Town of Chapel Hill, North Carolina — Point features representing locations of all street addresses in Orange County, NC including Chapel Hill, NC. Data maintained by Orange County, the Town of Chapel...
... 25 Indians 1 2010-04-01 2010-04-01 false How is an address for a minor's residence changed? 115... minor's residence changed? (a) To change an address for a minor's residence, the custodial parent, legal... guardianship order, where applicable; (4) The new address of the minor's residence; and (5) The signature, mark...
Garbers, C. F.
Ladies and gentlemen, it is indeed a great privilege and pleasure for me to present the opening address at this, the 17th International Congress on High Speed Photograpy and Photonics. Before turning to the business of the Congress, I would like to briefly introduce you to South Africa: its scientific past and its research challenges for the future.
Your Excellency. Honoured Guests. Members of the Association. It is my duty and pleasure to thank H.E. Lij. Endalkatchew Makonnen for the fine address with which he has opened this First National Conference of the EAEA. He has pointedly reminded us that though. Engineers and Architects play a key role, develop-.
This short talk was the opening remarks to the attendees at this conference, presented by the Scientific Secretary, IWG-LMNPP, of the IAEA. This meeting is an effort to aid research on problems related to the general area of nuclear plant aging and life management. In particular it addresses fracture properties of reactor materials and components, both as installed, and at end of service condition. A major concern is relating measurements made on laboratory samples to properties displayed by actual reactor components
By means of this graduation address at the International Institute for Population Sciences (IIPS) in Bombay, the Chancellor of Urdu University voiced his concerns about overpopulation in India. During the speaker's tenure as Health Minister of Maharashtra, he implemented a sterilization incentive program that resulted in the state's having the best family planning (FP) statistics in India for almost 10 years. The incentive program, however, was misused by overenthusiastic officials in other states, with the result that the FP program was renamed the Family Welfare Programme. Population is growing in India because of improvements in health care, but the population education necessary to change fertility will require more time than the seriousness of the population problem allows. In the longterm, poverty and illiteracy must be addressed to control population. In the meanwhile, the graduate program at the IIPS should be expanded to include an undergraduate program, marriage age laws should be enforced, and misconceptions about religious objections to FP must be addressed. India can not afford to use the measures forwarded by developed countries to control population growth. India must integrate population control efforts with the provision of health care because if population continues to grow in the face of reduced infant mortality and longer life expectancy, future generations will be forced to live in a state of poverty and economic degradation.
McCalmont, Kate; Norris, Jeffrey; Garzon, Agustina; Cisneros, Raquel; Greene, Heather; Regino, Lidia; Sandoval, Virginia; Gomez, Roberto; Page-Reeves, Janet; Kaufman, Arthur
Neither the health care system nor the training of medical residents focus sufficiently on social determinants of health. Community health workers (CHWs) are a growing presence in health care settings. Culturally and linguistically competent, typically they are from underserved communities and spend more time addressing social determinants of health than others on the health care team. However, CHWs are an infrequent presence in resident clinical training environments. The University of New Mexico Family Medicine Residency placed family medicine residents at a community clinic in Albuquerque managed by CHWs, recognizing that CHWs' collaboration with residents would enhance resident competency in multiple domains. Residents gained skills from CHWs in inter-professional teamwork, cultural proficiency in patient care, effective communication, provision of cost-conscious care, and advocating for both individual and community health. Our model recognizes the value of CHW skills and knowledge and creates a powerful rationale for greater recognition of CHW expertise and integration of CHWs as members of the care team.
Joshi, P. S.
From jets to cosmos to cosmic censorship P S Joshi Tata Institute of Fundamental Research, Homi Bhabha Road, Colaba, Mumbai 400005, India E-mail: email@example.com 1. Introduction At the outset, I should like to acknowledge that part of the title above, which tries to capture the main flavour of this meeting, and has been borrowed from one of the plenary talks at the conference. When we set out to make the programme for the conference, we thought of beginning with observations on the Universe, but then we certainly wanted to go further and address deeper questions, which were at the very foundations of our inquiry, and understanding on the nature and structure of the Universe. I believe, we succeeded to a good extent, and it is all here for you in the form of these Conference Proceedings, which have been aptly titled as 'Vishwa Mimansa', which could be possibly translated as 'Analysis of the Universe'! It is my great pleasure and privilege to welcome you all to the ICGC-2011 meeting at Goa. The International Conference on Gravitation and Cosmology (ICGC) series of meetings are being organized by the Indian Association for General Relativity and Gravitation (IAGRG), and the first such meeting was planned and conducted in Goa in 1987, with subsequent meetings taking place at a duration of about four years at various locations in India. So, it was thought appropriate to return to Goa to celebrate the 25 years of the ICGC meetings. The recollections from that first meeting have been recorded elsewhere here in these Proceedings. The research and teaching on gravitation and cosmology was initiated quite early in India, by V V Narlikar at the Banares Hindu University, and by N R Sen in Kolkata in the 1930s. In course of time, this activity grew and gained momentum, and in early 1969, at the felicitation held for the 60 years of V V Narlikar at a conference in Ahmedabad, P C Vaidya proposed the formation of the IAGRG society, with V V Narlikar being the first President. This
Stressed in this address is the crucial stage of the population boom, peeculiar to developing countries. The phenomenal rise in India's population, over the last 10 years, is particularly emphasized as it may thwart attempts for socioeconnomic development. Population and development are congruent concerns which need to be pursued simultaneously, and family planning must be accorded the highest priority in national efforts. In its attempts to curb its population explosion, India has witnessed significant progress in health and family welfare work in its march towards the goal of health for all. Recently, the focus has been on primary health care with its emphasis on prevention against risk of disease. The key element of the goal of health for all is the provision of primary health care to all, especially those who are poor. The new 20-Point Programme of India pinpoints areas of special thrust which show immediate tangible results in health and family welfare and the increase of primary health care facilities. Family planning is discussed as a people's movement in which the government's role is that of educator in contraceptive methodds so the people can be motivated to choose, on their own, anyone of them. Trained government personnel, service facilities and contraceptive supplies are being promoted for that goal. The energies of all social, political, religious and cultural organizations have to be channelled and utilized in the process of educating the people and making them adopt the small family norm. Graduates are urged to utilize their knowledge in the service of their country.
Ghatowar, P S
The Union Deputy Minister of Health and Family Welfare in India addressed the 35th convocation of the International Institute for Population Sciences in Bombay in 1993. Officials in developing countries have been concerned about population growth for more than 30 years and have instituted policies to reduce population growth. In the 1960s, population growth in developing countries was around 2.5%, but today it is about 2%. Despite this decline, the world will have 1 billion more individuals by the year 2001. 95% of these new people will be born in developing countries. India's population size is so great that India does not have the time to wait for development to reduce population growth. Population needs to be viewed as an integrated part of overall development, since it is linked to poverty, illiteracy, environmental damage, gender issues, and reproductive health. Despite a large population size, India has made some important advancements in health and family planning. For example, India has reduced population growth (to 2.14% annually between 1981-1991), infant mortality, and its birth rate. It has increased the contraceptive use rate and life expectancy. Its southern states have been more successful at achieving demographic goals than have the northern states. India needs to implement efforts to improve living conditions, to change attitudes and perceptions about small families and contraception, and to promote family planning acceptance earlier among young couples. Improvement of living conditions is especially important in India, since almost 33% of the people live in poverty. India needs to invest in nutrition, health, and education. The mass media and nongovernmental organizations need to create population awareness and demand for family planning services. Improvement in women's status accelerates fertility decline, as has happened in Kerala State. The government needs to facilitate generation of jobs. Community participation is needed for India to achieve
DOE biomass R ampersand D programs have the potential to provide America with both plentiful, clean-burning domestic transportation fuels and cost-competitive industrial and utility fuels, benefiting energy security in the United States. Biofuels developed under our programs will also help improve air quality, reduce greenhouse gases, reduce the large daily quantities of waste we produce, and revitalize rural America. These research motivations have been documented in the National Energy Strategy. DOE looks forward to expanding its biofuels research program and to forging a partnership with private sector for cost-shared commercialization of new fuels and vehicle technologies. Many alternative fuels (e.g., ethanol, methanol, compressed natural gas, propane, or electricity) are candidates for gaining market share. Indeed, there may be significant regional variation in the future fuel mix. Alcohol fuels from biomass, particularly ethanol, have the potential to make a major contribution. Currently, ethanol in the United States is almost entirely made from corn; and the limitations of that process are well known (e.g., costly feedstock, end product requiring subsidy to be competitive, use of fossil fuels in renewable feedstock production and processing, and potential adverse impact of corn ethanol production on the price of food). To address these concerns, the DOE biofuels program is pursuing an ambitious research program to develop the technologies needed to convert these crops into alternative transportation fuels, primarily cellulose-based ethanol and methanol. Program R ampersand D has reduced the estimated cost per gallon of cellulose-based ethanol from $3.60 in 1980 to the current $1.35, with a program goal of $0.60 by the year 2000. DOE is also investigating the thermochemical conversion of biomass to methanol. The program goal is to achieve commercial production of methanol (like ethanol) at the gasoline equivalent of $0.90 per gallon by the year 2000. 4 figs
Ladies and Gentlemen, It is an honor for me to present my welcome address in the 3rd International Workshop on "State of the Art in Nuclear Cluster Physics"(SOTANCP3), as the president of Kanto Gakuin University. Particularly to those from abroad more than 17 countries, I am very grateful for your participation after long long trips from your home to Yokohama. On the behalf of the Kanto Gakuin University, we certainly welcome your visit to our university and stay in Yokohama. First I would like to introduce Kanto Gakuin University briefly. Kanto Gakuin University, which is called KGU, traces its roots back to the Yokohama Baptist Seminary founded in 1884 in Yamate, Yokohama. The seminary's founder was Albert Arnold Bennett, alumnus of Brown University, who came to Japan from the United States to establish a theological seminary for cultivating and training Japanese missionaries. Now KGU is a major member of the Kanto Gakuin School Corporation, which is composed of two kindergartens, two primary schools, two junior high schools, two senior high schools as well as KGU. In this university, we have eight faculties with graduate school including Humanities, Economics, Law, Sciences and Engineering, Architecture and Environmental Design, Human and Environmental Studies, Nursing, and Law School. Over eleven thousands students are currently learning in our university. By the way, my major is the geotechnical engineering, and I belong to the faculty of Sciences and Engineering in my university. Prof. T. Yamada, here, is my colleague in the same faculty. I know that the nuclear physics is one of the most active academic fields in the world. In fact, about half of the participants, namely, more than 50 scientists, come from abroad in this conference. Moreover, I know that the nuclear physics is related to not only the other fundamental physics such as the elementary particle physics and astrophysics but also chemistry, medical sciences, medical cares, and radiation metrology
Full text: It is an honour for me to make this opening address on behalf of the European Commission which has cooperated with the International Atomic Energy Agency in organizing this Conference, and in particular on behalf of Hans Forsstroem from the Directorate-General, Research, who will arrive only later this week. Protection of the environment is, and will continue to be, an important consideration in the development and application of soundly based radiation protection standards. Current standards rest largely on the premise that, in protecting man, the environment is afforded an adequate level of protection. While this premise is broadly accepted by the radiation protection profession, it has come under increasing challenge in recent years. This challenge has not arisen because of any observable damage to the environment while operating within current standards. Rather, it has different origins including: - The robustness of the premise that protection of man affords protection of the environment, in particular the extent to which it is based on value judgements as opposed to rigorous scientific argument; - The more explicit inclusion of protection of the environment into national legislation on radiation protection and the need to demonstrate compliance; - A desire to achieve greater comparability between radiation and other pollutants. These trends were recognized by the Commission in the late 1990s and, as a result, the topic of protection of the environment was included as an important element of the European Union's 5th Research Framework Programme. Community support has been given to the FASSET project about which we will hear much during this Conference. This multinational project is providing much of the scientific basis underpinning and informing ongoing discussions on the development of a system of protection for the environment. Much, however, remains to be done to establish a well conceived and practicable system for protection of the environment
Pringle, Janice L.; Kowalchuk, Alicia; Meyers, Jessica Adams; Seale, J. Paul
Background The Screening, Brief Intervention and Referral to Treatment (SBIRT) service for unhealthy alcohol use has been shown to be one of the most cost-effective medical preventive services and has been associated with long-term reductions in alcohol use and health care utilization. Recent studies also indicate that SBIRT reduces illicit drug use. In 2008 and 2009, the Substance Abuse Mental Health Service Administration funded 17 grantees to develop and implement medical residency training programs that teach residents how to provide SBIRT services for individuals with alcohol and drug misuse conditions. This paper presents the curricular activities associated with this initiative. Methods We used an online survey delivery application (Qualtrics) to e-mail a survey instrument developed by the project directors of 4 SBIRT residency programs to each residency grantee's director. The survey included both quantitative and qualitative data. Results All 17 (100%) grantees responded. Respondents encompassed residency programs in emergency medicine, family medicine, pediatrics, obstetrics-gynecology, psychiatry, surgery, and preventive medicine. Thirteen of 17 (76%) grantee programs used both online and in-person approaches to deliver the curriculum. All 17 grantees incorporated motivational interviewing and validated screening instruments in the curriculum. As of June 2011, 2867 residents had been trained, and project directors reported all residents were incorporating SBIRT into their practices. Consistently mentioned challenges in implementing an SBIRT curriculum included finding time in residents' schedules for the modules and the need for trained faculty to verify resident competence. Conclusions The SBIRT initiative has resulted in rapid development of educational programs and a cohort of residents who utilize SBIRT in practice. Skills verification, program dissemination, and sustainability after grant funding ends remain ongoing challenges. PMID:23451308
NSGIC Education | GIS Inventory — This dataset contains Address Points in Allegheny County. The Address Points were created by GDR for the Allegheny County CAD project, October 2008. Data is updated...
Kerai, Sara Moore; Wheeler, Margot
An intervention was conducted, aimed at providing residents in internal medicine with communication skills to address end-of-life issues with patients. Residents participated in two 1-hour educational sessions designed to teach a communication protocol, enhance listening skills, and to provide practice in effective communication in a safe, small-group format. An anonymous on-line survey assessed the effectiveness of the intervention. Twenty-five residents completed the intervention. There was a trend toward increased comfort level in addressing end-of-life issues among residents who completed the intervention, versus a comparison group. Residents who completed the intervention reported that using the words "death" and "dying" with patients and families was an important teaching point.
Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset contains address points which represent physical address locations assigned by the Allegheny County addressing authority. Data is updated by County...
Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This dataset contains address points which represent physical address locations assigned by the Allegheny County addressing authority. Data is updated by County...
U.S. Environmental Protection Agency — The Reach Address Database (RAD) stores the reach address of each Water Program feature that has been linked to the underlying surface water features (streams,...
Mai, Mark V; Luo, Brooke T; Orenstein, Evan W; Luberti, Anthony A
Opportunities for education in clinical informatics exist throughout the spectrum of formal education extending from high school to postgraduate training. However, physicians in residency represent an underdeveloped source of potential informaticians. Despite the rapid growth of accredited fellowship programs since clinical informatics became a board-eligible subspecialty in 2011, few resident physicians are aware of their role at the intersection of clinical medicine and health information technology or associated opportunities. In an effort to educate and engage residents in clinical informatics, Children's Hospital of Philadelphia has developed a three-pronged model: (1) an elective rotation with hands-on project experience; (2) a longitudinal experience that offers increased exposure and mentorship; and (3) a resident founded and led working group in clinical informatics. We describe resident participation in these initiatives and lessons learned, as well as resident perceptions of how these components have positively influenced informatics knowledge and career choices. Since inception of this model, five residents have pursued the clinical informatics fellowship. This educational model supports resident involvement in hospital-wide informatics efforts with tangible projects and promotes wider engagement through educational opportunities commensurate with the resident's level of interest. Schattauer GmbH Stuttgart.
Bowman, Brian; Forbes, Alison
Patients who reside in long-term care facilities for extended periods of time offer many health care challenges. Recognition of early signs of illness, care transitions, and underutilization of community resources are common concerns.
Blumenthal, Daniel M; Bernard, Ken; Bohnen, Jordan; Bohmer, Richard
All clinicians take on leadership responsibilities when delivering care. Evidence suggests that effective clinical leadership yields superior clinical outcomes. However, few residency programs systematically teach all residents how to lead, and many clinicians are inadequately prepared to meet their day-to-day clinical leadership responsibilities. The purpose of this article is twofold: first, to make the case for the need to refocus residency education around the development of outstanding "frontline" clinical leaders and, second, to provide an evidence-based framework for designing formal leadership development programs for residents. The authors first present a definition of clinical leadership and highlight evidence that effective frontline clinical leadership improves both clinical outcomes and satisfaction for patients and providers. The authors then discuss the health care "leadership gap" and describe barriers to implementing leadership development training in health care. Next, they present evidence that leaders are not just "born" but, rather, can be "made," and offer a set of best practices to facilitate the design of leadership development programs. Finally, the authors suggest approaches to mitigating barriers to implementing leadership development programs and highlight the major reasons why health care delivery organizations, residency programs, and national accreditation bodies must make comprehensive leadership education an explicit goal of residency training.
Cusack, Kevin P; Wang, Ying; Hoemann, Michael Z; Marjanovic, Jasmina; Heym, Roland G; Vasudevan, Anil
The kinetics of drug binding and drug residence time are recognized to be important in the clinical effectiveness of drug candidates. In most cases a long residence time of the drug-target complex results in an extended duration of pharmacodynamic activity, even when systemic concentrations of drug have been notably reduced through elimination routes. Hence, if selective for target, long residence times can increase the duration of drug efficacy in vivo and can significantly diminish the potential for off-target-mediated toxicities. Furthermore, a compound with a slower dissociation rate may allow a reduced dosing schedule relative to a compound with a rapid dissociation rate. Factors contributing to long residence time that could be useful to medicinal chemists in the prospective design of compounds with long residence times will be discussed in this perspective. Particular emphasis will be on case studies highlighting how kinetics can be measured, modulated based on supporting structure kinetic relationships and whether these effects are translatable into man. Copyright © 2015 Elsevier Ltd. All rights reserved.
Green, Jamie A; Gonzaga, Alda Maria; Cohen, Elan D; Spagnoletti, Carla L
To develop, pilot, and test the effectiveness of a clear health communication curriculum to improve resident knowledge, attitudes, and skills regarding health literacy. Thirty-one internal medicine residents participated in a small group curriculum that included didactic teaching, practice with a standardized patient, and individualized feedback on videotaped encounters with real patients. Outcomes were assessed using a pre-post survey and a communication skills checklist. Mean knowledge scores increased significantly from 60.3% to 77.6% (pcommunicating with low literacy patients (3.3 vs. 4.1) (all pcommunication improves resident knowledge, attitudes, and skills regarding health literacy. The increased use of clear health communication techniques can significantly improve the care and outcomes of vulnerable patients with limited health literacy. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.
Williams, S Elizabeth; Swan, Rebecca
To determine if U.S. pediatric residency programs provide formal training in vaccine safety to address parental vaccine concerns. An electronic survey was mailed to all members of the Association of Pediatric Program Directors (APPD) to assess (1) if U.S. pediatric residency programs were providing formal vaccine safety training, (2) the content and format of the training if provided, and (3) interest in a training module for programs without training. Two follow-up surveys were mailed at 2 week intervals. Responses to the survey were collected at 4 weeks following the last mailing and analyzed. Logistic regression was used to assess the impact of program size on the likelihood of vaccine safety training. Pearson's chi square was used to compare programs with and without formal vaccine safety training in 5 U.S. regions. The survey was sent to 199 APPD members; 92 completed the survey (response rate 46.2%). Thirty-eight respondents (41%) had formal training in vaccine safety for pediatric residents at their programs; 54 (59%) did not. Of those that did not, the majority (81.5%) were interested in formal vaccine safety training for their residents. Of all respondents, 78% agreed that training in vaccine safety was a high priority for resident education. Thirty-five percent of all respondents agreed that local parental attitudes about vaccines influenced the likelihood of formal vaccine safety training. Most pediatric residency programs surveyed do not include formal training on vaccine safety; yet, such training is supported by pediatric residency program directors as a priority for pediatric residents. Copyright © 2014 Elsevier Ltd. All rights reserved.
Colvin, Jennifer; French, Judith; Siperstein, Allan; Capizzani, Tony R; Krishnamurthy, Vikram D
We aimed to conduct professionalism and social competencies (PSC) training by integrating humanities into structured workshops, and to assess reception of this curriculum by first-year surgical residents. An IRB-approved, pilot curriculum consisting of 4 interactive workshops for surgical interns was developed. The workshops were scheduled quarterly, often in small group format, and supplemental readings were assigned. Humanities media utilized to illustrate PSC included survival scenarios, reflective writing, television portrayals, and social media. Emphasis was placed on recognizing personal values and experiences that influence judgment and decision-making, using social media responsibly, identifying and overcoming communication barriers related to generational changes in training (especially technology and work-life balance), and tackling stereotypes of surgeons. Anonymous and voluntary pre- and postcurriculum surveys were administered. Univariate analysis of responses was performed with JMP Pro v12 using Fisher's exact, χ 2 , and Students' t-tests for categorical and continuous variables. The study took place at the Cleveland Clinic in Cleveland, OH, within the general surgery program. Surgical interns at the Cleveland Clinic were included in the study. A total of 16 surgical interns completed the curriculum. Sixteen surgical interns participated in the curriculum: 69% were domestic medical school graduates (DG) and 31% were international medical school graduates (IMG). Overall, the majority (81%) of residents had received PSC courses during medical school: 100% of DG compared to 40% of IMG (p = 0.02). Before beginning the curriculum, 86% responded that additional PSC training would be useful during residency, which increased to 94% upon completion (p = 0.58). Mean number of responses supporting the usefulness of PSC training increased from 1.5 ± 0.2 before the curriculum to 1.75 ± 0.2 upon completion (p = 0.4). When describing public and medical student
Morgan, Maria Z; Johnson, Ilona G; Hitchings, Esther; Monaghan, Nigel P; Karki, Anup J
To explore the relationship between treatment plans, complexity anticipated in delivering those plans, and the special care dental skills and settings identified as appropriate. In older adults, many factors may complicate dental treatment including health and disability problems. Assessment of dental treatment needs amongst care home residents provides information about clinical care required and clinical experience needed for this population. Analysis of dental data collected in a 2010 Welsh survey. Data analysed included treatment plan information, complexity assessment and dental expertise and settings required to deliver the treatment plans. The majority of participating residents needed simple dentistry, that is examinations, oral hygiene instruction, scaling of teeth, fillings, new dentures and fluoride application. Additional time was the commonest complexity factor. A large proportion of participants required dental treatment within a domiciliary setting. A similar proportion required care within a primary care setting (typically with care from a general dental practitioner) or a special care clinic (typically with care from a dentist with special care experience). Treatment plans involving specialists were more likely to be associated with poor general health, higher levels of interventional treatment and greater complexity. Most treatment need in care homes is basic restorative, periodontal and preventive care. Half of this could be managed by general dentists, some on a domiciliary basis and the rest in primary care dental clinics. The commonest complexity was additional time. More complex treatments were associated with care in clinics, skills in special care dentistry and multidisciplinary care. © 2015 John Wiley & Sons A/S and The Gerodontology Association. Published by John Wiley & Sons Ltd.
Access information on EPA's efforts to address ozone layer depletion through regulations, collaborations with stakeholders, international treaties, partnerships with the private sector, and enforcement actions under Title VI of the Clean Air Act.
Ashraf Shady's paper provides a first-hand reflection on how a foreign teacher used cogens as culturally adaptive pedagogy to address cultural misalignments with students. In this paper, Shady drew on several cogen sessions to showcase his journey of using different forms of cogens with his students. To improve the quality of cogens, one strategy he used was to adjust the number of participants in cogens. As a result, some cogens worked and others did not. During the course of reading his paper, I was impressed by his creative and flexible use of cogens and at the same time was intrigued by the question of why some cogens work and not others. In searching for an answer, I found that Mikhail Bakhtin's dialogism, especially the concept of addressivity, provides a comprehensive framework to address this question. In this commentary, I reanalyze the cogen episodes described in Shady's paper in the light of dialogism. My analysis suggests that addressivity plays an important role in mediating the success of cogens. Cogens with high addressivity function as internally persuasive discourse that allows diverse consciousnesses to coexist and so likely affords productive dialogues. The implications of addressivity in teaching and learning are further discussed.
Young, Ellie L.; Ashbaker, Betty Y.
This article discusses ways on how to address the problem of sexual harassment in schools. Sexual harassment--simply defined as any unwanted and unwelcome sexual behavior--is a sensitive topic. Merely providing students, parents, and staff members with information about the school's sexual harassment policy is insufficient; schools must take…
Maintains that advertising can help people become more aware of social responsibilities. Describes a successful nationwide newspaper advertising competition for college students in which ads address social issues such as literacy, drugs, teen suicide, and teen pregnancy. Notes how the ads have helped grassroots programs throughout the United…
Akindele, Dele Femi
Full Text Available Address forms constitute an integral part of Basotho sociolinguistic etiquette. They are regarded as a kind of emotional capital that may be invested in putting others at ease. They are indicators of deference, politeness and markers of social distance. (Fasold 1990, Akindele 1990, 1991, 1993 This paper examines the address forms used by the Basotho people. It analyzes and discusses the various types and the factors determining their use. The discussion of address forms in Sesotho focuses on First Name, Title plus First Name, Title plus Last Name, Nickname, Multiple Names, and Teknonym. Drawing data from semi-literate and literate urban and rural population of Maseru district of Lesotho, it was found that the commonest form of address used by the Basotho people is title plus first name. e.g. ntate Thabo (father Thabo, 'm'e Puleng (mother Puleng, ausi Maneo (sister Maneo, abuti Mahao (brother Mahao. It is used by close relations, associates, and familiar people in both formal and informal situations.
Ashraf Shady's paper provides a first-hand reflection on how a foreign teacher used cogens as culturally adaptive pedagogy to address cultural misalignments with students. In this paper, Shady drew on several cogen sessions to showcase his journey of using different forms of cogens with his students. To improve the quality of cogens, one…
Ristić Jovan D.
Full Text Available The specific requirements that appear in addressable fire detection and alarm systems and the shortcomings of the existing addressing methods were discussed. A new method of addressing of detectors was proposed. The basic principles of addressing and responding of a called element are stated. Extinguishing module is specific subsystem in classic fire detection and alarm systems. Appearing of addressable fire detection and alarm systems didn't caused essential change in the concept of extinguishing module because of long calling period of such systems. Addressable fire security system based on counting addressing method reaches high calling rates and enables integrating of the extinguishing module in addressable system. Solutions for command addressable element and integrated extinguishing module are given in this paper. The counting addressing method was developed for specific requirements in fire detection and alarm systems, yet its speed and reliability justifies its use in the acquisition of data on slowly variable parameters under industrial conditions. .
Lane-Fall, Meghan B; Brooks, Amber K; Wilkins, Sara A; Davis, Joshua J; Riesenberg, Lee Ann
The Accreditation Council for Graduate Medical Education requires that residency programs teach residents about handoffs and ensure their competence in this communication skill. Development of hand-off curricula for anesthesia residency programs is hindered by the paucity of evidence regarding how to conduct, teach, and evaluate handoffs in the various settings where anesthesia practitioners work. This narrative review draws from literature in anesthesia and other disciplines to provide recommendations for anesthesia resident hand-off curriculum development and evaluation.
Whittle, Amy E; Buckelew, Sara M; Satterfield, Jason M; Lum, Paula J; O'Sullivan, Patricia
The American Academy of Pediatrics Committee on Substance Use recommends screening, brief intervention, and referral to treatment (SBIRT) at every adolescent preventive and all appropriate urgent visits. We designed an SBIRT curriculum as part of the adolescent block of a pediatric residency that combined online modules with an in-person workshop, faculty feedback on resident interactions with patients, and resident self-reflection on their motivational interviewing (MI) skills. To evaluate the curriculum, we measured resident satisfaction and self-reported confidence in using SBIRT and MI with teens using a retrospective pre/post questionnaire. We used qualitative analysis to evaluate the written comments from faculty observations of patient-trainee interactions and comments from resident self-reflection(s) on patient interactions. Thirty-two residents completed the curriculum. Residents reported high satisfaction with the training. Comparing retrospective pre/post scores on the survey of resident self-reported confidence, measures increased significantly in all domains, including for both alcohol and other drug use. Regarding self-reported MI, skillfulness also increased significantly. Analysis of specific faculty feedback to residents revealed subthemes such as normalizing confidentiality and focusing more on the patient's perspectives on substance use. Resident reflections on their own abilities with SBIRT/MI focused on using the ruler tool and on adapting the MI style of shared decision-making. A curriculum that combines online training, small-group practice, clinical observations, and self-reflection is valued by residents and can increase resident self-reported confidence in using SBIRT and MI in adolescent encounters. Future studies should examine to what extent confidence predicts performance using standardized measures of MI skillfulness in patient encounters.
Jafri, Wasim; Mumtaz, Khalid; Burdick, William P; Morahan, Page S; Freeman, Rosslynne; Zehra, Tabassum
Residents play an important role in teaching of medical undergraduate students. Despite their importance in teaching undergraduates they are not involved in any formal training in teaching and leadership skills. We aimed to compare the teaching skills of residents with faculty in facilitating small group Problem Based Learning (PBL) sessions. This quasi experimental descriptive comparative research involved 5 postgraduate year 4 residents and five senior faculty members. The study was conducted with all phase III (Final year) students rotating in Gastroenterology. The residents and faculty members received brief training of one month in facilitation and core principles of adult education. Different aspects of teaching skills of residents and faculty were evaluated by students on a questionnaire (graded on Likert Scale from 1 to 10) assessing i) Knowledge Base-content Learning (KBL), ii) PBL, iii) Student Centered Learning (SCL) and iv) Group Skills (GS). There were 33 PBL teaching sessions in which 120 evaluation forms were filled; out of these 53% forms were filled for residents and 47% for faculty group. The faculty showed a statistically greater rating in "KBL" (faculty 8.37 Vs resident 7.94; p-value 0.02), "GS" (faculty 8.06 vs. residents 7.68; p-value 0.04). Differences in faculty and resident scores in "the PBL" and "SCL" were not significant. The overall score of faculty facilitators, however, was statistically significant for resident facilitators. (p = .05). 1) Residents are an effective supplement to faculty members for PBL; 2) Additional facilitators for PBL sessions can be identified in an institution by involvement of residents in teacher training workshops.
Bolanos, L.; Arista, E.; Osorio Deliz, J.F.
Instruments for nuclear signal measurements based on add-on card for a personal computer (PC) are designed often. Then one faces the problem of the addressing of data input/output devices which show an integration level or intelligence that makes the use of several port address indispensable, and these are limited in the PC. The virtual addressing offers the advantage of the occupation of few addresses to accede to many of these devices. The principles of this technique and the appliances of a solution in radiometric in a radiometric card based on programmed logic are discussed in this paper
As many people might know, the number of IPv4 addresses is limited and almost all have been allocated (see here and here for more information). Although CERN has been allocated some 340,000 addresses, the way these are allocated across the site is not as efficient as we would like. As we face an increasing demand for IPv4 addresses with the growth in virtual machines, the IT Department’s Communication Systems Group will be reorganising address allocation during 2016 to make more efficient use of the IPv4 address ranges that have been allocated to CERN. We aim, wherever possible, to avoid giving out fixed IP addresses, and have all devices connected to the campus network obtain an address dynamically each time they connect. As a first stage, starting in February, IP addresses that have not been used for more than 9 months will be reclaimed. No information about the devices concerned will be deleted from LANDB, but a new IP address will have to be requested if they are ever reconnected to t...
Russell, David; Oberlink, Mia R; Shah, Shivani; Evans, Lauren; Bassuk, Karen
To describe the design and participants of a program that employed health coaches and community health workers to address the social, health, and long-term disaster recovery needs of Rockaway residents roughly 2 years after Hurricane Sandy made landfall. Baseline and exit questionnaires, containing demographic, health, and health care utilization measures, were administered to participants at the start and end of the program. Enrollment and encounter information was captured in program administrative records. Descriptive statistics were used to summarize participant characteristics, personal goals, referrals to local organizations and agencies, and outcomes. Qualitative analyses were used to identify recurring themes in challenges faced by participants and barriers to health and wellness. The program served 732 community residents, of whom 455 (62%) completed baseline and exit questionnaires. Participants were directly and/or indirectly impacted by Hurricane Sandy through property damage, closures of health care facilities, limited employment opportunities, and trouble securing affordable housing. Furthermore, many participants faced considerable adversities and struggled to manage chronic health conditions. Personal goals set by participants included locating health care and other resources (44%), weight management and healthy eating (35%), and self-management of chronic conditions (24%). Health coaches and community health workers engaged participants an average of 4 times-providing counseling and referrals to local organizations and services, including medical and dental services (29%), city-issued identification cards (27%), and health insurance and other entitlements (23%). Comparisons of baseline and exit surveys indicated significant improvements in self-reported health, health care utilization, and confidence managing health issues. No significant improvement was observed in the use of preventive health care services. The program represents a model for
Montgomery, Tiffany M; Folken, Lori; Seitz, Melody A
Adolescent pregnancy is a concern among many women's health practitioners. While it is practical and appropriate to work to prevent adolescent pregnancy by educating adolescents in health care clinics, schools and adolescent-friendly community-based organizations, suggesting and supporting legislative efforts to reduce adolescent pregnancy can help address the issue on an even larger scale. This article aims to help nurses better understand current legislation that addresses adolescent pregnancy, and to encourage support of future adolescent pregnancy prevention legislation. © 2014 AWHONN.
Promoting inclusive approaches to address urbanisation challenges in Kigali. ... Kigali has embarked on a rapid urbanisation and modernisation process. ... housing for the majority of urban residents remains a challenge which continues to impact on both the population's living conditions and sustainable urban planning.
"The book begins with a basic overview of IP networking, followed by chapters describing each of the three core IPAM technologies: IPv4 and IPv6 addressing, DHCP, and DNS. The next three chapters describe IPAM management techniques and practice, followed by chapters on IPv4-IPv6 co-existence, security and the IPAM business case"--
Leonard Bond; Kevin Kostelnik; Richard Holman
A secure and affordable energy supply is essential for achieving U.S. national security, in continuing U.S. prosperity and in laying the foundations to enable future economic growth. To meet this goal the next generation energy workforce in the U.S., in particular those needed to support instrumentation, controls and advanced operations and maintenance, is a critical element. The workforce is aging and a new workforce pipeline, to support both current generation and new build has yet to be established. The paper reviews the challenges and some actions being taken to address this need.
Batson, C Daniel; Thompson, Elizabeth R; Chen, Hubert
Two studies addressed alternative explanations for 3 pieces of evidence supporting the existence of moral hypocrisy. In Study 1, no support was found for the idea that low salience of social standards accounts for falsifying the result of a coin flip to assign oneself a more desirable task. In Study 2, no support was found for the idea that responses of those who honestly win the flip account for the higher ratings of morality of their action by participants who assign themselves the more desirable task after flipping the coin. Also, no support was found for the idea that responses of those who honestly win the flip account for the inability of personal moral responsibility measures to predict moral action. Instead, results of both studies provided additional evidence of moral hypocrisy.
Feinstein, Karen Wolk; Grunden, Naida; Harrison, Edward I
The Pittsburgh Regional Healthcare Initiative (PRHI) is a coalition of 35 hospitals, 4 major insurers, more than 30 major and small-business health care purchasers, dozens of corporate and civic leaders, organized labor, and partnerships with state and federal government all working together to deliver perfect patient care throughout Southwestern Pennsylvania. PRHI believes that in pursuing perfection, many of the challenges facing today's health care delivery system (eg, waste and error in the delivery of care, rising costs, frustration and shortage among clinicians and workers, financial distress, overcapacity, and lack of access to care) will be addressed. PRHI has identified patient safety (nosocomial infections and medication errors) and 5 clinical areas (obstetrics, orthopedic surgery, cardiac surgery, depression, and diabetes) as ideal starting points. In each of these areas of work, PRHI partners have assembled multifacility/multidisciplinary groups charged with defining perfection, establishing region-wide reporting systems, and devising and implementing recommended improvement strategies and interventions. Many design and conceptual elements of the PRHI strategy are adapted from the Toyota Production System and its Pittsburgh derivative, the Alcoa Business System. PRHI is in the proof-of-concept phase of development.
Salvatore F. Pileggi
Full Text Available The progressive consolidation of information technologies on a large scale has been facilitating and progressively increasing the production, collection, and diffusion of geographic data, as well as facilitating the integration of a large amount of external information into geographic information systems (GIS. Traditional GIS is transforming into a consolidated information infrastructure. This consolidated infrastructure is affecting more and more aspects of internet computing and services. Most popular systems (such as social networks, GPS, and decision support systems involve complex GIS and significant amounts of information. As a web service, GIS is affected by exactly the same problems that affect the web as a whole. Therefore, next generation GIS solutions have to address further methodological and data engineering challenges in order to accommodate new applications’ extended requirements (in terms of scale, interoperability, and complexity. The conceptual and semantic modeling of GIS, as well as the integration of semantics into current GIS, provide highly expressive environments that are capable of meeting the needs and requirements of a wide range of applications.
Sakti Arief Daulay, Raja; Michrandi Nasution, Surya; Paryasto, Marisa W.
The implementation research and analyze address blockchain on this bitcoin will have the results that refers to making address bitcoin a safe and boost security of address the bitcoin. The working mechanism of blockchain in making address bitcoin which is already in the blockchain system.
... Commission Address Change AGENCY: Federal Mine Safety and Health Review Commission (FMSHRC). ACTION: Final... office and is amending its regulations to inform the public of the address change. DATES: This final rule... dealing with only a change in address. The Commission is an independent regulatory agency and, as such, is...
... FINANCIAL RESPONSIBILITY AND COMPENSATION OFFSHORE OIL POLLUTION COMPENSATION FUND General § 135.9 Fund address. The address to which correspondence relating to the Coast Guard's administration of the Fund... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Fund address. 135.9 Section 135.9...
... TAXES TAXES ON WAGERING; EFFECTIVE JANUARY 1, 1955 Miscellaneous and General Provisions Applicable to Taxes on Wagering General Provisions Relating to Occupational Taxes § 44.4905-2 Change of address. (a... business or residence address to a location other than that specified in his last return on Form 11-C, he...
Alexander A. Barkalov; Roman M. Babakov; Larysa A. Titarenko
The using of operational addressing unit as the block of control unit is proposed. The new structure model of Moore finite-state machine with reduced hardware amount is developed. The generalized structure of operational addressing unit is suggested. An example of synthesis process for Moore finite-state machine with operational addressing unit is given. The analytical researches of proposed structure of control unit are executed.
Full Text Available Duplicate address detection (DAD is an important component of the address resolution protocol (ARP and the neighbor discovery protocol (NDP. DAD determines whether an IP address is in conflict with other nodes. In traditional DAD, the target address to be detected is broadcast through the network, which provides convenience for malicious nodes to attack. A malicious node can send a spoofing reply to prevent the address configuration of a normal node, and thus, a denial-of-service attack is launched. This study proposes a hash method to hide the target address in DAD, which prevents an attack node from launching destination attacks. If the address of a normal node is identical to the detection address, then its hash value should be the same as the "Hash_64" field in the neighboring solicitation message. Consequently, DAD can be successfully completed. This process is called DAD-h. Simulation results indicate that address configuration using DAD-h has a considerably higher success rate when under attack compared with traditional DAD. Comparative analysis shows that DAD-h does not require third-party devices and considerable computing resources; it also provides a lightweight security resolution.
This book will be the first covering the subject of IP address management (IPAM). The practice of IPAM includes the application of network management disciplines to IP address space and associated network services, namely DHCP (Dynamic Host Configuration Protocol) and DNS (Domain Name System). The consequence of inaccurately configuring DHCP is that end users may not be able to obtain IP addresses to access the network. Without proper DNS configuration, usability of the network will greatly suffer as the name-to-address lookup process may fail. Imagine having to navigate to a website or send a
Baur, Nicole; Melling, Joseph
Abstract Scholars of insanity and its historical antecedents have paid very little attention to personal and institutional clothing. Such dress, distributed to patients in mental institutions, has always been inscribed with the conflicting narratives of the period in which it was made and worn. The language of civil and medical authority is more evident than personal choice in the shape and address of the attire. This article examines clothing worn by patients in three Devon mental hospitals during the century before 1960. We consider the ways in which institutional clothing formed part of a hospital regimen of overt control, as well as suiting considerations of economy and employment that figured in these institutions. PMID:26989271
Foo, Schubert; Hui, Siu Cheung; Yip, See Wai; He, Yulan
A problem with dynamic Internet protocol (IP) addressing arises when the Internet connection is through an Internet provider since the IP address is allocated only at connection time. This article examines a number of online and offline methods for resolving the problem. Suggests dynamic domain name system (DNS) and directory service look-up are…
... 16 Commercial Practices 2 2010-01-01 2010-01-01 false Commission address. 1000.4 Section 1000.4 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION GENERAL COMMISSION ORGANIZATION AND FUNCTIONS § 1000.4 Commission address. The principal Offices of the Commission are at 4330 East West Highway...
... Express, United Parcel Service and similar corporate courier services), use the following address... through the U.S. Postal Service, use the following address: Copyright Arbitration Royalty Panel, P.O. Box 70977, Southwest Station, Washington, DC 20024-0977. (d) Federal Express, United Parcel Service and...
Full Text Available We describe our automatic generative algorithm to create street addresses from satellite images by learning and labeling roads, regions, and address cells. Currently, 75% of the world’s roads lack adequate street addressing systems. Recent geocoding initiatives tend to convert pure latitude and longitude information into a memorable form for unknown areas. However, settlements are identified by streets, and such addressing schemes are not coherent with the road topology. Instead, we propose a generative address design that maps the globe in accordance with streets. Our algorithm starts with extracting roads from satellite imagery by utilizing deep learning. Then, it uniquely labels the regions, roads, and structures using some graph- and proximity-based algorithms. We also extend our addressing scheme to (i cover inaccessible areas following similar design principles; (ii be inclusive and flexible for changes on the ground; and (iii lead as a pioneer for a unified street-based global geodatabase. We present our results on an example of a developed city and multiple undeveloped cities. We also compare productivity on the basis of current ad hoc and new complete addresses. We conclude by contrasting our generative addresses to current industrial and open solutions.
The HR Department would like to remind members of the personnel that they are responsible for ensuring that their personal data concerning local address and preferred emergency contact details remains valid and up-to-date. Both are easily accessible via the links below: Local address: https://edh.cern.ch/Document/Personnel/LocalAddressChange Emergency contacts: https://edh.cern.ch/Document/Personnel/EC Please take a few minutes to check your details and modify if necessary. Thank you in advance. HR Department Head Office
Stahl, Christiane Ellen; Necheles, Jonathan Wolf; Mayefsky, Jay Hirsh; Wright, Lydia Katherine; Rankin, Kristin Michele
This study investigated the feasibility and effectiveness of training pediatric residents to conduct a brief clinic-based behavioral intervention in coordination with community dissemination of a health promotion message developed by the Consortium for Lowering Obesity in Chicago Children. A total of 113 residents completed a short (obesity rates: increased intake of fruits and vegetables (28% vs 16%, P < .01), increased intake of water (30% vs 19%, P < .01), increased physical activity (40% vs 29%, P < .03), and decreased television time (36% vs 24%, P < .01). Brief training using the 5-4-3-2-1-Go! message seems to be feasible and effective.
Vermont Center for Geographic Information — VT E911 ESITE geocoder - address points. VCGI, in collaboration with the VT E911 Board, has created a suite of geocoding services that can be used to batch geocode...
Cooper, Antony K
Full Text Available Various countries and international organizations have address standards or are developing them. An address is needed for many more applications than just postal delivery, such as: goods delivery; connecting utilities; opening bank accounts; voting...
Cooper, Anthony K
Full Text Available Various countries and international organizations have address standards or are developing them. An address is needed for many more applications than just postal delivery, such as: goods delivery; connecting utilities; opening bank accounts; voting...
Parikh, Rajiv P; Snyder-Warwick, Alison; Naidoo, Sybill; Skolnick, Gary B; Patel, Kamlesh B
The Accreditation Council for Graduate Medical Education and Plastic Surgery Milestone Project has identified practice-based learning and improvement, which involves systematically analyzing current practices and implementing changes, as a core competency in residency education. In surgical care, complication reporting is an essential component of practice-based learning and improvement as complications are analyzed in morbidity and mortality conference for quality improvement. Unfortunately, current methods for capturing a comprehensive profile of complications may significantly underestimate the true occurrence of complications. Therefore, the objectives of this study are to evaluate an intervention for complication reporting and compare this to current practice, in a plastic surgery training program. This is a preintervention and postintervention study evaluating resident reporting of complications on a plastic surgery service. The intervention was an online event reporting system developed by department leadership and patient safety experts. The cohorts consisted of all patients undergoing surgery during two separate 3-month blocks bridged by an implementation period. A trained reviewer recorded complications, and this served as the reference standard. Fisher's exact test was used for binary comparisons. There were 32 complications detected in 219 patients from June to August of 2015 and 35 complications in 202 patients from October to December of 2015. The proportion of complications reported in the preintervention group was nine of 32 (28.1 percent). After the intervention, this significantly increased to 32 of 35 (91.4 percent) (p plastic surgery residents.
Writing E-mail is the most popular Internet activity. Meanwhile, many people have more than one E-mail address. The question how people manage their E-mail addresses, more specifically, whether they use them deliberately for different purposes, is the central question of this paper. E-mail addresses
... change of address. The owner of each vessel must designate a managing owner on the Application for...) Whenever the address of the managing owner changes, the managing owner shall notify the Director, National... 46 Shipping 2 2010-10-01 2010-10-01 false Managing owner designation; address; requirement to...
