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Sample records for access study caliente

  1. Utilization of geothermal energy-feasibility study, Ojo Caliente Mineral Springs Company, Ojo Caliente, New Mexico

    Energy Technology Data Exchange (ETDEWEB)

    1982-04-01

    This report investigates the feasibility of a geothermal heating system at the Ojo Caliente Mineral Springs Co. The geothermal energy will be used to preheat hot water for the laundry facilities and to heat the water for a two-pipe fan coil heating system in the hotel. Present annual heating fuel costs of $11,218 for propane will be replaced by electricity to operate fans and pump at an annual cost of $2547, resulting in a net savings of $8671. Installation costs include $10,100 for a well system, $1400 for a laundry system, and $41,100 for a heating system. With the addition of a 10% design fee the total installation cost is $57,860. Ignoring escalating propane fuel prices, tax credits for energy conservation equipment, and potential funding from the State of New Mexico for a geothermal demonstration project, the simple economic payback period for this project is 6.7 years.

  2. Agua Caliente Solar Feasibility and Pre-Development Study Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Carolyn T. Stewart, Managing Partner; Red Mountain Energy Partners

    2011-04-26

    Evaluation of facility- and commercial-scale solar energy projects on the Agua Caliente Band of Cahuilla Indians Reservation in Palm Springs, CA. The Agua Caliente Band of Cahuilla Indians (ACBCI) conducted a feasibility and pre-development study of potential solar projects on its lands in southern California. As described below, this study as a logical and necessary next step for ACBCI. Support for solar project development in California, provided through the statewide California Solar Initiative (CSI), its Renewable Portfolio Standard and Feed-in Tariff Program, and recently announced Reverse Auction Mechanism, provide unprecedented support and incentives that can be utilized by customers of California's investor-owned utilities. Department of Energy (DOE) Tribal Energy Program funding allowed ACBCI to complete its next logical step to implement its Strategic Energy Plan, consistent with its energy and sustainability goals.

  3. Pancitos calientes

    OpenAIRE

    Merino Dávila, Milagritos; Iturbe Rodríguez, Keyla

    2013-01-01

    La PANADERIA PANCITOS CALIENTES, es una empresa familiar dedicada a la elaboración de productos de panadería y pastelería, la cual viene representando diversas alternativas en cuanto al consumo del pan, Entro en vigencia en el año 1988, es decir cuenta con una trayectoria de 25 años en el mercado local. Inicialmente la empresa era una pequeña panadería ubicada en punto estratégico en la ciudad de Trujillo. Debido al buen manejo y amplia experiencia del rubro, la empresa comenzó a a...

  4. Provenance and Detrital-Zircon Studies of the Mint Canyon Formation and its Correlation to the Caliente Formation, Southern California

    OpenAIRE

    hoyt, johanna

    2012-01-01

    The Middle Miocene Mint Canyon and Caliente formations represent sedimentation after triple-junction extension in southern California. Sandstone and conglomerate petrology, combined with detrital-zircon analysis, determines provenance of the Mint Canyon and Caliente formations. These data indicate that most detritus is locally derived, rather than being derived from the Chocolate Mountains across the San Andreas fault. The Mint Canyon and Caliente formations received Proterozoic anorthosite-s...

  5. Agua Caliente and Their Music.

    Science.gov (United States)

    Ryterband, Roman

    1979-01-01

    Discusses the traditional music of the Agua Caliente band of California's Desert Cahuilla Indian tribe, including accompanying instruments, types of songs, thematic material, and performance routines. Exploring the structure of the music, the article describes meter, tempo, harmony and tonal gravitations, and use of words. (DS)

  6. Agua Caliente and Their Music.

    Science.gov (United States)

    Ryterband, Roman

    1979-01-01

    Discusses the traditional music of the Agua Caliente band of California's Desert Cahuilla Indian tribe, including accompanying instruments, types of songs, thematic material, and performance routines. Exploring the structure of the music, the article describes meter, tempo, harmony and tonal gravitations, and use of words. (DS)

  7. Conformabilidad en caliente de aceros Twip

    OpenAIRE

    Pineda huitrón, Rosa M.

    2009-01-01

    En el presente proyecto de investigación, se trabajó con un acero de alto contenido en manganeso austenitico, TWIP, este acero se clasifica dentro de los aceros denominados: Aceros Avanzados de Alta Resistencia mecánica (AHSS). En este estudio se pretende estudiar las condiciones de trabajo en caliente óptimas para este acero, de modo que se pueda potenciar al máximo su resistencia sin penalizar su ductilidad. Para ello se efectuarán ensayos de compresión en caliente bajo difer...

  8. The source, discharge, and chemical characteristics of water from Agua Caliente Spring, Palm Springs, California

    Science.gov (United States)

    : Martin, Peter; Contributors: Brandt, Justin; Catchings, Rufus D.; Christensen, Allen H.; Flint, Alan L.; Gandhok, Gini; Goldman, Mark R.; Halford, Keith J.; Langenheim, V.E.; Martin, Peter; Rymer, Michael J.; Schroeder, Roy A.; Smith, Gregory A.; Sneed, Michelle

    2011-01-01

    Agua Caliente Spring, in downtown Palm Springs, California, has been used for recreation and medicinal therapy for hundreds of years and currently (2008) is the source of hot water for the Spa Resort owned by the Agua Caliente Band of the Cahuilla Indians. The Agua Caliente Spring is located about 1,500 feet east of the eastern front of the San Jacinto Mountains on the southeast-sloping alluvial plain of the Coachella Valley. The objectives of this study were to (1) define the geologic structure associated with the Agua Caliente Spring; (2) define the source(s), and possibly the age(s), of water discharged by the spring; (3) ascertain the seasonal and longer-term variability of the natural discharge, water temperature, and chemical characteristics of the spring water; (4) evaluate whether water-level declines in the regional aquifer will influence the temperature of the spring discharge; and, (5) estimate the quantity of spring water that leaks out of the water-collector tank at the spring orifice.

  9. Tierra Caliente, Michoacán

    Directory of Open Access Journals (Sweden)

    C. I. Villa

    2008-01-01

    Full Text Available Los sistemas de producción ganaderos de la región de Tierra Caliente están vinculados al manejo agrosilvopastoril, aprovechando una amplia gama de recursos forrajeros naturales, siendo las familias quienes conducen la administración y aprovechamiento de dichos recursos. Se buscó definir las características, recursos forrajeros aprovechables e insumos alimenticios, estimando su calidad nutricional, con el fin de encontrar estrategias de alimentación de ganado que reduzcan al mínimo el uso de insumos externos al interior de las unidades productivas. Se trabajó en comunidades del municipio de Tuzantla, en la región de Tierra Caliente del estado de Michoacán. El método incluye la recolección de información por medio de encuestas aplicadas a productores campesinos, durante el ciclo productivo 2007. Se analizaron de 200 a 300 g de 41 muestras de alimentos con el método de Wendee, para analizar su composición química. Se encontró que para la región de Tierra Caliente existe un sistema de producción bovina de mediana escala, semi-estabulado y trashumante que, en promedio, tiene 250 a 260 ha y 86 cabezas de ganado destinado a la producción de carne y pie de cría, y que producen 9.2 l/vaca/día; con esta leche se elabora queso a razón de 1kg de queso por cada 10 litros de leche. Se identificó, también, el uso de seis ingredientes fundamentales que componen dos dietas básicas, cuya composición química detectada fue de 10.2- 13.9% (PC, 7.9-11.8% (FC, 62.8-67.9% (ELN, 1.4-5% (EE y 1.9-8.8% (cenizas. Por tanto, se concluye que los ganaderos cubren los requerimientos nutricionales con base en el alto uso de concentrados, dejando los forrajes para satisfacer las necesidades de consumo de su ganado. Por esto, se requiere establecer un sistema de balanceo de raciones que permita optimizar los recursos

  10. Low-temperature geothermal potential of the Ojo Caliente warm springs area, northern New Mexico

    Energy Technology Data Exchange (ETDEWEB)

    Vuataz, F.D.; Stix, J.; Goff, F.; Pearson, C.F.

    1984-05-01

    A detailed geochemical investigation of 17 waters (thermal and cold, mineralized and dilute) was performed in the Ojo Caliente-La Madera area. Two types of thermomineral waters have separate and distinctive geologic, geochemical, and geothermal characteristics. The water from Ojo Caliente Resort emerges with temperatures less than or equal to 54/sup 0/C from a Precambrian metarhyolite. Its chemistry, typically Na-HCO/sub 3/, has a total mineralization of 3600 mg/l. Isotopic studies have shown that the thermal water emerges from the springs and a hot well without significant mixing with the cold shallow aquifer of the valley alluvium. However, the cold aquifer adjacent to the resort does contain varying amounts of thermal water that originates from the warm spring system. Geothermometry calculations indicate that the thermal water may be as hot as 85/sup 0/C at depth before its ascent toward surface. Thermodynamic computations on the reaction states of numerous mineral phases suggest that the thermal water will not cause major scaling problems if the hot water is utilized for direct-use geothermal applications. By means of a network of very shallow holes, temperature and electrical conductivity anomalies have been found elsewhere in the valley around Ojo Caliente, and resistivity soundings have confirmed the presence of a plume of thermal water entering the shallow aquifer. The group of lukewarm springs around La Madera, with temperatures less than or equal to 29/sup 0/C, chemical type of NaCaMg-HCO/sub 3/Cl and with a total mineralization less than or equal to 1500 mg/l behaves as a different system without any apparent relation to the Ojo Caliente system. Its temperature at depth is not believed to exceed 35 to 40/sup 0/C.

  11. Agua Caliente Wind/Solar Project at Whitewater Ranch

    Energy Technology Data Exchange (ETDEWEB)

    Hooks, Todd [Agua Caliente Band of Cahuilla Indians, Palm Springs, CA (United States); Stewart, Royce [Red Mountain Energy Partners, Sante Fe, NM (United States)

    2014-12-16

    Agua Caliente Band of Cahuilla Indians (ACBCI) was awarded a grant by the Department of Energy (DOE) to study the feasibility of a wind and/or solar renewable energy project at the Whitewater Ranch (WWR) property of ACBCI. Red Mountain Energy Partners (RMEP) was engaged to conduct the study. The ACBCI tribal lands in the Coachella Valley have very rich renewable energy resources. The tribe has undertaken several studies to more fully understand the options available to them if they were to move forward with one or more renewable energy projects. With respect to the resources, the WWR property clearly has excellent wind and solar resources. The DOE National Renewable Energy Laboratory (NREL) has continued to upgrade and refine their library of resource maps. The newer, more precise maps quantify the resources as among the best in the world. The wind and solar technology available for deployment is also being improved. Both are reducing their costs to the point of being at or below the costs of fossil fuels. Technologies for energy storage and microgrids are also improving quickly and present additional ways to increase the wind and/or solar energy retained for later use with the network management flexibility to provide power to the appropriate locations when needed. As a result, renewable resources continue to gain more market share. The transitioning to renewables as the major resources for power will take some time as the conversion is complex and can have negative impacts if not managed well. While the economics for wind and solar systems continue to improve, the robustness of the WWR site was validated by the repeated queries of developers to place wind and/or solar there. The robust resources and improving technologies portends toward WWR land as a renewable energy site. The business case, however, is not so clear, especially when the potential investment portfolio for ACBCI has several very beneficial and profitable alternatives.

  12. Ecuaciones constitutivas de la fluencia en caliente de aceros microaleados

    Directory of Open Access Journals (Sweden)

    Cabrera, J. M.

    1998-05-01

    Full Text Available Over centuries, the hot forming has been employed to provide shape to metáis. Nowadays, the deformation at high temperatures gives also the required final mechanical properties. From this point of view, the obtention of a constitutive equation describing the hot flow behaviour of microalloyed steels in particular is a very important task. The main difficulty in modelling the high temperature flow arises from the simultaneity of two opposite phenomena, namely, work hardening and dynamic softening due to recovery and recrystallization. In this is work a review of constitutive equations (including the effect of the chemical composition describing the flow behaviour of microalloyed steels deformed under high temperature conditions.

    Durante siglos el conformado en caliente se ha utilizado para proporcionar a los metales la forma deseada. Hoy en día la deformación en caliente no sólo genera la geometría deseada sino las características mecánicas requeridas. Así, la obtención de una ecuación constitutiva para la fluencia en caliente de un acero en particular, es una tarea ineludible para efectuar simulaciones por ordenador de procesos industriales. La complicación de la modelización de la fluencia a alta temperatura proviene de la simultaneidad de dos fenómenos contrapuestos durante la deformación, a saber, endurecimiento por deformación y ablandamiento por recuperación de la estructura. Este último a su vez puede constar de restauración y recristalización dinámicas. En este trabajo se revisan y plantean las ecuaciones constitutivas que describen las curvas de fluencia bajo condiciones de deformación en caliente, y se presenta una aplicación de las mismas a aceros microaleados.

  13. Calient Networks chosen as core platform for OptIPuter

    CERN Multimedia

    2003-01-01

    Calient Networks, a provider of intelligent all-optical switching systems and software, will team with the California Institute for Telecommunications and Information Technology (Cal-(IT)2) and the University of Illinois at Chicago (UIC) on development of the "OptIPuter,". This is a powerful distributed cyber-infrastructure project designed to support data-intensive scientific research and collaboration (1/2 page).

  14. 76 FR 63614 - Agua Caliente Solar, LLC; Supplemental Notice That Initial Market-Based Rate Filing Includes...

    Science.gov (United States)

    2011-10-13

    ...-000] Agua Caliente Solar, LLC; Supplemental Notice That Initial Market-Based Rate Filing Includes... proceeding of Agua Caliente Solar, LLC's application for market-based rate authority, with an...

  15. NASA studies access to space

    Science.gov (United States)

    Bekey, Ivan; Powell, Richard; Austin, Robery

    1994-01-01

    A comprehensive internal NASA study known as 'Access to Space' has sought to identify and assess major alternatives for the long-range direction the space transportation program should take. The scope of the study covered all U.S. civilian, commercial, and national security needs for space transportation for the next several decades. Three alternative approaches were identified: using current vehicles; developing new conventional technology vehicles, and developing new advanced technology vehicles. Large annual operations cost savings could be obtained only with new vehicles, and then only with considerable up-front investments. Seven other major factors were assessed. The third option is found to be the most attractive.

  16. Estudio de la influencia de la microestructura sobre la deformabilidad en caliente de un acero inoxidable dúplex

    Directory of Open Access Journals (Sweden)

    Iza-Mendia, A.

    1998-05-01

    Full Text Available The complexity of the hot deformation behaviour of the ferrite and austenite in a duplex structure is increased as compared with that of single phase ferritic or austenitic steels. Important factors are: the spatial phase distribution with respect to the direction of the imposed deformation, the codeformation of both phases having considerably different mechanical properties, and the nature of the interface between austenite and ferrite. In the present study, the influence of these factors on the crack formation during the hot deformation is analyzed.

    El comportamiento frente al conformado en caliente de la ferrita y de la austenita, en una estructura dúplex, es muy diferente al que presentan ambas fases por separado en los aceros monofásicos austeníticos o ferríticos. A ello contribuyen, entre otros, la distribución espacial de las fases con respecto a la deformación impuesta, la codeformación de dos fases, con propiedades mecánicas muy diferentes, y la naturaleza de la intercara. En el presente trabajo se analiza la influencia de estos factores en la formación de daño bajo condiciones de deformación en caliente.

  17. La olla judía del šabbat: estudio lexicológico y lexicográfico de "adafina", "ḥamín", "caliente(s)" y otras denominaciones

    OpenAIRE

    2015-01-01

    En este artículo se aborda un detallado estudio lexicológico y lexicográfico de las distintas denominaciones de la olla judía del sábado en castellano, adafina, ḥamín, caliente(s) y otras denominaciones menos conocidas. Este plato constituía un e

  18. Ductilidad en caliente y mecanismos de fractura de un acero de construcción

    Directory of Open Access Journals (Sweden)

    Calvo, J.

    2006-02-01

    Full Text Available The hot ductility of a structural steel produced from scrap recycling has been studied to determine the origin of the transverse cracks in the corners that appeared in some billets. Samples extracted both from a billet with transverse cracks and from a billet with no external damage were tested. To evaluate the influence of residual elements and inclusions, the steel was compared to another one impurity free. Reduction in area of the samples tensile tested to the fracture was taken as a measure of the hot ductility The tests were carried out at temperatures ranging from 1000ºC to 650ºC and at a strain rate of 1·10- 3 s-1. The fracture surfaces of the tested samples were observed by scanning electron microscopy in order to determine the embrittling mechanisms that could be acting. The steel with residuals and impurities exhibited lower ductility values for a wider temperature range than the clean steel. The embrittling mechanisms also changed as compared to the impurity free steel.

    Se evaluó la ductilidad en caliente de un acero de construcción procedente del reciclaje de chatarra con el fin de determinar el origen de las grietas transversales que aparecen en las esquinas de algunas palanquillas. Para ello, se extrajeron probetas de dos palanquillas de una misma calidad de acero. Una de las palanquillas había presentado agrietamiento transversal al ser colada y, la otra, no. Para conocer la influencia de los elementos residuales e inclusiones en la ductilidad en caliente, otro acero, con la misma composición pero sin impurezas, se fabricó en laboratorio y fue sometido al mismo análisis que los aceros comerciales. La ductilidad en caliente se midió como la reducción del área de las probetas ensayadas a tracción hasta la rotura. Las condiciones a las que se realizaron los ensayos fueron temperaturas de 1.000 a 650 ºC y a una velocidad de deformación de 1·10-3 s-1. Las superficies de fractura de las probetas ensayadas se

  19. 76 FR 56790 - Notice of Intent To Prepare an Amendment to the Caliente Resource Management Plan and Associated...

    Science.gov (United States)

    2011-09-14

    ... Caliente RMP identifies parcels one and two for land tenure adjustment through land exchanges to consolidate natural resource values. Under the Caliente RMP, public lands identified for land tenure... tenure adjustment. All public lands in the Coast Management Area were identified as possibly...

  20. 25 CFR 115.106 - Assets of members of the Agua Caliente Band of Mission Indians.

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Assets of members of the Agua Caliente Band of Mission Indians. 115.106 Section 115.106 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES TRUST FUNDS FOR TRIBES AND INDIVIDUAL INDIANS IIM Accounts § 115.106 Assets of members of the...

  1. 75 FR 81190 - Television Broadcasting Services; Vernal and Santaquin, UT, and Ely and Caliente, NV

    Science.gov (United States)

    2010-12-27

    ... COMMISSION 47 CFR Part 73 Television Broadcasting Services; Vernal and Santaquin, UT, and Ely and Caliente.... The Commission was required by the DTV Delay Act to ] terminate all licenses for full-power television... Commission no longer has the authority to act on rulemaking proposals in the full-power analog...

  2. Urban Studies: A Study of Bibliographic Access and Control.

    Science.gov (United States)

    Anderson, Barbara E.

    This paper analyzes: (1) the bibliographic access to publications in urban studies via printed secondary sources; (2) development and scope of classification systems and of vocabulary control for urban studies; and (3) currently accessible automated collections of bibliographic citations. Urban studies is defined as "an agglomeration of…

  3. Investigating microbial diversity and UV radiation impact at the high-altitude Lake Aguas Calientes, Chile

    Science.gov (United States)

    Escudero, Lorena; Chong, Guillermo; Demergasso, Cecilia; Farías, María Eugenia; Cabrol, Nathalie A.; Grin, Edmond; Minkley, Edwin, Jr.; Yu, Yeoungeob

    2007-09-01

    The High-Lakes Project is funded by the NAI and explores the highest perennial volcanic lakes on Earth in the Bolivian and Chilean Andes, including several lakes ~6,000 m elevation. These lakes represent an opportunity to study the evolution of microbial organisms in relatively shallow waters not providing substantial protection against UV radiation. Aguas Calientes (5,870 m) was investigated (November 2006) and samples of water and sediment collected at 1, 3, 5, and 10 cm depth. An Eldonet UV dosimeter positioned on the shore records UV radiation and temperature, and is logging data year round. A UV SolarLight sensor allowed acquisition of point measurements in all channels at the time of the sampling. UVA, UVB, and PAR peaks between 11:00 am and 1:00 pm reached 7.7 mW/cm2, 48.5 μW/cm2, and 511 W/m2, respectively. The chemical composition of the water sample was analyzed. DNA was extracted and DGGE analyses with bacterial and archaeal 16S fragments were performed to describe microbial diversity. Antibiotic resistances were established previously in similar environments in Argentine Andean wetlands. In order to determine these resistances in our samples, they were inoculated onto LB and R2A media and onto R2A medium containing either chloramphenicol, ampicillin or tetracycline. Bacterial was higher than archeal cell number determined by RT-PCR in all the samples, reaching maximum total values of 5x10 5 cell mL-1. DGGE results from these samples and Licancabur summit lake (5,916 m) samples were also compared. Eight antibiotic-resistant Gram negative strains have been isolated with distinct resistance patterns.

  4. Analizan partículas calientes del accidente nuclear de Palomares

    OpenAIRE

    2012-01-01

    Investigadores pertenecientes al Centro Nacional de Aceleradores, CNA, (Universidad de Sevilla-Junta de Andalucía-CSIC) en colaboración con la Organización Internacional de la Energía Atómica (IAEA), han llevado a cabo me didas de elementos transuránicos en partículas calientes procedentes de accidentes nucleares tales como el de Thule (Groenlandia) o Palomares (España).

  5. Does momentary accessibility influence metacomprehension judgments? The influence of study-judgment lags on accessibility effects.

    Science.gov (United States)

    Baker, Julie M C; Dunlosky, John

    2006-02-01

    In two experiments, we investigated momentary accessibility as a basis for metacomprehension judgments. Momentary accessibility has been cited as a major contributor to these judgments, yet the only previous investigation on the topic used judgments that were delayed a day after study, which have not been used in any other studies in the field and may be necessary for demonstrating accessibility-based effects. As expected, Experiment 1 demonstrated that the time between study and judgments moderates accessibility effects, with the relationship between judgments and access measures being substantially greater for delayed than for immediate judgments. Experiment 2 ruled out a plausible artifactual interpretation for accessibility effects on delayed judgments. In the discussion, we explore why study-judgment lags moderate accessibility effects.

  6. Modelización de la deformación en caliente de un cobre puro comercial

    Directory of Open Access Journals (Sweden)

    García, V. G.

    2001-04-01

    Full Text Available The objective of the study is to model the flow curve at high temperature of a commercialpurity copper which contains 297 ppm of phosphorus. For this purpose a theoretical model is applied to derive a constitutive equation that reliably predicts the behaviour at higher strain rates than experimentally tested. The test temperature range was from 873 K to 1223 K in increments of 50 K, using six true strain rates at every temperature, which span from 0.3 s-1 to 0.001 s-1 The hot flow tests were performed on a copper with a relatively large grain size (637 µm but of similar scale to pertinent industrial processes. This metal presents two antagonistic phenomena during the hot working: strain hardening and softening by dynamic restoration, which in turns can be divided into dynamic recovery and dynamic recrystallization. A quantification of the mentioned mechanisms is done through the use of physically based constitutive equations.

    El objetivo de este estudio es modelizar la curva de fluencia a alta temperatura de un cobre de pureza comercial conteniendo 297 ppm de fósforo. Todo ello, con objeto de obtener una ecuación constitutiva que fiablemente prediga el comportamiento a otras velocidades de deformación diferentes de las posibles experimentalmente. El intervalo de temperaturas en los que se efectuaron ensayos fue desde 873 K a 1.223 K en incrementos de 50 K, utilizando seis velocidades de deformación verdadera a cada temperatura, las cuales iban desde 0,3 s-1 hasta 0,001 s-1 Los ensayos de deformación en caliente fueron realizados en un cobre con un tamaño de grano relativamente grande (637 μm pero escalarmente similar al de procesos industriales relevantes. Durante la deformación en caliente, el metal presenta dos fenómenos antagonistas, a saber: endurecimiento por deformación y ablandamiento por recuperación dinámica, el cual, a su vez, puede desglosarse en restauración y

  7. Efecto del boro en la deformación en caliente de un acero al carbono

    OpenAIRE

    2005-01-01

    En el presente estudio se evalúa el comportamiento a fluencia de tres aceros al carbono con distinto contenido en boro. Las curvas de fluencia se han obtenido a partir de ensayos de compresión uniaxial en caliente, realizada sobre probetas cilíndricas en una máquina de ensayos INSTRON que disponía de un horno de calentamiento por radiación adaptado al sistema. Los ensayos se realizaron a velocidad de deformación constante de 0,1s-1, 0,01s-1 y 0,001s-1, y las temperaturas de ens...

  8. Estudio del comportamiento termo-mecánico de un acero microaleado de medio carbono durante un proceso de conformado en caliente usando una red neuronal artificial

    Directory of Open Access Journals (Sweden)

    Alcelay, Ignacio

    2016-06-01

    Full Text Available The thermo-mechanical behavior of medium carbon microalloyed steel has been analyzed by an Artificial Neural Network (ANN. The flow curves for training the ANN have been obtained from the hot compression tests, carried out over a temperature range varying from 900 to 1150 °C and at different true strain rates ranging from 10-4 to 10 s-1. It has been found that the ANN model developed in this study is capable to predict accurately and efficiently the flow behavior of the studied steel and there is a good agreement between the experimental results and the ANN results. To analyze the formability of the studied steel, processing maps have been constructed on the basis of the Dynamic Materials Model (DMM, using the ANN values of the flow stress. The study of maps reveals the different domains of the flow behavior of the studied steel and shows the great similarity between the experimental results and the theoretical results, so the use of the ANN can constitute an interesting alternative for design and study of hot forming processes.El comportamiento termo-mecánico de un acero microaleado de medio carbono ha sido analizado mediante una Red Neuronal Artificial (RNA. Las curvas de fluencia para el entrenamiento de la RNA han sido obtenidas mediante ensayos de compresión en caliente que se efectuaron a temperaturas que oscilaron entre 1150 °C y 900 °C a incrementos de 50 °C, y en un intervalo de velocidades de deformación que varió entre 10-4 y 10 s-1. Se ha podido comprobar que el modelo de RNA, desarrollado en el presente trabajo, es capaz de predecir con exactitud y eficiencia el comportamiento de fluencia en caliente del acero estudiado y existe un buen acuerdo entre los resultados experimentales y los resultados de la RNA. Para analizar la conformabilidad del acero microaleado se han construido mapas de procesado basados en el modelo dinámico de materiales (DMM usando los valores de la tensión de fluencia obtenidos mediante la RNA. El

  9. Eliminación de Bandas Calientes en Reformador de Gas Natural Elimination of Hot Bands in a Natural Gas Reformer

    Directory of Open Access Journals (Sweden)

    D.J. Correa

    2004-01-01

    Full Text Available El objetivo de este trabajo fue encontrar las causas de la formación de bandas calientes por deposición de coque en un reformador de gas natural, que provoca la salida de servicio de la unidad y mayores costos de producción. Se recurrió a la literatura para determinar las variables que tienen incidencia en esta problemática y se creó un trazador que cuantifica la formación de coque, denominado Índice de Obstrucción. Se analizó sistemáticamente el impacto de las distintas variables y se relacionaron con la evolución del Índice de Obstrucción, siempre tomando información de la propia planta industrial. Descartando todas las hipótesis, excepto la presencia de hidrocarburos livianos, se determinó que el problema de las bandas calientes no se origina en el propio horno de reforma, sino aguas arriba del proceso, en el desulfuradorThe purpose of this study was to find the causes of formation of hot bands due to coke deposition in a natural gas reformer which caused the unit to go out of service, resulting in higher production costs. A literature study was made to determine the variables which affected the incidence of this problem, and to produce an index which quantified the formation of coke, named Obstruction Index. The impact of different variables was systematically analyzed and these variables were related to the evolution of the Obstruction Index, always taking into account the information from the industrial plant studied. All hypotheses were discarded except that relating to the presence of light hydrocarbons. It was determined that the problem of the hot bands did not originate within the reforming unit, but rather upstream of the process in the desulfurization unit

  10. Accessing Digital Libraries: A Study of ARL Members' Digital Projects

    Science.gov (United States)

    Kahl, Chad M.; Williams, Sarah C.

    2006-01-01

    To ensure efficient access to and integrated searching capabilities for their institution's new digital library projects, the authors studied Web sites of the Association of Research Libraries' (ARL) 111 academic, English-language libraries. Data were gathered on 1117 digital projects, noting library Web site and project access, metadata, and…

  11. Accessing Digital Libraries: A Study of ARL Members' Digital Projects

    Science.gov (United States)

    Kahl, Chad M.; Williams, Sarah C.

    2006-01-01

    To ensure efficient access to and integrated searching capabilities for their institution's new digital library projects, the authors studied Web sites of the Association of Research Libraries' (ARL) 111 academic, English-language libraries. Data were gathered on 1117 digital projects, noting library Web site and project access, metadata, and…

  12. Guerra fría, cenizas calientes : reportajes a un mundo en cambio

    OpenAIRE

    Roll, David

    2007-01-01

    Este libro es una invitación al lector para entender que ha pasado en el mundo político después del fin de la Guerra Fría, viajando con el autor, a través de sus fotos y artículos periodísticos, por lugares del planeta donde definitivamente parece superado el viejo conflicto ideológico y por otros donde las cenizas calientes que aún persisten pueden suponer un peligro para la paz mundial. Es un recorrido que va desde la Alemania reunificada, símbolo inequívoco del fin de la Guerra Fría en ...

  13. Compresas húmedo calientes como intervención para reducir el dolor musculoesquelético: Análisis de la evidencia Hot packs like intervention to reduce musculoskeletal pain: An analysis of evidence

    Directory of Open Access Journals (Sweden)

    Francisco Josué Pavez Ulloa

    2008-07-01

    Full Text Available Introducción: En los Estados Unidos el dolor en niños causa un promedio de 21 millones de días de escuela perdidos y en empleados trabajadores provoca una pérdida de 147 millones de días de trabajo. El dolor produce desordenes musculoesqueléticos y las modalidades terapéuticas se usan comúnmente en su tratamiento. Una de las modalidades más usadas clínicamente son las compresas húmedo calientes previas a tratamientos. No existen artículos que analicen cual es la evidencia disponible sobre la efectividad de las compresas húmedo calientes como intervención para aliviar el dolor. Objetivos: Determinar si existe evidencia científica que avale la efectividad de las compresas húmedo calientes como intervención efectiva en el alivio del dolor. Agrupar la mejor evidencia clínica disponible en relación a la analgesia producida por las compresas húmedo calientes. Evaluar la calidad de los estudios que investigaron los efectos de las compresas húmedo calientes sobre pacientes con dolor. Materiales y métodos: Se buscaron ensayos clínicos aleatorios las bases de datos MEDLINE, Cochrane Library Plus, CINAHL, DARE. A dichos estudios se les aplicó la escala de PEDro para evaluar la validez de los trabajos y posteriormente se clasificó la evidencia según la escala del Centro de Medicina Basada en Evidencias de Oxford. Resultados: Se incluyeron 4 ensayos clínicos aleatorios y una revisión sistemática que cumplieron con los criterios de inclusión y exclusión. Conclusión: Existe evidencia de nivel 1b y recomendación A que las compresas húmedo calientes producen efectos benéficos sobre el dolor de forma tal que potencian una intervención posterior. Aun falta investigación para formular conclusiones adecuadas.Introduction: The pain in children causes an average of 21 million days of school lost and in hardworking employees in the United States it provoke a loss of 147 million workdays. The pain produces musculoskeletal disorders

  14. Beyond access: a case study on the intersection between accessibility, sustainability, and universal design.

    Science.gov (United States)

    Gossett, Andrea; Mirza, Mansha; Barnds, Ann Kathleen; Feidt, Daisy

    2009-11-01

    A growing emphasis has been placed on providing equal opportunities for all people, particularly people with disabilities, to support participation. Barriers to participation are represented in part by physical space restrictions. This article explores the decision-making process during the construction of a new office building housing a disability-rights organization. The building project featured in this study was developed on the principles of universal design, maximal accessibility, and sustainability to support access and participation. A qualitative case study approach was used involving collection of data through in-depth interviews with key decision-makers; non-participant observations at design meetings; and on-site tours. Qualitative thematic analysis along with the development of a classification system was used to understand specific building elements and the relevant decision processes from which they resulted. Recording and analyzing the design process revealed several key issues including grassroots involvement of stakeholders; interaction between universal design and sustainable design; addressing diversity through flexibility and universality; and segregationist accessibility versus universal design. This case study revealed complex interactions between accessibility, universal design, and sustainability. Two visual models were proposed to understand and analyze these complexities.

  15. ENVIRONMENTAL ASSESSMENT FOR THE PROPOSED WITHDRAWAL OF PUBLIC LANDS WITHIN AND SURROUNDING THE CALIENTE RAIL CORRIDOR, NEVADA

    Energy Technology Data Exchange (ETDEWEB)

    DOE

    2005-12-01

    The purpose for agency action is to preclude surface entry and the location of new mining claims, subject to valid existing rights, within and surrounding the Caliente rail corridor as described in the Yucca Mountain FEIS (DOE 2002). This protective measure is needed to enhance the safe, efficient, and uninterrupted evaluation of land areas for potential rail alignments within the Caliente rail corridor. The evaluation will assist the DOE in determining, through the Rail Alignment environmental impact statement (EIS) process, whether to construct a branch rail line, and to provide support to the BLM in deciding whether or not to reserve a ROW for the rail line under the Federal Land Policy and Management Act (FLPMA). The BLM participated as a cooperating agency in preparing this EA because it is the responsible land manager and BLM staff could contribute resource specific expertise.

  16. Study of Predatory Open Access Nursing Journals.

    Science.gov (United States)

    Oermann, Marilyn H; Conklin, Jamie L; Nicoll, Leslie H; Chinn, Peggy L; Ashton, Kathleen S; Edie, Alison H; Amarasekara, Sathya; Budinger, Susan C

    2016-11-01

    The purpose of this study was to identify predatory journals in nursing, describe their characteristics and editorial standards, and document experiences of authors, peer reviewers, and editors affiliated with these journals. Using two sources that list predatory journals, the research team created a list of nursing journals. In Phase One, the team collected data on characteristics of predatory nursing journals such as types of articles published, article processing charge, and peer review process. In Phase Two, the team surveyed a sample of authors, reviewers, and editors to learn more about their experiences with their affiliated journals. Data from the review of predatory nursing journals were analyzed using descriptive statistics. Written comments were summarized and categorized. There were 140 predatory nursing journals from 75 publishers. Most journals were new, having been inaugurated in the past 1 to 2 years. One important finding was that many journals only published one or two volumes and then either ceased publishing or published fewer issues and articles after the first volume. Journal content varied widely, and some journals published content from dentistry and medicine, as well as nursing. Qualitative findings from the surveys confirmed previously published anecdotal evidence, including authors selecting journals based on spam emails and inability to halt publication of a manuscript, despite authors' requests to do so. Predatory journals exist in nursing and bring with them many of the "red flags" that have been noted in the literature, including lack of transparency about editorial processes and misleading information promoted on websites. The number of journals is high enough to warrant concern in the discipline about erosion of our scholarly literature. Nurses rely on the published literature to provide evidence for high-quality, safe care that promotes optimal patient outcomes. Research published in journals that do not adhere to the highest

  17. A systematic review of fast food access studies.

    Science.gov (United States)

    Fleischhacker, S E; Evenson, K R; Rodriguez, D A; Ammerman, A S

    2011-05-01

    The frequent consumption of energy-dense fast food is associated with increased body mass index. This systematic review aims to examine the methodology and current evidence on fast food access and its associations with outcomes. Six databases were searched using terms relating to fast food. Only peer-reviewed studies published in English during a 10-year period, with data collection and analysis regarding fast food access were included. Forty articles met the aforementioned criteria. Nearly half of the studies (n = 16) used their own set of features to define fast food. Studies predominantly examined the relationship between fast food access and socioeconomic factors (n = 21) and 76% indicated fast food restaurants were more prevalent in low-income areas compared with middle- to higher-income areas. Ten of 12 studies found fast food restaurants were more prevalent in areas with higher concentrations of ethnic minority groups in comparison with Caucasians. Six adult studies found higher body mass index was associated with living in areas with increased exposure to fast food; four studies, however, did not find associations. Further work is needed to understand if and how fast food access impacts dietary intake and health outcomes; and if fast food access has disparate socioeconomic, race/ethnicity and age associations. © 2010 The Authors. obesity reviews © 2010 International Association for the Study of Obesity.

  18. Apuntes para una historia de la insurgencia en la Tierra Caliente de Guerrero, 1810-1821

    Directory of Open Access Journals (Sweden)

    Jesús Guzmán Urióstegui

    2009-06-01

    Full Text Available Durante el periodo de lucha por la independencia de México, de 1810 a 1821, una de las zonas geográficas más destacadas por su apoyo a la insurgencia fue la del Sur, cuyo territorio forma actualmente el estado de Guerrero. Primero con José María Morelos y Pavón y luego con Vicente Guerrero, la complicada geografía suriana y su no menos malsano clima puso en entredicho todos los intentos de las autoridades virreinales por reestablecer ahí la paz. Es cierto que los realistas lograron algunos éxitos, pero nunca pudieron vencer los afanes de libertad de los pobladores del lugar, especialmente de los de Tierra Caliente, mismos que si bien de 1811 a 1813 actuaron de manera en cierta forma aislada, pues Morelos no los tomaba muy en cuenta ya que prefería a los costeños, después fueron su sostén principal. Este papel lo refrendarían de igual manera de 1816 a 1821 con Guerrero, obligando a Agustín de Iturbide a negociar la paz.During Mexico's struggle for independence, from 1810 to 1821, one of the geographical zones that provided most support for the insurgents was the south, whose territory currently forms part of the state of Guerrero. First with José María Morelos y Pavón and then with Vicente Guerrero, the complicated geography of the south and its no less unhealthy climate jeopardized all the viceregal authorities' attempts to re-establish peace there. Although the royalists had some success, they were never able to overcome the locals' desire for freedom, especially those in Tierra Caliente. Although they acted in a somewhat isolated fashion from 1811 to 1813, since Morelos ignored them, preferring those on the coast, they subsequently provided his greatest support. They did the same with Guerrero from 1816 to 1821, forcing Agustín de Iturbide to negotiate peace.

  19. A Comparative Study on Temporal Mobile Access Pattern Mining Methods

    Directory of Open Access Journals (Sweden)

    Hanan Fahmy

    2012-03-01

    Full Text Available Mobile users behavior patterns is one of the most critical issues that need to be explored in mobile agent systems. Recently the algorithms of discovering frequent mobile user’s behavior patterns have been studied extensively. Existing mining methods have proposed frequent mobile user's behavior patterns statistically based on requested services and location information. Therefore, other studies considered that the mobile user's dynamic behavior patterns are usually associated with temporal access patterns. In this paper, temporal mobile access pattern methods are studied and compared in terms of complexity and accuracy. The advantages and disadvantages of these methods will be summarized as well

  20. Implementing Open Access Policy:First case studies

    Institute of Scientific and Technical Information of China (English)

    Chris; Armbruster

    2010-01-01

    When implementing open access,policy pioneers and flagship institutions alike have faced considerable challenges in meeting their own aims and achieving a recognized success.Legitimate authority,sufficient resources and the right timing are crucial,but the professionals charged with implementing policy still need several years to accomplish significant progress.This study defines a methodological standard for evaluating the first generation of open access policies.Evaluating implementation establishes evidence,enables reflection,and may foster the emergence of a second generation of open access policies.While the study is based on a small number of cases,these case studies cover most of the pioneer institutions,present the most significant issues and offer an international overview.Each case is reconstructed individually on the basis of public documents and background information,and supported by interviews with professionals responsible for open access implementation.This article presents the highlights from each case study.The results are utilized to indicate how a second generation of policies might define open access as a key component of digital research infrastructures that provide inputs and outputs for research,teaching and learning in real time.

  1. Access to Triptans for Acute Episodic Migraine: A Qualitative Study.

    Science.gov (United States)

    Khan, Sobia; Mascarenhas, Alekhya; Moore, Julia E; Knowles, Sandra; Gomes, Tara

    2015-01-01

    Our study aims to examine factors related to access of triptans among multiple stakeholder groups. Triptans are a cornerstone of pain management for the acute treatment of migraine, but actual utilization of triptans is lower than ideal. Initial and continued access to triptans may be an important clinical issue in the acute treatment of migraines, but factors affecting access at the patient, provider, and health-care system levels have not been comprehensively explored. A qualitative study was conducted in Ontario, Canada, between August 2013 and January 2014. Three participant groups were recruited to the qualitative study: (1) migraineurs who have experience accessing triptans; (2) physicians, including primary care physicians (PCPs) and neurologists, who have prescribed triptans; and (3) pharmacists who have dispensed triptans. Qualitative data were collected through one-on-one, semi-structured telephone interviews. The framework approach was used for data collection and analysis. Data collected from 19 migraineurs, 6 physicians, and 8 pharmacists were included in the analysis. Study participants discussed various factors that facilitate or hinder access to triptans, which were synthesized into four themes that emerged at the patient, provider, and health-care systems levels: (1) awareness; (2) apathy; (3) advocacy; and (4) affordability. Across all participant groups, awareness of available treatments and coverage policies for those treatments were potential factors relating to timely drug provision. Participants describe apathy in terms of patients' health-seeking behaviors and physicians' lack of concern toward migraine, which were seen as factors that could delay diagnosis and provision of appropriate treatment. Patients engaging in self-advocacy enhanced their ability to seek timely and appropriate provision of triptans at the patient level. At the health-care provider level, pharmacists were identified by patients as advocates for receiving more effective

  2. Vascular access surveillance: case study of a false paradigm.

    Science.gov (United States)

    Paulson, William D; Moist, Louise; Lok, Charmaine E

    2013-01-01

    The hemodialysis vascular access surveillance controversy provides a case study of how enthusiasm for a new test or treatment can lead to adoption of a false paradigm. Paradigms are the beliefs and assumptions shared by those in a field of knowledge, and are commonly included in clinical practice guidelines. The guidelines of the National Kidney Foundation Kidney Disease Outcomes Quality Initiative recommend that arteriovenous vascular accesses undergo routine surveillance for detection and correction of stenosis. This recommendation is based on the paradigm that surveillance of access blood flow or dialysis venous pressure combined with correction of stenosis improves access outcomes. However, the quality of evidence that supports this paradigm has been widely criticized. We tested the validity of the surveillance paradigm by applying World Health Organization (WHO) criteria for evaluating screening tests to a literature review of published vascular access studies. These criteria include four components: undesired condition, screening test, intervention, and desired outcome. The WHO criteria show that surveillance as currently practiced fails all four components and provides little or no significant benefit, suggesting that surveillance is a false paradigm. Once a paradigm is established, however, challenges to its validity are usually resisted even as new evidence indicates the paradigm is not valid. Thus, it is paramount to apply rigorous criteria when developing guidelines. Regulators may help promote needed changes in paradigms when cost and safety considerations coincide. © 2013 Wiley Periodicals, Inc.

  3. Managing open access with EPrints software: a case study

    Directory of Open Access Journals (Sweden)

    Valerie McCutcheon

    2016-03-01

    Full Text Available Recent additional open access (OA requirements for publications by authors at UK higher education institutions require amendments to support mechanisms. These additional requirements arose primarily from the Research Councils UK Open Access Policy,1 applicable from April 2013, and the new OA policy for Research Excellence Framework2 eligibility published in March 2014 and applicable from April 2016.  Further provision also had to be made for compliance with the UK Charities Open Access Fund, the European Union, other funder policies, and internal reporting requirements.  In response, the University of Glasgow has enhanced its OA processes and systems. This case study charts our journey towards managing OA via our EPrints repository. The aim was to consolidate and manage OA information in one central place to increase efficiency of recording, tracking and reporting. We are delighted that considerable time savings and reduction in errors have been achieved by dispensing with spreadsheets to record decisions about OA.

  4. Boston solar retrofits: studies of solar access and economics

    Energy Technology Data Exchange (ETDEWEB)

    Shapiro, M.

    1980-11-01

    Studies of solar access and solar retrofit economics are described for residential applications in the City of Boston. The study of solar access was based upon a random sample of 94 buildings; the sample was stratified to ensure a broad geographic representation from the city's various sections. Using available data on the heights and orientations of the sampled structures and surrounding buildings, each building's hourly access to sunlight was computed separately for the roof and south facing walls. These data were then aggregated by broad structural classifications in order to provide general measures of solar access. The second study was a comparative analysis of the economics of several solar heating and hot water systems. An active hot water system, installed using pre-assembled, commercially purchased equipment, was selected as a reference technology. A variety of measures of economic performance were computed for this system, with and without existing tax credits and under various financing arrangements. Next, a number of alternative approaches for solar space and water heating were identified from interviews with individuals and groups involved in solar retrofit projects in the Boston area. The objective was to identify approaches that many of those interviewed believe to be low-cost means of applying solar energy in residential settings. The approaches selected include thermal window covers, wall collectors, bread box water heaters, and sun spaces. Preliminary estimates of the performance of several representative designs were developed and the economics of these designs evaluated.

  5. Simulación de la fluencia en caliente de un acero microaleado con un contenido medio de carbono. III parte. Ecuaciones constitutivas

    Directory of Open Access Journals (Sweden)

    Cabrera, J. M.

    1997-08-01

    Full Text Available According to the part 1 of this work the constitutive equations of the hot flow behaviour of a commercial microalloyed steel have been obtained. For this purpose, the uniaxial hot compression tests described in the part 2 were employed. Tests were carried out over a range of 5 orders of magnitude in strain rate and 300 °C of temperature. Experimental results are compared with the theoretical model introduced in the first part of this study. It is concluded that deviations between experimental and theoretical curves are lower than 10 %. It is shown that the classical hiperbolic sine constitutive equation described accurately the experimental behaviour provided that stresses are normalized by the Young's modulus and strain rates by the self-diffusion coefficient. An internal stress must also be introduced in the latter equation when the initial grain size is fine enough.

    Siguiendo el planteamiento teórico efectuado en la I parte de este trabajo, se determinaron las ecuaciones constitutivas del comportamiento a la deformación en caliente de un acero comercial microaleado con un contenido medio de carbono. Para este objetivo se emplearon los ensayos de compresión uniaxial en caliente ya descritos en la II parte, los cuales se efectuaron en un rango de cinco órdenes de magnitud en velocidad de deformación y 300 °C de temperatura. Se comparan los resultados experimentales con el modelo teórico introducido en la I parte y se verifica que el error es inferior al 10 %. Se comprobó que la clásica ecuación del seno hiperbólico podía describir con precisión el comportamiento observado siempre y cuando las tensiones se normalicen por el módulo de Young, las velocidades de deformación por el coeficiente de autodifusión de la austenita, y se considere un efecto adicional sobre la tensión cuando el tamaño de grano inicial sea suficientemente fino.

  6. Desarrollo de un refuerzo Montante/Pilar A para automoción mediante nuevos procesos de conformado en caliente

    OpenAIRE

    Berto, Sébastien

    2009-01-01

    El proyecto tiene como objetivo el estudio de un refuerzo montante A, pieza estructural, fabricado mediante un nuevo proceso de conformado por soplado en caliente, y su posible integración en un coche. Esta pieza debería integrarse al nuevo modelo de Seat Leon, por eso se tendrá que definir conjuntamente con el área de Desarrollo Carrocería del Centro Técnico de SEAT y el proveedor Linde Wiemann una geometría tanto encajable, como fabricable. La elaboración y la evolución de...

  7. Cinéticas de deshidratación con aire caliente de zanahoria (Daucus caroto) en rodajas

    OpenAIRE

    Rodríguez Sibaja, Ana María; Fito Maupoey, Pedro

    1994-01-01

    Se realizó el Estudio de las cinéticas de secado con aire caliente de rodajas de zanahoria escaldadas. Se evaluaron diferentes temperaturas (60, 70 y 80 °C), humedades absolutas (12 y 55 g agua/kg aire seco) y velocidades del aire (0,5, 1,5 y 2,1 m/s). Se encontró un importante efecto de la temperatura en el proceso de secado: a mayores temperaturas el proceso se acelera, sin embargo la calidad sensorial se ve modificada. Las mejores condiciones para la deshidratación de zanahoria en rodajas ...

  8. Desarrollo de un termogenerador para electrificación y provisión de agua caliente a hogares rurales

    OpenAIRE

    Juanico, Luis Eduardo; Taglialavore, Eduardo; Rinalde, Gustavo Fabián; Ortiz, Luciana Cecilia; Di Lalla, Nicolas

    2015-01-01

    Se presenta un termogenerador portátil para electrificación inicial de hogares rurales trabajando sobre una cocina a leña u fuente térmica variable, basado en módulos BiTe. Dado que utiliza un baño de agua como sumidero de calor, se propone aquí un sistema mixto que provee de agua caliente al hogar y a la vez mejora el control térmico del termogenerador. Palabras claves: termogenerador, electricidad rural, cogeneración, prototipo. Fil: Juanico, Luis Eduardo. Consejo Nacional de I...

  9. Open Access and citation count: a CSIR case study

    CSIR Research Space (South Africa)

    Ramorulane, Dave

    2012-06-01

    Full Text Available Open Access (OA) refers to electronic scholarly articles, books, monographs and other grey literature that is freely available. Various electronic platforms limit access to their content due to subscription costs, firewalls, and other access...

  10. Personal Access Satellite System (PASS) study. Fiscal year 1989 results

    Science.gov (United States)

    Sue, Miles K. (Editor)

    1990-01-01

    The Jet Propulsion Laboratory is exploring the potential and feasibility of a personal access satellite system (PASS) that will offer the user greater freedom and mobility than existing or currently planned communications systems. Studies performed in prior years resulted in a strawman design and the identification of technologies that are critical to the successful implementation of PASS. The study efforts in FY-89 were directed towards alternative design options with the objective of either improving the system performance or alleviating the constraints on the user terminal. The various design options and system issues studied this year and the results of the study are presented.

  11. A Performance Study of Wireless Broadband Access (WiMAX

    Directory of Open Access Journals (Sweden)

    Maan A. S. Al-Adwany

    2011-12-01

    Full Text Available WiMAX (worldwide interoperability for microwave access is one of the wireless broadband access technologies which supplies broadband services to clients, but it surpasses other technologies by its coverage area, where one base station can cover a small city. In this paper, WiMAX technology is studied by exploring its basic concepts, applications, and advantages / disadvantages. Also a MATLAB simulator is used to verify the operation of the WiMAX system under various channel impairments and for variety of modulation schemes. From the simulation results, we found that WiMAX system works well in both AWGN and multipath fading channels, but under certain constraints that are addressed in this paper.

  12. A study of multiple access schemes in satellite control network

    Science.gov (United States)

    Mo, Zijian; Wang, Zhonghai; Xiang, Xingyu; Wang, Gang; Chen, Genshe; Nguyen, Tien; Pham, Khanh; Blasch, Erik

    2016-05-01

    Satellite Control Networks (SCN) have provided launch control for space lift vehicles; tracking, telemetry and commanding (TTC) for on-orbit satellites; and, test support for space experiments since the 1960s. Currently, SCNs encounter a new challenge: how to maintain the high reliability of services when sharing the spectrum with emerging commercial services. To achieve this goal, the capability of multiple satellites reception is deserved as an update/modernization of SCN in the future. In this paper, we conducts an investigation of multiple access techniques in SCN scenario, e.g., frequency division multiple access (FDMA) and coded division multiple access (CDMA). First, we introduce two upgrade options of SCN based on FDMA and CDMA techniques. Correspondingly, we also provide their performance analysis, especially the system improvement in spectrum efficiency and interference mitigation. Finally, to determine the optimum upgrade option, this work uses CRISP, i.e., Cost, Risk, Installation, Supportability and Performance, as the baseline approach for a comprehensive trade study of these two options. Extensive numerical and simulation results are presented to illustrate the theoretical development.

  13. Open Access And Openly Accessible: A Study Of Scientific Publications Shared Via The Internet

    National Research Council Canada - National Science Library

    Jonathan D. Wren

    2005-01-01

    ... of the article, and to what degree open access publications are shared on non-journal websites. Design The internet was searched using an application programming interface to Google, a popular and freely available search engine...

  14. Data Access, Ownership, and Control: Toward Empirical Studies of Access Practices.

    Science.gov (United States)

    Hilgartner, Stephen; Brandt-Rauf, Sherry I.

    1994-01-01

    Examines how the new sociology of science can approach data access issues. A perspective is developed based on an analysis of the process of scientific production, data streams, and intellectual policy issues. (Contains 55 references.) (JLB)

  15. Efecto del contenido de azufre y del grado de desoxidación sobre la ductilidad en caliente de aceros inoxidables austeníticos resulfurados en estado de solidificación

    Directory of Open Access Journals (Sweden)

    Botella, J.

    1998-05-01

    Full Text Available The manufacture of free machining austenitic stainless steels features a specific drawback derived from their high sulphur content, which is needed for generating, into the austenitic matrix, inclusions to optimize the different machining operations. However, sulphur has a harmful effect on hot workability. This paper deals with assessing the effect of sulphur content and deoxidation level on the hot ductility of resulphurized austenitic stainless steels in as cast condition. Hot tensile tests were conducted on a Gleeble machine, at temperatures between 1,150 and 1,250°C, studying a ductility factor as a function of sulphur content, deoxidation degree, as well as type, size and distribution of sulfides. Results point out the harmful effect of increasing sulphur and oxygen contents on the hot workability of resulphurized austenitic stainless steels, and the need to control carefully the level of oxides of these steels.

    La fabricación de aceros inoxidables austeníticos de alta maquinabilidad presenta una problemática específica derivada de su elevado contenido de azufre; elemento necesario para generar en la matriz austenítica inclusiones que faciliten las diferentes operaciones de mecanizado, pero perjudicial en cuanto al deterioro que produce en la deformabilidad en caliente. Este artículo describe el estudio realizado para evaluar el efecto del contenido de azufre y el grado de desoxidación sobre la ductilidad en caliente de aceros inoxidables austeníticos resulfurados, partiendo de una estructura de solidificación (as cast condition. Se realizaron ensayos de tracción en un sistema Gleeble, a temperaturas entre 1.150 y 1.250°C, analizándose el parámetro de ductilidad en función del contenido de azufre, nivel de desoxidación, y del tipo, tamaño y distribución de los sulfuros presentes. Los resultados ponen de manifiesto el efecto perjudicial de los contenidos de azufre y oxígeno sobre la deformabilidad en

  16. A Study of Innovative Features in Scholarly Open Access Journals

    Science.gov (United States)

    2011-01-01

    Background The emergence of the Internet has triggered tremendous changes in the publication of scientific peer-reviewed journals. Today, journals are usually available in parallel electronic versions, but the way the peer-review process works, the look of articles and journals, and the rigid and slow publication schedules have remained largely unchanged, at least for the vast majority of subscription-based journals. Those publishing firms and scholarly publishers who have chosen the more radical option of open access (OA), in which the content of journals is freely accessible to anybody with Internet connectivity, have had a much bigger degree of freedom to experiment with innovations. Objective The objective was to study how open access journals have experimented with innovations concerning ways of organizing the peer review, the format of journals and articles, new interactive and media formats, and novel publishing revenue models. Methods The features of 24 open access journals were studied. The journals were chosen in a nonrandom manner from the approximately 7000 existing OA journals based on available information about interesting journals and include both representative cases and highly innovative outlier cases. Results Most early OA journals in the 1990s were founded by individual scholars and used a business model based on voluntary work close in spirit to open-source development of software. In the next wave, many long-established journals, in particular society journals and journals from regions such as Latin America, made their articles OA when they started publishing parallel electronic versions. From about 2002 on, newly founded professional OA publishing firms using article-processing charges to fund their operations have emerged. Over the years, there have been several experiments with new forms of peer review, media enhancements, and the inclusion of structured data sets with articles. In recent years, the growth of OA publishing has also been

  17. Paid Open Access: A Comparative Study of Selected International Publishers

    Directory of Open Access Journals (Sweden)

    DIMPLE SHARMA

    2012-01-01

    Full Text Available Open Access as emerged as a global movement in the academic sphere providing freeonline access to scholarly literature. Generally author submits a manuscript to the open access journals and after the peer-reviewing and editorial process is over the article is published for free access and download. Some publishers have developed a model in which either the author(s or their parent organization has to pay the open access fee or article processing charges. This paper aims to provide an insight of selected international publishers who have adopted paid open access model. In the data analysis section the facts have been presented in tables and charts focusing on various aspects of paid open access. At the end of the paper some practical recommendations have been made for sustaining and removing the shortcomings of this model.

  18. Study of Pea Accessions for Development of an Oilseed Pea

    Directory of Open Access Journals (Sweden)

    Ehsan Khodapanahi

    2012-09-01

    Full Text Available Global interest in stable energy resources coupled with growing demand for bio-oils in various conventional and arising industries has renewed the importance of vegetable oil production. To address this global interest, oilseed production has been increased in recent decades by different approaches, such as extending the cultivation area of oil crops, or breeding and growing genetically modified plants. In this study, pea (Pisum sativum L. accessions were screened for lipid content using a rapid extraction method. This method quantifies lipid concentration in pea seeds and was developed by assessing and comparing the results of existing extraction methods used for canola and soybean, the top two Canadian oilseeds. Seeds of 151 field pea accessions were grown to maturity in 2009 and 2010 at McGill University (Quebec, Canada. Overall, lipid concentration in pea seeds ranged from 0.9 to 5.0%. Among several seed characteristics, only seed shape (wrinkled verses round had a significant effect on the total lipid production in the seeds. Peas are a valuable source of protein and starch, but the lipid concentration in their seeds has been undervalued. This research supports the idea of developing a novel dual-purpose oilseed pea that emulates the protein and oil production in soybean seeds while being conveniently adapted to a colder climate.

  19. Antecedentes hidroquímicos del Salar de Aguas Calientes I (Chile

    Directory of Open Access Journals (Sweden)

    Ingrid Garcés Millas

    2012-01-01

    Full Text Available El Salar de Aguas Calientes I es un sistema salino del Altiplano chileno, situado a4.280 m.s.n.m, expuesto a condiciones ambientales áridas. El presente trabajo da cuenta del estudio hidroquímico de las soluciones superficiales existentes en el salar, tanto de soluciones diluidas como concentradas en surgencias y acumulaciones lacustres, así como de la mineralogía de las sales precipitadas por evaporación de estas aguas lacustres. Los principales aportes de agua al salar ingresan por la zona norte y por el sector sur, siendo estos últimos de carácter termal. Los restantes aportes se limitan a escasas precipitaciones en forma de escorrentía superficial o subsuperficial. Todas estas aguas circulan hacia las zonas más bajas del salar, y se acumulan en distintos puntos a lo largo de su sector occidental como consecuencia de un ligero basculamiento en su superficie. Los resultados del análisis químico indican que, a pesar de tratarse de aguas con grados de concentración variable y que oscilan entre muy diluidas y altamente concentradas, todas ellas pertenecen al tipo químico Na-Cl, debido a la interacción de las aguas con los depósitos salinos preexistentes en el salar, en los que predominan halita y yeso. Además, todas las soluciones mostraron elevados contenidos en elementos químicos asociados a actividad hidrotermal como son Li, B y As, encontrándose este último en rangos de toxicidad incluso en las muestras diluidas. En el margen norte del salar, las aguas de una surgencia no termal caracterizadas por ser de muy baja concentración en sales minerales, discurren hacia el salar,alimentando una zona de bofedal en la que se desarrolla importante vida vegetal y sirven de sustento a los rebaños de camélidos del área. En cambio, las aguas de los sectores central y meridional (donde se encuentra una surgencia de carácter termal son mucho más concentradas, acumulándose en lagunas desprovistas de desarrollo vegetal. El an

  20. Study of the thermo-mechanical behavior of medium carbon microalloyed steel during hot forming process using an artificial neural network; Estudio del comportamiento termo-mecanico de un acero microaleado de medio carbono durante un proceso de conformado en caliente usando una red neuronal artificial

    Energy Technology Data Exchange (ETDEWEB)

    Alcelay, I.; Pena, E.; Al Omar, A.

    2016-10-01

    The thermo-mechanical behavior of medium carbon microalloyed steel has been analyzed by an Artificial Neural Network (ANN). The flow curves for training the ANN have been obtained from the hot compression tests, carried out over a temperature range varying from 900 to 1150 degree centigrade and at different true strain rates ranging from 10{sup -}4 to 10 s{sup -}1. It has been found that the ANN model developed in this study is capable to predict accurately and efficiently the flow behavior of the studied steel and there is a good agreement between the experimental results and the ANN results. To analyze the formability of the studied steel, processing maps have been constructed on the basis of the Dynamic Materials Model (DMM), using the ANN values of the flow stress. The study of maps reveals the different domains of the flow behavior of the studied steel and shows the great similarity between the experimental results and the theoretical results, so the use of the ANN can constitute an interesting alternative for design and study of hot forming processes. (Author)

  1. Use of the Paid Open Access Option in Hybrid Open Access Journals in Agriculture: A Mixed-Methods Study

    Directory of Open Access Journals (Sweden)

    Megan Kocher

    2016-12-01

    Full Text Available We explore the use and usefulness of the hybrid open access publishing model in agricultural sciences using a combination of quantitative and qualitative methods. To ascertain the level of usage of the paid open access option in hybrid open access journals in agriculture, we studied the agriculture-related journals published by six commercial publishers. These publishers offer authors the option of paying a fee, often close to $3,000 per article, to make their article immediately freely available, usually with a Creative Commons license. We defined agriculture broadly but also assigned each journal to a subspecialty (e.g., animal science in order to see if there were differences based on these subdivisions. For each journal we gathered data for 2014-2015 and noted the total number of research articles and the number of those that were made freely available by authors paying the open access fee. To give context to our results we also surveyed local faculty in agricultural sciences, asking their reasons for considering the paid open access options and the sources of the funds to pay for it. Survey respondents were asked about their academic position and rank to see if there were differences to be noted. We also investigated the findability of the open access articles, noting if each individual publisher offered a way to easily locate all the freely available articles in a particular journal and if there are other avenues to easily locate these articles.

  2. Modeling spatial accessibility to parks: a national study

    Directory of Open Access Journals (Sweden)

    Lu Hua

    2011-05-01

    Full Text Available Abstract Background Parks provide ideal open spaces for leisure-time physical activity and important venues to promote physical activity. The spatial configuration of parks, the number of parks and their spatial distribution across neighborhood areas or local regions, represents the basic park access potential for their residential populations. A new measure of spatial access to parks, population-weighted distance (PWD to parks, combines the advantages of current park access approaches and incorporates the information processing theory and probability access surface model to more accurately quantify residential population's potential spatial access to parks. Results The PWD was constructed at the basic level of US census geography - blocks - using US park and population data. This new measure of population park accessibility was aggregated to census tract, county, state and national levels. On average, US residential populations are expected to travel 6.7 miles to access their local neighborhood parks. There are significant differences in the PWD to local parks among states. The District of Columbia and Connecticut have the best access to local neighborhood parks with PWD of 0.6 miles and 1.8 miles, respectively. Alaska, Montana, and Wyoming have the largest PWDs of 62.0, 37.4, and 32.8 miles, respectively. Rural states in the western and Midwestern US have lower neighborhood park access, while urban states have relatively higher park access. Conclusions The PWD to parks provides a consistent platform for evaluating spatial equity of park access and linking with population health outcomes. It could be an informative evaluation tool for health professionals and policy makers. This new method could be applied to quantify geographic accessibility of other types of services or destinations, such as food, alcohol, and tobacco outlets.

  3. Lexical Access and Reading Comprehension: A Study with University Students

    Directory of Open Access Journals (Sweden)

    Adriana Fajardo Hoyos

    2012-11-01

    Full Text Available Poor automatization of lexical access results in poor performance in reading comprehension (Perfetti, 1985 and 1991. This study relates the performance of 84 undergraduate students in word recognition and reading comprehension skills. Three items of a standardized test were given to the students—the reading of words and pseudowords to identify the percentage of error, and a reading comprehension item. The results show that 36% had high percentages of error in both lexical and semantic processes, while 19% had low percentages of error in both tasks. The effect of the lexical variables of frequency and length is evident. There is a higher percentage of error for low-frequency words and pseudowords and for long words and pseudowords. A higher rate of error in words and pseudowords correlated to a greater number of mistakes in reading comprehension.

  4. Study of fine particles (PM{sub 2.5}) during the dry-hot time in the Toluca city; Estudio de las particulas finas (PM{sub 2.5}) durante la epoca seca-caliente en la ciudad de Toluca

    Energy Technology Data Exchange (ETDEWEB)

    Rosendo G, V. [ITT, 50000 Toluca (Mexico); Aldape U, F. [ININ, 52750 La Marquesa, Estado de Mexico (Mexico)]. e-mail: vero_rosen2108@yahoo.com.mx

    2007-07-01

    The first obtained results of the analysis of the fine fraction particulate material (PM{sub 2.5}) samples collected in the Toluca City are presented. The samples analyzed are part of a more extensive campaign that contemplates the low project the one which one carries out this work and that it integrates three climatic times (dry-hot, of rains and dry-cold time) with the purpose of investigating the events of contamination in one complete year. The obtained results correspond to the dry-hot time and its include mainly the database starting from which the temporal variation graphs were obtained, the correlations among elements and the enrichment factor, as well as a multiple correlation analysis. Additionally the gravimetry was measured. Its are not observed significant episodes, however, it was found an element of the traces order, little common in other atmospheric studies as it is arsenic. From the gravimetry it was deduced that the air quality standard of fine particle, it does not violate. (Author)

  5. Case studies of natural resource access in Jharkhand, India

    DEFF Research Database (Denmark)

    Sareen, Siddharth

    This policy brief illustrates that decentralisation can only effectively support residents’ access to natural resources if it both resolves policy overlaps at multiple levels to bring about inclusive and equitable access and aligns policies with ground realities for specific natural resources....

  6. Origen y endurecimiento por dispersión de carbonitruros en un acero comercial microaleado al niobio y laminado en caliente

    Directory of Open Access Journals (Sweden)

    Valencia, E.

    1998-12-01

    Full Text Available Throughout this work, a study on niobium carbonitrides formation and its hardening effect in a commercial hot strip microalloyed steel is presented. Optic and electron micrographs were obtained while mechanical tests and indirect models allow to predict samples yield strength, taking into account the steel composition and its structural characteristics. The results showed an extended precipitation on austenite boundary cells during the last thermomechanical processing stages, which probably achieved a considerable contribution to the hardening by dispersion in the material studied. Otherwise, no evidence of precipitation in ferrite by means of transmission electron microscopy (TEM was observed. A poor interphase precipitation was detected in about 10 per cent of the total observed zones with no appreciated contribution to the steel hardness.

    Se presenta un estudio sobre el origen de los carbonitruros de niobio y su efecto en el endurecimiento de un acero comercial microaleado y laminado en caliente. Para tal fin se utilizaron micrografías ópticas y electrónicas; así como también ensayos mecánicos y modelos indirectos que permitieron predecir el límite elástico teniendo en cuenta la composición del acero y sus características estructurales. Los resultados mostraron una extensa precipitación en la austenita durante las últimas fases del proceso de laminación siendo ésta responsable del principal aporte al endurecimiento por dispersión en el material investigado. No hubo evidencias de precipitación en la ferrita por observaciones al microscopio electrónico de transmisión y sólo una escasa precipitación interfásica fue detectada en un 10 % de las zonas observadas sin una apreciable contribución al endurecimiento del acero.

  7. Study of Womens Health Across the Nation (SWAN) Data: Investigator Access

    Data.gov (United States)

    U.S. Department of Health & Human Services — The SWAN Coordinating Center provides SWAN data access to SWAN Investigators through the study website. The SWAN website provides access to longitudinal data...

  8. Accessibility of a Destination-Based Transportation System: A Large Airport Study

    Institute of Scientific and Technical Information of China (English)

    SHI Jing; YING Xiwen

    2008-01-01

    The accessibility of a destination-based transportation system is defined to quantify the perform-ance of transportation systems which access a distinct destination. The access cost is used to reflect the utility of the transportation system including the fatigue and inconvenience in the total cost. The cost is quan-tified by two coefficients which represent the different characteristics of various people. The average cost and the income-relative accessibility are used to describe various aspects of the accessibility and to evaluate the accessibility of a destination-based system. A case study uses data from the Kunming transpor-tation system to evaluate the accessibility of the present city airport. The calibrated coefficients are then used to evaluate the transportation system to the new Kunming international airport. The results show that this transportation accessibility evaluation can be combined with transportation planning to study transporta-tion sub-systems.

  9. A Bibliometric Study of Scholarly Articles Published by Library and Information Science Authors about Open Access

    Science.gov (United States)

    Grandbois, Jennifer; Beheshti, Jamshid

    2014-01-01

    Introduction: This study aims to gain a greater understanding of the development of open access practices amongst library and information science authors, since their role is integral to the success of the broader open access movement. Method: Data were collected from scholarly articles about open access by library and information science authors…

  10. Caracterización de los sistemas ganaderos en dos comunidades del municipio de Tuzantla de la región de Tierra Caliente, Michoacán

    OpenAIRE

    C. I. Villa; M. J. Tena; R. Tzintzun; Val, D.

    2008-01-01

    Los sistemas de producción ganaderos de la región de Tierra Caliente están vinculados al manejo agrosilvopastoril, aprovechando una amplia gama de recursos forrajeros naturales, siendo las familias quienes conducen la administración y aprovechamiento de dichos recursos. Se buscó definir las características, recursos forrajeros aprovechables e insumos alimenticios, estimando su calidad nutricional, con el fin de encontrar estrategias de alimentación de ganado que red...

  11. A Study on Radio Access Technology Selection Algorithms

    CERN Document Server

    Wu, Leijia

    2012-01-01

    This book discusses the basic idea of Common Radio Resource Management (CRRM), especially on the Radio Access Technologies selection part of CRRM. It introduces two interaction functions (information reporting function and RRM decision support function) and four interaction degrees (from low to very high) of CRRM. Four possible CRRM topologies (CRRM server, integrated CRRM, Hierarchical CRRM, and CRRM in user terminals) are described. The book presents different Radio Access Technologies selection algorithms, including single criterion and multiple criteria based algorithms are presented and compares them. Finally, the book analyses the advantages and disadvantages of the different selection algorithms.

