WorldWideScience

Sample records for a centers

  1. Tornadoes: A Center Approach.

    Science.gov (United States)

    Christman-Rothlein, Liz; Meinbach, Anita M.

    1981-01-01

    Information is given on how to put together a learning center. Discusses information and activity packets for a complete learning center on tornadoes including objectives, directions, materials, photographs of physical arrangements, and posttest. (DC)

  2. Starting a sleep center.

    Science.gov (United States)

    Epstein, Lawrence J; Valentine, Paul S

    2010-05-01

    The demand for sleep medicine services has grown tremendously during the last decade and will likely continue. To date, growth in demand has been met by growth in the number of new sleep centers. The need for more new centers will be dependent on market drivers that include increasing regulatory requirements, personnel shortages, integration of home sleep testing, changes in reimbursement, a shift in emphasis from diagnostics to treatment, and an increased consumer focus on sleep. The decision to open a new center should be based on understanding the market dynamics, completing a market analysis, and developing a business plan. The business plan should include an overview of the facility, a personnel and organizational structure, an evaluation of the business environment, a financial plan, a description of services provided, and a strategy for obtaining, managing, and extending a referral base. Implementation of the business plan and successful operation require ongoing planning and monitoring of operational parameters. The need for new sleep centers will likely continue, but the shifting market dynamics indicate a greater need for understanding the marketplace and careful planning. PMID:20442123

  3. The Research Role of a National Center.

    Science.gov (United States)

    Silberman, Harry F.

    The functional role of a national center for vocational education depends on the people doing the work; consequently, the center sets its own agenda when it makes personal decisions. A center's role should include two elements: in setting its own research agenda, a center should take a broad perspective on vocational education; and a center should…

  4. Analysis of a hospital call center

    OpenAIRE

    Budak, Ezel Ezgi

    2012-01-01

    Ankara : The Department of Industrial Engineering and the Graduate School of Engineering and Science of Bilkent University, 2012. Thesis (Master's) -- Bilkent University, 2012. Includes bibliographical refences. In this thesis, we study the call center operations of a particular hospital located in Ankara, namely Güven Hospital. The hospital call center takes role as a medical consulting and appointment center and also domestic call traffic flows over the call center. These ...

  5. Communication Patterns in a Biomedical Research Center

    Science.gov (United States)

    Gorry, G. Anthony; And Others

    1978-01-01

    Studies of the communication patterns among scientists in a biomedical research center should help in the assessment of the center's impact on research processes. Such a study at the National Heart and Blood Vessel Research and Demonstration Center (NRDC) at Baylor College of Medicine is reported. (LBH)

  6. Une maison de culture (A Culture Center).

    Science.gov (United States)

    Mourlevat, Alain

    1980-01-01

    Describes the "Culture Center" designed by Le Corbusier and located in Firminy, France. The role of the center in arousing intellectual curiosity in people living in a technological age is discussed. The audience of this culture center, young people, and the types of activities directed toward them are described. (AMH)

  7. Centering mount for a gamma camera

    International Nuclear Information System (INIS)

    A device for centering a γ-camera detector in case of radionuclide diagnosis is described. It permits the use of available medical coaches instead of a table with a transparent top. The device can be used for centering a detector (when it is fixed at the low end of a γ-camera) on a required area of the patient's body

  8. A center open to the public

    Science.gov (United States)

    Cuesta, L.; Vaquerizo, A.; García-Villadangos, M.

    2015-05-01

    The view to the public of a research center depends, of course, on the quality of its scientific activity but also, to a large extent, on the communication of results and spreading from the center itself. The Center for Astrobiology (CAB, CSIC-INTA) has maintained for some years a place among the leading Spanish scientific centers and the proof is his continued appearance in the media. In this communication we will give an overview of the activities of the Unit for Scientific Culture of CAB to achieve that goal.

  9. A caveat concerning center of resistance.

    Science.gov (United States)

    Dathe, Henning; Nägerl, Hans; Kubein-Meesenburg, Dietmar

    2013-01-01

    The center of resistance is a concept in theoretical orthodontics used to describe tooth movement under loads. It is commonly used to qualitatively predict tooth movement without recourse to complex equations or simulations. We start with a survey of the historical origin of the technical term. After this, the periodontal ligament is idealized as a linear elastic suspension. The mathematical formalism of vector and tensor calculus will clarify our reasoning. We show that a point such as the center of resistance basically only exists in two dimensions or in very special symmetric spatial configurations. In three dimensions, a simple counterexample of a suspension without a center of resistance is given. A second more tooth-like example illustrates the magnitude of the effects in question in dentistry. In conclusion, the center of resistance should be replaced by a newer and wider mathematical concept, the "center of elasticity," together with a limiting parameter, the "radius of resistance." PMID:24019849

  10. A survey of poison control centers worldwide

    OpenAIRE

    Maryann Mazer; Justin Wang; Ali Pourmand

    2012-01-01

    Abstract To stem the rising incidence of toxic exposure as well as the associated morbidity and mortality, the past century has seen the establishment and evolution of poison control centers (PCCs) worldwide. Depending on the location, PCCs vary in terms of staffing model, services offered, and funding sources. In this article, we discuss a survey of poison control centers worldwide.

  11. Person-Centered Gestalt Therapy: A Synthesis.

    Science.gov (United States)

    Herlihy, Barbara

    1985-01-01

    Highlights the similarities between the person-centered approach to counseling of Carl Rogers and the Gestalt therapy of Fritz Perls. Discusses implementation of the two approaches and suggests they may be synthesized into a person-centered Gestalt therapy. (MCF)

  12. A Shift from Teacher Centered to Learner Centered Approach

    Directory of Open Access Journals (Sweden)

    Jeanne Schreurs

    2014-06-01

    Full Text Available In the framework of the project Western Eastern Teachers' Education Network (WETEN funded by the Tempus program the network of university teachers were established to share expertise on effective teaching and learning in universities. This network for pedagogical innovation in higher education brought together the experts from EU to share good practice and new teaching methods with academic staff from two eastern countries, Moldova and Ukraine. The learner centered concept was analyzed and guidelines for creating learner centered courses were developed and piloted. The concepts and some experiences in course design were also implemented by trained teachers in the developed courses within the WETEN project.

  13. A model nursing computer resource center.

    Science.gov (United States)

    Mueller, Sheryl S; Pullen, Richard L; McGee, K Sue

    2002-01-01

    Nursing graduates are required to demonstrate computer technology skills and critical reflective thinking skills in the workplace. The authors discuss a model computer resource center that enhances the acquisition of these requisite skills by students in both an associate degree and vocational nursing program. The computer resource center maximizes student learning and promotes faculty effectiveness and efficiency by a "full-service" approach to computerized testing, information technology instruction, online research, and interactive computer program practice. PMID:12023644

  14. Autoimmune thyroiditis, a center experience

    OpenAIRE

    Tomé, S; Bandeira, A; H. Cardoso; Borges, T

    2008-01-01

    Introdução: A doença auto-imune da tiróide é a principal causa de Hipotiroidismo adquirido na criança e adolescente, a sua incidência em idade escolar é de 1.3%1. Objectivo: Caracterizar os doentes com Tiroidite Auto-Imune da consulta de Endocrinologia Pediátrica do Hospital Geral de Santo António em seguimento no ano de 2006. Metodologia: Foi efectuado um estudo retrospectivo com revisão dos processos clínicos, considerando os seguintes parâmetros: idad...

  15. Operating and Managing a Backup Control Center

    Science.gov (United States)

    Marsh, Angela L.; Pirani, Joseph L.; Bornas, Nicholas

    2010-01-01

    Due to the criticality of continuous mission operations, some control centers must plan for alternate locations in the event an emergency shuts down the primary control center. Johnson Space Center (JSC) in Houston, Texas is the Mission Control Center (MCC) for the International Space Station (ISS). Due to Houston s proximity to the Gulf of Mexico, JSC is prone to threats from hurricanes which could cause flooding, wind damage, and electrical outages to the buildings supporting the MCC. Marshall Space Flight Center (MSFC) has the capability to be the Backup Control Center for the ISS if the situation is needed. While the MSFC Huntsville Operations Support Center (HOSC) does house the BCC, the prime customer and operator of the ISS is still the JSC flight operations team. To satisfy the customer and maintain continuous mission operations, the BCC has critical infrastructure that hosts ISS ground systems and flight operations equipment that mirrors the prime mission control facility. However, a complete duplicate of Mission Control Center in another remote location is very expensive to recreate. The HOSC has infrastructure and services that MCC utilized for its backup control center to reduce the costs of a somewhat redundant service. While labor talents are equivalent, experiences are not. Certain operations are maintained in a redundant mode, while others are simply maintained as single string with adequate sparing levels of equipment. Personnel at the BCC facility must be trained and certified to an adequate level on primary MCC systems. Negotiations with the customer were done to match requirements with existing capabilities, and to prioritize resources for appropriate level of service. Because some of these systems are shared, an activation of the backup control center will cause a suspension of scheduled HOSC activities that may share resources needed by the BCC. For example, the MCC is monitoring a hurricane in the Gulf of Mexico. As the threat to MCC

  16. Aphasia centers in North America: a survey.

    Science.gov (United States)

    Simmons-Mackie, Nina; Holland, Audrey L

    2011-08-01

    There is a growing trend toward dedicated programs designed to improve the lives of people with aphasia and their families. We are referring to these programs collectively as "aphasia centers." These programs purportedly differ from more traditional medically based aphasia rehabilitation. However, there is no directory of aphasia centers and no definition of what constitutes such a program. Therefore, an online survey was designed to identify and describe aphasia centers in the United States and Canada. A 37-question survey was posted online via SurveyMonkey. An introductory letter was distributed by electronic mail to a listserv and mailing lists of programs associated with aphasia. Potential respondents who considered themselves an aphasia center were asked to complete the survey. A total of 33 survey responses were analyzed, and descriptive data were compiled resulting in a description of the following aspects of aphasia centers: demographic information, mission, admission and discharge policies, assessment practices, program logistics, staffing patterns, marketing, funding, and services offered. In addition, a qualitative analysis of written text responses revealed the following key themes that appear to characterize the responding programs: services that differ from traditional aphasia rehabilitation; a sense of community; a holistic focus on quality of life, psychosocial well-being, participation, and social support; the centrality of group interaction; and variety/intensity of services. PMID:21968557

  17. Donor Centers in a Gaussian Potential

    Institute of Scientific and Technical Information of China (English)

    XIE Wen-Fang

    2007-01-01

    We study a neutral donor center (D0) and a negatively charged donor center (D-) trapped by a quantum dot, which is subjected to a Gaussian potential confinement. Calculations are made by using the method of numerical diagonalization of Hamiltonian within the effective-mass approximation. The dependence of the ground state of the neutral shallow donor and the negatively charged donor on the dot size and the potential depth is investigated. The same calculations performed with the parabolic approximation of the Gaussian potential lead to the results that are qualitatively and quantitatively different from each other.

  18. A national neurological excellence centers network.

    Science.gov (United States)

    Pazzi, S; Cristiani, P; Cavallini, A

    1998-02-01

    The most relevant problems related to the management of neurological disorders are (i) the frequent hospitalization in nonspecialist departments, with the need for neurological consultation, and (ii) the frequent requests of GPs for highly specialized investigations that are very expensive and of little value in arriving at a correct diagnosis. In 1996, the Consorzio di Bioingegneria e Informatica Medica in Italy realized the CISNet project (in collaboration with the Consorzio Istituti Scientifici Neuroscienze e Tecnologie Biomediche and funded by the Centro Studi of the National Public Health Council) for the implementation of a national neurological excellence centers network (CISNet). In the CISNet project, neurologists will be able to give on-line interactive consultation and off-line consulting services identifying correct diagnostic/therapeutic procedures, evaluating the need for both examination in specialist centers and admission to specialized centers, and identifying the most appropriate ones.

  19. Starting a pharmacovigilance center: Actions for implementation

    Directory of Open Access Journals (Sweden)

    Mrinmoy Chakrabarty

    2011-01-01

    Full Text Available With burgeoning reports of adverse drug reactions due to pharmacotherapy, pharmacovigilance (PV is the buzz word in health care circles. While there are experts in this rapidly expanding field, there are many health care professionals who do not fully appreciate the import of PV in the context of modern therapeutics. In view of the national directive to institutionalize a PV center in every medical college of India, there is an urgent need to inform, educate, and enlighten the readers about the constitution and dynamics of a PV center, which this article attempts to fulfill.

  20. In a Rehabilitation Center for Drug Addicts

    Institute of Scientific and Technical Information of China (English)

    1998-01-01

    WHEN China opens its doors to the outside world, fresh air comes in. So do flies. While drug addicts were unknown in China for 30 years, there are now reports of drug users and their related crimes. In an effort to abolish drug abuse in China, rehabilitation centers are being set up throughout the country to give medical aid to drug users trying to kick the habit. These photos were taken in a rehabilitation center in a small town in Gansu Province in the northwestern part of China.

  1. A Computer Learning Center for Environmental Sciences

    Science.gov (United States)

    Mustard, John F.

    2000-01-01

    In the fall of 1998, MacMillan Hall opened at Brown University to students. In MacMillan Hall was the new Computer Learning Center, since named the EarthLab which was outfitted with high-end workstations and peripherals primarily focused on the use of remotely sensed and other spatial data in the environmental sciences. The NASA grant we received as part of the "Centers of Excellence in Applications of Remote Sensing to Regional and Global Integrated Environmental Assessments" was the primary source of funds to outfit this learning and research center. Since opening, we have expanded the range of learning and research opportunities and integrated a cross-campus network of disciplines who have come together to learn and use spatial data of all kinds. The EarthLab also forms a core of undergraduate, graduate, and faculty research on environmental problems that draw upon the unique perspective of remotely sensed data. Over the last two years, the Earthlab has been a center for research on the environmental impact of water resource use in and regions, impact of the green revolution on forest cover in India, the design of forest preserves in Vietnam, and detailed assessments of the utility of thermal and hyperspectral data for water quality analysis. It has also been used extensively for local environmental activities, in particular studies on the impact of lead on the health of urban children in Rhode Island. Finally, the EarthLab has also served as a key educational and analysis center for activities related to the Brown University Affiliated Research Center that is devoted to transferring university research to the private sector.

  2. A Meaning-Centered Therapy for Addictions

    Science.gov (United States)

    Thompson, Geoff

    2012-01-01

    This article describes a treatment for addictions, based on the idea that addiction is a response to living a life that has little personal meaning. First, it presents the theory of Meaning-Centered Therapy (MCT) as developed by Paul Wong, particularly the need to understand intoxication from the addict's perspective. Next, it presents the…

  3. Rethinking exploitation: a process-centered account.

    Science.gov (United States)

    Jansen, Lynn A; Wall, Steven

    2013-12-01

    Exploitation has become an important topic in recent discussions of biomedical and research ethics. This is due in no small measure to the influence of Alan Wertheimer's path-breaking work on the subject. This paper presents some objections to Wertheimer's account of the concept. The objections attempt to show that his account places too much emphasis on outcome-based considerations and too little on process-based considerations. Building on these objections, the paper develops an alternative process-centered account of the concept. This alternative account of exploitation takes as its point of departure the broadly Kantian notion that it is wrong to use another as an instrument for the advancement of one's own ends. It sharpens this slippery notion and adds a number of refinements to it. The paper concludes by arguing that process-centered accounts of exploitation better illuminate the ethical challenges posed by research on human subjects than outcome-centered accounts. PMID:24552077

  4. Greening the data center a pocket guide

    CERN Document Server

    Spafford, George

    2009-01-01

    IT organizations are under intense pressure to manage the power consumed by data centers and the resulting cooling demands. To address these needs, IT needs to properly blend people, process and technology to create solutions. This guides provides a sample of technical improvement opportunities at a high-level.

  5. The Center Problem for a Linear Center Perturbed by Homogeneous Polynomials

    Institute of Scientific and Technical Information of China (English)

    Jaume GIN(E)

    2006-01-01

    The centers of the polynomial differential systems with a linear center perturbed by homogeneous polynomials have been studied for the degrees s = 2, 3, 4, 5. They are completely classified for s = 2, 3, and partially classified for s = 4, 5. In this paper we recall these results for s = 2, 3, 4, 5,and we give new centers for s = 6, 7

  6. A Black Hole in Our Galactic Center

    Science.gov (United States)

    Ruiz, Michael J.

    2008-01-01

    An introductory approach to black holes is presented along with astronomical observational data pertaining to the presence of a supermassive black hole at the center of our galaxy. Concepts of conservation of energy and Kepler's third law are employed so students can apply formulas from their physics class to determine the mass of the black hole…

  7. Anatomy of a Security Operations Center

    Science.gov (United States)

    Wang, John

    2010-01-01

    Many agencies and corporations are either contemplating or in the process of building a cyber Security Operations Center (SOC). Those Agencies that have established SOCs are most likely working on major revisions or enhancements to existing capabilities. As principle developers of the NASA SOC; this Presenters' goals are to provide the GFIRST community with examples of some of the key building blocks of an Agency scale cyber Security Operations Center. This presentation viII include the inputs and outputs, the facilities or shell, as well as the internal components and the processes necessary to maintain the SOC's subsistence - in other words, the anatomy of a SOC. Details to be presented include the SOC architecture and its key components: Tier 1 Call Center, data entry, and incident triage; Tier 2 monitoring, incident handling and tracking; Tier 3 computer forensics, malware analysis, and reverse engineering; Incident Management System; Threat Management System; SOC Portal; Log Aggregation and Security Incident Management (SIM) systems; flow monitoring; IDS; etc. Specific processes and methodologies discussed include Incident States and associated Work Elements; the Incident Management Workflow Process; Cyber Threat Risk Assessment methodology; and Incident Taxonomy. The Evolution of the Cyber Security Operations Center viII be discussed; starting from reactive, to proactive, and finally to proactive. Finally, the resources necessary to establish an Agency scale SOC as well as the lessons learned in the process of standing up a SOC viII be presented.

  8. Reading, Writing, and Research: A Writing Center in the IMC.

    Science.gov (United States)

    Pitel, Vonna J.

    1991-01-01

    Discusses the advantages of making the writing center part of the instructional media center in schools and provides some questions to consider in setting up a writing center. Offers three examples of popular writing assignments. (MG)

  9. Marking A Center: Concept, Geometry, and Assembly

    OpenAIRE

    Hedvall, Fredrik Nils

    2007-01-01

    The subject of this thesis centers around the study of process; the process of taking a germinal concept or idea and translating it into the language of built form. In this particular case, the process can be described as binary, containing two distinct stages. The first stage consists of the process of translating a gestural idea or sketch into a language which is geometrically descriptive and consequently reproducible. The second stage of the process involves the translation of geomet...

  10. A Student-Centered Learning Model

    Directory of Open Access Journals (Sweden)

    Mihyar Hesson

    2007-01-01

    Full Text Available Based on the authors experience in applying different approaches of active learning and student-centered teaching, the main problem that prevented the achievement of the full advantages of these approaches is the lack of motivation of students for self-centered learning. A new model for a student-centered learning is presented in this work. This model is of teaching integrative thinking, based on existing models of creativity and synthesis. In this model, the student is put at the heart of a bigger learning process that includes instructors, specialists and the public. Usually students who are in the final year of their study will be the target of the application of this model as a part of a capstone course or final year project. This model promotes the research and thinking skills of the students as well as the gained motivation of self-learning as a result of being in contact with the specialists who might be their potential future employers. A proto-type web-based system based on this model was developed. Although it is applied on a sample of students from the Biology department, the system is readily expandable to any number of other disciplines without any complications or programming overheads. The results achieved from the application of this model were very encouraging.

  11. A Learner-Centered Diabetes Management Curriculum

    OpenAIRE

    DeSalvo, Daniel J.; Greenberg, Larrie W.; Henderson, Celia L.; Cogen, Fran R.

    2012-01-01

    OBJECTIVE Diabetes errors, particularly insulin administration errors, can lead to complications and death in the pediatric inpatient setting. Despite a lecture-format curriculum on diabetes management at our children’s hospital, resident diabetes-related errors persisted. We hypothesized that a multifaceted, learner-centered diabetes curriculum would help reduce pathway errors. RESEARCH DESIGN AND METHODS The 8-week curricular intervention consisted of 1) an online tutorial addressing reside...

  12. Hepatoblastoma: Experience from a single center

    OpenAIRE

    Singh, T.; C T Satheesh; Appaji, L.; Aruna Kumari BS; M Padma; Kumar, M V; Mukherjee, G.

    2010-01-01

    Background: The cornerstones of successful treatment of hepatoblastoma (HB) include preoperative chemotherapy followed by complete anatomical resection of tumor, followed by chemotherapy. Advances in chemotherapy in the last 2 decades have been associated with a higher rate of tumor response and possibly a greater potential for resectability. Aims: We analyzed our single center experience with neoadjuvant chemotherapy (NACT) and surgery in HBs. Settings and Design: Our study included all ch...

  13. Towards a Culturally Centered Music Therapy Practice

    OpenAIRE

    Julie M. Brown

    2002-01-01

    At present very little information on the topic of multicultural music therapy practice has been published in the United States and Canada. This article reviews the music therapy and counselling literature to advocate the need for culturally centered music therapy practice. The paper examines the areas of ethical considerations, cultural empathy, the need for music therapists to understand and explore their own and their clients' world views, and the concept of music as a universal language. ...

  14. Validation: A Family-Centered Communication Skill.

    Science.gov (United States)

    Harvey, Pat; Ahmann, Elizabeth

    2016-01-01

    Family-centered care can seem challenging when family member behavior, choices, attitudes, or emotions are "difficult" or "challenging" to deal with. Yet nurses can develop skills to effectively interact with families in a wide variety of circumstances and then become able to practice family-centered care in any situation that might arise. One particularly useful skill is "validation," which means accepting what the family member says or does as a valid expression of thoughts and feelings in that particular circumstance at that particular time. Validation does not mean there is agreement or acceptance of unsafe behaviors, only that the nurse acknowledges that the family member's concerns and feelings are important and should be listened to and taken seriously, even in the presence of disagreement. Validation, which should be individualized, can take many forms, ranging from providing complete attention to reflection of statements, identification of possible unexpressed emotions, normalization, and finally, a full and genuine sense of connection. Understanding and practicing validation can empower nurses and family members, as well as support effectivefamily-centered communication and problem solving even in challenging circumstances.

  15. Lessons learned in simulating a command center

    Science.gov (United States)

    Mack, Gregory A.; Cantor, Robert M.; Wenzel, Gregory

    1995-06-01

    This paper presents some lessons learned from simulating the operation of a command center in distributed interactive simulations (DIS). We present the design of the Booz Allen Command Center Systems Interface (C2SI) in terms of its functional architecture as well as the technologies used in its implementation. We discuss the design of the distributed component interfaces based on cooperating software agent pairs. We discuss aspects of several issues in simulating command and control systems in the ADS/DIS environment, namely, interoperation of constructive and virtual simulation, situation awareness, communication with adjacent C2 entities, control of subordinate entities and external sensors, terrain/environmental data management, and data collection for after-action reporting.

  16. Transplant nephrectomy - A single-center experience

    Directory of Open Access Journals (Sweden)

    Arun Ariyarathenam

    2015-01-01

    Full Text Available Transplant nephrectomy (TN is associated with significant morbidity and mortality and influences the outcome of subsequent renal transplantation. The aim of this study was to identify the reasons for TN in a single transplant center in the United Kingdom and to determine the complication rate, effect on relisting and re-transplantation. We studied all the TNs in our center from January 2000 to December 2011. Detailed information including cause of allograft failure and reason for TN were analyzed. Of 602 renal transplants performed at our center during the period of the study, 42 TNs were performed on 38 (6% patients (24 men and 14 women. The median age of the patients at the time of transplantation who subsequently underwent TN was 56 years (range: 28-73 years and 71% of the allografts were donated after circulatory death. The mean human leucocyte antigen mismatch for these patients was 2.3. The most commonly used immunosuppression was a combination of prednisolone, mycophenolate and tacrolimus, which was used in 50% of the patients. Twenty-five (60% of the TNs in this series were for allografts failing during the first month of transplantation. The most common indication for the TN was graft thrombosis (50%, with an overall in-hospital mortality rate of 9.5% and a morbidity rate of 31%. Seven of 19 patients listed underwent successful re-transplantation. Although TN is associated with a risk of significant morbidity and mortality, it does not preclude from listing for re-transplantation. The difficulty of access to complete information about transplant failures and TN highlights the need for a national registry.

  17. An Integrated Model of Care: A Visit to The SPARK Center, a Program of Boston Medical Center

    Science.gov (United States)

    Griest, Christa

    2010-01-01

    This article features The SPARK Center, a program of Boston Medical Center, located in Mattapan, Massachusetts. The Center has pioneered a whole-child approach to address the multi-dimensional needs of Boston's most at-risk children, recognizing that vulnerable children need more than educational supports to flourish. The Center's integrated model…

  18. Idaho national laboratory - a nuclear research center

    International Nuclear Information System (INIS)

    Full text: The Idaho National Laboratory (INL) is committed to providing international nuclear leadership for the 21st Century, developing and demonstrating compelling national security technologies, and delivering excellence in science and technology as one of the United States Department of Energy's (DOE) multi program national laboratories. INL runs three major programs - Nuclear, Security and Science. Nuclear programs covers the Advanced test reactor, Six Generation IV technology concepts selected for Rand D, targeting tumors - Boron Neutron Capture therapy. Homeland Security establishes the Control System Security and Test Center, Critical Infrastructure Test Range evaluates technologies on a scalable basis, INL conducts high performance computing and visualization research and science. To provide leadership in the education and training, INL has established an Institute of Nuclear Science and Engineering (INSE) under the Center for Advanced Energy Studies (CAES) and the Idaho State University (ISU). INSE will offer a four year degree based on a newly developed curriculum - two year of basic science course work and two years of participation in project planning and development. The students enrolled in this program can continue to get a masters or a doctoral degree. This summer INSE is the host for the training of the first international group selected by the World Nuclear University (WNU) - 75 fellowship holders and their 30 instructors from 40 countries. INL has been assigned to provide future global leadership in the field of nuclear science and technology. Here, at INL, we keep safety first above all things and our logo is 'Nuclear leadership synonymous with safety leadership'. (author)

  19. Establishment of a world food preservation center

    Directory of Open Access Journals (Sweden)

    Wilson Charles L

    2013-01-01

    Full Text Available Abstract A World Food Preservation Center (WFPC is proposed in response to a pending civilization-threatening food shortage and our limited ability to adequately increase food production. Some estimates put losses of food in developing countries after it is produced and before it is consumed at 50%. These losses are particularly threatening to individuals and farmers who are living in the midst of food insecurity. Although numerous organizations have attempted to address this problem worldwide, the magnitude of the effort has not come close to the enormity of the problem. Most of these programs are also short-term and require continuous input by postharvest specialists from developed countries in order to be sustainable. A critical need exists for a substantial and sustainable worldwide program that can significantly reduce losses and waste of food in developing countries. The World Food Preservation Center proposed here meets this need by educating young scientists in developing countries about low-input, appropriate technologies for preserving food postharvest. It also conducts research on postharvest technologies especially suited for application in developing countries such as biological control, solar refrigeration, and coordinated transport and marketing schemes that support and sustain the local production of food commodities.

  20. A Virtual Mission Operations Center: Collaborative Environment

    Science.gov (United States)

    Medina, Barbara; Bussman, Marie; Obenschain, Arthur F. (Technical Monitor)

    2002-01-01

    The Virtual Mission Operations Center - Collaborative Environment (VMOC-CE) intent is to have a central access point for all the resources used in a collaborative mission operations environment to assist mission operators in communicating on-site and off-site in the investigation and resolution of anomalies. It is a framework that as a minimum incorporates online chat, realtime file sharing and remote application sharing components in one central location. The use of a collaborative environment in mission operations opens up the possibilities for a central framework for other project members to access and interact with mission operations staff remotely. The goal of the Virtual Mission Operations Center (VMOC) Project is to identify, develop, and infuse technology to enable mission control by on-call personnel in geographically dispersed locations. In order to achieve this goal, the following capabilities are needed: Autonomous mission control systems Automated systems to contact on-call personnel Synthesis and presentation of mission control status and history information Desktop tools for data and situation analysis Secure mechanism for remote collaboration commanding Collaborative environment for remote cooperative work The VMOC-CE is a collaborative environment that facilitates remote cooperative work. It is an application instance of the Virtual System Design Environment (VSDE), developed by NASA Goddard Space Flight Center's (GSFC) Systems Engineering Services & Advanced Concepts (SESAC) Branch. The VSDE is a web-based portal that includes a knowledge repository and collaborative environment to serve science and engineering teams in product development. It is a "one stop shop" for product design, providing users real-time access to product development data, engineering and management tools, and relevant design specifications and resources through the Internet. The initial focus of the VSDE has been to serve teams working in the early portion of the system

  1. International nuclear service centers: a bibliography

    International Nuclear Information System (INIS)

    The literature relating specifically to international nuclear fuel service centers would appear to be relatively scarce, based on the results of searches of the Energy Data Base, the libraries of the University of California at Los Angeles, and The Rand Corporation, and other sources. Works specifically relating to international service centers are annotated in this bibliography. Also listed, without annotation, are studies of various kinds of multinational public enterprises. In addition, there are references to many of the studies of the one-nation nuclear energy center concept. Most of these resulted from the survey of possible sites for these centers mandated by the US Energy Reorganization Act of 1974

  2. Space Operations Center - A concept analysis

    Science.gov (United States)

    1980-01-01

    The Space Operations Center (SOC) which is a concept for a Shuttle serviced, permanent, manned facility in low earth orbit is viewed as a major candidate for the manned space flight following the completion of an operational Shuttle. The primary objectives of SOC are: (1) the construction, checkout, and transfer to operational orbit of large, complex space systems, (2) on-orbit assembly, launch, recovery, and servicing of manned and unmanned spacecraft, (3) managing operations of co-orbiting free-flying satellites, and (4) the development of reduced dependence on earth for control and resupply. The structure of SOC, a self-contained orbital facility containing several Shuttle launched modules, includes the service, habitation, and logistics modules as well as construction, and flight support facilities. A schedule is proposed for the development of SOC over ten years and costs for the yearly programs are estimated.

  3. A practical application of reliability centered maintenance

    International Nuclear Information System (INIS)

    This paper describes a practical and cost effective method for applying Reliability Centered Maintenance (RCM) principles to improve the effectiveness of an existing Preventive Maintenance program. While this program was developed for a modern nuclear power plant, it is based on the premise that many plants already have effective Maintenance and PM Programs, some of which may be relatively comprehensive, even at non-nuclear facilities. Therefore, the objective of this type of upgrade project is to identify and select the most effective PM tasks, whether currently active, or recommended new tasks or revisions, and to eliminate ineffective tasks. Then, apply those changes within the existing programs in a way that will allow the most efficient allocation of resources. It is anticipated that this program will enhance plant safety, improve plant availability and the reliability of plant equipment, as well as prevent escalation of maintenance costs when fully implemented

  4. A Resource Center for Informal Science Education

    Science.gov (United States)

    Dickow, B.

    2011-12-01

    Informal science education (ISE) is playing an increasingly important role in how and where the public engages with science. A growing body of research is showing that people learn the majority of their science knowledge outside of school (Falk & Dierking, 2010). The ISE field includes a wide variety of sources, including the internet, TV programs, magazines, hobby clubs and museums, all sectors of the informal science education field. These experiences touch large numbers of people throughout their lifetimes. If you would like to share your research with the public, ISE can be an effective conduit for meaningful science communication. However, because the ISE field is so diverse, it can be overwhelming with its multiple entry points. If you already are part of an ISE initiative, knowing how to access the most useful resources easily can also be daunting. CAISE, the Center for Advancement of Informal Science Education, is a resource center for the ISE field funded by the National Science Foundation (NSF). CAISE can help connect you to the knowledge and people of ISE, through its website, products and in-person convenings. The proposed CAISE presentation will outline the diversity of the field and concisely present data that will make the case for the impact of ISE. We will focus on examples of successful programs that connect science with the public and that bring together AGU's science research community with practitioners and researchers within ISE. Pathways to various ISE resources in the form of current CAISE initiatives will be described as well. The presentation will include an interview section in which a CAISE staff member will ask questions of a scientist involved in an ISE initiative in order to detail one example of how ISE can be a valuable tool for engaging the public in science. Time for audience Q&A also will be included in the session.

  5. African Centered Knowledge: A British Perspective.

    Science.gov (United States)

    Christian, Mark

    2001-01-01

    Considers the impact of African centered knowledge within the United Kingdom. Recent development of African Diaspora studies has forged links between various black Atlantic communities. The United Kingdom has experienced positive grassroots community response to the work of noted African centered scholars, yet within the British academy,…

  6. A Virtual Mission Operations Center - Collaborative Environment

    Science.gov (United States)

    Medina, Barbara; Bussman, Marie

    2002-01-01

    Development of technologies that enable significant reductions in the cost of space mission operations is critical if constellations, formations, federations and sensor webs, are to be economically feasible. One approach to cost reduction is to infuse automation technologies into mission operations centers so that fewer personnel are needed for mission support. But missions are more culturally and politically adverse to the risks of automation. Reducing the mission risk associated with increased use of automation within a MOC is therefore of great importance. The belief that mission risk increases as more automation is used stems from the fact that there is inherently less direct human oversight to investigate and resolve anomalies in an unattended MOC. The Virtual Missions Operations Center - Collaborative Environment (VMOC-CE) project was launched to address this concern. The goal of the VMOC-CE project is to identify, develop, and infuse technology to enable mission operations between onsite operators and on-call personnel in geographically dispersed locations. VMOC-CE enables missions to more readily adopt automation because off-site operators and engineers can more easily identify, investigate, and resolve anomalies without having to be present in the MOC. The VMOC-CE intent is to have a single access point for all resources used in a collaborative mission operations environment. Team members will be able to interact during spacecraft operations, specifically for resolving anomalies, utilizing a desktop computer and the Internet. Mission operations management can use the VMOC-CE as a tool to participate in and monitor status of anomaly resolution or other mission operations issues. In this paper we present the VMOC-CE project, system capabilities and technologies, operations concept, and results of its pilot in support of the Earth Science Mission Operations System (ESMOS).

  7. The Puente Learning Center: A Building and a Program.

    Science.gov (United States)

    Wilson, Kelly R.

    1998-01-01

    Describes the People United To Enrich the Neighborhood through Education (Puente) Learning Center, a nonprofit center in Los Angeles (California) providing programs in literacy, English-as-a-Second-Language, study skills, job training, and computer skills for people who traditionally have had limited access to education and technology. (SLD)

  8. Student-Centered Instruction in a Theoretical Statistics Course

    Science.gov (United States)

    Bates Prins, Samantha C.

    2009-01-01

    This paper provides an example of how student-centered instruction can be used in a theoretical statistics class. The author taught a two-semester undergraduate probability and mathematical statistics sequence using primarily teacher-centered instruction in the first semester and primarily student-centered instruction in the second semester. A…

  9. The Student-Centered Curriculum: A Concept in Curriculum Innovation

    Science.gov (United States)

    Tuckman, Bruce W.

    1969-01-01

    The student-centered curriculum concept is "described in terms of a series of postulates which provide a basic definition of what the student-centered curriculum is to be. From these postulates, propositions are then derived which describe the way the student-centered curriculum would be constructed and how it would operate. This paper was…

  10. Teaching in a Patient-Centered Medical Home

    OpenAIRE

    Hotelling, Barbara A.

    2011-01-01

    Teaching Lamaze International classes in a patient-centered medical home allows the childbirth educator the best environment for giving evidence-based information and empowering parents to give birth their way. Patient-centered medical home facilities and providers practice evidence-based care and adhere to the principles of family-centered maternity care. In patient-centered medical homes, women can expect to give birth using the Lamaze Healthy Birth Practices and to fully participate in the...

  11. The problem of organization of a coastal coordinating computer center

    Science.gov (United States)

    Dyubkin, I. A.; Lodkin, I. I.

    1974-01-01

    The fundamental principles of the operation of a coastal coordinating and computing center under conditions of automation are presented. Special attention is devoted to the work of Coastal Computer Center of the Arctic and Antarctic Scientific Research Institute. This center generalizes from data collected in expeditions and also from observations made at polar stations.

  12. Postavení a úloha call center

    OpenAIRE

    Blažej, Michal

    2008-01-01

    Tato diplomová práce zpracovává téma Postavení a Úloha Call Center v Telekomunikaci. Práce pojednává o alternativních způsobech komunikace zákazníka s mobilním operátorem, převážně prostřednictvím telefonu. Obsahem diplomové práce je charakteristika služeb, výčet jednotlivých způsobů komunikace mezi zákazníkem a mobilním operátorem, popis produktů T-Mobile CZ využívajících alternativních způsobů komunikace s operátorem, přehled činností Call centra T-Mobile CZ a výzkumná část. Cílem práce je ...

  13. Hepatoblastoma: Experience from a single center

    Directory of Open Access Journals (Sweden)

    T Singh

    2010-01-01

    Full Text Available Background: The cornerstones of successful treatment of hepatoblastoma (HB include preoperative chemotherapy followed by complete anatomical resection of tumor, followed by chemotherapy. Advances in chemotherapy in the last 2 decades have been associated with a higher rate of tumor response and possibly a greater potential for resectability. Aims: We analyzed our single center experience with neoadjuvant chemotherapy (NACT and surgery in HBs. Settings and Design: Our study included all children with HBs who received NACT and underwent surgical excision from January 1997 to July 2004. Materials and Methods: Patient characteristics, clinical features, clinical course, treatment modalities, and long-term outcome were analyzed. Results: There were 9 boys and 3 girls, aged 5-60 months (median age at tumor diagnosis was 24 months. All received NACT containing cisplatin and doxorubicin. Of the 12 children, 9 underwent hepatectomy and among them, 4 patients each had right and left hepatectomy and 1 patient underwent right extended hepatectomy. After surgery, all patients completed rest of the chemotherapy course (total 6 cycles. R0 resection was carried out in all the 9 cases with no life-threatening complications. Conclusions: Our experience of the 9 cases, although less in number, reaffirms the advantages of NACT followed by surgery. The prognosis for patients with resectable tumors is fairly good in combination with chemotherapy.

  14. Pregnancy during Hemodialysis: A Single Center Experience

    Directory of Open Access Journals (Sweden)

    Bahadi Abdelali

    2010-01-01

    Full Text Available Successful pregnancy outcome is an uncommon occurrence in women requiring chronic dialysis treatment. We reviewed the course and outcome of 9 pregnancies occurred in women on chronic hemodialysis in our center from 1999-2007; 5 of them ended with delivery of alive newborns, 2 with fetal deaths in-utero, and 2 with abortions. The average age of patients was 34 years. The etiology of the original kidney disease was unknown in 44.4% of the cases, and only 22.2% of the patients maintained diuresis. Dialysis started in 8 cases before the diagnosis of pregnancy. The average gestational age at diagnosis was 14 weeks. We modified the prescription of dialysis in 4 patients by increasing the frequency of the dialysis sessions to 6 per week and in 3 by increasing the duration of each session to 6 hours. Anemia was present in all the cases; 3 patients received erythropoietin and 4 patients required transfusion. The pregnancy was com-plicated in 44% of the cases by a polyhydramnios. The average time at delivery was 33 weeks and it was achieved in 80% of pregnancies through vaginal route. The average weight of newborns was to 2380 g. We conclude that pregnancy in women on hemodialysis is possible. The success of pregnancy may be influenced by the residual diuresis and early diagnosis to improve the quality of dialysis by increasing the dialysis dose.

  15. So You Want to Start a Peer Online Writing Center?

    Directory of Open Access Journals (Sweden)

    Christine Rosalia

    2013-03-01

    Full Text Available The purpose of this article is to share lessons learned in setting up three different peer online writing centers in three different contexts (EFL, Generation 1.5, and ESL. In each center the focus was on the language learner as a peer online writing advisor and their needs in maintaining centers “for and by” learners. Technology affordances and constraints for local contexts, which promote learner autonomy, are analyzed. The open-source platforms (Moodle, Drupal, and Google Apps are compared in terms of usability for peer writing center work, particularly centers where groups co-construct feedback for writers, asynchronously. This paper is useful for readers who would like a head start or deeper understanding of potential logistics and decision-making involved in establishing a peer online writing center within coursework and/or a self-access learning center.

  16. Ambulatory laparoscopic cholecystectomy: A single center experience

    Directory of Open Access Journals (Sweden)

    Cagri Tiryaki

    2016-01-01

    Full Text Available Aim: To evaluate the demographic and clinical parameters affecting the outcomes of ambulatory laparoscopic cholecystectomy (ALC in terms of pain, nausea, anxiety level, and satisfaction of patients in a tertiary health center. Materials and Methods: ALC was offered to 60 patients who met the inclusion criteria. Follow-up (questioning for postoperative pain or discomfort, nausea or vomiting, overall satisfaction was done by telephone contact on the same day at 22:00 p.m. and the first day after surgery at 8: 00 a.m. and by clinical examination one week after operation. STAI I and II data were used for proceeding to the level of anxiety of patients before and/or after the operation. Results: Sixty consecutive patients, with a mean age of 40.6 ± 8.1 years underwent ALC. Fifty-five (92% patients could be sent to their homes on the same day but five patients could not be sent due to anxiety, pain, or social indications. Nausea was reported in four (6.7% cases and not associated with any demographic or clinical features of patients. On the other hand, pain has been reported in 28 (46.7% cases, and obesity and shorter duration of gallbladder disease were associated with the increased pain perception (P = 0.009 and 0.004, respectively. Preopereative anxiety level was significantly higher among patients who could not complete the ALC procedure (P = 0.018. Conclusion: Correct management of these possible adverse effects results in the increased satisfaction of patients and may encourage this more cost-effective and safe method of laparoscopic cholecystectomy.

  17. A feasibility study for a manufacturing technology deployment center

    Energy Technology Data Exchange (ETDEWEB)

    1994-10-31

    The Automation & Robotics Research Institute (ARRI) and the Texas Engineering Extension Service (TEEX) were funded by the U.S. Department of Energy to determine the feasibility of a regional industrial technology institute to be located at the Superconducting Super Collider (SSC) Central Facility in Waxahachie, Texas. In response to this opportunity, ARRI and TEEX teamed with the DOE Kansas City Plant (managed by Allied Signal, Inc.), Los Alamos National Laboratory (managed by the University of California), Vought Aircraft Company, National Center for Manufacturing Sciences (NCMS), SSC Laboratory, KPMG Peat Marwick, Dallas County Community College, Navarro Community College, Texas Department of Commerce (TDOC), Texas Manufacturing Assistance Center (TMAC), Oklahoma Center for the Advancement of Science and Technology, Arkansas Science and Technology Authority, Louisiana Productivity Center, and the NASA Mid-Continent Technology Transfer Center (MCTTC) to develop a series of options, perform the feasibility analysis and secure industrial reviews of the selected concepts. The final report for this study is presented in three sections: Executive Summary, Business Plan, and Technical Plan. The results from the analysis of the proposed concept support the recommendation of creating a regional technology alliance formed by the states of Texas, New Mexico, Oklahoma, Arkansas and Louisiana through the conversion of the SSC Central facility into a Manufacturing Technology Deployment Center (MTDC).

  18. TRAINING CENTERS OF A NEW TYPE

    OpenAIRE

    Roza Rakhmanbaeva

    2010-01-01

    Necessity for innovative production development sets the new requirements for content, organization, forms and methods of management activity. Non-traditional tasks faced by the present system of human resources management require the similar type of non-traditional methodological approaches and tools for social diagnosis, training and management of people in new situations. Therefore special attention should be also given to development of new type training centers that act as concentration ...

  19. Center forTelehealth and Cybermedicine Research, University of New Mexico Health Sciences Center: a model of a telehealth program within an academic medical center.

    Science.gov (United States)

    Alverson, Dale C; Dion, Denise; Migliorati, Margaret; Rodriguez, Adrian; Byun, Hannah W; Effertz, Glen; Duffy, Veronica; Monge, Benjamin

    2013-05-01

    An overview of the Center for Telehealth and Cybermedicine Research at the University of New Mexico Health Sciences Center was presented along with several other national and international programs as part of the of a symposium-workshop on telehealth, "Sustaining and Realizing the Promise of Telemedicine," held at the University of Michigan Health System in Ann Arbor, MI, May 18-19, 2012 and hosted by the University of Michigan Telemedicine Resource Center and its Director, Rashid Bashshur. This article describes our Center, its business plan, and a view to the future. PMID:23317516

  20. Establishment and management of a Call Center; Aufbau und Management eines Call Centers

    Energy Technology Data Exchange (ETDEWEB)

    Heckelsmueller, U.; Fehn, M. [Isar-Amperwerke AG, Muenchen (Germany)

    1998-05-01

    The article describes the activities for establishment of a Call Center as well as the objectives pursued which, in a competitive energy market, focus on establishing a comprehensive and efficient service for the customers of a utility, as satisfying customers is a major factor of success. The telephone service for direct and prompt handling of customer requests is the key service. For this service, the telecommunications spectrum of the company had to be optimised in terms of information technology and developed into a Call Center equipped with state-of-the art technology as well as trained personnel, so as to be able to implement the customer-oriented management strategy and win long-lasting consumer loyalty. (orig./CB) [Deutsch] Wie dargestellt wird ist im Wettbewerb in der Stromversorgung die effiziente Zufriedenstellung der Kundenwuensche ein wichtiger Erfolgsfaktor. Wesentlich dabei ist eine direkte und rasche Bearbeitung der telefonischen Kundenanfragen. Dazu ist eine Buendelung und informationstechnische Optimierung dieses Telekommunikationsspektrums erforderlich. Mit dem Aufbau eines Call Centers wird diesen Anforderungen Genuege getan. Das Call Center soll die Kundenzufriedenheit verbessern und zu einer nachhaltigen Kundenbindung fuehren. Daran werden Qualitaet und Erfolg gemessen. (orig./RHM)

  1. Training centers of a new type

    Directory of Open Access Journals (Sweden)

    Roza Rakhmanbaeva

    2010-02-01

    Full Text Available Necessity for innovative production development sets the new requirements for content, organization, forms and methods of management activity. Non-traditional tasks faced by the present system of human resources management require the similar type of non-traditional methodological approaches and tools for social diagnosis, training and management of people in new situations. Therefore special attention should be also given to development of new type training centers that act as concentration of continuous training through forming the networks of comparative analysis and detecting the best practice.

  2. A Comparison of Organization-Centered and Agent-Centered Multi-Agent Systems

    DEFF Research Database (Denmark)

    Jensen, Andreas Schmidt; Villadsen, Jørgen

    2013-01-01

    Whereas most classical multi-agent systems have the agent in center, there has recently been a development towards focusing more on the organization of the system, thereby allowing the designer to focus on what the system goals are, without considering how the goals should be fulfilled. We have d...

  3. A Visit to the Rehabilitation Center for Drug Addicts

    Institute of Scientific and Technical Information of China (English)

    1998-01-01

    TWENTY-four-year-old Mu Li has come to the rehabilitation center in Tianjin of her own free will. After a year on drugs, she now wants to quit. This is her second time being hospitalized. The first time, she stayed for 20 days in the center. Not long after she was discharged, however, she was on drugs again. So she came back to the center, begging to be hospitalized again. The Tianjin Rehabilitation Center for Drug Addicts (TRCDA) where Mu Li is being treated was established in 1992, although cases of drug abuse were then still rare in the city. However, with the increasing rate of drug abuse in coastal

  4. A note on the concept of acoustic center

    DEFF Research Database (Denmark)

    Jacobsen, Finn; Barrera Figueroa, Salvador; Rasmussen, Knud

    2004-01-01

    The acoustic center of a reciprocal transducer is defined as the point from which spherical waves seem to be diverging when the transducer is acting as a source. This paper examines various ways of determining the acoustic center of a source, including methods based on deviations from the inverse...

  5. RoboCon: A general purpose telerobotic control center

    Energy Technology Data Exchange (ETDEWEB)

    Draper, J.V.; Noakes, M.W. [Oak Ridge National Lab., TN (United States). Robotics and Process Systems Div.; Schempf, H. [Carnegie Mellon Univ., Pittsburgh, PA (United States); Blair, L.M. [Human Machine Interfaces, Inc., Knoxville, TN (United States)

    1997-02-01

    This report describes human factors issues involved in the design of RoboCon, a multi-purpose control center for use in US Department of Energy remote handling applications. RoboCon is intended to be a flexible, modular control center capable of supporting a wide variety of robotic devices.

  6. Closing the "Digital Divide": Building a Public Computing Center

    Science.gov (United States)

    Krebeck, Aaron

    2010-01-01

    The public computing center offers an economical and environmentally friendly model for providing additional public computer access when and where it is needed. Though not intended to be a replacement for a full-service branch, the public computing center does offer a budget-friendly option for quickly expanding high-demand services into the…

  7. Efficacy of primary care in a nursing center.

    Science.gov (United States)

    Helvie, C O

    1999-01-01

    Nursing opportunities have expanded beyond the traditional bedside role. Nurses serve in a variety of roles such as administrators, teachers, or primary care givers in a variety of settings. The role of primary care giver is a more recent role; it involves relatively independent nursing practice with clients who have acute or chronic illnesses. Client groups may include the elderly in high rise buildings, mothers and children at schools, or homeless and low-income populations at homeless shelters. This care is often provided in a nursing center. Nursing centers are nurse-managed centers in which nurses are accountable and responsible for care of clients; they are the primary provider of care and the one most seen by clients. Case managers may be in a position to refer patients to nursing centers or to work directly with nurse practitioners in nursing centers. However, questions about the primary care provided in nursing centers must be addressed for healthcare providers, insurance companies, and patients to be confident in the efficacy of this delivery system. Is the primary care comprehensive? Is it of high quality? Is it cost effective? Is it satisfactory to clients? These and other questions about the primary care provided in nursing centers must be answered to effect political and other changes needed to fulfill the role of nursing centers envisioned by early leaders of the movement. This article addresses questions related to the efficacy of primary care provided in nursing centers by family nurse practitioners. After defining efficacy, the discussion focuses on the components identified and studied in one nursing center and includes information on opportunities for case managers to utilize nursing centers for referral and appropriate follow-up of their patients.

