WorldWideScience

Sample records for address unmet national

  1. Challenges Addressing Unmet Need for Contraception: Voices of Family Planning Service Providers in Rural Tanzania.

    Science.gov (United States)

    Baraka, Jitihada; Rusibamayila, Asinath; Kalolella, Admirabilis; Baynes, Colin

    2015-12-01

    Provider perspectives have been overlooked in efforts to address the challenges of unmet need for family planning (FP). This qualitative study was undertaken in Tanzania, using 22 key informant interviews and 4 focus group discussions. The research documents perceptions of healthcare managers and providers in a rural district on the barriers to meeting latent demand for contraception. Social-ecological theory is used to interpret the findings, illustrating how service capability is determined by the social, structural and organizational environment. Providers' efforts to address unmet need for FP services are constrained by unstable reproductive preferences, low educational attainment, and misconceptions about contraceptive side effects. Societal and organizational factors--such as gender dynamics, economic conditions, religious and cultural norms, and supply chain bottlenecks, respectively--also contribute to an adverse environment for meeting needs for care. Challenges that healthcare providers face interact and produce an effect which hinders efforts to address unmet need. Interventions to address this are not sufficient unless the supply of services is combined with systems strengthening and social engagement strategies in a way that reflects the multi-layered, social institutional problems.

  2. Challenges Addressing Unmet Need for Contraception: Voices of Family Planning Service Providers in Rural Tanzania.

    Science.gov (United States)

    Baraka, Jitihada; Rusibamayila, Asinath; Kalolella, Admirabilis; Baynes, Colin

    2015-12-01

    Provider perspectives have been overlooked in efforts to address the challenges of unmet need for family planning (FP). This qualitative study was undertaken in Tanzania, using 22 key informant interviews and 4 focus group discussions. The research documents perceptions of healthcare managers and providers in a rural district on the barriers to meeting latent demand for contraception. Social-ecological theory is used to interpret the findings, illustrating how service capability is determined by the social, structural and organizational environment. Providers' efforts to address unmet need for FP services are constrained by unstable reproductive preferences, low educational attainment, and misconceptions about contraceptive side effects. Societal and organizational factors--such as gender dynamics, economic conditions, religious and cultural norms, and supply chain bottlenecks, respectively--also contribute to an adverse environment for meeting needs for care. Challenges that healthcare providers face interact and produce an effect which hinders efforts to address unmet need. Interventions to address this are not sufficient unless the supply of services is combined with systems strengthening and social engagement strategies in a way that reflects the multi-layered, social institutional problems. PMID:27337850

  3. Statistical considerations associated with a comprehensive regulatory framework to address the unmet need for new antibacterial therapies.

    Science.gov (United States)

    Dane, Aaron; Wetherington, Jeffrey D

    2014-01-01

    At present, there are situations in antibiotic drug development where the low number of enrollable patients with key problem pathogens makes it impossible to conduct fully powered non-inferiority trials in the traditional way. Recent regulatory changes have begun to address this situation. In parallel, statistical issues regarding the application of alternative techniques, balancing the unmet need with the level of certainty in the approval process, and the use of additional sources of data are critical areas to increase development feasibility. Although such approaches increase uncertainty compared with a traditional development program, this will be necessary to allow new agents to be made available. Identification of these risks and explicit discussion around requirements in these areas should help clarify the situation, and hence, the feasibility of developing drugs to treat the most concerning pathogens before the unmet need becomes even more acute than at present.

  4. Addressing the unmet needs of patients with persistent negative symptoms of schizophrenia: emerging pharmacological treatment options

    Directory of Open Access Journals (Sweden)

    Chue P

    2014-05-01

    Full Text Available Pierre Chue,1 Justine K Lalonde21Department of Psychiatry, University of Alberta, Edmonton, AB, Canada; 2Roche SAS, Medical Affairs Department, Boulogne-Billancourt, FranceAbstract: The negative symptoms of schizophrenia represent an impairment of normal emotional responses, thought processes and behaviors, and include blunting or flattening of affect, alogia/aprosody, avolition/apathy, anhedonia, and asociality. Negative symptoms contribute to a reduced quality of life, increased functional disability, increased burden of illness, and poorer long-term outcomes, to a greater degree than positive symptoms. Primary negative symptoms are prominent and persistent in up to 26% of patients with schizophrenia, and they are estimated to occur in up to 58% of outpatients at any given time. Negative symptoms respond less well to medications than positive symptoms, and to date treatment options for negative symptoms have been limited, with no accepted standard treatment. Modest benefits have been reported with a variety of different agents, including second-generation antipsychotics and add-on therapy with antidepressants and other pharmacological classes. Recent clinical research focusing on negative symptoms target novel biological systems, such as glutamatergic neurotransmission. Different approaches include: enhancing N-methyl-D-aspartate receptor function with agents that bind directly to the glycine ligand site or with glycine reuptake inhibitors; influencing the metabotropic glutamate receptor (mGluR2/3 with positive allosteric modulators; and stimulating nicotinic acetylcholine receptors. In conclusion, the lack of clearly efficacious pharmacological treatments for the management of negative symptoms represents a significant unmet need, especially considering the importance of these symptoms on patient outcomes. Hence, further research to identify and characterize novel pharmacological treatments for negative symptoms is greatly needed

  5. 2015 Address Ranges National Geodatabase

    Data.gov (United States)

    US Census Bureau, Department of Commerce — The 2015 TIGER Geodatabases are extracts of selected nation based and state based geographic and cartographic information from the U.S. Census Bureau's Master...

  6. USGS Science: Addressing Our Nation's Challenges

    Science.gov (United States)

    Larson, Tania M.

    2009-01-01

    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.

  7. 77 FR 11116 - Draft National Plan To Address Alzheimer's Disease

    Science.gov (United States)

    2012-02-24

    ... HUMAN SERVICES Draft National Plan To Address Alzheimer's Disease AGENCY: Office of the Assistant.... SUMMARY: HHS is soliciting public input on the draft National Plan to Address Alzheimer's Disease, which... . Background On January 4, 2011, President Barack Obama signed into law the National Alzheimer's Project...

  8. Notation for national and international telephone numbers, e-mail addresses and Web addresses

    CERN Document Server

    International Telecommunication Union. Geneva

    2001-01-01

    Recommendation E.123 defines a standard way to write telephone numbers, e-mail addresses, and web addresses. It recommends the following formats (when dialing the area code is optional for local calling): Telephone number: National notation (042) 123 4567 International notation +31 (0)42 123 4567 E-mail address: name@provider.com Internet address / URL: www.company.com It also recommends that a hypen (-), space ( ), or period (.) can be used to visually separate groups of numbers. The parentheses are used to indicate digits that are sometimes not dialed. a slash (/) is used to indicate alternate numbers. This information is important if you want to make sure people know how to dail a phone number in a specific country.

  9. Prevalence and profiles of unmet healthcare need in Thailand

    Directory of Open Access Journals (Sweden)

    Thammatacharee Noppakun

    2012-10-01

    Full Text Available Abstract Background In the light of the universal healthcare coverage that was achieved in Thailand in 2002, policy makers have raised concerns about whether there is still unmet need within the population. Our objectives were to assess the annual prevalence, characteristics and reasons for unmet healthcare need in the Thai population in 2010 and to compare our findings with relevant international literature. Methods A standard set of OECD unmet need questionnaires was used in a nationally-representative household survey conducted in 2010 by the National Statistical Office. The prevalence of unmet need among respondents with various socio-economic characteristics was estimated to determine an inequity in the unmet need and the reasons behind it. Results The annual prevalence of unmet need for outpatient and inpatient services in 2010 was 1.4% and 0.4%, respectively. Despite this low prevalence, there are inequities with relatively higher proportion of the unmet need among Universal Coverage Scheme members, and the poor and rural populations. There was less unmet need due to cost than there was due to geographical barriers. The prevalence of unmet need due to cost and geographical barriers among the richest and poorest quintiles were comparable to those of selected OECD countries. The geographical extension of healthcare infrastructure and of the distribution of health workers is a major contributing factor to the low prevalence of unmet need. Conclusions The low prevalence of unmet need for both outpatient and inpatient services is a result of the availability of well-functioning health services at the most peripheral level, and of the comprehensive benefit package offered free of charge by all health insurance schemes. This assessment prompts a need for regular monitoring of unmet need in nationally-representative household surveys.

  10. The nation's first consortium to address waste management issues

    International Nuclear Information System (INIS)

    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

  11. Creating a National Coalition to Address Tractor Overturn Fatalities.

    Science.gov (United States)

    Tinc, P J; Ayers, P D; May, J J; Purschwitz, M A; Sorensen, J A

    2015-04-01

    Tractor overturns continue to be the leading cause of death on U.S. farms. While rollover protective structures (ROPS) are effective in preventing these fatalities, they are underutilized due to a number of barriers. Past programs in the U.S. and abroad have targeted this area of agricultural safety; however, a national program is not yet in place for U.S. farmers. This study seeks to build a national partnership to address tractor overturn fatalities by increasing the number of tractors with ROPS. A diverse, multisector steering committee has been organized and is working together using Whole System in a Room methods. This method brings together partners from nine stakeholder groups to identify and commit to a collaborative solution to the issue. PMID:26204786

  12. National Institutes of Health addresses the science of diversity.

    Science.gov (United States)

    Valantine, Hannah A; Collins, Francis S

    2015-10-01

    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. PMID:26392553

  13. Fathers of the Nation: Barack Obama Addresses Nelson Mandela

    Directory of Open Access Journals (Sweden)

    Elisa Bordin

    2014-11-01

    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.

  14. Addressing environmental justice under the National Environment Policy Act at Sandia National Laboratories/New Mexico

    Energy Technology Data Exchange (ETDEWEB)

    Cohen, T.M.; Bleakly, D.R.

    1997-04-01

    Under Executive Order 12898, Federal Actions to Address Environmental Justice in Minority Populations and Low-Income Populations, the Department of Energy (DOE) and Sandia National Laboratories New Mexico (SNL) are required to identify and address, as appropriate, disproportionately high, adverse human health or environmental effects of their activities on minority and low-income populations. The National Environmental Policy Act (NEPA) also requires that environmental justice issues be identified and addressed. This presents a challenge for SNL because it is located in a culturally diverse area. Successfully addressing potential impacts is contingent upon accurately identifying them through objective analysis of demographic information. However, an effective public participation process, which is necessarily subjective, is also needed to understand the subtle nuances of diverse populations that can contribute to a potential impact, yet are not always accounted for in a strict demographic profile. Typically, there is little or no coordination between these two disparate processes. This report proposes a five-step method for reconciling these processes and uses a hypothetical case study to illustrate the method. A demographic analysis and community profile of the population within 50 miles of SNL were developed to support the environmental justice analysis process and enhance SNL`s NEPA and public involvement programs. This report focuses on developing a methodology for identifying potentially impacted populations. Environmental justice issues related to worker exposures associated with SNL activities will be addressed in a separate report.

  15. How Teacher Educators Can Address Our Nation's Financial Crisis

    Science.gov (United States)

    Dowdell, John; McElfresh, Dwight; Sikula, John

    2009-01-01

    This article from Ashland University reports on what one university, well known for its Teacher Education programs, is doing in an economically depressed state to address our country's financial crisis. Ohio has mandated that financial literacy be taught in high schools by 2010. Reported herein is what is being done to prepare teachers for this…

  16. Unmet needs in the management of schizophrenia.

    Science.gov (United States)

    Torres-González, Francisco; Ibanez-Casas, Inmaculada; Saldivia, Sandra; Ballester, Dinarte; Grandón, Pamela; Moreno-Küstner, Berta; Xavier, Miguel; Gómez-Beneyto, Manuel

    2014-01-01

    Studies on unmet needs during the last decades have played a significant role in the development and dissemination of evidence-based community practices for persistent schizophrenia and other severe mental disorders. This review has thoroughly considered several blocks of unmet needs, which are frequently related to schizophrenic disorders. Those related to health have been the first block to be considered, in which authors have examined the frequent complications and comorbidities found in schizophrenia, such as substance abuse and dual diagnosis. A second block has been devoted to psychosocial and economic needs, especially within the field of recovery of the persistently mentally ill. Within this block, the effects of the current economic difficulties shown in recent literature have been considered as well. Because no patient is static, a third block has reviewed evolving needs according to the clinical staging model. The fourth block has been dedicated to integrated evidence-based interventions to improve the quality of life of persons with schizophrenia. Consideration of community care for those reluctant to maintain contact with mental health services has constituted the fifth block. Finally, authors have aggregated their own reflections regarding future trends. The number of psychosocial unmet needs is extensive. Vast research efforts will be needed to find appropriate ways to meet them, particularly regarding so-called existential needs, but many needs could be met only by applying existing evidence-based interventions. Reinforcing research on the implementation strategies and capacity building of professionals working in community settings might address this problem. The final aim should be based on the collaborative model of care, which rests on the performance of a case manager responsible for monitoring patient progress, providing assertive follow-up, teaching self-help strategies, and facilitating communication among the patient, family doctor, mental

  17. Addressing language barriers: building response capacity for a changing nation.

    Science.gov (United States)

    Partida, Yolanda

    2007-11-01

    The absence of universally available language services is a national healthcare system failure, the burden of which is suffered by patients with limited English proficiency and their healthcare providers. Conceptualizing mandatory provision of language access as an unfair, unfunded mandate ignores massive and fundamental social changes taking place. Overcoming language barriers is essential to safe, quality health care. This paper, informed by the experience of Hablamos Juntos, a national demonstration project funded by the Robert Wood Johnson Foundation, argues that national and health industry investments are needed to develop population-based approaches supported by communication and information technology, and that these investments may prove useful to improving healthcare communication for English-speaking patients as well. PMID:17957423

  18. Addressing a Nation's Challenge: Graduate Programs in Gerontology in Israel

    Science.gov (United States)

    Carmel, Sara; Lowenstein, Ariela

    2007-01-01

    Like other developed nations, Israel has rapidly aged. This demographic revolution has created new challenges for Israeli society. We describe the societal background, including the emerging societal needs, solutions, and problems, as well as the professional principles, which guided us in developing the first two Israeli academic programs in…

  19. Enhancing consultating services to address national demands of strategic importance

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    @@ As China's top advisory body in science and technology (S&T), over the past four years, CAS has completed nearly 60 consultative reports by pooling the collective wisdom of prestigious scientists across China. Focusing on issues related to the national drive for a comprehensive, balanced and sustainable social- economic development and major S&T strategies, these reports offered scientific insights for decision-making of the central authorities and attracted their close attention.

  20. Fathers of the Nation: Barack Obama Addresses Nelson Mandela

    OpenAIRE

    2014-01-01

    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 h...

  1. Unmet needs in the transition to adulthood: 18- to 30-year-old people with hemophilia.

    Science.gov (United States)

    Quon, Doris; Reding, Mark; Guelcher, Chris; Peltier, Skye; Witkop, Michelle; Cutter, Susan; Buranahirun, Cathy; Molter, Don; Frey, Mary Jane; Forsyth, Angela; Tran, Duc Bobby; Curtis, Randall; Hiura, Grant; Levesque, Justin; de la Riva, Debbie; Compton, Matthew; Iyer, Neeraj N; Holot, Natalia; Cooper, David L

    2015-12-01

    Young adults with hemophilia face unique challenges during the transition to adulthood, including issues associated with switching from pediatric to adult hematology care, building mature interpersonal relationships, and establishing an independent career with an assurance of medical insurance coverage. A greater understanding of these challenges is essential for developing effective strategies to address the specific needs of this population. These challenges may be differentiated from those of older adults with hemophilia in large part because of more extensive childhood prophylaxis and safer factor products, resulting in fewer joint problems and lower rates of HIV and HCV infections. This analysis of the changing nature and unmet needs of today's young adults entering into adult hemophilia treatment centers, as well as potential strategies for optimally addressing these needs, was developed following roundtable discussions between patients, caregivers, hematologists, and other health care professionals participating in comprehensive care. Challenges identified among young adults with hemophilia include psychosocial issues related to maturity, personal responsibility, and increased independence, as well as concerns regarding when and with whom to share information about one's hemophilia, limited awareness of educational and financial resources, and a low perceived value of regular hematology care. The initiatives proposed herein highlight important opportunities for health care professionals at pediatric and adult hemophilia treatment centers, as well as national organizations, community groups, and career counselors, to address key unmet needs of this patient population. PMID:26619193

  2. Unmet needs in the management of schizophrenia

    Directory of Open Access Journals (Sweden)

    Torres-González F

    2014-01-01

    integrated evidence-based interventions to improve the quality of life of persons with schizophrenia. Consideration of community care for those reluctant to maintain contact with mental health services has constituted the fifth block. Finally, authors have aggregated their own reflections regarding future trends. The number of psychosocial unmet needs is extensive. Vast research efforts will be needed to find appropriate ways to meet them, particularly regarding so-called existential needs, but many needs could be met only by applying existing evidence-based interventions. Reinforcing research on the implementation strategies and capacity building of professionals working in community settings might address this problem. The final aim should be based on the collaborative model of care, which rests on the performance of a case manager responsible for monitoring patient progress, providing assertive follow-up, teaching self-help strategies, and facilitating communication among the patient, family doctor, mental health specialist, and other specialists. Keywords: schizophrenia, needs, unmet needs, severe mental disorders

  3. Managing the unmet psychosocial and information needs of patients with cancer

    OpenAIRE

    Abrahamson, Kathleen, RN,MS

    2010-01-01

    Kathleen Abrahamson1, Morgan Durham1, Rebekah Fox21Department of Public Health, Western Kentucky University, Bowling Green, KY, USA; 2Department of Communication, Texas State University, San Marcos, TX, USAAbstract: In this article, we synthesize current literature regarding the unmet needs of cancer patients, with a specific focus on interventions that address psychosocial distress, social support, and information deficits. Research indicates many patients diagnosed with cancer express unmet...

  4. Provision of neuropsychiatry services: variability and unmet need.

    Science.gov (United States)

    Agrawal, Niruj; Bhattacharya, Rahul; Rickards, Hugh

    2015-12-01

    Aims and method Neuropsychiatry services remain underdeveloped and underprovided. Previous studies have shown variability in service provision in the UK. In this survey we approached all mental health and neuropsychiatric service providers within London to map current neuropsychiatric service provision and explore perceived barriers. Results All the specialist mental health service providers responded. There was huge variability in neuropsychiatric service provision within different parts of London. There was evidence of significant unmet need and variability in service pathways. Lack of earmarked funds for neuropsychiatry and disjointed funding stream for such services were identified by providers as a barrier. Clinical implications This study provides further evidence of an ongoing lack of adequate neuropsychiatric service provision. Reasons for variability and unmet need are discussed. Adoption of a previously proposed hub-and-spoke model of service provision and the removal of commissioning barriers through uniform national commissioning may help deal with this problem. PMID:26755990

  5. 78 FR 13776 - National Organic Program: Notice of Policies Addressing Kelp, Seeds and Planting Stock, Livestock...