  12. Speech technology for information access: a South African case study

    CSIR Research Space (South Africa)

    Barnard, E

    2010-03-01

    Full Text Available Telephone-based information access has the potential to deliver a significant positive impact in the developing world. We discuss some of the most important issues that must be addressed in order to realize this potential, including matters related...

  13. A PRELIMINARY STUDY FOR DEVELOPING ACCESSIBLE MOOC SERVICES

    Directory of Open Access Journals (Sweden)

    Francisco Iniesto

    2016-11-01

    Full Text Available The flexibility of the MOOC service allows students to learn at their own time, place and pace, enhancing continuous communication and interaction between all participants in knowledge and community building. This model especially benefits people with disabilities, which can improve therefore their level of employability and social inclusion, reaching a better quality of life. Unfortunately the access to MOOC platforms present severe barriers: there is a lack of accessibility on the learning resources, the communicating tools and personalized user interfaces. All these issues add extra difficulties such as the need to develop specific digital or even social skills for students with functional diversity. In this context, MOOCs are leading a revolutionary computer and mobile-based scenario along with social technologies that will emerge new kinds of learning applications that enhance communication and collaboration processes. For that reason, this paper describes the need for designing an information model and related specifications to support a new strategy for delivering accessible MOOC courses to learners with special needs, in terms of their preferences and context of use based on a particular application profile. This user profile’s design is based on standard metadata schemas, data that provides information about other data, regarding the achievement of accessibility from content to user preferences.

  14. Caracterización de aceros dual-phase obtenidos por laminación en caliente

    Directory of Open Access Journals (Sweden)

    Houbaert, Y.

    2011-02-01

    Full Text Available Samples were obtained from C-Mn-Si steel available in the market. Through a hot rolling and coiling process, it was possible to obtain Dual-Phase steel with microstructural and mechanical properties in the theoretical range typical of this material. The thermomechanical process consisted of a strong reduction by multiples pass of hot rolling at temperatures above Ar3, controlled-cooling the sheets during 5 s (at a rate of 20 °C/s in the equilibrium range α+γ. Temperature Ar3 measured by differential scanning calorimetry was 890 °C. Quenching was then carried out in the coiling temperatures range (500-675 °C, cooling the samples in accordance to an established curve that corresponds to the actual cooling curve of a coil. The microstructural characterization of the samples obtained was carried out by optical microscopy, scanning electron microscopy and atomic force microscopy. Additionally, texture measurements were carried out by X-ray diffraction in order to study the resulting orientations due to the finishing rolling temperature and coiling temperature, determining the influence on these parameters of the different texture components. The microstructural results were complemented with the normal and planar anisotropy indexes measured in according to the ASTM E-517 standard. The intensities of the different texture components were correlated with the values of anisotropy indexes, finding that it is possible to obtain only a slightly enhancement in the normal anisotropy index through an appropriate combination of finish rolling and coiling temperatures.

    Se tomaron muestras de acero al C-Mn-Si disponible en el mercado y mediante un proceso de laminación en caliente y bobinado, se obtuvo acero Dual Phase con microestructura y propiedades mecánicas dentro del rango teórico esperado de este material. El proceso termomecánico consistió en producir una fuerte reducción a temperaturas mayores a Ar3

  15. Delivering accessible fieldwork: preliminary findings from a collaborative international study

    Science.gov (United States)

    Stokes, Alison; Atchison, Christopher; Feig, Anthony; Gilley, Brett

    2017-04-01

    Students with disabilities are commonly excluded from full participation in geoscience programs, and encounter significant barriers when accessing field-learning experiences. In order to increase talent and diversity in the geoscience workforce, more inclusive learning experiences must be developed that will enable all students to complete the requirements of undergraduate degree programs, including fieldwork. We discuss the outcomes of a completely accessible field course developed through the collaborative effort of geoscience education practitioners from the US, Canada and the UK. This unique field workshop has brought together current geoscience academics and students with disabilities to share perspectives on commonly-encountered barriers to learning in the field, and explore methods and techniques for overcoming them. While the student participants had the opportunity to learn about Earth processes while situated in the natural environment, participating geoscience instructors began to identify how to improve the design of field courses, making them fully inclusive of learners with disabilities. The outcomes from this experience will be used to develop guidelines to facilitate future development and delivery of accessible geoscience fieldwork.

  16. Safety zone for posterosuperior shoulder access: study on cadavers

    Directory of Open Access Journals (Sweden)

    Miguel Pereira Costa

    2016-08-01

    Full Text Available ABSTRACT OBJECTIVE: The posterosuperior shoulder access used in surgical treatment for acromioclavicular dislocation was constructed through dissection of 20 shoulders from 10 recently chilled adult cadavers, and the distances from this route to the nearby neurovascular structures were analyzed. METHODS: A Kirschner wire was introduced into the top of the base of the coracoid process through the posterosuperior shoulder access, in the area of the origin of the conoid and trapezoid ligaments, thus reproducing the path for inserting two anchors for anatomical reconstruction of the coracoclavicular ligaments. The smallest distance from the insertion point of the Kirschner wire to the suprascapular nerve and artery/vein was measured. RESULTS: The mean distance from the suprascapular nerve to the origin of the coracoclavicular ligaments at the top of the base of the coracoid process was 18.10 mm (range: 13.77-22.80 in the right shoulder and 18.19 mm (range: 12.59-23.75 in the left shoulder. The mean distance from the suprascapular artery/vein to the origin of the coracoclavicular ligaments was 13.10 mm (range: 9.28-15.44 in the right shoulder and 14.11 mm (range: 8.83-18.89 in the left shoulder. Comparison between the contralateral sides did not show any statistical difference. CONCLUSION: The posterosuperior shoulder access route for anatomical reconstruction of the coracoclavicular ligaments in treating acromioclavicular dislocation should be performed respecting the minimum limit of 8.83 mm medially.

  17. When Words of Wisdom are not Wise:A Study of Accessibility in Museum Exhibition Texts

    OpenAIRE

    Kjeldsen, Anna Karina; Nisbeth Jensen, Matilde

    2015-01-01

    Abstract: This article presents a study of the linguistic accessibility of Danish museum exhibition texts. The point of departure is the well-established paradigm shift in the international museum field proclaiming that today’s museums should strive to give physical and intellectual access to all visitors regardless of their social, cultural and intellectual backgrounds. The study explores to what extent Danish museums provide broad linguistic accessibility in their exhibition texts through t...

  18. Determinación de la tensión de laminación en caliente a partir de ensayos de tracción

    Directory of Open Access Journals (Sweden)

    Monsalve, A.

    2013-02-01

    Full Text Available Prediction of mechanical behavior of hot rolled steels is an important aspect during industrial processing. The rolling stress needed to the process were estimated using three methods, the first of which is related to the Sellars`s model that takes into account the friction coefficient and the yield stress. The second method estimates the rolling stress as the average stress obtained during the tensile tests. The third method, estimates the rolling stress from the data of power consumed by the rolling equipment. This methodology was applied in this study to a carbon steel. The conclusion of the work is that results obtained by Sellars`s and consumed power, are coincident. The method based on the average tensile stress predicts stresses lower than those obtained with other two methods.

    La predicción del comportamiento mecánico de aceros laminados en caliente es un aspecto importante durante el procesamiento industrial. En el presente trabajo, las tensiones necesarias para el proceso de laminado, fueron estimadas usando tres métodos, el primero de los cuales se basa en la aplicación del modelo de Sellars, que toma en cuenta el coeficiente de fricción y el límite elástico. El segundo método, estima la tensión de laminado a partir de la tensión promedio obtenida durante los ensayos de tracción. El tercer método, estima la tensión de laminado a partir de los datos de potencia consumida por el equipo de laminación. Esta metodología fue aplicada en este estudio a un acero al carbono. La conclusión de este trabajo es que los resultados obtenidos por los métodos basados en el modelo de Sellars y de la potencia consumida, son coincidentes, en tanto que el método basado en la tensión de tracción, presenta valores ligeramente menores a los predichos por los otros modelos.

  19. COMPORTAMIENTO DE UNA MEZCLA DENSA DE ASFALTO EN CALIENTE MODIFICADA CON DESECHO DE POLICLORURO DE VINILO (PVC

    Directory of Open Access Journals (Sweden)

    Hugo Alexander Rondón Quintana

    2008-01-01

    Full Text Available En el mundo la tecnología de los asfaltos modificados ha sido una técnicaampliamente utilizada para mejorar las características que presentan las mezclasasfálticas convencionales cuando experimentan niveles elevados de tránsito ygradientes de temperatura. Por lo general lo que se busca con este tipo detecnología es mejorar algunas de las propiedades mecánicas y reológicas de losasfaltos y las mezclas asfálticas convencionales tales como la susceptibilidad térmica, la rigidez, y la resistencia al envejecimiento, a las deformaciones plásticas ya la fatiga. El artículo presenta los resultados experimentales de ensayar una mezcla asfáltica densa en caliente modificada con desecho de policloruro de vinilo (el cual se denominará en el presente trabajo PVC. Para la evaluación del comportamiento de las mezclas asfálticas convencionales y modificadas se realizaron ensayos Marshall, módulo dinámico y deformación permanente. Para el cemento asfáltico (CA con y sin aditivo se realizaron ensayos de caracterización de asfaltos como penetración, punto de ablandamiento y viscosidad. La modificación de las mezclas se realizó por vía húmeda y seca. Adicionando desecho de PVC al cemento asfáltico y a las mezclas, se obtiene un material más rígido con mayor resistencia a la penetración y menor susceptibilidad térmica a fluir.

  20. Rebuilding Haiti's Educational Access: A Phenomenological Study of Technology Use in Education Delivery

    Science.gov (United States)

    Sandiford, Gladwyn A.

    2013-01-01

    There is a lack of access to technology blended with face-to-face instruction and learning in Haiti. Despite this lack of access, some Haitian college students have nevertheless leveraged technology to overcome the obstacles of poverty and obtain a higher education. This phenomenological study explored the lived experiences of 20 adult…

  1. Telecommunications as a means to access health information: an exploratory study of migrants in australia.

    Science.gov (United States)

    Greenstock, Louise; Woodward-Kron, Robyn; Fraser, Catriona; Bingham, Amie; Naccarella, Lucio; Elliott, Kristine; Morris, Michal

    2012-12-28

    Health policies increasingly promote e-health developments (e.g., consumers' access to online health information) to engage patients in their health care. In order to make these developments available for culturally and socially diverse communities, not only do Internet accessibility, literacy and e-health literacy need to be taken into account, but consumers' preferences and information seeking behaviours for accessing health information have also to be understood. These considerations are crucial when designing major new health policy directions, especially for migration destination countries with culturally diverse populations, such as Australia. The aim of this study was to examine how people from a culturally and linguistically diverse (CALD) community use telecommunications (phone, mobile, Internet) to access health information. A case study was conducted using a questionnaire exploring the use of telecommunications to access health information among CALD people. The study was carried out at a community health centre in a socially and economically disadvantaged area of Melbourne, a city of 4 million people with a large CALD and migrant population. Questionnaires were translated into three languages and interpreters were provided. Fifty-nine questionnaires were completed by users of the community health centre. Most of the CALD participants did not have access to the Internet at home and very few reported using telecommunications to access health information. The findings of the study suggest that telecommunications are not necessarily perceived to be an important channel for accessing health information by members of the CALD community.

  2. Rebuilding Haiti's Educational Access: A Phenomenological Study of Technology Use in Education Delivery

    Science.gov (United States)

    Sandiford, Gladwyn A.

    2013-01-01

    There is a lack of access to technology blended with face-to-face instruction and learning in Haiti. Despite this lack of access, some Haitian college students have nevertheless leveraged technology to overcome the obstacles of poverty and obtain a higher education. This phenomenological study explored the lived experiences of 20 adult…

  3. Increasing Access to Evidence-Based Practices and Knowledge and Attitudes: A Pilot Study

    Science.gov (United States)

    Leathers, Sonya J.; Strand, Tonya C.

    2013-01-01

    Objective: This pilot study examined the effect of increasing field instructors access to information about evidence-based practices (EBPs) on their level of knowledge and attitudes about EBPs. Method: Eighteen field instructors received training and access to a library with extensive online journals. Half were randomly selected to also receive a…

  4. Telecommunications as a means to access health information: an exploratory study of migrants in Australia

    Directory of Open Access Journals (Sweden)

    Louise Greenstock

    2012-10-01

    Full Text Available Background. Health policies increasingly promote e-health developments (e.g., consumers’ access to online health information to engage patients in the health care. In order to make these developments available for culturally and socially diverse communities, not only do Internet accessibility, literacy and e-health literacy need to be taken into account, but consumers’ preferences and information seeking behaviours for accessing health information have also to be understood. These considerations are crucial when designing major new health policy directions, especially for migration destination countries with culturally diverse populations, such as Australia. The aim of this study was to examine how people from a culturally and linguistically diverse (CALD community use telecommunications (phone, mobile, Internet to access health information. Design and Methods. A case study was conducted using a questionnaire exploring the use of telecommunications to access health information among CALD people. The study was carried out at a community health centre in a socially and economically disadvantaged area of Melbourne, a city of 4 million people with a large CALD and migrant population. Questionnaires were translated into three languages and interpreters were provided. Fifty-nine questionnaires were completed by users of the community health centre. Results. Most of the CALD participants did not have access to the Internet at home and very few reported using telecommunications to access health information. Conclusions. The findings of the study suggest that telecommunications are not necessarily perceived to be an important channel for accessing health information by members of the CALD community.

  5. Electronic doors to education: study of high school website accessibility in Iowa.

    Science.gov (United States)

    Klein, David; Myhill, William; Hansen, Linda; Asby, Gary; Michaelson, Susan; Blanck, Peter

    2003-01-01

    The Americans with Disabilities Act (ADA), and Sections 504 and 508 of the Rehabilitation Act, prohibit discrimination against people with disabilities in all aspects of daily life, including education, work, and access to places of public accommodations. Increasingly, these antidiscrimination laws are used by persons with disabilities to ensure equal access to e-commerce, and to private and public Internet websites. To help assess the impact of the anti-discrimination mandate for educational communities, this study examined 157 website home pages of Iowa public high schools (52% of high schools in Iowa) in terms of their electronic accessibility for persons with disabilities. We predicted that accessibility problems would limit students and others in obtaining information from the web pages as well as limiting ability to navigate to other web pages. Findings show that although many web pages examined included information in accessible formats, none of the home pages met World Wide Web Consortium (W3C) standards for accessibility. The most frequent accessibility problem was lack of alternative text (ALT tags) for graphics. Technical sophistication built into pages was found to reduce accessibility. Implications are discussed for schools and educational institutions, and for laws, policies, and procedures on website accessibility. Copyright 2003 John Wiley & Sons, Ltd.

  6. EVALUACIÓN ESPACIO-TEMPORAL DE VEGETACIÓN Y USO DE SUELO DE LA CUENCA RÍO CALIENTE, JALISCO, MÉXICO.

    OpenAIRE

    H.U. Ramírez-Sánchez; M.E. García-Guadalupe; G. Villalpando-Piña

    2013-01-01

    El territorio mexicano ha sufrido un proceso acelerado de degradación de bosques con transformación en áreas de uso agropecuario o urbano. Los estudios de procesos dinámicos del uso del suelo son importantes y necesarios, ya que proporcionan información de la degradación producto de factores antrópicos. El objetivo de este trabajo fue identificar y cuantificar la variación espacial de los tipos de vegetación y usos de suelo en la Cuenca Río Caliente del Área de Protección de Flora y Fauna La ...

  7. CARACTERÍSTICAS DEL QUESO TEPEQUE DE LA TIERRA CALIENTE DE MICHOACÁN: UN QUESO PRODUCIDO EN UN SISTEMA SILVOPASTORIL INTENSIVO

    OpenAIRE

    Alejandra Donají Solís Méndez; Raquel Martínez Loperena; Javier Solorio Sánchez; Julieta G. Estrada Flores; Francisca Avilés Nova; Ana Tarin Gutiérrez Ibáñez; Octavio Alonso Castelán Ortega

    2013-01-01

    El objetivo del presente estudio fue describir las características del Queso Tepeque de la Tierra Caliente del Estado de Michoacán en términos de su región de origen, proceso de manufactura, características fisicoquímicas y microbiológicas, y documentar los cambios atribuibles a la implementación de un sistema silvopastoril intensivo (SSPi) para la alimentación del ganado. La metodología consintió en visitar la zona de estudio para recolectar información sobre el territorio donde se produce e...

  8. Access to electronic health knowledge in five countries in Africa: a descriptive study

    Directory of Open Access Journals (Sweden)

    Honorati Masanja

    2007-05-01

    Full Text Available Abstract Background Access to medical literature in developing countries is helped by open access publishing and initiatives to allow free access to subscription only journals. The effectiveness of these initiatives in Africa has not been assessed. This study describes awareness, reported use and factors influencing use of on-line medical literature via free access initiatives. Methods Descriptive study in four teaching hospitals in Cameroon, Nigeria, Tanzania and Uganda plus one externally funded research institution in The Gambia. Survey with postgraduate doctors and research scientists to determine Internet access patterns, reported awareness of on-line medical information and free access initiatives; semi structured interviews with a sub-sample of survey participants to explore factors influencing use. Results In the four African teaching hospitals, 70% of the 305 postgraduate doctors reported textbooks as their main source of information; 66% had used the Internet for health information in the last week. In two hospitals, Internet cafés were the main Internet access point. For researchers at the externally-funded research institution, electronic resources were their main source, and almost all had used the Internet in the last week. Across all 333 respondents, 90% had heard of PubMed, 78% of BMJ on line, 49% the Cochrane Library, 47% HINARI, and 19% BioMedCentral. HINARI use correlates with accessing the Internet on computers located in institutions. Qualitative data suggested there are difficulties logging into HINARI and that sometimes it is librarians that limit access to passwords. Conclusion Text books remain an important resource for postgraduate doctors in training. Internet use is common, but awareness of free-access initiatives is limited. HINARI and other initiatives could be more effective with strong institutional endorsement and management to promote and ensure access.

  9. Addressing geographic access barriers to emergency care services: a national ecologic study of hospitals in Brazil.

    Science.gov (United States)

    Rocha, Thiago Augusto Hernandes; da Silva, Núbia Cristina; Amaral, Pedro Vasconcelos; Barbosa, Allan Claudius Queiroz; Rocha, João Victor Muniz; Alvares, Viviane; de Almeida, Dante Grapiuna; Thumé, Elaine; Thomaz, Erika Bárbara Abreu Fonseca; de Sousa Queiroz, Rejane Christine; de Souza, Marta Rovery; Lein, Adriana; Lopes, Daniel Paulino; Staton, Catherine A; Vissoci, João Ricardo Nickenig; Facchini, Luiz Augusto

    2017-08-22

    Unequal distribution of emergency care services is a critical barrier to be overcome to assure access to emergency and surgical care. Considering this context it was objective of the present work analyze geographic access barriers to emergency care services in Brazil. A secondary aim of the study is to define possible roles to be assumed by small hospitals in the Brazilian healthcare network to overcome geographic access challenges. The present work can be classified as a cross-sectional ecological study. To carry out the present study, data of all 5843 Brazilian hospitals were categorized among high complexity centers and small hospitals. The geographical access barriers were identified through the use of two-step floating catchment area method. Once concluded the previous step an evaluation using the Getis-Ord-Gi method was performed to identify spatial clusters of municipalities with limited access to high complexity centers but well covered by well-equipped small hospitals. The analysis of accessibility index of high complexity centers highlighted large portions of the country with nearly zero hospital beds by inhabitant. In contrast, it was possible observe a group of 1595 municipalities with high accessibility to small hospitals, simultaneously with a low coverage of high complexity centers. Among the 1595 municipalities with good accessibility to small hospitals, 74% (1183) were covered by small hospitals with at least 60% of minimum emergency service requirements. The spatial clusters analysis aggregated 589 municipalities with high values related to minimum emergency service requirements. Small hospitals in these 589 cities could promote the equity in access to emergency services benefiting more than eight million people. There is a spatial disequilibrium within the country with prominent gaps in the health care network for emergency services. Taking this challenge into consideration, small hospitals could be a possible solution and foster equity in access

  10. Geology, geochemistry, geochronology, and economic potential of Neogene volcanic rocks in the Laguna Pedernal and Salar de Aguas Calientes segments of the Archibarca lineament, northwest Argentina

    Science.gov (United States)

    Richards, J. P.; Jourdan, F.; Creaser, R. A.; Maldonado, G.; DuFrane, S. A.

    2013-05-01

    This study presents new geochemical, geochronological, isotopic, and mineralogical data, combined with new geological mapping for a 2400 km2 area of Neogene volcanic rocks in northwestern Argentina near the border with Chile, between 25°10‧S and 25°45‧S. The area covers the zone of intersection between the main axis of the Cordillera Occidental and a set of NW-SE-trending structures that form part of the transverse Archibarca lineament. This lineament has localized major ore deposits in Chile (e.g., the late Eocene La Escondida porphyry Cu deposit) and large volcanic centers such as the active Llullaillaco and Lastarría volcanoes on the border between Chile and Argentina, and the Neogene Archibarca, Antofalla, and Cerro Galán volcanoes in Argentina. Neogene volcanic rocks in the Laguna Pedernal and Salar de Aguas Calientes areas are mostly high-K calc-alkaline in composition, and range from basaltic andesites, through andesites and dacites, to rhyolites. Magmatic temperatures and oxidation states, estimated from mineral compositions, range from ~ 1000 °C and ∆FMQ ≈ 1.0-1.5 in andesites, to ~ 850 °C and ∆FMQ ≈ 1.5-2.0 in dacites and rhyolites. The oldest rocks consist of early-middle Miocene andesite-dacite plagioclase-pyroxene-phyric lava flows and ignimbrites, with 40Ar/39Ar ages ranging from 17.14 ± 0.10 Ma to 11.76 ± 0.27 Ma. Their major and trace element compositions are typical of the Andean Central Volcanic Zone, and show strong crustal contamination trends for highly incompatible elements such as Cs, Rb, Th, and U. These rocks are geochemically grouped as sub-suite 1. This widespread intermediate composition volcanism was followed in the middle-late Miocene by a period of more focused rhyodacitic flow-dome complex formation. These felsic rocks are characterized by less extreme enrichments in highly incompatible elements, and increasing depletion of heavy rare earth elements. These rocks are geochemically grouped as sub-suite 2. The

  11. Assessing potential spatial accessibility of health services in rural China: a case study of Donghai County.

    Science.gov (United States)

    Hu, Ruishan; Dong, Suocheng; Zhao, Yonghong; Hu, Hao; Li, Zehong

    2013-05-20

    There is a great health services disparity between urban and rural areas in China. The percentage of people who are unable to access health services due to long travel times increases. This paper takes Donghai County as the study unit to analyse areas with physician shortages and characteristics of the potential spatial accessibility of health services. We analyse how the unequal health services resources distribution and the New Cooperative Medical Scheme affect the potential spatial accessibility of health services in Donghai County. We also give some advice on how to alleviate the unequal spatial accessibility of health services in areas that are more remote and isolated. The shortest traffic times of from hospitals to villages are calculated with an O-D matrix of GIS extension model. This paper applies an enhanced two-step floating catchment area (E2SFCA) method to study the spatial accessibility of health services and to determine areas with physician shortages in Donghai County. The sensitivity of the E2SFCA for assessing variation in the spatial accessibility of health services is checked using different impedance coefficient valuesa. Geostatistical Analyst model and spatial analyst method is used to analyse the spatial pattern and the edge effect of potential spatial accessibility of health services. The results show that 69% of villages have access to lower potential spatial accessibility of health services than the average for Donghai County, and 79% of the village scores are lower than the average for Jiangsu Province. The potential spatial accessibility of health services diminishes greatly from the centre of the county to outlying areas. Using a smaller impedance coefficient leads to greater disparity among the villages. The spatial accessibility of health services is greater along highway in the county. Most of villages are in underserved health services areas. An unequal distribution of health service resources and the reimbursement policies of the

  12. ACCESSIBLE BUILT ENVIRONMENT FOR THE ELDERLY AND DISABLED IN MALAYSIA: HOTELS AS CASE STUDIES

    National Research Council Canada - National Science Library

    Asiah Abdul Rahim; Nur Amirah Abd. Samad

    2010-01-01

    In Malaysia, it has become of increasing importance to study ways to improve the level of accessibility in buildings for the elderly and disabled people in the built environment, especially in hotels and resorts...

  13. Taking the Plunge: Open Access at the "Canadian Journal of Sociology." Case Studies in Open Access Publishing. Number Five

    Science.gov (United States)

    Haggerty, Kevin D.

    2008-01-01

    Introduction: Presents a personal account of the transfer to open access of the leading Canadian journal of sociology. Background: The Canadian Journal of Sociology had established a strong position, internationally, among sociology journals. However, subscriptions were falling as readers increasingly accessed the resource through libraries and a…

  14. Right to health, essential medicines, and lawsuits for access to medicines--a scoping study.

    Science.gov (United States)

    Vargas-Peláez, Claudia Marcela; Rover, Marina Raijche Mattozo; Leite, Silvana Nair; Rossi Buenaventura, Francisco; Farias, Mareni Rocha

    2014-11-01

    Despite countries' efforts to ensure access to essential medicines, some people do not have their needs met, and often resort to the Judiciary to get access to the medicines they need. This phenomenon, known as "judicialization of access to medicines", has aroused the academia's interest in law, health and social fields. In this context, this scoping study investigates, through qualitative thematic analysis, the approach to judicialization of access to medicines (normative or social) and its possible impacts (positive or negative) described in articles published in scientific journals indexed in the main health databases prior to July 2012. 65 of 384 papers met the inclusion criteria of focusing on lawsuits for access to medicines or judicialization of access to medicines as a phenomenon; empiric studies, review articles or theoretical discussions, written in English, Portuguese or Spanish; most of them were about Brazil, Colombia and England. Results show that judicialization is a complex phenomenon that involves technical-scientific, legal and social aspects. The judicialization impacts mentioned have changed over time. In the late 1990s and early 2000s the emphasis of positive impacts predominated both on the normative and social approaches, having as main reference the movements that claimed from the States the guarantee of access to HIV/AIDS treatment. In the mid-2000s, however, there was an emphasis of the negative effects of judicial intervention, when lawsuits for access to medicines became a problem in some countries. Few studies used the social approach to judicialization. For this reason, there is not enough information about whether lawsuits for access to medicines are related to a real recognition of the right to health as an exercise of citizenship. Such aspects need to be further studied.

  15. INFLUENCIA DE UN PRE-TRATAMIENTO OSMÓTICO SOBRE LA DESHIDRATACIÓN POR AIRE CALIENTE DE MANZANA GRANNY SMITH

    Directory of Open Access Journals (Sweden)

    LUIS PUENTE

    2010-01-01

    Full Text Available En este trabajo se estudió la influencia de un pretratamiento osmótico (DO a tres concentraciones (30, 40 y 50 ºBrix sobre un proceso de deshidratación de manzana por aire caliente (SAC a dos temperaturas (55 y 65 ºC. Las velocidades de deshidratación fueron mayores para las manzanas pretratadas en comparación al producto fresco, distinguiéndose una corta primera etapa de inducción solo en SAC, en ambos tipos de tratamiento (DO+SAC una imperceptible segunda etapa de velocidad constante, y una clara tercera etapa de velocidad de deshidratación decreciente I y II. La velocidad de deshidratación se modeló utilizando las ecuaciones de Newton, Page y HendersonPabis. De estos modelos el que mejor explica el proceso fue la ecuación de Page, seguida por Newton y HendersonPabis. Respecto de la temperatura, los niveles ensayados fueron significativos como factor de proceso al presentar una interacción con los pretratamientos osmóticos. La mejor condición la conformó el pretratamiento osmótico DO 50º Brix con aire caliente SAC 65 ºC.

  16. Constraining the Late Mesozoic and Early Tertiary Tectonic Evolution of Southern Mexico: Structure and Deformation History of the Tierra Caliente Region.

    Science.gov (United States)

    Cabral-Cano; Draper; Lang; Harrison

    2000-07-01

    We analyze the structure and assess the deformation history of the Tierra Caliente Metamorphic Complex (TCMC) of southern Mexico, where Laramide accretion of exotic terranes is in debate. The TCMC consists of a south-plunging antiform fault that is bounded on both its eastern and western flanks. Tierra Caliente Metamorphic Complex rocks show at least two phases of compressional deformation. The first and most prominent records a mean tectonic transport direction of 068 degrees. This phase is responsible for east-verging asymmetrical folding and thrusting of both metamorphic and superjacent sedimentary rocks. The second phase has an average transport direction of 232 degrees and is restricted to the western portion of the TCMC. A third phase is responsible for normal faulting. Lack of discernible deformation before Late Cretaceous time indicates that the main deformation phase is coincident with Laramide orogenesis elsewhere in the North American Cordillera. The stratigraphy, structure, and deformational history of the TCMC do not require accretion of exotic terranes. We explain the Mesozoic tectonostratigraphic evolution of the TCMC in terms of deposition and deformation of Mesozoic volcanic and sedimentary strata over the attenuated continental crust of the North American plate.

  17. An Observational Study of Consumers’ Accessing of Nutrition Information in Chain Restaurants

    Science.gov (United States)

    Agnew, Henry; Brownell, Kelly D.

    2009-01-01

    In this observational study, we determined how frequently consumers accessed on-premises nutrition information provided at chain restaurants. The number of patrons entering and accessing nutrition information was recorded at 8 locations that were part of 4 major restaurant chains (McDonald's, Burger King, Starbucks, and Au Bon Pain). Only 6 (0.1%) of 4311 patrons accessed on-premises nutrition information before purchasing food. This very small percentage suggests that such information should be more prominently displayed, such as on restaurant menu boards, to help customers make informed decisions. PMID:19299679

  18. A factor analytic study of attitudinal structure and its impact on rural landowners' access policies

    Science.gov (United States)

    Wright, Brett A.; Fesenmaier, Daniel R.

    1990-03-01

    Previous research has shown that rural landowners' hunter access policies are determined in large part by their attitudes towards hunters, legal liability, conservation, and economic incentives. The results of this study support this research and indicate that East Texas, USA, landowners' decisions to allow or restrict access are based, in part, on attitudes toward hunter behavior, hunting as a social activity, leasing as a management practice, and a perceived obligation toward wildlife stewardship. Attitude-based profiles of landowners who adopted one of four access policies are compared.

  19. An observational study of consumers' accessing of nutrition information in chain restaurants.

    Science.gov (United States)

    Roberto, Christina A; Agnew, Henry; Brownell, Kelly D

    2009-05-01

    In this observational study, we determined how frequently consumers accessed on-premises nutrition information provided at chain restaurants. The number of patrons entering and accessing nutrition information was recorded at 8 locations that were part of 4 major restaurant chains (McDonald's, Burger King, Starbucks, and Au Bon Pain). Only 6 (0.1%) of 4311 patrons accessed on-premises nutrition information before purchasing food. This very small percentage suggests that such information should be more prominently displayed, such as on restaurant menu boards, to help customers make informed decisions.

  20. Valency, Secondary Frequency, and Lexical Access: A Japanese Study.

    Science.gov (United States)

    Yamada, Jun; Kayamoto, Yuriko

    1998-01-01

    A study examined the effects of valency (associative value representing the number of two-kanji words containing the first-positional kanji of the word) on recognition of two-kanji words in Japanese. Frequency and valency of the first constituent kanji were significant factors for word recognition, and frequency of the first constituent kanji was…

  1. Lessons Learned from a Disabilities Accessible Study Abroad Trip

    Science.gov (United States)

    Twill, Sarah E.; Guzzo, Gaetano R.

    2012-01-01

    In the summer of 2009, a two-week study abroad program was specifically designed and executed to include students with disabilities. Recruitment efforts resulted in 11 student participants, six of who were identified as having a disability by the University's Office of Disability Services. Students participated in a two-course academic program;…

  2. STUDYING THE SECONDARY STRUCTURE OF ACCESSION NUMBER USING CETD MATRIX

    Directory of Open Access Journals (Sweden)

    Anamika Dutta

    2016-10-01

    Full Text Available This paper, we have tried to analyze about the Secondary Structure of nucleotide sequences of rice. The data have been collected from NCBI (National Centre for Biotechnology Information using Nucleotide as data base. All the programs were developed using R programming language using “sequinr” package. Here, we have used CETD matrix method to study the prediction. The conclusions are drawn accordingly.

  3. Lexical access changes in patients with multiple sclerosis: a two-year follow-up study.

    Science.gov (United States)

    Sepulcre, Jorge; Peraita, Herminia; Goni, Joaquin; Arrondo, Gonzalo; Martincorena, Inigo; Duque, Beatriz; Velez de Mendizabal, Nieves; Masdeu, Joseph C; Villoslada, Pablo

    2011-02-01

    The aim of the study was to analyze lexical access strategies in patients with multiple sclerosis (MS) and their changes over time. We studied lexical access strategies during semantic and phonemic verbal fluency tests and also confrontation naming in a 2-year prospective cohort of 45 MS patients and 20 healthy controls. At baseline, switching lexical access strategy (both in semantic and in phonemic verbal fluency tests) and confrontation naming were significantly impaired in MS patients compared with controls. After 2 years follow-up, switching score decreased, and cluster size increased over time in semantic verbal fluency tasks, suggesting a failure in the retrieval of lexical information rather than an impairment of the lexical pool. In conclusion, these findings underline the significant presence of lexical access problems in patients with MS and could point out their key role in the alterations of high-level communications abilities in MS.

  4. Mobile devices and weak ties: a study of vision impairments and workplace access in Bangalore.

    Science.gov (United States)

    Pal, Joyojeet; Lakshmanan, Meera

    2015-07-01

    To explore ways in which social and economic interactions are changed by access to mobile telephony. This is a mixed-methods study of mobile phone use among 52 urban professionals with vision impairments in Bangalore, India. Interviews and survey results indicated that mobile devices, specifically those with adaptive technology software, play a vital role as multi-purpose devices that enable people with disabilities to navigate economically and socially in an environment where accessibility remains a significant challenge. We found that mobile devices play a central role in enabling and sustaining weak ties, but also that these weak ties have important gender-specific implications. We found that women have less access to weak ties than men, which impacts women's access to assistive technology (AT). This has potential implications for women's sense of safety and independence, both of which are strongly related to AT access. Implications for Rehabilitation Adaptive technologies increase individuals' ability to keep in contact with casual connections or weak ties through phone calls or social media. Men tend to have stronger access to weak ties than women in India due to cultural impediments to independent access to public spaces. Weak ties are an important source of assistive technology (AT) due to the high rate of resale of used AT, typically through informal networks.

  5. Spatial accessibility to specific sport facilities and corresponding sport practice: the RECORD Study.

    Science.gov (United States)

    Karusisi, Noëlla; Thomas, Frédérique; Méline, Julie; Chaix, Basile

    2013-04-20

    Physical activity is considered as a major component of a healthy lifestyle. However, few studies have examined the relationships between the spatial accessibility to sport facilities and sport practice with a sufficient degree of specificity. The aim of this study was to investigate the associations between the spatial accessibility to specific types of sports facilities and the practice of the corresponding sports after carefully controlling for various individual socio-demographic characteristics and neighborhood socioeconomic variables. Data from the RECORD Study involving 7290 participants recruited in 2007-2008, aged 30-79 years, and residing in the Paris metropolitan area were analyzed. Four categories of sports were studied: team sports, racket sports, swimming and related activities, and fitness. Spatial accessibility to sport facilities was measured with two complementary approaches that both take into account the street network (distance to the nearest facility and count of facilities around the dwelling). Associations between the spatial accessibility to sport facilities and the practice of the corresponding sports were assessed using multilevel logistic regression after adjusting for individual and contextual characteristics. High individual education and high household income were associated with the practice of racket sports, swimming or related activities, and fitness over the previous 7 days. The spatial accessibility to swimming pools was associated with swimming and related sports, even after adjustment for individual/contextual factors. The spatial accessibility to facilities was not related to the practice of other sports. High neighborhood income was associated with the practice of a racket sport and fitness. Accessibility is a multi-dimensional concept that integrates educational, financial, and geographical aspects. Our work supports the evidence that strategies to increase participation in sport activities should improve the spatial and

  6. Using BRFSS Data to Study the Relationship between Access and Total Force Fitness

    Science.gov (United States)

    2014-07-18

    realized access. To obtain accurate variance estimates under the BRFSS complex survey design, data were analyzed using the ffiM- SPSS Complex Samples...realized access. To obtain accurate variance estimates under the BRFSS complex survey design, data were analyzed using the IBM- SPSS Complex Samples...The study sample was created in the Statistical Program for Social Sciences [ SPSS ] (version 20, IBM, Chicago, IL). To create the sample, data for all

  7. A Qualitative Study of Barriers to Accessing Water, Sanitation and Hygiene for Disabled People in Malawi.

    Science.gov (United States)

    White, Sian; Kuper, Hannah; Itimu-Phiri, Ambumulire; Holm, Rochelle; Biran, Adam

    2016-01-01

    Globally, millions of people lack access to improved water, sanitation and hygiene (WASH). Disabled people, disadvantaged both physically and socially, are likely to be among those facing the greatest inequities in WASH access. This study explores the WASH priorities of disabled people and uses the social model of disability and the World Health Organization's International Classification of Functioning, Disability and Health (ICF) framework to look at the relationships between impairments, contextual factors and barriers to WASH access. 36 disabled people and 15 carers from urban and rural Malawi were purposively selected through key informants. The study employed a range of qualitative methods including interviews, emotion mapping, free-listing of priorities, ranking, photo voice, observation and WASH demonstrations. A thematic analysis was conducted using nVivo 10. WASH access affected all participants and comprised almost a third of the challenges of daily living identified by disabled people. Participants reported 50 barriers which related to water and sanitation access, personal and hand hygiene, social attitudes and participation in WASH programs. No two individuals reported facing the same set of barriers. This study found that being female, being from an urban area and having limited wealth and education were likely to increase the number and intensity of the barriers faced by an individual. The social model proved useful for classifying the majority of barriers. However, this model was weaker when applied to individuals who were more seriously disabled by their body function. This study found that body function limitations such as incontinence, pain and an inability to communicate WASH needs are in and of themselves significant barriers to adequate WASH access. Understanding these access barriers is important for the WASH sector at a time when there is a global push for equitable access.

  8. Istanbul Inspirations - Case: A Study on the Accessibility of Historical Attractions

    OpenAIRE

    2014-01-01

    The aim of this thesis was to find out the current level of accessibility in few of the most important and historical tourist attractions in the city of Istanbul: Hippodrome, Hagia Sophia Museum and Blue Mosque. Also the accessibility of the surrounding area, Sultanahmet Square, and the transportation possibilities were assessed, for finding out how easily a person with disability or restriction can reach the selected attractions. The further purpose for the study was to find out if Istanbul ...

  9. A Qualitative Study of Barriers to Accessing Water, Sanitation and Hygiene for Disabled People in Malawi.

    Directory of Open Access Journals (Sweden)

    Sian White

    Full Text Available Globally, millions of people lack access to improved water, sanitation and hygiene (WASH. Disabled people, disadvantaged both physically and socially, are likely to be among those facing the greatest inequities in WASH access. This study explores the WASH priorities of disabled people and uses the social model of disability and the World Health Organization's International Classification of Functioning, Disability and Health (ICF framework to look at the relationships between impairments, contextual factors and barriers to WASH access. 36 disabled people and 15 carers from urban and rural Malawi were purposively selected through key informants. The study employed a range of qualitative methods including interviews, emotion mapping, free-listing of priorities, ranking, photo voice, observation and WASH demonstrations. A thematic analysis was conducted using nVivo 10. WASH access affected all participants and comprised almost a third of the challenges of daily living identified by disabled people. Participants reported 50 barriers which related to water and sanitation access, personal and hand hygiene, social attitudes and participation in WASH programs. No two individuals reported facing the same set of barriers. This study found that being female, being from an urban area and having limited wealth and education were likely to increase the number and intensity of the barriers faced by an individual. The social model proved useful for classifying the majority of barriers. However, this model was weaker when applied to individuals who were more seriously disabled by their body function. This study found that body function limitations such as incontinence, pain and an inability to communicate WASH needs are in and of themselves significant barriers to adequate WASH access. Understanding these access barriers is important for the WASH sector at a time when there is a global push for equitable access.

  10. Assessing potential spatial accessibility of health services in rural China: a case study of Donghai county

    OpenAIRE

    Hu, Ruishan; Dong, Suocheng; Zhao, Yonghong; Hu, Hao; Li, Zehong

    2013-01-01

    Introduction There is a great health services disparity between urban and rural areas in China. The percentage of people who are unable to access health services due to long travel times increases. This paper takes Donghai County as the study unit to analyse areas with physician shortages and characteristics of the potential spatial accessibility of health services. We analyse how the unequal health services resources distribution and the New Cooperative Medical Scheme affect the potential sp...

  11. A Qualitative Study of Barriers to Accessing Water, Sanitation and Hygiene for Disabled People in Malawi

    Science.gov (United States)

    Kuper, Hannah; Itimu-Phiri, Ambumulire; Holm, Rochelle; Biran, Adam

    2016-01-01

    Globally, millions of people lack access to improved water, sanitation and hygiene (WASH). Disabled people, disadvantaged both physically and socially, are likely to be among those facing the greatest inequities in WASH access. This study explores the WASH priorities of disabled people and uses the social model of disability and the World Health Organization’s International Classification of Functioning, Disability and Health (ICF) framework to look at the relationships between impairments, contextual factors and barriers to WASH access. 36 disabled people and 15 carers from urban and rural Malawi were purposively selected through key informants. The study employed a range of qualitative methods including interviews, emotion mapping, free-listing of priorities, ranking, photo voice, observation and WASH demonstrations. A thematic analysis was conducted using nVivo 10. WASH access affected all participants and comprised almost a third of the challenges of daily living identified by disabled people. Participants reported 50 barriers which related to water and sanitation access, personal and hand hygiene, social attitudes and participation in WASH programs. No two individuals reported facing the same set of barriers. This study found that being female, being from an urban area and having limited wealth and education were likely to increase the number and intensity of the barriers faced by an individual. The social model proved useful for classifying the majority of barriers. However, this model was weaker when applied to individuals who were more seriously disabled by their body function. This study found that body function limitations such as incontinence, pain and an inability to communicate WASH needs are in and of themselves significant barriers to adequate WASH access. Understanding these access barriers is important for the WASH sector at a time when there is a global push for equitable access. PMID:27171520

  12. Hot-pressing steatite bodies; Obtencion de eseatita por prensado en caliente

    Energy Technology Data Exchange (ETDEWEB)

    Aparicio Arroyo, E.

    1967-07-01

    Requirements for some special nuclear engineering ceramic shapes are: big size, impervious, dimensional accuracy and good mechanical and dielectric properties. Limitations of te conventional methods and advantages of te hot pressing techniques for the manufacturing of these shapes are discussed. Hot pressing characteristics of a certain steatite powder are studied. Occurrence of an optimum densification temperature just above the tale decomposition range is found. Experimental data show that the height/diameter ratio of the specimen has no effect on the sintering conditions. Increasing darkness from the graphite mould is detected above the optimum temperature. The hot-pressed steatite is compared with a fired dry-pressed sample of the same composition. (Author) 13 refs.

  13. Measuring spatial accessibility of urban parks: a case study of Qingdao City, China

    Science.gov (United States)

    Yin, Haiwei; Song, Yongjun; Kong, Fanhua; Qi, Yi

    2007-06-01

    Urban parks are the important recreation site for citizens, viewed as basal green infrastructure and crucial amenities in urban areas, and usually perform important ecological and socio-economic functions. With socio-economic development, Chinese people and governments pay much more attention to urban green spaces, especially urban parks, and more and more citizens have the desire for contact with nature, and are willing to live and work close to urban parks. Consequently, governments plan to optimize urban parks allocation in order to meet citizens' increasing needs. Quantification of accessibility of urban parks is a prerequisite to appraise and allocate them with equity as a tool for decision-making in planning. In this paper, supported by Remote Sensing and GIS, the accessibility of urban parks based on high resolution data was analyzed with minimum nearest distance method at the house level and container method at block groups scale, through a case study of Qingdao city, China. The distances between houses (origins) and urban parks (destinations) are measured as the Euclidian (straight-line) distance. Four levels of access, very good, good, poor and very poor, were classified based on the distance between residence and the nearest urban park, and the area of urban park per capita. Results demonstrate that the spatial patterns of accessibility are consentaneous on the whole by using two different methods, for the spatial pattern is relation to the distribution of urban parks. However, the accurateness in results is quite different. The accessibility of urban parks acquired by the minimum nearest distance method is more accurate and appropriate than under the container method. The results calculated with the container measure show that 58.07 % of block groups have very poor or poor access level, which means the accessibility of urban parks is not good in Qingdao city as a whole. In addition, the spatial pattern of the accessibility is not equipoise. The southern

  14. Assessing Accessibility in Four Library and Information Sciences Journals: A Comparative Study

    Directory of Open Access Journals (Sweden)

    Ali Sadatmoosavi

    2010-09-01

    Full Text Available The present study targets the rate of accessibility and decay of internet citations for the articles published in four LIS journals available through Emerald database for the 2005-2008 period. The findings indicated that of the 2886 URL cited, 1858 (64% were accessible while the rest were inaccessible. Using Internet Explorer, Internet Archive and Google, the inaccessible citations were reduced to 5%. URL accessibility demonstrated that 60% of the internet based citations are accessible through the URL cited. Among the error messages received, file error represented the highest (61%. URL distribution showed that the. net and. gov domains are more enduring and persistant when compared with. edu,. org and. com domains. The average internet citation for each article was 4.8.

  15. An evaluation of edge effects in nutritional accessibility and availability measures: a simulation study

    Directory of Open Access Journals (Sweden)

    Porter Dwayne E

    2010-07-01

    Full Text Available Abstract Background This paper addresses the statistical use of accessibility and availability indices and the effect of study boundaries on these measures. The measures are evaluated via an extensive simulation based on cluster models for local outlet density. We define outlet to mean either food retail store (convenience store, supermarket, gas station or restaurant (limited service or full service restaurants. We designed a simulation whereby a cluster outlet model is assumed in a large study window and an internal subset of that window is constructed. We performed simulations on various criteria including one scenario representing an urban area with 2000 outlets as well as a non-urban area simulated with only 300 outlets. A comparison is made between estimates obtained with the full study area and estimates using only the subset area. This allows the study of the effect of edge censoring on accessibility measures. Results The results suggest that considerable bias is found at the edges of study regions in particular for accessibility measures. Edge effects are smaller for availability measures (when not smoothed and also for short range accessibility Conclusions It is recommended that any study utilizing these measures should correct for edge effects. The use of edge correction via guard areas is recommended and the avoidance of large range distance-based accessibility measures is also proposed.

  16. Access to means of suicide, occupation and the risk of suicide: a national study over 12 years of coronial data

    National Research Council Canada - National Science Library

    A Milner; K Witt; H Maheen; AD LaMontagne

    2017-01-01

    .... This study investigated whether occupations with greater access to lethal means had higher suicide rates than those without access, and further, whether this relationship differed for females versus males...

  17. Disability inclusion in primary health care in Nepal: an explorative study of perceived barriers to access governmental health services.

    NARCIS (Netherlands)

    Hees, S. van; Cornielje, H.; Wagle, P.; Veldman, E.

    2014-01-01

    Purpose: Persons with disabilities face additional barriers in accessing primary healthcare services, especially in developing countries. Consequently the prevalence of secondary health conditions is higher among this population. This study aims to explore the perceived barriers to access primary

  18. Criterios de predicción de inestabilidades plásticas en procesos de conformado en caliente. (Parte II. Caracterización de la fluencia plástica de un acero microaleado de medio carbono usando criterios continuos y fenomenológicos

    Directory of Open Access Journals (Sweden)

    Al Omar, A.

    2010-04-01

    Full Text Available In the study of hot forming processes the knowledge of interaction between microstructural behaviour and control process parameters such as temperature, strain rate and strain is very important. In the last decades, processing maps have been developed to design, control and optimize the hot deformation of various metallic materials. In this work, in order to study the hot formability of medium carbon microalloyed steel, during hot compression tests, a comparative study between two types of processing maps constructed using phenomenological and thermodynamic continuum criteria have been carried out. The analysis of the maps indicates that the studied steel does not undergo any type of plastic instability. However, the maps corresponding to the deformation of ε = 0,6 reveal a domain of dynamic recrystallization, considered as the more efficiently domain within the “safe” region process. This domain is centered at 1150 °C and 10 s–1. Also, the comparative study of the obtained results shows the difference between the positions of plastic deformation domains predicted by the two criteria.

    En el estudio de los procesos de conformado en caliente es muy importante conocer la interacción entre el comportamiento microestructural y los parámetros de control del proceso de deformación, tales como temperatura, velocidad de deformación, deformación, etc. En las últimas décadas, los mapas de procesado han sido elaborados para diseñar, controlar y optimizar la deformación en caliente de varios materiales metálicos. En el presente trabajo, con el fin de estudiar la conformabilidad en caliente de un acero microaleado de medio carbono, durante ensayos de compresión en caliente, se presenta un estudio comparativo entre dos tipos de mapas de procesado construidos usando criterios termodinámicos continuos y criterios fenomenológicos. El análisis de los mapas de procesado indica que el acero estudiado no sufre ningún tipo de

  19. Access to the Genome: A Study of Transcription Factor Binding Within Nucleosomes

    Science.gov (United States)

    Brehove, Matthew

    All the DNA in a cell's nucleus is packaged into a material called chromatin consisting of DNA and DNA-associated proteins. The basic unit of chromatin is the nucleosome which consists of 147 bases of DNA wrapped around a protein core composed of two copies each of histones H2A, H2B, H3, and H4. DNA wrapped into a nucleosome is inaccessible to most DNA processing machinery. This machinery needs access to the DNA to perform processes such as transcription, replication, and repair. The cell uses many mechanisms to modulate this protection including nucleosome unwrapping, sliding, remodeling, disassembly, and chemical modification. This work used transcription factors along with fluorescent methods to probe the accessibility of DNA near the ends of the nucleosome. The DNA in this entry-exit region can spontaneously unwrap to provide transient access to DNA binding factors such as transcription factors. We studied the effect of histone post-translational modifications on the accessibility of DNA in the entry-exit region. We found that the phosphorylation at H3Y41ph increased DNA accessibility in vitro by 3-fold, which is similar in size to the effect of a previously studied modification H3K56ac. Since both of these modifications are associated with active genes and could occur together, we studied nucleosomes with both modifications and they showed a 17+/-5-fold increase in accessibility. This indicates that the cell could use multiple modifications in the entry-exit region to adjust the accessibility of nucleosomal DNA by over an order of magnitude. We also studied the effects of the removal of one H2A/H2B dimer. These partially formed nucleosomes, called hexasomes, are a component of chromatin that has been largely unstudied. Our results have shown that hexasomes have DNA accessibility similar to that of fully-formed nucleosomes on the side with the remaining H2A/H2B dimer. However, on the side without the dimer, our results showed the DNA remains permanently

  20. Criterios de predicción de inestabilidades plásticas en procesos de conformado en caliente. (Parte I: Revisión teórica

    Directory of Open Access Journals (Sweden)

    Al Omar, A.

    2010-04-01

    Full Text Available Hot working processes often induce high levels of deformation at high strain rates, and impose very complex multiaxial modes of solicitation. These processes are essentially limited by apparition and development of plastic instabilities. These may be the direct cause of rapid crack propagation, which lead to a possible final rupture. The complexity of deformation modes and the simultaneous intervention of several parameters have led many researchers to develop various criteria, with different approaches, to predict the occurrence of defects and to optimize process control parameters. The aim of the present paper is to summarize the general characteristics of some instability criteria, widely used in the literature, for the prediction of plastic instabilities during hot working. It was considered appropriate to divide the work into two parts: part I presents the phenomenological criteria for the prediction of plastic instabilities, based on descriptive observation of microscopic phenomena of the deformation (strain hardening and strain rate sensitivity, and discusses the continuum criteria based on the principle of maximum rate of entropy production of irreversible thermodynamics applied to continuum mechanics of large plastic flow. Also, this part provides a bibliographical discussion among several authors with regard to the physical foundations of dynamic materials model. In part II, of the work, a comparative study has been carried out to characterize the flow instability during a hot working process of a medium carbon microalloyed using phenomenological and continuum criteria.

    Los procesos de conformado de materiales inducen frecuentemente altos grados de deformación, a grandes velocidades de deformación, e imponen modos de solicitación multiaxiales y muy complejos. Dichos procesos quedan esencialmente limitados por la aparición y desarrollo de inestabilidades plásticas. Éstas pueden ser la causa directa de la propagación r

  1. Respuesta mecánica durante la inversión de la deformación en caliente de un acero microaleado

    Directory of Open Access Journals (Sweden)

    Badiola, D. J.

    2005-08-01

    Full Text Available The mechanical behaviour of a Nb-microalloyed steel under non monotonie conditions has been studied using double hit hot torsion tests involving changes in the twist direction. For strain reversal conditions, a clear mechanical transient has been observed. This transient has been characterized by a steep hardening region just after reversal which takes place up to a stress level near the one reached before reversing, then a region showing a low strain hardening rate and finally, a region extending up to the convergence of monotonie and reversal behaviours. Testing temperatures and strain rates have ranged from 950°C to 1200°C and from 0.01s-1 to 0.1s-1, respectively. Applied prestrains before reversal have varied from 0.03 to 0.25 in order to avoid the occurrence of dynamic recrystallization during previous strain. Lastly, some relationships have been established between the deformation conditions and the parameters defining the transient. These parameters depend mainly on the prestrain.

    Se ha estudiado el comportamiento mecánico de un acero microaleado con niobio bajo condiciones no monótonas de deformación mediante ensayos de torsión en caliente de doble pasada con cambio de sentido de giro entre la primera y la segunda de ellas. Se ha observado que la inversión de la deformación produce un transitorio en las curvas de fluencia caracterizado por un endurecimiento rápido hasta alcanzar un nivel de tensión menor al que se tenía, justo, antes de aplicar el cambio en el sentido de giro, una etapa de endurecimiento nulo y, finalmente, una región en la que el comportamiento mecánico durante la inversión tiende progresivamente al comportamiento mecánico monótono. Las temperaturas de ensayo se han variado entre 950 °C y 1.200 °C y las velocidades de deformación entre 0,01 y 0,1 s-1 Las deformaciones previas aplicadas antes de la reversión han estado comprendidas entre 0,03 y 0,25, evit

  2. Access to tuberculosis services for individuals with disability in rural Malawi, a qualitative study.

    Science.gov (United States)

    Grut, Lisbet; Sanudi, Lifah; Braathen, Stine Hellum; Jürgens, Thomas; Eide, Arne H

    2015-01-01

    Tuberculosis occurs in all populations, but with higher prevalence in poor contexts. Vulnerable groups, including individuals with disability, run a particular risk due to poorer access to information and health services. Studying access to tuberculosis services for vulnerable groups in poor contexts may provide useful insight into the quality of such services in low-income contexts. This article aims to present a contextual understanding of access to tuberculosis services for people with disabilities in one district in southern Malawi. A qualitative method with semi-structured interviews and site observations was applied. In all, 89 participants were interviewed: 47 persons with disability, 11 parents/guardians of youths with disability, and the remaining 31 comprising eight health workers, four community rehabilitation assistants and volunteers, and 19 leaders in the community.Our main findings are that lack of information and knowledge, and considerable confusion related to tuberculosis, its cause and how to protect oneself, are major barrier to accessing services. Disease awareness and personal risk perception are key factors in this regard. Further findings concerns the pathways to tuberculosis related health services, in particular having a test and completing the treatment. The combination of lack of knowledge and barriers in accessing tests implies substantial availability and access problems.It is of importance to understand the combined impact of individual, social, contextual, and systems barriers to fully address the complexity of accessing tuberculosis services for vulnerable groups in poor populations. Lack of disability specific strategies in the local health services may be part of the reason why individuals with disability to not access such services.

  3. Access to tuberculosis services for individuals with disability in rural Malawi, a qualitative study.

    Directory of Open Access Journals (Sweden)

    Lisbet Grut

    Full Text Available Tuberculosis occurs in all populations, but with higher prevalence in poor contexts. Vulnerable groups, including individuals with disability, run a particular risk due to poorer access to information and health services. Studying access to tuberculosis services for vulnerable groups in poor contexts may provide useful insight into the quality of such services in low-income contexts. This article aims to present a contextual understanding of access to tuberculosis services for people with disabilities in one district in southern Malawi. A qualitative method with semi-structured interviews and site observations was applied. In all, 89 participants were interviewed: 47 persons with disability, 11 parents/guardians of youths with disability, and the remaining 31 comprising eight health workers, four community rehabilitation assistants and volunteers, and 19 leaders in the community.Our main findings are that lack of information and knowledge, and considerable confusion related to tuberculosis, its cause and how to protect oneself, are major barrier to accessing services. Disease awareness and personal risk perception are key factors in this regard. Further findings concerns the pathways to tuberculosis related health services, in particular having a test and completing the treatment. The combination of lack of knowledge and barriers in accessing tests implies substantial availability and access problems.It is of importance to understand the combined impact of individual, social, contextual, and systems barriers to fully address the complexity of accessing tuberculosis services for vulnerable groups in poor populations. Lack of disability specific strategies in the local health services may be part of the reason why individuals with disability to not access such services.

  4. Access to Tuberculosis Services for Individuals with Disability in Rural Malawi, a Qualitative Study

    Science.gov (United States)

    Grut, Lisbet; Sanudi, Lifah; Braathen, Stine Hellum; Jürgens, Thomas; Eide, Arne H.

    2015-01-01

    Tuberculosis occurs in all populations, but with higher prevalence in poor contexts. Vulnerable groups, including individuals with disability, run a particular risk due to poorer access to information and health services. Studying access to tuberculosis services for vulnerable groups in poor contexts may provide useful insight into the quality of such services in low-income contexts. This article aims to present a contextual understanding of access to tuberculosis services for people with disabilities in one district in southern Malawi. A qualitative method with semi-structured interviews and site observations was applied. In all, 89 participants were interviewed: 47 persons with disability, 11 parents/guardians of youths with disability, and the remaining 31 comprising eight health workers, four community rehabilitation assistants and volunteers, and 19 leaders in the community.Our main findings are that lack of information and knowledge, and considerable confusion related to tuberculosis, its cause and how to protect oneself, are major barrier to accessing services. Disease awareness and personal risk perception are key factors in this regard. Further findings concerns the pathways to tuberculosis related health services, in particular having a test and completing the treatment. The combination of lack of knowledge and barriers in accessing tests implies substantial availability and access problems.It is of importance to understand the combined impact of individual, social, contextual, and systems barriers to fully address the complexity of accessing tuberculosis services for vulnerable groups in poor populations. Lack of disability specific strategies in the local health services may be part of the reason why individuals with disability to not access such services. PMID:25830950

  5. Video game access, parental rules, and problem behavior: a study of boys with autism spectrum disorder.

    Science.gov (United States)

    Engelhardt, Christopher R; Mazurek, Micah O

    2014-07-01

    Environmental correlates of problem behavior among individuals with autism spectrum disorder remain relatively understudied. The current study examined the contribution of in-room (i.e. bedroom) access to a video game console as one potential correlate of problem behavior among a sample of 169 boys with autism spectrum disorder (ranging from 8 to 18 years of age). Parents of these children reported on (1) whether they had specific rules regulating their child's video game use, (2) whether their child had in-room access to a variety of screen-based media devices (television, computer, and video game console), and (3) their child's oppositional behaviors. Multivariate regression models showed that in-room access to a video game console predicted oppositional behavior while controlling for in-room access to other media devices (computer and television) and relevant variables (e.g. average number of video game hours played per day). Additionally, the association between in-room access to a video game console and oppositional behavior was particularly large when parents reported no rules on their child's video game use. The current findings indicate that both access and parental rules regarding video games warrant future experimental and longitudinal research as they relate to problem behavior in boys with autism spectrum disorder.

  6. Emergency intraosseous access in a helicopter emergency medical service: a retrospective study

    Directory of Open Access Journals (Sweden)

    Heradstveit Bård E

    2010-10-01

    Full Text Available Abstract Background Intraosseous access (IO is a method for providing vascular access in out-of-hospital resuscitation of critically ill and injured patients when traditional intravenous access is difficult or impossible. Different intraosseous techniques have been used by our Helicopter Emergency Medical Services (HEMS since 2003. Few articles document IO use by HEMS physicians. The aim of this study was to evaluate the use of intraosseous access in pre-hospital emergency situations handled by our HEMS. Methods We reviewed all medical records from the period May 2003 to April 2010, and compared three different techniques: Bone Injection Gun (B.I.G® - Waismed, manual bone marrow aspiration needle (Inter V - Medical Device Technologies and EZ-IO® (Vidacare, used on both adults and paediatric patients. Results During this seven-year period, 78 insertion attempts were made on 70 patients. Overall success rates were 50% using the manual needle, 55% using the Bone Injection Gun, and 96% using the EZ-IO®. Rates of success on first attempt were significantly higher using the EZ-IO® compared to the manual needle/Bone Injection Gun (p Conclusions Newer intraosseous techniques may enable faster and more reliable vascular access, and this can lower the threshold for intraosseous access on both adult and paediatric patients in critical situations. We believe that all emergency services that handle critically ill or injured paediatric and adult patients should be familiar with intraosseous techniques.

  7. Public Access and Use of Health Research: An Exploratory Study of the National Institutes of Health (NIH) Public Access Policy Using Interviews and Surveys of Health Personnel

    Science.gov (United States)

    Willinsky, John; Maggio, Lauren

    2011-01-01

    Background In 2008, the National Institutes of Health (NIH) Public Access Policy mandated open access for publications resulting from NIH funding (following a 12-month embargo). The large increase in access to research that will take place in the years to come has potential implications for evidence-based practice (EBP) and lifelong learning for health personnel. Objective This study assesses health personnel’s current use of research to establish whether grounds exist for expecting, preparing for, and further measuring the impact of the NIH Public Access Policy on health care quality and outcomes in light of time constraints and existing information resources. Methods In all, 14 interviews and 90 surveys of health personnel were conducted at a community-based clinic and an independent teaching hospital in 2010. Health personnel were asked about the research sources they consulted and the frequency with which they consulted these sources, as well as motivation and search strategies used to locate articles, perceived level of access to research, and knowledge of the NIH Public Access Policy. Results In terms of current access to health information, 65% (57/88) of the health personnel reported being satisfied, while 32% (28/88) reported feeling underserved. Among the sources health personnel reported that they relied upon and consulted weekly, 83% (73/88) reported turning to colleagues, 77% (67/87) reported using synthesized information resources (eg, UpToDate and Cochrane Systematic Reviews), while 32% (28/88) reported that they consulted primary research literature. The dominant resources health personnel consulted when actively searching for health information were Google and Wikipedia, while 27% (24/89) reported using PubMed weekly. The most prevalent reason given for accessing research on a weekly basis, reported by 35% (31/88) of survey respondents, was to help a specific patient, while 31% (26/84) were motivated by general interest in research. Conclusions

  8. Reduced food access due to a lack of money, inability to lift and lack of access to a car for food shopping: a multilevel study in Melbourne, Victoria.

    Science.gov (United States)

    Burns, Cate; Bentley, Rebecca; Thornton, Lukar; Kavanagh, Anne

    2011-06-01

    To describe associations between demographic and individual and area-level socio-economic variables and restricted household food access due to lack of money, inability to lift groceries and lack of access to a car to do food shopping. Multilevel study of three measures of restricted food access, i.e. running out of money to buy food, inability to lift groceries and lack of access to a car for food shopping. Multilevel logistic regression was conducted to examine the risk of each of these outcomes according to demographic and socio-economic variables. Random selection of households from fifty small areas in Melbourne, Australia, in 2003. The main food shoppers in each household (n 2564). A lack of money was significantly more likely among the young and in households with single adults. Difficulty lifting was more likely among the elderly and those born overseas. The youngest and highest age groups both reported reduced car access, as did those born overseas and single-adult households. All three factors were most likely among those with a lower individual or household socio-economic position. Increased levels of area disadvantage were independently associated with difficulty lifting and reduced car access. In Melbourne, households with lower individual socio-economic position and area disadvantage have restricted access to food because of a lack of money and/or having physical limitations due difficulty lifting or lack of access to a car for food shopping. Further research is required to explore the relationship between physical restrictions and food access.

  9. submitter Studies of CMS data access patterns with machine learning techniques

    CERN Document Server

    De Luca, Silvia

    This thesis presents a study of the Grid data access patterns in distributed analysis in the CMS experiment at the LHC accelerator. This study ranges from the deep analysis of the historical patterns of access to the most relevant data types in CMS, to the exploitation of a supervised Machine Learning classification system to set-up a machinery able to eventually predict future data access patterns - i.e. the so-called dataset “popularity” of the CMS datasets on the Grid - with focus on specific data types. All the CMS workflows run on the Worldwide LHC Computing Grid (WCG) computing centers (Tiers), and in particular the distributed analysis systems sustains hundreds of users and applications submitted every day. These applications (or “jobs”) access different data types hosted on disk storage systems at a large set of WLCG Tiers. The detailed study of how this data is accessed, in terms of data types, hosting Tiers, and different time periods, allows to gain precious insight on storage occupancy ove...

  10. ACCESSIBLE BUILT ENVIRONMENT FOR THE ELDERLY AND DISABLED IN MALAYSIA: HOTELS AS CASE STUDIES

    Directory of Open Access Journals (Sweden)

    Asiah Abdul Rahim

    2010-12-01

    Full Text Available In Malaysia, it has become of increasing importance to study ways to improve the level of accessibility in buildings for the elderly and disabled people in the built environment, especially in hotels and resorts. The methods used in this study to identify areas to improve are access audits, table research and interviews. The data from these studies are analysed using a descriptive analysis based on access audits, observations, plan analysis, photographs and questionnaires. Access audits were carried out in two hotels and resorts in July and November 2007 in selected areas of East Malaysia. The selected hotels and resorts were constructed in the 1980s; one is located at the countryside and the other in the city centre. The findings will allow the building provider to upgrade existing facilities in order to accommodate accessible built environment for the elderly and disabled people. This will allow the elderly and disabled people to move freely, safely and being more easily integrated with the society in areas of public building and public spaces.

  11. Access site complications and puncture site pain following transradial coronary procedures: a correlational study.

    Science.gov (United States)

    Cheng, Ka Yan; Chair, Sek Ying; Choi, Kai Chow

    2013-10-01

    Transradial coronary angiography (CA) and percutaneous coronary intervention (PCI) are gaining worldwide popularity due to the low incidence of major vascular complications and early mobilization of patients post procedures. Although post transradial access site complications are generally considered as minor in nature, they are not being routinely recorded in clinical settings. To evaluate the incidence of access site complications and level of puncture site pain experienced by patients undergoing transradial coronary procedures and to examine factors associated with access site complications occurrence and puncture site pain severity. A cross-sectional correlational study of 85 Chinese speaking adult patients scheduled for elective transradial CA and or PCI. Ecchymosis, bleeding, hematoma and radial artery occlusion (RAO) were assessed through observation, palpation and plethysmographic signal of pulse oximetry after coronary procedures. Puncture site pain was assessed with a 100mm Visual Analogue Scale. Factors that were related to access site complications and puncture site pain were obtained from medical records. Ecchymosis was the most commonly reported transradial access site complication in this study. Paired t-test showed that the level of puncture site pain at 24 h was significantly (pstudy findings suggest that common access site complications post transradial coronary procedures among Chinese population are relatively minor in nature. Individual puncture site pain assessment during the period of hemostasis is important. Nurses should pay more attention to factors such as female gender, sheath time and volume of compression that are more likely to be associated with transradial access site complications and puncture site pain. Copyright © 2013 Elsevier Ltd. All rights reserved.

  12. 76 FR 76927 - Port Access Route Study: The Atlantic Coast From Maine to Florida

    Science.gov (United States)

    2011-12-09

    ... enclose a stamped, self-addressed postcard or envelope. We will consider all comments and material... SECURITY Coast Guard 33 CFR Part 167 Port Access Route Study: The Atlantic Coast From Maine to Florida AGENCY: Coast Guard, DHS. ACTION: Notice of study; reopening of the comment period. SUMMARY: The U.S...

  13. 76 FR 27288 - Port Access Route Study: The Atlantic Coast From Maine to Florida

    Science.gov (United States)

    2011-05-11

    ... enclose a stamped, self-addressed postcard or envelope. We will consider all comments and material... SECURITY Coast Guard 33 CFR Part 167 Port Access Route Study: The Atlantic Coast From Maine to Florida AGENCY: Coast Guard, DHS. ACTION: Notice of study; request for comments. SUMMARY: In order to provide...

  14. Diseño de un molde de accesorios de fontanería utilizando el sistema SMED y camara caliente

    OpenAIRE

    Martín Sánchez, Sergio

    2011-01-01

    El objeto de este proyecto es el diseño de un molde para una gama de codos de fontanería. Para conseguir un diseño optimizado y respetuoso con el medio ambiente, se ha empleado los patrones marcados por el Ecodiseño y se ha instalado una cámara caliente. Para conseguir un cambio de pieza rápido y minimizar los tiempos de la producción, también se ha diseñado aplicando la teoría SMED. Teniendo en cuenta todos estos aspectos y sin dejar de lado los funcionales, se ha diseña...