  8. Carbon dioxide Information Analysis Center and World Data Center: A for Atmospheric trace gases. Annual progress report, FY 1994

    Energy Technology Data Exchange (ETDEWEB)

    Burtis, M.D. [comp.] [Tennessee Univ., Knoxville, TN (United States). Energy, Environment and Resources Center; Cushman, R.M.; Boden, T.A.; Jones, S.B.; Nelson, T.R.; Stoss, F.W. [Oak Ridge National Lab., TN (United States)

    1995-03-01

    This report summarizes the activities and accomplishments made by the Carbon Dioxide Information Analysis Center and World Data Center-A for Atmospheric Trace Gases during the fiscal year 1994. Topics discussed in this report include; organization and staff, user services, systems, communications, Collaborative efforts with China, networking, ocean data and activities of the World Data Center-A.

  9. Prior Experiences Shaping Family Science Conversations at a Nature Center

    Science.gov (United States)

    McClain, Lucy R.; Zimmerman, Heather Toomey

    2014-01-01

    Using families as the analytical focus, this study informs the field of informal science education with a focus on the role of prior experiences in family science conversations during nature walks at an outdoor-based nature center. Through video-based research, the team analyzed 16 families during walks at a nature center. Each family's prior…

  10. Aftercare and Rehabilitation in a Community Mental Health Center

    Science.gov (United States)

    Scoles, Pascal; Fine, Eric W.

    1971-01-01

    The community, state mental hospitals, and a community mental health center work together to provide an environment conducive to the continued well being of chronic mental patients in an area of West Philadelphia, Pennsylvania. The authors describe a program that involves day care centers and the patients' everyday living. (Author)

  11. Validating a Technology Enhanced Student-Centered Learning Model

    Science.gov (United States)

    Kang, Myunghee; Hahn, Jungsun; Chung, Warren

    2015-01-01

    The Technology Enhanced Student Centered Learning (TESCL) Model in this study presents the core factors that ensure the quality of learning in a technology-supported environment. Although the model was conceptually constructed using a student-centered learning framework and drawing upon previous studies, it should be validated through real-world…

  12. Efficiency and separability in economies with a trade center

    NARCIS (Netherlands)

    Diamantaras, D.; Gilles, R.P.; Ruys, P.H.M.

    1994-01-01

    We discuss the endogenous selection of a costly allocation mechanism in a pure exchange economy. The allocation mechanism is modeled as an abstract trade center exhibiting setup costs, access costs and linear transaction costs. Exactly one trade center has to be selected. We define Pareto efficiency

  13. The Center of Mass of a Soft Spring

    Science.gov (United States)

    Serna, Juan D.; Joshi, Amitabh

    2011-01-01

    This article uses calculus to find the center of mass of a soft, vertically suspended, cylindrical helical spring, which necessarily is stretched non-uniformly by the action of gravity. A general expression for the vertical position of the center of mass is obtained and compared with other results in the literature.

  14. Steering the Ark: A Cultural Center for Children

    Science.gov (United States)

    Drury, Martin

    2006-01-01

    In this article, the author reflects on his experience developing and running The Ark, a Cultural Center for Children in Dublin, Ireland. The author describes the practice and ten guiding principles behind the center. While acknowledging that arts education and arts practice for and with young people is a rich and varied landscape, within which a…

  15. The Community Mental Health Center as a Matrix Organization.

    Science.gov (United States)

    White, Stephen L.

    1978-01-01

    This article briefly reviews the literature on matrix organizational designs and discusses the ways in which the matrix design might be applied to the special features of a community mental health center. The phases of one community mental health center's experience in adopting a matrix organizational structure are described. (Author)

  16. A control center design revisited: learning from users’ appropriation

    DEFF Research Database (Denmark)

    Souza da Conceição, Carolina; Cordeiro, Cláudia

    2014-01-01

    This paper aims to present the lessons learned during a control center design project by revisiting another control center from the same company designed two and a half years before by the same project team. In light of the experience with the first project and its analysis, the designers and res...

  17. The Development of a Suburban Junior High School Learning Center.

    Science.gov (United States)

    Freund, Janet W.

    The purpose of the study is to present a descriptive report of the difficulties and successes in the first eight months of the development of a Learning Center in Northwood Junior High School in Highland Park, Illinois. The report is intended to contribute information which will be helpful to others whose task it is to develop Learning Centers.…

  18. A Client-Centered Review of Rogers with Gloria

    Science.gov (United States)

    Moon, Kathryn A.

    2007-01-01

    Carl Rogers's nondirective theory and his response style with Gloria (E. L. Shostrom, 1965) are discussed in reply to S. A. Wickman and C. Campbell's (2003) "An Analysis of How Carl Rogers Enacted Client-Centered Conversation With Gloria." Client-centered studies of C. Rogers's transcripts give context for reformulating S. A. Wickman and C.…

  19. Establishing a national research center on day care

    DEFF Research Database (Denmark)

    Ellegaard, Tomas

    The paper presents and discusses the current formation of a national research center on ECEC. The center is currently being established. It is partly funded by the Danish union of early childhood and youth educators. It is based on cooperation between a number of Danish universities and this nati...

  20. Human-centered incubator: beyond a design concept

    NARCIS (Netherlands)

    Goossens, R.H.M.; Willemsen, H.

    2013-01-01

    We read with interest the paper by Ferris and Shepley1 on a human-centered design project with university students on neonatal incubators. It is interesting to see that in the design solutions and concepts as presented by Ferris and Shepley,1 human-centered design played an important role. In 2005,

  1. A Market Study for the Center for the Performing Arts.

    Science.gov (United States)

    Rae, John; And Others

    In fall 1983, a telephone survey was conducted by Macomb Community College (MCC) to assess community perceptions of the college's Center for the Performing Arts (CPA) and to aid in developing marketing strategies for the Center. Interviews were conducted with 500 randomly selected Macomb County (Michigan) residents to determine if they had…

  2. A layered approach to user-centered security

    DEFF Research Database (Denmark)

    Bødker, Susanne

    2008-01-01

    The workshop will explore the possibilities of a user-centered perspective on security. With exceptions, existing research may be criticized for being highly system-centered, focusing on how one may change user behavior to deal with the requirements of security, or on how security aspects can...

  3. Quantifying Library Quality: A Homework Center Report Card.

    Science.gov (United States)

    Bailey, John P.

    1999-01-01

    Discussion of information literacy focuses on the homework help centers developed by the County of Los Angeles Public Library. Describes a study conducted in partnership with the University of Southern California that investigated the cost effectiveness; success; and student, teacher, and parent perceptions of the centers to justify funding. (LRW)

  4. Adult Basic Learning in an Activity Center: A Demonstration Approach.

    Science.gov (United States)

    Metropolitan Adult Education Program, San Jose, CA.

    Escuela Amistad, an activity center in San Jose, California, is now operating at capacity, five months after its origin. Average daily attendance has been 125 adult students, 18-65, most of whom are females of Mexican-American background. Activities and services provided by the center are: instruction in English as a second language, home…

  5. Child center closures: Does nonprofit status provide a comparative advantage?

    Science.gov (United States)

    Lam, Marcus; Klein, Sacha; Freisthler, Bridget; Weiss, Robert E

    2013-03-01

    Reliable access to dependable, high quality childcare services is a vital concern for large numbers of American families. The childcare industry consists of private nonprofit, private for-profit, and governmental providers that differ along many dimensions, including quality, clientele served, and organizational stability. Nonprofit providers are theorized to provide higher quality services given comparative tax advantages, higher levels of consumer trust, and management by mission driven entrepreneurs. This study examines the influence of ownership structure, defined as nonprofit, for-profit sole proprietors, for-profit companies, and governmental centers, on organizational instability, defined as childcare center closures. Using a cross sectional data set of 15724 childcare licenses in California for 2007, we model the predicted closures of childcare centers as a function of ownership structure as well as center age and capacity. Findings indicate that for small centers (capacity of 30 or less) nonprofits are more likely to close, but for larger centers (capacity 30+) nonprofits are less likely to close. This suggests that the comparative advantages available for nonprofit organizations may be better utilized by larger centers than by small centers. We consider the implications of our findings for parents, practitioners, and social policy.

  6. Establishing a Teaching Support Center at a Land Grant University.

    Science.gov (United States)

    Jackman, Diane H.; Swan, Michael K.

    The Teaching Support Center (TSC) at the University of North Dakota was established in 1992 to provide faculty and graduate assistants with a wide range of pedagogical, professional, and technological assistance in order to improve the quality of instruction. A 3-year plan was developed to implement 13 goals, which are: (1) determining the needs…

  7. Center for Behavioral Neuroscience: a prototype multi-institutional collaborative research center

    OpenAIRE

    Powell, Kelly R; Albers, H. Elliott

    2006-01-01

    The Center for Behavioral Neuroscience was launched in the fall of 1999 with support from the National Science Foundation, the Georgia Research Alliance, and our eight participating institutions (Georgia State University, Emory University, Georgia Institute of Technology, Morehouse School of Medicine, Clark-Atlanta University, Spelman College, Morehouse College, Morris Brown College). The CBN provides the resources to foster innovative research in behavioral neuroscience, with a specific focu...

  8. Nanoscale fluorescence lifetime imaging with a single diamond NV center

    CERN Document Server

    Beams, Ryan; Johnson, Timothy W; Oh, Sang-Hyun; Novotny, Lukas; Vamivakas, Nick

    2013-01-01

    Solid-state quantum emitters, such as artificially engineered quantum dots or naturally occurring defects in solids, are being investigated for applications ranging from quantum information science and optoelectronics to biomedical imaging. Recently, these same systems have also been studied from the perspective of nanoscale metrology. In this letter we study the near-field optical properties of a diamond nanocrystal hosting a single nitrogen vacancy center. We find that the nitrogen vacancy center is a sensitive probe of the surrounding electromagnetic mode structure. We exploit this sensitivity to demonstrate nanoscale fluorescence lifetime imaging microscopy (FLIM) with a single nitrogen vacancy center by imaging the local density of states of an optical antenna.

  9. Human-centered incubator: beyond a design concept

    OpenAIRE

    Goossens, R.H.M.; Willemsen, H.

    2013-01-01

    We read with interest the paper by Ferris and Shepley1 on a human-centered design project with university students on neonatal incubators. It is interesting to see that in the design solutions and concepts as presented by Ferris and Shepley,1 human-centered design played an important role. In 2005, a master thesis project was carried out in the Delft University of Technology, following a similar human-centered design approach.2, 3 In that design project we also addressed the noise level insid...

  10. Attitudes and buying behaviour of customers of a shopping center

    OpenAIRE

    Kolářová, Zuzana

    2013-01-01

    The topic of thesis is "The attitudes and buying behavior of customers of a shopping center." The aim of this work was to evaluate the attitudes and buying behavior of customers, specifically in the Business Centre Čtyři Dvory in České Budějovice, which conducted a questionnaire survey. At the same time also set targets for evaluation in this shopping center, depending on gender and determine whether they are in the center of satisfied customers buying From the perspective of a range of produ...

  11. A possible role of chemotaxis in germinal center formation

    CERN Document Server

    Beyer, T; Soff, G; Beyer, Tilo; Meyer-Hermann, Michael; Soff, Gerhard

    2002-01-01

    During the germinal center reaction a characteristic morphology is developed. In the framework of a recently developed space-time-model for the germinal center a mechanism for the formation of dark and light zones has been proposed. The mechanism is based on a diffusing differentiation signal which is secerned by follicular dendritic cells. Here, we investigate a possible influence of recently found chemokines for the germinal center formation in the framework of a single-cell-based stochastic and discrete three-dimensional model. We will also consider alternative possible chemotactic pathways that may play a role for the development of both zones. Our results suggest that the centrocyte motility resulting from a follicular dendritic cell-derived chemokine has to exceed a lower limit to allow the separation of centroblasts and centrocytes. In contrast to light microscopy the dark zone is ring shaped. This suggests that FDC-derived chemoattractants alone cannot explain the typical germinal center morphology.

  12. A hybrid network architecture for modular data centers

    OpenAIRE

    Radhakrishnan, Sivasankar

    2010-01-01

    The emergence of the mega data center has resulted in the basic building block of ever larger data centers changing from a rack comprising tens of servers to a self-contained modular shipping container that holds upto a thousand servers. These self-contained modular blocks include networking, power and cooling equipment besides servers. However, provisioning bandwidth between these containers at a large scale is still a significant challenge. Traditional approaches to provisioning bandwidth u...

  13. Cloud data centers and cost modeling a complete guide to planning, designing and building a cloud data center

    CERN Document Server

    Wu, Caesar

    2015-01-01

    Cloud Data Centers and Cost Modeling establishes a framework for strategic decision-makers to facilitate the development of cloud data centers. Just as building a house requires a clear understanding of the blueprints, architecture, and costs of the project; building a cloud-based data center requires similar knowledge. The authors take a theoretical and practical approach, starting with the key questions to help uncover needs and clarify project scope. They then demonstrate probability tools to test and support decisions, and provide processes that resolve key issues. After laying a foundati

  14. Underreporting of fatal cases to a regional poison control center.

    OpenAIRE

    Blanc, P D; Kearney, T E; Olson, K.R.

    1995-01-01

    We assessed fatal drug overdose and poisoning case surveillance by a regional poison control center, comparing it with medical examiner determinations of death by poisoning over the same 2-year period and from the same catchment area. We studied 358 fatal cases of poisoning or drug overdose reported by a medical examiner and 10 fatal cases of poisoning or drug overdose reported by a poison control center, analyzing demographics and other case-associated factors with with possible successful p...

  15. College Psychotherapy at a Hong Kong Counseling Center

    Science.gov (United States)

    Leung, Eugenie Y.

    2013-01-01

    This article presents an online interview about college psychotherapy at a Hong Kong counseling center. The interview discusses how students generally feel about going for counseling or therapy and how common it is in Hong Kong.

  16. Encapsulating peritoneal sclerosis: experience of a tertiary referral center.

    LENUS (Irish Health Repository)

    Phelan, P J

    2010-05-01

    Encapsulating peritoneal sclerosis (EPS) is arguably the most serious complication of chronic peritoneal dialysis (PD) therapy with extremely high mortality rates. We aimed to establish the rates of EPS and factors associated with its development in a single center.

  17. INVISTA to Build a New China Research Center

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    World’s largest nylon and spandex producer establishes the state of art commercial textileresearch center in ChinaINVISTA announced building a new research facility inMainland China in September 23 to further strengthen

  18. Application of a reliability centered maintenence on a drilling system

    OpenAIRE

    Langlo, Frank

    2014-01-01

    The first part of the thesis is an introduction of the drilling system where the theoretical background of the drilling system is described. Then the reliability centered maintenance (RCM) methodology is described. RCM is a logic way of identifying what equipment that needs to be maintained with a preventative maintenance basis rather than letting it fail and then fix it basis, commonly referred to as the run to failure (RTF). The maintenance strategies are described in 3.2 Reliability cen...

  19. Running a seismic data center with Antelope at ZAMG

    Science.gov (United States)

    Horn, Nikolaus

    2010-05-01

    Beeing one one of the first customers of the commercial data acquisition system Antelope, ZAMG has now over 10 years of experience running a medium size data center with the commercial software package Antelope from BRTT. We outline the configuration of the data center facilities, and describe a few application that have been designed based on the Antelope toolbox for software development. Since ZAMG hosts the Austrian NDC, we present the usage of the Antelope software in that framework.

  20. Human-centered design of a distributed knowledge management system.

    Science.gov (United States)

    Rinkus, Susan; Walji, Muhammad; Johnson-Throop, Kathy A; Malin, Jane T; Turley, James P; Smith, Jack W; Zhang, Jiajie

    2005-02-01

    Many healthcare technology projects fail due to the lack of consideration of human issues, such as workflow, organizational change, and usability, during the design and implementation stages of a project's development process. Even when human issues are considered, the consideration is typically on designing better user interfaces. We argue that human-centered computing goes beyond a better user interface: it should include considerations of users, functions and tasks that are fundamental to human-centered computing. From this perspective, we integrated a previously developed human-centered methodology with a Project Design Lifecycle, and we applied this integration in the design of a complex distributed knowledge management system for the Biomedical Engineer (BME) domain in the Mission Control Center at NASA Johnson Space Center. We analyzed this complex system, identified its problems, generated systems requirements, and provided specifications of a replacement prototype for effective organizational memory and knowledge management. We demonstrated the value provided by our human-centered approach and described the unique properties, structures, and processes discovered using this methodology and how they contributed in the design of the prototype. PMID:15694881

  1. RF Regional Technical Centers for MPC and A Sustainability Operations

    International Nuclear Information System (INIS)

    The National Nuclear Security Administration (NNSA) programmatic vision to be a catalyst in Russia's assumption of responsibility for long-term system operation is exemplified in the sustainability cooperation with the RF Ministry of Defense (MOD). An identified goal for the MPC and A Program is to encourage the development of Russian Federation (RF) capabilities and commitments to operate and maintain safeguard improvements. The RF MOD Technical Support Center development fulfills the NNSA mission and MPC and A Program goal. The regional technical center concept involves a systematic approach to aid in the determination of the level of sustainability assistance required to transition operators, maintenance, training, and testing of MPC and A systems to the RF MOD. This paper describes the process used to create the RF MOD Technical support center. First are described the needs analyses conducted to determine the key system sustainability factors requiring support. These sustainability functions are then compiled to influence the form and ultimate physical design of the technical support center. Operational interfaces are described, in detail that show the benefit of the center to the individual sites. Finally, benefits relating to information accessibility and other economies of scale are described that highlight the central center concept's strengths

  2. Smartphone use at a university health science center.

    Science.gov (United States)

    Bushhousen, Ellie; Norton, Hannah F; Butson, Linda C; Auten, Beth; Jesano, Rae; David, Don; Tennant, Michele R

    2013-01-01

    This article describes the results of a survey of library patrons conducted by librarians and information technology specialists at the Health Science Center Libraries at the University of Florida. The purpose of the survey was to learn if and how library patrons were using smartphones to perform their work-related tasks and how patrons felt the library could support smartphone use at the Health Science Center.

  3. A patient-centered care ethics analysis model for rehabilitation.

    Science.gov (United States)

    Hunt, Matthew R; Ells, Carolyn

    2013-09-01

    There exists a paucity of ethics resources tailored to rehabilitation. To help fill this ethics resource gap, the authors developed an ethics analysis model specifically for use in rehabilitation care. The Patient-Centered Care Ethics Analysis Model for Rehabilitation is a process model to guide careful moral reasoning for particularly complex or challenging matters in rehabilitation. The Patient-Centered Care Ethics Analysis Model for Rehabilitation was developed over several iterations, with feedback at different stages from rehabilitation professionals and bioethics experts. Development of the model was explicitly informed by the theoretical grounding of patient-centered care and the context of rehabilitation, including the International Classification of Functioning, Disability and Health. Being patient centered, the model encourages (1) shared control of consultations, decisions about interventions, and management of the health problems with the patient and (2) understanding the patient as a whole person who has individual preferences situated within social contexts. Although the major process headings of the Patient-Centered Care Ethics Analysis Model for Rehabilitation resemble typical ethical decision-making and problem-solving models, the probes under those headings direct attention to considerations relevant to rehabilitation care. The Patient-Centered Care Ethics Analysis Model for Rehabilitation is a suitable tool for rehabilitation professionals to use (in real time, for retrospective review, and for training purposes) to help arrive at ethical outcomes.

  4. Conducting Research: A Student-Centered Model.

    Science.gov (United States)

    Duffield, Judith A.

    1998-01-01

    Claims that the importance of gaining information literacy skills is in the use of information rather than the finding of information but that many students undertaking research projects do not understand this. Describes a research process model developed for use in a classroom setting and gives a sample lesson using its steps: presearch, search,…

  5. Oklahoma: A View of the Center

    Science.gov (United States)

    Jones, Ruthe Blalock; Depriest, Maria; Fowler, Cynthia

    2007-01-01

    This article presents a dialogue on twentieth-century Oklahoma artists and writers given at a conference titled "Working from Community: American Indian Art and Literature in a Historical and Cultural Context" and held in the summer of 2003 at Evergreen State College in Olympia, Washington. Twenty-five educators converged for six weeks of…

  6. Finding topological center of a geographic space via road network

    Science.gov (United States)

    Gao, Liang; Miao, Yanan; Qin, Yuhao; Zhao, Xiaomei; Gao, Zi-You

    2015-02-01

    Previous studies show that the center of a geographic space is of great importance in urban and regional studies, including study of population distribution, urban growth modeling, and scaling properties of urban systems, etc. But how to well define and how to efficiently extract the center of a geographic space are still largely unknown. Recently, Jiang et al. have presented a definition of topological center by their block detection (BD) algorithm. Despite the fact that they first introduced the definition and discovered the 'true center', in human minds, their algorithm left several redundancies in its traversal process. Here, we propose an alternative road-cycle detection (RCD) algorithm to find the topological center, which extracts the outmost road-cycle recursively. To foster the application of the topological center in related research fields, we first reproduce the BD algorithm in Python (pyBD), then implement the RCD algorithm in two ways: the ArcPy implementation (arcRCD) and the Python implementation (pyRCD). After the experiments on twenty-four typical road networks, we find that the results of our RCD algorithm are consistent with those of Jiang's BD algorithm. We also find that the RCD algorithm is at least seven times more efficient than the BD algorithm on all the ten typical road networks.

  7. Waldorf Schools: A Child-Centered System.

    Science.gov (United States)

    Ogletree, Earl J.

    This paper presents an overview of the philosophy, psychology of learning, teaching methods, and curriculum of the Waldorf Schools. Most Waldorf teachers are influenced by the esoteric form of critical idealism propounded by Rudolf Steiner. The child is considered by Steiner to be a spiritual being who has reincarnated on to earth in a physical…

  8. Starting a joint venture kidney stone center.

    Science.gov (United States)

    Russel, K; McFarlin, C

    1989-12-01

    When considering a joint venture, hospitals should evaluate the risks and benefits associated with cooperating with a major competitor. Factors to be analyzed during the decision-making process include: goals, medical staff involvement, corporate strategies, financial considerations, volume considerations, market share, environmental influences and level of competition. Hospitals can join forces to extend their medical services into new areas.

  9. Mathematica a problem-centered approach

    CERN Document Server

    Hazrat, Roozbeh

    2015-01-01

    This textbook introduces the vast array of features and powerful mathematical functions of Mathematica using a multitude of clearly presented examples and worked-out problems. Each section starts with a description of a new topic and some basic examples. The author then demonstrates the use of new commands through three categories of problems - the first category highlights those essential parts of the text that demonstrate the use of new commands in Mathematica whilst solving each problem presented; - the second comprises problems that further demonstrate the use of commands previously introduced to tackle different situations; and - the third presents more challenging problems for further study. The intention is to enable the reader to learn from the codes, thus avoiding long and exhausting explanations. While based on a computer algebra course taught to undergraduate students of mathematics, science, engineering and finance, the book also includes chapters on calculus and solving equations, and graphics, t...

  10. Anatomy of a ubiquitous media center

    Science.gov (United States)

    Serrano, Manuel

    2009-01-01

    lThe Web is such a rich architecture that it is giving birth to new applications that were unconceivable only few years ago in the past. Developing these applications being different from developing traditional applications, generalist programming languages are not well suited. To help face this problem, we have conceived the Hop programming language whose syntax and semantics are specially crafted for programming Web applications. In order to demonstrate that Hop, and its SDK, can be used for implementing realistic applications, we have started to develop new innovative applications that extensively relies on the infrastructure offered by Web and that use Hop unique features. We have initiated this effort with a focus on multimedia applications. Using Hop we have implemented a distributed audio system. It supports a flexible architecture that allows new devices to catch up with the application any time: a cell phone can be used to pump up the volume, a PDA can be used to browse over the available musical resources, a laptop can be used to select the output speakers, etc. This application is intrinsically complex to program because, i) it is distributed (several different devices access and control shared resources such a music repositories and sound card controllers), ii) it is dynamic (new devices may join or quit the application at any time), and iii) it involves different heterogeneous devices with different hardware architectures and different capabilities. In this paper, we present the two main Hop programming forms that allow programmers to develop multimedia applications more easily and we sketch the parts of the implementation of our distributed sound system that illustrate when and why Hop helps programming Web multimedia applications.

  11. [Intercommunication psychiatry in a burn center].

    Science.gov (United States)

    Ravella, P; Prallet, J P; Latarjet, J; Parizot, S; Bouchet, P

    1990-01-01

    The support of psychiatric disorders in a burn centre has been effected since three years, in Saint Luc Hospital (Lyon) thanks to a liaison group. One hour a week, several cases of patients are approached in this group which gathers two psychiatrists and the team dealing with burnt patients. Psychiatrists are attached to clarify the relation between people who attend and patients, to give a diagnosis and propose a strategy in front of difficulties they meet. The psychiatric care is reintegrated in the somatic support and assured by people who are daily effectively in contact with patients. This paper describes the advantages of the liaison psychiatry with regard to a direct intervention of the psychiatrist on the patient. It defines the targets these therapeutic weapon can aim and details the obtained results: for 3 years, the group has met 104 times for 241 "indirect consultations" concerning 99 different patients and count 50 good results on site and 5 specialized orientations; 10 deaths and 11 quick departures exclude 21 patients from the study; 17 cases have been stayed without continuation and 6 without any change.

  12. Complexity as a cost driver in international call center management - Case: The Lufthansa Service Center Network

    OpenAIRE

    Heimo, Taina

    2010-01-01

    Objectives of the Study The purpose of this study was to examine the phenomenon of complexity and its effect on the cost of providing call center services. Furthermore, the goal was to analyze how call center management can influence these costs. The research is positioned in the field of call center management, while complexity – defined in this study as the variety of services, and the characteristics of and requirements set for the service delivery – formed the starting point and motiv...

  13. Handcrafting Attachment: A User-Centered Approach

    Directory of Open Access Journals (Sweden)

    George S. Lowry

    2011-04-01

    Full Text Available Management, above all, is the controlling element responsible for coordinating the three basic business functions; production, marketing, and finance.  Mechanisms exist to facilitate the finance function with influence coming from outside regulatory bodies such as the AICPA, IIA, SEC, and other regulators.  Integrating the finance function into organizations, then, becomes somewhat generic (although some would argue this point.  Coordinating the functions of marketing and production is a much more difficult endeavor because it lacks the standardization seen in finance.  This paper suggests employing a more user-focused approach as a means to improving the overall quality of products, and eventually, the success of the organization.  Specifically, this paper explores the role of the human brain in the calculus of choice, discusses the role of consumer involvement as it leads to product attachment, and offers suggestions for employing contextual research to improve product design and quality.

  14. Narrating narcolepsy--centering a side effect.

    Science.gov (United States)

    Lundgren, Britta

    2015-01-01

    The mass-vaccination with Pandemrix was the most important preventive measure in Sweden during the A(H1N1) influenza pandemic of 2009-2010, and covered 60% of the population. From 2010, an increased incidence of the neurological disease narcolepsy was reported, and an association with Pandemrix was affirmed for more than 200 children and young adults. The parental experience of this side effect provided a starting point for a collectively shaped critical narrative to be acted out in public, but also personalized narratives of continual learning about the disease and its consequences. This didactic functionality resulted in active meaning-making practices about how to handle the aftermath--using dark humor, cognitive tricks, and making themselves and their children's bodies both objects and subjects of knowledge. Using material from interviews with parents, this mixing of knowledge work and political work, and the potential for reflective consciousness, is discussed.

  15. Find a Sleep Center Near You

    Science.gov (United States)

    ... Sleep Insomnia Overview & Facts Symptoms & Causes Diagnosis & Self Tests Treatment Sleep Apnea Overview & Facts Symptoms & Risk Factors Self-Tests ... Snoring Overview and Facts Causes and Symptoms Self Tests & Diagnosis Treatments In-Lab Sleep Study Overview Preparing for a Sleep Study Testing ...

  16. Enrollment Management: A Market-Centered Perspective

    Science.gov (United States)

    Kalsbeek, David H.; Hossler, Donald

    2009-01-01

    Enrollment management, the authors suggested in earlier essays, is a deliberate process of achieving an institution's preferred enrollment profile, starting by identifying the strategic purposes and mission of the institution, and then orchestrating the marketing, recruitment, admissions, pricing and aid, retention programs, academic support…

  17. Expanding role of a blood center

    Directory of Open Access Journals (Sweden)

    Jaisy Mathai

    2012-01-01

    Full Text Available Materials and Methods: The study was performed on prospective donors who reported to the Department of Transfusion Medicine. Individuals deferred due to hypertension contributed the study population. They were compared with age and sex matched donor controls. Demographic details were recorded in a proforma. On identification of a hypertensive individual, consequent two comparable donors were taken as controls with a total of 50 hypertensive subjects. Hypertensive status of the subjects were assessed based on the criteria formulated by the WHO-ISH and US Seventh Joint National Committee report on prevention, detection, evaluation and treatment of high blood pressure. Results: About 0.95% of healthy blood donors had undetected hypertension. Mean age at detection of hypertension in the study group was 35.44 ± 7.69 years. Higher BMI was observed in the hypertensive group compared to normotensive control group with P value significant at 0.0001. Conclusion: About 1% of healthy individuals were found to have undetected hypertension. Though the study was not designed to determine the prevalence of hypertension in the region, it is a rough estimate of the proportion of undetected hypertension in the local population as donors are considered as representative of healthy population.

  18. SHEKI AS A CULTURAL TOURISM CENTER

    OpenAIRE

    Ismayilova, Elnara

    2014-01-01

    Abstarct: The article about the Azerbaijan city and this place is very interesting for every tourists. There are a lot of ancient monuments and historical places in Sheki. You can see Azerbaijan traditions, old history, delicious cuisine and beautiful nature, too. Every tourists can stay in Caravanserai hotel, to walk forest Markhal, to eat delicious “Sheki halva” and watch old game of Azerbaijan “Chovgan” in Sheki city.

  19. Brunam: a development centered on the tube

    International Nuclear Information System (INIS)

    In more than 20 years, the Brunam company has become a leader in the domain of tube intervention operations of three different kinds: prevention and analysis, onload operations, exploitation materials. The 1996 overturn of the company has improved with respect to 1995 and reached 40 millions of French Francs. Today's activity of the company is devoted to natural gas industry (50%), to petroleum and petrochemistry industry (40%), and to nuclear industry (10%). This short paper describes the three aspects of the company intervention operations and the research and development services provided to Gaz de France (GdF) company for the renovation of the French natural gas network. (J.S.)

  20. Trephine stoma: Outcomes in a single center

    Directory of Open Access Journals (Sweden)

    Abdullah Oğuz

    2015-06-01

    Full Text Available Objective: Fecal diversion is often indicated in cases with fecal incontinence, Fournier’s gangrene, anal fistula, and inoperable obstructive anorectal cancer. Trephine colostomy can be performed without necessitating laparotomy. We present our experience related to the outcome of trephine sigmoid colostomy. Methods: The retrospective study included 14 patients who underwent trephine colostomy due to various conditions including Fournier’s gangrene, inoperable anorectal cancer, recto-vaginal fistula, and benign stricture due to radiotherapy at our clinic between January 2010 and January 2015. Results: Patients comprised 4 females and 10 males with a mean age of 52.07 years. The indications for stoma formation were Fournier’s gangrene in 7 cases, inoperable anorectal cancer in 5, rectovaginal fistula in 1, and benign stricture due to radiotherapy in 1 case. Eight patients underwent surgery under regional anesthesia. All the patients underwent trephine loop sigmoid colostomy. One patient had second operation on the postoperative period due to colostomy prolapse. The temporary stomas were closed in 3 months. Mean length of hospital stay was 14 days. Conclusion: Trephine stoma is a relatively simple, safe and rapid procedure and an effective alternative to colostomy formation without laparotomy indications. It can be performed under emergency or elective conditions with low morbidity. J Clin Exp Invest 2015; 6 (2: 87-90

  1. Neonatal gastric perforation: A single center experience

    Institute of Scientific and Technical Information of China (English)

    Jeik; Byun; Hyun; Young; Kim; Seung; Yeon; Noh; Soo; Hong; Kim; Sung; Eun; Jung; Seong; Cheol; Lee; Kwi; Won; Park

    2014-01-01

    AIM: To determine the etiology and prognostic factors for neonatal gastric perforation(NGP), a rare but life-threatening disease.METHODS: Between 1980 and 2011, nine patients un-derwent surgical intervention for NGP at Seoul National University Children’s Hospital. The characteristics and prognosis of the patients were retrospectively analyzed.RESULTS: Among the nine patients, three(33.3%) were preterm babies and five(55.5%) had associated anomalies, which included diaphragmatic eventration(n = 2), congenital diaphragmatic hernia, esophageal atresia with tracheoesophageal fistula, and antral web. Three(33.3%) patients were born before 1990 and three(33.3%) had a birth weight < 2500 g. Pneumo-peritoneum was found on preoperative images in six(66.7%) patients, and incidentally in the other three(33.3%) patients. Surgery was performed within 24 h after the onset of symptoms in seven(77.8%) patients. The overall mortality rate was 22.2%(2/9). The time between symptoms and surgical intervention was the only prognostic factor for survival, whereas premature birth and birth weight were not.CONCLUSION: Early detection and advances in neo-natal intensive care may improve the prognosis of NGP.

  2. The National Center for Atmospheric Research (NCAR) Research Data Archive: a Data Education Center

    Science.gov (United States)

    Peng, G. S.; Schuster, D.

    2015-12-01

    The National Center for Atmospheric Research (NCAR) Research Data Archive (RDA), rda.ucar.edu, is not just another data center or data archive. It is a data education center. We not only serve data, we TEACH data. Weather and climate data is the original "Big Data" dataset and lessons learned while playing with weather data are applicable to a wide range of data investigations. Erroneous data assumptions are the Achilles heel of Big Data. It doesn't matter how much data you crunch if the data is not what you think it is. Each dataset archived at the RDA is assigned to a data specialist (DS) who curates the data. If a user has a question not answered in the dataset information web pages, they can call or email a skilled DS for further clarification. The RDA's diverse staff—with academic training in meteorology, oceanography, engineering (electrical, civil, ocean and database), mathematics, physics, chemistry and information science—means we likely have someone who "speaks your language." Data discovery is another difficult Big Data problem; one can only solve problems with data if one can find the right data. Metadata, both machine and human-generated, underpin the RDA data search tools. Users can quickly find datasets by name or dataset ID number. They can also perform a faceted search that successively narrows the options by user requirements or simply kick off an indexed search with a few words. Weather data formats can be difficult to read for non-expert users; it's usually packed in binary formats requiring specialized software and parameter names use specialized vocabularies. DSs create detailed information pages for each dataset and maintain lists of helpful software, documentation and links of information around the web. We further grow the level of sophistication of the users with tips, tutorials and data stories on the RDA Blog, http://ncarrda.blogspot.com/. How-to video tutorials are also posted on the NCAR Computational and Information Systems

  3. A Result Data Offloading Service for HPC Centers

    Energy Technology Data Exchange (ETDEWEB)

    Monti, Henri [Virginia Polytechnic Institute and State University (Virginia Tech); Butt, Ali R [Virginia Polytechnic Institute and State University (Virginia Tech); Vazhkudai, Sudharshan S [ORNL

    2007-01-01

    Modern High-Performance Computing applications are consuming and producing an exponentially increasing amount of data. This increase has lead to a significant number of resources being dedicated to data staging in and out of Supercomputing Centers. The typical approach to staging is a direct transfer of application data between the center and the application submission site. Such a direct data transfer approach becomes problematic, especially for staging-out, as (i) the data transfer time increases with the size of data, and may exceed the time allowed by the center's purge policies; and (ii) the submission site may not be online to receive the data, thus further increasing the chances for output data to be purged. In this paper, we argue for a systematic data staging-out approach that utilizes intermediary data-holding nodes to quickly offload data from the center to the intermediaries, thus avoiding the peril of a purge and addressing the two issues mentioned above. The intermediary nodes provide temporary data storage for the staged-out data and maximize the offload bandwidth by providing multiple data-flow paths from the center to the submission site. Our initial investigation shows such a technique to be effective in addressing the above two issues and providing better QOS guarantees for data retrieval.

  4. AUTOMATION OF BUISNESS-PROCESSES OF A TRAINING CENTER

    Directory of Open Access Journals (Sweden)

    Kovalenko A. V.

    2015-06-01

    Full Text Available The modern Russian companies have realized the need of automation of document flow not only as a mean of keeping documents in order, but also as a tool of optimization of expenses, as an assistant in adoption of administrative decisions. The Russian market of information systems for long time had no software products intended for educational institutions. The majority of the automated systems are intended for the enterprises with an activity in the sphere of trade and production. In comparison with the above companies, the list of software products for commercial training centers is small. Even considering the developed line of programs it is impossible to speak about meeting all the requirements for companies of such activity. At creation of the automated system for training center, the analysis of the existing software products intended for automation of training centers and adjacent institutes was carried out; a number of features of activity are revealed. The article is devoted to the description of the developed automated information system of document flow of a commercial educational institution, namely the developed configuration of "Training center" on a platform of "1C: Enterprise 8.2". The developed program complex serving as the administrative tool for the analysis of economic activity of training center, scheduling of the educational equipment and teaching structure, payroll calculation taking into account specifics of branch has been presented in the article

  5. Integrating Automation into a Multi-Mission Operations Center

    Science.gov (United States)

    Surka, Derek M.; Jones, Lori; Crouse, Patrick; Cary, Everett A, Jr.; Esposito, Timothy C.

    2007-01-01

    NASA Goddard Space Flight Center's Space Science Mission Operations (SSMO) Project is currently tackling the challenge of minimizing ground operations costs for multiple satellites that have surpassed their prime mission phase and are well into extended mission. These missions are being reengineered into a multi-mission operations center built around modern information technologies and a common ground system infrastructure. The effort began with the integration of four SMEX missions into a similar architecture that provides command and control capabilities and demonstrates fleet automation and control concepts as a pathfinder for additional mission integrations. The reengineered ground system, called the Multi-Mission Operations Center (MMOC), is now undergoing a transformation to support other SSMO missions, which include SOHO, Wind, and ACE. This paper presents the automation principles and lessons learned to date for integrating automation into an existing operations environment for multiple satellites.

  6. Envisioning a Quantitative Studies Center: A Liberal Arts Perspective

    Directory of Open Access Journals (Sweden)

    Gizem Karaali

    2010-01-01

    Full Text Available Several academic institutions are searching for ways to help students develop their quantitative reasoning abilities and become more adept at higher-level tasks that involve quantitative skills. In this note we study the particular way Pomona College has framed this issue within its own context and what it plans to do about it. To this end we describe our efforts as members of a campus-wide committee that was assigned the duty of investigating the feasibility of founding a quantitative studies center on our campus. These efforts involved analysis of data collected through a faculty questionnaire, discipline-specific input obtained from each departmental representative, and a survey of what some of our peer institutions are doing to tackle these issues. In our studies, we identified three critical needs where quantitative support would be most useful in our case: tutoring and mentoring for entry-level courses; support for various specialized and analytic software tools for upper-level courses; and a uniform basic training for student tutors and mentors. We surmise that our challenges can be mitigated effectively via the formation of a well-focused and -planned quantitative studies center. We believe our process, findings and final proposal will be helpful to others who are looking to resolve similar issues on their own campuses.

  7. Towards a spin radar with Nitrogen Vacancy centers in diamond

    Science.gov (United States)

    Ajoy, Ashok; Liu, Yixiang; Cappellaro, Paola

    2016-05-01

    Nitrogen Vacancy (NV) centers in diamond are a promising platform for nanoscale magnetic resonance imaging. The NV spin can be used to sense the presence of external nuclear spins, and through them biomolecule structure, by exploiting anisotropic hyperfine interactions. The NV center thus effectively acts as a dipole ``antenna'', detecting and identifying spins at different spatial locations. The antenna dipole is typically set by the diamond and target sample geometry, and nuclear spins are often found in the NV's dipole blind spot. In this work, we demonstrate an experimental technique by which one can controllably turn and manipulate the direction of this effective NV antenna over a wide range of approximately +-40 degrees. In combination with filtered back projection techniques, this method allows reconstructing with high resolution the real space position of spins in the NV center environment.

  8. A center vortex representaton of the classical SU(2) vacuum

    CERN Document Server

    Olesen, P

    2016-01-01

    The classical massless SU(2) field theory has an infinite number of gauge equivalent representations of the vacuum. We show that among these there exists a center vortex representation with some similarity to the quantum vacuum of the same theory. This classical perturbative SU(2) vacuum consists of a lattice of center vortex pairs combining to triviality. However, this triviality is broken by perturbations, for example by adding a mass term, or by considering the electroweak theory where the Higgs field does the breaking, or by quantum fluctuations like in QCD.

  9. Managerial Cost Accounting for a Technical Information Center.

    Science.gov (United States)

    Helmkamp, John G.

    A two-fold solution to the cost information deficiency problem is proposed. A formal managerial cost accounting system is designed expressly for the two information services of retrospective search and selective dissemination. The system was employed during a trial period to test its effectiveness in a technical information center. Once…

  10. Integrating Mindfulness Meditation within a University Counseling Center Setting

    Science.gov (United States)

    Kurash, Cheryl; Schaul, Jonathan

    2006-01-01

    This paper documents the development of a mindfulness meditation component within a University Counseling Center setting. The specific focus is upon the inclusion of meditation as it pertains to both organizational structure and psychotherapy training. The integration of a meditation practice into any organization is a slow process that poses…

  11. A radio search for planetary nebulae near the galactic center

    International Nuclear Information System (INIS)

    Because of galactic center is a hostile environment, and because planetaries are weak radio emitters, it is not clear a priori that one expects to detect any planetary nebulae at all in the nuclear region of the Galaxy. Therefore the expected lifetime and flux density distribution of galactic center nebulae is considered. The principal observational results from the Westerbork data, and the results of some pilot observations with the Very Large Array, which were intended to distinguish planetaries from other radio sources on an individual basis are given. (Auth.)

  12. Group Treatment of Eating Disorders in a University Counseling Center.

    Science.gov (United States)

    Snodgrass, Gregory; And Others

    Sociocultural pressures to pursue an unrealistic ideal of thinness have contributed to an increasing number of students seeking help at a university counseling center for the eating disorders of anorexia nervosa and bulimia. To help these students, a group treatment technique was developed using a cognitive-behavioral approach. Treatment…

  13. Building Fluent Performance in a Customer Call Center.

    Science.gov (United States)

    Binder, Carl; Sweeney, Lee

    2002-01-01

    Discusses the potential for improving training and coaching program effectiveness by using fluency-development methods. Describes the revision of a new-hire training program in a customer call center that applied a fluency-based approach to reduce training time by one-third, accelerate productivity readiness, and surpass benchmark productivity…

  14. A usage-centered evaluation methodology for unmanned ground vehicles

    NARCIS (Netherlands)

    Diggelen, J. van; Looije, R.; Mioch, T.; Neerincx, M.A.; Smets, N.J.J.M.

    2012-01-01

    This paper presents a usage-centered evaluation method to assess the capabilities of a particular Unmanned Ground Vehicle (UGV) for establishing the operational goals. The method includes a test battery consisting of basic tasks (e.g., slalom, funnel driving, object detection). Tests can be of diffe

  15. The Use of Family Therapy within a University Counseling Center

    Science.gov (United States)

    Jackson, Kathryn

    2009-01-01

    As a counterpoint to the oftentimes adversarial way that parents are viewed when they appear to be overinvolved in the lives of their college-aged students, this article advocates for the use of a family therapy perspective in university counseling centers. Benefits of this perspective include a broadening of the lens through which individual…

  16. Medicine as a corporate enterprise, patient welfare centered profession, or patient welfare centered professional enterprise?

    Directory of Open Access Journals (Sweden)

    Ajai R. Singh

    2005-11-01

    become a corporate enterprise or remain a patient welfare centered profession. A third approach involves an eclectic resolution of the two. Such amount of patient welfare as also ensures profit, and such amount of profit as also ensures patient welfare is to be forwarded. For, profit, without patient welfare, is blind. And patient welfare, without profit, is lame. According to this approach, medicine becomes a patient welfare centered professional enterprise. The various ramifications of each of these approaches are discussed in this monograph.

  17. Developing a center for Hispanic youth violence prevention.

    Science.gov (United States)

    Mirabal-Colón, Brenda

    2003-03-01

    Youth violence is a serious public health problem, described by the Surgeon General's Report on Youth Violence (2001). Homicide is the second cause of death for the 15-24 age population in the USA and Puerto Rico; intentional injuries also result in significant morbidity. Youth are at greater risk of being victims than perpetrators of violence. African American and Hispanic youth are at particular risk. Effective, community-based initiatives to prevent youth violence are necessary to interrupt the cycle of violence. In 2000, the Centers for Disease Control and Prevention of the Department of Health and Human Services awarded grants to establish ten Academic Centers of Excellence for Youth Violence Prevention. This article describes the development of the Center for Hispanic Youth Violence Prevention, of the FILIUS Institute of the University of Puerto Rico. PMID:12733449

  18. CONGESTION AS A RESULT OF SCHOOL AND SHOPPING CENTER ACTIVITY

    Directory of Open Access Journals (Sweden)

    Meike Kumaat

    2015-12-01

    Full Text Available Development of land use in public facilities such as shopping center and school gives an impact on transportation problem in Manado City, North Sulawesi.  To determine factors which have causal relationship with congestion  as a result of school and shopping center activity then it need to be assessed and studied.  Descriptive study with observational survey was used in this study. The study ran Structural Equation Modelling (SEM by using AMOS program. Estimated method was used to calculate sample size then found 300 repondents, comprised : visitors and mall managers, school visitors, parents, school managers, Public Works department, and urban planning department .The study yielded a statistically significant correlation between  school and shopping center activity with congestion s. The result  indicated that school activity was positively related to congestion with p value  at p=0,000 (p ≤ 0,05. Shopping center activity was positively related to congestion with p value  at p=0,000 (p ≤ 0,05. The closer proximity from school to shooping center will causes severe traffic congestion. The relationship between school facility with proximity was found in p value at  p=0,000 (p ≤ 0,05 . The relationship between shopping center facility with proximity was found in p value at  p= 0,020 (p ≤ 0,05. While, the relationship between proximity with congestion was p= 0,008 (p ≤ 0,05. Monastery school and Mega Mall activity were affecting congestion because a closer proximity of two facilities. This indicates that the occurence of traffic congestion in Monastery School  may be dependent on existence of  Piere Tendean road link

  19. Progress to a Gallium-Arsenide Deep-Center Laser

    Directory of Open Access Journals (Sweden)

    Janet L. Pan

    2009-10-01

    Full Text Available Although photoluminescence from gallium-arsenide (GaAs deep-centers was first observed in the 1960s, semiconductor lasers have always utilized conduction-to-valence-band transitions. Here we review recent materials studies leading to the first GaAs deep-center laser. First, we summarize well-known properties: nature of deep-center complexes, Franck-Condon effect, hotoluminescence. Second, we describe our recent work: insensitivity of photoluminescence with heating, striking differences between electroluminescence and photoluminescence, correlation between transitions to deep-states and absence of bandgap-emission. Room-temperature stimulated-emission from GaAs deep-centers was observed at low electrical injection, and could be tuned from the bandgap to half-the-bandgap (900–1,600 nm by changing the electrical injection. The first GaAs deep-center laser was demonstrated with electrical injection, and exhibited a threshold of less than 27 mA/cm2 in continuous-wave mode at room temperature at the important 1.54 μm fiber-optic wavelength. This small injection for laser action was explained by fast depopulation of the lower state of the optical transition (fast capture of free holes onto deep-centers, which maintains the population inversion. The evidence for laser action included: superlinear L-I curve, quasi-Fermi level separations satisfying Bernard-Duraffourg’s criterion, optical gains larger than known significant losses, clamping of the optical-emission from lossy modes unable to reach laser action, pinning of the population distribution during laser action.

  20. Fluor Hanford ALARA Center is a D and D Resource

    International Nuclear Information System (INIS)

    The mission at the Hanford Nuclear Reservation changed when the last reactor plant was shut down in 1989 and work was started to place all the facilities in a safe condition and begin decontamination, deactivation, decommissioning, and demolition (D and D). These facilities consisted of old shutdown reactor plants, spent fuel pools, processing facilities, and 177 underground tanks containing 53 million gallons of highly radioactive and toxic liquids and sludge. New skills were needed by the workforce to accomplish this mission. By 1995, workers were in the process of getting the facilities in a safe condition and it became obvious improvements were needed in their tools, equipment and work practices. The Hanford ALARA Program looked good on paper, but did little to help contractors that were working in the field. The Radiological Control Director decided that the ALARA program needed to be upgraded and a significant improvement could be made if workers had a place they could visit that had samples of the latest technology and could talk to experienced personnel who have had success doing D and D work. Two senior health physics personnel who had many years experience in doing radiological work were chosen to obtain tools and equipment from vendors and find a location centrally located on the Hanford site. Vendors were asked to loan their latest tools and equipment for display. Most vendors responded and the Hanford ALARA Center of Technology opened on October 1, 1996. Today, the ALARA Center includes a classroom for conducting training and a mockup area with gloveboxes. Two large rooms have a containment tent, several glove bags, samples of fixatives/expandable foam, coating displays, protective clothing, heat stress technology, cutting tools, HEPA filtered vacuums, ventilation units, pumps, hydraulic wrenches, communications equipment, shears, nibblers, shrouded tooling, and several examples of innovative tools developed by the Hanford facilities. See Figures I and

  1. Succession Planning in a Parent Center. Alliance Action Information Sheets

    Science.gov (United States)

    Technical Assistance ALLIANCE for Parent Centers, 2006

    2006-01-01

    The job of executive director of a parent center can be very rewarding. An executive director is in the position to bring change to the lives of children with disabilities and their families. Directors, assisted by the board of directors and key staff members, are in a position to create many new opportunities for designing and shaping the growth…

  2. A College Financial Management Center: What Do Students Think?

    Science.gov (United States)

    Vienne, Kristy; Slate, John R.

    2009-01-01

    With the increasing cost of a college education on the rise, college administrators need to address the long term financial, psychological, and academic risks associated with the increased responsibility of personal debt. In this qualitative study, college students' perspectives regarding the need for a personal financial management center at a…

  3. "Hospes": The Wabash Center as a Site of Transformative Hospitality

    Science.gov (United States)

    Jones, Carolyn M.

