of the educated and emigration of post-secondary graduates from the LDCs.

    Science.gov (United States)

    Blomqvist, A G

    1985-01-01

    The author examines the emigration of educated individuals from developing countries and reviews selected approaches to the study of international human capital flows. Attention is then given to two policy issues: the financing of postsecondary education and an international brain drain tax. The following factors are identified as critical in their impact on educated worker migration: "(a) the rigidity or flexibility of the wage in the market for the services of educated labour; (b) the extent of government subsidy (explicit or implicit) of the cost of post-secondary education; (c) the extent of responsiveness of the investment in education to the private return on such investment or its being exogenously controlled by the government; and (d) the type of restrictions (if any) imposed by the receiving industrialized countries on the migration flows from the LDCs." Comments by M. Ali Khan on a previous article by Blomqvist on the subject are also included (pp. 655-6). excerpt

  10. Media Usage in Post-Secondary Education and Implications for Teaching and Learning

    Directory of Open Access Journals (Sweden)

    G. Gidion

    2014-12-01

    Full Text Available The Web 2.0 has permeated academic life. The use of online information services in post-secondary education has led to dramatic changes in faculty teaching methods as well as in the learning and study behavior of students. At the same time, traditional information media, such as textbooks and printed handouts, still form the basic pillars of teaching and learning. This paper reports the results of a survey about media usage in teaching and learning conducted with Western University students and instructors, highlighting trends in the usage of new and traditional media in higher education by instructors and students. In addition, the survey comprises part of an international research program in which 20 universities from 10 countries are currently participating. Further, the study will hopefully become a part of the ongoing discussion of practices and policies that purport to advance the effective use of media in teaching and learning.

  11. Adopting reform-based pedagogy in post-secondary microbiology education

    Science.gov (United States)

    Bonner, Jeffery W.

    Current emphasis on improving student learning and retention in post-secondary science education can potentially motivate veteran faculty to reconsider what is often a traditional, instructor-centered instructional model. Alternative models that foster a student-centered classroom environment are more aligned with research on how students learn. These models often incorporate active-learning opportunities that engage students in ways that passively taking notes in an instructor-centered classroom cannot. Although evidence is mounting that active-learning is an effective strategy for improving student learning and attitude, university professors, without formal pedagogical knowledge and training, can face uncertainty about where to start and how to implement these strategies. The research presented here was conducted in two parts under the same context during one semester of a post-secondary microbiology course. First, a quantitative study was conducted to compare collaborative and individual completion of a reform-based instructional strategy that utilized a student-centered, active-learning component. Students were evaluated on learning, critical thinking, and epistemological beliefs about biology. Results indicated no significant differences between treatment groups. Interestingly, the impact of active-learning implementations had positive effects on students' epistemological beliefs. This was a finding contradicting previous research in which epistemological beliefs became more novice-like in science majors enrolled in courses without an active-learning component. Study two represents one case in which a professor with a traditional instructional model became motivated to pursue instructional change in his introductory microbiology course. A single-case qualitative study was conducted to document the professor's initial effort at instructional reform. Results indicated that his utilization and understanding of reform-based instructional strategies improved over

  12. Persistence by 2-Year College Graduates to 4-Year Colleges and Universities.

    Science.gov (United States)

    Dworkin, Stephen L.

    1996-01-01

    Presents findings from a study of the relationship between the characteristics of 3,762 Connecticut 2-year college students 25 or older and their persistence to 4-year colleges. Reports that students with higher perceptions of social and institutional support and those over 35 were more likely to persist to 4-year institutions. (10 citations) (AJL)

  13. Forging Paths through Hostile Territory: Intersections of Women's Identities Pursuing Post-Secondary Computing Education

    Science.gov (United States)

    Ratnabalasuriar, Sheruni

    2012-01-01

    This study explores experiences of women as they pursue post-secondary computing education in various contexts. Using in-depth interviews, the current study employs qualitative methods and draws from an intersectional approach to focus on how the various barriers emerge for women in different types of computing cultures. In-depth interviews with…

  14. Polish Post-Secondary Vocational Schools vs. Canadian Community Colleges: A Comparison of Information Accessibility and Accountability

    Science.gov (United States)

    Butler, Norman L.; Smith, Catherine; Davidson, Barry S.; Tanner, Tyrone; Kritsonis, William Allan

    2008-01-01

    Recent reforms in Polish education, Canadian interest in cooperative education, and differences in government involvement in Polish vs. Canadian education motivate the current comparative study of Polish post-secondary vocational schools (PVSs) and Canadian community colleges (CCs). While PVSs and CCs may initially appear equivalent (e.g., both…

  15. The Logic, Affectivity and Ethics of Electronic Conferencing Teaching Strategies in Post-Secondary Mixed-Mode Courses

    Science.gov (United States)

    Campos, Milton

    2004-01-01

    This paper aims to identify and to understand the role of the logical, the affective and the ethical dimensions of knowledge in the online interactions of post-secondary teachers and students. By understanding how these dimensions are interwoven, I intend to demonstrate that the instructor?s course design and teaching strategies must take them…

  16. Perceived Factors Influencing Post-Secondary Enrollment and Economic Stability of Single and Married Mothers in Utah

    Science.gov (United States)

    Campos-Rosenthal, Angelina M.

    2009-01-01

    This research explored the perceived factors that influenced the decisions of single and married mothers to enroll or not enroll in post-secondary education. The study then investigated the relationship between educational level and income for single mothers in Utah. From a survey of 1197 Utah mothers, this study concluded that mothers enroll in…

  17. Exploring the Alignment between Post-Secondary Education Programs and Earnings: An Examination of 2005 Ontario Graduates

    Science.gov (United States)

    Frank, Kristyn; Walters, David

    2012-01-01

    This study examines the influence that field of study and level of post-secondary education have on the earnings of recent graduates in Ontario. Graduates of trades, community college, and university programs are compared. Results suggest that graduates of applied and technical programs obtain higher earnings within two years of graduation than…

  18. Why Go Back to School? Investigating the Motivations of Student Parents to Pursue Post-Secondary Education

    Science.gov (United States)

    van Rhijn, Tricia; Lero, Donna S.; Burke, Taniesha

    2016-01-01

    This study explored the factors that motivate student parents to pursue post-secondary education. Student parents at four Canadian universities (n = 398) completed open-ended questions on their reasons for attending school in an online survey. Using Possible Selves Theory as a lens, we conducted a directed content analysis and found that student…

  19. Post-Secondary Students' Relationship to People They Consider to Be Scientific Experts

    Science.gov (United States)

    Pouliot, Chantal

    2011-03-01

    This article is situated in contemporary debates about the ways to achieve a scientific literacy that encourages a greater lay participation in public debates and political decision making. Drawing on the notion of "relationship to scientific experts" (in French, "rapport aux experts scientifiques"), I explore the ways in which a group of 3 Quebec post-secondary students describe the relationships they hold toward people whom they consider to be scientific experts, as revealed during a project in which they investigated the controversy surrounding cellular telephone use. To this end, I scrutinize how the members of the group go about describing scientific experts and picture a prospective face-to-face discussion with a scientific expert. The data come from a case study (conducted over a 15-week period). The findings show that the group maintains a relationship of intimidation by scientific experts, in which the latter are depicted in terms of their knowledge and qualifications. Accordingly, the group was overawed not only by the accumulation of knowledge held and produced by scientific experts but also by the latter's research experience and the high social recognition they occasionally enjoyed. Similarly, the group describes a prospective face-to-face discussion with a doctor or a researcher in terms of an impersonal, intimidating encounter during which its members' learning and comprehension in relation to the controversy are assumed to be unequal to the task. The implications of the findings for future research are discussed.

  20. Mandatory Second Language Learning in Post-Secondary Education: The Role of the Ideal Self and Imagery in Motivation and Achievement

    Science.gov (United States)

    Cox, Sherry J.

    2012-01-01

    The majority of language learning in post-secondary higher education is compulsory. Many students in compulsory L2 courses demonstrate lower than average levels of achievement and persistence. Because L2 learning is an important component of a post-secondary education in modern society, improving the motivation to learn languages can improve both…

  1. "Half-Pregnant with Bartlett's Baby": Contested Policies in Tasmanian Post-Secondary Education--2007-2010--Through the Lens of Kingdon's "Agendas"

    Science.gov (United States)

    Rodwell, Grant

    2011-01-01

    Tasmania Tomorrow was highly politicised, and Tasmanian post-secondary education policy became a central issue in the 2010 state elections. The purpose of this paper was to analyse the dynamics of Tasmanian post-secondary education policy, and determine what education policy analysts can learn from this episode in Tasmanian education history.…

  2. Science dual enrollment: An examination of high school students' post-secondary aspirations

    Science.gov (United States)

    Berry, Chelsia

    The purpose of this study was to determine if participation in science dual enrollment courses influenced African American high school students' post-secondary aspirations that will lead to college attendance. The investigation examined the relationship between African American students' learning experiences and how their self-efficacy and outcome expectations impact their goal setting. The goal was to determine the impact of the following variables on African American students' plan to pursue a bachelor's or advanced degree: (a) STEM exposure, (b) Algebra 1 achievement, (c) level of science class, and (d) receiving science college credit for dual enrollment course. The social cognitive career theory framed this body of research to explore how career and academic interests mature, are developed, and are translated into action. Science dual enrollment participation is a strategy for addressing the lack of African American presence in the STEM fields. The causal comparative ex post facto research design was used in this quantitative study. The researcher performed the Kruskal-Wallis non-parametric analysis of variance and Pearson's chi-square tests to analyze secondary data from the High School Longitudinal Study first follow-up student questionnaire. The results indicate that STEM exposure and early success in Algebra 1 have a statistically significant impact on African American students' ambition to pursue a bachelor's or advanced degree. According to the Pearson's chi-square and independent sample Kruskal-Wallis analyses, level of students' science class and receiving college credit for dual enrollment do not significantly influence African American students' postsecondary aspirations.

  3. Working Memory Training in Post-Secondary Students with ADHD: A Randomized Controlled Study.

    Directory of Open Access Journals (Sweden)

    Karizma Mawjee

    Full Text Available To determine whether standard-length computerized training enhances working memory (WM, transfers to other cognitive domains and shows sustained effects, when controlling for motivation, engagement, and expectancy.97 post-secondary students (59.8% female aged 18-35 years with Attention-Deficit/Hyperactivity Disorder, were randomized into standard-length adaptive Cogmed WM training (CWMT; 45-min/session, a shortened-length adaptive version of CWMT (15 min/session that controlled for motivation, engagement and expectancy of change, or into a no training group (waitlist-control group. All three groups received weekly telephone calls from trained coaches, who supervised the CWMT and were independent from the research team. All were evaluated before and 3 weeks post-training; those in the two CWMT groups were also assessed 3 months post-training. Untrained outcome measures of WM included the WAIS-IV Digit Span (auditory-verbal WM, CANTAB Spatial Span (visual-spatial WM and WRAML Finger Windows (visual-spatial WM. Transfer-of-training effects included measures of short-term memory, cognitive speed, math and reading fluency, complex reasoning, and ADHD symptoms.Performance on 5/7 criterion measures indicated that shortened-length CWMT conferred as much benefit on WM performance as did standard-length training, with both CWMT groups improving more than the waitlist-control group. Only 2 of these findings remained robust after correcting for multiple comparisons. Follow-up analyses revealed that post-training improvements on WM performance were maintained for at least three months. There was no evidence of any transfer effects but the standard-length group showed improvement in task-specific strategy use.This study failed to find robust evidence of benefits of standard-length CWMT for improving WM in college students with ADHD and the overall pattern of findings raise questions about the specificity of training effects.ClinicalTrials.gov NCT01657721.

  4. The History and Future of the Southern Bible Institute: A Post-Secondary School of Biblical Studies for African Americans

    Science.gov (United States)

    Cooks, Michael

    2010-01-01

    The United States of America has a long history in higher education, but one area of its history not exhausted through research involves higher education for African Americans. Specifically, higher education for African Americans in the area of theology or biblical studies presents numerous opportunities for further research. Soon after the…

  5. Program and Institutional Predictors of Environmental Justice Inclusion in U.S. Post-Secondary Environmental and Sustainability Curricula

    Science.gov (United States)

    Carlos Garibay, Juan; Ong, Paul; Vincent, Shirley

    2016-01-01

    Environmental justice (EJ) issues and perspectives, which emphasize the disproportionate environmental hazards experienced by low-income communities and communities of color, are often excluded from higher education sustainability discourses and curriculum. Utilizing a national sample of 297 interdisciplinary environmental and sustainability (IES)…

  6. Social Inequalities of Post-Secondary Educational Aspirations: Influence of Social Background, School Composition and Institutional Context

    Science.gov (United States)

    Dupriez, Vincent; Monseur, Christian; van Campenhoudt, Maud; Lafontaine, Dominique

    2012-01-01

    The first goal of this article is to assess, for each country belonging to the Organisation for Economic Co-operation and Development (OECD), the influence of pupils' sociocultural background on educational aspirations. The second goal is to explore whether, after controlling for educational achievement, the residual influence of sociocultural…

  7. Social Inequalities of Post-Secondary Educational Aspirations: Influence of Social Background, School Composition and Institutional Context

    Science.gov (United States)

    Dupriez, Vincent; Monseur, Christian; van Campenhoudt, Maud; Lafontaine, Dominique

    2012-01-01

    The first goal of this article is to assess, for each country belonging to the Organisation for Economic Co-operation and Development (OECD), the influence of pupils' sociocultural background on educational aspirations. The second goal is to explore whether, after controlling for educational achievement, the residual influence of sociocultural…

  8. Teaching, Learning, and Collaborating in the Cloud: Applications of Cloud Computing for Educators in Post-Secondary Institutions

    Science.gov (United States)

    Aaron, Lynn S.; Roche, Catherine M.

    2012-01-01

    "Cloud computing" refers to the use of computing resources on the Internet instead of on individual personal computers. The field is expanding and has significant potential value for educators. This is discussed with a focus on four main functions: file storage, file synchronization, document creation, and collaboration--each of which has…

  9. Program and Institutional Predictors of Environmental Justice Inclusion in U.S. Post-Secondary Environmental and Sustainability Curricula

    Science.gov (United States)

    Carlos Garibay, Juan; Ong, Paul; Vincent, Shirley

    2016-01-01

    Environmental justice (EJ) issues and perspectives, which emphasize the disproportionate environmental hazards experienced by low-income communities and communities of color, are often excluded from higher education sustainability discourses and curriculum. Utilizing a national sample of 297 interdisciplinary environmental and sustainability (IES)…

  10. Looking at the Need for Courses in Hand Lettering and Calligraphy in Post Secondary Institutions Granting Art Degrees.

    Science.gov (United States)

    Gregory, Anne

    Expressing concern that interest in hand lettering and calligraphy has diminished due to limited career applications, seventeen U.S. master calligraphers who teach or have taught calligraphy were interviewed. The calligraphers made six suggestions that have implications for educators: (1) italic based alphabets, rather than the current forms of…

  11. Adolescent Criminal Acts Committed and Substance Use with a Voluntary Sample Recruited from Post-Secondary Institutions

    Science.gov (United States)

    Collette, Tessa; Pakzad, Sarah; Bergheul, Saïd

    2015-01-01

    The current study focuses on exploring the relationships between various patterns of criminal acts committed, drug use, alcohol consumption, and adult personality traits in a sample with a low probability of life course persistent criminal behaviors. A retrospective questionnaire and the NEO-FFI (Five Factor Inventory) were administered to a…

  12. The Family Educational Rights and Privacy Act and Permissive Disclosure: What Information Are Post-Secondary Institutions Disclosing and Why?

    Science.gov (United States)

    Greer, Christine Glah

    2012-01-01

    This study focuses on the response of universities to the permissive disclosure clauses of the Family Educational Rights and Privacy Act (FERPA). FERPA has been amended nine times; some of these amendments permit universities to disclose personally identifiable information without the permission of students. The purpose of this study is to…

  13. Impact of Hybrid Instruction on Student Achievement in Post-Secondary Institutions: A Synthetic Review of the Literature

    Science.gov (United States)

    Lamport, Mark A.; Hill, Randy J.

    2012-01-01

    Hybrid online instruction is a cross between traditional face-to-face classroom format and online-only instruction. The premise behind hybrid instruction is that it provides the benefits of personal interaction with the convenience and flexibility of online assignments and discussions. While there has been significant research on how students…

  14. Transfer Credit Assessment: A Survey of Institutional Practices

    Science.gov (United States)

    British Columbia Council on Admissions and Transfer, 2015

    2015-01-01

    Assessing credits that transfer students bring to an institution may require a significant amount of institutional resources. The increased mobility of students among post-secondary institutions in British Columbia (BC), and the need to ensure efficient admission processes for both the student and the institution, makes transfer credit assessment…

  15. Girls in Science and Technology in Secondary and Post-Secondary Education: The Case of France

    Science.gov (United States)

    Stevanovic, Biljana

    2014-01-01

    Based on surveys undertaken by the Institut national de la statistique et des études économiques (France's National Institute of Statistics and Economic Studies) and by the Direction de l'évaluation de la prospective et de la performance (Directorate of Evaluation, Forecasting and Performance), this article examines the evolution of female student…

  16. Girls in Science and Technology in Secondary and Post-Secondary Education: The Case of France

    Science.gov (United States)

    Stevanovic, Biljana

    2014-01-01

    Based on surveys undertaken by the Institut national de la statistique et des études économiques (France's National Institute of Statistics and Economic Studies) and by the Direction de l'évaluation de la prospective et de la performance (Directorate of Evaluation, Forecasting and Performance), this article examines the evolution of female student…

  17. The Copyright Modernization Act: A Guide for Post-Secondary Instructors

    Directory of Open Access Journals (Sweden)

    Devin Soper

    2013-07-01

    Full Text Available In November 2012, the educational provisions of the Copyright Modernization Act were proclaimed in force,thereby introducing a number of significant changes to the Canadian Copyright Act. These changes includethe expansion of fair dealing to include the purpose of education, the addition of new educational exceptionsfor the online transmission of lessons and the use of work freely available through the internet, and a numberof amendments that make existing educational exceptions more technologically accommodating. This paperconsiders the significance of these changes for post-secondary instructors, first contextualizing the changes inrelation to recent fair dealing jurisprudence, and then considering their significance for everyday instructionalpractice. Drawing on influential court decisions and the commentary of academics and lawyers, the paper notonly describes how the changes to the Copyright Act have expanded the rights and exceptions available toinstructors, but also identifies a number of unresolved questions about how the changes should be applied inpractice. Despite these areas of uncertainty, the paper concludes that the changes bode well for post-secondaryinstructors, as they relax many long-standing restrictions around the use of copyrighted works for educationalpurposes.En novembre 2012, les dispositions éducatives de la Loi sur la modernisation du droit d’auteur ont étéproclamées avec force. Elles apportaient un certain nombre de changements significatifs à la Loi du Canadasur le droit d’auteur. Ces changements comprennent l’élargissement de l’utilisation équitable pour y inclure lebut de l’éducation, l’addition de nouvelles exceptions éducatives pour la transmission de leçons en ligne etl’utilisation de travaux disponibles à volonté sur internet, ainsi qu’un certain nombre de modifications auxexceptions éducatives existantes qui tiennent davantage compte de la technologie. Cet article examine

  18. What to Do Next: An Exploratory Study of the Post-Secondary Decisions of American Students

    Science.gov (United States)

    Lee, Kristen A.; Jara Almonte, Juan Leon; Youn, Min-Jong

    2013-01-01

    Research on college choices is the new tool used by Higher Educational Institutions to help them identify the influences and factors affecting potential student populations. To measure the growing rate of working students in higher education, we propose to examine the decisions made after graduating from high school to current demographic changes.…

  19. Factors Affecting Students' Behavioral Intention to Use LMS at a Turkish Post-Secondary Vocational School

    Science.gov (United States)

    Cigdem, Harun; Ozturk, Mustafa

    2016-01-01

    There is a substantial increase in the use of learning management systems (LMSs) to support teaching and learning activities in higher education institutions. Despite their benefits, student's use them to a limited extend due to a number of factors influencing behaviors. This study executed a three-tier use model to examine the predictors of…

  20. What to Do Next: An Exploratory Study of the Post-Secondary Decisions of American Students

    Science.gov (United States)

    Lee, Kristen A.; Jara Almonte, Juan Leon; Youn, Min-Jong

    2013-01-01

    Research on college choices is the new tool used by Higher Educational Institutions to help them identify the influences and factors affecting potential student populations. To measure the growing rate of working students in higher education, we propose to examine the decisions made after graduating from high school to current demographic changes.…

  1. An Investigation of Academic Writing in International Students in Post-Secondary Education

    Science.gov (United States)

    Causarano, Antonio

    2011-01-01

    Writing and the power of the written word is a very important aspect of our literate society and writing is integrated into all aspects of our daily life. Good writing skills are paramount in social and educational institutions where textual production and related writing activities represent the main framework for knowledge production and…

  2. National Environmental/Energy Workforce Assessment, Phase II, Post-Secondary Education Profile: Noise.

    Science.gov (United States)

    National Field Research Center Inc., Iowa City, IA.

    Noise-related training programs were reviewed in nine degree-granting institutions in seven states. These programs represent a sample, only, of the various programs available nationwide. The enrollment profile and average number of graduates by degree level for the past three years are given, as well as the apparent enrollment trends by degree…

  3. Three (Post-Secondary Agricultural Education and Training) Challenges and the Concept of "Workforce Education Systems"

    Science.gov (United States)

    Rivera, William M.

    2008-01-01

    The Comprehensive Africa Agriculture Development Program (CAADP) of the Africa Union's New Partnership for Africa's Development (AU/NEPAD), the International Food Policy Research Institute (IFPRI), in collaboration with the University of KwaZulu-Natal, held in January 2008, a conference on the subject of "Convergence between Social Service…

  4. (ReInserting The Subjective “I” : Globalization, Neo-Liberalism & Student Agency In Post-Secondary Education

    Directory of Open Access Journals (Sweden)

    Sarah DesRoches

    2011-05-01

    Full Text Available In an increasingly globalized world, post-secondary education is being reduced to instrumental and economic ends; a significant effect of this is that student agency is undermined. Students are incited to perform neo-liberal values that subvert their willingness (and potentially their ability to think of their post-secondary experience as anything other than professional training. Neo-liberal values do inhibit individuality and agency within a post-secondary context; however, from a Foucaultian perspective, the dominant discourse can never squelch the possibility of alternative discourses from emerging, thereby unhinging the seemingly cemented reality described above. In the first section of this paper, I will provide a theoretical overview of globalization, its relationship to neo-liberalism and how these have impacted post-secondary education. This overview will enable me to consider a very specific example of how neo-liberal ideology is being manifested in post-secondary classrooms: namely, the reluctance of pre-service teachers to use the first person singular pronoun in their research papers.De plus en plus, l'éducation post-secondaire est réduite à une fin instrumentale et économique. Un effet important de cette instrumentalisation est que la capacité d'agent (agency des étudiants est compromise. Les élèves sont incités à adopter des valeurs néo-libérales qui mettent en échec leur volonté (et potentiellement leur capacité de penser leur expérience post-secondaire comme autre chose qu'une formation professionnelle. Dans ce contexte post-secondaire, les valeurs néo-libérales refoulent l'individualité et la capacité d'agent; mais dans une perspective foucaldienne, le discours dominant n’est jamais figé, les discours alternatifs permettant de lever l'emprise d'une réalité qui peut apparaître cimenté. Dans la première section de cet article, je vais brosser un aperçu théorique de la mondialisation et de sa relation

  5. Do respiratory therapists receive training and education in smoking cessation? A national study of post-secondary training programs.

    Science.gov (United States)

    Jordan, Timothy R; Khubchandani, Jagdish; Wiblishauser, Michael; Glassman, Tavis; Thompson, Amy

    2011-10-01

    To assess the tobacco-related education provided by post-secondary respiratory therapy training programs in the United States. A cross-sectional research design was used to survey the entire population of program directors of post-secondary, respiratory therapy training programs in the United States. A valid and reliable questionnaire was developed and mailed using a 2-wave mailing technique (73% return rate). Internal reliability coefficients (Cronbach alpha) for the various components of the questionnaire ranged from 0.78 to 0.91. More than half of programs (56%) offered no teaching on the 5R's. Nearly half (47%) offered no teaching on the 5A's. Of the 13 tobacco-related topics listed in the basic science and clinical science sections of the questionnaire, only one topic (i.e., diseases linked to tobacco use) received 3h or more of instruction by approximately a third of programs (35.8%). The majority of programs (>90%) spent no time teaching students about the socio-political aspects of tobacco use cessation. Moreover, 41% of programs did not formally evaluate students' competence in providing smoking cessation counseling to patients. Tobacco-related education is a very minor component of the education and training received by respiratory therapy students in the United States. Respiratory therapy training programs in the United States have great potential to strengthen the tobacco-related education that they provide to students. Practicing respiratory therapists would likely benefit from continuing medical education focused on how to use evidence-based smoking cessation counseling techniques with patients. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  6. The Scholarship of Teaching and Learning in Canadian Post-Secondary Mathematics: 2000-2010

    Directory of Open Access Journals (Sweden)

    Bernard S. Chan

    2013-07-01

    Full Text Available Published accounts of pedagogical experience and pedagogical research are critical resources to postsecondarymathematics instructors, and yet the quantity and scope of this literature is rarely summarized orreviewed. In this contribution, we analyze recent peer-reviewed journal publications regarding post-secondarymathematics, published by Canadian scholars. We classified this scholarship by institution, publication year,type of pedagogical scholarship, and by topic. We highlight topics of continual interest, changing trends intime and newly emerging themes. This review therefore provides a benchmark of current scholarship in thisimportant area, as well as a point of comparison for similar data from other countries, and other disciplines.Les comptes rendus publiés sur les expériences pédagogiques et la recherche sur la pédagogie sont desressources essentielles pour les enseignants de mathématiques au niveau postsecondaire. Pourtant, la quantitéet la portée de cette documentation font rarement l’objet de résumés ou d’analyses. Dans cet article, nousanalysons les publications récentes de chercheurs canadiens sur les mathématiques au niveau postsecondaire,qui ont paru dans des revues révisées par les pairs. Nous avons classé ces publications par établissement, annéede publication, type de recherche et sujet. Nous mettons en lumière les sujets d’intérêt constant, les tendancesen évolution au fil du temps et les thèmes émergents. Cette recension constitue donc une référence sur lesrecherches universitaires actuelles dans ce domaine important ainsi qu’un point de comparaison pour desdonnées similaires provenant d’autres pays et d’autres disciplines.

  7. Immigrant Status and Secondary School Performance as Determinants of Post-Secondary Participation: A Comparison of Canada and Switzerland. OECD Education Working Papers, No. 77

    Science.gov (United States)

    Picot, Garnett

    2012-01-01

    This working paper seeks to explore the reasons why educational attainment in the immigrant population varies between North America and Europe. Specifically, the examples of Canada and Switzerland are used as Canada has an immigrant population with a typically higher rate of post-secondary education than that of the domestic population, while in…

  8. Post-Secondary Education Attainment in Canada and the United States in the 1990s. Technical Paper Series. T-02-2E

    Science.gov (United States)

    Bowlby, Jeffrey W.

    2002-01-01

    With the North American Free Trade Agreement and today's knowledge-based economy, there is a premium placed on post-secondary education and the need to retain graduates in Canada. The share of graduates in the Canadian and the United States labour pools are key to competitiveness. This paper examines Canada's performance relative to the U.S. in…

  9. Making the connection: The role of social and academic school experiences in students' emotional engagement with school in post-secondary vocational education

    NARCIS (Netherlands)

    Elffers, L.; Oort, F.J.; Karsten, S.

    2012-01-01

    This study examines the emotional engagement with school of a diverse sample of 909 students in post-secondary vocational education in the Netherlands. Using multilevel regression analysis, we assess the role of students' background characteristics and school experiences, and their interaction, in s

  10. Haunted by Math: The Impact of Policy and Practice on Students with Math Learning Disabilities in the Transition to Post-Secondary Education in Mumbai, India

    Directory of Open Access Journals (Sweden)

    Melinda Sue Eichhorn

    2016-09-01

    Full Text Available Only six states in India currently identify learning disabilities as a category of disability. This article highlights the challenges students with math learning disabilities face in their transition from secondary school to higher secondary education and Bachelor of Commerce degree programs in the state of Maharashtra. While the current educational policy aims to help students with learning disabilities participate in the general education curriculum and pass the 10th standard secondary exam, the implementation of curricular modifications has repercussions in post-secondary settings when students lack the math content knowledge for a required math course in their Bachelor’s degree program. This qualitative study highlights the transitional experiences of secondary and post-secondary individuals with math learning disabilities in Mumbai through interviews with students, college administrators, and lecturers; and a document review of Maharashtra’s special education policies. The results suggest that current special education policies and college practices in Mumbai do not prepare students with math learning disabilities with the math knowledge that they need to succeed in post-secondary mathematics courses. Current higher secondary and post-secondary interventions in Mumbai are reviewed and implications for policy and practice for all levels of education are discussed.

  11. Transitions to post-secondary and tertiary education in the Netherlands: A trend analysis of unconditional and conditional socio-economic background effects

    NARCIS (Netherlands)

    Tieben, N.; Wolbers, M.H.J.

    2010-01-01

    In the tracked educational system of the Netherlands, students at the end of secondary education have to decide whether they want to enter subsequent post-secondary or tertiary education. Depending on the previous qualification, they have the choice between up to four different options, including no

  12. Transitions to post-secondary and tertiary education in the Netherlands : a trend analysis of unconditional and conditional socio-economic background effects

    NARCIS (Netherlands)

    Tieben, N.; Wolbers, M.H.J.

    2010-01-01

    In the tracked educational system of the Netherlands, students at the end of secondary education have to decide whether they want to enter subsequent post-secondary or tertiary education. Depending on the previous qualification, they have the choice between up to four different options, including no

  13. The Impact of Special Education Transition Services on the Post-Secondary Education Preparedness of Students with Emotional Disturbance: A Study of Student Perceptions

    Science.gov (United States)

    Hill-Shavers, Cyrhonda Denise

    2013-01-01

    The purpose of this study was to examine the post-secondary special education transition planning experiences of currently enrolled college students with emotional disturbance (ED). In addition to exploring students' perceptions of their experiences, understanding, through the narrative analysis of semi-structured interviews, the role special…

  14. Interrupter resistance and wheezing phenotypes at 4 years of age

    NARCIS (Netherlands)

    Brussee, JE; Smit, HA; Koopman, LP; Wijga, AH; Kerkhof, M; Corver, K; Vos, APH; Gerritsen, J; Grobbee, DE; Brunekreef, B; Merkus, PJFM; Jongste, JCC

    2004-01-01

    It is difficult to distinguish young children with respiratory symptoms who will develop asthma from those with transient symptoms only. Measurement of interrupter resistance may help to identify children at high risk of asthma. The aim of this study is to compare interrupter resistance in 4-year-ol

  15. The Effectiveness of Alcohol Policies in 4-Year Public Universities

    Science.gov (United States)

    Walter, Gayle T.

    2010-01-01

    A problem facing American universities is heavy drinking by the student body which results in unintentional injuries and deaths, illegal offenses, sexual assault, altercations, and academic demise. The relationship between the type of alcohol policy enacted on campus and alcohol consumption among undergraduate students attending 4-year public…

  16. The Effectiveness of Alcohol Policies in 4-Year Public Universities

    Science.gov (United States)

    Walter, Gayle T.

    2010-01-01

    A problem facing American universities is heavy drinking by the student body which results in unintentional injuries and deaths, illegal offenses, sexual assault, altercations, and academic demise. The relationship between the type of alcohol policy enacted on campus and alcohol consumption among undergraduate students attending 4-year public…

  17. Fecal Calprotectin in Healthy Children Aged 1-4 Years.

    Directory of Open Access Journals (Sweden)

    Qingling Zhu

    Full Text Available Calprotectin has been well emulated recently in adults as well as in children. The aim of this study was to assess fecal calprotectin concentrations in healthy children aged from 1 to 4 years.Volunteers were enlisted from 3 nurseries. A brief questionnaire was used to ensure these children meet the inclusion criteria, and some clinical and sociodemographic factors were collected. Anthro software (version 3.1 was used to calculated Length-for-age Z-scores (LAZ, weight-for-age Z-scores (WAZ, and weight-for-length Z-scores (WLZ respectively. Fecal calprotectin was detected by a commercially available ELISA.In total 274 children were recruited, with age ranging from 1 to 4 years old. The median FC concentration was 83.19 μg/g [range 4.58 to 702.50 μg/g, interquartile range (IQR 14.69-419.45 μg/g] or 1.92 log10 μg/g (range 0.66 log10 to 2.85 log10 μg/g, IQR 1.17 log10-2.62 log10 μg/g. All of the children were divided into three groups, 1-2 years (12-24 months, 2-3 years (24-36 months, 3-4 years (36-48 months, with median FC concentrations 96.14 μg/g (1.98 log10 μg/g, 81.48 μg/g (1.91 log10 μg/g, 65.36 μg/g (1.82 log10 μg/g, respectively. There was similar FC level between boys and girls. FC concentrations showed a downward trend by the growing age groups. A statistic difference was found in FC concentrations among groups 1-2 years, 2-3 years and 3-4 years (P = 0.016. In inter-groups comparison, a significant difference was found between children aged 1-2 years and children aged 3-4 years (P = 0.007. A negative correlation trend was found between age and FC concentration (Spearman's rho = -0.167, P = 0.005 in all the participants. A simple correlation was performed among WLZ, WAZ, birth weight, or birth length with FC, and there was no correlation being observed.Children aged from 1 to 4 years old have lower FC concentrations compared with healthy infants (<1years, and higher FC concentrations when comparing with children older than 4

  18. [4 years experience with the Ulm autologous transfusion concept].

    Science.gov (United States)

    Mehrkens, H H; Geiger, P; Schleinzer, W; Weindler, M; Wollinsky, K H; Pohland, H

    1990-04-01

    After a 4-year period in clinical practice the autologous transfusion concept Ulm (ATU) has proved its value. The effort and expense involved are entirely justified by obvious medical advantages. The patients' active involvement in the therapeutic procedure is a remarkable aspect of positive motivation. Furthermore, the medical staff is positively motivated, too, in spite of the obvious additional load to their daily routine work.

  19. Facebook Usage as a Predictor of Retention at a Private 4-Year Institution

    Science.gov (United States)

    Morris, Jason; Reese, Jeff; Beck, Richard; Mattis, Charles

    2010-01-01

    Computer-based social networking has become ubiquitous on college and university campuses. However, little is known about how this form of networking reflects social integration which is considered to be an integral component of student persistence. To address this topic, a random sample of 375 entering freshman were used to evaluate the…

  20. Perlite exposure and 4-year change in lung function.

    Science.gov (United States)

    Polatli, M; Erdinç, M; Erdinç, E; Okyay, E

    2001-07-01

    Perlite is a volcanic glass or amorphous aluminium silicate composed of 71-75% SiO(2). When heated to 800-1100 degrees C, it expands to form processed perlite, which has a low density, high surface area, and a low thermal conductivity. The objective was to determine the effect of perlite exposure on pulmonary function tests. Pulmonary function tests in conjunction with chest radiogram were carried out in 36 perlite-exposed workers and 22 unexposed office workers in 1992 and 1996. Respirable dust level exceeded permissible dust levels in work places in the 4 years under study. Transfer coefficient (K(CO)) decline was significant in nonsmoker perlite-exposed workers (n=9), and found to be 5.28+/-0.71 (predicted 4.32+/-0.11) and 3.84+/-0.96 (predicted 4.18+/-0.18) 1/min/mmHg, in 1992 and 1996, respectively (Pperlite workers and office workers showed significant obstruction to airflow in small airways with respect to predicted values and 4-year change in transfer factor (T(L), CO) was significant. Although predicted, 12-year perlite exposure did not lead to a decrease in mean pulmonary function test parameters, there was a tendency to a decline in T(L), CO in the 4-year study period, which may be due to high perlite dust levels. As early effects of perlite dust exposure may not be detected by spirometric measurements alone, the transfer coefficient should be added to spirometry.

  1. Cost of breast cancer treatment. A 4-year longitudinal study.

    Science.gov (United States)

    Legorreta, A P; Brooks, R J; Leibowitz, A N; Solin, L J

    1996-10-28

    To determine the longitudinal cost of the treatment of patients with breast cancer. An analysis was performed of 200 women with 205 newly diagnosed breast cancers during 1989 in a health maintenance organization population (US Healthcare, Blue Bell, Pa). Medical records and claims data were analyzed for the total costs of medical care during the 4-year period after diagnosis. The costs over time were analyzed for clinical stage and use of mammography screening. The total costs of medical care during the 4-year period after diagnosis were strongly related to clinical stage at diagnosis, with higher total costs for patients with stages III to IV at diagnosis compared with patients with stages 0 to II at diagnosis. The cost for all stages of disease declined after years 1 to 2, with the exception of stage II, which increased slightly in years 3 to 4. The use of screening mammography was associated with a significant decrease in the cost of medical care during the 4-year study period. The goal of mammography screening programs should be to achieve downstaging to stages 0 to 1 to achieve reduction in breast cancer mortality and to reduce the overall consumption of health care resources for the treatment of breast cancer. These cost data should be considered within the framework of future cost-effective analysis for screening mammography programs.

  2. Effects of Diversity Experiences on Critical Thinking Skills over 4 Years of College

    Science.gov (United States)

    Pascarella, Ernest T.; Martin, Georgianna L.; Hanson, Jana M.; Trolian, Teniell L.; Gillig, Benjamin; Blaich, Charles

    2014-01-01

    The benefits of student engagement in diversity experiences on a range of college outcomes have been well documented. However, the potential influence of involvement in diversity experiences during college on the cognitive and intellectual outcomes of post-secondary education is only beginning to be understood. Gurin et al. (2002) made a…

  3. A's for Everyone: The Effect of Student Consumerism in the Post-Secondary Classroom

    Science.gov (United States)

    Plunkett, Anthony D.

    2014-01-01

    With millennial students as the primary population in many higher education institutions today, many instructors are experiencing a paradigm shift of behaviors they are observing in their classroom. Many educators are observing today's students failing to take personal responsibility for their educational endeavors and in turn viewing their…

  4. Social inclusion and career development--transition from upper secondary school to work or post-secondary education among hard of hearing students.

    Science.gov (United States)

    Danermark, B; Antonson, S; Lundström, I

    2001-01-01

    The aim of this study was to investigate the decision process and to analyse the mechanisms involved in the transition from upper secondary education to post-secondary education or the labour market. Sixteen students with sensorioneural hearing loss were selected. Among these eight of the students continued to university and eight did not. Twenty-five per cent of the students were women and the average age was 28 years. The investigation was conducted about 5 years after graduation from the upper secondary school. Both quantitative and qualitative methods were used. The results showed that none of the students came from a family where any or both of the parents had a university or comparable education. The differences in choice between the two groups cannot be explained in terms of social inheritance. Our study indicates that given normal intellectual capacity the level of the hearing loss seems to have no predictive value regarding future educational performance and academic career. The conclusion is that it is of great importance that a hearing impaired pupil with normal intellectual capacity is encouraged and guided to choose an upper secondary educational programme which is orientated towards post-secondary education (instead of a narrow vocational programme). Additional to their hearing impairment and related educational problems, hard of hearing students have much more difficulty than normal hearing peers in coping with changes in intentions and goals regarding their educational career during their upper secondary education.

  5. Higher Education Institutional and Program Evaluations in Taiwan and the Emerging Roles of Higher Education Evaluation and Accreditation Council of Taiwan (HEEACT)

    Science.gov (United States)

    Lee, Lung-Sheng; Wei, Yen-Shun; Wang, Li-Yun

    2013-01-01

    Post-secondary education institutions in Taiwan are divided into two tracks, general higher education (HE) and technological and vocational education (TVE). The evaluation of all universities/colleges is mandated by the University Act. Higher education institutions receive mandated institutional evaluation every six years and program evaluation…

  6. A case of parasitic myoma 4 years after laparoscopic myomectomy

    Directory of Open Access Journals (Sweden)

    Osman Temizkan

    2014-01-01

    Full Text Available We present a case of parasitic myoma complaining of abdominal pain, constipation, dyspareunia and dysmenorrhea 4 years after laparoscopic myomectomy. We performed laparoscopic myomectomy for multiple parasitic myomas. Three myomas were very firmly attached to bowel and mesentery. Parasitic myoma after laparoscopic surgery is very rare condition there are almost 35 cases in the literature. It is related with variable symptoms or can be asymptomatic. Laparoscopic surgeons should be aware of this situation, and further investigation should be made in case of suspicion. Surgery for parasitic myomas can be difficult in case of bowel and mesentery involvement and patient should be informed about the extensive surgery.

  7. 美国中等后教育学分转换:政策、制度和保障机制%Credit Transfer of Post-secondary Education in the USA: Policy, System and Assurance Mechanism

    Institute of Scientific and Technical Information of China (English)

    李玉静; 程宇

    2015-01-01

    The USA has established a convenient and flexible credit transfer system for students characterized by smooth mobility of leaners. The system was guided by relative laws, policies and financial assistance for students of the Federal Government, and it also has the system carriers of statewide articulation policies, common course numbering system, common prerequisites, general education requirements and the articulation agreements among post-secondary education institutes. Optimal higher education quality evaluation mechanism, students advising and service system and the coordinating institutes widely participated by stakeholders are the key assurance mechanism of the system.%经过多年的改革发展,美国建立了以学习者无障碍流动为特征的便捷、灵活的学生学分转换体系.这一体系以美国联邦政府的法律、政策支持和学生经费资助为引导,以州政府的衔接政策(通常是州衔接协议)、共同课程编码体系、共同课业要求、通识教育要求和院校间的合作协议等为制度载体.完善的高等教育质量评估认证机制、学生咨询和服务体系以及利益相关者广泛参与的协调机构又为其实施提供了有效保障.

  8. Fermi Large Area Telescope Operations: Progress Over 4 Years

    Energy Technology Data Exchange (ETDEWEB)

    Cameron, Robert A.; /SLAC

    2012-06-28

    The Fermi Gamma-ray Space Telescope was launched into orbit in June 2008, and is conducting a multi-year gamma-ray all-sky survey, using the main instrument on Fermi, the Large Area Telescope (LAT). Fermi began its science mission in August 2008, and has now been operating for almost 4 years. The SLAC National Accelerator Laboratory hosts the LAT Instrument Science Operations Center (ISOC), which supports the operation of the LAT in conjunction with the Mission Operations Center (MOC) and the Fermi Science Support Center (FSSC), both at NASA's Goddard Space Flight Center. The LAT has a continuous output data rate of about 1.5 Mbits per second, and data from the LAT are stored on Fermi and transmitted to the ground through TDRS and the MOC to the ISOC about 10 times per day. Several hundred computers at SLAC are used to process LAT data to perform event reconstruction, and gamma-ray photon data are subsequently delivered to the FSSC for public release with a few hours of being detected by the LAT. We summarize the current status of the LAT, and the evolution of the data processing and monitoring performed by the ISOC during the first 4 years of the Fermi mission, together with future plans for further changes to detected event data processing and instrument operations and monitoring.

  9. Pneumococcal sacroiliitis in a 4-year-old boy.

    Science.gov (United States)

    Perez, A; Padilla, E; Marco, A; De Otero, J; Bandiera, D; Marimón, I

    2008-01-01

    Pyogenic sacroiliitis is an extremely rare manifestation of invasive pneumococcal disease in childhood as only four cases have been described to date. We report and comment on a case of pneumococcal sacroiliitis in a 4-year-old boy. This patient was diagnosed promptly on account of the symptom triad of fever, buttock pain, and limping gait, along with characteristic findings in magnetic resonance imaging (MRI) and bone scans, and recovered fully after 6 weeks of antimicrobial therapy. Pyogenic sacroiliitis is an uncommon disease in which the diagnosis is often delayed because of nonspecific clinical presentation. The key to successful management is early diagnosis in which MRI and bone scan findings play a crucial role. If the diagnosis is established promptly, most patients can be managed successfully following the therapeutic principles used in other osteoarticular infections.

  10. ALEXIS, the little satellite that could -- 4 years later

    Energy Technology Data Exchange (ETDEWEB)

    Roussel-Dupre, D.; Bloch, J.; Little, C. [and others

    1997-10-01

    The 113-kg Array of Low Energy X-ray Imaging Sensors (ALEXIS) satellite was launched from the fourth flight of Pegasus on 25 April, 1993 into a 750 x 850 km, 70 degree inclination orbit. Due to damage sustained at the time of launch, ground controllers did not make contact with the satellite until late June. By late July, full satellite operations had been restored through the implementation of new procedures for attitude control. Science operations with the two onboard experiments began at that time. Now 4 years later is still collecting more than 100 MB of mission data per day. ALEXIS was originally designed to be a high risk, single string. {open_quotes}Smarter-Faster-Cheaper{close_quotes} satellite, with a 1 year nominal and a 3 year design limit. This paper will discuss how well the various satellite and experiment subsystems are surviving a variety of low and high radiation environments and what improvements have been made to make operations more autonomous. 11 refs., 2 figs., 2 tabs.

  11. The National Practitioner Data Bank: the first 4 years.

    Science.gov (United States)

    Oshel, R E; Croft, T; Rodak, J

    1995-01-01

    The National Practitioner Data Bank became operational September 1, 1990, as a flagging system to identify health care practitioners who may have been involved in incidents of medical incompetence. Query volumes have grown substantially over the Data Bank's first 4 years of operation. The greatest increase has come in the number of voluntary queries. By the end of 1994, the Data Bank had processed more than 4.5 million requests for information on practitioners, more than 1.5 million of which were received in 1994 alone. The proportion of queries for which the Data Bank contains information on the practitioner in question has grown as the Data Bank has come to contain more reports. During 1994, 7.9 percent of queries were matched. The Data Bank contained more than 97,500 reports at the end of 1994. More than 82 percent of the reports concerned malpractice payments. Licensure reports made up the bulk of the rest. Physicians predominate in reports, accounting for slightly more than 76 percent of the total. The remainder are related to dentists (16 percent) and all other types of practitioners (8 percent). Since reporting of adverse actions is mandatory only for physicians and dentists, the proportion of reports attributable to these types of practitioners is higher than it would be if adverse action reporting requirements were uniform for all practitioners. State malpractice payment rates and adverse action rates vary widely, but a State's rate in any given year is highly correlated with its rate in any other year. State malpractice rates are not strongly correlated with adverse action rates, neither are the rates for physicians strongly correlated with those for dentists. There is a weak tendency for States with smaller physician populations to have higher levels of licensure and privileging actions.

  12. The impact of assistive technology services in post-secondary education for students with disabilities: Intervention outcomes, use-profiles, and user-experiences.

    Science.gov (United States)

    Malcolm, Matthew P; Roll, Marla C

    2016-09-22

    The outcomes of assistive technology (AT) support services for post-secondary education students with disabilities are under-reported, and little is known about use-profiles and user experiences when AT interventions are applied to this rapidly growing population. We examined AT service outcomes related to performance and satisfaction of common academic tasks (using the Canadian Occupational Performance Measure [COPM]), as well as how students with disabilities use and experience AT and AT services (employing an AT-use survey). Three-hundred fifty-three students with disabilities completed the AT-use survey, with a subset of these (n = 216) also participating with pre-post AT intervention COPM assessment. COPM performance and satisfaction ratings significantly increased from pre- to post-AT intervention in all academic task categories (reading, writing, note-taking, test-taking, and studying; p impacted their academic success, and believed they would continue using AT post-graduation. The study findings contribute to evidence-base for AT services with a hope we may improve AT services to best meet the changing needs of the growing number of college students with disabilities.