  15. Determinants of lexical access in pure-anomic recovery:a longitudinal study

    Institute of Scientific and Technical Information of China (English)

    Xiao ZHOU; Hui LIANG; Ming-wei XU; Ben-yan LUO

    2009-01-01

    Many studies involving lexical access in picture-naming tasks have been undertaken at a point in time, mainly focusing on age of acquisition (AoA). To identify the real determinates of lexical access in recovery and their traces in the brain, we carried out a longitudinal study on a Chinese pure anomic patient using multiple logistic regression analysis. We found that AoA played an important role in early recovery but not in total recovery, whereas familiarity was significant in the whole process. From a new dynamic point of view, our results indicate that AoA and familiarity are the main determinants of lexical access in anomia recovery. We suggest that the changing effects of AoA during recovery may be related to the pathologic process; AoA and familiarity should be taken into account in constructing materials to assess and treat anomic patients.

  16. Security Study of Access XP Database%Access XP数据库的安全性研究

    Institute of Scientific and Technical Information of China (English)

    李海燕

    2005-01-01

    在信息化时代来临、Internet高速发展的今天,信息资源的经济和社会价值越来越明显,而数据库系统所管理、存储的数据已成为各个部门宝贵的信息资源,所以其安全保密性是目前所迫切需要解决的问题.笔者从数据库的安全性、保密性的角度,详细地阐述了Microsoft Access XP数据库的安全机制;探讨了实现Microsoft Access XP数据库不同保护级别的各种方法;还讨论了共享级安全性和用户级安全性问题.

  17. Open Access Could Transform Drug Discovery: A Case Study of JQ1.

    Science.gov (United States)

    Arshad, Zeeshaan; Smith, James; Roberts, Mackenna; Lee, Wen Hwa; Davies, Ben; Bure, Kim; Hollander, Georg A; Dopson, Sue; Bountra, Chas; Brindley, David

    2016-01-01

    The cost to develop a new drug from target discovery to market is a staggering $1.8 billion, largely due to the very high attrition rate of drug candidates and the lengthy transition times during development. Open access is an emerging model of open innovation that places no restriction on the use of information and has the potential to accelerate the development of new drugs. To date, no quantitative assessment has yet taken place to determine the effects and viability of open access on the process of drug translation. This need is addressed within this study. The literature and intellectual property landscapes of the drug candidate JQ1, which was made available on an open access basis when discovered, and conventionally developed equivalents that were not are compared using the Web of Science and Thomson Innovation software, respectively. Results demonstrate that openly sharing the JQ1 molecule led to a greater uptake by a wider and more multi-disciplinary research community. A comparative analysis of the patent landscapes for each candidate also found that the broader scientific diaspora of the publically released JQ1 data enhanced innovation, evidenced by a greater number of downstream patents filed in relation to JQ1. The authors' findings counter the notion that open access drug discovery would leak commercial intellectual property. On the contrary, JQ1 serves as a test case to evidence that open access drug discovery can be an economic model that potentially improves efficiency and cost of drug discovery and its subsequent commercialization.

  18. Retina-on-a-chip: a microfluidic platform for point access signaling studies.

    Science.gov (United States)

    Dodson, Kirsten H; Echevarria, Franklin D; Li, Deyu; Sappington, Rebecca M; Edd, Jon F

    2015-12-01

    We report on a microfluidic platform for culture of whole organs or tissue slices with the capability of point access reagent delivery to probe the transport of signaling events. Whole mice retina were maintained for multiple days with negative pressure applied to tightly but gently bind the bottom of the retina to a thin poly-(dimethylsiloxane) membrane, through which twelve 100 μm diameter through-holes served as fluidic access points. Staining with toluidine blue, transport of locally applied cholera toxin beta, and transient response to lipopolysaccharide in the retina demonstrated the capability of the microfluidic platform. The point access fluidic delivery capability could enable new assays in the study of various kinds of excised tissues, including retina.

  19. Accessibility of shared space for visually impaired persons : A comparative field study

    NARCIS (Netherlands)

    Havik, Else; Steyvers, Franciscus J.J.M.; Kooijman, Aart; Melis, Bart

    2015-01-01

    Shared Space is a concept that comprises the design and planning process of a public space. There are concerns about the accessibility of Shared Spaces for people who are visually impaired. In a comparative field study, the wayfinding performance of 25 visually impaired persons (VIPs) was observed w

  20. Direct access in primary care and patient satisfaction: a European study.

    NARCIS (Netherlands)

    Kroneman, M.W.; Maarse, H.; Zee, J. van der

    2006-01-01

    Objective: This study addressed the question to what extent gate-keeping or direct access to health care services influences the satisfaction with GP-services by the population in 18 European countries ("old" EU-countries plus Norway, Iceland and Switzerland). METHODS: Two datasets were collected. F

  1. Video Game Access, Parental Rules, and Problem Behavior: A Study of Boys with Autism Spectrum Disorder

    Science.gov (United States)

    Engelhardt, Christopher R.; Mazurek, Micah O.

    2014-01-01

    Environmental correlates of problem behavior among individuals with autism spectrum disorder remain relatively understudied. The current study examined the contribution of in-room (i.e. bedroom) access to a video game console as one potential correlate of problem behavior among a sample of 169 boys with autism spectrum disorder (ranging from 8 to…

  2. Access Barriers to Dental Health Care in Children with Disability. A Questionnaire Study of Parents

    Science.gov (United States)

    Gerreth, Karolina; Borysewicz-Lewicka, Maria

    2016-01-01

    Background: A patient's with disability everyday life is rife with many limitations such as architectural, transport, information as well as medical, psychological, legal, economic and social barriers. The aim of this study was to evaluate access to dental health care of special-care schoolchildren with intellectual disability on the basis of…

  3. Fulfilling an Institutional and Public Good Mission: A Case Study of Access

    Science.gov (United States)

    Batman, Renee F.

    2013-01-01

    Access to higher education has been and remains a critical issue, yet research typically focuses on students and programs which may overlook the role of the faculty. Through an in-depth case study, the perspectives of tenured and tenure-track faculty at a predominately White, Midwestern land-grant, research institution are described as they relate…

  4. Elimination of HIV in South Africa through expanded access to antiretroviral therapy: a model comparison study

    NARCIS (Netherlands)

    Hontelez, J.A.; Lurie, M.N.; Barnighausen, T.; Bakker, R.; Baltussen, R.; Tanser, F.; Hallett, T.B.; Newell, M.L.; Vlas, S.J. de

    2013-01-01

    BACKGROUND: Expanded access to antiretroviral therapy (ART) using universal test and treat (UTT) has been suggested as a strategy to eliminate HIV in South Africa within 7 y based on an influential mathematical modeling study. However, the underlying deterministic model was criticized widely, and ot

  5. Elimination of HIV in South Africa through Expanded Access to Antiretroviral Therapy: A Model Comparison Study

    NARCIS (Netherlands)

    J.A.C. Hontelez (Jan); M.N. Lurie (Mark N.); T. Bärnighausen (Till); R. Bakker (Roel); R.M.P.M. Baltussen (Rob); F. Tanser (Frank); T.B. Hallett (Timothy); M.-L. Newell (Marie-Louise); S.J. de Vlas (Sake)

    2013-01-01

    textabstractBackground:Expanded access to antiretroviral therapy (ART) using universal test and treat (UTT) has been suggested as a strategy to eliminate HIV in South Africa within 7 y based on an influential mathematical modeling study. However, the underlying deterministic model was criticized wid

  6. Elimination of HIV in South Africa through Expanded Access to Antiretroviral Therapy : A Model Comparison Study

    NARCIS (Netherlands)

    J.A.C. Hontelez (Jan); M.N. Lurie (Mark N.); T. Bärnighausen (Till); R. Bakker (Roel); R.M.P.M. Baltussen (Rob); F. Tanser (Frank); T.B. Hallett (Timothy); M.L. Newell (Marie Louise); S.J. de Vlas (Sake)

    2013-01-01

    textabstractBackground: Expanded access to antiretroviral therapy (ART) using universal test and treat (UTT) has been suggested as a strategy to eliminate HIV in South Africa within 7 y based on an influential mathematical modeling study. However, the underlying deterministic model was criticized wi

  7. Making or breaking climate targets : The AMPERE study on staged accession scenarios for climate policy

    NARCIS (Netherlands)

    Kriegler, Elmar; Riahi, Keywan; Bauer, Nico; Schwanitz, Valeria Jana; Petermann, Nils; Bosetti, Valentina; Marcucci, Adriana; Otto, Sander; Paroussos, Leonidas; Rao, Shilpa; Arroyo Currás, Tabaré; Ashina, Shuichi; Bollen, Johannes; Eom, Jiyong; Hamdi-Cherif, Meriem; Longden, Thomas; Kitous, Alban; Méjean, Aurélie; Sano, Fuminori; Schaeffer, Michiel; Wada, Kenichi; Capros, Pantelis; P. van Vuuren, Detlef|info:eu-repo/dai/nl/11522016X; Edenhofer, Ottmar

    2015-01-01

    This study explores a situation of staged accession to a global climate policy regime from the current situation of regionally fragmented and moderate climate action. The analysis is based on scenarios in which a front runner coalition - the EU or the EU and China - embarks on immediate ambitious

  8. Access through the Ages at an Elite Boarding School: A Case Study of Phillips Academy

    Science.gov (United States)

    Carney, Samantha

    2012-01-01

    This study is about access for low-income students at an elite boarding school. As "feeder schools" to elite colleges and universities, elite boarding schools play a significant role in determining which students will be in the upper class in America; however, little is known about the history of low-income students at these schools. The…

  9. Access to Firearms Among Orange County Youth: A School-based Study

    Directory of Open Access Journals (Sweden)

    Gorchynski, Julie

    2006-08-01

    Full Text Available Objective: School-associated firearm violence among children and adolescents is a national public concern. The objective of this study was to determine the accessibility of firearms, methods of firearm access and firearm safety knowledge among middle and high school students in Orange County, California. Methods: After permission from school officials and parents was obtained, a 24-question survey was distributed to 176 students in grades 6 through 12 at four schools in Orange County. Data was collected over a 12-month period beginning in February 2003. Data analysis was presented in proportions. In addition, cross tabulations were performed to determine which factors were associated with access to guns, having fired a gun, and firearm possession at school. Results: The mean age of participants was 16.1 years. Seventy-seven (45% were male, 121 (69% Hispanic, and 171 (94% were of middle income. Four participants (2.3% admitted to gang involvement, 47 (26.7% had fired a gun. Those more likely to have fired a gun appeared to be non-Hispanic males (p= 0.001. Seventy-five (43% reported access to a gun. Older students and those in grades 9 to 12 were more likely to have access to a gun (p= 0.01, which they stated could be obtained from their homes, friends or relatives (4.5% to 22%. No students admitted to bringing a gun to school. Two (1.1% students stated that they had thought of using a gun at school. One hundred one students (62% were taught firearm safety by their parent(s. Conclusion: Almost half of the students in this study acknowledged that they could gain access to a gun and two students had thought about using a gun at school. Firearm education, safety and counseling are of paramount importance to ensure safety among school youths.

  10. Household food access and child malnutrition: results from the eight-country MAL-ED study

    Directory of Open Access Journals (Sweden)

    Psaki Stephanie

    2012-12-01

    Full Text Available Abstract Background Stunting results from decreased food intake, poor diet quality, and a high burden of early childhood infections, and contributes to significant morbidity and mortality worldwide. Although food insecurity is an important determinant of child nutrition, including stunting, development of universal measures has been challenging due to cumbersome nutritional questionnaires and concerns about lack of comparability across populations. We investigate the relationship between household food access, one component of food security, and indicators of nutritional status in early childhood across eight country sites. Methods We administered a socioeconomic survey to 800 households in research sites in eight countries, including a recently validated nine-item food access insecurity questionnaire, and obtained anthropometric measurements from children aged 24 to 60 months. We used multivariable regression models to assess the relationship between household food access insecurity and anthropometry in children, and we assessed the invariance of that relationship across country sites. Results Average age of study children was 41 months. Mean food access insecurity score (range: 0–27 was 5.8, and varied from 2.4 in Nepal to 8.3 in Pakistan. Across sites, the prevalence of stunting (42% was much higher than the prevalence of wasting (6%. In pooled regression analyses, a 10-point increase in food access insecurity score was associated with a 0.20 SD decrease in height-for-age Z score (95% CI 0.05 to 0.34 SD; p = 0.008. A likelihood ratio test for heterogeneity revealed that this relationship was consistent across countries (p = 0.17. Conclusions Our study provides evidence of the validity of using a simple household food access insecurity score to investigate the etiology of childhood growth faltering across diverse geographic settings. Such a measure could be used to direct interventions by identifying children at risk of illness and

  11. Policies to Spur Energy Access. Executive Summary; Volume 1, Engaging the Private Sector in Expanding Access to Electricity; Volume 2, Case Studies to Public-Private Models to Finance Decentralized Electricity Access

    Energy Technology Data Exchange (ETDEWEB)

    Walters, Terri [National Renewable Energy Lab. (NREL), Golden, CO (United States); Rai, Neha [International Institute for Environment and Development (IIED), London (England); Esterly, Sean [National Renewable Energy Lab. (NREL), Golden, CO (United States); Cox, Sadie [National Renewable Energy Lab. (NREL), Golden, CO (United States); Reber, Tim [National Renewable Energy Lab. (NREL), Golden, CO (United States); Muzammil, Maliha [Univ. of Oxford (United Kingdom); Mahmood, Tasfiq [International Center for Climate Change and Development, Baridhara (Bangladesh); Kaur, Nanki [International Institute for Environment and Development (IIED), London (England); Tesfaye, Lidya [Echnoserve Consulting (Ethiopia); Mamuye, Simret [Echnoserve Consulting (Ethiopia); Knuckles, James [Univ. of London (England). Cass Business School; Morris, Ellen [Columbia Univ., New York, NY (United States); de Been, Merijn [Delft Univ. of Technology (Netherlands); Steinbach, Dave [International Institute for Environment and Development (IIED), London (England); Acharya, Sunil [Digo Bikas Inst. (Nepal); Chhetri, Raju Pandit [National Renewable Energy Lab. (NREL), Golden, CO (United States); Bhushal, Ramesh [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2015-09-01

    Government policy is one of the most important factors in engaging the private sector in providing universal access to electricity. In particular, the private sector is well positioned to provide decentralized electricity products and services. While policy uncertainty and regulatory barriers can keep enterprises and investors from engaging in the market, targeted policies can create opportunities to leverage private investment and skills to expand electricity access. However, creating a sustainable market requires policies beyond traditional electricity regulation. The report reviews the range of policy issues that impact the development and expansion of a market for decentralized electricity services from establishing an enabling policy environment to catalyzing finance, building human capacity, and integrating energy access with development programs. The case studies in this report show that robust policy frameworks--addressing a wide range of market issues--can lead to rapid transformation in energy access. The report highlights examples of these policies in action Bangladesh, Ethiopia, Mali, Mexico, and Nepal.

  12. Minimal Access Posterior Approach for Extrapleural Thoracic Sympathectomy: A Cadaveric Study and Cases.

    Science.gov (United States)

    Raskin, Jeffrey S; Liu, Jesse J; Sun, Hai; Nemecek, Andrew; Balaji, Seshadri; Raslan, Ahmed M

    2016-09-01

    Operatively, video-assisted thoracoscopic sympathectomy (VATS) involves pleural entry and poses risk in small children and patients with pulmonary disease. A conventional posterior sympathectomy is more invasive than VATS. We investigated a cadaveric feasibility study of a minimal access posterior approach for endoscopic extrapleural sympathectomy and discuss this minimal approach in children with cardiac sympathectomy. A posterior endoscopic extrapleural approach for thoracic sympathectomy was performed using lightly embalmed cadavers; surgical corridor depth, width, and associated pleural violation were recorded. Two pediatric cases undergoing secondary prevention for breakthrough cardiac dysrhythmias using this approach are discussed: case 1, a 9-year-old girl with refractory long QT syndrome; and case 2, a 13-year-old boy with hypertrophic cardiomyopathy. The cadaveric study supported 100% identification of a craniocaudal-oriented sympathetic chain using an 18-mm tubular retractor, and a 10% pleural violation rate. There were no clinically significant pneumothoracies in either proof of concept cases. Minimal access posterior extrapleural sympathectomy is feasible to expose the sympathetic chain in the thoracic region with good visualization using either endoscopic or microscopic magnification. Single-position bilateral thoracic sympathectomy can be performed in pediatric patients with life-threatening ventricular arrhythmias. Based on the cadaveric study and the 2 preliminary cases, we believe that a posterior minimal access approach allows safe and effective access to the thoracic sympathetic chain for causes requiring sympathectomy using single positioning, with minimal risk of pneumothorax or Horner syndrome. Copyright © 2016 Elsevier Inc. All rights reserved.

  13. Automatización de un Secador Convectivo de Aire Caliente para fines de Docencia en Ingeniería de Alimentos Automation of a Convective Hot Air Dryer for Teaching in Food Engineering

    Directory of Open Access Journals (Sweden)

    Jorge A Saavedra

    2008-01-01

    Full Text Available El presente trabajo describe el diseño y montaje de un dispositivo experimental para la automatización de un secador de aire caliente con flujo paralelo en co-corriente para realizar estudios de secado. El desarrollo del trabajo se dividió en dos actividades principales: (i diseño del sistema de automatización y (ii la validación de los datos entregados por el equipo. Se obtuvo un dispositivo capaz de registrar las variables del proceso de secado y de la imagen de la muestra deshidratada en tiempo real, como así mismo transmitir dicha información a través de Internet. Los datos procesados por el sistema automático comparados con experiencias manuales tradicionales (no automatizadas se validaron estadísticamente. Se concluye finalmente que la propuesta es viable, fiable y atractiva para el usuario por lo que facilita el proceso de enseñanza-aprendizaje en un área de especial importancia en Ingeniería de Alimentos.This paper describes the design and installation of an automated experimental device applied to a parallel co-current hot air dryer to perform drying studies in the field of food engineering. The development of this work was divided into two main activities: (i design of the automation system and (ii validation of automatically collected data. A device capable of collecting and registering real time data and images from drying processes, and transmitting them through Internet was obtained. The data processed by the automatic device was statistically validated. It is concluded that the proposed automation device is feasible, reliable and attractive for the users, facilitating the teaching-learning process in an important area of Food Engineering.

  14. Does improved access to diagnostic imaging results reduce hospital length of stay? A retrospective study

    Directory of Open Access Journals (Sweden)

    Hurlen Petter

    2010-09-01

    Full Text Available Abstract Background One year after the introduction of Information and Communication Technology (ICT to support diagnostic imaging at our hospital, clinicians had faster and better access to radiology reports and images; direct access to Computed Tomography (CT reports in the Electronic Medical Record (EMR was particularly popular. The objective of this study was to determine whether improvements in radiology reporting and clinical access to diagnostic imaging information one year after the ICT introduction were associated with a reduction in the length of patients' hospital stays (LOS. Methods Data describing hospital stays and diagnostic imaging were collected retrospectively from the EMR during periods of equal duration before and one year after the introduction of ICT. The post-ICT period was chosen because of the documented improvement in clinical access to radiology results during that period. The data set was randomly split into an exploratory part used to establish the hypotheses, and a confirmatory part. The data was used to compare the pre-ICT and post-ICT status, but also to compare differences between groups. Results There was no general reduction in LOS one year after ICT introduction. However, there was a 25% reduction for one group - patients with CT scans. This group was heterogeneous, covering 445 different primary discharge diagnoses. Analyses of subgroups were performed to reduce the impact of this divergence. Conclusion Our results did not indicate that improved access to radiology results reduced the patients' LOS. There was, however, a significant reduction in LOS for patients undergoing CT scans. Given the clinicians' interest in CT reports and the results of the subgroup analyses, it is likely that improved access to CT reports contributed to this reduction.

  15. Rotator cuff-sparing approaches for glenohumeral joint access: an anatomic feasibility study.

    Science.gov (United States)

    Amirthanayagam, Tressa D; Amis, Andrew A; Reilly, Peter; Emery, Roger J H

    2017-03-01

    The deltopectoral approach for total shoulder arthroplasty can result in subscapularis dysfunction. In addition, glenoid wear is more prevalent posteriorly, a region difficult to access with this approach. We propose a posterior approach for access in total shoulder arthroplasty that uses the internervous interval between the infraspinatus and teres minor. This study compares this internervous posterior approach with other rotator cuff-sparing techniques, namely, the subscapularis-splitting and rotator interval approaches. The 3 approaches were performed on 12 fresh frozen cadavers. The degree of circumferential access to the glenohumeral joint, the force exerted on the rotator cuff, the proximity of neurovascular structures, and the depth of the incisions were measured, and digital photographs of the approaches in different arm positions were analyzed. The posterior approach permits direct linear access to 60% of the humeral and 59% of the glenoid joint circumference compared with 39% and 42% for the subscapularis-splitting approach and 37% and 28% for the rotator interval approach. The mean force of retraction on the rotator cuff was 2.76 (standard deviation [SD], 1.10) N with the posterior approach, 2.72 (SD, 1.22) N with the rotator interval, and 4.75 (SD, 2.56) N with the subscapularis-splitting approach. From the digital photographs and depth measurements, the estimated volumetric access available for instrumentation during surgery was comparable for the 3 approaches. The internervous posterior approach provides greater access to the shoulder joint while minimizing damage to the rotator cuff. Copyright © 2017. Published by Elsevier Inc.

  16. Inequity of access to ACE inhibitors in Swedish heart failure patients: a register-based study

    Science.gov (United States)

    Lindahl, Bertil; Hanning, Marianne; Westerling, Ragnar

    2016-01-01

    Background Several international studies suggest inequity in access to evidence-based heart failure (HF) care. Specifically, studies of ACE inhibitors (ACEIs) point to reduced ACEI access related to female sex, old age and socioeconomic position. Thus far, most studies have either been rather small, lacking diagnostic data, or lacking the possibility to account for several individual-based sociodemographic factors. Our aim was to investigate differences, which could reflect inequity in access to ACEIs based on sex, age, socioeconomic status or immigration status in Swedish patients with HF. Methods Individually linked register data for all Swedish adults hospitalised for HF in 2005–2010 (n=93 258) were analysed by multivariate regression models to assess the independent risk of female sex, high age, low employment status, low income level, low educational level or foreign country of birth, associated with lack of an ACEI dispensation within 1 year of hospitalisation. Adjustment for possible confounding was made for age, comorbidity, Angiotensin receptor blocker therapy, period and follow-up time. Results Analysis revealed an adjusted OR for no ACEI dispensation for women of 1.31 (95% CI 1.27 to 1.35); for the oldest patients of 2.71 (95% CI 2.53 to 2.91); and for unemployed patients of 1.59 (95% CI 1.46 to 1.73). Conclusions Access to ACEI treatment was reduced in women, older patients and unemployed patients. We conclude that access to ACEIs is inequitable among Swedish patients with HF. Future studies should include clinical data, as well as mortality outcomes in different groups. PMID:26261264

  17. Meckel's cave access: anatomic study comparing the endoscopic transantral and endonasal approaches.

    Science.gov (United States)

    Van Rompaey, Jason; Suruliraj, Anand; Carrau, Ricardo; Panizza, Benedict; Solares, C Arturo

    2014-04-01

    Recent advances in endonasal endoscopy have facilitated the surgical access to the lateral skull base including areas such as Meckel's cave. This approach has been well documented, however, few studies have outlined transantral specific access to Meckel's. A transantral approach provides a direct pathway to this region obviating the need for extensive endonasal and transsphenoidal resection. Our aim in this study is to compare the anatomical perspectives obtained in endonasal and transantral approaches. We prepared 14 cadaveric specimens with intravascular injections of colored latex. Eight cadavers underwent endoscopic endonasal transpterygoid approaches to Meckel's cave. Six additional specimens underwent an endoscopic transantral approach to the same region. Photographic evidence was obtained for review. 30 CT scans were analyzed to measure comparative distances to Meckel's cave for both approaches. The endoscopic approaches provided a direct access to the anterior and inferior portions of Meckel's cave. However, the transantral approach required shorter instrumentation, and did not require clearing of the endonasal corridor. This approach gave an anterior view of Meckel's cave making posterior dissection more difficult. A transantral approach to Meckel's cave provides access similar to the endonasal approach with minimal invasiveness. Some of the morbidity associated with extensive endonasal resection could possibly be avoided. Better understanding of the complex skull base anatomy, from different perspectives, helps to improve current endoscopic skull base surgery and to develop new alternatives, consequently, leading to improvements in safety and efficacy.

  18. An ecological study investigating the association between access to urban green space and mental health.

    Science.gov (United States)

    Nutsford, D; Pearson, A L; Kingham, S

    2013-11-01

    This study aims to find whether proximity to urban green spaces is associated with human mental health. A cross-sectional examination of the relationship between access to urban green spaces and counts of anxiety/mood disorder treatments amongst residents (aged 15 years and over) in Auckland City, New Zealand. Anxiety/mood disorder treatment counts by three age groups were aggregated to 3149 small area units in Auckland. Six measures of green space access were derived using GIS techniques involving total green spaces and useable green spaces. Negative binomial regression models have been fitted to test the relationship between access to green space and area-level anxiety/mood disorder treatment counts, adjusted for age and area-level deprivation. Anxiety/mood disorder treatment counts were associated with three green space measures. The proportion of both total and useable green space within 3 km and distance to nearest useable green space all indicated a protective effect of increased access to green space against anxiety/mood disorder treatment counts. Access to total and useable green space within 300 m did not exhibit significant associations. This study found that decreased distance to useable green space and increased proportion of green space within the larger neighbourhood were associated with decreased anxiety/mood disorder treatment counts in an urban environment. This suggests the benefits of green space on mental health may relate both to active participation in useable green spaces near to the home and observable green space in the neighbourhood environment. © 2013 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  19. The availability and accessibility of basic concept vocabulary in AAC software: a preliminary study.

    Science.gov (United States)

    McCarthy, Jillian H; Schwarz, Ilsa; Ashworth, Morgan

    2017-09-01

    Core vocabulary lists obtained through the analyses of children's utterances include a variety of basic concept words. Supporting young children who use augmentative and alternative communication (AAC) to develop their understanding and use of basic concepts is an area of practice that has important ramifications for successful communication in a classroom environment. This study examined the availability of basic concept words across eight frequently used, commercially available AAC language systems, iPad© applications, and symbol libraries used to create communication boards. The accessibility of basic concept words was subsequently examined using two AAC language page sets and two iPad applications. Results reveal that the availability of basic concept words represented within the different AAC language programs, iPad applications, and symbol libraries varied but was limited across programs. However, there is no significant difference in the accessibility of basic concept words across the language program page sets or iPad applications, generally because all of them require sophisticated motor and cognitive plans for access. These results suggest that educators who teach or program vocabulary in AAC systems need to be mindful of the importance of basic concept words in classroom settings and, when possible, enhance the availability and accessibility of these words to users of AAC.

  20. The Cornell/Xerox Commission on Preservation and Access Joint Study in Digital Preservation. Report: Phase 1 (January 1990-December 1991). Digital Capture, Paper Facsimiles, and Network Access.

    Science.gov (United States)

    Kenney, Anne R.; Personius, Lynne K.

    The primary emphasis of this study of the use of digital technology to preserve library materials was the capture of brittle books as digital images and the production of printed paper facsimiles. Of equal interest, however, was the role of digital technology in providing access to library resources, and preliminary work in this area has also been…

  1. Reglamento de instalaciones de calefacción, climatización y agua caliente sanitaria con el fin de racionalizar su consumo energético, Real Decreto 1618/1980 de 4 de julio

    Directory of Open Access Journals (Sweden)

    Editorial, Equipo

    1981-03-01

    Full Text Available En agosto de este año se han publicado las instrucciones técnicas complementarias del Reglamento de Instalaciones de Calefacción, Climatización y Agua Caliente Sanitaria con el fin de racionalizar su consumo energético. («B.O.E.», 13 agosto, 1981, Orden de 16 de julio de 1981.

  2. Increasing access--a qualitative study of homelessness and palliative care in a major urban center.

    Science.gov (United States)

    Krakowsky, Yonah; Gofine, Mirriam; Brown, Pnina; Danziger, Jana; Knowles, Holly

    2013-05-01

    Rates of morbidity and mortality are significantly higher in homeless populations. Homeless people experience many barriers to receive adequate palliative care. This qualitative study examines how a major urban city's palliative care resources can be improved to increase access and better serve the homeless. Audiotaped interviews were preformed with 7 homeless care providers in Toronto, Canada, and their transcripts were analyzed using thematic analysis. The findings of the study suggest that in order to increase access and to serve the city's terminally ill homeless better, the following 4 areas must be addressed: (1) increasing positive interaction between the health care system and the homeless, (2) training staff to deal with the unique issues confronting the homeless, (3) providing patient-centered care, and (4) diversifying the methods of delivery.

  3. Accessing Suicide-Related Information on the Internet: A Retrospective Observational Study of Search Behavior

    Science.gov (United States)

    2013-01-01

    Background The Internet’s potential impact on suicide is of major public health interest as easy online access to pro-suicide information or specific suicide methods may increase suicide risk among vulnerable Internet users. Little is known, however, about users’ actual searching and browsing behaviors of online suicide-related information. Objective To investigate what webpages people actually clicked on after searching with suicide-related queries on a search engine and to examine what queries people used to get access to pro-suicide websites. Methods A retrospective observational study was done. We used a web search dataset released by America Online (AOL). The dataset was randomly sampled from all AOL subscribers’ web queries between March and May 2006 and generated by 657,000 service subscribers. Results We found 5526 search queries (0.026%, 5526/21,000,000) that included the keyword "suicide". The 5526 search queries included 1586 different search terms and were generated by 1625 unique subscribers (0.25%, 1625/657,000). Of these queries, 61.38% (3392/5526) were followed by users clicking on a search result. Of these 3392 queries, 1344 (39.62%) webpages were clicked on by 930 unique users but only 1314 of those webpages were accessible during the study period. Each clicked-through webpage was classified into 11 categories. The categories of the most visited webpages were: entertainment (30.13%; 396/1314), scientific information (18.31%; 240/1314), and community resources (14.53%; 191/1314). Among the 1314 accessed webpages, we could identify only two pro-suicide websites. We found that the search terms used to access these sites included “commiting suicide with a gas oven”, “hairless goat”, “pictures of murder by strangulation”, and “photo of a severe burn”. A limitation of our study is that the database may be dated and confined to mainly English webpages. Conclusions Searching or browsing suicide-related or pro-suicide webpages was

  4. INMERSIÓN DE SEMILLAS DE MAÍZ EN AGUA CALIENTE EN LA PRODUCCIÓN DE GERMINADOS PARA FORRAJE

    Directory of Open Access Journals (Sweden)

    Felipe Gonz\\u00E1lez-Rodr\\u00EDguez

    2014-01-01

    Full Text Available El objetivo de este trabajo fue evaluar la tolerancia al deterioro y la viabilidad de semillas de maíz en inmersión en agua caliente. Se evaluaron tres cultivares de maíz: País Tuxpeño (PT, X ́nuuknal (X y Sinaloa (S que se sometieron a 0, 2, 4, 6 y 8 segundos de inmersión en agua a 100°C, en la producción de germinados para forraje. El estudio se realizó en Conkal, Yucatán, México en junio de 2011. Las variables evaluadas en semillas fueron: peso inicial (PIS, porcentaje de germinación (PG, número medio de días a germinación (NMDG e índice de velocidad (IVG; en plántulas: peso fresco (PF, seco (PS y la rela - ción producción de biomasa por unidad de peso de semilla (PF:PIS. Los resultados mostraron diferencias significativas (P≤0,05 en todas las variables, excepto en NMDG. El PG fue de 96, 74 y 55% para PT, X y S, respectivamente. La inmersión por 2 s incrementó el PG, IVG, PF, PS y PF:PIS en X y S pero con inmersión por 4 y 6 s estas variables disminuyeron. Por el contrario, el PT inmerso por 2 s disminuyó el PG al 75%, pero con inmersión por 4 y 6 s todas las variables mostraron valores ascendentes. El tiempo de inmersión por 8 s afectó severamente a los tres cultivares, siendo PT el menos afectado ya que el PF solamente disminuyó el 35%, mientras que para X y S el decremento fue de 61% y 42% respectivamente. En conclusión, PT presentó mayor tolerancia al deterioro por in - mersión en agua caliente y por tanto, es el más recomendado para la producción de germinados para forraje verde.

  5. Modelación de fenómenos metalúrgicos en laminación en caliente de acero

    Directory of Open Access Journals (Sweden)

    Zambrano, P.

    2008-02-01

    Full Text Available Modelling of hot rolling of steel strip involves metallurgical phenomena such as restoration of deformed structures, transformation to ferrite and growth of the oxide layer on top of the steel strip. The effect of composition is taken into account when restoration and phase transformation is considered, whereas it is assumed that the chemical composition of the steel substrate does not affect the oxide crust, being common place to consider the oxide just as a thermal barrier and to assume sticking conditions within the roll-gap. Observations indicate that elements such as silicon and manganese, more susceptible to oxidize than iron, affect the growth kinetics, adhesion and the behaviour during deformation of the oxide layer. This work deals with the way used to model various superficial and metallurgical phenomena, and how this knowledge is used to simulate hot rolling of steel strip.

    La modelación del proceso de laminación en caliente de acero incorpora fenómenos metalúrgicos como son la restauración de la estructura deformada, la trasformación de fase y el crecimiento de la capa de óxido sobre la superficie del acero. Se reconoce el efecto de la composición química sobre la transformación de fase y la restauración, sin embargo se considera que el crecimiento del óxido no es afectado por la presencia de elementos aleantes en el acero y es común que se maneje a la costra de óxido como una barrera térmica y que se supongan condiciones de fricción adhesivas en el entrehierro. Determinadas observaciones indican que elementos como el silicio y el manganeso, más susceptibles a oxidarse que el hierro, afectan la cinética de crecimiento, la adhesión y el comportamiento de la costra al ser deformada. En este trabajo se presenta la forma en que diversos fenómenos metalúrgicos y de superficie se modelan y se utilizan para simular el proceso de laminación en caliente.

  6. A study of Iranian immigrants’ experiences of accessing Canadian health care services: a grounded theory

    Directory of Open Access Journals (Sweden)

    Dastjerdi Mahdieh

    2012-09-01

    Full Text Available Abstract Background Immigration is not a new phenomenon but, rather, has deep roots in human history. Documents from every era detail individuals who left their homelands and struggled to reestablish their lives in other countries. The aim of this study was to explore and understand the experience of Iranian immigrants who accessed Canadian health care services. Research with immigrants is useful for learning about strategies that newcomers develop to access health care services. Methods The research question guiding this study was, “What are the processes by which Iranian immigrants learn to access health care services in Canada?” To answer the question, a constructivist grounded theory approach was applied. Initially, unstructured interviews were conducted with 17 participants (11 women and six men who were adults (at least 18 years old and had immigrated to Canada within the past 15 years. Eight participants took part in a second interview, and four participants took part in a third interview. Results Using a constructivist grounded theory approach, “tackling the stumbling blocks of access” emerged as the core category. The basic social process (BSP, becoming self-sufficient, was a transitional process and had five stages: becoming a stranger; feeling helpless; navigating/seeking information; employing strategies; and becoming integrated and self-sufficient. We found that “tackling the stumbling blocks of access” was the main struggle throughout this journey. Some of the immigrants were able to overcome these challenges and became proficient in accessing health care services, but others were unable to make the necessary changes and thus stayed in earlier stages/phases of transition, and sometimes returned to their country of origin. Conclusion During the course of this journey a substantive grounded theory was developed that revealed the challenges and issues confronted by this particular group of immigrants. This process explains

  7. STUDY OF ADVANTAGES AND DISADVANTAGES OF TOTALLY IMPLANTABLE VENOUS ACCESS DEVICE

    Directory of Open Access Journals (Sweden)

    J. Ahmadi

    2006-07-01

    Full Text Available Totally implantable venous access devices (TIVAD or implantable catheter ports are devices which can be implanted subcutaneously. They enable prolonged and repeated access to the vascular system, into the peritoneal cavity or intravertebral space. This device is particularly useful for repeated medical injection, for blood sampling or transfusion of blood and blood derivatives and for total parenteral nutrition (TPN. Although many patients benefit from the insertion of TIVAD without any secondary effects, any surgical implantation can nevertheless lead to complications. ‎In this study, we investigated the advantages and disadvantages of TIVAD catheter in pediatric age group. A total of 94 cases, 2 to 14 years old, were included in our study. We implanted TIVAD in these patients for chemotherapy in 83 cases (88.29%, for prolonged TPN in 6 cases (6.38%, for corticosteroid and antibiotic therapy after ‎Kasai operation in 2 cases (2.12%, for intermittent IV therapy in 2 cases (2.12% and for need to partial parenteral nutrition in 1 case (1.06%. Out of 94 cases, 14 cases (15% had some kind of complications and 80 cases (85% had no complication. There was no mortality. Most patients and their parents (82 cases, 87.23% were satisfied from TIVAD. ‎It seems that TIVAD can be a useful device for many chronic patients who need an IV access for multiple injections.

  8. [A particular anthropometric method for the study of accessibility of a workstation].

    Science.gov (United States)

    Molinaro, V; Del Ferraro, S

    2008-01-01

    One of the main factors which can involve musculo-skeletal disorders is the assumption of awkward postures. These lasts can be caused, in some cases, by a no-suitable collocation of some devices which are indispensable for the work. It is possible to evaluate if the chosen collocation is adequate or not by studying the accessibility of the workstation with a special regard for the accessibility of the devices placed inside the workstation. EN ISO 14738:2002 is a specific standard which has been adopted in Italy as UNI EN ISO 14738:2004. This standard gives some useful requirements, in terms of accessibility, to design a workstation at no-mobile machinery. In this study, the authors have analyzed a check out workstation by following the requirements described in UNI EN ISO 14738:2004. Critical aspects, related to the organization both of the work activities either of the workstation, have been highlighted taking into account standard criteria. Finally the authors make a new design of the check out workstation trying to optimize device collocation in order to reduce awkward postures. The new configuration has been investigated by applying the criteria mentioned in the standard.

  9. Physical and Visual Accessibilities in Intensive Care Units: A Comparative Study of Open-Plan and Racetrack Units.

    Science.gov (United States)

    Rashid, Mahbub; Khan, Nayma; Jones, Belinda

    2016-01-01

    This study compared physical and visual accessibilities and their associations with staff perception and interaction behaviors in 2 intensive care units (ICUs) with open-plan and racetrack layouts. For the study, physical and visual accessibilities were measured using the spatial analysis techniques of Space Syntax. Data on staff perception were collected from 81 clinicians using a questionnaire survey. The locations of 2233 interactions, and the location and length of another 339 interactions in these units were collected using systematic field observation techniques. According to the study, physical and visual accessibilities were different in the 2 ICUs, and clinicians' primary workspaces were physically and visually more accessible in the open-plan ICU. Physical and visual accessibilities affected how well clinicians' knew their peers and where their peers were located in these units. Physical and visual accessibilities also affected clinicians' perception of interaction and communication and of teamwork and collaboration in these units. Additionally, physical and visual accessibilities showed significant positive associations with interaction behaviors in these units, with the open-plan ICU showing stronger associations. However, physical accessibilities were less important than visual accessibilities in relation to interaction behaviors in these ICUs. The implications of these findings for ICU design are discussed.

  10. Assessment of the vaccine industry in Iran in context of accession to WTO: a survey study

    Directory of Open Access Journals (Sweden)

    Hashemi Meshkini Amir

    2012-08-01

    Full Text Available Abstract Background The vaccine industry is one of the most important health-related industries. It can be affected by accession to the World Trade Organization (WTO because of probable dramatic changes in the business environment. Iran has already initiated accession negotiations. Purpose of the study In this paper, we investigate the position of, challenges to, and opportunities for vaccine manufacturing in Iran with regard to accession to the WTO. Methods This is a qualitative and cross sectional study. To collect information, we designed a questionnaire and interviewed some of the vaccine industry’s key opinion leaders in Iran. Before the interviews were conducted, the questionnaires were sent to these individuals by email. Results According to the interviewees, the country’s main challenges with regard to accession to the WTO are the lack of firm internal intellectual property (IP rules, not being recognized as pre-qualified by the World Health Organization (WHO, the use of old equipment, and a lack of cooperation with global vaccine companies. Major conclusions Iran’s local vaccine industry, with a long history and international reputation that could be used as an advantage, is faced with several challenges, such as problems with keeping up with Current Good Manufacturing Practice (cGMP, a lack of adequate and meaningful investment in research and development (R&D, and limitations on private sector participation in the production of vaccines. Gradual privatization of the industry, improved international relations, utilization of the R&D power of small hi-tech companies, consistent education of human resources, and modernization of infrastructures and equipment are among the suggested solutions.

  11. Assessment of the Vaccine Industry in Iran in Context of Accession to WTO: a Survey Study

    Directory of Open Access Journals (Sweden)

    Amir Hashemi Meshkini

    2012-08-01

    Full Text Available Background :The vaccine industry is one of the most important health-related industries. It can be affected by accession to the World Trade Organization (WTO because of probable dramatic changes in the business environment. Iran has already initiated accession negotiations. Purpose of the study In this paper, we investigate the position of, challenges to, and opportunities for vaccine manufacturing in Iran with regard to accession to the WTO. Methods:This is a qualitative and cross sectional study. To collect information, we designed a questionnaire and interviewed some of the vaccine industry's key opinion leaders in Iran. Before the interviews were conducted, the questionnaires were sent to these individuals by email. Results:According to the interviewees, the country's main challenges with regard to accession to the WTO are the lack of firm internal intellectual property (IP rules, not being recognized as pre-qualified by the World Health Organization (WHO, the use of old equipment, and a lack of cooperation with global vaccine companies. Major conclusions Iran's local vaccine industry, with a long history and international reputation that could be used as an advantage, is faced with several challenges, such as problems with keeping up with Current Good Manufacturing Practice (cGMP, a lack of adequate and meaningful investment in research and development (R&D, and limitations on private sector participation in the production of vaccines. Gradual privatization of the industry, improved international relations, utilization of the R&D power of small hi-tech companies, consistent education of human resources, and modernization of infrastructures and equipment are among the suggested solutions.

  12. [Does open access publishing increase the impact of scientific articles? An empirical study in the field of intensive care medicine].

    Science.gov (United States)

    Riera, M; Aibar, E

    2013-05-01

    Some studies suggest that open access articles are more often cited than non-open access articles. However, the relationship between open access and citations count in a discipline such as intensive care medicine has not been studied to date. The present article analyzes the effect of open access publishing of scientific articles in intensive care medicine journals in terms of citations count. We evaluated a total of 161 articles (76% being non-open access articles) published in Intensive Care Medicine in the year 2008. Citation data were compared between the two groups up until April 30, 2011. Potentially confounding variables for citation counts were adjusted for in a linear multiple regression model. The median number (interquartile range) of citations of non-open access articles was 8 (4-12) versus 9 (6-18) in the case of open access articles (p=0.084). In the highest citation range (>8), the citation count was 13 (10-16) and 18 (13-21) (p=0.008), respectively. The mean follow-up was 37.5 ± 3 months in both groups. In the 30-35 months after publication, the average number (mean ± standard deviation) of citations per article per month of non-open access articles was 0.28 ± 0.6 versus 0.38 ± 0.7 in the case of open access articles (p=0.043). Independent factors for citation advantage were the Hirsch index of the first signing author (β=0.207; p=0.015) and open access status (β=3.618; p=0.006). Open access publishing and the Hirsch index of the first signing author increase the impact of scientific articles. The open access advantage is greater for the more highly cited articles, and appears in the 30-35 months after publication. Copyright © 2012 Elsevier España, S.L. and SEMICYUC. All rights reserved.

  13. 'Predatory' open access: a longitudinal study of article volumes and market characteristics.

    Science.gov (United States)

    Shen, Cenyu; Björk, Bo-Christer

    2015-10-01

    A negative consequence of the rapid growth of scholarly open access publishing funded by article processing charges is the emergence of publishers and journals with highly questionable marketing and peer review practices. These so-called predatory publishers are causing unfounded negative publicity for open access publishing in general. Reports about this branch of e-business have so far mainly concentrated on exposing lacking peer review and scandals involving publishers and journals. There is a lack of comprehensive studies about several aspects of this phenomenon, including extent and regional distribution. After an initial scan of all predatory publishers and journals included in the so-called Beall's list, a sample of 613 journals was constructed using a stratified sampling method from the total of over 11,000 journals identified. Information about the subject field, country of publisher, article processing charge and article volumes published between 2010 and 2014 were manually collected from the journal websites. For a subset of journals, individual articles were sampled in order to study the country affiliation of authors and the publication delays. Over the studied period, predatory journals have rapidly increased their publication volumes from 53,000 in 2010 to an estimated 420,000 articles in 2014, published by around 8,000 active journals. Early on, publishers with more than 100 journals dominated the market, but since 2012 publishers in the 10-99 journal size category have captured the largest market share. The regional distribution of both the publisher's country and authorship is highly skewed, in particular Asia and Africa contributed three quarters of authors. Authors paid an average article processing charge of 178 USD per article for articles typically published within 2 to 3 months of submission. Despite a total number of journals and publishing volumes comparable to respectable (indexed by the Directory of Open Access Journals) open access

  14. Improving access to electronic health records for people with intellectual disability: a qualitative study.

    Science.gov (United States)

    van Dooren, Kate; Lennox, Nick; Stewart, Madeline

    2013-01-01

    People with intellectual disability represent ~2-3% of the Australian population and experience elevated rates of mortality and morbidity compared with the general population. People with intellectual disability, and their families and carers, must keep track of extensive medical information while also managing turnover of paid staff, general practitioners and other health professionals, making them beneficiaries of Australia's new eHealth record system. Although they are key users, there is a lack of knowledge about the accessibility of the system for individuals with intellectual disability, or those responsible for managing their health information. This is a missed opportunity to improve the lives of an already overlooked group. This study aimed to identify the facilitators and barriers to registering for an eHealth record network for people with intellectual disability and those supporting them to manage their health information. We interviewed potential users of eHealth records, including four people with intellectual disability, three family members and two residential support workers. Our findings suggest that decision-makers involved in the roll-out of the eHealth record networks should incorporate 'reasonable accommodations' to improve accessibility for people with intellectual disability and those who support them to manage their health information. This includes identifying and eliminating the barriers to accessibility of eHealth records and taking appropriate measures to promote access to individuals with intellectual disability. People with intellectual disability and the people who support them are a diverse group with a range of abilities. The translation of their views into practice will help to improve the eHealth system for this and other vulnerable population groups.

  15. Accessibility of Referent Information Influences Sentence Planning: An Eye-Tracking Study

    Science.gov (United States)

    Ganushchak, Lesya Y.; Konopka, Agnieszka E.; Chen, Yiya

    2017-01-01

    This study investigated the time-course of online sentence formulation (i.e., incrementality in sentence planning) as a function of the preceding discourse context. In two eye-tracking experiments, participants described pictures of transitive events (e.g., a frog catching a fly). The accessibility of the agent (Experiment 1) and patient (Experiment 2) was manipulated in the discourse preceding each picture. In the Literal condition, participants heard a story where the agent or patient was mentioned explicitly (fly, frog). In the Associative condition, the agent or patient was not mentioned but was primed by the story (via semantically or associatively related words such as insect, small, black, wings). In the No Mention condition, the stories did not explicitly mention or prime either character. The target response was expected to have the same structure and content in all conditions (SVO sentences: The frog catches the fly). The results showed that participants generally looked first at the agent, before speech onset, regardless of condition, and then at the patient around and after speech onset. Analyses of eye movements in time window associated with linguistic planning showed that formulation was sensitive mainly to whether the agent was literally mentioned in the context or not and to lesser extent to conceptual accessibility (Experiment 1). Furthermore, accessibility of the patient (be it literal mention of its name or only availability of the concept) showed no effect on the time-course of utterance planning (Experiment 2). Together, these results suggest that linguistic planning before speech onset was influenced only by the accessibility of the first character name in the sentence, providing further evidence for highly incremental planning in sentence production. PMID:28293201

  16. Accessibility of Referent Information Influences Sentence Planning: An Eye-Tracking Study.

    Science.gov (United States)

    Ganushchak, Lesya Y; Konopka, Agnieszka E; Chen, Yiya

    2017-01-01

    This study investigated the time-course of online sentence formulation (i.e., incrementality in sentence planning) as a function of the preceding discourse context. In two eye-tracking experiments, participants described pictures of transitive events (e.g., a frog catching a fly). The accessibility of the agent (Experiment 1) and patient (Experiment 2) was manipulated in the discourse preceding each picture. In the Literal condition, participants heard a story where the agent or patient was mentioned explicitly (fly, frog). In the Associative condition, the agent or patient was not mentioned but was primed by the story (via semantically or associatively related words such as insect, small, black, wings). In the No Mention condition, the stories did not explicitly mention or prime either character. The target response was expected to have the same structure and content in all conditions (SVO sentences: The frog catches the fly). The results showed that participants generally looked first at the agent, before speech onset, regardless of condition, and then at the patient around and after speech onset. Analyses of eye movements in time window associated with linguistic planning showed that formulation was sensitive mainly to whether the agent was literally mentioned in the context or not and to lesser extent to conceptual accessibility (Experiment 1). Furthermore, accessibility of the patient (be it literal mention of its name or only availability of the concept) showed no effect on the time-course of utterance planning (Experiment 2). Together, these results suggest that linguistic planning before speech onset was influenced only by the accessibility of the first character name in the sentence, providing further evidence for highly incremental planning in sentence production.

  17. The geographical digital divide in broadband access and governmental policies in Japan: three case studies

    Directory of Open Access Journals (Sweden)

    Yoshio Arai

    2013-06-01

    Full Text Available Broadband access is indispensable for advanced Internet services, because voluminous data transfers have recently become popular in developed societies. Although broadband access has spread to a certain degree in developed countries/regions, geographical gaps in broadband access (the so-called “geographical digital divide” remain. Based on three case studies in less-favoured areas of Japan (Hokkaido, Nagano Prefecture and Mie Prefecture, we examined how the geographical digital divide is being bridged, and the contributions that national and local government policies make to this process. Several implications were apparent. First, integrating communication infrastructures with manifold digital services, such as cable television services and broadband access, is an effective way to extend broadband to less-favoured areas. The Japanese government has promoted the construction of digital cable television networks, and they have played a significant role in the completion of universal broadband services. The challenge of digitizing terrestrial television broadcasting has been behind these policies. Another effective means of extending broadband has been the pressure exerted by local governments (under the national policy scheme on private cable television companies to bring their services to even the least populated regions. Finally, in those areas where private digital network services are unprofitable, the establishment of a publicly funded cable business (using a budget-transfer scheme, for example may be an effective option for extending broadband services. In general, the challenge of bridging the geographical digital divide should be tackled with a broad set of regional promotion policies for less-favoured regions.

  18. A late Holocene paleoenvironmental reconstruction from Agua Caliente, southern Belize, linked to regional climate variability and cultural change at the Maya polity of Uxbenká

    Science.gov (United States)

    Walsh, Megan K.; Prufer, Keith M.; Culleton, Brendan J.; Kennett, Douglas J.

    2014-07-01

    We report high-resolution macroscopic charcoal, pollen and sedimentological data for Agua Caliente, a freshwater lagoon located in southern Belize, and infer a late Holocene record of human land-use/climate interactions for the nearby prehistoric Maya center of Uxbenká. Land-use activities spanning the initial clearance of forests for agriculture through the drought-linked Maya collapse and continuing into the historic recolonization of the region are all reflected in the record. Human land alteration in association with swidden agriculture is evident early in the record during the Middle Preclassic starting ca. 2600 cal yr BP. Fire slowly tapered off during the Late and Terminal Classic, consistent with the gradual political demise and depopulation of the Uxbenká polity sometime between ca. 1150 and 950 cal yr BP, during a period of multiple droughts evident in a nearby speleothem record. Fire activity was at its lowest during the Maya Postclassic ca. 950-430 cal yr BP, but rose consistent with increasing recolonization of the region between ca. 430 cal yr BP and present. These data suggest that this environmental record provides both a proxy for 2800 years of cultural change, including colonization, growth, decline, and reorganization of regional populations, and an independent confirmation of recent paleoclimate reconstructions from the same region.

  19. La espectroscopía de impedancia electroquímica (EIS aplicada al estudio del mecanismo de la corrosión en caliente por sales fundidas

    Directory of Open Access Journals (Sweden)

    Sandro Báez P.

    2004-01-01

    Full Text Available Las técnicas electroquímicas son empleadas para evaluar las reacciones de corrosión en sistemas acuosos, simulando condiciones reales. En la actualidad no existe un monitoreo en tiempo real del desgaste corrosivo por sales fundidas en los componentes de las calderas; por lo que se hace necesario investigar la utilización de la técnica de EIS para evaluar la corrosión por sales fundidas. Para el desarrollo de este trabajo se construyó una celda de ensayos electroquímicos para corrosión en caliente y se evaluó la velocidad de corrosión de los aceros AISI-304H y T22 en un electrolito 80%V2O5-20%Na2SO4 entre 550°C y 800°C, y con la adición de inhibidores de corrosión como el MgO y el CaO, por medio de las técnicas Extrapolación de Tafel y EIS. Los resultados mostraron que los aceros, por debajo de 750°C, presentan control por difusión en la película de óxido y sobre 750°C, control por difusión en el fundido.

  20. La recristalización dinámica durante la deformación en caliente de un acero calidad armco

    Directory of Open Access Journals (Sweden)

    Tafzi, K.

    2001-04-01

    Full Text Available The onset and kinetics of dynamic recrystallization of an ARMCO steel is characterised in this wok. For this purpose, uniaxial hot compression tests were carried out. The Avrami equation was employed to describe the kinetics of recrystallization. Moreover the critical strain determining the onset for dynamic recrystallization was analysed. It was observed that the latter characteristic parameters were strain rate and temperature dependent. A comparison with published results and a derivation of the possible effect of chemical composition is also offered.

    En este trabajo se caracteriza la recristalización dinámica de un acero calidad ARMCO, desde el punto de vista de su inicio y su cinética. Para este fin, se realizaron ensayos de compresión uniaxial en caliente. Se determinaron, tanto los parámetros de la ecuación de Avrami, que caracterizan la cinética de recristalización, como los que describen la denominada deformación de pico que marca el inicio de la recristalización. Se observó que estos parámetros dependían de las condiciones de deformación. Finalmente, se ofrece una comparación de los resultados obtenidos con otros resultados encontrados para diversos materiales.

  1. Enhancing Independent Internet Access for Individuals with Mental Retardation through Use of a Specialized Web Browser: A Pilot Study.

    Science.gov (United States)

    Davies, Daniel K.; Stock, Steven E.; Wehmeyer, Michael L.

    2001-01-01

    In this study, a prototype web browser, called Web Trek, that utilizes multimedia to provide access for individuals with cognitive disabilities was developed and pilot-tested with 12 adults with mental retardation. The Web Trek browser provided greater independence in accessing the Internet compared to Internet Explorer. (Contains references.)…

  2. Informal workers and access to healthcare: a qualitative study of facilitators and barriers to accessing healthcare for beer promoters in the Lao People's Democratic Republic.

    Science.gov (United States)

    Sychareun, Vanphanom; Vongxay, Viengnakhone; Thammavongsa, Vassana; Thongmyxay, Souksamone; Phummavongsa, Phouthong; Durham, Jo

    2016-04-18

    Informal workers often face considerable risks and vulnerabilities as a consequence of their work and employment conditions. The purpose of this study was to examine the interplay between the experience of informal work and access to health, using as an example, female beer promoters employed in the informal economy, in the Lao People's Democratic Republic. In-depth interviews were undertaken with 24 female beer promoters working in beer shops, restaurants and entertainment venues in Vientiane City. The recruitment strategy of snowball sampling was used. Interviews explored the beer promoter's experience of the organization of work, perceived healthcare needs, access to healthcare and insurance, and health seeking practices. The data was analysed thematically and subsequently using Bourdieu's concepts of habitus, capital and field. Most of the beer promoters included in the study were 18 years of age, single, had worked as beer promoters for more than one year and just over half were working to support their higher education. The beer promoters demonstrated a holistic view of health, also viewing good health as contributing to being beautiful - an important attribute in their work. Many reported that their work conditions, including the noisy environment, exposure to second-hand tobacco smoke, long hours on their feet and sexual harassment negatively affected their physical and mental health. Only four participants had any form of health insurance with access to healthcare constrained by individual characteristics, health system factors and the conditions of their informal employment. Drawing on the work of Bourdieu, the study shows how both employment and illness are linked to habitus embodied in everyday practices, access to capital and the position the female beer promoters hold in the social hierarchy in the field of employment.

  3. Hyperhomocysteinemia and vascular access thrombosis in hemodialysis patients: a retrospective study

    Directory of Open Access Journals (Sweden)

    Saifan C

    2013-07-01

    Full Text Available Chadi Saifan, Elie El-Charabaty, Suzanne El-SayeghStaten Island University Hospital, Staten Island, NY, USABackground: Elevated total plasma homocysteine is an independent risk factor for arterial and venous thrombosis in patients with normal renal function. Patients on hemodialysis have a high prevalence of mild to moderate hyperhomocysteinemia. Conflicting retrospective analyses and prospective studies have been reported regarding the association between total homocysteine levels and hemodialysis vascular thrombosis. The purpose of this retrospective study was to investigate the relationship between hyperhomocysteinemia and vascular access thrombosis (VAT in patients on hemodialysis.Methods: One hundred and twenty-five patients undergoing dialysis were selected as subjects. The experimental group participants were identified as those having one or more VAT during the previous 13 months and the control group participants had no access thrombosis during the same period. Additional subgroup analysis included the presence of hypertension, diabetes, low-density lipoprotein levels, sex, and use of aspirin.Results: No statistically significant difference was found in total homocysteine levels between the two groups (P = 0.27. No association was found between VAT and sex (P = 0.09, VAT and hypertension (P = 0.96, VAT and diabetes (P = 0.49, nor VAT and low-density lipoprotein level (P = 0.04. A lower rate of VAT was associated with aspirin intake (P = 0.04.Conclusion: This study did not demonstrate a relationship between total homocysteine concentrations and risk of VAT in patients with end-stage renal disease on hemodialysis. There were no significant differences in the number of VAT across additional variables of sex and previous morbidity. Aspirin intake was associated with a lower incidence of VAT.Keywords: hyperhomocysteinemia, vascular access thrombosis, hemodialysis

  4. Locks and raspberries: a comparative study of single-board computers for access control

    OpenAIRE

    Romin, Andreas

    2016-01-01

    Over the past decade, there has been a drastic development of the single-board computer market. These computers are now in a position where they can compete with classic embedded hardware. Such fast improvement has led ASSA ABLOY, a well-known lock and security company, to see value in replacing some of their existing access control hardware with an off-the-shelf single-board computer. Therefore, a comparative study of single-board computers was performed for this company. Some of the compare...

  5. The FODA-TDMA satellite access scheme - Presentation, study of the system, and results

    Science.gov (United States)

    Celandroni, Nedo; Ferro, Erina

    1991-12-01

    A description is given of FODA-TDMA, a satellite access scheme designed for mixed traffic. The study of the system is presented and the choice of some parameters is justified. A simplified analytic solution is found, describing the steady-state behavior of the system. Some results of the simulation tests for an already existing hardware environment are also presented for the channel speeds of 2 and 8 Mb/s, considering both the stationary and the transient cases. The results of the experimentation at 2 Mb/s on the satellite Eutelsat-F2 are also presented and compared with the results of the simulation.

  6. Using urban commuting data to calculate a spatiotemporal accessibility measure for food environment studies.

    Science.gov (United States)

    Widener, Michael J; Farber, Steven; Neutens, Tijs; Horner, Mark W

    2013-05-01

    Improving spatial access to healthy foods in urban regions is recognized as an important component of reducing the prevalence of chronic illness and achieving better health outcomes. Previously, researchers exploring this domain have calculated accessibility measures derived from the travel cost from home locations to nearby food stores. This approach disregards additional opportunities that present themselves as residents move throughout the city. A time-geographic accessibility measure is utilized to explore how single-occupancy automobile commuting affords access to supermarkets. Results show residents in some TAZs have more access when accounting for their commuting behavior than when measuring access from their home. This finding suggests more nuanced calculations of accessibility are necessary to fully understand which urban populations have greater access to healthy food.

  7. Distance matters: a population based study examining access to maternity services for rural women

    Directory of Open Access Journals (Sweden)

    Kornelsen Jude

    2011-06-01

    Full Text Available Abstract Background In the past fifteen years there has been a wave of closures of small maternity services in Canada and other developed nations which results in the need for rural parturient women to travel to access care. The purpose of our study is to systematically document newborn and maternal outcomes as they relate to distance to travel to access the nearest maternity services with Cesarean section capabililty. Methods Study population is all women carrying a singleton pregnancy beyond 20 weeks and delivering between April 1, 2000 and March 31, 2004 and residing outside of the core urban areas of British Columbia. Maternal and newborn data was linked to specific geographic catchments by the B.C. Perinatal Health Program. Catchments were stratified by distance to nearest maternity service with Cesarean section capabililty if greater than 1 hour travel time or level of local service. Hierarchical logistic regression was used to test predictors of adverse newborn and maternal outcomes. Results 49,402 cases of women and newborns resident in rural catchments were included. Adjusted odds ratios for perinatal mortality for newborns from catchments greater than 4 hours from services was 3.17 (95% CI 1.45-6.95. Newborns from catchments 2 to 4 hours, and 1 to 2 hours from services generated rates of 179 and 100 NICU 3 days per thousand births respectively compared to 42 days for newborns from catchments served by specialists. Conclusions Distance matters: rural parturient women who have to travel to access maternity services have increased rates of adverse perinatal outcomes.

  8. Montreal Archive of Sleep Studies: an open-access resource for instrument benchmarking and exploratory research.

    Science.gov (United States)

    O'Reilly, Christian; Gosselin, Nadia; Carrier, Julie; Nielsen, Tore

    2014-12-01

    Manual processing of sleep recordings is extremely time-consuming. Efforts to automate this process have shown promising results, but automatic systems are generally evaluated on private databases, not allowing accurate cross-validation with other systems. In lacking a common benchmark, the relative performances of different systems are not compared easily and advances are compromised. To address this fundamental methodological impediment to sleep study, we propose an open-access database of polysomnographic biosignals. To build this database, whole-night recordings from 200 participants [97 males (aged 42.9 ± 19.8 years) and 103 females (aged 38.3 ± 18.9 years); age range: 18-76 years] were pooled from eight different research protocols performed in three different hospital-based sleep laboratories. All recordings feature a sampling frequency of 256 Hz and an electroencephalography (EEG) montage of 4-20 channels plus standard electro-oculography (EOG), electromyography (EMG), electrocardiography (ECG) and respiratory signals. Access to the database can be obtained through the Montreal Archive of Sleep Studies (MASS) website (http://www.ceams-carsm.ca/en/MASS), and requires only affiliation with a research institution and prior approval by the applicant's local ethical review board. Providing the research community with access to this free and open sleep database is expected to facilitate the development and cross-validation of sleep analysis automation systems. It is also expected that such a shared resource will be a catalyst for cross-centre collaborations on difficult topics such as improving inter-rater agreement on sleep stage scoring.

  9. Urban Tourism Development : A Case Study of Accessible Tourism in Arabianranta

    OpenAIRE

    Nnadiukwu, Ernest; Gbindin, Tunde

    2011-01-01

    The increasing number of special access required tourists willing to participate in tourism and with the growing number of the aging population has made Accessible tourism a growing market. An estimated 130 million disabled tourists in Europe with annual potential spending of about 68 billion Euros has created the need for the upgrade of tourism facilities in different destinations to meet the accessible needs of this customer’s segment. Only those countries with efficient accessible policies...

  10. Estimating solar access of typical residential rooftops: A case study in San Jose, CA

    Energy Technology Data Exchange (ETDEWEB)

    Levinson, Ronnen M.; Gupta, Smita; Akbari, Hashem; Pomerantz, Melvin

    2008-03-03

    Shadows cast by trees and buildings can limit the solar access of rooftop solar-energy systems, including photovoltaic panels and thermal collectors. This study characterizes rooftop shading in a residential neighborhood of San Jose, CA, one of four regions analyzed in a wider study of the solar access of California homes.High-resolution orthophotos and LiDAR (Light Detection And Ranging) measurements of surface height were used to create a digital elevation model of all trees and buildings in a 4 km2 residential neighborhood. Hourly shading of roofing planes (the flat elements of roofs) was computed geometrically from the digital elevation model. Parcel boundaries were used to determine the extent to which roofing planes were shaded by trees and buildings in neighboring parcels.In the year in which surface heights were measured (2005), shadows from all sources ("total shading") reduced the insolation received by S-, SW-, and W-facing residential roofing planes in the study area by 13 - 16percent. Shadows cast by trees and buildings in neighboring parcels reduced insolation by no more than 2percent. After 30 years of simulated maximal tree growth, annual total shading increased to 19 - 22percent, and annual extraparcel shading increased to 3 - 4percent.

  11. Estimating solar access of typical residential rooftops: A case study in San Jose, CA

    Energy Technology Data Exchange (ETDEWEB)

    Levinson, Ronnen M.; Gupta, Smita; Akbari, Hashem; Pomerantz, Melvin

    2008-03-03

    Shadows cast by trees and buildings can limit the solar access of rooftop solar-energy systems, including photovoltaic panels and thermal collectors. This study characterizes rooftop shading in a residential neighborhood of San Jose, CA, one of four regions analyzed in a wider study of the solar access of California homes.High-resolution orthophotos and LiDAR (Light Detection And Ranging) measurements of surface height were used to create a digital elevation model of all trees and buildings in a 4 km2 residential neighborhood. Hourly shading of roofing planes (the flat elements of roofs) was computed geometrically from the digital elevation model. Parcel boundaries were used to determine the extent to which roofing planes were shaded by trees and buildings in neighboring parcels.In the year in which surface heights were measured (2005), shadows from all sources ("total shading") reduced the insolation received by S-, SW-, and W-facing residential roofing planes in the study area by 13 - 16percent. Shadows cast by trees and buildings in neighboring parcels reduced insolation by no more than 2percent. After 30 years of simulated maximal tree growth, annual total shading increased to 19 - 22percent, and annual extraparcel shading increased to 3 - 4percent.

  12. Access to women's health care: a qualitative study of barriers perceived by homeless women.

    Science.gov (United States)

    Gelberg, Lillian; Browner, C H; Lejano, Elena; Arangua, Lisa

    2004-01-01

    Homelessness is an escalating national problem and women are disproportionately affected. Nevertheless, few studies have focused on the special circumstances associated with being a homeless woman. For instance, while both genders experience serious barriers to obtaining health care, homeless women face an additional burden by virtue of their sexual and reproductive health needs. The current study was conducted as the first stage of a qualitative/quantitative investigation of homeless women's access and barriers to family planning and women's health care. We interviewed 47 homeless women of diverse ages and ethnic backgrounds. A qualitative approach was initially taken to explore the factors homeless women themselves perceive as barriers to their use of birth control and women's health services, and factors they believe would facilitate their use. Key findings are that health is not a priority for homeless women, that transportation and scheduling can be particularly burdensome for homeless women, and that being homeless leads some to feel stigmatized by health care providers. Despite being homeless, having children was extremely important to the women in our study. At the same time, those interested in contraception confronted significant barriers in their efforts to prevent pregnancies. We conclude with suggested interventions that would make general, gynecological, and reproductive health care more accessible to homeless women.

  13. Internet Access and Use among Students of Physical Education: A Study of Kurukshetra University, Kurukshetra

    Directory of Open Access Journals (Sweden)

    Kumar, Rajender

    2014-06-01

    Full Text Available This paper depicts a study conducted on the behavior of physical education students towards Internet usage at Kurukshetra University, Kurukshetra. Specially, the study aims to know the purposes for use of Internet resources and services, frequency of use, places and means of use, student's satisfaction level toward the Internet, and problems faced while using the Internet. A survey was carried out with a sample of 100 physical education students of Kurukshetra University and the response rate was 88%. A well-designed questionnaire was distributed to the students' sample. Amazingly, the results of the study reveal that usage of the Internet in research and education was not favored, whereas email, chatting, and sports websites were commonly used among students. The study also found that too much information on the Internet, slow access speeds, and finding relevant information were the main problems in using the Internet.