    Science.gov (United States)

    2013-03-01

    ... Agricultural Marketing Service 7 CFR Part 205 National Organic Program: Notice of Policies Addressing Kelp... inspections. Alternative approaches that can demonstrate compliance with the Organic Foods Production Act...: Agricultural Marketing Service, USDA. ACTION: Notice of availability of final guidance. SUMMARY: The...

  6. National Forum: How Schools and Parents Can Work Together to Address Bullying

    Science.gov (United States)

    Australian Government Department of Education, Employment and Workplace Relations, 2012

    2012-01-01

    On 31 July 2012 the Minister for School Education, Early Childhood and Youth, Peter Garrett convened the "National Forum: How schools and parents can work together to address bullying" at Parliament House. The Forum brought together principals, parents groups, young people, as well as experts in education, child welfare, psychology and marketing…

  7. Beyond the "National Container": Addressing Methodological Nationalism in Higher Education Research

    Science.gov (United States)

    Shahjahan, Riyad A.; Kezar, Adrianna J.

    2013-01-01

    This essay argues that there is a need for higher education researchers to become aware of methodological nationalism (MN) and take steps to reframe their scholarship in new ways. It illuminates two characteristics of MN prevalent in higher education research and suggests that although a few researchers have attempted to move beyond MN in the…

  8. Managing the unmet psychosocial and information needs of patients with cancer

    Directory of Open Access Journals (Sweden)

    Kathleen Abrahamson

    2010-11-01

    Full Text Available Kathleen Abrahamson1, Morgan Durham1, Rebekah Fox21Department of Public Health, Western Kentucky University, Bowling Green, KY, USA; 2Department of Communication, Texas State University, San Marcos, TX, USAAbstract: In this article, we synthesize current literature regarding the unmet needs of cancer patients, with a specific focus on interventions that address psychosocial distress, social support, and information deficits. Research indicates many patients diagnosed with cancer express unmet needs in terms of emotional distress, decision-making support, and practical concerns such as childcare, transportation, and financial assistance. Four types of system-level barriers to the meeting of patient psychosocial and information-based needs emerge from the literature: underidentification of needs due to inadequate assessment, time constraints on cancer care providers, lack of adequate reimbursement for psychosocial and information services, and barriers related to communication of disease-related information. There is also evidence that unmet need, especially unmet information need, is related to the level of patient health literacy. Patient empowerment through the resolution of unmet needs increases patient participation in care, and is especially crucial in regards to understanding risks and benefits of treatment. There is evidence that some interventions are effective for some patients, and that even relatively simple interventions can reduce psychosocial and information-based needs. The challenge is therefore to discover which intervention will be effective for each individual patient, and to attain the skills and resources necessary to intervene appropriately.Keywords: cancer, unmet need, health literacy, intervention

  9. Strategies to Address Identified Education Gaps in the Preparation of a National Security Workforce

    Energy Technology Data Exchange (ETDEWEB)

    None

    2008-06-30

    This report will discuss strategies available to address identified gaps and weaknesses in education efforts aimed at the preparation of a skilled and properly trained national security workforce.The need to adequately train and educate a national security workforce is at a critical juncture. Even though there are an increasing number of college graduates in the appropriate fields, many of these graduates choose to work in the private sector because of more desirable salary and benefit packages. This is contributing to an inability to fill vacant positions at NNSA resulting from high personnel turnover from the large number of retirements. Further, many of the retirees are practically irreplaceable because they are Cold War scientists that have experience and expertise with nuclear weapons.

  10. Supervision Strategies and Approaches for Female Parolees: Examining the Link between Unmet Needs and Parolee Outcome

    Science.gov (United States)

    Schram, Pamela J.; Koons-Witt, Barbara A.; Williams, Frank P., III; McShane, Marilyn D.

    2006-01-01

    A number of parolees are returning to the community with programming needs that may not have been addressed during their incarceration; these unmet needs may subsequently affect their successful reintegration into the community. Although there is an increasing female parole population, there has been a paucity of research concerning female…

  11. Currently Married Women with an Unmet Need for Contraception in Eritrea: Profile and Determinants

    Directory of Open Access Journals (Sweden)

    Roderic Beaujot

    2011-01-01

    Full Text Available Eritrea’s contraceptive prevalence rate is one of the lowest in sub-Saharan Africa and its fertility has only started to decline. Using data from the 2002 Eritrea Demographic and Health Survey (EDHS, this study examines the determinants of unmet need for family planning that is the discrepancy between fertility goals and actual contraceptive use. More than one-quarter of currently married women are estimated to have an unmet need and this has remained unchanged since 1995. The most important reason for unmet need is lack of knowledge of methods or of a source of supply. Currently married women with higher parity, and low autonomy, low or medium household economic status, and who know no method of contraception or source of supply are identified as the most likely to have an unmet need. Addressing the unmet need for family planning entails not merely greater knowledge of or access to contraceptive services, but also the enhancement of the status of women.

  12. Unmet needs, quality of life and support networks of people with dementia living at home

    Directory of Open Access Journals (Sweden)

    Oomman Sabu

    2010-11-01

    Full Text Available Abstract Background There is lack of evidence about the unmet needs of people with dementia (PWD living at home and the predictors of high levels of unmet needs. The main aim of this study was to identify the relationship between unmet needs, social networks and quality of life of PWD living at home. Methods One hundred and fifty two community dwelling PWD and 128 carers were interviewed about PWD's needs, social networks, quality of life and other functional and psychological factors. All the interviews with PWD were carried out at their homes. Interviews with carers were undertaken either at PWD's home, their own home or at the health centre. Whenever possible, PWD and carers were interviewed separately. The data collection took place between November 2005 and July 2007. The majority of participants (129, 84.9% were recruited from National Health Services (NHS and the rest (23, 15.1% were recruited from other organisations such as social services and voluntary organizations in the UK. Results The most frequent unmet needs for PWD were daytime activities (77, 50.7%, company (60, 39.5%, and help with psychological distress (47, 30.9%. Higher number of behavioural and psychological symptoms, low-community involvement social networks, having a younger carer and higher carer's anxiety were found to be predictors of higher unmet needs in PWD. Social networks and behavioural and psychological symptoms had an indirect effect on PWD's self-rated quality of life through unmet needs. Conclusions Interventions aiming to reduce unmet needs, through the treatment of behavioural and psychological symptoms and the involvement of PWD in the community, would potentially improve PWD's quality of life.

  13. Participation in cancer rehabilitation and unmet needs

    DEFF Research Database (Denmark)

    Holm, Lise Vilstrup; Hansen, Dorte Gilså; Johansen, Christoffer;

    2012-01-01

    participated more often in physical rehabilitation. Elderly who expressed rehabilitation needs more often had them unresolved. CONCLUSIONS: A substantial variation in rehabilitation needs, participation in activities, and unmet needs in relation to sex, age, and cancer type was observed. Cancer care ought......PURPOSE: To investigate associations between cancer survivors' sex, age, and diagnosis in relation to their (1) need for rehabilitation, (2) participation in rehabilitation activities, and (3) unmet needs for rehabilitation in a 14-month period following date of diagnosis. METHODS: A population...... sex, age, and diagnosis, and the outcome variables for rehabilitation. RESULTS: A total of 3,439 patients participated, yielding an overall response rate of 70%. One third of the cancer patients reported a need for physical rehabilitation and one third for psychological rehabilitation. Half...

  14. Unmet needs of bipolar disorder patients

    Directory of Open Access Journals (Sweden)

    Hajda M

    2016-06-01

    Full Text Available Miroslav Hajda,1 Jan Prasko,1 Klara Latalova,1 Radovan Hruby,2 Marie Ociskova,1 Michaela Holubova,1,3 Dana Kamaradova,1 Barbora Mainerova1 1Department of Psychiatry, Faculty of Medicine and Dentistry, Palacky University Olomouc, University Hospital Olomouc, Olomouc, Czech Republic; 2Outpatient Psychiatric Department, Martin, Slovak Republic; 3Department of Psychiatry, Regional Hospital Liberec, Liberec, Czech Republic Background: Bipolar disorder (BD is a serious mental illness with adverse impact on the lives of the patients and their caregivers. BD is associated with many limitations in personal and interpersonal functioning and restricts the patients’ ability to use their potential capabilities fully. Bipolar patients long to live meaningful lives, but this goal is hard to achieve for those with poor insight. With progress and humanization of society, the issue of patients’ needs became an important topic. The objective of the paper is to provide the up-to-date data on the unmet needs of BD patients and their caregivers. Methods: A systematic computerized examination of MEDLINE publications from 1970 to 2015, via the keywords “bipolar disorder”, “mania”, “bipolar depression”, and “unmet needs”, was performed. Results: Patients’ needs may differ in various stages of the disorder and may have different origin and goals. Thus, we divided them into five groups relating to their nature: those connected with symptoms, treatment, quality of life, family, and pharmacotherapy. We suggested several implications of these needs for pharmacotherapy and psychotherapy. Conclusion: Trying to follow patients’ needs may be a crucial point in the treatment of BD patients. However, many needs remain unmet due to both medical and social factors. Keywords: bipolar disorder, unmet needs, stigma, treatment, medication, quality of life, family, psychotherapy

  15. Guidelines for Estimating Unmetered Industrial Water Use

    Energy Technology Data Exchange (ETDEWEB)

    Boyd, Brian K.

    2010-08-01

    The document provides a methodology to estimate unmetered industrial water use for evaporative cooling systems, steam generating boiler systems, batch process applications, and wash systems. For each category standard mathematical relationships are summarized and provided in a single resource to assist Federal agencies in developing an initial estimate of their industrial water use. The approach incorporates industry norms, general rules of thumb, and industry survey information to provide methodologies for each section.

  16. Unmet Need for Family Planning: Implication for Under-five Mortality in Nigeria

    OpenAIRE

    Adedini, Sunday Adepoju; Odimegwu, Clifford; Imasiku, Eunice Ntwala; Ononokpono, Dorothy Ngozi

    2015-01-01

    ABSTRACT There are gaps in evidence on whether unmet need for family planning has any implication for under-five mortality in Nigeria. This study utilized 2008 Nigeria Demographic and Health Survey data to examine the effect of unmet need on under-five mortality. Cox regression analysis was performed on 28,647 children born by a nationally-representative sample of 18,028 women within the five years preceding the survey. Findings indicated elevated risks of under-five death for children whose ...

  17. Reviewing the Unmet Needs of Patients with Multiple Sclerosis.

    Science.gov (United States)

    Mehr, Stanton R; Zimmerman, Marj P

    2015-11-01

    Significant innovations in the treatment of patients with multiple sclerosis (MS) have primarily addressed the frequency of flare-ups in relapsing-remitting MS (RRMS). Many advances have been made in this area, and the medical community may be on the verge of a serious discussion of what constitutes a truly effective MS treatment. Certainly, it is important to further delay MS flare-ups and more effectively treat RRMS symptoms. However, great strides in reducing or preventing MS-related disability and providing neuroprotection have been elusive. Many unmet needs are still voiced by patients with MS, clinicians, and caregivers. Current information on the need for progress in various areas is reviewed in this article, including psychosocial care, treatments for progressive MS, biomarker identification, functional outcome measures, individualization of treatment, reducing side effects of medications, and improving medication adherence. PMID:26702334

  18. Unmet need for family planning among married women of reproductive age group in urban Tamil Nadu

    Directory of Open Access Journals (Sweden)

    Malini M Bhattathiry

    2014-01-01

    Full Text Available Context: Unmet need for family planning (FP, which refers to the condition in which there is the desire to avoid or post-pone child bearing, without the use of any means of contraception, has been a core concept in the field of international population for more than three decades. Objectives: The very objective of this study is to determine the prevalence of "unmet need for FP" and its socio-demographic determinants among married reproductive age group women in Chidambaram. Materials and Methods: The study was a community-based cross-sectional study of married women of the reproductive age group, between 15 and 49 years. The sample size required was 700. The cluster sampling method was adopted. Unmarried, separated, divorced and widows were excluded. Results: The prevalence of unmet need for FP was 39%, with spacing as 12% and limiting as 27%. The major reason for unmet need for FP among the married group was 18%, for low perceived risk of pregnancy, 9%, feared the side effects of contraception 5% lacked information on contraceptives, 4% had husbands who opposed it and 3% gave medical reasons. Higher education, late marriage, more than the desired family size, poor knowledge of FP, poor informed choice in FP and poor male participation were found to be associated with high unmet need for FP. Conclusion: Unmet need for younger women was spacing of births, whereas for older women, it was a limitation of births. Efforts should be made to identify the issues in a case by case approach. Male participation in reproductive issues should be addressed.

  19. Unmet health care needs for persons with environmental sensitivity

    OpenAIRE

    Gibson PR; Kovach S; Lupfer A

    2015-01-01

    Pamela Reed Gibson, Shannon Kovach, Alexis LupferDepartment of Psychology, James Madison University, Harrisonburg, VA, USAAbstract: Studies of unmet health care needs have shown that women, people with poor health, and people with lower socioeconomic status are more likely to report having unmet health care needs. In this study, we examined the types of and reasons for unmet health care needs in 465 people with environmental sensitivities. A second area of inquiry involved negative reactions ...

  20. Advanced Test Reactor National Scientific User Facility: Addressing advanced nuclear materials research

    Energy Technology Data Exchange (ETDEWEB)

    John Jackson; Todd Allen; Frances Marshall; Jim Cole

    2013-03-01

    The Advanced Test Reactor National Scientific User Facility (ATR NSUF), based at the Idaho National Laboratory in the United States, is supporting Department of Energy and industry research efforts to ensure the properties of materials in light water reactors are well understood. The ATR NSUF is providing this support through three main efforts: establishing unique infrastructure necessary to conduct research on highly radioactive materials, conducting research in conjunction with industry partners on life extension relevant topics, and providing training courses to encourage more U.S. researchers to understand and address LWR materials issues. In 2010 and 2011, several advanced instruments with capability focused on resolving nuclear material performance issues through analysis on the micro (10-6 m) to atomic (10-10 m) scales were installed primarily at the Center for Advanced Energy Studies (CAES) in Idaho Falls, Idaho. These instruments included a local electrode atom probe (LEAP), a field-emission gun scanning transmission electron microscope (FEG-STEM), a focused ion beam (FIB) system, a Raman spectrometer, and an nanoindentor/atomic force microscope. Ongoing capability enhancements intended to support industry efforts include completion of two shielded, irradiation assisted stress corrosion cracking (IASCC) test loops, the first of which will come online in early calendar year 2013, a pressurized and controlled chemistry water loop for the ATR center flux trap, and a dedicated facility intended to house post irradiation examination equipment. In addition to capability enhancements at the main site in Idaho, the ATR NSUF also welcomed two new partner facilities in 2011 and two new partner facilities in 2012; the Oak Ridge National Laboratory, High Flux Isotope Reactor (HFIR) and associated hot cells and the University California Berkeley capabilities in irradiated materials analysis were added in 2011. In 2012, Purdue University’s Interaction of Materials

  1. Unmet needs for cardiovascular care in Indonesia.

    Directory of Open Access Journals (Sweden)

    Asri Maharani

    Full Text Available In the past twenty years the heaviest burden of cardiovascular diseases has begun to shift from developed to developing countries. However, little is known about the real needs for cardiovascular care in these countries and how well those needs are being met. This study aims to investigate the prevalence and determinants of unmet needs for cardiovascular care based on objective assessment.Multilevel analysis is used to analyse the determinants of met needs and multilevel multiple imputation is applied to manage missing data. The 2008 Indonesian Family Life Survey (IFLS4 survey is the source of the household data used in this study, while district data is sourced from the Ministry of Health and Ministry of Finance. The data shows that nearly 70% of respondents with moderate to high cardiovascular risk failed to receive cardiovascular care. Higher income, possession of health insurance and residence in urban areas are significantly associated with met needs for cardiovascular care, while health facility density and physician density show no association with them.The prevalence of unmet needs for cardiovascular care is considerable in Indonesia. Inequality persists as a factor in meeting needs for cardiovascular care as the needs of people with higher incomes and those living in urban areas are more likely to be met. Alleviation of poverty, provision of health care insurance for the poor, and improvement in the quality of healthcare providers are recommended in order to meet this ever-increasing need.

  2. SOCIO - DEMOGRAPHIC FACTORS AND PREVALENCE OF UNMET NEED FOR FAMILY PLANNING IN URBAN AND RURAL FIELD PRACTICE AREAS OF M . R . MEDICAL COLLEGE , KALABURAGI

    Directory of Open Access Journals (Sweden)

    Mohammad Waseem Faraz

    2015-08-01

    Full Text Available Millions of women in developing countries would prefer to avoid a pregnancy by not using any form of contraception. Hence unmet need can be powerful concept for family planning programmes. Today, more than 220 million women in developing countries report having an unmet need for family planning at different stages of their reproductive lives. “Unmet need can be powerful concept for family planning programmes. First, it is based on women’s own statements, an answer to survey question. Second, it identifies the group most likely to be interested in contraception. Third, it poses a clear challenge to reach and serve these women”. OBJECTIVES : 1 To assess the magnitude of Unmet need for family planning among married women of reproductive age group (15 – 44 years. 2 To identify the socio - demographic factors associated with unmet need for family planning. MATERIALS AND METHODS : A cross - sectional study was carried out in the Urban and Rural health training Centers of Department of Community Medicine. The study population included 563 married women from rural and 924 married women from urban area aged 15 - 44 years. The data was collected using pre tested proforma and was analyzed using percentages and Chi - Square test. RESULTS : The unmet need for family planning was 28.9% in urban and 40.5% in rural study populations. The overall unmet need is low at the beginning of reproductive age, but it increased and reached a peak in the mid - twenties & then declined. CONCLUSION : Despite a fair knowledge about the family planning methods, various socio - cultural and problems were responsible for the gap between a woman’s expressed need and utilization of contraceptives. Addressing these problems and barriers would help in the long run to reduce the unmet need. KEYWORDS : Unmet needs; Contraception; Spacing; Limiting.

  3. Literacy: A Route to Addressing Child Poverty? National Literacy Trust Research Review

    Science.gov (United States)

    National Literacy Trust, 2011

    2011-01-01

    This short document reviews research into the role of low literacy in poverty and disadvantage. It sets out evidence for the impact of parental engagement in home learning and the significance of attitudes, aspirations and literacy development. The National Literacy Trust hopes that this is a useful resource for those with responsibility for, and…

  4. 77 FR 43481 - Taking Additional Steps to Address the National Emergency With Respect to Somalia

    Science.gov (United States)

    2012-07-24

    ..., 2012. [FR Doc. 2012-18237 Filed 7-23-12; 11:15 am] Billing code 3295-F2-P ... National Emergency With Respect to Somalia #0; #0; #0; Presidential Documents #0; #0; #0;#0;Federal... Emergency With Respect to Somalia By the authority vested in me as President by the Constitution and...