  13. Effects of single-gender mathematics classrooms on self-perception of mathematical ability and post secondary engineering paths: an Australian case study

    Science.gov (United States)

    Tully, D.; Jacobs, B.

    2010-08-01

    This study focused on a population of female engineering students, probing the influences of their secondary school experience on their choice to pursue an engineering course of study at university. The motivating question is: Do unique opportunities exist in an all-female secondary school mathematics classroom, which impact a young woman's self-perception of her mathematics ability as well as promote a positive path towards an engineering-based university major? Using both qualitative and quantitative data collection instruments, this study examined a sample of Australian engineering students enrolled at the University of Technology, Sydney (UTS). Demographic statistics show that 40% of UTS' female engineering student population attended a single-gender secondary school, indicating a potential influence of school type (single-gender) on engineering enrolment patterns. Female students were primarily motivated to pursue a post secondary engineering path because of a self-belief that they are good at mathematics. In contrast, male students were more influenced by positive male role models of family members who are practising engineers. In measures of self- perception of mathematical skill and ability, female students from single-gender schools outscored their male engineering counterparts. Additionally, female students seem to benefit from verbal encouragement, contextualisation, same gender problem-solving groups and same gender classroom dynamics.

  14. Cosmetology. Post Secondary Curriculum Guide.

    Science.gov (United States)

    Moye, Michael D.; And Others

    This curriculum guide is designed to offer guidelines along with supporting resources and teaching ideas from which the local postsecondary instructor can extract a cosmetology curriculum that meets local needs. Following an outline of the philosophy and goals underlying state and local vocational education programs in Georgia, the purpose and…

  15. An "Acción" Approach to Affirmative Action: Hispanic-Serving Institutions as Spaces for Fostering Epistemic Justice

    Science.gov (United States)

    Gonzales, Leslie D.

    2015-01-01

    In this article, readers are asked to suspend conventional notions of affirmative action as a policy that ensures equitable admissions practices to the nation's most elite post secondary institutions, and instead to consider how affirmative action might be understood as a way to challenge the relations of power that govern the legitimation of…

  16. Qualitative Insights from a Canadian Multi-Institutional Research Study: In Search of Meaningful E-Learning

    Science.gov (United States)

    Carter, Lorraine M.; Salyers, Vince; Myers, Sue; Hipfner, Carol; Hoffart, Caroline; MacLean, Christa; White, Kathy; Matus, Theresa; Forssman, Vivian; Barrett, Penelope

    2014-01-01

    This paper reports the qualitative findings of a mixed methods research study conducted at three Canadian post-secondary institutions. Called the Meaningful E-learning or MEL project, the study was an exploration of the teaching and learning experiences of faculty and students as well as their perceptions of the benefits and challenges of…

  17. Racial/Ethnic Disparities in Collegiate Cognitive Gains: A Multilevel Analysis of Institutional Influences on Learning and Its Equitable Distribution

    Science.gov (United States)

    Kugelmass, Heather; Ready, Douglas D.

    2011-01-01

    Although numerous studies have examined racial/ethnic inequalities in collegiate student outcomes, serious attention to disparities in post-secondary student learning has emerged only recently. Using a national sample of 35,000 college seniors and 250 diverse institutions from the Collegiate Learning Assessment, this study investigates the role of…

  18. 2008 Key Student Outcomes Indicators for BC Diploma, Associate Degree, and Certificate Programs: Survey Results by Institution

    Science.gov (United States)

    Ministry of Advanced Education and Labour Market Development, 2009

    2009-01-01

    The BC Diploma, Associate Degree, and Certificate Student Outcomes (DACSO) Survey (formerly the BC College and Institute Student Outcomes Survey) collects and disseminates information about former students' post-secondary experiences and their subsequent labour market and further education experiences. The survey is administered annually to former…

  19. 2008 Key Student Outcomes Indicators for BC Diploma, Associate Degree, and Certificate Programs: Survey Results by Institution

    Science.gov (United States)

    Ministry of Advanced Education and Labour Market Development, 2009

    2009-01-01

    The BC Diploma, Associate Degree, and Certificate Student Outcomes (DACSO) Survey (formerly the BC College and Institute Student Outcomes Survey) collects and disseminates information about former students' post-secondary experiences and their subsequent labour market and further education experiences. The survey is administered annually to former…

  20. Measuring post-secondary stem majors' engagement in sustainability: The creation, assessment, and validation of an instrument for sustainability curricula evaluation

    Science.gov (United States)

    Little, David L., II

    Ongoing changes in values, pedagogy, and curriculum concerning sustainability education necessitate that strong curricular elements are identified in sustainability education. However, quantitative research in sustainability education is largely undeveloped or relies on outdated instruments. In part, this is because no widespread quantitative instrument for measuring related educational outcomes has been developed for the field, though their development is pivotal for future efforts in sustainability education related to STEM majors. This research study details the creation, evaluation, and validation of an instrument -- the STEM Sustainability Engagement Instrument (STEMSEI) -- designed to measure sustainability engagement in post-secondary STEM majors. The study was conducted in three phases, using qualitative methods in phase 1, a concurrent mixed methods design in phase 2, and a sequential mixed methods design in phase 3. The STEMSEI was able to successfully predict statistically significant differences in the sample (n= 1017) that were predicted by prior research in environmental education. The STEMSEI also revealed statistically significant differences between STEM majors' sustainability engagement with a large effect size (.203 ≤ eta2 ≤ .211). As hypothesized, statistically significant differences were found on the environmental scales across gender and present religion. With respect to gender, self-perceived measures of emotional engagement with environmental sustainability was higher with females while males had higher measures in cognitive engagement with respect to knowing information related to environmental sustainability. With respect to present religion, self-perceived measures of general engagement and emotional engagement in environmental sustainability were higher for non-Christians as compared to Christians. On the economic scales, statistically significant differences were found across gender. Specifically, measures of males' self

  1. [Experience with prosthetic disc nucleus device in Mexico. Final report of a 4-year follow-up].

    Science.gov (United States)

    Rosales-Olivares, Luis Miguel; Pérez-Víquez, Ariel; Miramontes-Martínez, Víctor; Alpízar-Aguirre, Armando; Reyes-Sánchez, Alejandro Antonio

    2007-01-01

    Discal hernia is generally treated by discectomies that are mutilating and cause instability and low back pain in 50% of the patients. Partial arthroplasty is used in an attempt to avoid degeneration after a discectomy. Nineteen patients from the INR (National Institute of Rehabilitation) were selected with extruded discal hernia. All inclusion criteria were met, with a minimal follow-up of 4 years. Evolution was evaluated with the Oswestry scale (OS) and x-ray studies. Statistical analysis was done with Student's t-test. Sixteen men and three women were included in the study, with an average age of 35.4 years. OS before surgery was 57.37% and improved to 22% (p < 0.001). The results obtained in the Prolo scale 4 years later were for the economy scale, p < 0.001 (Wilcoxon Z = 3.87) and for the functional scale, p < 0.001 (Wilcoxon Z = -3.94). The intervertebral space height (IS) before surgery was 6 and 8 mm, and 4 years later, in 12 patients it remained between 8 and 10 mm. The prosthesis had variations according to its initial placement in seven patients, and in all there was subsidence. In two cases migration surpassed the limits of the vertebral body without clinical repercussion. None of the patients required re-operation. Prosthetic disc nucleus device improved clinical conditions and x-rays of the patients using Oswestry, Prolo and intersomatic space height enhancement after 4 years of follow-up in 12/19 patients.

  2. [Effects of Montessori education on the intellectual development in children aged 2 to 4 years].

    Science.gov (United States)

    He, Hong-Ling; Yan, Hong; Zuo, Ling; Liu, Ling; Zhang, Xi-Ping

    2009-12-01

    To compare the effects of Montessori education and traditional education on the intellectual development in children aged 2 to 4 years. Children aged between 2 to 3 years who were enrolled in a kindergarten in September 2006 were randomly assigned to the Montessori education and the traditional education groups. In addition to receiving the traditional education, the Montessori education group participated in the two-hour Montessori pedagogical activities every day. The intellectual development was evaluated by the Neuropsychological Development Examination Format for Children Aged 0~6 years published by Capital Pediatrics Research Institute at enrollment and one year after the trial. There were no significant differences in the intelligence growth level between the Montessori education and the traditional education groups at enrollment. After one year, the levels of fine movements, adaptation ability, language, and social behavior developments in the Montessori education group were significantly higher than those in the traditional education group (pMontessori education group were also higher than those in the traditional education group (pMontessori education can promote the development of large motor ability, fine movements, language, and social behavior in children.

  3. Facial esthetics in children with unilateral cleft lip and palate 3 years after alveolar bonegrafting combined with rhinoplasty between 2 and 4 years of age

    NARCIS (Netherlands)

    Offert, B.; Janiszewska-Olszowska, J.; Dudkiewicz, Z.; Brudnicki, A.; Katsaros, C.; Fudalej, P.S.

    2013-01-01

    OBJECTIVES: To evaluate facial esthetics in patients with unilateral cleft lip and palate (UCLP) after alveolar bone grafting combined with rhinoplasty between 2 and 4 years of age. DESIGN: Retrospective case-control study. SETTING: The Department of Pediatric Surgery, Institute of Mother and Child,

  4. Facial esthetics in children with unilateral cleft lip and palate 3 years after alveolar bonegrafting combined with rhinoplasty between 2 and 4 years of age.

    NARCIS (Netherlands)

    Offert, B.; Janiszewska-Olszowska, J.; Dudkiewicz, Z.; Brudnicki, A.; Katsaros, C.; Fudalej, P.S.

    2013-01-01

    OBJECTIVES: To evaluate facial esthetics in patients with unilateral cleft lip and palate (UCLP) after alveolar bone grafting combined with rhinoplasty between 2 and 4 years of age. DESIGN: Retrospective case-control study. SETTING: The Department of Pediatric Surgery, Institute of Mother and Child,

  5. Inverse Planned High-Dose-Rate Brachytherapy for Locoregionally Advanced Cervical Cancer: 4-Year Outcomes

    Energy Technology Data Exchange (ETDEWEB)

    Tinkle, Christopher L.; Weinberg, Vivian [Department of Radiation Oncology, University of California, San Francisco, California (United States); Chen, Lee-May [Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, California (United States); Littell, Ramey [Gynecologic Oncology, The Permanente Medical Group, San Francisco, California (United States); Cunha, J. Adam M.; Sethi, Rajni A. [Department of Radiation Oncology, University of California, San Francisco, California (United States); Chan, John K. [Gynecologic Oncology, California Pacific Medical Center, San Francisco, California (United States); Hsu, I-Chow, E-mail: ichow.hsu@ucsf.edu [Department of Radiation Oncology, University of California, San Francisco, California (United States)

    2015-08-01

    Purpose: Evaluate the efficacy and toxicity of image guided brachytherapy using inverse planning simulated annealing (IPSA) high-dose-rate brachytherapy (HDRB) boost for locoregionally advanced cervical cancer. Methods and Materials: From December 2003 through September 2009, 111 patients with primary cervical cancer were treated definitively with IPSA-planned HDRB boost (28 Gy in 4 fractions) after external radiation at our institution. We performed a retrospective review of our experience using image guided brachytherapy. Of the patients, 70% had a tumor size >4 cm, 38% had regional nodal disease, and 15% had clinically evident distant metastasis, including nonregional nodal disease, at the time of diagnosis. Surgical staging involving pelvic lymph node dissection was performed in 15% of patients, and 93% received concurrent cisplatin-based chemotherapy. Toxicities are reported according to the Common Terminology Criteria for Adverse Events version 4.0 guidelines. Results: With a median follow-up time of 42 months (range, 3-84 months), no acute or late toxicities of grade 4 or higher were observed, and grade 3 toxicities (both acute and late) developed in 8 patients (1 constitutional, 1 hematologic, 2 genitourinary, 4 gastrointestinal). The 4-year Kaplan-Meier estimate of late grade 3 toxicity was 8%. Local recurrence developed in 5 patients (4 to 9 months after HDRB), regional recurrence in 3 (6, 16, and 72 months after HDRB), and locoregional recurrence in 1 (4 months after HDR boost). The 4-year estimates of local, locoregional, and distant control of disease were 94.0%, 91.9%, and 69.1%, respectively. The overall and disease-free survival rates at 4 years were 64.3% (95% confidence interval [CI] of 54%-73%) and 61.0% (95% CI, 51%-70%), respectively. Conclusions: Definitive radiation by use of inverse planned HDRB boost for locoregionally advanced cervical cancer is well tolerated and achieves excellent local control of disease. However, overall

  6. Neurodevelopmental and cardiometabolic outcome in 4-year-old twins and singletons born after IVF

    NARCIS (Netherlands)

    Kuiper, Derk; Bennema, Anne; la Bastide-van Gemert, Sacha; Seggers, Jorien; Schendelaar, Pamela; Haadsma, Maaike; Hoek, Annemieke; Heineman, Maas-Jan; Hadders-Algra, Mijna

    2017-01-01

    This prospective cohort study evaluated whether the cognitive development, neurological condition, anthropometrics and blood pressure of 4-year-old IVF twins differed from those of 4-year-old IVF singletons; 103 IVF singletons and 48 IVF twins born after conventional IVF treatment were included. Pri

  7. Shifting gears higher - digital slides in graduate education - 4 years experience at Semmelweis University

    Directory of Open Access Journals (Sweden)

    Molnár Béla

    2010-11-01

    Full Text Available Abstract Background The spreading of whole slide imaging or digital slide systems in pathology as an innovative technique seems to be unstoppable. Successful introduction of digital slides in education has played a crucial role to reach this level of acceptance. Practically speaking there is no university institute where digital materials are not built into pathology education. At the 1st. Department of Pathology and Experimental Cancer Research, Semmelweis University optical microscopes have been replaced and for four years only digital slides have been used in education. The aim of this paper is to summarize our experiences gathered with the installation of a fully digitized histology lab for graduate education. Methods We have installed a digital histology lab with 40 PCs, two slide servers - one for internal use and one with external internet access. We have digitized hundreds of slides and after 4 years we use a set of 126 slides during the pathology course. A Student satisfaction questionnaire and a Tutor satisfaction questionnaire have been designed, both to be completed voluntarily to have feed back from the users. The page load statistics of the external slide server were evaluated. Results The digital histology lab served ~900 students and ~1600 hours of histology practice. The questionnaires revealed high satisfaction with digital slides. The results also emphasize the importance of the tutors' attitude towards digital microscopy as a factor influencing the students' satisfaction. The constantly growing number of page downloads from the external server confirms this satisfaction and the acceptance of digital slides. Conclusions We are confident, and have showed as well, that digital slides have got numerous advantages over optical slides and are more suitable in education.

  8. The Importance and Interest of Introductory Psychology Textbook Topics: Student Opinions at Technical College, 2-, and 4-Year Institutions

    Science.gov (United States)

    McCann, Lee I.; Immel, Kathy R.; Kadah-Ammeter, Tammy L.; Adelson, Sarah K.

    2016-01-01

    Introductory psychology students at a technical college, 2-year community college, and a regional university rated how important textbook chapters or topics were to them now and in the future and how interesting they were. Importance and interest ratings were highly correlated, and the whole course was rated of greater importance and interest than…

  9. An Examination of the Influence of Institutional Context on Student Persistence at 4-Year Colleges and Universities: A Multilevel Approach

    Science.gov (United States)

    Titus, Marvin A.

    2004-01-01

    Using constructs from Bean's (1990) [In: D. Hossler and J. P. Bean (Eds.), The strategic management of college enrollments. San Francisco:Jossey-Bass] student attrition model and the Berger and Milem (2000) [In: J. C. Smart (Ed.), Higher education: Handbook of theory and research (Vol. XV, pp. 268?338). New York: Agathon Press] college impact…

  10. Contamination during 4 years of annual CT screening in the Danish Lung Cancer Screening Trial (DLCST)

    DEFF Research Database (Denmark)

    Saghir, Zaigham; Ashraf, Haseem; Dirksen, Asger

    2010-01-01

    Contamination, defined as screening in the control arm, may dilute the statistical power of randomised screening trials. We investigated the rate of contamination in DLCST during 4 years of annual CT screening.......Contamination, defined as screening in the control arm, may dilute the statistical power of randomised screening trials. We investigated the rate of contamination in DLCST during 4 years of annual CT screening....

  11. [A continuous 4-year evaluation of medical informatics education in a graduate school of health sciences using a questionnaire survey].

    Science.gov (United States)

    Monzen, Satoru; Matsutani, Hideya; Kashiwakura, Ikuo

    2013-01-01

    The purpose of this study was to identify the level of awareness among undergraduate students regarding medical informatics and to ascertain whether educational training has progressed with time in the Department of Health Sciences at Hirosaki University, Japan, which is a co-medical staff training institution that conducts a 4-year university course in medical informatics. The university accepts students who have completed the 3rd grade of medical licensing tests and who have attended the medical informatics lectures for 4 years (2007-2010). The ratio of first sight terminology percentage in any given fiscal year in all the 30 terminology categories varied widely from 0% to 80%, but the trend in various categories did not vary between fiscal years. The terminology of informatics under medical technology students obtained high scores of 52.5-77.3% after attending courses, which was higher compared with students from other classes. On the other hand, student nurses and occupational therapy students obtained 0-44.2%. Each class scored a high percentage of correct answers in the medical information-related terminology. Among the radiology students who attended the classes, the percentage of correct answers in categories of "digital imaging and communication in medicine" and "picture archiving and communication system" were lower than other medical terminology categories. These results reflect the gaps in educational curriculum of 1st and 2nd grades of medical licensing tests.

  12. Historical perspective and current status of the physical education graduation requirement at American 4-year colleges and universities.

    Science.gov (United States)

    Cardinal, Bradley J; Sorensen, Spencer D; Cardinal, Marita K

    2012-12-01

    This study gives an overview of the history of required physical education in America's 4 year colleges and universities and provides an update on the requirement status. After randomly identifying 354 institutions, we searched their respective websites to determine whether physical education was a requirement to earn a baccalaureate degree. The major finding was that the physical education requirement declined from an all-time high of 97% in the 1920s and 1930s to an all-time low of 39.55% in 2010. Given society's ongoing health challenges and the important role of physical activity in maintaining health, this seems counterintuitive. It is also inconsistent with the National Physical Activity Plan (2010).

  13. Psychosocial health of 4-year-old boys and girls, as observed by parents and teachers

    NARCIS (Netherlands)

    Berkhout, Louise; Hoekman, Joop; Goorhuis-Brouwer, Sieneke M.

    2012-01-01

    Both parents and teachers assessed the psychosocial health of 228 4-year-old children at the start of elementary school in the Netherlands. Assessments were conducted using the Child Behaviour Checklist (CBCL; ages 1 1/2-5) and the Caregiver-Teacher Report Form (C-TRF; ages 1 1/2-5). Results were

  14. Natural history of stuttering to 4 years of age: a prospective community-based study.

    Science.gov (United States)

    Reilly, Sheena; Onslow, Mark; Packman, Ann; Cini, Eileen; Conway, Laura; Ukoumunne, Obioha C; Bavin, Edith L; Prior, Margot; Eadie, Patricia; Block, Susan; Wake, Melissa

    2013-09-01

    To document the natural history of stuttering by age 4 years, including (1) cumulative incidence of onset, (2) 12-month recovery status, (3) predictors of stuttering onset and recovery, and (4) potential comorbidities. The study cohort was a prospective community-ascertained cohort (the Early Language in Victoria Study) from Melbourne, Australia, of 4-year-old children (n = 1619; recruited at age 8 months) and their mothers. Outcome was stuttering onset by age 4 years and recovery within 12 months of onset, defined using concurrent monthly parent and speech pathologist ratings. Potential predictors: child gender, birth weight, birth order, prematurity, and twinning; maternal mental health and education; socioeconomic status; and family history of stuttering. Potential comorbidities: preonset and concurrent temperament, language, nonverbal cognition, and health-related quality of life. By age 4 years, the cumulative incidence of stuttering onset was 11.2% (95% confidence interval [CI]: 9.7% to 12.8%). Higher maternal education (P = .004), male gender (P = .02), and twinning (P = .005) predicted stuttering onset. At outcome, stuttering children had stronger language (mean [SD]: 105.0 [13.0] vs 99.6 [14.6]; mean difference 5.5, 95% CI: 3.1 to 7.8; P stuttering onset is common in preschoolers, adverse affects are not the norm in the first year after onset.

  15. Neuroleptic malignant syndrome in a 4-year-old girl associated with alimemazine

    NARCIS (Netherlands)

    van Maldegem, Bianca T; Smit, Leo M E; Touw, Daan J; Gemke, Reinoud J B J

    UNLABELLED: Neuroleptic malignant syndrome (NMS) is a rare but serious disorder caused by antipsychotic medication including phenothiazines. For sedative purposes, increasing doses of alimemazine were administered to a 4-year-old multiple handicapped girl, with cerebral damage of the basal ganglia.

  16. Preventing and Responding to Bullying: An Elementary School's 4-Year Journey

    Science.gov (United States)

    McCormac, Mary E.

    2015-01-01

    Bullying continues to be a pervasive problem in schools and requires a schoolwide approach. This article describes the action research process used to examine the impact of a 4-year, K-5 school bullying prevention and intervention. The school counselors collaborated with students, staff, and parents to implement the program, and collected and…

  17. Case of indolent endocarditis due to Pseudomonas stutzeri with genetic evidence of relapse after 4 years.

    Science.gov (United States)

    Grimaldi, David; Podglajen, Isabelle; Aubert, Agnès; Buu-Hoï, Annie; Diebold, Benoit; Mainardi, Jean-Luc

    2009-02-01

    Pseudomonas stutzeri, a gram-negative bacterium, is a common inhabitant of soil and water. We report an unusual case of a relapse of infective endocarditis due to P. stutzeri 4 years after the initial episode. The identity of the strains was proven by genomic analysis.

  18. Vowel Confusion Patterns in Adults during Initial 4 Years of Implant Use

    Science.gov (United States)

    Vaalimaa, Taina T.; Sorri, Martti J.; Laitakari, Jaakko; Sivonen, Ville; Muhli, Arto

    2011-01-01

    This study investigated adult cochlear implant users' (n == 39) vowel recognition and confusions by an open-set syllable test during 4 years of implant use, in a prospective repeated-measures design. Subjects' responses were coded for phoneme errors and estimated by the generalized mixed model. Improvement in overall vowel recognition was highest…

  19. Pegvisomant treatment in a 4-year-old girl with neurofibromatosis type 1

    DEFF Research Database (Denmark)

    Main, Katharina M; Sehested, Astrid; Feldt-Rasmussen, Ulla

    2006-01-01

    with acromegaly. We wanted to investigate whether pegvisomant was effective in a child with octreotide-resistant GH excess. CASE: A 4-year-old girl with neurofibromatosis type 1 and GH excess associated with optic glioma received pegvisomant injections (10 mg subcutaneously) with increasing intervals from daily...

  20. Local intra-arterial thrombolysis in a 4-year-old male with vertebrobasilar artery thrombosis

    NARCIS (Netherlands)

    Janmaat, Mirjam; Gravendeel, Joost P; Uyttenboogaart, Maarten; Vroomen, Patrick C; Brouwer, Oebele F; Luijckx, Gert-Jan

    2009-01-01

    We report the case of a 4-year-old male with vertebrobasilar artery thrombosis for which he was treated with local intra-arterial urokinase 60 hours after onset of symptoms. Initially the patient had dysarthria and dysphagia. Brain magnetic resonance imaging (MRI) in a community hospital showed abno

  1. 26 CFR 1.702-3T - 4-Year spread (temporary).

    Science.gov (United States)

    2010-04-01

    ... with or within which such short year ends. Example 9. Assume that P3 is a partnership with a taxable... (CONTINUED) INCOME TAXES Partners and Partnerships § 1.702-3T 4-Year spread (temporary). (a) Applicability. This section applies to a partner in a partnership if— (1) The partnership is required by section...

  2. Neuroleptic malignant syndrome in a 4-year-old girl associated with alimemazine

    NARCIS (Netherlands)

    van Maldegem, Bianca T; Smit, Leo M E; Touw, Daan J; Gemke, Reinoud J B J

    2002-01-01

    UNLABELLED: Neuroleptic malignant syndrome (NMS) is a rare but serious disorder caused by antipsychotic medication including phenothiazines. For sedative purposes, increasing doses of alimemazine were administered to a 4-year-old multiple handicapped girl, with cerebral damage of the basal ganglia.

  3. Social Context Effects in 2- and 4-Year-Olds' Selective versus Faithful Imitation

    Science.gov (United States)

    Yu, Yue; Kushnir, Tamar

    2014-01-01

    This study asked whether children's tendency to imitate selectively (ignore causally unnecessary actions) versus faithfully ("overimitate" causally unnecessary actions) varies across ages and social contexts. In the first experiment, 2-year-olds and 4-year-olds were randomly assigned to play 1 of 3 prior games with a demonstrator: a…

  4. Preventing and Responding to Bullying: An Elementary School's 4-Year Journey

    Science.gov (United States)

    McCormac, Mary E.

    2015-01-01

    Bullying continues to be a pervasive problem in schools and requires a schoolwide approach. This article describes the action research process used to examine the impact of a 4-year, K-5 school bullying prevention and intervention. The school counselors collaborated with students, staff, and parents to implement the program, and collected and…

  5. Preventing and Responding to Bullying: An Elementary School's 4-Year Journey

    Science.gov (United States)

    McCormac, Mary E.

    2015-01-01

    Bullying continues to be a pervasive problem in schools and requires a schoolwide approach. This article describes the action research process used to examine the impact of a 4-year, K-5 school bullying prevention and intervention. The school counselors collaborated with students, staff, and parents to implement the program, and collected and…

  6. Overweight among Low-Income Texas Preschoolers Aged 2 to 4 Years

    Science.gov (United States)

    Lewis, Kayan L.; Castrucci, Brian C.; Gossman, Ginger; Mirchandani, Gita; Sayegh, M. Aaron; Moehlman, Clint; Van Eck, Mary; Petrilli, Kimberly

    2010-01-01

    Objective: Determine child/maternal factors associated with overweight among 2- to 4-year-olds enrolled in the Texas Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Design: Matched child and maternal data collected by self-report of the mother during WIC certification. These data were extracted from existing…

  7. Proatherogenic Lipid Profile in Early Childhood: Association with Weight Status at 4 Years and Parental Obesity.

    Science.gov (United States)

    Riaño-Galán, Isolina; Fernández-Somoano, Ana; Rodríguez-Dehli, Cristina; Valvi, Damaskini; Vrijheid, Martine; Tardón, Adonina

    2017-08-01

    To determine lipid profiles in early childhood and evaluate their association with weight status at 4 years of age. Additionally, we evaluated whether the risk of overweight or having an altered lipid profile was associated with parental weight status. Five hundred eighty two mothers and their 4-year-old children from 2 Spanish population-based cohorts were studied. Weight status in children at 4 years of age was classified as overweight or obese using the International Obesity Task Force criteria. Plasma total cholesterol, triglycerides, high-density lipoprotein cholesterol, and low-density lipoprotein cholesterol were determined in children and lipid ratios were calculated. A proatherogenic lipid profile was defined as having the 3 lipid ratios in the third tertile. A total of 12.9% of children were overweight and 6.4% were obese. Weight status at 4 years of age was related to maternal prepregnancy body mass index, paternal body mass index, gestational diabetes, and birth weight, but not with other sociodemographic characteristics of the mother. We found no association with gestational age, sex of the child, or breastfeeding. The risk of overweight/obesity was increased 4.17-fold if mothers were overweight/obese (95% CI 1.76-9.88) and 5.1-fold (95% CI 2.50-10.40) if both parents were overweight/obese. There were 133 children (22.8%) with a proatherogenic lipid profile. The risk of a proatherogenic lipid profile was increased 2.44-fold (95% CI 1.54-3.86) if they were overweight/obese at 4 years of age and 2-fold if the father was overweight/obese (95% CI 1.22-3.35). Four-year-old overweight/obese children have higher lipid risk profiles. Offspring of overweight/obese parents have an increased risk for obesity and a proatherogenic lipid profile. Copyright © 2017 The Author(s). Published by Elsevier Inc. All rights reserved.

  8. Dental Caries and Associated Factors in Children Aged 2-4 Years Old in Mbeya City, Tanzania.

    Science.gov (United States)

    Mwakayoka, Hery; Masalu, Joyce Rose; Namakuka Kikwilu, Emil

    2017-06-01

    Dental caries in infants and young children is prevalent worldwide; its magnitude and associated factors vary between communities because of cultural and social economic differences. No such information was available for pre-school children in Mbeya city. To determine dental caries status and associated factors in 2 to 4-year-old children in Mbeya city. A cross sectional study was conducted among 525 children aged 2-4 years and their parents/caregivers. Caries was assessed using caries assessment spectrum and treatment index, oral hygiene by visual inspection for visible plaque on index teeth, and dietary and oral hygiene habits by a questionnaire. Kappa statistics was used to test reliability of study instruments, χ(2)-test and logistic regression was employed for studying associations. Caries free children for dmft1, dmft2 and dmft3 were 79.8%, 83.8% and 94.7% and caries experience was 0.49 (1.23), 0.4 (1.14) and 0.10 (0.53) respectively. Older age [(OR =2.722 (1.617-4.582) p=caries. Prolonged breastfeeding for more than 1 year and breastfeeding at night had no association with dental caries. The prevalence of dental caries was very low. Older age and frequent consumption of factory made sugary foods at age 1-2 years were associated with higher odds of developing dental caries. Prolonged breasfeeding and breastfeeding at night had no association with dental caries. Prevention of dental caries should be instituted as soon as primary teeth start erupting, especially through discouraging consumption of factory made sugary foods/snacks.

  9. Prosthetic Rehabilitation of a Patient with Gastroesophageal Reflux Disease: 4-Year Followup

    Directory of Open Access Journals (Sweden)

    Ricardo Coelho Okida

    2014-01-01

    Full Text Available The gastroesophageal reflux disease (GERD is one of the main causes of dental erosion. The aim of this case presented is to describe the prosthetic rehabilitation of a patient with GERD after 4 years of followup. A 33-year-old male patient complained about tooth sensitivity. The lingual surface of the maxillary anterior teeth and the cusps of the upper and lower posterior teeth presented wear. It was suspected that the feeling of heartburn reported by the patient associated with the intake of sports supplements (isotonics was causing gastroesophageal changes. The patient was referred to a gastroenterologist and was diagnosed with GERD. Dental treatment was performed with metal-free crowns and porcelain veneers after medical treatment of the disease. With the change in eating habits, the treatment of GERD and lithium disilicate ceramics provided excellent cosmetic results after 4 years and the patient reported satisfaction with the treatment.

  10. An integrated ultrasound curriculum (iUSC) for medical students: 4-year experience.

    Science.gov (United States)

    Hoppmann, Richard A; Rao, Victor V; Poston, Mary Beth; Howe, Duncan B; Hunt, Patrick S; Fowler, Stanley D; Paulman, Lance E; Wells, James R; Richeson, Nancy A; Catalana, Paul V; Thomas, Lynn K; Britt Wilson, L; Cook, Thomas; Riffle, Shaun; Neuffer, Francis H; McCallum, James B; Keisler, Brian D; Brown, Rachel S; Gregg, Anthony R; Sims, Kerry M; Powell, Caroline K; Garber, Matthew D; Morrison, James E; Owens, William B; Carnevale, Kevin A; Jennings, William R; Fletcher, Sarah

    2011-04-01

    A review of the development and implementation of a 4-year medical student integrated ultrasound curriculum is presented. Multiple teaching and assessment modalities are discussed as well as results from testing and student surveys. Lessons learned while establishing the curriculum are summarized. It is concluded that ultrasound is a well received, valuable teaching tool across all 4 years of medical school, and students learn ultrasound well, and they feel their ultrasound experience enhances their medical education.

  11. Intrathyroidal thymic tissue mimicking a malignant thyroid nodule in a 4-year-old child

    Energy Technology Data Exchange (ETDEWEB)

    Park, So Hyun [Dept. of Radiology, Kyung Hee University Hospital, Kyung Hee University College of Medicine, Seoul (Korea, Republic of); Ryu, Chang Woo; Kim, Gou Young; Shim, Kye Shik [Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine, Seoul (Korea, Republic of)

    2014-03-15

    Intrathyroidal thymic tissue is rare and may be confused with a malignant thyroid nodule because of hyperechoic dots mimicking calcifications. We report the case of a thyroid nodule with malignant ultrasonographic findings in a 4-year-old child, which was confirmed cytologically as ectopic thymic tissue. The sonographic findings of ectopic thymus were similar to those of the thymus; therefore, clinicians should be familiar with ultrasonography findings of normal thymic tissue.

  12. Total Body Fat Content versus BMI in 4-Year-Old Healthy Swedish Children

    OpenAIRE

    Elisabet Forsum; Eva Flinke Carlsson; Hanna Henriksson; Pontus Henriksson; Marie Löf

    2013-01-01

    Childhood overweight and obesity, a worldwide problem, is generally identified using BMI (body mass index). However, this application of BMI has been little investigated in children below 5 years of age due to a lack of appropriate methods to assess body composition. Therefore, we used air displacement plethysmography (ADP) to study 4.4-year old boys and girls since this method is accurate in young children if they accept the requirements of the measurement. The purpose was to analyze the rel...

  13. Intrathyroidal thymic tissue mimicking a malignant thyroid nodule in a 4-year-old child

    Directory of Open Access Journals (Sweden)

    So Hyun Park

    2014-01-01

    Full Text Available

    Intrathyroidal thymic tissue is rare and may be confused with a malignant thyroid nodule because of hyperechoic dots mimicking calcifications. We report the case of a thyroid nodule with malignant ultrasonographic findings in a 4-year-old child, which was confirmed cytologically as ectopic thymic tissue. The sonographic findings of ectopic thymus were similar to those of the thymus; therefore, clinicians should be familiar with ultrasonography findings of normal thymic tissue.

  14. A randomized clinical trial on the sealing of occlusal carious lesions: 3-4-year results.

    Science.gov (United States)

    Alves, Luana Severo; Giongo, Fernanda Cristina Mendes de Santa; Mua, Bruna; Martins, Vanessa Balbé; Barbachan E Silva, Berenice; Qvist, Vibeke; Maltz, Marisa

    2017-06-05

    This randomized clinical trial aimed to assess the efficacy of sealing occlusal carious lesions in permanent teeth. The sample consisted of 54 occlusal carious lesions in permanent molars and premolars of 49 patients aged 8-43 years (median: 19 years). The inclusion criteria comprised the presence of a cavity with no access allowing biofilm control. The maximum depth of the lesion was the middle third of the dentin thickness, as assessed by bitewing radiography. The teeth were randomly assigned to sealant treatment (n = 28) or restorative treatment (n = 26). Clinical and radiographic examinations were performed after 1 year and after 3-4 years. The outcomes depended on the clinical performance of the sealant/restoration and the control of caries progression observed radiographically. Survival analysis was performed to assess success rates. Over the 3-4 years of monitoring, 2 sealants were totally lost, 1 needed repair, and 1 showed caries progression, totaling 4 failures in the sealant group. In the restoration group, 1 failure was observed (in need of repair). The success rates were 76% and 94% in the sealant and the restoration groups, respectively (p > 0.05). The sealing of occlusal carious lesions in permanent teeth succeeded in controlling caries over a 3-4-year period. However, sealed carious lesions require patient compliance in attending regular follow-ups to control the occurrence of clinical failures of the sealants.

  15. Institutional advantage

    NARCIS (Netherlands)

    Martin, Xavier

    Is there such a thing as institutional advantage—and what does it mean for the study of corporate competitive advantage? In this article, I develop the concept of institutional competitive advantage, as distinct from plain competitive advantage and from comparative institutional advantage. I first

  16. Institutional advantage

    NARCIS (Netherlands)

    Martin, Xavier

    2014-01-01

    Is there such a thing as institutional advantage—and what does it mean for the study of corporate competitive advantage? In this article, I develop the concept of institutional competitive advantage, as distinct from plain competitive advantage and from comparative institutional advantage. I first i

  17. Confucius Institute

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    @@ Confucius Institute(simplified Chinese:孔子学院;traditional Chinese:孔子學院;pinyin:kǒngzǐ xuéyuàn)is a non-profit public institute which aims at promoting Chinese language and culture and supporting local Chinese teaching internationally through affiliated Confucius Institutes.

  18. Institutional advantage

    NARCIS (Netherlands)

    Martin, Xavier

    2014-01-01

    Is there such a thing as institutional advantage—and what does it mean for the study of corporate competitive advantage? In this article, I develop the concept of institutional competitive advantage, as distinct from plain competitive advantage and from comparative institutional advantage. I first i

  19. No population bias to left-hemisphere language in 4-year-olds with language impairment

    Directory of Open Access Journals (Sweden)

    Dorothy V.M. Bishop

    2014-08-01

    Full Text Available Background. An apparent paradox in the field of neuropsychology is that people with atypical cerebral lateralization do not appear to suffer any cognitive disadvantage, yet atypical cerebral lateralization is more common in children and adults with developmental language disorders. This study was designed to explore possible reasons for this puzzling pattern of results. Methods. We used functional transcranial Doppler ultrasound (fTCD to assess cerebral blood flow during language production in 57 four-year-olds, including 15 children who had been late-talkers when first seen at 20 months of age. We categorized cerebral lateralization as left, right or bilateral, and compared proportions with each type of laterality with those seen in a previously tested sample of children aged 6–16 years. We also compared language scores at 4 years for those with typical and atypical lateralization, and then looked at the association the opposite way: comparing those with typical or impaired language in terms of their cerebral lateralization. Results. The distribution of types of cerebral lateralization was similar for 4-year-olds to that seen in older children. Overall, cerebral lateralization was not predictive of language level. However, for children who had language difficulties at 20 months and/or 4 years (N = 21, there was no population bias to left-hemisphere language activation, whereas children without language problems at either age showed a pronounced bias to left-sided language lateralization. Nevertheless, many children with right hemisphere language had no indications of language difficulties, confirming that atypical cerebral asymmetry is not a direct cause of problems. Conclusions. We suggest that atypical lateralization at the individual level is not associated with language impairment. However, lack of lateralization at the population level is a marker of risk for language impairment, which could be due to genetic or non-genetic causes.

  20. Risk factors for high blood pressure in low income children aged 3-4 years.

    Science.gov (United States)

    Vitolo, Márcia Regina; da Costa Louzada, Maria Laura; Rauber, Fernanda; Campagnolo, Paula Dal Bó

    2013-08-01

    This study aimed to evaluate the effect of dietary sodium intake on blood pressure among low income children aged 3-4 years. Data were collected during a randomized trial conducted in São Leopoldo, Brazil, with 500 mother-child pairs recruited from the maternity ward of a local hospital. Breastfeeding data were obtained during the children's first year of life. At 3 to 4 years of age, children's anthropometric, dietary, and blood pressure assessments were obtained. Sodium intake was estimated from two multiple-pass 24-h dietary recalls. Systolic blood pressure > 90th percentile for age, sex, and height was classified as high systolic blood pressure, according to the population-based percentiles provided by the Task Force on Hypertension Control in Children and Adolescents. Blood pressure data were obtained from 331 children at 3 to 4 years. The mean value of systolic blood pressure was 91.31 mmHg (SD = 8.30 mmHg) and 5.2% (n = 17) presented high systolic blood pressure. The results of the multivariable analyses showed that children who consumed more than 1,200 mg of sodium/day and with waist-to-height ratio higher than 0.5 presented, respectively, 3.32 (95%CI 0.98-11.22) and 8.81 (95%CI 2.13-36.31) greater risk of having high systolic blood pressure. Exclusive breastfeeding, child overweight and change in body mass index z score during the first year of life were not associated with the outcome. The results of this study suggest that at preschool age sodium intake and high waist-to-height ratio are risk factors for high systolic blood pressure.

  1. Changes in Health Care Spending and Quality 4 Years into Global Payment

    Science.gov (United States)

    Song, Zirui; Rose, Sherri; Safran, Dana G.; Landon, Bruce E.; Day, Matthew P.; Chernew, Michael E.

    2014-01-01

    BACKGROUND Spending and quality under global budgets remain unknown beyond 2 years. We evaluated spending and quality measures during the first 4 years of the Blue Cross Blue Shield of Massachusetts Alternative Quality Contract (AQC). METHODS We compared spending and quality among enrollees whose physician organizations entered the AQC from 2009 through 2012 with those among persons in control states. We studied spending changes according to year, category of service, site of care, experience managing risk contracts, and price versus utilization. We evaluated process and outcome quality. RESULTS In the 2009 AQC cohort, medical spending on claims grew an average of $62.21 per enrollee per quarter less than it did in the control cohort over the 4-year period (P<0.001). This amount is equivalent to a 6.8% savings when calculated as a proportion of the average post-AQC spending level in the 2009 AQC cohort. Analogously, the 2010, 2011, and 2012 cohorts had average savings of 8.8% (P<0.001), 9.1% (P<0.001), and 5.8% (P = 0.04), respectively, by the end of 2012. Claims savings were concentrated in the outpatient-facility setting and in procedures, imaging, and tests, explained by both reduced prices and reduced utilization. Claims savings were exceeded by incentive payments to providers during the period from 2009 through 2011 but exceeded incentive payments in 2012, generating net savings. Improvements in quality among AQC cohorts generally exceeded those seen elsewhere in New England and nationally. CONCLUSIONS As compared with similar populations in other states, Massachusetts AQC enrollees had lower spending growth and generally greater quality improvements after 4 years. Although other factors in Massachusetts may have contributed, particularly in the later part of the study period, global budget contracts with quality incentives may encourage changes in practice patterns that help reduce spending and improve quality. (Funded by the Commonwealth Fund and others

  2. No population bias to left-hemisphere language in 4-year-olds with language impairment.

    Science.gov (United States)

    Bishop, Dorothy V M; Holt, Georgina; Whitehouse, Andrew J O; Groen, Margriet

    2014-01-01

    Background. An apparent paradox in the field of neuropsychology is that people with atypical cerebral lateralization do not appear to suffer any cognitive disadvantage, yet atypical cerebral lateralization is more common in children and adults with developmental language disorders. This study was designed to explore possible reasons for this puzzling pattern of results. Methods. We used functional transcranial Doppler ultrasound (fTCD) to assess cerebral blood flow during language production in 57 four-year-olds, including 15 children who had been late-talkers when first seen at 20 months of age. We categorized cerebral lateralization as left, right or bilateral, and compared proportions with each type of laterality with those seen in a previously tested sample of children aged 6-16 years. We also compared language scores at 4 years for those with typical and atypical lateralization, and then looked at the association the opposite way: comparing those with typical or impaired language in terms of their cerebral lateralization. Results. The distribution of types of cerebral lateralization was similar for 4-year-olds to that seen in older children. Overall, cerebral lateralization was not predictive of language level. However, for children who had language difficulties at 20 months and/or 4 years (N = 21), there was no population bias to left-hemisphere language activation, whereas children without language problems at either age showed a pronounced bias to left-sided language lateralization. Nevertheless, many children with right hemisphere language had no indications of language difficulties, confirming that atypical cerebral asymmetry is not a direct cause of problems. Conclusions. We suggest that atypical lateralization at the individual level is not associated with language impairment. However, lack of lateralization at the population level is a marker of risk for language impairment, which could be due to genetic or non-genetic causes.

  3. Kenny-Caffey Syndrome: oral findings and 4-year follow-up of overlay denture therapy.

    Science.gov (United States)

    Demir, Tahsin; Kecik, Defne; Cehreli, Zafer C

    2007-01-01

    Kenny-Caffey Syndrome (KCS) is an extremely rare osteosclerotic bone dysplasia associated with hypocalcemia and ocular abnormalities. Although the condition is well reported in the medical literature, dental manifestations have not been discussed in great detail. The purpose of this report is to present specific oral features and prosthetic management in a KCS patient. Overlay dentures were utilized in the management of low vertical dimension of occlusion, congenital absence of several permanent teeth, and problems associated with function and esthetics. Results of the 4-year follow-up overlay denture therapy are presented.

  4. Colonic Necrosis in a 4-Year-Old with Hyperlipidemic Acute Pancreatitis

    Directory of Open Access Journals (Sweden)

    Tiffany J. Patton

    2016-01-01

    Full Text Available Here we report the case of a 4-year-old male with severe acute pancreatitis due to hyperlipidemia, who presented with abdominal pain, metabolic abnormalities, and colonic necrosis. This colonic complication was secondary to the extension of a large peripancreatic fluid collection causing direct serosal autodigestion by pancreatic enzymes. Two weeks following the initial presentation, the peripancreatic fluid collection developed into a mature pancreatic pseudocyst, which was percutaneously drained. To our knowledge, this is the youngest documented pediatric case of colonic necrosis due to severe pancreatitis and the first descriptive pediatric case of a colonic complication due to hyperlipidemia-induced acute pancreatitis.

  5. The effectiveness of physical education of the military academy cadets during a 4-year study

    Directory of Open Access Journals (Sweden)

    Marić Lela

    2013-01-01

    Full Text Available Background/Aim. The main role of physical education is health and educational practices of cadets and all-round personality development. Instruction executing is successful only when the set requirements are realized. The aim of this study was to evaluate the effectiveness of physical education in order to rise physical capabilities of the Military Academy cadets during a 4-year education. Methods. The study was conducted in the Military Academy, Belgrade. A total of 120 cadets who at the beginning of the study were 19 years ± 6 months and at the end 23 years ± 6 months were included in this study. The study used the following tests for verification and assessment of physical fitness: pull-ups, lifting the trunk from the ground, standing long jump seats, running at 1,600 m and overcoming the infantry obstacles. The data were analyzed using statistical programs to calculate the central and dispersion parameters. The difference in the achieved results in the individual variables were evaluated by the univariate analysis of variance (ANOVA, while the differences in the system variables by region were identified by the multivariate analysis of variance (MANOVA and discriminant analysis. The group membership was determined using profile analysis. Results. There were statistically significant differences in all the tests to evaluate the effectiveness of physical education during a 4-year study, except in the standing long jump test. The best average results in motor capabilities tests, were achieved after two years of study, while in the endurance tests showed the best results achieved at the end of a 4-years studying. Conclusion. The results of overcoming specific tests for the physical abilities of the Military Academy cadets show that the physical education curriculum only slightly improves the development of physical skills of cadets during a 4-year study. The existing program shows the best results in the pull-ups test of the ground troops, and

  6. Idiopathic myelofibrosis with generalized periostitis in a 4-year-old girl.

    Science.gov (United States)

    Walia, Mandeep; Mehta, Rajesh; Paul, Premila; Saluja, Sumita; Kapoor, Sujala; Sharma, Monika

    2005-05-01

    Idiopathic myelofibrosis, a chronic myeloproliferative disorder of unknown origin, is characterized by splenomegaly, extramedullary hematopoiesis, leukoerythroblastosis, teardrop erythrocytes, and myelofibrosis. It is a rare disorder in childhood. The authors describe a 4-year-old girl with features consistent with idiopathic myelofibrosis, who also had generalized solid laminated periosteal reaction involving all long bones. The presence of thrombocytopenia at the onset and lack of leukocytosis were in contrast to the reported features seen in children. Recent case reports describe a relatively indolent course in children. Spontaneous remissions have also been described in pediatric cases. The fulminant course of this patient without any features of malignant transformation was noteworthy in this regard.

  7. Infant Sleep Predicts Attention Regulation and Behavior Problems at 3-4 Years of Age.

    Science.gov (United States)

    Sadeh, Avi; De Marcas, Gali; Guri, Yael; Berger, Andrea; Tikotzky, Liat; Bar-Haim, Yair

    2015-01-01

    This longitudinal study assessed the role of early sleep patterns in predicting attention regulation and behavior problems. Sleep of 43 infants was assessed using actigraphy at 12 months of age and then reassessed when the children were 3-4 years old. During this follow-up, their attention regulation and behavior problems were also assessed using a computerized test and parental reports. Lower quality of sleep in infancy significantly predicted compromised attention regulation and behavior problems. These findings underscore the need to identify and treat early sleep problems.