    2007-01-01

    The Wabash Center for Teaching and Learning in Theology and Religion is a place of hospitality and its staff the epitome of the "good host." This essay explores the meaning of hospitality, including its problematic dimensions, drawing on a number of voices and texts: Jacques Derrida's "Of Hospitality"; Henri M. Nouwen's "Reaching Out: The Three…

  4. Electron-mediating Cu(A) centers in proteins

    DEFF Research Database (Denmark)

    Epel, Boris; Slutter, Claire S; Neese, Frank;

    2002-01-01

    High field (W-band, 95 GHz) pulsed electron-nuclear double resonance (ENDOR) measurements were carried out on a number of proteins that contain the mixed-valence, binuclear electron-mediating Cu(A) center. These include nitrous oxide reductase (N(2)OR), the recombinant water-soluble fragment of s...

  5. Human-centered text mining: a new software system

    NARCIS (Netherlands)

    J. Poelmans; P. Elzinga; A.A. Neznanov; G. Dedene; S. Viaene; S. Kuznetsov

    2012-01-01

    In this paper we introduce a novel human-centered data mining software system which was designed to gain intelligence from unstructured textual data. The architecture takes its roots in several case studies which were a collaboration between the Amsterdam-Amstelland Police, GasthuisZusters Antwerpen

  6. Creating a Resource Center for Homeschoolers: The Impact of Technology.

    Science.gov (United States)

    Javid, Mahnaz A.

    1998-01-01

    Summarizes the findings of a two-month case study of Edmonds Cyberschool (Washington), a resource center for homeschoolers. The study focused on the impact of technology on students' learning as indicated in three areas: attitude toward technology, the use of technology, and value of technology versus other available resources. (Author/LRW)

  7. AstronomyCenter.org - A Digital Library for Astronomy 101

    Science.gov (United States)

    Gagne, M.; Monahan, P.; Deustua, S.; Mason, B.

    2004-12-01

    The AAS is sponsoring the development of a digital collection of online resources for teaching introductory astronomy: astronomycenter.org. Astronomy Center is part of the ComPADRE project with the AIP and its member organizations (see Deustua et al. at this meeting). The goal of Astronomy Center is to build a portal that will be a broad collection of high-quality digital resources, a useful and inviting interface to search and browse the collection, and an online meeting place for faculty at a variety of institutions to gather and share information. The collection will be launched in early 2005 and will initially contain a few hundred resources, selected primarily by Astronomy Center staff. The collection will grow through user and author submissions. Meanwhile, resources will be peer-reviewed and featured on the site as the collection grows. We will present the astronomycenter.org site, the user interface, some resources in the collection, the peer review process, and how members of the community can get involved with Astronomy Center. This work was made possible by a NSF National Science, Technology, Engineering and Mathematics Digital Library (NSDL) grant to the AAPT, AIP, and AAS.

  8. Traumatic ruptured globe eye injuries in a large urban center

    Directory of Open Access Journals (Sweden)

    Burstein ES

    2013-03-01

    Full Text Available Eitan S Burstein, Douglas R LazzaroDepartments of Ophthalmology, SUNY Downstate Medical Center and Kings County Hospital Center, Brooklyn, NY, USABackground: The purpose of this study was to examine patient characteristics and outcomes in a group of consecutive patients with ruptured globe eye injuries at Kings County Hospital Center, a large, urban, level 1 trauma center.Methods: A retrospective chart review was performed to identify all patients with ruptured globe eye injuries seen between January 2009 and October 2011. Thirty-eight patients who sustained ruptured globe eye injuries from all causes were investigated for etiology and final visual outcomesResults: Eight eyes in which vision could be assessed were evaluated as having no light perception at presentation and three of these eyes required primary enucleation. Of the 38 eyes, orbit fractures were found in 15 eyes and an intraocular foreign body was found in six eyes.Discussion: Our cohort revealed a 37.5% rate of primary enucleation in eyes with no light perception, which we believe to be a reflection of the severity of injury. All three cases were secondary to a gunshot wound. Further, our sample, although small in size, revealed a very high percentage of eyes that were ruptured secondary to violent causes compared with other studies.Keywords: rupture, trauma, violence, urban, epidemiology, emergency, globe

  9. A Distributed Weighted Voting Approach for Accurate Eye Center Estimation

    Directory of Open Access Journals (Sweden)

    Gagandeep Singh

    2013-05-01

    Full Text Available This paper proposes a novel approach for accurate estimation of eye center in face images. A distributed voting based approach in which every pixel votes is adopted for potential eye center candidates. The votes are distributed over a subset of pixels which lie in a direction which is opposite to gradient direction and the weightage of votes is distributed according to a novel mechanism.  First, image is normalized to eliminate illumination variations and its edge map is generated using Canny edge detector. Distributed voting is applied on the edge image to generate different eye center candidates. Morphological closing and local maxima search are used to reduce the number of candidates. A classifier based on spatial and intensity information is used to choose the correct candidates for the locations of eye center. The proposed approach was tested on BioID face database and resulted in better Iris detection rate than the state-of-the-art. The proposed approach is robust against illumination variation, small pose variations, presence of eye glasses and partial occlusion of eyes.Defence Science Journal, 2013, 63(3, pp.292-297, DOI:http://dx.doi.org/10.14429/dsj.63.2763

  10. Establishing a center of excellence: the Total Joint Center at the Miriam Hospital.

    Science.gov (United States)

    Ferguson, Gary M; Froehlich, John A

    2013-03-01

    The Total Joint Center at The Miriam Hospital has been very successful and now serves as a model for other specialties. Key to this program’s success is the cooperative relationship between various stakeholders. Leadership is required yet the input and participation of all is necessary to achieve the desired outcome. To achieve efficiencies, there must be a willingness to deeply integrate clinical services. Again, this requires input from sectors that in the past typically did not communicate with each other. Finally, surgeons and staff need to "pledge" and show their willingness to practice based on sound patient data and modify treatment based on this same data. We are extremely proud of the results achieved. Also impressive is how, in a very short period of time, we have been able to bring together an extremely dedicated team of professionals who work cooperatively in a seamless fashion. With this approach we are able to meet our strategic goal of providing state-of-the-art, high quality, patient-centric, efficient healthcare.

  11. Off-Center D- Centers in a Quantum Dot in the Presence of a Perpendicular Magnetic Fields

    Institute of Scientific and Technical Information of China (English)

    XIE Wen-Fang

    2001-01-01

    We investigate the effect of the position of the donor in quantum dots on the energy spectrum in the presence ofa perpendicular magnetic field by using the method of few-body physics. As a function of the magnetic field, we find, when D- centers are placed sufficiently off-center, discontinuous ground-state transitions which are similar to those found in many-electron parabolic quantum dots. Series of magic numbers of angular momentum which minimize the ground-state electron-electron interaction energy have been discovered. The dependence of the binding energy of the ground-state of the 1D- center on the dot radius for a few values of the magnetic field strength is obtained and compared with other results.

  12. HMI/ SCADA standards in the design of data center interfaces: A network operations center case study

    Directory of Open Access Journals (Sweden)

    Said Filali-Yachou

    2015-01-01

    Full Text Available En este artículo se presenta la evaluación de las interfaces de la sala del Centro de Operaciones NOC (Network Operations Cent er del NAP (Network Access Point de Canarias, siguiendo estándares y normativas HMI, así como la guía ergonómica de supervisión GEDI S. En base a los resultados obtenid os, se presenta un prototipo de mejora de la interfaz actual.El Centro de Operaciones NOC del Instituto Tecnológico y de Energías Renovables (ITER se encarga de monit orizar las diversas infraestructuras del Data Center como son l a climatización, suminis tro eléctrico, protec ción contra incendio s, seguridad, centros técnicos, parques eólicos, plantas fotovo ltaicas, así como las distintas infraestructura s desplegadas alrededor del c able submarino perteneciente al consorcio de Cana-Link (el cabl e que une la Península y Canarias, el anillo terrestre y la Red IRIS. Para unificar algunos de estos sistemas y facilitar la tarea diaria de supervisión, se emplea un software SC ADA especializad o en la gestió n de edificios.

  13. "Out in the Rural: A Health Center in Mississippi"

    Directory of Open Access Journals (Sweden)

    Carolyn Chu

    2006-08-01

    Full Text Available Prior to the 1960s, most health care in the United States had been delivered privately to those who could afford it or administered via church-based “charity” systems to those who could not. When President Lyndon B. Johnson and the federal government declared a “war on poverty” via the Economic Opportunity Act of 1964, medical and civil rights activists seized the opportunity to create public health systems that could reduce disparities in wealth and health. At the time H. Jack Geiger was a young doctor working at Tufts University. As a medical student, Dr. Geiger had studied the principles of Community Oriented Primary Care with Sidney Kark and colleagues in rural Natal, South Africa. [See page 116 of this issue] Along with the residents of North Bolivar County, Mississippi, Dr. Geiger worked to establish a center that would combine local resources with federal funds to empower this economically devastated community of the Mississippi Delta. By establishing a network of aggressive outreach and education efforts, and developing multiple health employment opportunities, the Delta Health Center and its participants became an engine for social reform. The Community Health Center model was adopted widely by the federal government and today is administered by the Bureau of Primary Care (http://bphc.hrsa.gov/. Dr. Geiger is currently a Professor Emeritus at the Department of Community Health and Social Medicine at the Sophie Davis School of Biomedical Education at City College in New York City. The film Shot in the fall of 1969 and the winter of 1970, “Out in the Rural: A Health Center in Mississippi” highlights one of the very first Community Health Centers in the United States: the Tufts-Delta Health Center of North Bolivar County, Mississippi. The film captures the broad vision of a community health center involved in far more than traditional medical diagnosis and treatment. Credits Music: The Locust Grove Choir and The Shelby Male

  14. The Career Center: Becoming Paperless is a Bonus.

    Science.gov (United States)

    Allen, Claudia

    1997-01-01

    Looks at how technology is changing the way career centers conduct business. Examines the move toward a "paperless office" and the risk of not serving everyone by going paperless. Describes ways in which technology is increasing student preparedness and the need to answer students increasingly informed questions in person. (RJM)

  15. A mathematical model on germinal center kinetics andtermination

    DEFF Research Database (Denmark)

    Kesmir, Can; De Boer, R.J.

    1999-01-01

    We devise a mathematical model to study germinal center (GC) kinetics. Earlier models for GC kinetics areextended by explicitly modeling 1) the cell division history of centroblasts, 2) the Ag uptake by centrocytes,and 3) T cell dynamics. Allowing for T cell kinetics and T-B cell interactions, we...

  16. The Use of Clinical Hypnosis in a College Counseling Center.

    Science.gov (United States)

    Cohen, Herbert A.

    This report describes the use of hypnosis at the Hiram College Counseling Center, a counseling technique that has been especially helpful in academic, athletic, and personal improvement areas. The induction techniques of hypnosis are described as well as the use of hyperempiria. The use of hypnosis in improving study habits and alleviating test…

  17. Interdisciplinarity in work process at a Psychosocial Attention Center

    Directory of Open Access Journals (Sweden)

    Maria Salete Bessa Jorge

    2010-09-01

    Full Text Available Objective: To analyze the work process of mental health professionals from a Psychosocial Attention Center (CAPS, from the knowledge and the practices applied in the production of care and its interface with user’s demands and the service offering. Methods: A case study with qualitative approach. Twenty-eight subjects joined in and were divided into three groups: I (eleven mental health workers, II (eleven users e III (six family members. The semistructured interview was used besides systematic observation, in the search for data about the work process of the professionals of the Psychosocial Attention Center, the relationship between team and user, offering and demand, access, technologies of care, knowledge and practices and interdisciplinarity. The investigation was based upon critical content analysis and was oriented by the flowchart analyzer. Results: The service organization and its work process are directed to the immediate supply of the population’s demands, which depicts a care based on prescriptive practices. Thus, the flow of assistance and the service offering complement each other in the need of a procedure and in its exhaustive offering by the service, dissolving interdisciplinary conductions of intervention shared with the user.Conclusion: Mental health care is still surrounded by biomedical hegemony centered in procedures directed to pharmacological prescription. Despite this reality, the work centered on the user and the utilization of soft technologies – communication, link, welcoming – begin to take part of the daily CAPS service offering, although it is only present in specific activities of certain procedures.

  18. Modeling of uncertainties in reliability centered maintenance - a probabilistic approach

    International Nuclear Information System (INIS)

    Uncertainties in the decision making of reliability centered maintenance (RCM) are discussed. These uncertainties might be unacceptable in many practical applications, leading to non-optimum maintenance strategies. An alternative approach, opening for specified uncertainties is shown to correct this defect. Exemplifying the approach, a simple fire detection system is discussed

  19. Challenging Our Assumptions: Helping a Baby Adjust to Center Care.

    Science.gov (United States)

    Elliot, Enid

    2003-01-01

    Contends that assumptions concerning infants' adjustment to child center care need to be tempered with attention to observation, thought, and commitment to each individual baby. Describes the Options Daycare program for pregnant teens and young mothers. Presents a case study illustrating the need for openness in strategy and planning for…

  20. 77 FR 43368 - Navistar Truck Development and Technology Center, a Subsidiary of Navistar International...

    Science.gov (United States)

    2012-07-24

    ... Employment and Training Administration Navistar Truck Development and Technology Center, a Subsidiary of... October 20, 2011, applicable to workers of Navistar International Truck Development and Technology Center... Truck Development and Technology Center, a Subsidiary of Navistar International Corporation,...

  1. Development framework for a patient-centered record.

    Science.gov (United States)

    Puentes, John; Roux, Michèle; Montagner, Julien; Lecornu, Laurent

    2012-12-01

    Patient records have been developed to support the physician-oriented medical activity scheme. One recommended yet rarely studied alternative, expected to improve healthcare, is the patient-centered record. We propose a development framework for such record, which includes domain-specific database models at the conceptual level, analyzing the fundamental role of complementary information destined to ensure proper patient understanding of related clinical situations. A patient-centered awareness field study of user requirements and medical workflow was carried out in three medical services and two technical units to identify the most relevant elements of the framework, and compared to the definitions of a theoretical approach. Three core data models - centered on the patient, medical personnel, and complementary patient information, corresponding to the determined set of entities, information exchanges and actors roles, constitute the technical recommendations of the development framework. An open source proof of concept prototype was developed to show the model feasibility. The resulting patient-centered record development framework implies particular medical personnel contributions to supply complementary information. PMID:22795581

  2. Building a High Performance Computing Infrastructure for Novosibirsk Scientific Center

    International Nuclear Information System (INIS)

    Novosibirsk Scientific Center (NSC), also known worldwide as Akademgorodok, is one of the largest Russian scientific centers hosting Novosibirsk State University (NSU) and more than 35 research organizations of the Siberian Branch of Russian Academy of Sciences including Budker Institute of Nuclear Physics (BINP), Institute of Computational Technologies (ICT), and Institute of Computational Mathematics and Mathematical Geophysics (ICM and MG). Since each institute has specific requirements on the architecture of the computing farms involved in its research field, currently we've got several computing facilities hosted by NSC institutes, each optimized for the particular set of tasks, of which the largest are the NSU Supercomputer Center, Siberian Supercomputer Center (ICM and MG), and a Grid Computing Facility of BINP. Recently a dedicated optical network with the initial bandwidth of 10 Gbps connecting these three facilities was built in order to make it possible to share the computing resources among the research communities of participating institutes, thus providing a common platform for building the computing infrastructure for various scientific projects. Unification of the computing infrastructure is achieved by extensive use of virtualization technologies based on XEN and KVM platforms. The solution implemented was tested thoroughly within the computing environment of KEDR detector experiment which is being carried out at BINP, and foreseen to be applied to the use cases of other HEP experiments in the upcoming future.

  3. Building a High Performance Computing Infrastructure for Novosibirsk Scientific Center

    Science.gov (United States)

    Adakin, A.; Belov, S.; Chubarov, D.; Kalyuzhny, V.; Kaplin, V.; Kuchin, N.; Lomakin, S.; Nikultsev, V.; Sukharev, A.; Zaytsev, A.

    2011-12-01

    Novosibirsk Scientific Center (NSC), also known worldwide as Akademgorodok, is one of the largest Russian scientific centers hosting Novosibirsk State University (NSU) and more than 35 research organizations of the Siberian Branch of Russian Academy of Sciences including Budker Institute of Nuclear Physics (BINP), Institute of Computational Technologies (ICT), and Institute of Computational Mathematics and Mathematical Geophysics (ICM&MG). Since each institute has specific requirements on the architecture of the computing farms involved in its research field, currentiy we've got several computing facilities hosted by NSC institutes, each optimized for the particular set of tasks, of which the largest are the NSU Supercomputer Center, Siberian Supercomputer Center (ICM&MG), and a Grid Computing Facility of BINP. Recendy a dedicated optical network with the initial bandwidth of 10 Gbps connecting these three facilities was built in order to make it possible to share the computing resources among the research communities of participating institutes, thus providing a common platform for building the computing infrastructure for various scientific projects. Unification of the computing infrastructure is achieved by extensive use of virtualization technologies based on XEN and KVM platforms. The solution implemented was tested thoroughly within the computing environment of KEDR detector experiment which is being carried out at BINP, and foreseen to be applied to the use cases of other HEP experiments in the upcoming future.

  4. A simulation approach to a virtual base defense operating center

    Science.gov (United States)

    Athmer, Keith; Gaughan, Chris

    2010-04-01

    The TRADOC Maneuver Support Center of Excellence (MSCoE) is the Army proponent for protection and in turn, has the mission to support fixed site protection issues. To this end, the Maneuver Support Battle Lab (MSBL) developed a Virtual Base Defense Operating Center (VBDOC) capability that was initiated in support of the Force Protection Joint Experiment (FPJE) to examine data fusion enhancements and improvements to the Common Operating Picture (COP) display. Furthermore BDOC Standard Operating Procedures (SOPs), Tactics, Techniques and Procedures (TTPs), and Unmanned Ground Vehicle (UGV) capabilities were examined in order to optimize manpower, reduce exposure of friendly personnel, and improve force protection. The Modeling and Simulation (M&S) architecture was especially important due to the cost of providing realistic environments, such as Chemical Biological Radiological Nuclear (CBRN) hazards, and the availability of soldiers for experimentation. The VBDOC simulation architecture contains a force-on-force simulation, a CBRN simulation, a desktop UGV Advanced Concepts Research Tool (ACRT) and a sensor controller using the Distributed Interactive Simulation (DIS) protocol. This simulation architecture stimulated actual Command and Control (C2) systems including the Joint Battlespace Command and Control System (JBC2S) and the Joint Warning and Reporting Network (JWARN). These C2 systems, along with video feeds from various sensors and unmanned vehicles, were used by Battle Captains and staffs for situational awareness of the battlefield while conducting the experiment. The VBDOC capability offers a controlled environment to study fixed site protection issues, such as future Concept of Operation (CONOP)/TTP/SOP development and refinement, examining emerging concepts, and assessing specific technology capabilities.

  5. Study of a conceptual nuclear energy center at Green River, Utah. Power demand, load center assessment and transmission

    International Nuclear Information System (INIS)

    This document constitutes a segment of a feasibility study investigating the ramification of constructing a nuclear energy center in an arid western region. In this phase of the study. The projected power demands and load center locations were reviewed and assessed. Alternative transmission systems were analysed and a conceptual transmission for bulk power transportation is proposed with potential line routes. Environmental impacts of the proposed transmission were also identified

  6. A Paradigm Shift in Law Enforcement Training in the Bahamas: Teacher-Centered to Learner-Centered

    Directory of Open Access Journals (Sweden)

    Hunter-Johnson, Yvonne

    2012-10-01

    Full Text Available This study focused on determining whether the learning preference of law enforcement officers in the Bahamas was either pedagogical (teacher-centered or andragogical (student-centered. Law enforcement personnel in a Bahamian police department were administered the Student Orientation Questionnaire (SOQ developed by Christian (1982. One hundred and sixty-eight individuals completed the SOQ. Chi square statistics were calculated on the variables of educational level and gender. The preferred learning orientation was primarily andragogical; those with higher education levels tended to have a higher andragogical orientation. There were no differences by gender. As a result of the findings, a three-step approach is proposed to transition the training environment from one that is teacher-centered to one that is learner-centered

  7. Thrombolytics in VAD management — A single-center experience

    OpenAIRE

    Nair, N.; Schmitt, A A; E.M. Rau; Anders, S.; Sandler, D.; T.B. Icenogle

    2016-01-01

    Background: With continued increase in the use of mechanical circulatory support, the incidence of device thrombus remains a challenge. This study is a retrospective analysis of data at a single center to assess the safety and efficacy of thrombolytic use in durable mechanical assist devices. Methods: Data was analyzed retrospectively from 154 patients who underwent left ventricular assist device (LVAD) implantation from 1/1/2005 to 6/30/2014. The HMII device was implanted in 131 patients ...

  8. 34 CFR 413.31 - Must a National Center have a director?

    Science.gov (United States)

    2010-07-01

    ... 34 Education 3 2010-07-01 2010-07-01 false Must a National Center have a director? 413.31 Section... EDUCATION What Conditions Must Be Met After an Award? § 413.31 Must a National Center have a director? A National Center must have a full-time director who is appointed by the institution serving as the...

  9. A scalable, adaptive, and extensible data center network architecture

    OpenAIRE

    Al-Fares, Mohammad Abdulaziz

    2012-01-01

    Today's largest data centers contain tens of thousands of servers, and they will encompass hundreds of thousands in the very near future. These machines are designed to serve a rich mix of applications and clients with significant aggregate bandwidth requirements; distributed computing frameworks like MapReduce/Hadoop significantly stress the network interconnect, which when compounded with progressively oversubscribed topologies and inefficient multipath forwarding, can cause a major bottlen...

  10. Developing and implementing a patient-centered IT strategy.

    Science.gov (United States)

    Malone, Eileen B; Kirchbdoerfer, Richard G; Wolford-Connors, Ann

    2005-01-01

    The Army Medical Department (AMEDD), a comprehensive worldwide integrated healthcare system with an annual budget of more than $6 billion, more than 50,000 employees, and 2.4 million beneficiaries, developed and implemented a comprehensive patient-centered enterprise-wide information management and information technology strategy to facilitate information management systems and infrastructure decisions by leaders. This article describes a patient-centered model used to organize and link healthcare activities and activity leaders to portray patient care, administrative, business, financial, supply, and strategic support information systems. Activity and IT leaders applied a refined strategic alignment model to identify specific clinical, business, and IT goals and to detail the necessary infrastructure investments using a systems view. The use of patient and process outcome measures tied to the AMEDD's Balanced Score Card' helped leaders to manage IT strategy execution. Now, two years into the effort, a sample activity strategy--outpatient care--is used to illustrate the application of these tools to the development and implementation of a patient-centered IT strategy.

  11. Mining of Business-Oriented Conversations at a Call Center

    Science.gov (United States)

    Takeuchi, Hironori; Nasukawa, Tetsuya; Watanabe, Hideo

    Recently it has become feasible to transcribe textual records from telephone conversations at call centers by using automatic speech recognition. In this research, we extended a text mining system for call summary records and constructed a conversation mining system for the business-oriented conversations at the call center. To acquire useful business insights from the conversational data through the text mining system, it is critical to identify appropriate textual segments and expressions as the viewpoints to focus on. In the analysis of call summary data using a text mining system, some experts defined the viewpoints for the analysis by looking at some sample records and by preparing the dictionaries based on frequent keywords in the sample dataset. However with conversations it is difficult to identify such viewpoints manually and in advance because the target data consists of complete transcripts that are often lengthy and redundant. In this research, we defined a model of the business-oriented conversations and proposed a mining method to identify segments that have impacts on the outcomes of the conversations and can then extract useful expressions in each of these identified segments. In the experiment, we processed the real datasets from a car rental service center and constructed a mining system. With this system, we show the effectiveness of the method based on the defined conversation model.

  12. Impact of urban disaster on a university trauma center.

    Science.gov (United States)

    Hiatt, J R; Larmon, B

    1988-02-01

    On the eve of the 1984 Summer Olympics, a deranged man drove his car at high speed onto a pedestriancrowded sidewalk in a suburb of Los Angeles. The UCLA Medical Center, located two blocks from the scene, received 17 of 51 casualties. One patient arrived in full cardiac arrest and could not be resuscitated. Six had minor injuries or temporary hysteria and did not require admission to hospital. The mean injury severity score of the 10 patients who were admitted was 13.6 (range 3 to 48). Three patients required immediate surgical procedures, and two had delayed orthopedic operations. Specialty consultations were needed in orthopedics, neurosurgery, plastic surgery, otolaryngology, pediatric surgery, and pediatric intensive care. There were no subsequent deaths, although two patients had substantial residual neurologic disability. This episode of unexpected urban violence underscores the need for dedicated trauma services in university centers. Functions of such services include disaster planning, deploying surgical personnel, managing injured patients, and analyzing outcomes. PMID:3348038

  13. The Center for Human Appearance: a multi-specialty concept.

    Science.gov (United States)

    Whitaker, Linton A

    2003-02-01

    At the time of its founding in 1988, The Edwin and Fannie Gray Hall Center for Human Appearance at the University of Pennsylvania was the first such center in a major academic setting dedicated to the multispecialty serious study of problems of appearance. The concept was for five key specialties, originally, and now six, with primary interests in appearance, to meet regularly to present ideas and problems, and to approach the study and treatment of appearance in a comprehensive, scholarly, and multidisciplinary manner. The group has been cohesive, which has depended on frequent and regular personal interactions, as well as an adequate and supportive financial structure. With these factors in place, and a dedication to making it work, there have been publications, new ideas, and teamwork that has made it possible for competing specialties to effectively function together. PMID:12739177

  14. A minimum attention control center for nuclear power plants

    International Nuclear Information System (INIS)

    Control Centers for Nuclear Power Plants have characteristically been designed for maximum attention by the operating staffs of these plants. Consequently, the monitoring, control and diagnostics oriented cognitive activities by these staffs, were mostly ''data-driven'' in nature. This paper addresses a control center concept, under development by Combustion Engineering, that promotes a more ''information-driven'' cognitive interaction process between the operator and the plant. The more ''intelligent'' and therefore less attentive nature of such interactive process utilizes computer implemented cognitive engineered algorithms. The underlying structure of these algorithms is based upon the Critical Function/Success Path monitoring principle. The paper highlights a typical implementation of the minimum attention concept for the handling of unfamiliar safety related events. (author)

  15. Agriculture and biotechnology centers of the PAEC: a resume

    International Nuclear Information System (INIS)

    Pakistan recognized the role of nuclear techniques in agricultural and other biological research and started establishing goal-oriented, multi- disciplinary institutions to help agricultural research in the country. A core manpower was trained and centers established in the cities where most of the agricultural research was located; the objective was to supplement the research activity in areas where nuclear techniques would have a clear advantage. The first centre was established at Tandojam, Sindh and others at Faisalabad, Mymensingh, Peshawar and again at Faisalabad. Apart from agricultural research, these centers utilized their facilities and ventured into other areas such as biotechnology and can now take some pride in contributing in the country's economy and in development of human resource and helping develop a science culture in the country. With better management systems, the inputs seem to have been better utilized. That the end users and the government have recognized the contributions of these centers is evident from the number of farmers visiting these institutions for advice and the number of medals awarded to their scientists by the government. These institutes could, perhaps, have done even better yet it seems their positive contributions outweigh their deficiencies. In this piece of writing a brief history of these institutions is given and some information provided about the raison for their programmes and the environment under which the programmes were executed. A few of their salient achievements have also been mentioned. (author)

  16. Mergers involving academic health centers: a formidable challenge.

    Science.gov (United States)

    Pellegrini, V D

    2001-10-01

    Escalating economic pressures on the clinical enterprise threaten the missions of education and research in many of the most prestigious academic health centers. Following the model of industry, mergers of the healthcare delivery systems of teaching hospitals and clinics held promise for economies of scale and an improved operating margin. Failure to follow business principles in constructing the merged entity, differences in organizational governance and culture, and inability of physician leadership to prioritize, downsize, and consolidate clinical programs to optimize operational efficiencies all compromise the success of such mergers in academic medicine. Academic institutions and their respective governing boards need to exercise greater discipline in financial analysis and a willingness to make difficult decisions that show favor to one parent institution over another if mergers are to be effective in this setting. To date, an example of a vibrant and successful merger of academic health centers remains to be found.

  17. The users centered design of a new digital fluorometer

    International Nuclear Information System (INIS)

    The fluorometer is the equipment used in chemical analysis laboratories, research institutes and nuclear fuel cycle companies. This equipment measures an unknown amount of uranium in ores, rivers, etc. The fluorometer functioning is based on the uranium fluorescence when submitted to the ultraviolet radiation incidence. The fluorescence is measured by an electronic optic system with optics filters, photomultiplier tube, and a current amplifier. The user centered design involves the user in the product development in all phases of the design process. Users are not simply consulted at the beginning of the design process and evaluated the system at the end; they are treated as partners throughout the design process. The user centered design emphasizes the needs and abilities of the users and improves the usability of the equipment. The activity centered design emphasizes the development of the equipment with a deep understanding of the users activities and of the current work practices of the users. The aim of this paper is to present a methodological framework that contributes to the design and evaluation of a new digital fluorometer towards an approach related to the users and their activities. This methodological framework includes users-based testing, interviews, questionnaires, human factors standards and guidelines, the users activity analysis and users satisfaction questionnaire. (author)

  18. A Science Center for the Advanced Composition Explorer

    OpenAIRE

    Garrard, T. L.; Hammond, J S

    1997-01-01

    The Advanced Composition Explorer (ACE) mission is supported by an ACE Science Center for the purposes of facilitating collaborative work. It is intended that coordinated use of a centralized science facility by the ACE team will ensure appropriate use of data formatting standards, thus easing access to the data; will improve communications within and to the ACE science working team; and will reduce redundant effort in data processing.

  19. User-centered iterative design of a collaborative virtual environment

    OpenAIRE

    Boswell, James E.

    2001-01-01

    Most tasks that are desirable to train in a virtual environment are not tasks that we do alone, but rather are executed collaboratively with one or more team members. Yet little is known about how to construct virtual environment training systems that support collaborative behavior. The purpose of this thesis was to explore methodologies for developing collaborative virtual environments for training. Our approach centered on analyzing task or training specific requirements for the simulation ...

  20. Cultivating Data Expertise and Roles at a National Research Center

    Science.gov (United States)

    Thompson, C. A.

    2015-12-01

    As research becomes more computation and data-intensive, it brings new demands for staff that can manage complex data, design user services, and facilitate open access. Responding to these new demands, universities and research institutions are developing data services to support their scientists and scholarly communities. As more organizations extend their operations to research data, a better understanding of the staff roles and expertise required to support data-intensive research services is needed. What is data expertise - knowledge, skills, and roles? This study addresses this question through a case study of an exemplar research center, the National Center for Atmospheric Research (NCAR) in Boulder, CO. The NCAR case study results were supplemented and validated with a set of interviews of managers at additional geoscience data centers. To date, 11 interviews with NCAR staff and 19 interviews with managers at supplementary data centers have been completed. Selected preliminary results from the qualitative analysis will be reported in the poster: Data professionals have cultivated expertise in areas such as managing scientific data and products, understanding use and users, harnessing technology for data solutions, and standardizing metadata and data sets. Staff roles and responsibilities have evolved over the years to create new roles for data scientists, data managers/curators, data engineers, and senior managers of data teams, embedding data expertise into each NCAR lab. Explicit career paths and ladders for data professionals are limited but starting to emerge. NCAR has supported organization-wide efforts for data management, leveraging knowledge and best practices across all the labs and their staff. Based on preliminary results, NCAR provides a model for how organizations can build expertise and roles into their data service models. Data collection for this study is ongoing. The author anticipates that the results will help answer questions on what are

  1. Building diversity in a complex academic health center.

    Science.gov (United States)

    South-Paul, Jeannette E; Roth, Loren; Davis, Paula K; Chen, Terence; Roman, Anna; Murrell, Audrey; Pettigrew, Chenits; Castleberry-Singleton, Candi; Schuman, Joel

    2013-09-01

    For 30 years, the many diversity-related health sciences programs targeting the University of Pittsburgh undergraduate campus, school of medicine, schools of the health sciences, clinical practice plan, and medical center were run independently and remained separate within the academic health center (AHC). This lack of coordination hampered their overall effectiveness in promoting diversity and inclusion. In 2007, a group of faculty and administrators from the university and the medical center recognized the need to improve institutional diversity and to better address local health disparities. In this article, the authors describe the process of linking the efforts of these institutions in a way that would be successful locally and applicable to other academic environments. First, they engaged an independent consultant to conduct a study of the AHC's diversity climate, interviewing current and former faculty and trainees to define the problem and identify areas for improvement. Next, they created the Physician Inclusion Council to address the findings of this study and to coordinate future efforts with institutional leaders. Finally, they formed four working committees to address (1) communications and outreach, (2) cultural competency, (3) recruitment, and (4) mentoring and retention. These committees oversaw the strategic development and implementation of all diversity and inclusion efforts. Together these steps led to structural changes within the AHC and the improved allocation of resources that have positioned the University of Pittsburgh to achieve not only diversity but also inclusion and to continue to address the health disparities in the Pittsburgh community. PMID:23886998

  2. Building a Student-Centered Culture in Times of Natural Disaster: A Case Study

    Science.gov (United States)

    Hlinka, Karen Ramey

    2013-01-01

    Increased rates of student success and persistence have been positively linked to community colleges with student-centered cultures. A student-centered culture is one in which policies and practices promote a consistent message of concern and respect while expecting high standards of academic accomplishment. Developing a student-centered culture…

  3. A revisionist view of the integrated academic health center.

    Science.gov (United States)

    Rodin, Judith

    2004-02-01

    Like many academic health centers that had expanded aggressively during the 1990s, the nation's first vertically integrated academic health center, the University of Pennsylvania Health System, was profoundly challenged by the dramatic and unanticipated financial impacts of the Balanced Budget Act of 1997. The author explains why-although Penn's Health System had lost $300 million over two years and its debts threatened to cause serious financial and educational damage to the rest of the University-Penn chose to manage its way out of the financial crisis (instead of selling or spinning off its four hospitals, clinical practices, and possibly even its medical school). A strategy of comprehensive integration has not only stabilized Penn's Health System financially, but strengthened its position of leadership in medical education, research, and health care delivery. The author argues that a strategy of greater horizontal integration offers important strategic advantages to academic health centers. In an era when major social and scientific problems demand broadly multidisciplinary and highly-integrated approaches, such horizontally integrated institutions will be better able to educate citizens and train physicians, develop new approaches to health care policy, and answer pressing biomedical research questions. Institutional cultural integration is also crucial to create new, innovative organizational structures that bridge traditional disciplinary, school, and clinical boundaries.

  4. Communication technology in trauma centers: a national survey.

    Science.gov (United States)

    Xiao, Yan; Kim, Young-Ju; Gardner, Sharyn D; Faraj, Samer; MacKenzie, Colin F

    2006-01-01

    The relationship between information and communication technology (ICT) and trauma work coordination has long been recognized. The purpose of the study was to investigate the type and frequency of use of various ICTs to activate and organize trauma teams in level I/II trauma centers. In a cross-sectional survey, questionnaires were mailed to trauma directors and clinicians in 457 trauma centers in the United States. Responses were received from 254 directors and 767 clinicians. Communication with pre-hospital care providers was conducted predominantly via shortwave radio (67.3%). The primary communication methods used to reach trauma surgeons were manual (56.7%) and computerized group page (36.6%). Computerized group page (53.7%) and regular telephone (49.8%) were cited as the most advantageous devices; e-mail (52.3%) and dry erase whiteboard (52.1%) were selected as the least advantageous. Attending surgeons preferred less overhead paging and more cellular phone communication than did emergency medicine physicians and nurses. Cellular phones have become an important part of hospital-field communication. In high-volume trauma centers, there is a need for more accurate methods of communicating with field personnel and among hospital care providers. PMID:16434331

  5. The Moving Center of Mass of a Leaking Bob

    CERN Document Server

    Arun, P

    2010-01-01

    The evaluation of variation in oscillation time period of a simple pendulum as its mass varies proves a rich source of discussion in a physics class-room, overcoming erroneous notions carried forward by students as to what constitutes a pendulum's length due to picking up only the results of approximations and ignoring the rigorous definition. The discussion also presents a exercise for evaluating center of mass of geometrical shapes and system of bodies. In all, the pedagogical value of the problem is worth both theoretical and experimental efforts. This article discusses the theoretical considerations.

  6. Center mode of a doubly resonant optical periodic structure

    Science.gov (United States)

    Alagappan, G.; Png, C. E.

    2016-07-01

    An optical periodic structure with a single spatial resonance exhibits a stopband. When a second spatial resonance very close to the first one is added, the resulting doubly resonant structure exhibits a Gaussian enveloped, high quality factor transmission state right at the center of the original stopband. Using a slowly varying envelope approximation, we describe the optical characteristics of this transmission state analytically. The transmission state exists despite an optical structure of low refractive index contrast, and has potential applications in nano-optics, and photonics.

  7. An Instructional Resource Center in a Senior Dental Clinic.

    Science.gov (United States)

    Berrong, Joseph M.; And Others

    1982-01-01

    Development of an instructional materials center and self-instructional materials on clinical dental procedures is described. The center is located near students' operatories and the student-tested programs were developed cost-effectively and relatively quickly. (MSE)

  8. Implementation of a virtual link between power system testbeds at Marshall Spaceflight Center and Lewis Research Center

    Science.gov (United States)

    Doreswamy, Rajiv

    1990-01-01

    The Marshall Space Flight Center (MSFC) owns and operates a space station module power management and distribution (SSM-PMAD) testbed. This system, managed by expert systems, is used to analyze and develop power system automation techniques for Space Station Freedom. The Lewis Research Center (LeRC), Cleveland, Ohio, has developed and implemented a space station electrical power system (EPS) testbed. This system and its power management controller are representative of the overall Space Station Freedom power system. A virtual link is being implemented between the testbeds at MSFC and LeRC. This link would enable configuration of SSM-PMAD as a load center for the EPS testbed at LeRC. This connection will add to the versatility of both systems, and provide an environment of enhanced realism for operation of both testbeds.

  9. Job center

    Science.gov (United States)

    To better meet the needs of AGU members, a program has been started to increase the effectiveness of the Job Center activity at the Spring and Fall Meetings. As a result, participation in the Job Center at the 1988 AGU Spring Meeting in Baltimore increased substantially compared to previous Spring Meetings. The number of employers, applicants, and interviews scheduled more than doubled compared to the 1987 Spring Job Center.In order to make the meeting Job Centers even better, a survey is being conducted of employers and applicants who participated in the 1988 Spring Job Center. Evaluation of this survey will be useful in continuing increased participation in and the effectiveness of the Job Center at the 1988 Fall Meeting. Past participants and those interested in the future of the Job Center are encouraged to forward comments and suggestions to AGU, Member Programs Division, 2000 Florida Ave., N.W., Washington, DC 20009.

  10. Launching or Revitalizing a Teaching Center: Principles and Portraits of Practice

    Science.gov (United States)

    Gray, Tara; Shadle, Susan E.

    2009-01-01

    Some teaching centers flounder while others flourish. This paper provides concrete suggestions for launching or revitalizing a teaching center, drawn from the experiences of these authors and from principles in the literature. Two center directors worked to apply the principles in the literature to their newly launched or revitalized centers. One…

  11. Wings: A New Paradigm in Human-Centered Design

    Science.gov (United States)

    Schutte, Paul C.

    1997-01-01

    Many aircraft accidents/incidents investigations cite crew error as a causal factor (Boeing Commercial Airplane Group 1996). Human factors experts suggest that crew error has many underlying causes and should be the start of an accident investigation and not the end. One of those causes, the flight deck design, is correctable. If a flight deck design does not accommodate the human's unique abilities and deficits, crew error may simply be the manifestation of this mismatch. Pilots repeatedly report that they are "behind the aircraft" , i.e., they do not know what the automated aircraft is doing or how the aircraft is doing it until after the fact. Billings (1991) promotes the concept of "human-centered automation"; calling on designers to allocate appropriate control and information to the human. However, there is much ambiguity regarding what it mean's to be human-centered. What often are labeled as "human-centered designs" are actually designs where a human factors expert has been involved in the design process or designs where tests have shown that humans can operate them. While such designs may be excellent, they do not represent designs that are systematically produced according to some set of prescribed methods and procedures. This paper describes a design concept, called Wings, that offers a clearer definition for human-centered design. This new design concept is radically different from current design processes in that the design begins with the human and uses the human body as a metaphor for designing the aircraft. This is not because the human is the most important part of the aircraft (certainly the aircraft would be useless without lift and thrust), but because he is the least understood, the least programmable, and one of the more critical elements. The Wings design concept has three properties: a reversal in the design process, from aerodynamics-, structures-, and propulsion-centered to truly human-centered; a design metaphor that guides function

  12. A Proposed Approach for Prioritizing Maintenance at NASA Centers

    Science.gov (United States)

    Dunn, Steven C.; Sawyer, Melvin H.

    2013-01-01

    The National Aeronautics and Space Administration (NASA) manages a vast array of infrastructure assets across ten National Centers with a worth of at least 30 billion dollars. Eighty percent of this infrastructure is greater than 40 years old and is in degraded condition. Maintenance budgets are typically less than one percent of current replacement value (CRV), much less than the 2-4% recommended by the National Research Council. The maintenance backlog was 2.55 billion dollars in FY10 and growing. NASA s annual budgets have flattened and are at risk of being reduced, so the problem is becoming even more difficult. NASA Centers utilize various means to prioritize and accomplish maintenance within available budgets, though data is suspect and processes are variable. This paper offers a structured means to prioritize maintenance based on mission criticality and facility performance (ability of the facility to deliver on its purpose). Mission alignment is assessed using the current timeframe Mission Dependence Index and a measure of facility alignment with the 2011 NASA Strategic Plan for the long-term perspective. Facility performance is assessed by combining specific findings from a structured facility condition assessment and an assessment of actual functional output. These are then combined in a matrix to identify the facilities most critical to mission and able to deliver services. The purpose of this approach is to provide the best benefits for the available funding. Additionally, this rationale can also be applied to the prioritization of investment (recapitalization) projects so that the ultimate customers of this paper, the senior infrastructure managers at each NASA Center, are better able to strategically manage their capabilities.

  13. Phosphorus vacancy in InP: A negative- U center

    OpenAIRE

    Alatalo, M.; Nieminen, Risto M.; Puska, Martti J.; Seitsonen, A. P.; Virkkunen, R.

    1993-01-01

    Using first-principles simulations, we identify the phosphorous vacancy in InP as a negative-U center. The deep levels associated with this defect are in the upper half of the band gap, and the charge state changes directly from positive to negative as the Fermi level is raised: the vacancy captures two electrons rather than one. We also obtain the relaxed structures and formation energies for the In and P vacancies as a function of both electron and atomic chemical potentials. Peer reviewed

  14. A Patient-Centered Perspective on Cancer Survivorship

    Directory of Open Access Journals (Sweden)

    Brad Zebrack

    2015-04-01

    Full Text Available Survivorship is a complicated notion because people often confuse a process of survivorship with a mythic identity of being a cancer survivor. This confusion may be a distraction to addressing the real-life struggles and challenges experienced by all people diagnosed with cancer. A more expansive perspective of survivorship, one that attends to patients’ physical, psychological, social, spiritual, and existential challenges throughout a continuum of care, would be more in line with what is known empirically about people’s experiences with cancer. In an effort to gain a patient-centered perspective on cancer, and one that emphasizes multiple dimensions of cancer survivorship, the author reports findings from a non-scientific social media poll (via Facebook and personal emails in which survivors and colleagues working in the field of cancer survivorship answered the question: What does cancer survivorship mean to you? The comments are enlightening and useful for guiding the development of a patient-centered, and, thus, more comprehensive, approach to caring for people affected by cancer.

  15. A phenomenological investigation of science center exhibition developers' expertise development

    Science.gov (United States)

    Young, Denise L.

    The purpose of this study was to examine the exhibition developer role in the context of United States (U.S.) science centers, and more specifically, to investigate the way science center exhibition developers build their professional expertise. This research investigated how successfully practicing exhibition developers described their current practices, how they learned to be exhibition developers, and what factors were the most important to the developers in building their professional expertise. Qualitative data was gathered from 10 currently practicing exhibition developers from three science centers: the Exploratorium, San Francisco, California; the Field Museum, Chicago, Illinois; and the Science Museum of Minnesota, St. Paul, Minnesota. In-depth, semistructured interviews were used to collect the data. The study embraced aspects of the phenomenological tradition and sought to derive a holistic understanding of the position and how expertise was built for it. The data were methodically coded and organized into themes prior to analysis. The data analysis found that the position consisted of numerous and varied activities, but the developers' primary roles were advocating for the visitor, storytelling, and mediating information and ideas. They conducted these activities in the context of a team and relied on an established exhibition planning process to guide their work. Developers described a process of learning exhibition development that was experiential in nature. Learning through daily practice was key, though they also consulted with mentors and relied on visitor studies to gauge the effectiveness of their work. They were adept at integrating prior knowledge gained from many aspects of their lives into their practice. The developers described several internal factors that contributed to their expertise development including the desire to help others, a natural curiosity about the world, a commitment to learning, and the ability to accept critique. They

  16. Double Star Research: A Student-Centered Community of Practice

    Science.gov (United States)

    Johnson, Jolyon

    2016-06-01

    Project and team-based pedagogies are increasingly augmenting lecture-style science classrooms. Occasionally, university professors will invite students to tangentially partcipate in their research. Since 2006, Dr. Russ Genet has led an astronomy research seminar for community college and high school students that allows participants to work closely with a melange of professional and advanced amatuer researchers. The vast majority of topics have centered on measuring the position angles and searations of double stars which can be readily published in the Journal of Double Star Observations. In the intervening years, a collaborative community of practice (Wenger, 1998) formed with the students as lead researchers on their projects with the guidance of experienced astronomers and educators. The students who join the research seminar are often well prepared for further STEM education in college and career. Today, the research seminar involves multile schools in multiple states with a volunteer educator acting as an assistant instructor at each location. These assistant instructors interface with remote observatories, ensure progress is made, and recruit students. The key deliverables from each student team include a published research paper and a public presentation online or in-person. Citing a published paper on scholarship and college applications gives students' educational carreers a boost. Recently the Journal of Double Star Observations published its first special issue of exlusively student-centered research.

  17. Optimal Design of a Center Support Quadruple Mass Gyroscope (CSQMG

    Directory of Open Access Journals (Sweden)

    Tian Zhang

    2016-04-01

    Full Text Available This paper reports a more complete description of the design process of the Center Support Quadruple Mass Gyroscope (CSQMG, a gyro expected to provide breakthrough performance for flat structures. The operation of the CSQMG is based on four lumped masses in a circumferential symmetric distribution, oscillating in anti-phase motion, and providing differential signal extraction. With its 4-fold symmetrical axes pattern, the CSQMG achieves a similar operation mode to Hemispherical Resonant Gyroscopes (HRGs. Compared to the conventional flat design, four Y-shaped coupling beams are used in this new pattern in order to adjust mode distribution and enhance the synchronization mechanism of operation modes. For the purpose of obtaining the optimal design of the CSQMG, a kind of applicative optimization flow is developed with a comprehensive derivation of the operation mode coordination, the pseudo mode inhibition, and the lumped mass twisting motion elimination. The experimental characterization of the CSQMG was performed at room temperature, and the center operation frequency is 6.8 kHz after tuning. Experiments show an Allan variance stability 0.12°/h (@100 s and a white noise level about 0.72°/h/√Hz, which means that the CSQMG possesses great potential to achieve navigation grade performance.

  18. Optimal Design of a Center Support Quadruple Mass Gyroscope (CSQMG).

    Science.gov (United States)

    Zhang, Tian; Zhou, Bin; Yin, Peng; Chen, Zhiyong; Zhang, Rong

    2016-01-01

    This paper reports a more complete description of the design process of the Center Support Quadruple Mass Gyroscope (CSQMG), a gyro expected to provide breakthrough performance for flat structures. The operation of the CSQMG is based on four lumped masses in a circumferential symmetric distribution, oscillating in anti-phase motion, and providing differential signal extraction. With its 4-fold symmetrical axes pattern, the CSQMG achieves a similar operation mode to Hemispherical Resonant Gyroscopes (HRGs). Compared to the conventional flat design, four Y-shaped coupling beams are used in this new pattern in order to adjust mode distribution and enhance the synchronization mechanism of operation modes. For the purpose of obtaining the optimal design of the CSQMG, a kind of applicative optimization flow is developed with a comprehensive derivation of the operation mode coordination, the pseudo mode inhibition, and the lumped mass twisting motion elimination. The experimental characterization of the CSQMG was performed at room temperature, and the center operation frequency is 6.8 kHz after tuning. Experiments show an Allan variance stability 0.12°/h (@100 s) and a white noise level about 0.72°/h/√Hz, which means that the CSQMG possesses great potential to achieve navigation grade performance. PMID:27136557

  19. Optimal Design of a Center Support Quadruple Mass Gyroscope (CSQMG).

    Science.gov (United States)

    Zhang, Tian; Zhou, Bin; Yin, Peng; Chen, Zhiyong; Zhang, Rong

    2016-01-01

    This paper reports a more complete description of the design process of the Center Support Quadruple Mass Gyroscope (CSQMG), a gyro expected to provide breakthrough performance for flat structures. The operation of the CSQMG is based on four lumped masses in a circumferential symmetric distribution, oscillating in anti-phase motion, and providing differential signal extraction. With its 4-fold symmetrical axes pattern, the CSQMG achieves a similar operation mode to Hemispherical Resonant Gyroscopes (HRGs). Compared to the conventional flat design, four Y-shaped coupling beams are used in this new pattern in order to adjust mode distribution and enhance the synchronization mechanism of operation modes. For the purpose of obtaining the optimal design of the CSQMG, a kind of applicative optimization flow is developed with a comprehensive derivation of the operation mode coordination, the pseudo mode inhibition, and the lumped mass twisting motion elimination. The experimental characterization of the CSQMG was performed at room temperature, and the center operation frequency is 6.8 kHz after tuning. Experiments show an Allan variance stability 0.12°/h (@100 s) and a white noise level about 0.72°/h/√Hz, which means that the CSQMG possesses great potential to achieve navigation grade performance.