  5. Addressing Foster Care Students' Behavioral Interventions: A National Survey of Teachers' Opinions

    Science.gov (United States)

    Palladino, John M.

    2009-01-01

    Each year thousands of our nation's youth experience abuse and neglect severe enough to warrant their placement into states' foster care systems. The reasons for their entry into foster care include experiences or potential risk for physical, sexual, and/or emotional abuse, in addition to parental/caregiver neglect and maltreatment. The literature…

  6. The emotional ramifications of unmet need in dementia caregiving.

    Science.gov (United States)

    Gaugler, Joseph E; Anderson, Keith A; Leach, M S W Corinne R; Smith, Charles D; Schmitt, Frederick A; Mendiondo, Marta

    2004-01-01

    Using a unique measure of unmet need that taps into several dimensions of informal long-term care, the present study included data from 694 informal caregivers of persons suffering from dementia at different times in the caregiving career (e.g., at home, following institutionalization, following the death of the care recipient). Multivariate regression models found that unmet need for either confidante or formal support had key implications for caregivers' emotional distress in each of the care situations. The findings suggest that conceptual models should incorporate unmet need as a viable predictor of caregiving outcomes and that assessment of unmet need may provide guidance in the development of more refined psychosocial and community-based intervention protocols. PMID:15633946

  7. [State of unmet medical needs in France in 2006: necessity of reinforcing research effort].

    Science.gov (United States)

    Jouan-Flahault, Chrystel; Billon, Nathalie; Castaigne, Alain; Henry, Yves-Dominique; Omnes, Carole; Puech, Alain; Rosilio, Myriam; Lassale, Catherine

    2007-01-01

    Leem (French Pharmaceutical Companies) realized an inventory of unmet medical needs in 2006 in France for 12 pathologies. All of them are considered as national public health priorities by the law of August 9th, 2004. Allied to the epidemiological projections, analyses concerned various stages and/or pathology forms, impact of guidelines in clinical practice, therapeutic strategies, marketed therapeutics and pharmacological products in an advanced phase of clinical development. With more than 100 products listed in clinical phase III or pre-registration/marketed for those pathologies, French Pharmaceutical Companies contribute, quasi exclusively, to the development of innovative pharmaceutical products to answer unmet medical needs. This study illustrates the necessity of French Government to support therapeutic innovation led by Pharmaceutical Companies in France. PMID:18206102

  8. Addressing Child Poverty: How Does the United States Compare With Other Nations?

    Science.gov (United States)

    Smeeding, Timothy; Thévenot, Céline

    2016-04-01

    Poverty during childhood raises a number of policy challenges. The earliest years are critical in terms of future cognitive and emotional development and early health outcomes, and have long-lasting consequences on future health. In this article child poverty in the United States is compared with a set of other developed countries. To the surprise of few, results show that child poverty is high in the United States. But why is poverty so much higher in the United States than in other rich nations? Among child poverty drivers, household composition and parent's labor market participation matter a great deal. But these are not insurmountable problems. Many of these disadvantages can be overcome by appropriate public policies. For example, single mothers have a very high probability of poverty in the United States, but this is not the case in other countries where the provision of work support increases mothers' labor earnings and together with strong public cash support effectively reduces child poverty. In this article we focus on the role and design of public expenditure to understand the functioning of the different national systems and highlight ways for improvements to reduce child poverty in the United States. We compare relative child poverty in the United States with poverty in a set of selected countries. The takeaway is that the United States underinvests in its children and their families and in so doing this leads to high child poverty and poor health and educational outcomes. If a nation like the United States wants to decrease poverty and improve health and life chances for poor children, it must support parental employment and incomes, and invest in children's futures as do other similar nations with less child poverty.

  9. Addressing Child Poverty: How Does the United States Compare With Other Nations?

    Science.gov (United States)

    Smeeding, Timothy; Thévenot, Céline

    2016-04-01

    Poverty during childhood raises a number of policy challenges. The earliest years are critical in terms of future cognitive and emotional development and early health outcomes, and have long-lasting consequences on future health. In this article child poverty in the United States is compared with a set of other developed countries. To the surprise of few, results show that child poverty is high in the United States. But why is poverty so much higher in the United States than in other rich nations? Among child poverty drivers, household composition and parent's labor market participation matter a great deal. But these are not insurmountable problems. Many of these disadvantages can be overcome by appropriate public policies. For example, single mothers have a very high probability of poverty in the United States, but this is not the case in other countries where the provision of work support increases mothers' labor earnings and together with strong public cash support effectively reduces child poverty. In this article we focus on the role and design of public expenditure to understand the functioning of the different national systems and highlight ways for improvements to reduce child poverty in the United States. We compare relative child poverty in the United States with poverty in a set of selected countries. The takeaway is that the United States underinvests in its children and their families and in so doing this leads to high child poverty and poor health and educational outcomes. If a nation like the United States wants to decrease poverty and improve health and life chances for poor children, it must support parental employment and incomes, and invest in children's futures as do other similar nations with less child poverty. PMID:27044705

  10. Facing safety and security challenges: A national and international perspective (Opening address)

    International Nuclear Information System (INIS)

    This international conference on Effective Nuclear Regulatory Systems is more than a gathering of senior regulators and of nuclear technologists; it is truly an international assembly of those who implement nuclear safety, security and emergency preparedness. The sessions should have a definitive underlying theme and purpose that support the objectives of the conference. A common understanding of the purpose of regulation in general and nuclear regulation in particular, should provide the connectivity between every one of us, independent of country or organization. A good starting point for the common understanding of regulation would be to note that regulation is done for the well-being of our people, for the common good, with full consideration of the national interests, and of international law and agreements. Nuclear regulation is a disciplined national tool for establishing predictable safety and security frameworks. It works by establishing and improving technical and legal structures to define the acceptable safety case that serves the public interest. Senior nuclear regulators, you and I, are coming together, in Moscow, in winter, in 2006, to make a statement regarding our responsibilities and to deliver a series of products, sustained by a common understanding of nuclear regulation. Moreover, we are here because we care about our nations and because we can and want to work together, better. In this regard, I present for your thoughtful consideration here, as a purpose, the objective stated by the Nuclear Regulatory Commission (NRC) in its current strategic plan: to enable the use and management of radioactive materials and nuclear fuels for beneficial civilian purposes in a manner that protects public health and safety and the environment, promotes the security of our nation, and provides for regulatory actions that are open, effective, efficient, realistic and timely. With that purpose in mind, it becomes clear why our presence here today is important. In

  11. Ad/dressing the nation: drag and authenticity in post-apartheid South Africa.

    Science.gov (United States)

    Spruill, Jennifer

    2004-01-01

    This paper examines a style of drag in South Africa that features "traditional African" clothing. In a region in which homosexuality is denigrated as a colonial, European import and "unAfrican," the meaning of "traditional drag" is deeply inflected by the question of cultural authenticity. This dragging practice fits within a distinctly post-colonial production of tradition and its self-conscious display--in the form of attire--of a decidedly "gay" one. Traditional drag also responds to ongoing politics within and between lesbian and gay communities about racial "representivity" and "transformation." The paper focuses on displays of traditional drag at Johannesburg's Gay and Lesbian Pride Parade but also explores the complex politics of publicity and address suggested by varying contexts in which traditional dress and drag are mobilized.

  12. A STUDY TO ASSESS THE FACTORS DETERMINING THE UNMET NEED FOR CONTRACEPTIVE USAGE IN AN URBAN AREA RAJAPUR

    Directory of Open Access Journals (Sweden)

    Mohammad Waseem Faraz

    2015-08-01

    Full Text Available INTRODUCTI ON: Family planning is a “way of thinking and living that is adopted voluntarily, upon the basis of knowledge, attitudes, and responsible decisions by individuals and couples, in order to promote the health and welfare of the family group and thus contribute effectively to the social development of a country”. 1 The concept of unmet need for contraception has been central to international family planning programs and research for more than forty years, but it has perhaps never been more salient to research and practice than it is now. Over the past decade, the rising rates of contraceptive use have reduced the unmet need for family planning in most countries. However the unmet need remains persistently high or is increasing in developing countries like India, indicating that greater efforts are needed to understand and address the causes of unm et need. OBJECTIVES: 1 To assess the Unmet need for family planning among married women of reproductive age group (15 – 44 years. 2 To identify certain socio - demographic factors associated with unmet need for family planning. 3 To determine the reasons for non - usage of contraceptive use. MATERIALS AND METHODS: A cross - sectional study was carried out in the Urban health training Centre of Department of Community Medicine. The study population included 924 married women aged 15 - 44 years. The data was collected u sing pre te st ed profor m a and was analyzed using percentages and Chi - Square test. RESULTS : The unmet need for family planning was 28.9% in the study population. The overall unmet need is low at the beginning of reproductive age, but it increased and reached a peak in the mid - twenties & then declined. The literacy status among women with unmet needs is plays a vital role. Want of child in future was quoted as the main reason for non - use of contraceptives. CONCLUSION: Despite a fair knowledge about the family planning methods, various socio - cultural and problems

  13. Assessment of Unmet Need for Contraception among eligible couples in Urban Slums of Raipur city of Chhattisgarh state

    Directory of Open Access Journals (Sweden)

    Nirmal Verma

    2014-06-01

    Full Text Available Background: India was the first country to launch National Family Planning Program in 1952. Even though various measures have been taken to encourage the usage of contraception but the achievement in this field was not to the extent expected due to various social and cultural factors. Objective: This study was planned to assess the prevalence and its determinants of unmet need for contraception among eligible couples in urban slums of Raipur city. Methodology: A cross sectional community based study was conducted using cluster sampling in urban slums of Raipur city from November 2011 to October 2012. During the study, 711 fecund married women, age group 15-49 years were included and predesigned and pretested proforma was used as a study tool. The obtained data were analyzed using appropriate statistical test. Results: Among all eligible married women 45 % were concentrated in the prime reproductive age 20-29 yrs. Majority of women were not educated. The total unmet need for family planning comes out to 32.9%. Age, Education, literacy, Occupation, Type of Family, No of living children, Birth Order , No of male child, No of female child , Husband literacy were the most significant predictor of unmet need. Conclusion: Percentage of unmet need is higher as compared to national data, so there is urgently need to ensure the same.

  14. Pharmaceutical nanotechnology : unmet needs in drug delivery

    NARCIS (Netherlands)

    Crommelin, D.J.A.; Park, K.; Florence, A.

    2010-01-01

    Nanotechnology has been gaining interest within and outside the scientific community. Conferences addressing different aspects of this rapidly growing field are organized at many different places. In May 2009 the LTS Academy organized a two-day workshop to discuss the relevance of nanotechnology to

  15. Unmet Needs in the Treatment of Gastroesophageal Reflux Disease.

    Science.gov (United States)

    Dickman, Ram; Maradey-Romero, Carla; Gingold-Belfer, Rachel; Fass, Ronnie

    2015-07-30

    Gastroesophageal reflux disease (GERD) is a highly prevalent gastrointestinal disorder. Proton pump inhibitors have profoundly revolutionized the treatment of GERD. However, several areas of unmet need persist despite marked improvements in the ther-apeutic management of GERD. These include the advanced grades of erosive esophagitis, nonerosive reflux disease, main-tenance treatment of erosive esophagitis, refractory GERD, postprandial heartburn, atypical and extraesophageal manifestations of GERD, Barrett's esophagus, chronic protein pump inhibitor treatment, and post-bariatric surgery GERD. Consequently, any fu-ture development of novel therapeutic modalities for GERD (medical, endoscopic, or surgical), would likely focus on the afore-mentioned areas of unmet need.

  16. Risk factors for perceived unmet medical needs in human immunodeficiency virus-infected adults in Seoul, Korea.

    Science.gov (United States)

    Kang, Cho Ryok; Bang, Ji Hwan; Cho, Sung-Il; Kim, Kui Nam; Lee, Hee-Jin; Lee, Young Hwa; Ryu, Bo Yeong; Cho, Soo Kyung; Oh, Myoung-Don; Lee, Jong-Koo

    2016-09-01

    To identify the factors associated with perceived unmet medical needs in human immunodeficiency virus (HIV)-infected adults, we analyzed the results from a series of city-wide cross-sectional surveys of HIV-infected adults living in Seoul, Korea. Multivariate logistic regression analysis was used to identify factors related to unmet medical needs. Among the 775 subjects included in the study, 15.4% had perceived unmet medical needs. Significant factors included age group (35-49 years; adjusted odds ratio [aOR], 1.80; 95% confidence interval [CI], 1.06-3.06), lower monthly income (aOR, 3.75 for the <$900/mo group and 2.44 for the $900-$1800/mo group; 95% CI, 1.68-8.35 and 1.18-5.04, respectively), beneficiaries of the National Medical Aid Program (aOR, 1.78; 95% CI, 1.01-3.17), recent CD4 cell counts <500/µL (aOR, 1.53; 95% CI, 1.01-2.33). Taken together, these data reveal strong associations of middle age and low socioeconomic status with perceived unmet medical needs among HIV-infected adults. PMID:27009447

  17. The Unmet Need for Mental Health Services among Probationers' Children

    Science.gov (United States)

    Phillips, Susan D.; Venema, Rachel; Roque, Lorena

    2010-01-01

    This study explores the unmet need for mental health services among children with parents on probation. A group of 77 probationers provided information on 170 children. Information about children's need for mental health services was based on the Child Behavior Checklist and information about children's receipt of mental health services was based…

  18. Unmet health care needs for persons with environmental sensitivity

    Directory of Open Access Journals (Sweden)

    Gibson PR

    2015-01-01

    Full Text Available Pamela Reed Gibson, Shannon Kovach, Alexis LupferDepartment of Psychology, James Madison University, Harrisonburg, VA, USAAbstract: Studies of unmet health care needs have shown that women, people with poor health, and people with lower socioeconomic status are more likely to report having unmet health care needs. In this study, we examined the types of and reasons for unmet health care needs in 465 people with environmental sensitivities. A second area of inquiry involved negative reactions to general anesthesia. Results showed that the most common barriers to receiving care were the inability to find a provider who understands environmental sensitivities and a lack of accessibility due to chemical and electromagnetic exposures in health care environments. Lower income and poorer health (longer illness, a worsening or fluctuating course of illness, and a higher level of disability were significantly correlated with the total number of reported unmet health care needs. Some people with environmental sensitivities reported having negative reactions to anesthesia of long duration; most common were nausea and vomiting, fatigue, and reduced cognitive ability.Keywords: environmental sensitivity, chemical sensitivity, electrohypersensitivity, chemical hypersensitivity, chemical intolerance, contested illness

  19. Integrating Collaboration, Adaptive Management, and Scenario-Planning to Address Rapid Change: Experiences at Las Cienegas National Conservation Area

    Science.gov (United States)

    Caves, J. K.; Bodner, G.; Simms, K.; Fisher, L.; Robertson, T.

    2012-12-01

    There is growing recognition that public lands cannot be managed as islands; rather, land management must address the ecological, social, and temporal complexity that often spans jurisdictions and traditional planning horizons. Collaborative decision-making and adaptive management (CAM) have been promoted as methods to reconcile competing societal demands and respond to complex ecosystem dynamics. We present the experiences of land managers and stakeholders in using CAM at Las Cienegas National Conservation Area (LCNCA), a highly valued site under the jurisdiction of the Bureau of Land Management (BLM). The CAM process at Las Cienegas is marked by strong stakeholder engagement, with four core elements: 1) shared watershed goals with measurable resource objectives; 2) mechanisms to incorporate new information into decision-making; 3) efforts to make information increasingly relevant and reliable; and 4) shared learning to improve both the process and management actions. The combination of stakeholder engagement and adaptive management has led to agreement on contentious issues, more innovative solutions, and more effective land management. Yet the region is now experiencing rapid changes outside managers' control—including climate change, human population growth, and reduced federal budgets—with large but unpredictable impacts on natural resources. While CAM experience provides a strong foundation for making the difficult and contentious management decisions that such changes are likely to require, neither collaboration nor adaptive management provides a sufficient structure for addressing uncontrollable and unpredictable change. As a result, LCNCA is exploring two specific modifications to CAM that may better address emerging challenges, including: 1) Creating nested resource objectives to distinguish between those objectives which may be crucial from those which may hinder a flexible response to climate change, and 2) Incorporating scenario planning into CAM

  20. Residential Stability Reduces Unmet Health Care Needs and Emergency Department Utilization among a Cohort of Homeless and Vulnerably Housed Persons in Canada.

    Science.gov (United States)

    Jaworsky, Denise; Gadermann, Anne; Duhoux, Arnaud; Naismith, Trudy E; Norena, Monica; To, Matthew J; Hwang, Stephen W; Palepu, Anita

    2016-08-01

    This study examined the association of housing status over time with unmet physical health care needs and emergency department utilization among homeless and vulnerably housed persons in Canada. Homeless and vulnerably housed individuals completed interviewer-administered surveys on housing, unmet physical health care needs, health care utilization, sociodemographic characteristics, substance use, and health conditions at baseline and annually for 4 years. Generalized logistic mixed effects regression models examined the association of residential stability with unmet physical health care needs and emergency department utilization, adjusting for potential confounders. Participants were from Vancouver (n = 387), Toronto (n = 390), and Ottawa (n = 396). Residential stability was associated with lower odds of having unmet physical health needs (adjusted odds ratio (AOR), 0.82; 95 % confidence interval (CI), 0.67, 0.98) and emergency department utilization (AOR, 0.74; 95 % CI, 0.62, 0.88) over the 4-year follow-up period, after adjusting for potential confounders. Residential stability is associated with fewer unmet physical health care needs and lower emergency department utilization among homeless and vulnerably housed individuals. These findings highlight the need to address access to stable housing as a significant determinant of health disparities. PMID:27457795

  1. Unmet Support Service Needs and Health-Related Quality of Life among Adolescents and Young Adults with Cancer: The AYA HOPE Study

    Directory of Open Access Journals (Sweden)

    Ashley Wilder Smith

    2013-04-01

    Full Text Available Introduction: Cancer for adolescents and young adults (AYA differs from younger and older patients; AYA face medical challenges while navigating social and developmental transitions. Research suggests that these patients are under- or inadequately served by current support services, which may affect health-related quality of life (HRQOL.Methods: We examined unmet service needs and HRQOL in the National Cancer Institute’s Adolescent and Young Adult Health Outcomes and Patient Experience (AYA HOPE study, a population-based cohort (n=484, age 15-39, diagnosed with cancer 6-14 months prior, in 2007-2009. Unmet service needs were psychosocial, physical, spiritual, and financial services where respondents endorsed that they needed, but did not receive, a listed service. Linear regression models tested associations between any or specific unmet service needs and HRQOL, adjusting for demographic, medical and health insurance variables.Results: Over one-third of respondents reported at least one unmet service need. The most common were financial (16%, mental health (15%, and support group (14% services. Adjusted models showed that having any unmet service need was associated with worse overall HRQOL, fatigue, physical, emotional, social, and school/work functioning, and mental health (p’s<0.0001. Specific unmet services were related to particular outcomes (e.g., needing pain management was associated with worse overall HRQOL, physical and social functioning (p’s<0.001. Needing mental health services had the strongest associations with worse HRQOL outcomes; needing physical/occupational therapy was most consistently associated with poorer functioning across domains.Discussion: Unmet service needs in AYAs recently diagnosed with cancer are associated with worse HRQOL. Research should examine developmentally appropriate, relevant practices to improve access to services demonstrated to adversely impact HRQOL, particularly physical therapy and mental

  2. Factors related to unmet oral health needs in older adults living in Chile.

    Science.gov (United States)

    Mariño, Rodrigo; Giacaman, Rodrigo A

    2014-01-01

    To assess the oral health status and treatment needs of an ambulant population of older adults, living in the Maule Region, Chile, and provide descriptive information on its distribution by selected socio-demographic characteristics. The source of primary data was the Regional Oral Health Survey. A stratified random sample of 438 older adults, aged 65-74 years, living independently in the community was orally examined, and underwent an oral health interview. The sample was largely a dentate one (74.9%); with a mean DMFT score of 25.7 (s.d. 6.5) and an average number of missing teeth of 22.4 (s.d. 5.8). Dentate participants had 41% of their restorative care needs unmet, and 68.4% needed oral hygiene instruction plus removal of calculus on their teeth. Almost 30.1% required complex periodontal therapy. 21% of those fully edentulous were in need of full dentures. Comparing these findings with existing data on the oral health of older adults in Chile, participants in this study appear to have lower missing teeth scores and less need for complex periodontal treatment. Inequities were apparent in the proportion of unmet restorative and prosthetics needs. Community-based preventive care programs specifically tailored to older adults are needed to address this challenge.