  8. Ingestion of tea tree oil (Melaleuca oil) by a 4-year-old boy.

    Science.gov (United States)

    Morris, Marilyn C; Donoghue, Aaron; Markowitz, Jennifer A; Osterhoudt, Kevin C

    2003-06-01

    A 4-year-old boy ingested a small quantity of tea tree oil. Within 30 minutes, he became ataxic and shortly thereafter progressed to unresponsiveness; he was endotracheally intubated by paramedics. His neurologic status improved gradually over 10 hours, and he remains well on follow-up. Tea tree oil is an increasingly popular topical antiseptic that is available in a wide variety of products, often without warning labels. Healthcare providers should be aware of the common uses of tea tree oil, as well as its potential toxicity.

  9. [Awake Nasotracheal Intubation for a 4-Year-old Boy with an Oral Penetrating Toothbrush Injury].

    Science.gov (United States)

    Kobayashi, Naoya; Ando, Kokichi; Saito, Kazutomo; Toyama, Hiroaki; Fudeta, Hiroto; Yamauchi, Masanori

    2015-09-01

    We report a case of an oral penetrating injury caused by a toothbrush in a 4-year-old 17-kg boy. The toothbrush was lodged in the right cervical region through the oral cavity, and emergency surgery for removal was planned under general anesthesia. Although mask ventilation was not possible because of the protruding toothbrush handle, awake nasotracheal intubation was successfully performed with a fiber-scope and intravenous fentanyl 25 μg. We conclude that appropriate analgesics could facilitate awake intubation in pediatric patients.

  10. Intermuscular lipoma in a 4-year-old child presenting like Spigelian hernia

    OpenAIRE

    2015-01-01

    Lipomas are commonest benign tumor and can occur at any part of the body, but intermuscular lipomas are very rare and usually occur at middle age or later. Intermuscular lipomas remain hidden till they attain a large size. They commonly appear on anterior abdominal wall. We treated a case of intermuscular lipoma in a 4-year-old girl. It presented as a bulge at right iliac fossa during straining; its location and symptoms were similar to that of Spigelian hernia. Actual diagnosis was made unde...

  11. Myositic Type of Idiopathic Orbital Pseudotumor in a 4-Year-Old Child: A Case Report

    Directory of Open Access Journals (Sweden)

    Selim Bakan

    2012-01-01

    Full Text Available Idiopathic orbital pseudotumor is a benign, noninfectious, and nonneoplastic disease with unknown cause. It is the third most common orbital disease after thyroid orbitopathy and lymphoproliferative disorder. Idiopathic orbital pseudotumor is extremely rare in pediatric age group and may cause real diagnostic problems. This paper describes a 4-year-old girl who presented with sudden ptosis in the right eye and swollen eyelid. She recovered completely with high-dose steroid therapy. We report clinical and magnetic resonance imaging findings of orbital myositis, which is a rare subtype of idiopathic orbital pseudotumor in children and needs to be differentiated from other orbital disease especially malignancy.

  12. Reporting outcome measures of functional constipation in children from 0 to 4 years of age.

    Science.gov (United States)

    Kuizenga-Wessel, Sophie; Benninga, Marc A; Tabbers, Merit M

    2015-04-01

    Functional constipation (FC) often begins in the first year of life. Although standard definitions and criteria have been formulated to describe FC, these are rarely used in research and clinical practice. The aim of the study is to systematically assess how definitions and outcome measures are defined in therapeutic randomized controlled trials (RCTs) of infants with FC. PubMed, EMBASE, and Cochrane databases were searched. Studies were included if it was a (systematic review of) therapeutic RCT, children ≤4 years old, they had FC, a clear definition of constipation was provided, and were written in English. Quality was assessed using the Delphi list. A total of 1115 articles were found; only 5 studies fulfilled the inclusion criteria. Four different definitions were used, of which only 2 used the internationally accepted Rome III criteria. Defecation frequency was used as primary outcome in all included trials and stool consistency in 3 trials. Two trials involving infants investigated new infant formulas, whereas the third RCT evaluated the efficacy of a probiotic strain. The 2 trials including infants up to 4 years of age compared polyethylene glycol without electrolytes (PEG4000) with lactulose and milk of magnesia. All of the trials used nonvalidated parental diaries. Different definitions and outcome measures for FC in infants are used in RCTs. Disappointingly, there is a lack of well-designed therapeutic trials in infants with constipation. To make comparison between future trials possible, standard definitions, core outcomes, and validated instruments are needed.

  13. Intellectual Disability in a Birth Cohort: Prevalence, Etiology, and Determinants at the Age of 4 Years

    Science.gov (United States)

    Karam, Simone M.; Barros, Aluísio J.D.; Matijasevich, Alícia; dos Santos, Iná S.; Anselmi, Luciana; Barros, Fernando; Leistner-Segal, Sandra; Félix, Têmis M.; Riegel, Mariluce; Maluf, Sharbel W.; Giugliani, Roberto; Black, Maureen M.

    2016-01-01

    Background Intellectual disability (ID), characterized by impairments in intellectual function and adaptive behavior, affects 1-3% of the population. Many studies investigated its etiology, but few are cohort studies in middle-income countries. Aims To estimate prevalence, etiology, and factors related to ID among children prospectively followed since birth in a Southern Brazilian city (Pelotas). Methods In 2004, maternity hospitals were visited daily and births were identified. Live-born infants (n = 4,231) whose family lived in the urban area have been followed for several years. At the age of 2 and 4 years, performances in development and intelligence tests were evaluated using the Battelle Developmental Inventory and Wechsler Intelligence Scale, respectively. Children considered as having developmental delay were invited to attend a genetic evaluation. Results At 4 years of age, the prevalence of ID was 4.5%, and the etiology was classified into 5 groups: environmental (44.4%), genetic (20.5%), idiopathic (12.6%), neonatal sequelae (13.2%), other diseases (9.3%). Most children presented impairment in two or more areas of adaptive behavior. There was no difference in prenatal care attendance or maternal schooling among the groups. Conclusion For about 40% of children, ID was attributed to nonbiological factors, suggesting that the rate may be reduced with appropriate interventions early in life. PMID:27595410

  14. Total Body Fat Content versus BMI in 4-Year-Old Healthy Swedish Children

    Directory of Open Access Journals (Sweden)

    Elisabet Forsum

    2013-01-01

    Full Text Available Childhood overweight and obesity, a worldwide problem, is generally identified using BMI (body mass index. However, this application of BMI has been little investigated in children below 5 years of age due to a lack of appropriate methods to assess body composition. Therefore, we used air displacement plethysmography (ADP to study 4.4-year old boys and girls since this method is accurate in young children if they accept the requirements of the measurement. The purpose was to analyze the relationship between BMI and body fat in these children. Body composition was assessed in 76 (43 boys, 33 girls of the 84 children brought to the measurement session. Boys and girls contained 25.2±4.7 and 26.8±4.0% body fat, respectively. BMI-based cut-offs for overweight could not effectively identify children with a high body fat content. There was a significant (P<0.001 but weak (r=0.39 correlation between BMI and body fat (%. In conclusion, requirements associated with a successful assessment of body composition by means of ADP were accepted by most 4-year-olds. Furthermore, BMI-based cut-offs for overweight did not effectively identify children with a high body fatness and BMI explained only a small proportion of the variation in body fat (% in this age group.

  15. Partial achilles tendon rupture presenting with giant hematoma; MRI findings of 4 year follow up.

    Science.gov (United States)

    Sarsilmaz, Aysegul; Varer, Makbule; Coskun, Gulten; Apaydın, Melda; Oyar, Orhan

    2011-12-01

    In the young population, spontaneous rupture of Achilles tendon is very rare. The big hematoma is also rare finding of the Achilles tendon partial rupture. It is usually seen with complete rupture. We presented imaging findings of 4 years follow up of the spontaneous partial rupture of Achilles tendon presenting with giant expanding hematoma and mimicking complete rupture radiologically. We discussed the alterations of tendon signal intensity and result of conservative therapy after partial rupture with big hematoma in the long term. A 29 year-old man, applied with pain and swelling in the retrocalcaneal region of left ankle. He did not have chronic metabolic disease. He was not active in physical activities. X-ray radiograms were normal. At magnetic resonance images (MRI), there was an intratendinous big hematoma, subcutanous fat planes were edematous around tendon. The diagnosis was partial rupture and giant hematoma. Hematoma was drained. The conservative treatment was applied and his complaints disappeared. After treatment, approximately 4 years later, control MRI showed thickened and hypointense tendon in all images. Crown Copyright © 2011. Published by Elsevier Ltd. All rights reserved.

  16. Canadian Sedentary Behaviour Guidelines for the Early Years (aged 0-4 years).

    Science.gov (United States)

    Tremblay, Mark S; Leblanc, Allana G; Carson, Valerie; Choquette, Louise; Connor Gorber, Sarah; Dillman, Carrie; Duggan, Mary; Gordon, Mary Jane; Hicks, Audrey; Janssen, Ian; Kho, Michelle E; Latimer-Cheung, Amy E; Leblanc, Claire; Murumets, Kelly; Okely, Anthony D; Reilly, John J; Stearns, Jodie A; Timmons, Brian W; Spence, John C

    2012-04-01

    The Canadian Society for Exercise Physiology (CSEP), with assistance from multiple partners, stakeholders, and researchers, developed the first Canadian Sedentary Behaviour Guidelines for the Early Years (aged 0-4 years). These national guidelines are in response to a call from health and health care professionals, child care providers, and fitness practitioners for guidance on sedentary behaviour in the early years. The guideline development process followed the Appraisal of Guidelines for Research Evaluation (AGREE) II framework. The recommendations are informed by evidence from a systematic review that examined the relationships between sedentary behaviour (predominantly screen time) and health indicators (healthy body weight, bone and skeletal health, motor skill development, psychosocial health, cognitive development, and cardio-metabolic disease risk factors) for three age groups (infants aged Development and Evaluation (GRADE) system. The new guidelines include a preamble to provide context, followed by the specific recommendations. The final guidelines benefitted from extensive on-line consultations with input from >900 domestic and international stakeholders, end-users, and key informants. The final guidelines state: for healthy growth and development, caregivers should minimize the time infants (aged games) is not recommended. For children 2-4 years, screen time should be limited to under 1 h per day; less is better.

  17. Three- and 4-year-old children's response tendencies to various interviewers.

    Science.gov (United States)

    Okanda, Mako; Kanda, Takayuki; Ishiguro, Hiroshi; Itakura, Shoji

    2013-09-01

    Unlike young preschoolers, older preschoolers may exhibit a response bias under social pressure from authoritative interviewers. To examine this, 3- and 4-year-old preschoolers were asked yes-no questions about familiar and unfamiliar objects in three conditions. In one condition an adult asked them questions in a live interaction, in a second condition an adult asked questions via video, and in a third condition a robot asked questions via video. The 3-year-olds exhibited a yes bias-a tendency to say "yes"-in nearly all conditions. The only exception was when they were asked questions about unfamiliar objects by the human interviewer via video, where they did not respond in a biased manner. The 4-year-olds exhibited a yes bias in only one condition-when they were questioned by a live human interviewer about both objects. They also exhibited a nay-saying bias when asked questions about unfamiliar objects in both video conditions, and they did not show any response bias in other conditions. The results suggest that the social pressure from an authoritative adult in a live interaction is problematic.

  18. Total body fat content versus BMI in 4-year-old healthy Swedish children.

    Science.gov (United States)

    Forsum, Elisabet; Flinke Carlsson, Eva; Henriksson, Hanna; Henriksson, Pontus; Löf, Marie

    2013-01-01

    Childhood overweight and obesity, a worldwide problem, is generally identified using BMI (body mass index). However, this application of BMI has been little investigated in children below 5 years of age due to a lack of appropriate methods to assess body composition. Therefore, we used air displacement plethysmography (ADP) to study 4.4-year old boys and girls since this method is accurate in young children if they accept the requirements of the measurement. The purpose was to analyze the relationship between BMI and body fat in these children. Body composition was assessed in 76 (43 boys, 33 girls) of the 84 children brought to the measurement session. Boys and girls contained 25.2 ± 4.7 and 26.8 ± 4.0% body fat, respectively. BMI-based cut-offs for overweight could not effectively identify children with a high body fat content. There was a significant (P BMI and body fat (%). In conclusion, requirements associated with a successful assessment of body composition by means of ADP were accepted by most 4-year-olds. Furthermore, BMI-based cut-offs for overweight did not effectively identify children with a high body fatness and BMI explained only a small proportion of the variation in body fat (%) in this age group.

  19. Nocardia brasiliensis infection mimicking juvenile idiopathic arthritis in a 4-year-old girl.

    Science.gov (United States)

    Kapur, Nitin; Adib, Navid; Grimwood, Keith

    2013-11-01

    Nocardia are ubiquitous environmental saprophytes that cause pneumonia and disseminated disease in immunocompromised patients. They can also cause localized cutaneous and soft tissue infections in healthy people after direct percutaneous inoculation. Nocardia arthritis is rare in both forms of the disease. Here we present the first published case of a child with septic arthritis caused by N brasiliensis. Importantly, this otherwise well 4-year-old girl had no known history of trauma but presented with transient cutaneous lesions and a 6-week history of arthritis involving the right fourth digit proximal interphalangeal joint without accompanying fever or raised systemic inflammatory markers. She received a diagnosis of juvenile idiopathic arthritis and underwent antiinflammatory and immunosuppressant therapy. After 2 months she developed frank septic arthritis, which necessitated a surgical joint washout, from which an intraoperative swab grew N brasiliensis. The patient received 6 months of high-dose trimethoprim-sulfamethoxazole and remains well more than 4 years after treatment. This unusual case highlights the importance of considering an indolent infection from slow-growing organisms, including Nocardia, when diagnosing the oligoarthritis subtype of juvenile idiopathic arthritis. This is especially relevant when a single joint is involved and response to antiinflammatory therapy is suboptimal because antiinflammatory agents may mask evolving signs of infection.

  20. A longitudinal study of the emerging self from 9 months to the age of 4 years

    Directory of Open Access Journals (Sweden)

    Susanne eKristen-Antonow

    2015-06-01

    Full Text Available The aim of this study was to investigate if children’s early responsiveness towards social partners is developmentally related to their growing concept of self, as reflected in their mirror self recognition (MSR and delayed self recognition (DSR. Thus, a longitudinal study assessed infants' responsiveness (e.g., smiling, gaze towards social partners during the still-face task and a social imitation game and related it to their emerging MSR and DSR. Thereby, children were tested at regular time points from 9 months to 4 years of age. Results revealed significant predictive relations between children’s responsiveness towards a social partner in the still-face task at 9 months and their MSR at 24 months. Further, interindividual differences in children’s awareness of and responsiveness towards being imitated in a social imitation game at 12 months proved to be the strongest predictor of children’s DSR at 4 years, while some additional variance was explained by MSR at 24 months and verbal intelligence. Overall, findings suggest a developmental link between children’s early awareness of and responsiveness towards the social world and their later ability to form a concept of self.

  1. Experience with headwear influences the other-race effect in 4-year-old children.

    Science.gov (United States)

    Suhrke, Janina; Freitag, Claudia; Lamm, Bettina; Teiser, Johanna; Poloczek, Sonja; Fassbender, Ina; Teubert, Manuel; Voehringer, Isabel; Keller, Heidi; Knopf, Monika; Lohaus, Arnold; Schwarzer, Gudrun

    2015-09-01

    The other-race effect (ORE) implies the better recognition of faces of one's own race compared with faces of a different race. It demonstrates that face recognition is shaped by daily experience with human faces. Such experience mainly includes structural information of own-race faces and also information on the way faces are usually seen, as a whole or partly covered by scarves or other headwear. In two experiments, we investigated how this mode of presentation is related to the occurrence of the ORE during childhood. In Experiment 1, 4-year-old German children (N = 104), accustomed to seeing faces without headwear in daily life, were asked to recognize female Caucasian or African faces, presented either as a whole or wearing a woolen hat, in a forced choice paradigm. In Experiment 2, 4-year-olds from rural Cameroon (N = 70), accustomed to seeing faces with and without headwear in daily life, participated in the same task. In both groups, the ORE was present in the familiar mode of presentation, that is, in whole faces in German children and in whole and partly covered faces in Cameroonian children. The results are discussed in relation to the role of experience for face recognition processes.

  2. Implementation of a 4-Year Point-of-Care Ultrasound Curriculum in a Liaison Committee on Medical Education-Accredited US Medical School.

    Science.gov (United States)

    Wilson, Sean P; Mefford, Jason M; Lahham, Shadi; Lotfipour, Shahram; Subeh, Mohammad; Maldonado, Gracie; Spann, Sophie; Fox, John C

    2017-02-01

    The established benefits of point-of-care ultrasound have given rise to multiple new and innovative curriculums to incorporate ultrasound teaching into medical education. This study sought to measure the educational success of a comprehensive and integrated 4-year point-of-care ultrasound curriculum. We integrated a curriculum consisting of traditional didactics combined with asynchronous learning modules and hands-on practice on live models with skilled sonographers into all 4 years of education at a Liaison Committee on Medical Education-accredited US Medical School. Each graduating student was administered an exit examination with 48 questions that corresponded to ultrasound milestones. Ninety-five percent (n = 84) of fourth-year medical students completed the exit examination. The mean score was 79.5% (SD, 10.2%), with mean scores on the ultrasound physics and anatomy subsections being 77.1% (SD, 11.0%) and 85.9% (SD, 21.0%), respectively. A comprehensive 4-year point-of-care ultrasound curriculum integrated into medical school may successfully equip graduating medical students with a fundamental understanding of ultrasound physics, anatomy, and disease recognition. © 2016 by the American Institute of Ultrasound in Medicine.

  3. Civil Technology. Surveying. Post Secondary Curriculum Guide.

    Science.gov (United States)

    Fitzpatrick, Beverley J.; And Others

    This curriculum guide was designed for use in postsecondary civil technology--surveying education programs in Georgia. Its purpose is to provide for development of entry level skills in surveying in the areas of knowledge, theoretical structure, tool usage, diagnostic ability, related supportive skills, and occupational survival skills. The first…

  4. REACH. Electricity Units, Post-Secondary.

    Science.gov (United States)

    Smith, Gene; And Others

    As a part of the REACH (Refrigeration, Electro-Mechanical, Air-Conditioning, Heating) electromechanical cluster, this postsecondary student manual contains individualized instructional units in the area of electricity. The instructional units focus on electricity fundamentals, electric motors, electrical components, and controls and installation.…

  5. Post-Secondary Education in Agricultural Marketing

    Science.gov (United States)

    Curtis, Paul E.; Henebry, William J.

    1970-01-01

    Paul Curtis is Lead Instructor in Agriculture and William Henebry is Instructor in Agri-Marketing at Parkland College, Champaign, Illinois. Dr. Curtis holds a Ph.D. in agronomy from the University of Illinois where he conducted research and taught plant breeding and plant physiology. Mr. Henebry, with 23 years of experience as a grain elevator…

  6. VT School Locations - Post-Secondary

    Data.gov (United States)

    Vermont Center for Geographic Information — (Link to Metadata) FacilitiesSchools_PTSCHOOL is designed to provide point locations of every Vermont School along with the established school ID (PSID) for...

  7. Argus II retinal prosthesis implantation with scleral flap and autogenous temporalis fascia as alternative patch graft material: a 4-year follow-up

    Directory of Open Access Journals (Sweden)

    Matet A

    2016-08-01

    Full Text Available Alexandre Matet,1,2 Nawel Amar,1,2 Saddek Mohand-Said,1–4 José-Alain Sahel,1–7 Pierre-Olivier Barale1,2 1INSERM and DHOS, CHNO des Quinze-Vingts, 2Sorbonne Universités, UPMC Univ Paris 6, Institut de la Vision, 3INSERM, 4CNRS, Paris, France; 5Institute of Ophthalmology, University College London, London, UK; 6Fondation Ophtalmologique Adolphe de Rothschild, 7Académie des Sciences, Institut de France, Paris, France Introduction: The Argus II retinal prosthesis is composed of an epiretinal electrode array positioned over the macula and connected to an extrascleral electronics case via a silicone cable, running through a sclerotomy. During implantation, the manufacturer recommends to cover the sclerotomy site with a patch of processed human pericardium to prevent postoperative hypotony and conjunctival erosion by the underlying electronics case. Due to biomedical regulations prohibiting the use of this material in France, we developed an alternative technique combining a scleral flap protecting the sclerotomy and an autogenous graft of superior temporalis fascia overlying the electronics case. Methods: The purpose of this study is to describe the 4-year outcomes of this modified procedure in three subjects who underwent Argus II Retinal Prosthesis System implantation. Clinical data consisting of intraocular pressure measurements and tolerance in terms of conjunctival erosion or inflammation were retrospectively assessed over a 4-year postoperative follow-up. Results: None of the three patients implanted with the modified technique developed ocular hypotony over 4 years. A normal, transient conjunctival inflammation occurred during the first postoperative month but conjunctival erosion was not observed in any of the three patients over 4 years. Four years after implantation, the autogenous temporalis fascia graft remained well tolerated and the retinal prosthesis was functional in all three patients. Conclusion: The combination of an

  8. Caffeine consumption and the 4-year progression of de novo Parkinson's disease.

    Science.gov (United States)

    Moccia, Marcello; Erro, Roberto; Picillo, Marina; Vitale, Carmine; Longo, Katia; Amboni, Marianna; Pellecchia, Maria Teresa; Barone, Paolo

    2016-11-01

    Higher caffeine consumption has been associated with reduced risk of Parkinson's disease (PD), and with a more benign progression of motor and non-motor symptoms (NMS). The present observational cohort study investigated motor and non-motor correlates of caffeine consumption in de novo PD. 79 newly diagnosed, drug naïve PD patients have been included and followed up for 4 years. The total caffeine use was calculated with the Caffeine Consumption Questionnaire. Following study variables were recorded at baseline, and after 2 and 4 years: UPDRS part III, UPDRS part IV, l-dopa Equivalent Daily Dose (LEDD), NMS Questionnaire (NMSQuest), and the time occurring from PD diagnosis to the need for l-dopa treatment. Age, gender and disease duration were included as covariates in the statistical models. The average daily caffeine consumption was 296.1 ± 157.2 mg. At Cox regression models, higher caffeine consumption was associated with a lower rate of starting l-Dopa treatment (HR = 0.630; 95%CI = 0.382-0.996). At the mixed-effects linear regression models considering the whole study period, each additional espresso cup per day (50 mg of caffeine) was more likely associated with 5-point lower UPDRS part III total score (Coef = -0.01; 95%CI = -0.02 to 0.00), with 50% reduced LEDD (Coef = -0.01; 95%CI = -0.15 to 0.00; p = 0.021), and with 5-point lower NMSQuest total score (Coef = -0.01; 95%CI = -0.01 to 0.00), but not with UPDRS part IV total score (Coef = -0.00; 95%CI = -0.00 to 0.00). Caffeine consumption was associated with a reduced accrual of motor and non-motor disability during 4-year follow-up in de novo PD, highlighting the rationale for using adenosine A2A antagonists since the early phases of PD. Copyright © 2016. Published by Elsevier Ltd.

  9. Predicting reading and spelling disorders: a 4-year prospective cohort study

    Directory of Open Access Journals (Sweden)

    Lucia eBigozzi

    2016-03-01

    Full Text Available In this 4-year prospective cohort study, children with a reading and spelling disorder, children with a spelling impairment, and children without a reading and/or spelling disorder (control group in a transparent orthography were identified in third grade, and their emergent literacy performances in kindergarten compared retrospectively. 642 Italian children participated. This cohort was followed from the last year of kindergarten to third grade. In kindergarten, the children were assessed in phonological awareness, conceptual knowledge of writing systems and textual competence. In third grade, 18 children with a reading and spelling impairment and 13 children with a spelling impairment were identified. Overall, conceptual knowledge of the writing system was the only statistically significant predictor of the clinical samples. No differences were found between the two clinical samples.

  10. Cooperation, but not competition, improves 4-year-old children's reasoning about others' diverse desires.

    Science.gov (United States)

    Jin, Xinyi; Li, Pengchao; He, Jie; Shen, Mowei

    2017-05-01

    Three experiments examined whether cooperation or competition affects 4-year-old children's reasoning about other people's desires-which differed from their own-in a gift selection task. Experiment 1 (N=72) found that children's performance in selecting an adult-preferred gift for an adult experimenter was enhanced by a short period of preceding cooperative, but not competitive or individualistic, play with the experimenter. Experiment 2 (N=24) ruled out the alternative explanation that children resisted satisfying their opponent after competition. Experiment 3 (N=48) replicated the cooperation advantage in selecting a gift for someone else, indicating that children's understanding of diverse desires was generally improved by cooperation but not competition. These findings support the constructivist view of social development and highlight the advantage of cooperation. Copyright © 2016 Elsevier Inc. All rights reserved.

  11. Growing teratoma syndrome: first case report in a 4-year-old girl.

    Science.gov (United States)

    Daher, Paul; Riachy, Edward; Khoury, Antoine; Raffoul, Lara; Ghorra, Claude; Rehayem, Caline

    2015-02-01

    Growing teratoma syndrome (GTS) consists of germ cell tumors that grow following chemotherapy despite complete eradication of the malignant cells. They can metastasize to any site, particularly the retroperitoneum, mediastinum and cervical region. It typically affects young adults and adolescents. Here we describe the youngest case reported in a 4-year-old girl with an ovarian mixed germ cell tumor who underwent an oophorectomy. Her tumor markers normalized by the end of her chemotherapeutic treatment; however, she developed a retroperitoneal mass that was subsequently resected. Histopathology revealed a mature teratoma, consisting of a GTS. We stress the need for early recognition and treatment of GTS to avoid the subsequent morbidity and mortality associated with it. Although GTS has an excellent prognosis when completely resected, it is essential that the patient be regularly followed-up with serum tumor markers and imaging.

  12. Cerebral candidiasis in a 4-year-old boy after intestinal surgery.

    Science.gov (United States)

    Zhang, Shu-Cheng

    2015-03-01

    Cerebral candidiasis is a devastating disease which contributes to a high mortality. Most of the cerebral candidiasis are never microbiologically or radiologically confirmed. In this case, a 4-year-old boy who developed cerebral candidiasis was successfully rescued and presented. The diagnosis of cerebral candidiasis was established based on both microbiologic and radiologic examinations. The pathogen was revealed to be Candida albicans by cerebrospinal fluid and central venous catheter cultures, and the cerebral involvement was recorded by series head magnetic resonance imaging (MRI) with an appearance of special encephalitis demonstrated. The imaging studies played a critical role throughout the diagnosis and treatment. Familiarity with the imaging findings in the appropriate clinical setting may result in a heightened level of awareness of this infection and, consequently, in earlier diagnosis and treatment.

  13. A Review and Report of Peripheral Giant Cell Granuloma in a 4-Year-Old Child

    Directory of Open Access Journals (Sweden)

    Afsaneh Nekouei

    2016-01-01

    Full Text Available Peripheral giant cell granuloma is a common benign and reactive gingival epulis in oral cavity. It is often difficult to make a clinical diagnosis; thereby definitive diagnosis depends on histopathologic features. We report a case of a 4-year-old Caucasian boy presenting with a five-month history a 20 × 15 × 12 mm pedunculated, lobular soft tissue mass of the left anterior maxilla gingiva which was misdiagnosed and maltreated before his referral. An excisional biopsy of the lesion followed by histopathologic examination of the biopsy specimen revealed distinctive features of peripheral giant cell granuloma. Early detection and excision of this hyperplastic nodule especially in children are important to minimize potential dentoalveolar complications.

  14. Conjunctival lymphangioma in a 4-year-old girl revealed tuberous sclerosis complex

    Directory of Open Access Journals (Sweden)

    Freiberg, Florentina Joyce

    2016-09-01

    Full Text Available Background: To present a case of conjunctival lymphangioma in a girl with tuberous sclerosis complex.Methods/results: A 4-year-old girl presented with a relapsing cystic lesion of the bulbar conjunctiva in the right eye with string-of-pearl-like dilation of lymphatic vessels and right-sided facial swelling with mild pain. Best-corrected vision was not impaired. Examination of the skin revealed three hypomelanotic macules and a lumbal Shagreen patch. Magnetic resonance imaging (MRI findings displayed minimal enhancement of buccal fat on the right side. Cranial and orbital MRI showed signal enhancement in the right cortical and subcortical areas. Genetic analysis revealed a heterozygous deletion encompassing exon 1 and 2 of the gene (tuberous sclerosis complex 1 gene, confirming the diagnosis of tuberous sclerosis complex.Conclusion: In conjunctival lymphangioma, tuberous sclerosis complex should be considered as the primary disease.

  15. CLINICAL EVALUATION OF CERAMIC PROSTHETIC RESTORATIONS ON A ZIRCONIUM STRUCTURE AFTER 4 YEARS

    Directory of Open Access Journals (Sweden)

    Delia Cristina Bahrim

    2011-09-01

    Full Text Available The mechanical properties of zirconium are optimum, comparatively with the other ceramic materials. Initial and fracture resistance, as well as its resistance to flexion, the white, opaque colour, permitting several shades, the special biological properties, largely recommend largescale utilization of zirconium in prosthetic restorations. Zirconium crowns and bridges were realized in 129 patients (81 women and 48 boys, with ages between 15 and 57 years, along 4 years. The working method applied in the laboratory made use of the CAD-CAM system, followed by scanning on a Dental Wings scanner and a CAM burring system from Wieland 917, 18. In a few cases, repeated evaluations demonstrated accidents and complications, such as skeletal fractures, ceramic chipping, decementation, etc.

  16. Intermuscular lipoma in a 4-year-old child presenting like Spigelian hernia

    Directory of Open Access Journals (Sweden)

    Manoj Saha

    2015-01-01

    Full Text Available Lipomas are commonest benign tumor and can occur at any part of the body, but intermuscular lipomas are very rare and usually occur at middle age or later. Intermuscular lipomas remain hidden till they attain a large size. They commonly appear on anterior abdominal wall. We treated a case of intermuscular lipoma in a 4-year-old girl. It presented as a bulge at right iliac fossa during straining; its location and symptoms were similar to that of Spigelian hernia. Actual diagnosis was made under general anesthesia and complete surgical excision was done. This is a rare mode of presentation of an intermuscular lipoma. Intermuscular lipoma of the abdominal wall at this young age was not reported earlier.

  17. Intermuscular lipoma in a 4-year-old child presenting like Spigelian hernia.

    Science.gov (United States)

    Saha, Manoj

    2015-01-01

    Lipomas are commonest benign tumor and can occur at any part of the body, but intermuscular lipomas are very rare and usually occur at middle age or later. Intermuscular lipomas remain hidden till they attain a large size. They commonly appear on anterior abdominal wall. We treated a case of intermuscular lipoma in a 4-year-old girl. It presented as a bulge at right iliac fossa during straining; its location and symptoms were similar to that of Spigelian hernia. Actual diagnosis was made under general anesthesia and complete surgical excision was done. This is a rare mode of presentation of an intermuscular lipoma. Intermuscular lipoma of the abdominal wall at this young age was not reported earlier.

  18. [Noma in a 4 year-old girl: a case report from Chad].

    Science.gov (United States)

    Cocquempot, K; Javaudin, O; Lerasle, P; Aigle, L

    2014-01-01

    This case report describes a 4-year-old girl in Chad with noma, also called cancrum oris. This acute gangrenous stomatitis has a combined morbidity-mortality rate that can reach 70%. It occurs worldwide but is most common in sub-Saharan Africa in children aged 2 to 16 years. Its pathogenesis is uncertain, but several bacteria including Fusobacterium necrophorum, Prevotella intermedia and Pseudomonas aeruginosa may be responsible for the development of noma, which develops over the oral lesions these bacteria cause. Poverty is its most important risk factor. Due to its rapid course and high lethality, it requires emergency treatment with antibiotics, daily dressing of the lesion, and nutritional rehabilitation. Surgical removal of the remaining necrotic tissue can be followed by reconstructive procedures. Physical and speech therapy should be initiated to prevent functional complications.

  19. Predicting Reading and Spelling Disorders: A 4-Year Prospective Cohort Study.

    Science.gov (United States)

    Bigozzi, Lucia; Tarchi, Christian; Caudek, Corrado; Pinto, Giuliana

    2016-01-01

    In this 4-year prospective cohort study, children with a reading and spelling disorder, children with a spelling impairment, and children without a reading and/or spelling disorder (control group) in a transparent orthography were identified in third grade, and their emergent literacy performances in kindergarten compared retrospectively. Six hundred and forty-two Italian children participated. This cohort was followed from the last year of kindergarten to third grade. In kindergarten, the children were assessed in phonological awareness, conceptual knowledge of writing systems and textual competence. In third grade, 18 children with a reading and spelling impairment and 13 children with a spelling impairment were identified. Overall, conceptual knowledge of the writing system was the only statistically significant predictor of the clinical samples. No differences were found between the two clinical samples.

  20. Indirect pulp treatment in a permanent molar: case reort of 4-year follow-up

    Directory of Open Access Journals (Sweden)

    Ticiane Cestari Fagundes

    2009-02-01

    Full Text Available This case report describes the Indirect Pulp Treatment (IPT of deep caries lesion in a permanent molar. A 16-year-old male patient reported discomfort associated with thermal stimulation on the permanent mandibular left first molar. The radiographs revealed a deep distal caries lesion, very close to the pulp, absence of radiolucencies in the periapical region, and absence of periodontal space thickening. Pulp sensitivity was confirmed by thermal pulp vitality tests. Based on the main complaint and the clinical and radiographic examinations, the treatment plan was established to preserve pulp vitality. Clinical procedures consisted of removing the infected dentin and lining the caries-affected dentin with calcium hydroxide paste. The tooth was provisionally sealed for approximately 60 days. After this period, tooth vitality was confirmed, the remaining carious dentin was removed, and the tooth was restored. At 4-year follow-up, no clinical or radiographic pathological findings were found.

  1. LOCAL RECURRENCE OF TUBULOCYSTIC CARCINOMA 4 YEARS AFTER RENAL RESECTION (A CLINICAL OBSERVATION

    Directory of Open Access Journals (Sweden)

    M. V. Peters

    2014-08-01

    Full Text Available The paper describes a clinical case of a local recurrence of tubulocystic carcinoma (TCC in a 46-year-old man, a relatively good course (the relapse occurred after 4 years, who has been successfully operated on and is being followed up. This disease is a rare renal malignancy and, until recently, it has been referred to as collecting tubular carcinoma. However, this disease has come to be regarded as an independent nosological entity, by taking into account its certain morphological, immunohistohemical, and cytogenetic characteristics, as well as the nature of its course. About 80 TCC cases have been described to date. Further study of this disease and other rare renal malignancies will allow the more accurate elaboration of management tactics for such patients in terms of certain prognostic factors, which calls for a larger number of cases of this disease.

  2. Long-Term Exercise in Older Adults: 4-Year Outcomes of Music-Based Multitask Training

    Science.gov (United States)

    Herrmann, François R.; Fielding, Roger A.; Reid, Kieran F.; Rizzoli, René; Trombetti, Andrea

    2016-01-01

    Prospective controlled evidence supporting the efficacy of long-term exercise to prevent physical decline and reduce falls in old age is lacking. The present study aimed to assess the effects of long-term music-based multitask exercise (i.e., Jaques-Dalcroze eurhythmics) on physical function and fall risk in older adults. A 3-year follow-up extension of a 1-year randomized controlled trial (NCT01107288) was conducted in Geneva (Switzerland), in which 134 community-dwellers aged ≥65 years at increased risk of falls received a 6-month music-based multitask exercise program. Four years following original trial enrolment, 52 subjects (baseline mean ± SD age, 75 ± 8 years) who (i) have maintained exercise program participation through the 4-year follow-up visit (“long-term intervention group”, n = 23) or (ii) have discontinued participation following original trial completion (“control group”, n = 29) were studied. They were reassessed in a blind fashion, using the same procedures as at baseline. At 4 years, linear mixed-effects models showed significant gait (gait speed, P = 0.006) and balance (one-legged stance time, P = 0.015) improvements in the long-term intervention group, compared with the control group. Also, long-term intervention subjects did better on Timed Up & Go, Five-Times-Sit-to-Stand and handgrip strength tests, than controls (P < 0.05, for all comparisons). Furthermore, the exercise program reduced the risk of falling (relative risk, 0.69; 95 % confidence interval, 0.5–0.9; P = 0.008). These findings suggest that long-term maintenance of a music-based multitask exercise program is a promising strategy to prevent age-related physical decline in older adults. They also highlight the efficacy of sustained long-term adherence to exercise for falls prevention. PMID:25148876

  3. Fear of repeated injections in children younger than 4 years receiving subcutaneous allergy immunotherapy.

    Science.gov (United States)

    de Vos, Gabriele; Shankar, Viswanathan; Nazari, Ramin; Kooragayalu, Shravan; Smith, Mitchell; Wiznia, Andrew; Rosenstreich, David

    2012-12-01

    Allergy immunotherapy during early childhood may have potential benefits for the prevention of asthma and allergy morbidity. However, subcutaneous immunotherapy has not yet been prospectively researched in children younger than 4 years, primarily because of safety concerns, including the fear and psychological distress young children may experience with repeated needle injections. To quantify fear in atopic children younger than 4 years with a history of wheezing who are receiving subcutaneous immunotherapy. Fear of injection was graded during a total of 788 immunotherapy injection visits in 18 children (age, 37 months; SD, 9 months) receiving subcutaneous allergy immunotherapy. The parent and the injection nurse assigned fear scores on a scale of 0 to 10 after each injection visit. At the time of analysis, children had a median of 49 injection visits (range, 12-88) during a median study period of 81.5 weeks (range, 15-165 weeks). Fifteen children (83%) lost their fear of injections during the study. A fear score of 0 was achieved after a mean of 8.4 visits (SD, 7.4). The more injection visits were missed, the more likely children were to retain fear of injections (hazard ratio, 0.13; 95% confidence interval, 0.02-1.02; P=.05). Age, adverse events, number of injections at each visit, and change of injection personnel were not associated with increased fear. Our analysis suggests that most children receiving weekly subcutaneous immunotherapy lose their fear of injections during the treatment course. Children with increased intervals between visits may be at higher risk of experiencing fear of injections. clinicaltrial.gov identifier NCT01028560. Copyright © 2012 American College of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

  4. Long-term exercise in older adults: 4-year outcomes of music-based multitask training.

    Science.gov (United States)

    Hars, Mélany; Herrmann, François R; Fielding, Roger A; Reid, Kieran F; Rizzoli, René; Trombetti, Andrea

    2014-11-01

    Prospective controlled evidence supporting the efficacy of long-term exercise to prevent physical decline and reduce falls in old age is lacking. The present study aimed to assess the effects of long-term music-based multitask exercise (i.e., Jaques-Dalcroze eurhythmics) on physical function and fall risk in older adults. A 3-year follow-up extension of a 1-year randomized controlled trial (NCT01107288) was conducted in Geneva (Switzerland), in which 134 community-dwellers aged ≥65 years at increased risk of falls received a 6-month music-based multitask exercise program. Four years following original trial enrolment, 52 subjects (baseline mean ± SD age, 75 ± 8 years) who (i) have maintained exercise program participation through the 4-year follow-up visit ("long-term intervention group", n = 23) or (ii) have discontinued participation following original trial completion ("control group", n = 29) were studied. They were reassessed in a blind fashion, using the same procedures as at baseline. At 4 years, linear mixed-effects models showed significant gait (gait speed, P = 0.006) and balance (one-legged stance time, P = 0.015) improvements in the long-term intervention group, compared with the control group. Also, long-term intervention subjects did better on Timed Up & Go, Five-Times-Sit-to-Stand and handgrip strength tests, than controls (P < 0.05, for all comparisons). Furthermore, the exercise program reduced the risk of falling (relative risk, 0.69; 95% confidence interval, 0.5-0.9; P = 0.008). These findings suggest that long-term maintenance of a music-based multitask exercise program is a promising strategy to prevent age-related physical decline in older adults. They also highlight the efficacy of sustained long-term adherence to exercise for falls prevention.

  5. Survival and psychosocial adjustment to stoma surgery and nonstoma bowel resection: a 4-year follow-up.

    NARCIS (Netherlands)

    Bekkers, M.J.T.M.; Knippenberg, F.C.E. van; Dulmen, A.M. van; Borne, H.W. van den; Berge Henegouwen, G.P. van

    1997-01-01

    A prospective 4-year follow-up study was conducted to compare the psychosocial adjustment process and survival rate of 59 stoma patients with 64 bowel-resected nonstoma patients. Adjustment was assessed at 4 months, 1 year, and 4 years after surgery by the Psychosocial Adjustment to Illness Scale

  6. Is ovarian hyperstimulation associated with higher blood pressure in 4-year-old IVF offspring? Part I : multivariable regression analysis

    NARCIS (Netherlands)

    Seggers, Jorien; Haadsma, Maaike L.; La Bastide-Van Gemert, Sacha; Heineman, Maas Jan; Middelburg, Karin J.; Roseboom, Tessa J.; Schendelaar, Pamela; Van den Heuvel, Edwin R.; Hadders-Algra, Mijna

    2014-01-01

    STUDY QUESTION: Does ovarian hyperstimulation, the in vitro procedure, or a combination of these two negatively influence blood pressure (BP) and anthropometrics of 4-year-old children born following IVF? SUMMARY ANSWER: Higher systolic blood pressure (SBP) percentiles were found in 4-year-old child

  7. Is ovarian hyperstimulation associated with higher blood pressure in 4-year-old IVF offspring? Part I : multivariable regression analysis

    NARCIS (Netherlands)

    Seggers, Jorien; Haadsma, Maaike L.; La Bastide-Van Gemert, Sacha; Heineman, Maas Jan; Middelburg, Karin J.; Roseboom, Tessa J.; Schendelaar, Pamela; Van den Heuvel, Edwin R.; Hadders-Algra, Mijna

    STUDY QUESTION: Does ovarian hyperstimulation, the in vitro procedure, or a combination of these two negatively influence blood pressure (BP) and anthropometrics of 4-year-old children born following IVF? SUMMARY ANSWER: Higher systolic blood pressure (SBP) percentiles were found in 4-year-old

  8. Transumbilical thoracic sympathectomy: a single-centre experience of 148 cases with up to 4 years of follow-up†.

    Science.gov (United States)

    Zhu, Li-Huan; Chen, Weisheng; Chen, Long; Yang, Shengsheng; Lu, Zhao-Tong

    2016-01-01

    Thoracic sympathectomy is considered as the most effective method to treat palmar hyperhidrosis (PH). Here, we report our experience of transumbilical thoracic sympathectomy with an ultrathin flexible endoscope for PH in a series of 148 patients with up to 4 years of follow-up. A prospective database was used in this retrospective analysis of 148 patients (61 males, 87 females, with a mean age of 21.3 years) with PH who were operated on by the same surgeon in a single institution from April 2010 to March 2014. All procedures were performed under general anaesthesia involving intubation with a double-lumen endotracheal tube. Demographic, postoperative and long-term data of patients were recorded and statistical analyses were performed. All patients were followed up at least 6 months post procedure through clinic visits or telephone/e-mail interviews. The procedure was performed successfully in 148 of the 150 patients. Two patients had to be converted to conventional thoracoscopic procedure because of severe pleural adhesions. The mean operating time was 43 min (ranging from 39 to 107 min) and the mean postoperative length of stay was 1 day (range 1-4 days). All patients were interviewed 6-48 months after surgery and no diaphragmatic hernia or syndrome was observed. The rate of resolution of PH and axillary hyperhidrosis was 98 and 74.6%, respectively. Compensatory sweating was reported in 22.3% of patients. Almost all of the patients were satisfied with the surgical results and the cosmetic outcome of the incision. This preliminary human experience suggested that transumbilical thoracic sympathectomy was a safe and efficacious alternative to the conventional approach. This technique avoided the chronic pain and chest wall paraesthesia that are associated with the chest incision. In addition, this novel procedure afforded maximum cosmetic benefits. © The Author 2015. Published by Oxford University Press on behalf of the European Association for Cardio

  9. Institutional ethnography

    DEFF Research Database (Denmark)

    Lund, Rebecca; Tienari, Janne

    2016-01-01

    . In institutional ethnography the notion of objectification is applied to describe research processes like those that have been found to dominate in scholarly work on M&As. In this chapter, we offer an outline of Smiths critique of objectification, elucidate how institutional ethnography seeks to address it...

  10. Colonial Institutions

    DEFF Research Database (Denmark)

    McAtackney, Laura; Palmer, Russell

    2016-01-01

    and the USA which reveal that the study of colonial institutions should not be limited to the functional life of these institutions—or solely those that take the form of monumental architecture—but should include the long shadow of “imperial debris” (Stoler 2008) and immaterial institutions....

  11. Institutional actorhood

    DEFF Research Database (Denmark)

    Madsen, Christian Uhrenholdt

    In this paper I describe the changing role of intra-organizational experts in the face of institutional complexity of their field. I do this through a qualitative investigation of the institutional and organizational roles of actors in Danish organizations who are responsible for the efforts to c...... to comply with the Danish work environment regulation. And by doing so I also describe how institutional complexity and organizational responses to this complexity are particular important for the changing modes of governance that characterizes contemporary welfare states.......In this paper I describe the changing role of intra-organizational experts in the face of institutional complexity of their field. I do this through a qualitative investigation of the institutional and organizational roles of actors in Danish organizations who are responsible for the efforts...

  12. Institutional upbringing

    DEFF Research Database (Denmark)

    Gulløv, Eva

    2008-01-01

    In the chapter, I discuss the role day care institutions play in the construction of the idea of proper childhood in Denmark. Drawing on findings from research on ethnic minority children in two Danish day care institutions, I begin with a discussion of how childcare institutions act as civilising...... agents, empowered with the legitimate right to define and control normality and proper ways of behaving oneself. I aim to show how institutions come to define the normal child and proper childhood in accordance with current efforts toward reinventing national culture, exemplified by legislation requiring...... current testing of Danish language fluency levels among pre-school minority children. Testing language skills marks and defines distinctions that reinforce images of deviance that, in turn, legitimize initiatives to enrol children, specifically minority children, in child care institutions....

  13. Transparent Institutions

    Directory of Open Access Journals (Sweden)

    Javier Fombona

    2011-04-01

    Full Text Available The objective of this project is to create sets of media-based imagery that illustrate the internal workings of public institutions to the common citizen. This is an important need in countries that are seeking to open up their public and private institutions and bring them closer to their users. Method: There is a clear need to carry out proposals that tackle organizational lack of transparency; to this end, through an interdisciplinary approach, we propose the creation of a freeaccess Web-based portal that shows the interior of the institutions at hand, learning institutions to start with, this scope will be broadened later to institutions of health and public safety. The project chooses and shows a core selection of features capable of becoming international models for each kind of institutions, elementary schools in this phase. These features are shown in short videos, depicting every core element found: installations, governing bodies, documentation, samples of learning and teaching methodologies in use, etc. Results: the propossed project succeeds in getting institutions closer to their users. It has been developed in Spain, and translated to other Latin-American countries and the United States.