  20. Photoluminescence of a Te4+ center in zinc borate glass.

    Science.gov (United States)

    Masai, Hirokazu; Yamada, Yasuhiro; Okumura, Shun; Kanemitsu, Yoshihiko; Yoko, Toshinobu

    2013-10-01

    Photoluminescent (PL) properties related to Te(4+) species in zinc borate glasses are examined. Broad emission was observed by the excitation of the PL excitation peak of Te(4+) present at the optical absorption edge. The emission intensity of Te(4+) in 5TeO(2)-50ZnO-45B(2)O(3) glass was thermally quenched in a temperature region over 100 K, suggesting that concentration quenching preferentially occurred. The lifetime of the emission was approximately 2.5 μs, which is characteristic of relaxation from the triplet excitation state of an ns(2)-type center. PMID:24081051

  1. Abnormal Nutritional Factors in Patients Evaluated at a Neuropathy Center.

    Science.gov (United States)

    Latov, Norman; Vo, Mary L; Chin, Russell L; Carey, Bridget T; Langsdorf, Jennifer A; Feuer, Naomi T

    2016-06-01

    Abnormal concentrations of nutritional factors were found in 24.1% of 187 patients with neuropathy who were newly seen at our academic neuropathy referral center over a 1-year period. All patients presented with sensory axonal or small fiber neuropathy. In 7.3%, they were present in association with at least one other identifiable cause for neuropathy. Elevated levels of pyridoxal phosphate or mercury occurred more frequently than deficiencies in vitamins B1, B12, or B6. The nutritional abnormalities are amenable to correction by dietary intervention. PMID:27224436

  2. Management of Cushing's disease: a single-center experience.

    Science.gov (United States)

    Solak, Mirsala; Kraljevic, Ivana; Dusek, Tina; Melada, Ante; Kavanagh, Marcel Marjanovic; Peterkovic, Vjerislav; Ozretic, David; Kastelan, Darko

    2016-03-01

    The purpose of this study was to review therapeutic outcomes and comorbidities of patients with Cushing's disease (CD) in a single center. We conducted a retrospective study of 33 patients with CD undergoing transsphenoidal surgery from January 2007 to February 2014 (27 females and 6 males, median age 38 years, range 18-71 years). The diagnosis of Cushing's syndrome was established on the basis of the patient's history, characteristic clinical features, and laboratory data including an elevated 24-h urinary free cortisol level, lack of serum cortisol suppression after dexamethasone suppression tests and an elevated midnight cortisol level. In 28/33 patients, the tumor was visualized on MR of the sellar region, while in 5 it was diagnosed using an inferior petrosal sinus sampling. Out of the 33 patients, 10 had macroadenoma and the remaining 23 had microadenoma. Twenty-one patients (63.6%) had hypertension, 17 (51.5%) dyslipidemia, and 7 (21.2%) had type 2 diabetes or impaired glucose tolerance. The median follow-up period was 28 months. Remission after transsphenoidal surgery was achieved in 78.8% of patients, while 7 patients failed to achieve disease remission. Those patients were treated with second-line treatment modalities (second operation, radiotherapy, bilateral adrenalectomy, and/or ketoconazole). One patient rejected all the treatment modalities after surgery. Cumulative remission after all the treatment modalities was achieved in 87.9% patients. Patients with Cushing's disease should be managed in centers with much experience due to high patient load. In our Center, the remission of the disease has been achieved in 78.8% of the patients following transsphenoidal surgery. Multimodal treatment which included radiotherapy and medical treatment led to biochemical remission of the disease in 87.9% of patients.

  3. A Crucial Dipole Test of the Expansion Center Universe

    CERN Document Server

    Lorenzi, Luciano

    2011-01-01

    The expansion center Universe gives a dipole anisotropy to the Hubble law, at any Hubble depth D. After a long series of successful dipole tests on the nearby Universe, using historic data sets of about half a century, and that carried out on 53 SCP SNe Ia ranging around the average redshift =0.5 (ECM paper VI: SAIt2004 in Milan), here is a crucial multiple dipole test at z bins centred on the mean =1.0, or Hubble depth D=c/H0, and based on data from SCP Union compilation (SCPU: Kowalski et al. 2008) and SCP Union2 (SCPU2: Amanullah et al. 2010), including those obtained within "The new wedge-shaped Hubble diagram of 398 SCP supernovae..." (ECM paper IX: SAIt2010 in Naples). Table 5abc lists data of two main samples, with 48 SCPU SNe Ia and 58 SCPU2 SNe Ia respectively. The confirmed dipole anisotropy, shown by 6 primary sample tests and by another 27 from 9 encapsulated z bins with D=DL/(1+z), gives a model independent result, in full accordance with the expansion center model. This means a maximum cz range ...

  4. Are we living near the center of a local void?

    CERN Document Server

    Cusin, Giulia; Uzan, Jean-Philippe

    2016-01-01

    The properties of the cosmic microwave background (CMB) temperature and polarisation anisotropies measured by a static, off-centered observer located in a local spherically symmetric void, are described. In particular in this paper we compute, together with the standard 2- point angular correlation functions, the off-diagonal correlators, which are no more vanishing by symmetry. While the energy shift induced by the off-centered position of the observer can be suppressed by a proper choice of the observer velocity, a lensing-like effect on the CMB emission point remains. This latter effect is genuinely geometrical (e.g. non-degenerate with a boost) and reflects in the structure of the off-diagonal correlators. At lowest order in this effect, the temperature and polarisation correlation matrices have non-vanishing diagonal elements, as usual, and all the off-diagonal terms are excited. This particular signature of a local void model allows one, in principle, to disentangle geometrical effects from local kinema...

  5. A Synergistic Consequence Assessment Modeling Strategy for Emergency Operations Centers

    International Nuclear Information System (INIS)

    At the U.S. Department of Energy's Hanford Site, maintaining emergency preparedness and response capabilities is a high priority. A synergistic strategy has emerged for conducting consequence assessment modeling at the Hanford Site Emergency Operation Center (EOC). This strategy involves employing a two-pronged modeling approach. The first prong involves the use of fast, reliable, and locally hosted models to provide timely and conservative projections of the affected area and potential impacts. A key model used for this purpose is the Pacific Northwest National Laboratory?s APGEMS model. The second prong involves the use of sophisticated modeling resources that have greater functionality and flexibility but take longer to initialize, conduct a simulation, and deliver output products. This capability is provided by the National Atmospheric Release Advisory Center (NARAC). The Hanford EOC?s consequence assessment team has found it to be constructive to use both the APGEMS and NARAC models in their emergency preparedness training and exercises. Experience gained with the NARAC system has allowed Hanford EOC personnel to provide NARAC with constructive feedback on model usability, the appropriateness of some default modeling assumptions, and documentation needs. As a result of the synergism associated with using both modeling systems, the Hanford EOC is better positioned to efficiently assess potential consequences during an emergency response event and NARAC is better poised to provide improved modeling support for the Hanford region and other Department of Energy sites

  6. Center for Space Power, Texas A and M University

    Science.gov (United States)

    Jones, Ken

    Johnson Controls is a 106 year old company employing 42,000 people worldwide with $4.7 billion annual sales. Though we are new to the aerospace industry we are a world leader in automobile battery manufacturing, automotive seating, plastic bottling, and facilities environment controls. The battery division produces over 24,000,000 batteries annually under private label for the new car manufacturers and the replacement market. We are entering the aerospace market with the nickel hydrogen battery with the help of NASA's Center for Space Power at Texas A&M. Unlike traditional nickel hydrogen battery manufacturers, we are reaching beyond the space applications to the higher volume markets of aircraft starting and utility load leveling. Though space applications alone will not provide sufficient volume to support the economies of scale and opportunities for statistical process control, these additional terrestrial applications will. For example, nickel hydrogen batteries do not have the environmental problems of nickel cadmium or lead acid and may someday start your car or power your electric vehicle. However you envision the future, keep in mind that no manufacturer moves into a large volume market without fine tuning their process. The Center for Space Power at Texas A&M is providing indepth technical analysis of all of the materials and fabricated parts of our battery as well as thermal and mechanical design computer modeling. Several examples of what we are doing with nickel hydrogen chemistry to lead to these production efficiencies are presented.

  7. Clinical spectrum of hypopituitarism in India: A single center experience

    Directory of Open Access Journals (Sweden)

    Abhay Gundgurthi

    2012-01-01

    Full Text Available Objectives: There is paucity of information regarding clinical profile of hypopituitarism from India. We report the clinical profile of hypopituitarism from a tertiary center in North India. Materials and Methods: This study was carried out in patients attending our endocrine center between January 2010 and December 2011. All new patients were studied prospectively and those registered before January 2010 retrospectively. Relevant clinical, hormonal, and imaging data were collected. Dynamic testing for pituitary functions was carried out as necessary. Hormonal deficiencies were defined as per prevailing recommendations. Results: This study included 113 subjects. The mean age was 38.6 ± 17.8 years (range, 4 - 76 years. There were 78 (69% males and 35 females (31%. There were 22 subjects aged ≤18 years (childhood and adolescence and 91 adults (>18 years. Visual disturbances were the most common presenting complaint (33%, though headache was the most common symptom (81%. Fifteen percent presented with pituitary apoplexy. Tumors comprised of 84% of cases. Hypogonadism (97% was the most common abnormality seen followed by hypothyroidism (83.2%, hypoadrenalism (79.6%, growth hormone deficiency (88.1% of the 42 patients tested, and diabetes insipidus (13.3%. Panhypopituitarism was seen in 104 (92% patients. There were no cases of hypopituitarism secondary to traumatic brain injury, subarachnoid hemorrhage, central nervous system infections, or cranial irradiation to extrasellar tumors. Conclusion: The most common cause of hypopituitarism at tertiary care center is pituitary tumors and the commonest presenting complaint is visual symptoms. Panhypopituitarism is present in 92% cases.

  8. A multi-pathway model for photosynthetic reaction center

    Science.gov (United States)

    Qin, M.; Shen, H. Z.; Yi, X. X.

    2016-03-01

    Charge separation occurs in a pair of tightly coupled chlorophylls at the heart of photosynthetic reaction centers of both plants and bacteria. Recently it has been shown that quantum coherence can, in principle, enhance the efficiency of a solar cell, working like a quantum heat engine. Here, we propose a biological quantum heat engine (BQHE) motivated by Photosystem II reaction center (PSII RC) to describe the charge separation. Our model mainly considers two charge-separation pathways which is more than that typically considered in the published literature. We explore how these cross-couplings increase the current and power of the charge separation and discuss the effects of multiple pathways in terms of current and power. The robustness of the BQHE against the charge recombination in natural PSII RC and dephasing induced by environments is also explored, and extension from two pathways to multiple pathways is made. These results suggest that noise-induced quantum coherence helps to suppress the influence of acceptor-to-donor charge recombination, and besides, nature-mimicking architectures with engineered multiple pathways for charge separations might be better for artificial solar energy devices considering the influence of environments.

  9. MCPB.py: A Python Based Metal Center Parameter Builder.

    Science.gov (United States)

    Li, Pengfei; Merz, Kenneth M

    2016-04-25

    MCPB.py, a python based metal center parameter builder, has been developed to build force fields for the simulation of metal complexes employing the bonded model approach. It has an optimized code structure, with far fewer required steps than the previous developed MCPB program. It supports various AMBER force fields and more than 80 metal ions. A series of parametrization schemes to derive force constants and charge parameters are available within the program. We give two examples (one metalloprotein example and one organometallic compound example), indicating the program's ability to build reliable force fields for different metal ion containing complexes. The original version was released with AmberTools15. It is provided via the GNU General Public License v3.0 (GNU_GPL_v3) agreement and is free to download and distribute. MCPB.py provides a bridge between quantum mechanical calculations and molecular dynamics simulation software packages thereby enabling the modeling of metal ion centers. It offers an entry into simulating metal ions in a number of situations by providing an efficient way for researchers to handle the vagaries and difficulties associated with metal ion modeling. PMID:26913476

  10. A multi-pathway model for Photosynthetic reaction center

    CERN Document Server

    Qin, M; Yi, X X

    2015-01-01

    Charge separation in light-harvesting complexes occurs in a pair of tightly coupled chlorophylls at the heart of photosynthetic reaction centers of both plants and bacteria. Recently it has been shown that quantum coherence can, in principle, enhance the efficiency of a solar cell, working like a quantum heat engine (QHE). Here, we propose a biological quantum heat engine (BQHE) motivated by Photosystem {\\rm II} reaction center (PS{\\rm II} RC) to describe the charge separation. Our model mainly considers two charge-separation pathways more than that in the published literature. The two pathways can interfere via cross-couplings and work together to enhance the charge-separation yields. We explore how these cross-couplings increase the current and voltage of the charge separation and discuss the advantages of multiple pathways in terms of current and power. The robustness of the BQHE against the charge recombination in natural PS{\\rm II} RC and dephasing induced by environments is also explored, and extension ...

  11. Experiential Education at a University-based Wellness Center

    Science.gov (United States)

    Berdine, Hildegarde

    2007-01-01

    Objectives To enhance students' learning and confidence in their abilities to provide wellness screenings and disease counseling. Design An experiential rotation was implemented in January 2004 within the Center for Pharmacy Care, a pharmacist-coordinated, University-based wellness center that offers preventive health screenings, risk assessments, patient education, medication and lifestyle counseling, educational seminars, and referral for common health conditions, such as hypertension, diabetes and osteoporosis. Assessment A brief survey instrument consisting of both open-ended questions and ratings of perceived abilities and confidence to provide screening and counseling was administered to students prior to and upon completion of the experience. Results of the survey indicate that the experience significantly enhanced students' preparedness and confidence to conduct community-based wellness screenings. Conclusion Students gained confidence in implementing and conducting wellness programs and became motivated to incorporate such programs into their future practice. This experience can serve as a teaching model for other programs to achieve student conpetencies in helath promotion and disease prevention. PMID:17619649

  12. Growth of a Science Center: The Center for Science and Mathematics Education (CESAME) at Stony Brook University

    Science.gov (United States)

    Gafney, Leo; Bynum, R. David; Sheppard, Keith

    2015-01-01

    This report describes the origin and development of CESAME (The Center for Science and Mathematics Education) at Stony Brook University. The analysis identifies key ingredients in areas of personnel, funding, organizational structures, educational priorities, collaboration, and institutionalization. After a discussion of relevant issues in…

  13. Centers of excellence: a medical measurement or marketing myth?

    Science.gov (United States)

    Meyer, L C

    1996-01-01

    Managed care organizations, physician groups and hospital systems are all increasingly pressured to identify new modes of treatment that produce verifiable outcomes while reducing the revolving door pattern of health care for the chronically ill. Providers are also faced with creating systems of care to differentiate themselves from the competition in the marketplace. Disease-specific health management programs are being used to address both issues. When used properly, they can be promising tools in the battle to maintain health care quality while containing costs. Skillful balancing of these two important factors can ensure maximum value for both patients and payers. Are centers of excellence the critical pathway of the future? Or are they merely a marketing ploy to generate incremental growth and profitability for savvy business executives and medical group management entrepreneurs? This article provides an overview of the center of excellence concept, addresses its misuse in the industry and discusses the strategic and marketing implications for organizations considering this approach as a tool to demonstrate full accountability and meritorious outcomes.

  14. Analysis of a Hybrid Wing Body Center Section Test Article

    Science.gov (United States)

    Wu, Hsi-Yung T.; Shaw, Peter; Przekop, Adam

    2013-01-01

    The hybrid wing body center section test article is an all-composite structure made of crown, floor, keel, bulkhead, and rib panels utilizing the Pultruded Rod Stitched Efficient Unitized Structure (PRSEUS) design concept. The primary goal of this test article is to prove that PRSEUS components are capable of carrying combined loads that are representative of a hybrid wing body pressure cabin design regime. This paper summarizes the analytical approach, analysis results, and failure predictions of the test article. A global finite element model of composite panels, metallic fittings, mechanical fasteners, and the Combined Loads Test System (COLTS) test fixture was used to conduct linear structural strength and stability analyses to validate the specimen under the most critical combination of bending and pressure loading conditions found in the hybrid wing body pressure cabin. Local detail analyses were also performed at locations with high stress concentrations, at Tee-cap noodle interfaces with surrounding laminates, and at fastener locations with high bearing/bypass loads. Failure predictions for different composite and metallic failure modes were made, and nonlinear analyses were also performed to study the structural response of the test article under combined bending and pressure loading. This large-scale specimen test will be conducted at the COLTS facility at the NASA Langley Research Center.

  15. A new job migration algorithm to improve data center efficiency

    CERN Document Server

    Calzolari, Federico

    2012-01-01

    The under exploitation of the available resources risks to be one of the main problems for a computing center. The growing demand of computational power necessarily entails more complex approaches in the management of the computing resources, with particular attention to the batch queue system scheduler. In a heterogeneous batch queue system, available for both serial single core processes and parallel multi core jobs, it may happen that one or more computational nodes composing the cluster are not fully occupied, running a number of jobs lower than their actual capability. A typical case is represented by more single core jobs running each one over a different multi core server, while more parallel jobs - requiring all the available cores of a host - are queued. A job rearrangement executed at runtime is able to free extra resources, in order to host new processes. We present an efficient method to improve the computing resources exploitation.

  16. Incorporating the USAF Flight Center's TQM plan in a hospital.

    Science.gov (United States)

    Bridges, R D; Mathews, K A

    1993-01-01

    A total quality management (TQM) plan has been instituted by the United States Air Force Flight Test Center at Edwards Air Force Base. To determine the feasibility of implementing the same basic TQM plan in a district hospital, a joint industry-government team was established. Five areas of concentration were selected for review: infrastructure, methodology, training, strategic plan, and a "Quality Bill of Rights." The TQM "infrastructure" is intended to match and complement the existing organizational structure and chain of command, not to supplant it. As the overall plan seemed well-adapted for implementation in a hospital setting, a three-phase implementation approach was identified that included conceptual planning, initial training and goal setting, and full-scale implementation. Each phase is described in terms of objectives, staffing, and timing requirements.

  17. Automated Determination of a Package's Center of Mass

    Directory of Open Access Journals (Sweden)

    Ayaz Hemani

    2010-01-01

    Full Text Available In order to address the issue of increased efficiency and better planning for parcel shipments, an automated computer program was developed in Microsoft Excel that calculates center of mass and moments of mass with greater speed and reliability than currently implemented systems. This simple program requires only a variable density function and limits of integration for a given object as input within the spreadsheet system. Once the required input has been provided, a series of chain calculations, with the help of a Visual Basic for Applications (VBA script, is able to process the input, which is done through integration and a Riemann sum. Furthermore, the foundation of the program can also be used for calculating other physical quantities of interest such as the moment of inertia or surface area of an object.

  18. Imaging a boson star at the Galactic center

    CERN Document Server

    Vincent, F H; Grandclement, P; Gourgoulhon, E; Straub, O

    2015-01-01

    Millimeter very long baseline interferometry will soon produce accurate images of the closest surroundings of the supermassive compact object at the center of the Galaxy, Sgr A*. These images may reveal the existence of a central faint region, the so-called shadow, which is often interpreted as the observable consequence of the event horizon of a black hole. In this paper, we compute images of an accretion torus around Sgr A* assuming this compact object is a boson star, i.e. an alternative to black holes within general relativity, with no event horizon and no hard surface. We show that very relativistic rotating boson stars produce images extremely similar to Kerr black holes, showing in particular shadow-like and photon-ring-like structures. This result highlights the extreme difficulty of unambiguously telling the existence of an event horizon from strong-field images.

  19. A special issue on the patient-centered medical home.

    Science.gov (United States)

    Blount, Alexander

    2010-12-01

    This special issue on the Patient-Centered Medical Home (PCMH) reflects its times. At the present time, the PCMH is an aspirational model with a few pilots functioning well around the country. How long the current period of idealism, fueled by the energy of early adopters, the consensus of diverse stakeholders, and the dollars of the Affordable Care Act will continue is anybody's guess. Representing the thinking of some of the best minds in the field, the articles in this issue have an aspirational and idealistic tone as much as a descriptive and analytic one. A year ago the balance would have been tipped more toward idealism and model building and a year from now it would, in all likelihood, tip more toward model description and analysis. The authors in this volume have been personally responsible for helping to move behavioral health to a more central position in the PCMH model. PMID:21299276

  20. Westinghouse Nuclear Core Design Training Center - a design simulator

    International Nuclear Information System (INIS)

    The emergence of more powerful computing technology enables nuclear design calculations to be done on workstations. This shift to workstation usage has already had a profound effect in the training area. In 1991, the Westinghouse Electric Corporation's Commercial Nuclear Fuel Division (CNFD) developed and implemented a Nuclear Core Design Training Center (CDTC), a new concept in on-the-job training. The CDTC provides controlled on-the-job training in a structured classroom environment. It alllows one trainer, with the use of a specially prepared training facility, to provide full-scope, hands-on training to many trainees at one time. Also, the CDTC system reduces the overall cycle time required to complete the total training experience while also providing the flexibility of individual training in selected modules of interest. This paper provides descriptions of the CDTC and the respective experience gained in the application of this new concept

  1. A Multidimensional Data Warehouse for Community Health Centers.

    Science.gov (United States)

    Kunjan, Kislaya; Toscos, Tammy; Turkcan, Ayten; Doebbeling, Brad N

    2015-01-01

    Community health centers (CHCs) play a pivotal role in healthcare delivery to vulnerable populations, but have not yet benefited from a data warehouse that can support improvements in clinical and financial outcomes across the practice. We have developed a multidimensional clinic data warehouse (CDW) by working with 7 CHCs across the state of Indiana and integrating their operational, financial and electronic patient records to support ongoing delivery of care. We describe in detail the rationale for the project, the data architecture employed, the content of the data warehouse, along with a description of the challenges experienced and strategies used in the development of this repository that may help other researchers, managers and leaders in health informatics. The resulting multidimensional data warehouse is highly practical and is designed to provide a foundation for wide-ranging healthcare data analytics over time and across the community health research enterprise.

  2. Functional Centering

    CERN Document Server

    Hahn, M

    1996-01-01

    Based on empirical evidence from a free word order language (German) we propose a fundamental revision of the principles guiding the ordering of discourse entities in the forward-looking centers within the centering model. We claim that grammatical role criteria should be replaced by indicators of the functional information structure of the utterances, i.e., the distinction between context-bound and unbound discourse elements. This claim is backed up by an empirical evaluation of functional centering.

  3. The Galactic Center - an AGN on a starvation diet

    CERN Document Server

    Biermann, P L; Biermann, Heino Falcke & Peter L.

    1993-01-01

    The Galactic Center shows evidence for the presence of three important AGN ingredients: a Black Hole ($M_\\bullet\\sim10^6M_\\odot$), an accretion disk ($10^{-8.5} - 10^{-7} M_\\odot/{\\rm yr}$) and a powerful jet (jet power $\\ge$ 10\\% disk luminosity). However, the degree of activity is very low and can barely account for the energetics of the whole central region. Neverthelss, in the very inner arsecond the central engine becomes dominant and provides an interesting laboratory for the physics of central engines (Black Holes) in galactic nuclei. We therefore give an overall picture of the central arcsecond where we link the radio emission and the heating of the ambient medium to a weakly accreting disk surrounding a massive Black Hole.

  4. A reliability-centered maintenance program for primary reactor pumps

    International Nuclear Information System (INIS)

    Reactor coolant and recirculation pumps require significant outage times to repair and, as a consequence, are a major contributor to plant downtime and lost capacity. To improve reliability of these primary reactor pumps, a comprehensive preventative maintenance program has been developed using the principles of reliability-centered maintenance. This method establishes the frequency of past failures, estimates the probability of future occurrences, and assesses the effect of all potential functional failures of the pump. Maintenance tasks are then defined to address those specific failure modes that have the largest probability of occurrence and the greatest impact on plant availability. Benefits include: improved reliability, a maintenance program that satisfies the industry initiative on maintenance, prudence documentation in support of unforeseen outages, and documented justification for rate-base increases for maintenance costs

  5. A proposal of the ITER remote participation center in Japan

    International Nuclear Information System (INIS)

    In modern fusion experiments, as many collaborators in distributed locations use a few large experimental devices, such as ITER and LHD (Large Helical Device), remote participation technologies become more important. The ITER Remote Experimentation Center is to be established in the International Fusion Energy Research Center (IFERC) in Rokkasho site (Japan). We have been working on the remote participation system, known as SNET, which has been developed using the SINET3, the high-speed network operated by the National Institute of Computer Sciences (NII) since 2004. The SINET3 is also 10 Gbps reachable to academic networks, ESnet in Usa and GEANT in EU. This paper discusses about the data analysis in the ITER remote participation center using a super computer. One of the most crucial issues is that the data transfer rate is much less than that expected from the network bandwidth and the data transfer rate problem should be harder as the distance is longer due to the TCP/IP protocol. The distance between Rokkasho and Cadarache is 15,000 km in fiber length. The ITER experimental data may be 1 TB per shot, considering the LHD experimental data is 10 GB per shot. We have developed a new data transfer technology to obtain 9 Gbps in the case of the network bandwidth of 10 Gbps. By extending this technology, the data transfer rate of 90 Gbps may be available, and the ITER data will be able to transfer within 100 sec per shot. In the Rokkasho site, we can store the whole ITER experimental data as a mirror site, and we can analyze the ITER data by using the supercomputer. Since the data analysis software in the supercomputer is developed by collaborators in the world, the security control will be another issue. The supercomputer might work as a calculating engine behind data analysis server, which the most physicists would access. Development of technologies to realize the ITER remote participation is challenging. This document is composed of an abstract followed by the

  6. [Academic procrastination in clients of a psychotherapeutic student counselling center].

    Science.gov (United States)

    Jamrozinski, Katja; Kuda, Manfred; Mangholz, Astrid

    2009-01-01

    The start of university education is the beginning of a new phase of life for young adults, which requires significant psychosocial adjustments. Sociobiographical data, clinical symptoms, characteristics of education, work attitude, and career perspectives were gathered from 152 clients by a psychotherapeutic student counselling center to evaluate characteristics of students with and without academic procrastination. The procrastination group comprised heightened numbers of students who had changed universities, and people with suboptimal career prospects and career targets. These subjects were more often male and showed increased incidences of drug- and alcohol problems, as well as a lack of planning of the future. Furthermore, they had larger amounts of their study self-financed. On the basis of these results, concrete recommendations for preventive measures to improve on-time completion of study, and to prevent student drop-out are presented. PMID:18988140

  7. Engineering system dynamics a unified graph-centered approach

    CERN Document Server

    Brown, Forbes T

    2006-01-01

    For today's students, learning to model the dynamics of complex systems is increasingly important across nearly all engineering disciplines. First published in 2001, Forbes T. Brown's Engineering System Dynamics: A Unified Graph-Centered Approach introduced students to a unique and highly successful approach to modeling system dynamics using bond graphs. Updated with nearly one-third new material, this second edition expands this approach to an even broader range of topics. What's New in the Second Edition? In addition to new material, this edition was restructured to build students' competence in traditional linear mathematical methods before they have gone too far into the modeling that still plays a pivotal role. New topics include magnetic circuits and motors including simulation with magnetic hysteresis; extensive new material on the modeling, analysis, and simulation of distributed-parameter systems; kinetic energy in thermodynamic systems; and Lagrangian and Hamiltonian methods. MATLAB(R) figures promi...

  8. CAISE: A NSF Resource Center for Informal Science Education

    Science.gov (United States)

    Dickow, Benjamin

    2012-01-01

    Informal science education (ISE) is playing an increasingly important role in how and where the public engages with science. A growing body of research is showing that people learn the majority of their science knowledge outside of school (Falk & Dierking, 2010). The ISE field includes a wide variety of sources, including the internet, TV programs, magazines, hobby clubs and museums. These experiences touch large numbers of people throughout their lifetimes. If you would like to share your research with the public, ISE can be an effective conduit for meaningful science communication. However, because the ISE field is so diverse, it can be overwhelming with its multiple entry points. If you already are part of an ISE initiative, knowing how to access the most useful resources easily can also be daunting. CAISE, the Center for Advancement of Informal Science Education, is a resource center for the ISE field funded by the National Science Foundation (NSF). CAISE can help connect you to the knowledge and people of ISE, through its website, products and in-person convenings. The proposed CAISE presentation will outline the diversity of the field and concisely present data that will make the case for the impact of ISE. We will focus on examples of successful programs that connect science with the public and that bring together AAS's science research community with practitioners and researchers within ISE. Pathways to various ISE resources in the form of current CAISE initiatives will be described as well. The presentation will include an interview section in which a CAISE staff member will ask questions of a scientist involved in an ISE initiative in order to detail one example of how ISE can be a valuable tool for engaging the public in science. Time for audience Q&A also will be included in the session.

  9. Centers of structures in electromagnetism--a critical analysis

    DEFF Research Database (Denmark)

    Appel-Hansen, Jørgen

    1982-01-01

    Some principles for finding reference points or centers of structures in electromagnetism are outlined. It is pointed out that the centers which are found depend on arbitrary choices. Since some of the principles are based on Friis's transmission formula and the radar equation, these are given in...

  10. The discourse functions of Italian subjects a centering approach

    CERN Document Server

    Eugenio, B D

    1996-01-01

    This paper examines the discourse functions that different types of subjects perform in Italian within the centering framework. I build on my previous work (COLING90) that accounted for the alternation of null and strong pronouns in subject position. I extend my previous analysis in several ways: for example, I refine the notion of {\\sc continue} and discuss the centering functions of full NPs.

  11. The Rockefeller Archive Center: A Reservoir of Information.

    Science.gov (United States)

    Ernst, Joseph W.

    1982-01-01

    The Rockefeller Archive Center was established in 1974 to bring together the records of The Rockefeller University, the Rockefeller Brothers Fund, Inc., the Rockefeller family, and others. This history of the Archive Center and description of its holdings focuses on those areas of special interest to educational researchers. (Author/BW)

  12. A simulation model for emergency medical services call centers

    NARCIS (Netherlands)

    Buuren, M. van; Kommer, G.J.; Mei, R.D. van der; Bhulai, S.

    2015-01-01

    In pre-hospital health care the call center plays an important role in the coordination of emergency medical services (EMS). An EMS call center handles inbound requests for EMS and dispatches an ambulance if necessary. The time needed for triage and dispatch is part of the total response time to the

  13. A Photovoltaic Device Using an Electrolyte Containing Photosynthetic Reaction Centers

    Energy Technology Data Exchange (ETDEWEB)

    Takshi, Arash [Dept. of Electrical Engineering, Univ. of South Florida (USF), Tampa, FL (United States); Madden, John D.W. [Dept. of Electrical and Computer Engineering, Advanced Materials and Process Engineering Lab., and Dept. of Microbiology and Immunology, Univ. of British Columbia (UBC), Vancouver BC (Canada); Mahmoudzadeh, Ali [Dept. of Electrical and Computer Engineering, Advanced Materials and Process Engineering Lab., and Dept. of Microbiology and Immunology, Univ. of British Columbia (UBC), Vancouver BC (Canada); Saer, Rafael [Dept. of Electrical and Computer Engineering, Advanced Materials and Process Engineering Lab., and Dept. of Microbiology and Immunology, Univ. of British Columbia (UBC), Vancouver BC (Canada); Beatty, J. Thomas [Dept. of Microbiology and Immunology, Univ. of British Columbia (UBC), Vancouver BC (Canada)

    2010-10-15

    The performance of bio-photovoltaic devices with a monolayer of the immobilized photosynthetic reaction center (RC) is generally low because of weak light absorption and poor charge transfer between the RC and the electrode. In this paper, a new bio-photovoltaic device is described in which the RC is dissolved in the electrolyte of an electrochemical cell. The charges generated by the illuminated RC are transferred to electrodes via mediators. The difference between the reaction rates of two types of mediator at the electrode surfaces determines the direction of the photocurrent in the device. Experimental results show that the magnitude of the photocurrent is proportional to the incident light intensity, and the current increases nonlinearly with an increase in the RC concentration in the electrolyte. With further optimization this approach should lead to devices with improved light absorption.

  14. Secure Remote Access Issues in a Control Center Environment

    Science.gov (United States)

    Pitts, Lee; McNair, Ann R. (Technical Monitor)

    2002-01-01

    The ISS finally reached an operational state and exists for local and remote users. Onboard payload systems are managed by the Huntsville Operations Support Center (HOSC). Users access HOSC systems by internet protocols in support of daily operations, preflight simulation, and test. In support of this diverse user community, a modem security architecture has been implemented. The architecture has evolved over time from an isolated but open system to a system which supports local and remote access to the ISS over broad geographic regions. This has been accomplished through the use of an evolved security strategy, PKI, and custom design. Through this paper, descriptions of the migration process and the lessons learned are presented. This will include product decision criteria, rationale, and the use of commodity products in the end architecture. This paper will also stress the need for interoperability of various products and the effects of seemingly insignificant details.

  15. Development of a National Center for Hydrogen Technology

    Energy Technology Data Exchange (ETDEWEB)

    Jay C. Almlie; Bruce Wood; Rich Schlupp

    2007-03-01

    In November 2005, the Energy & Environmental Research Center (EERC), ePowerSynergies, Inc. (ePSI), and Resurfice Corporation teamed to develop, produce, and demonstrate the world's first and only fuel cell-powered ice resurfacer. The goals of this project were: {sm_bullet} To educate the public on the readiness, practicality, and safety of fuel cells powered by hydrogen fuel and {sm_bullet} To establish a commercialization pathway in an early-adopter, niche market. The vehicle was developed and produced in a short 3-month span. The vehicle made its world debut at U.S. Senator Byron Dorgan's (D-ND) 2005 Hydrogen Energy Action Summit. Subsequently, the vehicle toured North America appearing at numerous public events and conferences, receiving much attention from international media outlets.

  16. Students-exhibits interaction at a science center

    Science.gov (United States)

    Botelho, Agostinho; Morais, Ana M.

    2006-12-01

    In this study we investigate students' learning during their interaction with two exhibits at a science center. Specifically, we analyze both students' procedures when interacting with exhibits and their understanding of the scientific concepts presented therein. Bernstein's theory of pedagogic discourse (1990, 2000) provided the sociological foundation to assess the exhibit-student interaction and allowed analysis of the influence of the characteristics of students, exhibits, and interactions on students' learning. Eight students (ages 12ndash;13 years of age) with distinct sociological characteristics participated in the study. Several findings emerged from the results. First, the characteristics of the students, exhibits, and interactions appeared to influence student learning. Second, to most students, what they did interactively (procedures) seems not to have had any direct consequence on what they learned (concept understanding). Third, the data analysis suggest an important role for designers and teachers in overcoming the limitations of exhibit-student interaction.

  17. Blunt pancreatic trauma: experience at a rural referral center.

    Science.gov (United States)

    Timberlake, G A

    1997-03-01

    The objective of this study was to compare mechanism of injury, treatment methods, and outcome of blunt pancreas trauma patients transferred from another hospital to those of patients brought directly from the scene. A retrospective review was conducted of 6078 patients treated at a Level I trauma center from 1/1/90 to 12/31/94. Blunt pancreas injury was found in 39 (0.64%) patients (mean age, 33.2 years). Mechanism of injury included 34 (87%) motor vehicle crashes, 3 (8%) motorcycle crashes, and 2 (5%) other injuries. There were 11 transfer patients (28%), and 28 (72%) admitted directly from the scene. Eighty-two per cent of the motor vehicle crash patients were unrestrained, and 35 per cent had ethanol intoxication. Exploratory laparotomy was performed on 32 (82%); eight (25%) required repair or resection; 22 (69%) had trivial injuries, at most requiring drainage; and two (6.3%) exsanguinated. No patients required Whipple resection or pancreatiocojejunostomy. At operation, an average of 2.5 associated intra-abdominal injuries were found. Overall survival was 35 of 39 (90%). Among the patients brought directly to the trauma center, 93 per cent survived, whereas survival among transferred patients was 82 per cent (chi2 = 0.19; P = 0.66). Blunt pancreatic injuries vary in severity, but radical resection is rarely required. Lack of safety restraint and ethanol use are major risk factors. Despite the high likelihood of associated injuries, survivability is high. No difference in outcome was seen between directly admitted and transferred patients. PMID:9036900

  18. Journey to the Center of a Neutron Star

    Science.gov (United States)

    Wanjek, Christopher

    2003-01-01

    A neutron star is not a place most would want to visit. This dense remnant of a collapsed star has a magnetic field billions of times stronger than Earth's, enough to shuffle your body's molecules long before you even land. The featureless surface is no fun either. Crushing gravity ensures that the star is a near perfect sphere, compressing all matter so that a sand-grain-sized scoop of neutron star material would weigh as much as a battleship on Earth. At least black holes offer the promise of funky singularity, time warps, and the Odyssean temptation to venture beyond a point of no return. What s a journey to a neutron star good for, one might ask? Well, for starters, it offers the possibility of confirming a theorized state of matter called quark-gluon plasma, which likely existed for a moment after the Big Bang and now might only exist in the superdense interiors of neutron stars. Beneath the neutron star crust, a kilometer-thick plate of crystalline matter, lies the great unknown. The popular theory is that the neutron star interior is made up of a neutron superfluid - a fluid without friction. With the help of two NASA satellites - the Rossi X-Ray Timing Explorer and the Chandra X-Ray Observatory - scientists are journeying to the center of a neutron star. Matter might be so compressed there that it breaks down into quarks, the building blocks of protons and neutrons, and gluons, the carrier of the strong nuclear force. To dig inside a neutron star, no simple drill bit will do. Scientists gain insight into the interior through events called glitches, a sudden change in the neutron star s precise spin rate. 'Glitches are one of the few ways we have to study the neutron star interior,' says Frank Marshall of NASA s Goddard Space Flight Center, who has used the Rossi Explorer to follow the escapades of the glitchiest of all neutron stars, dubbed the Big Glitcher and known scientifically as PSR J0537-6910.

  19. Controlled Coupling of a Single Nitrogen-Vacancy Center to a Silver Nanowire

    DEFF Research Database (Denmark)

    Huck, Alexander; Kumar, Shailesh; Shakoor, Abdul;

    2011-01-01

    We report on the controlled coupling of a single nitrogen-vacancy (NV) center to a surface plasmon mode propagating along a chemically grown silver nanowire (NW). We locate and optically characterize a single NV center in a uniform dielectric environment before we controllably position this emitter...

  20. Distribution center

    Institute of Scientific and Technical Information of China (English)

    2004-01-01

    Distribution center is a logistics link fulfill physical distribution as its main functionGenerally speaking, it's a large and hiahly automated center destined to receive goods from various plants and suppliers,take orders,fill them efficiently,and deliver goods to customers as quickly as possible.

  1. A simulation model for emergency medical services call centers

    OpenAIRE

    Buuren, van, R.; Kommer, G.J.; Mei,, H.; Bhulai, Sandjai

    2015-01-01

    In pre-hospital health care the call center plays an important role in the coordination of emergency medical services (EMS). An EMS call center handles inbound requests for EMS and dispatches an ambulance if necessary. The time needed for triage and dispatch is part of the total response time to the request, which, in turn, is an indicator for the quality of EMS. Calls entering an efficient EMS call center must have short waiting times, centralists should perform the triage efficiently and th...

  2. A Survey of Primary Care Offices: Triage of Poisoning Calls without a Poison Control Center

    OpenAIRE

    Travis Austin; Brooks, Daniel E.; Sharyn Welch; Frank LoVecchio

    2012-01-01

    Poison control centers hold great potential for saving health care resources particularly by preventing unnecessary medical utilization. We developed a four-question survey with three poisoning-related scenarios, based on common calls to our poison center, and one question regarding after-hours calls. We identified primary care provider offices in our poison center's region from an internet search. We contacted these offices via telephone and asked to speak to an office manager or someone res...

  3. Quantum Storage in a Hybrid System with a Photonic Molecule and a Diamond Nitrogen Vacancy Center

    Science.gov (United States)

    Liu, Zhi; Qiu, Liang

    2016-08-01

    We propose an efficient scheme for the realization of high-fidelity quantum storage in a hybrid system with a photonic molecule and a diamond nitrogen vacancy (NV) center. The scheme holds the advantages of both photonic crystal cavities and NV centers. Meanwhile, the influence of quantum-computing process on quantum memory can be effectively eliminated by separating the processor and memory units. Moreover, the scheme is experimentally feasible with currently available technology.

  4. Inhomogeneous CTMC Model of a Call Center with Balking and Abandonment

    OpenAIRE

    Burak, Maciej Rafal

    2015-01-01

    This paper considers a nonstationary multiserver queuing model with abandonment and balking for inbound call centers. We present a continuous time Markov chain (CTMC) model which captures the important characteristics of an inbound call center and obtain a numerical solution for its transient state probabilities using uniformization method with steady-state detection. Keywords: call center, transient, Markov processes, numerical methods, uniformization, abandonment, balking

  5. 7 CFR 226.19a - Adult day care center provisions.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 4 2010-01-01 2010-01-01 false Adult day care center provisions. 226.19a Section 226..., DEPARTMENT OF AGRICULTURE CHILD NUTRITION PROGRAMS CHILD AND ADULT CARE FOOD PROGRAM Operational Provisions § 226.19a Adult day care center provisions. (a) Adult day care centers may participate in the...

  6. 78 FR 74163 - Harrison Medical Center, a Subsidiary of Franciscan Health System Bremerton, Washington; Notice...

    Science.gov (United States)

    2013-12-10

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF LABOR Employment and Training Administration Harrison Medical Center, a Subsidiary of Franciscan Health System... Adjustment Assistance (TAA), applicable to workers and former workers of Harrison Medical Center,...

  7. Medication wrong route administration: a poisons center-based study

    OpenAIRE

    Bloch-Teitelbaum, Alexandra; Lüde, Saskia; Rauber-Lüthy, Christine; Kupferschmidt, Hugo; Russmann, Stefan; Kullak-Ublick, Gerd A.; Ceschi, Alessandro

    2013-01-01

    OBJECTIVES: To describe clinical effects, circumstances of occurrence, management and outcomes of cases of inadvertent administration of medications by an incorrect parenteral route. METHODS: Retrospective single-center consecutive review of parenteral route errors of medications, reported to our center between January 2006 and June 2010. We collected demographic data and information on medications, route and time of administration, severity of symptoms/signs, treatment, and outcome. RE...

  8. Creating a Social Media Recruiting Concept for Talent Center Oy

    OpenAIRE

    Nokkonen, Jere

    2015-01-01

    The purpose of this thesis was to find out how Talent Center Oy could utilize Social Media to attract more employees and client organizations and gain more visibility in the market. The objective was to renew and modernize the open vacancy advertisements that Talent Center Oy posts in Social Mediums. The first theory section explains the phases and possible problems of recruitment. The recruitment process is walked through step by step from the open vacancy advertisement to the final selec...

  9. A Learner-Centered Molecular Modeling Exercise for Allied Health Majors in a Biochemistry Class

    Science.gov (United States)

    Fletcher, Terace M.; Ershler, Jeff

    2014-01-01

    Learner-centered molecular modeling exercises in college science courses can be especially challenging for nonchemistry majors as students typically have a higher degree of anxiety and may not appreciate the relevance of the work. This article describes a learner-centered project given to allied health majors in a Biochemistry course. The project…

  10. Neighborhood greenspace and health in a large urban center

    Science.gov (United States)

    Kardan, Omid; Gozdyra, Peter; Misic, Bratislav; Moola, Faisal; Palmer, Lyle J.; Paus, Tomáš; Berman, Marc G.

    2015-07-01

    Studies have shown that natural environments can enhance health and here we build upon that work by examining the associations between comprehensive greenspace metrics and health. We focused on a large urban population center (Toronto, Canada) and related the two domains by combining high-resolution satellite imagery and individual tree data from Toronto with questionnaire-based self-reports of general health perception, cardio-metabolic conditions and mental illnesses from the Ontario Health Study. Results from multiple regressions and multivariate canonical correlation analyses suggest that people who live in neighborhoods with a higher density of trees on their streets report significantly higher health perception and significantly less cardio-metabolic conditions (controlling for socio-economic and demographic factors). We find that having 10 more trees in a city block, on average, improves health perception in ways comparable to an increase in annual personal income of $10,000 and moving to a neighborhood with $10,000 higher median income or being 7 years younger. We also find that having 11 more trees in a city block, on average, decreases cardio-metabolic conditions in ways comparable to an increase in annual personal income of $20,000 and moving to a neighborhood with $20,000 higher median income or being 1.4 years younger.

  11. Reliability Centered Maintenance as a tool for plant life extension

    International Nuclear Information System (INIS)

    Currently in the nuclear industry there is a growing interest in lowering the cost and complexity of maintenance activities while at the same time improving plant reliability and safety in an effort to prepare for the technical and regulatory challenges of life extension. This seemingly difficult task is being aided by the introduction of a maintenance philosophy developed originally by the airline industry and subsequently applied with great success both in that industry and the U.S. military services. Reliability Centered Maintenance (RCM), in its basic form, may be described as a consideration of reliability and maintenance problems from a systems level approach, allowing a focus on preservation of system function as the aim of a maintenance program optimized for both safety and economics. It is this systematic view of plant maintenance, with the emphasis on overall functions rather than individual parts and components which sets RCM apart from past nuclear plant maintenance philosophies. It is also the factor which makes application of RCM an ideal first step in development of strategies for life extension, both for aging plants, and for plants just beginning their first license term. (J.P.N.)

  12. Diabetes in a primary care center among Spaniards and immigrants

    Directory of Open Access Journals (Sweden)

    Roca Vilalta M

    2006-06-01

    Full Text Available Diabetes is a disease with different prevalence in different populations. Objectives: The aim of the present study is to describe diabetic patients in a primary care center with regard to their geographic origin, and to determine the status of their disease. Methods: A cross-sectional descriptive study, with data available from clinical records in South Tarrasa primary care center (Barcelona, Spain in 2004. Results: A total of 1215 diabetic patients with an average age of 65 years, 51% female, were included in the study. Regarding their origin, 97% were from Spain, 2% from Morocco, 0.8% from Latin America, and 0.2% from the rest of Europe. The average Hb1AC was 6.9%. In type 2 diabetic patients, treatment consisted of oral hypoglycemic agents (OHA for 46.6%, only dietetic restrictions for 36.5%, OHA + insulin for 7.9%, and only insulin for 9%. In the age group 30-39 years, 0.7% of Moroccans suffer from diabetes versus 0.5% of Spaniards. The values in the 40-49 year group are 3.9% of Moroccans, 3% of Spaniards, and 2.1% of Latin Americans. The values in the 50-59 year group are 13.5% of Moroccans, 10.6% of Spaniards, and 7.7% of Latin Americans. The values in the 60-69 year group are 40% of Moroccans, 18.8% of Spaniards, and 44.5% of Latin Americans. The values in the 70-79 year group are 67% of Moroccans, 26% of Spaniards, and 50% of Latin Americans. The average Hb1AC was 6.3% in Latin Americans, 6.9% in Spaniards, and 8.1% in Moroccans. In type 1 diabetic patients, the average Hb1AC was 10.2% in Moroccans and 8% in Spaniards; while in type 2 diabetes, the average Hb1AC was 7.8% in Moroccans and 6.9% in Spaniards. Gestational diabetes was observed in 6.1% of the Spanish, 10.9% of the Moroccan and 4.2% of the Latin American women. Conclusions: A higher prevalence of diabetes was detected in Moroccans than in patients from other countries. These patients present poor control of the disease.

  13. Distributed scheduling to support a call center: A cooperative multiagent approach

    NARCIS (Netherlands)

    Brazier, F.M.T.; Jonker, C.M.; Jüngen, F.J.; Treur, J.

    1999-01-01

    This article describes a multiagent system architecture to increase the value of 24-hour-a day call center service. This system supports call centers in making appointments with clients on the basis ofknowledge ofemployees and their schedules. Relevant activities are scheduled for employees in prepa

  14. Establishing a Secure Data Center with Remote Access: Preprint

    Energy Technology Data Exchange (ETDEWEB)

    Gonder, J.; Burton, E.; Murakami, E.

    2012-04-01

    Access to existing travel data is critical for many analysis efforts that lack the time or resources to support detailed data collection. High-resolution data sets provide particular value, but also present a challenge for preserving the anonymity of the original survey participants. To address this dilemma of providing data access while preserving privacy, the National Renewable Energy Laboratory and the U.S. Department of Transportation have launched the Transportation Secure Data Center (TSDC). TSDC data sets include those from regional travel surveys and studies that increasingly use global positioning system devices. Data provided by different collecting agencies varies with respect to formatting, elements included and level of processing conducted in support of the original purpose. The TSDC relies on a number of geospatial and other analysis tools to ensure data quality and to generate useful information outputs. TSDC users can access the processed data in two different ways. The first is by downloading summary results and second-by-second vehicle speed profiles (with latitude/longitude information removed) from a publicly-accessible website. The second method involves applying for a remote connection account to a controlled-access environment where spatial analysis can be conducted, but raw data cannot be removed.

  15. Addressing underutilization of consumer health information resource centers: a formative study*

    Science.gov (United States)

    Kennedy, May G.; Kiken, Laura; Shipman, Jean P.

    2008-01-01

    Problem: Four consumer health information centers in Richmond, Virginia, provide one-on-one assistance in accessing health information. Because they may not be fully utilized at present, an exploratory marketing study of factors affecting usage of the centers was conducted. Method: Observers counted center passers-by and tracked their paths. Also, brief intercept interviews were conducted with people who had just used a center, people nearby who could have used one but did not, and people on the street. Finally, in-depth individual interviews were conducted with key informants. Results: There was a high degree of satisfaction with the centers among users. Nonusers universally endorsed the center concept. However, most passers-by did not even glance at the centers, and intercept interviewees suggested better signage and promoting the resource centers through various media channels. Key informants added suggestions about interpersonal strategies (e.g., physician referrals) for center usage promotion but cautioned that a large increase in traffic could not be accommodated without increasing staff size or shifting from a model of individualized service. Conclusions: Triangulating findings from multiple data collection methods can provide useful guidance for efforts to promote center utilization. At minimum, steps should be taken to make the largest centers more noticeable. Because center utilization is not only associated with consumer satisfaction with hospitals, but may also foster health literacy, both hospital-based and community-based usage promotion strategies may be warranted. All such promotional strategies should be audience-tested before they are adopted. PMID:18219380

  16. Offering Women Childbirth Choices: A Case for Nurse-Midwives and Free-Standing Birth Centers.

    Science.gov (United States)

    Heffron, Marsha S.

    2002-01-01

    Describes the use of Certified Nurse Midwives and birth centers, examining how they present a safe, alternative maternity care option for low-risk women and discussing safety issues to consider with alternative childbirth experiences, birth center licensure and accreditation, cost effectiveness of freestanding birth centers, and client…

  17. A Survey of Digital Humanities Centers in the United States. CLIR Publication No. 143

    Science.gov (United States)

    Zorich, Diane M.