  3. UNMET NEEDS FOR HEALTH CARE SERVICES IN BULGARIA

    Directory of Open Access Journals (Sweden)

    Elka Atanasova

    2016-09-01

    Full Text Available Background: In all European countries, an important policy objective is the equity of access to health care. The factors that affect access to health care can differ as the demand- and supply-side factors. Moreover, there are many tools to assess the extent of inequity in access to services. One simple tool is the assessing reports of unmet needs for health care. Purpose: The study has two objectives: to examine the evidence of self-reported unmet needs and to analyze the relationship between foregone medical care and both type of residence and socioeconomic status. Materials and Methods: We use data from the European Union Statistics on Income and Living Conditions. The access to health care is measured using the concept of unmet need for medical examination or treatment during the last 12 months. The relationship between foregone medical care and both type of residence and socioeconomic status is examined through the representative survey conducted in 2014. Results: The Eurostat results show that treatment costs are the most common reason for foregone medical care in Bulgaria. We observe a gradual decrease in the share of people who reported having unmet needs due to being too expensive. According to the 2014 survey, significant differences between urban and rural areas as well as among the income groups are identified. The results show the problems in access to health care services mainly in small towns and villages. Conclusion: Although major essential changes were made in the Bulgarian health care system, the equity problems remain an important challenge to policy-makers.

  4. Makerere University College of Health Sciences’ role in addressing challenges in health service provision at Mulago National Referral Hospital

    Directory of Open Access Journals (Sweden)

    Sekandi Juliet

    2011-03-01

    Full Text Available Abstract Background Mulago National Referral Hospital (MNRH, Uganda’s primary tertiary and teaching hospital, and Makerere University College of Health Sciences (MakCHS have a close collaborative relationship. MakCHS students complete clinical rotations at MNRH, and MakCHS faculty partner with Mulago staff in clinical care and research. In 2009, as part of a strategic planning process, MakCHS undertook a qualitative study to examine care and service provision at MNRH, identify challenges, gaps, and solutions, and explore how MakCHS could contribute to improving care and service delivery at MNRH. Methods Key informant interviews (n=23 and focus group discussions (n=7 were conducted with nurses, doctors, administrators, clinical officers and other key stakeholders. Interviews and focus groups were tape recorded and transcribed verbatim, and findings were analyzed through collaborative thematic analysis. Results Challenges to care and service delivery at MNRH included resource constraints (staff, space, equipment, and supplies, staff inadequacies (knowledge, motivation, and professionalism, overcrowding, a poorly functioning referral system, limited quality assurance, and a cumbersome procurement system. There were also insufficiencies in the teaching of professionalism and communication skills to students, and patient care challenges that included lack of access to specialized services, risk of infections, and inappropriate medications. Suggestions for how MakCHS could contribute to addressing these challenges included strengthening referral systems and peripheral health center capacity, and establishing quality assurance mechanisms. The College could also strengthen the teaching of professionalism, communication and leadership skills to students, and monitor student training and develop courses that contribute to continuous professional development. Additionally, the College could provide in-service education for providers on professionalism

  5. Unmet Supportive Care Needs among Breast Cancer Survivors of Community-Based Support Group in Kuching, Sarawak

    Directory of Open Access Journals (Sweden)

    Emmanuel Joseph Fong

    2016-01-01

    Full Text Available Background. Recognizing the needs of cancer survivors is one of the important aspects in healthcare delivery. This study aimed to determine the prevalence of unmet supportive care needs and its associated factors among the breast cancer survivors of community-based support group in Kuching, Sarawak. Materials and Methods. This was a cross-sectional study using Supportive Care Needs Survey (SCNS-SF34. All the members of community-based breast cancer support groups in Kuching were invited. A total of 101 respondents were face-to-face interviewed after the consent was obtained. Data was entered and analyzed using SPSS version 20. Results. The respondents endorsed health system and information domain with the highest mean score (2.48; 95% CI: 2.32–2.64. Top 10 items with “moderate to high” level unmet needs had a prevalence of 14.9% to 34.7% of respondents indicating need. Significantly higher level of unmet needs was associated with survivors who were younger (less than 60 years old, had higher education attainment, were unemployed, had survival duration of up to 5 years, and were undergoing active treatment. Conclusion. Systematic delivery of health information which is targeted, culturally sensitive, and linguistically appropriate for addressing younger age, education level, employment status, length of survivorship, and treatment stage should be considered not only at hospital-based setting but also at the community-based support groups.

  6. Unmet needs among men with human immunodeficiency virus in community mental health care: a cross-sectional study.

    Science.gov (United States)

    Durbin, Anna; Sirotich, Frank; Antoniou, Tony; Roesslein, Kay; Durbin, Janet; Lunsky, Yona

    2016-07-01

    While community-based mental health services play an important role in caring for persons with HIV (human immunodeficiency virus) and co-existing mental health disorders, the extent to which their support needs are addressed in this setting is unknown. Accordingly, we examined if HIV infection was associated with unmet support needs among men living with and without HIV receiving community mental health care. This cross-sectional study examined 215 men (135 living with HIV and 80 without HIV) receiving case management services in urban Ontario. Using the Camberwell Assessment of Need, we ascertained the prevalence of support needs in 13 domains grouped into three clusters: Basic needs (accommodation, food, benefits, and money management); self-care/functional needs (daytime activities, self-care, and looking after the home); and health/safety needs (physical, psychological distress, psychotic symptoms, safety to self, and safety to others). We used generalized estimating equations with a logit link to examine the association between HIV and unmet need in each domain. Compared to HIV-negative men, men with HIV were more likely to have mood and concurrent disorders, and intellectual and developmental disabilities. Following multivariable analyses, men with HIV had greater unmet needs related to food (odds ratio + 95% confidence interval: 9.36 (4.03, 21.75), p HIV receiving community mental health support had greater unmet need in basic and health domains than HIV-negative men receiving such support. Further research is required to develop and evaluate interventions to best support community-dwelling persons with HIV and mental health disorders. PMID:26971736

  7. Parenting-by-gender interactions in child psychopathology: attempting to address inconsistencies with a Canadian national database

    Directory of Open Access Journals (Sweden)

    Thabane Lehana

    2010-01-01

    Full Text Available Abstract Background Research has shown strong links between parenting and child psychopathology. The moderating role of child gender is of particular interest, due to gender differences in socialization history and in the prevalence of psychiatric disorders. Currently there is little agreement on how gender moderates the relationship between parenting and child psychopathology. This study attempts to address this lack of consensus by drawing upon two theories (self-salience vs. gender stereotyped misbehaviour to determine how child gender moderates the role of parenting, if at all. Methods Using generalized estimating equations (GEE associations between three parenting dimensions (hostile-ineffective parenting, parental consistency, and positive interaction were examined in relationship to child externalizing (physical aggression, indirect aggression, and hyperactivity-inattention and internalizing (emotional disorder-anxiety dimensions of psychopathology. A sample 4 and 5 year olds from the National Longitudinal Survey of Children and Youth (NLSCY were selected for analysis and followed over 6 years (N = 1214. Two models with main effects (Model 1 and main effects plus interactions (Model 2 were tested. Results No child gender-by-parenting interactions were observed for child physical aggression and indirect aggression. The association between hostile-ineffective parenting and child hyperactivity was stronger for girls, though this effect did not reach conventional levels of statistical significance (p = .059. The associations between parenting and child emotional disorder did vary as a function of gender, where influences of parental consistency and positive interaction were stronger for boys. Discussion Despite the presence of a few significant interaction effects, hypotheses were not supported for either theory (i.e. self-salience or gender stereotyped misbehaviour. We believe that the inconsistencies in the literature regarding child gender

  8. Insect Consumption to Address Undernutrition, a National Survey on the Prevalence of Insect Consumption among Adults and Vendors in Laos.

    Directory of Open Access Journals (Sweden)

    Hubert Barennes

    Full Text Available Insect consumption (entomophagy is a potentially high nutritious and healthy source of food with high fat, protein, vitamin, fiber and micronutrient content. At least 2 billion people globally eat insects (over 1900 edible species though this habit is regarded negatively by others. There is a limited amount of data on the perception and consumption of insects. We conducted a national cross-sectional survey in the Lao People's Democratic Republic (Laos to assess the prevalence and characteristics of insect consumption among adult lay people and insect vendors.We conducted a multi stage randomized national survey in 1303 households in 96 villages in 16 Lao provinces. Three insect vendors or collectors per village were also included. A standardized pretested questionnaire addressed the following issues: socioeconomic characteristics, type of insects consumed and frequency of consumption, reasons and trends in consumption as well as reports on side effects, over the last 10 years.A total of 1059 adults (Sex ratio F/M: 1.2, 30 ethnic groups, and 256 vendors were enrolled. A total of 1025 (96.8% lay people were currently insect consumers, 135 (13.0% daily or weekly consumers, and 322 (31.1% consumed several times per month. For the majority (575, 55.6% the consumption was infrequent (less than a few times per year and only 22 (2% had never eaten insects. Consumption started in childhood. Insect availability was seasonal (670, 63.2% and respondents would have eaten more insects, if they had been more available (919, 86.7%. Hmong and Leu ethnic groups had significantly lower consumption levels than the general population. Eggs of weaver ants, short-tailed crickets, crickets, grasshoppers, and cicadas were the top 5 insects consumed. Consumption had decreased in the last decade, mostly due to less availability (869; 84.0% and change of life (29; 5.5%. Of 1059, 80 (7.5% reported allergy problems and 106 (10.0% reported some use in traditional medicine. A

  9. Expanding the National Drug Abuse Treatment Clinical Trials Network to address the management of substance use disorders in general medical settings

    Directory of Open Access Journals (Sweden)

    Tai B

    2014-07-01

    Full Text Available Betty Tai, Steven Sparenborg, Udi E Ghitza, David Liu Center for the Clinical Trials Network, National Institute on Drug Abuse, National Institutes of Health, Bethesda, Maryland, USA Abstract: The Patient Protection and Affordable Care Act (2010 and the Mental Health Parity and Addiction Equity Act (2008 expand substance use disorder (SUD care services in the USA into general medical settings. Care offered in these settings will engage substance-using patients in an integrated and patient-centered environment that addresses physical and mental health comorbidities and follows a chronic care model. This expansion of SUD services presents a great need for evidence-based practices useful in general medical settings, and reveals several research gaps to be addressed. The National Drug Abuse Treatment Clinical Trials Network of the National Institute on Drug Abuse can serve an important role in this endeavor. High-priority research gaps are highlighted in this commentary. A discussion follows on how the National Drug Abuse Treatment Clinical Trials Network can transform to address changing patterns in SUD care to efficiently generate evidence to guide SUD treatment practice within the context of recent US health care legislation. Keywords: Patient Protection and Affordable Care Act, National Drug Abuse Treatment Clinical Trials Network, substance use disorders, practice-based research network, electronic health records

  10. Mitral regurgitation — Unmet need for improved management strategies

    Directory of Open Access Journals (Sweden)

    Jean-Noel Trochu

    2014-12-01

    Conclusions: The current review represents one of the most comprehensive conducted in the medical/conservative management of MR. An increased risk of mortality and morbidity, which appeared to rise with greater severity, was associated with MR (versus no MR. An unmet need exists in the management of patients with severe symptomatic MR and a high surgical risk as they have a poor prognosis and limited treatment options. Further research into alternative medical strategies and patient management is needed to improve prognoses and reduce mortality and morbidity.

  11. Medical innovation, unmet medical needs, and the drug pipeline.

    Science.gov (United States)

    Mather, Charles M

    2006-01-01

    This paper outlines and illustrates the working of a theoretical approach from the social sciences for analyzing medical innovation, unmet medical need, and the drug pipeline. Using the social history of three drugs made from recombinant DNA (insulin, human growth hormone, and tissue-plasminogen activator) the paper shows how drugs can be both technically and organizationally efficient while the needs they satisfy can be created or identified. The paper posits that drugs that require more organizational efficiency tend to satisfy identified, rather then created needs. Key words: Recombinant DNA, technical efficiency, organizational efficiency, anthropology. PMID:16493177

  12. Poverty in the midst of plenty: unmet needs and distribution of health care resources in South Korea.

    Directory of Open Access Journals (Sweden)

    Jongho Heo

    Full Text Available BACKGROUND: The unmet needs for health care have been used as an alternative measurement to monitor equity in health services. We sought to examine contextual influences on unmet needs for health care whereas precedent studies have been focused on individual characteristics on them. METHODS AND FINDINGS: The current study conducted multilevel logistic regression analysis to assess the effects of individual- and contextual-level predictors in meeting individual health care needs in South Korea. We sampled 7,200 individuals over the age of 19 in the Fourth Korea National Health and Nutrition Examination Survey in 2009. Included in the regression model were individual predictors such as demographic variables, socio-economic status, and self-rated health; the density of beds and physicians in public and private sectors within different regions were used as contextual-level predictors. This study showed the inverse association between unmet needs and regional resources in private sectors after controlling for the effects of individual-level predictors. CONCLUSION: Our findings suggest that increasing regional resources in private sectors might produce inefficiency in the health care system and inequity in access to health services, particularly where the competition in private health care sectors was highly stimulated under the fee-for-service reimbursement scheme. Policies for the reallocation of health care resources and for reduction of individual health care costs are needed in Korea.

  13. "War on Terror" Is a Curative: Recontextualization and Political Myth-Making in Gloria Macapagal-Arroyo's 2002-2004 State of the Nation Addresses

    Science.gov (United States)

    Navera, Gene Segarra

    2011-01-01

    The article examines the State of the Nation addresses (SONA) delivered by Philippine President Gloria Macapagal-Arroyo (2001-2010) from 2002-2004, during which time she actively invoked the need to engage in the U.S. government-led "global war on terror." It specifically investigates how these presidential speeches recontextualized the war on…

  14. Unmet needs, quality of life and support networks of people with dementia living at home

    OpenAIRE

    Oomman Sabu; Galboda Kumari; Woods Bob; Miranda-Castillo Claudia; Olojugba Charles; Orrell Martin

    2010-01-01

    Abstract Background There is lack of evidence about the unmet needs of people with dementia (PWD) living at home and the predictors of high levels of unmet needs. The main aim of this study was to identify the relationship between unmet needs, social networks and quality of life of PWD living at home. Methods One hundred and fifty two community dwelling PWD and 128 carers were interviewed about PWD's needs, social networks, quality of life and other functional and psychological factors. All t...

  15. Using National Education Accounts to Help Address the Global Learning Crisis. Global Views. Policy Paper 2011-03

    Science.gov (United States)

    van der Gaag, Jacques; Abetti, Pauline

    2011-01-01

    This policy brief outlines how national education accounts (NEAs) are created, and why they are a vast improvement over current financial tracking systems in the education sector. Examples from the health sector illustrate the benefits of national accounts for improving public services, and their ubiquity highlights the poor state of affairs of…

  16. Vaginal biological and sexual health--the unmet needs.

    Science.gov (United States)

    Graziottin, A

    2015-01-01

    The vagina is a most neglected organ. It is usually clinically considered with a minimalistic view, as a 'connecting tube' for a number of physiologic functions: passage of menstrual blood, intercourse, natural conception and delivery. Unmet needs include, but are not limited to, respect of vaginal physiologic biofilms; diagnosis and care of the optimal tone of the levator ani, which surrounds and partly support it; care of its anatomic integrity at and after delivery and at pelvic/vaginal surgery; care of long-term consequences of pelvic radiotherapy; long-term care of the atrophic changes it will undergo after the menopause, unless appropriate, at least local, estrogen therapy is used; appreciation and respect of its erotic meaning, as a loving, receptive, 'bonding' organ for the couple. The vaginal erotic value is key as a non-visible powerful center of femininity and sexuality, deeply and secretly attractive in terms of taste, scent (together with the vulva), touch and proprioception. The most welcoming when lubrication, softness and vaginal orgasm award the woman and the partner with the best of pleasures. Prevention of sexual/vaginal abuse is a very neglected unmet need, as well. Who cares? PMID:26366794

  17. Unmet needs in cancer rehabilitation during the early cancer trajectory - a nationwide patient survey

    DEFF Research Database (Denmark)

    Veloso, Astrid Gisèle; Sperling, Cecilie; Holm, Lise Vilstrup;

    2013-01-01

    A cancer diagnosis may lead to psychosocial problems and physical symptoms that can be relieved during rehabilitation. The aim of this study was to analyse patient-perceived unmet needs of rehabilitation close to time of diagnosis, i.e. frequencies of unmet needs and the association with sociodem......A cancer diagnosis may lead to psychosocial problems and physical symptoms that can be relieved during rehabilitation. The aim of this study was to analyse patient-perceived unmet needs of rehabilitation close to time of diagnosis, i.e. frequencies of unmet needs and the association...... with sociodemographic characteristics, cancer type and treatment....