  14. Transparent Institutions

    Directory of Open Access Journals (Sweden)

    Javier Fombona

    2011-04-01

    Full Text Available The objective of this project is to create sets of media-based imagery that illustrate the internal workings of public institutions to the common citizen. This is an important need in countries that are seeking to open up their public and private institutions and bring them closer to their users. Method: There is a clear need to carry out proposals that tackle organizational lack of transparency; to this end, through an interdisciplinary approach, we propose the creation of a freeaccess Web-based portal that shows the interior of the institutions at hand, learning institutions to start with, this scope will be broadened later to institutions of health and public safety. The project chooses and shows a core selection of features capable of becoming international models for each kind of institutions, elementary schools in this phase. These features are shown in short videos, depicting every core element found: installations, governing bodies, documentation, samples of learning and teaching methodologies in use, etc. Results: the propossed project succeeds in getting institutions closer to their users. It has been developed in Spain, and translated to other Latin-American countries and the United States.

  15. Observations from a 4-year contamination study of a sample depth profile through Martian meteorite Nakhla.

    Science.gov (United States)

    Toporski, Jan; Steele, Andrew

    2007-04-01

    Morphological, compositional, and biological evidence indicates the presence of numerous well-developed microbial hyphae structures distributed within four different sample splits of the Nakhla meteorite obtained from the British Museum (allocation BM1913,25). By examining depth profiles of the sample splits over time, morphological changes displayed by the structures were documented, as well as changes in their distribution on the samples, observations that indicate growth, decay, and reproduction of individual microorganisms. Biological staining with DNA-specific molecular dyes followed by epifluorescence microscopy showed that the hyphae structures contain DNA. Our observations demonstrate the potential of microbial interaction with extraterrestrial materials, emphasize the need for rapid investigation of Mars return samples as well as any other returned or impactor-delivered extraterrestrial materials, and suggest the identification of appropriate storage conditions that should be followed immediately after samples retrieved from the field are received by a handling/curation facility. The observations are further relevant in planetary protection considerations as they demonstrate that microorganisms may endure and reproduce in extraterrestrial materials over long (at least 4 years) time spans. The combination of microscopy images coupled with compositional and molecular staining techniques is proposed as a valid method for detection of life forms in martian materials as a first-order assessment. Time-resolved in situ observations further allow observation of possible (bio)dynamics within the system.

  16. Corneal Cross-Linking in a 4-Year-Old Child With Keratoconus and Down Syndrome.

    Science.gov (United States)

    Sabti, Saad; Tappeiner, Christoph; Frueh, Beatrice E

    2015-09-01

    To describe the clinical outcome of corneal cross-linking (CXL) in a young child with keratoconus. This is a case report of a young girl with keratoconus with ophthalmologic findings and 3-year follow-up. Follow-up visits included visual acuity measurement, retinoscopy, corneal tomography, and topography. A girl with Down syndrome was diagnosed with bilateral keratoconus and relative amblyopia at the age of 4 years. The best-corrected near visual acuity was 20/100 binocularly. Corneal tomography showed the following parameters: OD K(max) 47.2 diopters (D), thinnest location 442 μm; OS K(max) 49.6 D, thinnest location 432 μm. Three months later, the keratoconus in the left eye progressed (K(max) 50.2 D, thinnest location 424 μm), and CXL was performed. One year later, CXL was necessary also in the right eye because of progression. The girl was most recently reexamined at the age of 7 years. The corrected near visual acuity was 20/80 in both eyes. The corneal curvature slightly flattened, and the corneal thickness stabilized (OD K(max) 46.8 D, thinnest location 389 μm; OS K(max) 49.4 D, thinnest location 360 μm). Onset of keratoconus can occur in early childhood, especially in patients with Down syndrome. In this case, CXL was performed at 4 and 5 years of age without complications and stopped further keratoconus progression.

  17. Canadian Physical Activity Guidelines for the Early Years (aged 0-4 years).

    Science.gov (United States)

    Tremblay, Mark S; Leblanc, Allana G; Carson, Valerie; Choquette, Louise; Connor Gorber, Sarah; Dillman, Carrie; Duggan, Mary; Gordon, Mary Jane; Hicks, Audrey; Janssen, Ian; Kho, Michelle E; Latimer-Cheung, Amy E; Leblanc, Claire; Murumets, Kelly; Okely, Anthony D; Reilly, John J; Spence, John C; Stearns, Jodie A; Timmons, Brian W

    2012-04-01

    The Canadian Society for Exercise Physiology (CSEP), with assistance from multiple partners, stakeholders, and researchers, developed the first Canadian Physical Activity Guidelines for the Early Years (aged 0-4 years). These national guidelines were created in response to an urgent call from public health, health care, child care, and fitness practitioners for healthy active living guidance for the early years. The guideline development process was informed by the Appraisal of Guidelines for Research Evaluation (AGREE) II instrument and the evidence assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system. The recommendations are informed by evidence from a systematic review that examined the relationships between physical activity and health indicators (healthy body weight, bone and skeletal health, motor skill development, psychosocial health, cognitive development, and cardio-metabolic disease risk factors) for three age groups (infants aged benefitted from an extensive on-line consultation process with input from over 900 domestic and international stakeholders, end-users, and key informants. The final guideline recommendations state that for healthy growth and development, infants (aged develop movement skills, and progression toward at least 60 min of energetic play by 5 years of age. More daily physical activity provides greater benefits.

  18. Visual access trumps gender in 3- and 4-year-old children's endorsement of testimony.

    Science.gov (United States)

    Terrier, Nathalie; Bernard, Stéphane; Mercier, Hugo; Clément, Fabrice

    2016-06-01

    Several studies have investigated how preschoolers weigh social cues against epistemic cues when taking testimony into account. For instance, one study showed that 4- and 5-year-olds preferred to endorse the testimony of an informant who had the same gender as the children; by contrast, when the gender cue conflicted with an epistemic cue--past reliability--the latter trumped the former. None of the previous studies, however, has shown that 3-year-olds can prioritize an epistemic cue over a social cue. In Experiment 1, we offer the first demonstration that 3-year-olds favor testimony from a same-gender informant in the absence of other cues. In Experiments 2 and 3, an epistemic cue-visual access--was introduced. In those experiments, 3- and 4-year-olds endorsed the testimony of the informant with visual access regardless of whether it was a same-gender informant (Experiment 3) or a different-gender informant (Experiment 2). These results demonstrate that 3-year-olds are able to give more weight to an epistemic cue than to a social cue when evaluating testimony. Copyright © 2016 Elsevier Inc. All rights reserved.

  19. Occasional detection of thymic epithelial tumor 4 years after diagnosis of adult onset Still disease

    Science.gov (United States)

    Lococo, Filippo; Bajocchi, Gianluigi; Caruso, Andrea; Valli, Riccardo; Ricchetti, Tommaso; Sgarbi, Giorgio; Salvarani, Carlo

    2016-01-01

    Abstract Background: Thymoma is a T cell neoplasm arising from the thymic epithelium that due to its immunological role, frequently undercover derangements of immunity such a tumors and autoimmune diseases. Methods: Herein, we report, to the best of our knowledge, the first description of an association between thymoma and adult onset Still disease (AOSD) in a 47-year-old man. The first one was occasionally detected 4 years later the diagnosis of AOSD, and surgically removed via right lateral thoracotomy. Histology confirmed an encapsulated thymic tumor (type AB sec. WHO-classification). Results: The AOSD was particularly resistant to the therapy, requiring a combination of immunosuppressant followed by anti-IL1R, that was the only steroids-sparing treatment capable to induce and maintain the remission. The differential diagnosis was particularly challenging because of the severe myasthenic-like symptoms that, with normal laboratory tests, were initially misinterpreted as fibromyalgia. The pathogenic link of this association could be a thymus escape of autoreactive T lymphocytes causing autoimmunity. Conclusion: Clinicians should be always include the possibility of a thymoma in the differential diagnosis of an unusual new onset of weakness and normal laboratories data, in particular once autoimmune disease is present in the medical history. PMID:27603335

  20. [Case of Colon Metastasis from Early Gastric Cancer 4 Years after Laparoscopic Assisted Distal Gastrectomy].

    Science.gov (United States)

    Ikeda, Kosuke; Sato, Tsutomu; Maezawa, Yukio; Kano, Kazuki; Satoyoshi, Tetsuta; Segami, Kenki; Nakajima, Tetsushi; Ogata, Takashi; Cho, Haruhiko; Yoshikawa, Takaki

    2016-11-01

    A 69-year-old woman who underwent laparoscopic assisted distal gastrectomy for early gastric cancer(pathological T1bN1M0)in June 2011was admitted to the hospital because of abdominal pain in May 2015.A n abdominal CT scan showed ileus caused by a transverse colon tumor and ascending colon perforation.We performed emergency right hemicolectomy and diverting ileostomy.The postoperative pathological findings revealed poorly differentiated adenocarcinoma and signetring cell carcinoma similar to the gastric cancer resected 4 years ago.Immunohistochemical findings showed that the colon tumor was positive for CK7, but negative for CK20 and expressed a gastric mucin phenotype.From these findings, the colon tumor was diagnosed as a metastasis from early gastric cancer.Colon metastasis from early gastric cancer is rare and the diagnosis is difficult in some cases.We herein report this case and discuss the clinical and pathologic features of colon metastasis from gastric cancer.

  1. Traumatic ventricular septal defect in a 4-year-old boy after blunt chest injury

    Directory of Open Access Journals (Sweden)

    Yun Mi Kim

    2011-02-01

    Full Text Available Traumatic ventricular septal defect (VSD resulting from blunt chest injury is a very rare event. The mechanisms of traumatic VSD have been of little concern to dateuntil now, but two dominant theories have been described. In one, the rupture occurs due to acute compression of the heart; in the other, it is due to myocardial infarction of the septum. The clinical symptoms and timing of presentation are variable, so appropriate diagnosis can be difficult or delayed. Closure of traumatic VSD has been based on a combination of heart failure symptoms, hemodynamics, and defect size. Here, we present a case of a 4-year-old boy who presented with a traumatic VSD following a car accident. He showed normal cardiac structure at the time of injury, but after 8 days, his repeated echocardiography revealed a VSD. He was successfully treated by surgical closure of the VSD, and has been doing well up to the present. This report suggests that the clinician should pay great close attention to the patients injured by blunt chest trauma, keeping in mind the possibility of cardiac injury.

  2. Performance of the SCUBA-2 dry dilution refrigerator: 4 years of operation at the JCMT

    Science.gov (United States)

    Bintley, Dan; Kuroda, John T.; Starman, Erik G.; Craig, Simon; Holland, Wayne S.

    2012-09-01

    Cryogen free or ‘dry’ dilution refrigerators that integrate a cryocooler such as a two stage pulse tube to replace the conventional liquid helium bath and 1K pot, have become a practical alternative for cooling astronomical detectors to mK temperatures and offer many advantages. SCUBA-2, the new submillimetre camera in operation at the JCMT, on the summit of Mauna Kea, Hawaii, was one of the first instruments to use such a fridge design. The dry dilution fridge for SCUBA-2 has now been in service for almost 4 years during commissioning at JCMT. In the most recent astronomical commissioning phase, the dilution fridge was in continuous operation for 10 months with no loss of base temperature or cooling power, cooling the SCUBA-2 detector arrays to below 100mK while maintaining a further 100Kg of enclosure, shields and SQUID amplifiers at 1K. In this paper we review some of the lessons from operating a dry dilution fridge at the JCMT and the necessary changes that have been incorporated. We present the performance of the fridge and discus its role in ensuring the success of SCUBA-2.

  3. Low-friction arthroplasty with Boneloc bone-cement: outcome at 2 to 4 years.

    Science.gov (United States)

    Walczak, J P; D'Arcy, J C; Ross, K R; James, S E; Bonnici, A V; Koka, S R; Morris, R W

    2000-02-01

    We report the clinical and radiologic outcome of 109 Chamley low-friction arthroplasties implanted with Boneloc bone-cement (Biomet, Bridgend, South Wales, UK) into 104 patients. The mean follow-up was 30 months (range, 2-48 months). There were 72 women (mean age, 71 years) and 32 men (mean age, 72). Cartridge-packed cement was used in 37 cases and vacuum-packed cement in 72 cases. Survivorship analysis based on revision for aseptic loosening showed 79% survival at 4 years. Seventeen (15.5%) hips have been revised for aseptic loosening to date, in which all stems and 4 cups were loose. Extensive femoral osteolysis was always present and resulted in 4 cases of femoral cortical perforation at revision. Survivorship analysis based on revision and radiologic failure showed only 55% survival over the same period. When radiologic loosenings were included as failures, the vacuum-packed cement performed significantly worse than the cartridge-packed cement it replaced. These poor results were consistent with the withdrawal of Boneloc from clinical use in 1995, and we recommend indefinite follow-up for surviving prostheses.

  4. Joint Rhythmic Movement Increases 4-Year-Old Children's Prosocial Sharing and Fairness Toward Peers.

    Science.gov (United States)

    Rabinowitch, Tal-Chen; Meltzoff, Andrew N

    2017-01-01

    The allocation of resources to a peer partner is a prosocial act that is of fundamental importance. Joint rhythmic movement, such as occurs during musical interaction, can induce positive social experiences, which may play a role in developing and enhancing young children's prosocial skills. Here, we investigated whether joint rhythmic movement, free of musical context, increases 4-year-olds' sharing and sense of fairness in a resource allocation task involving peers. We developed a precise procedure for administering joint synchronous experience, joint asynchronous experience, and a baseline control involving no treatment. Then we tested how participants allocated resources between self and peer. We found an increase in the generous allocation of resources to peers following both synchronous and asynchronous movement compared to no treatment. At a more theoretical level, this result is considered in relation to previous work testing other aspects of child prosociality, for example, peer cooperation, which can be distinguished from judgments of fairness in resource allocation tasks. We draw a conceptual distinction between two types of prosocial behavior: resource allocation (an other-directed individual behavior) and cooperation (a goal-directed collaborative endeavor). Our results highlight how rhythmic interactions, which are prominent in joint musical engagements and synchronized activity, influence prosocial behavior between preschool peers.

  5. The psychosocial effects of severe caries in 4-year-old children in Recife, Pernambuco, Brazil

    Directory of Open Access Journals (Sweden)

    Sandra Feitosa

    2005-10-01

    Full Text Available The aim of this study was to analyze the psychosocial effects of severe caries in 4-year-old children in Recife, Pernambuco, Brazil. The clinical examination was conducted by a single examiner in order to select children with severe caries and caries-free (kappa = 1. Of the 861 children examined, 77 (8.1% had severe caries and 225 (23.6% were caries-free. Data were collected by applying validated questionnaires answered by the parents or guardians. Most of the parents or guardians of children with severe caries reported that their children complained of toothache (72.7%, and a significant portion stated that their children had problems eating certain kinds of food (49.4% and missed school (26.0% because of their teeth. Most of the parents or guardians of children with severe caries (68.8% stated that oral health affects their children's life, while the same was stated by 9.8% of the parents or guardians of the caries-free children. Severe caries was found to have a negative impact on children's oral health-related quality of life.

  6. Description of exercise participation of adolescents with cerebral palsy across a 4-year period.

    Science.gov (United States)

    Brunton, Laura K; Bartlett, Doreen J

    2010-01-01

    The purposes of this study were to describe (1) the types of exercise participation of adolescents with cerebral palsy; (2) the weekly duration of stretching, strengthening, and cardiovascular exercise; (3) how the level of activity compares with national health guidelines; and (4) the change in participation over 4 years. Participants included 126 males and 104 females (mean age = 14.7 years, SD = 1.7 years) who reported physical activities in the previous week. Analyses included frequency counts and proportions, stacked bar graphs, and 2-way analyses of variance of exercise participation by Gross Motor Function Classification System (GMFCS) and sex. A significant main effect of GMFCS level was detected for light and moderate exercise. A significant interaction of GMFCS level and sex was found for stretching; females stretched more. An average of 9.4% and 11.4% of our sample participated in weekly levels of moderate and vigorous exercise, respectively. Pediatric physical therapists should promote increased exercise participation rates among youths with cerebral palsy.

  7. Ameloblastic Fibro-Odontoma in a 4-Year-Old Boy

    Directory of Open Access Journals (Sweden)

    Mehdi Ghandehari-Motlagh

    2016-03-01

    Full Text Available Introduction Ameloblastic fibro-odontoma (AFO is defined as a benign odontogenic tumor with slow growing behavior. Its prevalence is rare. AFO is characterized by histologic features of ameloblastic fibroma (AF with the formation of enamel and dentine. Case Presentation This is a case report of AFO accompanied with a number of impacted deciduous teeth and its management in a 4-year old boy. Examination of oral cavity revealed an extensive swelling from midline to left deciduous maxillary first molar, covered with normal mucosa. Radiographic examination showed a well-defined mixed radiolucent-radiopaque lesion that extended horizontally from midline to mesial border of the left maxillary primary first molar and vertically from alveolar crest to the floor of nose. The differential diagnosis was odontoma (ameloblastic fibro-odontoma, complex odontoma. Surgical enucleation and curettage was performed under general anesthesia. Histopathologic sections show bone trabeculae in marrow spaces. There was myxoid matrix in some spaces which contained odontogenic epithelial cells. These findings led to diagnosis of AFO. No sign of recurrence has been observed during the 12-month follow-up period. Conclusion Although AFO is a rare tumor, it is more prevalent in childrenʼs jaw. Conservative surgical treatment allowed the normal development of teeth.

  8. Generalized tetanus in a 4-year old boy presenting with dysphagia and trismus: a case report

    Science.gov (United States)

    2009-01-01

    Introduction The low incidence of tetanus in developed countries has resulted in a decreased vigilance of this disease. This raises concern, as the prodromal stadium of a generalized tetanus infection may lack the characteristic paroxysmal muscle spasms. Tetanus can rapidly progress into life-threatening muscle spasms accompanied by respiratory insufficiency and/or autonomic dysfunction. This emphasizes the need for early diagnosis and treatment. Case presentation A 4-year-old Caucasian boy presented with a one-week history of general malaise, mild fever, indolence and anorexia. He subsequently developed dysphagia, sialorrhoea, difficulties opening the mouth and eventually dehydration. Due to parental concerns about the boy's refusal of fluids, a pediatrician was consulted. At that time of presentation he showed signs of trismus and muscle rigidity. Together with the lack of immunization and a toe nail infection, this lead to the suspicion of a generalized tetanus infection. After sedation, endotracheal intubation and ventilation, passive immunization and initiation of antimicrobial treatment, he was immediately transferred to a pediatric intensive care unit (PICU) for further treatment. The frequency and severity of paroxysmal muscle spasms increased progressively during his PICU stay, despite high doses of sedatives. Not before two weeks after admittance, extubation and careful weaning off sedatives was achieved. Conclusion Tetanus infection remains a rare but potentially lethal disease in developed countries. As the full scope of classical symptoms may be absent at first presentation, tetanus should always be considered in non-immunized patients with an acute onset of dysphagia and trismus. PMID:19829891

  9. AMS02 results after 4 years of data taking on the International Space Station

    Science.gov (United States)

    Incagli, M.; AMS02 Collaboration

    2017-07-01

    The AMS02 experiment is taking data on the International Space Station since May, 19, 2011. This report summarizes the key results published or presented in public conferences using the data collected in the first 4 years of the mission, trying to interpret them in terms of the latest models of Cosmic Ray (CR) propagation. In particular the fluxes of primary CR, like proton, Helium and Carbon, or of secondaries like Lithium and Boron, can be used to constraint the models and compare them with the observed anti-proton flux, to see if hints of Dark Matter (DM) can be identified. The same can be done in the lepton sector by looking at electrons and positrons. In the near future AMS02 will continue the observation of light nuclei, including isotopes like Deuterium, He-3 and He-4, and of anti-nuclei, like anti-Deuterium and anti-Helium, which represent, together with anti-protons and positrons, the golden channels in which to look for eventual Dark Matter or antimatter signals.

  10. [Validity of anthropometric measurements and weight perceptions reported by relatives of children under 4 years old].

    Science.gov (United States)

    Patiño-Villena, Begoña; Chirlaque, María Dolores; Salmerón, Diego; González, Eduardo; Navarro, Carmen

    2016-01-01

    To assess the validity of weight and height measurements reported by parents and the perception of their children's weight status in order to assess the prevalence of overweight children under 4 years old. Cross-sectional study. Anthropometric data was collected by self-report questionnaires completed by parents of children 3-45 months old: 1) information from paediatric check-ups (gold standard); 2) information reported from the home environment; and 3) data from individual perceptions. WHO standards were used. Reported height was underestimated, thus reported weight/height and BMI/age were overestimated. Overweight prevalence according to paediatric check-ups was 18.6%, compared to 26.5% reported prevalence, showing a moderate concordance (Kappa: 0.47 [0.34-0.60]), 70% sensitivity and 84% specificity. Subjective perception was 11.2%, representing 30% sensitivity and 93% specificity. The reported information has little validity for population-based studies, as height is underestimated and overweight status is not correctly perceived due to distortion of individual perception. Questionnaires must be validated and awareness raised among families. Copyright © 2016 SESPAS. Published by Elsevier Espana. All rights reserved.

  11. Ameloblastic Fibro-Odontoma in a 4-Year-Old Boy.

    Science.gov (United States)

    Ghandehari-Motlagh, Mehdi; Khosravi, Zahra; Meighani, Ghasem; Baradaran-Nakhjavani, Yahya

    2016-04-01

    Ameloblastic fibro-odontoma (AFO) is defined as a benign odontogenic tumor with slow growing behavior. Its prevalence is rare. AFO is characterized by histologic features of ameloblastic fibroma (AF) with the formation of enamel and dentine. This is a case report of AFO accompanied with a number of impacted deciduous teeth and its management in a 4-year old boy. Examination of oral cavity revealed an extensive swelling from midline to left deciduous maxillary first molar, covered with normal mucosa. Radiographic examination showed a well-defined mixed radiolucent-radiopaque lesion that extended horizontally from midline to mesial border of the left maxillary primary first molar and vertically from alveolar crest to the floor of nose. The differential diagnosis was odontoma (ameloblastic fibro-odontoma, complex odontoma). Surgical enucleation and curettage was performed under general anesthesia. Histopathologic sections show bone trabeculae in marrow spaces. There was myxoid matrix in some spaces which contained odontogenic epithelial cells. These findings led to diagnosis of AFO. No sign of recurrence has been observed during the 12-month follow-up period. Although AFO is a rare tumor, it is more prevalent in children's jaw. Conservative surgical treatment allowed the normal development of teeth.

  12. Delirium due to Scopolamine Patch in a 4-Year-Old Boy

    Directory of Open Access Journals (Sweden)

    Yang-Guang Lin

    2011-03-01

    Full Text Available The scopolamine patch is usually used to reduce postoperative nausea and vomiting associated with anesthesia and/or surgery. It is also commonly used for the prevention of motion sickness. Transdermal scopolamine patches have been used for decades and there are few reports in the literature of toxic psychosis associated with the product. Most documented cases of acute psychosis following administration of scopolamine or other anticholinergic agents have been from the adult population. Here we present a 4-year-old boy with deteriorated cognitive function and changed mental status acutely. Besides flushing skin and psychotic behaviors including bizarre actions, hallucinations, aggressive behavior, hyperactivity, and incoherent speech were also noticed. Symptoms and signs were resolved after removal of scopolamine patch and conservative management. This case is possibly one of the youngest patients to exhibit such toxic effects. We hope to relay information about common agents with anticholinergic effects to clinical practitioners and remind that drug-induced psychosis should be considered in children with acute changes in behavior.

  13. Physical activity implementation in schools: a 4-year follow-up.

    Science.gov (United States)

    Mâsse, Louise C; McKay, Heather; Valente, Maria; Brant, Rollin; Naylor, Patti-Jean

    2012-10-01

    Action Schools! BC (AS!BC) is a comprehensive school-based model that utilizes a socioecologic approach to provide children with opportunities for physical activity at school in British Columbia. The hierarchy of factors associated with successful implementation of AS!BC was examined 4 years after it was scaled up. A cross-sectional multistage survey was administered to principals (n=133; 92% response rate) and Grade 4-7 teachers (n=587; 71% response rate) in 2008-2009. Constructs from the theories of organizational change, social cognitive theory and Rogers's diffusion of innovation model were used to examine characteristics of teachers and schools and attributes of the innovation associated with implementation. Multilevel mixed-effect logistic regression analyses were employed (analyzed in November 2011). Self-efficacy, outcome expectation, training received, organizational climate/support, level of institutionalization, environmental influence, and attributes of the innovation were associated with implementation. In multivariate analyses, self-efficacy, training, and level of institutionalization remained significant (all pschool level, policies and guidelines provided a necessary, supportive environment for implementation. Copyright © 2012 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

  14. Periodontal parameters of osseointegrated dental implants. A 4-year controlled follow-up study.

    Science.gov (United States)

    Nishimura, K; Itoh, T; Takaki, K; Hosokawa, R; Naito, T; Yokota, M

    1997-08-01

    The aim of this study was to evaluate the periodontal parameters of osseointegrated dental implants. The condition of the peri-implant mucosa was assessed using periodontal parameters, i.e., of plaque index, bleeding on probing, probing pocket depth, probing attachment level and Periotest scores as well as a radiographic parameter, over a 4-year follow-up period. 32 non-submerged ITI dental implants, all placed in the mandible, were studied in 12 patients who had good oral hygiene. All patients were regularly recalled at 6-month intervals. The overall implant success rate was 100%. None of the implants showed any signs of inflammation, radiographic bone loss or any detectable mobility during the follow-up period. Methods similar to those used to evaluate the natural dentition were effectively employed to assess the clinical status of the dental implants. The diagnostic value of these parameters could not, however, be determined from this study due to the absence of any peri-implant tissue complications. The results indicated that some periodontal parameters of healthy peri-implant mucosa might be slightly different from healthy periodontal tissue.

  15. Food intake and nutrition in children 1-4 years of age in Yucatan, Mexico.

    Science.gov (United States)

    Cuanalo de la Cerda, Heriberto E; Ochoa Estrada, Ernesto; Tuz Poot, Felipe R; Datta Banik, Sudip

    2014-01-01

    The National Health and Nutrition Survey 2006 (ENSANUT in Spanish) reported high rates of under-nutrition in children of Yucatan. Is food intake the main cause of under-nutrition in children of the state of Yucatan, Mexico? Identify the primary causes of under-nutrition in pre-school children in Yucatan. A sample of 111 children (59 girls and 52 boys) aged 1-4 years representing Yucatan was taken from a database of ENSANUT 2006 and another national survey, a federal poverty mitigation programme for the state of Yucatan, Mexico entitled "Oportunidades". A human ecology approach together with life history theory was used to analyse anthropometric indices and food intake data from the ENSANUT 2006 and "Oportunidades". Height and weight were significantly correlated to age and total food intake. No correlations were found between age and anthropometric indices or food intake rates. The children in the sample had adequate protein intake but deficient energy intake. No correlation was identified between nutritional status and food intake rates. Pre-schoolers with higher weight-for-height values achieved greater height-for-age. These relationships can be explained by life history theory in that energy intake was used either for maintenance (combating and recovering from infections) or growth. The poor relationship between food intake rates and nutritional status is probably explained by the interaction between high disease incidence and insufficient energy intake. These conditions are endemic in Yucatan due to widespread poor housing, water and sanitation conditions.

  16. [Effects of self-control strategies on 4-year-olds' resistance to temptation].

    Science.gov (United States)

    Mitsutomi, T

    1991-04-01

    Two experiments were conducted to examine the hypothesis that 4-year-olds' failure to resist to temptation was caused by their attention to motivational qualities of tempting objects. The forbidden toy situation forbidden to play with the attractive toy was used. In Experiment I that manipulated attention style of tempting objects, four conditions were set. Two conditions of these were conditions that prevented from attending to the motivational qualities of tempting objects and consisted of distraction condition that distracted from toy and toy-negative condition that evaluated the toy negatively. The other two conditions were control condition and toy-positive condition that attended to the motivational qualities of toy. The main results indicated that the transgression latencies of distraction and toy-negative conditions were longer than the other two conditions. In Experiment II, subjects were instructed to choose the strategy that they would use between stimulus pairs obtained by combining three strategy used in Experiment I. The results indicated that the number of subjects choosing toy-positive strategy were more than the other strategies in pairing toy-positive strategy with other two strategies. The hypothesis was supported from the present study.

  17. Burn Institute

    Science.gov (United States)

    ... Now Help keep local seniors safe from fire! Burn Survivor Support If you are reading this, chances ... year – a burn injury. Learn more Fire and Burn Prevention Each year, the Burn Institute provides fire ...

  18. CSCAPES Institute

    Energy Technology Data Exchange (ETDEWEB)

    Alex Pothen

    2008-10-26

    We report on the progress made by researchers of the CSCAPES Institute at Old Dominion University for the years 2007 and 2008 in the areas of research, software creation, education and training, and outreach activities.

  19. Institutional Controls

    Data.gov (United States)

    U.S. Environmental Protection Agency — This dataset consists of institutional control data from multiple Superfund sites in U.S. EPA Region 8. These data were acquired from multiple sources at different...

  20. False belief understanding and cool inhibitory control in 3-and 4-year-old Italian children

    Directory of Open Access Journals (Sweden)

    Francesca eBellagamba

    2015-06-01

    Full Text Available During preschool years, major developments occur in both executive function and theory of mind (ToM, and several studies have demonstrated a correlation between these processes. Research on the development of inhibitory control (IC has distinguished between more cognitive, cool aspects of self-control, measured by conflict tasks, that require inhibiting an habitual response to generate an arbitrary one, and hot, affective aspects, such as affective decision making, measured by delay tasks, that require inhibition of a prepotent response. The aim of this study was to investigate the relations between 3- and 4-year-olds’ performance on a task measuring false belief understanding, the most widely used index of ToM in preschoolers, and two tasks measuring cognitive versus affective aspects of IC. To this end, we tested 101 Italian preschool children in three tasks: (a the Unexpected Content False Belief task, (b the Conflict task (a simplified version of the Day-Night Stroop task, and (c the Delay task. Children’s receptive vocabulary was assessed by the Peabody Picture Vocabulary test. Children’s performance in the False Belief task was significantly related only to performance in the Conflict task, controlling for vocabulary and age. Importantly, children’s performance in the Conflict task did not significantly correlate with their performance in the Delay task, suggesting that these tasks measure different components of IC. The dissociation between the Conflict and the Delay task may indicate that monitoring and regulating a cool process (as flexible categorization may involve different abilities than monitoring and regulating a hot process (not touching an available and highly attractive stimulus. Moreover, our findings support the view that cool aspects of IC and ToM are interrelated, extending to an Italian sample of children previous findings on an association between self-control and ToM.

  1. Nordic Nuclear Safety Research 1994 - 2008: From standardized 4-year classics to customized R and B

    Energy Technology Data Exchange (ETDEWEB)

    Bennerstedt, T.N.O. (TeknoTelje HB, Torhamn (Sweden))

    2011-10-15

    This is a presentation of NKS (Nordic Nuclear Safety Research), its work and achievements in the years 1994 - 2008, during which the author served as Nordic secretary and (later) as coordinator. NKS and the Nordic perspective are briefly introduced together with the NKS support structure, organization and administration: Owners, Board, Nordic secretary, Bureau and Secretariat. The author then embarks on a journey through the modern history of NKS work. The last two of the six fixed 4-year programs are described as regards planning, contents, project work, administration, dissemination of results, evaluations and conclusions. The trip continues to the land of R and B and the present (2011) structure of two general frameworks, namely, NKS-R: reactor safety, and NKS-B: emergency preparedness; each consisting of a set of flexible activities; hence, R and B. The reasoning behind this makeover is touched upon together with the new organization and simpler administration that developed. Major activities and the produced results are introduced and the evaluations summarized. The author's own conclusions and recommendations are followed by a short and subjective list of references. In a number of appendices some important background material has been compiled: bullet point versions of minutes of Owners Group and Board meetings; economic contributions and budgets; the NKS policy document; an overview of all NKS programs and evaluations; lists of R and B activities and funding; the author's personal remarks; a list of some NKS documents (other than technical reports and minutes); and a list of acronyms used in this report. (Author)

  2. Comparing three short questionnaires to detect psychosocial problems among 3 to 4-year olds.

    Science.gov (United States)

    Theunissen, Meinou H C; Vogels, Anton G C; de Wolff, Marianne S; Crone, Mathilde R; Reijneveld, Sijmen A

    2015-07-16

    Validated questionnaires help community pediatric services to identify psychosocial problems. Our aim was to assess which of three short questionnaires was most suitable for this identification among pre-school children. We included 1,650 children (response 64 %) aged 3-4 years undergoing routine well-child health assessments in 18 services across the Netherlands. Child healthcare professionals (CHPs) interviewed and examined children and parents. Parents were randomized regarding filling out the Strengths and Difficulties Questionnaire (SDQ) or the KIPPPI, a Dutch-origin questionnaire. In addition, all filled out the Ages and Stages Questionnaires: Social-Emotional (ASQ:SE) and the Child Behavior Checklist (CBCL). We assessed the internal consistency and validity of each questionnaire, with CBCL and treatment status as criteria, and the degree to which each questionnaire could improve identification based solely on clinical assessment. The internal consistency of the total problems scale of each questionnaire was satisfactory, Cronbach's alphas varied between 0.75 and 0.98. Only the SDQ discriminated sufficiently between children with and without problems as measured by the CBCL (sensitivity = 0.76 at a cut-off point with specificity = 0.90), in contrast to the other two questionnaires (with sensitivity indices varying between 0.51-0.63). Similar results were found for the treatment status criterion, although sensitivity was lower for all questionnaires. The SDQ seemed to add most to the identification of psychosocial problems by CHPs, but the differences between the SDQ and the ASQ:SE were not statistically significant. The SDQ is the best tool for the identification of psychosocial problems in pre-school children by community paediatric services.

  3. Effects of explicit teacher-implemented phoneme awareness instruction in 4-year-olds.

    Science.gov (United States)

    Tyler, Ann A; Osterhouse, Heather; Wickham, Katherine; Mcnutt, Robert; Shao, Yuanyuan

    2014-01-01

    The purpose of this study was to determine whether gains would be observed in an integrated group of 4-year-olds when phoneme awareness skills were explicitly taught by trained early childhood educators. In a quasi-experimental design with a delayed treatment approach, one classroom (N = 14) was randomly assigned to receive the instructional program in fall, while a second classroom (N = 10) served as a control and subsequently received the program in spring. Baseline assessment of speech and language skills indicated there were four participants with speech and/or language impairments. The teacher training involved an initial workshop and weekly hour-long mentoring meetings; the program was provided for 20 min a day, 4 d a week, for 10 weeks. Outcome measures of phoneme awareness and letter knowledge skills were obtained from non-standardized tasks administered pre-instruction and post-instruction, at mid-year and end-year points. When each classroom received the phoneme instruction, participants made gains in letter knowledge and phoneme level skills in comparison with group performance under regular instruction. These gains were statistically significant for phoneme blending and letter knowledge. Using an aggregate of all outcome measures, the gain for each classroom when under instruction was statistically significant as compared with when that same classroom was receiving the regular curriculum. Children with speech and/or language impairment responded more variably. Gains in the more difficult phoneme awareness skill of blending suggest the potential for marked change with an intensive, explicit classroom instruction and hold promise for SLPs collaborating with preschool teachers to provide time-efficient PA instruction.

  4. Unemployment risk at 2 and 4 years following colorectal cancer diagnosis: a population based study.

    Science.gov (United States)

    Rottenberg, Yakir; Ratzon, Navah Z; Cohen, Miri; Hubert, Ayala; Uziely, Beatrice; de Boer, Angela G E M

    2016-12-01

    About half of colorectal patients are diagnosed less than 65 years of age and they have a relatively high cure rate. However, little is known about their employment and related risk factors. The aim of the current study was to clarify the association between colorectal cancer (CRC) and subsequent risk of being unemployed. A historical prospective cohort study included baseline socio-demographic measurements of age, sex, ethnicity, residential socio-economic position and education from the 1995 Israeli National Census, cancer incidence between 2000 and 2007 and employment data between 1998 and 2011. Binary logistic regression analyses were used to assess odds ratios for unemployment, while controlling for socio-economic measurements and employment status at 2 years prior to diagnosis. The final study population included 885 colorectal patients and 2646 healthy controls. After controlling for confounders, positive associations were found between stages II (odds ratio [OR] = 1.91, 95% confidence interval [CI]: 1.31-2.76 or III (OR = 1.70, 95% CI: 1.13-2.54) and increased risk for unemployment at 2 years. At 4 years follow-up, stages I (OR = 1.56, 95% CI: 1.11-2.19), II (OR = 1.57, 95% CI: 1.09-2.26) and III (OR = 2.28, 95% CI: 1.55-3.37) were associated with increased risk for unemployment. Higher risk was seen among rectal cancer patients and among patients aged ≤50 years old at the time of cancer diagnosis. CRC patients are at increased long-term risk for unemployment, especially among rectal cancer and younger patients. The clinical ramifications of our findings emphasise the importance of an accurate evaluation and attention to unemployment status during the care of these patients. Copyright © 2016 Elsevier Ltd. All rights reserved.

  5. Maternal child-feeding practices and dietary inadequacy of 4-year-old children.

    Science.gov (United States)

    Durão, Catarina; Andreozzi, Valeska; Oliveira, Andreia; Moreira, Pedro; Guerra, António; Barros, Henrique; Lopes, Carla

    2015-09-01

    This study aimed to evaluate the association between maternal perceived responsibility and child-feeding practices and dietary inadequacy of 4-year-old children. We studied 4122 mothers and children enrolled in the population-based birth cohort - Generation XXI (Porto, Portugal). Mothers self-completed the Child Feeding Questionnaire and a scale on covert and overt control, and answered to a food frequency questionnaire in face-to-face interviews. Using dietary guidelines for preschool children, adequacy intervals were defined: fruit and vegetables (F&V) 4-7 times/day; dairy 3-5 times/day; meat and eggs 5-10 times/week; fish 2-4 times/week. Inadequacy was considered as below or above these cut-points. For energy-dense micronutrient-poor foods and beverages (EDF), a tolerable limit was defined (feeding practices (restriction, monitoring, pressure to eat, overt and covert control) and children's diet were examined by logistic regression models. After adjustment for maternal BMI, education, and diet, and children's characteristics (sex, BMI z-scores), restriction, monitoring, overt and covert control were associated with 11-18% lower odds of F&V consumption below the interval defined as adequate. Overt control was also associated with 24% higher odds of their consumption above it. Higher perceived responsibility was associated with higher odds of children consuming F&V and dairy above recommendations. Pressure to eat was positively associated with consumption of dairy above the adequate interval. Except for pressure to eat, maternal practices were associated with 14-27% lower odds of inadequate consumption of EDF. In conclusion, children whose mothers had higher levels of covert control, monitoring, and restriction were less likely to consume F&V below recommendations and EDF above tolerable limits. Higher overt control and pressure to eat were associated, respectively, with higher possibility of children consuming F&V and dairy above recommendations.

  6. Survival and quality of life of cholangiocarcinoma patients: a prospective study over a 4 year period.

    Science.gov (United States)

    Mihalache, Florentina; Tantau, Marcel; Diaconu, Brindusa; Acalovschi, Monica

    2010-09-01

    Cholangiocarcinomas (CCAs) are tumors with a poor prognosis and a lower quality of life (QoL). The aim of this study was to evaluate the survival rate and quality of life in CCA patients. We prospectively enrolled 133 patients diagnosed with CCA in the 3rd Medical Clinic, Cluj Napoca, over a 4-year period (2005-2009). The QoL was evaluated by means of a QoL questionnaire (EORTC QLQ-C30). The mean age of the patients was 65 +/- 10.6 years: 55% were males. 71% of the patients had hilar tumor (Klatskin), 23% distal and 6% intrahepatic CCA (IH). Only 11.3% of the patients were eligible to receive curative treatment. The 1-year overall survival was 22.3 +/- 4.4% and the 2-year survival was 3.4 +/- 2.1%. The patients receiving metallic stents had better survival than those receiving plastic stents (40.4% vs 12.5% at 1 year, 9.1% vs 5.0% at 2 years, respectively). The 1-year survival was significantly improved for patients who underwent surgery plus adjuvant chemotherapy. The post-therapy QoL demonstrated a less improvement in Klatskin tumor patients than in patients with other types of tumors. Endoscopic palliative therapy allowed a faster community reintegration, but with variable evolution. The highest 2-year survival rate was 5.5%. Slightly longer survival was recorded when chemotherapy was added and also after endoscopic placement of metallic stents. Endoscopic biliary decompression improved the QoL faster than surgery.

  7. A 4-year-old boy presenting with persistent urinary incontinence: Questions.

    Science.gov (United States)

    Keenswijk, Werner; Walle, Johan Vande

    2017-05-01

    A 4-year-old boy was referred to the nephrologist with daytime urinary incontinence and suspicion of an overactive bladder. At the age of 17 months he had been referred to the pediatric endocrinologist because of polyuria and polydipsia in order to exclude diabetes insipidus. Repeated water deprivation tests and a magnetic resonance imaging scan of the brain were normal. Diabetes insipidus was excluded, and primary polydipsia was thought to be most likely since diabetes mellitus also had been excluded. At the current presentation, he drank up to 3 L a day and quite often had wet diapers. He also seemed to pass stools infrequently and with difficulty. Curiously his grandmother had similar symptoms of polyuria and polydipsia since childhood and had been diagnosed with primary polydipsia. The physical examination of our pediatric patient was normal. In the differential diagnosis we included diabetes insipidus but also contemplated other possibilities, such as nephronophthisis, tubulopathies and hypercalciuria. Laboratory results including urinalysis and an ultrasound of the kidney did not show any abnormalities, making a tubulopathy or hypercalciuria unlikely. A desmopressin test by the intravenous route came back completely normal, pointing to another cause than diabetes insipidus. Genetic testing for the nephronophthisis came back negative but was positive for a missense mutation in the AVPR2 gene (p.Arg104Cys) associated with partial nephrogenic diabetes insipidus. He was started on daily desmopressin. Within 3 days the urinary incontinence resolved as did the polyuria and faecal incontinence. His grandmother was referred to the geneticist and eventually the adult nephrologist. This case highlights the importance of being thorough when confronted with a difficult diagnosis. It also emphasizes that a test result does not necessarily equate to the presence or absence of a condition since the test with 100 % sensitivity and specificity has yet to be discovered.

  8. Timing and duration of autumn leaf development in Sweden, a 4-year citizen science study

    Science.gov (United States)

    Bolmgren, Kjell; Langvall, Ola

    2017-04-01

    Phenology monitoring has traditionally focused on the start of phenological phases and the start of the growing season, especially when it comes to species-specific observations on the ground. The patterns of and the mechanisms behind the end of particular phases and the growing season itself are less studied and poorly understood. With a changing climate, the need to understand and predict effects on the length as well as on the end of phenological phases increase in importance, e.g. in relation to estimations of carbon budgets and validation of remote sensing data. Furthermore, different species may be affected in different ways by changing conditions. In this 4-year-study, tens of thousands of pupils in ages from 6 to 19 years old were involved in observing autumn leaf development of common deciduous tree species. Their observations were made near schools all over Sweden (55-68°N). Observations were made weekly between late August and early November and followed an image-based observation protocol, classifying autumn leaf development into five levels, from a summer-green (level 0) to a 100% autumn-colored (level 4) canopy. As expected, there was a general (negative) correlation between latitude and the start of leaf senescence (level 2; 1/3 autumn-colored canopy), but the correlation differed largely among years and between species. There was a week correlation between latitude and duration of the leaf senescence period, defined as the period between 1/3 (level 2) and 100% (level 4) of autumn-colored canopy. A delayed onset of the leaf senescence affected the duration of the leaf senescence period more strongly; One (1) day later start was correlated with a 5-day shorter period. Different species had different length of their senescence period, with oak (mainly Quercus robur) and birches (Betula pendula and B. pubescence) having on average a 50% longer period than trembling aspen (Populus tremula) and Norway maple (Acer platanoides).

  9. Somatosensory evoked field in response to visuotactile stimulation in 3- to 4-year-old children

    Directory of Open Access Journals (Sweden)

    Gerard Bastiaan Remijn

    2014-03-01

    Full Text Available A child-customsized magnetoencephalography (MEG system was used to investigate somatosensory evoked field (SEF in 3- to 4-year-old children. Three stimulus conditions were used in which the children received tactile-only stimulation to their left index finger, or visuotactile stimulation. In the two visuotactile conditions the children received tactile stimulation to their finger while they watched a video of tactile stimulation applied either to someone else’s finger (the finger-touch condition, or to someone else’s toe (the toe-touch condition. The latencies and source strengths of equivalent current dipoles (ECD over contralateral (right somatosensory cortex were analyzed. In the preschoolers who provided valid ECDs, the stimulus conditions induced an early-latency ECD occurring in between 60-68 ms mainly with an anterior direction. We further identified a middle-latency ECD in between 97-104 ms, which predominantly had a posterior direction. Finally, initial evidence was found for a late-latency ECD at about 139-151 ms again more often with an anterior direction. Differences were found in the source strengths of the middle-latency ECDs among the stimulus conditions. For the paired comparisons that could be formed, ECD source strength was more pronounced in the finger-touch condition than in the tactile-only and the toe-touch condition. Although more research is necessary to expand the data set, this suggests that visual information modulated preschool SEF. The finding that ECD source strength was higher when seen and felt touch occurred to the same body part, as compared to a different body part, might further indicate that connectivity between visual and tactile information is indexed in preschool somatosensory cortical activity, already in a somatotopic way.

  10. Somatosensory Evoked Field in Response to Visuotactile Stimulation in 3- to 4-Year-Old Children

    Science.gov (United States)

    Remijn, Gerard B.; Kikuchi, Mitsuru; Shitamichi, Kiyomi; Ueno, Sanae; Yoshimura, Yuko; Nagao, Kikuko; Tsubokawa, Tsunehisa; Kojima, Haruyuki; Higashida, Haruhiro; Minabe, Yoshio

    2014-01-01

    A child-customized magnetoencephalography system was used to investigate somatosensory evoked field (SEF) in 3- to 4-year-old children. Three stimulus conditions were used in which the children received tactile-only stimulation to their left index finger or visuotactile stimulation. In the two visuotactile conditions, the children received tactile stimulation to their finger while they watched a video of tactile stimulation applied either to someone else’s finger (the finger-touch condition) or to someone else’s toe (the toe-touch condition). The latencies and source strengths of equivalent current dipoles (ECDs) over contralateral (right) somatosensory cortex were analyzed. In the preschoolers who provided valid ECDs, the stimulus conditions induced an early-latency ECD occurring between 60 and 68 ms mainly with an anterior direction. We further identified a middle-latency ECD between 97 and 104 ms, which predominantly had a posterior direction. Finally, initial evidence was found for a late-latency ECD at about 139–151 ms again more often with an anterior direction. Differences were found in the source strengths of the middle-latency ECDs among the stimulus conditions. For the paired comparisons that could be formed, ECD source strength was more pronounced in the finger-touch condition than in the tactile-only and the toe-touch conditions. Although more research is necessary to expand the data set, this suggests that visual information modulated preschool SEF. The finding that ECD source strength was higher when seen and felt touch occurred to the same body part, as compared to a different body part, might further indicate that connectivity between visual and tactile information is indexed in preschool somatosensory cortical activity, already in a somatotopic way. PMID:24715860

  11. [Correction of psychophysical development of preschool children 3-4 year old with movement disorders by means of Bobath therapy

    OpenAIRE

    Bukhovets, B. O.

    2016-01-01

    This study deals with the definition of efficiency application means Bobath therapy as main correction psychophysical development method of preschool age 3 -4 years children, who have movement disorders.

  12. A 4-Year Longitudinal Study of 555 Patients Treated with Ranibizumab for Neovascular Age-related Macular Degeneration

    DEFF Research Database (Denmark)

    Rasmussen, Annette; Bloch, Sara B; Fuchs, Josefine;

    2013-01-01

    To investigate the visual outcome, pattern of discontinuation, ocular complications, and mortality of patients treated with a variable ranibizumab dosing regimen for neovascular age-related macular degeneration (AMD) for 4 years....