    2008-01-01

    In preparation for the 2008 Scholarly Communications Institute (SCI 6) focused on humanities research centers, the Council on Library and Information Resources (CLIR) commissioned a survey of digital humanities centers (DHCs). The immediate goals of the survey were to identify the extent of these centers and to explore their financing,…

  18. Limit Cycles and Isochronous Centers in a Class of Ninth Degree System

    Directory of Open Access Journals (Sweden)

    Li Hongwei

    2013-01-01

    Full Text Available A class of ninth degree system is studied and the conditions ensuring that its five singular points can be centers and isochronous centers (or linearizable centers at the same time by exact calculation and strict proof are obtained. What is more, the expressions of Lyapunov constants and periodic constants are simplified, and 21 limit circles could be bifurcated at least.

  19. Probing a dark matter density spike at the Galactic Center

    Science.gov (United States)

    Lacroix, Thomas; BÅ`hm, Céline; Silk, Joseph

    2014-03-01

    The dark matter halo profile in the inner Galaxy is very uncertain. Yet its radial dependence toward the Galactic Center is of crucial importance for the determination of the gamma-ray and radio fluxes originating from dark matter annihilations. Here we use synchrotron emission to probe the dark matter energy distribution in the inner Galaxy. We first solve the problem of the cosmic ray diffusion on very small scales, typically smaller than 103 pc, by using a Green's function approach and use this technique to quantify the effect of a spiky profile [ρ(r)∝r-7/3] on the morphology and intensity of the synchrotron emission expected from dark matter. We illustrate our results using 10 and 800 GeV candidate weakly interacting dark matter particles annihilating directly into e+e-. Our most critical assumptions are that the dark matter is heavier than a few GeV and directly produces a reasonable amount of electrons and positrons in the Galaxy. We conclude that dark matter indirect detection techniques (including the Planck experiment) could be used to shed light on the dark matter halo profile on scales that lie beyond the capability of any current numerical simulations.

  20. An example of a United States Nuclear Research Center

    Energy Technology Data Exchange (ETDEWEB)

    Bhattacharyya, S. K.

    1999-12-10

    Under the likely scenario in which public support for nuclear energy remains low and fossil fuels continue to be abundant and cheap, government supported nuclear research centers must adapt their missions to ensure that they tackle problems of current significance. It will be critical to be multidisciplinary, to generate economic value, and to apply nuclear competencies to current problems. Addressing problems in nuclear safety, D and D, nuclear waste management, nonproliferation, isotope production are a few examples of current needs in the nuclear arena. Argonne's original mission, to develop nuclear reactor technology, was a critical need for the U.S. in 1946. It would be wise to recognize that this mission was a special instance of a more general one--to apply unique human and physical capital to long term, high risk technology development in response to society's needs. International collaboration will enhance the collective chances for success as the world moves into the 21st century.

  1. Naturalistic Cognition: A Research Paradigm for Human-Centered Design

    Directory of Open Access Journals (Sweden)

    Peter Storkerson

    2010-01-01

    Full Text Available Naturalistic thinking and knowing, the tacit, experiential, and intuitive reasoning of everyday interaction, have long been regarded as inferior to formal reason and labeled primitive, fallible, subjective, superstitious, and in some cases ineffable. But, naturalistic thinking is more rational and definable than it appears. It is also relevant to design. Inquiry into the mechanisms of naturalistic thinking and knowledge can bring its resources into focus and enable designers to create better, human-centered designs for use in real-world settings. This article makes a case for the explicit, formal study of implicit, naturalistic thinking within the fields of design. It develops a framework for defining and studying naturalistic thinking and knowledge, for integrating them into design research and practice, and for developing a more integrated, consistent theory of knowledge in design. It will (a outline historical definitions of knowledge, attitudes toward formal and naturalistic thinking, and the difficulties presented by the co-presence of formal and naturalistic thinking in design, (b define and contrast formal and naturalistic thinking as two distinct human cognitive systems, (c demonstrate the importance of naturalistic cognition in formal thinking and real-world judgment, (d demonstrate methods for researching naturalistic thinking that can be of use in design, and (e briefly discuss the impact on design theory of admitting naturalistic thinking as valid, systematic, and knowable.

  2. Daily activities and living at a Therapeutic Residential Care Center

    Directory of Open Access Journals (Sweden)

    Luciane Prado Kantorki

    2014-12-01

    Full Text Available This study describes and analyzes day-to-day issues in a Therapeutic Residential Care Center and the daily life characteristics of its residents. This case study was conducted in Caxias do Sul, based on an evaluation of the fourth generation together with a Methodology for Analyzing Everyday Life Networks. The following categories emerged: possibilities in the territory, participation and flexibility in household tasks, situations that mark living, employees who are mediators in conflict resolution, staff committed to the resident, freedom as a therapeutic tool, difficulties in daily life, and building of alliances. This study helped to get to know the structure of everyday life experienced by the residents, identifying some difficulties they face and the mechanisms used to overcome them, in addition to noticing that the professionals can be instrumental in strengthening a daily living that can be pluralized, busy, and enriched, while still respecting the uniqueness of each resident. doi: 10.5216/ree.v16i4.22923.

  3. Facial rehabilitation: a neuromuscular reeducation, patient-centered approach.

    Science.gov (United States)

    Vanswearingen, Jessie

    2008-05-01

    Individuals with facial paralysis and distorted facial expressions and movements secondary to a facial neuromotor disorder experience substantial physical, psychological, and social disability. Previously, facial rehabilitation has not been widely available or considered to be of much benefit. An emerging rehabilitation science of neuromuscular reeducation and evidence for the efficacy of facial neuromuscular reeducation, a process of facilitating the return of intended facial movement patterns and eliminating unwanted patterns of facial movement and expression, may provide patients with disorders of facial paralysis or facial movement control opportunity for the recovery of facial movement and function. We provide a brief overview of the scientific rationale for facial neuromuscular reeducation in the structure and function of the facial neuromotor system, the neuropsychology of facial expression, and relations among expressions, movement, and emotion. The primary purpose is to describe principles of neuromuscular reeducation, assessment and outcome measures, approach to treatment, the process, including surface-electromyographic biofeedback as an adjunct to reeducation, and the goal of enhancing the recovery of facial expression and function in a patient-centered approach to facial rehabilitation.

  4. Probing a dark matter density spike at the Galactic Center

    CERN Document Server

    Lacroix, Thomas; Silk, Joseph

    2013-01-01

    The dark matter halo profile in the inner galaxy is very uncertain. Yet its radial dependence towards the Galactic Center is of crucial importance for the determination of the gamma-ray and radio fluxes originating from dark matter annihilations. Here we use synchrotron emission to probe the dark matter energy distribution in the inner galaxy. We first solve the problem of the cosmic ray diffusion on very small scales, typically smaller than 10^{-3} pc by using a Green's function approach, and use this technique to quantify the effect of a spiky profile (rho(r) ~ r^{-7/3}) on the morphology and intensity of the synchrotron emission expected from dark matter. We illustrate our results using 10 GeV and 800 GeV candidate weakly interacting dark matter particles annihilating directly into e^+ e^-. Our most critical assumptions are that the dark matter is heavier than a few GeV and directly produces a reasonable amount of electrons and positrons in the galaxy. We conclude that dark matter indirect detection techni...

  5. Hypnosis in pediatrics: applications at a pediatric pulmonary center

    Directory of Open Access Journals (Sweden)

    Anbar Ran D

    2002-12-01

    Full Text Available Abstract Background This report describes the utility of hypnosis for patients who presented to a Pediatric Pulmonary Center over a 30 month period. Methods Hypnotherapy was offered to 303 patients from May 1, 1998 – October 31, 2000. Patients offered hypnotherapy included those thought to have pulmonary symptoms due to psychological issues, discomfort due to medications, or fear of procedures. Improvement in symptoms following hypnosis was observed by the pulmonologist for most patients with habit cough and conversion reaction. Improvement of other conditions for which hypnosis was used was gauged based on patients' subjective evaluations. Results Hypnotherapy was associated with improvement in 80% of patients with persistent asthma, chest pain/pressure, habit cough, hyperventilation, shortness of breath, sighing, and vocal cord dysfunction. When improvement was reported, in some cases symptoms resolved immediately after hypnotherapy was first employed. For the others improvement was achieved after hypnosis was used for a few weeks. No patients' symptoms worsened and no new symptoms emerged following hypnotherapy. Conclusions Patients described in this report were unlikely to have achieved rapid improvement in their symptoms without the use of hypnotherapy. Therefore, hypnotherapy can be an important complementary therapy for patients in a pediatric practice.

  6. Postpercutaneous Nephrolithotomy Nephrostogram: Is It Mandatory? A Single Center Experience

    Directory of Open Access Journals (Sweden)

    Abdul Rouf Khawaja

    2014-01-01

    Full Text Available Aims and Objective. “Postpercutaneous nephrolithotomy nephrostogram” (PPNN is routinely performed in most of the centers. No published series could be found in the literature without post percutaneous nephrolithotomy nephrostogram. Hence, the aim of our study is to highlight that post percutaneous nephrolithotomy nephrostogram is not mandatory and it only adds to cost and morbidity without adding any information in the management of such patients. Methods. It was a prospective study from 2005 to 2012, conducted in our institute. It included 119 patients of renal stones who underwent percutaneous nephrolithotomy performed under the guidance of a single surgeon. Postoperative nephrostogram was not done in any of the patients. Results. Complete stone clearance was achieved in 97.5% of patients and 2.5% of patients needed two to three sessions of ESWL later on. None of the patients needed second look percutaneous nephrolithotomy or nephrostogram. Conclusion. Postpercutaneous nephrolithotomy nephrostogram increases chances of infection, inconvenience, contrast related complications, and cost, with no added advantage over plain X-ray KUB, and it should not be done as a routine investigation prior to the removal of PCN tube in patients with complete stone clearance.

  7. From STEM to STEAM: Toward a Human-Centered Education

    Science.gov (United States)

    Boy, Guy A.

    2013-01-01

    The 20th century was based on local linear engineering of complicated systems. We made cars, airplanes and chemical plants for example. The 21st century has opened a new basis for holistic non-linear design of complex systems, such as the Internet, air traffic management and nanotechnologies. Complexity, interconnectivity, interaction and communication are major attributes of our evolving society. But, more interestingly, we have started to understand that chaos theories may be more important than reductionism, to better understand and thrive on our planet. Systems need to be investigated and tested as wholes, which requires a cross-disciplinary approach and new conceptual principles and tools. Consequently, schools cannot continue to teach isolated disciplines based on simple reductionism. Science; Technology, Engineering, and Mathematics (STEM) should be integrated together with the Arts1 to promote creativity together with rationalization, and move to STEAM (with an "A" for Arts). This new concept emphasizes the possibility of longer-term socio-technical futures instead of short-term financial predictions that currently lead to uncontrolled economies. Human-centered design (HCD) can contribute to improving STEAM education technologies, systems and practices. HCD not only provides tools and techniques to build useful and usable things, but also an integrated approach to learning by doing, expressing and critiquing, exploring possible futures, and understanding complex systems.

  8. Learner-Centered (LCI) vs. Teacher-Centered (TCI) Instruction: A Classroom Management Perspective

    Science.gov (United States)

    Minter, Mary Kennedy

    2011-01-01

    Teacher education should incorporate management and leadership training with an emphasis on student audience analysis. Macro perspectives of teaching are needed for a workable approach to the management of education.

  9. A Model for Treatment in a Native American Family Service Center.

    Science.gov (United States)

    Metcalf, Ann; And Others

    Contrasting the differences between a non-Indian child abuse/neglect center with an Indian model, this report highlights the qualities of the Urban Indian Child Resource Center (CRC) in Oakland, California. The non-Indian concept of the cause of child abuse/neglect, based on the abused/neglected childhood of the parent, is compared to the Indian…

  10. Iterative user centered design for development of a patient-centered fall prevention toolkit.

    Science.gov (United States)

    Katsulis, Zachary; Ergai, Awatef; Leung, Wai Yin; Schenkel, Laura; Rai, Amisha; Adelman, Jason; Benneyan, James; Bates, David W; Dykes, Patricia C

    2016-09-01

    Due to the large number of falls that occur in hospital settings, inpatient fall prevention is a topic of great interest to patients and health care providers. The use of electronic decision support that tailors fall prevention strategy to patient-specific risk factors, known as Fall T.I.P.S (Tailoring Interventions for Patient Safety), has proven to be an effective approach for decreasing hospital falls. A paper version of the Fall T.I.P.S toolkit was developed primarily for hospitals that do not have the resources to implement the electronic solution; however, more work is needed to optimize the effectiveness of the paper version of this tool. We examined the use of human factors techniques in the redesign of the existing paper fall prevention tool with the goal of increasing ease of use and decreasing inpatient falls. The inclusion of patients and clinical staff in the redesign of the existing tool was done to increase adoption of the tool and fall prevention best practices. The redesigned paper Fall T.I.P.S toolkit showcased a built in clinical decision support system and increased ease of use over the existing version.

  11. Iterative user centered design for development of a patient-centered fall prevention toolkit.

    Science.gov (United States)

    Katsulis, Zachary; Ergai, Awatef; Leung, Wai Yin; Schenkel, Laura; Rai, Amisha; Adelman, Jason; Benneyan, James; Bates, David W; Dykes, Patricia C

    2016-09-01

    Due to the large number of falls that occur in hospital settings, inpatient fall prevention is a topic of great interest to patients and health care providers. The use of electronic decision support that tailors fall prevention strategy to patient-specific risk factors, known as Fall T.I.P.S (Tailoring Interventions for Patient Safety), has proven to be an effective approach for decreasing hospital falls. A paper version of the Fall T.I.P.S toolkit was developed primarily for hospitals that do not have the resources to implement the electronic solution; however, more work is needed to optimize the effectiveness of the paper version of this tool. We examined the use of human factors techniques in the redesign of the existing paper fall prevention tool with the goal of increasing ease of use and decreasing inpatient falls. The inclusion of patients and clinical staff in the redesign of the existing tool was done to increase adoption of the tool and fall prevention best practices. The redesigned paper Fall T.I.P.S toolkit showcased a built in clinical decision support system and increased ease of use over the existing version. PMID:27184319

  12. IAU Meteor Data Center | the shower database: a status report

    CERN Document Server

    Jopek, Tadeusz Jan

    2016-01-01

    Currently, the meteor shower part of Meteor Data Center database includes: 112 established showers, 563 in the working list, among them 36 have pro tempore status and 23 will be removed from the list. The list of shower complexes contains 25 groups, 3 have established status and 1 has pro tempore status. In the past three years, new meteor showers submitted to the MDC database were detected amongst meteors observed by CAMS stations (Cameras for Allsky Meteor Surveillance), meteors included in the EDMOND (European viDeo MeteOr Network Database), meteors collected by Japanese SonotaCo Network, meteors recorded in IMO (International Meteor Organization) database, amongst meteors observed by Croatian Meteor Network and meteors observed on the Southern Hemisphere by the SAAMER radar. During the XXIXth General Assembly of the IAU in Honolulu, Hawaii in 2015, the names of 18 showers were o?cially accepted and moved to the list of established showers. Also, one shower already o?cially named (3/SIA the Southern iota A...

  13. LIVER TRANSPLANTATION. A SINGLE CENTER EXPERIENCE OF 100 CASES

    Directory of Open Access Journals (Sweden)

    A. M. Granov

    2012-01-01

    Full Text Available A single center experience of first 100 liver transplantations (LTs is summarized. Analysis of trends in cadaver donor population and waiting list status changes, and also of early and late postoperative complications are presented. 100 LTs were performed for 95 patients (pts, retransplantation – 4 pts; one patient received 3 liver transplants (female – 55 pts, male – 40 pts, mean age – 39.9 ± 12.1 years. Cumulative 1-year survival rate of pts by Kaplan–Meyer was 91%, 3-year – 83%. Biliary complications were revealed in 9% of pts during 2–9 months after LT. 77 pts have been regularly observed in outpatient clinic, mean age – 44 ± 9.2 years, male – 35, fema- le – 42, follow-up period – 1 months up to 13 years after LT. 3.9% remained invalid with limitation of ability to work, 61.8% have been working, 22.3% were capable to work, retirees were 10.5%. Development of preoperati- ve planning, adequate organ selection will allow to improve the results of LT. Study of hematopoietic stem cells role will expand tools of prognosis of posttransplant complications. 

  14. Outcome Determinants of Stroke in a Brazilian Primary Stroke Center

    Directory of Open Access Journals (Sweden)

    Gustavo W. Kuster

    2014-01-01

    Full Text Available Background. Stroke mortality in Brazil is one of the highest among Western countries. Nonetheless, stroke outcome determinants are still poorly known in this country. In this study we evaluate outcome determinants of stroke in a primary stroke center in São Paulo, Brazil. Methods. We evaluated demographic, clinical, and outcome data of patients with ischemic stroke (IS, transient ischemic attack (TIA, and intracerebral hemorrhage (ICH admitted at “Hospital Paulistano,” São Paulo, Brazil. In-hospital mortality and functional outcome determinants were assessed. Univariate and binary logistic regression analysis were performed. Results. Three hundred forty-one patients were included in the study, 52.2% being male with 66.8±15.7 years. The stroke type distribution was IS: 59.2%, TIA: 29.6%, and ICH: 11.1%. ICH was associated with greater severity and poorer functional outcome. The determinants of poorer functional outcome were higher NIHSS, lower Glasgow score, and lower oxygen saturation level. The most important mortality determinant was the presence of visual symptoms. Conclusions. The stroke mortality and stroke outcome determinants found in the present study do not remarkably differ from studies carried out in developed countries. Stroke prognosis studies are crucial to better understand the high burden of stroke in Brazil.

  15. SENVM: Server Environment Monitoring and Controlling System for a Small Data Center Using Wireless Sensor Network

    CERN Document Server

    Choochaisri, Supasate; Jenjaturong, Saran; Intanagonwiwat, Chalermek; Ratanamahatana, Chotirat Ann

    2011-01-01

    In recent years, efficient energy utilization becomes an essential requirement for data centers, especially in data centers of world-leading companies, where "Green Data Center" defines a new term for an environment-concerned data center. Solutions to change existing a data center to the green one may vary. In the big company, high-cost approaches including re-planning server rooms, changing air-conditioners, buying low-powered servers, and equipping sophisticating environmental control equipments are possible, but not for small to medium enterprises (SMEs) and academic sectors which have limited budget. In this paper, we propose a novel system, SENVM, used to monitor and control air temperature in a server room to be in appropriate condition, not too cold, where very unnecessary cooling leads to unnecessary extra electricity expenses, and also inefficient in energy utilization. With implementing on an emerging technology, Wireless Sensor Network (WSN), Green Data Center is feasible to every small data center...

  16. A Dirichlet process mixture model for survival outcome data: assessing nationwide kidney transplant centers.

    Science.gov (United States)

    Zhao, Lili; Shi, Jingchunzi; Shearon, Tempie H; Li, Yi

    2015-04-15

    Mortality rates are probably the most important indicator for the performance of kidney transplant centers. Motivated by the national evaluation of mortality rates at kidney transplant centers in the USA, we seek to categorize the transplant centers based on the mortality outcome. We describe a Dirichlet process model and a Dirichlet process mixture model with a half-cauchy prior for the estimation of the risk-adjusted effects of the transplant centers, with strategies for improving the model performance, interpretability, and classification ability. We derive statistical measures and create graphical tools to rate transplant centers and identify outlying groups of centers with exceptionally good or poor performance. The proposed method was evaluated through simulation and then applied to assess kidney transplant centers from a national organ failure registry. PMID:25620744

  17. Mycophenolate mofetil in pediatric renal transplantation: A single center experience.

    LENUS (Irish Health Repository)

    Raheem, Omer A

    2011-05-01

    Raheem OA, Kamel MH, Daly PJ, Mohan P, Little DM, Awan A, Hickey DP. Mycophenolate mofetil in pediatric renal transplantation: A single center experience. Pediatr Transplantation 2011: 15:240-244. © 2009 John Wiley & Sons A\\/S. Abstract:  We assessed our long-term experience with regards to the safety and efficacy of MMF in our pediatric renal transplant population and compared it retrospectively to our previous non-MMF immunosuppressive regimen. Forty-seven pediatric renal transplants received MMF as part of their immunosuppressive protocol in the period from January 1997 till October 2006 (MMF group). A previously reported non-MMF group of 59 pediatric renal transplants was included for comparative analysis (non-MMF group). The MMF group comprised 29 boys and 18 girls, whereas the non-MMF group comprised 34 boys and 25 girls. Mean age was 11.7 and 12 yr in the MMF and non-MMF groups, respectively. The incidence of acute rejection episodes was 11 (23.4%) and 14 (24%) in the MMF and non-MMF group, respectively. Two (3.3%) grafts were lost in the non-MMF group compared with one (2.1%) in the MMF group. Twenty-one (44.68%) patients in the MMF group developed post-transplant infections compared with 12 (20.33%) in the non-MMF group (p < 0.0001). In conclusion, the use of MMF in pediatric renal transplantation was not associated with a lower rejection rate or immunological graft loss. It did, however, result in a significantly higher rate of viral infections.

  18. Hospital acquired diarrhea in a burn center of Tehran

    Directory of Open Access Journals (Sweden)

    Faranak Alinejad

    2016-01-01

    Full Text Available Background and Objectives: Incidence of hospital-acquired diarrhea has increased rapidly and burn patients are at high risk of getting it. Infection with C. difficile is the most common cause of antibiotic associated diarrhea. The aim of this study was to determine the baseline characteristics and clinical presentation of hospital-acquired diarrhea and compare C. difficile and non-C. difficile diarrhea in burn patients treated at a burn center.Materials and Methods: During a 1-year study all patients with hospital-acquired diarrhea at Motahari Burn Hospital, Teh- ran, Iran enrolled in this study. We compared patients with a stool sample positive for C. difficile toxin or tracing the antigen in patients who were negative for detection of toxin in their stool sample specimens.Results: Diarrhea developed in 37 patients out of 3200 admitted patients with a mean burn size of 34.8 ±20.1%. Among them, 8 patients had a positive result for C. difficile. The mean time between antibiotic therapy and occurrence of diarrhea was 9.5 ± 6.2 days. Nine (23.7% patients died in the 7.8± 4.2 days, mostly due to co-morbidities. The mean duration of di- arrhea was 3.6 ± 2 days. Twenty two (57.9% patients were treated with oral metronidazol and eleven (28.9% patients were treated with combination of metronidazole and vancomycin, higher rate of combination therapy was seen in Clostridium difficile CDI.Conclusion: Overall, the prevalence of hospital-acquired diarrhea was 120/10,000  and 21% of them caused by infection with C. difficile. Presence of peripheral leukocytosis and colitis were the alarm sign for diagnosis of C. difficile infection. Keywords: Hospital-acquired diarrhea (HAD, Burn, Clostridium difficile infection (CDI

  19. Incidence of occupational exposures in a tertiary health care center

    Directory of Open Access Journals (Sweden)

    Amrita Shriyan

    2012-01-01

    Full Text Available Introduction: Occupational exposure to Hepatitis B virus (HBV, human immunodeficiency virus (HIV and Hepatitis C virus (HCV infection is a cause of concern to all health care workers (HCWs, especially those, in hospitals. Among the HCWs, nurses, interns, technicians, resident doctors and housekeeping staff have the highest incidence of occupational exposure. Aims: To analyze the cases of needle stick injuries and other exposures to patient′s blood or body fluids among health care workers. Materials and Methods: A detailed account of the exposure is documented which includes incidence of needle stick injuries (NSI and implementation of post-exposure prophylaxis (PEP as per the hospital guidelines. We report a two-year continuing surveillance study where 255 health care workers (HCWs were included. PEP was given to HCWs sustaining NSI or exposures to blood and body fluids when the source is known sero-positive or even unknown where the risk of transmission is high. Follow-up of these HCW′s was done after three and six months of exposure. Results: Of the 255 HCWs, 59 sustained needle stick injuries and two were exposed to splashes. 31 of the NSI were from known sources and 28 from unknown sources. From known sources, thirteen were seropositive; seven for HIV, three for HCV and three for HBV. Nineteen of them sustained needle stick during needle re-capping, six of them during clean up, six of them while discarding into the container, 17 during administration of injection, eight of them during suturing, two occurred in restless patient, 17 during needle disposal. Conclusion: So far, no case of sero-conversion as a result of needle stick injuries was reported at our center.

  20. A Developmental Approach to Outreach Services for Counseling Centers.

    Science.gov (United States)

    Durand, Henry F.; And Others

    1980-01-01

    By implementing an outreach model based on the growth needs of students and linked to the academic process, counseling centers can increase their effectiveness and credibility with students and faculty. The model described demonstrates methods for delivering services relevant to personal development, career development, and values education.…

  1. School Media Centers: A Handbook for Elementary Librarians.

    Science.gov (United States)

    Baer, Eleanora A.

    Standard procedures for organizing and operating elementary school media centers are presented in simplified form in this handbook for librarians. Topics covered include media selection, supplies, acquisition procedure, accessioning, classification, cataloging (both books and non-book printed materials), printed catalog cards, filing rules,…

  2. Results from Organizational Development Interventions in a Technology Call Center.

    Science.gov (United States)

    Workman, Michael

    2003-01-01

    Call center staff answered calls in 4 treatments: alignment job design (n=35), autonomous work teams (n=35), high-involvement work processes (n=43), and controls (n=36). Job satisfaction improved in alignment job design and high-involvement treatments, most significantly in the latter. Skill level and attitude toward autonomous work might have…

  3. Human-centered automation: Development of a philosophy

    Science.gov (United States)

    Graeber, Curtis; Billings, Charles E.

    1990-01-01

    Information on human-centered automation philosophy is given in outline/viewgraph form. It is asserted that automation of aircraft control will continue in the future, but that automation should supplement, not supplant the human management and control function in civil air transport.

  4. Human-Centered Computing: Toward a Human Revolution

    OpenAIRE

    Jaimes, Alejandro; Gatica-Perez, Daniel; Sebe, Nicu; Thomas S. Huang

    2007-01-01

    Human-centered computing studies the design, development, and deployment of mixed-initiative human-computer systems. HCC is emerging from the convergence of multiple disciplines that are concerned both with understanding human beings and with the design of computational artifacts.

  5. Performance evaluation of a center pivot variable rate irrigation system

    Science.gov (United States)

    Variable Rate Irrigation (VRI) for center pivots offers potential to match specific application rates to non-uniform soil conditions along the length of the lateral. The benefit of such systems is influenced by the areal extent of these variations and the smallest scale to which the irrigation syste...

  6. Integrated Strategic Planning in a Learning-Centered Community College

    Science.gov (United States)

    Kelley, Susan; Kaufman, Roger

    2007-01-01

    In learning-centered community colleges, planning, like all processes, must measurably improve learning and learner performance. This article shares Valencia Community College's approach to revising its strategic planning process based on the Organizational Elements Model to: 1) focus strategic planning on learning results that add value for…

  7. Geography and Math: A Technique for Finding Population Centers.

    Science.gov (United States)

    Enedy, Joseph D.

    1993-01-01

    Argues that methods and procedures for teaching geography are becoming increasingly important as nongeography teachers present geographic concepts in other subjects. Describes an interdisciplinary instructional unit in which students use mathematical calculations to identify population centers in the United States and China. Provides maps, tables,…

  8. A 10-year review of four academic nurse-managed centers: challenges and survival strategies.

    Science.gov (United States)

    King, Eunice S

    2008-01-01

    Since 1985, there has been rapid growth in nurse-managed health centers (NMHCs). Many were established by academic schools of nursing, and several have closed. The Independence Foundation undertook this study to identify the challenges and survival strategies employed by four academic nurse-managed center grantees during a 10-year period. Data from Foundation records, interviews with directors and staff from the centers and the National Nursing Centers Consortium, a focus group with center founders, and field notes were analyzed for themes related to the centers' challenges and survival strategies. Although the centers faced many challenges from the sociopolitical environment, the community, and their parent organizations, the most difficult challenge was achieving financial sustainability, which was attainable only by obtaining cost-based reimbursement. Because of existing health policies, that was possible only through organizational restructuring and affiliation with an existing federally qualified health center. The future of nursing centers depends upon favorable health policies, data documenting centers' effectiveness, and adequate preparation of the next generation of nursing center directors and practitioners. PMID:18206838

  9. Designing and Implementing a Navicat Database System for a Call Center

    OpenAIRE

    Thair M. Hamtini; Osama Rababah

    2011-01-01

    A call center is a physical place where customer and other telephone calls are handled by an organization, usually with some amount of computer automation. Typically, a call center has the capacity to handle a considerable volume of calls at the same time, to screen calls, forward calls to qualified person to handle them, and to log calls. In this article we proposed an architecture and showed how the system works. Carolina Call Center used to manually keep track of its call information throu...

  10. Discovery of the recombining plasma in the south of the Galactic center; a relic of the past Galactic center activity?

    CERN Document Server

    Nakashima, S; Uchida, H; Tanaka, T; Tsuru, T G; Koyama, K; Murakami, H; Uchiyama, H

    2013-01-01

    We report Suzaku results for soft X-ray emission to the south of the Galactic center (GC). The emission (hereafter "GC South") has an angular size of ~42' x 16' centered at (l, b) ~ (0.0, -1.4), and is located in the largely extended Galactic ridge X-ray emission (GRXE). The X-ray spectrum of GC South exhibits emission lines from highly ionized atoms. Although the X-ray spectrum of the GRXE can be well fitted with a plasma in collisional ionization equilibrium (CIE), that of GC South cannot be fitted with a plasma in CIE, leaving hump-like residuals at ~2.5 and 3.5 keV, which are attributable to the radiative recombination continua of the K-shells of Si and S, respectively. In fact, GC South spectrum is well fitted with a recombination-dominant plasma model; the electron temperature is 0.46 keV while atoms are highly ionized (kT = 1.6 keV) in the initial epoch, and the plasma is now in a recombining phase at a relaxation scale (plasma density x elapsed time) of 5.3 x 10^11 s cm^-3. The absorption column densi...

  11. On modeling center of foot pressure distortion through a medium.

    Science.gov (United States)

    Betker, Aimee L; Moussavi, Zahra M K; Szturm, Tony

    2005-03-01

    The center of foot pressure (COP) is a commonly used output measure of the postural control system as it is indicative of the systems stability. A dense piece of foam, i.e., a sponge, can be used to emulate random environmental conditions that distort the ground reaction forces received and interpreted by the cutaneous sensors in the feet; thus introducing uncertainty into the control system. In this paper, the density and size of the sponge was selected such that a subject's weight did not cause full compression. In general, the COP is measured from the bottom of the sponge. As the sponge is used to distort ground reaction forces, it is reasonable then to assume that the COP signal would also be distorted. The use of other sensory information to identify state of balance, and compute necessary balance adjustments, is therefore required. In addition to a sponge, many different types of specialized footwear and inserts are used for people with peripheral neuropathy, such as diabetics. However, it is difficult to design diabetic footwear without a better understanding of the mechanical and physiological effects that different surfaces typical of outdoor terrains, such as a sponge, which cannot be predicted without the sense of the foot, have on balance. Therefore, the goal of this study was to investigate the change of the COP signal from the top and bottom of the sponge. Portable force sensing mats from Vista Medical were used to obtain the COP from the top and bottom of the sponge. The COP measured on the bottom of the sponge is not the same as the COP measured on the top, particularly in the medial-lateral direction. Several linear and nonlinear models were used to identify the unknown plant; i.e., the sponge. Overall, the nonlinear neural network method had superior performance when compared with the linear models. Thus, the results indicate that the signals from the top and bottom of the sponge are in fact different, and furthermore, they are nonlinearly related

  12. Senior Centers

    Medline Plus

    Full Text Available ... Karen Albers] We provide a wide variety of activities -- physical, health, mental health programs with Senior Plus, cognitive ... of games. [Narrator] Many senior centers also offer exercise programs. [Karen Albers] We offer aerobics, tai chi, ...

  13. Senior Centers

    Medline Plus

    Full Text Available ... variety of social and recreational activities. [Karen Albers] We provide a wide variety of activities -- physical, health, ... senior centers also offer exercise programs. [Karen Albers] We offer aerobics, tai chi, tap dancing, ballroom dancing, ...

  14. System and method for transferring telemetry data between a ground station and a control center

    Science.gov (United States)

    Ray, Timothy J. (Inventor); Ly, Vuong T. (Inventor)

    2012-01-01

    Disclosed herein are systems, computer-implemented methods, and tangible computer-readable media for coordinating communications between a ground station, a control center, and a spacecraft. The method receives a call to a simple, unified application programmer interface implementing communications protocols related to outer space, when instruction relates to receiving a command at the control center for the ground station generate an abstract message by agreeing upon a format for each type of abstract message with the ground station and using a set of message definitions to configure the command in the agreed upon format, encode the abstract message to generate an encoded message, and transfer the encoded message to the ground station, and perform similar actions when the instruction relates to receiving a second command as a second encoded message at the ground station from the control center and when the determined instruction type relates to transmitting information to the control center.

  15. Ethylene, a Hormone at the Center-Stage of Nodulation.

    Science.gov (United States)

    Guinel, Frédérique C

    2015-01-01

    Nodulation is the result of a beneficial interaction between legumes and rhizobia. It is a sophisticated process leading to nutrient exchange between the two types of symbionts. In this association, within a nodule, the rhizobia, using energy provided as photosynthates, fix atmospheric nitrogen and convert it to ammonium which is available to the plant. Nodulation is recognized as an essential process in nitrogen cycling and legume crops are known to enrich agricultural soils in nitrogenous compounds. Furthermore, as they are rich in nitrogen, legumes are considered important as staple foods for humans and fodder for animals. To tightly control this association and keep it mutualistic, the plant uses several means, including hormones. The hormone ethylene has been known as a negative regulator of nodulation for almost four decades. Since then, much progress has been made in the understanding of both the ethylene signaling pathway and the nodulation process. Here I have taken a large view, using recently obtained knowledge, to describe in some detail the major stages of the process. I have not only reviewed the steps most commonly covered (the common signaling transduction pathway, and the epidermal and cortical programs), but I have also looked into steps less understood (the pre-infection step with the plant defense response, the bacterial release and the formation of the symbiosome, and nodule functioning and senescence). After a succinct review of the ethylene signaling pathway, I have used the knowledge obtained from nodulation- and ethylene-related mutants to paint a more complete picture of the role played by the hormone in nodule organogenesis, functioning, and senescence. It transpires that ethylene is at the center of this effective symbiosis. It has not only been involved in most of the steps leading to a mature nodule, but it has also been implicated in host immunity and nodule senescence. It is likely responsible for the activation of other hormonal

  16. Endoscopicretrogradecholangiopancreatography outcome from a single referral center in Iran

    Institute of Scientific and Technical Information of China (English)

    Amir H Mohammad Alizadeh; Esmaeil S Afzali; Mirhadi Mousavi; Yaghoub Moaddab; Mohammad R Zali

    2010-01-01

    BACKGROUND: Endoscopic retrograde cholangiopancreato-graphy (ERCP) is the ifrst choice for diagnostic evaluation of the pancreatic and biliary tree and can be accompanied by a high diagnostic sensitivity and a poor therapeutic outcome. In the current study, we described our experiences in the indications, ifndings, and technical success of ERCP in a sample of the Iranian population admitted to a referral center in Iran. METHODS: In a retrospective review database-based study, 780 patients (393 males and 387 females;mean age 57.5 years) who had undergone diagnostic and therapeutic ERCP with the primary diagnosis of hepatobiliary disorder between 2006 and 2008 at Taleghani Hospital in Tehran were reviewed. The key data were demographic characteristics, clinical information, laboratory parameters, as well as post-ERCP complications. RESULTS: A history of cholecystectomy was found in about one-third (36.3%) of participants and 80 (10.3%) out of 780 patients had a previous history of biliary stone. A minority (1.4%) of the patients suffered from hepatobiliary carcinomas, and 11 patients had cirrhosis. The most common clinical manifestations in the patients undergoing diagnostic ERCP were icterus (47.3%), weight loss (31.2%), and dark urine (26.9%). Selective biliary cannulation was technically successful in 87.0% of the patients; however, cannulation failed in 13.0%. The most frequent ifnal diagnosis of ERCP was common bile duct stone that was detected in 40.1% of the patients. The ERCP results in 11.0%of the patients were normal. Regarding appropriate treatment, successful stenting was performed in 43 patients (15.2%). Among post-ERCP complications, pancreatitis was the most adverse event with an incidence rate of 3.3%. Other complications including local bleeding, cholangitis and gastrointestinal perforation, rarely occurred. Post-ERCP pancreatitis was reported in 1.8%of men and 3.6%of women (P=0.120). Pancreatitis was more common in women below 70 years than

  17. Carbon Dioxide Information Analysis Center and World Data Center-A for atmospheric trace gases: FY 1993 activities

    International Nuclear Information System (INIS)

    During the course of a fiscal year, Oak Ridge National Laboratory's Carbon Dioxide Information Analysis Center (CDIAC) distributes thousands of specialty publications-numeric data packages (NDPs), computer model packages (CMPs), technical reports, public communication publications, newsletters, article reprints, and reference books-in response to requests for information related to global environmental issues, primarily those pertaining to climate change. CDIAC's staff also provide technical responses to specific inquiries related to carbon dioxide (CO2), other trace gases, and climate. Hundreds of referrals to other researchers, policy analysts, information specialists, or organizations are also facilitated by CDIAC's staff. This report provides an account of the activities accomplished by CDIAC (including World Data Center-A for Atmospheric Trace Gases) during the period October 1, 1992, to September 30, 1993. An organizational overview of CDIAC and its staff is supplemented by a detailed description of inquiries received and CDIAC's response to those inquiries. An analysis and description of the preparation and distribution of NDPS, CMPS, technical reports, newsletters, fact sheets, specialty publications, and reprints are provided. Comments and descriptions of CDIAC's information management systems, professional networking, and special bilateral agreements are also presented

  18. Carbon Dioxide Information Analysis Center and World Data Center-A for atmospheric trace gases: FY 1993 activities

    Energy Technology Data Exchange (ETDEWEB)

    Cushman, R.M. [Oak Ridge National Lab., TN (United States). Carbon Dioxide Information Analysis Center; Stoss, F.W. [Oak Ridge National Lab., TN (United States). Carbon Dioxide Information Analysis Center]|[Univ. of Tennessee, Knoxville, TN (United States). Energy, Environment, and Resources Center

    1994-01-01

    During the course of a fiscal year, Oak Ridge National Laboratory`s Carbon Dioxide Information Analysis Center (CDIAC) distributes thousands of specialty publications-numeric data packages (NDPs), computer model packages (CMPs), technical reports, public communication publications, newsletters, article reprints, and reference books-in response to requests for information related to global environmental issues, primarily those pertaining to climate change. CDIAC`s staff also provide technical responses to specific inquiries related to carbon dioxide (CO{sub 2}), other trace gases, and climate. Hundreds of referrals to other researchers, policy analysts, information specialists, or organizations are also facilitated by CDIAC`s staff. This report provides an account of the activities accomplished by CDIAC (including World Data Center-A for Atmospheric Trace Gases) during the period October 1, 1992, to September 30, 1993. An organizational overview of CDIAC and its staff is supplemented by a detailed description of inquiries received and CDIAC`s response to those inquiries. An analysis and description of the preparation and distribution of NDPS, CMPS, technical reports, newsletters, fact sheets, specialty publications, and reprints are provided. Comments and descriptions of CDIAC`s information management systems, professional networking, and special bilateral agreements are also presented.

  19. Asymmetric transmission through a flux-controlled non-Hermitian scattering center

    OpenAIRE

    Li, X. Q.; Zhang, X. Z.; G. Zhang; Song, Z.

    2014-01-01

    We study the possibility of asymmetric transmission induced by a non-Hermitian scattering center embedded in a one-dimensional waveguide, motivated by the aim of realizing quantum diode in a non-Hermitian system. It is shown that a $\\mathcal{PT}$ symmetric non-Hermitian scattering center always has symmetric transmission although the dynamics within the isolated center can be unidirectional, especially at its exceptional point. We propose a concrete scheme based on a flux-controlled non-Hermi...

  20. Famitinib in metastatic renal cell carcinoma: a single center study

    Institute of Scientific and Technical Information of China (English)

    ZHANG Wen; ZHOU Ai-ping; QIN Qiong; CHANG Chun-xiao; JIANG Hao-yuan; MA Jian-hui; WANG Jin-wan

    2013-01-01

    Background Famitinib is a novel and potent multitargeting receptor tyrosine kinase inhibitor.The phase I clinical study showed that famitinib was well tolerated and had a broad anti-tumor spectrum.The purpose of this study was to examine the efficacy and safety of famitinib for the treatment of metastatic renal cell carcinoma (mRCC).Methods The data of famitinib in treating patients with mRCC from the single-center phases Ⅰ and Ⅱ clinical trials were analyzed.Famitinib was administered orally at the dose of 13-30 mg once daily until tumor progression,occurrence of intolerable adverse reactions or withdrawal of the informed consent.Results A total of 24 patients with mRCC were treated including 17 patients at a dose of 25 mg once daily,4 patients at a dose of 27 mg and 1 patient each at a dose of 13 mg,20 mg and 30 mg,respectively.Twelve (50.0%) patients achieved partial response (PR) and 9 patients achieved stable disease (SD).Progressive disease was found in 3 (12.5%) patients.The disease control rate was 87.5%.The median follow-up time was 17.6 months; the median progression free survival (PFS) was 10.7 (95% Cl7.0-14.4) months; and the estimated median overall survival (OS) time was 33.0 (95% Cl8.7-57.3) months.The adverse drug reactions mainly included hypertension (54.1%),hand-foot skin reactions (45.8%),diarrhea (33.3%),mucositis (29.2%),neutropenia (45.8%),thrombocytopenia (29.2%),hyperlipidemia (41.7%) and proteinuria (41.7%).The incidence rate of grades 3 and 4 adverse events was low,mainly including hypertension 12.5%,hand-foot skin reactions 4.2%,neutropenia 4.2%,thrombocytopenia 4.2%,hyperlipidemia 4.2% and proteinuria 12.5%.Conclusions Famitinib has significant anti-tumor activity in mRCC.The common adverse reactions are generally manageable.

  1. A High Performance Hybrid ToR for Data Centers

    OpenAIRE

    Liu, He

    2015-01-01

    The potential advantages of optics at high link speeds have led to significant interest in deploying optical switching technology in data-center networks. Initial efforts have focused on hybrid approaches that rely on millisecond-scale circuit switching in the core of the network, while maintaining the flexibility of electrical packet switching at the edge. Recent demonstrations of microsecond-scale optical circuit switches motivate considering circuit switching for more dynamic traffic such ...

  2. A Data Analysis Center for Electromagnetic and Hadronic Interaction

    Energy Technology Data Exchange (ETDEWEB)

    Briscoe, William John [George Washington Univ., Washington, DC (United States). Inst. for Nuclear Studies; Strakovsky, Igor I. [George Washington Univ., Washington, DC (United States). Inst. for Nuclear Studies; Workman, Ronald L. [George Washington Univ., Washington, DC (United States). Inst. for Nuclear Studies

    2015-05-31

    The GW Data Analysis Center (DAC) has made significant progress in its program to enhance and expand the partial-wave and multipole analyses of fundamental reactions, while maintaining and expanding each associated database. These efforts provide guidance to national and international experimental and theoretical efforts, and are an important link between theory and experiment. Our principal goals are focused on baryon and meson physics programs and related topics.

  3. Breast reconstruction after mastectomy at a comprehensive cancer center

    OpenAIRE

    Connors, Shahnjayla K.; Goodman, Melody S.; Myckatyn, Terence; Margenthaler, Julie; Gehlert, Sarah

    2016-01-01

    Background Breast reconstruction after mastectomy is an integral part of breast cancer treatment that positively impacts quality of life in breast cancer survivors. Although breast reconstruction rates have increased over time, African American women remain less likely to receive breast reconstruction compared to Caucasian women. National Cancer Institute-designated Comprehensive Cancer Centers, specialized institutions with more standardized models of cancer treatment, report higher breast r...

  4. Evaluation of health care services provided for older adults in primary health care centers and its internal environment. A step towards age-friendly health centers

    OpenAIRE

    Alhamdan , A.A.; Alshammari , S.A.; Al-Amoud, M.M.; Hameed , T.A.; Al-Muammar , M.N.; Bindawas , S.M.; Al-Orf , S.M.; Mohamed , A.G.; Al-Ghamdi , E.A.; P.C. Calder

    2015-01-01

    Objectives: to evaluate the health care services provided for older adults by primary health care centers (PHCCs) in Riyadh, Kingdom of Saudi Arabia (KSA), and the ease of use of these centers by older adults. Methods: between October 2013 and January 2014, we conducted a descriptive cross-sectional study of 15 randomly selected PHCCs in Riyadh City, KSA. The evaluation focused on basic indicators of clinical services offered and factors indicative of the ease of use of the centers by o...

  5. A review of the design and development processes of simulation for training in healthcare - A technology-centered versus a human-centered perspective.

    Science.gov (United States)

    Persson, Johanna

    2017-01-01

    This article reviews literature about simulation systems for training in healthcare regarding the prevalence of human-centered approaches in the design and development of these systems, motivated by a tradition in this field of working technology-centered. The results show that the focus on human needs and context of use is limited. It is argued that a reduction of the focus on technical advancements in favor of the needs of the users and the healthcare community, underpinned by human factors and ergonomics theory, is favorable. Due to the low number of identified articles describing or discussing human-centered approaches it is furthermore concluded that the publication culture promotes technical descriptions and summative evaluations rather than descriptions and reflections regarding the design and development processes. Shifting the focus from a technology-centered approach to a human-centered one can aid in the process of creating simulation systems for training in healthcare that are: 1) relevant to the learning objectives, 2) adapted to the needs of users, context and task, and 3) not selected based on technical or fidelity criteria.

  6. Texas A&M University Industrial Assessment Center Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Heffington, Warren M.; Eggebrecht, James A.

    2007-02-24

    This project benefited the public by assisting manufacturing plants in the United States to save costly energy resources and become more profitable. Energy equivalent to over 75,000 barrels of oil was conserved. The Texas A&M University Industrial Assessment Center (IAC) visited 96 manufacturing plants and spent 101 days in those plants during the contract period from August 9, 2002, through November 30, 2006. Recommended annual energy savings for manufacturers were 37,400,000 kWh (127,600 MMBtu—site basis) of electricity and 309,000 MCF (309,000 MMBtu) of natural gas. Each manufacturer subsequently was surveyed, and based on these surveys reportedly implemented 79% of the electricity savings and 36% of the natural gas savings for an overall energy savings of 48% of recommended. Almost 800 (798) projects were recommended to manufacturers, and they accomplished two-thirds of the projects. Cost savings recommended were $12.3 million and implemented savings were $5.7 million or 47%. During the contract period our average time between site visit and report submittal averaged 46 days; and decreased from 48 days in 2003 to 44 days in 2006. Serving clients well and promptly has been a priority. We visited five ESA overflow clients during FY 06. The Texas A&M University IAC pioneered the presentation of air pollution information in reports, and includes NOx and CO2 reductions due to energy savings in all reports. We also experimented with formal PowerPoint BestPractices presentations called Lunchtime/Showtime in each plant and with delivering electronic versions of the report. During the period of the contract, the director served on the Texas Industries of the Future (IOF) Refining and Chemicals Committee, which oversaw the showcases in 2003 and 2006. The assistant director was the Executive Director of the International Energy Technology Conference held annually. The director and assistant director became qualified specialists in the Process Heating Assessment Scoping

  7. For the Mouths of Babes: Nutrition Literacy Outreach to a Child Care Center

    OpenAIRE

    Ballance, Darra; Webb, Nancy

    2015-01-01

    Childhood obesity is at crisis levels in the United States. Risk factors for obesity can begin as early as infancy. Approximately 12 million children up to five years of age spend about 22.5 hours per week in child care centers where they receive a significant portion of their daily nutrition. Child care center personnel may not know how to select nutritious meal and snack choices. A health sciences librarian, a child care center director and a dietitian designed an outreach...

  8. Comparison of CDE data in phacoemulsification between an open hospital-based ambulatory surgical center and a free-standing ambulatory surgical center

    Directory of Open Access Journals (Sweden)

    Ming Chen

    2010-11-01

    Full Text Available Ming Chen1, Mindy Chen21University of Hawaii, Honolulu, HI, USA; 2University of California, Irvine, CA, USAAbstract: Mean CDE (cumulative dissipated energy values were compared for an open hospital-based surgical center and a free-standing surgical center. The same model of phacoemulsifier (Alcon Infiniti Ozil was used. Mean CDE values showed that surgeons (individual private practice at the free-standing surgical center were more efficient than surgeons (individual private practice at the open hospital-based surgical center (mean CDE at the hospital-based surgical center 18.96 seconds [SD = 12.51]; mean CDE at the free-standing surgical center 13.2 seconds [SD = 9.5]. CDE can be used to monitor the efficiency of a cataract surgeon and surgical center in phacoemulsification. The CDE value may be used by institutions as one of the indicators for quality control and audit in phacoemulsification.Keywords: CDE (cumulative dissipated energy, open hospital-based ambulatory surgical center, free-standing surgical center, phacoemulsification 

  9. Laparoscopic cholecystectomy: A report from a single center

    Institute of Scientific and Technical Information of China (English)

    Konstantinos Vagenas; Stavros N Karamanakos; Charalambos Spyropoulos; Spyros Panagiotopoulos; Menelaos Karanikolas; Michalis Stavropoulos

    2006-01-01

    AIM: To review and evaluate our experience in laparoscopic cholecystectomy.METHODS: A retrospective analysis was performed on data collected during a 13-year period (1992-2005)from 1220 patients who underwent laparoscopic cholecystectomy.RESULTS: Mortality rate was 0%. The overall morbidity rate was 5.08% (n = 62), with the most serious complications arising from injuries to the biliary tree and the cystic artery. In 23 (1.88%) cases, cholecystectomy could not be completed laparoscopically and the operation was converted to an open procedure. Though the patients were scheduled as day-surgery cases, the average duration of hospital stay was 2.29 d, as the complicated cases with prolonged hospital stay were included in the calculation.CONCLUSION: Laparoscopic cholecystectomy is a safe,minimally invasive technique with favorable results for the patient.