Full Text Available Since 1990, the United States has offered hundreds of thousands of non-citizens who are unable to return to their countries of origin because of war or a natural disaster a vital form of humanitarian protection: temporary protected status (TPS. While a grant of TPS does not place a non-citizen on a path to permanent residence, TPS recipients receive protection against deportation and temporary permission to live and work in the United States. Nearly 25 years after the statutory creation of TPS, however, the use of the program has been the subject of some debate, largely because of concerns over whether TPS grants are truly “temporary.”This paper examines the legal parameters of TPS and traces the program's legislative history, exploring congressional intent behind its creation. While acknowledging that extended designations of TPS are often the result of long-running international crises, the paper argues that extended TPS designations are problematic for two reasons. First, they run contrary to congressional intent, which was to create a temporary safe haven for individuals unable to return home due to emergency situations. Second, continued grants of TPS status effectively lock TPS beneficiaries into a "legal limbo," rendering them unable to fully integrate into life in the United States.This paper considers several administrative and legislative "fixes" to align the TPS program with the goal of providing temporary protection to certain individuals that do not meet the refugee definition, while also ensuring that long-term immigrants in the United States are fully able to integrate into the fabric of the country. It considers:Amending the US definition of a “refugee” to enable more would-be TPS beneficiaries to qualify for asylum;Creating a new form of subsidiary protection for individuals who cannot return home but do not meet the refugee definition;Permitting TPS holders who have resided in the United States for a certain number of
Systems, apparatuses, and methods for managing a unified shared virtual address space. A host may execute system software and manage a plurality of nodes coupled to the host. The host may send work tasks to the nodes, and for each node, the host may externally manage the node's view of the system's virtual address space. Each node may have a central processing unit (CPU) style memory management unit (MMU) with an internal translation lookaside buffer (TLB). In one embodiment, the host may be coupled to a given node via an input/output memory management unit (IOMMU) interface, where the IOMMU frontend interface shares the TLB with the given node's MMU. In another embodiment, the host may control the given node's view of virtual address space via memory-mapped control registers.
Systems, apparatuses, and methods for managing a unified shared virtual address space. A host may execute system software and manage a plurality of nodes coupled to the host. The host may send work tasks to the nodes, and for each node, the host may externally manage the node's view of the system's virtual address space. Each node may have a central processing unit (CPU) style memory management unit (MMU) with an internal translation lookaside buffer (TLB). In one embodiment, the host may be coupled to a given node via an input/output memory management unit (IOMMU) interface, where the IOMMU frontend interface shares the TLB with the given node's MMU. In another embodiment, the host may control the given node's view of virtual address space via memory-mapped control registers.
Lotto, I. de; Golinelli, S.
The content-addressable-memory feature of a new system designed in these laboratories for non-destructive testing of nuclear reactor pressure vessels based on acoustic emission analysis is presented. The content addressable memory is divided into two parts: the first selects the most frequent events among incoming ones (FES: Frequent Event Selection memory), the second stores the frequent events singled out (FEM: Frequent Event Memory). The statistical behaviour of FES is analyzed, and experimental results are compared with theoretical ones; the model presented proved to be a useful tool in dimensioning the instrument store capacity. (Auth.)
Bodvarsson, Gudmundur S.; Majer, Ernest L.; Wang, Joseph S. Y.; Colwell, Frederick; Redden, George
Members of the geoscience community are cooperating in conceptualizing fundamental, crosscutting research to address major obstacles to solving energy and environmental problems related to the subsurface, through the SECUREarth initiative, which began in 2004. Addressing problems, such as reliable nuclear waste storage and safe carbon dioxide (CO2) sequestration, are critical to maintaining an economical and safe energy supply and clean environment. A recent workshop in Golden, Colo., helped to further the development of the SECUREarth (Scientific Energy/Environmental Crosscutting Underground Research for Urgent Solutions to Secure the Earth's Future) initiative by identifying the key scientific challenges in the geosciences, as well as to target possible approaches for overcoming roadblocks.
In this presentation I will discuss the ways in which welfare workers addressing immigrants and refugees (re)produce integrationist visions, symbolizing society as an integrated whole and immigrants/refugees as a distraction to that whole. Paradoxically, welfare workers also oppose...... these integrationist visions in their quest to protect immigrants’ and refugees’ fundamental wellbeing and status as human beings with equal rights, group life and history. These opposing elements generate ambiguity and contradiction within integrationist welfare work. The ambition of the presentation is to enquire......, nurses and more) addressing immigrants and refugees and their families and descendants in the Danish welfare nation-state....
Ruckmongathan, Temkar N
Unique reference source that can be used from the beginning to end of a design project to aid choosing an appropriate LCD addressing technique for a given application This book will be aimed at design engineers who are likely to embed LCD drivers and controllers in many systems including systems on chip. Such designers face the challenge of making the right choice of an addressing technique that will serve them with best performance at minimal cost and complexity. Readers will be able to learn about various methods available for driving matrix LCDs and the comparisons at the end of each chap
Blocksome, Michael; Dozsa, Gabor; Gooding, Thomas M; Heidelberger, Philip; Kumar, Sameer; Mamidala, Amith R; Miller, Douglas
A shared address space on a compute node stores data received from a network and data to transmit to the network. The shared address space includes an application buffer that can be directly operated upon by a plurality of processes, for instance, running on different cores on the compute node. A shared counter is used for one or more of signaling arrival of the data across the plurality of processes running on the compute node, signaling completion of an operation performed by one or more of the plurality of processes, obtaining reservation slots by one or more of the plurality of processes, or combinations thereof.
In this podcast, CDCâs Dr. Lynda Anderson highlights the important roles that states and communities can play in addressing cognitive health as part of overall health. Created: 6/9/2014 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP). Date Released: 6/9/2014.
Hansen, Zaza Nadja Lee; Herbert, Luke Thomas; Jacobsen, Peter
This paper investigates the challenges in the food industry which causes the production lines to stop, illustrated by a case study of an SME size company in the baked goods sector in Denmark. The paper proposes key elements this sector needs to be aware of to effectively address production stops......, and gives examples of the unique challenges faced by the SME food industry....
There is a global consensus that addressing corruption and building good governance are pre-requisites for developing people, markets and the environment. Many researches on corruption and institutions measuring corruption perceptions have rated many African countries as being corrupt and suggestions for ...
Stunkel, Craig B.; Janssens, Bob; Fuchs, W. K.
Trace-driven simulation is an important aid in performance analysis of computer systems. Capturing address traces to use in these simulations, however, is a difficult problem for parallel processor architectures. A technique termed TRAPEDS modifies executable code (at the assembly language level) to dynamically collect the address trace from executing code. TRAPEDS has recently been implemented on both a hypercube multicomputer and a shared-memory multiprocessor. Particular attention is focused on strategies for efficiently and accurately collecting traces from both classes of parallel machines. The iPSC/2 hypercube multicomputer implementation traces both user and system code, and performs simulation on-the-fly to avoid large storage costs. Strategies are detailed for mitigating address trace distortion when collecting operating system traces. The Encore Multimax multiprocessor implementation uses a timer-based approach to reflect the interleaving of the processor traces and stores the traces to disc. Time and space overhead results are presented for both TRAPEDS implementations. Experimental cache simulation results derived from iPSC/2 address traces are presented to illustrate the importance of tracing operating system references.
Casper, Deborah M.; Meter, Diana J.; Card, Noel A.
In this article, we address measurement issues related to select aspects of bullying involvement with the goal of moving psychometrically sound measurement practices toward applied bullying research. We first provide a nontechnical introduction to psychometric considerations in measuring bullying involvement, highlighting the importance of…
... -provide empirical evidence to inform the design of Ethiopia's second Growth and Transformation Plan, specifically as it relates to addressing youth unemployment. The Association of Ethiopian Microfinance Institutions will manage the project, bringing together a multidisciplinary group of experts from various institutions.
The US National Cancer Institute’s Center for Global Health (CGH) has been a key partner in a multi-institutional expert team that has developed a set of publications to address foundational concerns in breast cancer care across the cancer care continuum and within limited resource settings.
Journal of Humanities. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 8-9, No 1 (1995) >. Log in or Register to get access to full text downloads. Username, Password, Remember me, or Register. Addressing African feminism. HF Chidammodzi. Abstract.
... courier (excluding Federal Express, United Parcel Service and similar courier services), the envelope must... of overnight delivery services such as Federal Express, United Parcel Service, etc., due to delays in... overnight delivery using United States Postal Service Express Mail), the envelope should be addressed to...
The paper discusses the role of nutritional information for addressing under-five child malnutrition in Tanzania. The paper is based on a master's dissertation whose objective was to determine the sources of nutritional information used to provide nutritional information to mothers in Maternal and Child Health (MCH) clinics, ...
defined for Al and M, respectively, and at each does not have to be the same for every pair of adjacent destination nodeje D, u D2, the number of...system, a register SKIP may be used at each nodej has to skip before reading the messages addressed node to indicate the number of messages to be
The president's address summarizes the 1974-75 activities of the CNA and reports are given by CNA subcommittees on codes, standards and practices, economic development, education and manpower, international affairs, nuclear insurance, nuclear safety and environment, public relations, and technology. (E.C.B.)
Addressing Youth Employment Through Micro- and Small-Enterprise Development in Ethiopia ... This project aims to provide solid evidence on whether the Ethiopian government's efforts are helping youth, who is benefiting and who is not, and how policies ... GrowInclusive : la plateforme tant attendue est en construction.
This Viewpoint focuses on the debate in market research around the gap between academia and practitioners. It argues that the debate misses the key role that universities play in the provision of market research skills and that it is this skills gap that needs to be addressed in order to ensure the future of research as a profession.
Tonso, William R.
William R. Tonso has chosen an issue that he knows something about to examine how sociology textbooks address controversy. Appealing for gun control is fashionable, but it is at odds with a fondness that ordinary Americans have for their firearms--one that is supported by a growing body of research on deterrence to crime. There are two sides to…
Warren, Jeffrey M.
Music-based interventions are valuable tools counselors can use when working with children. Specific types of music-based interventions, such as songs or rhymes, can be especially pertinent in addressing the thoughts, feelings, and behaviors of children. Rational-emotive behavior therapy (REBT) provides a therapeutic framework that encourages…
Knapp, Arthur A.
The identification of administrative authorities and the development of associated procedures for registering and accessing names and addresses of communications data systems are considered in this paper. It is noted that, for data communications systems using standards based on the Open Systems Interconnection (OSI) Reference Model specified by…
Increased juvenile violence in schools has led to suggested solutions that are politically expedient but fail to address what makes violence so appealing. Instead of school uniforms, conflict resolution programs, or media rating systems, a grass roots approach of alternative programs, parental involvement, and youth support systems could repair…
Halloran, Afton Marina Szasz; Clement, Jesper; Kornum, Niels
Global food demand is driven by population and economic growth, and urbanization. One important instrument to meet this increasing demand and to decrease the pressure on food production is to minimize food losses and food waste. Food waste and loss is a major societal, economic, nutritional...... and environmental challenge. Using the case of Denmark, this paper analyses causes of food waste, and discusses how different stakeholders address the prevention and reuse of the €1.18. billion of annual edible food waste. Currently, the majority of food waste is still incinerated with energy recovery. However......, improvements in technology have made it more efficient to utilize food waste for biogas and compost, which improves nutrient cycling through the food system. Major efforts to address food waste in Denmark have mainly been promoted through civil society groups with governmental support, as well as by industry...
Merrill, J. True; Doret, S. Charles; Vittorini, Grahame; Addison, J. P.; Brown, Kenneth R.
Selective laser addressing of a single atom or atomic ion qubit can be improved using narrow-band composite pulse sequences. We describe a Lie-algebraic technique to generalize known narrow-band sequences and introduce sequences related by dilation and rotation of sequence generators. Our method improves known narrow-band sequences by decreasing both the pulse time and the residual error. Finally, we experimentally demonstrate these composite sequences using 40Ca+ ions trapped in a surface-electrode ion trap.
Batra, Suruchi; Yee, Caitlin; Diez, Bernadette; Nguyen, Nicholas; Sheridan, Michael J; Tufano, Mark; Sikka, Natalie; Townsend, Stacie; Hourigan, Suchitra
Objectives: To assess how often obesity is acknowledged at pediatric gastroenterology outpatient visits. Methods: A retrospective chart review was performed to identify obese children seen at a gastroenterology subspecialty clinic over a 1-year period of time; 132 children were identified. Demographics, obesity comorbidities, reasons for referral, diagnosis of obesity, and a plan to address obesity were abstracted. Chi-square or Fisher?s exact tests were used to examine statistical associatio...
In spite of a growing recognition of the importance of doctor-patient communication, the issue of language barriers to healthcare has received very little attention in India. The Indian population speaks over 22 major languages with English used as the lingua franca for biomedicine. Large-scale internal migration has meant that health workers are encountering increasing instances of language discordance within clinical settings. Research done predominantly in the West has shown language discordance to significantly affect access to care, cause problems of comprehension and adherence, and decrease the satisfaction and quality of care. Addressing language barriers to healthcare in India requires a stronger political commitment to providing non-discriminatory health services, especially to vulnerable groups such as illiterate migrant workers. Research will have to address three broad areas: the ways in which language barriers affect health and healthcare, the efficacy of interventions to overcome language barriers, and the costs of language barriers and efforts to overcome them. There is a need to address such barriers in health worker education and clinical practice. Proven strategies such as hiring multilingual healthcare workers, providing language training to health providers, employing in situ translators or using telephone interpretation services will have to be evaluated for their appropriateness to the Indian context. Internet-based initiatives, the proliferation of mobile phones and recent advances in machine translation promise to contribute to the solution. Copyright 2013, NMJI.
Pomeranz, Jennifer L; Teret, Stephen P; Sugarman, Stephen D; Rutkow, Lainie; Brownell, Kelly D
Context: The law is a powerful public health tool with considerable potential to address the obesity issue. Scientific advances, gaps in the current regulatory environment, and new ways of conceptualizing rights and responsibilities offer a foundation for legal innovation. Methods: This article connects developments in public health and nutrition with legal advances to define promising avenues for preventing obesity through the application of the law. Findings: Two sets of approaches are defined: (1) direct application of the law to factors known to contribute to obesity and (2) original and innovative legal solutions that address the weak regulatory stance of government and the ineffectiveness of existing policies used to control obesity. Specific legal strategies are discussed for limiting children's food marketing, confronting the potential addictive properties of food, compelling industry speech, increasing government speech, regulating conduct, using tort litigation, applying nuisance law as a litigation strategy, and considering performance-based regulation as an alternative to typical regulatory actions. Finally, preemption is an overriding issue and can play both a facilitative and a hindering role in obesity policy. Conclusions: Legal solutions are immediately available to the government to address obesity and should be considered at the federal, state, and local levels. New and innovative legal solutions represent opportunities to take the law in creative directions and to link legal, nutrition, and public health communities in constructive ways. PMID:19298420
Ariannamazi, S.; Karimipour, F.; Hakimpour, F.
Rapid development of crowd-sourcing or volunteered geographic information (VGI) provides opportunities for authoritatives that deal with geospatial information. Heterogeneity of multiple data sources and inconsistency of data types is a key characteristics of VGI datasets. The expansion of cities resulted in the growing number of POIs in the OpenStreetMap, a well-known VGI source, which causes the datasets to outdate in short periods of time. These changes made to spatial and aspatial attributes of features such as names and addresses might cause confusion or ambiguity in the processes that require feature's literal information like addressing and geocoding. VGI sources neither will conform specific vocabularies nor will remain in a specific schema for a long period of time. As a result, the integration of VGI sources is crucial and inevitable in order to avoid duplication and the waste of resources. Information integration can be used to match features and qualify different annotation alternatives for disambiguation. This study enhances the search capabilities of geospatial tools with applications able to understand user terminology to pursuit an efficient way for finding desired results. Semantic web is a capable tool for developing technologies that deal with lexical and numerical calculations and estimations. There are a vast amount of literal-spatial data representing the capability of linguistic information in knowledge modeling, but these resources need to be harmonized based on Semantic Web standards. The process of making addresses homogenous generates a helpful tool based on spatial data integration and lexical annotation matching and disambiguating.
Lisa Marie Komoroske
Full Text Available Fisheries bycatch is a threat to species of marine megafauna across the world’s oceans. Work over the past several decades has greatly advanced our understanding of the species affected, the magnitude and the spatial extent of bycatch. In the same time period, there have been substantial advances in the development of mitigation strategies and best practices to reduce bycatch. In this paper, we take stock of bycatch knowledge and science to address the critical question Where do we go from here? First, we review the current state of global bycatch science, including bycatch rate estimation and biological effects of bycatch, and bycatch mitigation practices and gear. We then identify knowledge gaps as well as socio-cultural constraints that hamper effective knowledge transfer or implementation, and discuss emerging transdisciplinary approaches to address these issues. Finally, we discuss the need to consider bycatch in a changing ocean and socio-cultural context where species, ecosystems, and people are responding to multiple stressors and dynamic conditions. As the field of bycatch research moves into the 21st century, a new perspective is needed to develop responsive strategies that effectively address the shifting ecological, social, cultural and economic contexts of the global bycatch seascape.
Trabant, C. M.; Ahern, T.; Weertman, B.; Benson, R. B.; Van Fossen, M.; Weekly, R. T.; Casey, R. E.; Suleiman, Y. Y.; Stults, M.
The development of web services at the IRIS Data Management Center (DMC) over the last 6 years represents the most significant enhancement of data access ever introduced at the DMC. These web services have allowed the us to focus our internal operations around a single, consistent data access layer while facilitating development of a new generation of tools and methods for researchers to conduct their work. This effort led the DMC to propose standardized web service interfaces within the International Federation of Digital Seismograph Networks (FDSN), enabling other seismological data centers to offer data using compatible interfaces. With this new foundation, we now turn our attention to more advanced data access challenges. In particular, we will present the status of two developments intending to address 1) access to data of consistent quality for science and 2) discovery and access of data from multiple data centers. To address the challenge of requesting high or consistent quality data we will introduce our Research-Ready Data Sets (RRDS) initiative. The purpose of the RRDS project is to reduce the time a researcher spends culling and otherwise identifying data appropriate for given study. RRDS will provide users with additional criteria related to data quality that can be specified when requesting data. Leveraging the data quality measurements provided by our MUSTANG system, these criteria will include ambient noise, completeness, dead channel identification and more. To address the challenge of seismological data discovery and access, we have built and continue to improve the IRIS Federator. The Federator takes advantage of the FDSN-standard web services at various data centers to help a user locate specific channels, wherever they may be offered globally. The search interface provides results that are pre-formatted requests, ready for submission to each data center that serves that data. These two developments are aimed squarely at reducing the time
Developments in detector technologies aimed at solving challenges in present and future CERN experiments, particularly at the LHC, have triggered exceptional advances in the performance of medical imaging devices, allowing for a spectacular progress in in-vivo molecular imaging procedures, which are opening the way for tailored therapies of major diseases. This talk will briefly review the recent history of this prime example of technology transfer from HEP experiments to society, will describe the technical challenges being addressed by some ongoing projects, and will present a few new ideas for further developments and their foreseeable impact.
Full Text Available expressed as coordinates, for human use, an address should be a form of spatial referencing by geographic identifiers, that is, containing intelligible names and context, such as a hierarchy of names (such as street, suburb, town, province and country.... The most common semantic problem is which name is pre- ferred, such as whether the colloquial or registered suburb name should be used (for example, Pretoriuspark Extensions 1, 6 and 8 in the City of Tshwane are much better known by their colloquial...
Tsai, Jack; Trevisan, Louis; Huang, Minda; Pietrzak, Robert H
The U.S. Department of Veterans Affairs (VA) is shifting its focus from ending veteran homelessness to preventing veteran suicides. With supporting data, this Open Forum argues that VA homelessness services also help address veteran suicides. Analysis of a nationally representative survey of U.S. veterans in 2015 shows that veterans with a history of homelessness attempted suicide in the previous two years at a rate >5.0 times higher compared with veterans without a history of homelessness (6.9% versus 1.2%), and their rates of two-week suicidal ideation were 2.5 times higher (19.8% versus 7.4%). Because the majority of veterans who die by suicide are not engaged in VA care, VA services for the homeless that include outreach efforts to engage new veterans may be reaching some of these veterans. Thus continued federal support for VA homelessness services not only may help address homelessness but also may help prevent suicide of veterans.
Full Text Available During the Cold War agents of the United States government frequently invoked the Gettysburg Address in an attempt to spread pro-American sentiment across the globe. Throughout this period the Cold War and Civil Rights Movement were the U.S.’s two main concerns. While the one was seemingly an international issue and the other a domestic one, in reality they were closely linked. At a time when America was competing with the Soviet Union for global influence, particularly in the newly independent nations in Africa, the racial discord in the country was a major tool used against the United States. Consequently, in the early 1960s American officials began to look for ways to counter the negative image racial discrimination was giving the country. An examination of the ways the Gettysburg Address was invoked in 1959 during the Lincoln Birth Sesquicentennial, and then in 1963 as a part of the Civil War Centennial, shows how the speech’s meaning was recast from democracy to equality.
Natural submarine geohazards (earthquakes, volcanic eruptions, landslides, volcanic island flank collapses) are geological phenomena originating at or below the seafloor leading to a situation of risk for off-shore and on-shore structures and the coastal population. Addressing submarine geohazards means understanding their spatial and temporal variability, the pre-conditioning factors, their triggers, and the physical processes that control their evolution. Such scientific endeavour is nowadays considered by a large sector of the international scientific community as an obligation in order to contribute to the mitigation of the potentially destructive societal effects of submarine geohazards. The study of submarine geohazards requires a multi-disciplinary scientific approach: geohazards must be studied through their geological record; active processes must be monitored; geohazard evolution must be modelled. Ultimately, the information must be used for the assessment of vulnerability, risk analysis, and development of mitigation strategies. In contrast with the terrestrial environment, the oceanic environment is rather hostile to widespread and fast application of high-resolution remote sensing techniques, accessibility for visual inspection, sampling and installation of monitoring stations. Scientific Drilling through the IODP (including the related pre site-survey investigations, sampling, logging and in situ measurements capability, and as a platform for deployment of long term observatories at the surface and down-hole) can be viewed as the centre of gravity of an international, coordinated, multi-disciplinary scientific approach to address submarine geohazards. The IODP Initial Science Plan expiring in 2013 does not address openly geohazards among the program scientific objectives. Hazards are referred to mainly in relation to earthquakes and initiatives towards the understanding of seismogenesis. Notably, the only drilling initiative presently under way is the
Background Effective use of a patient decision aid (PtDA) can be affected by the user’s health literacy and the PtDA’s characteristics. Systematic reviews of the relevant literature can guide PtDA developers to attend to the health literacy needs of patients. The reviews reported here aimed to assess: 1. a) the effects of health literacy / numeracy on selected decision-making outcomes, and b) the effects of interventions designed to mitigate the influence of lower health literacy on decision-making outcomes, and 2. the extent to which existing PtDAs a) account for health literacy, and b) are tested in lower health literacy populations. Methods We reviewed literature for evidence relevant to these two aims. When high-quality systematic reviews existed, we summarized their evidence. When reviews were unavailable, we conducted our own systematic reviews. Results Aim 1: In an existing systematic review of PtDA trials, lower health literacy was associated with lower patient health knowledge (14 of 16 eligible studies). Fourteen studies reported practical design strategies to improve knowledge for lower health literacy patients. In our own systematic review, no studies reported on values clarity per se, but in 2 lower health literacy was related to higher decisional uncertainty and regret. Lower health literacy was associated with less desire for involvement in 3 studies, less question-asking in 2, and less patient-centered communication in 4 studies; its effects on other measures of patient involvement were mixed. Only one study assessed the effects of a health literacy intervention on outcomes; it showed that using video to improve the salience of health states reduced decisional uncertainty. Aim 2: In our review of 97 trials, only 3 PtDAs overtly addressed the needs of lower health literacy users. In 90% of trials, user health literacy and readability of the PtDA were not reported. However, increases in knowledge and informed choice were reported in those studies
Cooper, Antony K
Full Text Available ’ international address standard would be to provide the platform for developing more integrative standards. Further, such a standard would be less likely to generate resistance to it, as it would not attempt to impinge on the unique socio-cultural addressing... to an address standard (de facto, industry consortia, inter-governmental agencies and open standards generating bodies). They conclude with several recommendations for an international address standard: • It should not prescribe an universal addressing system...
Unconscious bias reflects expectations or stereotypes that influence our judgments of others (regardless of our own group). Everyone has unconscious biases. The end result of unconscious bias can be an accumulation of advantage or disadvantage that impacts the long term career success of individuals, depending on which biases they are subject to. In order to foster a professional culture and climate, being aware of these unconscious biases and mitigating against them is a first step. This is particularly important when judgements are needed, such as in cases for recruitment, choice of speakers for conferences, and even reviewing papers submitted for publication. This presentation will cover how unconscious bias manifests itself, what evidence exists to demonstrate it exists, and ways it can be addressed.
Full Text Available In this work we address the main issues of Information Technology (IT consumerization that are related to security risks, and vulnerabilities of devices used within Bring Your Own Device (BYOD strategy in particular. We propose a ‘soft’ mitigation strategy for user actions based on nudging, widely applied to health and social behavior influence. In particular, we propose a complementary, less strict, more flexible Information Security policies, based on risk assessment of device vulnerabilities and threats to corporate data and devices, combined with a strategy of influencing security behavior by nudging. We argue that nudging, by taking into account the context of the decision-making environment, and the fact that the employee may be in better position to make a more appropriate decision, may be more suitable than strict policies in situations of uncertainty of security-related decisions. Several examples of nudging are considered for different tested and potential scenarios in security context.
Full Text Available Governance for complex problem solving has been increasingly discussed in environmental sustainability research. Above all, researchers continuously observe that sustainability problems are complex or “wicked”, and suggest participatory models to address these problems in practice. In order to add to this debate, this study suggests a more differentiated theoretical approach to define governance for complex environmental problem solving than in previous studies. The approach consists of two vital steps: First, we operationalize complexity and define management strategies for solving environmental sustainability problems based on findings from psychology research. Second, we identify governance strategies that facilitate these management strategies. Linking those strategies suggests that the role of diverse institutions, actors, and interactions differs for five key dimensions of complexity: goals, variables, dynamics, interconnections, and informational uncertainty. The results strengthen systematic analyses of environmental sustainability problems in both theory and practice.
Carroll, Scott P.; Jørgensen, Peter Søgaard; Kinnison, Michael T.; Bergstrom, Carl T.; Denison, R. Ford; Gluckman, Peter; Smith, Thomas B.; Strauss, Sharon Y.; Tabashnik, Bruce E.
Two categories of evolutionary challenges result from escalating human impacts on the planet. The first arises from cancers, pathogens and pests that evolve too quickly, and the second from the inability of many valued species to adapt quickly enough. Applied evolutionary biology provides a suite of strategies to address these global challenges that threaten human health, food security, and biodiversity. This review highlights both progress and gaps in genetic, developmental and environmental manipulations across the life sciences that either target the rate and direction of evolution, or reduce the mismatch between organisms and human-altered environments. Increased development and application of these underused tools will be vital in meeting current and future targets for sustainable development. PMID:25213376
Amin, S.; Wahid, N.; Wasim, B.; Tabassum, S.
In the background of the current situation of breast cancer in Pakistan, with its rising incidence and mortality, non afford ability and inaccessibility to screening, diagnosis and treatment, Patel Hospital took up the task of addressing these issues at a local level, by initiating an annual free breast camp in the year 2006. In 2008 an inclusion criteria was defined to focus on high risk women for breast cancer. A comparative analysis over a period of three years was done. In the focused camps, in which 28% patients were found to have a positive family history. Most women were symptomatic. Total 11 patients were diagnosed to have cancer after evaluation. Six patients underwent definitive treatment. A problem with lack of awareness, regarding screening and treatment protocols was identified. Family history seems to be an important risk factor in our set up signifying the need to introduce extensive screening programmes. (author)
Sillesen, Henrik Hegaard
The presidential address describes briefly the history of the World Federation for Vascular Societies (WFVS) and its objectives. Vascular Surgery today includes interventional procedures (open surgical and endovascular) in addition to risk factor reduction and medical treatment. It is equally....... Similar, in order to be able to train with relevant case mix and numbers, and in order always to have both complex open and endovascular skills on call 24 hours per day, 365 days a year, centralisation into larger units is necessary. The WFVS is important simply looking at the huge demographic differences...... throughout the world. In addition, for introduction of new treatments, training issues and dissemination of science a global organisation like the WFVS is needed....
The fields of Environmental Conflict Management (ECM), Environmental Conflict Resolution (ECR), and Peace and Conflict Impact Assessment (PCIA) have become well established; however, as yet there has not been much use of Social Impact Assessment (SIA) to manage environmental conflicts. ECM, ECR and PCIA are mainly undertaken when problems are advanced or, more likely, have run their course (post-conflict). This paper examines how conflict is addressed by SIA and whether there is potential to develop it for more proactive assessment of conflicts (pre-conflict or while things develop). SIA has the potential to identify and clarify the cause(s) of environmental and natural resources conflicts, and could possibly enable some avoidance or early mitigation. A promising approach may be for 'conflict-aware' SIA to watch for critical conflict stages or thresholds and to monitor stakeholders. Effective conflict-aware SIA might also significantly contribute to efforts to achieve sustainable development.
Rolland, John S
Conditions involving neurocognitive impairment pose enormous challenges to couples and families. However, research and practice tend to focus narrowly on immediate issues for individual caregivers and their dyadic relationship with the affected member. A broad family systems approach with attention to family processes over time is needed in training, practice, and research. In this paper, Rolland's Family Systems Illness model provides a guiding framework to consider the interaction of different psychosocial types of neurocognitive conditions and their evolution over time with individual, couple, and family life-course development. Discussion addresses key family and couple issues with mild-to-severe cognitive impairment and progressive dementias, including: communication, multigenerational legacies, threatened future neurocognitive disability, ambiguous loss, decisional capacity, reaching limits, placement decisions, issues for adult children and spousal caregivers, and the transformation of intimate bonds. Principles and guidelines are offered to help couples and families master complex challenges, deepen bonds, and forge positive pathways ahead. © 2017 Family Process Institute.
Li, Yao; Kim, Dai Hyun; Kostrzewski, Andrew A.; Eichmann, George
The modified signed-digit (MSD) number system, because of its inherent weak interdigit dependance, has been suggested as a useful means for a fast and parallel digital arithmetic. To maintain a fast processing speed, a single-stage holographic optical content-addressable memory (CAM) based MSD algorithm was suggested. In this paper, a novel non-holographic opto-electronic CAM based fast MSD addition processing architecture is proposed. The proposed concept has been verified with our first-order proof-of-principle experiments. A figure of merit comparison of this and other existing approaches is also presented. Based on this key opto-electronic CAM element, implementation of more sophisticated I'VISD arithmetic, such as optical MSD subtraction and multiplication operations, are proposed.
Seki, M.; Christ, R. [Atmosphere Unit, United Nations Environment Programme UNEP, Nairobi (Kenya)
Over the past two decades, concern about human-induced climate change has become an increasingly important item on the environmental and political agenda. The signing of the United Nations Framework Convention on Climate Change and the adoption of Agenda 21 at the United Nations Conference on Environment and Development in Rio de Janeiro in 1992 provided international organizations and the nations of the world with a new focus for climate-related activities. Although there remains considerable scientific uncertainty about the extent, magnitude, and rate of climate change and the impacts of such change, actions to address climate change have been initiated both internationally and nationally. Major international activities include the World Climate Programme, the Intergovernmental Panel on Climate Change, the United Nations Framework Convention on Climate Change. and the United Nations Environment Program me. 16 refs.
John, William; Law, Kate
Several authors have alluded to the complex health needs of the homeless population in the UK. The correlation between homelessness and a wide range of health problems has been explored in the literature. This paper presents a literature review exploring the biological, psychosocial and sexual health needs of single homeless people. The relationship between health and homelessness is analysed in relation to theories of health inequalities, which suggest that being homeless may be both a cause and a consequence of ill health. The contemporary nurse can play a vital role in helping to overcome the barriers that homeless people face when accessing health services. This paper explores the skills and approaches that nurses in a wide variety of settings can employ in addressing the health issues of homeless clients.
Peterson, Andrew A.; Christensen, Rune; Khorshidi, Alireza
of the predictions. In this perspective, we address the types of errors that might arise in atomistic machine learning, the unique aspects of atomistic simulations that make machine-learning challenging, and highlight how uncertainty analysis can be used to assess the validity of machine-learning predictions. We......Machine-learning regression has been demonstrated to precisely emulate the potential energy and forces that are output from more expensive electronic-structure calculations. However, to predict new regions of the potential energy surface, an assessment must be made of the credibility...... suggest this will allow researchers to more fully use machine learning for the routine acceleration of large, high-accuracy, or extended-time simulations. In our demonstrations, we use a bootstrap ensemble of neural network-based calculators, and show that the width of the ensemble can provide an estimate...
...; however, NAT provides several other benefits. NAT can be used to mask the internal IP addresses of an Intranet - IPv6, the emerging standard for Internet addressing, provides three times the number of bits for IP addressing...
Bruine de Bruin, Wändi; Bostrom, Ann
As members of a democratic society, individuals face complex decisions about whether to support climate change mitigation, vaccinations, genetically modified food, nanotechnology, geoengineering, and so on. To inform people’s decisions and public debate, scientific experts at government agencies, nongovernmental organizations, and other organizations aim to provide understandable and scientifically accurate communication materials. Such communications aim to improve people’s understanding of the decision-relevant issues, and if needed, promote behavior change. Unfortunately, existing communications sometimes fail when scientific experts lack information about what people need to know to make more informed decisions or what wording people use to describe relevant concepts. We provide an introduction for scientific experts about how to use mental models research with intended audience members to inform their communication efforts. Specifically, we describe how to conduct interviews to characterize people’s decision-relevant beliefs or mental models of the topic under consideration, identify gaps and misconceptions in their knowledge, and reveal their preferred wording. We also describe methods for designing follow-up surveys with larger samples to examine the prevalence of beliefs as well as the relationships of beliefs with behaviors. Finally, we discuss how findings from these interviews and surveys can be used to design communications that effectively address gaps and misconceptions in people’s mental models in wording that they understand. We present applications to different scientific domains, showing that this approach leads to communications that improve recipients’ understanding and ability to make informed decisions. PMID:23942122
Bruine de Bruin, Wändi; Bostrom, Ann
As members of a democratic society, individuals face complex decisions about whether to support climate change mitigation, vaccinations, genetically modified food, nanotechnology, geoengineering, and so on. To inform people's decisions and public debate, scientific experts at government agencies, nongovernmental organizations, and other organizations aim to provide understandable and scientifically accurate communication materials. Such communications aim to improve people's understanding of the decision-relevant issues, and if needed, promote behavior change. Unfortunately, existing communications sometimes fail when scientific experts lack information about what people need to know to make more informed decisions or what wording people use to describe relevant concepts. We provide an introduction for scientific experts about how to use mental models research with intended audience members to inform their communication efforts. Specifically, we describe how to conduct interviews to characterize people's decision-relevant beliefs or mental models of the topic under consideration, identify gaps and misconceptions in their knowledge, and reveal their preferred wording. We also describe methods for designing follow-up surveys with larger samples to examine the prevalence of beliefs as well as the relationships of beliefs with behaviors. Finally, we discuss how findings from these interviews and surveys can be used to design communications that effectively address gaps and misconceptions in people's mental models in wording that they understand. We present applications to different scientific domains, showing that this approach leads to communications that improve recipients' understanding and ability to make informed decisions.
Mehta, Sharad; Cico, Luke
During aerial orbital reconnaissance, a sensor system is mounted on an airborne platform for imaging a region on the ground. The latency between the image acquisition and delivery of information to the end-user is critical and must be minimized. Due to fine ground pixel resolution and a large field-of-view for wide-area surveillance applications, a massive volume of data is gathered and imagery products are formed using a real-time multi-processor system. The images are taken at oblique angles, stabilized and ortho-rectified. The line-of-sight of the sensor to the ground is often interrupted by terrain features such as mountains or tall structures as depicted in Figure1. The ortho-rectification process renders the areas hidden from the line-of sight of the sensor with spurious information. This paper discusses an approach for addressing terrain masking in size, weight, and power (SWaP) and memory-restricted onboard processing systems.
Peterson, Andrew A.; Christensen, Rune; Khorshidi, Alireza
Machine-learning regression has been demonstrated to precisely emulate the potential energy and forces that are output from more expensive electronic-structure calculations. However, to predict new regions of the potential energy surface, an assessment must be made of the credibility of the predi......Machine-learning regression has been demonstrated to precisely emulate the potential energy and forces that are output from more expensive electronic-structure calculations. However, to predict new regions of the potential energy surface, an assessment must be made of the credibility...... of the predictions. In this perspective, we address the types of errors that might arise in atomistic machine learning, the unique aspects of atomistic simulations that make machine-learning challenging, and highlight how uncertainty analysis can be used to assess the validity of machine-learning predictions. We...... suggest this will allow researchers to more fully use machine learning for the routine acceleration of large, high-accuracy, or extended-time simulations. In our demonstrations, we use a bootstrap ensemble of neural network-based calculators, and show that the width of the ensemble can provide an estimate...
Lagoe Ronald J
Full Text Available Abstract Background Increased interest in health care cost containment is focusing attention on reduction of hospital readmissions. Major payors have already developed financial penalties for providers that generate excess readmissions. This subject has benefitted from the development of resources such as the Potentially Preventable Readmissions software. This process has encouraged hospitals to renew efforts to improve these outcomes. The aim of this study was to describe quantitative tools such as definitions, risk estimation, and tracking of patients for reducing hospital readmissions. Findings This study employed the Potentially Preventable Readmissions software to develop quantitative tools for addressing hospital readmissions. These tools included two definitions of readmissions that support identification and management of patients. They also included analytical approaches for estimation of the risk of readmission for individual patients by age, discharge status of the initial admission, and severity of illness. They also included patient specific spreadsheets for tracking of target populations and for evaluation of the impact of interventions. Conclusions The study demonstrated that quantitative tools including the development of definitions of readmissions, estimation of the risk of readmission, and patient specific spreadsheets could contribute to the improvement of patient outcomes in hospitals.
Mehta, Bharti; Chawla, Sumit; Kumar, Vijay; Jindal, Harashish; Bhatt, Bhumika
Vaccination is recommended throughout life to prevent vaccine-preventable diseases and their sequel. The primary focus of vaccination programs has historically been directed to childhood immunizations. For adults, chronic diseases have been the primary focus of preventive and medical health care, though there has been increased emphasis on preventing infectious diseases. Adult vaccination coverage, however, remains low for most of the routinely recommended vaccines. Though adults are less susceptible to fall prey to traditional infectious agents, the probability of exposure to infectious agents has increased manifold owing to globalization and increasing travel opportunities both within and across the countries. Thus, there is an urgent need to address the problem of adult immunization. The adult immunization enterprise is more complex, encompassing a wide variety of vaccines and a very diverse target population. There is no coordinated public health infrastructure to support an adult immunization program as there is for children. Moreover, there is little coordination among adult healthcare providers in terms of vaccine provision. Substantial improvement in adult vaccination is needed to reduce the health consequences of vaccine-preventable diseases among adults. Routine assessment of adult patient vaccination needs, recommendation, and offer of needed vaccines for adults should be incorporated into routine clinical care of adults.
In their efforts to enhance the safety and security of citizens, governments and law enforcement agencies look to scientists and engineers to produce modern methods for preventing, detecting, and prosecuting criminal activities. Whole body scanners, lie detection technologies, biometrics, etc., are all being developed for incorporation into the criminal justice apparatus. Yet despite their purported security benefits these technologies often evoke social resistance. Concerns over privacy, ethics, and function-creep appear repeatedly in analyses of these technologies. It is argued here that scientists and engineers continue to pay insufficient attention to this resistance; acknowledging the presence of these social concerns yet failing to meaningfully address them. In so doing they place at risk the very technologies and techniques they are seeking to develop, for socially controversial security technologies face restrictions and in some cases outright banning. By identifying sources of potential social resistance early in the research and design process, scientists can both engage with the public in meaningful debate and modify their security technologies before deployment so as to minimize social resistance and enhance uptake.
Fellermann, Harold; Cardelli, Luca
We present a formal calculus, termed the chemtainer calculus, able to capture the complexity of compartmentalized reaction systems such as populations of possibly nested vesicular compartments. Compartments contain molecular cargo as well as surface markers in the form of DNA single strands. These markers serve as compartment addresses and allow for their targeted transport and fusion, thereby enabling reactions of previously separated chemicals. The overall system organization allows for the set-up of programmable chemistry in microfluidic or other automated environments. We introduce a simple sequential programming language whose instructions are motivated by state-of-the-art microfluidic technology. Our approach integrates electronic control, chemical computing and material production in a unified formal framework that is able to mimic the integrated computational and constructive capabilities of the subcellular matrix. We provide a non-deterministic semantics of our programming language that enables us to analytically derive the computational and constructive power of our machinery. This semantics is used to derive the sets of all constructable chemicals and supermolecular structures that emerge from different underlying instruction sets. Because our proofs are constructive, they can be used to automatically infer control programs for the construction of target structures from a limited set of resource molecules. Finally, we present an example of our framework from the area of oligosaccharide synthesis. © 2014 The Author(s) Published by the Royal Society. All rights reserved.
This podcast helps residents living in multiunit housing, like apartments and condos, understand the threat of secondhand smoke. It also helps residents understand what steps they can take to breathe a little easier if involuntarily exposed to secondhand smoke. Created: 9/30/2013 by Division of Community Health, National Center for Chronic Disease Prevention and Health Promotion. Date Released: 9/30/2013.
NSGIC State | GIS Inventory — COUNTY_ADDRESS_POINTS_IDHS_IN is an ESRI Geodatabase point feature class that contains address points maintained by county agencies in Indiana, provided by personnel...
Burkart, W.; Chhem, R.
days. The core of the IAEA's programme in dosimetry has two components. One is the dissemination of radiation measurement standards through the IAEA-WHO network of SSDLs. The other involves verification of the accuracy of the dosimetry standards at the user's level in hospitals via the IAEA-WHO postal thermoluminescent dosimeter service. In the first component, the IAEA enables its Member States to measure radiation dose and in the second component, the IAEA helps its Member States to provide independent evidence of the correctness of their dosimetry measurements. Ideally, all radiation beams used to treat cancer patients would be checked by an independent national or international body on a periodic basis, and whenever new machines are installed and commissioned. At present, the IAEA-WHO postal thermoluminescent dosimeter service checks only about 600 photon beams and none of the electron beams used to treat cancer patients. It is estimated that the reference dose in approximately half of the clinical beams and in most of the electron beams used worldwide to treat patients is not checked at all. Furthermore, only a handful of radiation beams are checked outside the conditions for reference dosimetry by specialized auditing institutions. The IAEA is fully aware of the needs in the field and works to bridge the gap. Specifically, the IAEA intends to request extrabudgetary funding to support the growing needs of its Member States for dosimetry audits. As you are certainly aware, within the IAEA, the mandate of the Division of Human Health is to enhance the capabilities in Member States to address needs related to the prevention, diagnosis and treatment of health problems through the application of nuclear techniques. Therefore, we have a strong focus on quality assurance to ensure the safe and effective use of radiation in medicine. This symposium will address all areas of dosimetry, not only in radiotherapy but also in imaging, covering both diagnostic radiology and
Executive Office of the President, Washington, DC.
This document contains the text of President Clinton's State of the Union Address, delivered on February 4, 1997. The President issues a call to action to work together to prepare America for the twenty-first century. The United States must attend to the unfinished business of balancing the budget, enacting bipartisan campaign-finance reform, and…
Vu Nhu Ngoc; Phan Son; Nguyen Ngoc Lam and Chu Van Thuoc
In December, 1998, The Project Formulation meeting on application of Nuclear Techniques to address red tide (Harmful Algal Bloom concerns) was held in Manila Philippines. This is an IAEA/RCA project with the participation of Australia, China, Indonesia, Malaysia, Pakistan, The Philippines, Thailand and Vietnam. The main objectives of this project (RAS/8/076) included: - Conduct of segmentation studies to gain information on the natural histories of sediments and to correlated these with Red Tide occurrences. - Development of descriptive and predictive of the behaviour of Algal Bloom as affected by the interplay of the causative organism with the environment parameters in the water column and sediments. - Development and field testing of a rapid assay technique based on tritium - labeled saxitoxin for toxin determination. The first phase has been completed in 2002 and the second phase will be completed in 2004. In the two years of 2001 - 2002 Ted Tide occurred in very larger area in Vietnam, for example, in the coast of Binh Thuan Province with the density of 39.10 9 cells/litre. The Ministry of science - technology environment of Vietnam has support 5.000 USD each years for sediment and algal sampling in Cam Ranh Bay (Nha Trang, 11 o 45N and 10 o 15E) and Ha Long Bay in the North - East of Vietnam (21 o 15 and 107 o 3E) and in 2003 in Tuy Phong Bay (Binh Thuan province) (10 o 15N, 108 o 45E). Three sediment core has been taken from Cam Ranh Bay, Ha Long Bay and Tuy Phong Bay. The volume of sediment core is Φ = 8 cm and h = 60 cm. The algal samples have been collected by Bongo nets in Cam Ranh, Ha Long Bay and Tuy Phong Bay. (author)
Larson, Tania M.
With 6.6 billion people already living on Earth, and that number increasing every day, human influence on our planet is ever more apparent. Changes to the natural world combined with increasing human demands threaten our health and safety, our national security, our economy, and our quality of life. As a planet and a Nation, we face unprecedented challenges: loss of critical and unique ecosystems, the effects of climate change, increasing demand for limited energy and mineral resources, increasing vulnerability to natural hazards, the effects of emerging diseases on wildlife and human health, and growing needs for clean water. The time to respond to these challenges is now, but policymakers and decisionmakers face difficult choices. With competing priorities to balance, and potentially serious - perhaps irreversible - consequences at stake, our leaders need reliable scientific information to guide their decisions. As the Nation's earth and natural science agency, the USGS monitors and conducts scientific research on natural hazards and resources and how these elements and human activities influence our environment. Because the challenges we face are complex, the science needed to better understand and deal with these challenges must reflect the complex interplay among natural and human systems. With world-class expertise in biology, geology, geography, hydrology, geospatial information, and remote sensing, the USGS is uniquely capable of conducting the comprehensive scientific research needed to better understand the interdependent interactions of Earth's systems. Every day, the USGS helps decisionmakers to minimize loss of life and property, manage our natural resources, and protect and enhance our quality of life. This brochure provides examples of the challenges we face and how USGS science helps decisionmakers to address these challenges.