  18. Poverty and working status in changes of unmet health care need in old age.

    Science.gov (United States)

    Park, Sojung; Kim, BoRin; Kim, Soojung

    2016-06-01

    This study examined relationships between socioeconomic disadvantage and unmet health care needs among older adults in Korea adjusting for predisposing and health need factors. We examined how older adults' low-income status and working status affect unmet needs for healthcare over time, and how the association varies by reason for unmet needs (i.e. financial or non-financial). We used three waves of data (2009, 2011, 2012) from the Korea Health Panel (KHP) survey and a multinomial logistic mixed model to analyze how low socioeconomic disadvantages affects changes in unmet healthcare needs independently and in combination. Results showed that near-poor elders were more likely to experience increased risk of unmet need due to non-financial constraints over time. When working, near-poor elders risk of unmet healthcare needs due to financial and non-financial factors increases substantially over time. Across societies, different subgroups of older adults may be at risk of unmet healthcare needs, contingent on healthcare policies. Our finding suggests that in Korea, near-poor working elders are the vulnerable subgroup at highest risk of unmet healthcare needs. This finding provides much-needed evidence of heterogeneity of vulnerability in unmet healthcare needs and can be used to design more affordable and accessible programs and services for this group. PMID:27025977

  19. Determinants of Unmet Need for Family Planning In a Developing Country: An Observational Cross Sectional Study

    Directory of Open Access Journals (Sweden)

    Saima Nazir, Anshu Mittal, Bhupinder K Anand, RKD Goel, Jagjeet Singh, Arshad Rashid

    2015-01-01

    Conclusion: Education, income, occupation, knowledge about contraception, communication with partner regarding family planning, media accessibility, gender preference were identified as the contributing factors for Unmet Need."

  20. The unmet need for Emergency Obstetric Care in Tanga Region, Tanzania

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    Mtatifikolo Ferdinand

    2007-08-01

    Full Text Available Abstract Background Improving maternal health by reducing maternal mortality constitutes the fifth Millennium Development Goal and represents a key public health challenge in the United Republic of Tanzania. In response to the need to evaluate and monitor safe motherhood interventions, this study aims at assessing the coverage of obstetric care according to the Unmet Obstetric Need (UON concept by obtaining information on indications for, and outcomes of, major obstetric interventions. Furthermore, we explore whether this concept can be operationalised at district level. Methods A two year study using the Unmet Obstetric Need concept was carried out in three districts in Tanga Region, Tanzania. Data was collected prospectively at all four hospitals in the region for every woman undergoing a major obstetric intervention, including indication and outcome. The concept was adapted to address differentials in access to emergency obstetric care between districts and between rural and urban areas. Based upon literature and expert consensus, a threshold of 2% of all deliveries was used to define the expected minimum requirement of major obstetric interventions performed for absolute maternal indications. Results Protocols covering 1,260 complicated deliveries were analysed. The percentage of major obstetric interventions carried out in response to an absolute maternal indication was only 71%; most major obstetric interventions (97% were caesarean sections. The most frequent indication was cephalo-pelvic-disproportion (51%. The proportion of major obstetric interventions for absolute maternal indications performed amongst women living in urban areas was 1.8% of all deliveries, while in rural areas it was only 0.7%. The high proportion (8.3% of negative maternal outcomes in terms of morbidity and mortality, as well as the high perinatal mortality of 9.1% (still birth 6.9%, dying within 24 hours 1.7%, dying after 24 hours 0.5% raise concern about the

  1. Why Has It Taken So Long to Address the Problems Created by Uranium Mining in the Navajo Nation?

    Science.gov (United States)

    Brugge, Doug

    2016-02-01

    Following the start of uranium mining after World War II, progress toward addressing the hazards it created for workers and nearby communities was slow, taking many decades. This essay asks why it took so long and suggests several factors that might have contributed. PMID:26463258

  2. Why Has It Taken So Long to Address the Problems Created by Uranium Mining in the Navajo Nation?

    Science.gov (United States)

    Brugge, Doug

    2016-02-01

    Following the start of uranium mining after World War II, progress toward addressing the hazards it created for workers and nearby communities was slow, taking many decades. This essay asks why it took so long and suggests several factors that might have contributed.

  3. Opening address

    International Nuclear Information System (INIS)

    The opening address by the host country started by thanking to the International Atomic Energy Agency for holding this important scientific event in in Morocco. The themes to be considered by this conference are among the priorities of the Scientific Research Department in its endeavour to promote scientific research in the field of nuclear science and technology for peaceful uses in Morocco. By so doing, this Department is following and supporting the efforts being made by our country to provide training, and elaborate rules and regulations, and to create infrastructure, acquire material and, equipment and encourage qualified and active researchers. Hence, the convening of this conference responds to a strategic interest of our country, which, similar to other countries, is committed to the achievement of comprehensive and sustainable development for the protection of human kind and the environment. This is considered nowadays as a strategic and vital objective as it entails the protection of people from radiation and against all kinds of professional risks and health hazards. Morocco attaches great importance to radiation safety issues. Our country adhered to all international conventions related to nuclear safety. It is in the process of adapting its internal regulations to international norms and standards, and it is making progress towards the establishment of a national safety body which meets those norms and standards, with the assistance of the IAEA. For this purpose, a standing committee for the follow-up of nuclear affairs has been created on the basis of Royal Instructions, and placed under the authority of the Prime Minister. Its task is to serve as a think-tank on nuclear safety issues and to make proposals on ways and means of reinforcing radiation safety measures. It goes without saying that the peaceful uses of nuclear energy must meet the safety standards elaborated by the IAEA. However, we are convinced that the elaboration of safety standards

  4. Opening address

    International Nuclear Information System (INIS)

    Nuclear terrorism has been recognized as a potential threat to human security and economic prosperity since at least the 1970s. Evidence of Al Qaeda's interest in acquiring nuclear material came to light during the 1990s. However, it is since the attacks of 11 September 2001 that the risk of nuclear terrorist acts has come to be a widespread public and governmental concern, for understandable reasons, and that efforts to combat illicit trafficking, which could lead to nuclear or other radioactive materials falling into the hands of terrorists, have intensified. Six years on, it makes sense to take stock of what has been achieved in the combat to stem illicit trafficking and of where further actions - actions of individual States and cooperative international actions - might usefully be initiated. The IAEA has maintained an Illicit Trafficking Database since 1995. Information reported to this database confirms that concerns about illicit trafficking in nuclear material are justified. Database information points to persistent theft and loss of radioactive sources. States' international obligations relevant to international nuclear trafficking are based on the Convention on the Physical Protection of Nuclear Material (CPPNM), the International Convention for the Suppression of Acts of Nuclear Terrorism, the United Nations Security Council Resolution 1540, which deals with weapons of mass destruction, including nuclear weapons and non-State actors, and the United Nations Security Council Resolution 1375, which requires all States to take the necessary steps to prevent the commission of terrorist acts, including early warning to other States. In addition to these legally binding instruments, there is the non-binding Code of Conduct on the Safety and Security of Radioactive Sources, which Member States of the IAEA agreed in 2003. The Code addresses the establishment of an adequate system of regulatory control, from the production of radioactive sources to their final

  5. Keynote address

    International Nuclear Information System (INIS)

    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

  6. Recommendations for strengthening the national systems and the international regime for combating of illicit trafficking. Keynote address/session 10

    International Nuclear Information System (INIS)

    Full text: Illicit trafficking activities involving nuclear material and equipment are acts of nuclear proliferation. The threat of illicit trafficking is an international concern and the consequences of illicit trafficking, such as war or terrorist attacks using illegally manufactured nuclear weapons, might affect any country. As long as these materials and equipment remain a potential for theft and smuggling due to insufficient security and control conditions, there is a possibility that proliferators or terrorist groups may illegally take possession of such materials and equipment for illicit purposes. A precondition for preventing illicit trafficking is the existence of effective national systems for supervision and control of nuclear material and equipment, including physical protection and export/import control, based on an accurate and complete legislation. In addition thereto, national systems for combating of illicit trafficking, through prevention and detection within a state's territory or across its borders, incorporate such components as: supervision and control of nuclear operations; organisation of operator activities through quality assurance, internal control, security culture, etc.; law enforcement functions (police, intelligence, customs, investigation, prosecution, penalties and sanctions); and procedures for co-ordination and co-operation between supervising and law enforcement authorities. According to a joint Swedish-Norwegian-Latvian study, there are imperfections in many national systems for combating of illicit trafficking, such as: Incomplete legislation on nuclear non-proliferation and safety, physical protection and export/import control; Unclear or overlapping responsibilities between national supervision and law enforcement authorities, leading to poor co-operation and co-ordination of preventing and detecting measures; Incomplete rules and regulations concerning operator functions and responsibilities, including requirements on

  7. Unmet Health Care Service Needs of Children With Disabilities in Penang, Malaysia.

    Science.gov (United States)

    Tan, Seok Hong

    2015-11-01

    Information on unmet health care needs reveal problems that are related to unavailability and inaccessibility of services. The study objectives were to determine the prevalence, and the reasons for unmet service needs among children with disabilities in the state of Penang, Malaysia. Caregivers of children with disabilities aged 0 to 12 years registered with the Penang Social Welfare Department in 2012 answered a self-administered mailed questionnaire. A total of 305 questionnaires were available for analysis (response rate 37.9%). Services that were very much needed and yet highly unmet were dental services (49.6% needed, 59.9% unmet), dietary advice (30.9% needed, 63.3% unmet), speech therapy (56.9% needed, 56.8% unmet), psychology services (25.5% needed, 63.3% unmet), and communication aids (33.0% needed, 79.2% unmet). Access problems were mainly due to logistic issues and caregivers not knowing where to obtain services. Findings from this study can be used to inform strategies for service delivery and advocacy for children with disabilities in Penang, Malaysia.

  8. Unmet Health Care Service Needs of Children With Disabilities in Penang, Malaysia.

    Science.gov (United States)

    Tan, Seok Hong

    2015-11-01

    Information on unmet health care needs reveal problems that are related to unavailability and inaccessibility of services. The study objectives were to determine the prevalence, and the reasons for unmet service needs among children with disabilities in the state of Penang, Malaysia. Caregivers of children with disabilities aged 0 to 12 years registered with the Penang Social Welfare Department in 2012 answered a self-administered mailed questionnaire. A total of 305 questionnaires were available for analysis (response rate 37.9%). Services that were very much needed and yet highly unmet were dental services (49.6% needed, 59.9% unmet), dietary advice (30.9% needed, 63.3% unmet), speech therapy (56.9% needed, 56.8% unmet), psychology services (25.5% needed, 63.3% unmet), and communication aids (33.0% needed, 79.2% unmet). Access problems were mainly due to logistic issues and caregivers not knowing where to obtain services. Findings from this study can be used to inform strategies for service delivery and advocacy for children with disabilities in Penang, Malaysia. PMID:26122314

  9. Assessment of the National Wind Coordinating Collaborative: Addressing Environmental and Siting Issues Associated with Wind Energy Development

    Energy Technology Data Exchange (ETDEWEB)

    Van Cleve, Frances B.; States, Jennifer C.

    2010-11-09

    The National Wind Coordinating Collaborative (NWCC) is a consensus-based stakeholder group comprised of representatives from the utility, wind industry, environmental, consumer, regulatory, power marketer, agricultural, tribal, economic development, and state and federal government sectors. The purpose of the NWCC is to support the development of an environmentally, economically, and politically sustainable commercial market for wind power (NWCC 2010). The NWCC has been funded by the U.S. Department of Energy (DOE) since its inception in 1994. In order to evaluate the impact of the work of the NWCC and how this work aligns with DOE’s strategic priorities, DOE tasked Pacific Northwest National Laboratory (PNNL) to conduct a series of informal interviews with a small sample of those involved with NWCC.

  10. Insect Consumption to Address Undernutrition, a National Survey on the Prevalence of Insect Consumption among Adults and Vendors in Laos

    OpenAIRE

    Barennes, Hubert; Phimmasane, Maniphet; Rajaonarivo, Christian

    2015-01-01

    Background Insect consumption (entomophagy) is a potentially high nutritious and healthy source of food with high fat, protein, vitamin, fiber and micronutrient content. At least 2 billion people globally eat insects (over 1900 edible species) though this habit is regarded negatively by others. There is a limited amount of data on the perception and consumption of insects. We conducted a national cross-sectional survey in the Lao People’s Democratic Republic (Laos) to assess the prevalence an...

  11. Opening address

    International Nuclear Information System (INIS)

    and become more technical. Involving experts from all fields is then crucial for success. This perception is reflected in the goals of this meeting. It is designed as an extensive information exchange forum between decision makers, regulators, radiation and waste safety specialists, and the nuclear industry. It is this mix which promises high efficiency with respect to solving the problems that you are addressing. I am sure that the safe termination of practices involving radioactive materials during the decommissioning of nuclear installations is one of the major challenges that industrialized nations will have to face during the next decades

  12. Unmet needs among men with human immunodeficiency virus in community mental health care: a cross-sectional study.

    Science.gov (United States)

    Durbin, Anna; Sirotich, Frank; Antoniou, Tony; Roesslein, Kay; Durbin, Janet; Lunsky, Yona

    2016-07-01

    While community-based mental health services play an important role in caring for persons with HIV (human immunodeficiency virus) and co-existing mental health disorders, the extent to which their support needs are addressed in this setting is unknown. Accordingly, we examined if HIV infection was associated with unmet support needs among men living with and without HIV receiving community mental health care. This cross-sectional study examined 215 men (135 living with HIV and 80 without HIV) receiving case management services in urban Ontario. Using the Camberwell Assessment of Need, we ascertained the prevalence of support needs in 13 domains grouped into three clusters: Basic needs (accommodation, food, benefits, and money management); self-care/functional needs (daytime activities, self-care, and looking after the home); and health/safety needs (physical, psychological distress, psychotic symptoms, safety to self, and safety to others). We used generalized estimating equations with a logit link to examine the association between HIV and unmet need in each domain. Compared to HIV-negative men, men with HIV were more likely to have mood and concurrent disorders, and intellectual and developmental disabilities. Following multivariable analyses, men with HIV had greater unmet needs related to food (odds ratio + 95% confidence interval: 9.36 (4.03, 21.75), p need domains]; psychological distress (OR: 2.39 (1.68, 3.41), p need in basic and health domains than HIV-negative men receiving such support. Further research is required to develop and evaluate interventions to best support community-dwelling persons with HIV and mental health disorders.

  13. Prevalence of unmet need for contraception in urban slum communities, Mumbai

    Directory of Open Access Journals (Sweden)

    Shahina Begum

    2014-06-01

    Full Text Available Background: Unmet need for family planning is a tool to monitor the family planning program. Hence, the objective of study is to examine the prevalence of unmet need for family planning among women living in urban slum communities, Mumbai. Methods: The cross-sectional survey was conducted among currently married women aged 18-39 years and having at least one child. A total of 2797 women were selected using systematic random sampling. Information on demographic characteristics, their contraceptive behaviour and fertility intention were collected by face to face interview using structured questionnaire. Chi square test was applied and p <0.05 was considered as significant. Results: About 59.4% were currently using family planning methods and 40.6% have reported unmet need for family planning. Awareness of contraceptive methods among women with unmet need for family planning was universal. The prevalence of unmet need for family planning significantly decreased as the age and number of children increased. The prevalence of unmet need was significantly higher than met need for family planning among women having one child as compared to women having 2 or more children. Conclusions: A significant gap was observed between met and unmet need for family planning among younger women and having one child. The study emphasises the need for family planning programs to focus on younger couples having one child. [Int J Reprod Contracept Obstet Gynecol 2014; 3(3.000: 627-630

  14. Irritable bowel syndrome: the burden and unmet needs in Europe.

    LENUS (Irish Health Repository)

    Quigley, E M M

    2012-02-03

    Irritable bowel syndrome affects approximately 10-15% of the European population, although prevalence rates vary depending on the classification used and the country surveyed. This may be due to differences in patterns of medical care and diagnosis of the condition. Up to 70% of individuals with irritable bowel syndrome may not have been formally diagnosed. The disorder affects 1.5-3 times as many women as men and poses a significant economic burden in Europe, estimated at euro 700-euro 1600 per person per year. It also reduces quality of life and is associated with psychological distress, disturbed work and sleep, and sexual dysfunction. It is a chronic disorder, which affects many individuals for more than 10 years. Most patients are managed in primary care, although some are referred to gastroenterologists and other specialists. Patients with irritable bowel syndrome undergo more abdomino-pelvic surgery than the general population. We propose that a positive diagnosis of the condition may avoid the delay in diagnosis many patients experience. We conclude that, in Europe, there are significant unmet needs including lack of familiarity with irritable bowel syndrome, difficulties in diagnosis and lack of effective treatments for the multiple symptoms of the disorder. The development of pan-European guidelines for irritable bowel syndrome will benefit patients with this condition in Europe.

  15. Unmet Needs for Psychosocial Care in Hematologic Malignancies and Hematopoietic Cell Transplant.

    Science.gov (United States)

    Barata, Anna; Wood, William A; Choi, Sung Won; Jim, Heather S L

    2016-08-01

    Individuals diagnosed with hematologic malignancies experience significant unmet psychological, physical, informational, financial, and spiritual needs. The goal of the current review is to summarize and highlight recent research focused on these issues in the diagnosis and treatment periods and beyond. The review also describes the needs of adolescent and young adult (AYA) and pediatric patients. While a large body of research has reported on unmet needs among adult hematologic cancer patients, there is far less data regarding the challenges confronted by AYA and pediatric populations. Available data suggests that among all age groups, hematopoietic cell transplantation (HCT) is a risk factor for greater unmet needs. Recommendations for screening and evidence-based interventions to prevent or ameliorate unmet needs are provided. Future research is needed to develop additional evidence-based psychosocial interventions with a focus on hematologic cancer. PMID:27113094

  16. Association between unmet needs and quality of life of cancer patients

    DEFF Research Database (Denmark)

    Hansen, Dorte Gilså; Larsen, Pia Veldt; Holm, Lise Vilstrup;

    2013-01-01

    Abstract Background. Two conceptually different morbidity outcomes unmet needs and health-related quality of life are used to identify cancer patients in need of clinical attention and to evaluate rehabilitation programmes. The knowledge on the interrelation between unmet needs and health......-related quality of life is scarce. This paper studies the hypothesis that patient-perceived unmet needs of rehabilitation during the cancer trajectory are associated with decreased quality of life. Material and methods. Based on registers, a Danish population-based cohort of adult, incident, mixed-site cancer...... patients diagnosed between 1 October 2007 and 30 September 2008 was established. At 14 months following diagnosis participants completed a questionnaire including health-related quality of life (EORTC QLQ C-30), psychological distress (POMS-SF), and unmet needs with regard to physical, emotional, family...