  13. The impact of 3-year and 4-year undergraduate programs on university students: the case of Hong Kong.

    Science.gov (United States)

    Shek, Daniel T L; Yu, Lu

    2017-02-01

    The undergraduate curriculum structure in Hong Kong was changed from 3 years to 4 years starting from the 2012-2013 school year, with the extra year of study primarily devoted to general education study. At The Hong Kong Polytechnic University (PolyU), the General University Requirements (GUR) has been designed in response to this change. In this study, the question of whether the development of students in the 4-year program was better than that of the 3-year program was examined via a static group comparison design. The treatment group was Year 3 students of the 4-year undergraduate degree program (n=566) whereas the control group comprised Year 3 students of the 3-year degree program (n=290). Measures on empathy, positive youth development, and student engagement were used as indicators of student holistic development. While the mean age of students in the 3-year program was higher than that of the 4-year program, students in the 4-year program performed better than the students of the 3-year program on several indicators of desired graduate attributes. Bearing in mind the limitations of the static comparison group design, the present study provides support for the positive impact of GUR at PolyU on students of the 4-year undergraduate curriculum.

  14. [Course and progression of children admitted before 4 years of age in a French child welfare center].

    Science.gov (United States)

    Tanguy, M; Rousseau, D; Roze, M; Duverger, P; Nguyen, S; Fanello, S

    2015-11-01

    The purpose of this study was to determine the institutional trajectory and future of young children in child welfare. A catamnestic study - based on data from the child welfare office in Maine and Loire, France, from 1994 to 2001 - was conducted by a child psychiatrist and a psychologist. Medical, judicial, and educational data (development, health, pathways in child protection services) were collected and analyzed regarding the status of these children 15 years later, adding information gathered by interviewing the child welfare and foster family consultant. We included 128 children admitted to the child welfare office before 4 years of age. Admission to the child welfare system suffers from care delays (a mean of 13.1 months between the first child protection referral and placement) with an average entry age of 17 months and frequent cases of child abuse (e.g., seven Silverman syndrome cases). The physical and mental health status of these children was poor (poorly monitored pregnancies, prematurity, low birth weight). More than one third of the children had growth failure at admission, with catch-up in half of the cases. The average length of stay in the child welfare system was 13.2±4.6 years. At the end of the follow-up, there were specific measures to safeguard vulnerable adults: "young adult" (24 cases), "major protection" (eight cases) and "disabled living allowance" (nine cases). One hundred and sixteen children suffered from psychiatric disorders at entry and 98 at the end. The general functioning of children as assessed by the Children's Global Assessment Scale (CGAS) showed a statistically significant improvement. One out of two young adults showed problems integrating socially with chaotic pathways: many foster placements, unsuccessful return to the family, and academic failures. The clinical situations of children in the child welfare office and their long-term progression confirm the importance of this public health problem. Although the measures

  15. Foreign body ingestion in Iranian children: a 4 years observational study

    Directory of Open Access Journals (Sweden)

    S. Amini-Ranjbar

    2012-12-01

    Full Text Available Objective – Foreign body ingestion is common in children due to playing with everything. This study was done to identify type, site, and complication, as well as knowledge about the state of foreign body ingestion in children in Kerman/Iran. Methods – In this prospective study, during 4 years, 85 children less than 14 years old presented to the Emergency Department of Afzalipour Hospital in Kerman were studied. All children, regardless of their clinical symptoms, underwent total radiography (from neck to Pelvic within the first hour of admission. In symptomatic patients, or sharp, long objects, and narcotic substances ingestion, prompt endoscopy was performed and in the case of foreign body lodging in the subglottic area, the patient was being referred to an ear, nose and throat specialist. For asymptomatic patients or far-access foreign body; lactulose, polyethylene glycol solution and high-fiber substances (for ingestion of diskette batteries, heroine and sharp objects respectively were administered as medical treatments. Asymptomatic subjects who had ingested sharp objects or narcotic substances were hospitalized and observed, but other cases were followed out patiently (by phone call or face to face observation. Results – Mean age of subjects was 3.7 years with no significant difference between the two sexes. Mean age was 3.7 year. The most frequent ingested foreign body was diskette battery (28.2% followed by coin (21.2%. The majority of subjects had no symptom (67%. the most frequent endoscopic location (21.8% was subglot. Most complications occurred after battery ingestion. Endoscopic intervention was required in 31.8% that mostly in cases with ingestion of organic substances (77.8% and coin (61.1%. There was a significant relationship between age and the type of foreign body (p=0.033 and its location (p= 0.012. Medical treatment was completely successful in 68.2%. There was no mortality. Conclusion – Manufacturing clockwork toys

  16. Unimagined Institutions

    DEFF Research Database (Denmark)

    Zangenberg, Mikkel Bruun

    2007-01-01

    In this paper it is argued that war contains inherent and thus necessary aesthetic traits (ranging from sensory data to narrative features), but that existing research institutions throughout the West have failed to address this issue adequately, in terms of research policy, recruitment and metho......In this paper it is argued that war contains inherent and thus necessary aesthetic traits (ranging from sensory data to narrative features), but that existing research institutions throughout the West have failed to address this issue adequately, in terms of research policy, recruitment...... and methodology. Accordingly, it is suggested that scholars from the humanities in particular aggressively seek to develop new types of research institutions and methods in order to deal with the manifold forms of overlap between warfare and aesthetics. In empirical terms, focus is limited to the current...

  17. Institutional Awareness

    DEFF Research Database (Denmark)

    Ahlvik, Carina; Boxenbaum, Eva

    Drawing on dual-process theory and mindfulness research this article sets out to shed light on the conditions that need to be met to create “a reflexive shift in consciousness” argued to be a key foundational mechanism for agency in institutional theory. Although past research has identified diff...... in consciousness to emerge and argue for how the varying levels of mindfulness in the form of internal and external awareness may manifest as distinct responses to the institutional environment the actor is embedded in....

  18. Promoting major pediatric surgical care in a low-income country: a 4-year experience in Eritrea.

    Science.gov (United States)

    Calisti, Alessandro; Belay, Kibreab; Mazzoni, Guglielmo; Fiocca, Guido; Retrosi, Giuseppe; Olivieri, Claudio

    2011-04-01

    Access to pediatric surgical care in many sub-Saharan African countries is strongly limited by lack of medical facilities, adequate transport system, and trained medical and nursing manpower. The mortality rate for major congenital abnormalities remains extremely elevated in this area of the world. Strong efforts have been spent during the past decades to elevate the level of pediatric surgery standards in these countries through cooperation programs acting through periodical medical missions or supporting local medical teaching institutions. This is a report of a partnership between an Italian Medical Institution and the Eritrean Ministry of Health with the goal to improve pediatric surgical standard of care in the country. During the past 4 years, teams composed of two pediatric surgeons, a pediatric anesthetist, and a pediatric nurse regularly visited the Orotta Medical and Surgical Referral Hospital of Asmara (Eritrea) to offer modern surgical treatment to children with major congenital abnormalities and to offer academic training to local medical and nursing staff. The team worked in local health structures. A total of 714 patients have been visited and 430 surgical procedures have been performed during 35 weeks of clinical work. Among them were 32 anorectal malformations, 11 Hirschsprung's disease cases, 8 bladder extrophies, and many other major surgical problems, such as congenital intestinal obstructions, obstructive uropathies, and solid tumors. The standard of care has been based on the principle of researching sustainable solutions. Surgical options and timing of each procedure have been decided to reduce hospitalization and the recourse to temporary stomas, indwelling catheterization, and prolonged intravenous feeding. Posterior sagittal anorectoplasties (PSARP) and posterior vagino-anorectoplasty (PSVARP) were performed for anorectal malformations, introducing minimal technical variants to reduce the need for postoperative nursing. Endorectal pull

  19. European Institutions?

    NARCIS (Netherlands)

    Meacham, Darian

    2016-01-01

    The aim of this article is to sketch a phenomenological theory of political institutions and to apply it to some objections and questions raised by Pierre Manent about the project of the European Union and more specifically the question of “European Construction”, i.e. what is the aim of the Europea

  20. Institution Morphisms

    Science.gov (United States)

    Goguen, Joseph; Rosu, Grigore; Norvig, Peter (Technical Monitor)

    2001-01-01

    Institutions formalize the intuitive notion of logical system, including both syntax and semantics. A surprising number of different notions of morphisim have been suggested for forming categories with institutions as objects, and a surprising variety of names have been proposed for them. One goal of this paper is to suggest a terminology that is both uniform and informative to replace the current rather chaotic nomenclature. Another goal is to investigate the properties and interrelations of these notions. Following brief expositions of indexed categories, twisted relations, and Kan extensions, we demonstrate and then exploit the duality between institution morphisms in the original sense of Goguen and Burstall, and the 'plain maps' of Meseguer, obtaining simple uniform proofs of completeness and cocompleteness for both resulting categories; because of this duality, we prefer the name 'comorphism' over 'plain map.' We next consider 'theoroidal' morphisms and comorphisims, which generalize signatures to theories, finding that the 'maps' of Meseguer are theoroidal comorphisms, while theoroidal morphisms are a new concept. We then introduce 'forward' and 'semi-natural' morphisms, and appendices discuss institutions for hidden algebra, universal algebra, partial equational logic, and a variant of order sorted algebra supporting partiality.

  1. Institutional Paralysis

    Science.gov (United States)

    Yarmolinsky, Adam

    1975-01-01

    Institutional paralysis of higher education is the result of the disjunction between faculty and administration; the disjunction between substantive planning and bugetary decision-making; the disjunction between departmental structures and functional areas of university concern; and the disjunction between the theory of direct democracy and its…

  2. Art in American Higher Institutions.

    Science.gov (United States)

    Feldman, Edmund Burke, Ed.

    This volume of 11 articles contains a comprehensive statement about the visual arts as they are encountered in post-secondary education. The articles are: (1) "Art and the Liberal Arts: A Trivial, Artificial, Irrelevant Antagonism" by Albert Bush-Brown; (2) "The Arts in Higher Education: A Question of Priorities" by Lawrence Dennis; (3) "Access to…

  3. [4 years of Microbiología SEM (1994-1997)].

    Science.gov (United States)

    Mas-Castellà, J

    1997-12-01

    Different aspects of Microbiología SEM editorial process over the years 1994-1997 are analyzed: number of originals received, the process leading to their publication, rates of accepted and refused papers, time needed for each step of the editorial process--which comprises scientific, language editing, if needed--, as well as some characteristics that can define the patterns of the articles, such as number of authors, institutions where the authors work and mean number of references. The contents of the different sections (editorial, research and review articles, perspectives, opinion, books review) are commented on, as well as the role played by some of them as forums for the discussion of topics of current scientific interest, especially the editorials focusing on the state-of-the-art of microbiological research in Latin American countries. Characteristics and frequency of monographic issues are also presented. The information is complemented with data about the circulation and distribution of the journal, its inclusion in international indexes and its current electronic publication on the world wide web.

  4. An Investigation of the Linkage between Technology-Based Activities and STEM Major Selection in 4-Year Postsecondary Institutions in the United States: Multilevel Structural Equation Modelling

    Science.gov (United States)

    Lee, Ahlam

    2015-01-01

    Among the disciplines of science, technology, engineering, and math (STEM), much attention has been paid to the influences of math- and science-related learning contexts on students' STEM major selection. However, the technology and engineering learning contexts that are linked to STEM major selection have been overlooked. In response, a…

  5. Speech rehabilitation in 10 Spanish-speaking children with severe cerebral palsy: a 4-year longitudinal study.

    Science.gov (United States)

    Puyuelo, M; Rondal, J A

    2005-01-01

    A 4-year longitudinal intervention was conducted with 10 young severely dysarthric children with cerebral palsy. Two procedures were implemented, each one for a period of 2 years. The first procedure centred on training the oral praxies, whereas the second one favoured a more functional approach based on voice and prosody training as well as parents' and school teachers' involvement. Bobath neurodevelopmental treatment was given throughout the 4-year period. Results clearly favour the second type of procedure which in interaction with Bobath's technique proved able to bring the children from unintelligible to an acceptable level of functional speech.

  6. Impact of improved neonatal care on the profile of retinopathy of prematurity in rural neonatal centers in India over a 4-year period

    Directory of Open Access Journals (Sweden)

    Vinekar A

    2016-05-01

    Full Text Available Anand Vinekar,1 Chaitra Jayadev,1 Siddesh Kumar,2 Shwetha Mangalesh,1,3 Mangat Ram Dogra,4 Noel J Bauer,5 Bhujang Shetty6 1Department of Pediatric Retina, Narayana Nethralaya Eye Hospital, Bangalore, 2Raichur Institute of Medical Sciences, Raichur, Karnataka, India; 3Department of Ophthalmology, Duke University, Durham, NC, USA; 4Advanced Eye Center, Postgraduate Institute of Medical Education and Research, Chandigarh, India; 5Department of Ophthalmology, Maastricht University of Health Sciences, Maastricht, the Netherlands; 6Department of Ophthalmology, Narayana Nethralaya Postgraduate Institute of Ophthalmology, Bangalore, India Purpose: To report the reduction in the incidence and severity of retinopathy of prematurity (ROP in rural India over a 4-year period following the introduction of improved neonatal care practices. Methods: The Karnataka Internet Diagnosis of Retinopathy of Prematurity program (KIDROP, is a tele-medicine network that screens for ROP in different zones of Karnataka state in rural India. North Karnataka is the most underdeveloped and remote zone of this program and did not have any ROP screening programs before the intervention of the KIDROP in 2011. Six government and eleven private neonatal centers in this zone were screened weekly. Specific neonatal guidelines for ROP were developed and introduced in these centers. They included awareness about risk factors, oxygen regulation protocols, use of pulse oxymetry, monitoring postnatal weight gain, nutritional best practices, and management of sepsis. The incidence and severity of ROP were compared before the guidelines were introduced (Jan 2011 to Dec 2012 and after the guidelines were introduced (July 2013 to June 2015. Results: During this 4-year period, 4,167 infants were screened over 11,390 imaging sessions. The number of enrolled infants increased from 1,825 to 2,342 between the two periods (P<0.001. The overall incidence of any stage ROP reduced significantly from

  7. Association of breast-feeding and feeding on demand with child weight status up to 4 years

    NARCIS (Netherlands)

    Gubbels, J.S.; Thijs, C.; Stafleu, A.; Buuren, S. van; Kremers, S.P.J.

    2011-01-01

    Objectives. The mechanisms underlying the protective effect of breast-feeding on the development of childhood overweight are unclear. This study examines the association of breast-feeding with weight gain in the first year, and body mass index (BMI) and overweight up to 4 years. In addition, we

  8. CO2 AND N-FERTILIZATION EFFECTS ON FINE ROOT LENGTH, PRODUCTION, AND MORTALITY: A 4-YEAR PONDEROSA PINE STUDY

    Science.gov (United States)

    We conducted a 4-year study of Pinus ponderosa fine root (<2 mm) responses to atmospheric CO2 and N-fertilization. Seedlings were grown in open-top chambers at 3 CO2 levels (ambient, ambient+175 mol/mol, ambient+350 mol/mol) and 3 N-fertilization levels (0, 10, 20 g?m-2?yr-1). ...

  9. Weaning initiation patterns and subsequent linear growth progression among children aged 2-4 years in India

    NARCIS (Netherlands)

    Padmadas, S.S.; Hutter, I.; Willekens, F.J.C.

    2002-01-01

    Background Reliance on full breastfeeding alone for a longer time could have deleterious nutritional and health implications at later stages of children's lives. About 47% of children are weaned at age greater than or equal to6 months and more than 50% of children in India under 4 years are stunted.

  10. The Effects of Mode of Presentation and Number of Categories on 4-Year-Olds' Proportion Estimates.

    Science.gov (United States)

    Widom, Cathy Spatz; Ginsburg, Herbert

    Two experiments investigate the effects of mode of presentation and number of categories on 4-year-olds' proportion estimates. Experiment I compares simultaneous and successive presentations of proportion problems using two categories of elements. The subjects were 40 children chosen randomly and tested individually. Four problems were presented…

  11. Reported versus measured body weight and height of 4-year-old children and the prevalence of overweight

    NARCIS (Netherlands)

    S. Scholtens (Salome); B. Brunekreef (Bert); T.L.S. Visscher (Tommy); H.A. Smit (Henriëtte); M. Kerkhof (Marjan); J.C. de Jongste (Johan); J. Gerritsen (Jorrit); A.H. Wijga (Alet)

    2007-01-01

    textabstractBackground: In adults, body weight tends to be underestimated when based on self-reported data. Whether this discrepancy between measured and reported data exists in healthy young children is unclear. We studied whether parental reported body weight and height of 4-year-old children corr

  12. Reported versus measured body weight and height of 4-year-old children and the prevalence of overweight

    NARCIS (Netherlands)

    Scholtens, Salome; Brunekreef, Bert; Visscher, Tommy L. S.; Smit, Henriette A.; Kerkhof, Marjan; de Jongste, Johan C.; Gerritsen, Jorrit; Wijga, Alet H.

    2007-01-01

    Background: In adults, body weight tends to be underestimated when based on self-reported data. Whether this discrepancy between measured and reported data exists in healthy young children is unclear. We studied whether parental reported body weight and height of 4-year-old children corresponded wit

  13. Intradiscal injection of oxygen-ozone and intraforaminal steroid for the treatment of prolapsed intervertebral disc: 4 years follow up

    Directory of Open Access Journals (Sweden)

    Asmita Karnalkar

    2015-12-01

    Conclusions: Intradiscal injection of O2-O3 and intraforaminal steroid is highly effective in relieving lower back pain in patients with lumbar disc herniation not responding to conservative therapy. There was significant clinical outcome even after 4 years. [Int J Res Med Sci 2015; 3(12.000: 3848-3852

  14. Biomass, Nitrogen, and Phosphorus Accumulation in 4-Year-Old Intensively Managed Loblolly Pine and Sweetgum Plantations

    Science.gov (United States)

    Charles A. Gresham; Thomas M. William

    2002-01-01

    Knowing the nutrient uptake potential of plantations of fast-growing species is essential to designing land-based tertiary water treatment facilities. This study was conducted to estimate the biomass of 4-year-old, intensively managed loblolly pine (Pinus taeda) and sweetgum (Liquidambar styraciflua) plantations and to estimate the...

  15. Hyperplastic callus formation in osteogenesis imperfecta type V mimicking osteosarcoma: 4-year follow-up with resolution

    Energy Technology Data Exchange (ETDEWEB)

    Vieira, R.L.V.; Amaral, D.T. [Federal University of Sao Paulo, Department of Radiology, Sao Paulo (Brazil); Jesus-Garcia, Filho R. [Federal University of Sao Paulo, Department of Orthopedic Surgery, Sao Paulo (Brazil); Saraiva, G. [Federal University of Sao Paulo, Department of Endocrinology, Sao Paulo (Brazil); Fernandes, A.R.C. [University of California San Diego, Department of MSK Radiology, San Diego, CA (United States); Resnick, D.

    2006-06-15

    We report a case of hyperplastic callus formation that occurred in both femurs in a patient with type V osteogenesis imperfecta (OI), with 4-year follow-up and resolution. The clinical, histological and imaging aspects of this condition are discussed. Recognition of the hyperplastic callus formation in this particular type of OI is important in order to avoid misdiagnosis. (orig.)

  16. Ethnic Background and Television Viewing Time Among 4-Year-Old Preschool Children : The Generation R Study

    NARCIS (Netherlands)

    A.I. Wijtzes (Anne); W. Jansen (Wilma); V.W.V. Jaddoe (Vincent); H.A. Moll (Henriëtte); H.W. Tiemeier (Henning); F.C. Verhulst (Frank); A. Hofman (Albert); J.P. Mackenbach (Johan); H. Raat (Hein)

    2013-01-01

    textabstractObjective: Children’s television viewing has been associated with an increased risk of overweight and obesity. This study aims to assess the associations of ethnic background and acculturation characteristics with television viewing time in 4-year-old preschool children. Method: The auth

  17. Ethnic Background and Television Viewing Time Among 4-Year-Old Preschool Children : The Generation R Study

    NARCIS (Netherlands)

    A.I. Wijtzes (Anne); W. Jansen (Wilma); V.W.V. Jaddoe (Vincent); H.A. Moll (Henriëtte); H.W. Tiemeier (Henning); F.C. Verhulst (Frank); A. Hofman (Albert); J.P. Mackenbach (Johan); H. Raat (Hein)

    2013-01-01

    textabstractObjective: Children’s television viewing has been associated with an increased risk of overweight and obesity. This study aims to assess the associations of ethnic background and acculturation characteristics with television viewing time in 4-year-old preschool children. Method: The

  18. Phonological Patterns in Normally Developing Spanish-Speaking 3-and 4-Year Olds of Puerto Rican Descent.

    Science.gov (United States)

    Goldstein, Brian A.; Iglesias, Aquiles

    1996-01-01

    This study used quantitative and qualitative methodology to examine the phonological patterns of 24 3-year-old and 30 4-year-old Spanish-speaking preschoolers of Puerto Rican descent. The children acquired the sounds of their language at an early age and did not exhibit high percentages of occurrence on targeted phonological processes. (DB)

  19. Treatment of gingival recession using enamel matrix proteins: a case report with 4-year follow-up.

    Science.gov (United States)

    Kuru, Bahar; Yilmaz, Selçuk; Noyan, Ulkü

    2007-05-01

    Obtaining predictable and optimal coverage of exposed root surfaces and correction of corresponding gingival recessions have become important goals of periodontal plastic surgery. Various surgical techniques have been proposed for coverage of root surfaces. A therapeutic advantage may be gained if periodontal regeneration is obtained in addition to coverage of root with gingiva. In this case report, surgical recession coverage was performed as the bilaterally pedicled lateral sliding flap technique with the adjunctive use of enamel matrix derivative bioactive material (Emdogain). A female patient with gingival recession on maxillary central incisors is presented with 4-year follow-up observation. The surgical procedure used in this clinical pilot case study produced a marked reduction in gingival recession that was maintained for 4 years. Initial gingival recession averaged 4.25 mm with a probing depth of 1.25 mm. The 4-year follow-up demonstrated no significant changes in the degree of postoperative results obtained after 1 year. At the 4-year follow-up, a mean of 3.75 mm of root coverage was observed (93.8% root coverage). Probing depth averaged 0.75 mm, indicating a total of 4.25 mm gain of clinical attachment. Within the limits of this case, the results demonstrated the possibility of treating human buccal recessions by means of enamel matrix protein derivative together with the laterally repositioned flap technique, with a predictable reduction in recession and clinical gain in attachment.

  20. Association of breast-feeding and feeding on demand with child weight status up to 4 years

    NARCIS (Netherlands)

    Gubbels, J.S.; Thijs, C.; Stafleu, A.; Buuren, S. van; Kremers, S.P.J.

    2011-01-01

    Objectives. The mechanisms underlying the protective effect of breast-feeding on the development of childhood overweight are unclear. This study examines the association of breast-feeding with weight gain in the first year, and body mass index (BMI) and overweight up to 4 years. In addition, we exam

  1. Association of breast-feeding and feeding on demand with child weight status up to 4 years

    NARCIS (Netherlands)

    Gubbels, J.S.; Thijs, C.; Stafleu, A.; Buuren, S. van; Kremers, S.P.J.

    2011-01-01

    Objectives. The mechanisms underlying the protective effect of breast-feeding on the development of childhood overweight are unclear. This study examines the association of breast-feeding with weight gain in the first year, and body mass index (BMI) and overweight up to 4 years. In addition, we exam

  2. Different Executive Functions Support Different Kinds of Cognitive Flexibility: Evidence from 2-, 3-, and 4-Year-Olds

    Science.gov (United States)

    Blakey, Emma; Visser, Ingmar; Carroll, Daniel J.

    2016-01-01

    Improvements in cognitive flexibility during the preschool years have been linked to developments in both working memory and inhibitory control, though the precise contribution of each remains unclear. In the current study, one hundred and twenty 2-, 3-, and 4-year-olds completed two rule-switching tasks. In one version, children switched rules in…

  3. Asthma and asthma medication use among 4-year-old offspring of subfertile couples - association with IVF?

    NARCIS (Netherlands)

    Kuiper, Derk B.; Seggers, Jorien; Schendelaar, Pamela; Haadsma, Maaike L.; Roseboom, Tessa J.; Heineman, Maas J.; Hadders-Algra, Mijna

    2015-01-01

    This study evaluated the prevalence of asthma and asthma medication use in 213 4-year-old singletons followed from birth onwards, including three groups of children born following: (i) controlled ovarian hyperstimulation IVF/intracytoplasmic sperm injection (ICSI); (ii) modified natural cycle IVF/IC

  4. Effectiveness of a Fundamental Motor Skill Intervention for 4-Year-Old Children with Autism Spectrum Disorder: A Pilot Study

    Science.gov (United States)

    Bremer, Emily; Balogh, Robert; Lloyd, Meghann

    2015-01-01

    A wait-list control experimental design was employed to investigate the effectiveness of a fundamental motor skill intervention at improving the motor skills, adaptive behavior, and social skills of 4-year-old children with autism spectrum disorder (experimental n?=?5, control n?=?4); the impact of intervention intensity was also explored. The…

  5. Reported versus measured body weight and height of 4-year-old children and the prevalence of overweight

    NARCIS (Netherlands)

    Scholtens, Salome; Brunekreef, Bert; Visscher, Tommy L. S.; Smit, Henriette A.; Kerkhof, Marjan; de Jongste, Johan C.; Gerritsen, Jorrit; Wijga, Alet H.

    2007-01-01

    Background: In adults, body weight tends to be underestimated when based on self-reported data. Whether this discrepancy between measured and reported data exists in healthy young children is unclear. We studied whether parental reported body weight and height of 4-year-old children corresponded wit

  6. Obesity and Developmental Functioning among Children Aged 2-4 Years. National Poverty Center Working Paper Series #08-07

    Science.gov (United States)

    Cawley, John; Spiess, C. Katharina

    2008-01-01

    In developed countries, obesity tends to be associated with worse labor market outcomes. One possible reason is that obesity leads to less human capital formation early in life. This paper investigates the association between obesity and the developmental functioning of children at younger ages (2-4 years) than ever previously examined. Data from…

  7. Institutional Awareness

    DEFF Research Database (Denmark)

    Ahlvik, Carina; Boxenbaum, Eva

    Drawing on dual-process theory and mindfulness research this article sets out to shed light on the conditions that need to be met to create “a reflexive shift in consciousness” argued to be a key foundational mechanism for agency in institutional theory. Although past research has identified...... different exogenous triggers to evoke shifts in consciousness, such as conflicting logics or socio-economic shocks, we argue that a reflexive shift in consciousness can also be cultivated by developing mindfulness. We develop a typology to depict conditions that need to be met to enable a reflexive shift...

  8. Institutional Investors

    DEFF Research Database (Denmark)

    Birkmose, Hanne Søndergaard; Strand, Therese

    Research Question/Issue: Institutional investors are facing increased pressure and threats of legislation from the European Union to abandon passive ownership strategies. This study investigates the prerequisites for – and potential dissimilarities in the practice of, active ownership among......, as such a setup transfers power from the board to the owners. Presumably, this reduces the impact of free rider and collective action problems, and increases the shareholders’ inclination to make proposals, which is also what we find. Theoretical/Academic Implications: We contribute to literature by investigating...

  9. Fathers' challenging parenting behavior prevents social anxiety development in their 4-year-old children: a longitudinal observational study.

    Science.gov (United States)

    Majdandžić, Mirjana; Möller, Eline L; de Vente, Wieke; Bögels, Susan M; van den Boom, Dymphna C

    2014-02-01

    Recent models on parenting propose different roles for fathers and mothers in the development of child anxiety. Specifically, it is suggested that fathers' challenging parenting behavior, in which the child is playfully encouraged to push her limits, buffers against child anxiety. In this longitudinal study, we explored whether the effect of challenging parenting on children's social anxiety differed between fathers and mothers. Fathers and mothers from 94 families were separately observed with their two children (44 % girls), aged 2 and 4 years at Time 1, in three structured situations involving one puzzle task and two games. Overinvolved and challenging parenting behavior were coded. Child social anxiety was measured by observing the child's response to a stranger at Time 1, and half a year later at Time 2, and by parental ratings. In line with predictions, father's challenging parenting behavior predicted less subsequent observed social anxiety of the 4-year-old child. Mothers' challenging behavior, however, predicted more observed social anxiety of the 4-year-old. Parents' overinvolvement at Time 1 did not predict change in observed social anxiety of the 4-year-old child. For the 2-year-old child, maternal and paternal parenting behavior did not predict subsequent social anxiety, but early social anxiety marginally did. Parent-rated social anxiety was predicted by previous parental ratings of social anxiety, and not by parenting behavior. Challenging parenting behavior appears to have favorable effects on observed 4-year-old's social anxiety when displayed by the father. Challenging parenting behavior emerges as an important focus for future research and interventions.

  10. Institute news

    Science.gov (United States)

    1999-11-01

    Joining the team A new member of staff has recently joined the Institute of Physics Education Department (Schools and Colleges) team. (Dr) Steven Chapman will have managerial responsibility for physics education issues in the 11 - 16 age range, particularly on the policy side. He will work closely with Mary Wood, who spends much of her time out and about doing the practical things to support physics education pre-16. Catherine Wilson will be spending more of her time working to support the Post-16 Physics Initiative but retains overall responsibility for the department. Steven graduated in Physics and Astronomy and then went on to do his doctorate at Sussex University. He stayed in the research field for a while, including a period at NPL. Then, having decided to train as a teacher, he taught for the last five years, most recently at a brand new school in Sutton where he was Head of Physics. Physics update Dates for `Physics Update' courses in 2000, intended for practising science teachers, are as follows: 1 - 3 April: Malvern College 9 - 10 June: Stirling University 8 - 10 July: York University 8 - 10 December: Oxford University The deadline for applications for the course to be held on 11 - 13 December 1999 at the School of Physics, Exeter University, is 12 November, so any late enquiries should be sent to Leila Solomon at The Institute of Physics, 76 Portland Place, London W1N 3DH (tel: 020 7470 4821) right away. Name that teacher! Late nominations are still welcome for the Teachers of Physics/Teachers of Primary Science awards for the year 2000. Closing date for nominations is `the last week in November'. Further details can be obtained from Catherine Wilson or Barbara Hill in the Institute's Education Department. Forward and back! The Education Group's one-day meeting on 13 November is accepting bookings until almost the last minute, so don't delay your application! The day is entitled `Post-16 physics: Looking forward, learning from the past' and it aims to

  11. Asthma and asthma medication use among 4-year-old offspring of subfertile couples--association with IVF?

    Science.gov (United States)

    Kuiper, Derk B; Seggers, Jorien; Schendelaar, Pamela; Haadsma, Maaike L; Roseboom, Tessa J; Heineman, Maas J; Hadders-Algra, Mijna

    2015-11-01

    This study evaluated the prevalence of asthma and asthma medication use in 213 4-year-old singletons followed from birth onwards, including three groups of children born following: (i) controlled ovarian hyperstimulation IVF/intracytoplasmic sperm injection (ICSI); (ii) modified natural cycle IVF/ICSI; and (iii) natural conception in subfertile couples. The rate of asthma medication was higher in the ovarian hyperstimulation-IVF/ICSI than in the subfertile group (adjusted odds ratios [aOR]: 1.96 [1.00-3.84]). Time to pregnancy, a proxy for the severity of subfertility, was not associated with asthma and asthma medication. In conclusion, controlled ovarian hyperstimulation-IVF/ICSI is associated with the use of asthma medication in 4-year-old offspring of subfertile couples.

  12. Self-critical perfectionism and depressive and anxious symptoms over 4 years: The mediating role of daily stress reactivity.

    Science.gov (United States)

    Mandel, Tobey; Dunkley, David M; Moroz, Molly

    2015-10-01

    This study of 150 community adults examined heightened emotional reactivity to daily stress as a mediator in the relationships between self-critical (SC) perfectionism and depressive and anxious symptoms over a period of 4 years. Participants completed questionnaires assessing: perfectionism dimensions, general depressive symptoms (i.e., shared with anxiety), specific depressive symptoms (i.e., anhedonia), general anxious symptoms (i.e., shared with depression), and specific anxious symptoms (i.e., somatic anxious arousal) at Time 1; daily stress and affect (e.g., sadness, negative affect) for 14 consecutive days at Month 6 and Year 3; and depressive and anxious symptoms at Year 4. Path analyses indicated that SC perfectionism predicted daily stress-sadness reactivity (i.e., greater increases in sadness in response to increases in stress) across Month 6 and Year 3, which in turn explained why individuals with higher SC perfectionism had more general depressive symptoms, anhedonic depressive symptoms, and general anxious symptoms, respectively, 4 years later. In contrast, daily reactivity to stress with negative affect did not mediate the prospective relation between SC perfectionism and anhedonic depressive symptoms. Findings also demonstrated that higher mean levels of daily stress did not mediate the relationship between SC perfectionism and depressive and anxious symptoms 4 years later. These findings highlight the importance of targeting enduring heightened stress reactivity in order to reduce SC perfectionists' vulnerability to depressive and anxious symptoms over the long term.

  13. Instituting Commoning

    Directory of Open Access Journals (Sweden)

    . STEALTH.unlimited

    2015-06-01

    Full Text Available Starting from the origins of the notion of management, this paper explores how commons governance is constituted by the earlier influential research of Elinor Ostrom, and pursues this with reference to scholars such as Saki Bailey, who emphasises that the choice of regulatory frame is ultimately a political one. We then argue that commons have to be ‘instituted’ in an open manner in order to remain accessible. This demands a set of scripts, rules or agreements that keep the process of commoning in place, and, simultaneously, keep commoning in a constant process of reproduction. We examine this tension and look at the shift in understanding about what ‘institutions of the commons’ have entailed in practice over the course of the last century and a half. Finally, we return to the political dimension to touch upon the question of whether, with the disappearance of the welfare state, a coherent concept of society can emerge from the current upsurge of commons initiatives.

  14. On the Cutting Edge: Movements and Institutional Examples of Technological Disruption

    Science.gov (United States)

    Leon, Marjorie Roth; Price, Todd Alan

    2016-01-01

    This chapter describes technological disruptions in higher education that pose challenges and offer opportunities to college and university students, faculty, and administrators. It provides examples of innovative responses being explored by 2-year and 4-year higher education institutions.

  15. [Periodic fever, aphtosus stomatitis, pharyngitis, cervical adenopathy syndrome (PFAPA syndrome) in 4-years old girl--case report].

    Science.gov (United States)

    Krzywicka, Agnieszka; Rusek-Zychma, Małgorzata; Barć-Czarnecka, Małgorzata; Roszkowska, Dagmara

    2007-01-01

    Characteristic feature of PFAPA syndrome is periodic episodes of fever recurring in 21-28 days in infants and young children. Fever is accompanied by aphtosus stomatitis, pharyngitis and cervical adenopathy. Diagnosis of this syndrome are based on typical clinical manifestations, because there are no characteristic changes in laboratory findings. The reason of this syndrome is unknown. We described a case of 4 years old girl with typical manifestations of this syndrome. We excluded others reasons of periodic fever. PFAPA syndrome passed after 2 years of duration after adenothomy.

  16. Biochemical markers for prediction of 4-year response in bone mass during bisphosphonate treatment for prevention of postmenopausal osteoporosis

    DEFF Research Database (Denmark)

    Ravn, Pernille; Thompson, Desmond E; Ross, Philip D;

    2003-01-01

    .47 [total OC (ELISA)], and r = -0.43 and r = -0.41 [total OC (RIA)], all P analyse the ability of the bone markers to predict a change in spine BMD greater than 0%. The best performance [defined as the maximum value of (sensitivity plus specificity)] was found at the cut...... measured at 6-month intervals. The correlation between 6-month change in uCTX and 4-year change in spine and hip bone mineral density (BMD) was r = -0.41 and r = -0.42, respectively (P r = -0.53 and r = -0.42 (uNTX), r = -0.46 and r = -0...

  17. Management of a multiple dentoalveolar trauma in permanent dentition with avulsion of a canine: a 4-year follow-up.

    Science.gov (United States)

    Senes, Andrea Melo; Sakai, Vivien T; Oliveira, Thais Marchini; Machado, Maria Aparecida A M; Santos, Carlos F; Marzola, Clóvis

    2008-03-01

    Traumatic dental injuries are relatively frequent accidents that typically involve teeth in the maxillary anterior segment. The emergency treatment and the clinical decisions must be efficiently made at the time of injury, and there is a need for long-term follow-up because of the high incidence of complications. The aim of this article was to present the emergency and rehabilitation treatments of a multiple dentoalveolar trauma in the permanent dentition involving different extensions of enamel-dentin crown fracture, pulp exposure, and the avulsion of a canine. The treatment outcomes are reported up to the 4-year follow-up, and the clinical approaches and their rationale are discussed.

  18. Radiation-induced optic neuropathy 4 years after radiation: report of a case followed up with MRI

    Energy Technology Data Exchange (ETDEWEB)

    Piquemal, R.; Renard, J.P. [Service de Medecine Interne A, Hopital Bretonneau, Tours (France); Cottier, J.P.; Herbreteau, D. [Service de Neuroradiologie, Hopital Bretonneau, Tours (France); Arsene, S.; Rospars, C. [Service d`Ophthalmologie, Hopital Bretonneau, Tpurs (France); Lioret, E.; Jan, M. [Service de Neurochirurgie, Hopital Bretonneau, Tours (France)

    1998-07-01

    We report a case of radiation-induced optic neuropathy in a 32-year-old man with Cushing`s disease and a recurrent tumour of the left cavernous sinus. The patient experienced rapid, painless loss of vision 4 years after treatment without recurrence of tumour or other visual disorder. MRI showed enlargement and contrast enhancement of the optic chiasm. A year later the patient was almost blind and MRI showed atrophy and persistent contrast enhancement of the chiasm. (orig.) With 3 figs., 13 refs.

  19. Fatal course of pulmonary Absidia sp. infection in a 4-year-old girl undergoing treatment for acute lymphoblastic leukemia.

    Science.gov (United States)

    Krauze, Agnieszka; Krenke, Katarzyna; Matysiak, Michal; Kulus, Marek

    2005-07-01

    Absidia sp. is a rare etiologic agent responsible for infectious complications in immunosuppressed patients. The authors describe a 4-year-old girl with acute lymphoblastic leukemia complicated with pleuropneumonia caused by an Absidia infection during the induction of remission. A review of the published reports in current literature is included for comparison. To the authors' knowledge only six cases of primary pulmonary absidiomycosis have been published. Despite its uncommon pulmonary presentation, mucormycosis should be considered in patients with an immunosuppressing illness and positive risk factors and when a pulmonary lesion is not responding to appropriate antibiotic therapy.

  20. Immediate implant placement following a modified trephine/osteotome approach: success rates of 116 implants to 4 years in function.

    Science.gov (United States)

    Fugazzotto, Paul A

    2002-01-01

    A technique is presented which utilizes a trephine with a 3.0-mm external diameter followed by an osteotome to implode a core of maxillary posterior alveolar bone prior to immediate implant placement. The technique and its indications and contraindications are described in detail. One hundred sixteen implants were placed and uncovered utilizing this technique. Two implants were mobile at the time of uncovering. One hundred fourteen implants were restored and have been functioning successfully for up to 4 years according to the Albrektsson criteria, yielding a success rate of 98.3%. No implants have been lost or are failing in function.

  1. Creation of security engineering programs by the Southwest Surety Institute

    Science.gov (United States)

    Romero, Van D.; Rogers, Bradley; Winfree, Tim; Walsh, Dan; Garcia, Mary Lynn

    1998-12-01

    The Southwest Surety Institute includes Arizona State University (ASU), Louisiana State University (LSU), New Mexico Institute of Mining and Technology (NM Tech), New Mexico State University (NMSU), and Sandia National Laboratories (SNL). The universities currently offer a full spectrum of post-secondary programs in security system design and evaluation, including an undergraduate minor, a graduate program, and continuing education programs. The programs are based on the methodology developed at Sandia National Laboratories over the past 25 years to protect critical nuclear assets. The programs combine basic concepts and principles from business, criminal justice, and technology to create an integrated performance-based approach to security system design and analysis. Existing university capabilities in criminal justice (NMSU), explosives testing and technology (NM Tech and LSU), and engineering technology (ASU) are leveraged to provide unique science-based programs that will emphasize the use of performance measures and computer analysis tools to prove the effectiveness of proposed systems in the design phase. Facility managers may then balance increased protection against the cost of implementation and risk mitigation, thereby enabling effective business decisions. Applications expected to benefit from these programs include corrections, law enforcement, counter-terrorism, critical infrastructure protection, financial and medical care fraud, industrial security, and border security.

  2. Dental pain and associated factors in 2 to 4-year-old children in Goiânia

    Directory of Open Access Journals (Sweden)

    Marília Galvão Chaves Lemes

    2015-09-01

    Full Text Available OBJECTIVE: To investigate the prevalence of dental pain and associated factors in 2-4-year-old children in Goiânia (GO. METHODS: Cross-sectional study using home interviews with parents or guardians and anthropometric measures. The sample consisted of 385 children from 2 to 4 years old. The variables analyzed were: dental pain sometime in their lives, and demographic, socioeconomic and health-related factors (health condition, diet, nutritional status and behavior. Bivariate analysis and logistic regression were performed, based on a hierarchical model for risk assessment, considering the sample weights. RESULTS: Dental pain prevalence was 9.9% (95%CI 7.4 - 13.1. After adjustment for other variables, children whose mothers had low education level and those who regularly consumed artificial powder juice containing sugar were more likely to have dental pain (OR = 3.03 and 2.15, respectively. CONCLUSION: It was concluded that one in ten children had dental pain, and the prevalence was associated with low education level of the mother and the regular consumption of artificial powder juice.

  3. Eliglustat, an investigational oral therapy for Gaucher disease type 1: Phase 2 trial results after 4 years of treatment.

    Science.gov (United States)

    Lukina, Elena; Watman, Nora; Dragosky, Marta; Pastores, Gregory M; Arreguin, Elsa Avila; Rosenbaum, Hanna; Zimran, Ari; Angell, Jennifer; Ross, Leorah; Puga, Ana Cristina; Peterschmitt, Judith M

    2014-12-01

    Eliglustat is an investigational, oral substrate reduction therapy for Gaucher disease type 1 (GD1). Nineteen treatment-naïve patients have now completed 4years of an open-label study (NCT00358150). Mean hemoglobin level and platelet count increased by 2.3±1.5g/dL (baseline: 11.3±1.5g/dL) and 95% (baseline: 68,700±21,200/mm(3)), respectively. Mean spleen and liver volumes (multiples of normal, MN) decreased by 63% (baseline: 17.3±9.5 MN) and 28% (baseline: 1.7±0.4 MN), respectively. Median chitotriosidase and CCL-18 each decreased by 82%; plasma glucosylceramide and GM3 normalized. Mean bone mineral density T-score for the lumbar spine increased by 0.8 (60%) (baseline: -1.6±1.1). Femur dark marrow, a reflection of Gaucher cell infiltration into bone marrow, was reduced or stable in 17/18 patients. There were no bone crises. Most adverse events were mild and unrelated to treatment. These results extend the safety and efficacy of eliglustat reported at 1 and 2 years to 4 years.

  4. Delay of gratification and time comprehension is impaired in very preterm children at the age of 4years.

    Science.gov (United States)

    Hüning, B M; Assing, B; Weishaupt, E; Dransfeld, F; Felderhoff-Müser, U; Zmyj, N

    2017-09-24

    Very preterm infants more likely exhibit deficient executive functions than term born controls. Delay of gratification, as part of the executive functions, allows for rejecting an immediate in favor of a greater future reward. Time comprehension might help to delay gratification. We hypothesized that delay of gratification and time comprehension is less developed in preterm children and that time comprehension is associated with the ability to wait for a greater reward. Very preterm children (preterm subjects (12 female; median: gestational age (GA) 28.3weeks, corrected age 4years, 22days) and 26 controls (16 female, median GA: 40.0weeks, age 4years, 25days) participated. Correct answers in the time comprehension and receptive language task, waiting time in the delay-of-gratification task were measured. Preterm subjects had less time comprehension than controls (43% vs. 53%, p=0.017, one-tailed) but receptive language skills were similar. Waiting time in the delay-of-gratification task was 3:42min in preterm subjects, versus 10:09min in controls (p=0.043, one-tailed). Even after controlling for language skills, waiting time correlated positively with time comprehension in both groups (r=0.399, p=0.004, two-tailed). Preterm children's time comprehension and delay of gratification ability is impaired. Future research is warranted to investigate whether training in time comprehension increases the ability to delay gratification. Copyright © 2017 Elsevier B.V. All rights reserved.

  5. Changes in structural lung disease in cystic fibrosis children over 4 years as evaluated by high-resolution computed tomography

    Energy Technology Data Exchange (ETDEWEB)

    Carpio, Carlos; Alvarez-Sala, Rodolfo; Prados, Concepcion [University Hospital La Paz, La Paz Hospital Research Institute, Department of Respiratory Medicine, Madrid (Spain); Albi, Gustavo [Nino de Jesus Children' s Hospital, Department of Radiology, Madrid (Spain); Rayon-Aledo, Jose Carlos; Caballero, Paloma [University Hospital La Princesa, Department of Radiology, Madrid (Spain); Giron, Rosa [University Hospital La Princesa, Department of Respiratory Medicine, Madrid (Spain)

    2015-12-15

    To compare the worsening of structural lung disease on high-resolution computed tomography (HRCT) with changes in spirometry results in cystic fibrosis (CF) patients, and analyse factors associated with the worsening of structural lung disease over time. A total of 31 CF subjects (mean age 11.03 ± 3.67 years old) were prospectively evaluated by two HRCT and spirometry tests performed 4 years apart. HRCT abnormalities were scored using the Bhalla scoring system. Comparisons between changes on HRCT and spirometry were made for all patients, and also for groups categorized by age, sex, genotypic alterations and lung obstruction. The mean HRCT Bhalla scoring, forced expiratory volume in 1 s (FEV{sub 1} %pred.) and forced vital capacity (FVC %pred.) were 7.92 ± 3.59, 87.76 ± 20.52 and 96.54 ± 15.12, respectively. There was a significant deterioration in the Bhalla score (p < 0.01) and in certain categories: severity of bronchiectasis, peribronchial thickening, mucous plugging and bronchial divisions. Females had a more pronounced worsening of the Bhalla score than males (p = 0.048). No change over time was found in FEV{sub 1} and FVC. Only sex was associated with a deterioration in HRCT. HRCT Bhalla scoring changes statistically significantly over 4 years, but spirometry results do not. Worsening on HRCT is more evident in females. (orig.)