Rubinstein, Francis; Pettler, Peter
This report describes the work performed to develop and test a new switching system and communications network that is useful for economically switching lighting circuits in existing commercial buildings. The first section of the report provides the general background of the IBECS (Integrated Building Environmental Communications System) research and development work as well as the context for the development of the new switching system. The research and development effort that went into producing the first proof-of-concept (the IBECS Addressable Power Switch or APS) and the physical prototype of that concept is detailed in the second section. In the third section of the report, we detail the refined Powerline Carrier Based IBECS Title 24 Wall Switch system that evolved from the APS prototype. The refined system provided a path for installing IBECS switching technology in existing buildings that may not be already wired for light level switching control. The final section of the report describes the performance of the IBECS Title 24 Switch system as applied to a small demonstration in two offices at LBNL's Building 90. We learned that the new Powerline Carrier control systems (A-10 technology) that have evolved from the early X-10 systems have solved most of the noise problems that dogged the successful application of X-10 technologies in commercial buildings. We found that the new A-10 powerline carrier control technology can be reliable and effective for switching lighting circuits even in electrically noisy office environments like LBNL. Thus we successfully completed the task objectives by designing, building and demonstrating a new switching system that can provide multiple levels of light which can be triggered either from specially designed wall switches or from a digital communications network. By applying commercially available powerline carrier based technologies that communicate over the in-place lighting wiring system, this type of control can be
Attacks on the integrity of science teaching in our public schools have recently become increasingly threatening. Geology and Darwinian evolution are the primary targets and cosmology is at risk. Up to now, the Supreme Court has excluded teachings based on religion from public schools for constitutional, not scientific, reasons. But now the incumbent Supreme Court seem less committed to strict separation of church and state than were their predecessors, and federal courts are beginning to judge the science itself. In this situation, we need to create a climate of public opinion favorable to the protection of good science by explaining the issues both to students and to others. I have been trying to do that by addressing audiences such as church groups, other community groups, and high school and college classes. I do not seek to convert committed anti-evolutionists. I am trying to inform the reasonable majority who do not really know what science is and does, or what a theory is and how we know when it's right, or why we tell them that all knowledge is provisional but still insist that we are teaching the right science. Many have been advised by their religious teachers that there is no conflict between science and their religious beliefs but do not see how that can be. I try to explain how they are disjoint discussions. I also discuss the likely consequences for our country if we degrade the teaching of science in the public schools. My audiences have generally been receptive. Here I will relate some lessons I have learned from my experience with such talks. Without doubt, the most important lesson is that most Americans have religious beliefs that are important to them and are willing to consider what I say only because they know I respect their beliefs. This work was partially supported by the U.S. Dept. of Energy, Office of Nuclear Physics, under contract DE-AC02-06CH11357.
The main objectives of Earth Science research are many folds: to understand how does this planet operates, can we model her operation and eventually develop the capability to predict such changes. However, the underlying goals of this work are to eventually serve the humanity in providing societal benefits. This requires continuous, and detailed observations from many sources in situ, airborne and space. By and large, the space observations are the way to comprehend the global phenomena across continental boundaries and provide credible boundary conditions for the mesoscale studies. This requires a multiple sensors, look angles and measurements over the same spot in accurately solving many problems that may be related to air quality, multi hazard disasters, public health, hydrology and more. Therefore, there are many ways to address these issues and develop joint implementation, data sharing and operating strategies for the benefit of the world community. This is because for large geographical areas or regions and a diverse population, some sound observations, scientific facts and analytical models must support the decision making. This is crucial for the sustainability of vital resources of the world and at the same time to protect the inhabitants, endangered species and the ecology. Needless to say, there is no single sensor, which can answer all such questions effectively. Due to multi sensor approach, it puts a tremendous burden on any single implementing entity in terms of information, knowledge, budget, technology readiness and computational power. And, more importantly, the health of planet Earth and its ability to sustain life is not governed by a single country, but in reality, is everyone's business on this planet. Therefore, with this notion, it is becoming an impractical problem by any single organization/country to bear this colossal responsibility. So far, each developed country within their means has proceeded along satisfactorily in implementing
If the social aspects of scientific communities and their internal dynamics is starting to be recognized and acknowledged in the everyday lives of scientists, it is rather difficult for them to find tools that could support their activities consistently with this perspective. Issues span from gathering researchers to mutual awareness, from information sharing to building meaning, with the last one being particularly critical in research fields as the geo-sciences, that deal with the reconstruction of unique, often non-reproducible, and contingent processes. Reasoning here is, in fact, mainly abductive, allowing multiple and concurrent explanations for the same phenomenon to coexist. Scientists bias one hypothesis over another not only on strictly logical but also on sociological motivations. Following a vision, scientists tend to evolve and isolate themselves from other scientists creating communities characterized by different cognitive models, so that after some time these become incompatible and scientists stop understanding each other. We address these problems as a communication issue so that the classic distinction into three levels (syntactic, semantic and pragmatic) can be used. At the syntactic level, we highlight non-technical obstacles that condition interoperability and data availability and transparency. At the semantic level, possible incompatibilities of cognitive models are particularly evident, so that using ontologies, cross-domain reconciliation should be applied. This is a very difficult task to perform since the projection of knowledge by scientists, in the designated community, is political and thus can create a lot of tension. The strategy we propose to overcome these issues pertains to pragmatics, in the sense that it is intended to acknowledge the cultural and personal factors each partner brings into the collaboration and is based on the idea that meaning should remain a flexible and contingent representation of possibly divergent views
Baker, Timothy B
Researchers may optimize smoking treatment by addressing three research topics that have been relatively neglected. First, researchers have neglected to intensively explore how counseling contents affect smoking cessation success. Worldwide, millions of smokers are exposed to different smoking cessation contents and messages, yet existing research evidence does not permit strong inference about the value of particular counseling contents or strategies. Research in this area could enhance smoking outcomes and yield new insights into smoking motivation. Second, researchers have focused great attention on inducing smokers to make quit attempts when they contact healthcare systems; the success of such efforts may have plateaued. Also, the vast majority of quit attempts are self-quit attempts, largely unsuccessful, that occur outside such contacts. Researchers should explore strategies for using healthcare systems as conduits for digital- and other population-based interventions independent of healthcare visits. Such resources should be used to graft timely access to evidence-based intervention onto self-quitting, yielding evidence-based, patient-managed quit attempts. Third, most smoking treatments are assembled via selection of components based on informal synthesis of empirical and impressionistic evidence and are evaluated as a package. However, recent factorial experiments show that components of smoking treatments often interact meaningfully; for example, some components may interfere with the effectiveness of other components. Many extant treatments likely comprise suboptimal sets of components; future treatment development should routinely use factorial experiments to permit the assembly of components that yield additive or synergistic effects.Research in the above three areas should significantly advance our understanding of tobacco use and its treatment. A lack of relevant research, and the likely prospect of significant clinical and public health benefit
Full Text Available Elek and Rottman argue that judicial evaluation is often biased against women and minority judges. The need to address bias is important, however often the desire for diversity seems so self-evident as to belie deeper analysis. This paper examines the two main rationales for gender equality on the bench. First, female judges are often considered necessary in order to bring a gendered perspective to judging, however it is argued that this rationale is flawed. Second, an alternative rationale based on equality and legitimacy is offered which avoids gender essentialism. While debates typically focus on these two rationales, a third rationale embraces both difference and equality/legitimacy. The presence of female judges has an important symbolic value which destabilises existing fraternal legal norms. Finally, increasing the number of female judges may not necessarily change judging, and this paper also analyses how the transformative potential offered by judicial diversity can work in practice. Elek y Rottman defienden que la evaluación judicial suele estar sesgada en contra de las mujeres y los jueces pertenecientes a minorías. La necesidad de abordar el sesgo es importante, sin embargo a menudo el deseo de diversidad parece tan evidente como para contradecir un análisis más profundo. Este artículo examina los dos motivos principales para la igualdad de género en el banquillo. En primer lugar, las mujeres jueces a menudo se consideran necesarias para aportar una perspectiva de género al hecho de juzgar, sin embargo, se defiende que este razonamiento es erróneo. En segundo lugar, se ofrece una alternativa lógica basada en la igualdad y la legitimidad que evita el esencialismo de género. Mientras que los debates suelen centrarse en estas dos razones, una tercera justificación abarca tanto la diferencia como la igualdad/legitimidad. La presencia de mujeres en la judicatura tiene un importante valor simbólico que desestabiliza las normas
Most exploration dollars spent in South Australia are focused on exploiting uranium. This is for good reason as South Australia is the world's best address for uranium. Pressure to cut CO 2 emissions and the ballistic growth of the Chinese and Indian economies has heightened expectations that the worldwide use of uranium for power generation will mushroom beyond its current 17% market share. The recent Australia-China deal only seems to confirm this; hence uranium's growing popularity among miners and explorers. Such is the attractiveness of uranium-related floats, when Toro Energy sought $18m in March it was swamped with more than three times share application volume. In the north west, Southern Gold and Hindmarsh Resources are expectantly drilling for commercial uranium deposits all around the acreage that hosts the Challenger gold mine in the Gawler Craton. The first exploration drilling for uranium in quaternary-age river channels will take place in South Australia's far north in May. Red Metal says while older and deeper tertiary river channels in the area that host the Beverley uranium mine were explored for uranium, the younger near-surface channel has not had a single hole drilled for uranium. This is despite the area being one of the 'hottest radiogenic terrains in South Australia'. The company will target calcrete-style uranium mineralisation similar to the Yerrlirrie deposit in Western Australia (52,000t U308). Tasman Resources will start drilling to test seven uranium targets within 30km of Olympic Dam, the world's largest known uranium deposit, later this year. Tasman also holds tenements adjoining the Warrior uranium deposit near Tarcoola that contains known radiometric anomalies within the 40km-long Wynbring paleochannels. They are the fourth largest uranium explorer in South Australia. Alliance Resources and its JV partner Quasar Resources are exploring the Beverley 4 Mile uranium prospect at Arkaroola. Quasar is an affiliate of Heathgate Resources
... 21 Food and Drugs 9 2010-04-01 2010-04-01 false DEA mailing addresses. 1321.01 Section 1321.01 Food and Drugs DRUG ENFORCEMENT ADMINISTRATION, DEPARTMENT OF JUSTICE DEA MAILING ADDRESSES § 1321.01 DEA mailing addresses. The following table provides information regarding mailing addresses to be used...
Pautard, Eric; Moreau, Sylvain; Bottin, Anne; Kraszewski, Marlene; Fretin, David; Carriere, Celine; Bird, Geoffrey
This publication presents the results of a survey, conducted towards the end of 2013, of 4,700 people resident in metropolitan France and its 'departements d'outre-mer' (DOM - overseas departments). The aim of the survey was to ascertain how French people perceive natural hazards (flooding, earthquakes, climate events, cyclones, etc.) and technological hazards (industrial and nuclear) to which they may be exposed. Questioned as to whether or not they felt exposed to one or several environmental hazards in their place of residence, French people's answers varied somewhat depending on the hazard invoked and place of residence. A strong feeling of exposure was expressed most frequently in the DOM. Respondents in both metropolitan France and DOM think that atmospheric pollution is a significant hazard (56%) but their opinions diverge partially where other hazards are concerned. Natural hazards (earthquakes and flooding) are cited most frequently overseas, whereas technological hazards (industrial and nuclear) are primarily metropolitan concerns. Climate change related hazards are seen as a threat by 56% of overseas respondents and by 42% in the mother country. In general, one-third of French people think that they are exposed to more than two environmental hazards. Unlike the younger members of the population, only one-quarter of respondents of 65 years of age or over felt exposed to three or more hazards. From municipal level databases providing information on exposure to flooding and technological and climate-related hazards, the survey indicates that a large majority of respondents living in these municipalities either do not feel at risk from existing hazards or feel that the risk is low (see figure below). It is in the area of climate-related hazards that awareness of threat seems to be highest in France, and more particularly in the DOM. In the face of the flooding that could affect them, overseas populations are more aware of this natural
Berry, Fiona; Dunstan, Chris
Full text: Two energy solutions gaining attention are cogeneration and trigeneration, mostly fuelled by natural gas, although other renewable sources can be used, such as sewage, agricultural waste and municipal waste. Trigeneration has become increasingly popular in Australia's urban centres as a relatively cost-effective means to cut the carbon-intensity of energy supply by more than half compared to traditional coal- fired electricity. Some examples of trigeneration projects include the City of Sydney's planned 360 megawatt trigeneration networks by 2030, the University of Technology Sydney's campus master plan and the six star Green Star Commonwealth Bank Place building in Sydney. Trigeneration and cogeneration can present opportunities such as addressing the issue of rising peak demand, which is a major driver for the current $9 billion per annum of network infrastructure spending. They can also face barriers. For example, depending on the current state of the network, additional network costs can be required to accommodate trigeneration. Furthermore, under the current National Electricity Market regulations and conventions, challenges do exist to timely and financially viable connection to the grid. Here we present two examples of barriers to trigeneration and cogeneration and solutions being considered and implemented. The University of Technology Sydney campus master plan is underway, with approximately 100,000sq.m of floor area being built by 2019 and includes plans for trigeneration. During the master planning phase of development, the university considered small trigeneration units in individual buildings in order to reduce the carbon intensity of electricity supply and deliver high ratings under Green Star ratings. When considering connecting trigeneration with the grid at multiple buildings on an individual basis, a number of barriers were encountered by UTS. The largest barrier was appropriate charging for connecting to and using the
... reasonable efforts to obtain an address have failed. The address will not be released when such disclosure would be prejudicial to the mental or physical health of the claimant. When an address is furnished it... mental health of the recipient. (d) Subject to the conditions set forth in § 1.922, the Department of...
Describes a study that investigated the distribution of the pronouns of address in the German Democratic Republic by looking at the pronouns and terms of address in different newspaper tests. Pronoun use was dependent on the kind of text, on party membership, nationality, social class, and the roles of the addressee and addressed. (SED)
Li, Guoling; Long, Zhaohua; Wei, Ziqiang
The shortage of IP addresses and the scalability of routing systems  are challenges for the Internet. The idea of dividing existing IP addresses between identities and locations is one of the important research directions. This paper proposed a new decimal network architecture based on IPv9 , and decimal network IP address from E.164 principle of traditional telecommunication network, the IP address level, which helps to achieve separation and identification and location of IP address, IP address form a multilayer network structure, routing scalability problem in remission at the same time, to solve the problem of IPv4 address depletion. On the basis of IPv9, a new decimal network architecture is proposed, and the IP address of the decimal network draws on the E.164 principle of the traditional telecommunication network, and the IP addresses are hierarchically divided, which helps to realize the identification and location separation of IP addresses, the formation of multi-layer IP address network structure, while easing the scalability of the routing system to find a way out of IPv4 address exhausted. In addition to modifying DNS  simply and adding the function of digital domain, a DDNS  is formed. At the same time, a gateway device is added, that is, IPV9 gateway. The original backbone network and user network are unchanged.
Kissling, Mark T.; Martell, Christopher C.
In the era of smartphones and 24-hour news networks, the State of the Union address is a major event. All national media outlets--in print, on television, on the Internet--report on the address, some almost exclusively in the days leading up to and after the speech. In this article, considering their experiences teaching about the address, and…
Surányi, Péter; Shinjo, Yasushi; Kato, Kazuhiko
IPv4 private addresses are commonly used in local area networks (LANs). With the increasing popularity of virtual private networks (VPNs), it has become common that a user connects to multiple LANs at the same time. However, private address ranges for LANs frequently overlap. In such cases, existing systems do not allow the user to access the resources on all LANs at the same time. In this paper, we propose name-based address mapping for VPNs, a novel method that allows connecting to hosts through multiple VPNs at the same time, even when the address ranges of the VPNs overlap. In name-based address mapping, rather than using the IP addresses used on the LANs (the real addresses), we assign a unique virtual address to each remote host based on its domain name. The local host uses the virtual addresses to communicate with remote hosts. We have implemented name-based address mapping for layer 3 OpenVPN connections on Linux and measured its performance. The communication overhead of our system is less than 1.5% for throughput and less than 0.2ms for each name resolution.
08-2-0066 TITLE: Addressing the Needs of Children and Families of Combat Injured PRINCIPAL INVESTIGATOR: Dr. Stephen Cozza...Prescribed by ANSI Std. Z39.18 W81XWH-08-2-0066 Addressing the Needs of Children and Families of Combat Injured Dr. Stephen Cozza The Henry M...children under 18 years old and within 2 years of hospitalization or return from deployment), a training manual “Addressing the Needs of Children and
Hart, Roderick P.
Offers opinions on limitations in current scholarship and research in public address. Faults anecdotal fixation, personality fixation, translation fallacies, and other shortcomings perceived by the author. (MS)
Eric J. STRAUSS
Full Text Available The analysis herein explores the topic of urban growth boundaries and how local governments in Romania could use this growth management tool in order to address unplanned, haphazard growth that is taking place at the fringe of cities and in the villages/ farming communities that surround them. The structure of the paper is threefold. The first section focuses on a brief socio-economic profile of Cluj-Napoca, Romania. The aim is to provide a better context and facilitate the reader’s understanding of the nature of urban growth and suburbanization in Romania. Cluj-Napoca is currently in the process of adopting a master plan for the city and specific policy recommendations on how to address urban sprawl may prove useful. The authors hope to stir a debate among scholars, practitioners, and residents with regard to how the city of Cluj will further develop and whether future development should occur in the same manner it occurred during the last 10 years. The second section of the paper is meant to introduce the concepts of growth management and urban growth boundaries. The former is described in terms of a planning philosophy while the latter is portrayed as a specific policy tool that growth management advocates suggest it could be used in order to fight sprawl. A case study on urban growth boundaries is presented in order to underscore specific advantages and disadvantages associated with establishing a growth boundary. The last section comprises several preliminary policy recommendations for the city of Cluj-Napoca. Because of the incomplete data the authors currently have on critical issues some of the recommendations are general in scope and need to be further detailed.
Kazukauskas, Kelly A.; Lam, Chow S.
This study investigated Certified Rehabilitation Counselors' (CRCs) beliefs about the importance of addressing sexuality issues during rehabilitation. A modified version of the Family Life Sex Education Goals Questionnaire (FLSEGQ) was completed by 199 CRCs to determine which issues CRCs believe are most important to address. Six sexuality-related…
Examines how the cultural revolution in China has changed, to some extent, the rules governing the use of address terms, discussing the close interrelation between the use of address terms and cultural values and how the change in mental outlook has led to the depreciation or appreciation of certain terms. (Author/CB)
Kretzenbacher, Heinz L.; Clyne, Michael; Schupbach, Doris
Choice of address forms, a socially crucial feature in German communication, is context-dependent on situations (a) where the unmarked form of address is "du" (T), (b) where it is "Sie" (V), and (c) where the two systems (a and b) coexist. The first two situations are, apart from their fuzzy edges, rather clearcut. The third situation, however,…
Presidential address - 1999. Towards a national rangeland policy. AR Palmer ... The policy document addresses the problem by offering to improve effectiveness of support services (animal health, animal nutrition and marketing) to the producer. This offer needs to be taken seriously, and provides research opportunities in ...
Huang, Xiaoyan; Sultan, Robert
This study examines terms of address currently used by employees of Chinese business enterprises. The authors find that a speaker's address selections are related significantly to the gender of the speaker, the location of the enterprise in Eastern or Western China, and the ownership type of the enterprise; that is, whether the enterprise is…
Gilliam, David; Powell, John; Haugh, Eric; Bishop, Matt
The NASA Office of Safety and Mission Assurance (OSMA) has funded the Jet Propulsion Laboratory (JPL) with a Center Initiative, 'Reducing Software Security Risk through an Integrated Approach' (RSSR), to address this need. The Initiative is a formal approach to addressing software security in the life cycle through the instantiation of a Software Security Assessment Instrument (SSAI) for the development and maintenance life cycles.
.... Address the medical treatment facility where the records are kept. If necessary request locator service. (3) Medical records of civilian employees and all dependents. Address the medical treatment facility... records. (1) Records of general courts-martial and special courts-martial in which bad conduct discharge...
... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Internet Addresses B Appendix B to Part 2 Public Lands: Interior Office of the Secretary of the Interior RECORDS AND TESTIMONY; FREEDOM OF INFORMATION ACT Pt. 2, App. B Appendix B to Part 2—Internet Addresses 1. Department of the Interior (DOI) Home...
Livermore, Jeffrey A.; Scafe, Marla G.; Wiechowski, Linda S.; Maier, David J.
The purpose of this study was to evaluate students' perceptions of their peer's credibility based on email addresses. The survey was conducted at a community college in Michigan where all students were registered and actively taking at least one course. The survey results show that a student's selection of an email address does influence other…
Harper, Jason C.; Polsky, Ronen; Dirk, Shawn M.; Wheeler, David R.; Arango, Dulce C.; Brozik, Susan M.
A method for preparing an electrochemical biosensor uses bias-assisted assembly of unreactive -onium molecules on an electrode array followed by post-assembly electro-addressable conversion of the unreactive group to a chemical or biological recognition group. Electro-addressable functionalization of electrode arrays enables the multi-target electrochemical sensing of biological and chemical analytes.
... notification of the new location of the business or operations to the Chief, Firearms and Explosives Licensing... address. (a) During the term of a license or permit, a licensee or permittee may move his business or operations to a new address at which he intends to regularly carry on his business or operations, without...
This article presents the text of Keith Gilyard's presidential address, delivered at the National Council of Teachers of English (NCTE) Annual Convention in Las Vegas, Nevada, on November 18, 2012. In his address he proposes several core elements that he believes will instrumentally improve the education system in the United States: a rich…
Integrated Approach to Address Food and Nutrition Security in the Philippines. Malnutrition remains a serious problem in the Philippines, especially among children. Could integrated garden and nutrition programs at schools help address the problem? An estimated 3 million children in the Philippines are undernourished.
In this address, the author engages both with the possibility "and" the impossibility of the educational project--and suggests something of what it means to say this. His presentation is specifically addressed to the theme of the (im)possibility of the educational project. He draws from philosophy, literature, psychoanalysis and history,…
AD_________________ Award Number: W811XWH-08-2-0066 TITLE: “Addressing the Needs of Children of...COVERED 31 Mar 2009 to 30 Mar 2010 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER “Addressing the Needs of Children and Families of Combat Injured” 5b
... REPARATIONS General Information and Preliminary Consideration of Pleadings § 12.3 Business address; hours. The... 17 Commodity and Securities Exchanges 1 2010-04-01 2010-04-01 false Business address; hours. 12.3..., DC 20581. It is open each day, except Saturdays, Sundays, and legal public holidays, from 8:15 a.m...
Addressable polymer structures play an increasingly important role in a variety of areas, such as surface engineering, drug delivery, and micro/nanofluidics. In these structures, addressability results from the sensitivity of incorporated polymer chains to variations in temperature, electric or
Guo, Yanfei; Archer, Charles J.; Blocksome, Michael; Parker, Scott; Bland, Wesley; Raffenetti, Ken; Balaji, Pavan
MPI allows applications to treat processes as a logical collection of integer ranks for each MPI communicator, while internally translating these logical ranks into actual network addresses. In current MPI implementations the management and lookup of such network addresses use memory sizes that are proportional to the number of processes in each communicator. In this paper, we propose a new mechanism, called AV-Rankmap, for managing such translation. AV-Rankmap takes advantage of logical patterns in rank-address mapping that most applications naturally tend to have, and it exploits the fact that some parts of network address structures are naturally more performance critical than others. It uses this information to compress the memory used for network address management. We demonstrate that AV-Rankmap can achieve performance similar to or better than that of other MPI implementations while using significantly less memory.
Rivers, Brian M; Bernhardt, Jay M; Fleisher, Linda; Green, Bernard Lee
During a panel presentation at the American Association for Cancer Research Cancer Health Disparities Conference titled 'Opportunities and challenges of using technology to address health disparities', the latest scientific advances in the application and utilization of mobile technology and/or mobile-health (mHealth) interventions to address cancer health disparities were discussed. The session included: an examination of overall population trends in the uptake of technology and the potential of addressing health disparities through such media; an exploration of the conceptual issues and challenges in the construction of mHealth interventions to address disparate and underserved populations; and a presentation of pilot study findings on the acceptability and feasibility of using mHealth interventions to address prostate cancer disparities among African-American men.
Terblanche, P.; Nel, R. [CSIR Environmental Services, Pretoria (South Africa); Surridge, T. [Dept. of Mineral and Energy Affairs (South Africa); Annegarn, H. [Annegarn Environmental Research, Johannesburg (South Africa); Tosen, G. [Eskom, Johannesburg (South Africa); Pols, A. [CSIR Informationtek, Pretoria (South Africa)
Situated in the central region of South Africa, the Vaal Triangle is an area which plays a vital role in driving the economic dynamo of South Africa. Also, because of the concentration of heavy industry, it is an area which provides a challenge in effective air pollution control. The Vaal Triangle lies within the Vaal River Basin, at an altitude of 1 500 m above sea level. Meteorological conditions in the area are highly conducive to the formation of surface temperature inversions, resulting in a poor dispersion potential. Because of multiple sources of air pollution in the area, poor dispersion conditions increase the risk pollution build-up and subsequent adverse impacts. The situation is further exacerbated by the continued combustion of coal in households, even after the electrification of residences. This is particularly chronic in the developing communities and during winter. Vaal Triangle Air Pollution Health Study (VAPS) was initiated in 1990 by the Department of Health, the Medical Research Council and major industries in the area to determine effects of air pollution on the health of the community. The final results of that study summarised in this article, and options to ameliorate problems are addressed. (author)
Alisherov, Farkhod; Kim, Taihoon
In IP networks, each computer or communication equipment needs an IP address. To supply enough IP addresses, the new Internet protocol IPv6 is used in next generatoion mobile communication. Although IPv6 improves the existing IPv4 Internet protocol, Duplicate Address Detection (DAD) mechanism may consume resources and suffer from long delay. DAD is used to ensure whether the IP address is unique or not. When a mobile node performs an inter-domain handoff, it will first generate a new IP and perform a DAD procedure. The DAD procedure not only wastes time but also increases the signaling load on Internet. In this paper, the author proposes a new DAD mechanism to speed up the DAD procedure. A DAD table is created in access or mobility routers in IP networks and record all IP addresses of the area. When a new IP address needs to perform DAD, it can just search in the DAD table to confirm the uniqueness of the address.
Address Points, The Address Point layer contains an address point for almost every structure over 200 square feet and for some vacant properties. Attributes include addresses, sub-units, address use, LAT/LONG, 10-digit SDAT taxpins, political areas and more., Published in 2013, 1:2400 (1in=200ft) scale, Baltimore County Government.
NSGIC Local Govt | GIS Inventory — Address Points dataset current as of 2013. The Address Point layer contains an address point for almost every structure over 200 square feet and for some vacant...
Jara, Antonio J; Moreno-Sanchez, Pedro; Skarmeta, Antonio F; Varakliotis, Socrates; Kirstein, Peter
Sensors utilize a large number of heterogeneous technologies for a varied set of application environments. The sheer number of devices involved requires that this Internet be the Future Internet, with a core network based on IPv6 and a higher scalability in order to be able to address all the devices, sensors and things located around us. This capability to connect through IPv6 devices, sensors and things is what is defining the so-called Internet of Things (IoT). IPv6 provides addressing space to reach this ubiquitous set of sensors, but legacy technologies, such as X10, European Installation Bus (EIB), Controller Area Network (CAN) and radio frequency ID (RFID) from the industrial, home automation and logistic application areas, do not support the IPv6 protocol. For that reason, a technique must be devised to map the sensor and identification technologies to IPv6, thus allowing homogeneous access via IPv6 features in the context of the IoT. This paper proposes a mapping between the native addressing of each technology and an IPv6 address following a set of rules that are discussed and proposed in this work. Specifically, the paper presents a technology-dependent IPv6 addressing proxy, which maps each device to the different subnetworks built under the IPv6 prefix addresses provided by the internet service provider for each home, building or user. The IPv6 addressing proxy offers a common addressing environment based on IPv6 for all the devices, regardless of the device technology. Thereby, this offers a scalable and homogeneous solution to interact with devices that do not support IPv6 addressing. The IPv6 addressing proxy has been implemented in a multi-protocol Sensors 2013, 13 6688 card and evaluated successfully its performance, scalability and interoperability through a protocol built over IPv6.
Full Text Available Sensors utilize a large number of heterogeneous technologies for a varied set of application environments. The sheer number of devices involved requires that this Internet be the Future Internet, with a core network based on IPv6 and a higher scalability in order to be able to address all the devices, sensors and things located around us. This capability to connect through IPv6 devices, sensors and things is what is defining the so-called Internet of Things (IoT. IPv6 provides addressing space to reach this ubiquitous set of sensors, but legacy technologies, such as X10, European Installation Bus (EIB, Controller Area Network (CAN and radio frequency ID (RFID from the industrial, home automation and logistic application areas, do not support the IPv6 protocol. For that reason, a technique must be devised to map the sensor and identification technologies to IPv6, thus allowing homogeneous access via IPv6 features in the context of the IoT. This paper proposes a mapping between the native addressing of each technology and an IPv6 address following a set of rules that are discussed and proposed in this work. Specifically, the paper presents a technology-dependent IPv6 addressing proxy, which maps each device to the different subnetworks built under the IPv6 prefix addresses provided by the internet service provider for each home, building or user. The IPv6 addressing proxy offers a common addressing environment based on IPv6 for all the devices, regardless of the device technology. Thereby, this offers a scalable and homogeneous solution to interact with devices that do not support IPv6 addressing. The IPv6 addressing proxy has been implemented in a multi-protocol Sensors 2013, 13 6688 card and evaluated successfully its performance, scalability and interoperability through a protocol built over IPv6.
Havreland, Andreas Spandet; Ommen, Martin Lind; Silvestre, Chantal
This paper presents an inexpensive, low temperature and rapid fabrication method for capacitive micromachined ultrasonic transducers (CMUT). The fabrication utilizes the bonding and dielectric properties of the photosensitive polymer Benzocyclobutene (BCB). A BCB based row-column addressed CMUT...
... How You Can Help Your Child Avoid & Address Bullying Page Content Article Body Whether on the school ... other ways. Getting that response usually makes the bullying behavior continue. Your child should try to keep ...
U.S. Department of Health & Human Services — The Find Shortage Areas: Health Professional Shortage Area (HPSA) and Medically Underserved Area/Population (MUA/P) by Address tool helps you determine if a specific...
This paper discusses the status and application of Computational Fluid Dynamics )CFD) models to address environmental engineering challenges for more detailed understanding of air pollutant source emissions, atmospheric dispersion and resulting human exposure. CFD simulations ...
Kini, Ramesh M.; David, Sumam S.
The performance of signal-processing algorithms implemented in hardware depends on the efficiency of datapath, memory speed and address computation. Pattern of data access in signal-processing applications is complex and it is desirable to execute the innermost loop of a kernel in a single-clock cycle. This necessitates the generation of typically three addresses per clock: two addresses for data sample/coefficient and one for the storage of processed data. Most of the Reconfigurable Processors, designed for multimedia, focus on mapping the multimedia applications written in a high-level language directly on to the reconfigurable fabric, implying the use of same datapath resources for kernel processing and address generation. This results in inconsistent and non-optimal use of finite datapath resources. Presence of a set of dedicated, efficient Address Generator Units (AGUs) helps in better utilisation of the datapath elements by using them only for kernel operations; and will certainly enhance the performance. This article focuses on the design and application-specific integrated circuit implementation of address generators for complex addressing modes required by multimedia signal-processing kernels. A novel algorithm and hardware for AGU is developed for accessing data and coefficients in a bit-reversed order for fast Fourier transform kernel spanning over log 2 N stages, AGUs for zig-zag-ordered data access for entropy coding after Discrete Cosine Transform (DCT), convolution kernels with stored/streaming data, accessing data for motion estimation using the block-matching technique and other conventional addressing modes. When mapped to hardware, they scale linearly in gate complexity with increase in the size.
Talbot Thomas O
Full Text Available Abstract Background Public health applications using geographic information system (GIS technology are steadily increasing. Many of these rely on the ability to locate where people live with respect to areas of exposure from environmental contaminants. Automated geocoding is a method used to assign geographic coordinates to an individual based on their street address. This method often relies on street centerline files as a geographic reference. Such a process introduces positional error in the geocoded point. Our study evaluated the positional error caused during automated geocoding of residential addresses and how this error varies between population densities. We also evaluated an alternative method of geocoding using residential property parcel data. Results Positional error was determined for 3,000 residential addresses using the distance between each geocoded point and its true location as determined with aerial imagery. Error was found to increase as population density decreased. In rural areas of an upstate New York study area, 95 percent of the addresses geocoded to within 2,872 m of their true location. Suburban areas revealed less error where 95 percent of the addresses geocoded to within 421 m. Urban areas demonstrated the least error where 95 percent of the addresses geocoded to within 152 m of their true location. As an alternative to using street centerline files for geocoding, we used residential property parcel points to locate the addresses. In the rural areas, 95 percent of the parcel points were within 195 m of the true location. In suburban areas, this distance was 39 m while in urban areas 95 percent of the parcel points were within 21 m of the true location. Conclusion Researchers need to determine if the level of error caused by a chosen method of geocoding may affect the results of their project. As an alternative method, property data can be used for geocoding addresses if the error caused by traditional methods is
Leo, Harvey L; Clark, Noreen M
The prevalence of food allergies in the pediatric population has risen significantly in the past decade. School districts and advocacy groups have made progress in developing systematic approaches to address pediatric food allergies; however, the widespread variance in child care settings, organization, and staff training still presents unique challenges. Addressing these obstacles requires multiple approaches to policy and guideline formulation and dissemination. This review discusses current issues in food allergy prevention and education in child care settings and offers potential solutions.
Full Text Available Abstract: This research investigates the use of sampeyan and anda by the students from Pasuruan and Probolinggo. Address terms is one of important tools in communication in Javanese society as it is used, for example, to designate the person they are talking to or to show the possession of formal and informal manners. However, the use of this address terms may have different interpretation across regions. This research is undertaken to find out (1 factors that influence the choice of address terms sampeyan and anda in Pasuruan and Probolinggo and (2 situations in which the interlocutors use the address terms sampeyan and anda. Several theories are used to help analyze the data, which include address terms (Wardhaugh, 2002, sampeyan and anda (Wolf & Poedjosoedarmo, 1982, Politeness theory (Brown & Levinson, 1987, and Power and Solidarity (Brown & Gilman, 1960. The data were obtained from the results of observations, questionnaires and interviews with the participants. The results of the study show that both sampeyan and anda were found to be commonly used by the participants to address their lecturer, instead of using Bapak. This is, of course, uncommon from either the perspective of standard usage of Javanese or Indonesian language. This study also indicates that the participants used sampeyan to lecturer/teacher, kyai, parent, and older sibling because they wanted to express (1 express politeness and (2 to indicate informality. Concerning to the use of anda, this study reveals that the participants use this address term because of (1 more formal and appropriate manners in environmental education, (2 respecting person of higher social status and older person, (3 more polite and more appropriate than sampeyan, and (4 the use of Indonesian as a formal language. In some respect, however, the participants use anda to lecturer/teacher, which is not appropriate because they were not socially equal to the lecturer/teacher. This study provide
Full Text Available Background: Orthopaedic surgeons have a pivotal role in transitioning the care of orthopedic patients from a biomedical to a biopsychosocial model. In an effort to foster this transition, we designed a study aimed to determine surgeons’ attitudes and practice of noticing, screening, discussing psychological illness with patients, as well as making referrals to address psychosocial issues in patients in need. Additionally, we asked surgeons to rank order potential barriers to and reasons for referrals to psychosocial treatment. Methods: Orthopaedic surgeons members of the Science and Variation Group and Ankle Platform (N =350 completed demographics, and a 4-part survey assessing the degree to which surgeons notice, assess, screen and refer for psychological treatments, as well ranked ordered barriers to engaging in these processes. Results: As a group surgeons were neutral to referral for psychological treatment and formal screening of psychological factors, and somewhat likely to notice and discuss psychological factors. Surgeons were more likely to refer for psychological treatment if they engaged in research, or if they reside in South America as opposed to North America. The highest ranked barriers to screening, noticing, discussing and referring for psychological treatment were lack of time, stigma and feeling uncomfortable. Conclusion: Overall surgeons are likely to notice and discuss psychological factors, but less likely to formally screen or refer for psychological treatment. Transition to biopsychosocial models should focus on problem solving these barriers by teaching surgeons communication skills to increase comfort with discussing psychoemotional factors associated with orthopedic problems. The use of empathic communication can be very helpful in normalizing the difficulty of coping with an orthopedic condition, and may facilitate referral.
Qiu, Ying; Bao, Feng; Zhou, Jianying
Mobile communication is becoming the mainstream with the rapid growth of mobile devices penetrating our daily life. More and more mobile devices such as mobile phones, personal digital assistants, notebooks etc, are capable of Internet access. Mobile devices frequently change their communication IP addresses in mobile IPv6 network following its current attached domain. This raises a big challenge for building firewall for mobile devices. The conventional firewalls are primarily based on IPv4 networks where the security criteria are specified only to the fixed IP addresses or subnets, which apparently do not apply to mobile IPv6. In this paper we propose three solutions for mobile IPv6 firewall. Our approaches make the firewall adaptive to dynamic IP addresses in mobile IPv6 network. They have different expense and weight corresponding to different degree of universality. The paper focuses the study more from practical aspect.
Whereas organic–inorganic hybrid perovskite nanocrystals (PNCs) have remarkable potential in the development of optoelectronic materials, their relatively poor chemical and colloidal stability undermines their performance in optoelectronic devices. Herein, this issue is addressed by passivating PNCs with a class of chemically addressable ligands. The robust ligands effectively protect the PNC surfaces, enhance PNC solution processability, and can be chemically addressed by thermally induced crosslinking or radical-induced polymerization. This thin polymer shield further enhances the photoluminescence quantum yields by removing surface trap states. Crosslinked methylammonium lead bromide (MAPbBr3) PNCs are applied as active materials to build light-emitting diodes that have low turn-on voltages and achieve a record luminance of over 7000 cd m−2, around threefold better than previous reported MA-based PNC devices. These results indicate the great potential of this ligand passivation approach for long lifespan, highly efficient PNC light emitters.
Programs designed to address domestic violence often name empowerment of women as a major program goal. However, programs do not necessarily define what empowerment for survivors of domestic violence entails. This review examines the literature on empowerment, including characteristics of an empowerment process and critiques of empowerment. Diversity of goals for empowerment and differences in access to resources for women experiencing domestic violence are explored as two major factors that should inform program development. Recommendations are offered for developing programs to address domestic violence that support women engaged in an empowerment process.
Manembu, Pinrolinvic; Welang, Brammy; Kalua Lapu, Aditya
Smart meters are the electronic devices for measuring energy consumption in real time. Usually, static public IP addresses are allocated to realize the point-to-point (P2P) communication and remote controlling for smart metering systems. This, however, restricts the wide deployment of smart meters......, due to the deficiency of public IP resources. This paper proposes a novel subscription-based communication architecture for the support of dynamic IP addresses and group controlling of smart meters. The paper evaluates the proposed architecture by comparing the traditional P2P architecture......, and validate its effectiveness to interact with smart meters....
Full Text Available As far as sustainability is concerned, the role of technology has always been contested. With regard to environmental degradation, technology is either perceived to be part of the problem or part of the solution. To combat the complex issues of the present time, technological solutions are expected to play a key role towards mitigating and adapting to the negative impacts of climate change. The paper also discusses the role of the 2009 Copenhagen Conference towards addressing climate change. Although the Copenhagen Accord is not a legally binding agreement, it is seen as a necessary first step towards a protocol that will effectively address the issue of climate change.
Full Text Available Recently, Wifi is one of the most useful technologies that can be used for detecting and counting MAC Address. This paper described using of WiFi scanner which carried out seven times circulated the bus. The method used WiFi and GPS are to counting MAC address as raw data from the pedestrian smartphone, bus passenger or WiFi devices near from the bus as long as the bus going around the route. There are seven processes to make map WiFi data.
Macklin, Thomas; Mathews, Joseph
This paper describes some patterns for information security problems that consistently emerge among traditional enterprise networks and applications, both with respect to cyber threats and data sensitivity. We draw upon cases from qualitative studies and interviews of system developers, network operators, and certifiers of military applications. Specifically, the problems discussed involve sensitivity of data aggregates, training efficacy, and security decision support in the human machine interface. While proven techniques can address many enterprise security challenges, we provide additional recommendations on how to further improve overall security posture, and suggest additional research thrusts to address areas where known gaps remain.
Eisen, Arri; Kushner, Howard; McLeod, Mark; Queen, Edward; Gordon, Jonathan; Ford, John L.
The authors present an integrated, interdisciplinary approach to address the problem of increasing student mental health issues on college campuses. The model uses addiction and depression as lenses into the problem and links residence life and academic and community internship experiences. The project has a positive impact on student attitudes…
Djenar, Dwi Noverini
Colloquial Indonesian has two pronouns for addressing friends of a similar age or younger persons, namely "kamu" and "elu" (or its variants, "lu," "elo," and "lo"). This article examines variation in the use of these terms by two pairs of teenagers involved in romantic relationships. Based on data from contemporary fictional narratives, it…
Ward, Cheryl James
Programs to help middle school students deal with racism and hate have been in place for some years, yet almost monthly we hear of students committing suicide or killing other students due to issues of isolation or harassment. Within the confines of a safe classroom, doctoral students in Educational Leadership addressed issues of stereotypes and…
... DEPARTMENT OF DEFENSE Office of the Secretary Defense Logistics Agency (DLA) Address Directory AGENCY: Department of Defense. ACTION: Notice. SUMMARY: The Defense Logistics Agency (DLA) is updating... Directory: Defense Logistics Agency Headquarters, Andrew T. McNamara Building, 8725 John J. Kingman Road...
In 1999, the non addressed mail aggregated i million tons. Today there is no selective collection of these wastes. The ADEME (french agency for the environment and the energy mastership) drove a study to propose and evaluate the cost of a selective collection. This document presents the results of the study. (A.L.B.)
Allard, Daniele; Bourdeau, Jacqueline; Mizoguchi, Riichiro
This paper addresses the problem of cultural and native language interference in second/foreign language acquisition. More specifically, it examines issues of interference that can be traced to a student's native language and that also have a cultural component. To this effect, an understanding of what actually comprises both interference and…
Addressing the Sanitation Challenge in Poor Urban Areas (East Africa). The World Health Organization (WHO) estimates that the global burden of disease could be reduced by up to 15% by improving water, sanitation and hygiene. Until recently, however, little attention has been paid to sanitation by national governments ...
Ball, James B.; Martinez, Zaida; Toyne, Brian
Although business schools are increasingly aware of the importance of globalization in educating future business leaders, their business programs have addressed globalization from a limited perspective that fails to provide students with a broader understanding of its impact on societies and its moral consequences. The conventional approach to the…
De Jong, David; Grundmeyer, Trent; Yankey, Julie
Secondary principals serve in important roles that are complex, high-stress, and include demanding job responsibilities. Key stakeholders such as superintendents, school board members, and legislators must understand the challenges facing secondary principals in order to address the current themes of job dissatisfaction. Using new survey data…
The Community Policing Resource Centres (CPRCs), as they are called, have a support base that draws upon five departments - Health, Women and Child, ... IDRC is investing in local solutions to address climate change-related challenges in India, including heat stress, water management, and climate-related migration.
However, Case C uses key performance indicators, linked to participating in an SDI, in their Balanced Scorecard – a strategic performance management tool. Only Case B, as a private organization, considered financial compensation to be an appropriate incentive for recapturing and validating spatial address data. It is.
Domestic violence (DV) is quite prevalent and negatively impacts the health and mental wellbeing of those affected. Victims of DV are frequent users of health service, yet they are infrequently recognized. Physicians tend to treat the presenting complaints without addressing the root cause of the problem. Lack of knowledge ...
Indoor air pollution refers to "chemical, biological, and physical contamination of indoor air," which may result in adverse health effects (OECD 2003). The causes, sources, and types of indoor air pollutants will be addressed in this article, as well as health effects and how to reduce exposure. Learning more about potential pollutants in home…
Andrade, Maureen Snow
This chapter describes organizational structures and processes at the institutional and project levels for the development and support of distance learning initiatives. It addresses environmental and stakeholder issues and explores principles and strategies of effective leadership for change creation and management.
In this podcast, CDCâs Dr. Lynda Anderson highlights the important roles that states and communities can play in addressing cognitive health as part of overall health. Created: 6/9/2014 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP). Date Released: 6/9/2014.
... 46 Shipping 7 2010-10-01 2010-10-01 false Public address systems. 184.610 Section 184.610 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SMALL PASSENGER VESSELS (UNDER 100 GROSS TONS) VESSEL CONTROL AND MISCELLANEOUS SYSTEMS AND EQUIPMENT Control and Internal Communications Systems § 184...
Connecting innovation with gifted education is a necessity not only in the current political climate but also because it is a field with deeply held beliefs about the importance of problem solving, creativity, imagination, and invention--all critical components of innovation. In this address, the author focuses on three key ideas. First, she…
This article provides a 'high level' view of current debates about the causes of and remedies for corruption in South Africa, with a view to reflecting on how to address corruption. The article starts by providing an overview of the current integrity framework and initiatives to strengthen it within the domains of public ...
Maryland State Department of Education, 2016
In accordance with the provisions of Section 7-424.1 of the Education Article of the Annotated Code of Maryland, the Maryland State Board of Education has developed and adopted a Model Policy to address bullying, harassment, or intimidation. This report presents the Model Policy, which is organized into the following eight points: (1) Prohibition…
Styron, Ronald A., Jr.; Bonner, Jessica L.; Styron, Jennifer L.; Bridgeforth, James; Martin, Cecelia
The purpose of this study was to examine the preparation of teacher and principal candidates to address problems created in K-12 settings as a result of cyberbullying. Participants included teacher and principal preparation students. Findings indicated that respondents were familiar with the most common forms of cyberbullying and its impact on…
An estimated 12.5 million American children and teens are obese. Over time, the diseases and disabilities associated with obesity may undermine this population's health and result in substantial social and economic costs. Policies that address children's nutrition and physical activity are an important tool in reversing the obesity epidemic. More…
New Simulation Models for Addressing Like X–Aircraft Responses. AS Mohammed, SO Abdulkareem. Abstract. The original Monte Carlo model was previously modified for use in simulating data that conform to certain resource flow constraints. Recent encounters in communication and controls render these data absolute ...