  10. NRUSINHWADI AS A RELIGIOUS TOURIST CENTER: A GEOGRAPHICAL STUDY

    OpenAIRE

    Dilip A. Gade; J. P. Jagtap

    2014-01-01

    Religion is historically associated with tourism. Some of our most popular tourist places are found on ancient places of worship. Religious tourism has a big future in the district. Kolhapur district is richly endowed with ancient temples and religious festivals. The purpose of this study is to examine facilities available for tourist. Th

  11. A community-oriented center for severely and profoundly retarded children.

    Science.gov (United States)

    1975-10-01

    A center established three years ago to provide local residential services for severely and profoundly retarded children has developed programs that give the residents a high level of interaction with direct-care staff members and with the community. At the Elisabeth Ludeman Center, children live in groups of eight or fewer in four-bedroom homes served by neighborhood centers. In various community-oriented programs, high school students are trained for jobs as half-time technicians. Ludeman residents are placed half days in a community development center, part-time services are provided at Ludeman for clients of other agencies, and community members come to the center as volunteer instructors or as users of Ludeman facilities. A key part of the center's program is an audiovisual service used extensively for inservice training and staff communication. PMID:53179

  12. Limit cycles bifurcated from a center in a three dimensional system

    Directory of Open Access Journals (Sweden)

    Bo Sang

    2016-04-01

    Full Text Available Based on the pseudo-division algorithm, we introduce a method for computing focal values of a class of 3-dimensional autonomous systems. Using the $\\epsilon^1$-order focal values computation, we determine the number of limit cycles bifurcating from each component of the center variety (obtained by Mahdi et al. It is shown that at most four limit cycles can be bifurcated from the center with identical quadratic perturbations and that the bound is sharp.

  13. Beyond active learning: a case study of teaching practices in an occupation-centered curriculum.

    Science.gov (United States)

    Hooper, Barbara

    2006-01-01

    Although occupation-centered curricula are highly promoted, the teaching processes that convey such designs remain unclear. This case study elucidated occupation-centered teaching practices. Interview and observational data were collected over 8 weeks, and analysis involved coding transcriptions, data matrices, concept maps, journaling, and writing. Participants augmented active learning strategies with strategies that linked course topics to the subject of occupation. The use of linking strategies suggested that: (a) course content was treated as two-tiered; (b) neither content nor instructional processes were inherently occupation-centered; and (c) subject-centered education strengthens social learning theories. Although curricula may appear occupation-centered based on a curriculum description and course content, ultimately "linking opportunities" in the classroom constitute an essential feature that demarcates a program as occupation-centered.

  14. A Unique RCM Application at the NASA Ames Research Center (ARC) 12-Foot Pressure Wind Tunnel

    Science.gov (United States)

    Bonagofski, James M.; Machala, Anthony C.; Smith, Anthony M.; Presley, Leroy L. (Technical Monitor)

    1996-01-01

    NASA Ames Research Center is known internationally as a center of excellence for its capabilities and achievements in the field of developmental aerodynamics. The Center has a variety of aerodynamic test facilities including the largest wind tunnel in the world (with 40 x 80 deg and 80 x 120 deg atmospheric test sections) and the 12-Foot Pressure Wind Tunnel which is the subject of this paper. Additional information is contained in the original extended abstract.

  15. Introducing a Method for Achieving Standardization and Harmonization in Clinical and Research Laboratory Centers

    Directory of Open Access Journals (Sweden)

    Dastmardi, M. (MSc

    2014-05-01

    Full Text Available Background and Objective: Proficiency testing schemes as a part of quality system in clinical and research laboratory centers provides the opportunity to evaluate the quality of test results. In this paper, we try to introduce the proficiency testing schemes as a useful method for achieving standardization and homogenization of test results in clinical and research laboratory centers. Keywords: Proficiency Testing Schemes; Quality Improvement; Laboratory Centers

  16. EMPYEMA THORACIS: A CURRENT PROFILE AT A TERTIARY CARE CENTER

    Directory of Open Access Journals (Sweden)

    Hemanta Kumar

    2016-02-01

    Full Text Available BACKGROUND Empyema Thoracis (ET, the accumulation of pus in pleural cavity due to infective origin, is a perpetual clinical entity since Hippocratic era. The incidence and prevalence varies depending on different countries, type of infections, age and immune status of the host. OBJECTIVE To study profile of ET cases in relation to demography, clinical features, imaging, bacteriological status and treatment among patients admitted to Pulmonary Medicine Department, SCBMCH, Cuttack, Odisha. MATERIALS AND METHODS One hundred cases of ET were included in the study prospectively with detailed history, meticulous physical examination, necessary imaging, sputum/pleural fluid Gram and AFB staining, AFB culture and aerobic culture sensitivity followed by specific treatment. RESULTS Majority ET cases belonged to ages between 21-70 yrs. with relatively higher occurrence in young and middle ages, affecting more commonly males (87%, farmers (36%, diabetics (22% and alcoholics (22%. There was no significant association of any hemithorax among tubercular empyemas (Right 49%: Left 45%, whereas involvement of right hemithorax was significantly higher than left in non-tubercular empyemas (Right 63%: Left 26%. Free ET was seen in 67% of cases, encysted ET in 33% cases and underlying lung parenchymal lesions in 62% cases. Pleural pus was thin in 66% cases and thick in 34% (Tubercular cases. Gram staining of pleural fluid showed no bacteria in 82% cases, whereas it revealed growth on aerobic culture in 41% of cases. Tuberculosis was most common cause of empyema in 73% cases (Inclusive MDR-TB 2.7%, where Definite TB-ET was 15.1%, Probable TB-ET 84.9% and super infection predominantly due to pseudomonas was 13.6%. In contrast, Non-TB-ET was 27%, in which staphylococcus aureus (33.3% was the major isolate followed by Ps. Aeruginosa and Esch. Coli (20% each on aerobic culture. Thoracocentesis was performed in 15% cases, ICTD in 84% cases, decortication in 4% cases and

  17. A Partial Swot Analysis of the Turkish Bank Call Centers: The Actual and the Assumed Weaknesses

    OpenAIRE

    ÖZKAN, Ahmet Hakan

    2011-01-01

    The bank call centers of Turkey are seen as a tool of perceiving the threats and evaluating opportunities in the SWOT analysis. By the way they are evaluated as a factor of strength. However, the weaknesses of the call centers which must be taken into account in a SWOT analysis, are so various that they cannot be ignored. The weaknesses of the call centers are elaborated with this research. The ways the call centers harm the corporations or the ways they might harm are revised.

  18. Acute renal transplant rejections: A single center experience

    Directory of Open Access Journals (Sweden)

    Jabur Wael

    2008-01-01

    Full Text Available We undertook this observational study to assess the incidence of acute rejections (AR in the first six months after transplantation at Al-Karama Hospital, Iraq. Sixty eight patients (49 males and 19 females underwent renal transplantation in 2006 and were followed up weekly. Forty six received kidneys from related donors and 22 from unrelated donors. During the first six months after transplantation AR occurred in 16 patients (23%; 11 (23% related and 5 (23% unrelated donor transplantation. We conclude that the incidence of acute rejection was similar in related and unrelated donor transplantation and the general incidence was comparable to that reported from most centers.

  19. Injury Secondary to Antiretroviral Agents: A Retrospective Analysis of a Regional Poison Center Database

    OpenAIRE

    Wheatley, Matthew A; Shah, Bijal B; Morgan, Brent W.; Houry, Debra; Kazzi, Ziad N.

    2011-01-01

    Introduction: Poisoning is an increasingly important cause of injury in the United States. In 2009 poison centers received 2,479,355 exposure reports, underscoring the role of poison centers in intentional and unintentional injury prevention. Antiretroviral (ARV) agents are commonly prescribed drugs known to cause toxicity, yet the frequency of these incidents is unknown. The objectives of this study were to quantify the number of reported cases of toxicity secondary to ARV agents at a region...

  20. Combating Obesity at Community Health Centers (COACH): A Quality Improvement Collaborative for Weight Management Programs

    OpenAIRE

    Wilkes, Abigail E.; John, Priya M.; Vable, Anusha M.; Campbell, Amanda; Heuer, Loretta; Schaefer, Cynthia; Vinci, Lisa; Drum, Melinda L.; Chin, Marshall H; Quinn, Michael T; Burnet, Deborah L.

    2013-01-01

    Community health centers (CHCs) seek effective strategies to address obesity. MidWest Clinicians’ Network partnered with [an academic medical center] to test feasibility of a weight management quality improvement (QI) collaborative. MidWest Clinicians’ Network members expressed interest in an obesity QI program. This pilot study aimed to determine whether the QI model can be feasibly implemented with limited resources at CHCs to improve weight management programs. Five health centers with wei...

  1. Quantum information transfer with nitrogen-vacancy centers coupled to a whispering-gallery microresonator

    OpenAIRE

    Li, Pengbo; Gao, Shaoyan; Li, Fuli

    2010-01-01

    We propose an efficient scheme for the realization of quantum information transfer and entanglement with nitrogen-vacancy (NV) centers coupled to a high-Q whispering-gallery mode (WGM) microresonator. We show that, based on the effective dipole-dipole interaction between the NV centers mediated by the WGM, quantum information can be transferred between the NV centers through Raman transitions combined with laser fields. This protocol may open up promising possibilities for quantum communicati...

  2. Therm splitting in a quantum mechanical double center problem for the Dirac equation

    International Nuclear Information System (INIS)

    An asymptotic (by large internuclear distance) theory of a quantum mechanical double center problem for the Dirac equation is presented. An asymptotic behaviour of the double center wave function of the Dirac electron for the system: an arbitrary ion plus atom is constructed. By using this function the leading term of the therm splitting asymptotic in the relativistic double center problem is found. 37 refs

  3. A mathematical model for the germinal center morphology and affinity maturation

    CERN Document Server

    Meyer-Hermann, M

    2002-01-01

    During germinal center reactions the appearance of two specific zones is observed: the dark and the light zone. Up to now, the origin and function of these zones are poorly understood. In the framework of a stochastic and discrete model several possible pathways of zone development during germinal center reactions are investigated. The importance of the zones in the germinal center for affinity maturation, i.e. the process of antibody optimization is discussed.

  4. Hypertension care at primary health care centers: A report from Abha, Saudi Arabia

    OpenAIRE

    Al-Homrany Mohammed; Khan Mohd; Al-Khaldi Yahia; Al-Gelban Khalid; Al-Amri Hasan

    2008-01-01

    It is well known that effective management of hypertension reduces the incidence of myo-cardial infarction, stroke and vascular complications. The Ministry of Health, Kingdom of Saudi Arabia, introduced the Quality Assurance Guidelines with the hope to improve the management of hypertension in its centers. We conducted an audit of two Primary Health Care Centers namely, Al-Manhal (MPHCC) and Al-Numais (NPHCC), to evaluate how well hypertension was managened at these centers. A check list was ...

  5. It is time to talk about people: a human-centered healthcare system

    Directory of Open Access Journals (Sweden)

    Borgi Lea

    2010-11-01

    Full Text Available Abstract Examining vulnerabilities within our current healthcare system we propose borrowing two tools from the fields of engineering and design: a Reason's system approach 1 and b User-centered design 23. Both approaches are human-centered in that they consider common patterns of human behavior when analyzing systems to identify problems and generate solutions. This paper examines these two human-centered approaches in the context of healthcare. We argue that maintaining a human-centered orientation in clinical care, research, training, and governance is critical to the evolution of an effective and sustainable healthcare system.

  6. Thirty Years of Pancreas Transplantation at Leiden University Medical Center : Long-Term Follow-Up in a Large Eurotransplant Center

    NARCIS (Netherlands)

    Kopp, Wouter H; Verhagen, Merel J J; Blok, Joris J; Huurman, Volkert A L; de Fijter, Johan W; de Koning, Eelco J; Putter, Hein; Baranski, Andzrej G; Schaapherder, Alexander F M; Braat, Andries E; Ringers, Jan

    2015-01-01

    BACKGROUND: An overview of 30 years of pancreas transplantation at a high volume center. Analysis of patient survival- and graft survival-associated risk factors. METHODS: All pancreas transplantations performed in our center from January 1, 1984, till December 31, 2012, were evaluated. Covariates i

  7. A Survey of Primary Care Offices: Triage of Poisoning Calls without a Poison Control Center

    Directory of Open Access Journals (Sweden)

    Travis Austin

    2012-01-01

    Full Text Available Poison control centers hold great potential for saving health care resources particularly by preventing unnecessary medical utilization. We developed a four-question survey with three poisoning-related scenarios, based on common calls to our poison center, and one question regarding after-hours calls. We identified primary care provider offices in our poison center's region from an internet search. We contacted these offices via telephone and asked to speak to an office manager or someone responsible for triaging patient phone queries. Using a scripted form, trained investigators questioned 100 consecutive primary care provider offices on how they would handle these poisoning-related calls if there was no poison center to refer their patients to. Results of our survey suggest that 82.5% of poisoning-related calls to primary care offices would be referred to 911 or an emergency department if there was no poison center. These results further support the role that poison centers play in patient care and health care utilization.

  8. A national survey of emergency department chest pain centers in the United States.

    Science.gov (United States)

    Zalenski, R J; Rydman, R J; Ting, S; Kampe, L; Selker, H P

    1998-06-01

    Although chest pain centers are promoted as improving emergency cardiac care, no data exist on their structure and processes. This national study determines the 1995 prevalence rate for emergency department (ED)-based chest pain centers in the United States and compares organizational differences of EDs with and without such centers. A mail survey was directed to 476 EDs randomly selected from the American Hospital Association's database of metropolitan hospitals (n = 2,309); the response rate was 63%. The prevalence of chest pain centers was 22.5% (95% confidence interval 18% to 27%), which yielded a projection of 520 centers in the United States in 1995. EDs with centers had higher overall patient volumes, greater use of high-technology testing, lower treatment times for thrombolytic therapy, and more advertising (all p <0.05). Hospitals with centers had greater market competition and more beds per annual admissions, cardiac catheterization, and open heart surgery capability (all p <0.05). Logistic regression identified open heart surgery, high-admission volumes, and nonprofit status as independent predictors of hospitals having chest pain centers. Thus, chest pain centers have a moderate prevalence, offer more services and marketing efforts than standard EDs, and tend to be hosted by large nonprofit hospitals. PMID:9631967

  9. Outsourcing your medical practice call center: how to choose a vendor to ensure regulatory compliance.

    Science.gov (United States)

    Johnson, Bill

    2014-01-01

    Medical practices receive hundreds if not thousands of calls every week from patients, payers, pharmacies, and others. Outsourcing call centers can be a smart move to improve efficiency, lower costs, improve customer care, ensure proper payer management, and ensure regulatory compliance. This article discusses how to know when it's time to move to an outsourced call center, the benefits of making the move, how to choose the right call center, and how to make the transition. It also provides tips on how to manage the call center to ensure the objectives are being met.

  10. A Retail Center Facing Change: Using Data to Determine Marketing Strategy

    Science.gov (United States)

    Walker, Kristen L.; Curren, Mary T.; Kiesler, Tina

    2013-01-01

    Plaza del Valle is an open-air shopping center in the San Fernando Valley region of Los Angeles. The new marketing manager must review primary and secondary data to determine a target market, a product positioning strategy, and a promotion strategy for the retail shopping center with the ultimate goal of increasing revenue for the Plaza. She is…

  11. Asymmetric transmission through a flux-controlled non-Hermitian scattering center

    Science.gov (United States)

    Li, X. Q.; Zhang, X. Z.; Zhang, G.; Song, Z.

    2015-03-01

    We study the possibility of asymmetric transmission induced by a non-Hermitian scattering center embedded in a one-dimensional waveguide, motivated by the aim of realizing quantum diodes in a non-Hermitian system. It is shown that a PT -symmetric non-Hermitian scattering center always has symmetric transmission although the dynamics within the isolated center can be unidirectional, especially at its exceptional point. We propose a concrete scheme based on a flux-controlled non-Hermitian scattering center, which comprises a non-Hermitian triangular ring threaded by an Aharonov-Bohm flux. The analytical solution shows that such a complex scattering center acts as a diode at the resonant energy level of the spectral singularity, exhibiting perfect unidirectionality of the transmission. The connections between the phenomena of the asymmetric transmission and reflectionless absorption are also discussed.

  12. Senior Centers and Nutritional Outcomes: A Texas Example.

    Science.gov (United States)

    Swan, James H; Severance, Jennifer J; Turner, Keith

    2016-01-01

    Healthy diet and weight control are important for elders and senior centers (SCs). The authors consider effects of SCs on attendee nutrition and health and efforts to improve diets and weight. Data derive from surveys in 2006 (N = 798) and 2007 (N = 742) at 21 multipurpose SCs in Tarrant County, Texas, supplemented with data from 2012 (N = 1,402). Measures included attendee agreement that SC meals improved nutrition, improved health, attempts to improve diets, and success in controlling weight. Cumulative and binary logistic regression methods were employed. SC attendance and social engagement explained agreement that SC meals improved nutrition and health but were not shown to predict changes in diet or weight control. Findings suggest success of SC programs, as well as physician recommendations, in influencing attendee nutritional behavior and perceptions of nutrition and health effects. Practice recommendations include SC collaborations with local health providers to promote attendee nutritional health. PMID:27191952

  13. Senior Centers and Nutritional Outcomes: A Texas Example.

    Science.gov (United States)

    Swan, James H; Severance, Jennifer J; Turner, Keith

    2016-01-01

    Healthy diet and weight control are important for elders and senior centers (SCs). The authors consider effects of SCs on attendee nutrition and health and efforts to improve diets and weight. Data derive from surveys in 2006 (N = 798) and 2007 (N = 742) at 21 multipurpose SCs in Tarrant County, Texas, supplemented with data from 2012 (N = 1,402). Measures included attendee agreement that SC meals improved nutrition, improved health, attempts to improve diets, and success in controlling weight. Cumulative and binary logistic regression methods were employed. SC attendance and social engagement explained agreement that SC meals improved nutrition and health but were not shown to predict changes in diet or weight control. Findings suggest success of SC programs, as well as physician recommendations, in influencing attendee nutritional behavior and perceptions of nutrition and health effects. Practice recommendations include SC collaborations with local health providers to promote attendee nutritional health.

  14. Womens Business Center

    Data.gov (United States)

    Small Business Administration — Women's Business Centers (WBCs) represent a national network of nearly 100 educational centers throughout the United States and its territories, which are designed...

  15. Gnathic osteosarcomas: A 10-year multi-center demographic study

    Directory of Open Access Journals (Sweden)

    T Azizi

    2009-01-01

    Full Text Available Background: Osteosarcomas (OS of the jaws are uncommon lesions representing 6-8% of skeletal OS. We assessed the characteristics, demographics, prevalence clinical and histopathological findings and distribution of gnathic OS relative to non-gnathic OS in four major treatment centers. Materials and Methods: This study assessed 13 gnathic OS patients of 98 OS patients from four major referral centers during 1996-2007. The age distribution, gender, involved site, clinical findings, signs, symptoms, grade and sub-types were assessed. Hematoxylin-eosin, Picrosirius red, Ponceau trichrome, Masson trichrome and osteoid staining methods were used. Results: Of the 98 OS lesions, 85 (86.8% involved the skeleton, the youngest patient was 6 and the oldest 60 years old; 13 lesions (13.2% involved the jaws (seven mandibular and six maxillary and the youngest and oldest patients were 15 and 50 years-old, respectively. Non-gnathic OS was more prevalent between the ages of 11 and 20 years (avg. 15 years and was common in the distal femur and proximal tibia, presenting most frequently with pain and swelling. OS of the jaws, however, presented more than 10 years later than non-gnathic OS, being more prevalent between the ages of 20 and 30 years (avg. 27 years. OS of the jaws most frequently involved the mandibular body and the posterior maxillary alveolar ridge, presenting frequently with pain, swelling and loosening of teeth. Two patients with gnathic OS died during the 10-year follow-up period (15.3%. Conclusion: Prevalence of OS of the jaws was about twice as high as that reported in other studies and presented later than non-gnathic cases. Pain and swelling were common signs and symptoms in this disease. The mixed sub-type was the most common sub-type of gnathic OS.

  16. Optical determination and magnetic manipulation of a single nitrogen-vacancy color center in diamond nanocrystal

    International Nuclear Information System (INIS)

    The controlled and coherent manipulation of individual quantum systems is fundamental for the development of quantum information processing. The nitrogen-vacancy (NV) color center in diamond is a promising system since its photoluminescence is perfectly stable at room temperature and its electron spin can be optically read out at the individual level. We review here the experiments currently realized in our laboratory concerning the use of a single NV color center as the single photon source and the coherent magnetic manipulation of the electron spin associated with a single NV color center. Furthermore, we demonstrate a nanoscopy experiment based on the saturation absorption effect, which allows to optically pin-point a single NV color center at sub-λ resolution. This offers the possibility to independently address two or multiple magnetically coupled single NV color centers, which is a necessary step towards the realization of a diamond-based quantum computer

  17. 77 FR 26511 - Announcing a National Cybersecurity Center of Excellence (NCCoE) Workshop

    Science.gov (United States)

    2012-05-04

    ... National Institute of Standards and Technology Announcing a National Cybersecurity Center of Excellence.... ACTION: Notice of initial public workshop. SUMMARY: NIST announces a National Cybersecurity Center of... integrated cybersecurity tools and technologies. The NCCoE will bring together experts from...

  18. Management and performance features of cancer centers in Europe: A fuzzy-set analysis

    NARCIS (Netherlands)

    Wind, Anke; Lobo, Mariana Fernandes; Dijk, van Joris; Lepage-Nefkens, Isabelle; Laranja-Pontes, Jose; Conceicao Goncalves, da Vitor; Harten, van Wim; Rocha-Goncalves, Francisco Nuno

    2016-01-01

    The specific aim of this study is to identify the performance features of cancer centers in the European Union by using a fuzzy-set qualitative comparative analysis (fsQCA). The fsQCA method represents cases (cancer centers) as a combination of explanatory and outcome conditions. This study uses dat

  19. Efficient coupling of a single diamond color center to propagating plasmonic gap modes

    DEFF Research Database (Denmark)

    Kumar, Shailesh; Huck, Alexander; Andersen, Ulrik L

    2013-01-01

    We report on coupling of a single nitrogen-vacancy (NV) center in a nanodiamond to the propagating gap mode of two parallel placed chemically grown silver nanowires. The coupled NV-center nanowire system is made by manipulating nanodiamonds and nanowires with the tip of an atomic force microscope...

  20. Review of Proposal for a Community College Center in Chico. Report 09-30

    Science.gov (United States)

    Jones, Jessika

    2009-01-01

    The California Postsecondary Education Commission (CPEC) recognizes the importance of educational centers as a cost-effective means for meeting increased student demand. Educational centers are an economical way of serving a region's educational needs because they often involve collaboration and shared facility use with high schools, university…

  1. Teachers' Beliefs about Issues in the Implementation of a Student-Centered Learning Environment.

    Science.gov (United States)

    Pedersen, Susan; Liu, Min

    2003-01-01

    This case study examined 15 teachers' beliefs about student-centered learning as they implemented Alien Rescue, a computer-based program for middle school science that was designed to create a student-centered learning environment (SCLE) in the classroom. Discusses the goal of student activity, the role of the teacher, assessment, and student…

  2. Comparison of dynamical decoupling protocols for a nitrogen-vacancy center in diamond

    NARCIS (Netherlands)

    Wang, Z.H.; De Lange, G.; Riste, D.; Hanson, R.; Dobrovitski, V.V.

    2012-01-01

    We perform a detailed theoretical-experimental study of the dynamical decoupling (DD) of the nitrogen-vacancy (NV) center in diamond. We investigate the DD sequences applied to suppress the dephasing of the electron spin of the NV center induced by the coupling to a spin bath composed of the substit

  3. Using Language Corpora to Develop a Virtual Resource Center for Business English

    Science.gov (United States)

    Ngo, Thi Phuong Le

    2015-01-01

    A Virtual Resource Center (VRC) has been brought into use since 2008 as an integral part of a task-based language teaching and learning program for Business English courses at Nantes University, France. The objective of the center is to enable students to work autonomously and individually on their language problems so as to improve their language…

  4. Aphasia Centers and the Life Participation Approach to Aphasia: A Paradigm Shift

    Science.gov (United States)

    Elman, Roberta J.

    2016-01-01

    The Aphasia Center is a service delivery model that provides an interactive community for persons with aphasia. This model has been increasing in popularity over the last 20 years. Aphasia Centers are consistent with a social model of health care and disability. They offer the potential for linguistic, communicative, and psychosocial benefits. The…

  5. A Management Review and Analysis of Purdue University Libraries and Audio-Visual Center.

    Science.gov (United States)

    Baaske, Jan; And Others

    A management review and analysis was conducted by the staff of the libraries and audio-visual center of Purdue University. Not only were the study team and the eight task forces drawn from all levels of the libraries and audio-visual center staff, but a systematic effort was sustained through inquiries, draft reports and open meetings to involve…

  6. A descriptive survey of management and operations at selected sports medicine centers in the United States.

    Science.gov (United States)

    Olsen, D

    1996-11-01

    No uniform guidelines for operations or accreditation standards for sports medicine center were available and, at the time of this study, little information on the management and operation of sports medicine centers was available in the literature. The purpose of the study was to determine the management structure and function of selected sports medicine centers in the United States. Questionnaires were mailed to 200 randomly selected centers throughout the United State from a directory of sports medicine centers published in Physician and Sportsmedicine (1992) to gather descriptive information on eight areas, including 1) general background, 2) staffing, 3) services, facilities, and equipment, 4) billing, collections, and revenue, 5) clientele, caseloads, and referrals, 6) ownership and financing, 7) school and club outreach contracts, and 8) marketing strategies and future trends. A total of 71 surveys (35.5%) were returned in the allotted time frame. Data were analyzed using ranges, means, medians, modes, and percentages. Results yielded several conclusions about sports medicine centers. Nearly all (93%) of the centers employed physical therapists; physical therapists were clinical directors at 70.2% of centers; orthopaedists were most often medical directors; rehabilitation was the most frequently offered service (93%); physical therapy produced the highest revenue; sports injuries accounted for a mean 34.5% of patients, who were mostly recreational or high school athletes between 13-60 years of age; primary shareholders were most often physical therapists or physicians; most were involved in outreach services for schools; marketing strategies primarily involved communication with referral sources; and managed care was identified most frequently as a trend affecting the future of sports medicine centers. Findings identified common aspects of sports medicine centers and may assist in establishing guidelines for operations or accreditation of sports medicine

  7. A descriptive survey of management and operations at selected sports medicine centers in the United States.

    Science.gov (United States)

    Olsen, D

    1996-11-01

    No uniform guidelines for operations or accreditation standards for sports medicine center were available and, at the time of this study, little information on the management and operation of sports medicine centers was available in the literature. The purpose of the study was to determine the management structure and function of selected sports medicine centers in the United States. Questionnaires were mailed to 200 randomly selected centers throughout the United State from a directory of sports medicine centers published in Physician and Sportsmedicine (1992) to gather descriptive information on eight areas, including 1) general background, 2) staffing, 3) services, facilities, and equipment, 4) billing, collections, and revenue, 5) clientele, caseloads, and referrals, 6) ownership and financing, 7) school and club outreach contracts, and 8) marketing strategies and future trends. A total of 71 surveys (35.5%) were returned in the allotted time frame. Data were analyzed using ranges, means, medians, modes, and percentages. Results yielded several conclusions about sports medicine centers. Nearly all (93%) of the centers employed physical therapists; physical therapists were clinical directors at 70.2% of centers; orthopaedists were most often medical directors; rehabilitation was the most frequently offered service (93%); physical therapy produced the highest revenue; sports injuries accounted for a mean 34.5% of patients, who were mostly recreational or high school athletes between 13-60 years of age; primary shareholders were most often physical therapists or physicians; most were involved in outreach services for schools; marketing strategies primarily involved communication with referral sources; and managed care was identified most frequently as a trend affecting the future of sports medicine centers. Findings identified common aspects of sports medicine centers and may assist in establishing guidelines for operations or accreditation of sports medicine

  8. Standardization of measuring power output during wheelchair propulsion on a treadmill Pitfalls in a multi-center study

    NARCIS (Netherlands)

    de Groot, S; Zuidgeest, M; van der Woude, L H V

    2006-01-01

    OBJECTIVE: In a multi-center study the power output of wheelchair propulsion, attained by a wheelchair drag test, differed among rehabilitation centers. The purpose of this study was to investigate what causes the differences in drag force among centers. METHODS: A set of standardized drag tests was

  9. A Proposed Experiment to Study Relaxation Formation of a Spherical Tokamak with a Plasma Center Column

    CERN Document Server

    Hsu, S C

    2006-01-01

    A spherical tokamak (ST) with a plasma center column (PCC) can be formed via driven magnetic relaxation of a screw pinch plasma. An ST-PCC could in principle eliminate many problems associated with a material center column, a key weakness of the ST reactor concept. This work summarizes the design space for an ST-PCC in terms of flux amplification, aspect ratio, and elongation, based on the zero-beta Taylor-relaxed analysis of Tang & Boozer [Phys. Plasmas 13, 042514 (2006)]. The paper will discuss (1) equilibrium and stability properties of the ST-PCC, (2) issues for an engineering design, and (3) key differences between the proposed ST-PCC and the ongoing Proto-Sphera effort in Italy.

  10. Binding Energies of D- Centers Trapped by a Quantum Dot in a Magnetic Field

    Institute of Scientific and Technical Information of China (English)

    XIE Wen-Fang

    2009-01-01

    A investigation of the properties of the bound states of D- centers confined in a parabolic quantum dot has been performed for the case with the presence of a perpendicular magnetic field.Calculations are carried out by using the method of numerical diagonalization of Hamiltonian matrix within the effective-mass approximation.The binding energies of the ground and some bound-excited states are obtained as a function of the applied magnetic field strength.Detailed calculations of the binding energies for a number of low-lying states show that for field strength less than B = 2.1 T, the D- center confined in a quantum dot possesses two bound states, for 2.1 ≤ B < 2.4 T, there exist three bound states, etc.Further relevant characteristics of the D- center quantum dots in magnetic fields are provided.

  11. Binding energy and optical properties of an off-center hydrogenic donor impurity in a spherical quantum dot placed at the center of a cylindrical nano-wire

    International Nuclear Information System (INIS)

    The binding energy as well as the linear, third-order nonlinear and total optical absorption coefficient and refractive index changes of an off-center hydrogenic donor impurity in an InAs spherical quantum dot placed at the center of a GaAs cylindrical nano-wire have been investigated. In this regard, the effective-mass approximation approach is considered and eigenvalues and corresponding eigenfunctions are calculated via the finite element method. The binding energy is plotted as a function of the dot size and impurity position along with optical properties as a function of photon energy. In this study two different directions have been considered for impurity position, along the nano-wire axis and perpendicular to it. It has been found that the binding energy, absorption coefficient and refractive index changes are impressively affected not only by the dot radius but also by the position of the impurity and its direction. Additionally, the optical saturation can be tuned by the direction of the impurity and incident optical intensity. -- Highlights: • We consider spherical quantum dot located at the center of a cylindrical nano-wire. • An off-center hydrogenic donor impurity is considered in the system. • Binding energy is affected by orientation of impurity and its distance from center. • Saturation depends on the orientation of impurity position. • By shifting impurity position, orientation and dot radius blue- and red-shifts appear

  12. A Wish List for the Advancement of University and College Counseling Centers

    Science.gov (United States)

    Bishop, John B.

    2016-01-01

    University and college counseling centers continue to meet emerging challenges in higher education. This article addresses three issues: the need for a more unified organizational structure to represent the profession, the potential value for counseling centers in seeking accreditation, and the importance of specialized training for those entering…

  13. The Case of the Radio Communication Project in Nepal: A Culture-Centered Rejoinder

    Science.gov (United States)

    Dutta, Mohan Jyoti; Basnyat, Iccha

    2008-01-01

    In this rebuttal to Linn's critique (see EJ802887), the authors state that, while Linn provides a thoughtful critique of the culture-centered approach by questioning its feasibility, he missed the idea that the very concept of effectiveness is brought under scrutiny by the culture-centered approach, with the focus being on examining the universal…

  14. A viewpoint on the impact of device advisories on patient-centered outcomes

    DEFF Research Database (Denmark)

    Pedersen, Susanne S.; van den Berg, Martha; Theuns, Dominic A M J

    2009-01-01

    Device advisories due to potential hardware failure comprise one of the downsides of implantable cardioverter defibrillator (ICD) therapy. The impact of advisories on patient-centered outcomes has largely been overlooked. We examined the impact of ICD advisories on patient-centered outcomes via a...

  15. Automation of a center pivot using the temperature-time-threshold method of irriation scheduling

    Science.gov (United States)

    A center pivot was completely automated using the temperature-time-threshold (TTT) method of irrigation scheduling. An array of infrared thermometers was mounted on the center pivot and these were used to remotely determine the crop leaf temperature as an indicator of crop water stress. We describ...

  16. A Qualitative Examination of Connections between Learner-Centered Teaching and Past Significant Learning Experiences

    Science.gov (United States)

    Brackenbury, Tim

    2012-01-01

    Learner-centered teaching is a collection of instructional practices that shift the emphasis of courses from the instructors' goals and methods of delivery to the knowledge and skills that the students develop. This study examined potential commonalities between features of learner-centered teaching and the past significant learning experiences of…

  17. Taming the Anxious Mind: An 8-Week Mindfulness Meditation Group at a University Counseling Center

    Science.gov (United States)

    Murphy, Michael C.

    2006-01-01

    This article describes an eight-week mindfulness meditation-based group that took place at a university counseling center. The group is patterned after the Mindfulness-Based Stress Reduction (MBSR) program developed by Dr. Jon Kabat-Zinn at the Stress Reduction Clinic at the University of Massachusetts Medical Center. Group members are taught…

  18. Implementation of a user-centered framework in the development of a web-based health information database and call center.

    Science.gov (United States)

    Taylor, Heather A; Sullivan, Dori; Mullen, Cydney; Johnson, Constance M

    2011-10-01

    As healthcare consumers increasingly turn to the World Wide Web (WWW) to obtain health information, it is imperative that health-related websites are user-centered. Websites are often developed without consideration of intended users' characteristics, literacy levels, preferences, and information goals resulting in user dissatisfaction, abandonment of the website, and ultimately the need for costly redesign. This paper provides a methodological review of a user-centered framework that incorporates best practices in literacy, information quality, and human-computer interface design and evaluation to guide the design and redesign process of a consumer health website. Following the description of the methods, a case analysis is presented, demonstrating the successful application of the model in the redesign of a consumer health information website with call center. Comparisons between the iterative revisions of the website showed improvements in usability, readability, and user satisfaction. PMID:21396486

  19. The Development of a Robot-Based Learning Companion: A User-Centered Design Approach

    Science.gov (United States)

    Hsieh, Yi-Zeng; Su, Mu-Chun; Chen, Sherry Y.; Chen, Gow-Dong

    2015-01-01

    A computer-vision-based method is widely employed to support the development of a variety of applications. In this vein, this study uses a computer-vision-based method to develop a playful learning system, which is a robot-based learning companion named RobotTell. Unlike existing playful learning systems, a user-centered design (UCD) approach is…

  20. The Galactic Center Molecular Cloud Survey. II. A Lack of Dense Gas & Cloud Evolution along Galactic Center Orbits

    CERN Document Server

    Kauffmann, Jens; Zhang, Qizhou; Menten, Karl M; Goldsmith, Paul F; Lu, Xing; Guzmán, Andrés E; Schmiedeke, Anika

    2016-01-01

    We present the first systematic study of the density structure of clouds found in a complete sample covering all major molecular clouds in the Central Molecular Zone (CMZ; inner $\\sim{}200~\\rm{}pc$) of the Milky Way. This is made possible by using data from the Galactic Center Molecular Cloud Survey (GCMS), the first study resolving all major molecular clouds in the CMZ at interferometer angular resolution. We find that many CMZ molecular clouds have unusually shallow density gradients compared to regions elsewhere in the Milky Way. This is possibly a consequence of weak gravitational binding of the clouds. The resulting relative absence of dense gas on spatial scales $\\sim{}0.1~\\rm{}pc$ is probably one of the reasons why star formation (SF) in dense gas of the CMZ is suppressed by a factor $\\sim{}10$, compared to solar neighborhood clouds. Another factor suppressing star formation are the high SF density thresholds that likely result from the observed gas kinematics. Further, it is possible but not certain t...

  1. Experience report: a training center for health response

    International Nuclear Information System (INIS)

    The Professor Nelson Valverde Training Center was created within FEAM (The ELETRONUCLEAR Medical Assistance Foundation) with the objective of capacitating Radio Nuclear Accident Responders for the Health Area in the Almirante Alvaro Alberto Nuclear Central (Angra dos Reis - RJ - Brazil). The first step was structuring the contents for this training using IAEA's Manuals as base (EPR Medical - 2005, EPR First Responders - 2006 and TMT - Handbook - 2009) and data from REAC/TS. The second step was to capacitate instructors. The third step was the integration with the Company's Radiological Protection Division, giving radiological assessment. Finally, the development of training applications, ending with Drills, Tests and Assessment, gathering data and suggestions, objectifying the constant improvement. Training Programs with pre and post evaluations have been started. Since 2004 training internal courses were ministered for 125 professionals with annual re-training and were ministered to 130 professionals from several external institutions. During the same period training courses were ministered to 140 trainees from the Radiological Protection Division of The Nuclear Power Plant of Angra dos Reis, as First Lay Responders, objectifying the improvement of the quality of the emergency response. (author)

  2. Interacting electrons in a magnetic field in a center-of-mass free basis

    OpenAIRE

    Kramer, Peter; Kramer, Tobias

    2014-01-01

    We present an extension of the spin-adapted configuration-interaction method for the computation of four electrons in a quasi two-dimensional quantum dot. By a group-theoretical decomposition of the basis set and working with relative and center-of-mass coordinates we obtain an analytical identification of all spurious center-of-mass states of the Coulomb-interacting electrons. We find a substantial reduction in the basis set used for numerical computations. At the same time we increase the a...

  3. Connecting teens to caring adults in a school-based health center: a case study.

    Science.gov (United States)

    Blacksin, Beth A; Kelly, Patricia J

    2015-01-01

    The traditional medical care system is generally unable to provide the broad health and wellness services needed by many adolescents, especially those from low-income and racial/ethnic minority communities. Using a theoretical framework adapted from Bronfenbrenner's ecological model of multiple influencers, this case study examined how a school-based health center was able to provide a network of connections for adolescents to caring adults within the school and the local community. Contributors to this network were the creation of a student-centered community with access to adolescent-friendly services, providers acting as connectors, and care of the whole adolescent.

  4. Increasing the photon collection rate from a single NV center with a silver mirror

    DEFF Research Database (Denmark)

    Israelsen, Niels Møller; Kumar, Shailesh; Tawfieq, Mahmoud;

    2014-01-01

    maintaining a high signal-to-noise ratio. In this work, we use a single nitrogen vacancy center in diamond as a quantum emitter operating at ambient conditions and we demonstrate an increased photon count rate up to a factor of 1.76 by placing a silver mirror fabricated on the end facet of an optical fiber...

  5. Electricity hubs and market centers: A new business tool for electric utilities?

    Energy Technology Data Exchange (ETDEWEB)

    Vallen, M.A.; Sharp, L.S. [Univ. of Toledo, OH (United States)

    1995-07-01

    There are many complexities clouding the use of hubs and market centers in the electricity market, but lessons learned in the natural gas industry can save a lot of unnecessary reinvention. The bottom line: Electricity hubs and market centers will allow the markets to work most efficiently. This article will describe how regional trading hubs may function in the competitive electricity market, using the experiences of the natural gas market to illustrate the principles involved. Part I will define the typical characteristics of hubs and market centers and describe the dey success factors needed to develop a new market center. Part II will describe the types of products and services that an electricity hub or marketing center will need to offer to succeed.

  6. First-principles calculation of the ultrafast spin manipulation of two-center metallic clusters with a CO molecule attached to one center as an infrared marker

    Science.gov (United States)

    Li, Chun; Hartenstein, Tobias; Lefkidis, Georgios; Hübner, Wolfgang

    2009-05-01

    We present a fully ab initio ultrafast spin manipulation calculation in two-magnetic-center clusters with CO attached to one of the magnetic centers. CO serves as an experimental marker for certain magnetic states between which spin flip and transfer can be achieved. The predicted spin-state-dependent CO vibrational frequencies indicate that spin manipulation can be readily monitored through the infrared spectrum. The feasibility is demonstrated by two charged clusters [CoMg2Ni-CO]+ and [NiCo-CO]+ . Spin transfer between magnetic centers is achieved with a fidelity of 99.8%.

  7. Quantum Zeno effect in a nitrogen-vacancy center embedded in a spin bath

    CERN Document Server

    Yang, Zhi-Sheng; Zhang, Mei; Ai, Qing; Deng, Fu-Guo

    2016-01-01

    We study the longitudinal relaxation of a nitrogen-vacancy (NV) center surrounded by a $^{13}$C nuclear spin bath in diamond. By means of cluster-correlation expansion (CCE), we numerically demonstrate the decay process of electronic state induced by cross relaxation at low temperature. It is shown that the CCE method is not only capable of describing pure-dephasing effect at large-detuning regime, but it can also simulate the quantum dynamics of populations in the nearly resonant regime. We present a proposal to slow down the decay of NV center via implementing quantum Zeno effect (QZE). The numerical result shows that QZE can effectively inhibit the decay of NV center.

  8. Controlling the Coupling of a Single Nitrogen Vacancy Center to a Silver Nanowire

    DEFF Research Database (Denmark)

    Huck, Alexander; Kumar, Shailesh; Shakoor, Abdul;

    2011-01-01

    -linear interaction at the level of a few photons. In our contribution we demonstrate the controlled coupling of a single nitrogen vacancy (NV) center in a diamond nano crystal to a nanowire made of silver. This is in contrast to previous realizations, where the nanowire dipole system was assembled randomly. Ultimate...

  9. Normal form and limit cycle bifurcation of piecewise smooth differential systems with a center

    Science.gov (United States)

    Wei, Lijun; Zhang, Xiang

    2016-07-01

    In this paper we prove that any Σ-center (either nondegenerate or degenerate) of a planar piecewise Cr smooth vector field Z is topologically equivalent to that of Z0: (x ˙ , y ˙) = (- 1 , 2 x) for y ≥ 0, (x ˙ , y ˙) = (1 , 2 x) for y ≤ 0, and that the homeomorphism between Z and Z0 is Cr smoothness when restricted to each side of the switching line except at the center p. We illustrate by examples that there are degenerate Σ-centers whose flows are conjugate to that of Z0, and also there exist nondegenerate Σ-centers whose flows cannot be conjugate to that of Z0. Finally applying the normal form Z0 together with the piecewise smooth equivalence, we study the number of limit cycles which can be bifurcated from the Σ-center of Z.

  10. Shift of the Acoustic Center of a Closed-Box Loudspeaker in a Linear Array: Investigation Using the Beamforming Technique

    DEFF Research Database (Denmark)

    Chang, Ji-Ho; Jensen, Joe; Agerkvist, Finn T.

    2015-01-01

    loudspeaker case. In order to estimate the acoustic center based on the wave fronts, a method is proposed that measures sound pressure around the loudspeaker with an array of microphones and uses the beamforming method for the reduction of the effect of the experimental errors. Experimental results show......The center of the spherical waves radiated from a loudspeaker is defined as its acoustic center. This study aims to investigate how the acoustic center of a closed-box loudspeaker is shifted when the loudspeaker is placed in a linear array. That is, the acoustic center of the loudspeaker...

  11. A Queue Simulation Tool for a High Performance Scientific Computing Center

    Science.gov (United States)

    Spear, Carrie; McGalliard, James

    2007-01-01

    The NASA Center for Computational Sciences (NCCS) at the Goddard Space Flight Center provides high performance highly parallel processors, mass storage, and supporting infrastructure to a community of computational Earth and space scientists. Long running (days) and highly parallel (hundreds of CPUs) jobs are common in the workload. NCCS management structures batch queues and allocates resources to optimize system use and prioritize workloads. NCCS technical staff use a locally developed discrete event simulation tool to model the impacts of evolving workloads, potential system upgrades, alternative queue structures and resource allocation policies.

  12. Fiscal Year 1998 Annual Report, Carbon Dioxide Information Analysis Center, World Data Center -- A for Atmospheric Trace Gases

    Energy Technology Data Exchange (ETDEWEB)

    Cushman, R.M.; Boden, T.A.; Hook, L.A.; Jones, S.B.; Kaiser, D.P.; Nelson, T.R.

    1999-03-01

    Once again, the most recent fiscal year was a productive one for the Carbon Dioxide Information Analysis Center (CDIAC) at Oak Ridge National Laboratory (ORNL), as well as a year for change. The FY 1998 in Review section in this report summarizes quite a few new and updated data and information products, and the ''What's Coming in FY 1999'' section describes our plans for this new fiscal year. During FY 1998, CDIAC began a data-management system for AmeriFlux, a long-term study of carbon fluxes between the terrestrial biosphere of the Western Hemisphere and the atmosphere. The specific objectives of AmeriFlux are to establish an infrastructure for guiding, collecting, synthesizing, and disseminating long-term measurements of CO{sub 2}, water, and energy exchange from a variety of ecosystems; collect critical new information to help define the current global CO{sub 2} budget; enable improved predictions of future concentrations of atmospheric CO{sub 2}; and enhance understanding of carbon fluxes. Net Ecosystem Production (NEP), and carbon sequestration in the terrestrial biosphere. The data-management system, available from CDIAC'S AmeriFlux home page (http://cdiac.esd.ornl.gov/programs/ameriflux/ ) is intended to provide consistent, quality-assured, and documented data across all AmeriFlux sites in the US, Canada, Costa Rica, and Brazil. It is being developed by Antoinette Brenkert and Tom Boden, with assistance from Susan Holladay (who joined CDIAC specifically to support the AmeriFlux data-management effort).

  13. A conjugate direction method for approximating the analytic center of a polytope

    OpenAIRE

    Megiddo Nimrod; Mizuno Shinji; Kojima Masakazu

    1998-01-01

    The analytic center of an -dimensional polytope with a nonempty interior is defined as the unique minimizer of the logarithmic potential function over . It is shown that one cycle of a conjugate direction method, applied to the potential function at any such that , generates a point such that .

  14. Stimulating Healthy Aging with a Model Nurse-Managed Free Clinic in a Senior Center.

    Science.gov (United States)

    Franklin, Ruth H.

    As part of a Geriatric Education and Health Management program, a model nurse-managed free clinic has been established at an urban senior center by faculty and students of the University of New Mexico College of Nursing. Funded by a 3-year grant from the Department of Health and Human Services, the weekly clinic is based on Orem's self-care theory…

  15. A Case Study: An ACT Stress Management Group in a University Counseling Center

    Science.gov (United States)

    Daltry, Rachel M.

    2015-01-01

    The aim of this study was to examine the effectiveness of an acceptance and commitment therapy (ACT) stress management group in a college counseling center setting. This study explored (a) the effectiveness of ACT in increasing participants' ability to tolerate distress, which directly affects their ability to function in a stressful college…

  16. Senior Centers

    Medline Plus

    Full Text Available ... dancing. [Narrator] These centers can provide entree to new activities and expand a person’s social contacts. [Karen ... meeting all their interests and introducing them to new things; whether it’s an arts and crafts project, ...

  17. Reducing Data Center Loads for a Large-Scale, Net Zero Office Building (Brochure)

    Energy Technology Data Exchange (ETDEWEB)

    2011-12-01

    Case study highlighting the design, implementation strategies, and continuous performance monitoring of NREL's Research Support Facility data center. In constructing a new research facility for its campus, the National Renewable Energy Laboratory (NREL) project team identified the opportunity to design a world-class, energy-efficient data center to support its operations. NREL's efforts resulted in a highly efficient data center that demonstrated considerable energy savings in its first 11 months of operations. Using legacy data center performance as a baseline, the new facility cut energy use by nearly 1,450,000 kWh, delivering cost savings of approximately $82,000. The data center's average total load was 165 kW less than the legacy center's average total load, resulting in a 60% reduction in overall power. Finally, the limited use of cooling and fan energy enabled the new data center to achieve a 1.16 average power utilization effectiveness (PUE) rating, compared to the legacy data center's PUE of 2.28. The laboratory had been relying on individual servers with an energy utilization rate of less than 5%. NREL employed building best practices, innovative design techniques and energy-efficient technologies to support its energy goals for the new data center. To counteract the extensive heat generated by data center equipment, the laboratory implemented a cooling system using outdoor air and evaporative cooling to meet most of the center's needs. Inside the data center, NREL replaced much of its legacy equipment with new, energy-efficient technology. By exchanging this infrastructure for virtualized blade servers, NREL reduced its server energy footprint by 96%. Additionally, NREL replaced its 80%-efficient uninterruptible power supply (UPS) with a UPS that is 95% efficient; deployed ultra efficient power distribution units (PDU) to handle higher UPS voltages; and implemented vacancy sensors to drive down lighting loads. Using best

  18. A national center for biocomputation: in search of a patient-specific interactive virtual surgery workbench

    Science.gov (United States)

    Ross, M. D.; Montgomery, K.; Linton, S.; Cheng, R.; Smith, J.

    1998-01-01

    This report describes the three-dimensional imaging and virtual environment technologies developed in NASA's Biocomputation Center for scientific purposes that have now led to applications in the field of medicine. A major goal is to develop a virtual environment surgery workbench for planning complex craniofacial and breast reconstructive surgery, and for training surgeons.

  19. Evaluation of a Reality Therapy Stratification System in a Residential Drug Rehabilitation Center

    Science.gov (United States)

    Schuster, Richard

    1978-01-01

    A stratification system was designed and implemented based on the principles of reality therapy for use in a male adolescent drug rehabilitation center. The program involved four levels in an ascending order of responsibility and privileges. Problems are discussed as well as requirements for successfully implementing reality therapy in…

  20. Results and Analysis of a Computer Assisted Instructional Program in Basic Skills in a Detention Center.

    Science.gov (United States)

    Diem, Richard A.