  17. How do national strategic plans for HIV and AIDS in southern and eastern Africa address gender-based violence? A women's rights perspective.

    Science.gov (United States)

    Gibbs, Andrew; Mushinga, Mildred; Crone, E Tyler; Willan, Samantha; Mannell, Jenevieve

    2012-12-15

    Gender-based violence (GBV) is a significant human rights violation and a key driver of the HIV epidemic in southern and eastern Africa. We frame GBV from a broad human rights approach that includes intimate partner violence and structural violence. We use this broader definition to review how National Strategic Plans for HIV and AIDS (NSPs) in southern and eastern Africa address GBV. NSPs for HIV and AIDS provide the national-level framework that shapes government, business, donor, and non-governmental responses to HIV within a country. Our review of these plans for HIV and AIDS suggests that attention to GBV is poorly integrated; few recognize GBV and program around GBV. The programming, policies, and interventions that do exist privilege responses that support survivors of violence, rather than seeking to prevent it. Furthermore, the subject who is targeted is narrowly constructed as a heterosexual woman in a monogamous relationship. There is little consideration of GBV targeting women who have non-conforming sexual or gender identities, or of the need to tackle structural violence in the response to HIV and AIDS. We suggest that NSPs are not sufficiently addressing the human rights challenge of tackling GBV in the response to HIV and AIDS in southern and eastern Africa. It is critical that they do so.

  18. Immunomodulation and immune thrombocytopenia: some unmet needs, questions, and outlook.

    Science.gov (United States)

    Godeau, Bertrand

    2016-04-01

    During the last two decades, new therapeutic strategies have been developed, particularly anti-CD20 agents and thrombopoietin-receptor (TPO-r) mimetics, for immune thrombocytopenia (ITP). However, although the new efficient drugs have deeply modified the therapeutic strategy and the disease prognosis, there are still unmet needs and challenges. Concerning rituximab, reassuring data concerning its safety have recently been reported. The main limitation of the treatment is its modest long-term efficacy, with frequent disease relapse. Maintenance treatment or association with other immunomodulatory drugs such as dexamethasone may achieve better long-term response. With failure of one of the available TPO-r agonists (ie, romiplostim and eltrombopag), another can be used. Switching may be beneficial, with more than 50% chance of response, and could limit the risk of platelet fluctuation occasionally observed with these treatments. According to the mechanism of action of TPO-r agonists, a rapid relapse of thrombocytopenia should be observed after they are stopped. Several recent observational studies suggested sustained responses in patients achieving complete response with TPO-r agonists and who stopped the treatments. Prospective studies to confirm these unexpected data are needed. Thrombosis in ITP is a concern, particularly with TPO-r agonists, even though the pivotal studies of eltrombopag and romiplostim did not report a higher incidence of thrombosis events with TPO-r agonists than placebo. Despite these reassuring data, the risk of thrombosis with TPO-r agonists remains unanswered, particularly with secondary ITP or in older adults. PMID:27312163

  19. The skin in autoimmune diseases-Unmet needs.

    Science.gov (United States)

    Kuhn, A; Landmann, A; Bonsmann, G

    2016-10-01

    Treatment of skin manifestations in systemic lupus erythematosus (SLE), systemic sclerosis (SSc), and dermatomyositis (DM) is based on the results of only few randomized controlled trials. The first-line treatment for disfiguring and widespread cutaneous involvement in SLE is antimalarials, but some patients are therapy resistant. Recently, the monoclonal antibody belimumab was approved for SLE as an adjunct therapy for patients with autoantibody-positive disease who despite standard therapy show high disease activity, intolerance of other treatments, or an unacceptably high need for corticosteroids. However, a validated skin score has not been used to confirm the efficacy of belimumab on mucocutaneous manifestations. In SSc, another multi-systemic progressive disease, involvement of the lung, kidney, and the heart is frequently treated with corticosteroids and immunosuppressives, but therapeutic modalities for cutaneous lesions, such as skin sclerosis and digital ulcers, are limited. In the past years, treatment with the endothelin-receptor antagonist bosentan has been proven to reduce the occurrence of new digital ulcers in SSc patients but has no or limited effect on healing of digital ulcers. DM is an idiopathic autoimmune disease characterized by inflammation of the muscles and skin, which is treated with immunosuppressives. Corticosteroids are the first-line treatment for muscle involvement in DM, but skin lesions often flare by reduction or discontinuation. In summary, there is a high unmet need for new therapeutic strategies focusing on skin involvement in systemic autoimmune diseases. Therefore, innovative designs of randomized controlled trials with validated skin scores are warranted to develop new therapeutic strategies for patients with cutaneous manifestations.

  20. IP Addressing

    OpenAIRE

    2006-01-01

    tut quiz anim This interactive tutorial covers the following: The concept of halving a binary number space., Using the halving concept to explain how the Internet IP space is segmented into the A, B, and C address classifications., How the first octet ranges for the A, B, and C IP space are produced.In this tutorial, explanations are illustrated by simple animations. Students are asked to observe number patterns, and check their observations against automated 'answers.' There is a qu...

  1. Inaugural Address

    OpenAIRE

    Syed Yousaf Raza Gilani

    2008-01-01

    Sardar Aseff Ahmad Ali, Deputy Chairman, Planning Commission, Dr Rashid Amjad, President, Pakistan Society of Development Economists, Honourable Ministers, Excellencies, Ladies and Gentlemen! It is indeed a privilege and honour to address this distinguished gathering of economists. I am very happy that this meeting is being attended by internationally acclaimed economists and academics from both within and outside the country. I am especially heartened to see that students of economics from a...

  2. Opening address

    International Nuclear Information System (INIS)

    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

  3. Immigrant-Native Disparities in Perceived and Actual Met/Unmet Need for Medical Care.

    Science.gov (United States)

    Howe Hasanali, Stephanie

    2015-10-01

    This study compares the unmet medical needs of foreign-born and U.S.-born adults. Both subjective and objective unmet medical needs are considered, and the roles of duration of U.S. residence, English language proficiency, and state-level destination type in explaining immigrants' unmet need are assessed. Multivariate analyses of the 2007-2009 Medical Expenditure Panel Survey reveal that immigrants reported less subjective unmet need and equal or greater objective unmet need vis-à-vis natives. Among immigrants only, living less than 5 years in the U.S. and in a new or traditional, high-skill destination state versus a traditional, low-skill state is significantly associated with greater objective, but not subjective, unmet need. While this study reinforces the importance of stable health insurance and, to a lesser extent, income for gaining entry to the formal healthcare system for both immigrants and natives, it also highlights the need to identify factors that influence immigrants' positive health-related perceptions, including characteristics of the healthcare system in origin countries. PMID:25204623

  4. Using measurements of unmet need to inform program investments for health service integration.

    Science.gov (United States)

    Malarcher, Shawn; Polis, Chelsea B

    2014-06-01

    Demographic and Health Survey (DHS) data could potentially inform optimal strategies to reach women having unmet need with contraceptive services through integrated service delivery. Using 2010-11 DHS data from Nepal, Senegal, and Uganda, we estimate the proportion of married or cohabitating women of reproductive age (MWRA) having unmet need for family planning (FP) who have accessed selected health services and therefore could be offered FP services through integrated service delivery. We find substantial missed opportunities to reach MWRA having unmet need for family planning (FP) in the three countries examined. We also find considerable variation within and between countries in the potential for integrated services to reach women having unmet need. Between 4 percent and 57 percent of MWRA having unmet need in these countries could be reached through integration of FP into any single-service delivery platform we explored. This analysis has the potential to provide program managers with an evidence-based road map indicating which service-delivery platforms offer the greatest potential to reach the largest number of women having unmet need for contraception.

  5. President's address

    International Nuclear Information System (INIS)

    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

  6. Keynote Address

    OpenAIRE

    Griffin, Mike

    2006-01-01

    Biography: Nominated by President George W. Bush and confirmed by the United States Senate, Michael Griffin began his duties as the 11th Administrator of the National Aeronautics and Space Administration on April 14, 2005. As Administrator, he leads the NASA team and manages its resources to advance the U.S. Vision for Space Exploration. Prior to being nominated as NASA Administrator, Griffin was serving as Space Department Head at Johns Hopkins University's Applied Physics Laboratory in Laur...

  7. Report of the TFOS/ARVO Symposium on global treatments for dry eye disease: an unmet need.

    Science.gov (United States)

    Sullivan, David A; Hammitt, Katherine M; Schaumberg, Debra A; Sullivan, Benjamin D; Begley, Carolyn G; Gjorstrup, Per; Garrigue, Jean-Sébastien; Nakamura, Masatsugu; Quentric, Yann; Barabino, Stefano; Dalton, Michelle; Novack, Gary D

    2012-04-01

    In September 2010, a Symposium in Florence, Italy, was held to address the unmet need for global treatments for dry eye disease (DED). It was sponsored by The Tear Film & Ocular Surface Society (TFOS; www.TearFilm.org) and co-sponsored by the Association for Research in Vision & Ophthalmology (www.arvo.org). The Symposium objectives were two-fold: first, to discuss accepted and emerging clinical endpoints of DED with regulatory experts from around the world; and second, to consider how to improve clinical trials of treatments for DED. The Symposium focused on the personal and collective burden of DED, as well as the developmental and regulatory challenges associated with generating new DED therapeutics. This article provides a synopsis of many of the presentations, discussions and recommendations of this Symposium. PMID:22482471

  8. Perceptions of unmet healthcare needs: what do Punjabi and Chinese-speaking immigrants think? A qualitative study

    Directory of Open Access Journals (Sweden)

    Haggerty Jeannie L

    2010-02-01

    Full Text Available Abstract Background Unmet healthcare needs - the difference between healthcare services deemed necessary to deal with a particular health problem and the actual services received - is commonly measured by the question, "During the past 12 months, was there ever a time when you felt that you needed healthcare, but you didn't receive it?" In 2003, unmet needs were reported by 10% of immigrants in Canada, yet, little is known specifically about Chinese- or Punjabi-speaking immigrants' perceptions and reporting of unmet needs. Our study examined: 1 How are unmet healthcare needs conceptualized among Chinese- and Punjabi-speaking immigrants? 2 Are their primary healthcare experiences related to their unmet healthcare needs? Methods Twelve focus groups (6 Chinese, 6 Punjabi; n = 78 were conducted in Chinese or Punjabi and socio-demographic and health data were collected. Thematic analysis of focus group data examined the perceptions of unmet needs and any relationship to primary healthcare experiences. Results Our analysis revealed two overarching themes: 1 defining an unmet healthcare need and 2 identifying an unmet need. Participants had unmet healthcare needs in relation to barriers to accessing care, their lack of health system literacy, and when the health system was less responsive than their expectations. Conclusions Asking whether someone ever had a time when they needed healthcare but did not receive it can either underestimate or overestimate unmet need. Measuring unmet need using single items is likely insufficient since more detail in a revised set of questions could begin to clarify whether the reporting of an unmet need was based on an expectation or a clinical need. Who defines what an unmet healthcare need is depends on the context (insured versus uninsured health services, experience in two or more healthcare systems versus experience in one healthcare system and who is defining it (provider, patient, insurer.

  9. Welcome Address

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    @@  On behalf of the International Life Sciences Institute, I welcome you to Beijing and to the Third Asian Conference on Food Safety and Nutrition. Many of you will remember the first Asian conference on Food Safety held in Kuala Lumpur in 1990 and the second held in Bangkok in 1994. These meetings have been so successful that ILSI made the commitment to host such a conference periodically in order to provide a forum to share the latest information and to set new goals and priorities.   This year, we have broadened the scope of the agenda to include issues on nutrition. I want to thank all of our co-sponsors and members of the Planning Committee for preparing such a comprehensive and timely program. Some of the issues and challenges facing Asia that will be addressed at this meeting are:

  10. Opening address

    International Nuclear Information System (INIS)

    Adopted under Chapter VII of the United Nations Charter, Resolution 1540 (2004) - hereafter UNSCR 1540 - sets out several obligations and recommendations for United Nations Member States, including specific requirements regarding illicit trafficking in operational paragraph (OP) 3, where it decides that all States shall take and enforce measures to prevent WMD proliferation including: 'Develop and maintain appropriate effective border controls and law enforcement efforts to detect, deter, prevent and combat, including through international cooperation when necessary, the illicit trafficking and brokering in such items in accordance with their national legal authorities and legislation and consistent with international law'. UNSCR 1540 also created a committee to monitor and report on the measures taken by States to implement these obligations, known as the 1540 Committee. This paper discusses the gaps in national and international proliferation systems identified by the 1540 Committee. By creating obligations for States regarding non-State actors UNSCR 1540 supplements the existing NPT and other nuclear non-proliferation treaty regimes. The presentation looks more narrowly at eight questions of particular relevance to illicit trafficking in nuclear materials, which UNSCR 1540 broadly defines to include dual-use as well as special purpose items. The questions are whether a State has legislation specifically related to nuclear materials for border control, trading or brokering of nuclear items, and controls on transit, trans-shipment, re-export or import of nuclear items. The largest gaps exist in establishing legal frameworks for trans-shipments, trading or brokering of items and re-exports. The 1540 Committee recognizes the need to help the international community close these gaps. The 1540 Committee would like to work in even closer cooperation with the IAEA and other NGOs to develop mechanisms to share appropriate information and foster the global effort to

  11. Opening address

    International Nuclear Information System (INIS)

    Recognizing the global danger of illicit trafficking of nuclear and radioactive material, governments have in recent years taken a number of steps which includes the Convention on the Physical Protection of Nuclear Material (CPPNM), the 2005 Amendments to the CPPNM, the International Convention of Acts of Nuclear Terrorism and the United Nations Security Council Resolution 1540. Perhaps more important than formal legal measures alone are the actions governments have initiated to institute practical cooperation in this field. Of course, the IAEA has been a leader in this effort, as reflected in the Nuclear Security Plan. Of the many areas where the IAEA has contributed, let me cite three: the development of the Code of Conduct on the Safety and Security of Radioactive Sources, the numerous efforts through technical assistance programmes to assess physical protection needs and to build national capacity to implement physical protection systems, and the collection and dissemination of information through the Illicit Trafficking Database. States are acting together to develop training and communications channels to facilitate intervention in an ongoing illicit transfer or to build national capacity to protect nuclear materials and respond to security threats. 60 nations have joined the Russian Federation and the USA as partners in the global initiative to Combat nuclear Terrorism. These visible forms of international cooperation are backed up by numerous bilateral assistance and cooperation programmes directed at improving physical protection, including during transport, consolidating and eliminating unused nuclear materials and radioactive sources, bolstering nuclear detection at ports and borders, strengthening the ability of law enforcement agencies to identify and prosecute nuclear smuggling cases, developing procedures and protocols to intervene in emergency situations involving nuclear or radioactive materials, and exchanging information on nuclear terrorism

  12. Presidential address.

    Science.gov (United States)

    Vohra, U

    1993-07-01

    The Secretary of India's Ministry of Health and Family Welfare serves as Chair of the Executive Council of the International Institute for Population Sciences in Bombay. She addressed its 35th convocation in 1993. Global population stands at 5.43 billion and increases by about 90 million people each year. 84 million of these new people are born in developing countries. India contributes 17 million new people annually. The annual population growth rate in India is about 2%. Its population size will probably surpass 1 billion by the 2000. High population growth rates are a leading obstacle to socioeconomic development in developing countries. Governments of many developing countries recognize this problem and have expanded their family planning programs to stabilize population growth. Asian countries that have done so and have completed the fertility transition include China, Japan, Singapore, South Korea, and Thailand. Burma, Malaysia, North Korea, Sri Lanka, and Vietnam have not yet completed the transition. Afghanistan, Bangladesh, Iran, Nepal, and Pakistan are half-way through the transition. High population growth rates put pressure on land by fragmenting finite land resources, increasing the number of landless laborers and unemployment, and by causing considerable rural-urban migration. All these factors bring about social stress and burden civic services. India has reduced its total fertility rate from 5.2 to 3.9 between 1971 and 1991. Some Indian states have already achieved replacement fertility. Considerable disparity in socioeconomic development exists among states and districts. For example, the states of Bihar, Madhya Pradesh, Rajasthan, and Uttar Pradesh have female literacy rates lower than 27%, while that for Kerala is 87%. Overall, infant mortality has fallen from 110 to 80 between 1981 and 1990. In Uttar Pradesh, it has fallen from 150 to 98, while it is at 17 in Kerala. India needs innovative approaches to increase contraceptive prevalence rates

  13. Unmet need for family planning in Indonesia and the policy strategy of intervention in several countries

    Directory of Open Access Journals (Sweden)

    Misnaniarti

    2016-06-01

    Full Text Available The aims of this paper are to analyse the unmet need situation in Indonesia, identify determining factors and the intervention policy strategy in several countries. This paper was a literature study, taken from the data of the 2012 Indonesian Demographic and Health Survey (IDHS and various other sources. It is seen that unmet need level in Indonesia decreases from time to time. During the 1991 to 2012 IDHS, total unmet need decreased from 17% to 11% (4.5% for spacing and 6.9% for limiting. However, the number is considered still quiet high so an effort to solve it is needed. Determinants of unmet need can be associated with various factors such as demographical characteristic and social economic, education, culture, geographical access and condition in the area. Recommended to the government in order to develop policy strategy focused on intervention of unmet need determinants, improve financial resource allocation for access improvement of contraception service and develop capacity, improve service quality including staff training, and also public education in big scale to decrease social barriers. [Int J Reprod Contracept Obstet Gynecol 2016; 5(6.000: 1680-1685

  14. Epidemiological Correlates Of Unmet Need For Contraception In Urban Slum Population

    Directory of Open Access Journals (Sweden)

    Supriya Satish Patil*, MP Durgawale and SR Patil

    2010-10-01

    Full Text Available This study was undertaken to find out magnitude and identifying the different variables, which are associated with unmet need for contraception among married women in the age group of 15-44 yrs in an urban slum of Karad, Maharashtra. A cross-sectional community based study was carried out among married women aged 15-44 yrs. Personal interview method with house-to-house visit was adopted as the study method. In this study unmet need for contraception was found in 59 (45.1% women, need for spacing in 25 (19.1% and need for limiting birth in 34 (26% women. About 81.3% of women in the unmet group belong to the age 15-29 yrs. There was significant association between prevalence of unmet need and age, number of living children, education. There was no significant association found between occupation, religion and unmet need for contraception. The present study revealed that lack of information about contraceptive method and its sources (57.6% were the common reasons for non-acceptance of contraception. It can be concluded that health education campaigns are necessary to increase awareness and counseling of eligible couples on importance of small family norm is essential.

  15. Welcome Address

    Science.gov (United States)

    Kiku, H.