Cohen, Robert; And Others
A study evaluated the feasibility of an objective structured clinical examination to assess the competence of foreign medical school graduates, clinical clerks, and interns to address clinical ethical situations. The University of Toronto's experience with the measure found it useful but in need of improvement. (MSE)
Currently the main approach in responding to bullying in schools is to focus on undesired behaviours and to apply sanctions. This approach is often ineffective as well as failing to address the needs of children as persons as distinct from the behaviour they produce. A proposed alternative approach is to inquire into the motivation of children who…
Technology must be used as a teaching and learning tool to help students succeed. However, educators must be proactive in identifying some of the pitfalls of technology, such as information illiteracy. The phenomenological study covers how English instructors from Indianapolis, who teach first year students, address information literacy and the…
Oct 18, 2011 ... With climate change deepening many existing problems African cities face, what can be done to address the crucial issues of water supply and wastewater management? In the capital cities of Ghana and Ethiopia, researchers with the innovative project “URAdapt” are looking for answers.
Coleman, Mick; Wallinga, Charlotte; Bales, Diane
The Internet can be of great assistance to early childhood teachers in planning educational activities for the classroom and with families. This article explores how early childhood teachers can use resources online to address what has been called an "epidemic" of overweight children. Guidelines for using online resources are presented. (Contains…
Brennan, Linda L.; Austin, Walter W.
The accreditation standards of the Association to Advance Collegiate Schools of Business (AACSB International) ask business schools to describe consistent processes that provide for operational consistency and continuous improvement in support of the schools' stated missions. This article addresses the identification of requisite quality…
Youth engagement in addressing violent extremism and gender violence through early warning systems in Kenya and Tanzania. This project will investigate how a community security mechanism known as Nyumba Kumi (which comprises ten households per cell) used in Kenya and Tanzania might foster safer spaces for ...
Johnson, Michelle A.; Chang, Debbie
ESL educators find themselves teaching a diverse group of students in today's classroom. This study investigated how ESL instructors address diversity in their teaching. The literature review revealed research on the experiences of teachers using culturally responsive teaching strategies. Using qualitative research methods, this study explores the…
Opalinski, Andra; Dyess, Susan; Grooper, Sareen
Pediatric obesity is a multifaceted phenomenon. A partnership with faith-based communities to address the issue has been suggested. The purpose of this study was to describe the cultural beliefs of faith community leaders regarding childhood obesity and to examine attitudes about their role in addressing the issue. A qualitative descriptive design informed by ethnographic methods and triangulation of multiple data sources was utilized to assess the cultural beliefs of faith community leaders. A purposive sample of 13 leaders (nine females, four males) from seven multicultural and multigenerational local faith communities participated in the study. No more than three participants from any one faith community were enrolled in the study. Twenty-first century lifestyle challenges, accountability of behaviors (a dichotomy that fluctuated between individual responsibility to community and/or social responsibility), and the need for intentionality emerged as themes from the data. Faith community leaders envisioned a role for faith communities in addressing childhood obesity. Findings support the ongoing development of population based health promotion programs through faith community engagement. The findings provide a foundation for nurses partnering with faith communities on health promotion programs targeting childhood obesity to address family health issues in a holistic way. © 2015 Wiley Periodicals, Inc.
Bocquel, Melanie; Driessen, H.; Bagchi, Arunabha
In this paper, we have addressed the problem of multiple target tracking in Track-Before-Detect (TBD) context using ambiguous Radar data. TBD is a method which uses raw measurement data, i.e. reflected target power, to track targets. Tracking can be defined as the estimation of the state of a moving
Motivational interviewing is presented as an approach to address resistant behaviors in clinical supervision. A case example is used to illustrate the process in which the relational and technical elements of motivational interviewing can be applied to supervisee resistance. Implications for supervisors and researchers are discussed.
This article assesses the traditional systems of accessing and using plant genetic resources as well as the benefit sharing and systems of sanctioning infringement in the context of biodiversity related activities in specific areas in the Northwest province of Cameroon. The article also addresses the type research and ...
... between urban violence, poverty, and inequalities. Jointly funded by IDRC and the United Kingdom's Department for International Development, the SAIC program also seeks to identify the most effective strategies for addressing these challenges in Latin America and the Caribbean, South Asia, and sub-Saharan Africa.
This article begins with a review of the forms of writing promoted in the Common Core State Standards. Across content areas, Common Core encourages teachers to attune students' writing to rhetorical concerns of audience, purpose, task, and disciplinary thinking. To address these concerns, teachers might take a rhetorical approach to the study…
Greenhoot, Andrea Follmer; Dowsett, Chantelle J.
Existing data sets can be an efficient, powerful, and readily available resource for addressing questions about developmental science. Many of the available databases contain hundreds of variables of interest to developmental psychologists, track participants longitudinally, and have representative samples. In this article, the authors discuss the…
... Beverages § 7.25 Name and address. (a) Domestic malt beverages. (1) On labels of containers of domestic malt... false or misleading impression as to the geographic origin of the beer. (2) If malt beverages are... phrase. (b) Imported malt beverages. On labels of containers of imported malt beverages, there shall be...
Jan 25, 2011 ... In urban Senegal, for example, IDRC-supported research addressing the use of contaminated wastewater in food production involved many players, including the mayor, individual householders, and the people who grow and sell fruits and vegetables. For people in this community on the peri-urban fringe ...
Linvill, Darren L.; Boatwright, Brandon C.; Grant, Will J.
In this content analysis, we explored how students address instructor ideology in the university classroom through the social media platform Twitter. We employed Boolean search operators through Salesforce Marketing Cloud Radian6 software to gather tweets and identified English language tweets by how students referenced their instructor's…
South African schools have been found to be homophobic. Teachers can play an important role in offering a critique of homophobia grounded in South Africa's legal claim to equality on the basis of sexual orientation. Currently there is a dearth of educational research about how teachers understand and address homophobia. By drawing upon focus-group…
South African schools have been found to be homophobic. Teachers can play an important role in offering a critique of homophobia grounded in South Africa's legal claim to equality on the basis of sexual orientation. Currently there is a dearth of educational research about how teachers understand and address ...
Bouvrie, des N.; Karlsson-Vinkhuyzen, S.I.S.E.; Jollands, N.
To radically address the problem of climate change, it is not enough to modify specific attitudes and behaviors while upholding the present paradigms. This article aims to show why modifications will never bring about radical carbon emission reductions. We discuss what it implies to desire radical
Leibovici, Leonard; Paul, Mical; Garner, Paul; Sinclair, David J; Afshari, Arash; Pace, Nathan Leon; Cullum, Nicky; Williams, Hywel C; Smyth, Alan; Skoetz, Nicole; Del Mar, Chris; Schilder, Anne G M; Yahav, Dafna; Tovey, David
Antibiotics are among the most important interventions in healthcare. Resistance of bacteria to antibiotics threatens the effectiveness of treatment. Systematic reviews of antibiotic treatments often do not address resistance to antibiotics even when data are available in the original studies. This
Batjer, H Hunt; Ban, Vin Shen
This AANS presidential address focuses on enduring values of the neurosurgical profession that transcend the current political climate. The address was delivered by Dr. Batjer during a US presidential election year, but the authors have intentionally avoided discussing the current chaos of the American health care system in the knowledge that many pressing issues will change depending on the outcome of the 2016 elections. Instead, they have chosen to focus on clarifying what neurosurgeons, and the American Association of Neurological Surgeons, in particular, stand for; identifying important challenges to these fundamental principles and values; and proposing specific actions to address these challenges. The authors cite "de-professionalism" and commoditization of medicine as foremost among the threats that confront medicine and surgery today and suggest concrete action that can be taken to reverse these trends as well as steps that can be taken to address other significant challenges. They emphasize the importance of embracing exceptionalism and never compromising the standards that have characterized the profession of neurosurgery since its inception.
Nov 28, 2016 ... Method: The curriculum called 'Listen Up' addresses issues such as supporting peers, sexual decision- making, healthy ... Keywords: high school, evaluation, high-risk behaviour, HIV prevention, peer education, South Africa ... sex part- ners, teenage pregnancy, infrequent condom use and substance.
Müskens, Rogier Peter Hendrik Maria
In the five studies contained in this thesis, several controversies on the diagnosis of and therapy for glaucoma have been addressed. The first part of this thesis consisted of three studies that aimed tot improve existing technologies for diagnosing glaucoma. The latter part consisted of two
New public-private partnerships address global food security. June 20, 2016. Image. Public Private Partnerships in Agriculture panelists March 2012. Teckles Photography Inc. Photo from left to right: Charlotte Hebebrand (International Food & Agricultural Trade Policy Council), Steve Homer (SMHProjects), Spencer Henson ...
Gao, H.; Groote, J.F.; Hesselink, W.H.
We present an efficient lock-free algorithm for parallel accessible hash tables with open addressing, which promises more robust performance and reliability than conventional lock-based implementations. “Lock-free” means that it is guaranteed that always at least one process completes its operation
One of the fundamental usages of language is to address each other. As a socialized product, language is bound to transfer its users' intention, the examination of which will have to be based on the absence of either the addressor or the addressee, or even the both. In the process of social development, there exists discrimination between…
Discusses importance of addressing culture, values, and aesthetics in training of art therapists. Illustrates how students can be guided to discover and examine influence which culture has on their own and others' perceptions of different modes of artistic expression. Contends that newly gained sensibility can give direction to students'…
Information Technology Department, AIS (Administrative Information Services) Group; Human Resources Department, SPS (Services, Procedures and Social) Group
As part of the ongoing simplification of procedures and rationalisation of administrative processes, the IT, PH (Users Office) and HR Departments have developed two new EDH forms for communicating or updating one's local address and emergency contact details. This is the first time that the forms relating to an official HR procedure can be accessed on a self-service basis and directly updated by the members of personnel themselves. The information recorded remains confidential and may only be accessed by the authorised administrative services and the emergency services. Local address: Members of the personnel must declare any change in their local address (Art. R V 1.38 of the Staff Regulations). This declaration is henceforth made by directly filling out the EDH document indicated below, and without requiring any other spontaneous formality vis-à-vis the department secretariat or the Users Office. It is also possible for any member of the personnel to check whether the local address in the Organizati...
Luthy, Karlen E.; Burningham, Jana; Eden, Lacey M.; Macintosh, Janelle L. B.; Beckstrand, Renea L.
School nurses work in a unique environment with key opportunities to address parental concerns and questions regarding their child's health. A common concern for parents during school enrollment is childhood vaccination safety and efficacy. As public health leaders, school nurses are well respected among parents, therefore school nurses are in a…
Saint Helens eruption. Analysts identify the range of possible outcomes as well the assumptions and other things one must believe for each outcome to...et al. 2005). Premise sets. Premise sets were used by the Corps to address significant uncertainties encoun- tered in the aftermath of the Mount
The Soviet and American crews for the July Apollo Soyuz Test Project [standing, center] addressed personnel assembled in a firing room at KSC on February 10. The crews for the joint manned space mission toured the Center during their three-day visit which also included inspection of ASTP equipment and facilities and a trip to Disney World.
... DEPARTMENT OF HEALTH AND HUMAN SERVICES Draft National Plan To Address Alzheimer's Disease AGENCY... Alzheimer's Disease, which is available at http://aspe.hhs.gov/daltcp/napa/NatlPlan.shtml . DATES: Submit... . Background On January 4, 2011, President Barack Obama signed into law the National Alzheimer's Project Act...
EEASA 2003 Keynote Address - The Earth Charter: Possibilities for Ethical Policy in Practice. PB Corcoran. Abstract. No Abstract. Full Text: EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT · Creative Commons License This work is licensed under a Creative Commons ...
Using ICTs to Address Water Challenges in Uganda. Information and communication technologies (ICTs) can play an important role in helping communities prepare for and adapt to the effects of climate change. Various projects can attest to the potential of using emerging technologies such as mobile phones and ...
Amjarso, B.; van Eemeren, F.H.; Williams, D.C.; Zagar, I.Z.
Addressing anticipated countermoves is a commonplace practice in argumentative discourse. A speaker in a discussion may anticipate the objections of an opponent and deal with them in advance. Likewise, a writer can make it clear to his readers that he does not expect them to take his views
It is indeed a great honour to be invited to give the opening address at this Twenty-third Congress of the Grassland Society. It seems pertinent to review briefly grassland research, its impact on the farmer, and consider where we should be going in the future. Veld management research in Southern Africa has a proud history ...
Varmus, Harold; Kumar, Harpal S
Leaders in cancer research and policy from 15 economically diverse countries met at the U.S. National Institutes of Health in November 2012 to discuss opportunities to reduce cancer incidence and mortality, improve cancer care, and increase our understanding of disease pathophysiology. Here, we present recommendations that the participants believe will enable faster progress in addressing the growing international challenge of cancer.
Kinnier, Richard T.; Dannenbaum, Sande; Lee, Debbeisiu; Aasen, Paulette; Kernes, Jerry L.
Value themes were extracted from U.S. presidential inaugural addresses of the 19th and 20th centuries. The values most frequently extolled were liberty, belief in God, patriotism, justice, personal responsibility, and peace. More references to lowering taxes were made in the 19th compared with the 20th century and by Republicans compared with…
Cross, Molly S; McCarthy, Patrick D; Garfin, Gregg; Gori, David; Enquist, Carolyn A F
Natural resource managers are seeking tools to help them address current and future effects of climate change. We present a model for collaborative planning aimed at identifying ways to adapt management actions to address the effects of climate change in landscapes that cross public and private jurisdictional boundaries. The Southwest Climate Change Initiative (SWCCI) piloted the Adaptation for Conservation Targets (ACT) planning approach at workshops in 4 southwestern U.S. landscapes. This planning approach successfully increased participants' self-reported capacity to address climate change by providing them with a better understanding of potential effects and guiding the identification of solutions. The workshops fostered cross-jurisdictional and multidisciplinary dialogue on climate change through active participation of scientists and managers in assessing climate change effects, discussing the implications of those effects for determining management goals and activities, and cultivating opportunities for regional coordination on adaptation of management plans. Facilitated application of the ACT framework advanced group discussions beyond assessing effects to devising options to mitigate the effects of climate change on specific species, ecological functions, and ecosystems. Participants addressed uncertainty about future conditions by considering more than one climate-change scenario. They outlined opportunities and identified next steps for implementing several actions, and local partnerships have begun implementing actions and conducting additional planning. Continued investment in adaptation of management plans and actions to address the effects of climate change in the southwestern United States and extension of the approaches used in this project to additional landscapes are needed if biological diversity and ecosystem services are to be maintained in a rapidly changing world. © 2012 Society for Conservation Biology.
Ramos, Arlo; Fuentes, Eureka; Duque, Yvonette; Soriano, Nezer; Gomez, Marijo
Full text: • Objective: Malnutrition is a persistent problem in the Philippines. The 2011 survey of the Food and Nutrition Research Institute reported that 3 out of 10 children are malnourished. Data shows 20.2% of children 0-47 months are underweight while 33.6% are stunted. This rate is higher in depressed areas in the country. PD Hearth is a time and tested effective program model to address malnutrition. But the PDH has minimum standards that need to be followed in the program implementation. However, a developing country like the Philippines has limitations in its resources and implementations. This paper aims to share the Philippine experience in addressing moderate malnutrition through a contextualized and modified PD Hearth approach. The specific objectives of this paper are: - to describe the challenges in implementing PD Hearth in the context of the Philippines; - to describe the innovations and modifications in the PD Hearth; - and, to illustrate the successful intervention of the PNH program against malnourished children in the community. • Methods: The Pinoy Nutrition Hub model is an innovation of PD Hearth approach. The first step was the participatory approach evaluation of existing programs on MNCHN in the communities. The next step was for the stakeholders to identify the gaps and address them. This was followed by gathering lessons learned and good practices that arose from implementing PD Hearth. Innovations were adopted to address restrictions and maximize learning in its implementation. The contextualized approach was called Pinoy Nutrition Hub (PNH). • Outcomes: - The PNH was piloted in three Area Development Programs (ADP) that represent the three island groups of the Philippines. All three ADPs reported improvement in the weight of the malnourished children enrolled in the program. Below is an illustration of the how the actual weight of children in the Visayas ADP increased. Figure 1 (Display Omitted). Average Weight of Malnourished
Baqadir, Abdullah; Patrick, Fiona; Burns, George
This article reports the findings of data drawn from doctoral research on the extent to which recent changes in vocational training have addressed a perceived skills gap between the needs of private sector employers and potential workers in Saudi Arabia. While the Saudi government has made efforts to enhance the quality of vocational education,…
Weitenberg, Christof; Endres, Manuel; Sherson, Jacob
directly monitored the tunnelling quantum dynamics of single atoms in the lattice prepared along a single line, and observed that our addressing scheme leaves the atoms in the motional ground state. The results should enable studies of entropy transport and the quantum dynamics of spin impurities...... and quantum spin dynamics. Here we demonstrate how such control can be implemented at the most fundamental level of a single spin at a specific site of an optical lattice. Using a tightly focused laser beam together with a microwave field, we were able to flip the spin of individual atoms in a Mott insulator...... with sub-diffraction-limited resolution, well below the lattice spacing. The Mott insulator provided us with a large two-dimensional array of perfectly arranged atoms, in which we created arbitrary spin patterns by sequentially addressing selected lattice sites after freezing out the atom distribution. We...
Leibovici, Leonard; Paul, Mical; Garner, Paul
Antibiotics are among the most important interventions in healthcare. Resistance of bacteria to antibiotics threatens the effectiveness of treatment. Systematic reviews of antibiotic treatments often do not address resistance to antibiotics even when data are available in the original studies....... This omission creates a skewed view, which emphasizes short-term efficacy and ignores the long-term consequences to the patient and other people. We offer a framework for addressing antibiotic resistance in systematic reviews. We suggest that the data on background resistance in the original trials should...... be reported and taken into account when interpreting results. Data on emergence of resistance (whether in the body reservoirs or in the bacteria causing infection) are important outcomes. Emergence of resistance should be taken into account when interpreting the evidence on antibiotic treatment in randomized...
Rose, Kathleen C
The Advisory Committee on Immunization Practices recommends that the Tdap, HPV, and meningitis vaccines be administered to youth beginning between the ages of 11 and 12. The school nurse, knowledgeable about vaccine schedules and the rationale for the schedules, is in a unique position to advocate for all adolescent vaccines and their timely administration through addressing parent-guardian concerns and supporting other healthcare providers in completing the adolescent vaccines. This article reviews current recommendations for adolescent vaccinations and the actions needed to improve vaccination rates with a focus on Human Papillomavirus vaccine, the vaccine with the lowest completion rates among this age group. Additionally, school nurses are introduced to Middle School Health Starts Here, a program for school nurses designed to address the whole child as students progress from 5th grade to middle school. Public policy issues including school mandates, along with possible barriers to vaccine completion in adolescents, are discussed.
Full Text Available Safety concerns are among the most prevalent deterrents for bicycling. The provision of adequate bicycling infrastructure is considered as one of the most efficient means to increase cycling safety. However, limited public funding does not always allow agencies to implement cycling infrastructure improvements at the desirable level. Thus, bicycle trip planners can at least partly alleviate the lack of adequate infrastructure by recommending optimal routes in terms of safety. The presented study provides a systematic review of 35 bicycle routing applications and analyses to which degree they promote safe bicycling. The results show that most trip planners lack corresponding routing options and therefore do not sufficiently address safety concerns of bicyclists. Based on these findings, we developed recommendations on how to better address bicycling safety in routing portals. We suggest employing current communication technology and analysis to consider safety concerns more explicitly.
Full Text Available Considering the emergence of epistolary theory in mid-sixteenth-century England, its value and function, the article attempts to show how these theories helped to construct, in contemporary correspondence, the addressee’s identity. One of the most important precepts was, as Angel Day states in his manual The English Secretorie, that, when composing a letter, writers tailored their text to the addressee. Even invented letters in Shakespeare’s plays reveal that, while correctly addressing the addressee does not necessarily guarantee success, address was considered the most important tool at the writer’s disposal when attempting to secure the addressee’s good will. Importantly, the observance of this precept even in drama indicates that epistolary theory had a more pervasive influence in early modern England than previously thought.
Ganley, Barbara J; Sheets, Ingrid
This article describes one university's experience in creating a master's geriatric clinical nurse specialist-nurse educator program to address the nursing faculty shortage and the need for geriatric clinical nurse specialists. The successes and challenges are outlined, and curricular ideas that may be beneficial to other nursing programs also are presented. This program has enhanced the university's pool of clinical instructors, increased its ability to provide services to older adults, and allowed faculty to instruct and focus undergraduates in the distinctions of geriatric nursing care. The biggest challenges faced were marketing and recruitment of nurses; these challenges were addressed, and possible solutions are offered. The most immediate benefit of this program was the generation of geriatric clinical nurse specialists.
Mancuso, Leslie; Johnson, Peter; Hart, Leah; Austin, Kate
Globally, each year 289,000 mothers die in childbirth and three million infants die in the first four weeks of life. The shortcomings in maternal and newborn health are particularly devastating in low-resource countries. This qualitative study describes the experience of an international nongovernmental organization, Jhpiego, which has been implementing public health programs to address maternal and newborn health outcomes for more than 40 years. Themes emerged from interviews with leaders of offices in a variety of countries with unique challenges related to health systems, human resources and infrastructure. Results emphasized the importance of partnerships with governments and international agencies for long-term program impact, as well as the recruitment of local talent for improving health systems to address problems that are best understood by the people who live and work in these countries. The discussion of program successes and challenges may inform best practices for promoting the health and wellness of women and families around the world.
Regenstein, Marsha; Trott, Jennifer; Williamson, Alanna; Theiss, Joanna
The US health care system needs effective tools to address complex social and environmental issues that perpetuate health inequities, such as food insecurity, education and employment barriers, and substandard housing conditions. The medical-legal partnership is a collaborative intervention that embeds civil legal aid professionals in health care settings to address seemingly intractable social problems that contribute to poor health outcomes and health disparities. More than three hundred health care organizations are home to medical-legal partnerships. This article draws upon national survey data and field research to identify three models of the medical-legal partnership that health care organizations have adopted and the core elements of infrastructure that they share. Financing and commitment from health care organizations are key considerations for sustaining and scaling up the medical-legal partnership as a health equity intervention.
Danis, Marion; Wilson, Yolonda; White, Amina
The problems of racism and racially motivated violence in predominantly African American communities in the United States are complex, multifactorial, and historically rooted. While these problems are also deeply morally troubling, bioethicists have not contributed substantially to addressing them. Concern for justice has been one of the core commitments of bioethics. For this and other reasons, bioethicists should contribute to addressing these problems. We consider how bioethicists can offer meaningful contributions to the public discourse, research, teaching, training, policy development, and academic scholarship in response to the alarming and persistent patterns of racism and implicit biases associated with it. To make any useful contribution, bioethicists will require preparation and should expect to play a significant role through collaborative action with others.
Ricardo Saraiva de Camargo
Full Text Available When considering hub-and-spoke networks with single allocation, the absence of alternative routes makes this kind of systems specially vulnerable to congestion effects. In order to improve the design of such networks, congestion costs must be addressed. This article deploys two different techniques for addressing congestion on single allocation hub-and-spoke networks: the Generalized Benders Decomposition and the Outer Approximation method. Both methods are able to solve large scale instances. Computational experiments show how the adoption of advanced solution strategies, such as Pareto-optimal cut generation on the Master Problem branch-and-bound tree, may be decisive. They also demonstrate that the solution effort is not only associated with the size of the instances, but also with their combination of the installation and congestion costs.
Noridin, J. S.; Donovan, R.; Trudell, L.; Dean, J.; Blevins, A.; Harrington, L. W.; James, R.; Berdan, G.
The Western Research Institute plan for addressing oil shale plant siting methodology calls for identifying the available resources such as oil shale, water, topography and transportation, and human resources. Restrictions on development are addressed: land ownership, land use, water rights, environment, socioeconomics, culture, health and safety, and other institutional restrictions. Descriptions of the technologies for development of oil shale resources are included. The impacts of oil shale development on the environment, socioeconomic structure, water availability, and other conditions are discussed. Finally, the Western Research Institute plan proposes to integrate these topics to develop a flow chart for oil shale plant siting. Western Research Institute has (1) identified relative topics for shale oil plant siting, (2) surveyed both published and unpublished information, and (3) identified data gaps and research needs. 910 refs., 3 figs., 30 tabs.
Salama, Khaled N.
Various examples are provided examples related to resistive content addressable memory (RCAM) based in-memory computation architectures. In one example, a system includes a content addressable memory (CAM) including an array of cells having a memristor based crossbar and an interconnection switch matrix having a gateless memristor array, which is coupled to an output of the CAM. In another example, a method, includes comparing activated bit values stored a key register with corresponding bit values in a row of a CAM, setting a tag bit value to indicate that the activated bit values match the corresponding bit values, and writing masked key bit values to corresponding bit locations in the row of the CAM based on the tag bit value.
A document discusses the use of saturating transformers in a matrix arrangement to address individual cells in a high voltage battery. This arrangement is able to monitor and charge individual cells while limiting the complexity of circuitry in the battery. The arrangement has inherent galvanic isolation, low cell leakage currents, and allows a single bad cell in a battery of several hundred cells to be easily spotted.
Full Text Available NETWORK MODELS Sonwabiso YOYO, Philip R. PAGE, S’Bonelo ZULU, Frances A’BEAR 1 1 Built Environment, Council for Scientific and Industrial Research (CSIR), 11 Jan Cilliers Road, Stellenbosch, South Africa, 7600. Tel: +27 (21) 888 2478. Email: syoyo...) in Business Day Live, nearly 40% of municipal water is lost before reaching the consumer. PURPOSE OF THE STUDY The study seeks to address water incidents by using pipe network models and associated components. This is specifically in observation...
Papaliolios, C.; Nisenson, P.; Ebstein, S.
A new 2-D photon-counting camera, the PAPA (precision analog photon address) detector has been built, tested, and used successfully for the acquisition of speckle imaging data. The camera has 512 x 512 pixels and operates at count rates of at least 200,000/sec. In this paper, technical details on the camera are presented and some of the laboratory and astronomical results are included which demonstrate the detector's capabilities.
In his address at the opening session of the Niels Bohr Symposium organized jointly by UNESCO and the Niels Bohr Institute in Copenhagen in May 1998 in order to examine the latest developments in key fields of physics, the Director General of UNESCO presented the scientific work and the spirit of Niels Bohr, emphasizing the impact of his discoveries for new openings in science and in society in general
combat cyber threats, just as we have done to combat terrorism .  In IPv4, that intelligence included a fundamental understanding of how networks...countries abroad. Peru , Norway, Germany, China, Japan, Belgium, and Malaysia all show significant increases in IPv6 adoption, while several match or...accurate. 5.3 Concluding Remarks With the imminent exhaustion of the IPv4 address space, adoption of IPv6 is occurring at a rapid pace. As systems migrate
No. (address) data-------------------------- -*.: ,.-- S.’. I ISABEL 226 D(I) (" f 2 SOPHIE 482 D(2) 3 HOWARD 196 D(3) 4 JULES 254 D(4) 5 EDWARD 107...respectively. The circuit was laid out using CAESAR based on CMOS scalable design rules. CAESAR is an interactive system for editing VLSI circuits at...power supply . characteristics show that the chip had a short. To locate the short, we examined the entire chip with a microscope. In addition, CAESAR
Heard, Emma Marie; Auvaa, Leveti; Conway, Brooke A
There is an urgent need to address the epidemic rates of non-communicable diseases globally, and the Pacific Island region is of particular concern. Increasing physical activity participation plays an important role in reducing some of the key risk factors for non-communicable diseases including obesity and being overweight. In order to address low levels of physical activity, it is essential to understand the key barriers and facilitating factors experienced by specific population groups. The purpose of this study is to investigate key facilitating factors for participation in a dance aerobic initiative, Culture X, developed in the Pacific Island country, Samoa. The study further aims to understand ways in which the programme assists participants in addressing barriers to physical activity. Face-to-face interviews running from 10 to 20 min were conducted with 28 Culture X participants in order to gain a deep understanding of participants' personal perspectives with regard to barriers and facilitating factors to physical activity. Findings suggest the inclusion of key cultural components (including, traditional dance moves and music, prayer, community orientation and family inclusiveness) were integral for supporting ongoing participation in Culture X. These components further assisted participants in addressing important personal and social barriers to physical activity (including lack of motivation and enjoyment, lack of confidence, time management, family and social commitments and lack of support). This study highlights creative ways that health promotion in the Pacific Island region can encourage physical activity and informs health promotion literature regarding the importance of placing local culture at the heart of behaviour change initiatives. © The Author 2016. Published by Oxford University Press. All rights reserved. For Permissions, please email: firstname.lastname@example.org.
South African schools have been found to be homophobic. Teachers can play an important role in offering a critique of homophobia grounded in South Africa's legal claim to equality on the basis of sexual orientation. Currently there is a dearth of educational research about how teachers understand and address homophobia. By drawing upon focus-group interviews with teachers based atfive schools, this paper shows dominant teaching views which contribute to homophobia, although this is not the on...
Agranov, G. A.; Novoselov, S. K.; Stepanov, R. M.; Doon, A. Z.; Pashkevich, A. V.; Ivanov, A. I.; Nemchuk, I. K.; Nesterov, V. K.; Skoriukin, V. E.
Coordinate addressed photodetector arrays based on thin films of lead chalcogenides and operating in different wavebands of the infrared spectral regions are described. The arrays feature high sensitivity, close to BLIP mode, wide dynamic range, and low heat dissipation. Their advantages include random access, element block selection, image scaling, and on chip data encoding. Different design configurations with elements from 128 by 128 to 512 by 512 are discussed and experimental parameters and characteristics of the experimental arrays are presented.
Gatzweiler, Franz W.; Baumuller, Heike; Husmann, Christine Ladenburger; von Braun, Joachim
The need to address extreme poverty from the perspective of marginality arises from the frustration that the number of the poorest and hungry remains unacceptably high. This triggered the call for an innovative approach from the side of science and action. The conceptual and analytical framework developed here views marginality as a root cause of extreme poverty. We define marginality as an involuntary position and condition of an individual or group at the edge of social, economic, and ecolo...
Andrade, Nicholas; Palmer, Douglas A; Lenert, Leslie A
The WiFi Bullhorn is designed to assist emergency workers in the event of a disaster situation by offering a rapidly configurable wireless of public address system for disaster sites. The current configuration plays either pre recorded or custom recorded messages and utilizes 802.11b networks for communication. Units can be position anywhere wireless coverage exists to help manage crowds or to recall first responders from dangerous areas.
Larsen, Anne Konring; Falkenstrøm, Signe; Jørgensen, Marie Birk
. Across these conditions various degrees of openness characterized the nursing homes. Conclusions The degree of openness towards communicating about—and handling pain—in the organization (individual, collegial and managerial levels) influences how managers handle employees with pain. Awareness about...... employee health is a prerequisite for management to initiate relevant action towards supporting employees. Future workplace initiatives are likely to benefit from addressing openness in the organization to increase awareness and support employees with pain....
Dunn Lee, Janice
There is growing concern about the difficulties nuclear institutions in many OECD/NEA member countries are experiencing in recruiting qualified specialists. Recent studies have also shown that nuclear education and training have been suffering declines of various degrees. If no action is taken on this issue, the nuclear sector risks facing a shortage of qualified human resources to ensure the appropriate regulation and operation of existing nuclear facilities as well as the construction of new ones in those countries wishing to do so. The NEA Steering Committee for Nuclear Energy issued a statement on this subject in October 2007, the complete text of which is available at: www.nea.fr/html/general/press/2007/2007-05.html. The NEA has for many years been involved in efforts to define and address the need for qualified human resources. In this regard, the Agency: 1- carries out assessments of requirements and availability of qualified human resources in the nuclear field, 2- enhances nuclear education programmes, such as the International School of Nuclear Law, and 3- encourages large, high-profile international research and development programmes. These areas are addressed in the NEA Strategic Plan as well as in the specific NEA programmes discussed below. The presentation will focus on ways to address the issue of qualified human resources, share information about what others are doing, and discuss what we might do collectively. (author)
With its emphasis on coordinated care and prevention, managed care should be tailor-made to tackle social determinants of health. But various challenges discourage Medicaid health plans and providers from assisting beneficiaries with nonmedical concerns such as housing insecurity or parenting skills that are integral to improving health outcomes and lowering costs. To better address these social factors, the Centers for Medicare and Medicaid Services (CMS) updated its Medicaid managed care rule in early 2016. To explore the impact of several provisions of the new regulation that influence states’ ability to address social determinants of health through managed care. Several provisions in the new Medicaid managed care rule signal CMS’s intent to increase access to high-value nonmedical interventions. For instance, the regulation financially incentivizes health plans to address these needs by allowing certain nonclinical services to be included as covered services when calculating the capitated rate and medical loss ratios. In addition, the regulation encourages states to improve care coordination, adopt alternative payment models, and provide long-term services and supports in the home and community for beneficiaries with functional limitations.
The evolving role of the state in the provision of health care has seen the adoption of new management philosophies to ensure that goals set for the system are reached. In particular, the term New Public Management (NPM) has tended to dominate reforms to help address perceived shortcomings in public sector services. NPM is based on the use of freemarket type arrangements as a mechanism to solve problems, the control of which provides new challenges. One particular challenge that has arisen from the combination of NPM with the large number of agencies involved in care provision is that of addressing the issues arising from the improved understanding of the determinants of health. This has led to the evolution of differing care arrangements across differing sectors at all levels. If resources are to be used as intended, the control of delivery systems to oversee their use must exist. The overarching term for such activity is â governance. This paper provides an overview of the issues that arise for addressing governance of oral health care and the subsequent challenges that face those responsible for ensuring compliance.
Sharma, Vishal C.; Gopalakrishnan, Ganesh; Krishnamoorthy, Sriram
Modern computer scaling trends in pursuit of larger component counts and power efficiency have, unfortunately, lead to less reliable hardware and consequently soft errors escaping into application data ("silent data corruptions"). Techniques to enhance system resilience hinge on the availability of efficient error detectors that have high detection rates, low false positive rates, and lower computational overhead. Unfortunately, efficient detectors to detect faults during address generation have not been widely researched (especially in the context of indexing large arrays). We present a novel lightweight compiler-driven technique called PRESAGE for detecting bit-flips affecting structured address computations. A key insight underlying PRESAGE is that any address computation scheme that propagates an already incurred error is better than a scheme that corrupts one particular array access but otherwise (falsely) appears to compute perfectly. Ensuring the propagation of errors allows one to place detectors at loop exit points and helps turn silent corruptions into easily detectable error situations. Our experiments using the PolyBench benchmark suite indicate that PRESAGE-based error detectors have a high error-detection rate while incurring low overheads.
Session 5 a was moderated discussion on the topic of ''Are we addressing the 'real' issue?'' The Moderator opened the session with the following questions areas to stimulate discussion. Questions Part 1: Is the concept of alarms and alarm systems still valid? Are we designing for physical features rather than information that has to be conveyed? Are we addressing the essential annunciation needs or are attempting to implement patch-work solutions to solve specific problems? Is the design process so firmly established in organizations that a major change is required to result in different and improved approaches? Will the cost of increasing scrutinity for Software QA make advancement impossible or too costly? What is the role of overview display in accident management and how do imbedded alarms play a role? Is the need for reliable signals adequately addressed (or can it be)? Questions Part 2: Should we include automated diagnosis and decision making with annunciation? What is the role of the operator? Is the operator someone who only follows fixed procedures, or is he/she a responsible authority, or both? Does the focus on safety-first divert the attention away from other important issues, such as operational efficiency? Does the concept of ''hard-wired'' annunciation still apply given advancements in reliability of computer systems? How do we shorten the design and implementation time period cost effectively while still improving the performance?
Time-sharing of computers asks for a certain number of conditions, particularly, an efficient dynamic loading of programs and data. This paper indicates a paging method making linkages with a minimum of table-looking operations. The principle is to use associative memory registers for calling blocks of physical memory, the block address being given by the concatenation of a file number (located in a base register) and a page number (located in the instruction proper). The position within the block is given by a displacement located in the instruction. A second associated base register contains the local part (page number + displacement) of the base address. This extended base register system allows executing programs in a very large programming complex without loss of time. The addresses are fixed at assembly time and the blocks can be loaded anywhere without modification for execution. The various problems associated with the execution of complex programs are presented in this context and shown to be easily solved by the proposed system, the realization of which would be very easy starting from the computer structures existing now. (author) [fr
Piet J. Naudé
Full Text Available This article outlined key features of prophetic discourse and investigated whether this form of moral discourse adequately addresses issues of economic injustice. It is shown that the strength of prophetic discourse is its ability to denounce instances of injustice whilst at the same time announcing a God-willed alternative future. The ‘preferential option for the poor’ in Latin American liberation theologies is treated as a case study of the influence of prophetic discourse in contexts of perceived economic injustice. Also the core weaknesses of prophetic discourse are investigated, specifically its incomplete moral argument, weak moral analyses, silence on transition measures, and its inability to take a positive stance on reforms in the system from which itself benefits. In the final section it is concluded that prophetic discourse plays an indispensable role in addressing issues of global economic justice, but – taken by itself – it is not an adequate form of moral discourse to address concrete matters of justice.
Patel, Kiran C R; Spilsbury, Peter; Shukla, Rashmi
The drive to address social determinants of health is gaining momentum. Appreciating that health outcomes are only partly affected by healthcare, clinicians and clinical communities can play a significant role in this crusade by action at local, regional, national and global levels. A concerted and systematic focus on integrating and industrialising upstream interventions at every healthcare encounter is essential to prevent future illness, thus enabling a paradigm shift in the healthcare service from being one of illness management to health preservation. The evidence base demonstrates the cost efficacy of upstream interventions. The challenge is how this evidence is utilised to implement these interventions in everyday healthcare. Today, with a global economic crisis and challenged public sector funding, the need to address prevention has never been more pressing. Clinical engagement at all levels, from the front line to the boardroom is vital. Clinicians must address access, communication, strategy and commissioning to fulfil a professional responsibility to become and remain the corporate memory of a health service focused on preventing illness while simultaneously delivering cost-effective healthcare.
Grotan, T.O.; Storseth, F.; Albrechtsen, E.
Development, deployment and application of Information and Communication Technology (ICT) and digital infrastructure continue with unabated intensity in the petroleum-related activity on the Norwegian shelf. This development towards what is denoted Integrated Operations (IO) creates new ways of organizing work, new work processes and increased automation, e.g. closer collaboration offshore-onshore, cooperation across organizational and geographical borders. This creates new challenges for managing risk. Although there are different versions of IO today, we argue that it is possible to identify and study generic properties within such IO manifestations. The current paper focus on the potential complexity of IO in the generic sense, and some scientific implications in terms of addressing risk. The paper uses the century-old metaphor of 'wildness in wait' to engage the wide field of complexity theory in a productive way to address systemic properties of risk. The paper further uses the Cynefin sensemaking framework in order to identify and address the crucial distinction between directed (resultant) and un-directed (emergent) order. The paper finally discusses the importance of seeing risk assessment as a social knowledge practice.
Killinger, Mark H.
The control of nuclear-related exports, a critical component of the nonproliferation regime, is facing several opportunities and challenges. As countries sign and ratify the International Atomic Energy Agency's (IAEA) safeguards Additional Protocol (AP), they will begin to report far more export information, including exports of a list of items similar to the Nuclear Supplier Group's Trigger List that existed when the AP was developed in the mid-1990s. This positive development contrasts with challenges such as globalization, transshipments, and tracking of end-uses. Pacific Northwest National Laboratory is proposing that the US Department of Energy (DOE) develop regional seminars that address these types of issues related to export/import controls. The DOE seminars would be designed to supplement regional seminars sponsored by the IAEA and member states on topics related to the Additional Protocol (referred to as 'IAEA seminars'). The topic of nuclear export/import controls is not thoroughly addressed in the IAEA seminars. The proposed DOE seminars would therefore have two objectives: familiarizing countries with the export/import provisions of the Additional Protocol, and addressing challenges such as those noted above. The seminars would be directed particularly at countries that have not ratified the AP, and at regions where export-related problems are particularly prevalent. The intent is to encourage governments to implement more effective nuclear export control systems that meet the challenges of the 21st century.
McPhillips-Tangum, Carol; Rehm, Bob; Carreon, Rita; Erceg, Caroline M; Bocchino, Carmella
Although tobacco control activity in the United States during the past several years has increased dramatically, tobacco use continues to have devastating consequences among all age cohorts. In November 2003, a survey of tobacco control practices and policies in health insurance plans was conducted by America's Health Insurance Plans' national technical assistance office. The survey was the fourth and final survey conducted as part of the Addressing Tobacco in Managed Care program. Of the 215 plans in the sample, 160 (74%) completed the survey. Collectively, these plans represent more than 60 million members of health maintenance organizations. From 1997 to 2003, health insurance plans have demonstrated increasing use of evidence-based programs and clinical guidelines to address tobacco use. The number of plans providing full coverage for any type of pharmacotherapy for tobacco cessation has more than tripled since 1997. Plans have also shown substantial improvement in their ability to identify all or some of their members who smoke. Similarly, a greater percentage of plans are using strategies to address smoking cessation during treatment for other chronic diseases and after acute events such as a myocardial infarction. Despite improvements, important opportunities remain for health insurance plans and other stakeholders to expand their tobacco control activities and transfer the lessons learned to other health problems.
Sakai, Marco; Barrett, John
Approximately one fourth of global emissions are embodied in international trade and a significant portion flows from non-carbon-priced to carbon-priced economies. Border carbon adjustments (BCAs) figure prominently as instruments to address concerns arising from unilateral climate policy. Estimating the volume of emissions that could be potentially taxed under a BCA scheme has received little attention until now. This paper examines how a number of issues involved in the implementation of BCAs can affect their ability to cover emissions embodied in trade and thus address carbon leakage. These issues range from ensuring compliance with trade provisions and assumptions on the carbon intensity of imports, to determining which countries are included and whether intermediate and final demand are considered. Here we show that the volume of CO 2 captured by a scheme that involved all Annex B countries could be significantly reduced due to these issues, particularly by trade provisions, such as the principle of ‘best available technology’ (BAT). As a consequence, the tariff burdens faced by non-Annex B parties could dwindle considerably. These findings have important policy implications, as they question the effectiveness and practicalities of BCAs to reduce carbon leakage and alleviate competitiveness concerns, adding further arguments against their implementation. - Highlights: •We estimate the volume of emissions that could be potentially taxed by BCAs. •We study the effects of trade provisions and country and sectoral coverage on BCAs. •Trade provisions can significantly reduce the scope and effectiveness of BCAs. •Best available technology and exclusion of electricity reduce tariffs considerably. •BCAs are not optimal policy tools to address carbon leakage concerns.
Shreve, Marilou; Scott, Allison; Vowell Johnson, Kelly
To assess the challenges primary care providers encounter when providing counseling for pediatric patients identified as obese. A survey assessed the current challenges and barriers to the screening and treatment of pediatric obesity for providers in northwest Arkansas who provide care to families. The survey consisted of 15 Likert scale questions and 4 open-ended questions. Time, resources, comfort, and cultural issues were reported by providers as the biggest barriers in screening and the treatment of pediatric obesity. All providers reported lack of time as a barrier to providing the care needed for obese children. Cultural barriers of both the provider and client were identified as factors, which negatively affect the care and treatment of obese children. Primary care providers continue to experience challenges when addressing pediatric obesity. In this study, a lack of adequate time to address obesity was identified as the most significant current barrier and may likely be tied to physician resources. Although reimbursement for obesity is increasing, the level of reimbursement does not support the time or the resources needed to treat patients. Many providers reported their patients' cultural view of obesity influenced how they counsel their patients. Increasing providers' knowledge concerning differences in how weight is viewed or valued may assist them in the assessment and care of obese pediatric patients. The challenges identified in previous research continue to limit providers when addressing obesity. Although progress has been made regarding knowledge of guidelines, continuing effort is needed to tackle the remaining challenges. This will allow for earlier identification and intervention, resulting in improved outcomes in pediatric obesity.
In this talk I will outline the nature of unconscious bias, as it operates to exclude or marginalize some participants in the scientific community. I will show how bias results from non-conscious expectations about certain groups of people, including scientists and astronomers. I will outline scientific research in psychology, sociology and economics that has identified the impact these expectations have on interpersonal judgments that are at the heart of assessment of individuals' qualifications. This research helps us understand not only how bias operates within a single instance of evaluation, but how evaluation bias can accumulate over a career if not checked, creating an appearance of confirmation of biased expectations. Some research has focused on how best to interrupt and mitigate unconscious bias, and many institutions--including the University of Michigan--have identified strategic interventions at key points of institutional decision-making (particularly hiring, annual review, and promotion) that can make a difference. The NSF ADVANCE Institutional Transformation program encouraged institutions to draw on the social science literature to create experimental approaches to addressing unconscious bias. I will outline four approaches to intervention that have arisen through the ADVANCE program: (1) systematic education that increases awareness among decisionmakers of how evaluation bias operates; (2) development of practices that mitigate the operation of bias even when it is out of conscious awareness; (3) creation of institutional policies that routinize and sanction these practices; and (4) holding leaders accountable for these implementation of these new practices and policies. Although I will focus on ways to address unconscious bias within scientific institutions (colleges and universities, laboratories and research centers, etc.), I will close by considering how scientific organizations can address unconscious bias and contribute to creating an
The standard paradigm for quantum computation and simulation with neutral atoms assumes that constituent atoms can be used as individually addressable qubits. To accomplish this in optical lattices with sub-micron atom separation, we have developed a resonance addressing scheme that combines a position dependent light shift of the qubit transition with resonant microwave (μw) pulses. In a proof-of-principle experiment, we show that numerically optimized composite pulses can implement quantum gates on Cs qubits at targeted lattice sites, with minimal cross-talk to neighboring sites and significant robustness against uncertainty in the atom position. Coherence is verified through two-pulse experiments, and the average gate fidelity is measured to be 95 +/-3%. Because most atoms have more than two accessible levels, one might also consider if the existing toolbox for qubit control can be extended to d-level systems (qudits). Over the past several years we have used the 16-dimensional ground hyperfine manifold of cold, untrapped Cs atoms as an experimental testbed for such work. Driving the atoms with a combination of phase modulated radio frequency (rf) and μw magnetic fields, we use numerical optimization techniques to design control waveforms (rf and μw phases as function of time) that accomplish a wide range of control tasks, from quantum state-to-state maps to full unitary transformations, with average fidelities that vary from >99% for the former to ~ 98% for the latter. We further show that tools for inhomogeneous control and dynamical decoupling can be generalized to qudits, allowing transformations that are robust to static as well as dynamic perturbations, and thus in principle compatible with optical traps and the resonance addressing scheme demonstrated for qubits.