  14. Open Access Theses in Institutional Repositories: An Exploratory Study of the Perceptions of Doctoral Students

    Science.gov (United States)

    Stanton, Kate Valentine; Liew, Chern Li

    2011-01-01

    Introduction: We examine doctoral students' awareness of and attitudes to open access forms of publication. Levels of awareness of open access and the concept of institutional repositories, publishing behaviour and perceptions of benefits and risks of open access publishing were explored. Method: Qualitative and quantitative data were collected…

  15. Protocol for ACCESS: a qualitative study exploring barriers and facilitators to accessing the emergency contraceptive pill from community pharmacies in Australia

    Science.gov (United States)

    Hussainy, Safeera Yasmeen; Ghosh, Ayesha; Taft, Angela; Mazza, Danielle; Black, Kirsten Isla; Clifford, Rhonda; Mc Namara, Kevin Peter; Ryan, Kath; Jackson, John Keith

    2015-01-01

    Introduction The rate of unplanned pregnancy in Australia remains high, which has contributed to Australia having one of the highest abortion rates of developed countries with an estimated 1 in 5 women having an abortion. The emergency contraceptive pill (ECP) offers a safe way of preventing unintended pregnancy after unprotected sex has occurred. While the ECP has been available over-the-counter in Australian pharmacies for over a decade, its use has not significantly increased. This paper presents a protocol for a qualitative study that aims to identify the barriers and facilitators to accessing the ECP from community pharmacies in Australia. Methods and analysis Data will be collected through one-on-one interviews that are semistructured and in-depth. Partnerships have been established with 2 pharmacy groups and 2 women's health organisations to aid with the recruitment of women and pharmacists for data collection purposes. Interview questions explore domains from the Theoretical Domains Framework in order to assess the factors aiding and/or hindering access to ECP from community pharmacies. Data collected will be analysed using deductive content analysis. The expected benefits of this study are that it will help develop evidence-based workforce interventions to strengthen the capacity and performance of community pharmacists as key ECP providers. Ethics and dissemination The findings will be disseminated to the research team and study partners, who will brainstorm ideas for interventions that would address barriers and facilitators to access identified from the interviews. Dissemination will also occur through presentations and peer-reviewed publications and the study participants will receive an executive summary of the findings. The study has been evaluated and approved by the Monash Human Research Ethics Committee. PMID:26656987

  16. Underage access to online alcohol marketing content: a YouTube case study.

    Science.gov (United States)

    Barry, Adam E; Johnson, Emily; Rabre, Alexander; Darville, Gabrielle; Donovan, Kristin M; Efunbumi, Orisatalabi

    2015-01-01

    With the proliferation of the Internet and online social media use, alcohol advertisers are now marketing their products through social media sites such as YouTube, Facebook and Twitter. As a result, new recommendations have been made by the Federal Trade Commission concerning the self-regulation of digital marketing strategies, including content management on social and digital media sites. The current study sought to determine whether alcohol companies were implementing the self-imposed mandates that they have developed for online marketing. Specifically, we examined whether alcohol companies were implementing effective strategies that would prevent persons under the minimum legal drinking age in the USA from accessing their content on YouTube. We assessed 16 alcohol brands (beer and liquor) associated with the highest prevalence of past 30 day underage alcohol consumption in the USA. Fictitious YouTube user profiles were created and assigned the ages of 14, 17 and 19. These profiles then attempted to access and view the brewer-sponsored YouTube channels for each of the 16 selected brands. Every underage profile, regardless of age, was able to successfully subscribe to each of the 16 (100%) official YouTube channels. On average, two-thirds of the brands' channels were successfully viewed (66.67%). Alcohol industry provided online marketing content is predominantly accessible to underage adolescents. Thus, brewers are not following some of the self-developed and self-imposed mandates for online advertising by failing to implement effective age-restriction measures (i.e. age gates). © The Author 2014. Medical Council on Alcohol and Oxford University Press. All rights reserved.

  17. Single-access retroperitoneoscopic adrenalectomy (SARA) versus conventional retroperitoneoscopic adrenalectomy (CORA): a case-control study.

    Science.gov (United States)

    Walz, Martin K; Groeben, Harald; Alesina, Piero F

    2010-06-01

    Stimulated by the concept of Natural Orifice Transluminal Endoscopic Surgery (NOTES), minimizing the access even further has become a new trend in minimally invasive surgery. We compare our recently described new method of endoscopic single-access adrenalectomy with the conventional retroperitoneoscopic approach in a matched-pairs study. Fifty single-access retroperitoneoscopic adrenalectomies (SARA) were performed in 47 selected patients suffering from Conn's adenomas (n = 20), pheochromocytomas (n = 15), Cushing's adenomas (n = 6), and other diseases (n = 6). For SARA, a single 2-cm skin incision beneath the 12th rib was used. Following creation of the retroperitoneal space with the rigid endoscope, dissection was carried out single-handed. Another 47 patients served as control group; they were treated by the traditional retroperitoneoscopic three-port approach (CORA). Patients were matched with respect to gender, body mass index, diagnoses, tumor size, and tumor site. Mortality was zero and no major complications occurred in both groups. SARA was completed in 41 cases (86%). The overall complication rate was 8.5% in SARA and 6.4% in CORA. Operative time was longer for SARA (56 +/- 28 min) than for CORA (40 +/- 12 min) (P CORA patients (P = 0.01). Mean hospital stay was 2.4 +/- 0.7 days (SARA) and 3.1 +/- 1.2 days (CORA) (P < 0.01). Because feasibility and safety of SARA could be demonstrated in a large group of selected patients, this surgical technique may represent a new milestone in minimally invasive endocrine surgery.

  18. Comprehensive Dataset and Reports of the Mamala Bay Study during 1993-1995 on Oahu, Hawaii (NODC Accession 0000030)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This accession contains comprehensive dataset and reports collected in support of the Mamala Bay Study during 1993-1995. Physical, chemical, biological, and...

  19. Equitable access to integrated primary mental healthcare for people with severe mental disorders in Ethiopia:a formative study

    OpenAIRE

    Hailemariam, Maji; Fekadu, Abebaw; Selamu, Medhin; Medhin, Girmay; Prince, Martin; Hanlon, Charlotte

    2016-01-01

    BACKGROUND: The provision of mental healthcare through integration into primary care is expected to improve access to care, but not all population groups may benefit equally. The aim of this study was to inform delivery of a new primary care-based mental health service in rural Ethiopia by identifying potential barriers to equitable access to mental healthcare and strategies to overcome them.METHODS: A qualitative study was conducted as formative work for the PRogramme for Improving Mental he...

  20. Shamir secret sharing scheme with dynamic access structure (SSSDAS). Case study on nuclear power plant

    Energy Technology Data Exchange (ETDEWEB)

    Thiyagarajan, P.; Thandra, Prasanth Kumar; Rajan, J.; Satyamurthy, S.A.V. [Indira Gandhi Centre for Atomic Research (IGCAR), Kalpakkam (India). Computer Div.; Aghila, G. [National Institute of Technology, Karaikal (India). Dept. of Computer Science and Engineering

    2015-05-15

    In recent years, due to the sophistication offered by the Internet, strategic organizations like nuclear power plants are linked to the outside world communication through the Internet. The entry of outside world communication into strategic organization (nuclear power plant) increases the hacker's attempts to crack its security and to trace any information which is being sent among the top level officials. Information security system in nuclear power plant is very crucial as even small loophole in the security system will lead to a major disaster. Recent cyber attacks in nuclear power plant provoked information security professionals to look deeply into the information security aspects of strategic organizations (nuclear power plant). In these lines, Shamir secret sharing scheme with dynamic access structure (SSSDAS) is proposed in the paper which provides enhanced security by providing dynamic access structure for each node in different hierarchies. The SSSDAS algorithm can be applied to any strategic organizations with hierarchical structures. In this paper the possible scenarios where SSSDAS algorithm can be applied to nuclear power plant is explained as a case study. The proposed SSSDAS scheme identifies the wrong shares, if any, used for reconstruction of the secret. The SSSDAS scheme also address the three major security parameters namely confidentiality, authentication and integrity.

  1. Barriers to access reproductive health care for pregnant adolescent girls: a qualitative study in Tanzania.

    Science.gov (United States)

    Hokororo, Adolfine; Kihunrwa, Albert F; Kalluvya, Samuel; Changalucha, John; Fitzgerald, Daniel W; Downs, Jennifer A

    2015-12-01

    In Tanzania, approximately 25% of adolescents give birth and 50% more become sexually active during adolescence. We hypothesised that reproductive health education and services for adolescent girls are inaccessible and conducted this study to gain insights into their perceptions of sexually transmitted infections (STIs) and barriers to reproductive health service utilisation in rural Mwanza, Tanzania. We conducted nine focus groups among pregnant adolescents aged 15-20 years. Data were transcribed, translated and coded for relevant themes using NVivo10 software for qualitative data analysis. Most participants were aware of the dangers of STIs to themselves and their unborn babies, but did not perceive themselves as at risk of acquiring STIs. They viewed condoms as ineffective for preventing STIs and pregnancies and unnecessary for those in committed relationships. Stigma, long waiting times, and lack of privacy in the clinics discouraged adolescent girls from seeking reproductive health care. Reproductive health care for adolescent girls who are not pregnant is practically nonexistent in Tanzania. Healthcare access for pregnant young women is also limited. Targeted changes to increase clinic accessibility and to provide reproductive health education to all rather than only pregnant women have the potential to address these gaps. ©2015 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

  2. A retrospective study of palindrome symmetrical-tip catheters for chronic hemodialysis access in China.

    Science.gov (United States)

    Ye, Chaoyang; Mao, Zhiguo; Zhang, Pan; Zhang, Yuqiang; Rong, Shu; Chen, Jing; Mei, Changlin

    2015-07-01

    Hemodialysis catheters remain necessary for long-term vascular access in patients for whom arteriovenous access may be problematic or impossible. Developments in catheter design have improved long-term catheter functionality, and reduced the rate of infection and complications associated with their use. This retrospective study of 284 cases of chronic catheterization in 271 patients treated between 2009 and 2011 using Tal Palindrome™ symmetrical-tip (N = 118) or Quinton™ Permcath™ step-tip (N = 166) hemodialysis catheters evaluates the efficacy and the safety of symmetrical-tip dialysis catheters for chronic hemodialysis, compared with a step-tip catheter. Measurements of catheter performance included mean catheter dwell time, incidence of low blood flow, and rates of infection and catheter-related blood stream infection (CRBSI). The symmetrical-tip catheter had a significantly longer mean dwell time compared with the step-tip catheter; 329.4 ± 38.1 versus 273.1 ± 25.4 d (p catheter days was lower for the symmetrical-tip compared with the step-tip catheter; 1.13 versus 6.86 (p catheter was also associated with a lower incidence of complications; the rates of infection (0.28 vs. 0.78; p catheters, and catheter removal occurred less often for the symmetrical-tip catheter (8% vs. 16%; p hemodialysis catheter was associated with a longer mean dwell time, lower incidence of low blood flow, and lower infection rate compared with the step-tip catheter.

  3. Access to Pharmacotherapy Amongst Women with Bipolar Disorder during Pregnancy: a Preliminary Study.

    Science.gov (United States)

    Byatt, Nancy; Cox, Lucille; Moore Simas, Tiffany A; Biebel, Kathleen; Sankaran, Padma; Swartz, Holly A; Weinreb, Linda

    2017-07-11

    Bipolar disorder among pregnant women has deleterious effects on birth and child outcomes and is currently under-detected, not addressed effectively, or exacerbated through inappropriate treatment. The goal of this study was to identify perspectives of pregnant and postpartum women with bipolar disorder on barriers and facilitators to psychiatric treatment during pregnancy. In-depth interviews were conducted with pregnant and postpartum women who scored ≥ 10 on the Edinburgh Postnatal Depression Scale and met DSM-IV criteria for bipolar disorder I, II or not otherwise specified using the Mini International Neuropsychiatric Interview version 5.0. Interviews were transcribed, and resulting data were analyzed using a grounded theory approach to identify barriers and facilitators to bipolar disorder treatment access in pregnancy. Participant identified barriers included perception that psychiatric providers lack training and experience in the treatment of psychiatric illness during pregnancy, are reluctant to treat bipolar disorder among pregnant women, and believe that pharmacotherapy is not needed for psychiatric illness during pregnancy. Facilitators included participants' perception that providers' acknowledge risks associated with untreated or undertreated psychiatric illness during pregnancy and provide psycho-education about the risks, benefits and alternatives to pharmacotherapy. Psychiatric providers are critically important to the treatment of bipolar disorder and need knowledge and skills necessary to provide care during the perinatal period. Advancing psychiatric providers' knowledge/skills may improve access to pharmacotherapy for pregnant women with bipolar disorder.

  4. Achieving People Friendly Accessibility. Key Concepts and a Case Study Overview

    Directory of Open Access Journals (Sweden)

    Michela Tiboni

    2014-05-01

    Full Text Available The present paper stems from the evidence that one of the reasons of the “crisis” of today's cities probably depend on mobility issues.   But what should be done to confront all the negative impacts of passenger transportation, without curbing mobility? Can Urban Engineering be applied to promote a friendlier mobility, that should be not only environment and climate friendly, but user friendly as well? And how? A "people friendly" accessibility approach is presented and conceived as a solution to better integrate land uses with the transport system, satisfying people's expectations (especially those of vulnerable users to easily reach the opportunities they wish to engage with.  The case study of Amsterdam, as walkable and cycle friendly city, is briefly presented and reveal good practices in the field of urban and mobility planning.  Finally, an isochronical accessibility analysis of Amsterdam is applied: it represent catchment areas of railways stations and of supermarkets, and it highlights how much the structure of the city supports bicycle use.

  5. Aspire UWA: A case study of widening access in Higher Education

    Directory of Open Access Journals (Sweden)

    Judy Skene

    2016-07-01

    Full Text Available Widening university access to students from low socio-economic status (LSES and non-traditional backgrounds has been a key equity objective for Australian universities, particularly since the 2008 Review into Australian Higher Education (Bradley, Noonan, Nugent & Scales, 2008. Aspire UWA is an equity pathway that aims to inform aspirations and build academic attainment through direct involvement with students who are the “most able least likely” to access the benefits of higher education (Harris, 2010, p. 7. Through forming long-term partnerships with 63 secondary schools across Western Australia (WA, Aspire UWA has grown since 2009 to engage over 10,000 students annually. Its learning framework is designed to deliver age-appropriate activities to inspire and inform students from Years 7-12 to achieve their educational goals. This paper adopts a case study methodology to explore the Aspire UWA approach, the specific operation of Aspire UWA and the efficacy of the program. 

  6. Two-Step Optimization for Spatial Accessibility Improvement: A Case Study of Health Care Planning in Rural China

    Directory of Open Access Journals (Sweden)

    Jing Luo

    2017-01-01

    Full Text Available A recent advancement in location-allocation modeling formulates a two-step approach to a new problem of minimizing disparity of spatial accessibility. Our field work in a health care planning project in a rural county in China indicated that residents valued distance or travel time from the nearest hospital foremost and then considered quality of care including less waiting time as a secondary desirability. Based on the case study, this paper further clarifies the sequential decision-making approach, termed “two-step optimization for spatial accessibility improvement (2SO4SAI.” The first step is to find the best locations to site new facilities by emphasizing accessibility as proximity to the nearest facilities with several alternative objectives under consideration. The second step adjusts the capacities of facilities for minimal inequality in accessibility, where the measure of accessibility accounts for the match ratio of supply and demand and complex spatial interaction between them. The case study illustrates how the two-step optimization method improves both aspects of spatial accessibility for health care access in rural China.

  7. Access of energetic particles to Titan's exobase: A study of Cassini's T9 flyby

    Science.gov (United States)

    Regoli, L. H.; Roussos, E.; Feyerabend, M.; Jones, G. H.; Krupp, N.; Coates, A. J.; Simon, S.; Motschmann, U.; Dougherty, M. K.

    2016-10-01

    We study how the local electromagnetic disturbances introduced by Titan affect the ionization rates of the atmosphere. For this, we model the precipitation of energetic particles, specifically hydrogen and oxygen ions with energies between 1 keV and 1 MeV, into Titan's exobase for the specific magnetospheric configuration of the T9 flyby. For the study, a particle tracing software package is used which consists of an integration of the single particle Lorentz force equation using a 4th order Runge-Kutta numerical method. For the electromagnetic disturbances, the output of the A.I.K.E.F. hybrid code (kinetic ions, fluid electrons) is used, allowing the possibility of analyzing the disturbances and asymmetries in the access of energetic particles originated by their large gyroradii. By combining these methods, 2D maps showing the access of each set of particles were produced. We show that the access of different particles is largely dominated by their gyroradii, with the complexity of the maps increasing with decreasing gyroradius, due to the larger effect that local disturbances introduced by the presence of the moon have in the trajectory of the particles with lower energies. We also show that for particles with gyroradii much larger than the moon's radius, simpler descriptions of the electromagnetic environment can reproduce similar results to those obtained when using the full hybrid simulation description, with simple north-south fields being sufficient to reproduce the hybrid code results for O+ ions with energies larger than 10 keV but not enough to reproduce those for H+ ions at any of the energies covered in the present study. Finally, by combining the maps created with upstream plasma flow measurements by the MIMI/CHEMS instrument, we are able to estimate normalized fluxes arriving at different selected positions of the moon's exobase. We then use these fluxes to calculate energy deposition and non-dissociative N2 ionization rates for precipitating O+ and H

  8. A cross-sectional study of socio-demographic factors associated with patient access to primary care in Slovenia.

    Science.gov (United States)

    Kert, Suzana; Švab, Igor; Sever, Maja; Makivić, Irena; Pavlič, Danica Rotar

    2015-04-21

    Primary care (PC) is the provision of universally accessible, integrated, person-centred, comprehensive health and community services. Professionals active in primary care teams include family physicians and general practitioners (FP/GPs). There is concern in Slovenia that the current economic crisis might change the nature of PC services. Access, one of the most basic requirements of general practice, is universal in Slovenia, which is one of the smallest European countries; under national law, compulsory health insurance is mandatory for its citizens. Our study examined access to PC in Slovenia during a time of economic crisis as experienced and perceived by patients between 2011 and 2012, and investigated socio-demographic factors affecting access to PC in Slovenia. Data were collected as a part of a larger international study entitled Quality and Costs of Primary Care in Europe (QUALICOPC) that took place during a period of eight months in 2011 and 2012. 219 general practices were included; in each, the aim was to evaluate 10 patients. Dependent variables covered five aspects of access to PC: communicational, cultural, financial, geographical and organizational. 15 socio-demographic factors were investigated as independent variables. Descriptive statistics, factor analysis and multilevel analysis were applied. There were 1,962 patients in the final sample, with a response rate of 89.6%. The factors with the most positive effect on access to PC were financial and cultural; the most negative effects were caused by organizational problems. Financial difficulties were not a significant socio-demographic factor. Greater frequency of visits improves patients' perception of communicational and cultural access. Deteriorating health conditions are expected to lower perceived geographical access. Patients born outside Slovenia perceived better organizational access than patients born in Slovenia. Universal medical insurance in Slovenia protects most patients from PC

  9. Energy access. Assessment of energy reforms: Case studies in Latin America and the Caribbean

    Energy Technology Data Exchange (ETDEWEB)

    Kozulj, R.; di Sbroiavacca, N.; Bouille, D.

    2004-04-01

    impacts of reform have also been identified, that is, those emerging from the linkages between energy and macro-economic policies. This has been useful to understand what happened with reforms aimed at bringing domestic energy prices close to international values by means of sudden monetary appreciation, since this practice has disrupted and de-structured the productive system to such an extent that it can be considered the main cause of worsening structural poverty conditions in the region. In each of the three cases studied, the indicators of system coverage and growth rate of new connections were not entirely adequate to measure the impacts of reforms in the region. This was because, on the one hand, the dynamics of such indicators depends on the relative development level of the system prior to the reforms, as well as on the characteristics, pace and modality of the urbanization process. On the other hand, data distinguishing between poor and non-poor users is not available, which prevents the drawing of more definite and direct conclusions against the objective of the analysis. In spite of those shortcomings, available data on system coverage and growth rate of new connections shows a marked decline in system expansion after the reforms, irrespective of the causes. Where this was accompanied by a significant decline in technical losses due to illegal connections, the access already existed before the reforms. The three cases show a noticeable decrease in the amount of losses as a result of the regularization of such connections alter the privatisation. However, if overall macro-economic reforms fail to solve the problem of poverty but, in fact, make it worse - as in Argentina and El Salvador -, then this improvement may be threatened by a setback in real tariff collection, since users do not have enough income to afford the true cost of the service. Average per capita electricity consumption levels in households shows a decline in Peru, stagnation in El Salvador and

  10. Anatomy of open access publishing: a study of longitudinal development and internal structure

    Directory of Open Access Journals (Sweden)

    Laakso Mikael

    2012-10-01

    Full Text Available Abstract Background Open access (OA is a revolutionary way of providing access to the scholarly journal literature made possible by the Internet. The primary aim of this study was to measure the volume of scientific articles published in full immediate OA journals from 2000 to 2011, while observing longitudinal internal shifts in the structure of OA publishing concerning revenue models, publisher types and relative distribution among scientific disciplines. The secondary aim was to measure the share of OA articles of all journal articles, including articles made OA by publishers with a delay and individual author-paid OA articles in subscription journals (hybrid OA, as these subsets of OA publishing have mostly been ignored in previous studies. Methods Stratified random sampling of journals in the Directory of Open Access Journals (n = 787 was performed. The annual publication volumes spanning 2000 to 2011 were retrieved from major publication indexes and through manual data collection. Results An estimated 340,000 articles were published by 6,713 full immediate OA journals during 2011. OA journals requiring article-processing charges have become increasingly common, publishing 166,700 articles in 2011 (49% of all OA articles. This growth is related to the growth of commercial publishers, who, despite only a marginal presence a decade ago, have grown to become key actors on the OA scene, responsible for 120,000 of the articles published in 2011. Publication volume has grown within all major scientific disciplines, however, biomedicine has seen a particularly rapid 16-fold growth between 2000 (7,400 articles and 2011 (120,900 articles. Over the past decade, OA journal publishing has steadily increased its relative share of all scholarly journal articles by about 1% annually. Approximately 17% of the 1.66 million articles published during 2011 and indexed in the most comprehensive article-level index of scholarly articles (Scopus are available OA

  11. Estudio de la recuperación del zinc presente en los baños agotados de decapado procedentes de las industrias de galvanizado de zinc en caliente mediante técnicas electroquímicas

    OpenAIRE

    Carrillo Abad, Jorge

    2016-01-01

    Actualmente, el 43% de la producción mundial de zinc se destina al proceso de galvanizado por inmersión en caliente. Previamente a la introducción de las piezas en el baño de zinc fundido, éstas necesitan una serie de tratamientos superficiales. Entre estos tratamientos cabe destacar la etapa de decapado, que consiste en la inmersión de las piezas en un baño de ácido clorhídrico para eliminar de su superficie cáscaras y restos de óxido, como la etapa más contaminante del p...

  12. Dimensionado de la instalación de energía solar térmica para producción de agua caliente sanitaria de un módulo de la prisión Puerto III

    OpenAIRE

    Díaz Villarejo, Juan Luis

    2012-01-01

    El siguiente proyecto es un dimensionado de los componentes de un sistema solar activo de baja temperatura para la obtención de agua caliente sanitaria (ACS) para el Centro Penitenciario de Puerto III, ubicado en la carretera A-2078, 7Km, CP 11.500, municipio del Puerto de Santa María (provincia de Cádiz). El objeto del proyecto incluye todo el dimensionado teórico del sistema de energía solar térmica necesario para el edificio, desde los cálculos de necesidades, hasta, por ...

  13. El ejercicio físico en agua caliente reduce el dolor pero no el número de puntos sensibles de mujeres con fibromialgia: un ensayo clínico randomizado

    OpenAIRE

    Tomas-Carus, Pablo; Raimundo, Armando; TIMON, Rafael; Gusi, Narcis

    2007-01-01

    Introducción: el propósito de este estudio fue evaluar los efectos de 8 meses de ejercicio físico en agua caliente sobre el dolor de mujeres con fi- bromialgia (FM). Métodos: treinta y tres pacientes fueron distri- buidas aleatoriamente en dos grupos: un grupo de ejercicio (n=17), que realizó 3 sesiones semanales de 60 minutos de ejercicio físico; y un grupo de control (n=16), que continuó realizando sus activi- dades habituales de la vida diaria. El dolor fue evaluado usando las dimension...

  14. Cinética de secado de fruta bomba (Carica papaya L., cv. Maradol Roja) mediante los métodos de deshidratación osmótica y por flujo de aire caliente

    OpenAIRE

    Daybelis Fernández Valdés; Sahylin Muñiz Becerá; Annia García Pereira; Rafael Cervantes Beyra; Dayvis Fernández Valdés

    2015-01-01

    La deshidratación es uno de los métodos más utilizados para la conservación de frutas y vegetales, mediante su uso se logra extender los períodos de almacenamiento preservando siempre la calidad de los productos. El presente trabajo tiene como objetivo evaluar el comportamiento cinético de las principales propiedades de la fruta bomba (Carica papaya L, cv. Maradol Roja) durante los procesos agroindustriales de deshidratación osmótica (DO) y por flujo de aire caliente (DAC). Las frutas se cort...

  15. A Human Rights Approach for Access to Clean Drinking Water: A Case Study.

    Science.gov (United States)

    Kanaaneh; McKay; Sims

    1995-01-01

    In northern and central Israel are some 70 villages that are not recognized by the state of Israel. At least half of these villages are not connected to the national drinking water networks and lack sufficient quality and quantity of water. Outbreaks of diseases associated with contaminated water supply have occurred, as well as substantial environmental distress. An outbreak of hepatitis A led to the cooperation of a public health physician, a nurse, an environmental engineer, and a human rights lawyer in successfully taking a case to the International Water Tribunal to get access to safe drinking water for these communities. This case study provides a model for cooperation between proponents and practitioners of health and human rights.

  16. Accessible health care for Roma: a gypsy's tale a qualitative in-depth study of access to health care for Roma in Ghent.

    Science.gov (United States)

    Hanssens, Lise G M; Devisch, Ignaas; Lobbestael, Janique; Cottenie, Barbara; Willems, Sara

    2016-02-29

    In general, vulnerable populations experience more problems in accessing health care. This also applies to the Roma-population. In the City of Ghent, Belgium, a relatively large group of Roma resides more or less permanently. The aim of this study is to explore the barriers this population encounters in their search for care. In this qualitative study using in-depth interviews the barriers to health care for the Roma in Ghent are explored. We interviewed 12 Roma and 13 professionals (volunteers, health care providers,...) who had regular contact with the Roma-population in Ghent. For both groups purposive sampling was used to achieve maximal variation regarding gender, age, nationality and legal status. The Roma-population in Ghent encounters various barriers in their search for care. Financial constraints, not being able to reach health care and having problems to get through the complexity of the system are some of the most critical problems. Another important finding is the crucial role of trust between patient and care provider in the care-giving process. Roma share several barriers with other minority groups, such as: financial constraints, mobility issues and not knowing the language. However, more distinctive for this group is the lack of trust in care providers and health care in general. As a result, restraint and lack of communication form serious barriers for both patient and provider in their interaction. In order to ensure equitable access for Roma, more emphasis should be on establishing a relationship of mutual respect and understanding.

  17. Interfaces to PeptideAtlas: a case study of standard data access systems.

    Science.gov (United States)

    Killcoyne, Sarah; Handcock, Jeremy; Robinson, Thomas; Deutsch, Eric W; Boyle, John

    2012-09-01

    Access to public data sets is important to the scientific community as a resource to develop new experiments or validate new data. Projects such as the PeptideAtlas, Ensembl and The Cancer Genome Atlas (TCGA) offer both access to public data and a repository to share their own data. Access to these data sets is often provided through a web page form and a web service API. Access technologies based on web protocols (e.g. http) have been in use for over a decade and are widely adopted across the industry for a variety of functions (e.g. search, commercial transactions, and social media). Each architecture adapts these technologies to provide users with tools to access and share data. Both commonly used web service technologies (e.g. REST and SOAP), and custom-built solutions over HTTP are utilized in providing access to research data. Providing multiple access points ensures that the community can access the data in the simplest and most effective manner for their particular needs. This article examines three common access mechanisms for web accessible data: BioMart, caBIG, and Google Data Sources. These are illustrated by implementing each over the PeptideAtlas repository and reviewed for their suitability based on specific usages common to research. BioMart, Google Data Sources, and caBIG are each suitable for certain uses. The tradeoffs made in the development of the technology are dependent on the uses each was designed for (e.g. security versus speed). This means that an understanding of specific requirements and tradeoffs is necessary before selecting the access technology.

  18. Providing Internet Access to the Ohio Career Information System for All Residents: A Feasibility Study.

    Science.gov (United States)

    Lewis, Morgan V.

    Expanded Internet access to the Ohio Career Information System (OCIS) would provide adults in Ohio who need to or wish to make career changes with the best available information about occupations, education and training programs, and financial aid. In order to determine the feasibility of improving access without cost to users, an advisory group,…

  19. Access to ICT education for girls and women in rural South Africa: a case study

    CSIR Research Space (South Africa)

    Dlodlo, N

    2009-05-01

    Full Text Available This paper describes the impact of socio-economic factors on girls and women’s access to Information and Communication Technology (ICT) education and training in a rural South African environment and recommends strategies for improved access to ICT...

  20. Implementing e-resource access for alumni at King's College London: a case study

    Directory of Open Access Journals (Sweden)

    Anna França

    2014-11-01

    Full Text Available University libraries are increasingly considering ways to develop the library services offered to their alumni in response to growing demand. In particular, there has been a rising interest in how university libraries can extend access to e-resources to include provision of access for alumni, raising a number of challenging questions around the licensing of e-resources for alumni as well as access and funding considerations. This article describes the work carried out at King's College London to investigate extending e-resource access to alumni and the experience of implementing access to JSTOR in 2012. The article then examines some of the barriers that King's have faced in building on this work.

  1. The Study of Access Control for Service-Oriented Computing in Internet of Things

    Directory of Open Access Journals (Sweden)

    Guoping Zhang

    2012-06-01

    Full Text Available In Internet of Things, computing and processing of information is the core supporting. In this paper, we introduce “Service-Oriented Computing” to solve the computing and processing of information in IoT. However, a key challenge in service-oriented environment is the design of effective access control schemas.We put forward a model of Workflow -oriented Attributed Based Access Control (WABAC, and an access control framework based on WABAC model. WABAC model grants and adapts permissions to subjects according to subject atttribute, resource attribute, environment attribute and current task, meeting access control request of SOC. Using the approach presented can effectively enhance the access control security for SOC applications, and prevent the abuse of subject permissions.

  2. Usage Trends of Open Access and Local Journals: A Korean Case Study.

    Science.gov (United States)

    Seo, Jeong-Wook; Chung, Hosik; Yun, Jungmin; Park, Jin Young; Park, Eunsun; Ahn, Yuri

    2016-01-01

    Articles from open access and local journals are important resources for research in Korea and the usage trends of these articles are important indicators for the assessment of the current research practice. We analyzed an institutional collection of published papers from 1998 to 2014 authored by researchers from Seoul National University, and their references from papers published between 1998 and 2011. The published papers were collected from Web of Science or Scopus and were analyzed according to the proportion of articles from open access journals. Their cited references from published papers in Web of Science were analyzed according to the proportion of local (South Korean) or open access journals. The proportion of open access papers was relatively stable until 2006 (2.5 ~ 5.2% in Web of Science and 2.7 ~ 4.2% in Scopus), but then increased to 15.9% (Web of Science) or 18.5% (Scopus) in 2014. We analyzed 2,750,485 cited references from 52,295 published papers. We found that the overall proportion of cited articles from local journals was 1.8% and that for open access journals was 3.0%. Citations of open access articles have increased since 2006 to 4.1% in 2011, although the increase in open access article citations was less than for open access publications. The proportion of citations from local journals was even lower. We think that the publishing / citing mismatch is a term to describe this difference, which is an issue at Seoul National University, where the number of published papers at open access or local journals is increasing but the number of citations is not. The cause of this discrepancy is multi-factorial but the governmental / institutional policies, social / cultural issues and authors' citing behaviors will explain the mismatch. However, additional measures are also necessary, such as the development of an institutional citation database and improved search capabilities with respect to local and open access documents.

  3. Usage Trends of Open Access and Local Journals: A Korean Case Study.

    Directory of Open Access Journals (Sweden)

    Jeong-Wook Seo

    Full Text Available Articles from open access and local journals are important resources for research in Korea and the usage trends of these articles are important indicators for the assessment of the current research practice. We analyzed an institutional collection of published papers from 1998 to 2014 authored by researchers from Seoul National University, and their references from papers published between 1998 and 2011. The published papers were collected from Web of Science or Scopus and were analyzed according to the proportion of articles from open access journals. Their cited references from published papers in Web of Science were analyzed according to the proportion of local (South Korean or open access journals. The proportion of open access papers was relatively stable until 2006 (2.5 ~ 5.2% in Web of Science and 2.7 ~ 4.2% in Scopus, but then increased to 15.9% (Web of Science or 18.5% (Scopus in 2014. We analyzed 2,750,485 cited references from 52,295 published papers. We found that the overall proportion of cited articles from local journals was 1.8% and that for open access journals was 3.0%. Citations of open access articles have increased since 2006 to 4.1% in 2011, although the increase in open access article citations was less than for open access publications. The proportion of citations from local journals was even lower. We think that the publishing / citing mismatch is a term to describe this difference, which is an issue at Seoul National University, where the number of published papers at open access or local journals is increasing but the number of citations is not. The cause of this discrepancy is multi-factorial but the governmental / institutional policies, social / cultural issues and authors' citing behaviors will explain the mismatch. However, additional measures are also necessary, such as the development of an institutional citation database and improved search capabilities with respect to local and open access documents.

  4. Corporate Social Responsibility (CSR for Global Market Access: A Malaysian Case Study on Small and Medium Enterprises (SMEs

    Directory of Open Access Journals (Sweden)

    Tareq Bin Hossain

    2013-01-01

    Full Text Available The Corporate Social Responsibility (CSR is a powerful tool or channel for ensuring greater market access and enables a better engagement in the global market. The study examines how Corporate Social Responsibility (CSR is contributing to mass access of Small and Medium Enterprises (SMEs in the global market. The study used cross section primary data from the level of executives of the corporations. Towards the achievement of its objectives this study uses descriptive statistical tools. The findings of the study revealed that practicing of CSR is playing pivotal role to pick up the brand image and reputation of the Malaysian SMEs to the customers in the global arena.

  5. Primary care physicians' perspectives on facilitating older patients' access to community support services: Qualitative case study.

    Science.gov (United States)

    Ploeg, Jenny; Denton, Margaret; Hutchison, Brian; McAiney, Carrie; Moore, Ainsley; Brazil, Kevin; Tindale, Joseph; Lam, Annie

    2017-01-01

    To understand how family physicians facilitate older patients' access to community support services (CSSs) and to identify similarities and differences across primary health care (PHC) models. Qualitative, multiple-case study design using semistructured interviews. Four models of PHC delivery, specifically 2 family health teams (FHTs), 4 non-FHTs family health organizations, 4 fee-for-service practices, and 2 community health centres in urban Ontario. Purposeful sampling of 23 family physicians in solo and small and large group practices within the 4 models of PHC. A multiple-case study approach was used. Semistructured interviews were conducted and data were analyzed using within- and cross-case analysis. Case study tactics to ensure study rigour included memos and an audit trail, investigator triangulation, and the use of multiple, rather than single, case studies. Three main themes were identified: consulting and communicating with the health care team to create linkages; linking patients and families to CSSs; and relying on out-of-date resources and ineffective search strategies for information on CSSs. All participants worked with their team members; however, those in FHTs and community health centres generally had a broader range of health care providers available to assist them. Physicians relied on home-care case managers to help make linkages to CSSs. Physicians recommended the development of an easily searchable, online database containing available CSSs. This study shows the importance of interprofessional teamwork in primary care settings to facilitate linkages of older patients to CSSs. The study also provides insight into the strategies physicians use to link older persons to CSSs and their recommendations for change. This understanding can be used to develop resources and approaches to better support physicians in making appropriate linkages to CSSs. Copyright© the College of Family Physicians of Canada.

  6. [Analysis on accessibility of urban park green space: the case study of Shenyang Tiexi District].

    Science.gov (United States)

    Lu, Ning; Li, Jun-Ying; Yan, Hong-Wei; Shi, Tuo; Li, Ying

    2014-10-01

    The accessibility of urban park green space is an important indicator to reflect how much the natural service supplied by parks could be enjoyed by citizens conveniently and fairly. This paper took Shenyang Tiexi District as an example to evaluate the accessibility of urban park green space based on QuickBird imagery and GIS software, with four modes of transportation, walking, non-motor vehicle, motor vehicle and public transport being considered. The research compared and analyzed the distribution of the accessible area and the accessible people of park green space. The result demonstrated that park green space in Shenyang Tiexi District was not enough and the distribution was not even. To be precise, the accessibility in southwest part and central part was relatively good, that in marginal sites was worse, and that in east part and north part was the worst. Furthermore, the accessibility based on different modes of transportation varied a lot. The accessibility of motor vehicle was the best, followed by non-motor vehicle and public transport, and walking was the worst. Most of the regions could be reached within 30 minutes by walking, 15 minutes by non-motor vehicle and public transport, and 10 minutes by motor vehicle. This paper had a realistic significance in terms of further, systematic research on the green space spatial pattern optimization.

  7. Quality Assessment of Studies Published in Open Access and Subscription Journals: Results of a Systematic Evaluation.

    Directory of Open Access Journals (Sweden)

    Roberta Pastorino

    Full Text Available Along with the proliferation of Open Access (OA publishing, the interest for comparing the scientific quality of studies published in OA journals versus subscription journals has also increased. With our study we aimed to compare the methodological quality and the quality of reporting of primary epidemiological studies and systematic reviews and meta-analyses published in OA and non-OA journals.In order to identify the studies to appraise, we listed all OA and non-OA journals which published in 2013 at least one primary epidemiologic study (case-control or cohort study design, and at least one systematic review or meta-analysis in the field of oncology. For the appraisal, we picked up the first studies published in 2013 with case-control or cohort study design from OA journals (Group A; n = 12, and in the same time period from non-OA journals (Group B; n = 26; the first systematic reviews and meta-analyses published in 2013 from OA journals (Group C; n = 15, and in the same time period from non-OA journals (Group D; n = 32. We evaluated the methodological quality of studies by assessing the compliance of case-control and cohort studies to Newcastle and Ottawa Scale (NOS scale, and the compliance of systematic reviews and meta-analyses to Assessment of Multiple Systematic Reviews (AMSTAR scale. The quality of reporting was assessed considering the adherence of case-control and cohort studies to STrengthening the Reporting of OBservational studies in Epidemiology (STROBE checklist, and the adherence of systematic reviews and meta-analyses to Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA checklist.Among case-control and cohort studies published in OA and non-OA journals, we did not observe significant differences in the median value of NOS score (Group A: 7 (IQR 7-8 versus Group B: 8 (7-9; p = 0.5 and in the adherence to STROBE checklist (Group A, 75% versus Group B, 80%; p = 0.1. The results did not change after

  8. Quality Assessment of Studies Published in Open Access and Subscription Journals: Results of a Systematic Evaluation.

    Science.gov (United States)

    Pastorino, Roberta; Milovanovic, Sonja; Stojanovic, Jovana; Efremov, Ljupcho; Amore, Rosarita; Boccia, Stefania

    2016-01-01

    Along with the proliferation of Open Access (OA) publishing, the interest for comparing the scientific quality of studies published in OA journals versus subscription journals has also increased. With our study we aimed to compare the methodological quality and the quality of reporting of primary epidemiological studies and systematic reviews and meta-analyses published in OA and non-OA journals. In order to identify the studies to appraise, we listed all OA and non-OA journals which published in 2013 at least one primary epidemiologic study (case-control or cohort study design), and at least one systematic review or meta-analysis in the field of oncology. For the appraisal, we picked up the first studies published in 2013 with case-control or cohort study design from OA journals (Group A; n = 12), and in the same time period from non-OA journals (Group B; n = 26); the first systematic reviews and meta-analyses published in 2013 from OA journals (Group C; n = 15), and in the same time period from non-OA journals (Group D; n = 32). We evaluated the methodological quality of studies by assessing the compliance of case-control and cohort studies to Newcastle and Ottawa Scale (NOS) scale, and the compliance of systematic reviews and meta-analyses to Assessment of Multiple Systematic Reviews (AMSTAR) scale. The quality of reporting was assessed considering the adherence of case-control and cohort studies to STrengthening the Reporting of OBservational studies in Epidemiology (STROBE) checklist, and the adherence of systematic reviews and meta-analyses to Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA) checklist. Among case-control and cohort studies published in OA and non-OA journals, we did not observe significant differences in the median value of NOS score (Group A: 7 (IQR 7-8) versus Group B: 8 (7-9); p = 0.5) and in the adherence to STROBE checklist (Group A, 75% versus Group B, 80%; p = 0.1). The results did not change after adjustment

  9. Differing perspectives on parent access to their child's electronic medical record during neonatal intensive care hospitalization: a pilot study.

    Science.gov (United States)

    Chung, Rebecca K; Kim, Una Olivia; Basir, Mir Abdul

    2017-04-10

    To improve informed medical decision-making, principles for family-centered neonatal care recommend that parents have access to their child's medical record on an ongoing basis during neonatal intensive unit care (NICU) hospitalization. Currently, many NICUs do not allow independent parent access to their child's electronic medical record (EMR) during hospitalization. We undertook a cross-sectional survey pilot study of medical professionals and parents to explore opinions regarding this practice. Inclusion criteria: 18-years old, English-literate, legal guardian of patients admitted to the NICU for 14 days. NICU medical professionals included physicians, nurse practitioners, nurses, and respiratory therapists. Medical professionals believed parent access would make their work more difficult, increase time documenting and updating families, making them more liable to litigation and hesitant to chart sensitive information. However, parents felt that they lacked control over their child's care and desired direct access to the EMR. Parents believed this would improve accuracy of their child's medical chart, and increase advocacy and understanding of their child's illness. NICU parents and medical professionals have differing perspectives on independent parental access to their child's EMR. More research is needed to explore the potential of independent parental EMR access to further improve family-centered neonatal care.

  10. Access to primary care and visits to emergency departments in England: a cross-sectional, population-based study.

    Directory of Open Access Journals (Sweden)

    Thomas E Cowling

    Full Text Available BACKGROUND: The number of visits to hospital emergency departments (EDs in England has increased by 20% since 2007-08, placing unsustainable pressure on the National Health Service (NHS. Some patients attend EDs because they are unable to access primary care services. This study examined the association between access to primary care and ED visits in England. METHODS: A cross-sectional, population-based analysis of patients registered with 7,856 general practices in England was conducted, for the time period April 2010 to March 2011. The outcome measure was the number of self-referred discharged ED visits by the registered population of a general practice. The predictor variables were measures of patient-reported access to general practice services; these were entered into a negative binomial regression model with variables to control for the characteristics of patient populations, supply of general practitioners and travel times to health services. MAIN RESULT AND CONCLUSION: General practices providing more timely access to primary care had fewer self-referred discharged ED visits per registered patient (for the most accessible quintile of practices, RR = 0.898; P<0.001. Policy makers should consider improving timely access to primary care when developing plans to reduce ED utilisation.

  11. Access to Primary Care and Visits to Emergency Departments in England: A Cross-Sectional, Population-Based Study

    Science.gov (United States)

    Cowling, Thomas E.; Cecil, Elizabeth V.; Soljak, Michael A.; Lee, John Tayu; Millett, Christopher; Majeed, Azeem; Wachter, Robert M.; Harris, Matthew J.

    2013-01-01

    Background The number of visits to hospital emergency departments (EDs) in England has increased by 20% since 2007-08, placing unsustainable pressure on the National Health Service (NHS). Some patients attend EDs because they are unable to access primary care services. This study examined the association between access to primary care and ED visits in England. Methods A cross-sectional, population-based analysis of patients registered with 7,856 general practices in England was conducted, for the time period April 2010 to March 2011. The outcome measure was the number of self-referred discharged ED visits by the registered population of a general practice. The predictor variables were measures of patient-reported access to general practice services; these were entered into a negative binomial regression model with variables to control for the characteristics of patient populations, supply of general practitioners and travel times to health services. Main Result and Conclusion General practices providing more timely access to primary care had fewer self-referred discharged ED visits per registered patient (for the most accessible quintile of practices, RR = 0.898; P<0.001). Policy makers should consider improving timely access to primary care when developing plans to reduce ED utilisation. PMID:23776694

  12. Effects of limited access dressing in chronic wounds: A biochemical and histological study

    Directory of Open Access Journals (Sweden)

    Thittamaranahalli Muguregowda Honnegowda

    2015-01-01

    Full Text Available Background: Negative pressure wound therapy has emerged as an attractive treatment modality for the management and healing of chronic ulcers. Though numerous clinical studies are available, there is a lack of biochemical and histological studies evaluating the healing of chronic wounds. Materials and Methods: In the present study, a total 60 patients were divided into two groups: Limited access dressing (LAD group (n = 30 and conventional dressing group (n = 30. Various biochemical parameters such as hydroxyproline, total protein and antioxidants such as reduced glutathione (GSH, glutathione peroxidase (GPx, catalase (CAT and oxidative biomarker malondialdhyde (MDA are measured in the granulation tissue. Histologically amount of inflammatory infiltrate, angiogenesis, and collagen deposition are studied to assess wound healing. Results: Patients treated with LAD have shown significant increase in the mean (±standard deviation hydroxyproline (77.3 ± 30.1 vs. 32.3 ± 16.18; P = 0.026, total protein (13.89 ± 9.0 vs. 8.9 ± 4.59; P = 0.004, GSH (7.4 ± 1.91 vs. 5.1 ± 1.28; P = 0.039, GPx (122.3 ± 59.3 vs. 88.7 ± 34.11; P = 0.030, CAT (1.80 ± 1.14 vs. 0.9 ± 0.71; P = 0.002 and decrease in MDA (13.4 ± 5.5 vs. 8.6 ± 3.8; P = 0.004. Histological study showed comparatively fewer inflammatory cells, increased and well organised collagen bundles, and more angiogenesis in the LAD group when compared with that with conventional dressing after 10 days of treatment. Conclusion: In the present study, we have found beneficial effect of newer intermittent negative pressure therapy in combination with moist environment (LAD on chronic wound healing by increasing collagen deposition and angiogenesis; and reducing oxidative stress and inflammatory infiltrate.

  13. Immigrant mothers and access to prenatal care: evidence from a regional population study in Italy.

    Science.gov (United States)

    Chiavarini, Manuela; Lanari, Donatella; Minelli, Liliana; Pieroni, Luca; Salmasi, Luca

    2016-02-09

    We addressed the question of whether use of adequate prenatal care differs between foreign-born and Italian mothers and estimated the extent to which unobservable characteristics bias results. This study is on primary care and especially on adequate access to prenatal healthcare services by immigrant mothers. Approximately 37,000 mothers of both Italian and foreign nationality were studied. Data were obtained from the Standard Certificate of Live Birth between 2005 and 2010 in Umbria. Estimates from the bivariate probit model indicate that immigrant mothers are three times more likely to make fewer than four prenatal visits (OR=3.35) and 1.66 times more likely to make a late first visit (OR=1.66). The effect is found to be strongest for Asian women. Standard probit models lead to underestimation of the probability of inadequate use of prenatal care services by immigrant women, whereas bivariate probit models, which allow us to consider immigrant status as an endogenous variable, estimated ORs to be three times larger than those obtained with univariate models. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  14. Challenges Women with Disability Face in Accessing and Using Maternal Healthcare Services in Ghana: A Qualitative Study.

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    John Kuumuori Ganle

    Full Text Available While a number of studies have examined the factors affecting accessibility to and utilisation of healthcare services by persons with disability in general, there is little evidence about disabled women's access to maternal health services in low-income countries and few studies consult disabled women themselves to understand their experience of care and the challenges they face in accessing skilled maternal health services. The objective of this paper is to explore the challenges women with disabilities encounter in accessing and using institutional maternal healthcare services in Ghana.A qualitative study was conducted in 27 rural and urban communities in the Bosomtwe and Central Gonja districts of Ghana with a total of 72 purposively sampled women with different physical, visual, and hearing impairments who were either lactating or pregnant at the time of this research. Semi-structured in-depth interviews were used to gather data. Attride-Stirling's thematic network framework was used to analyse the data. Findings suggest that although women with disability do want to receive institutional maternal healthcare, their disability often made it difficult for such women to travel to access skilled care, as well as gain access to unfriendly physical health infrastructure. Other related access challenges include: healthcare providers' insensitivity and lack of knowledge about the maternity care needs of women with disability, negative attitudes of service providers, the perception from able-bodied persons that women with disability should be asexual, and health information that lacks specificity in terms of addressing the special maternity care needs of women with disability.Maternal healthcare services that are designed to address the needs of able-bodied women might lack the flexibility and responsiveness to meet the special maternity care needs of women with disability. More disability-related cultural competence and patient-centred training for

  15. Accessibility and use of urban green spaces, and cardiovascular health: findings from a Kaunas cohort study.

    Science.gov (United States)

    Tamosiunas, Abdonas; Grazuleviciene, Regina; Luksiene, Dalia; Dedele, Audrius; Reklaitiene, Regina; Baceviciene, Migle; Vencloviene, Jone; Bernotiene, Gailute; Radisauskas, Ricardas; Malinauskiene, Vilija; Milinaviciene, Egle; Bobak, Martin; Peasey, Anne; Nieuwenhuijsen, Mark J

    2014-03-19

    The aims of this study were to explore associations of the distance and use of urban green spaces with the prevalence of cardiovascular diseases (CVD) and its risk factors, and to evaluate the impact of the accessibility and use of green spaces on the incidence of CVD among the population of Kaunas city (Lithuania). We present the results from a Kaunas cohort study on the access to and use of green spaces, the association with cardiovascular risk factors and other health-related variables, and the risk of cardiovascular mortality and morbidity. A random sample of 5,112 individuals aged 45-72 years was screened in 2006-2008. During the mean 4.41 years follow-up, there were 83 deaths from CVD and 364 non-fatal cases of CVD among persons free from CHD and stroke at the baseline survey. Multivariate Cox proportional hazards regression models were used for data analysis. We found that the distance from people's residence to green spaces was not related to the prevalence of health-related variables. However, the prevalence of cardiovascular risk factors and the prevalence of diabetes mellitus were significantly lower among park users than among non-users. During the follow up, an increased risk of non-fatal and fatal CVD combined was observed for those who lived ≥629.61 m from green spaces (3rd tertile of distance to green space) (hazard ratio (HR) = 1.36), and the risk for non-fatal CVD-for those who lived ≥347.81 m (2nd and 3rd tertile) and were not park users (HR = 1.66) as compared to men and women who lived 347.8 m or less (1st tertile) from green space. Men living further away from parks (3rd tertile) had a higher risk of non-fatal and fatal CVD combined, compared to those living nearby (1st tertile) (HR = 1.51). Compared to park users living nearby (1st tertile), a statistically significantly increased risk of non-fatal CVD was observed for women who were not park users and living farther away from parks (2nd and 3rd tertile) (HR = 2.78). Our analysis suggests

  16. Open Access and its impact on the Knowledge Society: Latin American Case Studies Insights

    Directory of Open Access Journals (Sweden)

    María Soledad RAMÍREZ MONTOYA

    2015-04-01

    Full Text Available In a changing society, open access may represent an alternative growth and resources to the educational community, from the opportunities given to students, to teachers, researchers and administrators of educational institutions. The aim of this paper is to analyze the opportunities and challenges that gives open access to the educational community, through the presentation of a conceptual vision and practical cases in Latin America, on the issue of open educational resources, repositories, journals and open access policies –from universities and government agencies or financing– and its link to a knowledge society. The findings are presented on three key elements: opportunities, challenges and opportunities open to access the knowledge society.

  17. Propiedades mecánicas y tribológicas del material antifricción Al-Ni-grafito obtenido mediante extrusión en caliente

    Directory of Open Access Journals (Sweden)

    Cambronero, L. E. G.

    2004-04-01

    Full Text Available Manufacturing and characterization of bearing materials is the object of the present work. Thus, graphite particles are added to an aluminium matrix as lubricant. It was added as nickel coated graphite in order to avoid a strength decreasing. Mixing of powders following by cold compaction and hot extrusion was the manufacturing way. Extruded materials showed good graphite distribution into the aluminium matrix, with densities between 3.11 to 3.75 g/cm3 as a function of the nickel/graphite content. Hardness and radial crushing strength decrease when graphite content is increased. On the contrary, friction properties are improved with the graphite content because it decreases friction coefficient and wear. Diffusion heat treatment on extruded materials improves furthermore these friction properties but it decreases the radial crushing strength.

    El objeto de este trabajo es la obtención y caracterización de materiales compuestos (MMC´s para la fabricación de cojinetes para fricción en seco. Así se incorpora a una matriz de aluminio, partículas de grafito para actuar como lubricante si bien en forma de grafito recubierto de níquel para disminuir la perdida de resistencia que presentan estos materiales. La fabricación de estos materiales se realizó mediante compactación de las mezclas de polvos en matriz y su extrusión en caliente. Los materiales obtenidos presentaron una buena distribución del grafito en la matriz de aluminio, con densidades entre 3.11 g/cm3 y 3.75 g/cm3 según el contenido de níquel/grafito. La dureza y la resistencia al aplastamiento radial disminuyen al aumentar el contenido en grafito. No obstante, un mayor contenido en grafito si mejora las propiedades a fricción del material, disminuyendo el desgaste ocasionado y reduciendo el coeficiente de fricción. El tratamiento térmico de difusión de los materiales extruidos mejora sus propiedades de fricción si bien disminuye su resistencia al aplastamiento

  18. Caracterización de residuos sólidos procedentes de dos procesos distintos de galvanizado en caliente por inmersión

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    Delvasto, P.

    2012-02-01

    Full Text Available Zinc dust and zinc ash from hot-dip galvanizing industries located in Venezuela were characterized using atomic spectroscopy, scanning electron microscopy, X-Ray diffraction and infrared spectroscopy. Dust was formed during the high-pressure drying process of the galvanized pieces, in a plant that uses a steel kettle to hold the molten zinc. Ash identified as “A” came from the same plant as the dust, while ash identified as “B” came from a hot-dip galvanizing plant which use a ceramic lined galvanizing furnace. Dust contained 98 wt % Zn, in metallic form. Both ash samples contained: Zn and ZnO, while Zn5(OH8Cl2—H2O and ZnCl2 were only found in ash “B”. Globally, ash “A” and ash “B” contain 71 and 75 wt % Zn, respectively.

    Se caracterizaron polvos y escorias de zinc de industrias venezolanas de galvanizado en caliente por inmersión empleando espectroscopía atómica, microscopía electrónica de barrido, difracción de R-X y espectroscopía infrarroja. Los polvos se obtienen del proceso de secado a alta presión de las piezas en una planta cuyo proceso se basa en una cuba de acero para contener el zinc fundido, planta de la cual procede también la muestra de escoria denominada “A”. Por su parte, la escoria denominada “B” se genera en una industria que utiliza una cuba recubierta con refractario cerámico. Los polvos contienen 98 % en peso de zinc, en forma metálica. Las escorias, por su parte, presentaron las siguientes fases: Zn y ZnO,. Adicionalmente, la escoria “B” mostró la presencia ZnCl2 y Zn5(OH8Cl2—H2O. El contenido total de zinc (% en peso en la escoria “A” es 71 %, mientras que en la escoria “B” es 75 %.

  19. Patients' and carers' experiences of gaining access to acute stroke care: A qualitative study

    OpenAIRE

    Harrison, M; Ryan, T.; Gardiner, C.; Jones, A

    2012-01-01

    Background: Rapid access to acute stroke care is essential to improve stroke patient outcomes. Policy recommendations for the emergency management of stroke have resulted in signi ficant changes to stroke services, including the introduction of hyper-acute care. Objective: To explore patients' and carers' experiences of gaining access to acute stroke care and identify the factors that enabled or prevented stroke from being treated as a medical emergency. Methods: Qualitative semi-structured i...

  20. Bedouin-Arab women's access to antenatal care at the interface of physical and structural barriers: A pilot study.

    Science.gov (United States)

    Gottlieb, Nora; Belmaker, Ilana; Bilenko, Natalya; Davidovitch, Nadav

    2011-01-01

    Since 2000, the Israeli Public Health Services have established eight Maternal-and-Child-Health (MCH) stations in unrecognised Bedouin-Arab villages in South Israel in order to reduce barriers to healthcare. The goals of this pilot study were: (1) to explore the new MCH stations' impact on antenatal care (ANC) accessibility; and (2) to compare access to ANC between women from villages with MCH stations and women from villages without MCH stations. The study combined quantitative and qualitative methods including structured interviews with 174 MCH service users, review of 158 ANC records and 16 in-depth interviews with Bedouin-Arab women. The establishment of MCH stations in unrecognised villages has improved physical access to ANC and secondarily diminished other barriers related to financial and sociocultural dimensions of women's access to healthcare, thus enhancing women's options for independent healthcare-seeking; yet, limited opening hours, staff shortages and communication problems hamper ANC delivery at the new MCH stations. This pilot study indicates that the MCH stations' establishment in unrecognised villages was a successful intervention, which improved women's access to ANC. Even though current service delivery challenges need to be overcome to achieve the intervention's full potential, its replication should be considered in further villages.

  1. Access to medicines in Latin America and the Caribbean (LAC): a scoping study

    Science.gov (United States)

    Emmerick, Isabel Cristina Martins; Oliveira, Maria Auxiliadora; Luiza, Vera Lucia; Azeredo, Thiago Botelho; Bigdeli, Maryam

    2013-01-01

    Objective To assess scientific publication and map research gaps on access to medicines (ATM) in Latin American and the Caribbean low-income and middle-income countries (LMIC). Design Scoping review. Two independent reviewers assessed studies for inclusion and extracted data from each study. Information sources Search strategies were developed and the following databases were searched: MEDLINE, ISI, SCOPUS and Lilacs, from 2000 to 2010. Eligibility criteria Research articles and reviews published in English, Spanish and Portuguese were included. Studies including only high-income countries were excluded, as well as those carried out in very limited settings and discussion papers. Results The 77 articles retained were categorised through consensus among the research team according to the level of the health system addressed, ATM domain and research issues covered. Publications on ATM have increased over time during the study period (r 0.93, p=0.00; R2 0.85). The top five countries covered were Brazil (68.8%), Mexico (15.6%), Colombia (11.7%), Argentina (10.4%) and Peru (10.4%). ‘Health services delivery’ and ‘patients, household and communities’ were the health system levels most frequently covered. The ATM domains ‘leadership and governance’, ‘sustainable financing, affordability and price of medicines’, ‘medicines selection and use’ and ‘availability of medicines’ were the top four explored. There are research gaps in important areas such as ‘human resources for health’, ‘global policies and human rights’, ‘production of medicines’ and ‘traditional medicine’. Conclusions The upward trend on scientific publication reflects a growing research capacity in the region, which is concentrated on research teams in selected countries. The gaps on research capacity could be overcome through research collaboration among countries. It is important to strengthen these collaborations, assuring that interests and needs from the LMIC are

  2. Study of HTML Meta-Tags Utilization in Web-based Open-Access Journals

    Directory of Open Access Journals (Sweden)

    Pegah Pishva

    2007-04-01

    Full Text Available The present study investigates the extent of utilization of two meta tags – “keywords” and “descriptors” – in Web-based Open-Access Journals. A sample composed of 707 journals taken from DOAJ was used. These were analyzed on the account of utilization of the said meta tags. Findings demonstrated that these journals utilized “keywords” and “descriptors” meta-tags, 33.1% and 29.9% respectively. It was further demonstrated that among various subject classifications, “General Journals” had been the highest while “Mathematics and Statistics Journals” had the least utilization as “keywords” meta-tags. Moreover, “General Journals” and “Chemistry journals”, with 55.6% and 15.4% utilization respectively, had the highest and the lowest “descriptors” meta-tag usage rate. Based on our findings, and when compared against other similar research findings, there had been no significant growth experienced in utilization of these meta tags.

  3. Big Data access and infrastructure for modern biology: case studies in data repository utility.

    Science.gov (United States)

    Boles, Nathan C; Stone, Tyler; Bergeron, Charles; Kiehl, Thomas R

    2017-01-01

    Big Data is no longer solely the purview of big organizations with big resources. Today's routine tools and experimental methods can generate large slices of data. For example, high-throughput sequencing can quickly interrogate biological systems for the expression levels of thousands of different RNAs, examine epigenetic marks throughout the genome, and detect differences in the genomes of individuals. Multichannel electrophysiology platforms produce gigabytes of data in just a few minutes of recording. Imaging systems generate videos capturing biological behaviors over the course of days. Thus, any researcher now has access to a veritable wealth of data. However, the ability of any given researcher to utilize that data is limited by her/his own resources and skills for downloading, storing, and analyzing the data. In this paper, we examine the necessary resources required to engage Big Data, survey the state of modern data analysis pipelines, present a few data repository case studies, and touch on current institutions and programs supporting the work that relies on Big Data. © 2016 New York Academy of Sciences.

  4. Safety zone for surgical access in the middle third of the clavicle: study on cadavers☆

    Science.gov (United States)

    Ribeiro, Fabiano Rebouças; de Marchi Bosi Porto, Fernanda; Silva, Marcio Vieira Sanches; Tenor Junior, Antonio Carlos; da Costa, Miguel Pereira; Filardi, Cantidio

    2015-01-01

    Objective The aim of this study was to establish a neurovascular safety zone for surgical access in the middle third of the clavicle, by means of dissection on cadavers. Methods Twenty shoulders were dissected in 10 cadavers, with deep dissection of the middle third of the clavicle. The following structures were identified: subclavian vein, upper trunk of the brachial plexus (anterior and posterior divisions) and suprascapular nerve. These structures were marked out in order to measure their distances from the most proximal point of the middle third of the clavicle. Results The mean distances from the middle third of the clavicle to the suprascapular nerve, subclavian vein, upper trunk, anterior division of the upper trunk and posterior division of the upper trunk were respectively, for the right side: 15.92 cm, 10.77 cm, 23.68 cm, 14.60 cm and 15.42 cm; and for the left side: 12.69 cm; 9.82 cm; 22.19 cm; 12.16 cm and 13.46 cm. Conclusion There was a statistical difference in the distances to the suprascapular nerve and anterior division of the upper trunk, in comparing between the right and left sides. The closest neurovascular structures to the middle third of the clavicle were the suprascapular nerve and subclavian vein. PMID:26229929

  5. Assessing mouse alternatives to access to computer: a case study of a user with cerebral palsy.

    Science.gov (United States)

    Pousada, Thais; Pareira, Javier; Groba, Betania; Nieto, Laura; Pazos, Alejandro

    2014-01-01

    The purpose of this study is to describe the process of assessment of three assistive devices to meet the needs of a woman with cerebral palsy (CP) in order to provide her with computer access and use. The user has quadriplegic CP, with anarthria, using a syllabic keyboard. Devices were evaluated through a three-step approach: (a) use of a questionnaire to preselect potential assistive technologies, (b) use of an eTAO tool to determine the effectiveness of each devised, and (c) a conducting semi-structured interview to obtain qualitative data. Touch screen, joystick, and trackball were the preselected devices. The best device that met the user's needs and priorities was joystick. The finding was corroborated by both the eTAO tool and the semi-structured interview. Computers are a basic form of social participation. It is important to consider the special needs and priorities of users and to try different devices when undertaking a device-selection process. Environmental and personal factors have to be considered, as well. This leads to a need to evaluate new tools in order to provide the appropriate support. The eTAO could be a suitable instrument for this purpose. Additional research is also needed to understand how to better match devices with different user populations and how to comprehensively evaluate emerging technologies relative to users with disabilities.

  6. Experience With a Novel, Global, Open-Access Template for Major Incidents: Qualitative Feasibility Study.

    Science.gov (United States)

    Fattah, Sabina; Agledahl, Kari Milch; Rehn, Marius; Wisborg, Torben

    2017-08-01

    The transfer of experiences gained after prehospital medical responses to major incidents has largely been nonsystematic, and better-structured reporting methods have been advocated. A consensus-based template was recently created and implemented as an open-access website. This qualitative study assessed the feasibility of using the template and reporting site. Informants who had used or who had been asked to use the template were interviewed. The semi-structured interviews were transcribed verbatim, and the transcripts were analyzed by using an inductive approach based on grounded theory methodology. The major theme identified was a need for "defining purpose" as explained by the minor themes "relevance," "scope," "resources," and "usefulness." Informants reported that the template content needed to be revised and that the scope and rationale behind each question should be conveyed to the user. Resources necessary for reporting and clarity regarding the aim and outcome also need to be communicated to users and policy-makers. The interface between informants and the template is critical. Informants considered the template and website useful but reported that the workload exceeded their expectations. Despite pilot testing of the template before implementation, early revision of the template is recommended. (Disaster Med Public Health Preparedness. 2017;11:403-406).

  7. Human membrane transporter database: a Web-accessible relational database for drug transport studies and pharmacogenomics.

    Science.gov (United States)

    Yan, Q; Sadée, W

    2000-01-01

    The human genome contains numerous genes that encode membrane transporters and related proteins. For drug discovery, development, and targeting, one needs to know which transporters play a role in drug disposition and effects. Moreover, genetic polymorphisms in human membrane transporters may contribute to interindividual differences in the response to drugs. Pharmacogenetics, and, on a genome-wide basis, pharmacogenomics, address the effect of genetic variants on an individual's response to drugs and xenobiotics. However, our knowledge of the relevant transporters is limited at present. To facilitate the study of drug transporters on a broad scale, including the use of microarray technology, we have constructed a human membrane transporter database (HMTD). Even though it is still largely incomplete, the database contains information on more than 250 human membrane transporters, such as sequence, gene family, structure, function, substrate, tissue distribution, and genetic disorders associated with transporter polymorphisms. Readers are invited to submit additional data. Implemented as a relational database, HMTD supports complex biological queries. Accessible through a Web browser user interface via Common Gateway Interface (CGI) and Java Database Connection (JDBC), HMTD also provides useful links and references, allowing interactive searching and downloading of data. Taking advantage of the features of an electronic journal, this paper serves as an interactive tutorial for using the database, which we expect to develop into a research tool.

  8. RETROSPECTIVE STUDY OF MICROORGANISMS ASSOCIATED WITH VASCULAR ACCESS INFECTIONS IN HEMODIALYSIS PATIENTS

    Science.gov (United States)

    D’Amato-Palumbo, S; Kaplan, AA; Feinn, RS; Lalla, RV

    2013-01-01

    Objective To assess microorganisms associated with vascular access-associated infections (VAIs) in hemodialysis patients, with respect to possible origin from the mouth. Study Design A retrospective and comparative analysis of the microbes associated with VAI in hemodialysis patients treated during a 10-year period was performed using the Human Oral Microbiome Database (HOMD). Results Of 218 patient records identified, 65 patients collectively experienced 115 VAI episodes. The most common microorganisms involved were Staphylococcus aureus (49.6% of infections), Staphylococcus epidermidis (10.4%), Serratia marcescens (10.4%), Pseudomonas aeruginosa (9.6%), and Enterococcus faecalis / fecum (8.7%). None of these was found in 1% or more of HOMD clone libraries, indicating that they very rarely colonize the teeth or plaque. Conclusions Most VAIs were associated with microorganisms more likely to originate from other body sites than from the oral cavity. The risk of a VAI being caused by microorganisms originating from the oral cavity is very small. PMID:23217535

  9. Grain protein concentration and harvestable protein under future climate conditions. A study of 108 spring barley accessions

    DEFF Research Database (Denmark)

    Ingvordsen, Cathrine Heinz; Gislum, René; Jørgensen, Johannes Ravn

    2016-01-01

    In the present study a set of 108 spring barley (H. vulgare L.) accessions were cultivated under predicted future levels of temperature and [CO2] as single factors and in combination (IPCC, AR5, RCP8.5). Across all genotypes, elevated [CO2] (700 ppm day/night) slightly decreased protein concentra......In the present study a set of 108 spring barley (H. vulgare L.) accessions were cultivated under predicted future levels of temperature and [CO2] as single factors and in combination (IPCC, AR5, RCP8.5). Across all genotypes, elevated [CO2] (700 ppm day/night) slightly decreased protein...

  10. The effects of open access on un-published documents: A case study of economics working papers

    DEFF Research Database (Denmark)

    Faber Frandsen, Tove

    2009-01-01

    unrefereed publications to a much wider audience. This is particularly interesting seen in relation to the highly disputed open access advantage as the potential advantage for lowvisibility publications has not been given much attention in the literature. The present study examines the role ofworking papers....... There is no tendency to an increase in impact during the 10 years which is the case for the high impact journals. Consequently, the result of this study does not provide evidence of an open access advantage for working papers in economics....

  11. Improved access to life insurance after genetic diagnosis of familial hypercholesterolaemia: cross-sectional postal questionnaire study.

    Science.gov (United States)

    Huijgen, Roeland; Homsma, Sietske J M; Hutten, Barbara A; Kindt, Iris; Vissers, Maud N; Kastelein, John J P; van Rijckevorsel, Jan L A

    2012-07-01

    A decade ago, in the initial stage of genetic testing for familial hypercholesterolaemia (FH) in The Netherlands, it was reported that such screening decreased access to affordable life insurance for mutation carriers. In 2003, in order to improve access to insurance for FH mutation carriers, insurers agreed to underwrite according to a set of guidelines. In this cross-sectional study, we assessed whether access to insurance has improved since the advent of these guidelines. We approached 2825 subjects that had participated in the genetic testing for FH between 1998 and 2003. We compared unconditional acceptance rates before and after FH diagnosis and before and after the guidelines were issued by means of logistic regression analysis. Our study outcome pertains to 414 FH patients who applied for life insurance. Unconditional acceptance of a policy before DNA diagnosis and before the issue of guidelines occurred in 182 out of 255 (71%) cases, versus 27 out of 35 (77%) cases after DNA diagnosis, but before the issue of guidelines. De facto, 107 out of 124 (86%) patients received unconditional acceptance after DNA diagnosis and after the issue of guidelines (P for trend=0.002). Access to life insurance improved for FH patients after molecular diagnosis and it improved even further after the guidelines were issued. Therefore, we argue that limited access to life insurance on the basis of 'DNA discrimination' is no longer a valid argument against genetic cascade testing for FH, at least not in our country.