    2014-12-01

    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

  16. Keynote address

    International Nuclear Information System (INIS)

    Radioactive waste management is definitely a field where an added value may be gained through international cooperation. However, the bases for international cooperation must remain very clear at all times. Waste management is essentially a matter of national jurisdiction. The approach to radioactive waste management is specific to each country, it may be influenced by the historical background of the waste management activities in the country, by the specific technical designs developed to ensure safe management, by the nature of geological formations (if underground disposal is sought), by the industrial infrastructure, by the corporate framework, by the national arrangements for safety regulation, etc. Industrial solutions for radioactive waste management exist or are emerging for most types of low and intermediate level waste. Disposing of low and intermediate level waste in surface facilities now represents a sound and proven industrial practice. A common objective for all countries is to have the availability of solutions for the entire set of waste categories. In the current context, the solutions for some categories appear to be less developed than for others. One may think more particularly of radium-bearing waste resulting from historical practices initiated as early as the beginning of the 20th century. Others may mention graphite waste originating from the former gas-graphite reactor system. The waste package is a key element in the waste management mechanism. It constitutes the basis of the safety approach. The care with which the specifications of the package are first defined, then controlled, through rigorous quality assurance procedures, is essential. The safe management of radioactive waste is achieved primarily through the reliability of the managers and of all the actors involved in waste disposal in carrying out their long term responsibilities. In order to properly implement their missions, they must be associated, at an early stage, with any

  17. Addressing the social determinants of health through health system strengthening and inter-sectoral convergence: the case of the Indian National Rural Health Mission

    Directory of Open Access Journals (Sweden)

    Amit Mohan Prasad

    2013-03-01

    Full Text Available Background: At the turn of the 21st century, India was plagued by significant rural–urban, inter-state and inter-district inequities in health. For example, in 2004, the infant mortality rate (IMR was 24 points higher in rural areas compared to urban areas. To address these inequities, to strengthen the rural health system (a major determinant of health in itself and to facilitate action on other determinants of health, India launched the National Rural Health Mission (NRHM in April 2005. Methods: Under the NRHM, Rs. 666 billion (US$12.1 billion was invested in rural areas from April 2005 to March 2012. There was also a substantially higher allocation for 18 high-focus states2 and 264 high-focus districts, identified on the basis of poor health and demographic indicators. Other determinants of health, especially nutrition and decentralized action, were addressed through mechanisms like State/District Health Missions, Village Health, Sanitation and Nutrition Committees, and Village Health and Nutrition Days. Results: Consequently, in bigger high-focus states, rural IMR fell by 15.6 points between 2004 and 2011, as compared to 9 points in urban areas. Similarly, the maternal mortality rate in high-focus states declined by 17.9% between 2004–2006 and 2007–2009 compared to 14.6% in other states. Conclusion: The article, on the basis of the above approaches employed under NRHM, proposes the NRHM model to ‘reduce health inequities and initiate action on SDH’.

  18. Opening address

    International Nuclear Information System (INIS)

    Being fully aware of the IAEA's central and important roles in the field of nuclear security, Japan has cooperated closely with the IAEA in the field of nuclear security. One of Japan's efforts was holding a seminar on strengthening nuclear security in Asian countries in November 2006, making use of Japan's contribution to the IAEA Nuclear Security Fund. The seminar was organized for the first time in Asia to address nuclear security matters, in which more than 100 experts from 19 countries participated. Japan also hosted a seminar, aimed at promoting the accession to the international counterterrorism conventions and protocols, inviting government officials and experts from Asia Pacific countries. At the seminar, Japan presented its experience and lessons learned with regard to its ratification of relevant international conventions such as the International Convention for the Suppression of Acts of Nuclear Terrorism and the Convention on the Physical Protection of Nuclear Material. Japan has also provided assistance for capacity building in the field of physical protection measures, and is preparing three projects for Asian countries through the IAEA Nuclear Security Fund. In Thailand, Japan has a project aimed at improving physical protection of nuclear research facilities. In Vietnam, Japan plans to host a workshop on radiation detection equipment for border officials and is also preparing for a seminar aimed at capacity building of control on nuclear material in Vietnam. Japan is committed to continue its efforts to make the IAEA Comprehensive Safeguards Agreement together with an Additional Protocol the universally accepted verification standard for the peaceful use undertakings of the Nuclear Non-Proliferation Treaty. Japan's basic policy on bilateral nuclear cooperation agreements is as follows. Considering the dual nature of nuclear material and technology, Japan is of the view that three Ss, that is, S for 'safeguards' (non-proliferation), S for 'safety

  19. Opening address

    International Nuclear Information System (INIS)

    Last week we were reminded once again of the after-effects of Chernobyl. Unexpectedly high values of the radioactive substance caesium were found in moose meat from the south of Vaesterbotten County. A moose cow shot in Aengersjoe had 2000 becquerel per kilo meat, and a moose calf had almost 4000 becquerel. The caesium content in Swedish moose has varied after the 1986 reactor breakdown at Chernobyl. The explanation for this year's unusually high content appears to be that, due to the warm weather, the moose have eaten blueberries which contain more caesium than plants in wood clearings. Moose meat containing caesium reminds us of the vulnerability of our society. It reminds us that emissions cross borders and that ambitious, long term environmental policies must be adopted at the national but above all at the international level. Work on environmental objectives is an important component of Swedish efforts to overcome our environmental problems within a generation. In Sweden, our work is based on 15 environmental quality objectives. We have established subgoals, action strategies and follow-up mechanisms. In an international context it is, I venture to say, unique in its systematic structure. The Swedish Government and Riksdag have laid down that: - Human health and biological diversity shall be protected against harmful effects of radiation in the outdoor environment. - By the year 2010, the content in the environment of radioactive substances emitted from all activities and operations shall be so low that human health and biological diversity are protected. - By the year 2020 the annual number of cases of skin cancer caused by the sun shall not be higher than the figure for the year 2000. The risks involved in electromagnetic fields shall be continuously reviewed and necessary measures taken when such risks are identified. These objectives describe the quality and conditions for Sweden's environmental, natural and cultural resources that are ecologically

  20. 78 FR 3005 - Creating an Alternative Approval Pathway for Certain Drugs Intended to Address Unmet Medical Need...

    Science.gov (United States)

    2013-01-15

    ... molecular and cellular biology have greatly expanded our understanding of a broad range of complex disease... September 2012 ``Report to the President on Propelling Innovation in Drug Discovery, Development, and... more information on the PCAST Report to the President on Propelling Innovation in Drug...

  1. Precompetitive Data Sharing as a Catalyst to Address Unmet Needs in Parkinson’s Disease 1

    Science.gov (United States)

    Stephenson, Diane; Hu, Michele T.; Romero, Klaus; Breen, Kieran; Burn, David; Ben-Shlomo, Yoav; Bhattaram, Atul; Isaac, Maria; Venuto, Charles; Kubota, Ken; Little, Max A.; Friend, Stephen; Lovestone, Simon; Morris, Huw R.; Grosset, Donald; Sutherland, Margaret; Gallacher, John; Williams-Gray, Caroline; Bain, Lisa J.; Avilés, Enrique; Marek, Ken; Toga, Arthur W.; Stark, Yafit; Forrest Gordon, Mark; Ford, Steve

    2015-01-01

    Abstract Parkinson’s disease is a complex heterogeneous disorder with urgent need for disease-modifying therapies. Progress in successful therapeutic approaches for PD will require an unprecedented level of collaboration. At a workshop hosted by Parkinson’s UK and co-organized by Critical Path Institute’s (C-Path) Coalition Against Major Diseases (CAMD) Consortiums, investigators from industry, academia, government and regulatory agencies agreed on the need for sharing of data to enable future success. Government agencies included EMA, FDA, NINDS/NIH and IMI (Innovative Medicines Initiative). Emerging discoveries in new biomarkers and genetic endophenotypes are contributing to our understanding of the underlying pathophysiology of PD. In parallel there is growing recognition that early intervention will be key for successful treatments aimed at disease modification. At present, there is a lack of a comprehensive understanding of disease progression and the many factors that contribute to disease progression heterogeneity. Novel therapeutic targets and trial designs that incorporate existing and new biomarkers to evaluate drug effects independently and in combination are required. The integration of robust clinical data sets is viewed as a powerful approach to hasten medical discovery and therapies, as is being realized across diverse disease conditions employing big data analytics for healthcare. The application of lessons learned from parallel efforts is critical to identify barriers and enable a viable path forward. A roadmap is presented for a regulatory, academic, industry and advocacy driven integrated initiative that aims to facilitate and streamline new drug trials and registrations in Parkinson’s disease. PMID:26406139

  2. Comprehensive care and pregnancy: The unmet care needs of pregnant women with a history of rape

    Science.gov (United States)

    Munro, Michelle L.; Rietz, Melissa Foster

    2013-01-01

    This paper proposes a framework for assessing the unmet needs of rape survivors during pregnancy based on the Sexual Assault Nurse Examiner (SANE) practice level theory and an empirical exploration of rape survivors’ health status in pregnancy via a secondary analysis. Our findings indicate that there may be unmet needs in pregnancy related to all five post-assault comprehensive care components: (1) physical care, (2) pregnancy prevention, (3) sexually transmitted infection screening, (4) psychological care, and (5) legal care. Rape history and its current impact on the survivor predicted somatic disorders, substance use, unwanted pregnancy, infections, posttraumatic stress disorder, and recent abuse. PMID:23215990

  3. 78 FR 39737 - Draft Guidance for Industry on Antibacterial Therapies for Patients With Unmet Medical Need for...

    Science.gov (United States)

    2013-07-02

    ... diseases, particularly in areas of unmet need, and new antibacterial drugs that are pathogen-focused (i.e... treatment of serious bacterial diseases in patients with unmet medical needs and new antibacterial drugs... drugs, an increasing number of patients are suffering from bacterial diseases that do not respond...

  4. Investigating unmet health needs in primary health care services in a representative sample of the Greek population.

    Science.gov (United States)

    Pappa, Evelina; Kontodimopoulos, Nick; Papadopoulos, Angelos; Tountas, Yannis; Niakas, Dimitris

    2013-05-01

    Unmet health care needs are determined as the difference between the services judged necessary and the services actually received, and stem from barriers related to accessibility, availability and acceptability. This study aims to examine the prevalence of unmet needs and to identify the socioeconomic and health status factors that are associated with unmet needs. A cross-sectional study was conducted in Greece in 2010 and involved data from 1,000 consenting subjects (>18 years old). Multiple binary logistic regression analysis was applied to investigate the predictors of unmet needs and to determine the relation between the socio-demographic characteristics and the accessibility, availability and acceptability barriers. Ninety nine participants (9.9%) reported unmet health needs during the 12 months prior to the research. The most frequently self-reported reasons were cost and lack of time. Youth, parenthood, physician consultations, and poor mental health increased the likelihood of unmet needs. Women were less likely to report accessibility and availability than acceptability barriers. Educational differences were evident and individuals with primary and secondary education were associated with significantly more accessibility and availability barriers compared with those with tertiary education. Unmet health needs pose a significant challenge to the health care system, especially given the difficult current financial situation in Greece. It is believed that unmet health needs will continue to increase, which will widen inequalities in health and health care access. PMID:23685827

  5. Investigating Unmet Health Needs in Primary Health Care Services in a Representative Sample of the Greek Population

    Directory of Open Access Journals (Sweden)

    Evelina Pappa

    2013-05-01

    Full Text Available Unmet health care needs are determined as the difference between the services judged necessary and the services actually received, and stem from barriers related to accessibility, availability and acceptability. This study aims to examine the prevalence of unmet needs and to identify the socioeconomic and health status factors that are associated with unmet needs. A cross-sectional study was conducted in Greece in 2010 and involved data from 1,000 consenting subjects (>18 years old. Multiple binary logistic regression analysis was applied to investigate the predictors of unmet needs and to determine the relation between the socio-demographic characteristics and the accessibility, availability and acceptability barriers. Ninety nine participants (9.9% reported unmet health needs during the 12 months prior to the research. The most frequently self-reported reasons were cost and lack of time. Youth, parenthood, physician consultations, and poor mental health increased the likelihood of unmet needs. Women were less likely to report accessibility and availability than acceptability barriers. Educational differences were evident and individuals with primary and secondary education were associated with significantly more accessibility and availability barriers compared with those with tertiary education. Unmet health needs pose a significant challenge to the health care system, especially given the difficult current financial situation in Greece. It is believed that unmet health needs will continue to increase, which will widen inequalities in health and health care access.

  6. Unmet needs and health-related quality of life in young-onset dementia

    NARCIS (Netherlands)

    Bakker, C.; Vugt, M.E. de; Vliet, D. van; Verhey, F.; Pijnenburg, Y.A.; Vernooij-Dassen, M.J.; Koopmans, R.T.

    2014-01-01

    OBJECTIVES: Young-onset dementia (YOD) causes specific challenges and issues that are likely to affect health-related quality of life (HRQOL). This study explored patient and caregiver HRQOL and its association with unmet needs in YOD. METHODS: A cross-sectional design was used to study 215 communit

  7. Unmet Healthcare and Social Services Needs of Older Canadian Adults with Developmental Disabilities

    Science.gov (United States)

    Shooshtari, Shahin; Naghipur, Saba; Zhang, Jin

    2012-01-01

    The authors sought to create a demographic, socioeconomic, and health-related profile of older (40+) Canadian adults with developmental disabilities (DD) residing in their communities, and to enhance current knowledge of their unmet health and social support services needs. They provide a secondary analysis of cross-sectional data from the 2001…

  8. Unmet Dental Needs and Barriers to Dental Care among Children with Autism Spectrum Disorders

    Science.gov (United States)

    Lai, Bien; Milano, Michael; Roberts, Michael W.; Hooper, Stephen R.

    2012-01-01

    Mail-in pilot-tested questionnaires were sent to a stratified random sample of 1,500 families from the North Carolina Autism Registry. Multivariate logistic regression analysis was used to determine the significance of unmet dental needs and other predictors. Of 568 surveys returned (Response Rate = 38%), 555 were complete and usable. Sixty-five…

  9. Disparities in unmet dental need and dental care received by pregnant women in Maryland.

    Science.gov (United States)

    Singhal, Astha; Chattopadhyay, Amit; Garcia, A Isabel; Adams, Amy B; Cheng, Diana

    2014-09-01

    To examine prenatal dental care needs, utilization and oral health counseling among Maryland women who delivered a live infant during 2001-2003 and identify the factors associated with having a dental visit and having an unmet dental need during pregnancy. Pregnancy Risk Assessment Monitoring System is an ongoing population based surveillance system that collects information of women's attitudes and experiences before, during, and shortly after pregnancy. Logistic regression was used to model dental visits and unmet dental need using predictor variables for Maryland 2001-2003 births. Less than half of all women reported having a dental visit and receiving oral health advice during pregnancy. Twenty-five percent of women reported a need for dental care, of which 33 % did not receive dental care despite their perceived need. Multivariate modeling revealed that racial minorities, women who were not married and those with annual income dental visit. Women who were not married, had low annual income, were older than 40 years of age, had an unintended pregnancy and received prenatal care later than desired were most likely to have an unmet dental need during pregnancy. Despite reported needs and existing recommendations to include oral health as a component of prenatal care, less than half of pregnant women have a dental visit during their pregnancy. One-third of women with a dental problem did not have a dental visit highlighting the unmet need for dental care during pregnancy.

  10. The unmet treatment need for moderate to severe psoriasis: results of a survey and chart review.

    NARCIS (Netherlands)

    Christophers, E.; Griffiths, C.E.; Gaitanis, G.; Kerkhof, P.C.M. van de

    2006-01-01

    BACKGROUND: Conventional systemic therapies and phototherapy for psoriasis are limited by safety concerns that may preclude long-term treatment with these agents. OBJECTIVES: To estimate the unmet need for safe and effective treatments for psoriasis. METHODS: A survey was conducted at three psoriasi

  11. Beyond an Autism Diagnosis: Children's Functional Independence and Parents' Unmet Needs

    Science.gov (United States)

    Brown, Hilary K.; Ouellette-Kuntz, Helene; Hunter, Duncan; Kelley, Elizabeth; Cobigo, Virginie; Lam, Miu

    2011-01-01

    High demand has resulted in gaps in autism service provision. Our objective was to explore the association between children's functioning and parents' perceived unmet needs. We conducted a cross-sectional study of 97 families of school-aged children with an autism spectrum disorder. Log binomial regression was used to examine the relative risk for…

  12. Links between depressive symptoms and unmet health and social care needs among older prisoners

    Science.gov (United States)

    O'Hara, Kate; Forsyth, Katrina; Webb, Roger; Senior, Jane; Hayes, Adrian Jonathan; Challis, David; Fazel, Seena; Shaw, Jenny

    2016-01-01

    Background: absolute numbers of older prisoners and their proportion of the total prison population are increasing. They have multiple health and social care needs that are prominent on entry into prison. No previous studies have identified older prisoners' health and social care needs at this crucial point. Objective: to examine unmet health and social care needs among older men entering prison and their links with depressive symptoms. Methods: a cross-sectional survey across nine prisons in the North of England was completed. One hundred male prisoners aged between 60 and 81 were interviewed, using the Camberwell Assessment of Need—Forensic short version (CANFOR-S) and Geriatric Depression Scale—Short Form (GDS-15). Descriptive statistics were generated and χ2 tests performed. Results: participants reported high levels of unmet needs as measured with the CANFOR-S, notably in the domains of knowledge about their condition and treatment (38%); psychological distress (34%); daytime activities (29%); benefits (28%); food (22%) and physical health (21%). The mean total number of unmet needs was 2.74, with a median of 2.0. More than half the sample (56%, 95% CI 45–66%) exhibited clinical signs of depression. A significant association between depressive symptomology and an unmet physical health need, as measured by the CANFOR-S, was detected (χ2 = 6.76, df = 1, P < 0.01). Conclusions: high levels of depressive symptoms were experienced by older prisoners on entry into prison. Personalised health and social care needs assessment and discrete depression screening are required on prison entry to facilitate effective management of unmet needs. PMID:26764402

  13. The unmet need in rheumatology: reports from the Targeted Therapies meeting 2016.

    Science.gov (United States)

    Winthrop, Kevin L; Strand, Vibeke; van der Heijde, Désiréé M; Mease, Philip J; Crow, Mary K; Weinblatt, Michael; Bathon, Joan M; Buch, Maya H; Burmester, Gerd R; Dougados, Maxime; Kay, Jonathan; Mariette, Xavier; Breedveld, Ferry C; Kalden, Joachim R; Smolen, Josef S; Furst, Daniel E

    2016-01-01

    The 18th annual international Targeted Therapies meeting brought together over 100 leading scientists and clinicians from around the world in the field of rheumatology. During the meeting, breakout sessions were held consisting of 5 disease-specific groups each with 20-40 experts assigned to each group based on clinical or scientific expertise. Specific groups included: rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis/spondyloarthritis, systemic lupus erythematous, and other connective tissue diseases (e.g. Sjögren's, Behçet's, others). In each group, experts were asked to identify unmet needs in 3 categorical areas: basic/translational science, clinical science and therapeutic development, and clinical care. Needs were prioritised as primary or secondary. Overall, similar primary unmet needs were identified within each disease foci. Within translational science, these included the need for better understanding the heterogeneity within each disease, such that predictive tools for therapeutic response could be developed. Within clinical science and therapeutic trials, the ability to prevent progression to disease onset in those at risk, and the ability to cure disease were identified. A further unmet need was to develop new and accessible therapeutics, as well as to conduct strategic trials of currently approved therapies. Within the clinical care realm, improved co-morbidity management and patient-centered care were identified as unmet needs. Lastly, it was strongly felt there was a need to develop a scientific infrastructure for well-characterised, longitudinal cohorts married with biobanks and mechanisms to support data-sharing. This infrastructure could facilitate many of the unmet needs identified within each disease area. PMID:27586809

  14. Radiological emergencies in industry (causes and consequences). Address at the second national course of Radiation Safety in Industry. Jun 5-7 2000 Guatemala

    International Nuclear Information System (INIS)

    The address discusses the following issues: review of accidents in industrial radiography, human factors, technical failures, factors that decrease risk, personnel training, design of equipment and recommendations

  15. Pharmacoresistant epilepsy: unmet needs in solving the puzzle(s).

    Science.gov (United States)

    Weaver, Donald F; Pohlmann-Eden, Bernd

    2013-05-01

    Pharmacoresistant epilepsy is a significant medical problem. The 2nd Halifax International Epilepsy Conference & Retreat identified crucial needs, which if successfully addressed, will aid in paving the way to improved lives for people with pharmacoresistant epilepsy. These are needs: (1) for an evidence-based and dynamic definition of pharmacoresistant epilepsy; (2) for a comprehensive description of the natural history of pharmacoresistant epilepsy; (3) for a comprehensive description of the complications and comorbidities of pharmacoresistant epilepsy; (4) for a rigorous delineation of the epidemiology and socioeconomic impact of pharmacoresistant epilepsy; (5) for clinically meaningful diagnostic and prognostic physiologically based electroencephalography (EEG) biomarkers; (6) for clinically meaningful diagnostic and prognostic anatomically based (MRI Imaging) biomarkers; (7) for biomolecular/biochemical mechanistic understanding of etiopathogenesis for pharmacoresistant epilepsy; (8) for representative animal models of pharmacoresistant epilepsy; (9) for new and effective drugs or other novel treatments for pharmacoresistant epilepsy; and (10) to promote continuing research and research funding targeting pharmacoresistant epilepsy.