Snyder, W. E.; Savage, C. D.
The commonly encountered image analysis problems of region labeling and clustering are found to be cases of search-and-rename problem which can be solved in parallel by a system architecture that is inherently suitable for VLSI implementation. This architecture is a novel form of content-addressable memory (CAM) which provides parallel search and update functions, allowing speed reductions down to constant time per operation. It has been proposed in related investigations by Hall (1981) that, with VLSI, CAM-based structures with enhanced instruction sets for general purpose processing will be feasible.
Dissonance for (young) Danes since V isinterpreted as an overt manifestation of power distance in a society which considers itself asegalitarian. Ways to cope with such cognitive dissonance in foreign language teaching arediscussed. Furthermore, the article addresses the broader question of when cultural......, in Denmark they use T. Based on the observation that Danish studentsare very reluctant (and sometimes even opposed) to use V in the classroom in Denmark, thisarticle proposes to consider the use of V and T as a case of Cross-Cultural Code-Switching. Itis hypothesized that V causes Cultural Cognitive...
Lafleur, D.W.; Raven, K.G.
This report identifies the physical hydrogeologic factors that should be addressed for performance assessment of a radioactive waste disposal facility in plutonic rock. The hydrogeologic factors include theoretical methods, groundwater flow factors and solute transport parameters. Theoretical methods, including different deterministic and stochastic approaches for evaluating physical hydrogeolgic conditions, are evaluated with respect to data requirements, applications and limitations. Preferred methods for measurement and determination of the identified groundwater flow factors and solute transport parameters are discussed. A recommended set of procedures for reliable hydrogeologic characterization of a plutonic rock mass at both regional and site scales is also presented
The aim of this chapter is to argue that an approach to health education, consistent with critical education theory echoing Freire’s ideas, has the potential to play a significant role in addressing determinants of health by, first and foremost, providing children and young people...... with opportunities (as part of teaching and learning processes) to critically examine health issues, including social determinants of health, and to gain experience with initiating health-promoting changes within the everyday realms of their school or its adjacent community....
Wang, Xiao-Hui; Cong, Ronggang
change. The study compared the difference between electric power supply chain management and traditional supply chain management. Furthermore, some possible research topics are addressed. The aim of this paper was to promote the application of supply chain management in the China electricity sector......Supply chain management played a critical role in the electric power industrial chain optimization. The purpose of this paper was to review a sample of the literature relating to supply chain management and its possible applications in electricity power system, especially in the context of climate...... optimizations and brought a change in the related government policy options....
Full Text Available The 8th Biennial Meeting of the International Network of Teacher Education Institutions (INTEI associated with the UNESCO Chair on Reorienting Teacher Education to Address Sustainability was held in the Japanese town of Okayama on 14-17 November 2014. The meeting was hosted by the City of Okayama and the Japanese government. Themes discussed during the meeting focused education for sustainable development (ESD in teacher education, biodiversity education, and ESD’s contributions to a quality education etc. The overall aim was to explore the roles that the INTEI will play in the new Global Action Program on ESD (GAP.
Kuptsov, Dmitriy; Gurtov, Andrei
Explosive growth of the Internet and lack of mechanisms that validate the authenticity of a packet source produced serious security and accounting issues. In this paper, we propose validating source addresses in LAN using Host Identity Protocol (HIP) deployed in a first-hop router. Compared to alternative solutions such as CGA, our approach is suitable both for IPv4 and IPv6. We have implemented SAVAH in Wi-Fi access points and evaluated its overhead for clients and the first-hop router.
Rudys, Joseph Matthew; Reed, Kim Warren; Pena, Gary Edward; Schneider, Larry X.
The design of a novel electron gun with an array of independently addressable cathode elements is presented. Issues relating to operation in a 6.5 Tesla axial magnetic field are discussed. Simulations with the TriComp electromagnetic field code that were used to determine the space charge limited tube characteristic and to model focusing of the electron beam in the magnetic field are reviewed. Foil heating and stress calculations are discussed. The results of CYLTRAN simulations yielding the energy spectrum of the electron beam and the current transmitted through the foil window are presented.
Mrs. Lalitha Chandrasekhar (right), wife of the late Indian- American Nobel Laureate Subrahmanyan Chandrasekhar, addresses the media and other invited guests in the TRW Media Hospitality Tent at the NASA Press Site at KSC as Dr. Alan Bunner, Science Program Director, Structure and Evolution of the Universe, Office of Space Science, NASA Headquarters, Washington, D.C., looks on. The name 'Chandra,' a shortened version of her husband's name which he preferred among friends and colleagues, was chosen in a contest to rename the Advanced X-ray Astrophysics Facility. 'Chandra' also means 'Moon' or 'luminous' in Sanskrit. The observatory is scheduled to be launched aboard Columbia on Space Shuttle mission STS-93.
Learning style is one of the individual differences that play an important but controversial role in the learning process. This paper aims at providing a critical analysis regarding learning styles and their use in technology enhanced learning. The identified criticism issues are addressed by reappraising the so called Unified Learning Style Model (ULSM). A detailed description of the ULSM components is provided, together with their rationale. The practical applicability of the model in adaptive web-based educational systems and its advantages versus traditional learning style models are also outlined.
Jørgensen, Andreas; Dreyer, Louise Camilla; Wangel, Arne
Purpose: In the recently published ‘Guidelines for social life cycle assessment of products’, it is stated that the ultimate objective of developing the social life cycle assessment (SLCA) is to promote improvements of social conditions for the stakeholders in the life cycle. This article addresses...... the validity of these hypotheses. Results: Three in some cases potentially overlapping SLCA approaches are presented, assumed to create a beneficial effect in the life cycle in different ways. However, empirical and theoretical findings show that the beneficial effects proposed to arise from the use of each...
Buehler, Martin G.
Addressing elements indirectly through shift register reduces number of test probes. With aid of new technique, complex test structure on silicon wafer tested with relatively small number of test probes. Conserves silicon area by reduction of area devoted to pads. Allows thorough evaluation of test structure characteristics and of manufacturing process parameters. Test structure consists of shift register and matrix of inverter/transmission-gate cells connected to two-by-ten array of probe pads. Entire pattern contained in square area having only 1.6-millimeter sides. Shift register is conventional static CMOS device using inverters and transmission gates in master/slave D flip-flop configuration.
Full Text Available Abstract Adoptive T cell therapy involves the ex vivo selection and expansion of effector cells for the treatment of patients with cancer. In this review, the advantages and limitations of using antigen-specific T cells are discussed in counterpoint to vaccine strategies. Although vaccination strategies represent more readily available reagents, adoptive T cell therapy provides highly selected T cells of defined phenotype, specificity and function that may influence their biological behavior in vivo. Adoptive T cell therapy offers not only translational opportunities but also a means to address fundamental issues in the evolving field of cancer immunotherapy.
Demmel, James [University of California, Berkeley
The Dynamic, Exascale Global Address Space programming environment (DEGAS) project will develop the next generation of programming models and runtime systems to meet the challenges of Exascale computing. The Berkeley part of the project concentrated on communication-optimal code generation to optimize speed and energy efficiency by reducing data movement. Our work developed communication lower bounds, and/or communication avoiding algorithms (that either meet the lower bound, or do much less communication than their conventional counterparts) for a variety of algorithms, including linear algebra, machine learning and genomics.
Areskoug-Josefsson, Kristina; Fristedt, Sofi
Sexual health is an important issue in daily life, but little is known about occupational therapy (OT) students' views on these matters. To explore occupational therapy students' views on addressing sexual health in their future professional role. A descriptive qualitative study involving 37 OT students in 5 focus groups was performed and analyzed using content analysis. Three categories: 'Sexual health is part of occupational therapy and but not of the OT educational program'; 'Need for knowledge to identify and intervene related to sexual health problems'; and finally, 'Communication about sexual health-unknown, untried, but necessary', formed the theme, 'Willing to try, wanting to know more, and recognizing not only the difficulties and challenges but also the importance of sexual health in OT practice'. OT-students consider sexual health as part of OT-practice, but experience lack of knowledge of sexual health related to disease/disability, cultural diversity, and age and sexual orientation. Educational programs need to cover these matters, including how to address sexual health in OT-practice, to enhance OT's future competence related to promotion of sexual health for clients. Knowledge on students' views are vital to guide education on this important, rather neglected, area.
Loría, Kattia Rojas; Rosado, Teresa Gutiérrez; Espinosa, Leonor María Cantera; Marrochi, Leda María Marenco; Sánchez, Anna Fernández
To analyze the content of policies and action plans within the public healthcare system that addresses the issue of violence against women. A descriptive and comparative study was conducted on the health policies and plans in Catalonia and Costa Rica from 2005 to 2011. It uses a qualitative methodology with documentary analysis. It is classified by topics that describe and interpret the contents. We considered dimensions, such as principles, strategies, concepts concerning violence against women, health trends, and evaluations. Thirteen public policy documents were analyzed. In both countries' contexts, we have provided an overview of violence against women as a problem whose roots are in gender inequality. The strategies of gender policies that address violence against women are cultural exchange and institutional action within the public healthcare system. The actions of the healthcare sector are expanded into specific plans. The priorities and specificity of actions in healthcare plans were the distinguishing features between the two countries. The common features of the healthcare plans in both the counties include violence against women, use of protocols, detection tasks, care and recovery for women, and professional self-care. Catalonia does not consider healthcare actions with aggressors. Costa Rica has a lower specificity in conceptualization and protocol patterns, as well as a lack of updates concerning health standards in Catalonia.
Kattia Rojas Loría
Full Text Available OBJECTIVE To analyze the content of policies and action plans within the public healthcare system that addresses the issue of violence against women. METHODS A descriptive and comparative study was conducted on the health policies and plans in Catalonia and Costa Rica from 2005 to 2011. It uses a qualitative methodology with documentary analysis. It is classified by topics that describe and interpret the contents. We considered dimensions, such as principles, strategies, concepts concerning violence against women, health trends, and evaluations. RESULTS Thirteen public policy documents were analyzed. In both countries’ contexts, we have provided an overview of violence against women as a problem whose roots are in gender inequality. The strategies of gender policies that address violence against women are cultural exchange and institutional action within the public healthcare system. The actions of the healthcare sector are expanded into specific plans. The priorities and specificity of actions in healthcare plans were the distinguishing features between the two countries. CONCLUSIONS The common features of the healthcare plans in both the counties include violence against women, use of protocols, detection tasks, care and recovery for women, and professional self-care. Catalonia does not consider healthcare actions with aggressors. Costa Rica has a lower specificity in conceptualization and protocol patterns, as well as a lack of updates concerning health standards in Catalonia.
Barbera, L; Zwaal, C; Elterman, D; McPherson, K; Wolfman, W; Katz, A; Matthew, A
Sexual dysfunction in people with cancer is a significant problem. The present clinical practice guideline makes recommendations to improve sexual function in people with cancer. This guideline was undertaken by the Interventions to Address Sexual Problems in People with Cancer Expert Panel, a group organized by the Program in Evidence-Based Care (pebc). Consistent with the pebc standardized approach, a systematic search was conducted for existing guidelines, and the literature in medline and embase for the years 2003-2015 was systematically searched for both systematic reviews and primary literature. Evidence found for men and for women was evaluated separately, and no restrictions were placed on cancer type or study design. Content and methodology experts performed an internal review of the resulting draft recommendations, which was followed by an external review by targeted experts and intended users. The search identified 4 existing guidelines, 13 systematic reviews, and 103 studies with relevance to the topic. The present guideline provides one overarching recommendation concerning the discussion of sexual health and dysfunction, which is aimed at all people with cancer. Eleven additional recommendations made separately for men and women deal with issues such as sexual response, body image, intimacy and relationships, overall sexual functioning and satisfaction, and vasomotor and genital symptoms. To our knowledge this clinical practice guideline is the first to comprehensively evaluate interventions for the improvement of sexual problems in people with cancer. The guideline will be a valuable resource to support practitioners and clinics in addressing sexuality in cancer survivors.
Water security and emergent environmental risks are among the most significant societal concerns. They are highly interlinked to other global risks such as those related to climate, human health, food, human migration, biodiversity loss, urban sustainability, etc. Emergent risks result from the confluence of unanticipated interactions from evolving interdependencies between complex systems, such as those embedded in the water cycle. They are associated with the novelty of dynamical possibilities that have significant potential consequences to human and ecological systems, and not with probabilities based on historical precedence. To ensure water security we need to be able to anticipate the likelihood of risk possibilities as they present the prospect of the most impact through cascade of vulnerabilities. They arise due to a confluence of nonstationary drivers that include growing population, climate change, demographic shifts, urban growth, and economic expansion, among others, which create novel interdependencies leading to a potential of cascading network effects. Hydrocomplexity aims to address water security and emergent risks through the development of science, methods, and practices with the potential to foster a "Blue Revolution" akin to the Green revolution for food security. It blends both hard infrastructure based solution with soft knowledge driven solutions to increase the range of planning and design, management, mitigation and adaptation strategies. It provides a conceptual and synthetic framework to enable us to integrate discovery science and engineering, observational and information science, computational and communication systems, and social and institutional approaches to address consequential water and environmental challenges.
Holt, C.; Singh, J. P.
The authors examine the parallelization issues in and architectural implications of the two dominant adaptive hierarchical N-body methods: the Barnes-Hut method and the Fast Multipole Method. They show that excellent parallel performance can be obtained on cache-coherent shared address space multiprocessors, by demonstrating performance on three cache-coherent machines: the Stanford DASH, the Kendall Square Research KSR-1, and the Silicon Graphics Challenge. Even on machines that have their main memory physically distributed among processing nodes and highly nonuniform memory access costs, the speedups are obtained without any attention to where memory is allocated on the machine. The authors show that the reason for good performance is the high degree of temporal locality afforded by the applications, and the fact that working sets are small (and scale slowly) so that caching shared data automatically in hardware exploits this locality very effectively. Even if data distribution in main memory is assumed to be free, it does not help very much. Finally, they address a potential bottleneck in scaling the parallelism to large machines, namely the fraction of time spent in building the tree used by hierarchical N-body methods.
Noblet, Andrew; Lamontagne, Anthony D
The enormous human and economic costs associated with occupational stress suggest that initiatives designed to prevent and/or reduce employee stress should be high on the agenda of workplace health promotion (WHP) programmes. Although employee stress is often the target of WHP, reviews of job stress interventions suggest that the common approach to combating job stress is to focus on the individual without due consideration of the direct impacts of working conditions on health as well as the effects of working conditions on employees' ability to adopt and sustain 'healthy' behaviours. The purpose of the first part of this paper is to highlight the criticisms of the individual approach to job stress and to examine the evidence for developing strategies that combine both individual and organizational-directed interventions (referred to as the comprehensive approach). There is a risk that WHP practitioners may lose sight of the role that they can play in developing and implementing the comprehensive approach, particularly in countries where occupational health and safety authorities are placing much more emphasis on identifying and addressing organizational sources of job stress. The aim of the second part of this paper is therefore to provide a detailed description of what the comprehensive approach to stress prevention/reduction looks like in practice and to examine the means by which WHP can help develop initiatives that address both the sources and the symptoms of job stress.
Benjamin, Serge; Descures, Sylvain; Du Pasquier, Louis; Francois, Patrice; Buonarotti, Stefano; Mariotti, Giovanni; Tarakonov, Jurij; Daniska, Vladimir; Bergh, Niklas; Carroll, Simon; AaSTRoeM, Annika; Cato, Anna; De La Gardie, Fredrik; Haenggi, Hannes; Rodriguez, Jose; Laird, Alastair; Ridpath, Andy; La Guardia, Thomas; O'Sullivan, Patrick; ); Weber, Inge; )
The cost estimation process of decommissioning nuclear facilities has continued to evolve in recent years, with a general trend towards demonstrating greater levels of detail in the estimate and more explicit consideration of uncertainties, the latter of which may have an impact on decommissioning project costs. The 2012 report on the International Structure for Decommissioning Costing (ISDC) of Nuclear Installations, a joint recommendation by the Nuclear Energy Agency (NEA), the International Atomic Energy Agency (IAEA) and the European Commission, proposes a standardised structure of cost items for decommissioning projects that can be used either directly for the production of cost estimates or for mapping of cost items for benchmarking purposes. The ISDC, however, provides only limited guidance on the treatment of uncertainty when preparing cost estimates. Addressing Uncertainties in Cost Estimates for Decommissioning Nuclear Facilities, prepared jointly by the NEA and IAEA, is intended to complement the ISDC, assisting cost estimators and reviewers in systematically addressing uncertainties in decommissioning cost estimates. Based on experiences gained in participating countries and projects, the report describes how uncertainty and risks can be analysed and incorporated in decommissioning cost estimates, while presenting the outcomes in a transparent manner
Addressing water security in developing regions involves predicting water availability under unprecedented rates of population and economic growth. India is one of the most water stressed countries in the world. Despite appreciable increases in funding for water research, high quality science that is usable by stakeholders remains elusive. The absence of usable research, has been driven by notions of what is publishable in the developed world. This can be attributed to the absence of problem driven research on questions that actually matter to stakeholders, unwillingness to transcend disciplinary boundaries and the demise of a field-work research culture in favour of computer simulation. Yet the combination of rapid change, inadequate data and human modifications to watersheds poses a challenge, as researchers face a poorly constrained water resources modelling problem. Instead, what India and indeed all developing regions need is to approach the problem from first principles, identifying the most critical knowledge gaps, then prioritizing data collection using novel sensing and modelling approaches to address them. This might also necessitate consideration of underlying social and governance drivers of hydrologic change. Using examples from research in the Cauvery Basin, a highly contentious inter-state river basin, I offer some insights into framing "use-inspired" research agenda and show how the research generates not just new scientific insights but may be translated into practice.
Sustainable mobility is a highly complex problem as it is affected by the interactions between socio-economic, environmental, technological and political issues. Energy, Transport, & the Environment: Addressing the Sustainable Mobility Paradigm brings together leading figures from business, academia and governments to address the challenges and opportunities involved in working towards sustainable mobility. Key thinkers and decision makers approach topics and debates including: · energy security and resource scarcity · greenhouse gas and pollutant emissions · urban planning, transport systems and their management · governance and finance of transformation · the threats of terrorism and climate change to our transport systems. Introduced by a preface from U.S. Secretary Steven Chu and an outline by the editors, Dr Oliver Inderwildi and Sir David King, Energy, Transport, & the Environment is divided into six secti...
Demand for stakeholder involvement has become imperative in the field of radioactive waste management. Providing for fair and competent stakeholder involvement, however, raises several questions of practice, for example: How to address issues raised by stakeholders? How to take stakeholders' views into consideration if they are divergent or conflicting? This paper reviews eight case studies prepared for the Topical Session on Addressing Issues Raised by Stakeholders, aimed at analysing the impacts of stakeholder involvement on decisions in RWM organisations. The studies outline the experiences of the following organisations: Canadian Nuclear Safety Commission (CNSC); Canadian Nuclear Waste Management Organization (NWMO); Nuclear Waste Management Organisation of Japan (NUMO); Posiva, Finland; Radioactive Waste Repository Authority, Czech Republic (RAWRA); Swedish Radiation Protection Authority (SSI); United Kingdom Environment Agency; United States Environmental Protection Agency (EPA). Case study reports are included in the Annex of this volume. The paper outlines the main trends and lessons learned from the above case studies. The first section focuses on impacts of stakeholder involvement on specific RWM decisions regarding policy and process. Examples presented in the second section illustrate how stakeholders' concerns may influence general decision-making practices and organisational behaviour. In the third section various approaches to handling divergent stakeholder views are introduced. The paper concludes with recommendations extracted and derived from the eight reports. (author)
Fierman, Arthur H; Beck, Andrew F; Chung, Esther K; Tschudy, Megan M; Coker, Tumaini R; Mistry, Kamila B; Siegel, Benjamin; Chamberlain, Lisa J; Conroy, Kathleen; Federico, Steven G; Flanagan, Patricia J; Garg, Arvin; Gitterman, Benjamin A; Grace, Aimee M; Gross, Rachel S; Hole, Michael K; Klass, Perri; Kraft, Colleen; Kuo, Alice; Lewis, Gena; Lobach, Katherine S; Long, Dayna; Ma, Christine T; Messito, Mary; Navsaria, Dipesh; Northrip, Kimberley R; Osman, Cynthia; Sadof, Matthew D; Schickedanz, Adam B; Cox, Joanne
Child poverty in the United States is widespread and has serious negative effects on the health and well-being of children throughout their life course. Child health providers are considering ways to redesign their practices in order to mitigate the negative effects of poverty on children and support the efforts of families to lift themselves out of poverty. To do so, practices need to adopt effective methods to identify poverty-related social determinants of health and provide effective interventions to address them. Identification of needs can be accomplished with a variety of established screening tools. Interventions may include resource directories, best maintained in collaboration with local/regional public health, community, and/or professional organizations; programs embedded in the practice (eg, Reach Out and Read, Healthy Steps for Young Children, Medical-Legal Partnership, Health Leads); and collaboration with home visiting programs. Changes to health care financing are needed to support the delivery of these enhanced services, and active advocacy by child health providers continues to be important in effecting change. We highlight the ongoing work of the Health Care Delivery Subcommittee of the Academic Pediatric Association Task Force on Child Poverty in defining the ways in which child health care practice can be adapted to improve the approach to addressing child poverty. Copyright © 2016 Academic Pediatric Association. All rights reserved.
Malcolm V. Williams
Full Text Available Community resilience has grown in importance in national disaster response and recovery efforts. However, measurement of community resilience, particularly the content and quality of relationships aimed at improving resilience, is lacking. To address this gap, we used a social network survey to measure the number, type, and quality of relationships among organizations participating in 16 coalitions brought together to address community resilience in the Los Angeles Community Disaster Resilience project. These coalitions were randomized to one of two approaches (community resilience or preparedness. Resilience coalitions received training and support to develop these partnerships and implement new activities. Both coalition types received expert facilitation by a public health nurse or community educator. We also measured the activities each coalition engaged in and the extent to which partners participated in these activities at two time points. We found that the community resilience coalitions were initially larger and had lower trust among members than the preparedness communities. Over time, these trust differences dissipated. While both coalitions grew, the resilience community coalitions maintained their size difference throughout the project. We also found differences in the types of activities implemented by the resilience communities; these differences were directly related to the trainings provided. This information is useful to organizations seeking guidance on expanding the network of community-based organizations that participate in community resilience activities.
Andersson, Kim; Otoo, Miriam; Nolasco, Marcelo
Globally, more than 60% of the human population live without safely managed sanitation services or even lack access to basic sanitation facilities. In addition, most of the wastewater produced in the world is discharged without proper treatment. Integrated approaches are needed to address these issues and curb the resulting adverse impacts on public health and the environment, and associated societal economic losses. The United Nations 2030 Agenda for Sustainable Development provides an important framework towards more sustainable sanitation development, in terms of both safe sanitation access and wastewater management. Innovative solutions that treat and enable productive safe use of water, and facilitate recovery of nutrients and organic matter from waste resources are booming. Some examples of trends are decentralized solutions, separation of waste flows, low-or no-flushing toilets, and converting faecal sludge to energy. These alternative technologies show huge potential to address many development challenges, contributing to multiple sustainable development goals but achieving upscaling has proved to be a major challenge. A paradigm shift to 'treatment for reuse' instead of 'treatment for disposal' is already taking place in the wastewater sector. Nevertheless, a better understanding of driving forces and enabling environments, new organizational models based on more service-oriented sanitation provision, and highlighting potential multiple societal benefits to attract investments from new sectors are identified areas that need further attention.
The mission of the U.S. Nuclear Regulatory Commission (NRC) is to ensure the safe design, construction, and operation of commercial nuclear power plants and other facilities in the U.S.A. One of the main roles that the Office of Nuclear Regulatory Research (RES) plays in achieving the NRC mission is to plan, recommend, and implement research programs that address safety and technical issues deemed important by the NRC. The results of the research activities provide the bases for developing NRC positions or decisions on these issues. Also, RES performs confirmatory research for developing the basis to evaluate industry responses and positions on various regulatory requirements. This presentation summarizes some recent RES supported research activities that have addressed safety and technical issues related to valves and pumps. These activities include the efforts on determining valve and motor-operator responses under dynamic loads and pressure locking events, evaluation of monitoring equipment, and methods for detecting and trending aging of check valves and pumps. The role that RES is expected to play in future years to fulfill the NRC mission is also discussed.
Kunik, Mark E; Snow, A Lynn; Wilson, Nancy; Amspoker, Amber B; Sansgiry, Shubhada; Morgan, Robert O; Ying, Jun; Hersch, Gayle; Stanley, Melinda A
To compare the efficacy of Preventing Aggression in Veterans with Dementia (PAVeD) with that of usual care in decreasing incidence of aggression (primary outcome) and pain and improving depression, pleasant events, caregiver burden, and patient-caregiver relationship quality (secondary outcomes). Randomized controlled trial with assessments at baseline and 3, 6, 9, and 12 months SETTING: Houston, TX. A total of 203 community-dwelling veterans with pain and dementia and their caregivers. PAVeD, 6 to 8 weekly sessions of 45-minute home visits with masters-level clinicians providing instruction to caregivers on recognizing pain, enhancing communication, and making daily activities pleasant and enjoyable, and at least two elective sessions. Cohen-Mansfield Agitation Inventory (primary outcome), Philadelphia Geriatric Pain Intensity Scale, Geriatric Depression Scale, Pleasant Events Schedule-AD, Burden Interview, Mutuality Scale (secondary outcomes), Client Satisfaction Questionnaire. There were no significant differences in aggression incidence between intervention and control groups, although the PAVeD group had significantly better mutuality than controls. PAVeD may need to address a broader range and more in-depth coverage of aggression risk factors with person-centered tailoring to target certain types of distress. Interventions to prevent aggression may also need to address medical providers in addition to caregivers. Published by Elsevier Inc.
Sarah R Cooley
Full Text Available Ocean acidification has led to detectable changes in seawater chemistry around the world, which are associated with reduced growth and survival of many species. Acute ocean acidification events in the Pacific Northwest United States have jeopardized the $270 million, 3,200 jobs/year shellfish aquaculture industry in Washington State, and this has contributed to the state’s broad-based, legislatively driven response to ocean acidification. Even though impacts from ocean acidification have yet to be felt in many locations, states and regions are beginning to take action on the issue. In this paper, we present an array of actions that can be undertaken by communities or regions to address ocean acidification. The actions can be coupled, completed one at a time, or aligned with other environmental initiatives, and they can be tailored to the prevailing political or economic environment. We review which have been used by different U.S. states and identify common themes and popular choices. We close by suggesting combinations of conditions and clusters of activities that seem to promote rapid and sustained action. Cutting atmospheric carbon dioxide levels internationally is still the most comprehensive way to address ocean acidification, but this analysis shows that productive actions can still be taken at smaller scales to help marine resource-dependent communities adapt to existing ocean acidification and prepare for possible future impacts.
Oezkaynak, H.; Xue, Jianping; Butler, D.A.; Haroun, L.A.; MacDonell, M.M.; Fingleton, D.J.
Cleanup activities are currently being conducted by the US Department of Energy (DOE) at a former chemical plant site that has been inactive for more than 20 years. The Army produced nitroaromatic explosives at the 220-acre site during the 1940s, and radioactive materials of the uranium and thorium series were processed there by DOE's predecessor agency during the 1950s and 1960s. Chemical and radioactive contaminants are present in soil, surface water, sediment, and groundwater at the site as a result of both past releases and disposal activities and subsequent contaminant migration. Samples have been collected from these media over a number of years under both DOE's environmental monitoring program and the site characterization program of the Superfund process. Results of samples analyses have been compiled in a computerized data base. These data are being evaluated in the context of potential exposure pathways that are currently present at the site or that may be present in the future, in order to estimate possible adverse impacts to human health and the environment in the absence of cleanup. This paper discusses the methodology used to address associated tasks and the lessons learned during the assessment process. Statistical issues and recommended future directions for dealing with technical aspects of this project and with similar multimedia risk assessment projects are addressed in the final discussion. 10 refs., 9 figs., 1 tab
Keller, Cara M.
The purpose of this qualitative evaluative case study was to gain insight into how students perceived the efficacy of using games to address their science literacy concerns. Scientists in the United States are concerned with the lack of science literacy. The No Child Left Behind Act of 2001 requires proficiency in reading, mathematics, language arts, and science by the completion of the 2013--2014 school year. The high school participating in this study received substandard test scores on both the 2009 state graduation test and the science portion of the ACT test. The research question included understanding how students perceive the use of games in addressing their science literacy needs. The data from the student journals, field notes, and transcribed class discussions were analyzed using a 6 step method that included coding the data into main themes. The triangulated data were used to both gain insight into student perspective and inform game development. Constructivist theories formed the conceptual framework of the study. The findings of the study suggested that games may prove a valuable tool in science literacy attainment. The study indicated that games were perceived by the students to be effective tools in meeting their learning needs. Implications for positive social change included providing students, educators, and administrators with game resources that can be used to meet the science learning needs of struggling students, thereby improving science scores on high stakes tests.
Leibovici, Leonard; Paul, Mical; Garner, Paul; Sinclair, David J; Afshari, Arash; Pace, Nathan Leon; Cullum, Nicky; Williams, Hywel C; Smyth, Alan; Skoetz, Nicole; Del Mar, Chris; Schilder, Anne G M; Yahav, Dafna; Tovey, David
Antibiotics are among the most important interventions in healthcare. Resistance of bacteria to antibiotics threatens the effectiveness of treatment. Systematic reviews of antibiotic treatments often do not address resistance to antibiotics even when data are available in the original studies. This omission creates a skewed view, which emphasizes short-term efficacy and ignores the long-term consequences to the patient and other people. We offer a framework for addressing antibiotic resistance in systematic reviews. We suggest that the data on background resistance in the original trials should be reported and taken into account when interpreting results. Data on emergence of resistance (whether in the body reservoirs or in the bacteria causing infection) are important outcomes. Emergence of resistance should be taken into account when interpreting the evidence on antibiotic treatment in randomized controlled trials or systematic reviews. © The Author 2016. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For Permissions, please e-mail: email@example.com.
To investigate the nursing shortage in Saudi Arabia and specifically the shortage of Saudi nurses in the healthcare workforce and to propose solutions. Literature published from 1993 to 2013 providing relevant information on the nursing shortage, cultural traditions and beliefs, and nursing education and policies in Saudi was accessed from multiple sources including Medline, CINAHL Plus and Google Scholar and from official Saudi government document and was reviewed. Saudi Arabia depends largely on an expatriate workforce, and this applies to nursing. Saudi Arabia is experiencing a nursing shortage in common with most countries in the world and a shortage of Saudi nationals, especially women, in the healthcare workforce. The world shortage of nursing is extrinsic to Saudi, but intrinsic factors include a poor image of the nursing profession in the country that is exacerbated by cultural factors. With the call for the Saudization of the workforce to replace the imported workforce by Saudi nationals, including nurses, through the 1992 Royal Decree, Saudi Arabia faces a problem in attracting and retaining Saudi nationals in the nursing workforce. Solutions are suggested that are aimed at improving the public image of nursing through education and the use of the media and improvements in the workplace by addressing working processes such as teamwork, ensuring adequate staffing levels and addressing some aspects of culture which may make working in nursing more compatible with being a Saudi national. © 2016 International Council of Nurses.
Full Text Available This article looks at the definition of cyber terrorism and terrorist use of the Internet. The article evaluates cyber terrorist threats facing countries such as the United States of America, the United Kingdom, India and South Africa. The article also examines measures introduced by the respective governments in these countries to counteract cyber terrorist threats. Finally, the article will propose a way forward to counteract such possible threats in the future.The face of terrorism is changing. The convergence of the physical and virtual worlds has resulted in the creation of a “new threat” called cyber terrorism. Cyber terrorism is one of the recognised cyber crimes. The absence of suitable legal frameworks to address cyber terrorism at national and regional levels, the lack of adequate safeguards, the lack of cyber security strategies and the pre-occupation of countries with internal factors have all contributed to the creation of an environment that can be easily infiltrated by cyber terrorists. The horrific events of 9/11 provided the impetus for many countries to introduce anti-terrorist legislation. The United States of America, United Kingdom, India and South Africa have introduced legislation to address the threat of cyber terrorism.
Loría, Kattia Rojas; Rosado, Teresa Gutiérrez; Espinosa, Leonor María Cantera; Marrochi, Leda María Marenco; Sánchez, Anna Fernández
OBJECTIVE To analyze the content of policies and action plans within the public healthcare system that addresses the issue of violence against women. METHODS A descriptive and comparative study was conducted on the health policies and plans in Catalonia and Costa Rica from 2005 to 2011. It uses a qualitative methodology with documentary analysis. It is classified by topics that describe and interpret the contents. We considered dimensions, such as principles, strategies, concepts concerning violence against women, health trends, and evaluations. RESULTS Thirteen public policy documents were analyzed. In both countries’ contexts, we have provided an overview of violence against women as a problem whose roots are in gender inequality. The strategies of gender policies that address violence against women are cultural exchange and institutional action within the public healthcare system. The actions of the healthcare sector are expanded into specific plans. The priorities and specificity of actions in healthcare plans were the distinguishing features between the two countries. CONCLUSIONS The common features of the healthcare plans in both the counties include violence against women, use of protocols, detection tasks, care and recovery for women, and professional self-care. Catalonia does not consider healthcare actions with aggressors. Costa Rica has a lower specificity in conceptualization and protocol patterns, as well as a lack of updates concerning health standards in Catalonia. PMID:25210820
GRANDNER, MICHAEL A.
There is increasing awareness of the role of sleep disturbance as an important factor in health and disease. Although subclinical sleep disturbances (insufficient sleep duration or inadequate sleep quality) may be difficult to assess with conceptual and/or methodological clarity, this review attempts to summarize and synthesize these findings. First, the concept of sleep disturbance in a public health context is introduced, to provide context and rationale. Second, operational definitions of ‘cardiometabolic disease’ and ‘sleep disturbance’ are offered, to address many unclear operationalizations. Third, the extant literature is summarized regarding short or long sleep duration and/or insufficient sleep, insomnia and insomnia symptoms, general (non-specific sleep disturbances), circadian rhythm abnormalities that result in sleep disturbances, and, briefly, sleep-disordered breathing. Fourth, the review highlights the social/behavioural context of sleep, including discussions of sleep and race/ethnicity, socio-economic position, and other social/environmental factors, in order to place these findings in a social-environmental context relevant to public health. Fifth, the review highlights the issue of sleep as a domain of health behaviour and addresses issues regarding development of healthy sleep interventions. Finally, a research agenda of future directions is proposed. PMID:24892892
Davies, A L; Bryce, R; Redpath, S M
Conservation conflicts are increasing on a global scale and instruments for reconciling competing interests are urgently needed. Multicriteria decision analysis (MCDA) is a structured, decision-support process that can facilitate dialogue between groups with differing interests and incorporate human and environmental dimensions of conflict. MCDA is a structured and transparent method of breaking down complex problems and incorporating multiple objectives. The value of this process for addressing major challenges in conservation conflict management is that MCDA helps in setting realistic goals; entails a transparent decision-making process; and addresses mistrust, differing world views, cross-scale issues, patchy or contested information, and inflexible legislative tools. Overall we believe MCDA provides a valuable decision-support tool, particularly for increasing awareness of the effects of particular values and choices for working toward negotiated compromise, although an awareness of the effect of methodological choices and the limitations of the method is vital before applying it in conflict situations. © 2013 Society for Conservation Biology.
Hardy, Scott B.; Marr, James E. [Tuboscope Pipeline Services, Houston, TX (United States); Willmot, Martyn [Jotun Group (Norway); Norman, David [David Norman Corrosion Control, Cornwall (United Kingdom); Khera, Ashish [Allied Engineering, Portland, ME (United States)
Stress corrosion cracking (SCC) is now recognized by operators worldwide as a significant threat to the safe operation of their pipeline systems. Gas, oil, and refined products lines have all been susceptible to this form of environmentally assisted cracking. As a result, operators and regulators have been incorporating data related to the development and prevalence of SCC into their risk management systems in order that they may effectively address this time-dependant threat. The National Association of Corrosion Engineers (NACE) published the first structured methodology for stress corrosion cracking direct assessment (SCCDA) in 2004 (RP0204-2004). Operators are now beginning to apply the methods outlined in the standard to assess their systems. Research and industry experience have shown that various pipeline coating systems can be more or less effective in preventing the formation and growth of SCC. Newer pipeline coatings, such as multi layer epoxy/extruded polyolefin systems have been widely regarded as effective coating systems to address the threat posed by SCC when they are properly applied. New field studies performed on a pipeline coated with a three layer epoxy/polyethylene system have raised the possibility that operators utilizing these types of coatings may need to reassess how they manage the SCC threat. (author)
Agatemor, Christian; Ibsen, Kelly N.; Tanner, Eden E. L.
Abstract Advances in the field of ionic liquids have opened new applications beyond their traditional use as solvents into other fields especially healthcare. The broad chemical space, rich with structurally diverse ions, and coupled with the flexibility to form complementary ion pairs enables task‐specific optimization at the molecular level to design ionic liquids for envisioned functions. Consequently, ionic liquids now are tailored as innovative solutions to address many problems in medicine. To date, ionic liquids have been designed to promote dissolution of poorly soluble drugs and disrupt physiological barriers to transport drugs to targeted sites. Also, their antimicrobial activity has been demonstrated and could be exploited to prevent and treat infectious diseases. Metal‐containing ionic liquids have also been designed and offer unique features due to incorporation of metals. Here, we review application‐driven investigations of ionic liquids in medicine with respect to current status and future potential. PMID:29376130
Hedlund, Brian P.; Li, Wen-Jun; Zhang, Chuanlun
A binational research team met on the campus of Yunnan University in Kunming, China, to discuss recent progress and future plans to leverage binational support to address major questions on life in terrestrial geothermal systems. The symposium included about 90 faculty, postdocs, and students from China and about 30 faculty, postdocs, students, and high school teachers from the United States. The introductory session reviewed the progress of the Tengchong PIRE project funded by the U.S. National Science Foundation (NSF) Partnerships for International Research and Education (PIRE) program (OISE-0836450). It also introduced a new collaborative project funded as a Key Project of International Cooperation by the Chinese Ministry of Science and Technology (MOST, 2013DFA31980), which is the first project funded through a memorandum of understanding between NSF and MOST to promote China-U.S. collaboration.
Kuhrmann, Marco; Diebold, Philipp; Münch, Jürgen
of SPI. Our findings show the analyzed papers delivering a substantial discussion of cultural models and how such models can be used to better address and align SPI programs with multi-national environments. Furthermore, experience is shared discussing how agile approaches can be implemented in companies...... working at the global scale. Finally, success factors and barriers are studied to help companies implementing SPI in a GSE context....... a systematic mapping study on the state-of-the-art in SPI from a general perspective, we observed Global Software Engineering (GSE) becoming a topic of interest in recent years. Therefore, in this paper, we provide a detailed investigation of those papers from the overall systematic mapping study that were...
Slums and squatter settlements have proliferated in urban Bangladesh. Indeed, rapid urban population growth in Bangladesh has overwhelmed the existing infrastructure. Many people live in extremely poor conditions which make it difficult for them to maintain healthy living conditions. Extending health care and other basic services to the urban poor has become a priority concern for the government, nongovernmental organizations, and donor agencies. The International Center for Diarrheal Disease Research, Bangladesh, has been involved in urban health research since the early 1980s. Some of the center's activities over the years are described, followed by sections on assessing the health and nutrition problems of mothers and children, access to and use of health services among the urban poor, addressing the urban environment, and operations research to improve maternal and child health and family planning service delivery.
Nlebedim, I. C.; King, A. H.
Rare earth elements (REEs) are critical for many advanced technologies and are faced with potential supply disruptions. Recycling of permanent magnets (PMs) can be good sources for REEs which can help minimize global dependence on freshly mined REEs, but PMs are rarely recycled. Recycling of PMs has been discussed with respect to improving REEs resource sustainability. Some challenges to be addressed in order to establish industrially deployable technologies for PMs recycling have also been discussed, including profitability, energy efficiency and environmental impacts. Key considerations for promoting circular economy via PMs recycling is proposed with the focus on deciding the target points in the supply chain at which the recycled products will be inserted. Important technical considerations for recycling different forms of waste PMs, including swarfs, slags, shredded and intact hard disk drives magnets, have been presented. The aspects of circular economy considered include reusing magnets, remanufacturing magnets and recovering of REEs from waste PMs.
Wilhelm, Paul; Rudolph, Juergen; Steinmann, Paul
Laboratory tests consider simple trapezoidal, triangle, and sinusoidal signals. However, actual plant components are characterized by complex loading patterns and periods of holds. Fatigue tests in water environment show, that the damage from a realistic strain variation or the presence of hold-times within cyclic loading results in an environmental reduction factor (Fen) only half that of a simple waveform. This study proposes a new fatigue approach for addressing environmental effects in fatigue usage calculation for class 1 boiler and pressure vessel reactor components. The currently accepted method of fatigue assessment has been used as a base model and all cycles, which have been comparable with realistic fatigue tests, have been excluded from the code-based fatigue calculation and evaluated directly with the test data. The results presented show that the engineering approach can successfully be integrated in the code-based fatigue assessment. The cumulative usage factor can be reduced considerably.
Donata Melaku Canu
According to the System Approach Framework (SAF, based on previous studies and stakeholder interactions, we developed a model integrating ecological, social, and economic (ESE aspects. We chose the aspects necessary to represent the essential dynamics of major ecological, social, and economic clam farming system components to project the consequences of implementing alternative management policies and to address the ecological and social carrying capacity. Results of the simulations suggest that a properly managed farming system can sustain an acceptable income and support the local community, while reducing negative environmental impacts, social conflicts, and consumer health risks and improving system resilience. The results highlight the importance of an interdisciplinary, participatory, and adaptive approach in planning the management of this important renewable resource.
I have assembled traditional ways to think about human needs and power along with empirical data to support a mental model of human values. The hierarchy of needs from the world of psychology and the hierarchy of power from the world of diplomacy provide a structure for the model. The empirical data collected from several nations over the last three decades support the structure. Furthermore, an examination of specific trends in this data for specific values indicates that it is not impossible to achieve a sustainable world driven by sustainable values. A world that will be defined by its successful movement toward the "triple bottom line," a term articulated by John Elkington, is a world in which economic prosperity, environmental protection, and social equity are aligned. To say that the model allows one to address terrorism is based on the assumption that the lack of social equity or the perception of that lack determines the likelihood of terrorism.
McConnell, Charles R
Employee turnover and employee retention are inextricably linked; to control turnover is to enhance retention. Turnover is a relatively simple concept; however, considerable confusion often results when addressing turnover because of differences in how it is defined; that is, what is counted, how it is counted, and how the turnover rates are expressed. Turnover is also costly, although not enough attention is paid to its cost because so much of it is indirect and thus not readily visible. There are a variety of causes of turnover, some that can be corrected and some that cannot be avoided. Reducing or otherwise controlling turnover requires continuing management attention to its causes and constant recognition of what can and should be controlled and what cannot be controlled. Ongoing attention to turnover is an essential part of the department manager's role; every improvement in turnover is a direct improvement in retention, with eventual positive effects on the bottom line.
Rayburn, Ann B
Organ donation rates continue to lag behind the number of patients waiting for an organ transplant. The Alabama Organ Center, the organ procurement organization for the state of Alabama, is using a multipronged approach to address the organ shortage. The plan includes clinical options, public education, and professional education. Donation after cardiac death is proving to be an excellent option to increase the number of donors. Public and professional education must be conducted through a variety of avenues, and the Alabama Organ Center has implemented a successful Department of Motor Vehicles educational effort, in conjunction with other programs. The current issue impacting professional education is participation in the Health and Human Services Organ Donation Breakthrough Collaborative. The common link to all of these programs is effective relationship building.
Climate change is an increasingly salient issue for societies and policy-makers worldwide. It now raises fundamental interdisciplinary issues of risk and uncertainty analysis and communication. The growing scientific consensus over the anthropogenic causes of climate change appears to sit at odds with the increasing use of risk discourses in policy: for example, to aid in climate adaptation decision making. All of this points to a need for a fundamental revision of our conceptualization of what it is to do climate risk communication. This Special Collection comprises seven papers stimulated by a workshop on "Climate Risk Perceptions and Communication" held at Cumberland Lodge Windsor in 2010. Topics addressed include climate uncertainties, images and the media, communication and public engagement, uncertainty transfer in climate communication, the role of emotions, localization of hazard impacts, and longitudinal analyses of climate perceptions. Climate change risk perceptions and communication work is critical for future climate policy and decisions. © 2012 Society for Risk Analysis.
Full Text Available Worldwide, it is estimated that nearly 4 million people fall victim to people traffickers every year. Trafficking is carried out mainly by Organised Criminal Networks and the victims are forced into prostitution, illegal labour, domestic slavery and petty crime. ROSSITER & BENFIELD: The Role of Local Authorities in Addressing Human Trafficking CJLG May 2009 128 On 1 April 2009, the United Kingdom signed up to the Council of Europe Convention on Action against Trafficking in Human Beings.1 The Convention, which has to date been ratified by 20 European countries, is legally binding and aims to promote and protect the rights of victims who have been tricked or forced into leaving their homes, moved to another country, or within their own country, and then exploited. Whilst it is national governments who are signatories to the Council of Europe Convention, local authorities have a key role to play in its successful implementation.
On July 26, 1989, the secretary of the Department of Energy (DOE), Admiral James Watkins, announced approval of the Waste-Management Education and Research Consortium (WERC). The consortium is composed of New Mexico State University (NMSU), the University of New Mexico, the New Mexico Institute of Mining and Technology, Los Alamos National Laboratory, and Sandia National Laboratories. This pilot program is expected to form a model for other regional and national programs. The WERC mission is to expand the national capability to address issues associated with the management of hazardous, radioactive, and solid waste. Research, technology transfer, and education/training are the three areas that have been identified to accomplish the objectives set by the consortium. The members of the consortium will reach out to the DOE facilities, other government agencies and facilities, and private institutions across the country. Their goal is to provide resources for solutions to waste management problems
Tamas, Rebecca L; Miller, Karen Hughes; Martin, Leslee J; Greenberg, Ruth B
This study aims to estimate the number of hours dedicated to lesbian, gay, bisexual, and transgender content in one medical school's undergraduate curriculum, compare it to the national average, and identify barriers to addressing this content. Course and clerkship directors were asked to estimate how many hours they spent on lesbian, gay, bisexual, and transgender content, how many hours would be ideal, and what barriers they perceived to teaching this content. Faculty members identified lack of instructional time, lack of relevance to their course content, and lack of professional development on this topic as major barriers. There was a significant negative correlation (r(s)=-0.47, p=0.047) between "number of hours dedicated" and "perceived barriers to teaching this content." Course and clerkship directors who perceive more barriers to teaching lesbian, gay, bisexual, and transgender content report dedicating less time to its instruction, but the barriers they perceive can largely be mitigated through faculty development.