  12. Improved access to life insurance after genetic diagnosis of familial hypercholesterolaemia: cross-sectional postal questionnaire study

    Science.gov (United States)

    Huijgen, Roeland; Homsma, Sietske JM; Hutten, Barbara A; Kindt, Iris; Vissers, Maud N; Kastelein, John JP; van Rijckevorsel, Jan LA

    2012-01-01

    A decade ago, in the initial stage of genetic testing for familial hypercholesterolaemia (FH) in The Netherlands, it was reported that such screening decreased access to affordable life insurance for mutation carriers. In 2003, in order to improve access to insurance for FH mutation carriers, insurers agreed to underwrite according to a set of guidelines. In this cross-sectional study, we assessed whether access to insurance has improved since the advent of these guidelines. We approached 2825 subjects that had participated in the genetic testing for FH between 1998 and 2003. We compared unconditional acceptance rates before and after FH diagnosis and before and after the guidelines were issued by means of logistic regression analysis. Our study outcome pertains to 414 FH patients who applied for life insurance. Unconditional acceptance of a policy before DNA diagnosis and before the issue of guidelines occurred in 182 out of 255 (71%) cases, versus 27 out of 35 (77%) cases after DNA diagnosis, but before the issue of guidelines. De facto, 107 out of 124 (86%) patients received unconditional acceptance after DNA diagnosis and after the issue of guidelines (P for trend=0.002). Access to life insurance improved for FH patients after molecular diagnosis and it improved even further after the guidelines were issued. Therefore, we argue that limited access to life insurance on the basis of ‘DNA discrimination' is no longer a valid argument against genetic cascade testing for FH, at least not in our country. PMID:22293687

  13. Latin American immigrants have limited access to health insurance in Japan: a cross sectional study

    Directory of Open Access Journals (Sweden)

    Suguimoto S Pilar

    2012-03-01

    Full Text Available Abstract Background Japan provides universal health insurance to all legal residents. Prior research has suggested that immigrants to Japan disproportionately lack health insurance coverage, but no prior study has used rigorous methodology to examine this issue among Latin American immigrants in Japan. The aim of our study, therefore, was to assess the pattern of health insurance coverage and predictors of uninsurance among documented Latin American immigrants in Japan. Methods We used a cross sectional, mixed method approach using a probability proportional to estimated size sampling procedure. Of 1052 eligible Latin American residents mapped through extensive fieldwork in selected clusters, 400 immigrant residents living in Nagahama City, Japan were randomly selected for our study. Data were collected through face-to-face interviews using a structured questionnaire developed from qualitative interviews. Results Our response rate was 70.5% (n = 282. Respondents were mainly from Brazil (69.9%, under 40 years of age (64.5% and had lived in Japan for 9.45 years (SE 0.44; median, 8.00. We found a high prevalence of uninsurance (19.8% among our sample compared with the estimated national average of 1.3% in the general population. Among the insured full time workers (n = 209, 55.5% were not covered by the Employee's Health Insurance. Many immigrants cited financial trade-offs as the main reasons for uninsurance. Lacking of knowledge that health insurance is mandatory in Japan, not having a chronic disease, and having one or no children were strong predictors of uninsurance. Conclusions Lack of health insurance for immigrants in Japan is a serious concern for this population as well as for the Japanese health care system. Appropriate measures should be taken to facilitate access to health insurance for this vulnerable population.

  14. Access to the parapharyngeal space: an anatomical study comparing the endoscopic and open approaches.

    Science.gov (United States)

    Van Rompaey, Jason; Suruliraj, Anand; Carrau, Ricardo; Panizza, Benedict; Solares, C Arturo

    2013-10-01

    A subtemporal preauricular approach to the infratemporal fossa and parapharyngeal space has been the traditional path to tumors of this region. The morbidity associated with this procedure has lead to the pursuit of less invasive techniques. Endoscopic access using a minimally invasive transmaxillary/transpterygoid approach potentially may obviate the drawbacks associated with open surgery. The anatomy of the parapharyngeal space is complex and critical; therefore, a comparison of the anatomy exposed by these different approaches could aid in the decision making toward a minimally invasive surgical corridor. Technical Note. The parapharyngeal space was accessed endonasally by removal of the medial and posterior walls of the maxillary sinus. To allow better visualization and increased triangulation of a bimanual dissection technique, a sublabial canine fossa antrostomy was created. The medial and lateral pterygoid plates were removed. Further lateral dissection exposed the relevant anatomy of the parapharyngeal space. A subtemporal preauricular infratemporal approach was also completed. The endoscopic approach provided sufficient access to the superior portion of the parapharyngeal space. The open approach also provided adequate access; however, it required a larger surgical window, causing greater injury. A significant advantage of the subtemporal approach is the improved access to the petrous portion of the internal carotid artery. Conversely, the endonasal approach provided improved access to the anterior and medial portions of the superior parapharyngeal space. Endoscopic endonasal access utilizing a transmaxillary/transpterygoid approach provides a sufficient surgical window for tumor extirpation. Utilization of this approach obviates some of the morbidity associated with an open procedure. 5. Copyright © 2013 The American Laryngological, Rhinological and Otological Society, Inc.

  15. Access to, and experiences of, healthcare services by trafficked people: findings from a mixed-methods study in England.

    Science.gov (United States)

    Westwood, Joanne; Howard, Louise M; Stanley, Nicky; Zimmerman, Cathy; Gerada, Clare; Oram, Siân

    2016-11-01

    Physical and psychological morbidity is high in trafficked people but little is known about their experiences of accessing and using healthcare services while, or after, being trafficked. To explore trafficked people's access to, and use of, health care during and after trafficking. A mixed-methods study - a cross-sectional survey comprising a structured interview schedule and open-ended questions - was undertaken in trafficked people's accommodation or support service offices across England. Participants were asked open-ended questions regarding their use of healthcare services during and after trafficking. Interviews were conducted with professionally qualified interpreters where required. Thematic analysis was used to analyse the data. In total, 136 trafficked people (from 160 contacted) participated in the open-ended interviews of whom 91 (67%) were female and 45 (33%) male. Participants reported being trafficked for domestic servitude (n = 40; 29%), sexual exploitation (n = 41; 30%), and labour exploitation (for example, agriculture or factory work) (n = 52; 38%). Many responders reported that traffickers restricted access to services, accompanied them, or interpreted for them during consultations. Requirements to present identity documents to register for care, along with poor access to interpreters, were barriers to care during and after trafficking. Advocacy and assistance from support workers were critical to health service access for people who have been trafficked. Trafficked people access health services during and after the time they are exploited, but encounter significant barriers. GPs and other practitioners would benefit from guidance on how these people can be supported to access care, especially if they lack official documentation. © British Journal of General Practice 2016.

  16. Human resources needs for universal access to antiretroviral therapy in South Africa: a time and motion study

    Directory of Open Access Journals (Sweden)

    Hontelez Jan AC

    2012-10-01

    Full Text Available Abstract Background Although access to life-saving treatment for patients infected with HIV in South Africa has improved substantially since 2004, treating all eligible patients (universal access remains elusive. As the prices of antiretroviral drugs have dropped over the past years, availability of human resources may now be the most important barrier to achieving universal access to HIV treatment in Africa. We quantify the number of HIV health workers (HHWs required to be added to the current HIV workforce to achieve universal access to HIV treatment in South Africa, under different eligibility criteria. Methods We performed a time and motion study in three HIV clinics in a rural, primary care-based HIV treatment program in KwaZulu-Natal, South Africa, to estimate the average time per patient visit for doctors, nurses, and counselors. We estimated the additional number of HHWs needed to achieve universal access to HIV treatment within one year. Results For universal access to HIV treatment for all patients with a CD4 cell count of ≤350 cells/μl, an additional 2,200 nurses, 3,800 counselors, and 300 doctors would be required, at additional annual salary cost of 929 million South African rand (ZAR, equivalent to US$ 141 million. For universal treatment (‘treatment as prevention’, an additional 6,000 nurses, 11,000 counselors, and 800 doctors would be required, at an additional annual salary cost of ZAR 2.6 billion (US$ 400 million. Conclusions Universal access to HIV treatment for patients with a CD4 cell count of ≤350 cells/μl in South Africa may be affordable, but the number of HHWs available for HIV treatment will need to be substantially increased. Treatment as prevention strategies will require considerable additional financial and human resources commitments.

  17. Characterization of a hot dry rock reservoir at Acoculco geothermal zone, Pue.; Caracterizacion de un yacimiento de roca seca caliente en la zona geotermica de Acoculco, Pue.

    Energy Technology Data Exchange (ETDEWEB)

    Lorenzo Pulido, Cecilia; Flores Armenta, Magaly Ramirez Silva, German [Comision Federal de Electricidad, Gerencia de Proyectos Geotermoelectricos, Morelia, Michoacan (Mexico)]. E-mail: cecilia-lorenzo@cfe.gob.mx

    2011-01-15

    metamorphism due to the emplacement of intrusive rocks (hornblende granite), which was identified in the lithologic column from both wells. Based on all these features, the Acoculco geothermal zone is a candidate for development under an EGS scheme. [Spanish] Los recursos geotermicos de roca seca caliente (HDR: Hot Dry Rock), tambien conocidos actualmente como sistemas geotermicos mejorados (EGS: Enhanced Geothermal Systems), han sido investigados de tiempo atras. El concepto de HDR es muy simple. Los yacimientos mas comunes se encuentran a unos 5000 m de profundidad y estan formados por rocas impermeables que tienen una temperatura entre 150 grados centigrados y 300 grados centigrados , y no contienen ningun tipo de fluido. La temperatura es un criterio economico principal, ya que para la generacion de energia electrica se requiere una temperatura inicial mayor a los 200 grados centigrados. Para desarrollar el sistema se hacen dos perforaciones, en una de las cuales se introduce agua fria y en la otra se obtiene agua caliente. En Francia, desde junio de 2008 se encuentra en operacion una planta de 1.5 MW como parte del proyecto Soultz-sous-Forest financiado por el European Deep Geothermal Energy Programme. A fin de caracterizar los yacimientos HDR se llevo a cabo una recopilacion de informacion multidisciplinaria referente a: (1) origen de la fuente de calor, (2) informacion cuantitativa de temperatura y mecanismos de transferencia de calor natural, (3) fallas y fracturas naturales, (4) esfuerzos locales, y (5) tipo de basamento. Esta informacion se aplico a la zona geotermica de Acoculco, Pue., explorada por el Departamento de Exploracion mediante los pozos EAC-1 y EAC-2 para determinar la presencia de un yacimiento de alta temperatura (de 220 grados centigrados a mas 250 grados centigrados). Esta zona presenta las siguientes caracteristicas: (1) Origen de la fuente de calor: volcano-tectonico; (2) Los registros de temperatura mostraron valores de 263.8 grados centigrados y

  18. Facilitating access to sports for people in poverty? A study on local social sports policy

    Directory of Open Access Journals (Sweden)

    Hanne Vandermeerschen

    2016-06-01

    Full Text Available SAMENVATTING Mensen in armoede toegang bieden tot sport? Een studie naar lokaal sociaal sportbeleid Onderzoek heeft aangetoond dat armoede een impact heeft op de kansen voor sportdeelname. Mensen in armoede participeren minder in sport in vergelijking met mensen die gemakkelijk(er rondkomen. Op Vlaams beleidsniveau werden initiatieven genomen om lokale besturen aan te moedigen tot het promoten en faciliteren van sportdeelname voor mensen in armoede. Het is echter nog onduidelijk in welke mate dit ingang vond op lokaal niveau. In deze studie wordt onderzocht in welke mate lokale sportdiensten momenteel initiatieven nemen om sportdeelname bij mensen in armoede te faciliteren, met welke moeilijkheden sportdiensten worden geconfronteerd om dit doel te bereiken, en in welke mate lokaal sociaal sportbeleid tot stand komt door middel van samenwerkingsverbanden tussen de sportsector enerzijds, en de sociale sector anderzijds. De data zijn afkomstig van het Vlaamse Sportdiensten Panel (2014. De resultaten geven onder meer aan dat de publieke sportsector en de sociale sector nog in grote mate twee “gescheiden” werelden zijn. Het blijkt een uitdaging om de afstand tussen beiden te overbruggen. Aanbevelingen voor verder onderzoek en voor de ontwikkeling van een sociaal sportbeleid worden aangereikt. ABSTRACTFacilitating access to sports for people in poverty? A study on local social sports policy Research has shown that living in poverty affects the opportunities for engaging in practicing sports. People in poverty participate less in sports than people who have no (or fewer difficulties making ends meet. At the Flemish policy level, initiatives have been undertaken to ensure that more local sports authorities promote and facilitate participation in sports for people in poverty. However, it remains unclear how these concerns are being translated at the local level. In this study, we investigate the extent to which local sports authorities are currently

  19. Elimination of HIV in South Africa through expanded access to antiretroviral therapy: a model comparison study.

    Directory of Open Access Journals (Sweden)

    Jan A C Hontelez

    2013-10-01

    Full Text Available BACKGROUND: Expanded access to antiretroviral therapy (ART using universal test and treat (UTT has been suggested as a strategy to eliminate HIV in South Africa within 7 y based on an influential mathematical modeling study. However, the underlying deterministic model was criticized widely, and other modeling studies did not always confirm the study's finding. The objective of our study is to better understand the implications of different model structures and assumptions, so as to arrive at the best possible predictions of the long-term impact of UTT and the possibility of elimination of HIV. METHODS AND FINDINGS: We developed nine structurally different mathematical models of the South African HIV epidemic in a stepwise approach of increasing complexity and realism. The simplest model resembles the initial deterministic model, while the most comprehensive model is the stochastic microsimulation model STDSIM, which includes sexual networks and HIV stages with different degrees of infectiousness. We defined UTT as annual screening and immediate ART for all HIV-infected adults, starting at 13% in January 2012 and scaled up to 90% coverage by January 2019. All models predict elimination, yet those that capture more processes underlying the HIV transmission dynamics predict elimination at a later point in time, after 20 to 25 y. Importantly, the most comprehensive model predicts that the current strategy of ART at CD4 count ≤350 cells/µl will also lead to elimination, albeit 10 y later compared to UTT. Still, UTT remains cost-effective, as many additional life-years would be saved. The study's major limitations are that elimination was defined as incidence below 1/1,000 person-years rather than 0% prevalence, and drug resistance was not modeled. CONCLUSIONS: Our results confirm previous predictions that the HIV epidemic in South Africa can be eliminated through universal testing and immediate treatment at 90% coverage. However, more realistic

  20. The impact of access to health services on prediabetes awareness: A population-based study.

    Science.gov (United States)

    Campbell, Tonya J; Alberga, Amanda; Rosella, Laura C

    2016-12-01

    Research demonstrates that prediabetes awareness has important implications for participation in diabetes risk-reducing behaviors. We examined the impact of levels of access to health services on prediabetes awareness. In 2016, we conducted an analysis among U.S. adults with prediabetes using cross-sectional data from three cycles (2007-2008, 2009-2010, and 2011-2012) of the National Health and Nutrition Examination Survey. Participants aware and unaware of their prediabetes were classified as having full, partial, or no access to health services based on current health insurance coverage and having a routine place to go for health care. Multivariable logistic regression was used to estimate the association between access to health services and prediabetes awareness. Among a total sample of 2999U.S. adults with prediabetes, an estimated 92.0% were unaware of their prediabetes status. Participants that were unaware of their prediabetes tended to be younger, male, and were less likely to be obese or have a family history of diabetes. Having no access to health services significantly increased the odds of being prediabetes unaware (AOR: 2.65; 95% CI: 1.10-6.38). However, participants with insurance but no place of regular care had the greatest odds of being prediabetes unaware (AOR: 3.21; 95% CI: 1.21-8.55). These findings suggest that access to health services is a key factor for prediabetes awareness. Health policies and interventions should strive to ensure equitable access to health services in order to detect prediabetes, and promote awareness and engagement in risk-reducing behaviors to decrease the incidence of diabetes. Copyright © 2016. Published by Elsevier Inc.

  1. Rating scale for the assessment of competence in ultrasound-guided peripheral vascular access - a Delphi Consensus Study

    DEFF Research Database (Denmark)

    Primdahl, Stine C; Todsen, Tobias; Clemmesen, Louise;

    2016-01-01

    INTRODUCTION: Peripheral vascular access is vital for treatment and diagnostics of hospitalized patients. Ultrasound-guided vascular access (UGVA) is superior to the landmark technique. To ensure competence-based education, an assessment tool of UGVA competence is needed. We aimed to develop...... a global rating scale (RS) for assessment of UGVA competence based on opinions on the content from ultrasound experts in a modified Delphi consensus study. METHODS: We included experts from anesthesiology, emergency medicine and radiology across university hospitals in Denmark. Nine elements were drafted...

  2. Improving patient access in nuclear medicine: a case study of PET scanner scheduling.

    Science.gov (United States)

    Marmor, Yariv N; Kemp, Bradley J; Huschka, Todd R; Ruter, Royce L; McConnell, Daniel M; Rohleder, Thomas R

    2013-01-01

    We used the systems engineering technique of discrete event simulation modeling to assist in increasing patient access to positron emission tomographic examinations in the Department of Nuclear Medicine at Mayo Clinic, Rochester. The model was used to determine the best universal slot length to address the specific access challenges of a destination medical center such as Mayo Clinic. On the basis of the modeling, a new schedule was implemented in April 2012 and our before and after data analysis shows an increase of 2.4 scans per day. This was achieved without requiring additional resources or negatively affecting patient waiting, staff satisfaction (as evaluated by day length), or examination quality.

  3. Open Access Research Via Collaborative Educational Blogging: A Case Study from Library & Information Science

    Directory of Open Access Journals (Sweden)

    Kristen Radsliff Rebmann

    2017-09-01

    Full Text Available This article charts the development of activities for online graduate students in library and information science. Project goals include helping students develop competencies in understanding open access publishing, synthesizing research in the field, and engaging in scholarly communication via collaborative educational blogging. Using a design experiment approach as a research strategy, focus is placed on the design of the collaborative blogging activity, open access research as a knowledge domain, and analyses of four iterations of the project. Findings from this iterative learning design suggest several benefits of implementing collaborative educational blogging activities in distance contexts.

  4. A comparative study on transradial vs transfemoral artery access for primary percutaneous coronary intervention in patients with acute myocardial infarction

    Institute of Scientific and Technical Information of China (English)

    傅向华

    2003-01-01

    A comparative study on transradial vs transfemoral artery access for primary percutaneous coronary intervention in patients with acute myocardial infarction!050000$河北医科大学第二医院河北医科大学心脏介入中心@傅向华

  5. Gender-Related Barriers and Delays in Accessing Tuberculosis Diagnostic and Treatment Services: A Systematic Review of Qualitative Studies

    Directory of Open Access Journals (Sweden)

    Lakshmi Krishnan

    2014-01-01

    Full Text Available Background. Tuberculosis (TB remains a significant global public health problem with known gender-related (male versus female disparities. We reviewed the qualitative evidence (written/spoken narrative for gender-related differences limiting TB service access from symptom onset to treatment initiation. Methods. Following a systematic process, we searched 12 electronic databases, included qualitative studies that assessed gender differences in accessing TB diagnostic and treatment services, abstracted data, and assessed study validity. Using a modified “inductive coding” system, we synthesized emergent themes within defined barriers and delays limiting access at the individual and provider/system levels and examined gender-related differences. Results. Among 13,448 studies, 28 studies were included. All were conducted in developing countries and assessed individual-level barriers; 11 (39% assessed provider/system-level barriers, 18 (64% surveyed persons with suspected or diagnosed TB, and 7 (25% exclusively surveyed randomly sampled community members or health care workers. Each barrier affected both genders but had gender-variable nature and impact reflecting sociodemographic themes. Women experienced financial and physical dependence, lower general literacy, and household stigma, whereas men faced work-related financial and physical barriers and community-based stigma. Conclusions. In developing countries, barriers limiting access to TB care have context-specific gender-related differences that can inform integrated interventions to optimize TB services.

  6. Access to UG and Language Transfer: A Study of L2 Learners' Interpretation of Reconstruction in Chinese.

    Science.gov (United States)

    Ying, H. G.

    1999-01-01

    A study of native English speakers learning Chinese investigated second-language learners' knowledge of reconstruction in Chinese. Results of a sentence-interpretation task indicated that English speakers had access to a universal grammar. They demonstrated knowledge of ambiguity of ziti (self) inside a moved predicate and lack of ambiguity of…

  7. Access point analysis in smoking and nonsmoking adolescents: Findings from the European Smoking Prevention Framework Approach study

    NARCIS (Netherlands)

    Vries, H. de; Riet, J.P. van 't; Panday, S.; Reubsaet, A.

    2007-01-01

    This study analyzed possibilities to access European adolescents for tobacco control activities in out-of-school settings as part of comprehensive tobacco control programs. Data on leisure time behaviors of secondary school students were gathered during three waves from six European Union countries

  8. Maternal mortality in the rural Gambia, a qualitative study on access to emergency obstetric care

    Directory of Open Access Journals (Sweden)

    Sundby Johanne

    2005-05-01

    Full Text Available Abstract Background Maternal mortality is the vital indicator with the greatest disparity between developed and developing countries. The challenging nature of measuring maternal mortality has made it necessary to perform an action-oriented means of gathering information on where, how and why deaths are occurring; what kinds of action are needed and have been taken. A maternal death review is an in-depth investigation of the causes and circumstances surrounding maternal deaths. The objectives of the present study were to describe the socio-cultural and health service factors associated with maternal deaths in rural Gambia. Methods We reviewed the cases of 42 maternal deaths of women who actually tried to reach or have reached health care services. A verbal autopsy technique was applied for 32 of the cases. Key people who had witnessed any stage during the process leading to death were interviewed. Health care staff who participated in the provision of care to the deceased was also interviewed. All interviews were tape recorded and analyzed by using a grounded theory approach. The standard WHO definition of maternal deaths was used. Results The length of time in delay within each phase of the model was estimated from the moment the woman, her family or health care providers realized that there was a complication until the decision to seeking or implementing care was made. The following items evolved as important: underestimation of the severity of the complication, bad experience with the health care system, delay in reaching an appropriate medical facility, lack of transportation, prolonged transportation, seeking care at more than one medical facility and delay in receiving prompt and appropriate care after reaching the hospital. Conclusion Women do seek access to care for obstetric emergencies, but because of a variety of problems encountered, appropriate care is often delayed. Disorganized health care with lack of prompt response to

  9. Electricity access. Southern Africa sub-regional study: South Africa and Zimbabwe

    Energy Technology Data Exchange (ETDEWEB)

    Davidson, O.R.; Mwakasonda, S.A.

    2004-07-01

    This study focuses on the accessibility of electricity to the poor in South Africa and Zimbabwe as a means to improve understanding of the various factors that affect the provision of modern energy to the poor in these countries. The study examines the impact on the poor of power sector reforms. Specifically, it makes an assessment of the impact of the electrification programmes in the two countries. The situation in the two countries is discussed separately, followed by a comparative analysis. South Africa is the most industrialised country in Africa and it is endowed with a wide variety of natural resources. It is currently going through major changes in many spheres of its economy, including energy, following the democratic elections in 1994. An important consideration that is directing all aspects of government policy is the need to address the enormous disparities in income levels and living conditions betaveen the different racial groups, a result of apartheid. The rural areas are even more impoverished than urban ones. Alter the 1994 democratic elections, the South African Government launched the first phase of the National Electrification Programme (1994-99), aimed at increasing electrification from 36 per cent to about 66 per cent nationally by 2001 - 46 per cent rural and 80 per cent urban. By the end of 2001, 66.1 per cent of households were electrified, with more than 3.4 million connections made since 1994. Since then, several polities have been introduced in the electricity sector that are of direct relevance to this work. The most important of these concern the restructuring of the electricity supply industry and direct subsidies for the poor and disadvantaged. The South African Government established a National Electrification Fund to subsidise a portion of the capital costs of new electricity connections under the National Electrifcation Programme. The Fund derives its income not only from the electricity industry, but also from fiscal allocations

  10. A comparative study to evaluate the effect of limited access dressing (LAD) on burn wound healing.

    Science.gov (United States)

    Honnegowda, Thittamaranahalli M; Kumar, Pramod; Padmanabha Udupa, Echalasara G; Sharan, Anurag; Singh, Rekha; Prasad, Hemanth K; Rao, Pragna

    2016-10-01

    Biochemical and histopathological analyses are commonly used objective parameters in research and clinical fields to assess the healing status of burn wounds. In this study, the effect of newer intermittent negative-pressure wound therapy in combination with moist environment [limited access dressing (LAD)] on burn wound healing is studied. Various biochemical parameters like hydroxyproline, hexosamine and total protein, and antioxidants like reduced glutathione (GSH), glutathione peroxidase (GPx) and oxidative biomarker malondialdhyde (MDA) were measured in the granulation tissue. Histopathologically, necrotic tissue, amount of inflammatory infiltrate, angiogenesis and extracellular matrix deposition (ECM) were studied to determine wound healing. A total of 55 patients were divided into two groups as follows: LAD group (n = 28) and conventional dressing group (n = 27). Patients treated with LAD have shown significant increase in the mean levels of (±SD) hydroxyproline (75·2 ± 26·30 versus 27·8 ± 15·5; P = 0·010), hexosamine (9·0 ± 1·99 versus 8·0 ± 1·18; P = 0·038), total protein (15·6 ± 8·23 versus 10·26 ± 4·94; P = 0·003), GSH (7·40 ± 1·91 versus 5·1 ± 1·28; P = 0·037), GPx (112·6 ± 46·4 versus 92 ± 32·4; P = 0·016), and decrease in MDA (6·5 ± 2·24 versus 1 0·6 ± 3·8; P = 0·002). Histopathologically, between LAD and conventional dressing groups, there was a significant difference after 10 days of treatment (mean±SE) in necrotic tissue of (LAD versus conventional dressing groups = 10 ± 1·8 versus 11·9 ± 2·6; P = 0·033), inflammatory cells (8·4 ± 1·9 versus 13 ± 3·46; P = 0·021), new blood vessels (12·5 ± 2·87 versus 9·4 ± 1·7; P = 0·047), ECM deposit (12·9 ± 2·41 versus 9·68 ± 1·3; P = 0·018) and showed comparatively fewer inflammatory cells, increased and well-organised extracellular matrix deposit, more angiogenesis in LAD group as compared with that in conventional dressing group. To conclude

  11. Factors that help injecting drug users to access and benefit from services: A qualitative study.

    Science.gov (United States)

    Neale, Joanne; Sheard, Laura; Tompkins, Charlotte N E

    2007-10-30

    International research shows that injecting drug users (IDUs) can encounter many barriers when they try to access drug treatment and other services. However, the existing literature is mostly quantitative and does not consider the kinds of factors that injectors themselves identify as enabling them to access and benefit from services. Responding to this gap in knowledge, our paper explores IDUs' own suggestions for improving service engagement and their reports of other factors enabling them to seek help. Semi-structured qualitative interviews were conducted with 75 current illicit drug injectors in three geographically diverse areas of West Yorkshire, England. Recruitment was through needle exchange programmes, with additional snowball sampling to ensure inclusivity of gender, ethnicity and primary drug injected. Transcribed data were analysed thematically using Framework. Although participants were often satisfied with current access to services, they made three broad suggestions for improving engagement. These were: providing more services (more providers and more forms of support); better operation of existing services (including better communication systems and more flexibility around individual needs); and staffing-related improvements (particularly, less judgemental and more understanding staff attitudes). Other factors identified as important enablers of help seeking were: having supporting relationships (particularly with family members); personal circumstances/life events (especially becoming a parent); and an injector's state of mind (such as feeling motivated and positive). A range of practical suggestions for improving IDUs' access to drug treatment and other services are identified.

  12. Factors that help injecting drug users to access and benefit from services: A qualitative study

    Directory of Open Access Journals (Sweden)

    sheard Laura

    2007-10-01

    Full Text Available Abstract Background International research shows that injecting drug users (IDUs can encounter many barriers when they try to access drug treatment and other services. However, the existing literature is mostly quantitative and does not consider the kinds of factors that injectors themselves identify as enabling them to access and benefit from services. Responding to this gap in knowledge, our paper explores IDUs' own suggestions for improving service engagement and their reports of other factors enabling them to seek help. Methods Semi-structured qualitative interviews were conducted with 75 current illicit drug injectors in three geographically diverse areas of West Yorkshire, England. Recruitment was through needle exchange programmes, with additional snowball sampling to ensure inclusivity of gender, ethnicity and primary drug injected. Transcribed data were analysed thematically using Framework. Results Although participants were often satisfied with current access to services, they made three broad suggestions for improving engagement. These were: providing more services (more providers and more forms of support; better operation of existing services (including better communication systems and more flexibility around individual needs; and staffing-related improvements (particularly, less judgemental and more understanding staff attitudes. Other factors identified as important enablers of help seeking were: having supporting relationships (particularly with family members; personal circumstances/life events (especially becoming a parent; and an injector's state of mind (such as feeling motivated and positive. Conclusion A range of practical suggestions for improving IDUs' access to drug treatment and other services are identified.

  13. Public Internet Access Points (PIAPs) and Their Social Impact: A Case Study from Turkey

    Science.gov (United States)

    Afacan, Gulgun; Er, Erkan; Arifoglu, Ali

    2013-01-01

    Building public Internet access points (PIAPs) is a significant contribution of governments towards achieving an information society. While many developing countries are investing great amounts to establish PIAPs today, people may not use PIAPs effectively. Yet, the successful implementation of PIAPs is the result of citizens' acceptance to use…

  14. Exploring the Design, Development and Use of Websites through Accessibility and Usability Studies

    Science.gov (United States)

    Foley, Alan

    2011-01-01

    In this paper, data obtained from a university website accessibility and usability validation process are analyzed and used to demonstrate how the design process can affect the online experience for users with disabilities. Interviews, observations, and use data (e.g. where users clicked on a page or what path taken through a site) were collected.…

  15. Institutional Repositories, Open Access, and Scholarly Communication: A Study of Conflicting Paradigms

    Science.gov (United States)

    Cullen, Rowena; Chawner, Brenda

    2011-01-01

    The Open Access movement of the past decade, and institutional repositories developed by universities and academic libraries as a part of that movement, have openly challenged the traditional scholarly communication system. This article examines the growth of repositories around the world, and summarizes a growing body of evidence of the response…

  16. Juggling copyright and open access in the 21st century: a South African case study

    CSIR Research Space (South Africa)

    Muswelanto, S

    2009-07-01

    Full Text Available With the establishment of an Institutional Repository (IR) one of the first questions the organisation should ask is: ‘How could we promote Open Access (OA) and still adhere to the restrictions of copyright? The Council for Scientific and Industrial...

  17. Outsourcing a High Speed Internet Access Project: An Information Technology Class Case Study in Three Parts

    Science.gov (United States)

    Platt, Richard G.; Carper, William B.; McCool, Michael

    2010-01-01

    In early 2004, the Hilton Hotels Corporation (HHC) required that all of its hotels (both owned and franchised) install high-speed Internet access (HSIA) in all of their rooms by June 2004. This case focuses on how one of its franchise properties located on the northern gulf coast of Florida (the Hilton Sandestin Beach Golf Resort &…

  18. Making Physical Activity Accessible to Older Adults with Memory Loss: A Feasibility Study

    Science.gov (United States)

    Logsdon, Rebecca G.; McCurry, Susan M.; Pike, Kenneth C.; Teri, Linda

    2009-01-01

    Purpose: For individuals with mild cognitive impairment (MCI), memory loss may prevent successful engagement in exercise, a key factor in preventing additional disability. The Resources and Activities for Life Long Independence (RALLI) program uses behavioral principles to make exercise more accessible for these individuals. Exercises are broken…

  19. ADB-OECD Study on Enhancing Financial Accessibility for SMEs: Lessons from Recent Crises

    OpenAIRE

    Asian Development Bank (ADB)

    2014-01-01

    The report takes a comparative look at ADB and OECD experiences, and aims to identify promising policy solutions for creating an SME base that is resilient to crisis, from a viewpoint of access to finance, and which can help drive growth and development.

  20. Benefits of Location-Based Access Control:A Literature Study

    NARCIS (Netherlands)

    Cleeff, van André; Pieters, Wolter; Wieringa, Roel

    2010-01-01

    Location-based access control (LBAC) has been suggested as a means to improve IT security. By 'grounding' users and systems to a particular location, attackers supposedly have more difficulty in compromising a system. However, the motivation behind LBAC and its potential benefits have not been inve

  1. Institutional Repositories, Open Access, and Scholarly Communication: A Study of Conflicting Paradigms

    Science.gov (United States)

    Cullen, Rowena; Chawner, Brenda

    2011-01-01

    The Open Access movement of the past decade, and institutional repositories developed by universities and academic libraries as a part of that movement, have openly challenged the traditional scholarly communication system. This article examines the growth of repositories around the world, and summarizes a growing body of evidence of the response…

  2. Open access

    NARCIS (Netherlands)

    Valkenburg, P.M.

    2015-01-01

    Open access week Van 19 tot en met 25 oktober 2015 vond wereldwijd de Open Access Week plaats. Tijdens deze week werden er over de hele wereld evenementen georganiseerd waar open access een rol speelt. Ook in Nederland zijn er diverse symposia, workshops en debatten georganiseerd zoals het debat in

  3. Dialysis access, infections, and hospitalisations in unplanned dialysis start patients: results from the OPTiONS study.

    Science.gov (United States)

    Machowska, Anna; Alscher, Mark D; Vanga, Satyanarayana Reddy; Koch, Michael; Aarup, Michael; Qureshi, Abdul R; Lindholm, Bengt; Rutherford, Peter

    2017-03-16

    Unplanned dialysis start (UPS) associates with worse clinical outcomes, higher utilisation of healthcare resources, lower chances to select dialysis modality and UPS patients typically commenced in-centre haemodialysis (HD) with central venous catheter (CVC). We evaluated patient outcomes and healthcare utilisation depending on initial dialysis access (CVC or PD catheter) and subsequent pathway of UPS patients. In this study patient demographics, access procedures, hospitalisations, and major infectious complications were analysed over 12 months in 270 UPS patients. PD technique survival and impact of switching from HD to PD was examined along with logistic regression to investigate factors predicting AV fistula formation. 72 UPS patients started with PD catheter and 198 with CVC. PD patients were older and more comorbid but had a significantly lower number of access procedures while there was no difference in hospitalisation or major infections. 13/72 initial PD patients switched to HD and 1-year technique survival was 79%. 158/198 patients remained on HD and 73/158 reported permanent access formation. Older age, OR = 0.34 (CI,0.17-0.68) and cardiac failure, OR = 0.31(CI,0.13-0.78), were significant negative predictors of receiving fistula. Younger patients, OR = 0.29 (CI, 0.11-0.79) and those who received AVF, OR = 0.11 (CI,0.03-0.38), had significantly lower odds of death. UPS with initial PD was possible in many patients and was associated with lower requirement for access procedures. AVF formation in UPS patients starting on HD was associated with better 1-year survival. Modality switching in UPS patients requires careful clinical management, including clinical practice patterns promoting permanent HD access formation.

  4. Feasibility studies for accessing nucleon structure observables with the PANDA experiment at the future FAIR facility

    Energy Technology Data Exchange (ETDEWEB)

    Mora Espi, Maria Carmen

    2012-10-15

    angular distribution. Above this s limit, the low cross section will not allow the direct extraction of the electromagnetic form factors. However, the total cross section can still be measured and an extraction of the electromagnetic form factors is possible considering certain assumptions on the ratio between the electric and magnetic contributions. The transition distribution amplitudes are new non-perturbative objects describing the transition between a baryon and a meson. They are accessible in hard exclusive processes like anti pp{yields}e{sup +}e{sup -}{pi}{sup 0}. The study of this process with PANDA will test the transition distribution amplitudes approach. This work includes a feasibility study for measuring this channel with PANDA. The main background reaction is here anti pp{yields}{pi}{sup +}{pi}{sup -}{pi}{sup 0}. A background suppression factor of 10{sup 8} has been achieved while keeping a signal efficiency above 20 %. Part of this work has been published in the European Physics Journal A 44, 373-384 (2010).

  5. [Open access to academic scholarship as a public policy resource: a study of the Capes database on Brazilian theses and dissertations].

    Science.gov (United States)

    da Silva Rosa, Teresa; Carneiro, Maria José

    2010-12-01

    Access to scientific knowledge is a valuable resource than can inform and validate positions taken in formulating public policy. But access to this knowledge can be challenging, given the diversity and breadth of available scholarship. Communication between the fields of science and of politics requires the dissemination of scholarship and access to it. We conducted a study using an open-access search tool in order to map existent knowledge on a specific topic: agricultural contributions to the preservation of biodiversity. The present article offers a critical view of access to the information available through the Capes database on Brazilian theses and dissertations.

  6. Development of a Web-Accessible Population Pharmacokinetic Service—Hemophilia (WAPPS-Hemo): Study Protocol

    Science.gov (United States)

    Foster, Gary; Navarro-Ruan, Tamara; McEneny-King, Alanna; Edginton, Andrea N; Thabane, Lehana

    2016-01-01

    Background Individual pharmacokinetic assessment is a critical component of tailored prophylaxis for hemophilia patients. Population pharmacokinetics allows using individual sparse data, thus simplifying individual pharmacokinetic studies. Implementing population pharmacokinetics capacity for the hemophilia community is beyond individual reach and requires a system effort. Objective The Web-Accessible Population Pharmacokinetic Service—Hemophilia (WAPPS-Hemo) project aims to assemble a database of patient pharmacokinetic data for all existing factor concentrates, develop and validate population pharmacokinetics models, and integrate these models within a Web-based calculator for individualized pharmacokinetic estimation in patients at participating treatment centers. Methods Individual pharmacokinetic studies on factor VIII and IX concentrates will be sourced from pharmaceutical companies and independent investigators. All factor concentrate manufacturers, hemophilia treatment centers (HTCs), and independent investigators (identified via a systematic review of the literature) having on file pharmacokinetic data and willing to contribute full or sparse pharmacokinetic data will be eligible for participation. Multicompartmental modeling will be performed using a mixed-model approach for derivation and Bayesian forecasting for estimation of individual sparse data. NONMEM (ICON Development Solutions) will be used as modeling software. Results The WAPPS-Hemo research network has been launched and is currently joined by 30 HTCs from across the world. We have gathered dense individual pharmacokinetic data on 878 subjects, including several replicates, on 21 different molecules from 17 different sources. We have collected sparse individual pharmacokinetic data on 289 subjects from the participating centers through the testing phase of the WAPPS-Hemo Web interface. We have developed prototypal population pharmacokinetics models for 11 molecules. The WAPPS-Hemo website

  7. Reviews and Practice of College Students Regarding Access to Scientific Knowledge: A Case Study in Two Spanish Universities

    Directory of Open Access Journals (Sweden)

    José Manuel Sáez López

    2013-09-01

    Full Text Available This study analyzes the concepts, attitudes, and practices of 327 pedagogy students from two major Spanish universities related to the process of finding academic information utilizing open access. A training program has been developed through an innovation project (PIMCD to address the problem of the lack of university training designed to enable students to access reliable sources of scientific knowledge. A mixed questionnaire with a pretest-posttest design, applying a descriptive analysis, a factor analysis, and a Wilcoxon test was administered to students. The results show that it is essential to provide information and training to encourage university students to learn how to find and manage rigorous and reliable sources of information. While searching for academic information, Spanish students tend to focus on the use of Google and, to a lesser extent, Google Scholar. Although there are no significant limitations of access to Spanish language articles, students’ attitudes remain very positive towards the concept of open access. In short, in accordance with the study results, the promotion of educational activities relating to the search for and selection of information and the use of reliable and rigorous academic content is highly recommended in the university context.

  8. MEASURING LAND USES ACCESSIBILITY BY USING FUZZY MAJORITY GIS-BASED MULTICRITERIA DECISION ANALYSIS CASE STUDY: MALAYER CITY

    Directory of Open Access Journals (Sweden)

    A. Taravat

    2014-10-01

    Full Text Available Public spaces accessibility has become one of the important factors in urban planning. Therefore, considerable attention has been given to measure accessibility to public spaces on the UK, US and Canada, but there are few studies outside the anglophone world especially in developing countries such as Iran. In this study an attempt has been made to measure objective accessibility to public spaces (parks, school, library and administrative using fuzzy majority GIS-based multicriteria decision analysis. This method is for defining the priority for distribution of urban facilities and utilities as the first step towards elimination of social justice. In order to test and demonstrate the presented model, the comprehensive plan of Malayer city has been considered for ranking in three objectives and properties in view of index per capital (Green space, sport facilities and major cultural centers like library and access index. The results can be used to inform the local planning process and the GIS approach can be expanded into other local authority domains. The results shows that the distribution of facilities in Malayer city has followed on the base of cost benefit law and the human aspect of resource allocation programming of facilities (from centre to suburbs of the city.

  9. Measuring Land Uses Accessibility by Using Fuzzy Majority Gis-Based Multicriteria Decision Analysis Case Study: Malayer City

    Science.gov (United States)

    Taravat, A.; Yari, A.; Rajaei, M.; Mousavian, R.

    2014-10-01

    Public spaces accessibility has become one of the important factors in urban planning. Therefore, considerable attention has been given to measure accessibility to public spaces on the UK, US and Canada, but there are few studies outside the anglophone world especially in developing countries such as Iran. In this study an attempt has been made to measure objective accessibility to public spaces (parks, school, library and administrative) using fuzzy majority GIS-based multicriteria decision analysis. This method is for defining the priority for distribution of urban facilities and utilities as the first step towards elimination of social justice. In order to test and demonstrate the presented model, the comprehensive plan of Malayer city has been considered for ranking in three objectives and properties in view of index per capital (Green space, sport facilities and major cultural centers like library and access index). The results can be used to inform the local planning process and the GIS approach can be expanded into other local authority domains. The results shows that the distribution of facilities in Malayer city has followed on the base of cost benefit law and the human aspect of resource allocation programming of facilities (from centre to suburbs of the city).

  10. A suite of methods for representing activity space in a healthcare accessibility study

    Directory of Open Access Journals (Sweden)

    Gesler Wilbert M

    2005-10-01

    Full Text Available Abstract Background "Activity space" has been used to examine how people's habitual movements interact with their environment, and can be used to examine accessibility to healthcare opportunities. Traditionally, the standard deviational ellipse (SDE, a Euclidean measure, has been used to represent activity space. We describe the construction and application of the SDE at one and two standard deviations, and three additional network-based measures of activity space using common tools in GIS: the road network buffer (RNB, the 30-minute standard travel time polygon (STT, and the relative travel time polygon (RTT. We compare the theoretical and methodological assumptions of each measure, and evaluate the measures by examining access to primary care services, using data from western North Carolina. Results Individual accessibility is defined as the availability of healthcare opportunities within that individual's activity space. Access is influenced by the shape and area of an individual's activity space, the spatial distribution of opportunities, and by the spatial structures that constrain and direct movement through space; the shape and area of the activity space is partly a product of how it is conceptualized and measured. Network-derived measures improve upon the SDE by incorporating the spatial structures (roads that channel movement. The area of the STT is primarily influenced by the location of a respondent's residence within the road network hierarchy, with residents living near primary roads having the largest activity spaces. The RNB was most descriptive of actual opportunities and can be used to examine bypassing. The area of the RTT had the strongest correlation with a healthcare destination being located inside the activity space. Conclusion The availability of geospatial technologies and data create multiple options for representing and operationalizing the construct of activity space. Each approach has its strengths and limitations

  11. A Comparative Study of Ethylene Emanation upon Nitrogen Deficiency in Natural Accessions of Arabidopsis thaliana

    Science.gov (United States)

    De Gernier, Hugues; De Pessemier, Jérôme; Xu, Jiajia; Cristescu, Simona M.; Van Der Straeten, Dominique; Verbruggen, Nathalie; Hermans, Christian

    2016-01-01

    An original approach to develop sustainable agriculture with less nitrogen fertilizer inputs is to tackle the cross-talk between nitrogen nutrition and plant growth regulators. In particular the gaseous hormone, ethylene, is a prime target for that purpose. The variation of ethylene production in natural accessions of the model species Arabidopsis thaliana was explored in response to the nitrate supply. Ethylene was measured with a laser-based photoacoustic detector. First, experimental conditions were established with Columbia-0 (Col-0) accession, which was grown in vitro on horizontal plates across a range of five nitrate concentrations (0.5, 1, 2.5, 5, or 10 mM). The concentrations of 1 and 10 mM nitrate were retained for further characterization. Along with a decrease of total dry biomass and higher biomass allocation to the roots, the ethylene production was 50% more important at 1 mM than at 10 mM nitrate. The total transcript levels of 1-AMINOCYCLOPROPANE-1-CARBOXYLIC ACID SYNTHASES (ACS) in roots and those of ACC OXIDASES (ACO) in shoots increased by 100% between the same treatments. This was mainly due to higher transcript levels of ACS6 and of ACO2 and ACO4 respectively. The assumption was that during nitrogen deficiency, the greater biomass allocation in favor of the roots was controlled by ethylene being released in the shoots after conversion of ACC originating from the roots. Second, biomass and ethylene productions were measured in 20 additional accessions. Across all accessions, the total dry biomass and ethylene production were correlated negatively at 1 mM but positively at 10 mM nitrate. Furthermore, polymorphism was surveyed in ACC and ethylene biosynthesis genes and gene products among accessions. Very few substitutions modifying the amino acids properties in conserved motifs of the enzymes were found in the accessions. Natural variation of ethylene production could be further explored to improve Nitrogen Use Efficiency (NUE), in particular by

  12. 34 CFR Appendix A to Subpart C of... - Grants for Access and Persistence Program (GAP) State Grant Allotment Case Study

    Science.gov (United States)

    2010-07-01

    ... 34 Education 3 2010-07-01 2010-07-01 false Grants for Access and Persistence Program (GAP) State Grant Allotment Case Study A Appendix A to Subpart C of Part 692 Education Regulations of the Offices of...) State Grant Allotment Case Study ER29OC09.010 ER29OC09.011 ER29OC09.012 ER29OC09.013 ER29OC09.014...

  13. A Comparative Study of Multiplexing Schemes for Next Generation Optical Access Networks

    Science.gov (United States)

    Imtiaz, Waqas A.; Khan, Yousaf; Shah, Pir Mehar Ali; Zeeshan, M.

    2014-09-01

    Passive optical network (PON) is a high bandwidth, economical solution which can provide the necessary bandwidth to end-users. Wavelength division multiplexed passive optical networks (WDM PONs) and time division multiplexed passive optical networks (TDM PONs) are considered as an evolutionary step for next-generation optical access (NGOA) networks. However they fail to provide highest transmission capacity, efficient bandwidth access, and robust dispersion tolerance. Thus future PONs are considered on simpler, efficient and potentially scalable, optical code division multiplexed (OCDM) PONs. This paper compares the performance of existing PONs with OCDM PON to determine a suitable scheme for NGOA networks. Two system parameter are used in this paper: fiber length, and bit rate. Performance analysis using Optisystem shows that; for a sufficient system performance parameters i.e. bit error rate (BER) ≤ 10-9, and maximum quality factor (Q) ≥ 6, OCDMA PON efficiently performs upto 50 km with 10 Gbit/s per ONU.

  14. Accessibility and Third World Rural Development: A Case Study of Sumatra

    OpenAIRE

    Cervero, Robert

    1992-01-01

    Road and transport service improvements are widely recognized as important catalysts to economic development in most third world countries. When integrated with other programs which create new employment opportunities, roads and bus services enable subsistence farmers to seek off-farm salary-earning jobs. This paper examines the relationship between accessibility and economic well-being using data from rural Sumatra in Indonesia. The research relies on multiple indicators of both measures. Ho...

  15. Experimental Studies of the Inspection of Areas With Restricted Access Using A0 Lamb Wave Tomography.

    Science.gov (United States)

    Seher, Matthias; Huthwaite, Peter; Lowe, Michael J S

    2016-09-01

    Corrosion damage in inaccessible regions presents a significant challenge to the petrochemical industry, and determining the remaining wall thickness is important to establish the remaining service life. Guided wave tomography is one solution to this and involves transmitting Lamb waves through the area of interest and, subsequently, using the received signals to reconstruct a thickness map of the remaining wall thickness. This avoids the need to access all points on the surface, making the technique well suited to inspection for areas with restricted access. The influence of these areas onto the ability to detect and size surface conditions, such as corrosion damage, using guided wave tomography is assessed. For that, a guided wave tomography system is employed, which is based on low-frequency A0 Lamb waves that are excited and detected with two arrays of electromagnetic acoustic transducers. Two different defect depths are considered with different contrasts relative to the nominal wall thickness, both of which are smoothly varying and well-defined. The influence of areas with restricted surface access, support locations, pipe clamps, and STOPAQ(R) coatings is experimentally tested, and their influence assessed through comparison to a baseline reconstruction without the respective restriction in place, demonstrating only a small influence on the detected value of the remaining wall thickness.

  16. Achieving Access to Knowledge through E-Learning: A Case Study

    Directory of Open Access Journals (Sweden)

    Christian A. Bolu

    2012-10-01

    Full Text Available More and more scholars are turning to the Internet to find scientific information and academic institutions are devoting more and more resources to improving their presence on the web.E-learning programs and open access initiatives allow knowledge of these institutions to spread beyond physical boundaries. The Web can hence be used as a way to attract students, scholars and funding from other places, spreading the prestige of these educational institutions all over the world. This has provoked competition between universities to achieve an advantageous visibility on the Web and to improve their position in search engine results.This paper examines ongoing e-learning effort globally to enhance access to knowledge. In particular the role of University of Nigeria is playing in the promotion of access to knowledge is discussed. In line with their Information and Communication Technology Programme, the University has created an Internet repository of over 20,000 documents such as theses, journals articles and academic publications as well as a vibrant e-learning portal.

  17. Patients' and carers' experiences of gaining access to acute stroke care: a qualitative study.

    Science.gov (United States)

    Harrison, Madeleine; Ryan, Tony; Gardiner, Clare; Jones, Amanda

    2013-12-01

    Rapid access to acute stroke care is essential to improve stroke patient outcomes. Policy recommendations for the emergency management of stroke have resulted in significant changes to stroke services, including the introduction of hyper-acute care. To explore patients' and carers' experiences of gaining access to acute stroke care and identify the factors that enabled or prevented stroke from being treated as a medical emergency. Qualitative semi-structured interviews were conducted with 59 stroke survivors and carers who had received care at seven UK centres. The interviews were recorded and transcribed verbatim and thematic analysis was undertaken. Themes emerging showed that participants recognised signs and symptoms, they were satisfied with access to emergency medical services (EMS), and they experienced setbacks in the emergency department and delays caused by the lack of availability of specialist services outside normal working hours. Awareness of the importance of time to treatment was generally attributed to the UK stroke awareness campaign, although some felt the message was not sufficiently comprehensive. This awareness led to increased frustration when participants perceived a lack of urgency in the provision of assessment and medical care. The stroke awareness social marketing campaign has contributed to public knowledge and was perceived to assist in reducing prehospital delay. It has also resulted in an enhanced knowledge of the significance of rapid treatment on admission to hospital and raised public expectation of EMS and stroke services to act fast. More research is required to assist organisational change to reduce in-hospital delay.

  18. Open Access Publishing: A Study of Current Practice in Oral and Maxillofacial Surgery Research.

    Science.gov (United States)

    Tahim, Arpan; Bansal, Hitesh; Goodson, Alexander M C; Payne, Karl F B; Sabharwal, Sanjeeve

    2016-12-01

    Open access (OA) publication has become an increasingly common route for dissemination of scientific research findings. However, it remains a contentious issue with continued debate as to its impact on the peer-review process and a potential change in the quality of subsequent evidence published. There is little research that looks into OA in oral and maxillofacial surgery. We investigated the OA policy in the 30 relevant journals listed in the Institute for Scientific Information Web of Knowledge journal citation report, comparing bibliometric data and quality of evidence produced in journals offering OA and those with subscription-only policies. 3474 articles were graded for evidence level and the results correlated to journal OA status. 76.7 % of journals offered authors OA services. There was no difference between impact factor, self-citation rate, total citations or quality of evidence between OA and subscription journals. These findings should send clear messages to both clinicians and researchers and should re- assure readers that scientific findings that are disseminated in open access form do not differ in quality to those in subscription-only format. It should reinforce that open access formats are a credible way to display research findings in oral and maxillofacial surgery.

  19. Estudio de la corrosión en caliente de la aleación aisi-sae 304h, mediante la técnica de espectroscopía de impedancia electroquímica (eis

    Directory of Open Access Journals (Sweden)

    JOSÉ TRISTANCHO

    2007-01-01

    Full Text Available La corrosión en caliente es uno de los mayores problemas que se presentan en la industria generadora de energía eléctrica, especialmente en los componentes que conforman los equipos generadores de vapor (calderas. El fenómeno corrosivo que presentan las sales fundidas, es por lo menos parcialmente, de naturaleza electroquímica y por lo tanto, puede ser estudiado empleando la técnica de impedancia electroquímica (EIS, adaptada a las condiciones especiales de temperatura y composición del medio corrosivo. En esta investigación se evalúo el comportamiento del acero AISI304H expuesto a un electrolito compuesto de 80%V2O5 – 20%Na2SO4 fundido, en un intervalo de temperatura comprendido entre 550ºC y 700ºC

  20. Análisis comparativo de la cinética de deshidratación Osmótica y por Flujo de Aire Caliente de la Piña (Ananas Comosus, variedad Cayena lisa

    Directory of Open Access Journals (Sweden)

    Annia García Pereira

    2013-01-01

    Full Text Available Los procesos tecnológicos de deshidratación han sido algunos de los métodos más utilizados para la conservación de frutas y vegetales. El presente trabajo tiene como objetivo analizar comparativamente la cinética de la deshidratación Osmótica (DO y por Flujo de Aire Caliente (DAC de la Piña (Ananas Comosus, variedad Cayena lisa para la Agroindustria. Durante el análisis se determinaron las propiedades físico-mecánicas de las frutas frescas y de los cubos deshidratadas (masa, firmeza, talla, pH, y contenido de sólidos solubles (SSC, posteriormente las frutas fueron troceadas en cubos de 1 x 5 ±0.02 cm para ser sometidas a tratamientos de Deshidratación Osmótica (DO (60 °C durante 10 h y por Deshidratación por Flujo de Aire Caliente (DAC (60°C durante 5 h. Se monitoreó además la variación de la masa, la firmeza y el porcentaje de pérdida de peso durante ambos procesos. Para el procesamiento estadístico de los datos se utiliza el software especializado Statgraphics Plus en su versión 5.1. Como resultado se obtuvo que la variabilidad alcanzada a partir de la diferencia entre los valores iniciales y finales de la masa, firmeza y el aumento del porcentaje de pérdida de peso fue inferior para la fruta sometida al proceso tecnológico de DO con valores de 49,4; 86 y 64,17%, que para la obtenida por DAC con valores 80; 88,3; y 80%, respectivamente, resultando también el método que mayor variabilidad aportó entre las propiedades estudiadas.

  1. MetaboLights--an open-access general-purpose repository for metabolomics studies and associated meta-data.

    Science.gov (United States)

    Haug, Kenneth; Salek, Reza M; Conesa, Pablo; Hastings, Janna; de Matos, Paula; Rijnbeek, Mark; Mahendraker, Tejasvi; Williams, Mark; Neumann, Steffen; Rocca-Serra, Philippe; Maguire, Eamonn; González-Beltrán, Alejandra; Sansone, Susanna-Assunta; Griffin, Julian L; Steinbeck, Christoph

    2013-01-01

    MetaboLights (http://www.ebi.ac.uk/metabolights) is the first general-purpose, open-access repository for metabolomics studies, their raw experimental data and associated metadata, maintained by one of the major open-access data providers in molecular biology. Metabolomic profiling is an important tool for research into biological functioning and into the systemic perturbations caused by diseases, diet and the environment. The effectiveness of such methods depends on the availability of public open data across a broad range of experimental methods and conditions. The MetaboLights repository, powered by the open source ISA framework, is cross-species and cross-technique. It will cover metabolite structures and their reference spectra as well as their biological roles, locations, concentrations and raw data from metabolic experiments. Studies automatically receive a stable unique accession number that can be used as a publication reference (e.g. MTBLS1). At present, the repository includes 15 submitted studies, encompassing 93 protocols for 714 assays, and span over 8 different species including human, Caenorhabditis elegans, Mus musculus and Arabidopsis thaliana. Eight hundred twenty-seven of the metabolites identified in these studies have been mapped to ChEBI. These studies cover a variety of techniques, including NMR spectroscopy and mass spectrometry.

  2. MetaboLights—an open-access general-purpose repository for metabolomics studies and associated meta-data

    Science.gov (United States)

    Haug, Kenneth; Salek, Reza M.; Conesa, Pablo; Hastings, Janna; de Matos, Paula; Rijnbeek, Mark; Mahendraker, Tejasvi; Williams, Mark; Neumann, Steffen; Rocca-Serra, Philippe; Maguire, Eamonn; González-Beltrán, Alejandra; Sansone, Susanna-Assunta; Griffin, Julian L.; Steinbeck, Christoph

    2013-01-01

    MetaboLights (http://www.ebi.ac.uk/metabolights) is the first general-purpose, open-access repository for metabolomics studies, their raw experimental data and associated metadata, maintained by one of the major open-access data providers in molecular biology. Metabolomic profiling is an important tool for research into biological functioning and into the systemic perturbations caused by diseases, diet and the environment. The effectiveness of such methods depends on the availability of public open data across a broad range of experimental methods and conditions. The MetaboLights repository, powered by the open source ISA framework, is cross-species and cross-technique. It will cover metabolite structures and their reference spectra as well as their biological roles, locations, concentrations and raw data from metabolic experiments. Studies automatically receive a stable unique accession number that can be used as a publication reference (e.g. MTBLS1). At present, the repository includes 15 submitted studies, encompassing 93 protocols for 714 assays, and span over 8 different species including human, Caenorhabditis elegans, Mus musculus and Arabidopsis thaliana. Eight hundred twenty-seven of the metabolites identified in these studies have been mapped to ChEBI. These studies cover a variety of techniques, including NMR spectroscopy and mass spectrometry. PMID:23109552

  3. A metasynthesis of qualitative studies regarding opinions and perceptions about barriers and determinants of health services’ accessibility in economic migrants

    Directory of Open Access Journals (Sweden)

    Agudelo-Suárez Andrés A

    2012-12-01

    Full Text Available Abstract Background Access to health services is an important health determinant. New research in health equity is required, especially amongst economic migrants from developing countries. Studies conducted on the use of health services by migrant populations highlight existing gaps in understanding which factors affect access to these services from a qualitative perspective. We aim to describe the views of the migrants regarding barriers and determinants of access to health services in the international literature (1997–2011. Methods A systematic review was conducted for Qualitative research papers (English/Spanish published in 13 electronic databases. A selection of articles that accomplished the inclusion criteria and a quality evaluation of the studies were carried out. The findings of the selected studies were synthesised by means of metasynthesis using different analysis categories according to Andersen’s conceptual framework of access and use of health services and by incorporating other emergent categories. Results We located 3,025 titles, 36 studies achieved the inclusion criteria. After quality evaluation, 28 articles were definitively synthesised. 12 studies (46.2% were carried out in the U.S and 11 studies (42.3% dealt with primary care services. The participating population varied depending mainly on type of host country. Barriers were described, such as the lack of communication between health services providers and migrants, due to idiomatic difficulties and cultural differences. Other barriers were linked to the economic system, the health service characteristics and the legislation in each country. This situation has consequences for the lack of health control by migrants and their social vulnerability. Conclusions Economic migrants faced individual and structural barriers to the health services in host countries, especially those with undocumented situation and those experimented idiomatic difficulties. Strategies to

  4. A comparison of Percutaneous femoral access in Endovascular Repair versus Open femoral access (PiERO) : study protocol for a randomized controlled trial

    NARCIS (Netherlands)

    Vierhout, Bastiaan P.; Saleem, Ben R.; Ott, Alewijn; van Dijl, Jan Maarten; de Kempenaer, Ties D. van Andringa; Pierie, Maurice E. N.; Bottema, Jan T.; Zeebregts, Clark J.

    2015-01-01

    Background: Access for endovascular repair of abdominal aortic aneurysms (EVAR) is obtained through surgical cutdown or percutaneously. The only devices suitable for percutaneous closure of the 20 French arteriotomies of the common femoral artery (CFA) are the Prostar (TM) and Proglide (TM) devices

  5. Identifying strategies to improve access to credible and relevant information for public health professionals: a qualitative study

    Directory of Open Access Journals (Sweden)

    Simpson E Hatheway

    2006-04-01

    Full Text Available Abstract Background Movement towards evidence-based practices in many fields suggests that public health (PH challenges may be better addressed if credible information about health risks and effective PH practices is readily available. However, research has shown that many PH information needs are unmet. In addition to reviewing relevant literature, this study performed a comprehensive review of existing information resources and collected data from two representative PH groups, focusing on identifying current practices, expressed information needs, and ideal systems for information access. Methods Nineteen individual interviews were conducted among employees of two domains in a state health department – communicable disease control and community health promotion. Subsequent focus groups gathered additional data on preferences for methods of information access and delivery as well as information format and content. Qualitative methods were used to identify themes in the interview and focus group transcripts. Results Informants expressed similar needs for improved information access including single portal access with a good search engine; automatic notification regarding newly available information; access to best practice information in many areas of interest that extend beyond biomedical subject matter; improved access to grey literature as well as to more systematic reviews, summaries, and full-text articles; better methods for indexing, filtering, and searching for information; and effective ways to archive information accessed. Informants expressed a preference for improving systems with which they were already familiar such as PubMed and listservs rather than introducing new systems of information organization and delivery. A hypothetical ideal model for information organization and delivery was developed based on informants' stated information needs and preferred means of delivery. Features of the model were endorsed by the subjects who

  6. Accelerators/decelerators of achieving universal access to sexual and reproductive health services: a case study of Iranian health system

    Science.gov (United States)

    2013-01-01

    Background At the 1994 International Conference on Population and Development (ICPD), held in Cairo, the global community agreed to the goal of achieving universal access to sexual and reproductive health (SRH) and rights by 2015. This research explores the accelerators and decelerators of achieving universal access to the sexual and reproductive health targets and accordingly makes some suggestions. Method We have critically reviewed the latest national reports and extracted the background data on each SRH indicator. The key stakeholders, both national and international, were visited and interviewed at two sites. A total of 55 in-depth interviews were conducted with religious leaders, policy-makers, senior managers, senior academics, and health care managers. Six focus-group discussions were also held among health care providers. The study was qualitative in nature. Results Obstacles on the road to achieving universal access to SRH can be viewed from two perspectives. One gap exists between current achievements and the targets. The other gap arises due to age, marital status, and residency status. The most recently observed trends in the indicators of the universal access to SRH shows that the achievements in the “unmet need for family planning” have been poor. Unmet need for family planning could directly be translated to unwanted pregnancies and unwanted childbirths; the former calls for sexual education to underserved people, including adolescents; and the latter calls for access to safe abortion. Local religious leaders have not actively attended international goal-setting programs. Therefore, they usually do not presume a positive attitude towards these goals. Such negative attitudes seem to be the most important factors hindering the progress towards universal access to SRH. Lack of international donors to fund for SRH programs is also another barrier. In national levels both state and the society are interactively playing their roles. We have used a

  7. Identifying strategies to improve access to credible and relevant information for public health professionals: a qualitative study.

    Science.gov (United States)

    LaPelle, Nancy R; Luckmann, Roger; Simpson, E Hatheway; Martin, Elaine R

    2006-04-05

    Movement towards evidence-based practices in many fields suggests that public health (PH) challenges may be better addressed if credible information about health risks and effective PH practices is readily available. However, research has shown that many PH information needs are unmet. In addition to reviewing relevant literature, this study performed a comprehensive review of existing information resources and collected data from two representative PH groups, focusing on identifying current practices, expressed information needs, and ideal systems for information access. Nineteen individual interviews were conducted among employees of two domains in a state health department--communicable disease control and community health promotion. Subsequent focus groups gathered additional data on preferences for methods of information access and delivery as well as information format and content. Qualitative methods were used to identify themes in the interview and focus group transcripts. Informants expressed similar needs for improved information access including single portal access with a good search engine; automatic notification regarding newly available information; access to best practice information in many areas of interest that extend beyond biomedical subject matter; improved access to grey literature as well as to more systematic reviews, summaries, and full-text articles; better methods for indexing, filtering, and searching for information; and effective ways to archive information accessed. Informants expressed a preference for improving systems with which they were already familiar such as PubMed and listservs rather than introducing new systems of information organization and delivery. A hypothetical ideal model for information organization and delivery was developed based on informants' stated information needs and preferred means of delivery. Features of the model were endorsed by the subjects who reviewed it. Many critical information needs of PH

  8. Air pollution and general practitioner access and utilization: a population based study in Sarnia, 'Chemical Valley,' Ontario

    Directory of Open Access Journals (Sweden)

    Atari Dominic O

    2011-08-01

    Full Text Available Abstract Background Health impacts of poor environmental quality have been identified in studies around the world and in Canada. While many of the studies have identified associations between air pollution and mortality or morbidity, few have focused on the role of health care as a potential moderator of impacts. This study assessed the determinants of health care access and utilization in the context of ambient air pollution in Sarnia, Ontario, Canada. Methods Residents of Sarnia participated in a Community Health Study administered by phone, while several ambient air pollutants including nitrogen dioxide (NO2, sulphur dioxide (SO2 and the volatile organic compounds benzene, toluene, ethylbenzene, mp- and o-xylene (BTEX were monitored across the city. Land Use Regression models were used to estimate individual exposures to the measured pollutants and logistic regression models were utilized to assess the relative influence of environmental, socioeconomic and health related covariates on general practitioner access and utilization outcomes. Results The results show that general practitioner use increased with levels of exposure to nitrogen dioxide (NO2- Odds Ratio [OR]: 1.16, p 2- OR: 1.61, p 2 and SO2. Respondents without regular care living in high pollution areas were also more likely to report travelling or waiting for care in excess of 20 minutes (OR: 3.28, p p > 0.05. Conclusions This study provides evidence for inequitable health care access and utilization in Sarnia, with particular relevance to its situation as a sentinel high exposure environment. Levels of exposure to pollution appears to influence utilization of health care services, but poor access to primary health care services additionally burden certain groups in Sarnia, Ontario, Canada.

  9. [Access and use of new information and telecommunication technologies among teenagers at high school, health implications. JOITIC Study].

    Science.gov (United States)

    Muñoz-Miralles, Raquel; Ortega-González, Raquel; Batalla-Martínez, Carme; López-Morón, María Rosa; Manresa, Josep Maria; Torán-Monserrat, Pere

    2014-02-01

    To determine ICT accessibility and use among the adolescents attending High School and to analyse related factors. Cross-sectional multicentric study. High Schools participating in the Community Health «Salut i Escola» Programme. 5,538 students from first to fourth degree at 28 centres in the area of Barcelona. Self administered questionnaire including sociodemographic information, ICT use and accessibility. Missing answers were below 1% in all items except in school performance (3,13%); 48,6% were female, mean age 14years (range 11-20); 15,5% foreigners; 23% reported low school performance; 75,2% took extracurricular activities; 88,9% refers a good relationship with their parents. ICT access is homogeneously massive: 98% had a computer at home, 44,8% used it for two or more hours daily. 98,6% could access Internet, 47,2% without parental control. 90% owned a mobile phone (83% in first grade, 95% in fourth); 45,6% owned one before 12years old. Girls use it for social relationships and boys for playing. 68,4% played videogames, 36,5% for three or more hours a week and 66,8% without parental control. Their use decreases with age. The ICT parental control is associated with better school performance. Our high scholars gain access to the ICT at younger ages and they use them in almost every aspect of their lives. There have been detected some gender differences in their use, as well as in the age of the users and between the type of school. Copyright © 2013 Elsevier España, S.L. All rights reserved.

  10. ACCESS Pointing Control System

    Science.gov (United States)

    Brugarolas, Paul; Alexander, James; Trauger, John; Moody, Dwight; Egerman, Robert; Vallone, Phillip; Elias, Jason; Hejal, Reem; Camelo, Vanessa; Bronowicki, Allen; O'Connor, David; Partrick, Richard; Orzechowski, Pawel; Spitter, Connie; Lillie, Chuck

    2010-01-01

    ACCESS (Actively-Corrected Coronograph for Exoplanet System Studies) was one of four medium-class exoplanet concepts selected for the NASA Astrophysics Strategic Mission Concept Study (ASMCS) program in 2008/2009. The ACCESS study evaluated four major coronograph concepts under a common space observatory. This paper describes the high precision pointing control system (PCS) baselined for this observatory.

  11. Young people with depression and their experience accessing an enhanced primary care service for youth with emerging mental health problems: a qualitative study

    Directory of Open Access Journals (Sweden)

    McCann Terence V

    2012-08-01

    Full Text Available Abstract Background Despite the emergence of mental health problems during adolescence and early adulthood, many young people encounter difficulties accessing appropriate services. In response to this gap, the Australian Government recently established new enhanced primary care services (headspace that target young people with emerging mental health problems. In this study, we examine the experience of young people with depression accessing one of these services, with a focus on understanding how they access the service and the difficulties they encounter in the process. Method Individual, in-depth, audio-recorded interviews were used to collect data. Twenty-six young people with depression were recruited from a headspace site in Melbourne, Australia. Interpretative phenomenological analysis was used to analyse the data. Results Four overlapping themes were identified in the data. First, school counsellors as access mediators, highlights the prominent role school counsellors have in facilitating student access to the service. Second, location as an access facilitator and inhibitor. Although the service is accessible by public transport, it is less so to those who do not live near public transport. Third, encountering barriers accessing the service initially. Two main service access barriers were experienced: unfamiliarity with the service, and delays in obtaining initial appointments for ongoing therapy. Finally, the service’s funding model acts as an access facilitator and barrier. While the model provides a low or no cost services initially, it limits the number of funded sessions, and this can be problematic. Conclusions Young people have contrasting experiences accessing the service. School counsellors have an influential role in facilitating access, and its close proximity to public transport enhances access. The service needs to become more prominent in young people’s consciousness, while the appointment system would benefit from

  12. Access to the copper IUD as post-coital contraception: results from a mystery caller study.

    Science.gov (United States)

    Schubert, Finn D; Bishop, Erica S; Gold, Marji

    2016-11-01

    To assess access to the copper IUD as post-coital contraception (PCC) and identify barriers to obtaining this contraceptive method. We used a "mystery caller" approach to survey primary care, family planning, and Ob/Gyn clinics in nine U.S. cities, identified via online search. A single researcher called 199 clinics, assuming the role of a patient seeking the copper IUD for PCC. Using a standard script, the researcher collected information regarding access to the copper IUD and respondent's knowledge of the copper IUD's indication for PCC. The primary outcome was availability of the copper IUD as PCC. Secondary outcomes included any provision of the copper IUD, awareness of the copper IUD's indication for use as PCC, and offering accurate information regarding the copper IUD as PCC. Fisher's exact test was used to compare outcomes by clinic type. Two thirds (68%) of primary care clinics, 87% of family planning clinics, and all Ob/Gyn clinics offered the copper IUD (p<.001). Only 11% of primary care clinics, however, were aware of the copper IUD's use as PCC, as compared with 63% of family planning clinics and 24% of Ob/Gyn clinics (p<.001). Few primary care or Ob/Gyn clinics offered the copper IUD as PCC, while 49% of family planning clinics did so (p<.001). Access to the copper IUD as PCC is limited and varies by clinic type. Knowledge gaps exist regarding the use of the copper IUD as PCC, as well as regarding the general medical guidelines for copper IUD placement. A majority of primary care and Ob/Gyn clinics do not offer the copper IUD as PCC, and only about half of family planning clinics do so. Barriers included lack of knowledge, unavailability of device, unavailability of an appointment with a trained provider, and outdated IUD provision protocols. Copyright © 2016 Elsevier Inc. All rights reserved.