  6. Continuous up to 4 Years Entecavir Treatment of HBV-Infected Adolescents - A Longitudinal Study in Real Life.

    Science.gov (United States)

    Pawłowska, Małgorzata; Domagalski, Krzysztof; Smok, Beata; Rajewski, Paweł; Wietlicka-Piszcz, Magdalena; Halota, Waldemar; Tretyn, Andrzej

    This study evaluated the long-term (up to 4 years) efficacy and safety of entecavir ETV treatment and analysed the significance of baseline and on-treatment factors in long-term ETV outcomes in adolescents with chronic hepatitis B (CHB). We determined the cumulative virological and serological outcomes of 44 adolescents with CHB receiving ETV for up to 4 years. To investigate the dynamics of HBV DNA, ALT activity and hepatitis B e antigen (HBeAg) seroconversion over time and their associations with the considered factors, generalized estimating equation (GEE) models were used. The cumulative rates of undetectable HBV DNA (<20 IU/ml) and HBeAg seroconversion after 4 years were 89.7% and 55.4%, respectively. In the study group, we showed that having undetectable HBV DNA at the 6th or 12th month of therapy predicted the achievement of a sustained response rate (SRR, defined as the loss of HBV DNA, loss of HBeAg and ALT normalization) at year 3 of ETV therapy (P = 0.048, OR = 5.83; P = 0.012; OR = 14.57, respectively). The GEE analysis indicated that of the different factors, the duration of ETV therapy had a strong impact on the achievement of virological suppression, HBeAg seroconversion and SRR in adolescents. Each month after the initiation of therapy, the odds of loss of HBV DNA increased by approximately 5% (OR = 1.05, P<0.0001), on average. Additionally, the GEE analysis revealed that adolescents with an age at infection of ≥10 years had 3 times higher odds of achieving undetectable HBV DNA than patients with a younger infection age (OR = 3.67, P = 0.028). None of the ETV-treated patients reported significant adverse effects. ETV is an effective and safe treatment option for adolescents with CHB. Undetectable HBV DNA in the 6th and/or 12th month of ETV treatment and older age at infection could predict maintained virological suppression.

  7. Continuous up to 4 Years Entecavir Treatment of HBV-Infected Adolescents – A Longitudinal Study in Real Life

    Science.gov (United States)

    Pawłowska, Małgorzata; Smok, Beata; Rajewski, Paweł; Wietlicka-Piszcz, Magdalena; Halota, Waldemar; Tretyn, Andrzej

    2016-01-01

    This study evaluated the long-term (up to 4 years) efficacy and safety of entecavir ETV treatment and analysed the significance of baseline and on-treatment factors in long-term ETV outcomes in adolescents with chronic hepatitis B (CHB). We determined the cumulative virological and serological outcomes of 44 adolescents with CHB receiving ETV for up to 4 years. To investigate the dynamics of HBV DNA, ALT activity and hepatitis B e antigen (HBeAg) seroconversion over time and their associations with the considered factors, generalized estimating equation (GEE) models were used. The cumulative rates of undetectable HBV DNA (<20 IU/ml) and HBeAg seroconversion after 4 years were 89.7% and 55.4%, respectively. In the study group, we showed that having undetectable HBV DNA at the 6th or 12th month of therapy predicted the achievement of a sustained response rate (SRR, defined as the loss of HBV DNA, loss of HBeAg and ALT normalization) at year 3 of ETV therapy (P = 0.048, OR = 5.83; P = 0.012; OR = 14.57, respectively). The GEE analysis indicated that of the different factors, the duration of ETV therapy had a strong impact on the achievement of virological suppression, HBeAg seroconversion and SRR in adolescents. Each month after the initiation of therapy, the odds of loss of HBV DNA increased by approximately 5% (OR = 1.05, P<0.0001), on average. Additionally, the GEE analysis revealed that adolescents with an age at infection of ≥10 years had 3 times higher odds of achieving undetectable HBV DNA than patients with a younger infection age (OR = 3.67, P = 0.028). None of the ETV-treated patients reported significant adverse effects. ETV is an effective and safe treatment option for adolescents with CHB. Undetectable HBV DNA in the 6th and/or 12th month of ETV treatment and older age at infection could predict maintained virological suppression. PMID:27685782

  8. Institutions, Institutional Change, Language, and Searle

    NARCIS (Netherlands)

    W.A. Dolfsma (Wilfred); R. McMaster; J. Finch

    2005-01-01

    textabstractThis paper endeavours to contribute to the growing institutionalist literature on the conception of the institution. We draw from John Davis’ (2003) analysis of the individual in posing the questions: what differentiates institutions, and how can changing institutions be identified thro

  9. Occlusal relationships and spacing or crowding of teeth in the dentitions of 3-4-year-old Nigerian children.

    Science.gov (United States)

    Otuyemi, O D; Sote, E O; Isiekwe, M C; Jones, S P

    1997-09-01

    A study of 525 3-4-year-old children in nursery schools and day-care centres was carried out to assess occlusal relationships and the presence of spacing or crowding of teeth. No significant differences in occlusal relationships were found between boys and girls (P > 0.05). Bilateral straight terminal planes of molars and class 1 canine relationship were the most prevalent features (74.5% and 73.3% respectively). Most of the children had 'normal' vertical and transverse occlusal relationships. The most common sites of spacing were mesial to maxillary canines and distal to mandibular canines. 32% of the children were found to have generalized anterior segment spacing, 4% showed exclusively anthropoid spaces, and 18% had either contact between all the teeth or crowding in the anterior region.

  10. Perceived School Performance, Life Satisfaction, and Hopelessness: A 4-Year Longitudinal Study of Adolescents in Hong Kong.

    Science.gov (United States)

    Shek, Daniel T L; Li, Xiang

    2016-01-01

    This 4-year longitudinal study examined the perceived school performance, life satisfaction, and hopelessness of Chinese adolescents in Hong Kong. Over the period of the study, perceived school performance and life satisfaction decreased, whereas adolescent hopelessness increased. Consistent with our predictions, a positive relationship between perceived school performance and life satisfaction, a negative relationship between life satisfaction and hopelessness, and a negative relationship between perceived school performance and hopelessness were found. Structural equation modeling further showed that life satisfaction functioned as a mediator in the relationship between perceived school performance and hopelessness. The findings underscore the role of perceived school performance in adolescent well-being and suggest that promoting life satisfaction is a possible way of reducing adolescent hopelessness.

  11. Right iliac arterial aneurysm in a 4-year-old girl who does not have a right external iliac artery.

    Science.gov (United States)

    Lee, Jeong-Hwan; Oh, Chaeyoun; Youn, Joong Kee; Han, Ji-Won; Kim, Hyun-Young; Jung, Sung-Eun

    2016-11-01

    Pediatric arterial aneurysm is rare disease. Among them, idiopathic-congenital arterial aneurysm is extremely rare. This is a case report of right common iliac artery idiopathic aneurysm with absence of right external iliac artery. A 4-year-old girl who had been complaining of intermittent abdominal pain since 2 years prior presented with a right lower abdominal mass that had been palpable since 6 months prior. Abdominal CT revealed a 5.2 cm × 4.5 cm × 5.1 cm, right-sided, partially thrombosed, saccular, iliac artery aneurysm. She underwent to operation, aneurismal resection. A pathological examination confirmed that it was a true aneurysm, considering that all layers of the vascular wall were stretched with no deficit. The patient was discharged 3 days after the surgery without any complication. Five months passed since the surgery, and the patient is doing well without any abdominal or leg pain.

  12. Mechanical Complication with Broviac Repair Kit in a 4-Year-Old Boy with MEN 2a

    Directory of Open Access Journals (Sweden)

    Sergio B. Sesia

    2009-01-01

    Full Text Available Background. Mechanical complications in the use of indwelling central venous catheters (CVCs such as the Broviac catheter (BC include kinking, occlusion, dislocation or leaking. We report on a mechanical complication after using a repair kit for the BC. Method. A 4-year old boy, suffering from multiple endocrine neoplasia type 2a (MEN 2a, intestinal aganglionosis (Hirschsprung's disease, and short bowel syndrome, required a BC for home parenteral nutrition. Result. Due to recurrent leakage of the BC, 5 subsequent repairs were necessary within seven months. During one repair a metallic tube belonging to the repair kit was found to have migrated proximally to the skin entrance level within the BC and requiring surgical removal. Conclusion. To our knowledge, this is the first report focusing on such a serious complication using a BC and its repair kit. The proximal migration of this metallic tube constitutes a distinct theoretical risk of endothoracic foreign body embolization.

  13. Mineral trioxide aggregate pulpotomy in autotransplanted immature mandibular third molar with a 4-year follow-up

    Science.gov (United States)

    Dharmani, Umesh; Jadhav, Ganesh Ranganath; Kaur Dharmani, Charan Kamal; Devi, Takhellambam Premlata

    2016-01-01

    Autotransplantation is the surgical transposition of a tooth from its original site to another, replacing a lost or a compromised tooth by another tooth, usually the third molar in the same individual. This technique is considered a viable method due to its high success rate, well-grounded treatment option, provided the case selection and the procedure followed is within the acceptable limits. Autotransplantation is considered as an alternative approach of oral rehabilitations in a conservative manner mainly in young patients with compromised financial conditions to perform a high cost treatment. It is a fast way to recover function and aesthetic properties without interfering with the orofacial growth. This report describes a successful 4-year follow-up of a case of immediately performed mineral trioxide aggregate (MTA) pulpotomy in autotransplantated mandibular left immature third molar to replace the mandibular left first molar that was extracted due to extensive carious lesion. PMID:27217648

  14. The informative value of motor, mental, and moral qualities in the personality structure of preschool children aged 4 years

    Directory of Open Access Journals (Sweden)

    Pangelova N.E.

    2013-06-01

    Full Text Available The study was to determine the presence or usefulness of the main components of the relationship of physical and psycho-physiological state in the personality structure of children of preschool age. The experiment involved 107 children aged 4 years (54 male, 53 female. Factor analysis of the structure of the motor system, the intellectual and moral sphere of children. Found that it is determined six orthogonal factors. The results give reason to believe that the development of the physical, intellectual and moral sphere of children of this age is complex. The interpretation of these data in the pedagogical aspect suggests that pre-school children are becoming a person under the influence of biological and psychological factors. Their activation is possible in the process of physical education.

  15. Qualitative evaluation of general university requirements in a new 4-year university curriculum: findings based on experiences of students.

    Science.gov (United States)

    Shek, Daniel T L; Yu, Lu; Wu, Florence K Y; Ng, Catalina S M; Chai, Wen Yu

    2017-02-01

    Following the North American model, the length of undergraduate program in Hong Kong has been extended from 3 to 4 years since 2012. To maximize the impact of the additional year, The Hong Kong Polytechnic University (PolyU) has implemented a new general education framework entitled "General University Requirements (GUR)" aiming to cultivate students in a holistic manner. This study explored students' impressions of the GUR subjects using a survey collecting primarily qualitative data. Results from 163 students of eight faculties showed that students perceived the GUR subjects favorably. Having opportunities to make new friends from other departments and the teaching and learning methods, particularly experiential learning stimulated students' interest and enriched their learning experiences which were reportedly are unforgettable. Some of the obstacles encountered by students in several subjects were identified. The beneficial effects of the GUR subjects in different domains were voiced by the students.

  16. No aggression in a 4-year-old boy with an androgen-producing tumour: Case Report

    Directory of Open Access Journals (Sweden)

    Boot Annemieke M

    2005-10-01

    Full Text Available Abstract Background The androgen testosterone plays a critical role in many aspects of sexual differentiation. Also, it is thought to induce aggressive behaviours or to play a role in social dominance. Case presentation In this case report a 4-year-old boy is described whose testosterone and dehydroepiandrosterone sulphate (DHEA-S levels were raised to pubertal levels due to a testosterone producing testis tumour. This provided the unique opportunity to examine the effects of elevated levels of androgens on levels of aggression or on social dominance before the onset of puberty. Conclusion The present case report does not support the hypothesis of a causal relationship between testosterone and aggression or between testosterone and social dominance in young children.

  17. First Pregnancy, Somatic and Psychological Status of a 4-Year-Old Child Born following Annexin V TESA Sperm Separation

    Directory of Open Access Journals (Sweden)

    Krzysztof Lukaszuk

    2015-10-01

    Full Text Available Introduction - Sperm DNA integrity is a crucial paternal factor affecting fertilization and pregnancy rates, as well as embryo development. Case - The present case report describes the successful pregnancy after testicular sperm aspiration (TESA combined with intracytoplasmic sperm injection (ICSI (TESA-ICSI in a couple where the male presented high sperm DNA fragmentation. In order to sort damaged sperm presenting DNA fragmentation, magnetic activated cell sorting (MACS with annexin V microbeads (MACS Miltenyi Biotec, Teterow, Germany was used. Conclusion - The authors present the first description of a successful medical case using TESA-ICSI annexin V sperm sorting. Additionally, a follow-up of the child at the age of 4 years old was done.

  18. Extensive ameloblastic fibroma in an adolescent patient: a case report with a follow-up of 4 years.

    Science.gov (United States)

    Pitak-Arnnop, Poramate; Chaine, André; Dhanuthai, Kittipong; Bertrand, Jacques-Charles; Bertolus, Chloé

    2009-07-01

    Ameloblastic fibroma (AF) is a rare odontogenic tumour of the jaw which usually occurs in the first 2 decades of life. The common clinical manifestation is a slow-growing swelling. We report a case of a 16-year-old male patient presenting with extensive AF of the mandible. He underwent a conservative enucleation. The tumour recurred 2 years after the initial surgery, requiring the second enucleation. The patient has continued to be followed closely and has been disease-free for 4 years. Recent evidence suggests that the recurrent rate of AF is relatively high, and malignant transformation of AF may occur after recurrences or multiple surgeries. A conservative treatment approach with close surveillance is recommended. Anatomical limitations should be taken into account, especially when enucleation of AF in the posterior portion of the jaw is performed. Current surgical pathologic issues of the tumour are also discussed.

  19. Mineral trioxide aggregate pulpotomy in autotransplanted immature mandibular third molar with a 4-year follow-up.

    Science.gov (United States)

    Dharmani, Umesh; Jadhav, Ganesh Ranganath; Kaur Dharmani, Charan Kamal; Devi, Takhellambam Premlata

    2016-01-01

    Autotransplantation is the surgical transposition of a tooth from its original site to another, replacing a lost or a compromised tooth by another tooth, usually the third molar in the same individual. This technique is considered a viable method due to its high success rate, well-grounded treatment option, provided the case selection and the procedure followed is within the acceptable limits. Autotransplantation is considered as an alternative approach of oral rehabilitations in a conservative manner mainly in young patients with compromised financial conditions to perform a high cost treatment. It is a fast way to recover function and aesthetic properties without interfering with the orofacial growth. This report describes a successful 4-year follow-up of a case of immediately performed mineral trioxide aggregate (MTA) pulpotomy in autotransplantated mandibular left immature third molar to replace the mandibular left first molar that was extracted due to extensive carious lesion.

  20. The development of writing skills in 4-year-old children with and without specific language impairment.

    Science.gov (United States)

    Pavelko, Stacey L; Lieberman, R Jane; Schwartz, Jamie; Hahs-Vaughn, Debbie; Nye, Chad

    2017-01-01

    Research shows that many preschool children with specific language impairment (SLI) have difficulty acquiring literacy skills including phonological awareness, print concepts, and alphabet knowledge. Limited research suggests that preschool children with SLI also have difficulty with emergent writing tasks such as name writing and word writing. In typically developing children, research indicates that emergent writing skills are acquired in a developmental sequence: (1) linearity, (2) segmentation, (3) simple characters, (4) left-right orientation, (5) complex characters, (6) random letters, and (7) invented spelling. This study compared the emergent writing skills of 4-year-old children with SLI (n = 22) to their age- and gender-matched peers (n = 22). Results indicated that children with SLI demonstrate difficulty with a variety of writing tasks, including letter writing, name writing, word writing, and sentence writing when compared to their typically-developing peers. Children with SLI followed the same developmental sequence in acquiring writing skills as their typically-developing peers.

  1. Mineral trioxide aggregate pulpotomy in autotransplanted immature mandibular third molar with a 4-year follow-up

    Directory of Open Access Journals (Sweden)

    Umesh Dharmani

    2016-01-01

    Full Text Available Autotransplantation is the surgical transposition of a tooth from its original site to another, replacing a lost or a compromised tooth by another tooth, usually the third molar in the same individual. This technique is considered a viable method due to its high success rate, well-grounded treatment option, provided the case selection and the procedure followed is within the acceptable limits. Autotransplantation is considered as an alternative approach of oral rehabilitations in a conservative manner mainly in young patients with compromised financial conditions to perform a high cost treatment. It is a fast way to recover function and aesthetic properties without interfering with the orofacial growth. This report describes a successful 4-year follow-up of a case of immediately performed mineral trioxide aggregate (MTA pulpotomy in autotransplantated mandibular left immature third molar to replace the mandibular left first molar that was extracted due to extensive carious lesion.

  2. Quantitative Effects on Proximal Joints of Botulinum Toxin Treatment for Gastrocnemius Spasticity: A 4-Year-Old Case Study

    Directory of Open Access Journals (Sweden)

    Veronica Cimolin

    2009-01-01

    Full Text Available Botulinum toxin A (BTA is a recognized treatment for the early management of spasticity in children with Cerebral Palsy. This study quantified with Gait Analysis (GA the gait pattern of a 4-year-old diplegic child with calf contracture before, 5 days, and 3 months after BTA injections into gastrocnemius. Kinematic and kinetic data of main lower limb joints were investigated. After only 5 days, ankle dorsi-plantarflexion and knee flex-extension improved, but hip joint worsened, increasing its excessive flexion, to compensate the improvement in knee position of the treated limb and to obtain better stability. A worsening of hip power happened. After 3 months, all joints generally improved their position during gait cycle. Hip and knee joints increased their range of movement and improvements occurred at ankle kinematics and kinetisc, too; a better ankle position and an increase of its capacity of propulsion during terminal stance were evident.

  3. Borderline personality disorder symptoms as predictors of 4-year romantic relationship dysfunction in young women: addressing issues of specificity.

    Science.gov (United States)

    Daley, Shannon E; Burge, Dorli; Hammen, Constance

    2000-08-01

    The relationships between romantic relationship dysfunction and symptoms of borderline personality disorder (BPD), other personality disorders, and depression were examined prospectively in a community sample of 142 late adolescent women. Although BPD symptoms predicted 4-year romantic dysfunction (romantic chronic stress, conflicts, partner satisfaction, abuse, and unwanted pregnancy), the associations were not unique to BPD. Instead, relationship dysfunction was better predicted by a cumulative index of non-BPD Axis II pathology. Depression did not predict outcomes uniquely when Axis II symptoms were included, except in the case of unplanned pregnancy. The results suggest that although BPD is associated with relationship dysfunction, the effect is a more general phenomenon applying rather broadly to Axis II pathology. The results also highlight the importance of subclinical psychopathology in the construction of early intimate relationships.

  4. Severe cyanide poisoning from an alternative medicine treatment with amygdalin and apricot kernels in a 4-year-old child.

    Science.gov (United States)

    Sauer, Harald; Wollny, Caroline; Oster, Isabel; Tutdibi, Erol; Gortner, Ludwig; Gottschling, Sven; Meyer, Sascha

    2015-05-01

    The use of complementary and alternative medicine (CAM) is widespread in children with cancer and is poorly regulated. Case report. We describe a case of severe cyanide poisoning arising from CAM use. A severely agitated, encephalopathic, unresponsive 4-year-old boy (initial Glasgow Coma Scale of 3) with a history of metastatic ependymoma was brought to our emergency department by ambulance services. Initial blood gas analysis demonstrated severe metabolic/lactic acidosis. On detailed questioning of the parents, the use of CAM including intravenous and oral "vitamin B 17" (amygdalin) and oral apricot kernel was reported. After administering sodium thiosulfate, rapid improvement in his medical condition with complete recovery without need for further intensive care treatment was seen. Serum cyanide level was markedly elevated. Cyanide poisoning can be the cause of severe encephalopathy in children receiving CAM treatment with substances containing cyanogenic glycosides.

  5. Safety, effectiveness, and pharmacokinetics of adalimumab in children with polyarticular juvenile idiopathic arthritis aged 2 to 4 years.

    Science.gov (United States)

    Kingsbury, Daniel J; Bader-Meunier, Brigitte; Patel, Gina; Arora, Vipin; Kalabic, Jasmina; Kupper, Hartmut

    2014-01-01

    The objective of this study was to assess the safety of adalimumab in patients aged 2 to polyarticular juvenile idiopathic arthritis (JIA). Clinical effectiveness and pharmacokinetics (PK) of adalimumab were also evaluated. This was an international, multicenter, open-label, phase 3b study in 32 patients with active JIA that were treated with adalimumab 24 mg/m(2) (maximum = 20 mg/dose) every other week up to 120 weeks, with or without concomitant methotrexate. Adverse events (AEs) were summarized for completed visits. Efficacy endpoints included American College of Rheumatology pediatric (PedACR) 30/50/70/90 responses and JIA core components. Adalimumab serum trough concentrations were measured in a subset of patients. Among the patients, 88 % were female. Baseline mean age, weight, and JIA duration were 3 years, 13 kg, and 12 months, respectively; 39 % had elevated C-reactive protein. AE incidence rates included any AEs (29/32, 91 %), serious AEs (5/32, 16 %), infectious AEs (25/32, 78 %), and serious infections (3/32, 9 %). No deaths, malignancies, or opportunistic infections were reported. Growth was not adversely impacted. At week 96, 92 % of patients achieved PedACR30, and 77 % achieved PedACR70. Improvements in JIA core components were observed. Mean steady-state serum adalimumab trough concentrations were 7-8 μg/mL at weeks 12 and 24. Adalimumab was well tolerated in JIA patients aged 2 to <4 years old or ≥4 years old weighing <15 kg. The efficacy and PK of adalimumab were comparable to those seen in older JIA patients.

  6. Monitoring dioxins and furans in subjects living in the vicinity of a hazardous waste incinerator after 4 years of operation

    Energy Technology Data Exchange (ETDEWEB)

    Bocio, A.; Domingo, J.L.; Garcia, F.; Schuhmacher, M.; Llobet, J.M. [Lab. of Toxicology and Environmental Health, Reus (Spain)

    2004-09-15

    In 1996, construction of a hazardous waste incinerator (HWI) was initiated in Constanti, Tarragona, Spain. Because this facility was the first, and up to date, the only HWI in Spain, the concern about its potential environmental impact and health risks has been considerable in the public opinion. Regular operations in the facility started in 1999. In order to establish the potential health risks of PCDD/PCDF exposure on the general population living near the new HWI, a biological monitoring program was designed. Samples of blood, breast milk and adipose tissue were obtained during the construction period of the HWI from subjects living in the neighborhood of the facility and analyzed for baseline levels of PCDD/PCDF. Moreover, taking into account that food is the main route of exposure to PCDD/Fs, the assessment of the dietary intake of these pollutants by the population living in the area under potential influence of the HWI was also included in the monitoring program. Approximately 4 years after the new HWI began regular operations (2003), biological samples from individuals living in the same area were again collected, and PCDD/PCDF concentrations determined. The update of PCDD/PCDF intake from food is essential in order to establish clearly if any potential increase in the levels of these compounds in biological tissues of individuals living in the area under influence of the HWI could be due to environmental emissions of PCDD/PCDF by the facility or to increases of the levels of these pollutants in food. In this paper, we present the concentrations of PCDD/PCDF in biological human samples from subjects living in the vicinity of the HWI. The dietary intake of these compounds by the population in this area, after 4 years of regular operations, is also shown. Results were compared with baseline PCDD/PCDF levels obtained in 1999.

  7. The Kurtzke EDSS rank stability increases 4 years after the onset of multiple sclerosis: results from the MSBase Registry.

    Science.gov (United States)

    Hughes, Stella; Spelman, Timothy; Trojano, Maria; Lugaresi, Alessandra; Izquierdo, Guillermo; Grand'maison, Francois; Duquette, Pierre; Girard, Marc; Grammond, Pierre; Oreja-Guevara, Celia; Hupperts, Raymond; Boz, Cavit; Bergamaschi, Roberto; Giuliani, Giorgio; Rio, Maria Edite; Lechner-Scott, Jeannette; van Pesch, Vincent; Iuliano, Gerardo; Fiol, Marcela; Verheul, Freek; Barnett, Michael; Slee, Mark; Herbert, Joseph; Kister, Ilya; Vella, Norbert; Moore, Fraser; Petkovska-Boskova, Tatjana; Shaygannejad, Vahid; Jokubaitis, Vilija; McDonnell, Gavin; Hawkins, Stanley; Kee, Frank; Gray, Orla; Butzkueven, Helmut

    2012-03-01

    The Expanded Disability Status Scale (EDSS) is widely used to rate multiple sclerosis (MS) disability, but lack of disease duration information limits utility in assessing severity. EDSS ranking at specific disease durations was used to devise the MS Severity Score, which is gaining popularity for predicting outcomes. As this requires validation in longitudinal cohorts, we aimed to assess the utility of EDSS ranking as a predictor of 5-year outcome in the MSBase Registry. Rank stability of EDSS over time was examined in the MSBase Registry, a large multicentre MS cohort. Scores were ranked for 5-year intervals, and correlation of rank across intervals was assessed using Spearman's rank correlation. EDSS progression outcomes at 10 years were disaggregated by 5-year EDSS scores. Correlation coefficients for EDSS rank over 5-year intervals increased with MS duration: years 1-6=0.55, years 4-9=0.74, years 7-12=0.80 and years 10-15=0.83. EDSS progression risk at 10 years after onset was highly dependent on EDSS at 5 years; one-point progression risk was greater for EDSS score of >2 than ≤2. Two-point progression was uncommon for EDSS score of EDSS score of 4. EDSS rank stability increases with disease duration, probably due to reduced relapses and less random variation in later disease. After 4 years duration, EDSS rank was highly predictive of EDSS rank 5 years later. Risk of progression by 10 years was highly dependent on EDSS score at 5 years duration. We confirm the utility of EDSS ranking to predict 5-year outcome in individuals 4 years after disease onset.

  8. Association of Obesity with Onset of Puberty and Sex Hormones in Chinese Girls: A 4-Year Longitudinal Study.

    Directory of Open Access Journals (Sweden)

    Lingling Zhai

    Full Text Available To examine the influence of childhood obesity on the early onset of puberty and sex hormones in girls.Healthy girls with different percentages of body fat at baseline (40 obese, 40 normal, and 40 lean were recruited from three elementary schools in Shenyang, China. These girls (mean age 8.5 years were also matched by height, school grade, Tanner stage, and family economic status at baseline. Anthropometry, puberty characteristics, and sex hormone concentrations were measured at baseline and at each follow-up visit. The generalized estimating equation model and analysis of variance for repeated measures using a generalized linear model were used to determine the differences in puberty characteristics and sex hormones among three groups.Over 4 years, mean age of breast II onset was earlier among obese girls (8.8 years than normal girls (9.2 years and lean girls (9.3 years. The prevalence (% of early-maturation in the obese, normal, and lean groups was 25.9%, 11.1%, and 7.4%, respectively. Obesity was associated with an increased risk for breast stage II (year 2: RR, 6.3; 95% CI, 1.9-21.1 and year 3: RR, 6.9; 95% CI, 0.8-60.1. None of the girls experienced menarche in the first year; however, by the fourth year 50.0% of obese girls had menarche onset, which was higher than normal weight (27.5% and lean girls (8.1%. The mean estradiol level increased with age in the obese, normal, and lean groups. The mean estradiol concentration was higher in obese girls than in normal and lean girls throughout the 4-year period (P<0.05.Childhood obesity contributes to early onset of puberty and elevated levels of estradiol in girls.

  9. What physical performance measures predict incident cognitive decline among intact older adults? A 4.4year follow up study.

    Science.gov (United States)

    Veronese, Nicola; Stubbs, Brendon; Trevisan, Caterina; Bolzetta, Francesco; De Rui, Marina; Solmi, Marco; Sartori, Leonardo; Musacchio, Estella; Zambon, Sabina; Perissinotto, Egle; Crepaldi, Gaetano; Manzato, Enzo; Sergi, Giuseppe

    2016-08-01

    Reductions in physical performance, cognitive impairment (CI) and decline (CD), are common in older age, but few prospective cohort studies have considered the relationship between these domains. In this study we investigated whether reduced physical performance and low handgrip/lower limbs strength, could predict a higher incidence of CI/CD during a 4-year follow-up among a cohort of elderly individuals. From 3099 older community-dwelling individuals initially enrolled in the Progetto Veneto Anziani (PRO.V.A.) study, 1249 participants without CI at the baseline were included (mean age 72.2years, 59.5% females). Physical performance measures included the Short Physical Performance Battery (SPPB), 4m gait speed, chair stands time, leg extension and flexion, handgrip strength, and 6-Minute Walking Test (6MWT), categorized in gender-specific tertiles. CI was defined as a Mini-Mental State Examination (MMSE) score below 24; CD a decline of 3 or more points in the MMSE without CI. At baseline, participants developing CI during follow-up scored significantly worse across all physical performance measures compared to those that retained normal cognitive status. After adjusting for potential confounders, a significant trend for MMSE changes was noted for all physical performance tests, except for the SPPB and chair stands time. Multinomial logistic regression revealed that slow gait speed at baseline significantly predicted CD at follow up. Poor SPPB performance and slower gait speed predicted the onset of CI at the follow-up. In conclusion, slow walking speed appears to be the best independent predictor of poor cognitive status over a 4.4-year follow-up, while other items of SPPB were also significantly associated with CI.

  10. The Education and Public Outreach Plan for UCLA's Institute for Planets and Exoplanets (iPLEX)

    Science.gov (United States)

    Glesener, G. B.; Jewitt, D. C.; Curren, I. S.

    2012-12-01

    Increasing the number and diversity of students pursuing and completing STEM education is a crucial part of UCLA's Institute for Planets and Exoplanets (iPLEX)'s goal of promoting research on planetary systems around the sun and other stars. Cultivating students' interest and success in STEM subject areas from K-12 to the bachelor's degree is an important factor in student retention. As they pursue a bachelor's degree in a STEM major, many become discouraged and decide not to finish with this type of degree; women, underrepresented minorities (URM), and students of low socioeconomic status (SES) have the highest attrition rates (Bayer 2010). Focusing primarily on students at the high school and community college levels, our education and public outreach plan utilizes the multidisciplinary science of astrobiology as a resource for building stronger learning environments in STEM education. By implementing formal education programs that encourage and foster student learning in STEM fields, we intend to (1) increase the efficiency with which students move from high school into STEM-related undergraduate programs, (2) improve the corresponding transfer rate from community colleges to advanced degree programs in STEM at the 4-year university level, and (3) create more opportunities for students to become involved in meaningful research as they progress in their studies. To ensure the success of these programs, we will partner with teachers from local high schools and community colleges, and UCLA's Center X. By being geographically located in Los Angeles County, having one of the highest URM populations in the United States (US Census Bureau, 2007), and partnering with Hampton University (HU) in Virginia, whose student body is 91% African American, we are in a position to make a large impact on diversity. To further ensure the success of our EPO, an independent evaluator will measure and track the following program objectives: increase (1) post-secondary STEM enrollment

  11. Identity of Institution and Institutional Design

    Directory of Open Access Journals (Sweden)

    F. Bahar Ülker Kaya

    2006-05-01

    Full Text Available Corporate identity is planning and reşecting memorable, personal, characteristic pecularities of an institution and the ability that separates it from others. Corporate identity is in interaction with the corporate culture and corporate image. It is an entity formed by the philosophy of the institution, institutional communication, behavior and planning. Institutional planning formed by the planning of production and communication and architectural/ interior architectural planning, is the most significant element that constitutes the visual identity of an institution. While forming architectural and interior architectural planning of institutions, establishing places that will clearly reşect the corporate identity is gaining importance. In the perception of visual identity of institutions, planning elements such as; colour, texture, material and form are more significant than others.

  12. Caries experience in the primary dentition and presence of plaque in 7-year-old Chinese children: A 4-year time-lag study

    NARCIS (Netherlands)

    Hu, X.; Fan, M.; Mulder, J.; Frencken, J.E.F.M.

    2015-01-01

    OBJECTIVES: The aim of the present study was to test the hypothesis that dental caries prevalence and caries experience in primary dentitions has increased over 4 years and to compare the presence of plaque on permanent teeth in child cohorts over 4 years. MATERIALS AND METHODS: A time-lag study des

  13. Development of a distance education program by a Land-Grant University augments the 2-year to 4-year STEM pipeline and increases diversity in STEM.

    Science.gov (United States)

    Drew, Jennifer C; Oli, Monika W; Rice, Kelly C; Ardissone, Alexandria N; Galindo-Gonzalez, Sebastian; Sacasa, Pablo R; Belmont, Heather J; Wysocki, Allen F; Rieger, Mark; Triplett, Eric W

    2015-01-01

    Although initial interest in science, technology, engineering and mathematics (STEM) is high, recruitment and retention remains a challenge, and some populations are disproportionately underrepresented in STEM fields. To address these challenges, the Microbiology and Cell Science Department in the College of Agricultural and Life Sciences at the University of Florida has developed an innovative 2+2 degree program. Typical 2+2 programs begin with a student earning an associate's degree at a local community college and then transferring to a 4-year institution to complete a bachelor's degree. However, many universities in the United States, particularly land-grant universities, are located in rural regions that are distantly located from their respective states' highly populated urban centers. This geographical and cultural distance could be an impediment to recruiting otherwise highly qualified and diverse students. Here, a new model of a 2+2 program is described that uses distance education as the vehicle to bring a research-intensive university's life sciences curriculum to students rather than the oft-tried model of a university attempting to recruit underrepresented minority students to its location. In this paradigm, community college graduates transfer into the Microbiology and Cell Science program as distance education students to complete their Bachelor of Science degree. The distance education students' experiences are similar to the on-campus students' experiences in that both groups of students take the same department courses taught by the same instructors, take required laboratory courses in a face-to-face format, take only proctored exams, and have the same availability to instructors. Data suggests that a hybrid online transfer program may be a viable approach to increasing STEM participation (as defined by enrollment) and diversity. This approach is particularly compelling as the distance education cohort has comparable grade point averages and

  14. Development of a distance education program by a Land-Grant University augments the 2-year to 4-year STEM pipeline and increases diversity in STEM.

    Directory of Open Access Journals (Sweden)

    Jennifer C Drew

    Full Text Available Although initial interest in science, technology, engineering and mathematics (STEM is high, recruitment and retention remains a challenge, and some populations are disproportionately underrepresented in STEM fields. To address these challenges, the Microbiology and Cell Science Department in the College of Agricultural and Life Sciences at the University of Florida has developed an innovative 2+2 degree program. Typical 2+2 programs begin with a student earning an associate's degree at a local community college and then transferring to a 4-year institution to complete a bachelor's degree. However, many universities in the United States, particularly land-grant universities, are located in rural regions that are distantly located from their respective states' highly populated urban centers. This geographical and cultural distance could be an impediment to recruiting otherwise highly qualified and diverse students. Here, a new model of a 2+2 program is described that uses distance education as the vehicle to bring a research-intensive university's life sciences curriculum to students rather than the oft-tried model of a university attempting to recruit underrepresented minority students to its location. In this paradigm, community college graduates transfer into the Microbiology and Cell Science program as distance education students to complete their Bachelor of Science degree. The distance education students' experiences are similar to the on-campus students' experiences in that both groups of students take the same department courses taught by the same instructors, take required laboratory courses in a face-to-face format, take only proctored exams, and have the same availability to instructors. Data suggests that a hybrid online transfer program may be a viable approach to increasing STEM participation (as defined by enrollment and diversity. This approach is particularly compelling as the distance education cohort has comparable grade point

  15. Obesity treatment: results after 4 years of a Nutritional and Psycho-Physical Rehabilitation Program in an outpatient setting.

    Science.gov (United States)

    Donini, Lorenzo M; Cuzzolaro, Massimo; Gnessi, Lucio; Lubrano, Carla; Migliaccio, Silvia; Aversa, Antonio; Pinto, Alessandro; Lenzi, Andrea

    2014-06-01

    Obesity is a chronic disease as well as a risk factor for cardiovascular, metabolic and osteoarticular diseases, affecting the psychosocial health and the quality of life. Recent evidence suggests that the adequate treatment of obesity should provide a multidimensional multidisciplinary approach including nutritional therapy, psycho-educational classes and physical reconditioning/motor rehabilitation. The aim of this approach should be to maintain the results over time with a positive impact on the obesity-related cardiovascular and metabolic risk. To evaluate the effectiveness of a multidisciplinary Nutritional and Psycho-Physical Reconditioning Program (NPPRP) in an outpatient setting. The observational prospective cohort study involved subjects, aged from 18 to 65 years, with a BMI >30 kg/m(2), who were followed up over 48 months. After the first nutritional and psychological examination, patients who refused NPPRP were treated according to standard nutrition procedures (SNT). Patients were followed through monthly medical examinations and then by annual telephonic structured interviews for 4 years. Changes in body weight, eating behavior, physical activity performance, and the occurrence of clinical obesity-related complications were considered as outcome measures. Of 464 enrolled patients, 161 (34.7%) took part in the follow-up. From the enrollment to the end of follow-up, weight loss was greater in the NPPRP group than in the SNP group (-8.08 ± 10 kg versus -3.0 ± 6 kg). After 4 years eating behavior improved in both groups. The percentage of patients who continued to perform physical activity was higher in the NPPRP group than in the SNT group (61.0 versus 34.1%). The SNT group reported complications more frequently than the NPPRP group: hypertension (19 versus 5.8%), dyslipidemia (19.4 versus 12.7%), and skeletal problems (26.9 versus 17.5%). The main reasons for drop-out from the rehabilitation program were logistic problems (distance or time) in both

  16. Second-hand smoke exposure in 4-year-old children in Spain: Sources, associated factors and urinary cotinine.

    Science.gov (United States)

    Aurrekoetxea, Juan José; Murcia, Mario; Rebagliato, Marisa; Guxens, Mònica; Fernández-Somoano, Ana; López, María José; Lertxundi, Aitana; Castilla, Ane Miren; Espada, Mercedes; Tardón, Adonina; Ballester, Ferran; Santa-Marina, Loreto

    2016-02-01

    Second-hand smoke exposure (SHS) in children remains as a major pollution problem, with important consequences for children's health. This study aimed to identify the sources of exposure to SHS among 4-year-old children, comparing self-reports to a urinary biomarker of exposure, and characterize the most important variables related to SHS exposure in this population. 4-year-old children's exposure to SHS was assessed by a parental-reported questionnaire and by urinary cotinine (UC) measurements in 1757 participants from 4 different areas of the Spanish INMA (INfancia y Medio Ambiente - Environment and Childhood) Project. The questionnaire about SHS included information about smoking habits at home by household members, and about exposure to SHS in other places including other homes, bars, restaurants or transportation. The association between quantified UC levels (>4ng/ml) and sociodemographic variables and the different sources of SHS exposure was examined using logistic regression. Based on parental reports, 21.6% of the children were exposed to SHS at home and 47.1% elsewhere; making a total 55.9% of the children exposed to SHS. In addition, 28.2% of the children whose parents reported being not regularly exposed to SHS had quantified UC values. Children from younger mothers (<34 vs. ≥39.4 y) had a higher odds of exposure to SHS [OR (95% CI): 2.28 (1.70-3.05) per year], as well as from families with a lower educational level [OR secondary: 2.12 (1.69-2.65); primary or less: 2.91 (2.19-3.88)]. The odds of quantifiable UC in children dropped after the smoking ban in public places [OR=0.59 (0.42-0.83)]. Regarding the sources of SHS exposure we observed that quantifiable UC odds was increased in children whose parents smoked at home in their presence [OR mother occasionally: 13.39 (7.03-25.50); mother often: 18.48 (8.40-40.66); father occasionally: 10.98 (6.52-18.49); father often: 11.50 (5.96-22.20)] or in children attending other confined places, mainly other

  17. Analysis of 4-Year Dog-Bite Cases Treated At Ahmadu Bello University Health Centre, Zaria, Nigeria

    Directory of Open Access Journals (Sweden)

    Istifanus Anekoson Joshua

    2012-12-01

    Full Text Available AIM: Rabies is one of the most typical zoonosis; the disease is endemic in Nigeria and remains an important public health issue. The disease is transmitted mainly through the bite of rabid animal and dog is very important because of the close relationship between humans and dogs. The aim of the study was to analyze the 4 year dog bite cases treated at Ahmadu Bello University (ABU Medical Centre (UHC Zaria, Nigeria. METHOD: A longitudinal study was conducted between 2008 and 2011. Relevant information were obtained using structured questionnaire, interview and participant’s observation was used to study the ecology of the dogs. The medical and veterinary doctors were involved in the collection of the information. Data were analyzed with the aid of SPSS Version 17.0 and Chi square statistics was used to test for significance of association at P< 0.05. RESULTS: A total of 132 cases of dog bite were recorded for the period of the study. Majority (35.4% of the victims of the bite were within the age bracket of 1-10 years (mean age 25± 1.7 years, minimum age - 1 year and maximum age- 68 years, male: female ratio 1: 1.9 , 43.6% were staff family, The most common site of the bites was leg (35.2%. First aid treatment given to the victims before presentation at the hospital, were inadequate. Sixty (45.5% of the victims were given treatment against rabies. 63.6% of the dogs involved in the biting were aged 1-4 years, 55% were not vaccinated against rabies, 81.8% were local breed of dog, 13.6% were stray dogs and the most common likely cause of the bites was provocation (54.5%. CONCLUSION: Dog bite is a common medical condition seen in UHC, ABU Zaria. Factors such as poor vaccination of dogs by owners, high proportion of stray dogs, and poor first aid treatment of dog bite injuries, among others are of public health importance. There is need for intensive public enlightenment. [TAF Prev Med Bull 2012; 11(6.000: 661-666

  18. Use of quartz fiber post for reattachment of complex crown root fractures: A 4-year follow-up

    Directory of Open Access Journals (Sweden)

    Shubha G Hegde

    2014-01-01

    Full Text Available Dental hard tissue trauma is among the most common cases encountered in dental practice. Simple tooth fractures, which occur due to sharp blows, are widely seen in all age groups, especially in young adults. If in case of complex fractures the fractured tooth fragments are available to the dentist in a clean and hydrated state, reattachment of the tooth fragment is the most conservative and biological treatment option possible. Cases of enamel and dentin fractures not involving pulp are treated by reattaching the fragment with adhesives and composite resin. However, fractures involving the pulp require reinforcement by quartz fiber posts and resin luting cement. In cases of fractures extending subgingivally, an envelope flap helps to achieve the desired isolation and visibility. This article presents 2 case reports of reattachment of fractured tooth fragments. The first case showing a 4-year success was treated without raising a flap. The second case with a subgingival fracture was treated by raising a flap. Reattachment is the most economical, biologically acceptable and esthetic restorative option for dental trauma.

  19. Portion size variably affects food intake of 6-year-old and 4-year-old children in Kunming, China.

    Science.gov (United States)

    Smith, Lindsey; Conroy, Katharine; Wen, Hongmei; Rui, Li; Humphries, Debbie

    2013-10-01

    Age and portion size have been found to influence food intake in American children but have not been examined in an international context. This study evaluated the association between age and the effects of portion size on the food intake of kindergarteners in Kunming, China. Using a within-subjects crossover design in a classroom setting, 173 children in two age groups, mean age 4.2 years and 6.1 years, were served a predefined reference, small (-30%) and large (+30%) portion of rice, vegetables, and a protein source during lunchtime over three consecutive days. Each portion was weighed before and after the meal to determine amount of food consumed. Linear mixed modeling, controlling for repeated measures and clustering by classroom, was used to compare food intake under small and large portion size conditions to the reference portion. Children ate significantly less food when served small portions. When served a large portion, 6-year-old children increased food intake while 4-year-old children decreased food intake in comparison to the reference portion. Findings indicate that portion size affects food intake in Chinese children 4-6-years old. Older children show larger increases in food intake with increased portion size than do younger children.

  20. Refraction and visual acuity in a national Danish cohort of 4-year-old children of extremely preterm delivery.

    Science.gov (United States)

    Fledelius, Hans C; Bangsgaard, Regitze; Slidsborg, Carina; laCour, Morten

    2015-06-01

    A recent threefold increase in laser treatment for advanced retinopathy of prematurity (ROP) triggered a nationwide preschool ophthalmic and developmental status among extremely preterm survivors. Here, we discuss refraction and visual acuity. Survivors (n = 178) from a national birth cohort (February 2004 to March 2006) of gestational age refraction and keratometry were achieved by Retinomax autokeratorefractor and visual acuities by symbol recognition (HOTV, logMAR). The refractive distribution presented a myopic tail (4.5%) and a hyperopic tail (11.9% ≥+2.5 D) as special preterm features, and corneas were more curved. Astigmatism and anisometropia were only marginally increased, and visual acuities were generally good. Best-corrected binocular median logMAR visual acuity was 0.1 in FT and 0.2 in PT, in Snellen equivalents 0.8 and 0.63. Snellen acuity ≤0.5 occurred across the ROP subgroups, but mainly in those with at least ROP stage 3. Two children had low vision. The overall fair outcome for refraction and function is in accordance with other recent northern Europe experience. The results differ in particular from the poorer ophthalmic outcomes reported in the pioneer US treatment studies (cryotherapy for ROP and ETROP). The diode laser ablations (n = 32) appeared effective in our series; except one child, all treated subjects had good or fair social vision at the age of 4 years. © 2015 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

  1. Correlation between hyperbilirubinemia in term infants and developmental delay in 2-4 year-old children

    Directory of Open Access Journals (Sweden)

    Rocky Wilar

    2010-06-01

    medical record of infants born between 2006-2007 in Division of Neonatology Prof. R.D. Kandoll General Hospital, Manado. Data from the medical record consisted of weeks of gestation, birth weight, Apgar scores, diagnosis of sepsis, congenital anomalies. Tenn infants with appropriate weight for gestational age were visited at their home to undergo developmental screening by Denver II and Vineland Social Maturity Scale test. Results Fifty one children enrolled in this study (26 children with hyperbilirubinemia and 25 without  hyperbilirubinemia consisted of 27 boys and 24 girls. Most children were 24 - 29 months old (24/51. The results of Vineland Social Maturity Scale test showed 14 children had delayed social maturation (10 Mth history of  hyperbilirubinemia. Denver II screening found 11 children had delayed language skill (10 Mth history of hyperbilirubinemia, 1 child Mth hyperbilirubinemia had delayed fine motoric and language skill. Conclusions T here is a relationship between moderate hyperbilirubinemia in tenn infants and developmental delay in 2 - 4 year old children.

  2. [YEL-AND meningoencephalitis in a 4-year-old boy consecutive to a yellow-fever vaccine].

    Science.gov (United States)

    Gerin, M; Wroblewski, I; Bost-Bru, C; N'guyen, M-A; Debillon, T

    2014-04-01

    Yellow fever is a vector-borne disease transmitted by an endemic mosquito in sub-Saharan Africa and tropical South America. It causes fever and possibly liver and renal failure with hemorrhagic signs, which may be fatal. The yellow-fever vaccine is an attenuated vaccine that is recommended for all travelers over the age of 9 months in high-risk areas. Adverse effects have been reported: minor symptoms (such as viral syndrome), hypersensitivity reactions, and major symptoms such as viscerotropic disease (YEL-AVD) and neurotropic disease (YEL-AND). The yellow-fever vaccine-associated autoimmune disease with central nervous system involvement (such as acute disseminated encephalomyelitis) associates fever and headaches, neurologic dysfunction, seizures, cerebrospinal fluid (CSF) pleocytosis, and elevated protein, with neuroimaging consistent with multifocal areas of demyelization. The presence of antibodies or virus in CSF, within 1-30 days following vaccination, and the exclusion of other causes is necessary for diagnosis. We describe herein the case of a 4-year-old child who presented with severe encephalitis consecutive to a yellow-fever vaccine, with favorable progression. Diagnosis is based on the chronology of clinical and paraclinical signs and the presence of yellow-fever-specific antibodies in CSF. The treatment consists of symptomatic treatment and immunoglobulin injection.