Bahloul, Mohamed A.
MTCAM (Memristor Ternary Content Addressable Memory) is a special purpose storage medium in which data could be retrieved based on the stored content. Using Memristors as the main storage element provides the potential of achieving higher density and more efficient solutions than conventional methods. A key missing item in the validation of such approaches is the wide spread availability of hardware emulation platforms that can provide reliable and repeatable performance statistics. In this paper, we present a hardware MTCAM emulation based on 2-Transistors-2Memristors (2T2M) bit-cell. It builds on a bipolar memristor model with storing and fetching capabilities based on the actual current-voltage behaviour. The proposed design offers a flexible verification environment with quick design revisions, high execution speeds and powerful debugging techniques. The proposed design is modeled using VHDL and prototyped on Xilinx Virtex® FPGA.
Prado, Gustavo Faibischew; Lombardi, Elisa Maria Siqueira; Morais, Anna Miethke; Martins, Stella Regina; Santos, Ubiratan de Paula
The topic of tobacco smoking, in its several aspects, has been receiving increasing attention among researchers over the past few years, which has been reflected in more data and more solid scientific literature on the subject in national journals. This article aims to review the studies that focused on smoking published between January 2010 and June 2012, in Arquivos Brasileiros de Cardiologia (Brazilian Archives of Cardiology), Brazilian Journal of Medical and Biological Research, Clinics (Sao Paulo), Jornal Brasileiro de Pneumologia (Brazilian Journal of Pulmonology), Revista da Associação Médica Brasileira (Journal of the Brazilian Medical Association) and Revista Brasileira de Cirurgia Cardiovascular (Brazilian Journal of Cardiovascular Surgery). During the aforementioned period 58 articles were published, 52 of which were original ones, addressing several aspects of smoking, such as effects on health, epidemiology, cessation and experimental studies.
Full Text Available After a brief discussion of the epistemological and phenomenological difficulties associated with the concept of lone wolf terrorism, a number of possible counter-terrorist approaches are discussed. Lone operator terrorist acts should be considered ‘black swan’ occurrences that are almost impossible to categorize or systematize, let alone forecast. Thus, not the profile of the perpetrator, but the modus operandi offer clues for a better response to this particular threat. Furthermore, almost all lone operators do display a degree of commitment to, and identification with, extremist movements – providing leads for preventing new rounds of radicalization within this potential group of sympathizers or followers. With the apparent increase of Islamist lone wolf terrorism and fears for right-wing extremists wanting to follow the example of the Norwegian mass murderer A.B. Breivik, new questions need to be posed, addressing the role of virtual communities with which lone operators identify themselves.
Blakeley, C. [University of Salford (United Kingdom); Manchester Royal Infirmary (CMFT) (United Kingdom)], E-mail: firstname.lastname@example.org; Hogg, P. [University of Salford (United Kingdom)
This article is based partly upon the Presidential Address of the Manchester Medical Society (Imaging Section) in 2008. It reviews the development of radiology services in the Manchester (UK) area from their inception in 1896 to the installation of the first EMI body CT scanner in Europe. It considers some of the innovative people in the Manchester area and some milestone events that occurred in that area to help establish the role and value of X-ray in diagnostic imaging. In this article the first recorded case of when X-ray imaging was used in a forensic domiciliary case is also outlined; this occurred approximately 35 miles north of Manchester on 23rd April 1896. The article also explains some interesting background information on the development of the first EMI CT scanner, drawing particularly on the revenue stream generated by the music section of EMI through the success of The Beatles - a band which emanated 35 miles from Manchester in Liverpool.
Blakeley, C.; Hogg, P.
This article is based partly upon the Presidential Address of the Manchester Medical Society (Imaging Section) in 2008. It reviews the development of radiology services in the Manchester (UK) area from their inception in 1896 to the installation of the first EMI body CT scanner in Europe. It considers some of the innovative people in the Manchester area and some milestone events that occurred in that area to help establish the role and value of X-ray in diagnostic imaging. In this article the first recorded case of when X-ray imaging was used in a forensic domiciliary case is also outlined; this occurred approximately 35 miles north of Manchester on 23rd April 1896. The article also explains some interesting background information on the development of the first EMI CT scanner, drawing particularly on the revenue stream generated by the music section of EMI through the success of The Beatles - a band which emanated 35 miles from Manchester in Liverpool.
Political and racial terror have important implications for the process of psychotherapy. This type of trauma can have unique effects on individual psychology and the larger social context of patients' lives that are distinct from other types of interpersonal trauma. Several intrapsychic processes, such as one's experience of mirroring, fear of annihilation, identification and internalization of aggression, the collective remembering of trauma, and subsequent mourning, are transformed through one's experiences of political and racial terror. Clinical illustrations of 2 patients treated in psychotherapy before and after the terrorist attacks of September 11, 2001, elaborate these effects of political and racial trauma. The implications of addressing these types of traumatic experience in psychotherapy, including issues of therapeutic neutrality, are discussed.
Full Text Available Patient-centred design is a relatively new term, but a longstanding concept in clinical practice. This discussion looks at patient-centred design and explores the relationships of patient-centred design to universal design, user-centred design and the newer human-centred design. It also explores why interdisciplinary approaches are needed for patient-centred design and how interdisciplinary collaboration works to address the challenges of patient centred design. Successful patient-centred solutions can grow from collaborations which include shared visions, understanding of both the nature and degree of variation in the patient,materials, and the designed solution, clear regular communication among all parties with careful definition of terms, and respect for the inherent cultures of all disciplines involved.
Jawson, Michael D.; Walthall, Charles W.; Shafer, Steven R.; Liebig, Mark; Franzluebbers, Alan J.; Follett, Ronald F.
GRACEnet (Greenhouse gas Reduction through Agricultural Carbon Enhancement network) was conceived to build upon ongoing USDA Agricultural Research Service (ARS) research to improve soil productivity, while addressing the challenges and opportunities of interest in C sequestration from a climate change perspective. The vision for GRACEnet was and remains: Knowledge and information used to implement scientifically based agricultural management practices from the field to national policy scales on C sequestration, greenhouse gas (GHG) emissions, and environmental benefits. The national focus of GRACEnet uses a standardized approach by ARS laboratories and university and land manager (e.g. farmer and rancher) cooperators to assess C sequestration and GHG emission from different crop and grassland systems. Since 2002, GRACEnet has significantly expanded GHG mitigation science and delivered usable information to agricultural research and policy organizations. Recent developments suggest GRACEnet will have international impact by contributing leadership and technical guidance for the Global Research Alliance on Agricultural Greenhouse Gases.
Liu, Y. X.; Wei, L. F.; Johansson, J. R.; Tsai, J. S.; Nori, F.
Exploiting the intrinsic nonlinearity of superconducting Josephson junctions, we propose a scalable circuit with superconducting qubits (SCQs) which is very similar to the successful one now being used for trapped ions. The SCQs are coupled to the ``vibrational'' mode provided by a superconducting LC circuit or its equivalent (e.g., a superconducting quantum interference device). Both single-qubit rotations and qubit-LC-circuit couplings and/or decouplings can be controlled by the frequencies of the time-dependent magnetic fluxes. The circuit is scalable since the qubit-qubit interactions, mediated by the LC circuit, can be selectively performed, and the information transfer can be realized in a controllable way. [4pt] Y.X. Liu, L.F. Wei, J.R. Johansson, J.S. Tsai, F. Nori, Superconducting qubits can be coupled and addressed as trapped ions, Phys. Rev. B 76, 144518 (2007). URL: http://link.aps.org/abstract/PRB/v76/e144518
Bartlett, R C
As I close this address, I do so with a certain sense of sadness about leaving a leadership team in a very exciting time of our professional history. I retire from this office with great faith in the leadership that will follow and with the optimism that the future will hold numerous excitements for our profession. The motivation and interactions that you have provided have caused me to dream of physical therapy in a manner I could have never envisioned on my own. Oh, how I thank you for the pleasures I have derived! I hope my remarks of today will serve to stimulate your dreams, your goals, inasmuch as the combination of our dreams and goals will bring greater fulfillment to the profession of physical therapy in the years that lie ahead.
Naranjo, Lizbeth; Pérez, Carlos J; Martín, Jacinto
Tracking Parkinson's disease symptom severity by using characteristics automatically extracted from voice recordings is a very interesting and challenging problem. In this context, voice features are automatically extracted from multiple voice recordings from the same subjects. In principle, for each subject, the features should be identical at a concrete time, but the imperfections in technology and the own biological variability result in nonidentical replicated features. The involved within-subject variability must be addressed since replicated measurements from voice recordings can not be directly used in independence-based pattern recognition methods as they have been routinely used through the scientific literature. Besides, the time plays a key role in the experimental design. In this paper, for the first time, a Bayesian linear regression approach suitable to handle replicated measurements and time is proposed. Moreover, a version favoring the best predictors and penalizing the worst ones is also presented. Computational difficulties have been avoided by developing Gibbs sampling-based approaches.
Buehler, M. G.; Sayah, H. R.
The addressable inverter matrix consists of 222 inverters each accessible with the aid of a shift register. The structure has proven useful in characterizing the variability of inverter transfer curves and in diagnosing processing faults. For good 3-micron CMOS bulk inverters investigated, the percent standard deviation of the inverter threshold voltage was less than one percent and the inverter gain (the slope of the inverter transfer curve at the inverter threshold vltage) was less than 3 percent. The average noise margin for the inverters was near 2 volts for a power supply voltage of 5 volts. The specific faults studied included undersize pull-down transistor widths and various open contacts in the matrix.
Aguilar, Nawal Farhat; Herbert-Hansen, Zaza Nadja Lee
aims to identify key factors that influence fundraising success for mental-health NGOs and determine the most advantageous fundraising approach based on a mixed-methods-study that encompass a literature review, two surveys and a case study. Design/methodology/approach - Based on a structured literature...... - The results highlight 15 key factors determining the optimal approach for mental-health NGOs when fundraising in Denmark. Practical implications - The decision-making framework can be used to assess the most advantageous fundraising approach based on a variety of internal and external circumstances....... Originality/value - While private firms develop exhaustive market analyses, NGOs often lack analyses to cope with fluctuating environments and changing customer needs. This paper addresses this gap by identifying key factors that determine an optimal fundraising approach and proposes a novel decision...
Patricia Anne Odber de Baubeta
Full Text Available The title of this paper is perhaps deceptively succint: although it indicates the object of study it does not immediately suggest the transdisciplinary nature of its subject matter. Any consideration of the problems posed and the lexical or syntactical options available when one sets out to translate forms of address from one language to another must necessarily involve some awareness not only of issues of translation theory, but also of a series of questions usually discussed under the rubrics of sociolinguistics, pragmatics and discourse analysis. The title of this paper is perhaps deceptively succint: although it indicates the object of study it does not immediately suggest the transdisciplinary nature of its subject matter. Any consideration of the problems posed and the lexical or syntactical options available when one sets out to translate forms of address from one language to another must necessarily involve some awareness not only of issues of translation theory, but also of a series of questions usually discussed under the rubrics of sociolinguistics, pragmatics and discourse analysis.
Shorna B. Allred
Full Text Available Natural resource professionals, ranging from forest managers and educators to floodplain managers, play a critical role in implementing and conducting outreach with regards to climate mitigation and adaptation appropriate to local and regional scales. Natural resource professionals can also pave the way by adopting actions that serve as demonstrations of efforts to mitigate greenhouse gas emissions or adapt natural systems for the future. A web survey of 1488 natural resource professionals across New York State (NYS was conducted to assess their attitudes toward climate change, views toward climate change mitigation and adaptation priorities, actions taken to address climate change, and barriers faced as they relate to their professional responsibilities. The majority of natural resource professionals believe that climate change is happening, but there was slightly less agreement about human causes of climate change. Most natural resource professionals (69% see evidence of how climate change is impacting natural resources in NYS, but few (17% believed that there was sufficient information about how to address climate impacts at the local level. Nearly 60% of natural resources professionals undertook climate mitigation or adaptation actions in their work. Prominent influencing factors for action were proactive leadership and local impacts. Barriers to taking action on climate change were a lack of human and financial resources, the nature of costs relative to benefits, and lack of perceived threat. As managers and educators responsible for local water, land, and wildlife resources, natural resource professionals witness changes resulting from climate change first-hand. This paper will be useful to decision-makers at state and federal government levels regarding policies, incentives, and guidance that can be created with the goal of promoting a sound natural resource strategy in support of climate change readiness.
Bayrampour, Hamideh; Hapsari, Ayu Pinky; Pavlovic, Jelena
poor perinatal mental health is linked to various adverse pregnancy and child outcomes. Despite having a holistic philosophy of care, similar to other maternity care settings, perinatal mental health issues often remain under-diagnosed and untreated in midwifery settings. to determine midwives' perceived barriers to the screening, referral, and management of perinatal mental health issues. integrative review. the following databases were searched: MEDLINE, CINAHL, EMBASE, and PsycINFO. We included qualitative, quantitative, and mixed methods studies published in a peer-reviewed journal in English. Two reviewers independently extracted data and subsequently integrated the extracted data into a single data matrix. The data matrix was compared iteratively across primary data sources to identify themes and sub-themes. The identified barriers to screening, management and referrals were subsequently categorized into provider-level and system-level barriers. The relevance and methodological quality of the included studies were evaluated using appropriate checklists. three hundreds and fifty six articles were retrieved. Twenty studies met the inclusion criteria and were included. Insufficient/lack of training, lack of clarity regarding the scope of practice and time constraints were common provider level barriers across various stages of addressing mental health issues from identification to management. The system-level barriers were more complex and diverse and included unclear pathways and unlinked services, lack of local guidelines or policies, continuity of care, structured office procedures, clinical support and supervision and accessible educational resources, scarcity of available referral resources, complex bureaucratic processes and challenges related to expansion of the scope of practice. training, expansion of the scope of practice and collaborative care are central for successful screening, management and appropriate and timely referrals of perinatal mental
Ly, Anh; Crowshoe, Lynden
Efforts are underway in many parts of the world to develop medical education curricula that address the health care issues of indigenous populations. The topic of stereotypes and their impact on such peoples' health, however, has received little attention. An examination of stereotypes will shed light on dominant cultural attitudes toward Aboriginal people that can affect quality of care and health outcomes in Aboriginal patients. This study examines the views of undergraduate medical students regarding Canadian Aboriginal stereotypes and how they potentially affect Aboriginal people's health. The goal of this study was to gain insight into how medical learners perceive issues related to racism, discrimination and social stereotypes and to draw attention to gaps in Aboriginal health curricula. This study involved a convenience sample of medical learners drawn from one undergraduate medical programme in western Canada. Using a semi-structured interview guide, we conducted a total of seven focus group interviews with 38 first- and second-year undergraduate medical students. Data were analysed using a thematic content analysis approach. Medical students recognise that stereotypes are closely related to processes of racism and discrimination. However, they generally feel that stereotypes of Aboriginal people are rooted in reality. Students also identified medical school as one of the environments in which they are commonly exposed to negative views of Aboriginal people. Student responses suggest they see the cultural gap between Aboriginal and non-Aboriginal people as being both a cause and a consequence of discrimination against Aboriginal people. The results of this study suggest that teaching medical students about the realities and impacts of stereotypes on Aboriginal peoples is a good starting point from which to address issues of racism and health inequities affecting the health of Aboriginal people. © 2015 John Wiley & Sons Ltd.
Vijay John Daniels
Full Text Available Morning report is a case-based teaching session common to many residency programs with varying purposes and focuses. At our institution, physicians and residents felt our Internal Medicine morning report had lost its educational focus. The purpose of this project was to improve morning report using a well-known curriculum development framework for medical education. We conducted a focus group of residents to develop and implement changes to morning report. Themes from our focus group led us to split morning report with the first 30 minutes for postgraduate year 3 (PGY-3 residents to give handover, to receive feedback on diagnosis and management, and to either discuss an interesting case or receive teaching aimed at their final certification examination. The second 30 minutes involved PGY-3 residents leading PGY-1 residents in case-based discussions with an attending physician providing feedback on the content and process of teaching. We measured success based on a follow-up survey and comments from resident evaluations before and after the change. Overall, the changes were well received by both faculty and residents; however comments revealed that the success of morning report is preceptor dependent. In summary, we have successfully implemented a split morning report model to enhance resident education with positive feedback.
Cross, Molly S; McCarthy, Patrick D; Garfin, Gregg; Gori, David; Enquist, Carolyn AF
Abstract Natural resource managers are seeking tools to help them address current and future effects of climate change. We present a model for collaborative planning aimed at identifying ways to adapt management actions to address the effects of climate change in landscapes that cross public and private jurisdictional boundaries. The Southwest Climate Change Initiative (SWCCI) piloted the Adaptation for Conservation Targets (ACT) planning approach at workshops in 4 southwestern U.S. landscapes. This planning approach successfully increased participants’ self-reported capacity to address climate change by providing them with a better understanding of potential effects and guiding the identification of solutions. The workshops fostered cross-jurisdictional and multidisciplinary dialogue on climate change through active participation of scientists and managers in assessing climate change effects, discussing the implications of those effects for determining management goals and activities, and cultivating opportunities for regional coordination on adaptation of management plans. Facilitated application of the ACT framework advanced group discussions beyond assessing effects to devising options to mitigate the effects of climate change on specific species, ecological functions, and ecosystems. Participants addressed uncertainty about future conditions by considering more than one climate-change scenario. They outlined opportunities and identified next steps for implementing several actions, and local partnerships have begun implementing actions and conducting additional planning. Continued investment in adaptation of management plans and actions to address the effects of climate change in the southwestern United States and extension of the approaches used in this project to additional landscapes are needed if biological diversity and ecosystem services are to be maintained in a rapidly changing world. Acelerando la Adaptación del Manejo de Recursos Naturales para
Hemmings, S. N.; Banks, B.; Kendall, J.; Lee, C. M.; Irwin, D.; Toll, D. L.; Searby, N. D.
The NASA Capacity Building Program (Earth Science Division, Applied Sciences Program) works to enhance end-user capabilities to employ Earth observation and Earth science (EO/ES) data in decision-making. Open data access and user-tailored data delivery strategies are critical elements towards this end. User Experience (UX) and User Interface (UI) research methods can offer important contributions towards addressing data access challenges, particularly at the interface of science application/product development and product transition to end-users. This presentation focuses on developing nation contexts and describes methods, results, and lessons learned from two recent UX/UI efforts conducted in collaboration with NASA: the SERVIRglobal.net redesign project and the U.S. Water Partnership (USWP) Portal development effort. SERVIR, a collaborative venture among NASA, USAID, and global partners, seeks to improve environmental management and climate change response by helping governments and other stakeholders integrate EO and geospatial technologies into decision-making. The USWP, a collaboration among U.S. public and private sectors, harnesses U.S.-based resources and expertise to address water challenges in developing nations. SERVIR's study, conducted from 2010-2012, assessed and tested user needs, preferences, and online experiences to generate a more user-friendly online data portal at SERVIRglobal.net. The portal provides a central access interface to data and products from SERVIR's network of hubs in East Africa, the Hindu Kush Himalayas, and Mesoamerica. The second study, conducted by the USWP Secretariat and funded by the U.S. Department of State, seeks to match U.S.-based water information resources with developing nation stakeholder needs. The USWP study utilizes a multi-pronged approach to identify key design requirements and to understand the existing water data portal landscape. Adopting UX methods allows data distributors to design customized UIs that
Bonet García, Francisco J.; Suárez-Muñoz, María; Conchubhair, Diarmuid O.; Dohna, Tina; Lo Bue, Nadia
Human impact on the planet is causing a set of global environmental problems that threaten the wellbeing of current and future generations. Examples of these environmental problems include climate change, decline of biodiversity, alteration of biogeochemical cycles, ocean acidification, etc. These environmental Global Challenges (GCs) are transnational and complex, combining elements of both natural and social factors. Providing solutions for these challenges can be significantly enhanced through the collaboration of various related institutions, governments and stakeholders. A deeper understanding of the causes and consequences of GCs, as well as the processes which control them is required. Environmental Research Infrastructures (DANUBIUS-RI) are key players in this learning process. Covering many fields of research, it is through RIs collaboration that GCs can be more fully addressed. However, the collaboration among environmental RIs is still limited nationally as well as internationally. Although contact is encouraged and interactions are common practice, there are few cases where RI managers initiate and foster transnational collaborations in order to address specific problems. The COOP+ project aims to explore and strengthen cooperation among global RIs by bringing various RIs together and working on the identification of requirements, strengths, knowledge gaps and other relevant items in regard to the selected GCs. For this purpose, 13 GCs have been selected: coral bleaching, marine debris, noise impact on marine fauna, Arctic sea ice melting, pollinators decline, threatened species, agriculture pollutants, nitrogen cycle, carbon and GHG, geohazards and extreme events, estuaries, global urbanization process, and ozone depletion. These GCs are being analysed and described by multidisciplinary teams of experts composed of scientists, RIs operators and other stakeholders. This assessment will derive a list of tasks and requirements to be fulfilled by the
Kinnersley, P; Edwards, A; Hood, K; Cadbury, N; Ryan, R; Prout, H; Owen, D; Macbeth, F; Butow, P; Butler, C
Patients often do not get the information they require from doctors and nurses. To address this problem, interventions directed at patients to help them gather information in their healthcare consultations have been proposed and tested. To assess the effects on patients, clinicians and the healthcare system of interventions which are delivered before consultations, and which have been designed to help patients (and/or their representatives) address their information needs within consultations. We searched: the Cochrane Central Register of Controlled Trials (CENTRAL, The Cochrane Library (issue 3 2006); MEDLINE (1966 to September 2006); EMBASE (1980 to September 2006); PsycINFO (1985 to September 2006); and other databases, with no language restriction. We also searched reference lists of articles and related reviews, and handsearched Patient Education and Counseling (1986 to September 2006). Randomised controlled trials of interventions before consultations designed to encourage question asking and information gathering by the patient. Two researchers assessed the search output independently to identify potentially-relevant studies, selected studies for inclusion, and extracted data. We conducted a narrative synthesis of the included trials, and meta-analyses of five outcomes. We identified 33 randomised controlled trials, from 6 countries and in a range of settings. A total of 8244 patients was randomised and entered into studies. The most common interventions were question checklists and patient coaching. Most interventions were delivered immediately before the consultations.Commonly-occurring outcomes were: question asking, patient participation, patient anxiety, knowledge, satisfaction and consultation length. A minority of studies showed positive effects for these outcomes. Meta-analyses, however, showed small and statistically significant increases for question asking (standardised mean difference (SMD) 0.27 (95% confidence interval (CI) 0.19 to 0.36)) and
Camak, Deborah Jacks
To examine the empirical literature regarding the risk of burden experienced by the older adult caregiver of the stroke survivor. The scope of this review was limited to older adult family members caring for older adult stroke survivors as evidenced in the literature written between the years of 2009-2014. This article will explore published research within the past five years (2009-2014) that addresses the issue of burden among older adult caregivers of stroke survivors in addition to the implication for the changes needed within the nursing profession to mitigating the burden experienced by the caregiver. Many stroke survivors are in their 6th decade of life or older, with caregivers approximately the same age. This literature review specifically focuses on the role of nursing and the issue of caregiver burden. Literature Review. A review of the literature published between 2009-2014 related to the lived experience of caregivers of stroke survivors and the role of nursing related to mitigating caregiver burden. Numerous factors impact the lived experience of caregivers providing care for the stroke survivor. Assuming the role of caregiver has an inherent risk which can result in health compromises for the caregiver. It is the responsibility of the nurse to assess, design interventions and provide education to prepare the caregiver for the demands of the role. The literature review has shown that research regarding the risk of caregiver burden and the resulting health compromise is scarce. In addition, there is a lack of evidence-based nursing interventions aimed at assuaging the risk of caregiver burden. Caregiver stress culminating in burden is commonly a reason for the eventual institutionalisation of the stroke survivor. Critically assessing and providing for the physical, psychosocial and educational support needs of stroke caregivers will assist in mitigating the daily burden experienced by the caregiver. Caregiver burden often results in psychological and
Morales, Ernesto; Lindsay, Sally; Edwards, Geoffrey; Howell, Lori; Vincent, Claude; Yantzi, Nicole; Gauthier, Véronique
Winter-related research about the experience of navigating in the urban context has mostly focused on the elderly population with physical disabilities. The aim of this project was to explore potential design solutions to enhance young people's mobility devices and the built environment to improve accessibility and participation in winter. A multi-method qualitative design process included the following steps: (1) in-depth interviews; (2) photo elicitation; (3) individual co-design sessions; and (4) group co-design sessions (i.e., focus group). The participants were 13 youths (nine males and four females), aged 12-21, who used a wheelchair (12 power chair users and one manual wheelchair), for some with their parents, others without their parents, according to the parents' willingness to participate or not in the study (n = 13). The first two authors conducted group co-design sessions with mechanical engineers and therapists/clinicians in two Canadian cities to discuss the feasibility of the designs. Results (findings): The youths and their parents reported different winter-related challenges and proposed specific design solutions to enhance their participation and inclusion in winter activities. Seven of these designs were presented at two group co-design sessions of therapists/clinicians and engineers. Two designs were found to be feasible: (1) a traction device for wheelchairs in snow and (2) a mat made of rollers to clean snow and dirt from tires. The results of this research highlight the frustrations and challenges youths who use wheelchairs encounter in winter and a need for new solutions to ensure greater accessibility in winter. Therapists/clinicians and designers should address winter-related accessibility problems in areas with abundant snow. Implications for Rehabilitation Several studies show that current urban contexts do not necessarily respond accurately to the needs of individuals with limited mobility. Winter-related research about the
This thesis addresses three control problems related to flight safety. The first problem relates to the scope of improvement in performance of conventional flight control laws. In particular, aircraft longitudinal axis control based on the Total Energy Control System (TECS) is studied. The research draws attention to a potentially sluggish and undesirable aircraft response when the engine dynamics is slow (typically the case). The proposed design method uses a theoretically well-developed modern design method based on Hinfinity optimization to improve the aircraft dynamic behavior in spite of slow engine characteristics. At the same time, the proposed design method achieves other desirable performance goals such as insensitivity to sensor noise and wind gust rejection: all addressed in one unified framework. The second problem is based on a system level analysis of control structure hierarchy for aircraft flight control. The objective of the analysis problem is to translate outer-loop stability and performance specifications into a comprehensive inner-loop metric. The prime motivation is to make the flight control design process more systematic and the system-integration reliable and independent of design methodology. The analysis problem is posed within the robust control analysis framework. Structured singular value techniques and free controller parameterization ideas are used to impose a hierarchical structure for flight control architecture. The third problem involves development and demonstration of a new reconfiguration strategy in the flight control architecture that has the potential of improving flight safety while keeping cost and complexity low. This research proposes a fault tolerant feature based on active robust reconfiguration. The fault tolerant control problem is formulated in the Linear Parameter Varying (LPV) design framework. A prime advantage of this approach is that the synthesis results in a single nonlinear controller (as opposed to a bank
Thom, Ronald M.; Williams, Greg D.; Borde, Amy B.; Southard, John A.; Sargeant, Susan L.; Woodruff, Dana L.; Laufle, Jeffrey C.; Glasoe, Stuart
Restoration projects have an uncertain outcome because of a lack of information about current site conditions, historical disturbance levels, effects of landscape alterations on site development, unpredictable trajectories or patterns of ecosystem structural development, and many other factors. A poor understanding of the factors that control the development and dynamics of a system, such as hydrology, salinity, wave energies, can also lead to an unintended outcome. Finally, lack of experience in restoring certain types of systems (e.g., rare or very fragile habitats) or systems in highly modified situations (e.g., highly urbanized estuaries) makes project outcomes uncertain. Because of these uncertainties, project costs can rise dramatically in an attempt to come closer to project goals. All of the potential sources of error can be addressed to a certain degree through adaptive management. The first step is admitting that these uncertainties can exist, and addressing as many of the uncertainties with planning and directed research prior to implementing the project. The second step is to evaluate uncertainties through hypothesis-driven experiments during project implementation. The third step is to use the monitoring program to evaluate and adjust the project as needed to improve the probability of the project to reach is goal. The fourth and final step is to use the information gained in the project to improve future projects. A framework that includes a clear goal statement, a conceptual model, and an evaluation framework can help in this adaptive restoration process. Projects and programs vary in their application of adaptive management in restoration, and it is very difficult to be highly prescriptive in applying adaptive management to projects that necessarily vary widely in scope, goal, ecosystem characteristics, and uncertainties. Very large ecosystem restoration programs in the Mississippi River delta (Coastal Wetlands Planning, Protection, and Restoration
Hydrogen mitigation systems for French PWRs have not been designed to cope with hydrogen release rates and quantities equivalent to those contemplated if some Severe Accident sequences were to occur. Prior to making any decision on the need for addressing this issue, EDF has looked at available alternatives, decided which one could be a reasonable candidate if further studies showed that the problem had to be addressed, and started R and D programmes aiming at the validation of the preferred candidate. This paper describes the process followed to evaluate the need for enhancing the capability of hydrogen mitigation measures, indicates which candidates were initially considered for mitigating the hydrogen risk and gives the rationales for selecting Passive Auto-catalytic Recombiners (PARS) as the preferred alternative. The PAR validation process is described and the main results confirming their capability are commented. Finally, insights on future on-site implementation are given. As a general conclusion, all the EDF 'efficiency tests programmes' described, in addition with results of other similar tests programmes performed in other countries (in particular: Germany and Canada) do not challenge the capability of PARS to operate in severe accidents representative conditions. Concerning the risk for a PAR to initiate a deflagration, EDF tests have shown that this risk is depending both on hydrogen and steam contents. The risk is more accurate when steam content is low. Roughly speaking, the hydrogen content limit, in presence of steam, to avoid this phenomenon is in the range of 8 vol %. In addition it has to be noted that this 'deflagration problem', does not challenge the interest to install PARS because: - in the containment of present NPPs, numerous ignition sources are still present, - in case of initiation of a deflagration by a PAR, it is likely that this deflagration will appear with an hydrogen amount in the containment much lower than without PARs
Brekke, L. D.; Danner, A.; Nagode, J.; Rocha, J.; Poulton, S.; Anderson, A.
The Bureau of Reclamation is largest wholesaler of water in the United States. Located in the 17 western states, Reclamation serves water to 31 million people, provides irrigated water to 20 percent of Western farmers, and is the second largest producer of hydroelectric power in the United States. Through these activities, Reclamation generates large amounts of water and water-related data, describing reservoirs and river system conditions, hydropower, environmental compliance activities, infrastructure assets, and other aspects of Reclamation's mission activities. Reclamation aims to make water and water-related data sets more easily found, accessed, and used in decision-making activities in order to benefit the public, private sector, and research communities. Historically, there has not been an integrated, bureau-wide system to store data in machine-readable formats; nor a system to permit centralized browsing, open access, and web-services. Reclamation began addressing these limitations by developing the Reclamation Water Information System (RWIS), released in Spring 2017 (https://water.usbr.gov/). A bureau-wide team contributed to RWIS development, including water data stewards, database administrators, and information technology (IT) specialists. The first RWIS release publishes reservoir time series data from Reclamation's five regions and includes a map interface for sites identification, a query interface for data discovery and access, and web-services for automated retrieval. As RWIS enhancement continues, the development team is developing a companion system - the Reclamation Information Sharing Environment (RISE) - to provide access to the other data subjects and types (geospatial, documents). While RWIS and RISE are promising starts, Reclamation continues to face challenges in addressing open water data goals: making data consolidation and open publishing a value-added activity for programs that publish data locally, going beyond providing open access
Rachel Bezner Kerr
Full Text Available Abstract Background In countries where the majority of undernourished people are smallholder farmers, there has been interest in agricultural interventions to improve nutritional outcomes. Addressing gender inequality, however, is a key mechanism by which agriculture can improve nutrition, since women often play a crucial role in farming, food processing and child care, but have limited decision-making and control over agricultural resources. This study examines the approaches by which gender equity in agrarian, resource-poor settings can be improved using a case study in Malawi. Methods A quasi-experimental design with qualitative methods was used to examine the effects of a participatory intervention on gender relations. Thirty married couple households in 19 villages with children under the age of 5 years were interviewed before and then after the intervention. An additional 7 interviews were conducted with key informants, and participant observation was carried out before, during the intervention and afterwards in the communities. The interviews were recorded and transcribed, and analysed qualitatively for key themes, concepts and contradictions. Results Several barriers were identified that undermine the quality of child care practices, many linked to gender constructions and norms. The dominant concepts of masculinity created shame and embarrassment if men deviated from these norms, by cooking or caring for their children. The study provided evidence that participatory education supported new masculinities through public performances that encouraged men to take on these new roles. Invoking men’s family responsibilities, encouraging new social norms alongside providing new information about different healthy recipes were all pathways by which men developed new ‘emergent’ masculinities in which they were more involved in cooking and child care. The transformational approach, intergenerational and intra-gendered events, a focus on
Hasibuan, M. Habie Fawwaz Samad Sulaiman
Perancangan Aplikasi Menghitung Network Address, Broadcast Address, Total Host, Total Host Valid dan Kelas Menggunakan Visual Basic 6.0 ini bertujuan untuk mempermudah proses menghitung IP secara manual. Di dalam aplikasi ini kita hanya memasukkan IP kita lalu subnet mask kita kedalam kolom yang tersedia dari aplikasi ini, setelah itu kita melakukan 1 (satu) kali klik pada tombol di aplikasi ini, maka langsung kita dapat mengetahui network address, broadcast address, total host, total host v...
Li, Canbing; Cao, Yijia; Zhang, Mi; Wang, Jianhui; Liu, Jianguo; Shi, Haiqing; Geng, Yinghui
There is an increasingly hot debate on whether the replacement of conventional vehicles (CVs) by electric vehicles (EVs) should be delayed or accelerated since EVs require higher cost and cause more pollution than CVs in the manufacturing process. Here we reveal two hidden benefits of EVs for addressing climate change to support the imperative acceleration of replacing CVs with EVs. As EVs emit much less heat than CVs within the same mileage, the replacement can mitigate urban heat island effect (UHIE) to reduce the energy consumption of air conditioners, benefitting local and global climates. To demonstrate these effects brought by the replacement of CVs by EVs, we take Beijing, China, as an example. EVs emit only 19.8% of the total heat emitted by CVs per mile. The replacement of CVs by EVs in 2012 could have mitigated the summer heat island intensity (HII) by about 0.94°C, reduced the amount of electricity consumed daily by air conditioners in buildings by 14.44 million kilowatt-hours (kWh), and reduced daily CO2 emissions by 10,686 tonnes.
Chronic stress leads to a variety of mental and physiological disorders, and stress effects are the primary concern after traumatic injury and exposure to infectious diseases or toxic agents from disaster events. We developed a conceptual model to address the question of whether degradation of ecosystem services (ES) by disasters such as recent hurricanes and the Deepwater Horizon oil catastrophe produce acute and chronic stress that ultimately result in short- and long-term negative health outcomes in people. An interdisciplinary team with expertise in data mining, ecology, ecosystem services, ecotoxicology, landscape ecology, mental health, psychiatry, and stress physiology utilized the Driver-Pressure-State-Ecosystem Service model of Kelble et al. (2013), the mental health framework of Palinkas (2012) and McEwen’s (1993) allostatic load model of chronic stress as starting points. Initial modeling results were augmented via expert workshops and peer review. Our conceptual model connects effects of disasters to changes in specific ecosystem components (e.g., water quality, biodiversity, fishery populations) with resulting degradation of multiple ES such as commercial and recreational fishing, tourism, and sense of place. The model shows how the degraded ES produce acute and chronic stress in people and how such stress may lead to a variety of negative mental, physical and behavioral health outcomes. Using this framework, one can trace potential for str
Full Text Available It is a matter of serious concern that the number of case reports pointing at a possible association between the clinical toxicity and the use of Ayurveda formulations is increasing significantly over the years in scientific medical literature. Though most of these cases are connected with the presence of heavy metals such as lead, mercury and arsenic in these formulations, there are also reports suggesting toxicity due to the presence of toxic chemicals of herbal origin. In the year 2008, the Government of India took an initiative of establishing the National Pharmacovigilance Programme for Ayurveda, Siddha and Unani drugs in a structured way. However, due to lack of sustained support, this program has now become defunct. This issue is of vital importance and needs to be addressed effectively on a priority basis. In this communication, we propose the following crucial policy interventions to be introduced at different levels: a. Amendments to Drug and Cosmetic Act, b. Issuing consumer guidelines, c. Issuing prescription guidelines, d. Issuing clinical monitoring guidelines, e. Implementation of good manufacturing guidelines, f. Promoting documentation of clinical safety, g. Identifying the sources of contamination, and, h. Provision for stringent punishment. If these policy interventions are taken up and implemented, a significant positive change in the scenario can be expected in the near future.
Hutt, Evelyn; Albright, Karen; Dischinger, Hannah; Weber, Mary; Jones, Jacqueline; O'Toole, Thomas P
Veterans who nearing the end of life (EOL) in unstable housing are not adequately served by current palliative care or homeless programs. Multidisciplinary focus groups, interviews with community and Veterans Affairs (VA) leaders and with 29 homeless veterans were conducted in five cities. A forum of national palliative and homelessness care leaders (n=5) and representatives from each focus group (n=10), then convened. The forum used Nominal Group Process to suggest improvements in EOL care for veterans without homes. Modified Delphi Process was used to consolidate and prioritize recommendations during two subsequent tele-video conferences. Qualitative content analysis drew on meeting transcripts and field notes. The Forum developed 12 recommendations to address the following barriers: (1) Declining health often makes independent living or plans to abstain impossible, but housing programs usually require functional independence and sobriety. (2) Managing symptoms within the homelessness context is challenging. (3) Discontinuities within and between systems restrict care. (4) VA regulations challenge collaboration with community providers. (5) Veterans with unstable housing who are at EOL and those who care for them must compete nationally for prioritization of their care. Care of veterans at EOL without homes may be substantially improved through policy changes to facilitate access to appropriate housing and care; better dissemination of existing policy; cross-discipline and cross-system education; facilitated communication among VA, community, homeless and EOL providers; and pilot testing of VA group homes or palliative care facilities that employ harm reduction strategies.
Collins, Téa; Mikkelsen, Bente; Adams, Jennifer; Chestnov, Oleg; Evans, Tim; Feigl, Andrea; Nugent, Rachel; Pablos-Mendez, Ariel; Srivanichakorn, Supattra; Webb, Douglas
Despite the mounting evidence that they impede social and economic development, increase inequalities, and perpetuate poverty, Noncommunicable diseases (NCDs) remain largely absent from the agendas of major development assistance initiatives. In addition, fundamental changes are developing in patterns of development assistance for health, and more of the burden for fighting NCDs is being placed on domestic budgets, thus increasing pressure on the most vulnerable countries. The paper argues, however, that a new day is coming. With the inclusion of NCDs and related targets in the 2030 Agenda for Sustainable Development, there is an unprecedented opportunity to explore linkages among the sustainable development goals, enhance policy coherence and advance the NCD agenda as part of sustainable development. International development partners (bilateral and multilateral) can help in this important effort to address NCDs and their shared risk factors by providing catalytic support to countries that are particularly vulnerable in terms of the disease burden but lack the resources (human, financial) and institutional arrangements to meet their commitments at national, regional, and global levels.
Jason M Glanz
Full Text Available The recent United States measles epidemic has sparked another contentious national discussion about childhood vaccination. A growing number of parents are expressing concerns about the safety of vaccines, often fueled by misinformation from the internet, books, and other nonmedical sources. Many of these concerned parents are choosing to refuse or delay childhood vaccines, placing their children and surrounding communities at risk for serious diseases that are nearly 100% preventable with vaccination. Between 10% and 15% of parents are asking physicians to space out the timing of vaccines, which often poses an ethical dilemma for physicians. This trend reflects a tension between personal liberty and public health, as parents fight to control the decisions that affect the health of their children and public health officials strive to maintain high immunization rates to prevent outbreaks of vaccine-preventable diseases. Interventions to address this emerging public health issue are needed. We describe a framework by which web-based interventions can be used to help parents make evidence-based decisions about childhood vaccinations.
Glanz, Jason M; Kraus, Courtney R; Daley, Matthew F
The recent United States measles epidemic has sparked another contentious national discussion about childhood vaccination. A growing number of parents are expressing concerns about the safety of vaccines, often fueled by misinformation from the internet, books, and other nonmedical sources. Many of these concerned parents are choosing to refuse or delay childhood vaccines, placing their children and surrounding communities at risk for serious diseases that are nearly 100% preventable with vaccination. Between 10% and 15% of parents are asking physicians to space out the timing of vaccines, which often poses an ethical dilemma for physicians. This trend reflects a tension between personal liberty and public health, as parents fight to control the decisions that affect the health of their children and public health officials strive to maintain high immunization rates to prevent outbreaks of vaccine-preventable diseases. Interventions to address this emerging public health issue are needed. We describe a framework by which web-based interventions can be used to help parents make evidence-based decisions about childhood vaccinations.
Kazdin, Alan E; Fitzsimmons-Craft, Ellen E; Wilfley, Denise E
Remarkable progress has been made in developing psychosocial interventions for eating disorders and other mental disorders. Two priorities in providing treatment consist of addressing the research-practice gap and the treatment gap. The research-practice gap pertains to the dissemination of evidence-based treatments from controlled settings to routine clinical care. Closing the gap between what is known about effective treatment and what is actually provided to patients who receive care is crucial in improving mental health care, particularly for conditions such as eating disorders. The treatment gap pertains to extending treatments in ways that will reach the large number of people in need of clinical care who currently receive nothing. Currently, in the United States (and worldwide), the vast majority of individuals in need of mental health services for eating disorders and other mental health problems do not receive treatment. This article discusses the approaches required to better ensure: (1) that more people who are receiving treatment obtain high-quality, evidence-based care, using such strategies as train-the-trainer, web-centered training, best-buy interventions, electronic support tools, higher-level support and policy; and (2) that a higher proportion of those who are currently underserved receive treatment, using such strategies as task shifting and disruptive innovations, including treatment delivery via telemedicine, the Internet, and mobile apps. © 2017 Wiley Periodicals, Inc.
Ethical considerations will be important in making decisions about the long-term management of nuclear fuel waste. Public discussions of nuclear fuel waste management are dominated by questions related to values, fairness, rights and responsibilities. To address public concerns, it is important to demonstrate that ethical responsibilities associated with the current management of the waste are being fulfilled. It is also important to show that our responsibilities to future generations can be met, and that ethical principles will be applied to the implementation of disposal. Canada's nuclear fuel waste disposal concept, as put forward in an Environmental Impact Statement by Atomic Energy of Canada Limited (AECL), is currently under public review by a Federal Environmental Assessment Panel. Following this review, recommendations will be made about the direction that Canada should take for the long-term management of this waste. This paper discusses the ethical principles that are seen to apply to geological disposal and illustrates how the Canadian approach to nuclear fuel waste management can meet the challenge of fulfilling these responsibilities. The author suggests that our ethical responsibilities require that adaptable technologies to site, design, construct, operate decommission and close disposal facilities should de developed. We cannot, and should not, present future generations from exercising control over what they inherit, nor control whether they modify or even reverse today's decisions if that is what they deem to be the right thing to do. (author)
Fisher, Marisa H; Morin, Lindsay
Individuals with Williams syndrome (WS) are hypersocial; yet, they experience social difficulties and trouble with relationships. This report summarizes findings from three studies examining the social functioning of adults with WS and the feasibility of a social skills training program for adults with WS (SSTP-WS) through the examination of performance on initial lesson plans. Study 1: 114 parents of adults with WS completed the Social Responsiveness Scale-2. Study 2: 10 adults with WS and 12 of their parents participated in focus groups to further describe the deficits identified in Study 1 and to discuss a SSTP-WS. Study 3: 30 adults with WS were randomly assigned to 2 lessons on either conversations or relationships and pre-post change in social skills knowledge was assessed. Study 1 indicates adults with WS experience severe social impairments in social cognition, and mild-moderate impairments in social awareness and social communication. Qualitative results in Study 2 indicate a SSTP-WS should address conversation skills and relationships. In Study 3, participants showed gains in social skills knowledge following completion of lessons. A SSTP-WS may be beneficial for adults with WS. Future research should describe the social needs of individuals with WS at different ages and should further develop a SSTP-WS. Copyright © 2017 Elsevier Ltd. All rights reserved.
Full Text Available In this article, energetic and technical paradoxes in food nanotechnologies and traditional approaches to evaluation of energy recourses using are considered. Hypotheses of improvement of food production energy technologies are formulated. Classification of principles of address delivery of energy to food raw materials elements is given. We had substantiated the perspective objectives for heat-pumps installations and biphasic heat-transfer systems. The energy efficiency of new technolo-gies is compared on base of the number of energy impact. Principles of mass transfer modeling in ex-traction, dehydration and pasteurization combined processes are considered by food production exam-ple. The objectives of mathematical modeling of combined hydrodynamic and heat and mass transfer processes in modern energy technologies are set. The fuel energy conversion diagrams for drying, in-novative installations on the base of thermal siphons, heat pumps and electromagnetic energy genera-tors are represented. In this article, we illustrate how electromagnetic field, biphasic heat-transfer sys-tems and heat pumps can be effective tools for energy efficiency technologies.