    An evaluation of a computer assisted educational (CAE) program using the PLATO system at a Texas detention center included an examination of attitudes and perceptions from (1) inmates participating and not participating in jail education programs, (2) trustees, (3) educational program staff, (4) chaplaincy staff, (5) guards assigned to the…

  1. Towards a room temperature solid state quantum processor - the nitrogen-vacancy center in diamond

    OpenAIRE

    Neumann, Philipp

    2012-01-01

    This work investigates the applicability of the nitrogen-vacancy (NV) defect center in diamond for quantum computation and metrology purposes. The NV center is a molecule like defect in the diamond lattice which is optically active and possesses an electron spin in its ground state. The spin can be used as a quantum bit and as a field sensor. The NV center has three major properties enabling individual control of single defects. Its optical properties depend on the spin state, the spin can be...

  2. Research on the Reliability Centered Maintenance Plan of a Launching System

    Institute of Scientific and Technical Information of China (English)

    XIE Chao; SUN Ming-fang; DU Jun-min

    2011-01-01

    Aiming at the shortcomings of the traditional maintenance plan of a launching system, an analysis was made on the development of the reliability centered maintenance methods (RCM) and the basic models for reliability centered maintenance of a launching system are presented in this paper. The common methods for functional impor- tant product determination, failure modes and effect analysis ( FMEA ) and logic decision analysis were illustrated and the basic methods for maintenance interval calculation models were studied based on availability. According to the research, the reliability centered maintenance plan of a certain launching system was given.

  3. Noise-resilient Quantum Computing with a Nitrogen-Vacancy Center and Nuclear Spins

    OpenAIRE

    Casanova, J.; Wang, Z. -Y.; Plenio, M. B.

    2016-01-01

    Selective control of qubits in a quantum register for the purposes of quantum information processing represents a critical challenge for dense spin ensembles in solid state systems. Here we present a protocol that achieves a complete set of selective single and two-qubit gates on nuclear spins in such an ensemble in diamond facilitated by a nearby NV center. The protocol suppresses internuclear interactions as well as unwanted coupling between the NV center and other spins of the ensemble to ...

  4. Quantitative and qualitative assessment of structural magnetic resonance imaging data in a two-center study

    Directory of Open Access Journals (Sweden)

    Chalavi Sima

    2012-08-01

    Full Text Available Abstract Background Multi-center magnetic resonance imaging (MRI studies present an opportunity to advance research by pooling data. However, brain measurements derived from MR-images are susceptible to differences in MR-sequence parameters. It is therefore necessary to determine whether there is an interaction between the sequence parameters and the effect of interest, and to minimise any such interaction by careful choice of acquisition parameters. As an exemplar of the issues involved in multi-center studies, we present data from a study in which we aimed to optimize a set of volumetric MRI-protocols to define a protocol giving data that are consistent and reproducible across two centers and over time. Methods Optimization was achieved based on data quality and quantitative measures, in our case using FreeSurfer and Voxel Based Morphometry approaches. Our approach consisted of a series of five comparisons. Firstly, a single-center dataset was collected, using a range of candidate pulse-sequences and parameters chosen on the basis of previous literature. Based on initial results, a number of minor changes were implemented to optimize the pulse-sequences, and a second single-center dataset was collected. FreeSurfer data quality measures were compared between datasets in order to determine the best performing sequence(s, which were taken forward to the next stage of testing. We subsequently acquired short-term and long-term two-center reproducibility data, and quantitative measures were again assessed to determine the protocol with the highest reproducibility across centers. Effects of a scanner software and hardware upgrade on the reproducibility of the protocols at one of the centers were also evaluated. Results Assessing the quality measures from the first two datasets allowed us to define artefact-free protocols, all with high image quality as assessed by FreeSurfer. Comparing the quantitative test and retest measures, we found high within-center

  5. Evaluation of poison information services provided by a new poison information center

    Directory of Open Access Journals (Sweden)

    Shobha Churi

    2013-01-01

    Conclusion: The poison information center provided requested services in a skillful, efficient and evidence-based manner to meet the needs of the requestor. The enquiries and information provided is documented in a clear and systematic manner.

  6. Root canal centering ability of rotary cutting nickel titanium instruments: A meta-analysis

    Directory of Open Access Journals (Sweden)

    Mohan Gundappa

    2014-01-01

    Full Text Available Aim: To systematically review articles on canal centering ability of endodontic rotary cutting Nickel-Titanium (Ni-Ti instruments and subject results to meta-analysis. Materials and Methods: A comprehensive search was initiated on canal centering ability of different rotary cutting Ni-Ti files such as Protaper, Hero Shaper, K3, Mtwo, Race, Wave One by selecting articles published in peer reviewed journals during 1991-2013 using "Pub Med" database. Inclusion and exclusion criteria were established. A data was created by tabulating: Author name, publication year, sample size, number of experimental groups, methods to evaluate canal centering ability, instrument cross section, taper, tip design, rake angle, mean and standard deviation. The data generated was subjected to meta-analysis. Results: Maximum studies were found to be conducted on mesiobuccal canal of mandibular 1 st molar with curvature ranging from 15-60°. The difference in canal centering ability of different rotary cutting Ni-Ti instruments was not statistically significant. Conclusion: All endodontic rotary cutting Ni-Ti instruments are capable of producing centered preparations. Protaper depicted the best centering ability. Computed tomography is an effective method of evaluating canal centering ability.

  7. Student Success Center Toolkit

    Science.gov (United States)

    Jobs For the Future, 2014

    2014-01-01

    "Student Success Center Toolkit" is a compilation of materials organized to assist Student Success Center directors as they staff, launch, operate, and sustain Centers. The toolkit features materials created and used by existing Centers, such as staffing and budgeting templates, launch materials, sample meeting agendas, and fundraising…

  8. What Was (Also) at Stake When a Robot Bathtub Was Implemented in a Danish Elder Center

    DEFF Research Database (Denmark)

    Beedholm, Kirsten; Frederiksen, Kirsten; Lomborg, Kirsten

    2016-01-01

    Assistive technologies are often considered to be passive tools implemented in targeted processes. Our previous study of the implementation of the robot bathtub in a Danish elder center suggested that purposeful rationality was not the only issue at stake. To further explore this, we conducted...

  9. A Comprehensive Community Nursing Center Model: Maximizing Practice Income--A Challenge to Educators.

    Science.gov (United States)

    Walker, Patricia Hinton

    1994-01-01

    The University of Rochester's community nursing center is an entrepreneurial model for faculty practice based on sound business principles to enhance financial success. These principles include development and pricing of the product of nursing services, consumer dialogue instead of advertising monologue, and a diversified income base. (SK)

  10. Call Center ist nicht gleich Call Center

    OpenAIRE

    Baumgartner, Marc; Udris, Ivars

    2005-01-01

    Untersuchungen in 14 Schweizer Call Centers erbrachten vier Call Center-Typen, die sich hinsichtlich Arbeitstätigkeiten und Kommunikationsrichtung voneinander unterscheiden: (a) Beratungs- und Beschwerdemanagement, (b) Informationsmanagement, (c) Auftragsmanagement und (d) Kunden- und Kampagnenmanagement. Dies hat auch Auswirkungen auf die Personalstruktur, -selektion und -entwicklung der Call Center. Es wird der Frage nachgegangen, welche Kompetenzanforderungen in den unterschiedlichen Call ...

  11. Tri-layer wrinkling as a mechanism for anchoring center initiation in the developing cerebellum.

    Science.gov (United States)

    Lejeune, Emma; Javili, Ali; Weickenmeier, Johannes; Kuhl, Ellen; Linder, Christian

    2016-07-01

    During cerebellar development, anchoring centers form at the base of each fissure and remain fixed in place while the rest of the cerebellum grows outward. Cerebellar foliation has been extensively studied; yet, the mechanisms that control anchoring center initiation and position remain insufficiently understood. Here we show that a tri-layer model can predict surface wrinkling as a potential mechanism to explain anchoring center initiation and position. Motivated by the cerebellar microstructure, we model the developing cerebellum as a tri-layer system with an external molecular layer and an internal granular layer of similar stiffness and a significantly softer intermediate Purkinje cell layer. Including a weak intermediate layer proves key to predicting surface morphogenesis, even at low stiffness contrasts between the top and bottom layers. The proposed tri-layer model provides insight into the hierarchical formation of anchoring centers and establishes an essential missing link between gene expression and evolution of shape. PMID:27252048

  12. Point defect engineering strategies to suppress A-center formation in silicon

    Energy Technology Data Exchange (ETDEWEB)

    Chroneos, A. [Department of Materials, Imperial College London, London SW7 2AZ (United Kingdom); Londos, C. A.; Sgourou, E. N. [Solid State Physics Section, University of Athens, Panepistimiopolis Zografos, Athens 157 84 (Greece); Pochet, P. [Laboratoire de Simulation Atomistique (L-Sim), SP2M, INAC, CEA-UJF, 38054 Grenoble Cedex 9 (France)

    2011-12-12

    We investigate the impact of tin doping on the formation of vacancy-oxygen pairs (VO or A-centers) and their conversion to VO{sub 2} clusters in electron-irradiated silicon. The experimental results are consistent with previous reports that Sn doping suppresses the formation of the A-center. We introduce a model to account for the observed differences under both Sn-poor and Sn-rich doping conditions. Using density functional theory calculations, we propose point defect engineering strategies to reduce the concentration of the deleterious A-centers in silicon. We predict that doping with lead, zirconium, or hafnium will lead to the suppression of the A-centers.

  13. Patterns of Uveitis at a Tertiary Referral Center in Southern Iran

    OpenAIRE

    Mansour Rahimi; Ghazaleh Mirmansouri

    2014-01-01

    Purpose: To ascertain the patterns of uveitis at Motahari uveitis clinic, Shiraz University of Medical Sciences, a tertiary referral center in Shiraz, Southern Iran. Methods: All new cases of uveitis referred from June 2005 to July 2011 to our center were consecutively enrolled in the study. After taking a complete history of systemic and ocular diseases, all patients underwent a complete ophthalmologic examination including determination of Snellen visual acuity, slit lamp biomicroscopy,...

  14. Treatment of patients with metastatic pancreatic cancer: Experience from a tertiary Indian cancer center

    OpenAIRE

    Sirohi, B; S Dawood; S. Rastogi; Pandey, A.; Bal, M; N Shetty; Shrikhande, S. V.

    2015-01-01

    Background: The aim of this study was to look at the outcome of patients with metastatic pancreatic cancer treated at a tertiary cancer center in India. Patients And Methods: A total of 101 patients with locally advanced and metastatic pancreatic cancer diagnosed between May 2012 and July 2013 were identified from a prospectively maintained database at the tertiary cancer center. Overall survival (OS) was computed using the Kaplan–Meir product limit method and compared across groups using the...

  15. What do clinicians want? Interest in integrative health services at a North Carolina academic medical center

    OpenAIRE

    Eadie Dee; Dirkse Deborah; Kemper Kathi J; Pennington Melissa

    2007-01-01

    Abstract Background Use of complementary medicine is common, consumer driven and usually outpatient focused. We wished to determine interest among the medical staff at a North Carolina academic medical center in integrating diverse therapies and services into comprehensive care. Methods We conducted a cross sectional on-line survey of physicians, nurse practitioners and physician assistants at a tertiary care medical center in 2006. The survey contained questions on referrals and recommendati...

  16. Transmission of Giardia lamblia from a day care center to the community.

    Science.gov (United States)

    Polis, M A; Tuazon, C U; Alling, D W; Talmanis, E

    1986-01-01

    An outbreak of giardiasis was investigated in one urban day care center; another day care center was selected as a control. In the study day care center, 35 per cent of the children were infected. Infection was spread to at least one household contact of 47 per cent of the infected children. The data suggest person-to-person transmission of giardiasis and the need for measures to prevent its dissemination. Early recognition and treatment of Giardia lamblia infections in children may be indicated. PMID:3740341

  17. Quantum information transfer with nitrogen-vacancy centers coupled to a whispering-gallery microresonator

    CERN Document Server

    Li, Pengbo

    2010-01-01

    We propose an efficient scheme for the realization of quantum information transfer and entanglement with nitrogen-vacancy (NV) centers coupled to a high-Q microspherical resonator. We show that, based on the effective dipole-dipole interaction between the NV centers mediated by the whispering-gallery mode (WGM), quantum information can be transferred between the NV centers through Raman transitions combined with laser fields. This protocol may open up promising possibilities for quantum communications with the solid state cavity QED system.

  18. Writing Effectively as Counseling Center Directors and Administrators: Lessons Learned from a 2-Minute Speech

    Science.gov (United States)

    Sevig, Todd; Bogan, Yolanda; Dunkle, John; Gong-Guy, Elizabeth

    2015-01-01

    Administrative writing is a crucial skill needed for the counseling center professional to be able to transmit knowledge and values for the rest of the campus community. This article highlights both conceptual and technical aspects of effective writing.

  19. A Modified Artificial Bee Colony Algorithm for p-Center Problems

    Directory of Open Access Journals (Sweden)

    Alkın Yurtkuran

    2014-01-01

    Full Text Available The objective of the p-center problem is to locate p-centers on a network such that the maximum of the distances from each node to its nearest center is minimized. The artificial bee colony algorithm is a swarm-based meta-heuristic algorithm that mimics the foraging behavior of honey bee colonies. This study proposes a modified ABC algorithm that benefits from a variety of search strategies to balance exploration and exploitation. Moreover, random key-based coding schemes are used to solve the p-center problem effectively. The proposed algorithm is compared to state-of-the-art techniques using different benchmark problems, and computational results reveal that the proposed approach is very efficient.

  20. Optimizing Patient-centered Communication and Multidisciplinary Care Coordination in Emergency Diagnostic Imaging: A Research Agenda.

    Science.gov (United States)

    Sabbatini, Amber K; Merck, Lisa H; Froemming, Adam T; Vaughan, William; Brown, Michael D; Hess, Erik P; Applegate, Kimberly E; Comfere, Nneka I

    2015-12-01

    Patient-centered emergency diagnostic imaging relies on efficient communication and multispecialty care coordination to ensure optimal imaging utilization. The construct of the emergency diagnostic imaging care coordination cycle with three main phases (pretest, test, and posttest) provides a useful framework to evaluate care coordination in patient-centered emergency diagnostic imaging. This article summarizes findings reached during the patient-centered outcomes session of the 2015 Academic Emergency Medicine consensus conference "Diagnostic Imaging in the Emergency Department: A Research Agenda to Optimize Utilization." The primary objective was to develop a research agenda focused on 1) defining component parts of the emergency diagnostic imaging care coordination process, 2) identifying gaps in communication that affect emergency diagnostic imaging, and 3) defining optimal methods of communication and multidisciplinary care coordination that ensure patient-centered emergency diagnostic imaging. Prioritized research questions provided the framework to define a research agenda for multidisciplinary care coordination in emergency diagnostic imaging.

  1. Regional Rural Tourist Recreation Shopping Centers: A New Concept in the Leisure Industry

    Science.gov (United States)

    Nicholls, Leland L.

    1975-01-01

    A rural tourist-recreation shopping center is defined as an area relatively accessible to city dwellers that can be developed for recreation purposes. Twenty-three such areas have been identified in the Appalachian Highlands. (PS)

  2. Beyond Student-Centered Teaching: The Dialectical Materialist Form of a Literature Course

    Science.gov (United States)

    Harold, Brent

    1972-01-01

    Argues that student-centered education failed because teachers failed to challenge the idealist notions of their students and suggests a new course of action based on rational analysis. Comment by Harold Brent. (RB)

  3. A Study of Flood Evacuation Center Using GIS and Remote Sensing Technique

    Science.gov (United States)

    Mustaffa, A. A.; Rosli, M. F.; Abustan, M. S.; Adib, R.; Rosli, M. I.; Masiri, K.; Saifullizan, B.

    2016-07-01

    This research demonstrated the use of Remote Sensing technique and GIS to determine the suitability of an evacuation center. This study was conducted in Batu Pahat areas that always hit by a series of flood. The data of Digital Elevation Model (DEM) was obtained by ASTER database that has been used to delineate extract contour line and elevation. Landsat 8 image was used for classification purposes such as land use map. Remote Sensing incorporate with GIS techniques was used to determined the suitability location of the evacuation center from contour map of flood affected areas in Batu Pahat. GIS will calculate the elevation of the area and information about the country of the area, the road access and percentage of the affected area. The flood affected area map may provide the suitability of the flood evacuation center during the several levels of flood. The suitability of evacuation centers can be determined based on several criteria and the existing data of the evacuation center will be analysed. From the analysis among 16 evacuation center listed, there are only 8 evacuation center suitable for the usage during emergency situation. The suitability analysis was based on the location and the road access of the evacuation center toward the flood affected area. There are 10 new locations with suitable criteria of evacuation center proposed on the study area to facilitate the process of rescue and evacuating flood victims to much safer and suitable locations. The results of this study will help in decision making processes and indirectly will help organization such as fire-fighter and the Department of Social Welfare in their work. Thus, this study can contribute more towards the society.

  4. Vector magnetic field sensing by a single nitrogen vacancy center in diamond

    Science.gov (United States)

    Chen, X.-D.; Sun, F.-W.; Zou, C.-L.; Cui, J.-M.; Zhou, L.-M.; Guo, G.-C.

    2013-03-01

    In this letter, we proposed and experimentally demonstrated a method to detect the vector magnetic field with a single nitrogen vacancy (NV) center in diamond. The magnetic field in parallel with the axis of the NV center can be obtained by detecting the electron Zeeman shift, while the Larmor precession of an ancillary nuclear spin close to the NV center can be used to measure the field perpendicular to the axis. Experimentally, both the Zeeman shift and Larmor precession can be measured through the fluorescence from the NV center. By applying additional calibrated magnetic fields, complete information on the vector magnetic field can be achieved with such a method. This vector magnetic-field detection method is insensitive to temperature fluctuation and it can be applied to nanoscale magnetic measurements.

  5. A novel scheme for global scattering center modeling of radar targets

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    A novel scheme for extracting the global scattering center model of radar targets is proposed in this paper.The 2D/3D scattering center models can be recon structed based on the wideband measurements at different viewing angles.The sphere spreading of the 1D scattering center projections is exploited.The 1D-2D/3D scatterer map(OTSM)is designed to manifest the high dimensional scattering characteristic of radar targets.The Hough transform and the least squares method are used to extract the stable scattering centers and their scattering coefficients.This modeling method does not need a high density of the spatial grid,which greatly cuts down the necessary original data.The model built in this Way describes the stable point scattering mechanisms in a large spatial extent and can be extrapolated to other frequencies in the optical region.Examples verify the validity of both the model and the method.

  6. A Categorical Typology of Naltrexone Adopting Private Substance Abuse Treatment Centers*

    OpenAIRE

    Oser, Carrie B.; Roman, Paul M.

    2007-01-01

    This study uses a diffusion of innovations theoretical framework (Rogers, 2003) to identify organizational-level predictors of a categorical typology of substance abuse treatment centers based on naltrexone adoption. Data from the National Treatment Center Study (n=158) was used to examine the impact of socio-economic status, organizational personality, and communication behavior on adopter categorization (i.e., innovators, early adopters, early majority, late majority, or laggards). Results ...

  7. Understanding and Predicting Social Media Use Among Community Health Center Patients: A Cross-Sectional Survey

    OpenAIRE

    Hanson, Carl L; West, Josh; Thackeray, Rosemary; Barnes, Michael D; Downey, Jordan

    2014-01-01

    Background The use of social media by health care organizations is growing and provides Web-based tools to connect patients, caregivers, and providers. Objective The aim was to determine the use and factors predicting the use of social media for health care–related purposes among medically underserved primary care patients. Methods A cross-sectional survey was administered to 444 patients of a federally qualified community health center. Results Community health center patients preferred that...

  8. Convergence of a cell-centered finite volume discretization for linear elasticity

    OpenAIRE

    Nordbotten, Jan Martin

    2015-01-01

    We show convergence of a cell-centered finite volume discretization for linear elasticity. The discretization, termed the MPSA method, was recently proposed in the context of geological applications, where cell-centered variables are often preferred. Our analysis utilizes a hybrid variational formulation, which has previously been used to analyze finite volume discretizations for the scalar diffusion equation. The current analysis deviates significantly from the previous in three respects. Fi...

  9. An Examination of the Use of Urban Entertainment Centers as a Catalyst for Downtown Revitalization

    OpenAIRE

    Bender, John

    2003-01-01

    This paper presents an examination of the use of urban entertainment centers as a catalyst for downtown revitalization. To provide context, the examination begins with an overview of the history of downtown in America, the reasons for its decline, and past attempts at renewal and revitalization. The discussion of urban entertainment centers includes a definition of the trend and the issues surrounding their use and success or failure. Two cities, Baltimore and Denver, are presented as exam...

  10. Audit of a Scientific Data Center for Certification as a Trustworthy Digital Repository: A Case Study

    Science.gov (United States)

    Downs, R. R.; Chen, R. S.

    2011-12-01

    Services that preserve and enable future access to scientific data are necessary to ensure that the data that are being collected today will be available for use by future generations of scientists. Many data centers, archives, and other digital repositories are working to improve their ability to serve as long-term stewards of scientific data. Trust in sustainable data management and preservation capabilities of digital repositories can influence decisions to use these services to deposit or obtain scientific data. Building on the Open Archival Information System (OAIS) Reference Model developed by the Consultative Committee for Space Data Systems (CCSDS) and adopted by the International Organization for Standardization as ISO 14721:2003, new standards are being developed to improve long-term data management processes and documentation. The Draft Information Standard ISO/DIS 16363, "Space data and information transfer systems - Audit and certification of trustworthy digital repositories" offers the potential to evaluate digital repositories objectively in terms of their trustworthiness as long-term stewards of digital resources. In conjunction with this, the CCSDS and ISO are developing another draft standard for the auditing and certification process, ISO/DIS 16919, "Space data and information transfer systems - Requirements for bodies providing audit and certification of candidate trustworthy digital repositories". Six test audits were conducted of scientific data centers and archives in Europe and the United States to test the use of these draft standards and identify potential improvements for the standards and for the participating digital repositories. We present a case study of the test audit conducted on the NASA Socioeconomic Data and Applications Center (SEDAC) and describe the preparation, the audit process, recommendations received, and next steps to obtain certification as a trustworthy digital repository, after approval of the ISO/DIS standards.

  11. A village treatment center for malaria: community response in Sri Lanka

    DEFF Research Database (Denmark)

    Konradsen, F; Amerasinghe, P H; Perera, D;

    2000-01-01

    by the degree of initial support from key individuals in the communities, the selection procedure and training of assistants, and the history of the relationships between different villages to be served by the center. The government health services and communities across the dry zone of Sri Lanka could benefit...... communities, it is important to know the rationale for people's malaria treatment-seeking behavior. The present study provides insights into the reasons for people's preferences for different types of healthcare facilities and describes variation of these preferences within a rural community in Sri Lanka...... the locally recruited staff of the village treatment center. The treatment center significantly reduced the stress and discomfort experienced by the elderly and handicapped segment of the community. The study indicated that the effective catchment area of a village treatment center will be influenced...

  12. Financial Literacy and the Success of Small Businesses: An Observation from a Small Business Development Center

    OpenAIRE

    Pearl Dahmen; Eileen Rodríguez

    2014-01-01

    Small business is the backbone of the U.S. economy; when the financial literacy skills of entrepreneurs fall short of those needed to operate a successful business, it is more than the individual business at risk. In 2012, 14 small businesses requesting growth-acceleration consulting services from the Florida Small Business Development Center at the University of South Florida were assessed financially as part of the service provided by the Center. Financial ratios were used to analyze the bu...

  13. Center for risk research: A review of work 1988-1991

    International Nuclear Information System (INIS)

    This report gives a summary of the research published during the first 4 years of the Center for Risk Research at the Stockholm School of Economics. Risk research carried out so far at the Center has been concerned with mapping of attitudes and risk perceptions with regard to nuclear risks, AIDS, military flight risks, and economic risks. There has also been some methodological work and some work on the relationship between risk perception and interests

  14. Injury Secondary to Antiretroviral Agents: Retrospective Analysis of a Regional Poison Center Database

    OpenAIRE

    Wheatley, Matthew A; Shah, Bijal B; Morgan, Brent W.; Houry, Debra; Kazzi, Ziad N.

    2011-01-01

    Introduction: Poisoning is an increasingly important cause of injury in the United States. In 2009 poison centers received 2,479,355 exposure reports, underscoring the role of poison centers in intentional and unintentional injury prevention. Antiretroviral (ARV) agents are commonly prescribed drugs known to cause toxicity, yet the frequency of these incidents is unknown. The objectives of this study were to quantify the number of reported cases of toxicity secondary to ARV agents at a region...

  15. Planning and acquiring a national center for the United States Geological Survey

    Science.gov (United States)

    Schmidt, William A.

    1993-01-01

    In August 1973, the U.S. Geological Survey moved its first group of employees into the John Wesley Powell Federal Building of its newly constructed National Center at Reston, Virginia. The move signaled the fruition of more than 20 years of dedicated planning and work following World War II, to consolidate the agency's widespread activities into one location, which could truly serve as a national center.

  16. Outsourcing as a change management tool in libraries and documentation centers

    OpenAIRE

    Lloret Romero, María Nuria

    2011-01-01

    Purpose: Outsourcing is a tool that has been used in companies for decades. However, it has taken much longer for this tool to be implemented in libraries and documentation centers, especially since they are eminently public entities at an international level. The use of such services has increased in recent years and has been especially heightened by the economic crisis in all areas of the aforementioned centers. However, it is important to understand the basis of this type of tool in order ...

  17. Center for risk research: A review of work 1988-1991

    Energy Technology Data Exchange (ETDEWEB)

    Sjoeberg, L.

    1992-01-01

    This report gives a summary of the research published during the first 4 years of the Center for Risk Research at the Stockholm School of Economics. Risk research carried out so far at the Center has been concerned with mapping of attitudes and risk perceptions with regard to nuclear risks, AIDS, military flight risks, and economic risks. There has also been some methodological work and some work on the relationship between risk perception and interests.

  18. Driving Assistances for Senior Drivers: a Human Centered Design Approach

    OpenAIRE

    Paris, Jean-Christophe; Bellet, Thierry; Cour, Maurice; MARIN-LAMELLET, Claude; DELEURENCE, Philippe; Moreau, Fabien; Boverie, Serge; Andre, Jean-Marc; CLAVERIEC, Bernard

    2015-01-01

    International audience Autonomy and individual mobility of elders becomes a societal issue for many countries. Thus, driving is a complex and demanding task, liable to generate specific driving errors and difficulties for a safe driving, even more for elders. In order to both maintain older drivers mobility and to avoid such road safety risks, a solution concerns driving assistances development, providing a technological support for this group of drivers. In this frame, it is needed to obs...

  19. A Practice Oriented Approach to User Centered Sustainable Design

    OpenAIRE

    Kuijer, L.; de Jong, A. M.

    2009-01-01

    This paper describes a method for insight generation for sustainable innovations. The method takes a practice oriented approach aiming for product ideas for practice level innovations. The method was applied in a case study on the practice of bathing. Insights on sustainable bathing innovations were gathered during a two-week period in which sixteen participants were asked to create and execute their own experiment for less resource intensive ways of bathing at home. In a group session these ...

  20. How polycentric is a monocentric city?: centers, spillovers and hysteresis

    OpenAIRE

    Ahlfeldt, Gabriel M.; Wendland, Nicolai

    2013-01-01

    We assess the extent to which firms in an environment of decreasing transport costs and industrial transformation value the benefits of proximity to a historic CBD and agglomeration economies in their location decisions. Taking a hybrid perspective of classical bid-rent theory and a world where clustering of economic activity is driven by between-firm spillovers, Berlin, Germany, from 1890 to 1936 serves as a case in point. Our results suggest that the average productivity effect of a doublin...

  1. Improving care efficiency in a radiotherapy center using Lean philosophy

    OpenAIRE

    Trilling, Lorraine; Pellet, Bertrand; Delacroix, Sabine; Colella Fleury, Hélène; Marcon, Eric

    2010-01-01

    In the field of health care, as in production or services, there is a need for tailor made methodology to help managers improving quality of care as well as efficiency of the organization. Quality Improvement (QI) has become a major preoccupation in the current context where hospitals and health care services need to provide a high level of care and a welcoming environment for patients while reducing costs and maintaining a pleasant work atmosphere for staff. In this paper we present how, wit...

  2. IRASM Center

    International Nuclear Information System (INIS)

    IRASM is a national center for radiation processing developed around an industrial Co60 gamma irradiator. Being a department in an R and D national institute, IRASM Center is dealing with radiation treatment, pre/post microbiological control, validation of irradiation sterilization, detection of irradiated foodstuffs. Training is available for operators of new irradiation facilities focused on radiation technologies, dosimetry, sterilization, food treatment, conservation by irradiation of cultural heritage, quality assurance. Expertise on proper choosing the plastics for packaging versus dose is offered to the potential clients. IRASM Center is also involved in interdisciplinary applied research like chitosan treatment, sterile male technique or implementation of irradiation step in production of pharmaceuticals. All important activities: irradiation treatment, dosimetry, microbiology, detection of irradiated food, radioprotection, nuclear safety, physical protection. are performed in accordance with the proper standards in the frame of a certified quality management system. In this way Co60 industrial sources, a byproduct of certain nuclear power plants like Candu type, appear to be the key of a large technical and R and D domain. (authors)

  3. The Multimedia Sandbox: Creating a Publishing Center for Students.

    Science.gov (United States)

    D'Ignazio, Fred

    1989-01-01

    Discussed is the design and construction of a high-tech publishing studio on a low budget. Integrating video, print, and audio media is discussed. Suggestions for 18 multimedia projects are included. (CW)

  4. A human centered perspective of E-maintenance

    OpenAIRE

    Oliveira, Allan; Araujo, Regina

    2014-01-01

    E-maintenance is a technology aiming to organize and structure the ICT during the whole life cycle of the product, to develop a maintenance support system that is effective and efficient. A current challenge of E-maintenance is the development of generic visualization solutions for users responsible for the maintenance. AR can be a potential technology for E-maintenance visualization, since it can bring knowledge to the real physical world, to assist the technician perform his/her work withou...

  5. User interface inspection methods a user-centered design method

    CERN Document Server

    Wilson, Chauncey

    2014-01-01

    User Interface Inspection Methods succinctly covers five inspection methods: heuristic evaluation, perspective-based user interface inspection, cognitive walkthrough, pluralistic walkthrough, and formal usability inspections. Heuristic evaluation is perhaps the best-known inspection method, requiring a group of evaluators to review a product against a set of general principles. The perspective-based user interface inspection is based on the principle that different perspectives will find different problems in a user interface. In the related persona-based inspection, colleagues assume the

  6. A Practice Oriented Approach to User Centered Sustainable Design

    NARCIS (Netherlands)

    Kuijer, L.; De Jong, A.M.

    2009-01-01

    This paper describes a method for insight generation for sustainable innovations. The method takes a practice oriented approach aiming for product ideas for practice level innovations. The method was applied in a case study on the practice of bathing. Insights on sustainable bathing innovations were

  7. Does the Center Hold? Reflections on a Sociological Core

    Science.gov (United States)

    Ballantine, Jeanne; Greenwood, Nancy; Howard, Jay R.; Kain, Edward L.; Pike, Diane; Schwartz, Michael; Smith, R. Tyson; Zipp, John F.

    2016-01-01

    Is there a distinct disciplinary core (or foundation of agreed on knowledge) in sociology? Should we define a core in our broad field to build consensus? If so, what should it look like? We address these questions by presenting three viewpoints that lean for and against identifying a core for department curricula, students, and the public face of…

  8. The Hospice Concept of Care: A Family Centered Approach.

    Science.gov (United States)

    Story, Marilyn

    This description of the Cedar Valley Hospice program emphasizes palliative and supportive care for terminally ill patients and their families. The history of the hospice movement is outlined along with a description of the Cedar Valley program and the results of a 1980 program evaluation. The appendices contain a statement of the hospice goals and…

  9. National imperative to establish a domestic medical intelligence center

    OpenAIRE

    Natarajan, Nitin

    2007-01-01

    CHDS State/Local The United States does not have a centralized organization tasked with the oversight or implementation of a domestic medical intelligence program. Organizations throughout the nation have adopted a variety of definitions and operating procedures related to medical intelligence; however, they are inconsistent. Additionally, most jurisdictions limit medical intelligence to epidemiological surveillance. This thesis will propose the structure, governmental organization, d...

  10. A reliability-centered approach to maintaining nuclear plants

    International Nuclear Information System (INIS)

    A preventive maintenance approach used successfully by the airlines and the military is reliability centred maintenance (RCM). Simply stated, RCM is a systematic consideration of system functions and the ways in which functions can fail, plus a priority-based consideration of safety and economics that identifies applicable and effective preventive maintenance tasks. The application of RCM to nuclear plants is discussed. (author)

  11. Refractive Index Change and Color Center Formation in LiYF_4 Crystal Induced by a Femtosecond Laser

    Institute of Scientific and Technical Information of China (English)

    2003-01-01

    The refractive index change and color centers formation in LiYF4 crystal at room temperature are induced by a femtosecond laser irradiation. A mechanism for refractive index change and color centers formation is proposed.

  12. Refractive Index Change and Color Center Formation in LiYF4 Crystal Induced by a Femtosecond Laser

    Institute of Scientific and Technical Information of China (English)

    Quanzhong Zhao; Jianrong Qiu; Lüyun Yang; Xiongwei Jiang; Congshan Zhu

    2003-01-01

    The refractive index change and color centers formation in LiYF4 crystal at room temperature are induced by a femtosecond laser irradiation. A mechanism for refractive index change and color centers formation is proposed.

  13. Ethylene, a Hormone at the Center-Stage of Nodulation

    OpenAIRE

    Guinel, Frédérique C.

    2015-01-01

    Nodulation is the result of a beneficial interaction between legumes and rhizobia. It is a sophisticated process leading to nutrient exchange between the two types of symbionts. In this association, within a nodule, the rhizobia, using energy provided as photosynthates, fix atmospheric nitrogen and convert it to ammonium which is available to the plant. Nodulation is recognized as an essential process in nitrogen cycling and legume crops are known to enrich agricultural soils in nitrogenous c...

  14. Handwriting Tics in Tourette's Syndrome: A Single Center Study.

    Science.gov (United States)

    Zanaboni Dina, Carlotta; Bona, Alberto R; Zekaj, Edvin; Servello, Domenico; Porta, Mauro

    2016-01-01

    Tourette's syndrome (TS) is a neurodevelopmental disorder typically defined by multiple motor tics and at least one sound tic, beginning in childhood or in adolescence. Handwriting is one of the most impaired school activities for TS patients because of the presence of tics that hamper learning processes. In this paper, we present a case of handwriting tics in a TS patient highlighting the main features.

  15. HYSTERECTOMY: CHANGING TRENDS IN A TERTIARY CARE CENTER

    OpenAIRE

    Abha; Smrity; Anchala

    2015-01-01

    BACKGROUND: Hysterectomy is the most common gynec operation worldwide. It leads to significant morbidity and mortality hence there must be justifiable indication before procedure is undertaken. There is a lack of comprehensive data and too much variability from place to place, even in India. OBJECTIVE: To analyze the changing trends in hysterectomy in past 6 years. METHOD: A retrospective study of all women undergoing hysterectomy that were done in Dr. B.R.A.M. Hospital, Medic...

  16. Supporting Clinical Cognition: A Human-Centered Approach to a Novel ICU Information Visualization Dashboard

    OpenAIRE

    Faiola, Anthony; Srinivas, Preethi; Duke, Jon

    2015-01-01

    Advances in intensive care unit bedside displays/interfaces and electronic medical record (EMR) technology have not adequately addressed the topic of visual clarity of patient data/information to further reduce cognitive load during clinical decision-making. We responded to these challenges with a human-centered approach to designing and testing a decision-support tool: MIVA 2.0 (Medical Information Visualization Assistant, v.2). Envisioned as an EMR visualization dashboard to support rapid a...

  17. A human-centered design of a dental discharge summary (DDS) for patients.

    Science.gov (United States)

    Walji, Muhammad; Loeffelholz, John; Valenza, John A

    2007-01-01

    Patients are often provided with sub-optimal information regarding their clinic visits. Patients sometimes forget post-discharge instructions provided verbally, and infrequently follow preventative advice to improve health. In this research we propose to develop and evaluate a dental discharge summary (DDS) for patients through a human-centered design process. Our long term goals are to automatically generate a personalized discharge summary after each clinic encounter to educate and motivate patients to maintain excellent oral health. PMID:18694242

  18. BMI changes in children and adolescents attending a specialized childhood obesity center: a cohort study

    OpenAIRE

    Maggio, Albane Bertha; Saunders, Catherine Tamsin; Gal-Duding, Claudine; Beghetti, Maurice; Martin, Xavier; Farpour-Lambert, Nathalie; Chamay-weber, Catherine

    2013-01-01

    Background Multidisciplinary group therapies for obese children and adolescents are effective but difficult to implement. There is a crucial need to evaluate simpler management programs that target the obese child and his family. This study aimed to determine changes in body mass indexes (BMI) after individual family-based obesity intervention with a pediatrician in a specialized obesity center for child and adolescent. Methods This cohort study included 283 patients (3.3 to 17.1 years, mean ...

  19. A construct-driven investigation of gender differences in a leadership-role assessment center.

    Science.gov (United States)

    Anderson, Neil; Lievens, Filip; van Dam, Karen; Born, Marise

    2006-05-01

    This study examined gender differences in a large-scale assessment center for officer entry in the British Army. Subgroup differences were investigated for a sample of 1,857 candidates: 1,594 men and 263 women. A construct-driven approach was chosen (a) by examining gender differences at the construct level, (b) by formulating a priori hypotheses about which constructs would be susceptible to gender effects, and (c) by using both effect size statistics and latent mean analyses to investigate gender differences in assessment center ratings. Results showed that female candidates were rated notably higher on constructs reflecting an interpersonally oriented leadership style (i.e., oral communication and interaction) and on drive and determination. These results are discussed in light of role congruity theory and of the advantages of using latent mean analyses.

  20. A construct-driven investigation of gender differences in a leadership-role assessment center.

    Science.gov (United States)

    Anderson, Neil; Lievens, Filip; van Dam, Karen; Born, Marise

    2006-05-01

    This study examined gender differences in a large-scale assessment center for officer entry in the British Army. Subgroup differences were investigated for a sample of 1,857 candidates: 1,594 men and 263 women. A construct-driven approach was chosen (a) by examining gender differences at the construct level, (b) by formulating a priori hypotheses about which constructs would be susceptible to gender effects, and (c) by using both effect size statistics and latent mean analyses to investigate gender differences in assessment center ratings. Results showed that female candidates were rated notably higher on constructs reflecting an interpersonally oriented leadership style (i.e., oral communication and interaction) and on drive and determination. These results are discussed in light of role congruity theory and of the advantages of using latent mean analyses. PMID:16737354

  1. In the Public Interest: Contemplating Seymour, Sin, and a Center

    Science.gov (United States)

    Cook, Sarah L.

    2012-01-01

    In this article, the author will focus on Seymour's article titled, "And What is the Public Interest?" (Sarason, 1986). To the author, the core of the article is as follows: "And what is the public interest? At its phenomenological root it is a picture of a triad: the individual, the society, and the bases on which they give meaning to each other.…

  2. A Role for Aesthetics in Centering the K-12 Curriculum.

    Science.gov (United States)

    Anderson, Tom; McRorie, Sally

    1997-01-01

    Asserts that aesthetic questions and aesthetic understanding provide the framework for learning in art. Contrasts formalism (the belief that art exists for its own sake) with contextualism (the belief that art is part of a social communication system). Maintains that a balanced art program should incorporate both approaches. (MJP)

  3. A Cell-Centered Multiphase ALE Scheme With Structural Coupling

    Energy Technology Data Exchange (ETDEWEB)

    Dunn, Timothy Alan [Univ. of California, Davis, CA (United States)

    2012-04-16

    A novel computational scheme has been developed for simulating compressible multiphase flows interacting with solid structures. The multiphase fluid is computed using a Godunov-type finite-volume method. This has been extended to allow computations on moving meshes using a direct arbitrary-Eulerian- Lagrangian (ALE) scheme. The method has been implemented within a Lagrangian hydrocode, which allows modeling the interaction with Lagrangian structural regions. Although the above scheme is general enough for use on many applications, the ultimate goal of the research is the simulation of heterogeneous energetic material, such as explosives or propellants. The method is powerful enough for application to all stages of the problem, including the initial burning of the material, the propagation of blast waves, and interaction with surrounding structures. The method has been tested on a number of canonical multiphase tests as well as fluid-structure interaction problems.

  4. How to Apply Student-centered Teaching Techniques in a Large Class%How to Apply Student-centered Teaching Techniques in a Larae Class

    Institute of Scientific and Technical Information of China (English)

    李焱

    2008-01-01

    It is very common to have a class of 50 or more students in Chinese schools,and teaching a foreign language effectively to a large class is really hard work.In order to change the teacher-centered teaching model into the student-centered one,Teachers should keep students' needs,interests,and learning styles in mind,apply several kinds of teaching techniques,organize different clas$1~OIlll activities and encourage,praise and appreciate both students' success and learning process all the time.If teachers place more responsibility in the hands of students,serve as "presenter or facilitator of knowledge"instead of "source of all knowledge",they can greatly motivate students to learn the language in a very active,cooperative andeffectiveway.After all,peoplelearn by doing,not only by watching andlistening.

  5. A cell-centered ICE method for multiphase flow simulations

    Energy Technology Data Exchange (ETDEWEB)

    Kashiwa, B.A.; Padial, N.T. [Los Alamos National Lab., NM (United States); Rauenzahn, R.M. [Molten Metals Technology, Inc., Waltham, MA (United States); VanderHeyden, W.B. [Amoco Oil Co., Naperville, IL (United States)

    1993-12-01

    The Implicit Continuous-fluid Eulerian (ICE) method is a finite-volume scheme that is stable for any value of the Courant number based on the sound speed. In the incompressible limit, the ICE method becomes essentially identical to the Marker and Cell (MAC) method, so the two schemes are closely related. In this article, the classical ICE method is extended to multiple interpenetrating phases, and employed with a single control volume (nonstaggered) mesh framework. The incompressible limit is preserved, so that problems involving equations of state, or those exhibiting constant material densities, can be addressed with the same computer code. The scheme reduces properly to a single-fluid method, enabling benchmarking using well-known test cases. Thus, the numerical issues focus only on those aspects unique to problems having multiple density, velocity and temperature fields. The discussion begins with a derivation of the exact, ensemble-averaged equations. Examples of the most basic closures axe given, and the well-posedness of the equations is demonstrated. The numerical method is described in operator notation, and the discretization is sketched. The flow patterns in a bubble column are computed as an incompressible flow example. For a compressible flow example, the expansion and compression of a bubble formed by high-explosive gases under water is shown. In each case, comparison to experimental data is made.

  6. Karyotype Learning Center: A Software For Teaching And Learning Cytogenetics

    Directory of Open Access Journals (Sweden)

    Joelma Freire De Mesquita

    2004-05-01

    Full Text Available The in vitro cultivation of human cells is an essential part of the work of every diagnostic cytoge-netics laboratory. Almost all human cytogenetic studies involve the examination of dividing bloodcell population by blocking cell division at metaphase with subsequent processing and staining bybanding techniques. The chromosome constitution is described as Karyotype that states the totalnumber of chromosomes and the sex chromosome constitution. Karyotypes are prepared by cuttingup a photograph of the spread metaphase chromosomes, matching up homologous chromosomes andsticking them back down on a card or nowadays more often by getting an image analysis computerto do the job. Chromosomes are identied by their size, centromere position and banding pattern.Teaching a student how to detect and interpret even the most common chromosome abnormaliti-es is a major challenge: mainly, in a developing country where the laboratorial facilities are notalways available for a big number of students. Therefore, in this work we present an educationalsoftware for teaching undergraduate students of Medical and Life Sciences Courses how to arrangenormal and abnormal chromosomes in the form of karyotype. The user, using drag-and-drop, is da-red to match up homologous chromosome. For that, we have developed a free full access web site(http://www.biomol.net/cariotipo/ for hosting the software. The latter has proved to be light andfast even under slow dial-up connections. This web site also oers a theoretical introductory sectionwith basic concepts about karyotype. Up to now the software has been successfully applied to un-dergraduate courses at the University of Rio de Janeiro (UNIRIO. The students have approved thesoftware; to them the similarities with the well-known game solitaire turns the exercise more excitingand provides additional stimulus to learn and understand karyotype. Professors have also used thesoftware as complementary material in their regular classes

  7. Performance Analysis of Heterogeneous Data Centers in Cloud Computing Using a Complex Queuing Model

    Directory of Open Access Journals (Sweden)

    Wei-Hua Bai

    2015-01-01

    Full Text Available Performance evaluation of modern cloud data centers has attracted considerable research attention among both cloud providers and cloud customers. In this paper, we investigate the heterogeneity of modern data centers and the service process used in these heterogeneous data centers. Using queuing theory, we construct a complex queuing model composed of two concatenated queuing systems and present this as an analytical model for evaluating the performance of heterogeneous data centers. Based on this complex queuing model, we analyze the mean response time, the mean waiting time, and other important performance indicators. We also conduct simulation experiments to confirm the validity of the complex queuing model. We further conduct numerical experiments to demonstrate that the traffic intensity (or utilization of each execution server, as well as the configuration of server clusters, in a heterogeneous data center will impact the performance of the system. Our results indicate that our analytical model is effective in accurately estimating the performance of the heterogeneous data center.

  8. Brainstorming and beyond a user-centered design method

    CERN Document Server

    Wilson, Chauncey

    2013-01-01

    Brainstorming and Beyond describes the techniques for generating ideas verbally, in writing, or through sketches. The first chapter focuses on brainstorming, the foundation method for ideation, which is a complex social process building off of social psychology principles, motivational constructs, and corporate culture. Brainstorming is commonly portrayed as an easy way to generate ideas, but in reality, it is a complex social process that is often flawed in ways that are not self-evident. Chapter 2 discusses Brainwriting, which is a variation on brainstorming in which each person writes idea

  9. A Student-Centered Personalised Learning Space for Employability

    OpenAIRE

    Brooks, Ruth; McKinna, A

    2011-01-01

    In 2009 a pilot project was undertaken to develop and enhance Personal Development Planning (PDP) and employability skills amongst final year undergraduates on the BA Business Management degree. Developed in conjunction with students, the Careers and Employability service and the Academic Skills unit, a Personal Development and Employability Workbook was generated. Student learning from this tool was embedded, through the creation of an e-portfolio, in the campus-wide Blackboard VLE system. ...

  10. Englishization in offshore call centers: A postcolonial perspective

    OpenAIRE

    Mehdi Boussebaa; Shuchi Sinha; Yiannis Gabriel

    2014-01-01

    The spread and use of English as the lingua franca of international business (IB) – “corporate Englishization” – has received increasing scholarly attention in recent years but the focus has mostly been on the communication benefits and challenges of using English as a shared language inside multinationals. In this article we examine how English is used externally in the provision of business services and apply a postcolonial perspective to frame our analysis. Drawing on fieldwork in India wi...

  11. Neurofibromatosis type 1: a single center's experience in Korea

    OpenAIRE

    Kim, Min Jeong; Cheon, Chong Kun

    2014-01-01

    Purpose Neurofibromatosis 1 (NF1) is an autosomal dominant condition caused by an NF1 gene mutation. NF1 is also a multisystem disorder that primarily affects the skin and nervous system. The goal of this study was to delineate the phenotypic characterization and assess the NF1 mutational spectrum in patients with NF1. Methods A total of 42 patients, 14 females and 28 males, were enrolled in this study. Clinical manifestations and results of the genetic study were retrospectively reviewed. Re...

  12. [Organizational climate, trust and burnout in a rehabilitation center].

    Science.gov (United States)

    Bettinardi, O; Montagner, V; Maini, M; Vidotto, G

    2008-01-01

    Today human resources are considered of fundamental importance and necessity for the success of the organizations that provide health services. The aims of the present study were: 1) to investigate the perception that rehabilitation medical staff employees have of their hospital organization, 2) to quantify their evaluation concerning organizational trust, 3) to identify eventual burnout symptoms and their relationship with perceived organizational climate and trust. The sample consisted of 131 employees, subdivided into 6 professional categories. Three questionnaires were administered to the employees. The results evidenced significant differences between the various professional groups regarding the climate perceived and trust in the organization. Administrative personnel, nurses and medical graduates revealed a greater satisfaction, responsibility and work integration than the other employee groups (p = 0.023). All the scales which measured organizational climate correlated (inversely) with those measuring burnout (p" 0.05), indicating the existence of a close relationship between a work climate perceived as collaborative (r = -0.33) and characterized by a continuous exchange of information about the hospital organization (r = -0.50), and the psychological well-being experienced by the employees. This study confirms the importance of promoting organizational strategies aimed at mutual reinforcement and support characterized by regular and constructive feedback, wherein there is a reciprocal recognition of each employee's role through a clear, open communication. PMID:18700478

  13. [Organizational climate, trust and burnout in a rehabilitation center].

    Science.gov (United States)

    Bettinardi, O; Montagner, V; Maini, M; Vidotto, G

    2008-01-01

    Today human resources are considered of fundamental importance and necessity for the success of the organizations that provide health services. The aims of the present study were: 1) to investigate the perception that rehabilitation medical staff employees have of their hospital organization, 2) to quantify their evaluation concerning organizational trust, 3) to identify eventual burnout symptoms and their relationship with perceived organizational climate and trust. The sample consisted of 131 employees, subdivided into 6 professional categories. Three questionnaires were administered to the employees. The results evidenced significant differences between the various professional groups regarding the climate perceived and trust in the organization. Administrative personnel, nurses and medical graduates revealed a greater satisfaction, responsibility and work integration than the other employee groups (p = 0.023). All the scales which measured organizational climate correlated (inversely) with those measuring burnout (p" 0.05), indicating the existence of a close relationship between a work climate perceived as collaborative (r = -0.33) and characterized by a continuous exchange of information about the hospital organization (r = -0.50), and the psychological well-being experienced by the employees. This study confirms the importance of promoting organizational strategies aimed at mutual reinforcement and support characterized by regular and constructive feedback, wherein there is a reciprocal recognition of each employee's role through a clear, open communication.