  13. Studying on equilibriums between price and QoS in multi-provider overlay access networks

    Institute of Scientific and Technical Information of China (English)

    Wang Yufeng; Wang Wendong

    2006-01-01

    From the viewpoint of game theory, this paper proposes a model that combines QoS index with price factor in overlay access networks, and uses the multinomial logit (MNL) to model the choice behaviour of users. Each service class is considered an independent and competitive entity offered by each provider,which aims at maximizing its own utility. Based on noncooperative game, we prove the existence and uniqueness of equilibriums between QoS levels and prices among various service classes, and demonstrate the properties of equilibriums. Finally, these results are verified via numerical analysis.

  14. Investigating an accessible and usable epub book via VoiceOver: a case study

    OpenAIRE

    Bartalesi Lenzi, Valentina; Leporini, Barbara

    2013-01-01

    In this paper we investigate the opportunities and limitations for blind and visually impaired people when reading an ePub document via Voice-Over for mobile devices. The ePub format is based on an (x)html structure; organizing and handling its source code is therefore very important in order to guarantee satisfactory interaction with the eBook. In this work we analyze the main accessibility and usability issues when interacting with an ePub document via VoiceOver, in order to evaluate possib...

  15. Study of conditions of use of E-services accessible to visually disabled persons

    CERN Document Server

    Bobiller-Chaumon, Marc-Eric; Sandoz-Guermond, Françoise

    2007-01-01

    The aim of this paper is to determine the expectations that French-speaking disabled persons have for electronic administrative sites (utility). At the same time, it is a matter of identifying the difficulties of use that the manipulation of these E-services poses concretely for blind people (usability) and of evaluating the psychosocial impacts on the way of life of these people with specific needs. We show that the lack of numerical accessibility is likely to accentuate the social exclusion of which these people are victim by establishing a numerical glass ceiling.

  16. A Study on the Stream Cipher Embedded Magic Square of Random Access Files

    Science.gov (United States)

    Liu, Chenglian; Zhao, Jian-Ming; Rafsanjani, Marjan Kuchaki; Shen, Yijuan

    2011-09-01

    Magic square and stream cipher issues are both interesting and well-tried topics. In this paper, we are proposing a new scheme which streams cipher applications for random access files based on the magic square method. There are two thresholds required to secure our data, if using only decrypts by the stream cipher. It isn't to recovery original source. On other hand, we improve the model of cipher stream to strengthen and defend efficiently; it also was its own high speed and calculates to most parts of the key stream generator.

  17. Accessibility to general practitioners in rural South Australia. A case study using geographic information system technology.

    Science.gov (United States)

    Bamford, E J; Dunne, L; Taylor, D S; Symon, B G; Hugo, G J; Wilkinson, D

    To demonstrate the potential of GIS (geographic information system) technology and ARIA (Accessibility/Remoteness Index for Australia) as tools for medical workforce and health service planning in Australia. ARIA is an index of remoteness derived by measuring road distance between populated localities and service centres. A continuous variable of remoteness from 0 to 12 is generated for any location in Australia. We created a GIS, with data on location of general practitioner services in non-metropolitan South Australia derived from the database of RUMPS (Rural Undergraduate Medical Placement System), and estimated, for the 1170 populated localities in South Australia, the accessibility/inaccessibility of the 109 identified GP services. Distance from populated locality to GP services. Distance from populated locality to GP service ranged from 0 to 677 km (mean, 58 km). In all, 513 localities (43%) had a GP service within 20 km (for the majority this meant located within the town). However, for 173 populated localities (15%), the nearest GP service was more than 80 km away. There was a strong correlation between distance to GP service and ARIA value for each locality (0.69; P planning. Adding measures of health need and more detailed data on types and extent of GP services provided will allow more sophisticated planning.

  18. Multi-lingual search engine to access PubMed monolingual subsets: a feasibility study.

    Science.gov (United States)

    Darmoni, Stéfan J; Soualmia, Lina F; Griffon, Nicolas; Grosjean, Julien; Kerdelhué, Gaétan; Kergourlay, Ivan; Dahamna, Badisse

    2013-01-01

    PubMed contains many articles in languages other than English but it is difficult to find them using the English version of the Medical Subject Headings (MeSH) Thesaurus. The aim of this work is to propose a tool allowing access to a PubMed subset in one language, and to evaluate its performance. Translations of MeSH were enriched and gathered in the information system. PubMed subsets in main European languages were also added in our database, using a dedicated parser. The CISMeF generic semantic search engine was evaluated on the response time for simple queries. MeSH descriptors are currently available in 11 languages in the information system. All the 654,000 PubMed citations in French were integrated into CISMeF database. None of the response times exceed the threshold defined for usability (2 seconds). It is now possible to freely access biomedical literature in French using a tool in French; health professionals and lay people with a low English language may find it useful. It will be expended to several European languages: German, Spanish, Norwegian and Portuguese.

  19. Access, equity and costs of induced abortion services in Australia: a cross-sectional study.

    Science.gov (United States)

    Shankar, Mridula; Black, Kirsten I; Goldstone, Philip; Hussainy, Safeera; Mazza, Danielle; Petersen, Kerry; Lucke, Jayne; Taft, Angela

    2017-06-01

    To examine access and equity to induced abortion services in Australia, including factors associated with presenting beyond nine weeks gestation. Cross-sectional survey of 2,326 women aged 16+ years attending for an abortion at 14 Dr Marie clinics. Associations with later presentation assessed using multivariate logistic regression. Over a third of eligible women opted for a medical abortion. More than one in 10 (11.2%) stayed overnight. The median Medicare rebated upfront cost of a medical abortion was $560, compared to $470 for a surgical abortion at ≤9 weeks. Beyond 12 weeks, costs rose considerably. More than two-thirds (68.1%) received financial assistance from one or more sources. Women who travelled ≥4 hours (AdjOR: 3.0, 95%CI 1.2-7.3), had no prior knowledge of the medical option (AdjOR: 2.1, 95%CI 1.4-3.1), had difficulty paying (AdjOR: 1.5, 95%CI 1.2-1.9) and identified as Aboriginal and/or Torres Strait Islander (AdjOR: 2.1, 95%CI 1.2-3.4) were more likely to present ≥9 weeks. Abortion costs are substantial, increase at later gestations, and are a financial strain for many women. Poor knowledge, geographical and financial barriers restrict method choice. Implications for public health: Policy reform should focus on reducing costs and enhancing early access. © 2017 The Authors.

  20. Integrated social facility location planning for decision support: Accessibility studies provide support to facility location and integration of social service provision

    CSIR Research Space (South Africa)

    Green, Cheri A

    2012-09-01

    Full Text Available access norms and to set targets for reducing the distances people have to travel to reach services, where this is appropriate. These goals can be supported by accessibility studies. The DPSA has commissioned the CSIR to do a study to assist departments...

  1. Access Denied

    Science.gov (United States)

    Villano, Matt

    2008-01-01

    Building access control (BAC)--a catchall phrase to describe the systems that control access to facilities across campus--has traditionally been handled with remarkably low-tech solutions: (1) manual locks; (2) electronic locks; and (3) ID cards with magnetic strips. Recent improvements have included smart cards and keyless solutions that make use…

  2. Open Access

    Science.gov (United States)

    Suber, Peter

    2012-01-01

    The Internet lets us share perfect copies of our work with a worldwide audience at virtually no cost. We take advantage of this revolutionary opportunity when we make our work "open access": digital, online, free of charge, and free of most copyright and licensing restrictions. Open access is made possible by the Internet and copyright-holder…

  3. Open Access

    Science.gov (United States)

    Suber, Peter

    2012-01-01

    The Internet lets us share perfect copies of our work with a worldwide audience at virtually no cost. We take advantage of this revolutionary opportunity when we make our work "open access": digital, online, free of charge, and free of most copyright and licensing restrictions. Open access is made possible by the Internet and copyright-holder…

  4. SPRAY FOAM IN ACCESSIBLE SPACES:BEST PRACTICES AND CASE STUDIES FOR RETROFIT IN MIXED-HUMID CLIMATE

    Energy Technology Data Exchange (ETDEWEB)

    Christian, Jeffrey E [ORNL; Gant, Kathy [Oak Ridge National Laboratory (ORNL)

    2013-12-01

    Heating and cooling the house is one of the homeowners major expenses. Reducing these costs, saving energy, and creating a healthier, more comfortable indoor environment are good reasons to consider improving the building thermal envelope. Improvements usually consider increasing the amount of insulation, reducing the infiltration of outside air, and controlling moisture in existing buildings. This report describes the use of spray foam materials to insulate, seal, and control moisture. This discussion is limited to treating areas that are accessible. What is accessible, however, can vary depending on the type of renovation. If the building has been gutted or exterior surfaces removed, there are more options. This report will look at areas to consider for spray foam application and discuss the types of spray foams available and their uses. A number of case studies are presented to show the effectiveness of this retrofit in existing houses based on performance data.

  5. Study of Teachers’ Access to and Utilization of ICT in the Middle-Schools of Metropolitan Isfahan

    Directory of Open Access Journals (Sweden)

    Susan Shahbaz

    2007-10-01

    Full Text Available Every year vast sums of capital, time and energy is spent on staff education and re-training in the Educational Organization. Studies should be made over the efficiency and efficacy of these courses so as to determine the extent of practical utility of the items learned thereof and to identify the short-falls. The present investigation is primary concerned with answering this issue and the factors affecting it. The investigation used a descriptive survey method. 180 teachers where drawn from the middle-schools having an ICT workshop, using simple randomization correlating with the number of teachers in the chosen districts. Among the findings: Teachers access to ICT hardware both at home and school are at a desirable level. Software access is not much so. ICT application in three areas of education, research and communication was less than the desired level.

  6. Inequalities in Educational Access in Mexico: A Study with Graduates Students of a High Performance Technical High School

    Directory of Open Access Journals (Sweden)

    Fernando Pérez-Santiago

    2016-09-01

    Full Text Available Access to the higher education system in Mexico has been characterized by educational inequalities explained by social and reproductionist currents. The phenomenon occurs in graduate students with a high school diploma and coming from different contexts (social, cultural, economic, institutional and academic ones that create a process of transition far away from equal opportunities. Therefore, the differences due to cultural diversity do not generate equitable access to higher education institutions. The aim of this study was to identify the social, cultural and academic factors affecting the access to or the abandonment of the academic education of students with expectations of entering the higher education system. The research was based on the results obtained from forty technicians who studied at a vocational high school with high academic performance in Mexico, and were supposed to enter the higher level. It was an exploratory descriptive investigation with qualitative approach, using two multiple-choice item questionnaires whose results were analyzed interpretively. The sampling was non-probability, with the technique of “snowball” and “convenience”. The results showed that the level of parents’ schooling, social relations, and academic career of graduates were decisive to enter the higher education; so it can be concluded that the students’ origin generate inequality in educational achievement.

  7. Making Statistical Data More Easily Accessible on the Web Results of the StatSearch Case Study

    CERN Document Server

    Rajman, M; Boynton, I M; Fridlund, B; Fyhrlund, A; Sundgren, B; Lundquist, P; Thelander, H; Wänerskär, M

    2005-01-01

    In this paper we present the results of the StatSearch case study that aimed at providing an enhanced access to statistical data available on the Web. In the scope of this case study we developed a prototype of an information access tool combining a query-based search engine with semi-automated navigation techniques exploiting the hierarchical structuring of the available data. This tool enables a better control of the information retrieval, improving the quality and ease of the access to statistical information. The central part of the presented StatSearch tool consists in the design of an algorithm for automated navigation through a tree-like hierarchical document structure. The algorithm relies on the computation of query related relevance score distributions over the available database to identify the most relevant clusters in the data structure. These most relevant clusters are then proposed to the user for navigation, or, alternatively, are the support for the automated navigation process. Several appro...

  8. Separated Families and Children Who Refuse Access to a Parent. Unit for Child Studies Selected Papers Number 33.

    Science.gov (United States)

    Renouf, Emilia

    On the whole, professionals agree that there is an advantage in both parents having access to the child or children after separation. This paper provides (1) an overview of the controversy over the value of such access; (2) a description of various contexts of access disputes and perspectives involved in the assessment of access situations; (3) a…

  9. Access to means of suicide, occupation and the risk of suicide: a national study over 12 years of coronial data.

    Science.gov (United States)

    Milner, A; Witt, K; Maheen, H; LaMontagne, A D

    2017-04-04

    Availability of lethal means is a significant risk factor for suicide. This study investigated whether occupations with greater access to lethal means had higher suicide rates than those without access, and further, whether this relationship differed for females versus males. A retrospective mortality study was conducted across the Australian population over the period 2001 to 2012. Data from the Australian Bureau of Statistics, which collects Census information on occupation for the Australian population, and the National Coroners Information System, which records information on suicide deaths, were combined. Employed suicide records were coded by occupation and work-related access to lethal means. Descriptive analysis and negative binomial regression were used to assess the relationship between access to means and suicide. Persons in occupations with access to firearms, medicines or drugs, and carbon monoxide more frequently used these methods to end their lives than those without access to means. Females employed in occupations with access to means had suicide rates that were 3.02 times greater (95% CI 2.60 to 3.50, p suicide rates that were 1.24 times greater than those without access (95% CI 1.16 to 1.33, p suicide in the employed population, but is associated with a greater risk for females than males. The findings of this study suggest the importance of controlling access to lethal methods in occupations where these are readily available.

  10. Guidance markers increase the accuracy of simulated ultrasound-guided vascular access: an observational cohort study in a phantom.

    Science.gov (United States)

    Thorn, Sofie; Aagaard Hansen, Marlene; Sloth, Erik; Knudsen, Lars

    2017-01-18

    Peripheral ultrasound (US)-guided vascular access is gaining popularity. Though studies have demonstrated that US-guided vascular access has several advantages, the procedure is challenging to even the most experienced operator. The aim of this observational cohort study was to investigate whether adding guidance markers on a US system would increase the accuracy of US-guided needle tip placement compared to no guidance markers. A total of 18 physicians and 12 nurses familiar with US-guided vascular access volunteered to participate. Two identical US systems were used. System A was as manufactured. System B included three guide markers drawn on the transducer and screen. The participants performed six needle insertions in a gelatin phantom with three imbedded targets. First participants used US system A and then US system B. Primary endpoint was horizontal distance between needle tip and target. Secondary endpoint was participant's subjective feeling of advantage of the guidance markers measured on a Likert scale. Guidance markers on the US system significantly increased the accuracy of needle placement on all three targets individually (p = 0.00) and on overall placement, (inter-quartile range 3.21 mm vs. 0.49 mm, p = 0.00). In addition, the use of guidance markers eliminated the difference in accuracy between physicians and nurses, respectively. All participants evaluated the guidance markers to be helpful during the needle insertions. Adding guidance markers to the US system significantly increased the accuracy of needle placement in the horizontal plane during simulated US-guided vascular access using a phantom.

  11. Effect of Ethephon on Almond Bloom Delay, Yield, and Nut Quality under Warm Climate Conditions in Northwestern Mexico Efecto del Ethephon en el Retraso de la Floración, la Producción y la Calidad del Almendro, bajo Condiciones de Clima Caliente del Noroeste de México

    Directory of Open Access Journals (Sweden)

    Raúl Leonel Grijalva-Contreras

    2011-03-01

    Full Text Available World almond (Prunus dulcis (Mill. D.A. Webb production is mostly located in areas where flowering is injured by low temperatures, and using ethephon (2-chloroethylphosphonic acid to delay bloom is suggested as a measure to avoid frost damage. However, it is unknown if that practice could be beneficial in Mexico’s warm climates. The objective of this study was to determine the effect of ethephon on almond bloom delay and yield. We evaluated foliar applications of ethephon at doses of 75, 150, and 300 mg L-1 at 10% leaf drop stage and at 150 mg L-1 during dormancy over 2 yr. In 2004, ethephon applied at 10% leaf drop stage delayed bloom by 7, 8, and 9 d at 75, 150, and 300 mg L-1, respectively (p La producción de almendra (Prunus dulcis (Mill. D.A. Webb en el mundo está situada sobre todo en las áreas donde la floración es dañada por bajas temperaturas, y se sugiere el uso del ethephon (ácido 2-cloroetil fosfónico para retrasarla, como una medida para evitar daños por helada. Sin embargo, no se sabe si esa práctica podría ser beneficiosa bajo los climas calientes de México. El objetivo de este estudio fue determinar el efecto del ethephon (ácido 2-cloroetil fosfónico sobre el retraso de la floración y la producción de la almendra. Evaluamos la aplicación foliar de ethephon en dosis de 75; 150 y 300 mg L-1 en la etapa de 10% de caída de la hoja, y en 150 mg L-1 en la etapa de dormancia, durante 2 años. En el 2004, ethephon aplicado en la etapa de 10% de caída de la hoja retrasó la floración por 7; 8 y 9 d a 75; 150 y 300 mg L-1 respectivamente (p < 0,01, y en 2005 el retraso de la floración fue de 3 d a 300 mg L-1. El ethephon aplicado durante dormancia retrasó la floración 2 d en el primer año pero no hubo efecto en el segundo año. El rendimiento y el amarre de fruta fueron afectados por el ethephon aplicado en la etapa de 10% de caída de la hoja en 2004, pero no en 2005. Ni la producción ni el amarre de fruta fue

  12. Study on Mandatory Access Control in a Secure Database Management System

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    This paper proposes a security policy model for mandatory access control in class B1 database management system whose level of labeling is tuple. The relation-hierarchical data model is extended to multilevel relation-hierarchical data model. Based on the multilevel relation-hierarchical data model, the concept of upper-lower layer relational integrity is presented after we analyze and eliminate the covert channels caused by the database integrity. Two SQL statements are extended to process polyinstantiation in the multilevel secure environment. The system is based on the multilevel relation-hierarchical data model and is capable of integratively storing and manipulating multilevel complicated objects (e. g., multilevel spatial data) and multilevel conventional data ( e. g., integer. real number and character string).

  13. Cognitive radio policy and regulation techno-economic studies to facilitate dynamic spectrum access

    CERN Document Server

    Holland, Oliver

    2014-01-01

    This book offers a timely reflection on how the proliferation of advanced wireless communications technologies, particularly cognitive radio (CR) can be enabled by thoroughly-considered policy and appropriate regulation. It looks at the prospects of CR from the divergent standpoints of technological development and economic market reality. The book provides a broad survey of various techno-economic and policy aspects of CR development, and provides the reader with an understanding of the complexities involved as well as a toolbox of possible solutions to enable the evolutionary leap towards successful implementation of disruptive CR technology or indeed any other novel wireless technologies. Cognitive Radio Policy and Regulation showcases the original ideas and concepts introduced into the field of CR and dynamic spectrum access policy over nearly four years of work within COST Action IC0905 TERRA, a think-tank with participants from more than 20 countries. The book’s subject matter includes: • deploymen...

  14. Out-of-Bounds Array Access Fault Model and Automatic Testing Method Study

    Institute of Scientific and Technical Information of China (English)

    GAO Chuanping; DUAN Miyi; TAN Liqun; GONG Yunzhan

    2007-01-01

    Out-of-bounds array access(OOB) is one of the fault models commonly employed in the objectoriented programming language. At present, the technology of code insertion and optimization is widely used in the world to detect and fix this kind of fault. Although this method can examine some of the faults in OOB programs, it cannot test programs thoroughly, neither to find the faults correctly. The way of code insertion makes the test procedures so inefficient that the test becomes costly and time-consuming. This paper, uses a kind of special static test technology to realize the fault detection in OOB programs. We first establish the fault models in OOB program, and then develop an automatic test tool to detect the faults. Some experiments have exercised and the results show that the method proposed in the paper is efficient and feasible in practical applications.

  15. EU Accession and Civil Aviation Regimes: Malta and Cyprus as a Case Study

    Science.gov (United States)

    Papatheodorou, Andreas; Busuttil, Louis

    2003-01-01

    Aviation deregulation is usually a challenging and demanding task and accession to the European Union requires that all candidate states should harmonize their legislation in the context of the European Common Aviation Area. Malta and Cyprus, the small Mediterranean island-states to join the EU in 2004, will have to abandon any protectionist policies in favour of their flag-carriers and let them survive in a liberal framework. The paper discusses the implications of this regime change for civil aviation in Malta and Cyprus and in addition to the airline industry, it examines the impacts on the complementary tourism sector. Unless carrying capacity limits are understood, the islands may become victims of successful airline liberalisation. The paper concludes by stressing the need for sustainable development and active policy making. Keywords: carrying capacity, Cyprus, air transport deregulation, Malta, tourism

  16. Effects of semantic context on access to words of low imageability in deep-phonological dysphasia: a treatment case study.

    Science.gov (United States)

    McCarthy, Laura Mary; Kalinyak-Fliszar, Michelene; Kohen, Francine; Martin, Nadine

    2017-01-01

    Deep dysphasia is a relatively rare subcategory of aphasia, characterised by word repetition impairment and a profound auditory-verbal short-term memory (STM) limitation. Repetition of words is better than nonwords (lexicality effect) and better for high-image than low-image words (imageability effect). Another related language impairment profile is phonological dysphasia, which includes all of the characteristics of deep dysphasia except for the occurrence of semantic errors in single word repetition. The overlap in symptoms of deep and phonological dysphasia has led to the hypothesis that they share the same root cause, impaired maintenance of activated representation of words, but that they differ in severity of that impairment, with deep dysphasia being more severe. We report a single-subject multiple baseline, multiple probe treatment study of a person who presented with a pattern of repetition that was consistent with the continuum of deep-phonological dysphasia: imageability and lexicality effects in repetition of single and multiple words and semantic errors in repetition of multiple-word utterances. The aim of this treatment study was to improve access to and repetition of low-imageability words by embedding them in modifier-noun phrases that enhanced their imageability. The treatment involved repetition of abstract noun pairs. We created modifier-abstract noun phrases that increased the semantic and syntactic cohesiveness of the words in the pair. For example, the phrases "long distance" and "social exclusion" were developed to improve repetition of the abstract pair "distance-exclusion". The goal of this manipulation was to increase the probability of accessing lexical and semantic representations of abstract words in repetition by enriching their semantic -syntactic context. We predicted that this increase in accessibility would be maintained when the words were repeated as pairs, but without the contextual phrase. Treatment outcomes indicated that

  17. Methodology and Results of the Near-Earth Object (NEO) Human Space Flight (HSF) Accessible Targets Study (NHATS)

    Science.gov (United States)

    Barbee, Brent; Mink, Ronald; Adamo, Daniel

    2011-01-01

    Near-Earth Asteroids (NEAs) have been identified by the current administration as potential destinations for human explorers during the mid-2020s. While the close proximity of these objects' orbits to Earth's orbit creates a risk of highly damaging or catastrophic impacts, it also makes some of these objects particularly accessible to spacecraft departing Earth, and this presents unique opportunities for solar system science and humanity's first ventures beyond cislunar space. Planning such ambitious missions first requires the selection of potentially accessible targets from the growing population of nearly 7,800 NEAs. To accomplish this, NASA is conducting the Near-Earth Object (NEO) Human Space Flight (HSF) Accessible Targets Study (NHATS). Phase I of the NHATS was executed during September of 2010, and Phase II was completed by early March of 2011. The study is ongoing because previously undetected NEAs are being discovered constantly, which has motivated an effort to automate the analysis algorithms in order to provide continuous monitoring of NEA accessibility. The NHATS analysis process consists of a trajectory filter and a minimum maximum estimated size criterion. The trajectory filter employs the method of embedded trajectory grids to compute all possible ballistic round-trip mission trajectories to every NEA in the Jet Propulsion Laboratory (JPL) Small-Body Database (SBDB) and stores all solutions that satisfy the trajectory filter criteria. An NEA must offer at least one qualifying trajectory solution to pass the trajectory filter. The Phase II NHATS filter criteria were purposely chosen to be highly inclusive, requiring Earth departure date between January 1st, 2015 and December 31st, 2040, total round-trip flight time = 8 days, Earth departure C(sub 3) energy = 30 m. This corresponds to an absolute magnitude H = 30 m. The distributions of osculating heliocentric orbital semi-major axis (a), eccentricity (e), and inclination (i), for those 590 NEAs are

  18. Exploring the impact of a decision support intervention on vascular access decisions in chronic hemodialysis patients: study protocol

    Directory of Open Access Journals (Sweden)

    Donnelly Sandra

    2011-02-01

    Full Text Available Abstract Background In patients with Stage 5 Chronic Kidney Disease who require renal replacement therapy a major decision concerns modality choice. However, many patients defer the decision about modality choice or they have an urgent or emergent need of RRT, which results in them starting hemodialysis with a Central Venous Catheter. Thereafter, efforts to help patients make more timely decisions about access choices utilizing education and resource allocation strategies met with limited success resulting in a high prevalent CVC use in Canada. Providing decision support tailored to meet patients' decision making needs may improve this situation. The Registered Nurses Association of Ontario has developed a clinical practice guideline to guide decision support for adults living with Chronic Kidney Disease (Decision Support for Adults with Chronic Kidney Disease. The purpose of this study is to determine the impact of implementing selected recommendations this guideline on priority provincial targets for hemodialysis access in patients with Stage 5 CKD who currently use Central Venous Catheters for vascular access. Methods/Design A non-experimental intervention study with repeated measures will be conducted at St. Michaels Hospital in Toronto, Canada. Decisional conflict about dialysis access choice will be measured using the validated SURE tool, an instrument used to identify decisional conflict. Thereafter a tailored decision support intervention will be implemented. Decisional conflict will be re-measured and compared with baseline scores. Patients and staff will be interviewed to gain an understanding of how useful this intervention was for them and whether it would be feasible to implement more widely. Quantitative data will be analyzed using descriptive and inferential statistics. Statistical significance of difference between means over time for aggregated SURE scores (pre/post will be assessed using a paired t-test. Qualitative analysis

  19. Understanding differences in access to water fountains and sugar-sweetened beverages in children׳s environments: a pilot study in high and low deprivation neighbourhoods.

    Science.gov (United States)

    Pearson, Amber L; de Latour, Phillip; Kemp, Gabrielle; Findlay, Nohoana; Halim, Angela; Atkinson, Nicola; Chong, Mark; Cameron, Rose; Brown, Courtney; Kim, Grace; Campbell, Paul; Hills, Toby; Jayawant, Aditya; Chae, Matthew; Bhagavan, Chiranth; French, Claire; Jenkin, Gabrielle; Smith, Moira; Signal, Louise

    2014-11-01

    Access to water fountains and sugar-sweetened beverages (SSBs) in children׳s environments may impact on child obesity and may vary with neighbourhood deprivation. Our pilot analyses of access to water fountains and SSBs in Wellington, New Zealand revealed that water fountain access was high in school environments and low in recreational environments. There were also differences in water fountain and SSB access points by neighbourhood deprivation. The methods piloted in this study could be translated in a larger study, more capable of detecting significant differences in access and allowing for more sophisticated analyses. Such future studies may provide important evidence for the improvement of children׳s health and well-being.

  20. A review of potable water accessibility and sustainability issues in developing countries - case study of Uganda.

    Science.gov (United States)

    Nayebare, Shedrack R; Wilson, Lloyd R; Carpenter, David O; Dziewulski, David M; Kannan, Kurunthachalam

    2014-01-01

    Providing sources of sustainable and quality potable water in Uganda is a significant public health issue. This project aimed at identifying and prioritizing possible actions on how sustainable high quality potable water in Uganda's water supply systems could be achieved. In that respect, a review of both the current water supply systems and government programs on drinking water in Uganda was completed. Aspects of quantity, quality, treatment methods, infrastructure, storage and distribution of water for different water systems were evaluated and compared with the existing water supply systems in the U.S., Latin America and the Caribbean, for purposes of generating feasible recommendations and opportunities for improvement. Uganda utilizes surface water, groundwater, and rainwater sources for consumption. Surface water covers 15.4% of the land area and serves both urban and rural populations. Lake Victoria contributes about 85% of the total fresh surface water. Potable water quality is negatively affected by the following factors: disposal of sewage and industrial effluents, agricultural pesticides and fertilizers, and surface run-offs during heavy rains. The total renewable groundwater resources in Uganda are estimated to be 29 million m3/year with about 20,000 boreholes, 3000 shallow-wells and 200,000 springs, serving more than 80% of the rural and slum communities. Mean annual rainfall in Uganda ranges from 500 mm to 2500 mm. Groundwater and rainwater quality is mainly affected by poor sanitation and unhygienic practices. There are significant regional variations in the accessibility of potable water, with the Northeastern region having the least amount of potable water from all sources. Uganda still lags behind in potable water resource development. Priorities should be placed mainly on measures available for improvement of groundwater and rainwater resource utilization, protection of watersheds, health education, improved water treatment methods and

  1. Personal continuity and access in UK general practice: a qualitative study of general practitioners' and patients' perceptions of when and how they matter

    Directory of Open Access Journals (Sweden)

    Wyke Sally

    2006-02-01

    Full Text Available Abstract Background Personal continuity is a core value for family practice, but policy and performance targets emphasise other aspects of care, particularly waiting times for consultation. This study examined patient and general practitioner (GP perceptions of the value of personal continuity and rapid access, and the relationship between them. Methods Qualitative analysis of semi-structured interviews with a purposive sample of 16 GPs and 32 patients in the Lothian region of Scotland, to identify whether, how, why and in which circumstances personal continuity and rapid access were valued. Results From the patients' perspective, what mattered was 'access to appropriate care' depending on the problem to be dealt with. For a few patients, rapid access was the only priority. For most, rapid access was balanced against greater involvement in the consultation when seeing 'their' trusted doctor, which was particularly valued for chronic, complex and emotional problems. GPs focused on the value of personal continuity in the consultation for improving the diagnosis and management of the same kinds of problem. GPs did not perceive enabling access to be a core part of their work. There was little evidence that GPs routinely discussed with patients when or how personal continuity and access should be balanced. Conclusion 'Access to appropriate care' from the patients' perspective is not fully addressed by GPs' focus on personal continuity, nor by performance targets focused only on speed of access. GPs need to make enabling access as much a part of their core values as personal continuity, and access targets need to be based on less simplistic measures that account for the appropriateness of care as well as speed of access.

  2. Confirmation Bias and the Open Access Advantage: Some Methodological Suggestions for the Davis Citation Study

    CERN Document Server

    Harnad, Stevan

    2008-01-01

    Davis (2008) analyzes citations from 2004-2007 in 11 biomedical journals. 15% of authors paid to make them Open Access (OA). The outcome is a significant OA citation Advantage, but a small one (21%). The author infers that the OA advantage has been shrinking yearly, but the data suggest the opposite. Further analyses are necessary: (1) Not just author-choice (paid) OA but Free OA self-archiving needs to be taken into account rather than being counted as non-OA. (2) proportion of OA articles per journal per year needs to be reported and taken into account. (3) The Journal Impact Factor and the relation between the size of the OA Advantage article 'citation-bracket' need to be taken into account. (4) The sample-size for the highest-impact, largest-sample journal analyzed, PNAS, is restricted and excluded from some of the analyses. The full PNAS dataset is needed. (5) The interaction between OA and time, 2004-2007, is based on retrospective data from a June 2008 total cumulative citation count. The dates of both...

  3. Studi Perancangan Jaringan Worldwide Interoperability For Microwave Access (Wimax Di Area Banyumas

    Directory of Open Access Journals (Sweden)

    Alfin Hikmaturokhman

    2012-05-01

    Full Text Available At present the need for higher internet connection along with the age which is growing so fast. Then there is the latest breakthrough in telecomunications that is WiMAX technology is a wireless broadband technology reffered the IEEE 802.16 standard. WiMAX technology comes with a network of excellence in aspects of data access speed, wide area coverage and the presence of QoS is can allocate frequencies in accordance with user needs using OFDM technology. WiMAX technology can reach area far as 50 kilometers, also allows user equipment (customer premise equipment or CPE to get a broadband connection without having a direct path (non line of sight, NLOS to the base station (BS and provides a total data rate of up to 75 Mbps. Results of this Final project assumed that the area where will be design is Banyumas district. Then final project results of the PRX -100.31 dB; the Total Margin of 23.56 dB; Path los of 134.5 dB; gamma (? of 4.375; Frequency correction factor (?PLf of 0,36; antenna correction factor (?PLh is -3,25; Radius Cells (d is approximately 1995 meters; area of cell is at 10,34010495 km2 and the number of cells 133

  4. Academic community about copyright related with open access. Case study at Transilvania University

    Directory of Open Access Journals (Sweden)

    Bârsan, M. I.

    2012-01-01

    Full Text Available The movement for open access to scientific information aims to transform education and research through the provision, free of charge, of the literature in scientific journals, to all researchers, regardless of the country they carry out their activity in or the institution they are affiliated to, while observing the natural award and quotation rules. In order to have his/her article published in a quality scientific journal, the author is almost always requested to transfer the copyrights to the respective journal's editor. The editor thus becomes the only one authorized to decide if and in what way the text is to be published after the initial issue - e.g., through its inclusion in a scientific database. The paper It considers the claims for copyright ownership in research papers by universities, academics, and publishers by drawing on the literature, a survey of academic authors from Transilvania University. There were analysed concerning the professors' opinion on the AUTHOR – UNIVERSITY – EDITOR relationship. The sample was considerate with academic staff from Law. Engineering, Literature and Economic Science Faculties.

  5. Co-Producing Accessible Climate Knowledge: Case Study of a Scientific Challenge

    Science.gov (United States)

    Bourqui, M.; Charriere, M. K. M.; Bolduc, C.

    2016-12-01

    This talk presents the process of and the lessons learned from a scientific challenge where climate scientists re-framed their research for the general public in interaction with members of the general public. This challenge was organized by Climanosco in the context of its launch in the fall 2015 and is due to end in September 2016. It led to the publication of 11 articles from scientific authors spanning 7 countries and engaged the participation of 24 members of the general public. The process of interaction between scientists and members of the general public took place along an extended peer-review process which included on-line community discussions and non-scientific review reports. Details of this interaction, as perceived by the participants and evaluated by a survey, will be discussed in this talk. On the longer term this co-production of accessible climate knowledge, which represents the main goal of the non-profit association Climanosco, is meant to serve as a reliable, research-based source, the decision makers but also the journalists, teachers and communities around the world.

  6. A qualitative study analyzing access to physical rehabilitation for traffic accident victims with severe disability in Brazil.

    Science.gov (United States)

    Sousa, Kelienny de Meneses; Oliveira, Wagner Ivan Fonsêca de; Melo, Laiza Oliveira Mendes de; Alves, Emanuel Augusto; Piuvezam, Grasiela; Gama, Zenewton André da Silva

    2017-03-01

    Purpose To identify access barriers to physical rehabilitation for traffic accident (TA) victims with severe disability and build a theoretical model to provide guidance towards the improvement of these services. Methods Qualitative research carried out in the city of Natal (Northeast Brazil), with semi-structured interviews with 120 subjects (19 key informer health professionals and 101 TA victims) identified in a database made available by the emergency hospital. The interviews were analyzed using Alceste software, version 4.9. Results The main barriers present in the interviews were: (1) related to services: bureaucratic administrative practises, low offer of rehabilitation services, insufficient information on rehabilitation, lack of guidelines that integrate hospital and ambulatory care and (2) related to patients: financial difficulties, functional limitations, geographic distance, little information on health, association with low education levels and disbelief in the system and in rehabilitation. Conclusion The numerous access barriers were presented in a theoretical model with causes related to organizational structure, processes of care, professionals and patients. This model must be tested by health policy-makers and managers to improve the quality of physical rehabilitation and avoid unnecessary prolongation of the suffering and disability experienced by TA survivors. Implications for rehabilitation Traffic accidents (TAs) are a global health dilemma that demands integrality of preventive actions, pre-hospital and hospital care and physical rehabilitation (PR). This study lays the foundation for improving access to PR for TA survivors, an issue of quality of care that results in preventable disabilities. The words of the patients interviewed reveal the suffering of victims, which is often invisible to society and given low priority by health policies that relegate PR to a second plan ahead of prevention and urgent care. A theoretical model of the

  7. Modified open-access scheduling for new patient evaluations at an academic chronic pain clinic increased patient access to care, but did not materially reduce their mean cancellation rate: A retrospective, observational study.

    Science.gov (United States)

    Sivanesan, Eellan; Lubarsky, David A; Ranasinghe, Chaturani T; Sarantopoulos, Constantine D; Epstein, Richard H

    2017-09-01

    To determine if open-access scheduling would reduce the cancellation rate for new patient evaluations in a chronic pain clinic by at least 50%. Retrospective, observational study using electronic health records. Chronic pain clinic of an academic anesthesia department. All patients scheduled for evaluation or follow-up appointments in the chronic pain clinic between April 1, 2014, and December 31, 2015. Open-access scheduling was instituted in April 2015 with appointments offered on a date of the patient's choosing ≥1 business day after calling, with no limit on the daily number of new patients. Mean cancellation rates for new patients were compared between the 12-month baseline period prior to and for 7months after the change, following an intervening 2-month washout period. The method of batch means (by month) and the 2-sided Student t-test were used; Popen-access scheduling was not implemented for this group. Access to care for new chronic pain patients improved with modified open-access scheduling. However, their mean cancellation rate only decreased from 35.7% to 31.5%, making this a marginally effective strategy to reduce cancellations. Copyright © 2017 Elsevier Inc. All rights reserved.

  8. Perspectives of basic wheelchair users on improving their access to wheelchair services in Kenya and Philippines: a qualitative study.

    Science.gov (United States)

    Williams, Emma; Hurwitz, Elizabeth; Obaga, Immaculate; Onguti, Brenda; Rivera, Adovich; Sy, Tyrone Reden L; Kirby, R Lee; Noon, Jamie; Tanuku, Deepti; Gichangi, Anthony; Bazant, Eva

    2017-08-17

    The United Nations has called for countries to improve access to mobility devices when needed. The World Health Organization has published guidelines on the provision of manual wheelchairs in less-resourced settings. Yet little is known about the extent to which appropriate wheelchairs are available and provided according to international guidelines. This study's purpose was to describe wheelchair users' experiences receiving services and acquiring wheelchair skills in urban and peri-urban areas of Kenya and the Philippines. Local researchers in Nairobi and Manila interviewed 48 adult basic wheelchair users, with even distribution of those who had and had not received wheelchair services along with their wheelchair. Recordings were transcribed in the local language and translated into English. The study team coded transcripts for predetermined and emergent themes, using Atlas-ti software. A qualitative content analysis approach was taken with the WHO service delivery process as an organizing framework. Wheelchair users frequently described past experiences with ill-fitting wheelchairs and little formal training to use wheelchairs effectively. Through exposure to multiple wheelchairs and self-advocacy, they learned to select wheelchairs suitable for their needs. Maintenance and repair services were often in short supply. Participants attributed shorter duration of wheelchair use to lack of repair. Peer support networks emerged as an important source of knowledge, resources and emotional support. Most participants acknowledged that they received wheelchairs that would have been difficult or impossible for them to pay for, and despite challenges, they were grateful to have some means of mobility. Four themes emerged as critical for understanding the implementation of wheelchair services: barriers in the physical environment, the need for having multiple chairs to improve access, perceived social stigma, and the importance of peer support. Interventions are needed to

  9. How modification of accessible lysines to phenylalanine modulates the structural and functional properties of horseradish peroxidase: a simulation study.

    Directory of Open Access Journals (Sweden)

    Leila Navapour

    Full Text Available Horseradish Peroxidase (HRP is one of the most studied peroxidases and a great number of chemical modifications and genetic manipulations have been carried out on its surface accessible residues to improve its stability and catalytic efficiency necessary for biotechnological applications. Most of the stabilized derivatives of HRP reported to date have involved chemical or genetic modifications of three surface-exposed lysines (K174, K232 and K241. In this computational study, we altered these lysines to phenylalanine residues to model those chemical modifications or genetic manipulations in which these positively charged lysines are converted to aromatic hydrophobic residues. Simulation results implied that upon these substitutions, the protein structure becomes less flexible. Stability gains are likely to be achieved due to the increased number of stable hydrogen bonds, improved heme-protein interactions and more integrated proximal Ca2+ binding pocket. We also found a new persistent hydrogen bond between the protein moiety (F174 and the heme prosthetic group as well as two stitching hydrogen bonds between the connecting loops GH and F'F″ in mutated HRP. However, detailed analysis of functionally related structural properties and dynamical features suggests reduced reactivity of the enzyme toward its substrates. Molecular dynamics simulations showed that substitutions narrow the bottle neck entry of peroxide substrate access channel and reduce the surface accessibility of the distal histidine (H42 and heme prosthetic group to the peroxide and aromatic substrates, respectively. Results also demonstrated that the area and volume of the aromatic-substrate binding pocket are significantly decreased upon modifications. Moreover, the hydrophobic patch functioning as a binding site or trap for reducing aromatic substrates is shrunk in mutated enzyme. Together, the results of this simulation study could provide possible structural clues to explain

  10. How modification of accessible lysines to phenylalanine modulates the structural and functional properties of horseradish peroxidase: a simulation study.

    Science.gov (United States)

    Navapour, Leila; Mogharrab, Navid; Amininasab, Mehriar

    2014-01-01

    Horseradish Peroxidase (HRP) is one of the most studied peroxidases and a great number of chemical modifications and genetic manipulations have been carried out on its surface accessible residues to improve its stability and catalytic efficiency necessary for biotechnological applications. Most of the stabilized derivatives of HRP reported to date have involved chemical or genetic modifications of three surface-exposed lysines (K174, K232 and K241). In this computational study, we altered these lysines to phenylalanine residues to model those chemical modifications or genetic manipulations in which these positively charged lysines are converted to aromatic hydrophobic residues. Simulation results implied that upon these substitutions, the protein structure becomes less flexible. Stability gains are likely to be achieved due to the increased number of stable hydrogen bonds, improved heme-protein interactions and more integrated proximal Ca2+ binding pocket. We also found a new persistent hydrogen bond between the protein moiety (F174) and the heme prosthetic group as well as two stitching hydrogen bonds between the connecting loops GH and F'F″ in mutated HRP. However, detailed analysis of functionally related structural properties and dynamical features suggests reduced reactivity of the enzyme toward its substrates. Molecular dynamics simulations showed that substitutions narrow the bottle neck entry of peroxide substrate access channel and reduce the surface accessibility of the distal histidine (H42) and heme prosthetic group to the peroxide and aromatic substrates, respectively. Results also demonstrated that the area and volume of the aromatic-substrate binding pocket are significantly decreased upon modifications. Moreover, the hydrophobic patch functioning as a binding site or trap for reducing aromatic substrates is shrunk in mutated enzyme. Together, the results of this simulation study could provide possible structural clues to explain those experimental

  11. Making CORDEX accessible to users: case studies in the Middle East

    Science.gov (United States)

    Dubois, Ghislain

    2017-04-01

    The current demand of long term climate projections corresponds to more applied requests from users: climate data and services are supposed to enable robust decision making in very diversified environments…Issues like uncertainty management (elaborating probabilistic projections based on full ensembles analysis) or tailoring of indicators should be central. However, an assessment of a sample of local, regional and national climate change adaptation strategies, in Europe and in the Med (Stoverinck, Dubois and Amelung 2013) highlighted the frequent insufficient robustness of climate information used to inform policy making. Some initiatives only refer to past climate data, use only one SRES or RCP scenario, one model or a too limited set of downscaling techniques. The CORDEX program (Coordinated regional climate downscaling experiment, coordinated by WCRP) forms the largest effort of climate downscaling so far. Its datasets, initially developed for scientific purposes have strong potential to improve regional and local adaptation policies. They can be considered as reference for the coming years, not only reflecting the improvement of our knowledge of climate, but also offering data in a much more harmonized and accessible way. The PROCLIM initiative (www.pro-clim.org) aims at developing a European climate service, proposing territorialized climate projections, supporting local adaptation frameworks, derived from CORDEX. This encompasses several methodological challenges: understanding users' needs at the European level, specifying indices, selecting relevant geographical domains, correcting systematic biases, selecting sub-ensembles of the CORDEX datasets so as to provide a sound uncertainty analysis, representing results in an user-friendly manner. The presentation will detail some features of PROCLIM, based on two recent experiments: the elaboration of long term climate projections, based on AFRICA-CORDEX, supporting the elaboration of the third national

  12. Access Control List Technology Studying and Application%ACL技术研究及应用

    Institute of Scientific and Technical Information of China (English)

    杨梅; 杨平利; 宫殿庆

    2011-01-01

    Access control list (ACL) refers to the dictation list of router joint, which forms an orderly condition collection by a group of permit an deny sentences to control the data package of controlling the port turnover. ACL is a technology, which uses data stream classification and filtration to improve network's security. ACL is also a service level agreement ( SLA), which is used to enhance the quality of service in network. Introduce in detail about ACL's conception, classification, principle and function. The typical applications are discussed in some cases, which display the method of how to use ACL. It also presents the matching principle and some advice to reduce making mistakes when use the ACL.%访问控制列表是路由交换设备的一组条件控制指令列表,是实现包过滤技术的核心内容,它是一种数据流分类和过滤技术,在网络安全中发挥着重要的作用;访问控制列表也是一种服务级别协定,用于支持和提高网络的服务质量.首先介绍了访问控制列表的定义、分类、工作原理和功能,其次以实例的方式给出了访问控制列表的几种典型应用,通过应用实例说明了访问控制列表在网络安全中具体使用方法和特点,最后给配置使用时的要点、规则和使用时的建议.

  13. Accessible Knowledge - Knowledge on Accessibility

    DEFF Research Database (Denmark)

    Kirkeby, Inge Mette

    2015-01-01

    Although serious efforts are made internationally and nationally, it is a slow process to make our physical environment accessible. In the actual design process, architects play a major role. But what kinds of knowledge, including research-based knowledge, do practicing architects make use of when...... designing accessible environments? The answer to the question is crucially important since it affects how knowledge is distributed and how accessibility can be ensured. In order to get first-hand knowledge about the design process and the sources from which they gain knowledge, 11 qualitative interviews...... were conducted with architects with experience of designing for accessibility. The analysis draws on two theoretical distinctions. The first is research-based knowledge versus knowledge used by architects. The second is context-independent knowledge versus context-dependent knowledge. The practitioners...

  14. Access to mental health and psychosocial services in Cambodia by survivors of trafficking and exploitation: a qualitative study.

    Science.gov (United States)

    Aberdein, Charlotte; Zimmerman, Cathy

    2015-01-01

    Emerging evidence indicates the extreme forms of violence and acute and longer-term mental health consequences associated with trafficking and exploitation. However, there has been little research on post-trafficking mental health and psychosocial support services for survivors. This study explored the availability and accessibility of mental health and psychosocial support services in Cambodia for women, men and children trafficked and exploited for sex or labour purposes. Semi-structured interviews were conducted with a purposively selected sample of representatives from seven service organizations providing mental health and psychosocial support services for people who have been trafficked. This qualitative method was selected to gain insights into the service approaches and challenges faced by the small number of post-trafficking service providers in Cambodia. A conceptual framework outlining access dimensions associated with service provision guided the structure of the study. Findings indicate that among the available post-trafficking services, there are few trained mental health specialists, an over-representation of shelter services in urban versus rural areas and limited services for males, people with disabilities, individuals exploited for labour (versus sexual exploitation) and those with more serious mental illnesses. Providers believe that discrimination and stigma related to both mental health and human trafficking hinder trafficked people's willingness to access services, but suggest that awareness-raising may reduce these prejudices. Care in this sector is precarious due to over-reliance on financial support by donors versus government. Recent increases in newly qualified professionals and providers suggest potential improvements in the quality and availability of psychological support for trafficking survivors. Psychological support for the growing number of identified trafficking survivors in Cambodia will depend on improved geographical

  15. A multicenter feasibility study on ultrafiltration via a single peripheral venous access in acute heart failure with overt fluid overload.

    Science.gov (United States)

    Morpurgo, Marco; Pasqualini, Mario; Brunazzi, Maria Cristiana; Vianello, Gabriele; Valle, Roberto; Roncon, Loris; Fiorini, Fulvio; Aspromonte, Nadia; Barbiero, Mario; Goldoni, Marco; Marenzi, Giancarlo

    2017-08-01

    The need for a central venous catheter has limited the widespread use of ultrafiltration in daily clinical practice for the treatment of acute heart failure (AHF) with overt fluid overload. We evaluated the feasibility of a new ultrafiltration device, the CHIARA (Congestive Heart Impairment Advanced Removal Approach) system, that utilizes a single-lumen cannula (17G, multi-hole) inserted in a peripheral vein of the arm. In this multicenter, prospective, feasibility study, consecutive ultrafiltration treatments (lasting ≥6 hours and with an ultrafiltration rate ≥100ml/h) with the CHIARA device and a single peripheral venous approach were performed at 6 Italian hospitals. For each session, we evaluated the performance of the venous access, the ultrafiltrate volume removed, and the cause of its interruption. One-hundred-three ultrafiltration sessions were performed in 55 patients with AHF (average 1.9±1.7 treatment/patient). The overall median length of ultrafiltration treatment was 14h (interquartile range 7-21) with removal of 3266±3088ml of fluid (183±30ml/hour). The treatment was successfully completed in 92 (89%) sessions and in 80% of patients. The mean suction flow rate from the vein was 70±20ml/min, while the mean re-injection flow rate was 98±26ml/min. There were no clinically relevant complications related to the venous access and/or to the anticoagulant therapy with heparin. The study demonstrated that the CHIARA system satisfies clinical applicability and efficacy criteria in the treatment of AHF, in terms of adequate fluid removal through a single peripheral venous access. Copyright © 2017 Elsevier Ireland Ltd. All rights reserved.

  16. HIV/AIDS and access to water: A case study of home-based care in Ngamiland, Botswana

    Science.gov (United States)

    Ngwenya, B. N.; Kgathi, D. L.

    This case study investigates access to potable water in HIV/AIDS related home-based care households in five rural communities in Ngamiland, Botswana. Primary data collected from five villages consisted of two parts. The first survey collected household data on demographic and rural livelihood features and impacts of HIV/AIDS. A total of 129 households were selected using a two-stage stratified random sampling method. In the second survey, a total of 39 family primary and community care givers of continuously ill, bed-ridden or non-bed-ridden HIV/AIDS patients were interviewed. A detailed questionnaire, with closed and open-ended questions, was used to collect household data. In addition to using the questionnaire, data were also collected through participant observation, informal interviews and secondary sources. The study revealed that there are several sources of water for communities in Ngamiland such as off-plot, outdoor (communal) and on-plot outdoor and/or indoor (private) water connections, as well as other sources such as bowsed water, well-points, boreholes and open perennial/ephemeral water from river channels and pans. There was a serious problem of unreliable water supply caused by, among other things, the breakdown of diesel-powered water pumps, high frequency of HIV/AIDS related absenteeism, and the failure of timely delivery of diesel fuel. Some villages experienced chronic supply disruptions while others experienced seasonal or occasional water shortages. Strategies for coping with unreliability of water supply included economizing on water, reserve storage, buying water, and collection from river/dug wells or other alternative sources such as rain harvesting tanks in government institutions. The unreliability of water supply resulted in an increase in the use of water of poor quality and other practices of poor hygiene as well as a high opportunity cost of water collection. In such instances, bathing of patients was cut from twice daily to once or

  17. A qualitative study on African immigrant and refugee families' experiences of accessing primary health care services in Manitoba, Canada: it's not easy!

    Science.gov (United States)

    Woodgate, Roberta Lynn; Busolo, David Shiyokha; Crockett, Maryanne; Dean, Ruth Anne; Amaladas, Miriam R; Plourde, Pierre J

    2017-01-09

    Immigrant and refugee families form a growing proportion of the Canadian population and experience barriers in accessing primary health care services. The aim of this study was to examine the experiences of access to primary health care by African immigrant and refugee families. Eighty-three families originating from 15 African countries took part in multiple open ended interviews in western Canada. Qualitative data was collected in six different languages between 2013 and 2015. Data analysis involved delineating units of meaning from the data, clustering units of meaning to form thematic statements, and extracting themes. African immigrant and refugee families experienced challenges in their quest to access primary health care that were represented by three themes: Expectations not quite met, facing a new life, and let's buddy up to improve access. On the theme of expectations not quite met, families struggled to understand and become familiar with a new health system that presented with a number of barriers including lengthy wait times, a shortage of health care providers, high cost of medication and non-basic health care, and less than ideal care. On the theme of facing a new life, immigrant and refugee families talked of the difficulties of getting used to their new and unfamiliar environments and the barriers that impact their access to health care services. They talked of challenges related to transportation, weather, employment, language and cultural differences, and lack of social support in their quest to access health care services. Additionally, families expressed their lack of social support in accessing care. Privately sponsored families and families with children experienced even less social support. Importantly, in the theme of let's buddy up to improve access, families recommended utilizing networking approaches to engage and improve their access to primary health care services. African immigrant and refugee families experience barriers to accessing

  18. Open access

    CERN Document Server

    Suber, Peter

    2012-01-01

    The Internet lets us share perfect copies of our work with a worldwide audience at virtually no cost. We take advantage of this revolutionary opportunity when we make our work "open access": digital, online, free of charge, and free of most copyright and licensing restrictions. Open access is made possible by the Internet and copyright-holder consent, and many authors, musicians, filmmakers, and other creators who depend on royalties are understandably unwilling to give their consent. But for 350 years, scholars have written peer-reviewed journal articles for impact, not for money, and are free to consent to open access without losing revenue. In this concise introduction, Peter Suber tells us what open access is and isn't, how it benefits authors and readers of research, how we pay for it, how it avoids copyright problems, how it has moved from the periphery to the mainstream, and what its future may hold. Distilling a decade of Suber's influential writing and thinking about open access, this is the indispe...

  19. Availability and access in modern obstetric care: a retrospective population-based study

    Science.gov (United States)

    Engjom, HM; Morken, N-H; Norheim, OF; Klungsøyr, K

    2014-01-01

    Objective To assess the availability of obstetric institutions, the risk of unplanned delivery outside an institution and maternal morbidity in a national setting in which the number of institutions declined from 95 to 51 during 30 years. Design Retrospective population-based, three cohorts and two cross-sectional analyses. Setting Census data, Statistics Norway. The Medical Birth Registry of Norway from 1979 to 2009. Population Women (15–49 years), 2000 (n = 1 050 269) and 2010 (n = 1 127 665). Women who delivered during the period 1979–2009 (n = 1 807 714). Methods Geographic Information Systems software for travel zone calculations. Cross-table and multiple logistic regression analysis of change over time and regional differences. World Health Organization Emergency Obstetric and Newborn Care (EmOC) indicators. Main outcome measures Proportion of women living outside the 1-hour travel zone to obstetric institutions. Risk of unplanned delivery outside obstetric institutions. Maternal morbidity. Results The proportion of women living outside the 1-hour zone for all obstetric institutions increased from 7.9% to 8.8% from 2000 to 2010 (relative risk, 1.1; 95% confidence interval, 1.11–1.12), and for emergency obstetric care from 11.0% to 12.1% (relative risk, 1.1; 95% confidence interval, 1.09–1.11). The risk of unplanned delivery outside institutions increased from 0.4% in 1979–83 to 0.7% in 2004–09 (adjusted odds ratio, 2.0; 95% confidence interval, 1.9–2.2). Maternal morbidity increased from 1.7% in 2000 to 2.2% in 2009 (adjusted odds ratio, 1.4; 95% confidence interval, 1.2–1.5) and the regional differences increased. Conclusions The availability of and access to obstetric institutions was reduced and we did not observe the expected decrease in maternal morbidity following the centralisation. PMID:24283373

  20. Availability and access in modern obstetric care: a retrospective population-based study.

    Science.gov (United States)

    Engjom, H M; Morken, N-H; Norheim, O F; Klungsøyr, K

    2014-02-01

    To assess the availability of obstetric institutions, the risk of unplanned delivery outside an institution and maternal morbidity in a national setting in which the number of institutions declined from 95 to 51 during 30 years. Retrospective population-based, three cohorts and two cross-sectional analyses. Census data, Statistics Norway. The Medical Birth Registry of Norway from 1979 to 2009. Women (15-49 years), 2000 (n = 1,050,269) and 2010 (n = 1,127,665). Women who delivered during the period 1979-2009 (n = 1,807,714). Geographic Information Systems software for travel zone calculations. Cross-table and multiple logistic regression analysis of change over time and regional differences. World Health Organization Emergency Obstetric and Newborn Care (EmOC) indicators. Proportion of women living outside the 1-hour travel zone to obstetric institutions. Risk of unplanned delivery outside obstetric institutions. Maternal morbidity. The proportion of women living outside the 1-hour zone for all obstetric institutions increased from 7.9% to 8.8% from 2000 to 2010 (relative risk, 1.1; 95% confidence interval, 1.11-1.12), and for emergency obstetric care from 11.0% to 12.1% (relative risk, 1.1; 95% confidence interval, 1.09-1.11). The risk of unplanned delivery outside institutions increased from 0.4% in 1979-83 to 0.7% in 2004-09 (adjusted odds ratio, 2.0; 95% confidence interval, 1.9-2.2). Maternal morbidity increased from 1.7% in 2000 to 2.2% in 2009 (adjusted odds ratio, 1.4; 95% confidence interval, 1.2-1.5) and the regional differences increased. The availability of and access to obstetric institutions was reduced and we did not observe the expected decrease in maternal morbidity following the centralisation. © 2013 The Authors. BJOG An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd on behalf of Royal College of Obstetricians and Gynaecologists.

  1. Microchannel arrays with improved accessibility and use for cell studies and emulsification

    Science.gov (United States)

    Kikuchi, Yuji; Kikuchi, Hiroko E.; Kuboki, Yoshinori; Nakajima, Mitsutoshi

    2000-03-01

    Arrays of microgrooves (groove width; 2, 3, 4, 5, 6, 7, 8, 10, 12, and 14 micrometer, groove interval; width x3, x10, and x20, one size and interval per chip) each connecting a center well and a side edge of a silicon substrate were created by photolithography and anisotropic wet etching. A penetrating hole was made by sand blast at the substrate center for the access to the center well. By tightly covering the substrate surface with a glass plate, the microgroove arrays were converted to microchannel arrays having one ends open at the side edges of the substrate. These microchannel arrays were used for cell trapping for microinjection and also used for emulsification. Poplar (Populus alba) protoplasts were used for the test of cell trapping. Cells showed a very large variation in size and irregularity in shape, and, furthermore, the protoplast preparation contained a number of cell membrane fragments and chloroplasts. Despite the cell size and shape variations and obstruction by the admixtures, many cells could be trapped by aspiration at the channel ends because of their openness to the outside free space and also their large multiplicity in parallel. The free space outside the side of the substrate allowed a free manipulation of a glass micropipette under microscopic observation using transmitted illumination. The microscopic observation direction nearly perpendicular to the movement directions of the micropipette further allowed the movement of the pipette tip nearly always in focus. These led to an easy pointing and puncturing. In addition, the cell trapping points in a line made successive approach to adjacent cells easier. Soybean oil containing 1.5 wt% polyoxyethylene(20)sorbitan monoolete as a surfactant was forced to flow into physiological saline filling the outside of the substrate through the microchannels. Regularly sized oil particles were created by this process with a variation coefficient (S.D./mean) 16% of their diameter. This variation, which is

  2. Access to CD4 Testing for Rural HIV Patients: Findings from a Cohort Study in Zimbabwe.

    Directory of Open Access Journals (Sweden)

    Florian Vogt

    Full Text Available CD4 cell count measurement remains an important diagnostic tool for HIV care in developing countries. Insufficient laboratory capacity in rural Sub-Saharan Africa is frequently mentioned but data on the impact at an individual patient level are lacking. Urban-rural discrepancies in CD4 testing have not been quantified to date. Such evidence is crucial for public health planning and to justify new yet more expensive diagnostic procedures that could circumvent access constraints in rural areas.To compare CD4 testing among rural and urban HIV patients during the first year of treatment.Records from 2,145 HIV positive adult patients from a Médecins sans Frontières (Doctors without Borders HIV project in Beitbridge, Zimbabwe, during 2011 and 2012 were used for a retrospective cohort analysis. Covariate-adjusted risk ratios were calculated to estimate the effects of area of residence on CD4 testing at treatment initiation, six and 12 months among rural and urban patients.While the proportion of HIV patients returning for medical consultations at six and 12 months decreased at a similar rate in both patient groups, CD4 testing during consultations dropped to 21% and 8% for urban, and 2% and 1% for rural patients at six and 12 months, respectively. Risk ratios for missing CD4 testing were 0.8 (95% CI 0.7-0.9, 9.2 (95% CI 5.5-15.3, and 7.6 (95% 3.7-17.1 comparing rural versus urban patients at treatment initiation, six and 12 months, respectively.CD4 testing was low overall, and particularly poor in rural patients. Difficulties with specimen transportation were probably a major factor underlying this difference and requires new diagnostic approaches. Our findings point to severe health system constraints in providing CD4 testing overall that need to be addressed if effective monitoring of HIV patients is to be achieved, whether by alternative CD4 diagnostics or newly-recommended routine viral load testing.

  3. Aplicación de los mapas de procesado en la optimización de los parámetros de un proceso de conformado en caliente. I parte. Revisión teórica

    Directory of Open Access Journals (Sweden)

    Al Omar, A.

    1997-04-01

    Full Text Available The hot working processes constitute an important step in the manufacture of components for engineering applications. In the past, the mechanical processing have been used to impart a shape to the engineering materials. More recently, however, the hot working processes are used not only to achieve the required shape but also to impart desirable mechanical and microstructural characteristics by an adequate design of the thermomechanical process. The aim of the present paper is to summarize the general characteristics of the Dynamic Materials Model. In this model, the workpiece material under hot working conditions is considered to be a dissipater of power. Also, the extreme principles of irreversible thermodynamics applied to large plastic flow are described to develop a continuum criterion capable to predict the metallurgical instabilities in a hot worked material.

    Los procesos de conformado en caliente de materiales constituyen un paso muy importante en la fabricación de los componentes mecánicos. Durante siglos estos procesos fueron utilizados para dar a los metales la forma deseada. Hoy en día, sin embargo, la deformación en caliente no sólo proporciona la geometría deseada sino las características mecánicas y microestructurales necesarias mediante un adecuado diseño del proceso de termoconformado. En el presente trabajo se presentan, a modo de revisión, las características generales del llamado "modelo dinámico de materiales" mediante el cual se optimizan los parámetros de conformación de un material usando los mapas de disipación de energía. En este modelo, la pieza conformada a alta temperatura se considera como la única parte de todo el sistema del proceso capaz de disipar energía. Se describe, también, la termodinámica irreversible aplicada a la mecánica continua de la fluencia plástica en las grandes deformaciones para desarrollar un criterio capaz de predecir las inestabilidades metalúrgicas en un material

  4. Efecto de la velocidad de deformación en la recristalización dinámica de un cobre ETP durante su compresión en caliente con temperatura descendente

    Directory of Open Access Journals (Sweden)

    Torrente, G.

    2011-12-01

    Full Text Available The main purpose of this project is to establish the effect of strain rate in the dynamic recrystallization of an ETP copper during its hot deformation with descending temperature. For this, there were made some tests of hot compression until true deformations close to one, with four strain rates while the temperature was descending. The tests that were made to the two lowest strain rates, showed a multiple peaks dynamic recrystallization with a rise of the tension instead it reaches the steady state, maybe due a continuous decline of the temperature.With the increase of rate the rest of the tests showed simple peak recrystallization and recovering respectively. The experimental results were compared with the results of a simulation based on the Damped Cosine Avrami Model. The simulation produced results closed to those measured during the multiple peaks dynamic recrystallization. These suggest that the application of this Model may be extended to multiple peaks dynamic recrystallization processes with changeable temperature.

    En el presente trabajo se estudia el efecto de la velocidad de deformación en la recristalización dinámica de un cobre electrolítico puro durante su deformación en caliente con temperatura descendente. Para ello, se realizaron ensayos de compresión en caliente hasta deformaciones verdaderas cercanas a uno, con cuatro velocidades de deformación, mientras descendía la temperatura. Los ensayos realizados a las dos velocidades de deformación más bajas mostraron recristalización dinámica de picos múltiples con un ascenso de la tensión en lugar del estado de saturación, debido probablemente al continuo descenso de la temperatura. Con el aumento de la velocidad, los ensayos restantes mostraron recristalización de pico simple y solo restauración, respectivamente. Los resultados experimentales se compararon con los de una simulación basada en el modelo cosenoidal amortiguado de Avrami. La simulación arroj

  5. Accurate guidance for percutaneous access to a specific target in soft tissues: preclinical study of computer-assisted pericardiocentesis.

    Science.gov (United States)

    Chavanon, O; Barbe, C; Troccaz, J; Carrat, L; Ribuot, C; Noirclerc, M; Maitrasse, B; Blin, D

    1999-06-01

    In the field of percutaneous access to soft tissues, our project was to improve classical pericardiocentesis by performing accurate guidance to a selected target, according to a model of the pericardial effusion acquired through three-dimensional (3D) data recording. Required hardware is an echocardiographic device and a needle, both linked to a 3D localizer, and a computer. After acquiring echographic data, a modeling procedure allows definition of the optimal puncture strategy, taking into consideration the mobility of the heart, by determining a stable region, whatever the period of the cardiac cycle. A passive guidance system is then used to reach the planned target accurately, generally a site in the middle of the stable region. After validation on a dynamic phantom and a feasibility study in dogs, an accuracy and reliability analysis protocol was realized on pigs with experimental pericardial effusion. Ten consecutive successful punctures using various trajectories were performed on eight pigs. Nonbloody liquid was collected from pericardial effusions in the stable region (5 to 9 mm wide) within 10 to 15 minutes from echographic acquisition to drainage. Accuracy of at least 2.5 mm was demonstrated. This study demonstrates the feasibility of computer-assisted pericardiocentesis. Beyond the simple improvement of the current technique, this method could be a new way to reach the heart or a new tool for percutaneous access and image-guided puncture of soft tissues. Further investigation will be necessary before routine human application.

  6. Are transnational tobacco companies’ market access strategies linked to economic development models? A case study of South Korea

    Science.gov (United States)

    Lee, Sungkyu; Holden, Chris; Lee, Kelley

    2013-01-01

    Transnational tobacco companies (TTCs) have used varied strategies to access previously closed markets. Using TTCs’ efforts to enter the South Korean market from the late 1980s as a case study, this article asks whether there are common patterns in these strategies that relate to the broader economic development models adopted by targeted countries. An analytical review of the existing literature on TTCs’ efforts to access emerging markets was conducted to develop hypotheses relating TTCs’ strategies to countries’ economic development models. A case study of Korea was then undertaken based on analysis of internal tobacco industry documents. Findings were consistent with the hypothesis that TTCs’ strategies in Korea were linked to Korea’s export-oriented economic development model and its hostile attitude toward foreign investment. A fuller understanding of TTCs’ strategies for expansion globally can be derived by locating them within the economic development models of specific countries or regions. Of foremost importance is the need for governments to carefully balance economic and public health policies when considering liberalisation. PMID:23327486

  7. Are transnational tobacco companies' market access strategies linked to economic development models? A case study of South Korea.

    Science.gov (United States)

    Lee, Sungkyu; Holden, Chris; Lee, Kelley

    2013-01-01

    Transnational tobacco companies (TTCs) have used varied strategies to access previously closed markets. Using TTCs' efforts to enter the South Korean market from the late 1980s as a case study, this article asks whether there are common patterns in these strategies that relate to the broader economic development models adopted by targeted countries. An analytical review of the existing literature on TTCs' efforts to access emerging markets was conducted to develop hypotheses relating TTCs' strategies to countries' economic development models. A case study of Korea was then undertaken based on analysis of internal tobacco industry documents. Findings were consistent with the hypothesis that TTCs' strategies in Korea were linked to Korea's export-oriented economic development model and its hostile attitude towards foreign investment. A fuller understanding of TTCs' strategies for expansion globally can be derived by locating them within the economic development models of specific countries or regions. Of foremost importance is the need for governments to carefully balance economic and public health policies when considering liberalisation.

  8. Car travel time and accessibility by bus to general practitioner services: a study using patient registers and GIS.

    Science.gov (United States)

    Lovett, Andrew; Haynes, Robin; Sünnenberg, Gisela; Gale, Susan

    2002-07-01

    Accessibility to general practitioner (GP) surgeries was investigated in a population study of East Anglia (Cambridgeshire, Norfolk and Suffolk) in the United Kingdom. Information from patient registers was combined with details of general practitioner surgery locations, road network characteristics, bus routes and community transport services, and a geographical information system (GIS) was used to calculate measures of accessibility to surgeries by public and private transport. Outcome measures included car travel times and indicators of the extent to which bus services could be used to visit GP surgeries. These variables were aggregated for wards or parishes and then compared with socio-economic characteristics of the populations living in those areas. The results indicated that only 10% of residents faced a car journey of more than 10 min to a GP. Some 13% of the population could not reach general medical services by daily bus. For 5% of the population, the car journey to the nearest surgery was longer than 10 min and there was no suitable bus service each weekday. In the remoter rural parishes, the lowest levels of personal mobility and the highest health needs indicators were found in the places with no daytime bus service each weekday and no community transport. The overall extent of accessibility problems and the existence of inverse care law effects in some rural localities have implications for the NHS, which aims to provide an equitable service to people wherever they live. The research also demonstrates the potential of patient registers and GIS as research and planning tools, though the practical difficulties of using these data sources and techniques should not be underestimated.