Nicholson, Denise; Bowers, Clint; Davis, Larry; Fidopiastis, Cali
Modeling, Simulation and Training (MS&T) technologies have provided significant capabilities for Military training and mission rehearsal. However, most of the state-of-the-art MS&T systems used today are high fidelity, stand alone systems, routinely staffed by a team of support and instructional personnel. As the military becomes more reliant on these technologies to support ever changing concepts of operations, they are asking for numerous technological advancements including 1) automated instructional features to reduce the number of personnel required for exercises, 2) increased capability for adaptation of human computer interfaces to support individual differences and embedded performance support in operational settings, and 3) a continuum of low to high fidelity system components to provide embedded, deployable and transportable solutions. A multi-disciplinary team of researchers at the University of Central Florida's (UCF) Institute for Simulation and Training (IST) Applied Cognition and Training in Immersive Virtual Environments Lab (ACTIVE), lead by Dr. Denise Nicholson, is performing research and development to address these emerging requirements as part of on-going projects for Navy, Marine Corps and Army customers. In this paper we will discuss some of the challenges that confront researchers in this area and how the ACTIVE lab hopes to respond to these challenges.
Breck, Bethany M; Dennis, Cory B; Leedahl, Skye N
Reverse mentoring is a means to address the social work Grand Challenge of social isolation. Among older adults, reverse mentoring can improve social connection by increasing the digital competence of older adults so they can use technology for social benefit, and by facilitating intergenerational connections with young adult mentors. In this paper, reverse mentoring is examined within an intergenerational program that serves older adults and utilizes the native technological knowledge and skills of young adults who mentor older adult participants. Qualitative data were collected through young adult mentor logs of each session, and through open-ended questions on the post-surveys collected from older adults and young adult mentors. Qualitative analysis revealed three themes related to social connection: (1) an increased sense of self-efficacy for older adults as they build confidence in technological use, and for young adults as they develop leadership skills through mentoring, (2) the breaking down of age-related stereotypes, and (3) intergenerational engagement and connection. The findings demonstrate that reverse mentoring can be used in various settings to decrease the social isolation of older adults by developing intergenerational connections and increasing older adult usage of technology.
Baxter, L.; Hadley, S.; Hirst, E.
Transition costs are the potential monetary losses that electric- utility shareholders, ratepayers, or other parties might experience because of structural changes in the electricity industry. Regulators, policy analysts, utilities, and consumer groups have proposed a number of strategies to address transition costs, such as immediately opening retail electricity markets or delaying retail competition. This report has 3 objectives: identify a wide range of strategies available to regulators and utilities; systematically examine effects of strategies; and identify potentially promising strategies that may provide benefits to more than one set of stakeholders. The many individual strategies are grouped into 6 major categories: market actions, depreciation options, rate-making actions, utility cost reductions, tax measures, and other options. Of the 34 individual strategies, retail ratepayers have primary or secondary responsibility for paying transition costs in 19 of the strategies, shareholders in 12, wheeling customers in 11, taxpayers in 8, and nonutility suppliers in 4. Most of the strategies shift costs among different segments of the economy, although utility cost reductions can be used to offset transition costs. Most of the strategies require cooperation of other parties, including regulators, to be implemented successfully; financial stakeholders must be engages in negotiations that hold the promise of shared benefits. Only by rejecting ``winner-take-all`` strategies will the transition-cost issue be expeditiously resolved.
Cheah, Stephanie K A; Yeow, Paul H P; Nair, Sumesh R; Tan, Felix B
Household electricity wastage poses a sustainability issue. Ergonomic interventions that prevent wastage through technological innovations are expensive and complex, making consumers unwilling to adopt them. The study aimed to investigate the motivations and impediments in avoiding electricity wastage. Thirteen Repertory Grid interviews were conducted on household electricity users relating to the behaviour of those living with them. The key motivational themes found were altruistic and egoistic reasons while the impediments were perceived behavioural control, hedonism and self-efficacy. Based on the research findings, a behavioural modification framework was developed to encourage consumers to adopt a higher level of responsible electricity practice through the following suggested interventions - (1) reframing sustainability from 'future-for-others' to 'present-for-us', (2) clarifying responsible consumption and (3) performance feedback. The research identified the key motivations and impediments of being a responsible household electricity user and provided a framework to encourage a higher responsibility level. Practitioner Summary: Household electricity wastage poses sustainability issue: excess CO 2 & high costs. We developed a mindset changing behavioural modification framework. We investigated HFE issues: motivations & impediments of avoiding the wastage, i.e. altruistic, egoistic, behavioural control, hedonism & self-efficacy. The framework provides governments insights into strategies to address the wastage.
Christine L. Taylor
Full Text Available The science surrounding vitamin D presents both challenges and opportunities. Although many uncertainties are associated with the understandings concerning vitamin D, including its physiological function, the effects of excessive intake, and its role in health, it is at the same time a major interest in the research and health communities. The approach to evaluating and interpreting the available evidence about vitamin D should be founded on the quality of the data and on the conclusions that take into account the totality of the evidence. In addition, these activities can be used to identify critical data gaps and to help structure future research. The Office of Dietary Supplements (ODS at the National Institutes of Health has as part of its mission the goal of supporting research and dialogues for topics with uncertain data, including vitamin D. This review considers vitamin D in the context of systematically addressing the uncertainty and in identifying research needs through the filter of the work of ODS. The focus includes the role of systematic reviews, activities that encompass considerations of the totality of the evidence, and collaborative activities to clarify unknowns or to fix methodological problems, as well as a case study using the relationship between cancer and vitamin D.
Valantine, Hannah A; Collins, Francis S
The US biomedical research workforce does not currently mirror the nation's population demographically, despite numerous attempts to increase diversity. This imbalance is limiting the promise of our biomedical enterprise for building knowledge and improving the nation's health. Beyond ensuring fairness in scientific workforce representation, recruiting and retaining a diverse set of minds and approaches is vital to harnessing the complete intellectual capital of the nation. The complexity inherent in diversifying the research workforce underscores the need for a rigorous scientific approach, consistent with the ways we address the challenges of science discovery and translation to human health. Herein, we identify four cross-cutting diversity challenges ripe for scientific exploration and opportunity: research evidence for diversity's impact on the quality and outputs of science; evidence-based approaches to recruitment and training; individual and institutional barriers to workforce diversity; and a national strategy for eliminating barriers to career transition, with scientifically based approaches for scaling and dissemination. Evidence-based data for each of these challenges should provide an integrated, stepwise approach to programs that enhance diversity rapidly within the biomedical research workforce.
Ewing, P.D.; Korsah, K.; Antonescu, C.
This paper discusses the development of the technical basis for acceptance criteria applicable to the immunization of digital systems against electromagnetic interference (EMI). The work is sponsored by the US Nuclear Regulatory Commission and stems from the safety-related issues that need to be addressed as a result of the application of digital instrumentation and control systems in nuclear power plants. Designers of digital circuits are incorporating increasingly higher clock frequencies and lower logic level voltages, thereby leading to potentially greater susceptibility of spurious interference being misinterpreted as legitimate logic. Development of the technical basis for acceptance criteria to apply to these digital systems centers around establishing good engineering practices to ensure that sufficient levels of electromagnetic compatibility (EMC) are maintained between the nuclear power plant's electronic and electromechanical systems. First, good EMC design and installation practices are needed to control the emissions from interference sources and thereby their impact on other nearby circuits and systems. Second, a verification and validation (V ampersand V) program is needed to outline the EMI tests to be performed, the associated test methods to be followed, and adequate acceptance criteria to ensure that the circuit or system under test meets the recommended guidelines. V ampersand V should be followed by periodic maintenance to assess whether the recommended EMI control practices continue to be adhered to as part of the routine operation of the nuclear power plant. By following these steps, the probability of encountering safety-related instrumentation susceptibility attributable to EMI will be greatly reduced
De Coninck, H.C.; Fischer, C.; Newell, R.G.; Ueno, T.
Much discussion has surrounded possible alternatives for international agreements on climate change, particularly post-2012. Among these alternatives, technology-oriented agreements (TOAs) are perhaps the least well defined. We explore what TOAs may consist of, why they might be sensible, which TOAs already exist in international energy and environmental governance, and whether they have the potential to make a valuable contribution to addressing climate change. We conclude that TOAs aimed at knowledge sharing and coordination, research, development, or demonstration could increase the overall efficiency and effectiveness of international climate cooperation, but have limited environmental effectiveness on their own. Technology transfer agreements are likely to have similar properties unless the level of resources expended on them is large, in which case they could be environmentally significant. Technology mandates, standards, or incentives can be environmentally effective, within the applicable sector. However, they are likely to be less cost-effective than broad-based, flexible approaches that place a price on emissions. These results indicate that TOAs have the potential to improve the effectiveness of the global response to climate change. The success of specific TOAs will depend on their design, implementation, and the role they are expected to play relative to other components of the climate policy portfolio
Ewing, P.D.; Korsah, K.; Antonescu, C.
This paper discusses the development of the technical basis for acceptance criteria applicable to the immunization of digital systems against electromagnetic interference (EMI). The work is sponsored by the US Nuclear Regulatory Commission and stems from the safety-related issues that need to be addressed as a result of the application of digital instrumentation and control systems in nuclear power plants. Designers of digital circuits are incorporating increasingly higher clock frequencies and lower logic level voltages, thereby leading to potentially greater susceptibility of spurious interference being misinterpreted as legitimate logic. Development of the technical basis for acceptance criteria to apply to these digital systems centers around establishing good engineering practices to ensure that sufficient levels of electromagnetic compatibility (EMC) are maintained between the nuclear power plant's electronic and electromechanical systems. First, good EMC design and installation practices are needed to control the emissions from interference sources and thereby their impact on other nearby circuits and systems. Second, a verification and validation (V ampersand V) program is needed to outline the EMI tests to be performed, the associated test methods to be followed, and adequate acceptance should be followed by periodic maintenance to assess whether the recommended EMI control practices continue to be adhered to as part of the routine operation of the nuclear power plant. By following these steps, the probability of encountering safety-related instrumentation susceptibility attributable to EMI will be greatly reduced
Li, Canbing; Cao, Yijia; Zhang, Mi; Wang, Jianhui; Liu, Jianguo; Shi, Haiqing; Geng, Yinghui
There is an increasingly hot debate on whether the replacement of conventional vehicles (CVs) by electric vehicles (EVs) should be delayed or accelerated since EVs require higher cost and cause more pollution than CVs in the manufacturing process. Here we reveal two hidden benefits of EVs for addressing climate change to support the imperative acceleration of replacing CVs with EVs. As EVs emit much less heat than CVs within the same mileage, the replacement can mitigate urban heat island effect (UHIE) to reduce the energy consumption of air conditioners, benefitting local and global climates. To demonstrate these effects brought by the replacement of CVs by EVs, we take Beijing, China, as an example. EVs emit only 19.8% of the total heat emitted by CVs per mile. The replacement of CVs by EVs in 2012 could have mitigated the summer heat island intensity (HII) by about 0.94°C, reduced the amount of electricity consumed daily by air conditioners in buildings by 14.44 million kilowatt-hours (kWh), and reduced daily CO2 emissions by 10,686 tonnes.
Full Text Available This article investigates the question of homosexuality, homosexuals, and homophobia in the Jordanian public debate in the aftermath of an LGBTQIA meeting that was held secretly in Amman in May 2015. The main purpose of the article is to demonstrate the constituents and arguments which reproduce the public discourse on anti-homosexuality and anti-homosexuals and homophobia in Jordan. This purpose is reached by analysing 35 journal articles written in Standard Arabic in Jordanian public and open-access media. The analysis involves the qualitative analysis of the argument, processes, and themes used to represent homosexuality and homosexuals by the discourse producers. The analysis reveals that the question of homosexuality and homosexuals in Jordan can be addressed in terms of seven angles: the public anti-homosexuality and anti-homosexuals’ calls, the (Islamic religious argument, protecting and reinforcing law and order, the argument of (homosexually-transmitted diseases, the calls of pro-homosexuality and pro-homosexuals and LGBTQIA’s rights activists, the homosexuals’ own self-representation, and the neutral scientific account and representation.
Morrow, David; Ussi, Anton; Migliaccio, Giovanni
The commercial development of advanced therapy medicinal products (ATMPs) represents great opportunity for therapeutic innovation but is beset by many challenges for its developers. Although the ATMP field continues to progress at a rapid pace, evidenced by the increasing number of clinical trials conducted over the past few years, several factors continue to complicate the introduction of ATMPs as a curative treatment for multiple disease types, by blocking their translational pathway from research to the patient. While several recent publications (Trounson and McDonald, 2015; Abou-El-Enein et al., 2016a,b) as well as an Innovative Medicines Initiative consultation (IMI, 2016) this year have highlighted the major gaps in ATMP development, with manufacturing, regulatory, and reimbursement issues at the forefront, there remains to be formulated a coherent strategy to address these by bringing the relevant stakeholders to a single forum, whose task it would be to design and execute a delta plan to alleviate the most pressing bottlenecks. This article focuses on two of the most urgent areas in need of attention in ATMP development, namely manufacturing and reimbursement, and promotes the concept of innovation-dedicated research infrastructures to support a multi-sector approach for ensuring the successful development, entry, and ensuing survival of ATMPs in the healthcare market.
Full Text Available The commercial development of advanced therapy medicinal products (ATMPs represents great opportunity for therapeutic innovation but is beset by many challenges for its developers. Although the ATMP field continues to progress at a rapid pace, evidenced by the increasing number of clinical trials conducted over the past few years, several factors continue to complicate the introduction of ATMPs as a curative treatment for multiple disease types, by blocking their translational pathway from research to the patient. While several recent publications (Trounson and McDonald, 2015; Abou-El-Enein et al., 2016a,b as well as an Innovative Medicines Initiative consultation (IMI, 2016 this year have highlighted the major gaps in ATMP development, with manufacturing, regulatory, and reimbursement issues at the forefront, there remains to be formulated a coherent strategy to address these by bringing the relevant stakeholders to a single forum, whose task it would be to design and execute a delta plan to alleviate the most pressing bottlenecks. This article focuses on two of the most urgent areas in need of attention in ATMP development, namely manufacturing and reimbursement, and promotes the concept of innovation-dedicated research infrastructures to support a multi-sector approach for ensuring the successful development, entry, and ensuing survival of ATMPs in the healthcare market.
Oliker, Leonid; Gorden, Grime; Husbands, Parry; Chame, Jacqualine
Many high performance applications run well below the peak arithmetic performance of the underlying machine, with inefficiencies often attributed to poor memory system behavior. In the context of scientific computing we examine three emerging processors designed to address the well-known gap between processor and memory performance through the exploitation of data parallelism. The VIRAM architecture uses novel PIM technology to combine embedded DRAM with a vector co-processor for exploiting its large bandwidth potential. The DIVA architecture incorporates a collection of PIM chips as smart-memory coprocessors to a conventional microprocessor, and relies on superword-level parallelism to make effective use of the available memory bandwidth. The Imagine architecture provides a stream-aware memory hierarchy to support the tremendous processing potential of SIMD controlled VLIW clusters. First we develop a scalable synthetic probe that allows us to parametize key performance attributes of VIRAM, DIVA and Imagine while capturing the performance crossover points of these architectures. Next we present results for scientific kernels with different sets of computational characteristics and memory access patterns. Our experiments allow us to evaluate the strategies employed to exploit data parallelism, isolate the set of application characteristics best suited to each architecture and show a promising direction towards interfacing leading-edge processor technology with high-end scientific computations.
Karp, Natasha A; Segonds-Pichon, Anne; Gerdin, Anna-Karin B; Ramírez-Solis, Ramiro; White, Jacqueline K
Scientists aspire to measure cause and effect. Unfortunately confounding variables, ones that are associated with both the probable cause and the outcome, can lead to an association that is true but potentially misleading. For example, altered body weight is often observed in a gene knockout; however, many other variables, such as lean mass, will also change as the body weight changes. This leaves the researcher asking whether the change in that variable is expected for that change in weight. Ratio correction, which is often referred to as normalization, is a method used commonly to remove the effect of a confounding variable. Although ratio correction is used widely in biological research, it is not the method recommended in the statistical literature to address confounding factors; instead regression methods such as the analysis of covariance (ANCOVA) are proposed. This method examines the difference in means after adjusting for the confounding relationship. Using real data, this manuscript demonstrates how the ratio correction approach is flawed and can result in erroneous calls of significance leading to inappropriate biological conclusions. This arises as some of the underlying assumptions are not met. The manuscript goes on to demonstrate that researchers should use ANCOVA, and discusses how graphical tools can be used readily to judge the robustness of this method. This study is therefore a clear example of why assumption testing is an important component of a study and thus why it is included in the Animal Research: Reporting of In Vivo Experiment (ARRIVE) guidelines.
Complex water problems are connected with many competing and often conflicting values, interests, and tools. These problems can't be addressed through simply applying dogmatic principles or a deal-making pragmatic approach. Because these problems are interconnected and interdependent, a final solution can't be pre-specified. Any intervention to a complex problem requires attention to both principles and pragmatism. Strict adherence to principles without pragmatism is often not actionable; pure pragmatism exercised without guiding principles is not sustainable. In a colloquial sense, pragmatism is often taken to suggest practical, opportunistic, and expedient approaches at the expense of principles. This perception appears to be rooted in the dichotomy between "being pragmatic" and "being ideological". The notion of principled pragmatism attempts to get away from this duality by focusing on how to make ideas clear and actionable. In other words, how to connect our thoughts to action given the context, constraints, and capacity. Principled pragmatism - rooted in equity and sustainability as guiding principles for water management - approach attempts to synthesize symbolic aspirations with realistic assessment to chart a trajectory of actionable subset of implementable solutions. Case studies from the Ganges Basin will show the utility of principled pragmatism for water management in a changing world.
Williams, Hywel D; Trevaskis, Natalie L; Charman, Susan A; Shanker, Ravi M; Charman, William N; Pouton, Colin W; Porter, Christopher J H
Drugs with low water solubility are predisposed to low and variable oral bioavailability and, therefore, to variability in clinical response. Despite significant efforts to "design in" acceptable developability properties (including aqueous solubility) during lead optimization, approximately 40% of currently marketed compounds and most current drug development candidates remain poorly water-soluble. The fact that so many drug candidates of this type are advanced into development and clinical assessment is testament to an increasingly sophisticated understanding of the approaches that can be taken to promote apparent solubility in the gastrointestinal tract and to support drug exposure after oral administration. Here we provide a detailed commentary on the major challenges to the progression of a poorly water-soluble lead or development candidate and review the approaches and strategies that can be taken to facilitate compound progression. In particular, we address the fundamental principles that underpin the use of strategies, including pH adjustment and salt-form selection, polymorphs, cocrystals, cosolvents, surfactants, cyclodextrins, particle size reduction, amorphous solid dispersions, and lipid-based formulations. In each case, the theoretical basis for utility is described along with a detailed review of recent advances in the field. The article provides an integrated and contemporary discussion of current approaches to solubility and dissolution enhancement but has been deliberately structured as a series of stand-alone sections to allow also directed access to a specific technology (e.g., solid dispersions, lipid-based formulations, or salt forms) where required.
Azarinezhad, R.; Chapoy, A.; Anderson, R.; Tohidi, B. [Heriot-Watt Univ., Edinburgh (United Kingdom). Inst. for Petroleum Engineering, Centre for Gas hydrate Research
This paper presented a new method to prevent hydrate plugs which are particularly problematic for offshore production and flow lines. The current methods of avoiding hydrate blockages are based on preventing solid formation by injecting thermodynamic or kinetic inhibitors outside the hydrate stability zone. However, these techniques are neither economical nor practical. The newly patented HYDRAFLOW cold flow assurance technology is based on allowing hydrates to form, but preventing their agglomeration and pipeline blockage. It is based on the concept of converting most or all of the gas phase into hydrates in the presence of excess water, and then transferring them in the form of hydrate slurry in the pipeline. In HYDRAFLOW, anti-agglomerants prevent hydrate crystals from agglomerating, thus eliminating the need for expensive thermal or chemical inhibition strategies. The technology involves a loop concept whereby the liquid phase plays a role of carrier fluid, collecting produced fluids from various wells and delivering them to the production unit prior to being recycled. This study addressed the issue of recycling the anti-agglomerants in the context of the loop concept. The distribution of anti-agglomerant components between different phases were measured. The performance of the residual anti-agglomerants in the free water phase and of its components absorbed in the oil or hydrate phase were also evaluated. 9 refs., 4 tabs., 7 figs.
Full Text Available Essential Biodiversity Variables (EBVs are measurements required for study, reporting, and management of biodiversity change. They are being developed to support consistency, from the collection to the reporting of biodiversity data at the national, regional and global scales. However, "EBV stakeholders" need to strike a balance between 'doing innovative research' and 'having positive impact' on biodiversity management decisions. This paper reports on a workshop entitled Identifying joint pathways to address the challenges of biodiversity data provision and decision-making and presents the main workshop’s output, a “researcher’s brief” entitled Guiding principles for promoting the application of EBVs for current and future needs of decision-makers. These guiding principles are: Speak with a common voice; Clearly define what is an EBV and how it relates to indicators; Engage beyond the research world; Be realistic about what can be done now and later; Define criteria for good EBVs; Use EBV as a clearing house; Convey the limitations of EBVs; Clarify what impact EBVs should have; Be salient, credible, legitimate, iterative; Don't put an EBV skin on everything you do; Don't create too many EBVs; and Don't reduce EBVs to building blocks of indicators. This brief is of relevance to the wider GEO BON (Group on Earth Observation Biodoversity Observation Network community, and in particular those scientists/researchers interested in the application of EBVs.
Shen, Bo [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Ghatikar, Girish [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Ni, Chun Chun [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Dudley, Junqiao [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Martin, Phil [Enernoc, Inc., Boston, MA (United States); Wikler, Greg
Demand response (DR) is a load management tool which provides a cost-effective alternative to traditional supply-side solutions to address the growing demand during times of peak electrical load. According to the US Department of Energy (DOE), demand response reflects “changes in electric usage by end-use customers from their normal consumption patterns in response to changes in the price of electricity over time, or to incentive payments designed to induce lower electricity use at times of high wholesale market prices or when system reliability is jeopardized.” 1 The California Energy Commission (CEC) defines DR as “a reduction in customers’ electricity consumption over a given time interval relative to what would otherwise occur in response to a price signal, other financial incentives, or a reliability signal.” 2 This latter definition is perhaps most reflective of how DR is understood and implemented today in countries such as the US, Canada, and Australia where DR is primarily a dispatchable resource responding to signals from utilities, grid operators, and/or load aggregators (or DR providers).
Wakefield, Ann; Attree, Moira; Braidman, Isobel; Carlisle, Caroline; Johnson, Martin; Cooke, Hannah
In this literature review, we examine to what extent patient safety is addressed within medical and nursing curricula. Patient safety is the foundation of healthcare practice and education both in the UK and internationally. Recent research and policy initiatives have highlighted this issue. The paper highlights the significance of this topic as an aspect of study in its own right by examining not only the fiscal but also the human costs such events invite. In the United Kingdom patient safety issues feature prominently in the (Department of Health, 2000a. An organisation with a memory. The report of an expert group on learning from adverse events. The Stationery Office, London, Department of Health, 2000b. Handling complaints: monitoring the NHS complaints procedures (England, Financial year 1998-99). The Stationery Office, London.) policy documentation but this is not reflected within the formal curricula guidelines issued by the NMC and GMC. Yet if healthcare educational curricula were to recognise the value of learning from errors, such events could become part of a wider educational resource enabling both students and facilitators to prevent threats to patient safety. For this reason, the paper attempts to articulate why patient safety should be afforded greater prominence within medical and nursing curricula. We argue that learning how to manage errors effectively would enable trainee practitioners to improve patient care, reduce the burden on an overstretched health care system and engage in dynamic as opposed to defensive practice.
This Power Point report presents highlights of the latest economic modelling of Canada's Kyoto commitment to address climate change. It presents framework assumptions and a snapshot under 4 scenarios. The objective of this report is to evaluate the national, sectoral, provincial and territorial impacts of the federal reference case policy package in which the emissions reduction target is 170 Mt from a business-as-usual scenario. The reference case policy package also includes 30 Mt of sinks from current packages of which 20 Mt are derived from the forestry sector and the remainder from agricultural sector. The report examined 4 scenarios based on 2 international carbon prices ($10 and $50) per tonne of carbon dioxide in 2010. The scenarios were also based on the fiscal assumptions that climate change initiatives and revenue losses would directly affect the governments' balances, or that the government balances are maintained by increasing personal income tax. A comparison of impacts under each of the 4 scenarios to 2010 was presented. The model presents impacts on GDP, employment, disposable income per household, and energy prices. 4 tabs., 4 figs
Simarski, Lynn Teo
“The politics of science and technology has returned with a vengeance—or perhaps it never left,” Mary Good, head of the National Science Board, told a gathering of Washington scientists and policy-makers on March 30. Good addressed a spectrum of U.S. science issues, providing a chance to take the pulse of an important science policy- maker. The 24-member board that she chairs sets policy for the National Science Foundation.Good strongly criticized current attempts in Congress and elsewhere to create one over-arching policy for science, technology, and competitiveness. “We need to get these three areas separated out,” Good said. “They are truly three different subjects.” The issue is part of an on-going debate in Congress over the character of U.S. industrial policy. Congressional committees often ask how a science program under scrutiny will contribute to the nation's ability to compete in the world marketplace. “My cohorts in industry say that the one thing we must have from the universities is quality manpower; that's the first priority,” Good said. Second on the list is to forge links between academia and industry to keep industry's “in-house talent” at the cutting edge.
Hertwich, Edgar G
The ability of hydropower to contribute to climate change mitigation is sometimes questioned, citing emissions of methane and carbon dioxide resulting from the degradation of biogenic carbon in hydropower reservoirs. These emissions are, however, not always addressed in life cycle assessment, leading to a bias in technology comparisons, and often misunderstood. The objective of this paper is to review and analyze the generation of greenhouse gas emissions from reservoirs for the purpose of technology assessment, relating established emission measurements to power generation. A literature review, data collection, and statistical analysis of methane and CO2 emissions are conducted. In a sample of 82 measurements, methane emissions per kWh hydropower generated are log-normally distributed, ranging from micrograms to 10s of kg. A multivariate regression analysis shows that the reservoir area per kWh electricity is the most important explanatory variable. Methane emissions flux per reservoir area are correlated with the natural net primary production of the area, the age of the power plant, and the inclusion of bubbling emissions in the measurement. Even together, these factors fail to explain most of the variation in the methane flux. The global average emissions from hydropower are estimated to be 85 gCO2/kWh and 3 gCH4/kWh, with a multiplicative uncertainty factor of 2. GHG emissions from hydropower can be largely avoided by ceasing to build hydropower plants with high land use per unit of electricity generated.
Yajnik, Chittaranjan S
The epidemiological characteristics of chronic non-communicable diseases (NCD) are fast changing. The prevalence has risen to unprecedented levels, and the young and the underprivileged are increasingly affected. The classic view of the etiology of NCD consists of a genetic susceptibility which is precipitated by aging and modern lifestyle. In a virtual absence of any methods to tackle genetic susceptibility, the preventive approach has so far been focused on the control of lifestyle factors in those at high risk (old, and those with positive family history and elevated risk factors). Such an approach might help high risk individuals, but is unlikely to curtail the burgeoning epidemic of obesity and diabetes. Recent research has suggested that susceptibility to NCD originates in early life through non-genetic mechanisms (fetal programming). Tackling these may offer an exciting opportunity to control the NCD epidemic by influencing the susceptibility in a more durable manner than only controlling the lifestyle factors in adult life. The imperative is to address the life cycle rather than concentrate on the end stages. Copyright (c) 2009 S. Karger AG, Basel.
Full Text Available This essay analyzes Barack Obama’s Nelson Mandela Memorial speech together with other seminal texts of Obama’s political and personal creed, such as his book Dreams from My Father (1995 and his speech “A More Perfect Union” (2008. This reading becomes helpful to understand Mandela’s transnational power, which Obama uses to comment on the United States by comparing Madiba to other American “fathers of the nation.” Thus, he uproots Mandela’s from a specifically South African legacy, expands his figure, and addresses him as a transnational father of his own nation, whose power, influence, and example transcend South African borders. As a consequence of this enlargement and transnational validation of Mandela’s figure, the speech delivered at the Memorial becomes an occasion to tackle American past and future, while the memory of Madiba and his driving example in Obama’s life serve to reinforce previous positions conveyed in other discourses by the American President, such as the “A More Perfect Union” speech delivered in Philadelphia in 2008.
Between 1955 and 1960, Melanie Klein wrote some 45 hitherto unpublished letters to Marcelle Spira, the Swiss psychoanalyst living at that time in Geneva. In 2006, after Spira's death, these letters were deposited with the Raymond de Saussure Psychoanalysis Centre in Geneva. They are the only known letters that Klein addressed to her psychoanalyst colleagues. Several topics are mentioned in them: (1) the meetings between the two women in Geneva and London; (2) Spira's contribution to Boulanger's translation into French of The Psychoanalysis of Children, which Klein herself carefully revised; (3) the papers that Klein was at that time working on, including Envy and Gratitude; (4) Spira's own work; (5) the difficulties that Spira, a Kleinian psychoanalyst who trained in Buenos Aires, was encountering in her attempt to be admitted to the Swiss Psychoanalytical Society; and (6) a few items of personal and family news. In addition to the invaluable historical information that these letters provide, they offer us a very moving epistolary self-portrait of Melanie Klein, enabling us to discover her personality in the final years of her life - she died in September 1960, just two months after writing her last letter to Spira.
Full Text Available South African schools have been found to be homophobic. Teachers can play an important role in offering a critique of homophobia grounded in South Africa's legal claim to equality on the basis of sexual orientation. Currently there is a dearth of educational research about how teachers understand and address homophobia. By drawing upon focus-group interviews with teachers based atfive schools, this paper shows dominant teaching views which contribute to homophobia, although this is not the only view. Informed by theoretical framings that seek to uncover heterosexual domination, the analysis shows three interrelated discursive constructions through which homophobia is both produced and resisted by teachers. Silencing homosexuality, denying its existence in the curriculum, and religious prohibitions were found to be dominant. It must be understood however that teachers are working in a context without any intervention and support. Their views also show potentialfor working against the climate of homophobia. Recommendations for such work are indicated in the conclusion of the paper.
Full Text Available As points of interest (POIon the internet, exists widely incomplete addresses and inconsistent literal expressions, a fast standardization processing method of network POIs address information based on spatial constraints was proposed. Based on the model of the extensible address expression, first of all, address information of POI was segmented and extracted. Address elements are updated by means of matching with the address tree layer by layer. Then, by defining four types of positional relations, corresponding set are selected from standard POI library as candidate for enrichment and amendment of non-standard address. At last, the fast standardized processing of POI address information was achieved with the help of backtracking address elements with minimum granularity. Experiments in this paper proved that the standardization processing of an address can be realized by means of this method with higher accuracy in order to build the address database.
Full Text Available Benedict Kiely (1919-2007 has an annual weekend devoted to his memory as one ofIreland’s leading writers in the modern period. The sixth such event was held in the newly-built Strule Arts Centre in Omagh in September 2007. Kiely lived most of his life in Dublin, pursuing a career as a journalist and a writer, but his roots were in County Tyrone. Educated by the Christian Brothers in Omagh, he embarked on a Jesuit novitiate in the Irish Midlands but this was cut short by a spinal injury, which meant a year of confinement on the broad of his back. Subsequently, he went on to read English and History at University College Dublin. His journalistic career took him first to the Irish Independent and then to the Irish Press, where he was literary editor. In the 1960s he took up visiting professorships at several North American colleges in Oregon and Tennessee. On his return he became well-known on Irish radio for talks and discussion programmes, and he was a regular contributor to Sunday Miscellany. A sharp observer of the Northern scene, he was particularly disturbed by the upsurge in violence in the recent Troubles, airing his grievances in imaginative works such as Proxopera (1977 andNothing Happens in Carmincross (1985. He died in Dublin on 9 February 2007 after a short illness, and after Requiem mass in Donnybrook he was laid to rest in the Dublin Road Cemetery in Omagh. The following is the text of the opening address I was invited to give at the sixth annual weekend. I spoke about Kiely’s sense of connection running through his writings.
Holmes, Mary Anne
Lack of equity in the science workforce is a sociological problem; those wishing to seek its amelioration can benefit by viewing the issue with a sociological lens (and a sociologist). One useful framework that we have used to think strategically about how to lower barriers to equity is Barbara Risman's (2004): this framework views barriers to equity as individual, interpersonal ("interactional"), and institutional. Any given barrier may fit into one or more of these frames. Individual barriers include those intrinsic to an individual and may include: lack of access to vital networks and mentors, lack of preparation, etc. Such barriers can be addressed through mentoring programs and attention to building networks (e.g., through professional society memberships). Interpersonal or "interactional" barriers are those that arise from how we perceive and treat one another. Implicit bias underlies many of these barriers, including whether we perceive women as scientists, as competent, as dedicated (etc) as men. Such barriers can be reduced through implicit bias awareness. Institutional barriers arise from the structure and history of the academy itself, from its policies and procedures. Many such policies and procedures have a differential impact on men or women, generally without that intention. Policies that reduce equity barriers include family leave, childcare facilities, search committee training, clearly articulated practices for evaluation of applications and personnel reviews, equal starting pay and startup packages, equable canvassing for names to consider for nominations for honors and awards, to name a few. By viewing the issue through such a framework, the appropriate response can be generated for a more effective result.
Sauerland, Jeanie; Marotta, Kathleen; Peinemann, Mary Anne; Berndt, Andrea; Robichaux, Catherine
There is minimal research exploring moral distress and its relationship to ethical climate among nurses working in acute care settings. Objectives of the study were to explore moral distress, moral residue, and perception of ethical climate among registered nurses working in an academic medical center and develop interventions to address study findings. A mixed-methods design was used. Two versions of Corley and colleagues' Moral Distress Scale, adult and pediatric/neonatal, were used in addition to Olson's Hospital Ethical Climate Survey. Participants were invited to respond to 2 open-ended questions. This article reports the results for those nurses working in adult acute and critical care units. The sample (N = 225) was predominantly female (80%); half held a bachelor of science in nursing or higher, were aged 30 to 49 years, and staff nurses (77.3%). The mean item score for moral distress intensity ranged from 3.79 (SD, 2.21) to 2.14 (SD, 2.42) with mean item score frequency ranging from 2.86 (SD, 1.88) to 0.23 (SD, 0.93). The mean score for total Hospital Ethical Climate Survey was 94.39 (SD, 18.3) ranging from 23 to 130. Qualitative comments described bullying, lateral violence, and retribution. Inadequate staffing and perceived incompetent coworkers were the most distressing items. Almost 22% left a previous position because of moral distress and perceived the current climate to be less ethical compared with other participants. Findings may potentially impact nurse retention and recruitment and negatively affect the quality and safety of patient care. Interventions developed focus on the individual nurse, including ethics education and coping skills, intraprofessional/interprofessional approaches, and administrative/policy strategies.
Nilsson, R Henrik; Rajashekar, Balaji; Larsson, Karl-Henrik; Ursing, Björn M
Research involving expressed sequence tags (ESTs) is intricately coupled to the existence of large, well-annotated sequence repositories. Comparatively complete and satisfactory annotated public sequence libraries are, however, available only for a limited range of organisms, rendering the absence of sequences and gene structure information a tangible problem for those working with taxa lacking an EST or genome sequencing project. Paralogous genes belonging to the same gene family but distinguished by derived characteristics are particularly prone to misidentification and erroneous annotation; high but incomplete levels of sequence similarity are typically difficult to interpret and have formed the basis of many unsubstantiated assumptions of orthology. In these cases, a phylogenetic study of the query sequence together with the most similar sequences in the database may be of great value to the identification process. In order to facilitate this laborious procedure, a project to employ automated phylogenetic analysis in the identification of ESTs was initiated. galaxieEST is an open source Perl-CGI script package designed to complement traditional similarity-based identification of EST sequences through employment of automated phylogenetic analysis. It uses a series of BLAST runs as a sieve to retrieve nucleotide and protein sequences for inclusion in neighbour joining and parsimony analyses; the output includes the BLAST output, the results of the phylogenetic analyses, and the corresponding multiple alignments. galaxieEST is available as an on-line web service for identification of fungal ESTs and for download / local installation for use with any organism group at http://galaxie.cgb.ki.se/galaxieEST.html. By addressing sequence relatedness in addition to similarity, galaxieEST provides an integrative view on EST origin and identity, which may prove particularly useful in cases where similarity searches return one or more pertinent, but not full, matches and
Wallace, Jack; Smith, Elizabeth; Hajarizadeh, Behzad; Richmond, Jacqueline; Lucke, Jayne
assist in addressing gaps in the clinical response to hepatitis B.
Daar Abdallah S
Full Text Available Abstract Background Many articles have been written on conflicts of interests (COIs in fields such as medicine, business, politics, public service and education. With the growing abundance of Public Private Partnerships (PPPs, often involving complex relationships among the partners, it is important to understand how COIs can be mitigated and managed in PPPs. Discussion We wanted to study PPPs, particularly in the areas of global health and agriculture, but discovered no single source of information available to identify and compare various approaches for avoiding and managing COIs in PPPs. This is a significant gap, especially for those wishing to study, compare and strengthen existing COI policies related to PPPs. In order to bridge this gap, we reviewed how PPPs currently address COIs and highlight what might be considered good practice in developing COI policies. We reviewed the online COI policies of 10 PPPs in global health and agriculture, and interviewed two global health PPP chief executives. Summary Based on our review of policies and interviews, we conclude that there exists a range of good practices including attention to accountability and governance, acknowledgement and disclosure, abstention and withdrawal, reporting and transparency, and independent monitoring. There appears to be a need for PPPs to interact closely and learn from each other on these parameters and to also place more emphasis on independent external monitoring of COIs as a means of strengthening their major social objectives on which their activities are largely predicated. We also recommend the establishment of a web based database, which would serve as a forum to discuss COI issues and how they can be resolved.
Carolyn J Lundquist
Full Text Available Funding and priorities for ocean research are not separate from the underlying sociological, economic, and political landscapes that determine values attributed to ecological systems. Here we present a variation on science prioritisation exercises, focussing on inter-disciplinary research questions with the objective of shifting broad scale management practices to better address cumulative impacts and multiple users. Marine scientists in New Zealand from a broad range of scientific and social-scientific backgrounds ranked 48 statements of research priorities. At a follow up workshop, participants discussed five over-arching themes based on survey results. These themes were used to develop mechanisms to increase the relevance and efficiency of scientific research while acknowledging socio-economic and political drivers of research agendas in New Zealand’s ocean ecosystems. Overarching messages included the need to: 1 determine the conditions under which ‘surprises’ (sudden and substantive undesirable changes are likely to occur and the socio-ecological implications of such changes; 2 develop methodologies to reveal the complex and cumulative effects of change in marine systems, and their implications for resource use, stewardship, and restoration; 3 assess potential solutions to management issues that balance long-term and short-term benefits and encompass societal engagement in decision-making; 4 establish effective and appropriately resourced institutional networks to foster collaborative, solution-focused marine science; and 5 establish cross-disciplinary dialogues to translate diverse scientific and social-scientific knowledge into innovative regulatory, social and economic practice. In the face of multiple uses and cumulative stressors, ocean management frameworks must be adapted to build a collaborative framework across science, governance and society that can help stakeholders navigate uncertainties and socio-ecological surprises.
Leonardo, S; Garibo, D; Fernández-Tejedor, M; O'Sullivan, C K; Campàs, M
Diatoms are single cell microalgae with a silica shell (frustule), which possess a micro/nanoporous pattern of unparalleled diversity far beyond the possibilities of current micro- and nanofabrication techniques. To explore diatoms as natural three-dimensional nanostructured supports in sensing and biosensing devices, a simple, rapid and stable method to immobilize diatoms via gold electrodeposition is described. In this process, gold microstructures are formed, immobilizing diatoms by entrapment or crossing their nanopores. Varying the applied potential, time and HAuCl 4 concentration, gold deposits of different morphologies and roughness are obtained, thereby determining the diatom immobilization process. Optical and scanning electron microscopy have been used to characterize diatom immobilization yields, the morphology of the gold microstructures, and the morphological integrity of diatoms. Cyclic voltammetry has been performed to characterize the gold deposits and to demonstrate the enhanced electrocatalytic activity of the gold-diatom electrodes. Electro-addressed immobilization of different diatoms on specific bands of interdigitated electrode arrays has been achieved, highlighting the potential application of diatoms for site-specific immobilization on microarrays. The feasibility to combine tailored immobilization with diatom biofunctionalization has also been demonstrated. Antibody-functionalized diatoms were immobilized on electrodes retaining their ability to detect its cognate antigen. The reported method exploits the natural three-dimensional nanostructures of diatoms together with their easy modification with biomolecules and the simplicity of gold electrodeposition to produce micro/nanostructured and highly electrocatalytic electrodes, providing low-cost and eco-friendly platforms and arrays with potential application in biosensing devices.
Fraser, Alan G
Our use of modern cardiovascular imaging tools has not kept pace with their technological development. Diagnostic errors are common but seldom investigated systematically. Rather than more impressive pictures, our main goal should be more precise tests of function which we select because their appropriate use has therapeutic implications which in turn have a beneficial impact on morbidity or mortality. We should practise analytical thinking, use checklists to avoid diagnostic pitfalls, and apply strategies that will reduce biases and avoid overdiagnosis. We should develop normative databases, so that we can apply diagnostic algorithms that take account of variations with age and risk factors and that allow us to calculate pre-test probability and report the post-test probability of disease. We should report the imprecision of a test, or its confidence limits, so that reference change values can be considered in daily clinical practice. We should develop decision support tools to improve the quality and interpretation of diagnostic imaging, so that we choose the single best test irrespective of modality. New imaging tools should be evaluated rigorously, so that their diagnostic performance is established before they are widely disseminated; this should be a shared responsibility of manufacturers with clinicians, leading to cost-effective implementation. Trials should evaluate diagnostic strategies against independent reference criteria. We should exploit advances in machine learning to analyse digital data sets and identify those features that best predict prognosis or responses to treatment. Addressing these human factors will reap benefit for patients, while technological advances continue unpredictably. © The Author 2017. Published by Oxford University Press on behalf of the European Society of Cardiology.
Sahai, Rashmi [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Shah, Nihar [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Phadke, Amol [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)
Evaporative coolers (ECs) provide significant gains in energy efficiency compared to vapor compression air conditioners, but simultaneously have significant onsite water demand. This can be a major barrier to deployment in areas of the world with hot and arid climates. To address this concern, this study determined where in the world evaporative cooling is suitable, the water consumption of ECs in these cities, and the potential that greywater can be used reduce the consumption of potable water in ECs. ECs covered 69percent of the cities where room air conditioners are may be deployed, based on comfort conditions alone. The average water consumption due to ECs was found to be 400 L/household/day in the United States and Australia, with the potential for greywater to provide 50percent this amount. In the rest of the world, the average water consumption was 250 L/household/day, with the potential for greywater to supply 80percent of this amount. Home size was the main factor that contributed to this difference. In the Mediterranean, the Middle East, Northern India, and the Midwestern and Southwestern United States alkalinity levels are high and water used for bleeding will likely contribute significantly to EC water consumption. Although technically feasible, upfront costs for household GW systems are currently high. In both developed and developing parts of the world, however, a direct EC and GW system is cost competitive with conventional vapor compression air conditioners. Moreover, in regions of the world that face problems of water scarcity the benefits can substantially outweigh the costs.
Ryberg, Morten Walbech; Rosenbaum, Ralph K.; Mosqueron, Luc
to pesticide spray drift from agricultural fields. Our framework consists of three parts addressing: (1) loss of pesticides from an agricultural field via spray drift; (2) environmental fate of pesticide in air outside of the treated field; and (3) exposure of bystanders to pesticides via inhalation....... A comparison with measured data in a case study on pesticides applied to potato fields shows that our model gives good predictions of pesticide air concentrations. We compared our bystander exposure estimates with pathways currently included in LCA, namely aggregated inhalation and ingestion exposure mediated......Residents living near agricultural fields may be exposed to pesticides drifting from the fields after application to different field crops. To address this currently missing exposure pathway in life cycle assessment (LCA), we developed a modeling framework for quantifying exposure of bystanders...
Stratton, Leeanne; O'Neill, Marie S; Kruk, Margaret E; Bell, Michelle L
Despite decades of global eradication and control efforts and explosive global economic development, malaria is the most important vector-borne disease of our day, killing more people today than 40 years ago and affecting millions worldwide, particularly poor residents of tropical regions. Global eradication efforts from the 1950s through the 1980s largely failed, leaving vector and parasite resistance in their wake. The persistence of malaria and the magnitude of its effects call for an action paradigm that links the traditional proximal arenas of intervention with malaria's fundamental causes by addressing the environmental, economic, and political dimensions of risk. We explore the more distal determinants of malaria burden that create underlying vulnerabilities, evaluating malaria risk as a function of socioeconomic context, environmental conditions, global inequality, systems of health care provision, and research. We recommend that future action to combat malaria be directed by a broad-spectrum approach that meaningfully addresses both the proximal and fundamental causes of this disease.
... manufacturer or importer resides. These areas are indicated in the following list of EPA Regional Offices: EPA..., New York, Puerto Rico, Virgin Islands), Director, Division of Enforcement and Compliance Assistance... paragraph (a) of this section. The exceedance fee payment in the form of a check or money order must be made...
McElvy, G. W.; Loudin, M. G.
The Geography of professional workforce hiring is changing significantly and rapidly in the petroleum industry, mostly in response to shifting investment patterns. These geographical changes pose daunting challenges as well as new opportunities for philanthropic institutions such as the ExxonMobil Foundation, and especially for academia. Our Angolan affiliate illustrates the challenges brought about by investment in new areas. Although we will continue to require access to numerous Angolan Geoscience graduates who can fully participate in our global Geoscience community, there is only one Angolan institution that grants a relatively small number of Geoscience degrees. Our access to other locally-educated Angolan professional graduates is similarly limited. The Petroleum sector's response to this situation has been to seek indigenous students who are already enrolled, often in North American or European academic institutions, or to sponsor Angolan students there. If one multiplies our Angolan Geoscience example by the number of competing employers in Angola, and then by the number of countries around the world that are experiencing strong economic growth, the magnitude of the unfilled demand for international educational development seems daunting. However, several academic institutions have already taken the initiative and have provided educational, linguistic, and cultural pathways that encourage Angolans and others to obtain a world-class educational preparation on their respective campuses. This strategy has indeed begun to address the need for capacity-building for many indigenous students, and has aided various industries in their efforts to build indigenous workforces. Nevertheless, growing the capacity of indigenous academic infrastructure is also essential for the long term, and only a few academic institutions have begun to explore this educational frontier. Increased engagement and collaboration in international educational activities would clearly confer
Kost-Smith, Lauren Elizabeth
-affirmation was strongest for females who endorsed the stereotype that men do better than women in physics. The findings of this thesis suggest that there are multiple factors that contribute to the underperformance of females in physics. Establishing this model of gender differences is a first step towards increasing females' participation and performance in physics, and can be used to guide future interventions to address the disparities.