  3. Selective mutism due to a dog bite trauma in a 4-year-old girl: a case report

    Directory of Open Access Journals (Sweden)

    Anyfantakis Dimitrios

    2009-11-01

    Full Text Available Abstract Introduction A child experiencing an event of threatening or catastrophic nature may experience considerable post-traumatic psychological distress. Dog bites present an important public health problem and are a frequent cause of physical trauma in children. Physicians who manage paediatric trauma may not be vigilant of the high risk of psychological stress in children exposed to a physical injury. Case presentation A 4-year-old white girl of Greek origin, with a dog-bite related trauma was admitted to the University Hospital of Crete, Greece, for surgical repair and intravenous antibiotic therapy due to extensive lesions. Exposure to the traumatic event triggered the onset of an unusual psychological response, selective mutism and acute post-traumatic stress disorder. Conclusion There is limited literature discussing the psychological effect of dog bites in children. Parents and physicians involved in pediatric physical trauma need to be more familiar with post-traumatic behavioral reactions. Awareness of the potential development of such reactions may result in early detection and effective management of children at risk.

  4. [Risk of death 4 years after a 1st cerebral infarction: prospective study in Barquisimeto, Estado Lara, Venezuela].

    Science.gov (United States)

    Poni, E; Granero, R; Escobar, B

    1995-12-01

    Stroke, the 5th. cause of death in Venezuela, has been associated to cerebral infarction. However, there is little information concerning lethality factors. 33 atherothrombotic subtype stroke patients, 31 (96%) Latino and 2(4%) white, were admitted into a prospective study to analyze the role of 11 mortality risk factors for those patients. A mortality relative risk (RR) > 1.5 or < 1 (protective) was considered clinically important if 1 was excluded from the 95% confidence interval (95%CI). The Mantel-Haenszel Chi-square procedure was use to test statistical significance (p < 0.05). Mortality RR for patients age 65 and over (RR = 2.95) and 4 year mortality RR for male patients (RR = 2.04) were clinically and statistically significant. History of high blood pressure was protective (RR = 0.62) probably due to good medical control. Cumulative mortality was higher than that of comparable studies, even from the first week of follow-up, reaching 67% at the 4th year.

  5. Children’s Spatial Representations: 3- and 4-Year-Olds are Affected by Irrelevant Peripheral References

    Science.gov (United States)

    Krüger, Markus; Jahn, Georg

    2015-01-01

    Children as young as 3 years can remember an object’s location within an arrangement and can retrieve it from a novel viewpoint (Nardini et al., 2006). However, this ability is impaired if the arrangement is rotated to compensate for the novel viewpoint, or, if the arrangement is rotated and children stand still. There are two dominant explanations for this phenomenon: self-motion induces an automatic spatial updating process which is beneficial if children move around the arrangement, but misleading if the children’s movement is matched by the arrangement and not activated if children stand still and only the arrangement is moved (see spatial updating; Simons and Wang, 1998). Another explanation concerns reference frames: spatial representations might depend on peripheral spatial relations concerning the surrounding room instead on proximal relations within the arrangement, even if these proximal relations are sufficient or more informative. To evaluate these possibilities, we rotated children (N = 120) aged between 3 and 6 years with an occluded arrangement. When the arrangement was in misalignment to the surrounding room, 3- and 4-year-olds’ spatial memory was impaired and 5-year-olds’ was lightly impaired suggesting that they relied on peripheral references of the surrounding room for retrieval. In contrast, 6-years-olds’ spatial representation seemed robust against misalignment indicating a successful integration of spatial representations. PMID:26617537

  6. Effects of different training options on the basic movements physical fitness 4-year-old girls with different motor asymmetry

    Directory of Open Access Journals (Sweden)

    Galamandjuk L. L.

    2015-04-01

    Full Text Available Purpose : to determine the effectiveness of different training options basic movements in terms of physical fitness girls with different orientation manual motor asymmetry (MMA. Material : the study involved 53 girls with ambidexterity: 68 - on the right, 62 - left oriented MMA. Age - 4 years. Results : there is a significant improvement in absolute muscle strength, speed-strength, coordination and cyclic locomotion tossing on the leading and non-leading range of hands regardless of the approach to teaching basic movements in girls. At the same time the increase of these qualities and the coordination of the throws on the accuracy of each hand is significantly higher when using one of the options "symmetric" approach. If you are using one of the options "symmetric" approach to teaching basic movements focus MMA defines the features of the development of physical qualities. Conclusions : regardless of the direction of MMA both versions of "symmetric" approach to improve the effectiveness of traditional indicators of physical fitness; the effectiveness of the first among themselves no different.

  7. Histologic and tomographic findings of bone block allografts in a 4 years follow-up: a case series

    Energy Technology Data Exchange (ETDEWEB)

    Deluiz, Daniel; Pires, Fabio Ramoa; Tinoco, Justine Monnerat; Tinoco, Eduardo Muniz Barretto [Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro, RJ (Brazil); Oliveira, Luciano Santos, E-mail: d.deluiz@implanto-puc.org [Pontificia Universidade Catolica do Rio de Janeiro (PUC-Rio), Rio de Janeiro, RJ (Brazil); Fletcher, Paul [Department of Periodontology, Columbia University College of Dental Medicine, New York, NY (United States)

    2016-11-15

    The aim of this paper is to report histologic and tomographic findings of fresh frozen bone block allografts bearing dental implants in functional occlusion in a long-term follow-up. Four patients with implants functionally loaded for 4 years on augmented ridges requiring additional mucogingival surgery or implant placement were included in this case series. Cone-beam tomography scans were compared volumetrically between the baseline (first implant placement) and current images. Biopsies of the grafts were retrieved and sent to histological analysis. Volumetric reduction of the grafts varied from 2.1 to 7.7%. Histological evaluation demonstrated well-incorporated grafts with different degrees of remodeling. While data presented in this report are from a small sample size and do not allow definitive conclusions, the biopsies of the grafted sites were very similar to the host's native bone. Remodeling of the cortical portion of the allografts seems to take longer than the cancellous portion. The presence of unincorporated graft remains did not impair the implant success or the health of the surrounding tissues. This is the first time histologic and tomographic long term data of bone allograft have been made available in dentistry. (author)

  8. Influence of different approaches to training of main movements on physical fitness of 4 years boys with various motor asymmetry

    Directory of Open Access Journals (Sweden)

    Galamandjuk L. L.

    2015-04-01

    Full Text Available Purpose: determination of effectiveness of different training main movements’ methods in physical fitness improvement of boys with different manual motor asymmetry. Material: 50 boys with ambidexterity (4 years old age took part in the research. There was used the following: oral questioning, dynamometry and methodic by M.M. Bezrukikh. Results: usage of one of variants of “symmetric” approach determines specificities of motor qualities’ development: among boys with ambidexterity in motor asymmetry variant “first with passive hand, then with active one” and variant “first with active and then with passive hand” ensure improvement of all tested qualities (except flexibility and quickness. Boys with right orientation of manual motor asymmetry demonstrated improvement of all qualities (except coordination in ballistic movements for accuracy, fulfilled by right arm in the first variant. In the second variant all qualities (except already mentioned quickness are improved. Conclusions: with any orientation of manual motor asymmetry the necessary condition of high activity and successful child’s training is development of interaction between cerebral semi-spheres. Coordinated movements by left and right arms strengthen such interaction. That is why it is purposeful to consequently fulfill every movement by every arm and by two arms simultaneously.

  9. Evaluating the clinical utility of the Profile of Oral Narrative Ability for 4-year-old children.

    Science.gov (United States)

    Westerveld, Marleen F; Gillon, Gail T; Boyd, Lynda

    2012-04-01

    This study investigated if the story retelling and comprehension task Ana Gets Lost, that is frequently used with school-aged children, has clinical utility with a preschool population. The study also assessed the task's concurrent and predictive validity with norm-referenced tests of language performance. A total of 92 typically-developing 4-year-old children participated. After 12 months, 57 children were available for a follow-up session. At each session, children listened twice to the story while looking at the pictures and then retold the story without the use of pictures. After the first exposure the children were asked comprehension questions to assess their oral narrative comprehension. Children's performance was analysed on measures of comprehension, narrative quality, semantics, morphosyntax, and verbal productivity to provide a Profile of Oral Narrative Ability (PONA). Results showed normal distribution of some of the measures and acceptable concurrent and predictive correlations with two norm-referenced measures of language ability. Although the results indicate the potential usefulness of this tool with preschool children, further research should investigate its potential as a screening measure of oral narrative performance.

  10. Changes in White college students' color-blind racial ideology over 4 years: do diversity experiences make a difference?

    Science.gov (United States)

    Neville, Helen A; Poteat, V Paul; Lewis, Jioni A; Spanierman, Lisa B

    2014-04-01

    In this longitudinal study, we explored how White students' (N = 857) color-blind racial ideology (CBRI; i.e., beliefs that serve to deny, minimize, and/or distort the existence of racism) changed over time and the factors associated with these patterns of change. Specifically, we investigated whether gender, diversity attitudes (i.e., openness to diversity and interest in social issues), and college diversity experiences (i.e., diversity-related courses/activities and close interracial friendships) predicted patterns of CBRI change. Findings indicated that gender and diversity attitudes were related to initial levels of CBRI, such that women and students who were more open to diversity issues at the beginning of college were more likely to report lower levels of CBRI; gender was also related to a greater decrease in CBRI changes over the college experience. Furthermore, college diversity experiences predicted changes in CBRI over time, such that students who completed a greater number of diversity courses and activities and those who had a greater number of close Black friends showed a significantly greater decrease in CBRI over their 4 years in college; interestingly, students who reported having no Latino friends compared with having some close Latino friends showed a significantly greater decrease in CBRI over time.

  11. A Quasi-Experimental Study of a Movement and Preliteracy Program for 3- and 4-Year-Old Children.

    Science.gov (United States)

    Bedard, Chloe; Bremer, Emily; Campbell, Wenonah; Cairney, John

    2017-01-01

    Approximately 28% of children are not ready for kindergarten, 91% are inactive according to current guidelines, and 21% are overweight/obese. Early intervention to strengthen movement and preliteracy skills may help to curb the concerning rates of poor school readiness, inactivity, obesity, and subsequently positively impact health across the lifespan. The objective of this pilot study was to evaluate the effectiveness of a motor and preliteracy skill program for a community sample of 3- to 4-year-old children. A quasi-experimental study design was used. The program was run for 1 h/week for 10 weeks and consisted of movement skill instruction, free play, and an interactive reading circle with care-giver involvement throughout each session. Movement and preliteracy skills were assessed in all children pre- and post-intervention using the Peabody Developmental Motor Scales-2nd edition, the Preschool Word and Print Awareness tool, and the Phonological Awareness Literacy Screening tool. Nineteen families (experimental group, n = 8; control group, n = 11) were recruited (mean age = 3 years, 8 m; 47% male). There was a significant effect of group on gross motor raw scores overall [F(1, 16) = 4.67, p health and developmental outcomes. Play and Preliteracy among Young Children (PLAY) NCT02432443.

  12. Treatment of chronic anorexia nervosa: a 4-year follow-up of adult patients treated in an acute inpatient setting.

    Science.gov (United States)

    Long, Clive G; Fitzgerald, Kirsty-Anne; Hollin, Clive R

    2012-01-01

    Despite evidence from a number of long-term follow-up studies of anorexia nervosa that nearly 50% of patients eventually make a full recovery, controlled trials of psychotherapy for anorexia nervosa are lacking. Those with severe and enduring problems represent a considerable therapeutic challenge. Thirty-four consecutive adult referrals to the inpatient treatment unit who fulfilled Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition diagnostic criteria for anorexia nervosa were examined pre-admission, post-discharge and 4 years after admission. Characteristics of remitted and non-remitted patients were examined. Secondary analyses considered the differences between patients with anorexia nervosa, restricting type and anorexia nervosa binging/purging type. The findings highlight a number of differences between patients with anorexia nervosa (restricting type) versus anorexia nervosa (binging/purging type) as well as remitted versus non-remitted patients. The use of a comprehensive battery of assessments found that resolution of eating disorder symptomatology was paralleled by improvements in emotional and psychological distress and improvement in body image perception and coping skills. Better results were obtained for those who had continuity of care on an outpatient basis. This pattern is particularly significant given the more 'chronic' nature of the sample that were older, with a higher incidence of binge-eating and purging than previous samples. Results provide some encouragement for the treatment of those adults with anorexia nervosa who typically have less favourable outcomes. 

  13. Diabetes and disenrollment in a health maintenance organization setting: a 4-year longitudinal study with a matched cohort.

    Science.gov (United States)

    Legorreta, A P; Meng, Y Y; Leung, K M; Lin, Z; Davidson, M B

    1999-09-01

    The increasing enrollment of Medicare beneficiaries in health maintenance organizations (HMOs) in recent years has caused concern about whether HMOs and their providers have created an unfavorable environment for members who are chronically ill. This study was designed to examine whether there are any differences in disenrollment rates among enrollees with diabetes and enrollees without diabetes. This was a 4-year longitudinal follow-up study with a matched cohort. Medicare beneficiaries (aged > or =65 years) with diabetes identified through pharmacy records in 1994 were matched with a comparison group according to age, sex, comorbidities, and type of provider groups in an HMO in California. The overall distribution of the characteristics of members in the diabetic and matched nondiabetic group is almost identical. The matched-pair chi2 tests indicated that there were no statistical differences in disenrollment rates between diabetic and nondiabetic members during all three follow-up periods (P = 0.16-0.85). We found that the HMO members with diabetes did not disenroll from the HMO at a higher rate than those without diabetes. The findings should alleviate some of the concern that HMOs and their contracted providers have created an unattractive environment for members who have chronic diseases such as diabetes.

  14. Hematogones With Lambda Light Chain Restriction in a 4-Year-Old Boy With Burkitt Lymphoma: A Potential Diagnostic Pitfall.

    Science.gov (United States)

    Guillory, Tesha; Li, Shiyong; Bergsagel, Daniel J; Weinzierl, Elizabeth; Bunting, Silvia T

    2016-05-01

    Hematogones are immature normal B cell precursors with a characteristic immunophenotype profile on flow cytometry that typically do not express surface immunoglobulin light chains. In this report, we describe a case in which the hematogones exhibit light chain restriction. Our patient was a 4-year-old boy with a complicated medical history involving treatment for a presumed bilateral Wilms tumor of the kidney that on later resection was diagnosed as Burkitt lymphoma. Flow cytometry analysis of his bone marrow revealed a small distinct population of cells expressing dim cluster of differentiation (CD)10, CD19, CD22, CD38, dim CD58, human leukocyte antigen-D related (HLA-DR), and dim CD45, which are characteristic of hematogones. These cells, however, demonstrated dim surface immunoglobulin lambda light-chain restriction. Molecular study results for immunoglobulin heavy and kappa light-chain gene rearrangements were negative. We present this case to raise awareness of the potential pitfalls of working up bone marrow for involvement by B cell lymphoproliferative disorder.

  15. Explicit learning of arbitrary and non-arbitrary action-effect relations in adults and 4-year-olds

    Directory of Open Access Journals (Sweden)

    Stephan Alexander eVerschoor

    2012-02-01

    Full Text Available Ideomotor theories claim that carrying out a movement that produces a perceivable effect creates a bidirectional association between the two, which can be used by action control processes to retrieve the associated action by anticipating its outcome. Indeed, previous implicit-learning studies have shown that practice renders novel but action-contingent stimuli effective retrieval cues of the action they used to follow, suggesting that experiencing sequences of actions and effects creates bidirectional action-effect associations. We investigated whether action-effect associations are also acquired under explicit-learning conditions and whether familiar action-effect relations (such as between a trumpet and a trumpet sound are learned the same way as novel, arbitrary relations are. We also investigated whether these factors affect adults and 4-year-old children equally. Our findings suggest that explicit learning produces the same bidirectional action-effect associations as implicit learning does, that non-arbitrary relations improve performance without affecting learning per se, and that adults and young children show equivalent performance—apart from the common observation that children have greater difficulty to withstand stimulus-induced action tendencies.

  16. A retrospective study of central nervous system shunt infections diagnosed in a university hospital during a 4-year period

    Directory of Open Access Journals (Sweden)

    Coskun Erdal

    2006-03-01

    Full Text Available Abstract Background Ventriculoperitoneal (VP shunts are used for intracranial pressure management and temporary cerebrospinal fluid (CSF drainage. Infection of the central nervous system (CNS is a major cause of morbidity and mortality in patients with CSF shunts. The aim of the present study was to evaluate the clinical features, pathogens, and outcomes of 22 patients with CSF shunt infections collected over 4 years. Methods The patients with shunt insertions were evaluated using; age, sex, etiology of hydrocephalus, shunt infection numbers, biochemical and microbiological parameters, prognosis, clinical infection features and clinical outcome. Results The most common causes of the etiology of hydrocephalus in shunt infected patients were congenital hydrocephalus-myelomeningocele (32% and meningitis (23%. The commonest causative microorganism identified was Staphylococcus (S. aureus, followed by Acinetobacter spp., and S. epidermidis. Conclusion In a case of a shunt infection the timely usage of appropriate antibiotics, according to the antimicrobial susceptibility testing, and the removal of the shunt apparatus is essential for successful treatment.

  17. Impact of routine real-time PCR testing of imported malaria over 4 years of implementation in a clinical laboratory.

    Science.gov (United States)

    Shokoples, Sandra; Mukhi, Shamir N; Scott, Allison N; Yanow, Stephanie K

    2013-06-01

    In clinical laboratories, diagnosis of imported malaria is commonly performed by microscopy. However, the volume of specimens is generally low and maintaining proficiency in reading blood smears, particularly at the species level, is challenging in this setting. To address this problem, the Provincial Laboratory for Public Health (ProvLab) in Alberta, Canada, implemented real-time PCR for routine confirmation of all smear-positive samples in the province. Here we report our experience over a 4-year period (2008 to 2012) with this new diagnostic algorithm. While detection of Plasmodium falciparum by microscopy alone was accurate, real-time PCR served as an important adjunct to microscopy for the identification of non-falciparum species. In 18% of cases, the result was reported as non-falciparum or the species could not be identified by microscopy alone, and in all cases, the species was resolved by real-time PCR. In another 4% of cases, the species was misidentified by microscopy. To enhance surveillance for malaria, we integrated our demographic, clinical, and laboratory data into a new system developed by the Canadian Network for Public Health Intelligence, called the Malaria System for Online Surveillance (SOS). Using this application, we characterized our patient populations and travel history to identify risk factors associated with malaria infection abroad.

  18. Hypophosphatemia Dependent Rickets with Failure to Thrive (FTT in a 4- Years Old Child: a Case Report

    Directory of Open Access Journals (Sweden)

    Fereshteh Ghaljaei

    2017-02-01

    Full Text Available BackgroundRickets is a disorder due to impaired metabolism of bone mineralization which caused by low concentrations of extra-cellular calcium or phosphate. In children, hypophosphatemic rickets (HR happen malabsorption of phosphate and increasing of renal tubular loss.Case Presentation We present the case of a 4-year-old girl who had medical history of HR with failure to thrive (FTT. Child hospitalized several times due to osteomalacia and leg fractures. In physical examinations, there were obvious signs of rickets such as bow legs and hands, deviations of the wrist and chest pigeon. The results of blood tests showed low level of Phosphorus; but the level of calcium was normal. Radiography showed deformity of wrists and hands. ConclusionHR should be considered as one of the childhood disorders which impairs metabolism of bone mineralization and cause osteomalacia and bones fractures. If HR undiagnosed and remedies poor during childhood, in older ages would reveal automatic fractures and mineralization defects.

  19. What are Institutional Logics

    DEFF Research Database (Denmark)

    Berg Johansen, Christina; Waldorff, Susanne Boch

    This study presents new insights into the explanatory power of the institutional logics perspective. With outset in a discussion of seminal theory texts, we identify two fundamental topics that frame institutional logics: overarching institutional orders guides by institutional logics, as well...

  20. Institutional Logics in Action

    DEFF Research Database (Denmark)

    Lounsbury, Michael; Boxenbaum, Eva

    2013-01-01

    This double volume presents state-of-the-art research and thinking on the dynamics of actors and institutional logics. In the introduction, we briefly sketch the roots and branches of institutional logics scholarship before turning to the new buds of research on the topic of how actors engage ins...... prolific stream of research on institutional logics by deepening our insight into the active use of institutional logics in organizational action and interaction, including the institutional effects of such (inter)actions....

  1. Entrepreneurship as institutional change

    DEFF Research Database (Denmark)

    Bjerregaard, Toke; Lauring, Jakob

    2012-01-01

    between and exploit the multiple, potentially contradictory institutional logics of the different spheres in which they operate. While much research has elucidated how institutional entrepreneurs effect change, this study illustrates how effective entrepreneurs managing and exploiting institutional...... contradictions engage simultaneously in practices of maintaining and changing institutions to establish a balance between the poles on which their ventures depend. We illustrate this by two cases of small-scale entrepreneurship bridging institutional contradictions from an ethnographic study conducted under...

  2. Early life factors and being overweight at 4 years of age among children in Malmö, Sweden

    Directory of Open Access Journals (Sweden)

    Lindström Martin

    2010-12-01

    Full Text Available Abstract Background Rising rates of obesity and overweight is an increasing public health problem all over the world. Recent research has shown the importance of early life factors in the development of child overweight. However, to the best of our knowledge there are no studies investigating the potential synergistic effect of early life factors and presence of parental overweight on the development of child overweight. Methods The study was population-based and cross-sectional. The study population consisted of children who visited the Child Health Care (CHC centers in Malmö for their 4-year health check during 2003-2008 and whose parents answered a self-administered questionnaire (n = 9009 children. Results The results showed that having overweight/obese parents was strongly associated with the child being overweight or obese. Furthermore, there was an association between unfavorable early life factors (i.e., mother smoking during pregnancy, presence of secondhand tobacco smoke early in life, high birth weight and the development of child overweight/obesity at four years of age, while breastfeeding seemed to have a protective role. For example, maternal smoking during pregnancy was associated with an odds ratio (OR of 1.47 (95% CI: 1.22, 1.76 for overweight and 2.31 (95% CI: 1.68, 3.17 for obesity. The results further showed synergistic effects between parental overweight and exposure to unfavourable early life factors in the development of child overweight. Conclusions The present study shows the importance of early life factors in the development of child overweight and obesity, and thus puts focus on the importance of early targeted interventions.

  3. Fat Imaging via Magnetic Resonance Imaging (MRI in Young Children (Ages 1-4 Years without Sedation.

    Directory of Open Access Journals (Sweden)

    Grace E Shearrer

    Full Text Available This pilot study developed techniques to perform Magnetic Resonance Imaging (MRI of specific fat deposition in 18 children (age 18 months to 4 years.The children engaged in a series of practice tests to become acclimated to the scanner noises, reduce claustrophobia, and rehearse holding still for a set time. The practice tests assessed if the child could remain still for two minutes while watching a video, first while lying on a blanket, second, on the blanket with headphones, and third, in the mock scanner. The children who passed the three practice tests were then scanned with a 3T Siemens Skyra magnet. Abdominal fat distribution (region of interest (ROI from the top of the ileac crest to the bottom of the ribcage volume was measured using 2-point DIXON technique. This region was chosen to give an indication of the body composition around the liver.Twelve out of eighteen participants successfully completed the actual MRI scan. Chi-squared test showed no significant difference between male and female pass-fail rates. The median age of completed scans was 36 months, whereas the median age for children unable to complete a scan was 28 months. The average total trunk fat was 240.9±85.2mL and the average total VAT was 37.7±25.9mLand liver fat was not quantifiable due to physiological motion. Several strategies (modeling, videos, and incentives were identified to improve pediatric imaging in different age ranges.Using an age-specific and tailored protocol, we were able to successfully use MRI for fat imaging in a majority of young children. Development of such protocols enables researchers to better understand the etiology of fat deposition in young children, which can be used to aid in the prevention and treatment of adiposity.

  4. Criterion validity of a competency-based assessment center in medical education – a 4-year follow-up study

    Directory of Open Access Journals (Sweden)

    Thomas Rotthoff

    2014-09-01

    Full Text Available Introduction: Core competencies have progressively gained importance in medical education. In other contexts, especially personnel selection and development, assessment centers (ACs are used to assess competencies, but there is only a limited number of studies on competency-based ACs in medical education. To the best of our knowledge, the present study provides the first data on the criterion-related validity of a competency-based AC in medical education. Methods: We developed an AC tailored to measure core competencies relevant to medical education (social-ethical, communicative, self, and teaching and tested its validity in n=30 first-year medical students using 3- to 4-year follow-up measures such as (a objective structured clinical examinations (OSCE on basic clinical skills (n=26, (b OSCE on communication skills (n=21, and (c peer feedback (n=18. The AC contained three elements: interview, group discussion, and role play. Additionally, a self-report questionnaire was provided as a basis for the interview. Results: Baseline AC average score and teaching competency correlated moderately with the communication OSCE average score (r=0.41, p=0.03, and r=0.38, p=0.04, respectively. Social-ethical competency in the AC showed a very strong convergent association with the communication OSCE average score (r=0.60, p0.05. Conclusion: The results showed that competency-based ACs can be used at a very early stage of medical training to successfully predict future performance in core competencies.

  5. Injury risk is low among world-class volleyball players: 4-year data from the FIVB Injury Surveillance System.

    Science.gov (United States)

    Bere, Tone; Kruczynski, Jacek; Veintimilla, Nadège; Hamu, Yuichiro; Bahr, Roald

    2015-09-01

    Little is known about the rate and pattern of injuries in international volleyball competition. To describe the risk and pattern of injuries among world-class players based on data from the The International Volleyball Federation (FIVB) Injury Surveillance System (ISS) (junior and senior, male and female). The FIVB ISS is based on prospective registration of injuries by team medical staff during all major FIVB tournaments (World Championships, World Cup, World Grand Prix, World League, Olympic Games). This paper is based on 4-year data (September 2010 to November 2014) obtained through the FIVB ISS during 32 major FIVB events (23 senior and 9 junior). The incidence of time-loss injuries during match play was 3.8/1000 player hours (95% CI 3.0 to 4.5); this was greater for senior players than for junior players (relative risk: 2.04, 1.29 to 3.21), while there was no difference between males and females (1.04, 0.70 to 1.55). Across all age and sex groups, the ankle was the most commonly injured body part (25.9%), followed by the knee (15.2%), fingers/thumb (10.7%) and lower back (8.9%). Injury incidence was greater for centre players and lower for liberos than for other player functions; injury patterns also differed between player functions. Volleyball is a very safe sport, even at the highest levels of play. Preventive measures should focus on acute ankle and finger sprains, and overuse injuries in the knee, lower back and shoulder. 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.

  6. A Comparison of Women's Collegiate and Girls' High School Volleyball Injury Data Collected Prospectively Over a 4-Year Period.

    Science.gov (United States)

    Reeser, Jonathan C; Gregory, Andrew; Berg, Richard L; Comstock, R Dawn

    2015-01-01

    There is a relative paucity of research examining the sport-specific injury epidemiology of high school and collegiate volleyball athletes. Moreover, differences in study methodology frequently limit our ability to compare and contrast injury data collected from selected populations. There are differences between the injury patterns characteristic of high school and collegiate female volleyball athletes. Retrospective clinical review. Level 3. We statistically analyzed injury incidence and outcome data collected over a 4-year interval (2005-2006 to 2008-2009) by 2 similar injury surveillance systems, the National Collegiate Athletic Association's Injury Surveillance System (NCAA ISS) and the High School Reporting Injuries Online (HS RIO). We compared diagnoses, anatomic distribution of injuries, mechanisms of injury, and time lost from training or competition between high school and collegiate volleyball athletes. The overall volleyball-related injury rate was significantly greater among collegiate athletes than among high school athletes during both competition (injury rate ratio, 2.9; 95% CI, 2.5-3.4) and practice (injury rate ratio, 3.5; 95% CI, 3.1-3.9). Collegiate athletes had a higher rate of ankle sprain, knee injury, and shoulder injury. Concussions represented a relatively high percentage of injuries in both populations (5.0% of total NCAA ISS injuries vs 4.8% of total HS RIO injuries, respectively). The data suggest that although similar, there were distinct differences between the injury patterns of the 2 populations. Compared with high school volleyball players, collegiate athletes have a higher rate of acute time loss injury as well as overuse time loss injury (particularly patellar tendinosis). Concussions represented a significant and worrisome component of the injury pattern for both study populations. The injury data suggest that important differences exist in the injury patterns of female high school compared with collegiate volleyball athletes

  7. Incidence of malaria and efficacy of combination antimalarial therapies over 4 years in an urban cohort of Ugandan children.

    Directory of Open Access Journals (Sweden)

    Tamara D Clark

    Full Text Available BACKGROUND: Combination therapies are now recommended to treat uncomplicated malaria. We used a longitudinal design to assess the incidence of malaria and compare the efficacies of 3 combination regimens in Kampala, Uganda. METHODOLOGY/PRINCIPAL FINDINGS: Children aged 1-10 years were enrolled from randomly selected households in 2004-05 and 2007, and were followed at least monthly through 2008. Insecticide-treated bednets (ITNs were provided in 2006. Children were randomized upon their first episode, and then treated for all episodes of uncomplicated malaria with amodiaquine/sulfadoxine-pyrimethamine (AQ/SP, artesunate/amodiaquine (AS/AQ, or artemether/lumefantrine (AL. Risks of parasitological failure were determined for each episode of uncomplicated malaria and clinical parameters were followed. A total of 690 children experienced 1464 episodes of malaria. 96% of these episodes were uncomplicated malaria and treated with study drugs; 94% were due to Plasmodium falciparum. The rank order of treatment efficacy was AL > AS/AQ > AQ/SP. Failure rates increased over time for AQ/SP, but not the artemisinin-based regimens. Over the 4-year course of the study the prevalence of asymptomatic parasitemia decreased from 11.8% to 1.4%, the incidence of malaria decreased from 1.55 to 0.32 per person year, and the prevalence of anemia (hemoglobin <10 gm/dL decreased from 5.9% to 1.0%. No episodes of severe malaria (based on WHO criteria and no deaths were seen. CONCLUSIONS/SIGNIFICANCE: With ready access to combination therapies and distribution of ITNs, responses were excellent for artemisinin-containing regimens, severe malaria was not seen, and the incidence of malaria and prevalence of parasitemia and anemia decreased steadily over time. TRIAL REGISTRATION: isrctn.org ISRCTN37517549.

  8. A Quasi-Experimental Study of a Movement and Preliteracy Program for 3- and 4-Year-Old Children

    Directory of Open Access Journals (Sweden)

    Chloe Bedard

    2017-05-01

    Full Text Available ObjectiveApproximately 28% of children are not ready for kindergarten, 91% are inactive according to current guidelines, and 21% are overweight/obese. Early intervention to strengthen movement and preliteracy skills may help to curb the concerning rates of poor school readiness, inactivity, obesity, and subsequently positively impact health across the lifespan. The objective of this pilot study was to evaluate the effectiveness of a motor and preliteracy skill program for a community sample of 3- to 4-year-old children.MethodsA quasi-experimental study design was used. The program was run for 1 h/week for 10 weeks and consisted of movement skill instruction, free play, and an interactive reading circle with care-giver involvement throughout each session. Movement and preliteracy skills were assessed in all children pre- and post-intervention using the Peabody Developmental Motor Scales-2nd edition, the Preschool Word and Print Awareness tool, and the Phonological Awareness Literacy Screening tool.ResultsNineteen families (experimental group, n = 8; control group, n = 11 were recruited (mean age = 3 years, 8 m; 47% male. There was a significant effect of group on gross motor raw scores overall [F(1, 16 = 4.67, p < 0.05; ωp2=0.16] and print-concept knowledge [F(1, 16 = 11.9, p < 0.05; ωp2=0.38].ConclusionThis study was one of the first to examine the impact of a community-based movement skill and preliteracy program with care-giver involvement in preschool children. Future research should continue to explore the effects of the program with larger and more diverse samples on multiple health and developmental outcomes.Clinical Trial RegistrationPlay and Preliteracy among Young Children (PLAY NCT02432443.

  9. Vertebroplasty as treatment of aggressive and symptomatic vertebral hemangiomas: up to 4 years of follow-up

    Energy Technology Data Exchange (ETDEWEB)

    Guarnieri, G.; Ambrosanio, G.; Vassallo, P.; Galasso, R.; Lavanga, A.; Izzo, R.; Muto, M. [AORNA Cardarelli, Neuroradiology Service, Naples (Italy); Pezzullo, M.G. [Seconda Universita degli studi di Napoli - SUN, Radiology Service, Naples (Italy)

    2009-07-15

    This study aimed to illustrate the validity of the treatment with vertebroplasty (VP) in patients with aggressive or symptomatic vertebral hemangioma (VH) with or without epidural extension. From January 2003 to December 2007, 24 consecutive patients have been treated with VP, for a total of 36 vertebral bodies affected by VH: two cervical, ten dorsal, 24 lumbar. All the patients complained of a pain syndrome resistant to continuous medical medication; four of 24 patients also presented aggressive magnetic resonance features of the vertebral lesion and two patients showed also epidural extension. A unipedicular approach has been performed in 16 patients; a bipedicular approach has been performed in six, while for the cervical spine an anterior-lateral approach with manual dislocation of the carotid axis has always been performed. Bone biopsy was never done. All procedures have been carried out with local anesthesia, except for the treatment of the cervical hemangiomas which has always been performed under general anesthesia. Four vertebral bodies in the same session have been treated in one case. Results have been evaluated with the visual analog scale and the Oswestry Disability Index methods. In all the patients, in the following 24-72 h, a successful outcome has been observed with a complete resolution of pain symptom. Extravertebral vascular or discal cement leakage has been observed in four patients, without any onset of clinical radicular syndrome due to epidural diffusion. Clinical and radiological follow-up until 4 years has been performed in 12 patients and it showed stability of the treatment and absence of pain. Percutaneous treatment with VP for aggressive and symptomatic vertebral hemangiomas even with epidural extension is a valuable, mini-invasive, and quick method that allows a complete and enduring resolution of the painful vertebral symptoms without findings of fracture of a vertebral body adjacent or distant to the one treated. (orig.)

  10. Various factors affecting the bacterial corneal ulcer healing: a 4-years study in referral tertiary eye hospital in Indonesia

    Directory of Open Access Journals (Sweden)

    Muhammad Asroruddin

    2015-11-01

    Full Text Available Background: Corneal ulcer is one of the most common causes of visual acuity impairment and blindness all over the world. The aim of the study was to evaluate various factors affecting the bacterial corneal ulcers healing, including the predisposing factors, causative organisms, antibiotic sensitivity, as well as the treatment outcomes.Methods: All data were taken retrospectively from medical records of patients who underwent corneal scraping for Gram examination and/or culture over a-4-year period (2008-2011 at the Cipto Mangunkusumo Hospital Jakarta. Treatment outcome were analyzed using Chi-square test, one-way ANOVA, and post-hoc analysis. Mean time required for complete epithelial healing was also investigated.Results: 220 cases of bacterial corneal ulcers in 216 patients were included. The most common risk factors were ocular trauma (45.8%. Gram-positive coccus were found in 65.7% cases other than other microbes. Pseudomonas sp. (25,0% and Staphylococcus epidermidis (18.4% were the most common isolates, sensitive to almost all kinds of antibiotics. About 83.0% (106 cases were improved with antibiotics only, the rest were not improved and worsened. Mean time for complete epithelial healing was 17.5 ± 8.9 days with mild ulcer had the most rapid recovery. Eyes treated with fluoroquinolone eyedrops were healed in 14 days, faster than other regiments.Conclusion: Ocular trauma was the most common risk factor for corneal ulcer, and the most commonly isolated organism was Pseudomonas sp. Most cases were improved with antibiotics, and fluoroquinolone showed faster healing. Complete epithelial healing occurred in about 17.5 days.

  11. Trends in asthma mortality in the 0- to 4-year and 5- to 34-year age groups in Brazil.

    Science.gov (United States)

    Graudenz, Gustavo Silveira; Carneiro, Dominique Piacenti; Vieira, Rodolfo de Paula

    2017-01-01

    To provide an update on trends in asthma mortality in Brazil for two age groups: 0-4 years and 5-34 years. Data on mortality from asthma, as defined in the International Classification of Diseases, were obtained for the 1980-2014 period from the Mortality Database maintained by the Information Technology Department of the Brazilian Unified Health Care System. To analyze time trends in standardized asthma mortality rates, we conducted an ecological time-series study, using regression models for the 0- to 4-year and 5- to 34-year age groups. There was a linear trend toward a decrease in asthma mortality in both age groups, whereas there was a third-order polynomial fit in the general population. Although asthma mortality showed a consistent, linear decrease in individuals ≤ 34 years of age, the rate of decline was greater in the 0- to 4-year age group. The 5- to 34-year group also showed a linear decline in mortality, and the rate of that decline increased after the year 2004, when treatment with inhaled corticosteroids became more widely available. The linear decrease in asthma mortality found in both age groups contrasts with the nonlinear trend observed in the general population of Brazil. The introduction of inhaled corticosteroid use through public policies to control asthma coincided with a significant decrease in asthma mortality rates in both subsets of individuals over 5 years of age. The causes of this decline in asthma-related mortality in younger age groups continue to constitute a matter of debate. Apresentar uma atualização das tendências da mortalidade da asma no Brasil em duas faixas etárias: 0-4 anos e 5-34 anos. Dados relativos ao período de 1980 a 2014 referentes à mortalidade da asma, conforme se definiu na Classificação Internacional de Doenças, foram extraídos Sistema de Informação sobre Mortalidade do Departamento de Tecnologia da Informação do Sistema Único de Saúde. Para analisar as tendências temporais das taxas

  12. Is intensification of reproduction rhythm sustainable in an organic sheep production system? A 4-year interdisciplinary study.

    Science.gov (United States)

    Benoit, M; Tournadre, H; Dulphy, J P; Laignel, G; Prache, S; Cabaret, J

    2009-05-01

    A 4-year interdisciplinary study was performed to compare two organically managed sheep production systems, using 118 ewes and 24 ha each. The systems differed in the ewes' reproduction rhythm: one lambing per ewe per year (1L/1Y), with the aim of balancing feed self-sufficiency and lamb marketing periods v. three lambings over 2 years (3L/2Y), with the aim of maximising ewes' productivity. The sustainability was evaluated through ewes' reproductive performance, lamb growth rate, carcass characteristics and quality, animal health, forage and feed self-sufficiency, soil mineral balance and gross margin. General animal health was assessed by recording ewe and lamb mortality and putative cause of death. Nematode digestive-tract strongyles parasitism was studied using faecal egg counts and necropsies. Carcass quality was assessed by recording carcass weight, conformation and fatness, and colour and firmness of subcutaneous fat. Thirty-three percent of 3L/2Y ewes lambed twice a year against 4% of 1L/1Y. Mean ewe productivity was 161.3% and 151.0% in 3L/2Y and 1L/1Y, respectively, and it was more variable between years in 3L/2Y. Average concentrate feed consumption and the corresponding cost per ewe were higher in 3L/2Y than in 1L/1Y (156 v. 121 kg, and €49.5 v. €39.3, respectively). Finally, average gross margin was lower in 3L/2Y than in 1L/1Y (€59 v. €65 per ewe, respectively). Even in year 2002, when ewe productivity was highest in 3L/2Y (193%), gross margin was not different between systems (€90 v. €86 per ewe in 3L/2Y and 1L/1Y, respectively), because of higher concentrate costs in 3L/2Y. The 3L/2Y animals presented a lower health status, with a higher lamb mortality (P sustainable. The less intensive system (1L/1Y) was both highly efficient from the animal standpoint and highly feed self-sufficient. The technical and economic results of this system were better than those of organic private farms in the same area and matched those of non-organic farms.

  13. Evaluation of 4 years of continuous δ13C(CO2) data using a moving Keeling plot method

    Science.gov (United States)

    Vardag, Sanam Noreen; Hammer, Samuel; Levin, Ingeborg

    2016-07-01

    Different carbon dioxide (CO2) emitters can be distinguished by their carbon isotope ratios. Therefore measurements of atmospheric δ13C(CO2) and CO2 concentration contain information on the CO2 source mix in the catchment area of an atmospheric measurement site. This information may be illustratively presented as the mean isotopic source signature. Recently an increasing number of continuous measurements of δ13C(CO2) and CO2 have become available, opening the door to the quantification of CO2 shares from different sources at high temporal resolution. Here, we present a method to compute the CO2 source signature (δS) continuously and evaluate our result using model data from the Stochastic Time-Inverted Lagrangian Transport model. Only when we restrict the analysis to situations which fulfill the basic assumptions of the Keeling plot method does our approach provide correct results with minimal biases in δS. On average, this bias is 0.2 ‰ with an interquartile range of about 1.2 ‰ for hourly model data. As a consequence of applying the required strict filter criteria, 85 % of the data points - mainly daytime values - need to be discarded. Applying the method to a 4-year dataset of CO2 and δ13C(CO2) measured in Heidelberg, Germany, yields a distinct seasonal cycle of δS. Disentangling this seasonal source signature into shares of source components is, however, only possible if the isotopic end members of these sources - i.e., the biosphere, δbio, and the fuel mix, δF - are known. From the mean source signature record in 2012, δbio could be reliably estimated only for summer to (-25.0 ± 1.0) ‰ and δF only for winter to (-32.5 ± 2.5) ‰. As the isotopic end members δbio and δF were shown to change over the season, no year-round estimation of the fossil fuel or biosphere share is possible from the measured mean source signature record without additional information from emission inventories or other tracer measurements.

  14. Triple pelvic osteotomy in Legg-Calve-Perthes disease using a single anterolateral incision: a 4-year review.

    LENUS (Irish Health Repository)

    Conroy, Eimear

    2010-07-01

    Femoral head incongruency at skeletal maturity is associated with the development of osteoarthritis in early adulthood. Containment of the femoral head provides a larger surface area for remodelling of the collapsed femoral head and the development of spherical congruency. Triple pelvic osteotomy has a role to play in Legg-Calve-Perthes\\' disease by improving femoral head containment and preventing subluxation. This is traditionally a two-incision approach with significant associated morbidity. In our unit we perform triple osteotomies through a single anterolateral incision. To retrospectively review the clinical and radiographic outcome of children who had triple osteotomies performed through a single incision over a 4-year period. In our unit from 2003 to 2006 we performed eight triple osteotomies through a single incision in children aged between 6 and 12 years with Legg-Calve-Perthes\\' disease. The procedure was performed through a single anterolateral incision made beneath the middle of the iliac crest and carried forward according to Salter\\'s osteotomy. Image intensification was used to confirm iliac, pubic and ischial cuts. After performing a standard Salter\\'s osteotomy the acetabular fragment was free to rotate anteriorly and laterally. None of the children were casted and all were allowed immediate mobilization nonweight bearing with crutches for 6 weeks. Clinical results and hip function were measured preoperatively and postoperatively using the modified Harris hip score. The average length of hospital stay was 4.7 days. None of the children had a nonunion. The centre edge angle of Wiberg was measured on all preoperative and postoperative anteroposterior pelvic radiographs. In all our patients there was an improvement in the centre edge angle of Wiberg and in the modified Harris hip score. The preoperative modified Harris hip scores ranged from 38 to 60 and postoperatively ranged from 77 to 92. The preoperative centre edge angle of Wiberg ranged

  15. Dynamics of CO2-exchange and C-budgets due to soil erosion: Insights from a 4 years observation period

    Science.gov (United States)

    Hoffmann, Mathias; Albiac Borraz, Elisa; Garcia Alba, Juana; Augustin, Jürgen; Sommer, Michael

    2015-04-01

    Agriculture in the hummocky ground moraine landscape of NE-Germany is characterized by an increase in energy crop cultivation, like maize or sorghum. Both enhance lateral C fluxes by erosion and induce feedbacks on C dynamics of agroecosystems as a result of reduced wintertime plant cover and vigorous crop growth during summer. However, the actual impact of these phenomena on the CO2-sink/-source function of agricultural landscapes, is still not clear. Therefore, the interdisciplinary project "CarboZALF" was established in Dedelow/Prenzlau (NE-Germany) in 2009. Within the field experiment CarboZALF-D, CO2 fluxes for the soil-plant systems were monitored, covering typical landscape relevant soil states in respect to erosion and deposition, like Calcic Cutanic Luvisol and Endogleyic Colluvic Regosol. Automated chamber systems, each consisting of four transparent chambers (2.5 m height, basal area 2.25 m2), were placed along gradients at both measurement sites. Monitored CO2 fluxes were gap-filled on a high-temporal resolution by modelling ecosystem respiration (Reco), gross primary productivity (GPP) and net ecosystem exchange (NEE) based on parallel and continuous measurements of the CO2 exchange, soil and air temperatures as well as photosynthetic active radiation (PAR). Gap-filling was e.g. needed in case of chamber malfunctions and abrupt disturbances by farming practice. The monitored crop rotation was corn-winter wheat (2 a), sorghum-winter triticale and alfalfa (1.5 a). In our presentation we would like to show insights from a 4 years observation period, with prounounced differences between the eroded and the colluvial soil: The Endogleyic Colluvic Regosol showed higher flux rates for Reco, GPP and NEE compared to the Calcic Cutanic Luvisol. Site-specific NEE and C-balances were positively related to soil C-stocks as well as biomass production, and generated a minor C-sink in case of the Calcic Cutanic Luvisol and a highly variable C-source in case of the

  16. False belief understanding and “cool” inhibitory control in 3-and 4-years-old Italian children

    Science.gov (United States)

    Bellagamba, Francesca; Addessi, Elsa; Focaroli, Valentina; Pecora, Giulia; Maggiorelli, Valentina; Pace, Beatrice; Paglieri, Fabio

    2015-01-01

    During preschool years, major developments occur in both executive function and theory of mind (ToM), and several studies have demonstrated a correlation between these processes. Research on the development of inhibitory control (IC) has distinguished between more cognitive, “cool” aspects of self-control, measured by conflict tasks, that require inhibiting an habitual response to generate an arbitrary one, and “hot,” affective aspects, such as affective decision making, measured by delay tasks, that require inhibition of a prepotent response. The aim of this study was to investigate the relations between 3- and 4-year-olds’ performance on a task measuring false belief understanding, the most widely used index of ToM in preschoolers, and three tasks measuring cognitive versus affective aspects of IC. To this end, we tested 101 Italian preschool children in four tasks: (a) the Unexpected Content False Belief task, (b) the Conflict task (a simplified version of the Day–Night Stroop task), (c) the Delay task, and (d) the Delay Choice task. Children’s receptive vocabulary was assessed by the Peabody Picture Vocabulary test. Children’s performance in the False Belief task was significantly related only to performance in the Conflict task, controlling for vocabulary and age. Importantly, children’s performance in the Conflict task did not significantly correlate with their performance in the Delay task or in the Delay Choice task, suggesting that these tasks measure different components of IC. The dissociation between the Conflict and the Delay tasks may indicate that monitoring and regulating a cool process (as flexible categorization) may involve different abilities than monitoring and regulating a hot process (not touching an available and highly attractive stimulus or choosing between a smaller immediate option and a larger delayed one). Moreover, our findings support the view that “cool” aspects of IC and ToM are interrelated, extending to an

  17. Characterization of 4 years MagnetoTelluric monitoring data by studying the temporal behaviour of Alpha Stable Distribution Parameters

    Science.gov (United States)

    Siniscalchi, Agata; Romano, Gerardo; Barracano, Fabio; Balasco, Marianna; Tripaldi, Simona

    2017-04-01

    Analyzing a 4 years of a single site MT continuous monitoring data, a systematic variation of the MT transfer function estimates was observed in the [20-100 s] period range that was shown to be connected to the global geomagnetic activity, Ap index (Romano et al., 2014). The monitored period, from 2007 to 2011, includes the global minimum of solar activity which occurred in 2009 (low MT source amplitude). It was shown that the impedance robust estimations tend to stabilize when the Ap index exceed a value of 10. In order to exclude a possible dependence of the observed fluctuation on the presence of a local cultural noise source, for a shorter period ( 2 months) the monitoring data were also processed by using a remote site. Recently Chave (2012) demonstrated that MT data can be described by alpha stable distribution family that is characterized by four-parameters that must be empirically determined. The Gaussian distribution belongs to this family as a special case when one of the four parameter, α the tail thickness, is equal to 2. Following Chave (2016), MT data are typically stably distributed with the empirical observation that 0.8 ≤α ≤1.8. In order to better understand the observed dependence of the MT continuous monitoring on the global geomagnetic activity, here we present the results a re-analysis of the MT monitoring data with a two steps processing. In the first step, we characterize the time series of the Alpha Stable Distribution Parameters (ASDP) as obtained from the whole processing of the dataset with the aim of checking for possible connections between these last and the Ap index. In the second step, we estimate the ASDP by using only the samples which satisfy the mathematical range of existence of the normalized WAL (Weaver et al.,2000) considering these last as a diagnostic tool to detect which segments of the time series in the frequency domain are strongly contaminated by noise (WAL selection criterion). The comparison between the results

  18. FPG Child Development Institute

    Science.gov (United States)

    ... Development, Teaching, and Learning The Frank Porter Graham Child Development Institute will partner with Zero to Three to ... 25 September 21, 2017 More Frank Porter Graham Child Development Institute The University of North Carolina at Chapel ...