  14. HYSTERECTOMY: CHANGING TRENDS IN A TERTIARY CARE CENTER

    Directory of Open Access Journals (Sweden)

    Abha

    2015-11-01

    Full Text Available BACKGROUND: Hysterectomy is the most common gynec operation worldwide. It leads to significant morbidity and mortality hence there must be justifiable indication before procedure is undertaken. There is a lack of comprehensive data and too much variability from place to place, even in India. OBJECTIVE: To analyze the changing trends in hysterectomy in past 6 years. METHOD: A retrospective study of all women undergoing hysterectomy that were done in Dr. B.R.A.M. Hospital, Medical College, Raipur for 6yrs from 2009 to 2014. RESULTS: A total of 1032 hysterectomies were done during the study period. Most common age group was from 41-50 years. The commonest indication was symptomatic fibroid (33.52%. Vaginal and abdominal hysterectomy were done equally. A declining trend of incidence of hysterectomy was observed over the years from 14.9 to 9.61 per 1000 women per year, which is significant (p value- 0.008. CONCLUSION: This study shows changing scenario of hysterectomy in terms of age, oophorectomy and rate. A shift towards minimal invasive techniques is also evident

  15. Concepts and strategies to establish a cyclotron/PET center

    International Nuclear Information System (INIS)

    Cyclotron accelerators are prolific sources of charged particle for the production of radionuclides and have become an essential tool in the practice of modern nuclear medicine by providing reliably radiotracers for SPECT and PET studies. In a recent survey conducted by the IAEA in 2001 (1) , the growth in the number of cyclotron facilities installed in laboratories and hospitals in developed as well as developing nations was put into evidence This trend, which started in the late 70's, continues up to the present time, and all indications are that it will continue in the next future. The reasons for this growth are several, amongst them it can be mentioned the fact that the technology involved has became more user or 'hospital friendly', third party reimbursement for several of clinical studies based on F-18 PET radiopharmaceuticals at least in some of the advanced countries starting with F-18FDG in 1998, and above all, the clear, irrefutable and demonstrable Conclusion of the positive cost/benefit outcomes of PET studies in the field of oncology and to a lesser degree, thus far, for cardiology and neurology. It is however recognized that the overall financial cost of the technology, which comprises the premises to house the facility, the cyclotron accelerator, the corresponding radiochemistry and quality control equipment and the PET camera can nevertheless be an expensive proposition that requires careful advance planning. This fact is even more relevant when the facility is planed for installation in a developing country which frequently, in addition to having a lack of sufficient financial resources, do have shortages of qualify human resources for advance planning and later, to run efficiently the facility. Several are the steps that needs consideration when planning a cyclotron facility, the most critical ones are a careful definition of the mission and scope of the facility including the utilization programme of the facility as a whole, followed by a

  16. Centering the Peripheral: A Case for Poetry in Africa

    Directory of Open Access Journals (Sweden)

    Joseph Muleka

    2014-01-01

    Full Text Available This paper grapples with a frequently asked question: Is there a case for poetry in Africa? Though not necessarily a polemical rooting for recognition of African oral poetry, the paper stands in contention with assertions that have tended to dismiss the said artworks as non-poetry, while at the same time attempting to confer superiority of the written poetry over the oral. In particular, the paper contests the arguments by some pioneer researchers into African literature that posited that what was usually touted as poetry in Africa did not qualify as true poetry, but rather, simply songs and chants. In an attempt to address the nitty-gritty of this subject the paper tackles the crucial question of what constitutes poetry and whether there is a significant difference between a song and a poem. The paper employs the theory of ethno-poetics which takes interest in the aesthetic components and poetic structuring of oral poems. Ethnopoetics gives guidelines on how to organize an oral text in lines to render its fullest charge of texture: rhythm, nuance, phrasing and other components that allow full poetic meaning. It is intended that the poetic restructuring will particularly help realize the poetic qualities in African poetic works. Besides, the paper also tries to popularize “narrato-centric” approach, an application we used earlier during a discussion on theory in the study of oral literature. The approach encourages the study of oral literature material that puts emphasis on performance and the dynamics dictating the performer and his role in the performance.

  17. Skin lesions in renal transplant recipients: A single center analysis

    Directory of Open Access Journals (Sweden)

    George Leni

    2009-01-01

    Full Text Available Background: The chronic use of immunosuppressants in renal transplant recipients (RTRs predisposes them to a variety of skin manifestations. Studies on skin lesions in RTRs from India have been limited. Aim: To study the prevalence and clinical spectrum of skin diseases in RTR in patients attending the Nephrology clinic of a tertiary care hospital in South India. Methods: Between October 2002 and June 2003, 365 RTRs were evaluated for skin lesions, including 280 examined after renal transplant (group A and 85 examined once before and then monthly after transplant for a period of 6 months (group B. Results: A total of 1163 skin lesions were examined in 346 RTRs (94.7% including lesions of aesthetic interest (LAI [62.3%] followed by infections [27.3%]. All LAI were drug-related manifestations, making it the most common skin lesion, while fungal (58.7% and viral (29.3% infections constituted majority of lesions caused by infection. Lesions related to neoplasms were relatively uncommon (2.1% and all lesions were benign. Miscellaneous lesions constituted 8.3% of skin lesions, which included vaccine-induced necrobiotic granulomas at the site of Hepatitis B vaccination and acquired perforating dermatoses. Conclusion: Skin lesions among RTRs from India consist predominantly of drug-related LAI and infections and are different from the West in view of the paucity of neoplastic lesions.

  18. "Out in the Rural: A Health Center in Mississippi"

    OpenAIRE

    Carolyn Chu

    2006-01-01

    Prior to the 1960s, most health care in the United States had been delivered privately to those who could afford it or administered via church-based “charity” systems to those who could not. When President Lyndon B. Johnson and the federal government declared a “war on poverty” via the Economic Opportunity Act of 1964, medical and civil rights activists seized the opportunity to create public health systems that could reduce disparities in wealth and health. At the time H. Jack Geiger was a y...

  19. An organizing center in a planar model of neuronal excitability

    CERN Document Server

    Franci, Alessio; Sepulchre, Rodolphe

    2012-01-01

    The paper studies the excitability properties of a generalized FitzHugh-Nagumo model. The model differs from the purely competitive FitzHugh-Nagumo model in that it accounts for the effect of cooperative gating variables such as activation of calcium currents. Excitability is explored by unfolding a pitchfork bifurcation that is shown to organize five different types of excitability. In addition to the three classical types of neuronal excitability, two novel types are described and distinctly associated to the presence of cooperative variables.

  20. Factors associated with a patient-centered medical home among children with behavioral health conditions.

    Science.gov (United States)

    Knapp, Caprice; Woodworth, Lindsey; Fernandez-Baca, Daniel; Baron-Lee, Jacqueline; Thompson, Lindsay; Hinojosa, Melanie

    2013-11-01

    At some point in their lives, nearly one-half of all American children will have a behavioral health condition. Many will not receive the care they need from a fragmented health delivery system. The patient-centered medical home is a promising model to improve their care; however, little evidence exists. Our study aim was to examine the association between several behavioral health indicators and having a patient-centered medical home. 91,642 children's parents or guardians completed the 2007 National Survey of Children's Health. An indicator for patient-centered medical home was included in the dataset. Descriptive statistics, bivariate tests, and multivariate regression models were used in the analyses. Children in the sample were mostly Male (52 %), White (78 %), non-Hispanic (87 %), and did not have a special health care need (80 %). 6.2 % of the sample had at least one behavioral health condition. Conditions ranged from ADHD (6 %) to Autism Spectrum Disorder (ASD) (1 %). Frequency of having a patient-centered medical home also varied for children with a behavioral health condition (49 % of children with ADHD and 33 % of children with ASD). Frequency of having a patient-centered medical home decreased with multiple behavioral health conditions. Higher severity of depression, anxiety, and conduct disorder were associated with a decreased likelihood of a patient-centered medical home. Results from our study can be used to target patient-centered medical home interventions toward children with one or more behavioral health conditions and consider that children with depression, anxiety, and conduct disorder are more vulnerable to these disparities.

  1. Human-centered design as a fragile encounter

    NARCIS (Netherlands)

    Steen, M.G.D.

    2012-01-01

    Many innovations in the information and communication technology (ICT) industry are driven by technological developments, rather than by concerns for users’ needs and preferences. This technology push approach brings a risk of creating products or services that people cannot or do not want to use. I

  2. Toward a learner-centered system for adult learning

    NARCIS (Netherlands)

    Hermans, Henry; Kalz, Marco; Koper, Rob

    2014-01-01

    This paper presents an e-learning system that integrates the use of concepts of virtual learning environments, personal learning environments, and social network sites. The system is based on a learning model which comprises and integrates three learning contexts for the adult learner: the formal, i

  3. Development of a Patient-Centered Antipsychotic Medication Adherence Intervention

    Science.gov (United States)

    Pyne, Jeffrey M.; Fischer, Ellen P.; Gilmore, LaNissa; McSweeney, Jean C.; Stewart, Katharine E.; Mittal, Dinesh; Bost, James E.; Valenstein, Marcia

    2014-01-01

    Objective: A substantial gap exists between patients and their mental health providers about patient's perceived barriers, facilitators, and motivators (BFMs) for taking antipsychotic medications. This article describes how we used an intervention mapping (IM) framework coupled with qualitative and quantitative item-selection methods to…

  4. Five years' experience with capsule endoscopy in a single Center

    Institute of Scientific and Technical Information of China (English)

    Taylan Kav; Yusuf Bayraktar

    2009-01-01

    Capsule endoscopy (CE) is a novel technology that facilitates highly effective and noninvasive imaging of the small bowel. Although its efficacy in the evaluation of obscure gastrointestinal bleeding (OGIB) has been proven in several trials, data on uses of CE in different small bowel diseases are rapidly accumulating in the literature, and it has been found to be superior to alternative diagnostic tools in a range of such diseases.Based on literature evidence, CE is recommended as a first-line investigation for OGIB after negative bidirectional endoscopy. CE has gained an important role in the diagnosis and follow-up of Crohn's disease and celiac disease and in the surveillance of small bowel tumors and polyps in selected patients. Capsule retention is the major complication, with a frequency of 1%-2%. The purpose of this review was to discuss the procedure, indications, contraindications and adverse effects associated with CE. We also review and share our five-year experience with CE in various small bowel diseases. The recently developed balloon-assisted enteroscopies have both diagnostic and therapeutic capability. At the present time, CE and balloon-assisted enteroscopies are complementary techniques in the diagnosis and management of small bowel diseases.

  5. A Radio Polarimetric Study of the Galactic Center Threads

    CERN Document Server

    Lang, C C; Echevarria, L; Lang, Cornelia C.; Morris, Mark

    1999-01-01

    Multi-frequency, polarimetric VLA observations of the non-thermal filaments (NTF's), G0.08+0.15, and G359.96+0.09, also known as the Northern and Southern Threads are presented at 20, 6, 3.6 and 2 cm, with high enough spatial resolution to be resolved for the first time at 6 and 3.6 cm. The 20 cm image reveals a wealth of new detail in the radio sources lying within the inner 60 pc of the Galaxy. The Southern Thread has a prominent split along its length, similar to splitting at the ends of previously studied NTF's. With resolutions as fine as 2'', the 3.6 and 6 cm images reveal a high degree of continuity and little substructure internal to the filament. The spectral index of the Northern Thread has been determined over a broad range of frequencies. Its flux density falls with frequency, alpha=-0.5 between 90 and 6 cm, and becomes much steeper (alpha=-2.0) between 6 and 2 cm. The spectral index does not vary significantly along the length of the Northern Thread, which implies either that the diffusion timesc...

  6. Integrating Software Repository Mining: A Decision Support Centered Approach

    Directory of Open Access Journals (Sweden)

    Luiz Dourado Dias Junior

    2012-12-01

    Full Text Available Mining software repositories (MSR research had significantly contributed to software engineering.However, MSR results integration across repositories is a recent concern that is getting more attentionfrom researchers each day. Some noticeable research in this sense is related to the approximation betweenMSR and semantic web, specially linked data approaches which makes it possible to integrate repositoriesand mined results. Manifested that way, we believe that current research is not fully addressing thepractical integration of MSR results, specially, in software engineering due to not considering that theseresults needs to be integrated to the tools as assistance to activity performers, as a kind of decision makingsupport. Based on this statement this research describes an approach, named Sambasore, which isconcerned with MSR results inter-repository integration and also to decision making support processes,based on tool assistance modelling. To show its feasibility we describe the main concepts, some relatedworks and also a proof of concept experiment applied to a software process modelling tool named SpiderPM.

  7. Learning Objects: A User-Centered Design Process

    Science.gov (United States)

    Branon, Rovy F., III

    2011-01-01

    Design research systematically creates or improves processes, products, and programs through an iterative progression connecting practice and theory (Reinking, 2008; van den Akker, 2006). Developing a new instructional systems design (ISD) processes through design research is necessary when new technologies emerge that challenge existing practices…

  8. A person-centered communication and reflection model

    DEFF Research Database (Denmark)

    Zoffmann, Vibeke; Harder, Ingegerd; Kirkevold, Marit

    2008-01-01

    Shared decision making (SDM) is regarded as an ideal in chronic illness care but is difficult to implement in practice. Communication and reflection play an important role and need further investigation. Using grounded theory, we studied patient-provider interaction in a difficult and advanced area...

  9. Clinical Outcomes of Colonic Stent in a Tertiary Care Center

    Directory of Open Access Journals (Sweden)

    Mahesh Gajendran

    2014-01-01

    Full Text Available Introduction. Colonic obstruction is one of the manifestations of colon cancer for which self-expanding metal stents (SEMS have been effectively used, to restore the luminal patency either for palliative care or as a bridge to resective surgery. The aim of our study is to evaluate the efficacy and safety of large diameter SEMS in patients with malignant colorectal obstruction. Methods and Results. A four-year retrospective review of the Medical Archival System was performed and identified 16 patients. The average age was 70.8 years, of which 56% were females. The most common cause of obstruction was colon cancer (9/16, 56%. Rectosigmoid was the main site of obstruction (9/16 and complete obstruction occurred in 31% of cases. The overall technical and clinical success rates were 100% and 87%, respectively. There were no immediate complications (<24 hours, but stent stenosis due to kinking occurred within one week of stent placement in 2 patients. Stent migration occurred in 2 patients at 34 and 91 days, respectively. There were no perforations or bleeding complications. Conclusion. Large diameter SEMS provide a safe method for palliation or as a bridge to therapy in patients with malignant colonic obstruction with high technical success and very low complication rates.

  10. Autotransplantation of pancreatic islets. A single-center first experience.

    Science.gov (United States)

    Magistri, Paolo; Andreani, Sara; Lo Conte, Domenico; Ferrari, Giovanni Carlo; Forgione, Antonello; Pugliese, Raffaele

    2016-01-01

    L’autotrapianto d’isole pancreatiche (IAT) è una procedura ben nota che consente di migliorare il controllo glicemico dopo una pancreasectomia totale (o completamento di pancreasectomia dopo duodenocefalopancreasectomia) rispetto alla sola terapia insulinica. In questo lavoro presentiamo la nostra esperienza nel campo dell’ IAT riportando il caso clinico di una donna di sessanta anni, sottoposta a completamento di pancreasectomia per episodi ricorrenti di acuzie in un quadro di pancreatite cronica. Il trattamento IAT è stato somministrato mediante iniezione trans-epatica intra-portale. Il recupero post-procedurale è stato ottimale, fatta eccezione per un’infezione di ferita che ha richiesto un trattamento con tecnologia a pressione negativa. La paziente è stata dimessa in ventisettesima giornata postoperatoria, in buone condizioni generali, dopo regolare ripresa dell’alimentazione e della canalizzazione. I dati presenti in letteratura dimostrano che la IAT è una procedura sicura, garantendo nel lungo periodo un vantaggio rispetto alla terapia insulinica in termini di rapporto costo-beneficio. Riguardo alla procedura chirurgica, è qui utile ricordare che la mortalità a 30 giorni dopo pancreasectomia totale associata a IAT è del 5%, ed è pertanto sovrapponibile ai risultati della pancreasectomia totale senza IAT. Riportando questa esperienza intendiamo contribuire alla crescita della casistica chirurgica attuale in questo campo, proponendo nel futuro un più ampio sviluppo e una più estesa applicazione di tale approccio.

  11. Hazardous alcohol use among doctors in a Tertiary Health Center

    Directory of Open Access Journals (Sweden)

    Adetunji Obadeji

    2015-01-01

    Full Text Available Background: Doctors have been identified as one of the key agents in the prevention of alcohol-related harm, however, their level of use and attitudes toward alcohol will affect such role. Aim: This study is aimed at describing the pattern of alcohol use and the predictors of hazardous drinking among hospital doctors. Setting: Study was conducted at the Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria. Design: A cross-sectional survey involving all the doctors in the teaching hospital. Materials and Methods: All the consenting clinicians completed a sociodemographic questionnaire and alcohol use was measured using the 10-item alcohol use disorder identification test (AUDIT and psychological well-being was measured by the 12-item General Health Questionnaire (GHQ-12. Statistical Analysis Used: Statistical analyses were done using the Statistical Package for Social Sciences version 16. Chi-square tests with Yates correction were used to describe the relationship between respondent′s characteristics and AUDIT scores as appropriate. Results: There were a total of 122 participants. Eighty-five (69.7% of them were abstainers, 28 (23% were moderate drinkers, and 9 (7.3% hazardous drinkers. With the exception of age, there was no significant relationship between sociodemographic status, years of practice, specialty of practice, and hazardous alcohol use. Experiencing stress or GHQ score above average is significantly associated with hazardous drinking. Conclusion: Hazardous drinking among hospital doctors appears to be essentially a problem of the male gender, especially among those older than 40 years. Stress and other form of psychological distress seem to play a significant role in predicting hazardous drinking among doctors.

  12. A survey of program evaluation practices in family-centered pediatric rehabilitation settings.

    Science.gov (United States)

    Moreau, Katherine A; Cousins, J Bradley

    2014-04-01

    Program evaluation is becoming increasingly important in pediatric rehabilitation settings that adhere to the family-centered service (FCS) philosophy. However, researchers know little about the specific evaluation activities occurring in these settings or the extent to which evaluators/service providers uphold FCS in their program evaluation activities. Through a questionnaire survey, this study aimed to document evaluators/service providers' perceptions of the level of program evaluation occurring in their Canadian pediatric rehabilitation centers. It also investigated the extent to which evaluators/service providers perceive program evaluation practices at their centers to be consistent with the FCS context of Canadian pediatric rehabilitation settings. The findings suggested that the amount of evaluation activities occurring within the respondents' centers is variable; that the majority of individuals working in program evaluation do not have formal training in it; and that the respondents' centers have limited resources for evaluation. The study also showed that staff members believe their centers' evaluation activities are somewhat consistent with FCS philosophy, but that improvements are needed.

  13. Designing a Virtual Center for E-Commerce

    Directory of Open Access Journals (Sweden)

    Doina ROSCA

    2010-08-01

    Full Text Available In the actual context of developing digital services, the promotion of a system that manages multiple e-commerce sites can be extremely valuable in increasing the economic effects for the companies. This paper presents the current stage of the experimental system design and implementation, an open system website-based (called Single Way for E-Commerce - SWEC having the goal to collaborate with many database servers of the companies that offer e-commerce sevices and also to interract with electronic payment and e-administration systems. This new approach allows the clients, after them authentication, to navigate on e-commerce websites and search different products, grouping on domains, companies and geographic areas. SWEC System will offer to the customer the opportunity to visualize and compare similar products, to order and receive a single invoice for all the products he wants to buy.

  14. [Epidemiology and management of heart failure in a Moroccan center].

    Science.gov (United States)

    Kheyi, Jamal; Benelmakki, Abdelilah; Bouzelmat, Hicham; Chaib, Ali

    2016-01-01

    This is a prospective observational study of 424 patients hospitalized for heart failure. Data were collected from the intensive care unit and Rhythmology Depatment of the Mohamed V Military Hospital for Instruction in Rabat, between December 2008 and December 2014. The average age was 60.91±12.77. The main cardiovascular risk factors encountered were: hypertension (46%), smoking (45%), and diabetes (43%). Clinically, 63% of patients were admitted for left-sided heart failure. The left ventricle was dilated in 58% of cases, with a mean ejection fraction estimated at 36.33 ± 13.5%. The dominant etiology was ischemic heart disease (254 cases). In addition to optimal medical treatment, 14.4% of our patients underwent cardiac resynchronization with or without defibrillator system. The intra-hospital evolution under medical treatment was marked by 26 deaths. The average length of stay in hospital was 12.1 ± 6.6 days. PMID:27642424

  15. Virtual reality: A human centered tool for improving Manufacturing

    CERN Document Server

    Bennis, Fouad; Dépincé, Philippe

    2007-01-01

    Manufacturing is using Virtual Reality tools to enhance the product life cycle. Their definitions are still in flux and it is necessary to define their connections. Thus, firstly, we will introduce more closely some definitions where we will find that, if the Virtual manufacturing concepts originate from machining operations and evolve in this manufacturing area, there exist a lot of applications in different fields such as casting, forging, sheet metalworking and robotics (mechanisms). From the recent projects in Europe or in USA, we notice that the human perception or the simulation of mannequin is more and more needed in both fields. In this context, we have isolated some applications as ergonomic studies, assembly and maintenance simulation, design or training where the virtual reality tools can be applied. Thus, we find out a family of applications where the virtual reality tools give the engineers the main role in the optimization process. We will illustrate our paper by several examples where virtual r...

  16. Center of attention: A network text analysis of American Sniper

    Directory of Open Access Journals (Sweden)

    Starling Hunter

    2016-06-01

    Full Text Available Network Text Analysis (NTA is a term used to describe a variety of software - supported methods for modeling texts as networks of concepts. In this study we apply NTA to the screenplay of American Sniper, an Academy Award nominee for Best Adapted Screenplay in 2014. Specifically, we est ablish prior expectations as to the key themes associated with war films. We then empirically test whether words associated with the most influentially - positioned nodes in the network signify themes common to the war - film genre. As predicted, we find tha t words and concepts associated with the least constrained nodes in the text network were significantly more likely to be associated with the war genre and significantly less likely to be associated with genres to which the film did not belong.

  17. A guide to the National Space Science Data Center

    Science.gov (United States)

    1990-01-01

    This is the second edition of a document that was published to acquaint space and Earth research scientists with an overview of the services offered by the NSSDC. As previously stated, the NSSDC was established by NASA to be the long term archive for data from its space missions. However, the NSSDC has evolved into an organization that provides a multitude of services for scientists throughout the world. Brief articles are presented which discuss these services. At the end of each article is the name, address, and telephone number of the person to contact for additional information. Online Information and Data Systems, Electronic Access, Offline Data Archive, Value Added Services, Mass Storage Activities, and Computer Science Research are all detailed.

  18. Evaluation of a fungal collection as certified reference material producer and as a biological resource center.

    Science.gov (United States)

    Forti, Tatiana; Souto, Aline da S S; do Nascimento, Carlos Roberto S; Nishikawa, Marilia M; Hubner, Marise T W; Sabagh, Fernanda P; Temporal, Rosane Maria; Rodrigues, Janaína M; da Silva, Manuela

    2016-01-01

    Considering the absence of standards for culture collections and more specifically for biological resource centers in the world, in addition to the absence of certified biological material in Brazil, this study aimed to evaluate a Fungal Collection from Fiocruz, as a producer of certified reference material and as Biological Resource Center (BRC). For this evaluation, a checklist based on the requirements of ABNT ISO GUIA34:2012 correlated with the ABNT NBR ISO/IEC17025:2005, was designed and applied. Complementing the implementation of the checklist, an internal audit was performed. An evaluation of this Collection as a BRC was also conducted following the requirements of the NIT-DICLA-061, the Brazilian internal standard from Inmetro, based on ABNT NBR ISO/IEC 17025:2005, ABNT ISO GUIA 34:2012 and OECD Best Practice Guidelines for BRCs. This was the first time that the NIT DICLA-061 was applied in a culture collection during an internal audit. The assessments enabled the proposal for the adequacy of this Collection to assure the implementation of the management system for their future accreditation by Inmetro as a certified reference material producer as well as its future accreditation as a Biological Resource Center according to the NIT-DICLA-061. PMID:26991280

  19. Evaluation of a fungal collection as certified reference material producer and as a biological resource center

    Directory of Open Access Journals (Sweden)

    Tatiana Forti

    2016-06-01

    Full Text Available Abstract Considering the absence of standards for culture collections and more specifically for biological resource centers in the world, in addition to the absence of certified biological material in Brazil, this study aimed to evaluate a Fungal Collection from Fiocruz, as a producer of certified reference material and as Biological Resource Center (BRC. For this evaluation, a checklist based on the requirements of ABNT ISO GUIA34:2012 correlated with the ABNT NBR ISO/IEC17025:2005, was designed and applied. Complementing the implementation of the checklist, an internal audit was performed. An evaluation of this Collection as a BRC was also conducted following the requirements of the NIT-DICLA-061, the Brazilian internal standard from Inmetro, based on ABNT NBR ISO/IEC 17025:2005, ABNT ISO GUIA 34:2012 and OECD Best Practice Guidelines for BRCs. This was the first time that the NIT DICLA-061 was applied in a culture collection during an internal audit. The assessments enabled the proposal for the adequacy of this Collection to assure the implementation of the management system for their future accreditation by Inmetro as a certified reference material producer as well as its future accreditation as a Biological Resource Center according to the NIT-DICLA-061.

  20. Pediatric Heart Transplantation: Report from a Single Center in China

    Institute of Scientific and Technical Information of China (English)

    Fei Li; Jie Cai; Yong-Feng Sun; Jin-Ping Liu; Nian-Guo Dong

    2015-01-01

    Background:Although heart transplantation (HTx) has become a standard therapy for end-stage heart diseases,experience with pediatric HTx is limited in China.In this article,we will try to provide the experience with indications,complications,perioperative management,immunosuppressive therapy,and survival for pediatric HTx based on our clinical work.Methods:This is a retrospective chart review of the pediatric patients undergoing HTx at Department of Cardiovascular Surgery of Union Hospital from September 2008 to December 2014.We summarized the indications,surgical variables,postoperative complications,and survival for these patients.Results:Nineteen pediatric patients presented for HTx at Union Hospital of Tongji Medical College,of whom 10 were male.The age at the time of transplantation ranged from 3 months to 18 years (median 15 years).Patient weight ranged from 5.2 kg to 57.0 kg (median 38.0 kg).Pretransplant diagnosis included cardiomyopathy (14 cases),complex congenital heart disease (3 cases),and tumor (2 cases).All recipients received ABO-compatible donor hearts.Postoperative complications occurred in 12 patients,including cardiac dysfunction,arrhythmia,pulmonary infection,renal dysfunction,and rejection.Two of them experienced cardiac failure and required extracorporeal membrane oxygenation.The immunosuppression regimen was comprised of prednisone,a calcineurin inhibitor,and mycophenolate.All patients recovered with New York Heart Association (NYHA) Class Ⅰ-Ⅱ cardiac function and were discharged.Only one patient suffered sudden death 19 months after transplantation.Conclusion:Orthotopic HTx is a promising therapeutic option with satisfying survival for the pediatric population in China with end-stage heart disease.

  1. Clinical course of ectopic pregnancy: A single-center experience

    OpenAIRE

    Aqueela Ayaz; Sameh Emam; Mian Usman Farooq

    2013-01-01

    OBJECTIVES: The objective was to highlight the frequency, clinical profile, and predisposing factors of ectopic pregnancy (EP) in a general hospital. MATERIALS AND METHODS: This descriptive study was conducted at the Obstetrics and Gynaecology department of Hera General hospital, Makkah, Saudi Arabia, from July 1, 2009 to December 29, 2010. Data were collected on chief medical complaints, sociodemographic characteristics, past obstetrics and gynecological history, management done, and outcome...

  2. A RESEARCH ON POPULAR CULTURE AND SPORT CENTERS

    OpenAIRE

    SOLMAZ, Doç.Dr. Başak; AYDIN, B.Oguz

    2012-01-01

    In the community, popular culture lives in a close relation with the pratices that forms the life of majority or the public. Also, throughout history, popular culture is fed by the cases that classify societies such as ideology, power, elite societies and ownership status of manufacturing resources. In addition to these, popular culture both lives in democracy and freedom that is the preference of majority and in the alternate culture that the high culture defer. Todays, popular culture lives...

  3. Designing a Virtual Center for E-Commerce

    OpenAIRE

    Doina ROSCA; Logica BANICA

    2010-01-01

    In the actual context of developing digital services, the promotion of a system that manages multiple e-commerce sites can be extremely valuable in increasing the economic effects for the companies. This paper presents the current stage of the experimental system design and implementation, an open system website-based (called Single Way for E-Commerce - SWEC) having the goal to collaborate with many database servers of the companies that offer e-commerce sevices and also to interract with...

  4. Rethinking Regenerative Medicine: A Macrophage-Centered Approach

    OpenAIRE

    Brown, Bryan N.; Sicari, Brian M.; Badylak, Stephen F.

    2014-01-01

    Regenerative medicine, a multi-disciplinary approach that seeks to restore form and function to damaged or diseased tissues and organs, has evolved significantly during the past decade. By adapting and integrating fundamental knowledge from cell biology, polymer science, and engineering, coupled with an increasing understanding of the mechanisms which underlie the pathogenesis of specific diseases, regenerative medicine has the potential for innovative and transformative therapies for heretof...

  5. Surgical treatment of pulmonary aspergillosis: A single center experience

    Directory of Open Access Journals (Sweden)

    Biswajeet Mohapatra

    2016-01-01

    Full Text Available Background: Aspergillus fumigatus is a saprophytic fungus which colonizes in the cavitary lesions in the lungs. In our part of the world, where tuberculosis is endemic, the healed tubercular cavities form a good nidus for this fungus. The fungus forms a fungal ball or aspergilloma within the cavity, which erodes the walls of the cavity and causes hemoptysis by erosion of the bronchial vessels. Hemoptysis is the main symptom. Antifungal agents are not useful against the fungal ball. Surgery in the form of lobectomy is the primary treatment. Surgery for aspergilloma is known to be risky because of intra-pleural adhesions, obliteration of the interlobar fissures, massive hemorrhage during dissection and poor pulmonary reserve of the patient due to the underlying disease. Materials and Methods: Clinical presentation, radiological investigations, operative techniques, postoperative outcome, and follow-up of 24 cases of pulmonary aspergilloma treated surgically were studied prospectively between August 2010 and July 2013 at IPGMER and SSKM Hospital, Kolkata. Results: There were 15 male (62.5% and 9 female (37.5% patients. Mean age of the study population was 34.54 years. All the patients had complex aspergilloma. Tuberculosis was the underlying disease in 22 patients (91%. Hemoptysis was the main symptom in 79.16% cases. Chest X-ray was the first investigation, which gave a clue to the diagnosis. Computed tomography scan was diagnostic in all cases. Lobectomy was done in 16 patients (66.67%. There was one mortality and the overall complication was 33.33%. The average follow-up period was 21.65 months, during which there was no mortality and no recurrence of hemoptysis in these patients. Conclusions: Though surgery for aspergilloma is considered to be risky, excision of the cavity along with the involved lobe can be done with acceptable morbidity and mortality to provide the patient complete cure and symptom-free survival.

  6. Toward a learner-centered system for adult learning

    OpenAIRE

    Hermans, Henry; KALZ Marco; Koper, Rob

    2014-01-01

    This paper presents an e-learning system that integrates the use of concepts of virtual learning environments, personal learning environments, and social network sites. The system is based on a learning model which comprises and integrates three learning contexts for the adult learner: the formal, instructional context, the personal context for learning management, and the social peer context. The paper outlines how the Open University of the Netherlands (OUN)implemented this model in the Ope...

  7. Oxidation of methane by a biological dicopper center

    OpenAIRE

    Balasubramanian, Ramakrishnan; Smith, Stephen M.; Rawat, Swati; Yatsunyk, Liliya A.; Stemmler, Timothy L.; Rosenzweig, Amy C.

    2010-01-01

    Vast world reserves of methane gas are underutilized as a feedstock for production of liquid fuels and chemicals due to the lack of economical and sustainable strategies for selective oxidation to methanol1. Current processes to activate the strong C–H bond (104 kcal/mol) in methane require high temperatures, are costly and inefficient, and produce waste2. In nature, methanotrophic bacteria perform this reaction under ambient conditions using metalloenzymes called methane monooxygenases (MMOs...

  8. A lysosome-centered view of nutrient homeostasis.

    Science.gov (United States)

    Mony, Vinod K; Benjamin, Shawna; O'Rourke, Eyleen J

    2016-01-01

    Lysosomes are highly acidic cellular organelles traditionally viewed as sacs of enzymes involved in digesting extracellular or intracellular macromolecules for the regeneration of basic building blocks, cellular housekeeping, or pathogen degradation. Bound by a single lipid bilayer, lysosomes receive their substrates by fusing with endosomes or autophagosomes, or through specialized translocation mechanisms such as chaperone-mediated autophagy or microautophagy. Lysosomes degrade their substrates using up to 60 different soluble hydrolases and release their products either to the cytosol through poorly defined exporting and efflux mechanisms or to the extracellular space by fusing with the plasma membrane. However, it is becoming evident that the role of the lysosome in nutrient homeostasis goes beyond the disposal of waste or the recycling of building blocks. The lysosome is emerging as a signaling hub that can integrate and relay external and internal nutritional information to promote cellular and organismal homeostasis, as well as a major contributor to the processing of energy-dense molecules like glycogen and triglycerides. Here we describe the current knowledge of the nutrient signaling pathways governing lysosomal function, the role of the lysosome in nutrient mobilization, and how lysosomes signal other organelles, distant tissues, and even themselves to ensure energy homeostasis in spite of fluctuations in energy intake. At the same time, we highlight the value of genomics approaches to the past and future discoveries of how the lysosome simultaneously executes and controls cellular homeostasis.

  9. Mycophenolate mofetil in pediatric renal transplantation: a single center experience.

    LENUS (Irish Health Repository)

    Raheem, Omer A

    2012-02-01

    We assessed our long-term experience with regards to the safety and efficacy of MMF in our pediatric renal transplant population and compared it retrospectively to our previous non-MMF immunosuppressive regimen. Forty-seven pediatric renal transplants received MMF as part of their immunosuppressive protocol in the period from January 1997 till October 2006 (MMF group). A previously reported non-MMF group of 59 pediatric renal transplants was included for comparative analysis (non-MMF group). The MMF group comprised 29 boys and 18 girls, whereas the non-MMF group comprised 34 boys and 25 girls. Mean age was 11.7 and 12 yr in the MMF and non-MMF groups, respectively. The incidence of acute rejection episodes was 11 (23.4%) and 14 (24%) in the MMF and non-MMF group, respectively. Two (3.3%) grafts were lost in the non-MMF group compared with one (2.1%) in the MMF group. Twenty-one (44.68%) patients in the MMF group developed post-transplant infections compared with 12 (20.33%) in the non-MMF group (p < 0.0001). In conclusion, the use of MMF in pediatric renal transplantation was not associated with a lower rejection rate or immunological graft loss. It did, however, result in a significantly higher rate of viral infections.

  10. Treatment of hepatocellular carcinoma: A single-center experience

    International Nuclear Information System (INIS)

    Purpose. The comparative efficacy of transcatheter arterial chemoembolization (TACE) and percutaneous ethanol injection (PEI) in the treatment of hepatocellular carcinoma (HCC) was investigated. Methods. Two hundred and sixty consecutive patients were retrospectively analyzed: 156 had received between one and six chemoembolization sessions at 3-month intervals, 33 had had PEI, and the remaining 71 patients refused any treatment. The follow-up ranged from 3 to 36 months. Survival rates were statistically analyzed by life-table analysis. Results. Patients' survival was affected by the number of nodules and by the Child's and Okuda's classes; no relationship was found between survival rates and the histologic grade or vascular supply of the tumor. In the case of a single lesion of Okuda's class I, TACE was more effective than PEI. In multifocal HCC, TACE was better than no treatment in Okuda's class I and Child's class A. Conclusion. We suggest TACE as the treatment of choice in Child A or Okuda I patients with multifocal HCCs; it seems of little help in Child B-C or Okuda II-III patients

  11. Imatinib resistance mutation analysis: experience from a tertiary oncology center

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    Mallekavu Suresh Babu

    2015-01-01

    Full Text Available Purpose: BCR-ABL kinase domain (KD mutations account for 50-90% of the imatinib resistance observed in patients of CML-chronic phase. In CML-CP patients receiving imatinib first-line, mutation analysis is recommended in case of failure or suboptimal response using European LeukemiaNet (ELN criteria. The present study was carried out at a tertiary oncology centre in south India to assess which mutations accounted for resistance to imatinib among patients of chronic phase CML being treated with imatinib.Methods: This was a retrospective observational study. We analyzed patients who were tested for imatinib resistance mutation in view of suboptimal responses while on imatinib or imatinib failure. Direct sequencing of the BCR-ABL transcript by the Sanger method was used for IRMA testing.Results: Out of 120 tested for IRMA, 36 (30% had detectable mutations. We observed a higher frequency of mutations at amino acids T315, F359 and M351T.Conclusions: Among the patients who were tested for imatinib resistance mutation in view of suboptimal responses while on imatinib or imatinib failure, 30% had IRMA +ve mutations. The high incidence of imatinib resistance in present study may be attributed to the fact that our patients were given higher dose of imatinib (600 mg, if they failed to achieve CCyR at 12 months or CHR at 3 months as they could not afford second generation TKIs.

  12. Calciphylaxis in peritoneal dialysis patients: a single center cohort study

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    Zhang, Yanchen; Corapi, Kristin M; Luongo, Maria; Thadhani, Ravi; Nigwekar, Sagar U

    2016-01-01

    Background Calciphylaxis is a rare but devastating condition in end-stage renal disease (ESRD) patients. Most research in the field of calciphylaxis is focused on hemodialysis (HD) patients; however, data on calciphylaxis incidence, risk factors, and mortality in peritoneal dialysis (PD) patients are limited. Methods In this cohort study, we examined data from adult patients who initiated PD for ESRD management at our institute’s PD unit from January 2001 to December 2015. Associations with the development of calciphylaxis were examined for clinical, laboratory, and medication exposures. Incidence of calciphylaxis and mortality in PD patients who developed calciphylaxis were analyzed. Treatments administered to treat calciphylaxis in PD patients were summarized. Results In this cohort of 63 patients, 7 patients developed calciphylaxis (incidence rate: 9.0 per 1,000 patient-years). Median age of PD patients who developed calciphylaxis was 50 years, 57% were white, 71% females, and 71% were previously on HD. Female sex, obesity, HD as a prior dialysis modality, recurrent hypotension, elevated time-averaged serum phosphorous levels, reduced time-averaged serum albumin levels, and warfarin therapy were associated with increased calciphylaxis risk in univariate logistic regression analyses. Intravenous sodium thiosulfate was administered in 57% of PD patients who developed calciphylaxis. One-year mortality in PD patients who developed calciphylaxis was 71% despite multimodal treatment including sodium thiosulfate, hyperbaric oxygen, cinacalcet, and wound debridement. Conclusion Calciphylaxis is a rare but frequently fatal condition in PD patients. Our study provides critical early insights into calciphylaxis incidence, risk factors, and prognosis in PD patients. Sample size and characteristics of patients included in our study limit generalizability to overall PD population and warrant examination in larger independent studies. PMID:27698566

  13. Hemodialysis for methyl alcohol poisoning: A single-center experience

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    Vivek B Kute

    2012-01-01

    Full Text Available Methanol is a cheap and potent adulterant of illicit liquors. Hemodialysis (HD is the best method to rapidly remove both toxic acid metabolites and parent alcohols, and it plays a fundamental role in treating severely poisoned patients. This retrospective study was carried out on 91 patients with detectable serum methanol levels who underwent HD. Because toxic alcohol levels were not immediately available, the initial diagnosis and treatment was based on clinical history with evidence of toxic alcohol intake, presence of high anion metabolic acidosis and/or end organ damage. Patients received bicarbonate, ethanol, according to clinical features and blood gases. Patients underwent HD in the setting of known methanol ingestion with high anion gap metabolic acidosis, or evidence of end-organ damage, regardless of methanol level. HD prescription included large surface area dialyzer (≥1.5 m2, blood flow rate of 250-350 mL/min and dialysate flow rate of 500 mL/min for 4-6 h. Between 9 and 11 July 2009, 91 males with mean age 40 ± 8.5 years underwent HD, and 13 patients required a second HD session. Patients consumed 100-500 mL illicit liquors, and symptoms appeared six and 60 h later. Clinical features were gastro-intestinal symptoms (83.5%, visual disturbances (60.4%, central nervous system symptoms (59.3% and dyspnea (43.9%. Before HD, mean pH was 7.11 ± 0.04 (range 6.70- 7.33 and mean bicarbonate levels were 8.5 ± 4.9 mmol/L (range 2-18. Three patients died due to methanol intoxication. Mortality was associated with severe metabolic acidosis (pH ≤ 6.90, ventilator requirement and coma/seizure on admission (P < 0.001. Timely HD, bicarbonate, ethanol and supportive therapy can be life-saving in methanol intoxication.

  14. Interventional Treatment of Pulmonary Valve Stenosis: A Single Center Experience

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    Shpend Idrizi

    2015-08-01

    Full Text Available BACKGROUND: Percutaneous pulmonary valvuloplasty is well established treatment of choice in pulmonary valve stenosis. AIM: The aim of our study was to present our experience with the interventional technique, its immediate and mid-term effectiveness as well as its complication rate. MATERIAL AND METHODS: The study included 43 patients, where 33 (74% of them were children between the age of 1 month and 15 years. RESULTS: The procedure was successful in 38 patients or 90%. Mean peak to peak transvalvular gradient was reduced from 91.2 mmHg (55-150 mmHg to 39.1 mmHg (20-80 mmHg. Follow- up of patients was between 2 and 13 years and included echocardiographic evaluation of pulmonary valve gradient, right heart dimensions and function as well as assessment of pulmonary regurgitation. We experienced one major complication pericardial effusion in a 5 months old child that required pericardiocenthesis. Six patients (13.9% required a second intervention. During the follow up period there was significant improvement of right heart function and echocardiography parameters. Mild pulmonary regurgitation was noted in 24 (55% patients, and four (9% patients developed moderate regurgitation, without affecting the function of the right ventricle. CONCLUSIONS: Percutaneous pulmonary valvuloplasty is an effective procedure in treatment of pulmonary stenosis with good short and mid-term results.

  15. Epidemiological profile of leprosy cases in a Family Health Center

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    Viviane Bezerra de Souza

    2013-03-01

    Full Text Available Objective: To reveal the clinical and epidemiological characteristics of patients diagnosed with leprosy between the years 2007 and 2008, in a Family Primary Healthcare Unit in the city of Fortaleza-CE, Brazil.Methods: Documentary, quantitative and descriptive study. The research sample consisted of all medical records of patients examined and diagnosed with leprosy in the period from 2007 to 2008, totaling an amount of 55. Data was transcribed, tabulated, numbered and presented in tables and charts. Results: It was observed a concentration of cases in economically active age group; females (37 - 67%; race brown (36 - 65.5%; low schooling level, mostly incomplete primary education (25 - 45.5%. The cure rate in 2007 was 95.5% (21 cases and, in 2008, 57.2% (19 cases. The number of cases with multibacillary clinical forms was high, revealing the late diagnosis, leading to maintained transmission of the disease. Conclusion: Understanding the epidemiological profile and clinical characteristics of patients diagnosed with leprosy is of fundamental importance for the development of strategies directed towards this group, seeking public policies that meet the needs of health professionals and strengthen the activities of grievance prevention and health promotion among the population.

  16. Rethinking Regenerative Medicine: A Macrophage-Centered Approach

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    Bryan N Brown

    2014-11-01

    Full Text Available Regenerative medicine, a multi-disciplinary approach that seeks to restore form and function to damaged or diseased tissues and organs, has evolved significantly during the past decade. By adapting and integrating fundamental knowledge from cell biology, polymer science, and engineering, coupled with an increasing understanding of the mechanisms which underlie the pathogenesis of specific diseases, regenerative medicine has the potential for innovative and transformative therapies for heretofore unmet medical needs. However, the translation of novel technologies from the benchtop to animal models and clinical settings is non-trivial and requires an understanding of the mechanisms by which the host will respond to these novel therapeutic approaches. The role of the innate immune system, especially the role of macrophages, in the host response to regenerative medicine based strategies has recently received considerable attention. Macrophage phenotype and function have been suggested as critical and determinant factors in downstream functional outcomes. The constructive and regulatory, and in fact essential, role of macrophages in positive outcomes represents a significant departure from the classical paradigms of host-biomaterial interactions, which typically consider activation of the host immune system as undesirable. It appears desirable that emerging regenerative medicine approaches should not only accommodate, but promote, the involvement of the immune system to facilitate positive outcomes. Herein, we describe the current understanding of macrophage phenotype as it pertains to regenerative medicine and suggest that improvement of our understanding of context-dependent macrophage polarization will lead to concurrent improvement in outcomes.

  17. [The adipose tissue as a regulatory center of the metabolism].

    Science.gov (United States)

    Fonseca-Alaniz, Miriam H; Takada, Julie; Alonso-Vale, Maria Isabel C; Lima, Fabio Bessa

    2006-04-01

    The recent progress in the research about the metabolic properties of the adipose tissue and the discovery of its ability to produce hormones that are very active in pathophysiologic as well as physiologic processes is rebuilding the concepts about its biology. Its involvement in conditions like obesity, type 2 diabetes mellitus, arterial hypertension, arteriosclerosis, dislipidemias and chronic and acute inflammatory processes indicate that the understanding of its functional capacities may contribute to improve the prognosis of those diseases whose prevalence increased in a preoccupying manner. Here we review some functional aspects of adipocytes, such as the metabolism, its influence on energy homeostasis, its endocrine ability and the adipogenesis, i.e., the potential of pre-adipocytes present in adipose tissue stroma to differentiate into new adipocytes and regenerate the tissue. In addition, we are including some studies on the relationship between the adipose tissue and the pineal gland, a new and poorly known, although, as will be seen, very promising aspect of adipocyte physiology together with its possible favorable repercussions to the therapy of the obesity related diseases.

  18. Laryngomalacia: patient outcomes following aryepiglottoplasty at a tertiary care center.

    Science.gov (United States)

    Pamuk, A Erim; Süslü, Nilda; Günaydın, R Onder; Atay, Gamze; Akyol, Umut

    2013-01-01

    Laryngomalacia is the most common cause of stridor in neonates and infants. Most cases are mild and resolve spontaneously without treatment. Only severe cases with intolerable symptoms require surgical intervention; in such cases, supraglottoplasty is considered the treatment of choice. The aim of this study was to review and present the outcomes in patients with laryngomalacia who underwent aryepiglottoplasty-a type of supraglottoplasty. The medical records of children diagnosed as laryngomalacia who were followed up at Hacettepe University Hospital, Department of Otorhinolaryngology, between 2007 and 2012 were reviewed retrospectively. The study included 16 children who required surgical intervention. The mean age of the 16 children included in the study was 133 days (range: 7 days-48 months). Among the patients, 9 (56%) were male and 7 (44%) were female. In all, 7 patients (44%) had a comorbid condition. Laryngomalacia diagnoses were as follows: type I: n = 2, 13%; type II: n = 13, 81%; type III: n= 1, 6%. Stridor completely resolved in 10 of the children who underwent aryepiglottoplasty. Three patients required tracheotomy and 3 required revision supraglottoplasty; these six cases were considered as failed surgical treatment. The aryepiglottoplasty success rate was 63%. None of the patients had any intraoperative or postoperative complications. Despite the primarily benign nature of laryngomalacia, comorbid conditions can exacerbate symptoms and negatively affect the prognosis. Aryepiglottoplasty can be performed with high success and low complication rates in properly selected patients. PMID:24382534

  19. MRI-guided stereotactic amygdalohippocampectomy: a single center experience

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    Vojtěch Z

    2015-02-01

    Full Text Available Zdenek Vojtěch,1 Hana Malíková,2 Lenka Krámská,3 Roman Liščák,4 Vilibald Vladyka41Department of Neurology, 2Department of Radiodiagnostics, 3Department of Psychology, 4Department of Stereotactic and Radiation Neurosurgery, Na Homolce Hospital, Prague, Czech RepublicBackground: This paper presents our experience of stereotactic radiofrequency amygdalohippocampectomy performed for intractable mesial temporal lobe epilepsy.Methods: The article describes the cases of 61 patients who were treated during the period from 2004 to 2010. Mean postoperative follow-up was 5.3 years. Neuropsychological results were obtained for a subset of 31 patients.Results: At their last postsurgical visit, 43 (70.5% patients were Engel class I, six (9.8% class II, nine (14.8% class III, and three (4.9% class IV. The surgery was complicated by four intracranial hematomas. One of them caused acute hydrocephalus and was treated by shunting and resolved without sequelae, while another caused transitory aphasia. The remaining hematomas were asymptomatic. There were two cases of meningitis which required antibiotic treatment. One patient committed suicide due to postoperative depression. After the procedure, we performed open epilepsy surgery and rethermolesions in three and two patients, respectively (8.2%. Patients showed increases in their mean full scale, verbal, and performance intelligence quotient (IQ scores of 4, 3, and 4 IQ points, respectively (P<0.05. Five (17.2%, four (13.8%, and four (13.3% patients improved their full scale, verbal, and performance IQ scores, respectively. No significant changes were found in memory performance, with a mean increase of 1, 3, and 0 memory quotient points in global, verbal, and visual memory, respectively (P<0.05. Global memory improved in three (10.3% patients, verbal memory in one (3.4%, and one patient (3.3% showed deterioration in visual memory.Conclusion: Stereotactic radiofrequency amygdalohippocampectomy offers a

  20. Chlamydia trachomatis causing neonatal conjunctivitis in a tertiary care center

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    Kakar S

    2010-01-01

    Full Text Available Chlamydia trachomatis is considered a major aetiological agent of conjunctivitis in newborns. The objective of the present study was to determine the aetiology of neonatal conjunctivitis and clinico-epidemiological correlates of chlamydial ophthalmia neonatorum. Fifty-eight newborns with signs and symptoms of conjunctivitis were studied. Conjunctival specimens were subjected to Gram staining, routine bacteriological culture, culture for Neisseria gonorrhoeae and direct fluorescent antibody (DFA staining for diagnosis of C. trachomatis infection. C. trachomatis was detected in 18 (31% neonates. Findings suggest that since C. trachomatis is the most common cause of neonatal conjunctivitis, routine screening and treatment of genital C. trachomatis infection in pregnant women and early diagnosis and treatment of neonatal Chlamydial conjunctivitis may be considered for its prevention and control.