Davis Alvin E
Full Text Available Abstract Hereditary angioedema is a serious medical condition caused by a deficiency of C1-inhibitor. The condition is the result of a defect in the gene controlling the synthesis of C1-inhibitor, which regulates the activity of a number of plasma cascade systems. Although the prevalence of hereditary angioedema is low – between 1:10,000 to 1:50,000 – the condition can result in considerable pain, debilitation, reduced quality of life, and even death in those afflicted. Hereditary angioedema presents clinically as cutaneous swelling of the extremities, face, genitals, and trunk, or painful swelling of the gastrointestinal mucosa. Angioedema of the upper airways is extremely serious and has resulted in death by asphyxiation. Subnormal levels of C1-inhibitor are associated with the inappropriate activation of a number of pathways – including, in particular, the complement and contact systems, and to some extent, the fibrinolysis and coagulation systems. Current findings indicate bradykinin, a product of contact system activation, as the primary mediator of angioedema in patients with C1-inhibitor deficiency. However, other systems may play a role in bradykinin's rapid and excessive generation by depleting available levels of C1-inhibitor. There are currently no effective therapies in the United States to treat acute attacks of hereditary angioedema, and currently available agents used to treat hereditary angioedema prophylactically are suboptimal. Five new agents are, however, in Phase III development. Three of these agents replace C1-inhibitor, directly addressing the underlying cause of hereditary angioedema and re-establishing regulatory control of all pathways and proteases involved in its pathogenesis. These agents include a nano-filtered C1-inhibitor replacement therapy, a pasteurized C1-inhibitor, and a recombinant C1-inhibitor isolated from the milk of transgenic rabbits. All C1-inhibitors are being investigated for acute angioedema
The near confluence of the successful launch of the Orbiting Carbon Observatory2 on July 2, 2014 and the acceptance on August 20, 2015 by Google, NASA Ames Research Center and USRA of a 1152 qubit D-Wave 2X Quantum Annealing Computer (QAC), offered an exceptional opportunity to explore the potential of this technology to address the scientific prediction of global annual carbon uptake by land surface processes. At UMBC,we have collected and processed 20 months of global Level 2 light CO2 data as well as fluorescence data. In addition we have collected ARM data at 2sites in the US and Ameriflux data at more than 20 stations. J. Dorband has developed and implemented a multi-hidden layer Boltzmann Machine (BM) algorithm on the QAC. Employing the BM, we are calculating CO2 fluxes by training collocated OCO-2 level 2 CO2 data with ARM ground station tower data to infer to infer measured CO2 flux data. We generate CO2 fluxes with a regression analysis using these BM derived weights on the level 2 CO2 data for three Ameriflux sites distinct from the ARM stations. P. Gentine has negotiated for the access of K34 Ameriflux data in the Amazon and is applying a neural net to infer the CO2 fluxes. N. Talik validated the accuracy of the BM performance on the QAC against a restricted BM implementation on the IBM Softlayer Cloud with the Nvidia co-processors utilizing the same data sets. G. Nearing and K. Harrison have extended the GSFC LIS model with the NCAR Noah photosynthetic parameterization and have run a 10 year global prediction of the net ecosystem exchange. C. Pellisier is preparing a BM implementation of the Kalman filter data assimilation of CO2 fluxes. At UMBC, R. Prouty is conducting OSSE experiments with the LISNoah model on the IBM iDataPlex to simulate the impact of CO2 fluxes to improve the prediction of global annual carbon uptake. J. LeMoigne and D. Simpson have developed a neural net image registration system that will be used for MODIS ENVI and will be
Duduială Popescu Lorena
Full Text Available Its economy experienced a sharp decline, coupled with a process of deindustrialization, projected on a phase of the property. In these circumstances, to discuss the sustainable development may seem inappropriate; therefore, be taken in steps such as halting the decline of the economy and industry; the industry revitalization and growth; the development that takes place according to the criteria of sustainable development. To this must be stopped declining industrial output and output stabilization. It must be found and made the necessary conditions leading to full use of the potential of the country, to stimulate those structural changes that allow the country to fall market economy conditions. To address the main criteria for sustainable industrial development since this time of economic downturn may be several reasons such as the need to respect the provisions of international treaties to which Romania is a party. Some of them may be mentioned as: putting control of Earth's greenhouse effect, preventing damage to the ozone layer (waiving of manufacture and use of chlorofluorocarbons, transboundary pollution and protection of large water basins of the border. Each of these treaties contain provisions that are converging concept of sustainable development. The entry into the European Union implies aligning Romanian legislation in the EU The EU Council adopted a common position, relative to a plan of action intended to give a new political impetus of the fifth environmental action program. The main objective of this program is the promotion of sustainable development throughout the economy. The Action Plan identifies priority areas for action, namely: • better integration of environmental issues into policies as those of agriculture, transport, energy, industry and tourism; • further development of basic tools acting on the market and, in particular, horizontal instruments; • improving enforcement and implementation of environmental
... Clearance for Master Address File (MAF) and Topologically Integrated Geographic Encoding and Referencing... Address File (MAF) and Topologically Integrated Geographic Encoding and Referencing (TIGER) Database (MTdb... to address quality concerns relating to areas with high concentrations of noncity-style addresses...
... 46 Shipping 2 2010-10-01 2010-10-01 false Requirement to report change of address of managing... report change of address of managing owner. Upon the change of address of the managing owner of a documented vessel, the managing owner shall report the change of address to the National Vessel Documentation...
Youens, David; Preen, David B; Harris, Mark N; Moorin, Rachael E
When information on changes in address or migration of people to or from a study jurisdiction is unavailable in longitudinal studies, issues relating to loss-to-follow-up and misclassification bias may result. This study investigated how estimations of associations between general practitioner (GP) contact and hospital use were affected by incomplete address and migration data. This was a retrospective population-based cohort study of Western Australians from 1990 to 2004. Linked administrative data including mortality records, hospital admissions, primary care and Electoral Roll records were used. Regularity of GP contact, based on the variance of the number of days between GP visits, was calculated for each person-year. Outcomes were the number and costs (A$2014) of diabetes-related hospital admissions in the following year. Models were estimated separately for cohorts where (i) postcode was ascertained at study commencement and held constant, and (ii) postcode and residency within Western Australia were updated with each change of address recorded on the Electoral Roll over the study period. Updating address data reduced total person-years by 11% and changed the distribution of covariates. Estimations of associations between patterns of GP contact and number of hospitalizations changed; the incidence rate ratios measuring the relationship with the most regular GP contact (baseline of those with <2 GP visits) changed from 0.81 [95% confidence interval (CI) 0.66-1.00] to 0.42 (95% CI 0.33-0.53) after updating postcode information. Impacts on cost models were smaller, though still statistically significant. Longitudinal studies using administrative data may report biased results if they ignore address changes and migration. Researchers should attempt to link to these data wherever possible, or choose study designs which these issues are less likely to affect. Custodians should be aware that such data can be vital to high quality research. © The Author 2017; all
Smith, Kathleen S.; Phillips, Jeffrey D.; McCafferty, Anne E.; Clark, Roger N.
IntroductionThis circular provides an overview of selected activities that were conducted within the U.S. Geological Survey (USGS) Integrated Methods Development Project, an interdisciplinary project designed to develop new tools and conduct innovative research requiring integration of geologic, geophysical, geochemical, and remote-sensing expertise. The project was supported by the USGS Mineral Resources Program, and its products and acquired capabilities have broad applications to missions throughout the USGS and beyond.In addressing challenges associated with understanding the location, quantity, and quality of mineral resources, and in investigating the potential environmental consequences of resource development, a number of field and laboratory capabilities and interpretative methodologies evolved from the project that have applications to traditional resource studies as well as to studies related to ecosystem health, human health, disaster and hazard assessment, and planetary science. New or improved tools and research findings developed within the project have been applied to other projects and activities. Specifically, geophysical equipment and techniques have been applied to a variety of traditional and nontraditional mineral- and energy-resource studies, military applications, environmental investigations, and applied research activities that involve climate change, mapping techniques, and monitoring capabilities. Diverse applied geochemistry activities provide a process-level understanding of the mobility, chemical speciation, and bioavailability of elements, particularly metals and metalloids, in a variety of environmental settings. Imaging spectroscopy capabilities maintained and developed within the project have been applied to traditional resource studies as well as to studies related to ecosystem health, human health, disaster assessment, and planetary science. Brief descriptions of capabilities and laboratory facilities and summaries of some
Komaie, Goldie; Ekenga, Christine C; Sanders Thompson, Vetta L; Goodman, Melody S
The Community Research Fellows Training program is designed to enhance capacity for community-based participatory research; program participants completed a 15-week, Master of Public Health curriculum. We conducted qualitative, semistructured interviews with 81 participants from two cohorts to evaluate the learning environment and how the program improved participants' knowledge of public health research. Key areas that provided a conducive learning environment included the once-a-week schedule, faculty and participant diversity, and community-focused homework assignments. Participants discussed how the program enhanced their understanding of the research process and raised awareness of public health-related issues for application in their personal lives, professional occupations, and in their communities. These findings highlight key programmatic elements of a successful public health training program for community residents.
Zhou, Shumin; Tang, Bin; Li, Wen
As an important component of EMS monitoring system, address is different from user name with great uncertainty because there are many ways to represent it. Therefore, address standardization is a difficult task. Address tree coding has been trying to resolve that issue for many years. Zip code, as its most widely used algorithm, can only subdivide the address down to a designated post office, not the recipients' address. This problem needs artificial identification method to be accurately delivered. This paper puts forward a new encoding algorithm of the address tree - the maximum matching algorithm to solve the problem. This algorithm combines the characteristics of the address tree and the best matching theory, and brings in the associated layers of tree nodes to improve the matching efficiency. Taking the variability of address into account, the thesaurus of address tree should be updated timely by increasing new nodes automatically through intelligent tools.
Durand, Dominique M.; Ghovanloo, Maysam; Krames, Elliot
interface with the CNS. In 2013, two symposia were held independently to discuss this problem: one was held at the International Neuromodulation Society's 11th World Congress in Berlin and supported by the International Neuromodulation Society1 and the other at the 6th International Neural Engineering conference in San Diego2 and was supported by the NSF. Clearly, the neuromodulation and the neural engineering communities are keen to solve this problem. Experts from the field were assembled to discuss the problems and potential solutions. Although many important points were raised, few emerged as key issues. (1) The ability to access remotely and reliably internal neural signals . Although some of the technological problems have already been solved, this ability to access neural signals is still a significant problem since reliable and robust transcutaneous telemetry systems with large numbers of signals, each with wide bandwidth, are not readily available to researchers. (2) A translation strategy taking basic research to the clinic . The lack of understanding of the biological response to implanted constructs and the inability to monitor the sites and match the mechanical properties of the probe to the neural tissue properties continue to be an unsolved problem. In addition, the low levels of collaboration among neuroscientists, clinicians, patients and other stakeholders throughout different phases of research and development were considered to be significant impediments to progress. (3) Fundamental tools development procedures for neural interfacing . There are many laboratories testing various devices with different sets of criteria, but there is no consensus on the failure modes. The reliability, robustness of metrics and testing standards for such devices have not been established, either in academia or in industry. To start addressing this problem, the FDA has established a laboratory to test the reliability of some neural devices. Although the discussion was mostly
Stratton, J. Chris [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Singer, Brett C. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)
Cooking and cooking burners emit pollutants that can adversely affect indoor air quality in residences and significantly impact occupant health. Effective kitchen exhaust ventilation can reduce exposure to cooking-related air pollutants as an enabling step to healthier, low-energy homes. This report by Lawrence Berkeley National Laboratory identifies barriers to the widespread adoption of kitchen exhaust ventilation technologies and practice and proposes a suite of strategies to overcome these barriers. The recommendations have been vetted by a group of industry, regulatory, health, and research experts and stakeholders who convened for two meetings and provided input and feedback to early drafts of this document. The most fundamental barriers are (1) the common misconception, based on a sensory perception of risk, that kitchen exhaust when cooking is unnecessary and (2) the lack of a code requirement for kitchen ventilation in most U.S. locations. Highest priority objectives include the following: (1) Raise awareness among the public and the building industry of the need to install and routinely use kitchen ventilation; (2) Incorporate kitchen exhaust ventilation as a requirement of building codes and improve the mechanisms for code enforcement; (3) Provide best practice product and use-behavior guidance to ventilation equipment purchasers and installers, and; (4) Develop test methods and performance targets to advance development of high performance products. A specific, urgent need is the development of an over-the-range microwave that meets the airflow and sound requirements of ASHRAE Standard 62.2.
Stratton, J. Chris; Singer, Brett C.
Cooking and cooking burners emit pollutants that can adversely affect indoor air quality in residences and significantly impact occupant health. Effective kitchen exhaust ventilation can reduce exposure to cooking-related air pollutants as an enabling step to healthier, low-energy homes. This report identifies barriers to the widespread adoption of kitchen exhaust ventilation technologies and practice and proposes a suite of strategies to overcome these barriers. The recommendations have been vetted by a group of industry, regulatory, health, and research experts and stakeholders who convened for two web-based meetings and provided input and feedback to early drafts of this document. The most fundamental barriers are (1) the common misconception, based on a sensory perception of risk, that kitchen exhaust when cooking is unnecessary and (2) the lack of a code requirement for kitchen ventilation in most US locations. Highest priority objectives include the following: (1) Raise awareness among the public and the building industry of the need to install and routinely use kitchen ventilation; (2) Incorporate kitchen exhaust ventilation as a requirement of building codes and improve the mechanisms for code enforcement; (3) Provide best practice product and use-behavior guidance to ventilation equipment purchasers and installers, and; (4) Develop test methods and performance targets to advance development of high performance products. A specific, urgent need is the development of an over-the-range microwave that meets the airflow and sound requirements of ASHRAE Standard 62.2.
King, Marta A; Nkoy, Flory L; Maloney, Christopher G; Mihalopoulos, Nicole L
To determine how frequently physicians identify and address overweight/obesity in hospitalized children and to compare physician documentation across training level (medical student, intern, resident, attending). We conducted a retrospective chart review. Using an administrative database, Centers for Disease Control and Prevention body mass index calculator, and random sampling technique, we identified a study population of 300 children aged 2-18 years with overweight/obesity hospitalized on the general medical service of a tertiary care pediatric hospital. We reviewed admission, progress, and discharge notes to determine how frequently physicians and physician trainees identified (documented in history, physical exam, or assessment) and addressed (documented in hospital or discharge plan) overweight/obesity. Physicians and physician trainees identified overweight/obesity in 8.3% (n = 25) and addressed it in 4% (n = 12) of 300 hospitalized children with overweight/obesity. Interns were most likely to document overweight/obesity in history (8.3% of the 266 patients they followed). Attendings were most likely to document overweight/obesity in physical examination (8.3%), assessment (4%), and plan (4%) of the 300 patients they followed. Medical students were least likely to document overweight/obesity including it in the assessment (0.4%) and plan (0.4%) of the 244 hospitalized children with overweight/obesity they followed. Physicians and physician trainees rarely identify or address overweight/obesity in hospitalized children. This represents a missed opportunity for both patient care and physician trainee education. Copyright © 2015 Elsevier Inc. All rights reserved.
Full Text Available Abstract Background The assignment of a point-level geocode to subjects' residences is an important data assimilation component of many geographic public health studies. Often, these assignments are made by a method known as automated geocoding, which attempts to match each subject's address to an address-ranged street segment georeferenced within a streetline database and then interpolate the position of the address along that segment. Unfortunately, this process results in positional errors. Our study sought to model the probability distribution of positional errors associated with automated geocoding and E911 geocoding. Results Positional errors were determined for 1423 rural addresses in Carroll County, Iowa as the vector difference between each 100%-matched automated geocode and its true location as determined by orthophoto and parcel information. Errors were also determined for 1449 60%-matched geocodes and 2354 E911 geocodes. Huge (> 15 km outliers occurred among the 60%-matched geocoding errors; outliers occurred for the other two types of geocoding errors also but were much smaller. E911 geocoding was more accurate (median error length = 44 m than 100%-matched automated geocoding (median error length = 168 m. The empirical distributions of positional errors associated with 100%-matched automated geocoding and E911 geocoding exhibited a distinctive Greek-cross shape and had many other interesting features that were not capable of being fitted adequately by a single bivariate normal or t distribution. However, mixtures of t distributions with two or three components fit the errors very well. Conclusion Mixtures of bivariate t distributions with few components appear to be flexible enough to fit many positional error datasets associated with geocoding, yet parsimonious enough to be feasible for nascent applications of measurement-error methodology to spatial epidemiology.
If we want the best academic outcomes, the most efficient and cost-effective route to achieve that is, counterintuitively, "not" to narrowly focus on academics, but to also address children's social, emotional, and physical development. Similarly, the best and most efficient route to physical health is through also addressing emotional, social,…
Nagler, Alisa; Andolsek, Kathryn; Dossary, Kristin; Schlueter, Joanne; Schulman, Kevin
Duke University Hospital Office of Graduate Medical Education and Duke University's Fuqua School of Business collaborated to offer a Health Policy lecture series to residents and fellows across the institution, addressing the "Systems-based Practice" competency.During the first year, content was offered in two formats: live lecture and web/podcast. Participants could elect the modality which was most convenient for them. In Year Two, the format was changed so that all content was web/podcast and a quarterly live panel discussion was led by module presenters or content experts. Lecture evaluations, qualitative focus group feedback, and post-test data were analyzed.A total of 77 residents and fellows from 8 (of 12) Duke Graduate Medical Education departments participated. In the first year, post-test results were the same for those who attended the live lectures and those who participated via web/podcast. A greater number of individuals participated in Year Two. Participants from both years expressed the need for health policy content in their training programs. Participants in both years valued a hybrid format for content delivery, recognizing a desire for live interaction with the convenience of accessing web/podcasts at times and locations convenient for them. A positive unintended consequence of the project was participant networking with residents and fellows from other specialties.
... actions addressing greenhouse gases (GHGs). 70.12 Section 70.12 Protection of Environment ENVIRONMENTAL... commitments for further actions addressing greenhouse gases (GHGs). (a) Definitions. (1) Greenhouse Gases... six greenhouse gases: carbon dioxide, nitrous oxide, methane, hydrofluorocarbons, perfluorocarbons...
Addressing maintenance aspects has become increasingly important in development projects of industrial equipment. Developers of such equipment need to address the maintenance aspects in order to achieve competitive equipment and service offerings. This research focuses on the identification of the
Addressing maintenance aspects has become increasingly important in development projects of industrial equipment. Developers of such equipment need to address the maintenance aspects in order to achieve competitive equipment and service offerings. This research focuses on the identification of the maintenance aspects that are relevant to be addressed in development projects and on how developers can successfully do this. The ultimate goal of the research is to support developers in addressing...
Moreira Moura, G.C.; Ganan, C.H.G.; Lone, Q.B.; Poursaied, P.; Asghari, H.; Van Eeten, M.J.G.
IP address counts are typically used as a surrogate metric for the number of hosts in a network, as in the case of ISP rankings based on botnet infected addresses. However, due to effects of dynamic IP address allocation, such counts tend to overestimate the number of hosts, sometimes by an order of
Traditional organizations appear to be incapable of adequately addressing critical global issues such as war, climate change, and economic inequality. Addressing these issues suggests the need for organizational innovation to develop global social contracts. Successful innovation must address four integration imperatives: (1) integrate effort and resources across organizational sectors (business, government, civil society) and sense-making, (2) create successful individual to global aggregati...
... Business Address: American Economy Insurance Company; American Fire and Casualty Company; American States... No. 15 to the Treasury Department Circular 570, 2009 Revision, published July 1, 2009, at 74 FR 31536... ADDRESS'' as follows: American Economy Insurance Company (NAIC 19690). BUSINESS ADDRESS: 500 North...
... AFFAIRS Agency Information Collection (Veterans Mortgage Life Insurance-- Change of Address Statement.... 2900-0503.'' SUPPLEMENTARY INFORMATION: Title: Veterans Mortgage Life Insurance--Change of Address... continued ownership of property issued under Veterans Mortgage Life Insurance when an address change for the...
... drilling design criteria address? Your description of well drilling design criteria must address: (a) Pore... 30 Mineral Resources 2 2010-07-01 2010-07-01 false What must my description of well drilling design criteria address? 250.413 Section 250.413 Mineral Resources MINERALS MANAGEMENT SERVICE...
Full Text Available propose criteria for an address assignment scheme in Botswana: a single set of place or area names; different addresses types for urban, rural and farm areas; principles for address numbering assignment; integration of different referencing systems; and a...
Viser, Victor J.
Codes 1038 magazine advertisements spanning 1940 through 1950 for mode of address in the child's body, face, eyes, and other areas. Indicates, regarding mode of address, significant rotating image trends toward a more direct address in the eyes and face of the child in the postwar period--trends that were absent in prewar and war years. (PA)
... Region II Address and Main Telephone Number Changes AGENCY: Nuclear Regulatory Commission. ACTION: Final... address for its Region II office and to update the main telephone number. The Region II office move and... update the NRC Region II office street address and office main telephone number. The physical location of...
... comments shall be sent to Julie Binder Maitra, of the FGDC Secretariat via electronic mail, [email protected] electronic addresses such as e-mail addresses. It recognizes that some organizations are prohibited by..., participants will receive written notification of how their comments were addressed by electronic or postal...
Tirima, Simba; Bartrem, Casey; von Lindern, Ian; von Braun, Margrit; Lind, Douglas; Anka, Shehu Mohammed; Abdullahi, Aishat
Background: From 2010 through 2013, integrated health and environmental responses addressed an unprecedented epidemic lead poisoning in Zamfara State, northern Nigeria. Artisanal gold mining caused widespread contamination resulting in the deaths of > 400 children. Socioeconomic, logistic, and security challenges required remediation and medical protocols within the context of local resources, labor practices, and cultural traditions. Objectives: Our aim was to implement emergency environmental remediation to abate exposures to 17,000 lead poisoned villagers, to facilitate chelation treatment of children ≤ 5 years old, and to establish local technical capacity and lead health advocacy programs to prevent future disasters. Methods: U.S. hazardous waste removal protocols were modified to accommodate local agricultural practices. Remediation was conducted over 4 years in three phases, progressing from an emergency response by international personnel to comprehensive cleanup funded and accomplished by the Nigerian government. Results: More than 27,000 m3 of contaminated soils and mining waste were removed from 820 residences and ore processing areas in eight villages, largely by hand labor, and disposed in constructed landfills. Excavated areas were capped with clean soils (≤ 25 mg/kg lead), decreasing soil lead concentrations by 89%, and 2,349 children received chelation treatment. Pre-chelation geometric mean blood lead levels for children ≤ 5 years old decreased from 149 μg/dL to 15 μg/dL over the 4-year remedial program. Conclusions: The unprecedented outbreak and response demonstrate that, given sufficient political will and modest investment, the world’s most challenging environmental health crises can be addressed by adapting proven response protocols to the capabilities of host countries. Citation: Tirima S, Bartrem C, von Lindern I, von Braun M, Lind D, Anka SM, Abdullahi A. 2016. Environmental remediation to address childhood lead poisoning epidemic
Tirima, Simba; Bartrem, Casey; von Lindern, Ian; von Braun, Margrit; Lind, Douglas; Anka, Shehu Mohammed; Abdullahi, Aishat
From 2010 through 2013, integrated health and environmental responses addressed an unprecedented epidemic lead poisoning in Zamfara State, northern Nigeria. Artisanal gold mining caused widespread contamination resulting in the deaths of > 400 children. Socioeconomic, logistic, and security challenges required remediation and medical protocols within the context of local resources, labor practices, and cultural traditions. Our aim was to implement emergency environmental remediation to abate exposures to 17,000 lead poisoned villagers, to facilitate chelation treatment of children ≤ 5 years old, and to establish local technical capacity and lead health advocacy programs to prevent future disasters. U.S. hazardous waste removal protocols were modified to accommodate local agricultural practices. Remediation was conducted over 4 years in three phases, progressing from an emergency response by international personnel to comprehensive cleanup funded and accomplished by the Nigerian government. More than 27,000 m3 of contaminated soils and mining waste were removed from 820 residences and ore processing areas in eight villages, largely by hand labor, and disposed in constructed landfills. Excavated areas were capped with clean soils (≤ 25 mg/kg lead), decreasing soil lead concentrations by 89%, and 2,349 children received chelation treatment. Pre-chelation geometric mean blood lead levels for children ≤ 5 years old decreased from 149 μg/dL to 15 μg/dL over the 4-year remedial program. The unprecedented outbreak and response demonstrate that, given sufficient political will and modest investment, the world's most challenging environmental health crises can be addressed by adapting proven response protocols to the capabilities of host countries. Tirima S, Bartrem C, von Lindern I, von Braun M, Lind D, Anka SM, Abdullahi A. 2016. Environmental remediation to address childhood lead poisoning epidemic due to artisanal gold mining in Zamfara, Nigeria. Environ Health
Dugas, Tammy R; Lomnicki, Slawomir; Cormier, Stephania A; Dellinger, Barry; Reams, Margaret
Airborne fine and ultrafine particulate matter (PM) are often generated through widely-used thermal processes such as the combustion of fuels or the thermal decomposition of waste. Residents near Superfund sites are exposed to PM through the inhalation of windblown dust, ingestion of soil and sediments, and inhalation of emissions from the on-site thermal treatment of contaminated soils. Epidemiological evidence supports a link between exposure to airborne PM and an increased risk of cardiovascular and pulmonary diseases. It is well-known that during combustion processes, incomplete combustion can lead to the production of organic pollutants that can adsorb to the surface of PM. Recent studies have demonstrated that their interaction with metal centers can lead to the generation of a surface stabilized metal-radical complex capable of redox cycling to produce ROS. Moreover, these free radicals can persist in the environment, hence their designation as Environmentally Persistent Free Radicals (EPFR). EPFR has been demonstrated in both ambient air PM2.5 (diameter < 2.5 µm) and in PM from a variety of combustion sources. Thus, low-temperature, thermal treatment of soils can potentially increase the concentration of EPFR in areas in and around Superfund sites. In this review, we will outline the evidence to date supporting EPFR formation and its environmental significance. Furthermore, we will address the lack of methodologies for specifically addressing its risk assessment and challenges associated with regulating this new, emerging contaminant.
Conditions which experience has proved conducive to mental disturbance considered.—Suggestions as to their treatment.—A weakened inhibition, rather than any positive condition, is probably the most important factor in the production of the exhaustion psycho-neuroses or psychoses. This view is supported by the prophylactic value of giving for prolonged periods small doses of bromide to hypersensitive children or to highly-strung persons exposed to stress or tropical climate, etc.—Pavlov's work on the conditioned reflexes in dogs quoted in support of the author's clinical experience: Pavlov states that bromides should not be regarded as sedatives, diminishing the excitability of the central nervous system, but as simply regulating the nervous system by strengthening the intensity of internal inhibition. This agrees with the author's clinical experience, as small doses of bromide taken regularly over a period of many years do not diminish the mental powers but in fact increase them. Question of sleeplessness considered with regard to the way in which sedatives act. Most of these do not act as so-called “sleeping draughts”; research may ultimately show that their action is to strengthen a weakened inhibition and that sleep is only a secondary benefit.—Value of sedatives before and after surgical operation. Importance of toxæmia in the production of mental disorder; insomnia often precedes a toxic process and permits it to become active. The theory of weakened inhibition explains many problems; e.g., why certain brilliant children or adults break down and why at first there is no interference with their normal mental activity which only becomes involved as sleep and other bodily functions become affected; why a toxæmia may affect the nervous system of certain people; why a breakdown may follow over-stimulation or occur with advancing years; why some persons relapse when certain treatment is discontinued; why treatment should at times be continuous, and why patients may remain in good health and full mental activity for many years under treatment. Research made from this standpoint may be of much value in the prevention and treatment of functional nervous disorder. PMID:19986761
Thier, Samuel O.
Mr. Figueroa was born in San Juan, Puerto Rico on September 9, 1955. He obtained a B.S. Degree in Mechanical Engineering from the University of Puerto Rico, Mayaguez Campus in 1978, and completed advanced courses in Mechanical Engineering at the University of Maryland. He has been a member of the Senior Executive Service of the U.S. Federal Government since 1997.In August 2004 he was appointed to the position of Deputy Associate Administrator for Programs in the Science Mission Directorate at...
The speaker discusses some of the economic problems facing the Canadian nuclear industry. The worldwide economic slowdown has caused a fall in energy needs in Canada as well as in other nations. Consequently the demand for uranium has fallen and the market for new reactors looks bleak. However, the speaker feels that a solution can be found using creativity and innovative thinking
Shunglu, V K
Rapid and substantial population growth in India is hampering development. Family welfare programs in the country during the last four years have not met population reduction goals. The decentralization of political and administrative power in relevant programs, however, will help the country attain its goal of replacement fertility. To that end, the 73rd and 74th amendments to the constitution have recently been enacted to help decentralize power to people at the village, intermediate, and district levels. The participation of the people is essential for success. State ministers of health must begin assigning management of the rural health care systems to the Panchayats. Population policy has changed so that family planning is now provided within the broader context of maternal and child health care, emphasizing voluntarism and informed choice among contraceptive methods and popular participation. The speaker laments the decline of male participation in family planning and calls for high priority to be given to developing fertility regulation methods for men as well as identifying factors which prohibit male participation. The country's unbalanced female to male sex ratio and interstate and inter-district variations in social parameters which have a bearing upon population growth rates also merit attention. Investing in human resources is crucial to the success of population programs. Financing has therefore increased for poverty alleviation programs and other social sector programs.
Full Text Available Before I offcially conclude this workshop - far be it from me to attempt to compete with some concluding remarks already delivered at the meeting with various levels of passion by Gennady Bisnovatyi-Kogan, Giulio Auriemma and Sergio Colafrancesco - I would like to comment on some of the highlights emerging from our fruitful week of discussions about Multifrequency Behaviour of High Energy Cosmic Sources, without any pretension of completeness.
Gore, M S
In India, data from the decennial censuses have been the catalyst that has led researchers to identify social policy needs and craft programs to lower overall mortality rates, infant mortality rates, and fertility rates. A new demographic phenomenon that is being exposed by the data is the increase in life expectancy that will see large numbers of individuals surviving 15-20 years beyond age 60. This increased life expectancy will lead to an increased old age dependency ratio and will require reexamination of the issue of resources to meet the needs of the elderly. These needs are social and psychological as well as physical. Research is needed to predict the initial consequences of population aging within different states. International comparisons within the Asian region will also foster identification of effective policies. Research is also needed to identify whether longevity is tied to higher educational and socioeconomic status in order to improve life expectancy among low-income groups. Another aspect that requires consideration is that most elderly women will likely survive their husbands. This means that they will be available to care for their husbands but will have to depend upon their children to care for them. The possible demographic diversity in the experience of aging among various states and classes and between the genders may be of special interest to researchers.
The supply of energy is the most important problem facing mankind today. Energy is necessary for economic development, and it is in the interests of the industrialized nations to ensure that the developing countries reach their economic potential. The need for the increased use of nuclear power is evident, and the CANDU reactor provides a simple, proven energy source; the 950 MW CANDU has potential applications in both industrialized and third world nations. The Canadian nuclear industry has an important role to play in the world, but must be rationalized in order to compete successfully in the international marketplace
There is no intrinsic demand for energy separable from supply; the demand for a resource reflects its availability. The Conservation Commission of the World Energy Conference used one study that predicted that if economic growth rates were to remain comparable to those of the last forty years, eight times the 1975 level of energy supply would be required by 2020. An alternative view suggested that if the income elasticity for energy declined with increasing economic development, there would be a fourfold increase in energy demand by 2020. Energy supply today and what it might be in 40 years is examined. The energy use of biomass will probably increase in certain areas of the world, but it is unlikely that there will be an overall growth in supply from this source. Energy production from fossil fuels may double between now and the early years of the next century, but unless the recovery rate of coal is increased drastically, growth will peak by mid-century. Hydro-electric and geothermal power may quadruple over the next forty years, but this will not represent a big increase in supply. Solar energy can make only a modest contribution in the next few decades. If there is to be a major increase in world energy supply, it must come from nuclear energy. The Conservation Commission felt that the potential for world energy supply is doubling between 1980 and 2000, and a further 50 percent growth to 2020. There will most likely be a 50 percent growth in per capita energy use around the world, with 3 to 4 percent annual growth rate in developing countries and perhaps the same in industrialized countries for the first 20 years, but about half that growth rate towards the end of the time period
The Canadian Atomic Energy Control Board (AECB) has funded, and continues to fund, research into genetic effects of radiation. Of particular note is the continuation of studies into the apparent excess of leukemia in children in the area around the Bruce Nuclear Power Development, and the apparent deficit of leukemia in children around the Chalk River Laboratories, neither of which appears to be statistically significant. The sponsorship of meetings such as this is another way in which the AECB supports research into radiation effects. (L.L.)
Public policy responses to climate change are discussed from a global viewpoint. The public policy issue is one of unprecedented scope and complexity, and concerns the interaction of two vast and complex systems: the physical planetary system, and the human economic system. Decision making is required in the face of uncertainty, and scientific knowledge is lagging behind policy issues. Continuing world development is going to drastically change the balance of global population, trade, and economic power. Environmental quality performance requirements should be set with a great deal of attention paid to how they will affect the process of innovation, and must encourage demand for emerging technologies, products and services. Effective solutions can come only from effective international agreement. Governments, citizens and industry must become partners in action, and improved education and communication is required. Science, public policy and social consensus must converge, as climate change is not merely a scientific or technical problem, but is also a social and political problem
Raquel Sosa Elízaga
Full Text Available The global sociology currently faces one of its greatest challenges: to contribute to the debate about the most serious problem which all societies have faced in recent years. The rising inequality has led to many initiatives for reflection, discussion and evaluation of public policies in order to combat poverty. Particularly, the fact that the Millennium Goals are supposed to accomplish their significance by 2015 provides the International Sociological Association (ISA the unique opportunity to contribute to those goals through their own analyses and proposals. Over many years, the ISA has promoted the integrated debate of its members on issues related to inequalities: from different perspectives such as education, health, social movements, public policies, gender problems and violence, among others. The overlapping and accumulation of inequalities has been, so to speak, the natural environment from which the ISA can take part in this international debate. This article identifies the work lines approved in the Association Program Committee Meeting held in Mexico in 2011, in the process of theAssociation’s Congress in Yokohama in 2014.
Good morning ladies and gentlemen. I am truly honored to be your keynote speaker at the first International Oil Spill R ampersand D Forum. This Forum is cosponsored by the Coast Guard, on behalf of the OPA 90 Interagency Coordinating Committee on Oil Spill Research, and the International Maritime Organization. The fact that IMO is jointly sponsoring the Forum truly reflects the global nature of our concerns for the marine environment. I was asked to speak to you today because of my purview over the entire Coast Guard R ampersand D Program, a significant portion of which is oil spill related. Our environmental awareness was renewed on March 24, 1990 when the tankship Exxon Valdez ran aground on Bligh Reef in Prince William Sound, Alaska, and caused the largest vessel related oil spill in U.S. history. During the next 15 months there were three other large oil spills that threatened the U.S. shorelines. The U.S. flag tank vessel American Trader suffered a three foot diameter hole in a cargo tank near Huntington Beach California; the Mega Borg, a Norwegian flag tank vessel, exploded and caught fire off the coast of Texas in the Gulf of Mexico; and the Greek flag tanker World Prodigy ran aground in Narragensett Bay near Rhode Island. Each spill presented a unique set of challenges to our response operations. Despite intense response and cleanup actions, which included excellent international cooperation for the Exxon Valdez spill, it was apparent that existing world-wide catastrophic spill response capabilities could easily be exceeded and that there was no international mechanism which promoted and facilitated cooperations
to the Environment crisis'. Much of the formal work in the development of environmental education was spearheaded by international agencies such as the United Nations Educational,. Scientific and Cultural Organisation (UNESCO) and the United Nations Environment. Programme (UNEP) internationally. This formal work ...
The author reviews events of the past year in the nuclear power, uranium mining, reactor manufacturing and heavy water segments of the Canadian nuclear industry. The industry has a very strong base in uranium production and electricity generation. The issue of greatest concern is the lack of manufacturing opportunities
Looking at the fate of so many fantastic creatures that have become extinct in the doomed landscape of .... reserves in Natal and the state forest reserves in Natal and the Cape Province serve as valuable sanctuaries for a ... protected within national parks or in provincial nature or state forest reserves of some conse- quence.
Overall state of energy needs and production with special emphasis on increasing consumption and global climate challenge induce increasing efficiency in the broad sense, i.e. increasing the energy efficiency of homes, business, transportation, industry; increasing the efficiency of how energy is delivered to consumers and increasing the efficiency of electricity generation. Being a part of the solution for overall efficiency challenges, past increases in nuclear power plant reliability and availability have kept nuclear power in the race but they have not yet assured survival. There would be limited future for nuclear power unless existing plants prove that the technology is economically competitive. This could be done because it helps attaining healthier global environment. Successful cooperation across all sectors of society and across all oceans of the world would lead to first maintaining the nuclear energy option, and then expanding its application in the future, the potential of nuclear energy would be fully realized to the benefit of all the world
Cabrera Alvarado, S; Guida, Raffaella; Iervolino, Pasquale
One of the main goals of the State is to guarantee the security and welfare of the citizens. States have agreed in making “a better world” for citizens under the United Nations (UN) Sustainable Development Goals (SDG) targets and actions. States have acquired the obligation to address this mandate and seek all possible solutions to address it. International cooperation and the use of space technology are tools to achieve this endeavor. This paper discusses the innovations of international coo...
Lawn, Sharon; Lucas, Teri
Smoking rates for people with severe mental illness have remained high despite significant declines in smoking rates in the general population, particularly for residents of community supported residential facilities (SRFs) where smoking has been largely neglected and institutionalized. Two studies undertaken 10 years apart (2000 and 2010) with SRFs in Adelaide, Australia looked at historical trends to determine whether any progress has been made to address smoking for this population. The first study was ethnographic and involved narrative description and analysis of the social milieu of smoking following multiple observations of smoking behaviours in two SRFs. The second study involved an eight-week smoking cessation group program providing tailored support and free nicotine replacement therapy to residents across six SRFs. Changes in smoking behaviours were measured using pre and post surveys with residents, with outcomes verified by also seeking SRF staff and smoking cessation group facilitator qualitative feedback and reflection on their observations of residents and the setting. The culture of smoking in mental health SRFs is a complex part of the social milieu of these settings. There appears to have been little change in smoking behaviours of residents and attitudes and support responses by staff of SRFs since 2000 despite smoking rates declining in the general community. Tailored smoking cessation group programs for this population were well received and did help SRF residents to quit or cut down their smoking. They did challenge staff negative attitudes to residents' capacity to smoke less or quit. A more systematic approach that addresses SRF regulations, smoke-free policies, staff attitudes and training, and consistent smoking cessation support to residents is needed.
Buck, Christoph; Dreger, Steffen; Pigeot, Iris
Data privacy is a major concern in spatial epidemiology because exact residential locations or parts of participants' addresses such as street or zip codes are used to perform geospatial analyses. To overcome this concern, different levels of aggregation such as census districts or zip code areas are mainly used, though any spatial aggregation leads to a loss of spatial variability. For the assessment of urban opportunities for physical activity that was conducted in the IDEFICS (Identification and prevention of dietary- and lifestyle-induced health effects in children and infants) study, macrolevel analyses were performed, but the use of exact residential addresses for micro-level analyses was not permitted by the responsible office for data protection. We therefore implemented a spatial blurring to anonymise address coordinates depending on the underlying population density. We added a standard Gaussian distributed error to individual address coordinates with the variance σ² depending on the population density and on the chosen k-anonymity. 1000 random point locations were generated and repeatedly blurred 100 times to obtain anonymised locations. For each location 1 km network-dependent neighbourhoods were used to calculate walkability indices. Indices of blurred locations were compared to indices based on their sampling origins to determine the effect of spatial blurring on the assessment of the built environment. Spatial blurring decreased with increasing population density. Similarly, mean differences in walkability indices also decreased with increasing population density. In particular for densely-populated areas with at least 1500 residents per km², differences between blurred locations and their sampling origins were small and did not affect the assessment of the built environment after spatial blurring. This approach allowed the investigation of the built environment at a microlevel using individual network-dependent neighbourhoods, while ensuring
human resources (HR) capacity, we found that VA’s competency assessment tool did not address two of the three personnel systems under which VHA... Administration : Management Attention Is Needed to Address Systemic, Long-standing Human Capital Challenges, GAO-17-30 (Washington, D.C.: Dec. 23...17-408T. Washington, D.C.: February 7, 2017. Veterans Health Administration : Management Attention Is Needed to Address Systemic, Long-standing Human
Ott, H.; De Mirandes, E.; Ferlaino, F.; Roati, G.; Tuerck, V.; Modugno, G.; Inguscio, M.
We study the localization and addressability of ultracold atoms in a combined parabolic and periodic potential. Such a potential supports the existence of localized stationary states and we show that applying a radio frequency field allows us to selectively address atoms in these states. This method is used to measure the energy and momentum distribution of the atoms in the localized states. We also discuss possible extensions of this scheme to address and manipulate atoms in single lattice sites
Full Text Available Network address shuffling is a novel moving target defense (MTD that invalidates the address information collected by the attacker by dynamically changing or remapping the host's network addresses. However, most network address shuffling methods are limited by the limited address space and rely on the host's static domain name to map to its dynamic address; therefore these methods cannot effectively defend against random scanning attacks, and cannot defend against an attacker who knows the target's domain name. In this paper, we propose a network defense method based on random domain name and address mutation (RDAM, which increases the scanning space of the attacker through a dynamic domain name method and reduces the probability that a host will be hit by an attacker scanning IP addresses using the domain name system (DNS query list and the time window methods. Theoretical analysis and experimental results show that RDAM can defend against scanning attacks and worm propagation more effectively than general network address shuffling methods, while introducing an acceptable operational overhead.
Petersen, Christina I.; Gorman, Kristen S.
This chapter provides practical strategies for addressing common challenges that arise for teachers in active learning classrooms. Our strategies come from instructors with experience teaching in these environments.
Full Text Available Background: Smoking rates for people with severe mental illness have remained high despite significant declines in smoking rates in the general population, particularly for residents of community supported residential facilities (SRFs where smoking has been largely neglected and institutionalized. Methods: Two studies undertaken 10 years apart (2000 and 2010 with SRFs in Adelaide, Australia looked at historical trends to determine whether any progress has been made to address smoking for this population. The first study was ethnographic and involved narrative description and analysis of the social milieu of smoking following multiple observations of smoking behaviours in two SRFs. The second study involved an eight-week smoking cessation group program providing tailored support and free nicotine replacement therapy to residents across six SRFs. Changes in smoking behaviours were measured using pre and post surveys with residents, with outcomes verified by also seeking SRF staff and smoking cessation group facilitator qualitative feedback and reflection on their observations of residents and the setting. Results: The culture of smoking in mental health SRFs is a complex part of the social milieu of these settings. There appears to have been little change in smoking behaviours of residents and attitudes and support responses by staff of SRFs since 2000 despite smoking rates declining in the general community. Tailored smoking cessation group programs for this population were well received and did help SRF residents to quit or cut down their smoking. They did challenge staff negative attitudes to residents’ capacity to smoke less or quit. Conclusions: A more systematic approach that addresses SRF regulations, smoke-free policies, staff attitudes and training, and consistent smoking cessation support to residents is needed.
... Business Address and Redomestication; Safeco National Insurance Company AGENCY: Financial Management... Treasury that Safeco National Insurance Company (NAIC 24759) formally changed its ``Business Address'' to... directed to the U.S. Department of the Treasury, Financial Management Service, Financial Accounting and...
... Business Address and Redomestication: American Fire and Casualty Company (NAIC 24066) and The Ohio Casualty... companies formally changed their ``BUSINESS ADDRESS'' to ``62 Maple Avenue, Keene, NH 03431'' effective..., Financial Accounting and Services Division, Surety Bond Branch, 3700 East-West Highway, Room 6F01...
... Business Address; American Economy Insurance Company, American States Insurance Company, SAFECO Insurance.... ACTION: Notice. SUMMARY: This is Supplement No. 8 to the Treasury Department Circular 570, 2010 Revision... formally changed their ``Business Address'' as follows: American Economy Insurance Company (NAIC 19690...
... AFFAIRS Proposed Information Collection (Veterans Mortgage Life Insurance--Change of Address Statement... Mortgage Life Insurance. DATES: Written comments and recommendations on the proposed collection of... information technology. Title: Veterans Mortgage Life Insurance--Change of Address Statement, VA Form 29-0563...
van Compernolle, Remi A.
This article presents a sociolinguistically responsive model of pedagogy situated within existing sociocultural and communicative approaches to language learning and teaching. The specific focus of the discussion is on the French pronouns of address, "tu" and "vous". The article reviews previous research on second-person address in educational and…
Weiler, Jim Martin; Martin-Weiler, Cassandra J.
Our research shows that social science university trained Ghanaian student/teachers do have the knowledge, confidence, and willingness to address HIV/AIDS issues in their teaching, yet they do not. The reason, we argue, is that teachers have little incentive to address contentious issues in the classroom. Questionnaires were administered to 382…
Cashwell, Craig S.; Watts, Richard E.
In 2009, leaders in the Association for Spiritual, Ethical and Religious Values in Counseling (ASERVIC) developed new competencies for addressing spiritual and religious issues in counseling. This article briefly addresses the need for new ASERVIC competencies, provides an overview of the process whereby the new competencies emerged, and concludes…
Full Text Available and maintenance, spatial demographic analysis and geo-marketing. Addressing schemes vary in different parts of the world, such as referencing to a road network or to a hierarchy of administrative areas; in informal settlements addresses can be informal, variable...
... actions addressing Greenhouse Gases (GHGs) 71.13 Section 71.13 Protection of Environment ENVIRONMENTAL... § 71.13 Enforceable commitments for further actions addressing Greenhouse Gases (GHGs) (a) Definitions. (1) Greenhouse Gases (GHGs) means the air pollutant as defined in § 86.1818-12(a) of this chapter as...