  19. Canadian institute honours Hawking

    Science.gov (United States)

    Durrani, Matin

    2009-11-01

    The Perimeter Institute for Theoretical Physics in Waterloo, Canada, has announced that a major new extension to its campus will be known as the Stephen Hawking Centre. The extension, which is currently being built, is due to open in 2011 and will double the size of the institute. It will also provide a home for the institute's Masters students, the first of whom joined the Perimeter Institute this autumn as part of its Perimeter Scholars international programme.

  20. Furthering critical institutionalism

    NARCIS (Netherlands)

    Cleaver, Frances; Koning, De Jessica

    2015-01-01

    This special issue furthers the study of natural resource management from a critical institutional perspective. Critical institutionalism (CI) is a contemporary body of thought that explores how institutions dynamically mediate relationships between people, natural resources and society. It focus

  1. Multinationals and Institutional Competitiveness

    DEFF Research Database (Denmark)

    Hull Kristensen, Peer; Morgan, Glenn

    This article discusses how institutional competitiveness and multinationals are mutually enriching concepts. Seen from the perspective of Multinationals, institutional competitiveness becomes expressed at two levels. At the level of corporate HQs institutional competitiveness proves itself...... competitiveness of Liberal Market Economies and Coordinated Markets Economies under the current competitive regime....

  2. A prospective 4-year study of insulin resistance and adipokines in morbidly obese diabetic and non-diabetic patients after gastric banding.

    Science.gov (United States)

    Urbanavicius, Vaidotas; Juodeikis, Zygimantas; Dzenkeviciute, Vilma; Galkine, Aiste; Petrulioniene, Zaneta; Sapoka, Virginijus; Brimiene, Vilma; Vitkus, Dalius; Brimas, Gintautas

    2017-06-01

    There are insufficient data regarding the changes in adipokine levels after laparoscopic adjustable gastric banding (LAGB) in diabetic and non-diabetic patients and their effects on insulin resistance and type 2 diabetes remission. To assess leptin, adiponectin, and insulin resistance changes after LAGB in diabetic and non-diabetic morbidly obese patients. One hundred and three patients (37 with and 66 without type 2 diabetes) underwent LAGB from January 2009 to January 2010. Glycated hemoglobin, insulin, adipokine levels and insulin resistance were evaluated preoperatively, and 1 and 4 years after LAGB. The mean patient age was 45.9 ±11.7 years and mean preoperative body mass index was 47.5 ±7.3 kg/m(2). A total of 80 of 103 patients (77.6%) completed the 4-year follow-up. After 4 years the mean excess weight loss was 38.8% and 39.5% in diabetic and non-diabetic patients respectively. Leptin levels decreased significantly in both groups at 1 year, but after 4 years this was noted only in non-diabetic patients. After 1 year adiponectin levels increased significantly only in non-diabetic patients (p = 0.003) and remained almost the same at 4 years. A significant decrease in insulin resistance was noted in both groups 1 year after LAGB and diabetes remission was observed in 23 (62.1%) patients. There was a negative correlation between preoperative insulin resistance and adiponectin levels throughout the follow-up period. Leptin levels positively correlated with BMI throughout the study period (baseline r = 0.45; p year r = 0.71; p years r = 0.68; p year; however, at 4 years it was significant (r = 0.27; p year after LAGB. The 4-year follow-up revealed stabilization in metabolic indices rather than significant improvement.

  3. Trends in antimicrobial resistance among clinical isolates of enterococci in a Brazilian tertiary hospital: a 4-year study

    Directory of Open Access Journals (Sweden)

    Natália Conceição

    2011-04-01

    Full Text Available INTRODUCTION: In the past two decades members of the genus Enterococcus have emerged as important nosocomial pathogens worldwide. This study prospectively analyzed the distribution of species and trends in antimicrobial resistance among clinical isolates of enterococci in a Brazilian tertiary hospital from 2006-2009. METHODS: Enterococcal species were identified by conventional biochemical tests. The antimicrobial susceptibility profile was performed by disk diffusion in accordance with the Clinical and Laboratory Standards Institute (CLSI. A screening test for vancomycin was also performed. Minimal inhibitory concentration (MIC for vancomycin was determined using the broth dilution method. Molecular assays were used to confirm speciation and genotype of vancomycin-resistant enterococci (VRE. RESULTS: A total of 324 non-repetitive enterococcal isolates were recovered, of which 87% were E. faecalis and 10.8% E. faecium. The incidence of E. faecium per 1,000 admissions increased significantly (p 256µg/ mL and harbored vanA genes. The majority (89.5% of VRE belonged to E. faecium species, which were characteristically resistant to ampicillin and quinolones. Overall, ampicillin resistance rate increased significantly from 2.5% to 21.4% from 2006-2009. Resistance rates for gentamicin, chloramphenicol, tetracycline, and erythromycin significantly decreased over time, although they remained high. Quinolones resistance rates were high and did not change significantly over time. CONCLUSIONS: The data obtained show a significant increasing trend in the incidence of E. faecium resistant to ampicillin and vancomycin.

  4. [An evaluation of the 4 years of the Oral Rehydration Service of the Hospital Infantil de Monterrey].

    Science.gov (United States)

    Muraira-Gutiérrez, A; Méndez-Jara, A; Ruiz-Villalpando, G

    1992-06-01

    At four years of being founded the Service of Oral Hydration from Hospital Infantil de Monterrey, we carried out this investigation to know its productivity, to determine costs of internments, death rates due to diarrhea and dehydration in the hospital and at a State level. The statistics from the hospital were revised in the previous and subsequent years to the institution of the Service in September of 1986, so as the statistics of death due to diarrhea from the State Health Department. The cases attended were 12,139, from which 9,024 belonged to plan A, 2,983 to plan B and 72 to plan C. Three hundred (300) doctors were trained and nine (9) research studies were accomplished. A decrease was achieved from the hospital rate admission by diarrhea and dehydration, throw the oral dehydration therapy in a 66%, the mortality rate was reduced 72% and an expenditure of $619,243,480.00 pesos in drugs and auxiliary examinations of diagnostic was avoided. At a State level the general death rate due to diarrhea got a cutdown of 13.1 to 5.8, and in infants under a year old decreased from 275 to 122.3. The oral hydration therapy applied in the State seems to be the main reason in that results.

  5. Furthering critical institutionalism

    Directory of Open Access Journals (Sweden)

    Frances Dalton Cleaver

    2015-03-01

    Full Text Available This special issue furthers the study of natural resource management from a critical institutional perspective. Critical institutionalism (CI is a contemporary body of thought that explores how institutions dynamically mediate relationships between people, natural resources and society. It focuses on the complexity of institutions entwined in everyday social life, their historical formation, the interplay between formal and informal, traditional and modern arrangements, and the power relations that animate them. In such perspectives a social justice lens is often used to scrutinise the outcomes of institutional processes. We argue here that critical institutional approaches have potentially much to offer commons scholarship, particularly through the explanatory power of the concept of bricolage for better understanding institutional change.  Critical institutional approaches, gathering momentum over the past 15 years or so, have excited considerable interest but the insights generated from different disciplinary perspectives remain insufficiently synthesised. Analyses emphasising complexity can be relatively illegible to policy-makers, a fact which lessens their reach. This special issue therefore aims to synthesise critical institutional ideas and so to lay the foundation for moving beyond the emergent stage to make meaningful academic and policy impact. In bringing together papers here we define and synthesise key themes of critical institutionalism, outline the concept of institutional bricolage and identity some key challenges facing this school of thought.

  6. Emotional Intelligence: Impact on Post-Secondary Academic Achievement

    Science.gov (United States)

    Garg, Rashmi; Levin, Elizabeth; Tremblay, Line

    2016-01-01

    This research examined the simultaneous influences of emotional intelligence, adjustment to university, authoritative versus other parenting style, and high school average on first year university students' grade point average (GPA) via structural equation modeling. The participants were 299 first year students from the social science faculty at…

  7. Measurement and Evaluation in Post-Secondary ESL

    CERN Document Server

    Ekbatani, Glayol V

    2010-01-01

    Practical and concise, this introductory text for language teaching professionals is a guide to ESL assessment and to fulfilling the testing component of TESOL programs in the U.S. and around the world

  8. Local unemployment and the timing of post-secondary schooling

    DEFF Research Database (Denmark)

    Sievertsen, Hans Henrik

    2016-01-01

    Using Danish administrative data on all high school graduates from 1984 to 1992, I show that local unemployment has both a short- and a long-run effect on school enrollment and completion. The short-run effect causes students to advance their enrollment, and consequently their completion, of addi......Using Danish administrative data on all high school graduates from 1984 to 1992, I show that local unemployment has both a short- and a long-run effect on school enrollment and completion. The short-run effect causes students to advance their enrollment, and consequently their completion...

  9. Industrial Maintenance, Volume II-B. Post Secondary Curriculum Guide.

    Science.gov (United States)

    Butler, Raymond H.; And Others

    This volume is the third of four volumes that comprise a curriculum guide for a postsecondary industrial maintenance program. It contains part of section 3 of the guide which contains the unit guides for 10 of the 12 duties included in the course. Each of the 247 tasks included in these 10 duties is presented on a separate page and contains the…

  10. Industrial Maintenance, Volume II-A. Post Secondary Curriculum Guide.

    Science.gov (United States)

    Butler, Raymond H.; And Others

    This volume is the second of four volumes that comprise a curriculum guide for a postsecondary industrial maintenance program. It contains part of section 3 of the guide which contains the unit guides for two of the 12 duties included in the course. Each of the 197 tasks included in these two duties is presented on a separate page and contains the…

  11. Industrial Maintenance, Volume III. Post Secondary Curriculum Guide.

    Science.gov (United States)

    Butler, Raymond H.; And Others

    This volume is the fourth of four volumes that comprise a curriculum guide for a postsecondary industrial maintenance program. It contains three sections and appendixes. Section 4 provides suggested methods of structuring the curriculum. Suggested ways of recording and documenting student progress are presented in section 5. Section 6 contains…

  12. Industrial Maintenance, Volume I. Post Secondary Curriculum Guide.

    Science.gov (United States)

    Butler, Raymond H.; And Others

    This volume is the first of four volumes that comprise a curriculum guide for a postsecondary industrial maintenance program. It contains two sections. Section 1 overviews the philosophies, purposes, and goals for vocational education in Georgia. Contents of section 2 include a discussion of employability skills, description of the occupational…

  13. Distributed Leadership and Shared Governance in Post-Secondary Education

    Science.gov (United States)

    Burke, Kenneth M.

    2010-01-01

    Leadership in education and traditional management theory face the challenges of advancing a theory and practice for twenty-first century organization. This article approaches the potential for new frames of reference on leadership through the correlations between the emergent theory of distributed leadership and the philosophy of shared…

  14. Epistemological Development and Critical Thinking in Post-Secondary

    Science.gov (United States)

    Ouellette-Schramm, Jennifer

    2015-01-01

    Using Kegan's constructive-developmental theory, this study explores to what extent epistemological development is a factor in critical thinking performance and learning in reading and writing among a diverse group of six adult learners. Analysis of a developmental interview, a summative assessment and participant surveys indicated that learners…

  15. Why Do Post-Secondary Students Seek Counselling?

    Science.gov (United States)

    Cairns, Sharon L.; Massfeller, Helen F.; Deeth, Sander C.

    2010-01-01

    The purpose of this study is to document reasons that Canadian postsecondary students seek counselling and to report counsellor ratings of the severity and complexity of presenting concerns. For over three academic years, counsellors at a large Canadian university completed a Presenting Issues Form on all clients (N = 2,943) following the initial…

  16. Emotional Intelligence: Impact on Post-Secondary Academic Achievement

    Science.gov (United States)

    Garg, Rashmi; Levin, Elizabeth; Tremblay, Line

    2016-01-01

    This research examined the simultaneous influences of emotional intelligence, adjustment to university, authoritative versus other parenting style, and high school average on first year university students' grade point average (GPA) via structural equation modeling. The participants were 299 first year students from the social science faculty at…

  17. Refrigeration, Heating & Air Conditioning. Post Secondary Curriculum Guide.

    Science.gov (United States)

    Garrison, Joe C.; And Others

    This curriculum guide was designed for use in postsecondary refrigeration, heating and air conditioning education programs in Georgia. Its purpose is to provide for the development of entry level skills in refrigeration, heating, and air conditioning in the areas of air conditioning knowledge, theoretical structure, tool usage, diagnostic ability,…

  18. Where Did They Go? Market Share Trends of Business Student Enrollment at Public, Not-for-Profit, and For-Profit Institutions from 1996 to 2008

    Science.gov (United States)

    Fox Garrity, Bonnie Kathleen

    2012-01-01

    The author presents the trends in market share of business student enrollment at public, not-for-profit, and for-profit 4-year-and-above institutions from 1996 to 2008. Although each sector of the institutions has experienced growth in overall enrollments, the relative market share of public and not-for-profit institutions has dropped, whereas the…

  19. Where Did They Go? Market Share Trends of Business Student Enrollment at Public, Not-for-Profit, and For-Profit Institutions from 1996 to 2008

    Science.gov (United States)

    Fox Garrity, Bonnie Kathleen

    2012-01-01

    The author presents the trends in market share of business student enrollment at public, not-for-profit, and for-profit 4-year-and-above institutions from 1996 to 2008. Although each sector of the institutions has experienced growth in overall enrollments, the relative market share of public and not-for-profit institutions has dropped, whereas the…

  20. From Institutional Change to Experimentalist Institutions

    DEFF Research Database (Denmark)

    Hull Kristensen, Peer; Morgan, Glenn

    2012-01-01

    Institutionalist theory has shown how work and employment relations are shaped by national contexts. Recent developments in these theories have been increasingly concerned with the issue of institutional change. This reflects a shift in the nature of the competitive environment of firms from...... lead firms to constant experimentation in work organization as they seek to position themselves within systems of production and innovation that are global in nature. This creates a pressure for institutional change to facilitate the process of firm-level experimentation; it also tends to create...... a pressure for new experimental forms of institutions that are themselves searching for ways to improve their relevance. This change calls for extending the study of industrial relations and employment systems in the current era to investigate how new dynamic complementarities among employees, managers...

  1. Institutions as Knowledge Capital

    DEFF Research Database (Denmark)

    Foss, Nicolai Juul; Garzarelli, Giampaolo

    The paper revisits the socioeconomic theory of the Austrian School economist Ludwig M. Lachmann. By showing that the common claim that Lachmann's idiosyncratic (read: eclectic and multidisciplinary) approach to economics entails nihilism is unfounded, it reaches the following conclusions. (1...... theory without simultaneously denying the policy approach of comparative institutional analysis. (90 words.)KeywordsComparative institutional analysis, coordination, expectations, institutionalevolution, interpretative institutionalism.JEL CodesB31, B52, B53, D80....

  2. Modeling Inefficient Institutions

    OpenAIRE

    2006-01-01

    Why do inefficient %uF818 non-growth enhancing %uF818 institutions emerge and persist? This paper develops a simple framework to provide some answers to this question. Political institutions determine the allocation of political power, and economic institutions determine the framework for policy-making and place constraints on various policies. Groups with political power, the elite, choose policies to increase their income and to directly or indirectly transfer resources from the rest of soc...

  3. Institutional pressures and HRM: developing institutional fit

    NARCIS (Netherlands)

    Boon, C.; Paauwe, J.; Boselie, J.P.P.E.F.; den Hartog, D.N.

    2009-01-01

    Purpose – Research in strategic human resource management (HRM) has focused mainly on the effects of HRM practices or systems on organizational effectiveness. However, institutional theory argues that besides being financially successful, organizations also need legitimacy to survive. Owing to the t

  4. Acid-base status at birth, spontaneous motor behaviour at term and 3 months and neurodevelopmental outcome at age 4 years in full-term infants

    NARCIS (Netherlands)

    Wildschut, J; Feron, FJM; Hendriksen, JGM; van Hall, M; Gavilanes-Jiminez, DWD; Hadders-Algra, M; Vles, JSH

    2005-01-01

    Objective: The aim of the study was to assess the relationship between acid-base status and quality and quantity of General Movements (GMs) at birth and quality of GMs at age 3 months and motor, cognitive and behavioural functioning at the age of 4 years. Methods: From a cohort of 84 term children w

  5. Is ovarian hyperstimulation associated with higher blood pressure in 4-year-old IVF offspring? Part II : an explorative causal inference approach

    NARCIS (Netherlands)

    La Bastide-Van Gemert, Sacha; Seggers, Jorien; Haadsma, Maaike L.; Heineman, Maas Jan; Middelburg, Karin J.; Roseboom, Tessa J.; Schendelaar, Pamela; Hadders-Algra, Mijna; Van den Heuvel, Edwin R.

    STUDY QUESTION: What causal relationships underlie the associations between ovarian stimulation, the IVF procedure, parental-, fertility- and child characteristics, and blood pressure (BP) and anthropometrics of 4-year-old IVF children? SUMMARY ANSWER: Causal models compatible with the data suggest

  6. Acid-base status at birth, spontaneous motor behaviour at term and 3 months and neurodevelopmental outcome at age 4 years in full-term infants

    NARCIS (Netherlands)

    Wildschut, J; Feron, FJM; Hendriksen, JGM; van Hall, M; Gavilanes-Jiminez, DWD; Hadders-Algra, M; Vles, JSH

    Objective: The aim of the study was to assess the relationship between acid-base status and quality and quantity of General Movements (GMs) at birth and quality of GMs at age 3 months and motor, cognitive and behavioural functioning at the age of 4 years. Methods: From a cohort of 84 term children

  7. Brief Report: An Evaluation of TAGteach Components to Decrease Toe-Walking in a 4-Year-Old Child with Autism

    Science.gov (United States)

    Persicke, Angela; Jackson, Marianne; Adams, Amanda N.

    2014-01-01

    The current study evaluated the effectiveness of using a modified "TAGteach"™ procedure and correction to decrease toe-walking in a 4-year-old boy with autism. Two conditions were analyzed: correction alone and correction with an audible conditioned reinforcing stimulus. Correction alone produced minimal and inconsistent decreases in…

  8. Screening for Type 2 Diabetes in a High-Risk Population : Effects of a Negative Screening Test After 4 Years Follow-up

    NARCIS (Netherlands)

    Willems, Julie I.; Otto, Suzie J.; Klijs, Bart; de Koning, Harry J.

    2014-01-01

    A negative diabetes screening test may unintentionally provide reassurance, resulting in reduced incentive to follow a healthy lifestyle. The purpose of this study is to assess negative test result effects on lifestyle and risk perception at 4 years follow-up. Risk perception and changes in smoking,

  9. Early life exposures to home dampness, pet ownership and farm animal contact and neuropsychological development in 4 year old children: a prospective birth cohort study.

    NARCIS (Netherlands)

    Casas, L.; Torrent, M.; Zock, J.P.; Doekes, G.; Forns, J.; Guxens, M.; Täubel, M.; Heinrich, J.; Sunyer, J.

    2013-01-01

    Exposure to biocontaminants is associated with behavioural problems and poorer cognitive function. Our study assesses the associations between early life exposure to home dampness, pets and farm animal contact and cognitive function and social competences in 4-year old children, and the associations

  10. The case for an outpatient "approach" for, all pediatric tonsillectomies and/or adenoidectomies : A 4-year review of 1419 cases at a community hospital

    NARCIS (Netherlands)

    Postma, DS; Folsom, F

    OBJECTIVE: We sought to document the safety and efficacy of approaching all pediatric tonsillectomies and/or adenoidectomies (T/A) as outpatient procedures. STUDY.. DESIGN AND SETTING: We conducted a 4-year retrospective study of 1419 pediatric patients undergoing T/A at an outpatient center with

  11. Can non-malignant biopsy features identify men at increased risk of biopsy-detectable prostate cancer at re-screening after 4 years?

    NARCIS (Netherlands)

    Wolters, Tineke; Roobol, Monique J.; Schroder, Fritz H.; van der Kwast, Theodorus H.; Roemeling, Stijn; van der Cruijsen-Koeter, Ingrid W.; Bangma, Chris H.; van Leenders, Geert J. L. H.

    2008-01-01

    OBJECTIVES To identify pathological features in non-malignant sextant prostate needle biopsies and assess their predictive value for detecting prostate cancer on biopsy 4 years later. PATIENTS AND METHODS We selected and reviewed the biopsy specimens of 121 men that were diagnosed as non-malignant d

  12. Baccalaureate and Beyond: A First Look at the Employment Experiences and Lives of College Graduates, 4 Years On (B&B:08/12). NCES 2014-141

    Science.gov (United States)

    Cataldi, Emily Forrest; Siegel, Peter; Shepherd, Bryan; Cooney, Jennifer

    2014-01-01

    This report presents initial findings about the employment outcomes of bachelor's degree recipients approximately 4 years after they completed their 2007-08 degrees. These findings are based on data from the second follow-up of the Baccalaureate and Beyond Longitudinal Study (B&B:08/12), a nationally representative longitudinal sample survey…

  13. A Latent Class Analysis of Weight-Related Health Behaviors among 2-and 4-Year College Students and Associated Risk of Obesity

    Science.gov (United States)

    Mathur, Charu; Stigler, Melissa; Lust, Katherine; Laska, Melissa

    2014-01-01

    Little is known about the complex patterning of weight-related health behaviors in 2-and 4-year college students. The objective of this study was to identify and describe unique classes of weight-related health behaviors among college students. Latent class analysis was used to identify homogenous, mutually exclusive classes of nine health…

  14. Drug-free remission, functioning and radiographic damage after 4 years of response-driven treatment in patients with recent-onset rheumatoid arthritis

    NARCIS (Netherlands)

    van der Kooij, S.M.; Goekoop-Ruiterman, Y.P.M.; de Vries-Bouwstra, J.K.; Güler-Yüksel, M.; Zwinderman, A.H.; Kerstens, P.J.S.M.; van der Lubbe, P.A.H.M.; de Beus, W.M.; Grillet, B.A.M.; Ronday, H.K.; Huizinga, T.W.J.; Breedveld, F.C.; Dijkmans, B.A.C.; Allaart, C.F.

    2009-01-01

    Objectives: To compare the occurrence of drug-free remission, functional ability and radiological damage after 4 years of response-driven treatment according to four different treatment strategies for rheumatoid arthritis (RA). Methods: Patients with recent-onset, active RA (n = 508) were randomly a

  15. Looking but Not Seeing: Atypical Visual Scanning and Recognition of Faces in 2 and 4-Year-Old Children with Autism Spectrum Disorder

    Science.gov (United States)

    Chawarska, Katarzyna; Shic, Frederick

    2009-01-01

    This study used eye-tracking to examine visual scanning and recognition of faces by 2- and 4-year-old children with autism spectrum disorder (ASD) (N = 44) and typically developing (TD) controls (N = 30). TD toddlers at both age levels scanned and recognized faces similarly. Toddlers with ASD looked increasingly away from faces with age,…

  16. Increased time to pregnancy is associated with less optimal neurological condition in 4-year-old singletons, in vitro fertilization itself is not

    NARCIS (Netherlands)

    Schendelaar, P.; van den Heuvel, Edwin; Heineman, M. J.; La Bastide-Van Gemert, S.; Middelburg, K. J.; Seggers, Jorien; Hadders-Algra, M.

    2014-01-01

    STUDY QUESTION: Does ovarian hyperstimulation, the in vitro procedures required for in vitro fertilization (IVF)/intracytoplasmic sperm injection or the combination of both, affect the neurological outcome of 4-year-old singletons? SUMMARY ANSWER: Ovarian hyperstimulation, the in vitro procedure and

  17. AN ANALYSIS OF THE RECORDS OF STUDENTS ENTERING EL CAMINO COLLEGE ON PROBATION FROM OTHER INSTITUTIONS OF HIGHER LEARNING.

    Science.gov (United States)

    MUCK, STEVEN J.; UNDEM, JAN

    BETWEEN 1959 AND 1963, 351 TRANSFER STUDENTS ENTERING EL CAMINO COLLEGE WERE IN A PROBATIONARY STATUS BECAUSE OF UNSATISFACTORY GRADES EARNED AT THEIR PREVIOUS INSTITUTIONS. OF THIS GROUP, 55 PERCENT WERE LATER SUCCESSFUL (REMOVED THEMSELVES FROM PROBATIONARY STATUS). MORE THAN 70 PERCENT OF THOSE TRANSFERRING FROM 4-YEAR INSTITUTIONS AND 33…

  18. Cursos técnicos pós-médios: análise das possíveis relações com o fenômeno de contenção da demanda pelo ensino superior Technical post-secondary courses: analysis of a possible relationship with the phenomenon of restricting the demand for the state universities

    Directory of Open Access Journals (Sweden)

    Sonia Regina Mendes

    2003-09-01

    Full Text Available Pode-se interpretar a separação entre o ensino médio e a educação profissional como um movimento que objetiva, mais uma vez, livrar a universidade pública do atendimento de contingentes cada vez maiores de alunos que concluem o ensino médio. Analisa-se, aqui, o caráter não-manifesto das orientações para a educação profissional expressas por meio do Decreto Federal 2.208/97, a partir do levantamento dos percursos escolares dos alunos que freqüentaram os cursos técnicos pós-médios nas escolas técnicas federais e no Serviço Nacional de Aprendizagem Industrial (SENAI do Rio de Janeiro, nos anos de 1999 e 2000. Este documento indica, mais uma vez, uma tentativa do governo em conter o número de matrículas para o ensino superior público. A realidade dos alunos dos cursos técnicos pós-médios na cidade do Rio de Janeiro, ministrados de forma contínua em escolas técnicas federais e no SENAI nos anos finais do século XX, contribui para refletirmos sobre as intenções e possíveis repercussões da separação do ensino médio da educação profissional de nível técnico para boa parte dos alunos egressos do ensino médio.It is possible to view the separation between secondary schooling and professional education as a movement that, once more, aims at keeping away from the State Universities the increasingly greater number of students that complete secondary education. With the help of a survey of the school trajectory of students that attended technical post-secondary courses in the Federal technical schools and in the National Service of Industrial Learning (SENAI of Rio de Janeiro in the years 1999/2000, we analyse here the non-manifest character of the guidelines for professional education expressed in the Federal Law 2208/97. Once again, this document reflects the Government's attempt to reduce the number of places in State Universities. The experience of the students attending the technical post-secondary courses that were

  19. Association of low baseline free thyroxin levels with progression of coronary artery calcification over 4 years in euthyroid subjects: the Kangbuk Samsung Health Study.

    Science.gov (United States)

    Park, Hye-Jeong; Kim, Jihyun; Han, Eun Jin; Park, Se Eun; Park, Cheol-Young; Lee, Won-Young; Oh, Ki-Won; Park, Sung-Woo; Rhee, Eun-Jung

    2016-06-01

    Overt and subclinical hypothyroidism are risk factors for atherosclerosis and cardiovascular diseases. It is unclear whether thyroid hormone levels within the normal range are also associated with atherosclerosis measured by coronary artery calcium (CAC). This study aimed to examine the relationship between normal variations in thyroid function and changes in CAC. We conducted a 4-year retrospective study of 2173 apparently healthy men and women with normal thyroid hormone levels. Their free thyroxin (FT4), free triiodothyronin (FT3) and thyroid-stimulating hormone (TSH) levels were measured by electrochemiluminescent immunoassay. The CAC score (CACS) of each subject was measured by multidetector computed tomography in both 2010 and 2014. Progression of CAC was defined as a CACS change over 4 years > 0. The mean CACS changes over 4 years by quartiles of baseline FT4 level (lowest to highest) were 12·9, 8·43, 7·82 and 7·81 (P = 0·028). CAC progression was not significantly associated with either the baseline FT3 or TSH levels. The odds ratios (OR) for CAC progression over 4 years (highest vs lowest quartile for baseline FT4) were 0·647 (95% confidence interval (CI) 0·472-0·886) after adjustment for confounding factor, which were attenuated with further adjustment for lipid profiles, homoeostasis model assessment of insulin resistance, high-sensitivity C-reactive protein and hypertension [0·747 (95% CI 0·537-1·038)]. Quartiles of baseline FT3 or TSH level did not show any increased OR for CAC progression after adjustment for confounding factors. In this cohort of euthyroid men and women, a low baseline FT4 level was associated with a high risk of CACS progression over 4 years. © 2015 John Wiley & Sons Ltd.

  20. Evaluating the effect of energy-dense foods consumption on preschool children's body mass index: a prospective analysis from 2 to 4 years of age.

    Science.gov (United States)

    Durão, Catarina; Severo, Milton; Oliveira, Andreia; Moreira, Pedro; Guerra, António; Barros, Henrique; Lopes, Carla

    2015-08-01

    The aim of this study was to study the association between the consumption of energy-dense foods at 2 years and body mass index (BMI) at 4 years, using a cross-lagged panel design. The present study included 589 children evaluated at 2 and 4 years of age, as part of the birth cohort generation XXI. Information was obtained by face-to-face interviews. Consumption of energy-dense foods (salty snacks, soft drinks, cakes, and sweets) was measured using a food frequency questionnaire. Children's weight and height were measured by standard procedures, and BMI standard deviation scores (BMI z-scores) were calculated according to the World Health Organization. Linear regression and cross-lagged panel design models were fitted to estimate the associations between the consumption of energy-dense foods and BMI z-scores (controlled for maternal age, education and prepregnancy BMI, and children's exact age at 2 years). The consumption of energy-dense foods at 2 years was significantly associated with their consumption at 4 years (β = 0.522, 95% CI 0.432-0.612). Children's BMI z-scores at 2 years were associated with posterior BMI z-scores (β = 0.747, 95% CI 0.688-0.806). In the cross-lagged analysis, consumption of energy-dense foods at 2 years had no effect on subsequent BMI z-scores (β = -0.030, 95% CI -0.095 to 0.035) and BMI z-scores at 2 years were not significantly associated with the consumption of energy-dense foods at 4 years (β = -0.012, 95% CI -0.086 to 0.062). Consumption of energy-dense foods and BMI tracked over time, but the consumption of energy-dense foods at 2 years was not associated with BMI z-scores at 4 years.

  1. Institutional investor activism : Introduction

    NARCIS (Netherlands)

    Mc Cahery, Joseph; Bratton, William; Bratton, William; McCahery, Joseph A.

    2015-01-01

    The increase in institutional ownership of recent decades has been accompanied by an enhanced role played by institutions in monitoring companies’ corporate governance behaviour. Activist hedge funds and private equity firms have achieved a degree of success in actively shaping the business plans of

  2. Institutionalism "Old" and "New."

    Science.gov (United States)

    Selznick, Philip

    1996-01-01

    Explores the new institutionalism's ethos and direction. Drawing a sharp line between old and new inhibits the contribution of institutional theory to major issues of bureaucracy and social policy. Problems of accountability and responsiveness, public and private bureaucracy, regulation and self-regulation, and management and governance will…

  3. Discipline as Institutional Maintenance

    DEFF Research Database (Denmark)

    Rasche, Andreas; Hommel, Ulrich; Cornuel, Eric

    Drawing on the case of business school rankings, we study how institutions are maintained and remain persistent despite their contested nature. We argue that rankings as institutions can be maintained through subtle disciplinary practices that freeze power relations in recipient organizations. Ou...

  4. Fundamentals and Optimal Institutions

    DEFF Research Database (Denmark)

    Gonzalez-Eiras, Martin; Harmon, Nikolaj Arpe; Rossi, Martín

    2016-01-01

    of regulatory institutions such as revenue sharing, salary caps or luxury taxes. We show, theoretically and empirically, that these large differences in adopted institutions can be rationalized as optimal responses to differences in the fundamental characteristics of the sports being played. This provides...

  5. Institutional Level Identity Control Strategies in the Distance Education Environment: A Survey of Administrative Staff

    Directory of Open Access Journals (Sweden)

    Alexander Amigud

    2013-12-01

    Full Text Available Physical separation of students and instructors creates the gap of anonymity and limited control over the remote learning environment. The ability of academic institutions to authenticate students and validate authorship of academic work at various points during a course is necessary for preserving not only perceived credibility but also public safety. With the growing scope of distance education programs that permeate critical areas such as healthcare, airspace, water management, and food solutions, universities have a moral obligation to employ secure measures to verify learning outcomes. This study examines the measures universities with large distance education programs employ to align identity of learners with the academic work they do, as well as the effectiveness of and challenges and barriers to their implementation. The research was undertaken using a multiple case approach and examined survey responses from five academic administrators at five officially accredited post secondary institutions in three countries. The cases examined in the study include: Athabasca University, Open University UK, Penn State University World Campus, University of Maryland University College, and eConcordia, Concordia University’s distance learning facility. This study is not an exhaustive attempt to examine all aspects of academic integrity, but rather to create awareness about various learner authentication strategies. This study confirms that secure learner authentication in the distance education environment is possible. However, with greater pressure to enhance security of learner authentication, the openness of open learning is challenged and may change as we know it.

  6. International Institutions and GHG

    Institute of Scientific and Technical Information of China (English)

    Jin Jiyong

    2008-01-01

    Globalization is pushing public health crises beyond traditional national boundaries. It has also transformed international health governance into global health governance. Health security is one aspect of global public welfare. International institutions, such as the WHO, the WTO, the World Bank, and the BWC, are main providers of global public welfare for health. However, those institutions' role in global health governance is not optimized. An analysis of the shortcomings of the international institutions concerned with global heath can contribute to better global health governance. Some tentative solutions to such problems are put forward in this paper.

  7. SMEs, Institutions and Performance

    DEFF Research Database (Denmark)

    Jensen, Camilla; Low, Mei Peng

    2013-01-01

    This chapter addresses at the outset the topic of SMEs and economic development from an institutions perspective. The authors argue that the transaction cost theory is not helpful towards understanding the role that institutions play for SME performance for several reasons. Instead, they argue...... for combining the resource-based theory with an institutions-based approach towards constructing a more practical and empirical oriented analytical framework. After the preliminary discussion and introduction to the different theories used, the authors then take a focus on the analytical framework used to study...

  8. Study Of Museum Institutional Management

    Directory of Open Access Journals (Sweden)

    - Rohanda

    2016-11-01

    development of information and library science, particularly institution of information in addition to the library. Second, it provides an overview of the governance of the museum in government institutions. Third, the scope of study is limited to institutional management of museums in government institutions, thus there is a need for the development of studies on institutional management of museums for other types of museums, such as museums that are managed by private or personal institutions. Keywords: Gawitra, information institution, management, museum.

  9. Restenosis in coronary bare metal stents. Importance of time to follow-up: a comparison of coronary angiograms 6 months and 4 years after implantation

    DEFF Research Database (Denmark)

    Jørgensen, Erik; Helqvist, Steffen; Kløvgaard, Lene

    2008-01-01

    Objectives. Angiographic late lumen loss measured 6 to 9 month after bare metal stent implantation in the coronary arteries is a validated restenosis parameter. Design. We performed a second angiographic follow-up after 4 years in event free survivors from the DANSTENT trial cohort. Results....... Quantitative comparison of paired coronary angiograms at 6 months and 4 years showed a reduction of late loss from 0.68+/-0.52mm to 0.42 (+/-0.52) (mean difference 0.26 (0.17 to 0.36), p...% confidence interval: -0.34mm to -0.14mm, pstenosis decreased from 24.8+/-14.2% to 18.6+/-9.3% (mean difference 6.16%, 95% confidence interval: 2.82 to 9.48%, p=0.0006). This observed spontaneous decrease of instent restenosis corresponds to a 19% increase of minimal cross...

  10. Extrarenal retroperitoneal Wilms' tumor with subsequent pulmonary and peritoneal metastasis in a 4 year-old girl: A case report and review of literature

    Directory of Open Access Journals (Sweden)

    Jinyoung Park

    2016-05-01

    Full Text Available This report describes an extremely rare case of extrarenal Wilms' tumor in a 4 year-old girl who presented with abdominal mass and pain. Computed tomography (CT scanning revealed a well-defined mass lesion measuring 10 cm on the right side of her lower abdomen and pelvic cavity. The mass was surgically removed. Histologically, the tumor showed a triphasic pattern, consisting of stromal, epithelial and blastemal components. Immunohistochemistry showed that the tumor was positive for cytokeratin, vimentin and CD99. The histopathological diagnosis was extrarenal Wilms' tumor arising in the retroperitoneum and inguinal canal. The patient was administered adjuvant chemoradiotherapy due to subsequent pulmonary and peritoneal metastases. Follow-up 4 years later showed that she was doing well, with no recurrence of the tumor.

  11. Exploring the Impact of using Stories and ICT to teach English to 3- and 4- year-old Spanish children: Motivation and Development.

    OpenAIRE

    Recio, A.

    2011-01-01

    This work presents the results of a study involving 3-4 year-old English language learners enrolled in a course where electronic stories were used. The study aimed to explore two main areas: 1. teachers and children use of Information and Communication Technology (ICT) in the language classroom and 2. the influence of electronic stories on the development of emergent literacy skills. Results of the study showed that teachers found the use of ICT a positive strategy to enhance young children's...

  12. Argus II retinal prosthesis implantation with scleral flap and autogenous temporalis fascia as alternative patch graft material: a 4-year follow-up

    Science.gov (United States)

    Matet, Alexandre; Amar, Nawel; Mohand-Said, Saddek; Sahel, José-Alain; Barale, Pierre-Olivier

    2016-01-01

    Introduction The Argus II retinal prosthesis is composed of an epiretinal electrode array positioned over the macula and connected to an extrascleral electronics case via a silicone cable, running through a sclerotomy. During implantation, the manufacturer recommends to cover the sclerotomy site with a patch of processed human pericardium to prevent postoperative hypotony and conjunctival erosion by the underlying electronics case. Due to biomedical regulations prohibiting the use of this material in France, we developed an alternative technique combining a scleral flap protecting the sclerotomy and an autogenous graft of superior temporalis fascia overlying the electronics case. Methods The purpose of this study is to describe the 4-year outcomes of this modified procedure in three subjects who underwent Argus II Retinal Prosthesis System implantation. Clinical data consisting of intraocular pressure measurements and tolerance in terms of conjunctival erosion or inflammation were retrospectively assessed over a 4-year postoperative follow-up. Results None of the three patients implanted with the modified technique developed ocular hypotony over 4 years. A normal, transient conjunctival inflammation occurred during the first postoperative month but conjunctival erosion was not observed in any of the three patients over 4 years. Four years after implantation, the autogenous temporalis fascia graft remained well tolerated and the retinal prosthesis was functional in all three patients. Conclusion The combination of an autograft of superficial temporalis fascia and a scleral flap efficiently prevented leakage through the sclerotomy site, ocular hypotony, and conjunctival erosion by the extrascleral electronics case. This modified technique is suitable for the implantation of existing and forthcoming retinal prostheses. Superficial temporalis fascia may also be used as alternative to commercial tectonic tissues for scleral wound repair in clinical settings where they

  13. Primary anxiety disorders and the development of subsequent alcohol use disorder: a 4-year community study of adolescents and young adults

    OpenAIRE

    Zimmermann, Petra; Wittchen, Hans-Ulrich; Höfler, Michael; Pfister, Hildegard; Kessler, Ronald C.; Lieb, Roselind

    2013-01-01

    Background. Cross-sectional findings in community surveys of adults suggest that adolescent anxiety disorders are strong predictors of the subsequent onset of alcohol use, abuse and dependence. However, prospective data that follow a sample of adolescents into adulthood are needed to confirm these associations. Method. Baseline and 4-year follow-up data from the EDSP-Study, a prospective community survey of 3021 (2548 at follow-up) adolescents and young adults aged 14 to 24 years at baseli...

  14. Parental phonological memory contributes to prediction of outcome of late talkers from 20 months to 4 years: a longitudinal study of precursors of specific language impairment

    Directory of Open Access Journals (Sweden)

    Bishop Dorothy VM

    2012-02-01

    Full Text Available Abstract Background Many children who are late talkers go on to develop normal language, but others go on to have longer-term language difficulties. In this study, we considered which factors were predictive of persistent problems in late talkers. Methods Parental report of expressive vocabulary at 18 months of age was used to select 26 late talkers and 70 average talkers, who were assessed for language and cognitive ability at 20 months of age. Follow-up at 4 years of age was carried out for 24 late and 58 average talkers. A psychometric test battery was used to categorize children in terms of language status (unimpaired or impaired and nonverbal ability (normal range or more than 1 SD below average. The vocabulary and non-word repetition skills of the accompanying parent were also assessed. Results Among the late talkers, seven (29% met our criteria for specific language impairment (SLI at 4 years of age, and a further two (8% had low nonverbal ability. In the group of average talkers, eight (14% met the criteria for SLI at 4 years, and five other children (8% had low nonverbal ability. Family history of language problems was slightly better than late-talker status as a predictor of SLI.. The best predictors of SLI at 20 months of age were score on the receptive language scale of the Mullen Scales of Early Learning and the parent's performance on a non-word repetition task. Maternal education was not a significant predictor of outcome. Conclusions In this study, around three-quarters of late talkers did not have any language difficulties at 4 years of age, provided there was no family history of language impairment. A family history of language-literacy problems was found to be a significant predictor for persisting problems. Nevertheless, there are children with SLI for whom prediction is difficult because they did not have early language delay.

  15. "Self-critical perfectionism and depressive and anxious symptoms over 4 years: The mediating role of daily stress reactivity": Correction to Mandel et al. (2015).

    Science.gov (United States)

    2017-03-01

    Reports an error in "Self-critical perfectionism and depressive and anxious symptoms over 4 years: The mediating role of daily stress reactivity" by Tobey Mandel, David M. Dunkley and Molly Moroz (Journal of Counseling Psychology, 2015[Oct], Vol 62[4], 703-717). In the article, there were errors in Table 1. The corrected version of Table 1 appears in the erratum. (The following abstract of the original article appeared in record 2015-32534-001.) This study of 150 community adults examined heightened emotional reactivity to daily stress as a mediator in the relationships between self-critical (SC) perfectionism and depressive and anxious symptoms over a period of 4 years. Participants completed questionnaires assessing: perfectionism dimensions, general depressive symptoms (i.e., shared with anxiety), specific depressive symptoms (i.e., anhedonia), general anxious symptoms (i.e., shared with depression), and specific anxious symptoms (i.e., somatic anxious arousal) at Time 1; daily stress and affect (e.g., sadness, negative affect) for 14 consecutive days at Month 6 and Year 3; and depressive and anxious symptoms at Year 4. Path analyses indicated that SC perfectionism predicted daily stress-sadness reactivity (i.e., greater increases in sadness in response to increases in stress) across Month 6 and Year 3, which in turn explained why individuals with higher SC perfectionism had more general depressive symptoms, anhedonic depressive symptoms, and general anxious symptoms, respectively, 4 years later. In contrast, daily reactivity to stress with negative affect did not mediate the prospective relation between SC perfectionism and anhedonic depressive symptoms. Findings also demonstrated that higher mean levels of daily stress did not mediate the relationship between SC perfectionism and depressive and anxious symptoms 4 years later. These findings highlight the importance of targeting enduring heightened stress reactivity in order to reduce SC perfectionists

  16. Women's satisfaction with body image before pregnancy and body mass index 4 years after delivery in the mothers of generation XXI.

    Directory of Open Access Journals (Sweden)

    Ana Henriques

    Full Text Available BACKGROUND: Body image satisfaction (BIS influences body weight regulation and may contribute to long-term healthier lifestyle after pregnancy. Thus, we aimed to assess the association between BIS before pregnancy and body mass index (BMI 4 years after the index pregnancy. METHODS: As part of the follow-up of a birth cohort, 3612 women with prepregnancy BMI >18.5 kg/m(2 were reevaluated 4 years after the birth of a child. BIS was defined as the difference between perceived and ideal body size before pregnancy, assessed by Stunkard Silhouettes after birth. The associations of BIS with BMI change (continuous and BMI classes at 4 years, based on measured weight and height, were estimated using linear and multinomial regression, respectively. RESULTS: Among women with normal prepregnancy BMI, those who felt too small, regarding their ideal, had a 0.25 kg/m(2 smaller increase in BMI within 4 years and a lower likelihood of becoming overweight or obese [multivariate-adjusted odds ratio (OR = 0.63; 95% confidence interval (95%CI: 0.44-0.91 and OR = 0.21; 95%CI: 0.05-0.91, respectively than those satisfied with body image. Feeling too large was associated with a 0.41 kg/m(2 larger increase in BMI and a higher risk of becoming overweight or obese (OR = 2.12; 95%CI:1.73-2.59 and OR = 3.42; 95%CI:2.02-5.79, respectively. A similar, non-significant, trend was observed for overweight women. Obese women who felt too large had a non-significant decrease in BMI. CONCLUSIONS: BIS plays a role in maternal body weight after delivery. Realistic body size goals may promote the motivation to lose weight and contribute to higher success in attaining them.

  17. Learning to perceive English /d/ versus /edh/: A comparison of French, English, and English-French bilingual 4-year-olds

    Science.gov (United States)

    Sundara, Megha; Polka, Linda; Campisi, Lisa; Genesee, Fred; Marcoux, Caroline

    2002-05-01

    Recent findings show that discrimination of the English /d-edh/ does not differ for English and French infants (6-8-month-olds and 10-12-month-olds), although English adults clearly outperform French adults on this contrast, which is not phonemic in French. With respect to age effects, English listeners' perception of /d-edh/ improves between infancy and adulthood, whereas French listeners' perception remains unchanged [Polka et al., J. Acoust. Soc. Am. 109, 2190-2200 (2001)]. In the present study, we tested monolingual English, monolingual French, and early English-French bilingual 4-year-olds on the same contrast using the same stimuli and procedures to clarify when facilitative effects of language experience emerge and whether they are affected by bilingualism. Four findings are reported. First, a language effect (English>French) is evident by 4 years of age. Second, among native (English) listeners facilitative effects are evident by 4-years of age (infantsfactors contributing to these findings will be discussed.

  18. Texas Heart Institute

    Science.gov (United States)

    ... Cardiovascular Regenerative Medicine today with a keynote from Texas State Senator Paul Bettencourt Dr. Taylor received the ... in cardiovascular discovery is happening here at the Texas Heart Institute. Visit www.thenextfirst.org . Your Heart ...

  19. Joint Quantum Institute

    Data.gov (United States)

    Federal Laboratory Consortium — The Joint Quantum Institute (JQI) is pursuing that goal through the work of leading quantum scientists from the Department of Physics of the University of Maryland...

  20. Institutions and Venture Capital

    OpenAIRE

    Lerner, Josh; Tåg, Joacim

    2012-01-01

    We survey the literature on venture capital and institutions and present a case study comparing the development of the venture capital market in the US to Sweden. Our literature survey underscores that the legal environment, financial market development, the tax system, labor market regulations, and public spending on research and development correlates with venture capital activities across countries. Our case study suggests these institutional differences led to the later development of an ...