  9. Local constraints to access appropriate malaria treatment in the context of parasite resistance in Cambodia: a qualitative study.

    Science.gov (United States)

    Verschuere, Jesse; Decroo, Tom; Lim, Dara; Kindermans, Jean-Marie; Nguon, Chea; Huy, Rekol; Alkourdi, Yasmine; Peeters Grietens, Koen; Gryseels, Charlotte

    2017-02-17

    Despite emerging drug resistance in Cambodia, artemisinin-based combination therapy (ACT) is still the most efficacious therapy. ACT is available free of charge in the Cambodian public sector and at a subsidized rate in the private sector. However, un- and mistreated cases in combination with population movements may lead to the further spread of resistant parasites, stressing the importance of understanding how the perceived aetiology of malaria and associated health-seeking behaviour may delay access to appropriate treatment. A qualitative study explored these factors after an epidemiological survey confirmed parasite resistance in Preah Vihear province. In Cambodian cosmology, illnesses can be inflicted by supernatural beings or originate from 'natural' causes because of disorder in the social, domestic or outdoor environment. Initial treatment options consist of cheap and accessible home-based care (manual therapy, herbs and biomedical medication) targeting single symptoms. If there is no steady recovery or if the condition quickly aggravates, care will be sought from 'village doctors', public health facilities, private pharmacies or, in case of suspicion of a supernatural cause, from a specialized indigenous healer. The choice of provider is mostly based on the family's financial situation, access to and trust in the provider, and the congruence between the suspected aetiology of the illness and the treatment offered by the provider. Different treatment options are often combined during the same illness episode through a serial process of trial and error guided by the observable improvements in the patient's condition. Cambodian perceptions of illness that focus on single symptoms and their perceived severity may lead to the identification of one or multiple illnesses at the same time, rarely suspecting malaria from the start and implying different patterns of health seeking behaviour and treatment choice. However, decisions to self-diagnose and treat at home

  10. Parental influences on adolescent video game play: a study of accessibility, rules, limit setting, monitoring, and cybersafety.

    Science.gov (United States)

    Smith, Lisa J; Gradisar, Michael; King, Daniel L

    2015-05-01

    Adolescents' video gaming is increasing at a rapid rate. Yet, little is known about what factors contribute toward more hours of gaming per week, as well as what factors may limit or protect adolescents from excessive gaming. The aim of the present study was to examine associations between adolescents' accessibility to video gaming devices, the locations played (i.e., bedroom, shared rooms), parental regulation of technology use, and the amount of hours spent video gaming during the week (weekdays vs. weekends). Adolescents (N=422; age 16.3±2.0 years, 41% male) completed an online questionnaire battery, including demographics, video gaming behaviors (e.g., hours played weekdays/weekends, time of day played, devices owned, locations played, etc.), and a questionnaire measuring aspects of parents' regulation of game playing (e.g., rules, limit setting, co-gaming). Accessibility to the adolescents' own devices, but not shared devices or device portability, was predictive of hours gaming on weekdays and weekends. Location (i.e., bedroom) was associated with increased gaming across the week. Parents discussing cybersafety was predictive of lower hours of gaming (weekdays and weekends). However, limit setting, monitoring, and co-gaming showed no significant effects. Adolescents' access to their own gaming equipped devices, as well as gaming in their bedrooms, were linked to increased hours of gaming. The findings suggest that in order to curb the increase in hours gaming, parents are advised to delay the ownership of adolescents' devices, encourage use in shared rooms, and discuss aspects of cybersafety with their teenage children.

  11. "You know your own fistula, it becomes a part of you"--Patient perspectives on vascular access: A semistructured interview study.

    Science.gov (United States)

    Taylor, Matthew J; Hanson, Camilla S; Casey, Jordan R; Craig, Jonathan C; Harris, David; Tong, Allison

    2016-01-01

    The success of hemodialysis depends on functional vascular access but such an invasive, semipermanent intervention can be confronting for patients. Vascular access complications are potentially life threatening and reduce treatment satisfaction and quality of life. This study aims to describe patient perspectives on vascular access. Face-to-face, semistructured interviews were conducted with 26 adult patients receiving hemodialysis with any form of vascular access at two dialysis units in Australia. The transcripts were analyzed using thematic analysis. We identified five major themes describing patient perspectives on vascular access: developing mental fortitude for access (accepting necessity for survival, self-advocacy, experiential confidence and competency, dependency on others, gaining vascular knowledge), device intrusiveness on the body (restricting normal function, finding compensatory solutions, bodily invasion, confronting appearance), inhibiting pain (aversion to surgery, persisting needle anxieties), exposure to dire health consequences (resigning to inevitable failure, anticipating serious complications, technological skepticism, wary of medical incompetence), and imposing burdens (generating additional expenses, encumbering family members). Patients with a vascular access rely on a precarious lifeline, which is confronting, intrusive, and burdensome. Some develop mental resilience to cope with the pain and invasiveness of vascular access. The results suggest that more attention to address needle anxieties, self-advocacy, lifestyle disruption, fear of complications, and concern for caregiver burden may improve treatment satisfaction and outcomes for patients on hemodialysis.

  12. Social Constructionism in the Study of Career: Accessing the Parts that Other Approaches Cannot Reach

    Science.gov (United States)

    Cohen, Laurie; Duberley, Joanne; Mallon, Mary

    2004-01-01

    In this article we consider the contribution of a social constructionist perspective to our understandings of career. We examine this approach in relation to two studies: a study of women's career transition from organizational employment to portfolio work, and a study of the careers of research scientists. Within the career literature a dichotomy…

  13. Access French

    CERN Document Server

    Grosz, Bernard

    2014-01-01

    Access is the major new language series designed with the needs of today's generation of students firmly in mind. Whether learning for leisure or business purposes or working towards a curriculum qualification, Access French is specially designed for adults of all ages and gives students a thorough grounding in all the skills required to understand, speak, read and write contemporary French from scratch. The coursebook consists of 10 units covering different topic areas, each of which includes Language Focus panels explaining the structures covered and a comprehensive glossary. Learning tips

  14. The Open Access Divide

    Directory of Open Access Journals (Sweden)

    Jingfeng Xia

    2013-10-01

    Full Text Available This paper is an attempt to review various aspects of the open access divide regarding the difference between those academics who support free sharing of data and scholarly output and those academics who do not. It provides a structured description by adopting the Ws doctrines emphasizing such questions as who, what, when, where and why for information-gathering. Using measurable variables to define a common expression of the open access divide, this study collects aggregated data from existing open access as well as non-open access publications including journal articles and extensive reports. The definition of the open access divide is integrated into the discussion of scholarship on a larger scale.

  15. Access 3 project protocol: young people and health system navigation in the digital age: a multifaceted, mixed methods study.

    Science.gov (United States)

    Kang, Melissa; Robards, Fiona; Sanci, Lena; Steinbeck, Katharine; Jan, Stephen; Hawke, Catherine; Kong, Marlene; Usherwood, Tim

    2017-08-07

    The integration of digital technology into everyday lives of young people has become widespread. It is not known whether and how technology influences barriers and facilitators to healthcare, and whether and how young people navigate between face-to-face and virtual healthcare. To provide new knowledge essential to policy and practice, we designed a study that would explore health system access and navigation in the digital age. The study objectives are to: (1) describe experiences of young people accessing and navigating the health system in New South Wales (NSW), Australia; (2) identify barriers and facilitators to healthcare for young people and how these vary between groups; (3) describe health system inefficiencies, particularly for young people who are marginalised; (4) provide policy-relevant knowledge translation of the research data. This mixed methods study has four parts, including: (1) a cross-sectional survey of young people (12-24 years) residing in NSW, Australia; (2) a longitudinal, qualitative study of a subsample of marginalised young people (defined as young people who: identify as Aboriginal and/or Torres Strait Islander; are experiencing homelessness; identify as sexuality and/or gender diverse; are of refugee or vulnerable migrant background; and/or live in rural or remote NSW); (3) interviews with professionals; (4) a knowledge translation forum. Ethics approvals were sought and granted. Data collection commenced in March 2016 and will continue until June 2017. This study will gather practice and policy-relevant intelligence about contemporary experiences of young people and health services, with a unique focus on five different groups of marginalised young people, documenting their experiences over time. Access 3 will explore navigation around all levels of the health system, determine whether digital technology is integrated into this, and if so how, and will translate findings into policy-relevant recommendations. © Article author(s) (or

  16. Endovascular revascularization of chronically thrombosed arteriovenous fistulas and grafts for hemodialysis: a retrospective study in 15 patients with 18 access sites.

    Science.gov (United States)

    Weng, Mei-Jui; Chen, Matt Chiung-Yu; Chi, Wen-Che; Liu, Yi-Chun; Liang, Huei-Lung; Pan, Huay-Ben

    2011-04-01

    The current study retrospectively evaluated whether endovascular revascularization of chronically thrombosed and long-discarded vascular access sites for hemodialysis was feasible. Technical and clinical success rates, postintervention primary and secondary patency rates, and complications were reported. During a 1-year period, we reviewed a total of 924 interventions performed for dysfunction and/or failed hemodialysis vascular access sites and permanent catheters in 881 patients. In patients whose vascular access-site problems were considered untreatable or were considered treatable with a high risk of failure and access-site abandonment, we attempted to revascularize (resurrect) the chronically occluded and long-discarded (mummy) vascular access sites. We attempted to resurrect a total of 18 mummy access sites (mean age 46.6 ± 38.7 months; range 5-144) in 15 patients (8 women and 7 men; mean age 66.2 ± 11.5 years; age range 50-85) and had an overall technical success rate of 77.8%. Resurrection failure occurred in 3 fistulas and in 1 straight graft. The clinical success rate was 100% at 2 months after resurrection. In the 14 resurrected vascular access sites, 6 balloon-assisted maturation procedures were required in 5 fistulas; after access-site maturation, a total of 22 interventions were performed to maintain access-site patency. The mean go-through time for successful resurrection procedures was 146.6 ± 34.3 min (range 74-193). Postmaturation primary patency rates were 71.4 ± 12.1% at 30 days, 57.1 ± 13.2% at 60 days, 28.6 ± 13.4% at 90 days, and 19 ± 11.8% at 180 days. Postmaturation secondary patency rates were 100% at 30, 60, and 90 days and 81.8 ± 11.6% at 180 days. There were 2 major complications consisting of massive venous ruptures in 2 mummy access sites during balloon dilation; in both cases, prolonged balloon inflation failed to achieve hemostasis, but percutaneous N-butyl cyanoacrylate glue seal-off was performed successfully. Percutaneous

  17. Hemodialysis access - self care

    Science.gov (United States)

    Kidney failure - chronic-hemodialysis access; Renal failure - chronic-hemodialysis access; Chronic renal insufficiency - hemodialysis access; Chronic kidney failure - hemodialysis access; Chronic renal failure - ...

  18. The German Thorotrast Cohort Study: a review and how to get access to the data

    Energy Technology Data Exchange (ETDEWEB)

    Grosche, B.; Birschwilks, M. [Federal Office for Radiation Protection, Department Radiation Protection and Health, Neuherberg (Germany); Wesch, H.; Kaul, A.; Kaick, G. van

    2016-08-15

    It is well known that exposures like those from {sup 226}Ra, {sup 224}Ra and Thorotrast {sup registered} injections increase the risk of neoplasia in bone marrow and liver. The thorium-based radioactive contrast agent Thorotrast {sup registered} was introduced in 1929 and applied worldwide until the 1950s, especially in angiography and arteriography. Due to the extremely long half-life of several hundred years and the life-long retention of the thorium dioxide particles in the human body, patients suffer lifetime internal exposure. The health effects from the incorporated thorium were investigated in a few cohort studies with a German study being the largest among them. This retrospective cohort study was set up in 1968 with a follow-up until 2004. The study comprises 2326 Thorotrast patients and 1890 patients of a matched control group. For those being alive at the start of the study in 1968 follow-up was done by clinical examinations on a biannual basis. For the others, causes of death were collected in various ways. Additionally, clinical, radiological and biophysical studies of patients were conducted and large efforts were made to best estimate the radiation doses associated with incorporation of the Thorotrast. The aim of this paper is to describe the cohort, important results and some open questions. The data from the German Thorotrast Study are available to other interested researchers. Information can be found at http://storedb.org. (orig.)

  19. Self-Access Language Learning Programme: The Case of the English Language Voluntary Intensive Independent Catch-up Study

    Directory of Open Access Journals (Sweden)

    Salomi Papadima-Sophocleous

    2013-06-01

    Full Text Available This study investigated whether and to what extent an English Language Voluntary Intensive Independent Catch-up Study (ELVIICS, a Self-Access Language Learning (SALL programme, was effective in helping first-year Greek-Cypriot students fill in the gaps in their English language learning and come closer to the required language competence level of the Common European Framework of Reference (CEFR B1 level. It also examined students’ perceptions of such learning. The students followed the ELVIICS at their own pace, time and space until they felt they had reached the aimed level. Analysis of the achievement test results revealed that students’ language competence improved and reached the required level. Additional quantitative data also revealed that students felt ELVIICS also helped them improve their self-confidence, computer skills and autonomous learning. Moreover, students claimed that ELVIICS assisted them in getting through and successfully completing their compulsory course.

  20. Erotized, AIDS-HIV information on public-access television: a study of obscenity, state censorship and cultural resistance.

    Science.gov (United States)

    Lukenbill, W B

    1998-06-01

    This study analyzes court records of a county-level obscenity trial in Austin, Texas, and the appeal of the guilty verdict beginning with a Texas appellate court up to the U.S. Supreme Court of two individuals who broadcast erotized AIDS and HIV safer sex information on a public-access cable television. The trial and appellate court decisions are reviewed in terms of argument themes, and the nature of sexual value controversy is outlined. Erotic materials often conflict with broad-based sexual and community values, and providing erotized HIV and AIDS information products can be a form of radical political action designed to force societal change. This study raises question as to how this trial and this type of informational product might affect the programs and activities of information resource centers, community-based organizations, libraries, and the overall mission of public health education.

  1. Electronic Information Sources Access and Use for Healthcare Services in Governmental and Non-Governmental Hospitals of Western Oromia, Ethiopia: A Cross Sectional Study.

    Science.gov (United States)

    Samuel, Senait; Bayissa, Getachew; Asaminewu, Selam; Alaro, Tesfamichael

    2016-07-01

    Access to and use of electronic information sources for clinical decision is the key to the attainment of health related sustainable goals. Therefore, this study was to assess Electronic Information Sources (EIS) access and use for healthcare service among hospitals of Western Oromia, Ethiopia, 2013. A descriptive study design with quantitative and qualitative data collection methods was employed. Study subjects were selected by using simple random sampling technique. Quantitative data were entered and analyzed using SPSS version 16.0. Moreover, multiple logistic regression was fitted to identify independent predictors, and qualitative data were transcribed and analyzed thematically. A total of 590 health professionals were participated in the study with response rate of 95%. Forty-two percent of health professionals had used Electronic Information Sources (EIS). Out of them, more than half used to get latest health information. About three-fourth of health professionals had no formal training on how to use EIS. Moreover, there is a significant association between use of electronic information source and information literacy training, computer literacy level, access to internet connection and access to computers. In this study, it was determined that more than half of health professionals in the study area were not using EIS. Information literacy training, self-stated computer literacy level, access to internet connection and access to computers with in hospitals were found to be statistically significant factors affecting use of EIS.

  2. Guarantee of property right in open access systems. Legal study of property right of electric utilities and expropriation; Open access ni okeru zaisanken no hosho. Denki jigyo ni okeru zaisanken to shuyo ni kansuru kento

    Energy Technology Data Exchange (ETDEWEB)

    Maruyama, M. [Central Research Institute of Electric Power Industry, Tokyo (Japan)

    1996-03-01

    A study has been made about the relationship between open access, which has now become an important element of the electric utilities renovation efforts in the U.S. and Europe, and property right. The meaning of open access is to guarantee free access to suppliers by securing fair competition between them through separation of the vertical integration in power transmission and opening the transmission network to final customers. In case of Japan, the U.S., and Germany where private sector suppliers run electric utilities, however, a need arises to consider the property right that such suppliers enjoy as guaranteed by their Constitutions. The outcomes of discussions made in Germany and the State of California were complied, and some conclusions were reached. It constitutes an infringement of their property right for the authorities to order them to allow open access without compensation. In case the authorities use expropriation for the same purpose, they have to make it known clearly that the separation and opening is to the benefit of the public and must compensate fully for their action. There is no problem in giving the authorities the power to force the electric utilities to sign a wheeling contract in case the latter unlawfully rejects to sign one proposed by a wheeling-requesting party. 24 refs., 3 figs., 4 tabs.

  3. Simulación de la fluencia en caliente de un acero microaleado con un contenido medio de carbono. II parte. Recristalización dinámica: inicio y cinética

    Directory of Open Access Journals (Sweden)

    Cabrera, J. M.

    1997-06-01

    Full Text Available According to the part 1 of this work, in this second part the dynamic recrystallization of a commercial medium carbon microalloyed steel is characterized from the point of view of its onset and kinetics. For this purpose uniaxial hot compression tests were carried out over a range of five orders of magnitude in strain rate and 300 °C of temperature. Experimental results are compared with those reported in the literature and the possible effect of dynamic precipitation is also analyzed. It is verified that the kinetics of dynamic recrystallization can faithfully be described by the classical Avrami equation.

    Siguiendo el planteamiento efectuado en la I parte de este trabajo, en esta II parte se caracteriza la recristalización dinámica de un acero comercial microaleado con un contenido medio de carbono desde el punto de vista de su inicio y de su cinética. Con este objeto se efectuaron ensayos de compresión uniaxial en caliente en un intervalo de cinco órdenes de magnitud en velocidad de deformación y 300 °C de temperatura. Los resultados experimentales se comparan con los resultados reportados por diversos autores y se analizan los posibles efectos de precipitación dinámica. Se verifica que la cinética de la recristalización dinámica puede representarse fielmente por la ecuación de Avrami.

  4. Simulación de la fluencia en caliente de un acero microaleado con un contenido medio de carbono. I parte. Aproximación teórica

    Directory of Open Access Journals (Sweden)

    Cabrera, J. M.

    1997-04-01

    Full Text Available The constitutive equations to model the hot flow behaviour of metallic materials in general, and of microalloyed steels in particular (see part 2 of this work are established in this work. Special emphasis is done on the dynamic softening mechanisms, i.e., dynamic recovery and recrystallization phenomena. The equations developed are physic-based, not empirical, and the modeling allows an easy implementation in an analysis by numerical methods. The resulting equations are even able to predict the final grain size.

    En la presente revisión se plantean las ecuaciones constitutivas necesarias para efectuar la modelización de la fluencia en caliente de materiales metálicos y, en particular, de un acero microaleado (Véase la II parte de este trabajo. Se hace especial hincapié en la simulación de los fenómenos de restauración y recristalización dinámica. Las ecuaciones propuestas son de base física, no empírica, y el modelo resultante es relativamente sencillo de utilizar y de implementar en un análisis por métodos numéricos. El estudio no queda circunscrito al comportamiento a fluencia sino que es capaz de predecir el tamaño de grano final.

  5. Earthdata Search Client Usability Study: Improving Client Usability to Increase Data Discoverability and Accessibility

    Science.gov (United States)

    Siarto, J.; Reese, M.; Berrick, S. W.; Baynes, K.; Shum, D.; Plofchan, P.

    2016-12-01

    User experience and visual design are greatly improved when usability testing is performed on a periodic basis. Design decisions should be tested by real users so that application owners can understand the effectiveness of each decision and identify areas for improvement. It is important that applications be tested not just once, but as a part of a continuing process that looks to build upon previous tests. NASA's Earthdata Search Client has undergone a usability study to ensure its users' needs are being met and that users understand how to use the tool efficiently and effectively. This poster will highlight the process followed for usability study, the results of the study, and what has been implemented in light of the results to improve the application's interface.

  6. Ethnic minority, young onset, rare dementia type, depression: A case study of a Muslim male accessing UK dementia health and social care services.

    Science.gov (United States)

    Regan, Jemma L

    2016-07-01

    A case study comprised of formal interviews, formal observations and informal discussions investigated the motivations and experiences accessing dementia care health and social care services for a Muslim, Pakistani male with dementia. Motivations derived from 'desperation' and an inability to access support from family or religious community. Experiences of accessing services were mostly negative. Dementia services were ill-informed about how to support persons with young onset dementia, with pre-existing mental health conditions, from an ethnic minority. Education and training to remove barriers to all dementia care services is required for persons with dementia, their families and within dementia services and religious communities.

  7. A secondary meta-synthesis of qualitative studies of gender and access to cardiac rehabilitation.

    Science.gov (United States)

    Angus, Jan E; King-Shier, Kathryn M; Spaling, Melisa A; Duncan, Amanda S; Jaglal, Susan B; Stone, James A; Clark, Alexander M

    2015-08-01

    To discuss issues in the theorization and study of gender observed during a qualitative meta-synthesis of influences on uptake of secondary prevention and cardiac rehabilitation services. Women and men can equally benefit from secondary prevention/cardiac rehabilitation and there is a need to understand gender barriers to uptake. Meta-method analysis secondary to meta-synthesis. For the meta-synthesis, a systematic search was performed to identify and retrieve studies published as full papers during or after 1995 and contained: a qualitative research component wholly or in a mixed method design, extractable population specific data or themes for referral to secondary prevention programmes and adults ≥18 years. Databases searched between January 1995-31 October 2011 included: CSA Sociological Abstracts, EBSCOhost CINAHL, EBSCOhost Gender Studies, EBSCOhost Health Source Nursing: Academic Edition, EBSCOhost SPORTDiscus, EBSCOhost SocINDEX. Studies were reviewed against inclusion/exclusion criteria. Included studies were subject to quality appraisal and standardized data extraction. Of 2264 screened articles, 69 were included in the meta-method analysis. Only four studies defined gender or used gender theories. Findings were mostly presented as inherently the characteristic of gendered worldviews of participants. The major themes suggest a mismatch between secondary prevention/cardiac rehabilitation services and consumers' needs, which are usually portrayed as differing according to gender but may also be subject to intersecting influences such as age or socioeconomic status. There is a persistent lack of theoretically informed gender analysis in qualitative literature in this field. Theory-driven gender analysis will improve the conceptual clarity of the evidence base for gender-sensitive cardiac rehabilitation programme development. © 2015 John Wiley & Sons Ltd.

  8. Acceptability – a neglected dimension of access to health care: findings from a study on childhood convulsions in rural Tanzania

    Directory of Open Access Journals (Sweden)

    Dillip Angel

    2012-05-01

    Full Text Available Abstract Background Acceptability is a poorly conceptualized dimension of access to health care. Using a study on childhood convulsion in rural Tanzania, we examined social acceptability from a user perspective. The study design is based on the premise that a match between health providers’ and clients’ understanding of disease is an important dimension of social acceptability, especially in trans-cultural communication, for example if childhood convulsions are not linked with malaria and local treatment practices are mostly preferred. The study was linked to health interventions with the objective of bridging the gap between local and biomedical understanding of convulsions. Methods The study combined classical ethnography with the cultural epidemiology approach using EMIC (Explanatory Model Interview Catalogue tool. EMIC interviews were conducted in a 2007/08 convulsion study (n = 88 and results were compared with those of an earlier 2004/06 convulsion study (n = 135. Earlier studies on convulsion in the area were also examined to explore longer-term changes in treatment practices. Results The match between local and biomedical understanding of convulsions was already high in the 2004/06 study. Specific improvements were noted in form of (1 46% point increase among those who reported use of mosquito nets to prevent convulsion (2 13% point decrease among caregivers who associated convulsion with ‘evil eye and sorcery’, 3 14% point increase in prompt use of health facility and 416% point decrease among those who did not use health facility at all. Such changes can be partly attributed to interventions which explicitly aimed at increasing the match between local and biomedical understanding of malaria. Caregivers, mostly mothers, did not seek advice on where to take an ill child. This indicates that treatment at health facility has become socially acceptable for severe febrile with convulsion. Conclusion As an important dimension

  9. Acceptability--a neglected dimension of access to health care: findings from a study on childhood convulsions in rural Tanzania.

    Science.gov (United States)

    Dillip, Angel; Alba, Sandra; Mshana, Christopher; Hetzel, Manuel W; Lengeler, Christian; Mayumana, Iddy; Schulze, Alexander; Mshinda, Hassan; Weiss, Mitchell G; Obrist, Brigit

    2012-05-09

    Acceptability is a poorly conceptualized dimension of access to health care. Using a study on childhood convulsion in rural Tanzania, we examined social acceptability from a user perspective. The study design is based on the premise that a match between health providers' and clients' understanding of disease is an important dimension of social acceptability, especially in trans-cultural communication, for example if childhood convulsions are not linked with malaria and local treatment practices are mostly preferred. The study was linked to health interventions with the objective of bridging the gap between local and biomedical understanding of convulsions. The study combined classical ethnography with the cultural epidemiology approach using EMIC (Explanatory Model Interview Catalogue) tool. EMIC interviews were conducted in a 2007/08 convulsion study (n = 88) and results were compared with those of an earlier 2004/06 convulsion study (n = 135). Earlier studies on convulsion in the area were also examined to explore longer-term changes in treatment practices. The match between local and biomedical understanding of convulsions was already high in the 2004/06 study. Specific improvements were noted in form of (1) 46% point increase among those who reported use of mosquito nets to prevent convulsion (2) 13% point decrease among caregivers who associated convulsion with 'evil eye and sorcery', 3) 14% point increase in prompt use of health facility and 4)16% point decrease among those who did not use health facility at all. Such changes can be partly attributed to interventions which explicitly aimed at increasing the match between local and biomedical understanding of malaria. Caregivers, mostly mothers, did not seek advice on where to take an ill child. This indicates that treatment at health facility has become socially acceptable for severe febrile with convulsion. As an important dimension of access to health care 'social acceptability' seems relevant in studying

  10. Collaborating to increase access to clinical and educational resources for surgery: a case study.

    Science.gov (United States)

    Tomasko, Jonathan M; Adams, Nancy E; Garritano, Frank G; Santos, Mary C; Dillon, Peter W

    2014-01-01

    A case study is described in which collaborations between a Department of Surgery, a Department of Information Technology, and an academic health sciences library resulted in the development of an electronic surgical library available at the bedside, the deployment of tablet devices for surgery residents, and implementation of a tablet-friendly user interface for the institution's electronic medical record.

  11. Access, Astronomy and Science Fiction. A Case Study in Curriculum Design

    Science.gov (United States)

    Saunders, Danny; Brake, Mark; Griffiths, Martin; Thornton, Rosi

    2004-01-01

    It is argued that a positive response to lifelong learning policies involves the use of imaginative curriculum design in order to attract learners from disadvantaged backgrounds who are otherwise alienated from higher education. In this article a case study is presented based on the popularity of science fiction within popular culture, beginning…

  12. Image Retrieval: Theoretical Analysis and Empirical User Studies on Accessing Information in Images.

    Science.gov (United States)

    Ornager, Susanne

    1997-01-01

    Discusses indexing and retrieval for effective searches of digitized images. Reports on an empirical study about criteria for analysis and indexing digitized images, and the different types of user queries done in newspaper image archives in Denmark. Concludes that it is necessary that the indexing represent both a factual and an expressional…

  13. Accessing best practice resources using mobile technology in an undergraduate nursing program: a feasibility study.

    Science.gov (United States)

    Mann, Elizabeth G; Medves, Jennifer; Vandenkerkhof, Elizabeth G

    2015-03-01

    Mobile technology presents new opportunities for nursing education and ultimately the provision of nursing care. The aim of this study was to explore the utility of mobile technology in undergraduate nursing education. In this evaluation study, undergraduate nursing students were provided with iPod Touch devices containing best practice guidelines. Computer self-efficacy was assessed, and the Theory of Planned Behavior was used to identify potential predictors of the use of mobile technology. Questionnaires were completed at baseline (n = 33) and postimplementation (n = 23). Feedback on feasibility issues was recorded throughout the study period. Students generally found the devices useful, and few technical problems were identified; however, lack of skill in using the devices and lack of support from staff in the clinical setting were commonly identified issues. Self-efficacy scores were high throughout the study. Attitudes, perceptions of the desirability of use, perceived personal control over use, and intentions of using the device were lower postimplementation than at baseline. Attitude toward the technology predicted intention to use the device after graduation. Mobile technology may promote evidence-informed practice; however, supporting students' acquisition of related skills may optimize use. Successful integration of mobile technology into practice requires attention to factors that affect student attitudes.

  14. Differences in the Access to Sterilization between Women Living and Not Living with HIV: Results from the GENIH Study, Brazil

    Science.gov (United States)

    Cabral, Cristiane da Silva; do Lago, Tania di Giacomo; Pinho, Adriana de Araujo

    2016-01-01

    Background In many countries, young women of reproductive age have been especially affected by the HIV epidemic, which have fostered research to better understand how HIV infection influences and shapes women´s fertility and reproductive and sexual decisions. In Brazil, few studies have focused on the impact of the HIV epidemic on contraceptive choices among women living with HIV (WLHIV). Objective This study evaluates the impact HIV infection may have in the access to female sterilization in Brazil, using a time-to-event analysis. Methods A cross-sectional quantitative study (GENIH study) was conducted between February 2013 and April 2014 in the city of São Paulo, comparing two probabilistic samples of 975 WLHIV and 1,003 women not living with HIV (WNLHIV) aged 18 to 49. Sexual and reproductive data was collected retrospectively in order to reconstruct women's reproductive trajectories. Given the objectives of this study, the analysis was restricted to women with parity one or more and, in case of WLHIV, to those sterilized after HIV diagnosis and not infected through vertical transmission. The final sample analysis included 683 WNLHIV and 690 WLHIV. A series of multivariable-adjusted Cox models estimated the probability of being sterilized after HIV diagnosis, compared with WNLHIV. Models were adjusted for schooling, race/color, and stratified by parity at last delivery (1–2, 3+). Hazard ratios were calculated for female sterilization, and separately for interval and postpartum procedures (performed in conjunction with caesarean section or immediately after vaginal delivery). Additionally, information regarding unmet demand for female sterilization was also explored. Findings No statistical difference in the overall risk of sterilization between WLHIV and WNLHIV in the two parity-related groups is observed: HR = 0.88 (0.54–1.43) and 0.94 (0.69–1.29), respectively, among women with 1–2 children and those with three and more. However, significant

  15. Horizontal Stratification in Access to Danish University Programmes by Institution and Fields of Study

    DEFF Research Database (Denmark)

    Munk, Martin D.; Thomsen, Jens Peter

    2017-01-01

    In this paper we use register data to investigate social stratification within fields of study and university institutions in Denmark. We argue firstly, that it is important to utilize a relatively detailed classification of parents’ occupation, in order to single out how students are endowed...... with different resources, even when their parents would normally be characterized as belonging to the same class. Secondly, we distinguish between disciplines as well as between university institutions in explaining the dynamics of social stratification in the Danish University system. Several dimensions...... are found to be important: the degree of social stratification in different fields of study − separating classical from more vocational disciplines − and the degree of social stratification prevalent at the university institution − whether it has a liberal arts university profile or one that favours more...

  16. Access to specialty care in autism spectrum disorders-a pilot study of referral source

    Directory of Open Access Journals (Sweden)

    West Therese

    2011-05-01

    Full Text Available Abstract Background In the United States, a medical home model has been shown to improve the outcomes for children with special health care needs. As part of this model, primary care physicians provide comprehensive medical care that includes identification of delayed and/or atypical development in children and coordination of care with specialists. However, it is not clear if families of children with Autism Spectrum Disorder (ASD rely on the medical home model for care of their child to the same extent as families of children with other special health care needs. This study aims to add to the understanding of medical care for children with ASD by examining the referral source for specialty care. Methods This retrospective study was accomplished by evaluating parent completed intake data for children with ASD compared to those with other neurological disorders in a single physician Pediatric Neurology Practice at a major urban medical center in Northern New Jersey. To account for referral bias, a similar comparison study was conducted using a multispecialty ASD practice at the same medical center. Parent reported "source of referral" and "reason for the referral" of 189 ASD children and 108 non-ASD neurological disordered children were analyzed. Results The specialty evaluations of ASD were predominantly parent initiated. There were significantly less referrals received from primary care physicians for children with ASD compared to children with other neurodevelopmental disorders. Requirement of an insurance referral was not associated with a primary care physician prompted specialty visit.We identified different patterns of referral to our specialty clinics for children with ASD vs. children with other neurolodevelopmental disorders. Conclusion The majority of the families of children with ASD evaluated at our autism center did not indicate that a primary care physician initiated the specialty referral. This study suggests that families of

  17. Social responsibility and educational communication in communities accessed by the works: a case study. IEGA - enterprise implementations for gasene

    Energy Technology Data Exchange (ETDEWEB)

    Campos, Elisangela Assis de; Farias, Aline Marianne Magalhaes [LP Empreendimentos, Rio de janeiro, RJ (Brazil); Marques, Yanna Oliveira [Cia. Nacional de Dutos (Conduto S/A), Duque de Caxias, RJ (Brazil); Penido, Rita de Cassia [Sinopec Brasil, Rio de Janeiro, RJ (Brazil)

    2009-12-19

    Construction and assembly in a gas pipeline project is a constant study of realities and in some cases situations which involve interferences in communities, the company's interests must be wholly integrated with the primary need of the project which is to construct with Social-Environmental Responsibility, establish a good relationship, respect the communities values in which the project passes through and around and surround itself with measures guaranteeing safety, information about the activities and cause minimal impact in the day to day lives of the residents. At Spread 2A of the Pipeline project Cacimbas-Catu, the necessity to develop a specific project for the communities surrounding the access areas was elaborated principally because the topography only permitted the transportation of pipes, equipment and personnel to pass through these areas. This unique situation was drafted based on the transit of vehicles and heavy machinery, through communities with a low IDH (Human Development Index), dangerous living conditions and a high demographic density. Preventive and pacifying actions for Communities and Social responsibility were drafted and developed, involving a multidisciplinary collective effort with other sectors of the project, applying a global theme to ensure safety for the residents around the access areas, also to divulge information in regards to project activities, establish ethical and transparent communication and implement measures that assist in building a solid relationship between the enterprise and community, anticipating risky situations and possible conflicts. This Case Study has as an objective to present projects that were developed in the area of Communication and Social Responsibility in the Access Communities and that, proved effective, became standard within the entire work force's Trainings and Daily Safety, Environmental, and Occupational Health Dialoguing. During the development of the Project 'Street of Leisure

  18. Effect of screw access hole preparation on fracture load of implant-supported zirconia-based crowns: an in vitro study

    Science.gov (United States)

    Mokhtarpour, Hadi; Eftekhar Ashtiani, Reza; Mahshid, Minoo; Tabatabaian, Farhad; Alikhasi, Marzieh

    2016-01-01

    Background. Fracture load of implant-supported restorations is an important factor in clinical success. This study evaluated the effect of two techniques for screw access hole preparation on the fracture load of cement-screw-retained implant-supported zirconia-based crowns. Methods. Thirty similar cement-screw-retained implant-supported zirconia-based maxillary central incisor crowns were evaluated in three groups of 10. Group NH: with no screw access holes for the control; Group HBS: with screw access holes prepared with a machine before zirconia sintering; Group HAS: with screw access holes prepared manually after zirconia sintering. In group HBS, the access holes were virtually designed and prepared by a computer-assisted design/computer-assisted manufacturing system. In group HAS, the access holes were manually prepared after zirconia sintering using a diamond bur. The dimensions of the screw access holes were equal in both groups. The crowns were cemented onto same-size abutments and were then subjected to thermocycling. The fracture load values of the crowns were measured using a universal testing machine. Data were analyzed with ANOVA and Tukey test (P zirconia-based crowns decreased the fracture load. PMID:27651885

  19. Effect of screw access hole preparation on fracture load of implant-supported zirconia-based crowns: an in vitro study.

    Science.gov (United States)

    Mokhtarpour, Hadi; Eftekhar Ashtiani, Reza; Mahshid, Minoo; Tabatabaian, Farhad; Alikhasi, Marzieh

    2016-01-01

    Background. Fracture load of implant-supported restorations is an important factor in clinical success. This study evaluated the effect of two techniques for screw access hole preparation on the fracture load of cement-screw-retained implant-supported zirconia-based crowns. Methods. Thirty similar cement-screw-retained implant-supported zirconia-based maxillary central incisor crowns were evaluated in three groups of 10. Group NH: with no screw access holes for the control; Group HBS: with screw access holes prepared with a machine before zirconia sintering; Group HAS: with screw access holes prepared manually after zirconia sintering. In group HBS, the access holes were virtually designed and prepared by a computer-assisted design/computer-assisted manufacturing system. In group HAS, the access holes were manually prepared after zirconia sintering using a diamond bur. The dimensions of the screw access holes were equal in both groups. The crowns were cemented onto same-size abutments and were then subjected to thermocycling. The fracture load values of the crowns were measured using a universal testing machine. Data were analyzed with ANOVA and Tukey test (P zirconia-based crowns decreased the fracture load.

  20. A critical study on availability and price variation between different brands: Impact on access to medicines

    Directory of Open Access Journals (Sweden)

    Das S

    2007-01-01

    Full Text Available The present study aims to present a representative view of the existing situation of availability and price variation, by comparing data about brand availability, and difference in pricing between various brands of 20 drugs under six therapeutic categories. The project involved collecting data from 10 retail outlets from the city area, 10 outlets from town area and 15 retail outlets from the rural area spread over a time span of 6 months. The drug categories studied were analgesics, antibiotics, drugs acting on cardiovascular and central nervous system, drugs acting on gastrointestinal tract and steroids. Data analysis showed that as compared to data on national availability of different brands, the number of brands available in the town, city and rural segments in general, are less. In all sectors, town, city and rural areas, almost equal number of brands is found to be available, with a slightly higher availability in the cities. Price difference between different brands (single drug or drug combinations varies up to an extent of 881% (in case of amlodipine on the higher side, and the lowest being 7% (in case of doxycycline. Out of all brands studied, it was observed that the highest priced brand was the most sold brand in cases of 5 products (single drug/combinations, and the lowest priced brand was the most sold in case of 2 products. It emerged that prices of drug molecules including those under National Essential Drug List, increased during 1996-2004 to a certain extent. It was noted, that % increment of price of drugs under Drug Price Control Order was less than those of drugs not under the purview of Drug Price Control Order. The difference in price between various brands of the same drug is too wide.

  1. Horizontal Stratification in Access to Danish University Programs by Institution and Field of Study

    DEFF Research Database (Denmark)

    Munk, Martin D.; Thomsen, Jens Peter

    2012-01-01

    In this paper we use register data to investigate social stratification within fields of study and university institutions in Denmark. We argue firstly, that it is important to utilize a relatively detailed classification of parents’ occupation, in order to single out how students are endowed...... with different resources, even when their parents would normally be characterized as belonging to the same class. Secondly, we distinguish between disciplines as well as between university institutions in explaining the dynamics of inequality in the Danish University system. Several dimensions are found...

  2. Social determinants and access to induced abortion in burkina faso: from two case studies.

    Science.gov (United States)

    Ouédraogo, Ramatou; Sundby, Johanne

    2014-01-01

    Unsafe abortion constitutes a major public health problem in Burkina Faso and concerns mainly young women. The legal restriction and social stigma make abortions most often clandestine and risky for women who decide to terminate a pregnancy. However, the exposure to the risk of unsafe induced abortion is not the same for all the women who faced unwanted pregnancy and decide to have an abortion. Drawn from a qualitative study on the issue of abortion in Ouagadougou, Burkina Faso's capital, the contrasting cases of two young women who had abortion allow us to show how the women's personal resources (such as the school level, financial resources, the compliance to social norms, the social network, etc.) may determine the degree of vulnerability of women, the delay to have an abortion, the type of care they are likely to benefit from, and the cost they have to face. This study concludes that the poorest always pay more (cost and consequences), take longer to have an abortion, and have more exposure to the risk of unsafe abortion.

  3. Universal Access in Heritage Sites: A Case Study on Historic Sites in Jaipur, India.

    Science.gov (United States)

    Vardia, Shweta; Khare, Rachna; Khare, Ajay

    2016-01-01

    A nation is recognized by a range of its significant historical, cultural and natural properties. These properties are generally preserved and maintained either by national administration or by private owners and charitable trusts due to higher value of their cultural inheritance and termed globally as heritage or historic sites. Heritage sites are a significant asset, a unique and irreplaceable resource which reflects a rich and diverse expression of past societies and forms an integral part of local, regional and national cultural identity. Today, heritage sites also play an important role in communication and knowledge exchange. Thus the rapidly increasing heritage tourism industry faces several challenges too. One of the challenges is that there is a segment of society who is not yet able to equally enjoy the visit to historic structures/sites and attractions, facilities and services. This paper aims to study the experience and develop understanding regarding the heritage structures/sites approached and interacted by diverse users. This study is an outcome of a hands on workshop conducted with diverse users at various historic sites in the city of Jaipur viz. at The City Palace Complex, Jaipur, Jaigarh Fort and the Haveli at Kanota near to Jaipur India.

  4. Social Determinants and Access to Induced Abortion in Burkina Faso: From Two Case Studies

    Directory of Open Access Journals (Sweden)

    Ramatou Ouédraogo

    2014-01-01

    Full Text Available Unsafe abortion constitutes a major public health problem in Burkina Faso and concerns mainly young women. The legal restriction and social stigma make abortions most often clandestine and risky for women who decide to terminate a pregnancy. However, the exposure to the risk of unsafe induced abortion is not the same for all the women who faced unwanted pregnancy and decide to have an abortion. Drawn from a qualitative study on the issue of abortion in Ouagadougou, Burkina Faso’s capital, the contrasting cases of two young women who had abortion allow us to show how the women’s personal resources (such as the school level, financial resources, the compliance to social norms, the social network, etc. may determine the degree of vulnerability of women, the delay to have an abortion, the type of care they are likely to benefit from, and the cost they have to face. This study concludes that the poorest always pay more (cost and consequences, take longer to have an abortion, and have more exposure to the risk of unsafe abortion.

  5. Geographic distribution of need and access to health care in rural population: an ecological study in Iran

    Directory of Open Access Journals (Sweden)

    Najafi Behzad

    2011-09-01

    Full Text Available Abstract Introduction Equity in access to and utilization of health services is a common goal of policy-makers in most countries. The current study aimed to evaluate the distribution of need and access to health care services among Iran's rural population between 2006 and 2009. Methods Census data on population's characteristics in each province were obtained from the Statistical Centre of Iran and National Organization for civil registration. Data about the Rural Health Houses (RHHs were obtained from the Ministry of Health. The Health Houses-to-rural population ratio (RHP, crude birth rate (CBR and crude mortality rate (CMR in rural population were calculated in order to compare their distribution among the provinces. Lorenz curves of RHHs, CMR and CBR were plotted and their decile ratio, Gini Index and Index of Dissimilarity were calculated. Moreover, Spearman rank-order correlation was used to examine the relation between RHHs and CMR and CBR. Results There were substantial differences in RHHs, CMR and CBR across the provinces. CMR and CBR experienced changes toward more equal distributions between 2006 and 2009, while inverse trend was seen for RHHs. Excluding three provinces with markedly changes in data between 2006 and 2009 as outliers, did not change observed trends. Moreover; there was a significant positive relationship between CMR and RHP in 2009 and a significant negative association between CBR and RHP in 2006 and 2009. When three provinces with outliers were excluded, these significant associations were disappeared. Conclusion Results showed that there were significant variations in the distribution of RHHs, CMR and CBR across the country. Moreover, the distribution of RHHs did not reflect the needs for health care in terms of CMR and CBR in the study period.

  6. Genome-Wide Association Study for Traits Related to Plant and Grain Morphology, and Root Architecture in Temperate Rice Accessions.

    Directory of Open Access Journals (Sweden)

    Filippo Biscarini

    Full Text Available In this study we carried out a genome-wide association analysis for plant and grain morphology and root architecture in a unique panel of temperate rice accessions adapted to European pedo-climatic conditions. This is the first study to assess the association of selected phenotypic traits to specific genomic regions in the narrow genetic pool of temperate japonica. A set of 391 rice accessions were GBS-genotyped yielding-after data editing-57000 polymorphic and informative SNPS, among which 54% were in genic regions.In total, 42 significant genotype-phenotype associations were detected: 21 for plant morphology traits, 11 for grain quality traits, 10 for root architecture traits. The FDR of detected associations ranged from 3 · 10-7 to 0.92 (median: 0.25. In most cases, the significant detected associations co-localised with QTLs and candidate genes controlling the phenotypic variation of single or multiple traits. The most significant associations were those for flag leaf width on chromosome 4 (FDR = 3 · 10-7 and for plant height on chromosome 6 (FDR = 0.011.We demonstrate the effectiveness and resolution of the developed platform for high-throughput phenotyping, genotyping and GWAS in detecting major QTLs for relevant traits in rice. We identified strong associations that may be used for selection in temperate irrigated rice breeding: e.g. associations for flag leaf width, plant height, root volume and length, grain length, grain width and their ratio. Our findings pave the way to successfully exploit the narrow genetic pool of European temperate rice and to pinpoint the most relevant genetic components contributing to the adaptability and high yield of this germplasm. The generated data could be of direct use in genomic-assisted breeding strategies.

  7. Genome-Wide Association Study for Traits Related to Plant and Grain Morphology, and Root Architecture in Temperate Rice Accessions.

    Science.gov (United States)

    Biscarini, Filippo; Cozzi, Paolo; Casella, Laura; Riccardi, Paolo; Vattari, Alessandra; Orasen, Gabriele; Perrini, Rosaria; Tacconi, Gianni; Tondelli, Alessandro; Biselli, Chiara; Cattivelli, Luigi; Spindel, Jennifer; McCouch, Susan; Abbruscato, Pamela; Valé, Giampiero; Piffanelli, Pietro; Greco, Raffaella

    2016-01-01

    In this study we carried out a genome-wide association analysis for plant and grain morphology and root architecture in a unique panel of temperate rice accessions adapted to European pedo-climatic conditions. This is the first study to assess the association of selected phenotypic traits to specific genomic regions in the narrow genetic pool of temperate japonica. A set of 391 rice accessions were GBS-genotyped yielding-after data editing-57000 polymorphic and informative SNPS, among which 54% were in genic regions. In total, 42 significant genotype-phenotype associations were detected: 21 for plant morphology traits, 11 for grain quality traits, 10 for root architecture traits. The FDR of detected associations ranged from 3 · 10-7 to 0.92 (median: 0.25). In most cases, the significant detected associations co-localised with QTLs and candidate genes controlling the phenotypic variation of single or multiple traits. The most significant associations were those for flag leaf width on chromosome 4 (FDR = 3 · 10-7) and for plant height on chromosome 6 (FDR = 0.011). We demonstrate the effectiveness and resolution of the developed platform for high-throughput phenotyping, genotyping and GWAS in detecting major QTLs for relevant traits in rice. We identified strong associations that may be used for selection in temperate irrigated rice breeding: e.g. associations for flag leaf width, plant height, root volume and length, grain length, grain width and their ratio. Our findings pave the way to successfully exploit the narrow genetic pool of European temperate rice and to pinpoint the most relevant genetic components contributing to the adaptability and high yield of this germplasm. The generated data could be of direct use in genomic-assisted breeding strategies.

  8. Women's access to managerial positions: an experimental study of leadership styles and gender.

    Science.gov (United States)

    Cuadrado, Isabel; Morales, J Francisco; Recio, Patricia

    2008-05-01

    This study attempts to test one of the explanations of the scarce representation of women in managerial positions, specifically the one advanced by "role congruity theory of prejudice toward female leaders" (Eagly & Karau, 2002), which appeals to the fact that women get unfavorable evaluations if they adopt male-stereotypical leadership styles. One-hundred and thirty-six undergraduate students participated in an experiment with a 2 (Male-stereotypical vs. Female-stereotypical leadership style) x 2 (Male vs. Female leader) design. Dependent variables were leader's competence, efficacy, and evaluation in a series of traits. It was found that, regardless of sex, the leaders were considered more competent and efficient, and were evaluated more favorably, when they adopted stereotypically feminine leadership styles. Implications of these findings for women's underrepresentation as leaders in management top positions worldwide are discussed.

  9. Some self-access principles

    Directory of Open Access Journals (Sweden)

    Lucy Cooker

    2010-06-01

    Full Text Available In this article, I will describe how the Self-Access Learning Centre (SALC at Kanda University of International Studies (KUIS was established, and discuss some of the personal philosophies of self-access centres (SACs and self-access learning that I have developed over the eight years of being associated with this centre.

  10. Landslide detectability with coarse resolution imagery: a Sentinel-2 emulation study to access spectral landslide discrimination.

    Science.gov (United States)

    Mota, Bernardo; Mondini, Alessandro; Malamud, Bruce D.; Mihir, Monika; Drake, Nick

    2014-05-01

    In this paper we explore landslide detectability using a simulation of course resolution (10 m) remote sensing imagery. During the last decade the increasing availability of Very High Resolution (VHR) imagery has significantly improved accuracies obtained by change detection classification algorithms. Still, one of the disadvantages is a spatial-temporal compromise, in that the VHR imagery is generally not taken frequently over the same region. The planed optical sensor aboard the two Sentinel-2 satellites will potentially overcome this limitation, as the sensor will be able to supply coarse resolution images (10 m) with a revisiting period of 5 days at the equator. This will potentially allow for quick assessments after groups of landslides are triggered (e.g., by an earthquake or heavy rainfall) anywhere in the world, soon after the landslides occurs. The scope of this study is to analyse the potential limitations supplied by this imagery for landslide detection. For the study, pre and post Sentinel-2 images were emulated by downgrading two Quickbird satellite images, taken on 2 September 2006 and on 8 October 2009, over the Messina province in Sicily, Italy, where on 1 October 2009 a rainfall storm triggered landslides, soil erosion and inundation. Spectral information, based on change detection indexes (NDVI difference, principal component analysis and spectral angle), were extracted for the stable and unstable areas according to an independent landslide inventory. The inventory was derived by aerial photo interpretation prepared at 1:10,000 scale covering three catchments with a total area of 15 km2 and characterized by soil slips and debris flows affecting 7.9% of the area. Stable and unstable spectral discrimination was determined by analysing their separability, and imposing different areal thresholds between stable and unstable areas, for both mass source and debris flow landslide types. Preliminary results show good agreement between the original and

  11. Water quality laboratories in Colombia: a GIS-based study of urban and rural accessibility.

    Science.gov (United States)

    Wright, Jim; Liu, Jing; Bain, Robert; Perez, Andrea; Crocker, Jonny; Bartram, Jamie; Gundry, Stephen

    2014-07-01

    The objective of this study was to quantify sample transportation times associated with mandated microbiological monitoring of drinking-water in Colombia. World Health Organization Guidelines for Drinking-Water Quality recommend that samples spend no more than 6h between collection and analysis in a laboratory. Census data were used to estimate the minimum number of operational and surveillance samples required from piped water supplies under national regulations. Drive-times were then computed from each supply system to the nearest accredited laboratory and translated into sample holding times based on likely daily monitoring patterns. Of 62,502 surveillance samples required annually, 5694 (9.1%) were found to be more than 6 h from the nearest of 278 accredited laboratories. 612 samples (1.0%) were more than 24 hours' drive from the nearest accredited laboratory, the maximum sample holding time recommended by the World Health Organization. An estimated 30% of required rural samples would have to be stored for more than 6 h before reaching a laboratory. The analysis demonstrates the difficulty of undertaking microbiological monitoring in rural areas and small towns from a fixed laboratory network. Our GIS-based approach could be adapted to optimise monitoring strategies and support planning of testing and transportation infra-structure development. It could also be used to estimate sample transport and holding times in other countries.

  12. Mastery learning improves students skills in inserting intravenous access: a pre-post-study

    Directory of Open Access Journals (Sweden)

    Friederichs, Hendrik

    2016-08-01

    Full Text Available Objective: Inserting peripheral venous catheters (PVCs has been identified as a core competency for medical students. Because the performance – even of hygienic standards – of both students and novice physicians is frequently inadequate, medical faculties must focus on competence-based learning objectives and deliberate practice, features that are combined in mastery learning. Our aim was to determine the competency of students in inserting PVCs before and after an educational intervention. Design: This study comprised a skills assessment with pre- and post-tests of a group of third-year students who received a simulation-based intervention. A newly established curriculum involved one hour of practice at inserting PVCs on simulators. Students were required to pass a test (total 21 points, pass mark 20 points developed on the concept of mastery learning. An unannounced follow-up test was performed one week (8 days after the intervention.Setting: The simulation center of the medical faculty in Muenster.Participants: Third-year students who received the intervention.Results: One hundred and nine complete data sets were obtained from 133 students (82.5%. Most students (97.2% passed the test after the intervention (mean score increase from 15.56 to 20.50, <0.001. There was a significant decrease in students’ performance after one week (8 days: only 74.5% of participants passed this retest (mean score reduction from 20.50 to 20.06, <0.001. Conclusion: Mastery learning is an effective form of teaching practical skills to medical students, allowing a thorough preparation for the challenges of daily clinical practice.

  13. Accessing evidence to inform public health policy: a study to enhance advocacy.

    Science.gov (United States)

    Tabak, R G; Eyler, A A; Dodson, E A; Brownson, R C

    2015-06-01

    Improving population health often involves policy changes that are the result of complex advocacy efforts. Information exchanges among researchers, advocates, and policymakers is paramount to policy interventions to improve health outcomes. This information may include evidence on what works well for whom and cost-effective strategies to improve outcomes of interest. However, this information is not always readily available or easily communicated. The purposes of this paper are to describe ways advocates seek information for health policy advocacy and to compare advocate demographics. Cross-sectional telephone survey. Seventy-seven state-level advocates were asked about the desirable characteristics of policy-relevant information including methods of obtaining information, what makes it useful, and what sources make evidence most reliable/trustworthy. Responses were explored for the full sample and variety of subsamples (i.e. gender, age, and position on social and fiscal issues). Differences between groups were tested using t-tests and one-way analysis of variance. On average, advocates rated frequency of seeking research information as 4.3 out of five. Overall, advocates rated the Internet as the top source, rated unbiased research and research with relevancy to their organization as the most important characteristics, and considered information from their organization as most reliable/believable. When ratings were examined by subgroup, the two characteristics most important for each question in the total sample (listed above) emerged as most important for nearly all subgroups. Advocates are a resource to policymakers on health topics in the policy process. This study, among the first of its kind, found that advocates seek research information, but have a need for evidence that is unbiased and relevant to their organizations and report that university-based information is reliable. Researchers and advocates should partner so research is useful in advocating for

  14. Short Stature and Access to Lung Transplantation in the United States. A Cohort Study.

    Science.gov (United States)

    Sell, Jessica L; Bacchetta, Matthew; Goldfarb, Samuel B; Park, Hanyoung; Heffernan, Priscilla V; Robbins, Hilary A; Shah, Lori; Raza, Kashif; D'Ovidio, Frank; Sonett, Joshua R; Arcasoy, Selim M; Lederer, David J

    2016-03-15

    Anecdotally, short lung transplant candidates suffer from long waiting times and higher rates of death on the waiting list compared with taller candidates. To examine the relationship between lung transplant candidate height and waiting list outcomes. We conducted a retrospective cohort study of 13,346 adults placed on the lung transplant waiting list in the United States between 2005 and 2011. Multivariable-adjusted competing risk survival models were used to examine associations between candidate height and outcomes of interest. The primary outcome was the time until lung transplantation censored at 1 year. The unadjusted rate of lung transplantation was 94.5 per 100 person-years among candidates of short stature (<162 cm) and 202.0 per 100 person-years among candidates of average stature (170-176.5 cm). After controlling for potential confounders, short stature was associated with a 34% (95% confidence interval [CI], 29-39%) lower rate of transplantation compared with average stature. Short stature was also associated with a 62% (95% CI, 24-96%) higher rate of death or removal because of clinical deterioration and a 42% (95% CI, 10-85%) higher rate of respiratory failure while awaiting lung transplantation. Short stature is associated with a lower rate of lung transplantation and higher rates of death and respiratory failure while awaiting transplantation. Efforts to ameliorate this disparity could include earlier referral and listing of shorter candidates, surgical downsizing of substantially oversized allografts for shorter candidates, and/or changes to allocation policy that account for candidate height.

  15. Pregnant Women's Access to Information About Perinatal Marijuana Use: A Qualitative Study.

    Science.gov (United States)

    Jarlenski, Marian; Tarr, Jill A; Holland, Cynthia L; Farrell, David; Chang, Judy C

    2016-01-01

    Marijuana is the most commonly used illicit substance in pregnancy. Little is known about how pregnant women who use marijuana obtain and understand information about perinatal marijuana use. We conducted a qualitative study among pregnant women who had used marijuana to understand their information-seeking patterns and perceptions of usefulness of available information about perinatal marijuana use. We conducted semistructured interviews with 26 pregnant women who were receiving prenatal care and who either disclosed marijuana use or had urine samples testing positive for marijuana. Interviews assessed women's sources of information about risks of perinatal marijuana use and perceptions regarding the usefulness of such information. Interview data were coded independently by two coders who iteratively refined the codes and reviewed transcripts for themes. Commonly reported sources of information about perinatal marijuana use included Internet searching and anecdotal experiences or advice from family or friends. Few women reported receiving helpful information from a health care provider or social worker. Women perceived a lack of evidence about harms of perinatal marijuana use, and reported being dissatisfied with the quality of information. Most women said they desired information about the effects of perinatal marijuana use on infant health. Women who used marijuana before or during pregnancy did not find available information about perinatal marijuana use to be useful, and sought more information pertaining to infant health and well-being. Efforts to reduce perinatal marijuana use should focus on addressing this need in both clinical and public health settings. Copyright © 2016 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

  16. Implementasi Indoor Positioning System Berbasis Smartphone dengan Penambahan Access Point untuk Studi Kasus Gedung Teknik Informatika ITS

    Directory of Open Access Journals (Sweden)

    Fananda Herda Perdana

    2017-01-01

    Full Text Available Saat ini kebutuhan masyarakat akan informasi lokasi sangat tinggi, terutama dengan memanfaatkan teknologi teknologi GPS. Tetapi untuk di dalam ruangan sistem ini memiliki akurasi yang rendah, apalagi untuk gedung indoor sehingga dikembangkan dengan konsep 3D Indoor Positioning System. Untuk meminimalisir penurunan akurasi Indoor Positioning System karena minimnya jumlah access point atau persebaran access point yang kurang merata, maka dalam penelitian ini akan ditambahkan access point di lokasi yang memiliki akses sinyal Wi-Fi di Gedung Teknik Informatika. Uji coba dilakukan dengan cara melakukan perbandingan hasil akurasi dari pengujian di beberapa lokasi kampus Teknik Informatika ITS ketika sebelum dilakukan penambahan access point dan ketika sesudah dilakukan penambahan access point. Setelah dilakukan penambahan access point di beberapa titik lokasi yang memiliki cakupan sinyal Wi-Fi lemah, dihasilkan akurasi yang meningkat hingga 16,67%, dari akurasi semula 78,70% menjadi  95,36% untuk seluruh titik uji coba pada gedung kampus. Selain itu juga penambahan access point berhasil meningkatkan akurasi 9 ruangan dari total 23 ruangan yang diuji secara signifikan (meningkat di atas 20%, terutama di daerah sekitar penambahan access point.

  17. Human resources needs for universal access to antiretroviral therapy in South Africa: a time and motion study

    NARCIS (Netherlands)

    Hontelez, J.A.C.; Newell, M.L.; Bland, R.M.; Munnelly, K.; Lessells, R.J.; Barnighausen, T.

    2012-01-01

    ABSTRACT: BACKGROUND: Although access to life-saving treatment for patients infected with HIV patients in South Africa has improved substantially since 2004, treating all eligible patients (universal access) remains elusive. As the prices of antiretroviral drugs have dropped over the past years, ava

  18. Human resources needs for universal access to antiretroviral therapy in South Africa: A time and motion study

    NARCIS (Netherlands)

    J.A.C. Hontelez (Jan A.C.); M.L. Newell (Marie Louise); R.M. Bland (Ruth); K. Munnelly (Kristen); R.J. Lessells (Richard ); T. Bärnighausen (Till)

    2012-01-01

    textabstractBackground: Although access to life-saving treatment for patients infected with HIV in South Africa has improved substantially since 2004, treating all eligible patients (universal access) remains elusive. As the prices of antiretroviral drugs have dropped over the past years, availabili

  19. Comparison of the Remaining Tooth Structure and Fracture Resistance between Labial and Lingual Access Cavities in Permanent Anterior Teeth with Labial Caries: An In-vitro Study

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    Eftekhar B.

    2012-02-01

    Full Text Available Statement of Problem: Labial access cavity preparation is a conventional method in endodontic treatment of the anterior teeth, but in some conditions labial cavity preparation is recommended.Purpose: The aim of this study was to compare labial and lingual access cavity preparation in the permanent anterior teeth with labial caries in terms of the remaining tooth structure and fracture resistance. Materials and Method: In this experimental study, 150 intact permanent human anterior teeth were selected in 5 groups each with 30 teeth including the maxillary central, maxillary lateral, maxillary canine, mandibular incisors and mandibular canine. A class V cavity with similar ratios to dimensions of each tooth was prepared on the labial surface of all specimens. The volumes of each of these teeth were measured by Penta Pycnometer before and after class V cavity preparation (V1, V2. Each group was randomly divided into 2 equal subgroups (n=15. Access cavities were prepared labially in subgroup A and lingually in subgroup B; then, the remained volume of each tooth was measured again (V3. The mean proportional volume loss of each tooth was calculated through access preparation (V2-V3/V1. Then, the specimens were embedded in acrylic resin blocks and subjected to load with a universal testing machine.Results: The differences of mean of theremained volume and fracture resistance of the two subgroups were statistically significant in all groups ( p <0.05 and those teeth with labial access showed more remained volume and fracture resistance than lingual access. Conclusion: Labial access cavity preparation can enhance the remained volume and fracture resistance as compared to lingual access in endodontic treatment of the anterior teeth with labial caries especially in mandibular incisors.

  20. Complication with intraosseous access

    DEFF Research Database (Denmark)

    Hallas, Peter; Brabrand, Mikkel; Folkestad, Lars

    2013-01-01

    INTRODUCTION: Intraosseous access (IO) is indicated if vascular access cannot be quickly established during resuscitation. Complication rates are estimated to be low, based on small patient series, model or cadaver studies, and case reports. However, user experience with IO use in real...... physicians, anesthesiologists and pediatricians. RESULTS: 1,802 clinical cases of IO use was reported by n=386 responders. Commonly reported complications with establishing IO access were patient discomfort/pain (7.1%), difficulties with penetration of periosteum with IO needle (10.3%), difficulties...... with aspiration of bone marrow (12.3%), and bended/broken needle (4.0%). When using an established IO access the reported complications were difficulties with injection fluid and drugs after IO insertion (7.4%), slow infusion (despite use of pressure bag) (8.8%), displacement after insertion (8...

  1. Accessible Geoscience - Digital Fieldwork

    Science.gov (United States)

    Meara, Rhian

    2017-04-01

    Accessible Geoscience is a developing field of pedagogic research aimed at widening participation in Geography, Earth and Environmental Science (GEES) subjects. These subjects are often less commonly associated with disabilities, ethnic minorities, low income socio-economic groups and females. While advancements and improvements have been made in the inclusivity of these subject areas in recent years, access and participation of disabled students remains low. While universities are legally obligated to provide reasonable adjustments to ensure accessibility, the assumed incompatibility of GEES subjects and disability often deters students from applying to study these courses at a university level. Instead of making reasonable adjustments if and when they are needed, universities should be aiming to develop teaching materials, spaces and opportunities which are accessible to all, which in turn will allow all groups to participate in the GEES subjects. With this in mind, the Swansea Geography Department wish to enhance the accessibility of our undergraduate degree by developing digital field work opportunities. In the first instance, we intend to digitise three afternoon excursions which are run as part of a 1st year undergraduate module. Each of the field trips will be digitized into English- and Welsh-medium formats. In addition, each field trip will be digitized into British Sign Language (BSL) to allow for accessibility for D/deaf and hard of hearing students. Subtitles will also be made available in each version. While the main focus of this work is to provide accessible fieldwork opportunities for students with disabilities, this work also has additional benefits. Students within the Geography Department will be able to revisit the field trips, to revise and complete associated coursework. The use of digitized field work should not replace opportunities for real field work, but its use by the full cohort of students will begin to "normalize" accessible field

  2. Memory architecture for efficient utilization of SDRAM: a case study of the computation/memory access trade-off

    DEFF Research Database (Denmark)

    Gleerup, Thomas Møller; Holten-Lund, Hans Erik; Madsen, Jan

    2000-01-01

    This paper discusses the trade-off between calculations and memory accesses in a 3D graphics tile renderer for visualization of data from medical scanners. The performance requirement of this application is a frame rate of 25 frames per second when rendering 3D models with 2 million triangles, i....... In software, forward differencing is usually better, but in this hardware implementation, the trade-off has made it possible to develop a very regular memory architecture with a buffering system, which can reach 95% bandwidth utilization using off-the-shelf SDRAM, This is achieved by changing the algorithm...... to use a memory access strategy with write-only and read-only phases, and a buffering system, which uses round-robin bank write-access combined with burst read-access....

  3. Retención y Penetración en Estacones de Eucalyptus Saligna. Sometidos a Tratamiento con CuSO4 y Sal CCC, en Baño Caliente y frio y Vacio-Presión

    Directory of Open Access Journals (Sweden)

    Escobar C. Oscar

    1987-09-01

    Full Text Available Este trabajo describe y da los resultados obtenidos con el pretratamiento de estacones de Eucalyptus saligna a tres soluciones de CUS04 y su posterior tratamiento con sales CCA (OSMOSE K-33. El sulfato de cobre se aplicó por el método de baño caliente y frío, seguido por el proceso de difusión durante una semana; para los anteriores tratamientos se usó madera verde o parcialmente seca al aire; las sales CCA se aplicaron a madera seca por el método de vacío-presión. Una de las razones para llevar a cabo este refuerzo de las sales CCA, es haber encontrado postes de eucalipto severamente atacados por hongos, en especial con pudrición blanda. Los estacones fueron tratados inicialmente con soluciones de sulfato de cobre a 1 %, 2% y 3% de concentración; luego los estacones fueron tratados con una solución de sal CCA al 2.5% de concentración por vacío-presión. Se usaron 40 estacones distribuídos en 4 grupos de 10: tres (3 grupos fueron usados para el tratamiento con las soluciones de CUS04 y solución de CCA; el grupo restante fue tratado con la sal CCA únicamente, el cual fue usado como grupo testigo para fines de comparación en los ensayos de campo (cementerios.

  4. Barriers and enablers to healthcare access and use among Arabic-speaking and Caucasian English-speaking patients with type 2 diabetes mellitus: a qualitative comparative study

    Science.gov (United States)

    Alzubaidi, H; Mc Namara, K; Browning, Colette; Marriott, J

    2015-01-01

    Objective The objective of this study was to explore the decision-making processes and associated barriers and enablers that determine access and use of healthcare services in Arabic-speaking and English-speaking Caucasian patients with diabetes in Australia. Study setting and design Face-to-face semistructured individual interviews and group interviews were conducted at various healthcare settings—diabetes outpatient clinics in 2 tertiary referral hospitals, 6 primary care practices and 10 community centres in Melbourne, Australia. Participants A total of 100 participants with type 2 diabetes mellitus were recruited into 2 groups: 60 Arabic-speaking and 40 English-speaking Caucasian. Data collection Interviews were audio-taped, translated into English when necessary, transcribed and coded thematically. Sociodemographic and clinical information was gathered using a self-completed questionnaire and medical records. Principal findings Only Arabic-speaking migrants intentionally delayed access to healthcare services when obvious signs of diabetes were experienced, missing opportunities to detect diabetes at an early stage. Four major barriers and enablers to healthcare access and use were identified: influence of significant other(s), unique sociocultural and religious beliefs, experiences with healthcare providers and lack of knowledge about healthcare services. Compared with Arabic-speaking migrants, English-speaking participants had no reluctance to access and use medical services when signs of ill-health appeared; their treatment-seeking behaviours were straightforward. Conclusions Arabic-speaking migrants appear to intentionally delay access to medical services even when symptomatic. Four barriers to health services access have been identified. Tailored interventions must be developed for Arabic-speaking migrants to improve access to available health services, facilitate timely diagnosis of diabetes and ultimately to improve glycaemic control. PMID:26576809

  5. Effect of geographical access to health facilities on child mortality in rural Ethiopia: a community based cross sectional study.

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    Yemisrach B Okwaraji

    Full Text Available BACKGROUND: There have been few studies that have examined associations between access to health care and child health outcomes in remote populations most in need of health services. This study assessed the effect of travel time and distance to health facilities on mortality in children under five years in a remote area of rural north-western Ethiopia. METHODS AND FINDINGS: This study involved a randomly selected cross sectional survey of 2,058 households. Data were collected during home visits to all resident women of reproductive age (15-49 years. A geographic information system (GIS was used to map all households and the only health centre in the district. The analysis was restricted to 2,206 rural children who were under the age of five years during the five years before the survey. Data were analysed using random effects Poisson regression. 90.4% (1,996/2,206 of children lived more than 1.5 hours walk from the health centre. Children who lived ≥1.5 hrs from the health centre had a two to three fold greater risk of death than children who lived <1.5 hours from the health centre (children with travel time 1.5-<2.5 hrs adjusted relative risk [adjRR] 2.3[0.95-5.6], travel time 2.5-<3.5 hrs adjRR 3.1[1.3-7.4] and travel time 3.5-<6.5 hrs adjRR 2.5[1.1-6.2]. CONCLUSION: Distance to a health centre had a marked influence on under five mortality in a poor, rural, remote area of Ethiopia. This study provides important information for policy makers on the likely impact of new health centres and their most effective location in remote areas.

  6. Impact of accessible sexual and reproductive health care on poor and underserved adolescents in Managua, Nicaragua: a quasi-experimental intervention study.

    NARCIS (Netherlands)

    Meuwissen, L.E.; Gorter, A.C.; Knottnerus, A.J.A.

    2006-01-01

    BACKGROUND: The objective of this study was to evaluate a competitive voucher program intended to make sexual and reproductive health care (SRHC) accessible to adolescents from disadvantaged areas of Managua. METHODS: A quasi-experimental intervention study was performed in which 28,711 vouchers tha

  7. Impact of accessible sexual and reproductive health care on poor and underserved adolescents in Managua, Nicaragua: a quasi-experimental intervention study.

    NARCIS (Netherlands)

    Meuwissen, L.E.; Gorter, A.C.; Knottnerus, A.J.A.

    2006-01-01

    BACKGROUND: The objective of this study was to evaluate a competitive voucher program intended to make sexual and reproductive health care (SRHC) accessible to adolescents from disadvantaged areas of Managua. METHODS: A quasi-experimental intervention study was performed in which 28,711 vouchers tha

  8. CHANGES AND PERSPECTIVES OF SLOVENIAN PIG PRODUCTION BEFORE AND AFTER ACCESSION TO THE EU: THE CASE STUDY

    Directory of Open Access Journals (Sweden)

    M. Kastelić

    2007-06-01

    Full Text Available The changes in pig production during the last six to ten years were studied in case of Farme Ihan d. d., the Slovenian pig producer. At the beginning of the period, the company produced 70 to 75 thousand slaughtering pigs per year. At the end of the period the production increased to 150 thousand. As expected, the prices of pigs were reduced during that period. According to the new legislation, the large part of facilities was reconstructed and some environment protection investments were done. The production was improved: the number of weaned pigs per sow per year increased from 19.2 in 1996 to 25.48 in 2006 and reached the Danish average. The percentage of meat was increased in the same period from 52.7 % to 58.6 %. The progress in daily gain and in feed conversion ratio was moderate. To secure the access to the market, the own slaughter facility was bought and reconstructed. For the same reason, the company became shareholder of two meat processing companies. The transition period has not been finished yet. Production results may improve faster than in old EU member countries. Investment cycle has also not been finished yet. More investments, especially in environment protection are needed.

  9. Pharmacological Relaxation of the Ureter When Using Ureteral Access Sheaths during Ureterorenoscopy: A Randomized Feasibility Study in a Porcine Model

    Directory of Open Access Journals (Sweden)

    Søren Kissow Lildal

    2016-01-01

    Full Text Available Objective. High intraluminal pressure during ureterorenoscopy (URS increases risk of infectious and haemorrhagic complications. Intrarenal pressure may be reduced by the use of ureteral access sheaths (UASs, which on the other hand may cause ureteral damage. We have previously shown that the β-agonist isoproterenol (ISO, when administered topically in the irrigation fluid, is able to inhibit ureteral muscle tone and lower intrarenal pressure during URS. The aim of this study was to examine the effect of ISO on the success rate of UAS insertion in a porcine model. Materials and Methods. 22 pigs in which a UAS could not initially be placed were randomized to endoluminal irrigation with either ISO (0.1 μg/mL or saline before a new insertion trial. Subsequently, it was registered whether the UAS could be passed without resistance. During extraction of the sheath, any ureteral lesions were characterized ureteroscopically using the PULS classification system. Surgeons were blinded to randomization. Results. In the ISO group, the observed effect of irrigation was 63% successful UAS insertions, compared to 27% in the saline group. No serious lesions (

  10. Slums’ Access to and Coverage of Primary Health Care Services: A Cross-Sectional Study in Shiraz, a Metropolis in Southern Iran

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    Hassan Joulaei

    2014-03-01

    Full Text Available Background: The United Nations has predicted that the population of slum dwellers will have grown from one billion people worldwide to 2 billion by 2030. This trend is also predictable in Iran. In the Iranian metropolis of Shiraz, more than 10% of the residents live in slum areas. There are several problems regarding the delivery of social services in these areas. The aim of this study was to evaluate slums dwellers’ access to and coverage of health care. Methods: This cross-sectional face-to-face study included 380 household of slum dwellers via stratified random sampling. Demographics, accessibility of health services, coverage of health care, and route of receiving health services were recorded through interviews. Results: Approximately, 21.6% of the households had no physical access to health centers. The coverage rate of family planning programs for safe methods was 51.4% (95% CI: 48.86-53.9%. Vaccination coverage among children under 5 years old was 98% (95% CI: 97-99%. Furthermore, 34% of pregnant women had not received standard health care due to a lack of access to health centers. Conclusion: Limited access to health services along with inadequate knowledge of slum residents about health care facilities was the main barrier to the utilization of the health care in the slums.

  11. Are There Inequities in Treatment of End-Stage Renal Disease in Sweden? A Longitudinal Register-Based Study on Socioeconomic Status-Related Access to Kidney Transplantation

    Science.gov (United States)

    Zhang, Ye; Jarl, Johan; Gerdtham, Ulf-G.

    2017-01-01

    Socioeconomic status-related factors have been associated with access to kidney transplantation, yet few studies have investigated both individual income and education as determinates of access to kidney transplantation. Therefore, this study aims to explore the effects of both individual income and education on access to kidney transplantation, controlling for both medical and non-medical factors. We linked the Swedish Renal Register to national registers for a sample of adult patients who started Renal Replacement Therapy (RRT) in Sweden between 1 January 1995, and 31 December 2013. Using uni- and multivariate logistic models, we studied the association between pre-RRT income and education and likelihood of receiving kidney transplantation. For non-pre-emptive transplantation patients, we also used multivariate Cox proportional hazards regression analysis to assess the association between treatment and socioeconomic factors. Among the 16,215 patients in the sample, 27% had received kidney transplantation by the end of 2013. After adjusting for covariates, the highest income group had more than three times the chance of accessing kidney transplantation compared with patients in the lowest income group (odds ratio (OR): 3.22; 95% confidence interval (CI): 2.73–3.80). Patients with college education had more than three times higher chance of access to kidney transplantation compared with patients with mandatory education (OR: 3.18; 95% CI: 2.77–3.66). Neither living in the county of the transplantation center nor gender was shown to have any effect on the likelihood of receiving kidney transplantation. For non-pre-emptive transplantation patients, the results from Cox models were similar with what we got from logistic models. Sensitive analyses showed that results were not sensitive to different conditions. Overall, socioeconomic status-related inequities exist in access to kidney transplantation in Sweden. Additional studies are needed to explore the possible

  12. Priorities and strategies for improving disabled women's access to maternity services when they are affected by domestic abuse: a multi-method study using concept maps.

    Science.gov (United States)

    Bradbury-Jones, Caroline; Breckenridge, Jenna P; Devaney, John; Duncan, Fiona; Kroll, Thilo; Lazenbatt, Anne; Taylor, Julie

    2015-12-28

    Domestic abuse is a significant public health issue. It occurs more frequently among disabled women than those without a disability and evidence suggests that a great deal of domestic abuse begins or worsens during pregnancy. All women and their infants are entitled to equal access to high quality maternity care. However, research has shown that disabled women who experience domestic abuse face numerous barriers to accessing care. The aim of the study was to identify the priority areas for improving access to maternity services for this group of women; develop strategies for improved access and utilisation; and explore the feasibility of implementing the identified strategies. This multi-method study was the third and final part of a larger study conducted in the UK between 2012 and 2014. The study used a modified concept mapping approach and was theoretically underpinned by Andersen's model of healthcare use. Seven focus group interviews were conducted with a range of maternity care professionals (n = 45), incorporating quantitative and qualitative components. Participants ranked perceived barriers to women's access and utilisation of maternity services in order of priority using a 5-point Likert scale. Quantitative data exploration used descriptive and non-parametric analyses. In the qualitative component of each focus group, participants discussed the barriers and identified potential improvement strategies (and feasibility of implementing these). Qualitative data were analysed inductively using a framework analysis approach. The three most highly ranked barriers to women's access and utilisation of maternity services identified in the quantitative component were: 1) staff being unaware and not asking about domestic abuse and disability; 2) the impact of domestic abuse on women; 3) women's fear of disclosure. The top two priority strategies were: providing information about domestic abuse to all women and promoting non-judgemental staff attitude. These were

  13. Health needs, access to healthcare, and perceptions of ageing in an urbanizing community in India: a qualitative study.

    Science.gov (United States)

    Bhan, Nandita; Madhira, Pavitra; Muralidharan, Arundati; Kulkarni, Bharati; Murthy, Gvs; Basu, Sanjay; Kinra, Sanjay

    2017-07-19

    India's elderly population is rising at an unprecedented rate, with a majority living in rural areas. Health challenges associated with ageing, changing social networks and limited public health infrastructure are issues faced by the elderly and caregivers. We examined perceptions of health needs of the elderly across local stakeholders in an urbanizing rural area. The qualitative study was conducted among participants in the Andhra Pradesh Children and Parents Study (APCAPS) site in Rangareddy district, Telangana. We collected data using focus group discussions and interviews among communities (n = 6), health providers (n = 9) and administrators (n = 6). We assessed stakeholders' views on the influence of urbanization on health issues faced and interventions for alleviating these challenges. We used a conceptual-analytical model to derive themes and used an inductive approach to organizing emerging codes as per a priori themes. These were organized as per thematic groups and ranked by different authors in order of importance. Bronfebrenner's theory was used to understand stakeholder perspectives and suggest interventions within four identified spheres of influence - individual, household, community and services. Stakeholders reported frailty, lack of transport and dependence on others as factors impacting health access of the elderly. Existing public health systems were perceived as overburdened and insensitive towards the elderly. Urbanization was viewed positively, but road accidents, crime and loneliness were significant concerns. Interventions suggested by stakeholders included health service outreach, lifestyle counseling, community monitoring of healthcare and engagement activities. We recommend integrating outreach services and lifestyle counseling within programs for care of the elderly. Community institutions can play an important role in the delivery and monitoring of health and social services for the elderly.

  14. In silico study of rotavirus VP7 surface accessible conserved regions for antiviral drug/vaccine design.

    Directory of Open Access Journals (Sweden)

    Ambarnil Ghosh

    Full Text Available BACKGROUND: Rotaviral diarrhoea kills about half a million children annually in developing countries and accounts for one third of diarrhea related hospitalizations. Drugs and vaccines against the rotavirus are handicapped, as in all viral diseases, by the rapid mutational changes that take place in the DNA and protein sequences rendering most of these ineffective. As of now only two vaccines are licensed and approved by the WHO (World Health Organization, but display reduced efficiencies in the underdeveloped countries where the disease is more prevalent. We approached this issue by trying to identify regions of surface exposed conserved segments on the surface glycoproteins of the virion, which may then be targeted by specific peptide vaccines. We had developed a bioinformatics protocol for these kinds of problems with reference to the influenza neuraminidase protein, which we have refined and expanded to analyze the rotavirus issue. RESULTS: Our analysis of 433 VP7 (Viral Protein 7 from rotavirus surface protein sequences across 17 subtypes encompassing mammalian hosts using a 20D Graphical Representation and Numerical Characterization method, identified four possible highly conserved peptide segments. Solvent accessibility prediction servers were used to identify that these are predominantly surface situated. These regions analyzed through selected epitope prediction servers for their epitopic properties towards possible T-cell and B-cell activation showed good results as epitopic candidates (only dry lab confirmation. CONCLUSIONS: The main reasons for the development of alternative vaccine strategies for the rotavirus are the failure of current vaccines and high production costs that inhibit their application in developing countries. We expect that it would be possible to use the protein surface exposed regions identified in our study as targets for peptide vaccines and drug designs for stable immunity against divergent strains of the

  15. A qualitative study of the impact of the implementation of advanced access in primary healthcare on the working lives of general practice staff

    Science.gov (United States)

    Ahluwalia, Sanjiv; Offredy, Maxine

    2005-01-01

    Background The North American model of 'advanced access' has been emulated by the National Primary Care Collaborative in the UK as a way of improving patients' access in primary care. The aim of this study was to explore the impact of the implementation of advanced access on the working lives of general practice staff. Methods A qualitative study design, using semi-structured interviews, was conducted with 18 general practice staff: 6 GPs, 6 practice managers and 6 receptionists. Two neighbouring boroughs in southeast England were used as the study sites. NUD*IST computer software assisted in data management to identify concepts, categories and themes of the data. A framework approach was used to analyse the data. Results Whilst practice managers and receptionists saw advanced access as having a positive effect on their working lives, the responses of general practitioners (GPs) were more ambivalent. Receptionists reported improvements in their working lives with a change in their role from gatekeepers for appointments to providing access to appointments, fewer confrontations with patients, and greater job satisfaction. Practice managers perceived reductions in work stress from fewer patient complaints, better use of time, and greater flexibility for contingency planning. GPs recognised benefits in terms of improved consultations, but had concerns about the impact on workload and continuity of care. Conclusion AA has improved working conditions for receptionists, converting their perceived role from gatekeeper to access facilitator, and for practice managers as patients were more satisfied. GP responses were more ambivalent, as they experienced both positive and negative effects. PMID:16188036

  16. A qualitative study of the impact of the implementation of advanced access in primary healthcare on the working lives of general practice staff

    Directory of Open Access Journals (Sweden)

    Offredy Maxine

    2005-09-01

    Full Text Available Abstract Background The North American model of 'advanced access' has been emulated by the National Primary Care Collaborative in the UK as a way of improving patients' access in primary care. The aim of this study was to explore the impact of the implementation of advanced access on the working lives of general practice staff. Methods A qualitative study design, using semi-structured interviews, was conducted with 18 general practice staff: 6 GPs, 6 practice managers and 6 receptionists. Two neighbouring boroughs in southeast England were used as the study sites. NUD*IST computer software assisted in data management to identify concepts, categories and themes of the data. A framework approach was used to analyse the data. Results Whilst practice managers and receptionists saw advanced access as having a positive effect on their working lives, the responses of general practitioners (GPs were more ambivalent. Receptionists reported improvements in their working lives with a change in their role from gatekeepers for appointments to providing access to appointments, fewer confrontations with patients, and greater job satisfaction. Practice managers perceived reductions in work stress from fewer patient complaints, better use of time, and greater flexibility for contingency planning. GPs recognised benefits in terms of improved consultations, but had concerns about the impact on workload and continuity of care. Conclusion AA has improved working conditions for receptionists, converting their perceived role from gatekeeper to access facilitator, and for practice managers as patients were more satisfied. GP responses were more ambivalent, as they experienced both positive and negative effects.

  17. What socio-demographic factors influence poverty and financial health care access among disabled people in Flanders: a cross-sectional study.

    Science.gov (United States)

    Adams, Margo; Augustyns, Nele; Janssens, Herman; Vriesacker, Bart; Van Hal, Guido

    2014-02-12

    Current literature shows that people with a disability have a lower income than people without a disability. Disabled people often experience difficulties with health care access.The objective of this study is to assess the current financial situation and poverty rate amongst disabled people in Flanders. Furthermore we wanted to analyze factors that contribute to the risk of poverty and problems with financial health care access in adult people with a disability in Flanders. An online and paper survey were constructed and made available through two large organizations for people with different types of disability in Flanders. Descriptive statistics and logistic regression analysis were performed. In this convenience sample, 20.9% of the 889 respondents live under the poverty threshold. Important contributing factors to the risk of poverty are having children (OR 3.43, 95% CI 2.10-5.59) and a low level of dependence (OR 16.40, 95% CI 6.21-43.28). 25.2% of the respondents did not access health care because of financial shortcomings. A low level of dependence is one important contributing factor (OR 3.16, 95% CI 1.41-6.98) to limited financial health care access. This research confirms that disability is associated with a higher risk of poverty and impaired financial health care access.

  18. Open Access to Physics and Astronomy Theses: A Case Study of the Raman Research Institute Digital Repository

    Science.gov (United States)

    Nagaraj, M. N.; Manjunath, M.; Savanur, K. P.; Sheshadri, G.

    2010-10-01

    With the introduction of information technology (IT) and its applications, libraries have started looking for ways to promote their institutes' research output. At the Raman Research Institute (RRI), we have showcased research output such as research papers, newspaper clippings, annual reports, technical reports, and the entire collection of C.V. Raman through the RRI digital repository, using DSpace. Recently, we have added doctoral dissertations to the repository and have made them accessible with the author's permission. In this paper, we describe the challenges and problems encountered in this project. The various stages including policy decisions, the scanning process, getting permissions, metadata standards and other related issues are described. We conclude by making a plea to other institutions also to make their theses available open-access so that this valuable information resource is accessible to all.

  19. Does household access to improved water and sanitation in infancy and childhood predict better vocabulary test performance in Ethiopian, Indian, Peruvian and Vietnamese cohort studies?

    Science.gov (United States)

    Dearden, Kirk A; Brennan, Alana T; Behrman, Jere R; Schott, Whitney; Crookston, Benjamin T; Humphries, Debbie L; Penny, Mary E; Fernald, Lia C H

    2017-03-07

    Test associations between household water and sanitation (W&S) and children's concurrent and subsequent Peabody Picture Vocabulary Test (PPVT) scores. Prospective cohort study. Ethiopia, India, Peru, Vietnam. 7269 children. PPVT scores at 5 and 8 years. Key exposure variables were related to W&S, and collected at 1, 5 and 8 years, including 'improved' water (eg, piped, public tap or standpipe) and 'improved' toilets (eg, collection, storage, treatment and recycling of human excreta). Access to improved water at 1 year was associated with higher language scores at 5 years (3/4 unadjusted associations) and 8 years (4/4 unadjusted associations). Ethiopian children with access to improved water at 1 year had test scores that were 0.26 SD (95% CI 0.17 to 0.36) higher at 5 years than children without access. Access to improved water at 5 years was associated with higher concurrent PPVT scores (in 3/4 unadjusted associations), but not later scores (in 1/4 unadjusted associations). 5-year-old Peruvian children with access to improved water had better concurrent performance on the PPVT (0.44 SD, 95% CI 0.30 to 0.59) than children without access to improved water. Toilet access at 1 year was also associated with better PPVT scores at 5 years (3/4 unadjusted associations) and sometimes associated with test results at 8 years (2/4 unadjusted associations). Toilet access at 5 years was associated with concurrent PPVT scores (3/4 unadjusted associations). More than half of all associations in unadjusted models (water and toilets) persisted in adjusted models, particularly for toilets in India, Peru and Vietnam. Access to 'improved' water and toilets had independent associations with children's PPVT scores that often persisted with adjustment for covariates. Our findings suggest that effects of W&S may go beyond subacute and acute infections and physical growth to include children's language performance, a critical component of cognitive development

  20. Does household access to improved water and sanitation in infancy and childhood predict better vocabulary test performance in Ethiopian, Indian, Peruvian and Vietnamese cohort studies?

    Science.gov (United States)

    Dearden, Kirk A; Brennan, Alana T; Behrman, Jere R; Schott, Whitney; Crookston, Benjamin T; Humphries, Debbie L; Penny, Mary E; Fernald, Lia C H

    2017-01-01

    Objective Test associations between household water and sanitation (W&S) and children's concurrent and subsequent Peabody Picture Vocabulary Test (PPVT) scores. Design Prospective cohort study. Setting Ethiopia, India, Peru, Vietnam. Participants 7269 children. Primary outcome measures PPVT scores at 5 and 8 years. Key exposure variables were related to W&S, and collected at 1, 5 and 8 years, including ‘improved’ water (eg, piped, public tap or standpipe) and ‘improved’ toilets (eg, collection, storage, treatment and recycling of human excreta). Results Access to improved water at 1 year was associated with higher language scores at 5 years (3/4 unadjusted associations) and 8 years (4/4 unadjusted associations). Ethiopian children with access to improved water at 1 year had test scores that were 0.26 SD (95% CI 0.17 to 0.36) higher at 5 years than children without access. Access to improved water at 5 years was associated with higher concurrent PPVT scores (in 3/4 unadjusted associations), but not later scores (in 1/4 unadjusted associations). 5-year-old Peruvian children with access to improved water had better concurrent performance on the PPVT (0.44 SD, 95% CI 0.30 to 0.59) than children without access to improved water. Toilet access at 1 year was also associated with better PPVT scores at 5 years (3/4 unadjusted associations) and sometimes associated with test results at 8 years (2/4 unadjusted associations). Toilet access at 5 years was associated with concurrent PPVT scores (3/4 unadjusted associations). More than half of all associations in unadjusted models (water and toilets) persisted in adjusted models, particularly for toilets in India, Peru and Vietnam. Conclusions Access to ‘improved’ water and toilets had independent associations with children's PPVT scores that often persisted with adjustment for covariates. Our findings suggest that effects of W&S may go beyond subacute and acute infections and physical growth

  1. Economic analysis of scaling up access to modern family planning methods in low and middle-income countries; case studies for Indonesia and Uganda

    NARCIS (Netherlands)

    Zakiyah, N.; Van Asselt, A.; Cao, Q.; Setiawan, D.; Roijmans, F.; Postma, M.J.

    2016-01-01

    Objectives: Family planning is one of the initial strategies to improve maternal health in low and middle-income countries (L-MICs), where unmet need can still be high. The aim of this study was to estimate the cost-effectiveness of improved access to family planning in L-MICs, with Indonesia and

  2. Factors Influencing Webmasters and the Level of Web Accessibility and Section 508 Compliance at SACS Accredited Postsecondary Institutions: A Study Using the Theory of Planned Behavior

    Science.gov (United States)

    Freeman, Misty Danielle

    2013-01-01

    The purpose of this research was to explore Webmasters' behaviors and factors that influence Web accessibility at postsecondary institutions. Postsecondary institutions that were accredited by the Southern Association of Colleges and Schools were used as the population. The study was based on the theory of planned behavior, and Webmasters'…

  3. The Impacts of Using a Collaborative Evaluation Approach in Higher Education: A Case Study of Local YMCAs Providing College Access Services

    Science.gov (United States)

    Campbell, Johnavae E.

    2013-01-01

    This dissertation offers a case study of the YMCA of the USA's pilot Higher Education Service Project (YHESP) with 61 local YMCAs on how the collaborative evaluation approach functioned to facilitate an organizational culture around evaluation and reinvention strategies of YMCAs as college access service providers. Multiple data collection sources…

  4. A Grounded Theory Study of the Process of Accessing Information on the World Wide Web by People with Mild Traumatic Brain Injury

    Science.gov (United States)

    Blodgett, Cynthia S.

    2008-01-01

    The purpose of this grounded theory study was to examine the process by which people with Mild Traumatic Brain Injury (MTBI) access information on the web. Recent estimates include amateur sports and recreation injuries, non-hospital clinics and treatment facilities, private and public emergency department visits and admissions, providing…

  5. Factors Influencing Webmasters and the Level of Web Accessibility and Section 508 Compliance at SACS Accredited Postsecondary Institutions: A Study Using the Theory of Planned Behavior

    Science.gov (United States)

    Freeman, Misty Danielle

    2013-01-01

    The purpose of this research was to explore Webmasters' behaviors and factors that influence Web accessibility at postsecondary institutions. Postsecondary institutions that were accredited by the Southern Association of Colleges and Schools were used as the population. The study was based on the theory of planned behavior, and Webmasters'…

  6. Economic analysis of scaling up access to modern family planning methods in low and middle-income countries; case studies for Indonesia and Uganda

    NARCIS (Netherlands)

    Zakiyah, N.; Van Asselt, A.; Cao, Q.; Setiawan, D.; Roijmans, F.; Postma, M.J.

    2016-01-01

    Objectives: Family planning is one of the initial strategies to improve maternal health in low and middle-income countries (L-MICs), where unmet need can still be high. The aim of this study was to estimate the cost-effectiveness of improved access to family planning in L-MICs, with Indonesia and Ug

  7. A short note on integrated assessment modeling approaches : Rejoinder to the review of "Making or breaking climate targets - The AMPERE study on staged accession scenarios for climate policy"

    NARCIS (Netherlands)

    Kriegler, Elmar; Riahi, Keywan; Bauer, Nico; Schwanitz, Valeria Jana; Petermann, Nils; Bosetti, Valentina; Marcucci, Adriana; Otto, Sander; Paroussos, Leonidas; Rao-Skirbekk, Shilpa; Currás, Tabaré Arroyo; Ashina, Shuichi; Bollen, Johannes; Eom, Jiyong; Hamdi-Cherif, Meriem; Longden, Thomas; Kitous, Alban; Méjean, Aurélie; Sano, Fuminori; Schaeffer, Michiel; Wada, Kenichi; Capros, Pantelis; van Vuuren, Detlef P.; Edenhofer, Ottmar; Bertram, Christoph; Bibas, Ruben; Edmonds, Jae; Johnson, Nils; Krey, Volker; Luderer, Gunnar; McCollum, David; Jiang, Kejun

    2015-01-01

    We provide a rejoinder to a review (Rosen, 2015) of our original article "Making or breaking climate targets - the AMPERE study on staged accession scenarios for climate policy" (Kriegler et al., 2015a). We have a substantial disagreement with the content of the review, and feel that it is plagued b

  8. A Comparative Study of Students' Access to and Utilization of Learning Resources in Selected Public and Private Universities in Southwest, Nigeria

    Science.gov (United States)

    Lawal, B. O.; Viatonu, Olumuyiwa

    2017-01-01

    The study investigated students' access to and utilization of some learning resources in selected public and private universities in southwest Nigeria. Stratified random sampling technique was used to select 585 (295 public and 290 private) students from 12 (six public and six private) universities in southwest Nigeria. Two instruments--Cost and…

  9. Migrants' access to healthcare

    DEFF Research Database (Denmark)

    Norredam, Marie

    2011-01-01

    according to international human rights principles. The intention of this thesis is to increase the understanding of migrants' access to healthcare by exploring two study aims: 1) Are there differences in migrants' access to healthcare compared to that of non-migrants? (substudy I and II); and 2) Why......' healthcare entitlements. Different definitions of migration and ethnicity were investigated including: country of birth and residence status. Substudy I showed a tendency towards more advanced stage at diagnosis or unknown stage among most subgroups of migrant women with a history of cancer compared to non...

  10. Interaction Problems Accessing E-Learning Environments in Multi-Touch Mobile Devices: A Case Study in TelEduc

    Science.gov (United States)

    da Silva, André Constantino; Freire, Fernanda Maria Pereira; de Arruda, Alan Victor Pereira; da Rocha, Heloísa Vieira

    2013-01-01

    e-Learning environments offer content, such text, audio, video, animations, using the Web infrastructure and they are designed to users interacting with keyboard, mouse and a medium-sized screen. Mobile devices, such as smartphones and tablets, have enough computation power to render Web pages, allowing browsing the Internet and access e-Learning…

  11. Access to urban green spaces and behavioural problems in children: Results from the GINIplus and LISAplus studies.

    Science.gov (United States)

    Markevych, Iana; Tiesler, Carla M T; Fuertes, Elaine; Romanos, Marcel; Dadvand, Payam; Nieuwenhuijsen, Mark J; Berdel, Dietrich; Koletzko, Sibylle; Heinrich, Joachim

    2014-10-01

    We investigated whether objectively measured access to urban green spaces is associated with behavioural problems in 10-year old children living in Munich and its surrounding areas. Behavioural problems were assessed in the GINIplus and LISAplus 10-year follow-up between 2006 and 2009 using the Strengths and Difficulties Questionnaire. Access to green spaces was defined using the distance from a child's residence to the nearest urban green space. Associations between access to urban green spaces and behavioural problems were assessed using proportional odds and logistic regression models in 1932 children with complete exposure, outcome and covariate data. The distance between a child's residence and the nearest urban green space was positively associated with the odds of hyperactivity/inattention, especially among children with abnormal values compared to children with borderline or normal values (odds ratio (OR)=1.20 (95% confidence interval (CI)=1.01-1.42) per 500 m increase in distance). When stratified by sex, this association was only statistically significant among males. Children living further than 500 m away from urban green spaces had more overall behavioural problems than those living within 500 m of urban green spaces (proportional OR=1.41 (95% CI=1.06-1.87)). Behavioural problems were not associated with the distance to forests or with residential surrounding greenness. Poor access to urban green spaces was associated with behavioural problems in 10-year old children. Results were most consistent with hyperactivity/inattention problems. Copyright © 2014 Elsevier Ltd. All rights reserved.

  12. Access to health care for Roma children in Central and Eastern Europe: findings from a qualitative study in Bulgaria

    Directory of Open Access Journals (Sweden)

    Spencer Nick J

    2009-06-01

    Full Text Available Abstract Background Despite the attention the situation of the Roma in Central and Eastern Europe has received in the context of European Union enlargement, research on their access to health services is very limited, in particular with regard to child health services. Methods 50 qualitative in-depth interviews with users, providers and policy-makers concerned with child health services in Bulgaria, conducted in two villages, one town of 70,000 inhabitants, and the capital Sofia. Results Our findings provide important empirical evidence on the range of barriers Roma children face when accessing health services. Among the most important barriers are poverty, administrative and geographical obstacles, low levels of parental education, and lack of ways to accommodate the cultural, linguistic and religious specifics of this population group. Conclusion Our research illustrates the complexity of the problems the Roma face. Access to health care cannot be discussed in isolation from other problems this population group experiences, such as poverty, restricted access to education, and social exclusion.

  13. Decrease in Suicide Rates after a Change of Policy Reducing Access to Firearms in Adolescents: A Naturalistic Epidemiological Study

    Science.gov (United States)

    Lubin, Gad; Werbeloff, Nomi; Halperin, Demian; Shmushkevitch, Mordechai; Weiser, Mark; Knobler, Haim Y.

    2010-01-01

    The use of firearms is a common means of suicide. We examined the effect of a policy change in the Israeli Defense Forces reducing adolescents' access to firearms on rates of suicide. Following the policy change, suicide rates decreased significantly by 40%. Most of this decrease was due to decrease in suicide using firearms over the weekend.…

  14. Where are we now? A multi country qualitative study on access to pre-antiretroviral care services

    DEFF Research Database (Denmark)

    Bukenya, Dominic; Wringe, Alison; Moshabela, Mosa

    2017-01-01

    Objective: To explore barriers and facilitators to accessing postdiagnosis HIV care in five sub-Saharan African countries. Methods: In-depth interviews were conducted with 77 people living with HIV (PLHIV) in pre-antiretroviral therapy care or not-yet-in care and 46 healthcare workers. Participan...

  15. Teaching Poverty with Geographic Visualization and Geographic Information Systems (GIS): A Case Study of East Buffalo and Food Access

    Science.gov (United States)

    Gjesfjeld, Christopher D.; Jung, Jin-Kyu

    2014-01-01

    Although various methods have been used to teach about poverty in the social work classroom (e.g., quantitative, historical, and qualitative), the use of geographic visualization and geographic information systems (GIS) has become a relatively new method. In our analysis of food access on the East Side of Buffalo, New York, we demonstrate the…

  16. Decrease in Suicide Rates after a Change of Policy Reducing Access to Firearms in Adolescents: A Naturalistic Epidemiological Study

    Science.gov (United States)

    Lubin, Gad; Werbeloff, Nomi; Halperin, Demian; Shmushkevitch, Mordechai; Weiser, Mark; Knobler, Haim Y.

    2010-01-01

    The use of firearms is a common means of suicide. We examined the effect of a policy change in the Israeli Defense Forces reducing adolescents' access to firearms on rates of suicide. Following the policy change, suicide rates decreased significantly by 40%. Most of this decrease was due to decrease in suicide using firearms over the weekend.…

  17. A Case Study on Environmental Perspectives of Boulderers and Access Issues at the Niagara Glen Nature Reserve

    Science.gov (United States)

    Thompson, Jeremy; Davidson, Justin; Hutson, Garrett

    2008-01-01

    Currently, there are concerns about access restrictions to bouldering, a form of rock climbing, and other outdoor activities practiced at the Niagara Glen Nature Reserve located near Niagara Falls, Ontario, Canada. The Niagara Parks Commission is currently in the process of exploring ways to balance protection of the natural area with sustainable…

  18. Social Determinants of Equity in Access to Healthcare for Tuberculosis Patients in Republic of Macedonia – Results from a Case-Control Study

    Directory of Open Access Journals (Sweden)

    Dance Gudeva Nikovska

    2014-09-01

    Full Text Available Background Health is a complex phenomenon and equity as a basic human right an integral part of constitutions in almost all countries in the world. In Republic of Macedonia (RM, Tuberculosis (TB is clustered regionally and in certain ethnic groups. The main objective of this study was to analyze Social Determinants of Health (SDH and equity in access to healthcare services for TB patients in RM, aimed at complex analysis of factors that cause inequities. Methods Case-control study was conducted in the period March–December, 2013; “cases” are households of TB patients registered in the period July, 2012–June, 2013 and controls are households with no TB patients in their immediate vicinity. World Health Organization (WHO World Health Survey questionnaire was used to collect data. Results Analysis of SDH of TB patients shows that patients are mostly males, of lower socio-economic status, are less educated, unemployed and TB is clustered in certain ethnic groups. Analysis of access has identified these determinants as important barriers in access to health services. Conclusion The study has documented the basic SDH of TB patients in RM, as well as barriers in access to healthcare, providing useful baseline information to facilitate determination where to concentrate future efforts.

  19. Disability, caregiver's dependency and patterns of access to rehabilitation care: results from a national representative study in Peru.

    Science.gov (United States)

    Bernabe-Ortiz, Antonio; Diez-Canseco, Francisco; Vásquez, Alberto; Miranda, J Jaime

    2016-01-01

    To determine the prevalence of disability in Peru, explore dependency on caregiver's assistance and assess access to rehabilitation care. Data from Disability National Survey (ENEDIS), including urban and rural areas, were analyzed. Disability was defined as a permanent limitation on movement, vision, communication, hearing, learning/remembering or social relationships. Dependency was defined as the self-reported need for a caregiver to help with daily activities; and access to rehabilitation care was defined as the self-report of any therapy for disabilities. Estimates and projections were calculated using sample strata, primary sampling units and population weights, and prevalence ratios (PRs) and 95%CI were reported. From 798,308 people screened, 37,524 (5.1%; 95%CI 4.9--5.2%) had at least one disability. A total of 37,117 were included in further analysis, mean age 57.8 (SD ± 24.1) years, 52.1% women. Dependency was self-reported by 14,980 (40.5%; 95%CI: 39.2-41.9%) individuals with disabilities. A family member, usually female, was identified as a caregiver in 94.3% (95%CI: 93.3-95.3%) of dependent participants. Only 2881 (10.7%; 95%CI: 9.7-11.9%) of people with disabilities reported access to rehabilitation care. Major inequality patterns of disability burden versus access to rehabilitation care were observed by age and education level. Older age groups had higher disability burden yet lower chances of access to rehabilitation care. Conversely, the higher the education level, the lesser the overall disability burden but also the higher chances of reporting receiving care. Private healthcare insurance doubled the probability of having access to rehabilitation compared with those without insurance. Approximately 1.6 million Peruvians have at least one disability, and 40% of them require assistance with daily activities. Informal caregiving, likely female and relative-provided, is highly common. Rehabilitation care access is low and inequitable. Our results

  20. Does the choice of neighbourhood supermarket access measure influence associations with individual-level fruit and vegetable consumption? A case study from Glasgow

    Science.gov (United States)

    2012-01-01

    Background Previous studies have provided mixed evidence with regards to associations between food store access and dietary outcomes. This study examines the most commonly applied measures of locational access to assess whether associations between supermarket access and fruit and vegetable consumption are affected by the choice of access measure and scale. Method Supermarket location data from Glasgow, UK (n = 119), and fruit and vegetable intake data from the ‘Health and Well-Being’ Survey (n = 1041) were used to compare various measures of locational access. These exposure variables included proximity estimates (with different points-of-origin used to vary levels of aggregation) and density measures using three approaches (Euclidean and road network buffers and Kernel density estimation) at distances ranging from 0.4 km to 5 km. Further analysis was conducted to assess the impact of using smaller buffer sizes for individuals who did not own a car. Associations between these multiple access measures and fruit and vegetable consumption were estimated using linear regression models. Results Levels of spatial aggregation did not impact on the proximity estimates. Counts of supermarkets within Euclidean buffers were associated with fruit and vegetable consumption at 1 km, 2 km and 3 km, and for our road network buffers at 2 km, 3 km, and 4 km. Kernel density estimates provided the strongest associations and were significant at a distance of 2 km, 3 km, 4 km and 5 km. Presence of a supermarket within 0.4 km of road network distance from where people lived was positively associated with fruit consumption amongst those without a car (coef. 0.657; s.e. 0.247; p0.008). Conclusions The associations between locational access to supermarkets and individual-level dietary behaviour are sensitive to the method by which the food environment variable is captured. Care needs to be taken to ensure robust and conceptually appropriate measures of

  1. Does the choice of neighbourhood supermarket access measure influence associations with individual-level fruit and vegetable consumption? A case study from Glasgow.

    Science.gov (United States)

    Thornton, Lukar E; Pearce, Jamie R; Macdonald, Laura; Lamb, Karen E; Ellaway, Anne

    2012-07-27

    Previous studies have provided mixed evidence with regards to associations between food store access and dietary outcomes. This study examines the most commonly applied measures of locational access to assess whether associations between supermarket access and fruit and vegetable consumption are affected by the choice of access measure and scale. Supermarket location data from Glasgow, UK (n = 119), and fruit and vegetable intake data from the 'Health and Well-Being' Survey (n = 1041) were used to compare various measures of locational access. These exposure variables included proximity estimates (with different points-of-origin used to vary levels of aggregation) and density measures using three approaches (Euclidean and road network buffers and Kernel density estimation) at distances ranging from 0.4 km to 5 km. Further analysis was conducted to assess the impact of using smaller buffer sizes for individuals who did not own a car. Associations between these multiple access measures and fruit and vegetable consumption were estimated using linear regression models. Levels of spatial aggregation did not impact on the proximity estimates. Counts of supermarkets within Euclidean buffers were associated with fruit and vegetable consumption at 1 km, 2 km and 3 km, and for our road network buffers at 2 km, 3 km, and 4 km. Kernel density estimates provided the strongest associations and were significant at a distance of 2 km, 3 km, 4 km and 5 km. Presence of a supermarket within 0.4 km of road network distance from where people lived was positively associated with fruit consumption amongst those without a car (coef. 0.657; s.e. 0.247; p0.008). The associations between locational access to supermarkets and individual-level dietary behaviour are sensitive to the method by which the food environment variable is captured. Care needs to be taken to ensure robust and conceptually appropriate measures of access are used and these should be

  2. Does the choice of neighbourhood supermarket access measure influence associations with individual-level fruit and vegetable consumption? A case study from Glasgow

    Directory of Open Access Journals (Sweden)

    Thornton Lukar E

    2012-07-01

    Full Text Available Abstract Background Previous studies have provided mixed evidence with regards to associations between food store access and dietary outcomes. This study examines the most commonly applied measures of locational access to assess whether associations between supermarket access and fruit and vegetable consumption are affected by the choice of access measure and scale. Method Supermarket location data from Glasgow, UK (n = 119, and fruit and vegetable intake data from the ‘Health and Well-Being’ Survey (n = 1041 were used to compare various measures of locational access. These exposure variables included proximity estimates (with different points-of-origin used to vary levels of aggregation and density measures using three approaches (Euclidean and road network buffers and Kernel density estimation at distances ranging from 0.4 km to 5 km. Further analysis was conducted to assess the impact of using smaller buffer sizes for individuals who did not own a car. Associations between these multiple access measures and fruit and vegetable consumption were estimated using linear regression models. Results Levels of spatial aggregation did not impact on the proximity estimates. Counts of supermarkets within Euclidean buffers were associated with fruit and vegetable consumption at 1 km, 2 km and 3 km, and for our road network buffers at 2 km, 3 km, and 4 km. Kernel density estimates provided the strongest associations and were significant at a distance of 2 km, 3 km, 4 km and 5 km. Presence of a supermarket within 0.4 km of road network distance from where people lived was positively associated with fruit consumption amongst those without a car (coef. 0.657; s.e. 0.247; p0.008. Conclusions The associations between locational access to supermarkets and individual-level dietary behaviour are sensitive to the method by which the food environment variable is captured. Care needs to be taken to ensure robust and conceptually

  3. Building a Privacy, Ethics, and Data Access Framework for Real World Computerised Medical Record System Data: A Delphi Study. Contribution of the Primary Health Care Informatics Working Group.

    Science.gov (United States)

    Liyanage, H; Liaw, S-T; Di Iorio, C T; Kuziemsky, C; Schreiber, R; Terry, A L; de Lusignan, S

    2016-11-10

    Privacy, ethics, and data access issues pose significant challenges to the timely delivery of health research. Whilst the fundamental drivers to ensure that data access is ethical and satisfies privacy requirements are similar, they are often dealt with in varying ways by different approval processes. To achieve a consensus across an international panel of health care and informatics professionals on an integrated set of privacy and ethics principles that could accelerate health data access in data-driven health research projects. A three-round consensus development process was used. In round one, we developed a baseline framework for privacy, ethics, and data access based on a review of existing literature in the health, informatics, and policy domains. This was further developed using a two-round Delphi consensus building process involving 20 experts who were members of the International Medical Informatics Association (IMIA) and European Federation of Medical Informatics (EFMI) Primary Health Care Informatics Working Groups. To achieve consensus we required an extended Delphi process. The first round involved feedback on and development of the baseline framework. This consisted of four components: (1) ethical principles, (2) ethical guidance questions, (3) privacy and data access principles, and (4) privacy and data access guidance questions. Round two developed consensus in key areas of the revised framework, allowing the building of a newly, more detailed and descriptive framework. In the final round panel experts expressed their opinions, either as agreements or disagreements, on the ethics and privacy statements of the framework finding some of the previous round disagreements to be surprising in view of established ethical principles. This study develops a framework for an integrated approach to ethics and privacy. Privacy breech risk should not be considered in isolation but instead balanced by potential ethical benefit.

  4. Regional Geologic Map of San Andreas and Related Faults in Carrizo Plain, Temblor, Caliente and La Panza Ranges and Vicinity, California; A Digital Database

    Science.gov (United States)

    Dibblee, T. W.; Digital database compiled by Graham, S. E.; Mahony, T.M.; Blissenbach, J.L.; Mariant, J.J.; Wentworth, C.M.

    1999-01-01

    This Open-File Report is a digital geologic map database. The report serves to introduce and describe the digital data. There is no paper map included in the Open-File Report. The report includes PostScript and PDF plot files that can be used to plot images of the geologic map sheet and explanation sheet. This digital map database is prepared from a previously published map by Dibblee (1973). The geologic map database delineates map units that are identified by general age, lithology, and clast size following the stratigraphic nomenclature of the U.S. Geological Survey. For descriptions of the units, their stratigraphic relations, and sources of geologic mapping, consult the explanation sheet (of99-14_4b.ps or of99-14_4d.pdf), or the original published paper map (Dibblee, 1973). The scale of the source map limits the spatial resolution (scale) of the database to 1:125,000 or smaller. For those interested in the geology of Carrizo Plain and vicinity who do not use an ARC/INFO compatible Geographic Information System (GIS), but would like to obtain a paper map and explanation, PDF and PostScript plot files containing map images of the data in the digital database, as well as PostScript and PDF plot files of the explanation sheet and explanatory text, have been included in the database package (please see the section 'Digital Plot Files', page 5). The PostScript plot files require a gzip utility to access them. For those without computer capability, we can provide users with the PostScript or PDF files on tape that can be taken to a vendor for plotting. Paper plots can also be ordered directly from the USGS (please see the section 'Obtaining Plots from USGS Open-File Services', page 5). The content and character of the database, methods of obtaining it, and processes of extracting the map database from the tar (tape archive) file are described herein. The map database itself, consisting of six ARC/INFO coverages, can be obtained over the Internet or by magnetic tape

  5. 76 FR 82291 - Combined Notice of Filings #2

    Science.gov (United States)

    2011-12-30

    ...: Agua Caliente Solar, LLC. Description: Notice of Change in Status and Request for Expedited Action of Agua Caliente Solar, LLC. Filed Date: 12/20/11. Accession Number: 20111220-5086. Comments Due: 5...

  6. 77 FR 10737 - Combined Notice of Filings #1

    Science.gov (United States)

    2012-02-23

    ... following electric rate filings: Docket Numbers: ER12-21-003. Applicants: Agua Caliente Solar, LLC. Description: Notice of Change in Status of Agua Caliente Solar, LLC. Filed Date: 2/14/12. Accession...

  7. The acceptability and impact of a randomised controlled trial of welfare rights advice accessed via primary health care: qualitative study

    Directory of Open Access Journals (Sweden)

    Howel Denise

    2006-06-01

    Full Text Available Abstract Background Qualitative research is increasingly used alongside randomised controlled trials (RCTs to study a range of factors including participants' experiences of a trial. The need for a sound evidence base within public health will increase the need for RCTs of non-clinical interventions. Welfare rights advice has been proposed as an intervention with potential to reduce health inequalities. This qualitative study, nested within an RCT of the impact of welfare rights advice, examined the acceptability of the intervention, the acceptability of the research process and the perceived impact of the intervention. Methods 25 men and women aged 60 years or over were recruited from four general practices in Newcastle upon Tyne (UK, a sub-sample of those who consented to be contacted (n = 96 during the RCT baseline interview. Semi-structured interviews were undertaken and analysed using the Framework Method. Results Participants viewed the trial positively although, despite agreeing that the information leaflet was clear, some had agreed to participate without being fully aware of what was involved. Some participants were unaware of the implications of randomisation. Most thought it fair, but a few concerns were raised about the control condition. The intervention was acceptable and made participants feel confident about applying for benefit entitlements. 14 out of 25 participants received some financial award; median weekly income gain was £57 (€84, $101. The perceived impact of additional finances was considerable and included: increased affordability of necessities and occasional expenses; increased capacity to deal with emergencies; and a reduction in stress related to financial worries. Overall, perceived independence and ability to participate in society increased. Most participants perceived benefits to their mental well-being, but no-one reported an improvement in physical health. The RCT showed little or no effect on a wide range

  8. Accessible tourism in Brazil: an exploratory study about the public policies and the process of inclusion of persons with disabilities

    Directory of Open Access Journals (Sweden)

    Donária Coelho Duarte

    2015-12-01

    Full Text Available One of the biggest challenges of society Brazilian is confronting the issue of equality and social exclusion. It is estimated that there are approximately 45 million people with disabilities in Brazil (IBGE, 2010, many of them still unable to enjoy leisure and tourism activities due to their physical limitations and lack of adaptation of the environment. The purpose of this article is to verify if public policy focused tourism for people with disabilities (PWD have been able to meet demands for inclusion these  segment, also seeks the perception of these people as to the inclusion process. The focus of this study, therefore, refers to people who were born or have acquired some kind of permanent limitation, not being object of this survey people who have had temporary physical limitations and/or sporadic or who have reduced mobility. In terms of methodology, a exploratory and qualitative research was made with interviews of semi-structured scripts.  The participants of study were nine managers chosen from representatives of government, of representatives of the tourist trade and of associations of people with disabilities. From the interviews with the public, given the diversity of actions and their characteristics, it proposed the classification of programs/government actions. As result, the research shows that the government has to attack the problem and sought to create and implement policies directed to this segment. However, people with disabilities consider that what has been done is not enough to include them really in tourist activities and say they are not being heard enough. All disabled associations mentions that the limitations/difficult environment hamper achievement of tourism. It was noticed also that the private sector does not consider the disabled person as a consumer public and that are not done research to understand the profile and the needs of this segment. Both the private sector as PWD associations, showed little

  9. Heat pumping using the thermal earth gradient to produce air conditioned and hot water with savings of up to 70%; Bombeo de calor utilizando el gradiente termico de la tierra para producir aire acondicionado y agua caliente con ahorros de hasta un 70%

    Energy Technology Data Exchange (ETDEWEB)

    Alvarez Ramirez, Alejandro [Novaenergia de Mexico S.A. de C.V. (Mexico)

    2003-07-01

    The pumping of heat using the Earth heat as partial energy source bases its principle on which the energy of the ground is constant and the energy efficiency to produce air conditioning and hot water simultaneously is important, obtaining savings up to 70%, comparing itself with the traditional equipment and what these operate of separated way to produce each one of them the cold air and the hot water. The use of this technology presents an opportunity to reduce the energy costs of and the demand of the company. [Spanish] El bombeo de calor utilizando el calor de la tierra como fuente parcial de energia basa su principio en que la energia del suelo es constante y el rendimiento energetico para producir simultaneamente aire acondicionado y agua caliente es importante, obteniendose ahorros hasta de un 70%, comparandose con los equipos tradicionales y que estos operan de manera separada para producir cada uno de ellos el aire frio y el agua caliente. El uso de esta tecnologia presenta una oportunidad para reducir los costos de energia y demanda de la empresa.

  10. EFECTO DE LA INMERSIÓN EN AGUA CALIENTE SOBRE LA SECRECIÓN DE LÁTEX POR LA CORONA DE GAJOS RECIÉN CONFORMADOS DE FRUTOS DE BANANO

    Directory of Open Access Journals (Sweden)

    Maricruz Ram\\u00EDrez

    2011-01-01

    Full Text Available Con el objetivo de evaluar el efecto de la temperatura del agua y el tiempo de inmersión sobre la secreción de látex por la corona de gajos recién conformados de frutos de banano, se realizaron 2 experimentos con racimos de 12 semanas de edad (floración-cosecha del cv. Valery (Musa AAA, subgrupo Cavendish. En el experimento 1 se evaluaron 4 temperaturas del agua: 25, 35, 45 y 55ºC y, 4 tiempos de inmersión: 5, 10, 15 y 20 min en conjunto con un tratamiento testigo comercial. En el experimento 2 se evaluó unicamente la temperatura del agua a 45ºC y 2 tiempos de inmersión: 10 y 20 min. En este experimento se incluyó un tratamiento testigo comercial (frutos tomados de la línea de empaque de la finca y otro tratamiento testigo conformado por frutos cuyos gajos fueron empacados inmediatamente después de la separación del racimo (testigo absoluto. En ambos experimentos la inmersión de los frutos en agua caliente se realizó inmediatamente después que las manos fueron seccionadas del racimo y conformadas en gajos. En ambos experimentos no hubo maduración prematura durante el periodo de simulación de transporte que fue de 15 días. En el experimento 1 los tratamientos expuestos a 55ºC, presentaron daño severo de quemadura en la cáscara. En el experimento 2 no se afectó la firmeza (p>0,2685, aunque hubo diferencias estadísticas en el color de la cáscara (p0,0001. El tratamiento de inmersión de 45ºC por 10 min demostró que puede ser tan efectivo en la remoción del látex de la corona de gajos recién conformados de frutos de banano como el tratamiento comercial, basado en la inmersión sucesiva de los frutos en depósitos de agua circulante y la posterior aplicación de fungicidas y cicatrizantes.

  11. Evaluación del grado de adecuación del proceso de forja en caliente para la fabricación de piezas estampadas: criterios de viabilidad y optimización

    Directory of Open Access Journals (Sweden)

    Arenas Reina, José Manuel

    2000-10-01

    Full Text Available The design of industrial parts is a clear example of integrative effort that, with a focus of several disciplines, requires a detailed analysis of the different scientific and technological knowledge implied in its conception and development. Inside this performance context, the present work approaches the problem of the project of hot forging parts, proposing the use of criteria of viability and optimization that, based in technical and economical considerations, allow to value the adjusting degree of various alternative to the forge process, facilitating with it the selection of the most appropriate. Fixed these bases and with object of shortening times of answer and analysis in an application corresponding to parts with revolution symmetry, a computerized system has been introduced that, taking as started data the design of the part, geometrically simulates the forge process, allowing to calculate the adaptation coefficients in those morphologing that are possible according to the criteria of viability criteria. This system also provides a graphic representation of machined part, the forged part and the finished stamp.

    El diseño de piezas industriales supone un claro ejemplo de esfuerzo integrador que, con un enfoque interdisciplinar, requiere un análisis detallado de los diferentes conocimientos científicos y tecnológicos implicados en su concepción y desarrollo. Dentro de este marco de actuación, el presente trabajo aborda la problemática del proyecto de piezas estampadas en caliente, proponiendo la utilización de criterios de viabilidad y optimización que, fundamentados en consideraciones técnico-económicas, permiten valorar el grado de adecuación de las diferentes alternativas al proceso de forja, facilitando con ello la selección de la más adecuada. Fijadas estas bases y con objeto de acortar tiempos de respuesta y análisis en una aplicación correspondiente a piezas axisimétricas, se ha introducido un sistema

  12. Un nuevo modelo fenomenológico y diferencial para predecir la respuesta mecánica de materiales metálicos policristalinos sometidos a deformación en caliente

    Directory of Open Access Journals (Sweden)

    Castellanos, J.

    2012-10-01

    Full Text Available This paper presents a new phenomenological and differential model (that use differential equations to predict the flow stress of a metallic polycrystalline material under hot working. The model, called MCC, depends on six parameters and uses two internal variables to consider the strain hardening, dynamic recovery and dynamic recrystallization processes that occur under hot working. The experimental validation of the MCC model has been carried out by means of stress-strain curves from torsion tests at high temperature (900 ºC a 1200 ºC and moderate high strain rate (0.005 s-1 to 5 s-1 in a high nitrogen steel. The results reveal the very good agreement between experimental and predicted stresses. Furthermore, the Garofalo a-parameter and the strain to reach 50 % of recrystallized volume fraction have been employed as a control check being a first step to the physical interpretation of variables and parameters of the MCC model.

    Este trabajo presenta un nuevo modelo fenomenológico y diferencial (que emplea ecuaciones diferenciales para predecir la respuesta mecánica de un material metálico policristalino sometido a deformación en caliente. El modelo, llamado MCC, depende de seis parámetros y utiliza dos variables internas para considerar los procesos de endurecimiento por deformación, restauración y recristalización dinámicas. La validación experimental del modelo MCC se ha realizado empleando curvas tensión-deformación procedentes de ensayos de torsión a alta temperatura (900 ºC a 1.200 ºC y moderadamente alta velocidad de deformación (0,005 s-1 a 5 s-1 sobre un acero de alto contenido en nitrógeno. Los resultados obtenidos revelan la concordancia significativa entre las tensiones experimentales y predichas. Además el parámetro a de Garofalo y la deformación para el 50 % de volumen recristalizado se han utilizado como elementos de control para realizar un primer paso en la

  13. Managing access block.

    Science.gov (United States)

    Cameron, Peter; Scown, Paul; Campbell, Donald

    2002-01-01

    There is pessimism regarding the ability of the Acute Health Sector to manage access block for emergency and elective patients. Melbourne Health suffered an acute bed crisis in 2001 resulting in record ambulance diversions and emergency department (ED) delays. We conducted an observational study to reduce access block for emergency patients whilst maintaining elective throughput at Melbourne Health. This involved a clinician-led taskforce using previously proven principles for organisational change to implement 51 actions to improve patient access over a three-month period. The primary outcome measures were ambulance diversion, emergency patients waiting more than 12 hours for an inpatient bed, elective throughput and theatre cancellations. Despite a reduction in multi-day bed numbers all primary objectives were met, ambulance diversion decreased to minimal levels, 12-hour waits decreased by 40% and elective throughput was maintained. Theatre cancellations were also minimised. We conclude that access block can be improved by clinician-led implementation of proven process improvements over a short time frame. The ability to sustain change over the longer term requires further study.

  14. Perspectives of basic wheelchair users on improving their access to wheelchair services in Kenya and Philippines: a qualitative study

    OpenAIRE

    Williams, Emma; Hurwitz, Elizabeth; Obaga, Immaculate; Onguti, Brenda; Rivera, Adovich; Sy, Tyrone Reden L.; Kirby, R. Lee; Noon, Jamie; Tanuku, Deepti; Gichangi, Anthony; Bazant, Eva

    2017-01-01

    Background The United Nations has called for countries to improve access to mobility devices when needed. The World Health Organization has published guidelines on the provision of manual wheelchairs in less-resourced settings. Yet little is known about the extent to which appropriate wheelchairs are available and provided according to international guidelines. This study’s purpose was to describe wheelchair users’ experiences receiving services and acquiring wheelchair skills in urban and pe...

  15. The social determinants of health and health service access: an in depth study in four poor communities in Phnom Penh Cambodia

    Directory of Open Access Journals (Sweden)

    Soeung Sann

    2012-08-01

    Full Text Available Abstract Background Increasing urbanization and population density, and persisting inequities in health outcomes across socioeconomic groupings have raised concerns internationally regarding the health of the urban poor. These concerns are also evident in Cambodia, which prompted the design of a study to identify and describe the main barriers to access to health services by the poor in the capital city, Phnom Penh. Sources and Methods Main sources of data were through a household survey, followed by in-depth qualitative interviews with mothers, local authorities and health centre workers in four very poor communities in Phnom Penh. Main findings Despite low incomes and education levels, the study communities have moderate levels of access to services for curative and preventive care. However, qualitative findings demonstrate that households contextualize poor health and health access in terms of their daily living conditions, particularly in relation to environmental conditions and social insecurity. The interactions of low education, poor living conditions and high food costs in the context of low and irregular incomes reinforce a pattern of “living from moment to moment” and results in a cycle of disadvantage and ill health in these communities. There were three main factors that put poor communities at a health disadvantage; these are the everyday living conditions of communities, social and economic inequality and the extent to which a society assesses and acts on inequities in their health care access. Conclusions In order to improve access to health and health services for the urban poor, expansion of public health functions and capacities will be required, including building partnerships between health providers, municipal authorities and civil society.

  16. Children and young people's views on access to a web-based application to support personal management of long-term conditions: a qualitative study.

    Science.gov (United States)

    Huby, K; Swallow, V; Smith, T; Carolan, I

    2017-01-01

    An exploration of children and young people's views on a proposed web-based application to support personal management of chronic kidney disease at home is important for developing resources that meet their needs and preferences. As part of a wider study to develop and evaluate a web-based information and support application for parents managing their child's chronic kidney disease, qualitative interviews were conducted with 26 children and young people aged 5-17 years. Interviews explored their views on content of a proposed child and young person-appropriate application to support personal management of their condition. Data were analysed by using framework technique and self-efficacy theory. One overarching theme of Access and three subthemes (information, accessibility and normalization) were identified. Information needed to be clear and accurate, age appropriate and secure. Access to Wi-Fi was essential to utilize information and retain contact with peers. For some, it was important to feel 'normal' and so they would choose not to access any care information when outside of the hospital as this reduced their ability to feel normal. Developing a web-based application that meets children and young peoples' information and support needs will maximize its utility and enhance the effectiveness of home-based clinical caregiving, therefore contributing to improved outcomes for patients. © 2016 John Wiley & Sons Ltd.

  17. Health, healthcare access, and use of traditional versus modern medicine in remote Peruvian Amazon communities: a descriptive study of knowledge, attitudes, and practices.

    Science.gov (United States)

    Williamson, Jonathan; Ramirez, Ronald; Wingfield, Tom

    2015-04-01

    There is an urgent need for healthcare research, funding, and infrastructure in the Peruvian Amazon. We performed a descriptive study of health, health knowledge and practice, and healthcare access of 13 remote communities of the Manatí and Amazon Rivers in northeastern Peru. Eighty-five adults attending a medical boat service were interviewed to collect data on socioeconomic position, health, diagnosed illnesses, pain, healthcare access, and traditional versus modern medicine use. In this setting, poverty and gender inequality were prevalent, and healthcare access was limited by long distances to the health post and long waiting times. There was a high burden of reported pain (mainly head and musculoskeletal) and chronic non-communicable diseases, such as hypertension (19%). Nearly all participants felt that they did not completely understand their diagnosed illnesses and wanted to know more. Participants preferred modern over traditional medicine, predominantly because of mistrust or lack of belief in traditional medicine. Our findings provide novel evidence concerning transitional health beliefs, hidden pain, and chronic non-communicable disease prevalence in marginalized communities of the Peruvian Amazon. Healthcare provision was limited by a breach between health education, knowledge, and access. Additional participatory research with similar rural populations is required to inform regional healthcare policy and decision-making.

  18. Simulation with TRACE5 of a small break of 1% in the hot branch; Simulacion con TRACE5 de una Rotura Pequena del 1% en la Rama Caliente

    Energy Technology Data Exchange (ETDEWEB)

    Querol, A.; Gallardo, S.; Verdu, G.

    2013-07-01

    This work has been simulated, Thermo-hydraulic-coded TRACE5, the 1-2 Test of the OECD/NEA ROSA project that reproduces a break of 1% in the hot field of a water pressurized (PWR) reactor. The results are compared with the experimental values for studying the effect of the stratification of the liquid into hot branch, the geometry and the size of the break and flow injected by the HPI system.

  19. Efficacy of the EZ-IO needle driver for out-of-hospital intraosseous access--a preliminary, observational, multicenter study

    National Research Council Canada - National Science Library

    Schalk, Richard; Schweigkofler, Uwe; Lotz, Gösta; Zacharowski, Kai; Latasch, Leo; Byhahn, Christian

    2011-01-01

    Intraosseous (IO) access represents a reliable alternative to intravenous vascular access and is explicitly recommended in the current guidelines of the European Resuscitation Council when intravenous access is difficult or impossible...

  20. Variation in access to community rehabilitation services and length of stay in hospital following a hip fracture: a cross-sectional study

    Science.gov (United States)

    Neuburger, Jenny; Harding, Karen A; Bradley, Rachel J D; Cromwell, David A; Gregson, Celia L

    2014-01-01

    Objectives To assess variation in access to and use of community rehabilitation services for patients with a hip fracture, and whether this affects length of stay in hospital. Design Cross-sectional study using administrative patient-level data from Hospital Episode Statistics (HES) and organisational survey data. Setting A regional health economy in South West England served by four acute National Health Service (NHS) hospital trusts and six former Primary Care Trusts (PCTs). Population 1230 hip fracture patients treated in an acute hospital between 1 April 2011 and 29 February 2012. Main outcomes Information about access to community rehabilitation services for each acute hospital and PCT, reported by organisational survey. Rates of patients transferred from acute hospital to community rehabilitation hospitals (CRH) across eight groups with varying access; determined by acute hospital and PCT. Median lengths of stay in the acute hospital, and in the acute hospital plus CRH combined. Associations between the rate of transfer to a CRH and median lengths of stay assessed using Spearman's rank correlation coefficient (rs). Results Access to community rehabilitation services varied, including the number of CRH inpatient beds, formal access criteria and waiting times. In one PCT, no home-based rehabilitation service was available. The percentage of patients transferred to a CRH ranged from 2.1% to 54.7%. A higher transfer rate was associated with a shorter median length of stay in the acute hospital (rs=−0.8; p=0.01), but a longer median combined length of stay in the acute hospital and CRH (rs=+0.7; p=0.04). Conclusions Within one geographical area, there was wide variation in availability and use of community rehabilitation services for patients discharged from an acute hospital following a hip fracture. Reliance on transfers to community rehabilitation hospitals was associated with a longer length of stay in the NHS. PMID:25208849

  1. Determination of the hot rolling stress by means of tensile tests; Determinacion de la tension de laminacion en caliente a partir de ensayos de traccion

    Energy Technology Data Exchange (ETDEWEB)

    Monsalve, A.; Artigas, A.; Celentano, D.; Guzman, A.; Colas, R.; Houbaert, Y.

    2013-03-01

    Prediction of mechanical behavior of hot rolled steels is an important aspect during industrial processing. The rolling stress needed to the process were estimated using three methods, the first of which is related to the Sellars's model that takes into account the friction coefficient and the yield stress. The second method estimates the rolling stress as the average stress obtained during the tensile tests. The third method, estimates the rolling stress from the data of power consumed by the rolling equipment. This methodology was applied in this study to a carbon steel. The conclusion of the work is that results obtained by Sellars's and consumed power, are coincident. The method based on the average tensile stress predicts stresses lower than those obtained with other two methods. (Author) 26 refs.

  2. VT Limited Access Highways

    Data.gov (United States)

    Vermont Center for Geographic Information — A limited-access road, known by various terms worldwide, including limited-access highway, dual carriageway, expressway, and partial controlled access highway, is a...

  3. A Study of the Essential Oils of Four Sudanese Accessions of Basil (Ocimum basilicum L. Against Anopheles Mosquito Larvae

    Directory of Open Access Journals (Sweden)

    Azhari H. Nour

    2009-01-01

    Full Text Available Problem statement: Certain basil essential oils were claimed to have a larvicidal activity towards mosquito's larvae. To test this claim the essential oils of four accessions of basil grown in Sudan were selected and tested for Anopheles larvae. Malaria is the major health problem in the Sudan and the whole country is now considered endemic, with varying degrees, about 35,000 deaths every year due to malaria. Anopheles mosquito is the major vector of malaria disease in Sudan. Search for larvicidal active compound(s is one of several attempts to fine effective and affordable ways to control this mosquito. To determine the toxic effects of basil essential oils extracted by steam distillation against Anopheles larvae. Approach: For the larvicidal bioassay, three concentrations (100, 300, 500 ppm of essential oil solutions of four basil accessions were prepared; 1 mL of ethanol was used to solubilize the oil in water (999 mL. In each concentration of oil solution were inserted 20 larvae (third instars. A set of controls using 0.1% ethanol and untreated sets of larvae in (tap water, were also run for comparison. Data were evaluated through regression analysis, from the regression line; the LC50 values were read. The active ingredients were separated and/ or identified by TLC, IR and GC-MS. Results: Larvicidal activity of the essential oils is varied, lasted for about 9 h and thereafter decreased, LC50 values ranging from 190-300 ppm. Linalool, geraniol and eugenol are active components of basil essential oil against Anopheles larvae. Two accessions were caused 100% mortality at a concentration range 300-500 ppm for 3 h. Conclusion: These results indicated that basil essential oils have larvicidal activity towards Anopheles larvae. Therefore, could be affordable way to control this mosquito.

  4. Access and use of interventions to prevent and treat malaria among pregnant women in Kenya and Mali: a qualitative study.

    Directory of Open Access Journals (Sweden)

    Jenny Hill

    Full Text Available Coverage of malaria in pregnancy interventions in sub-Saharan Africa is suboptimal. We undertook a systematic examination of the operational, socio-economic and cultural constraints to pregnant women's access to intermittent preventive treatment (IPTp, long-lasting insecticide-treated nets (LLINs and case management in Kenya and Mali to provide empirical evidence for strategies to improve coverage.Focus group discussions (FGDs were held as part of a programme of research to explore the delivery, access and use of interventions to control malaria in pregnancy. FGDs were held with four sub-groups: non-pregnant women of child bearing age (aged 15-49 years, pregnant women or mothers of children aged <1 year, adolescent women, and men. Content analysis was used to develop themes and sub-themes from the data.Women and men's perceptions of the benefits of antenatal care were generally positive; motivation among women consisted of maintaining a healthy pregnancy, disease prevention in mother and foetus, checking the position of the baby in preparation for delivery, and ensuring admission to a facility in case of complications. Barriers to accessing care related to the quality of the health provider-client interaction, perceived health provider skills and malpractice, drug availability, and cost of services. Pregnant women perceived themselves and their babies at particular risk from malaria, and valued diagnosis and treatment from a health professional, but cost of treatment at health facilities drove women to use herbal remedies or drugs bought from shops. Women lacked information on the safety, efficacy and side effects of antimalarial use in pregnancy.Women in these settings appreciated the benefits of antenatal care and yet health services in both countries are losing women to follow-up due to factors that can be improved with greater political will. Antenatal services need to be patient-centred, free-of-charge or highly affordable and accountable

  5. Materials Data Infrastructure: A Case Study of the Citrination Platform to Examine Data Import, Storage, and Access

    Science.gov (United States)

    O'Mara, Jordan; Meredig, Bryce; Michel, Kyle

    2016-08-01

    Considerations are presented around the design of a materials data infrastructure including import of structured and unstructured data, storage of that data for archival and retrieval, and access to that data through programmatic and graphical interfaces. In particular, the choices around technologies used in such an infrastructure, the benefits and drawbacks of those technologies, and their impact on the experience of users of that system are presented. The Citrination platform is used as an example of a materials data infrastructure and the choices made around architecture are discussed.

  6. An analysis on domestic users’ awareness towards Open Access resources:A case study of university users in Nanjing

    Institute of Scientific and Technical Information of China (English)

    SHEN; Kun; HUANG; Shuiqing

    2009-01-01

    Based on a survey of university teachers and students in Nanjing area of 2007,this article analyzes domestic users’awareness towards Open Access(OA),and the changes by comparing the corresponding data of 2006.The survey shows that the research evaluation system,the quality of literature and the payment for OA publications are the important factors for university users to choose OA or not.The authors finally suggest that the current research evaluation system should be reformed to accommodate OA journals.Meanwhile,great efforts should be devoted to improve the quality of OA literatures,and the governments and research institutions should provide stronger support than before.

  7. The quest to make accessibility a corporate article of faith at Microsoft: case study of corporate culture and human resource dimensions.

    Science.gov (United States)

    Sandler, Leonard A; Blanck, Peter

    2005-01-01

    This case study examines efforts by Microsoft Corporation to enhance the diversity of its workforce and improve the accessibility and usability of its products and services for persons with disabilities. The research explores the relation among the Americans with Disabilities Act of 1990, corporate leadership, attitudes and behaviors towards individuals with disabilities, and dynamics that shape organizational culture at Microsoft. Implications for Microsoft, other employers, researchers, and the disability community are discussed.

  8. Barriers in access to healthcare in countries with different health systems. A cross-sectional study in municipalities of central Colombia and north-eastern Brazil.

    Science.gov (United States)

    Garcia-Subirats, Irene; Vargas, Ingrid; Mogollón-Pérez, Amparo Susana; De Paepe, Pierre; da Silva, Maria Reja