  16. Degenerative Mitral Stenosis: Unmet Need for Percutaneous Interventions.

    Science.gov (United States)

    Sud, Karan; Agarwal, Shikhar; Parashar, Akhil; Raza, Mohammad Q; Patel, Kunal; Min, David; Rodriguez, Leonardo L; Krishnaswamy, Amar; Mick, Stephanie L; Gillinov, A Marc; Tuzcu, E Murat; Kapadia, Samir R

    2016-04-19

    Degenerative mitral stenosis (DMS) is an important cause of mitral stenosis, developing secondary to severe mitral annular calcification. With the increase in life expectancy and improved access to health care, more patients with DMS are likely to be encountered in developed nations. These patients are generally elderly with multiple comorbidities and often are high-risk candidates for surgery. The mainstay of therapy in DMS patients is medical management with heart rate control and diuretic therapy. Surgical intervention might be delayed until symptoms are severely limiting and cannot be managed by medical therapy. Mitral valve surgery is also challenging in these patients because of the presence of extensive calcification. Hence, there is a need to develop an alternative percutaneous treatment approach for patients with DMS who are otherwise inoperable or at high risk for surgery. In this review, we summarize the available data on the epidemiology of DMS and diagnostic considerations and current treatment strategies for these patients. PMID:27142604

  17. Quantities and Units used in Radiation Safety. Address at the third national course of Radiation Safety in Radiology. May 22-24, 2000 Guatemala

    International Nuclear Information System (INIS)

    The address discusses the following issues: the radiological units, radiation dose units, radiation protection units and operational quantities used for individual monitoring recently introduced by the International Commission of Radiological Units

  18. Special address by the Director of the Federal Radiation Protection Service, Prof. Akin Ojo at the opening ceremony of the national workshop on radiation protection and quality control in medical and industrial practices FRPS, Ibadan on Monday 15 November 1999

    International Nuclear Information System (INIS)

    A special address by the Director of the Federal Radiation Protection Service, Prof. Akin Ojo at the opening ceremony of the national workshop on radiation protection and quality control in medical and industrial practices held at the Federal Radiation Protection Service, Physics Dept. University of Ibadan from Monday 15 to Friday 19 November 1999

  19. Seniors’ unmet mobility needs – how important is a driving licence?

    DEFF Research Database (Denmark)

    Haustein, Sonja; Siren, Anu Kristiina

    2014-01-01

    Previous studies have come to different conclusions regarding how important a driving licence is for seniors to fulfil their mobility needs. We investigated this question based on three groups of Danish seniors: persons who were licensed as drivers (‘‘drivers’’); persons who have never been......, which were successively added to the models, health variables were most relevant, while socio-demographics and infrastructure played a minor role. When entering the health variables to the models, the effect of giving up a licence decreased but remained significant for unmet leisure needs, while...... it became insignificant for unmet shopping needs. The effect of never having had a licence was hardly affected by the inclusion of control variables. The results emphasise the importance of a driving licence in fulfilling seniors’ mobility needs. Contrary to our hypotheses, more experience with, and better...

  20. The unmet need for Emergency Obstetric Care in Tanga Region, Tanzania

    OpenAIRE

    Mtatifikolo Ferdinand; Hunger Claudia; Kuelker Rainer; Massawe Siriel; Prytherch Helen; Jahn Albrecht

    2007-01-01

    Abstract Background Improving maternal health by reducing maternal mortality constitutes the fifth Millennium Development Goal and represents a key public health challenge in the United Republic of Tanzania. In response to the need to evaluate and monitor safe motherhood interventions, this study aims at assessing the coverage of obstetric care according to the Unmet Obstetric Need (UON) concept by obtaining information on indications for, and outcomes of, major obstetric interventions. Furth...

  1. Unmet needs and relationship challenges of head and neck cancer patients and their spouses.

    Science.gov (United States)

    Badr, Hoda; Herbert, Krista; Reckson, Batya; Rainey, Hope; Sallam, Aminah; Gupta, Vishal

    2016-01-01

    In head and neck cancer (HNC), couple-based interventions may be useful for facilitating treatment completion, patient rehabilitation, and improving both partners' quality of life. With the goal of identifying targets for future interventions, we conducted a qualitative study to understand patient and spouse unmet needs and relationship challenges during curative radiotherapy for HNC. Semistructured interviews were conducted with six HNC patients (83% male) and six spouses (83% female) within 6 months of completing treatment. Interviews were audiotaped and transcribed using grounded theory analysis. Patients and spouses identified several unmet needs including better preparation regarding the severity of physical side effects, a clearer timeline for recovery, and strategies for dealing with their own and each other's emotional reactions. Caregiver's unmet needs included balancing competing roles/responsibilities, making time for self-care, and finding effective strategies for encouraging patient's self-care. Eighty-three percent of spouses and all patients reported increased conflict during treatment. Other relationship challenges included changes in intimacy and social/leisure activities. Findings suggest that couple-based interventions that emphasize the importance of managing physical and psychological symptoms through the regular practice of self-care routines may be beneficial for both patients and spouses. Likewise, programs that teach spouses ways to effectively motivate and encourage patients' self-care may help minimize conflict and help couples navigate HNC treatment and recovery together as a team. PMID:27269579

  2. DOENEWS: Address of John S. Herrington, Secretary of Energy, at the National symposium on the superconducting super collider in Denver, Colorado, December 3, 1987

    International Nuclear Information System (INIS)

    In this address, the President's support for basic science is briefly discussed, and support for the Superconducting Super Collider in particular is emphasized. Perceived benefits of the Super Collider are discussed, including benefits to the world, training for scientists, maintaining American competitiveness. Federal support of science, including Congressional action, is discussed briefly

  3. Factors associated with unmet dental care needs in Canadian immigrants: an analysis of the longitudinal survey of immigrants to Canada

    OpenAIRE

    Calvasina, Paola; Muntaner, Carles; Quiñonez, Carlos

    2014-01-01

    Background Immigrants are often considered to have poorer oral health than native born-populations. One possible explanation for immigrants’ poor oral health is lack of access to dental care. There is very little information on Canadian immigrants’ access to dental care, and unmet dental care needs. This study examines predictors of unmet dental care needs among a sample of adult immigrants to Canada over a three-point-five-year post-migration period. Methods A secondary data analysis was con...

  4. Unmet adolescent and young adult cancer survivors information and service needs: A population-based cancer registry study

    Science.gov (United States)

    Keegan, Theresa H.M.; Lichtensztajn, Daphne Y.; Kato, Ikuko; Kent, Erin E.; Wu, Xiao-Cheng; West, Michelle M.; Hamilton, Ann S.; Zebrack, Brad; Bellizzi, Keith M.; Smith, Ashley W.

    2012-01-01

    Purpose We described unmet information and service needs of adolescent and young adult (AYA) cancer survivors (15-39 years of age) and identified sociodemographic and health-related factors associated with these unmet needs. Methods We studied 523 AYAs recruited from 7 population-based cancer registries, diagnosed with acute lymphocytic leukemia, Hodgkin lymphoma, non-Hodgkin lymphoma, germ cell cancer or sarcoma in 2007-08. Participants completed surveys a median of 11 months from diagnosis. Multivariable logistic regression analyses were used to estimate associations between unmet (information and service) needs and sociodemographic and health-related factors. Results More than half of AYAs had unmet information needs relating to their cancer returning and cancer treatments. AYAs needing services, but not receiving them, ranged from 29% for in-home nursing to 75% for a support group. The majority of AYAs who needed a pain management expert, physical/occupational therapist, mental health worker or financial advice on paying for health care did not receive services. In multivariable analyses, older participants, men, participants of non-White race/ethnicity, and participants who reported less than excellent general health, or fair/poor quality of care were more likely to report unmet information needs. Factors associated with both unmet service and information needs included physical health or emotional problems interfering with social activities or having ≥ 3 physical treatment-related symptoms. Conclusions Recently diagnosed AYA cancer survivors have substantial unmet information needs varying by demographic and health-related factors. Implications for Cancer Survivors We identified subgroups of AYA cancer survivors with high unmet needs that can be targeted for interventions and referrals. PMID:22457219

  5. Address Points - Volusia County Addresses (Point)

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — Situs Addresses for Volusia County. Maintained by Growth and Resource Management. Addresses are determined by the cities for their jurisdiction and by the County...

  6. 32 CFR 516.7 - Mailing addresses.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 3 2010-07-01 2010-07-01 true Mailing addresses. 516.7 Section 516.7 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY AID OF CIVIL AUTHORITIES AND PUBLIC RELATIONS LITIGATION General § 516.7 Mailing addresses. Mailing addresses for organizations referenced...

  7. Preventing and Addressing Homophobic and Transphobic Bullying in Education: A Human Rights-Based Approach Using the United Nations Convention on the Rights of the Child

    Science.gov (United States)

    Cornu, Christophe

    2016-01-01

    Homophobic and transphobic bullying in schools can have a serious effect on children and young people subjected to it at a crucial moment in their lives. It is an obstacle to the right to education, which is one of the basic universal human rights enshrined in the Universal Declaration of Human Rights and various United Nations Conventions. This…

  8. Idaho National Laboratory/Nuclear Power Industry Strategic Plan for Light Water Reactor Research and Development An Industry-Government Partnership to Address Climate Change and Energy Security

    Energy Technology Data Exchange (ETDEWEB)

    Electric Power Research

    2007-11-01

    The dual issues of energy security and climate change mitigation are driving a renewed debate over how to best provide safe, secure, reliable and environmentally responsible electricity to our nation. The combination of growing energy demand and aging electricity generation infrastructure suggests major new capacity additions will be required in the years ahead.

  9. Report of the Inaugural Meeting of the TFOS i(2) = initiating innovation Series: Targeting the Unmet Need for Dry Eye Treatment.

    Science.gov (United States)

    Chao, Wendy; Belmonte, Carlos; Benitez Del Castillo, José M; Bron, Anthony J; Dua, Harminder S; Nichols, Kelly K; Novack, Gary D; Schrader, Stefan; Willcox, Mark D; Wolffsohn, James S; Sullivan, David A

    2016-04-01

    On March 21, 2015, a meeting was held in London, United Kingdom, to address the progress in targeting the unmet need for dry eye disease (DED) treatment. The meeting, which launched the i(2) = initiating innovation series, was sponsored by the Tear Film & Ocular Surface Society (TFOS; www.TearFilm.org) and supported by Dompé. The TFOS i(2) meeting was designed to review advances in the understanding of DED since publication of the 2007 TFOS International Dry Eye WorkShop (DEWS) report, and to help launch the highly anticipated sequel, DEWS II. The meeting was structured to discuss the scope of the DED problem, to review the clinical challenges of DED, and to consider the treatment challenges of DED. This article provides a synopsis of the presentations of this TFOS i(2) meeting. PMID:26774910

  10. Multi-Sector Participation In The National Response To Prevent And Address The Hiv/Aids Epidemic In The Republic Of Cuba, 2007-2008

    Directory of Open Access Journals (Sweden)

    Isora Ramos Valle

    2010-12-01

    Full Text Available The development of a strong national response involving multiple sectors—including civil society—is an essential aspect of the social management of the HIV/AIDS epidemic. The goals of this response are to control the epidemic and improve the quality of life for people living with HIV/AIDS; this includes combating stigma and discrimination, as well as ensuring due compliance with the law. Cuba has a national program to prevent and control HIV/AIDS. Since 2003 Cuba’s national program has received material and financial support from the Global Fund to Fight AIDS, Tuberculosis and Malaria. Program evaluation is carried out by an independent team at ENSAP (National School of Public Health. This paper reports on results of one part of that evaluation: an assessment of the agencies and sectors who made up the organized social and national response to the HIV/AIDS epidemic. The evaluation primarily used qualitative analyses of the activities and tasks proposed by sectors in their 2006-2008 work plans. Visits were made to the provinces of Ciudad de la Habana, Matanzas, and Holguín. Qualitative techniques included in-depth interviews, semi-structured interviews, observation, and review of documentary evidence of all kinds (videos, reports, minutes, protocols, results of social research, and radio broadcast messages and varied depending on the particular features of each sector. We noted improvements in multi-sector participation in the prevention and response to the national HIV/AIDS epidemic. Conscious of their role, sectors generally carried out their programmed activities and had improved their organization, planning, and systematization; integration among the sectors was also better. These local initiatives provided evidence of a multi-sector response characterized by autonomy, emotional involvement, and an identification with the goals of the project; this went beyond simply meeting targets. Cross-sector work showed a marked increase and a

  11. Association between unmet needs and clinical status in patients with first episode of schizophrenia in Chile

    Directory of Open Access Journals (Sweden)

    Natalia eJorquera

    2015-04-01

    Full Text Available Background: Schizophrenia is a severe mental disorder involving needs in several matters that are often not covered. A need is defined as a gap between the ideal state and the current state of a patient about a specific topic. Aim: To describe needs in patients with first episode of schizophrenia at the start of treatment, and to describe associated clinical factors. Methods: Observational descriptive cross-sectional design. Patients were over fifteen years old, with first episode schizophrenia, and admitted to treatment in the public health system from six district in two cities of Chile, between 2005 and 2006. Sociodemographic data, clinical evaluations of current psychosis based on the PANSS, and the time of untreated psychosis were obtained. A clinical interview, was carried out followed by the Camberwell Assessment of Need. Results: 29 patients were evaluated, 79.3% male, mean age 21.9 years old. The areas with more needs reported were; psychotic symptoms with 65.5% of sample, 21.1% of which reported it unmet; and daytime activities, where 44.8% of patients reported a need, 61.54% of them as unmet. The percentage of unmet needs correlated with PANSS score (r= 0.55; p=0.003, and with time of positive symptoms prior to diagnosis (r= 0.416; p=0.03. Discussion: Needs assessment in schizophrenia is necessary. It may affect its clinical course, be relevant in its management and help monitor recovery. Defining the main needs in people with first episode schizophrenia and associated factors allows for a better design of treatment strategies in order to obtain better therapeutic results and recovery.

  12. Measuring dementia carers' unmet need for services - an exploratory mixed method study

    Directory of Open Access Journals (Sweden)

    Vickers James

    2010-05-01

    Full Text Available Abstract Background To ensure carers of people with dementia receive support, community services increasingly use measures of caregiver (carer burden to assess for unmet need. This study used Bradshaw's taxonomy of need to explore the link between measures of carer burden (normative need, service use (expressed need, and carer's stated need (felt need. Methods This mixed method exploratory study compared measures of carer burden with community services received and unmet needs, for 20 community-dwelling carer/care-recipient pairs. Results A simple one-item measure of carers' felt need for more services was significantly related to carer stress as measured on the GHQ-30. Qualitative data showed that there are many potential stressors for carers, other than those related to the care-giving role. We found a statistically significant rank correlation (p = 0.01 between carer's use of in-home respite and the care-recipient's cognitive and functional status which is likely to have been related to increased requirement for carer vigilance, effort and the isolation of spouse carers. Otherwise, there were no statistically significant relationships between carer burden or stress and level of service provision. Conclusion When carers are stressed or depressed, they can recognise that they would like more help from services, even if measures of carer burden and care recipient status do not clearly indicate unmet service needs. A question designed to elicit carer' felt need may be a better indicator of service need, and a red flag for recognising growing stress in carers of people with dementia. Assessment of service needs should recognise the fallibility of carer burden measures, given that carer stress may not only come from caring for someone with dementia, but can be significantly compounded by other life situations.

  13. Allegheny County Address Points

    Data.gov (United States)

    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...

  14. Enhancing continental-scale understanding of agriculture: Integrating the National Ecological Observatory Network (NEON) with existing research networks to address global change.

    Science.gov (United States)

    Kelly, G.

    2015-12-01

    Over the past decade, there has been a resurgence of interest in the sustainability of the world's food system and its contributions to feeding the world's population as well as to ensuring environmental sustainability of the planet. The elements of this grand challenge are by now well known. Analysis of agricultural sustainability is made more challenging by the fact that the local responses to these global drivers of change are extremely variable in space and time due to the biophysical and geopolitical heterogeneity across the United States, and the world. Utilizing research networks allows the scientific community to leverage existing knowledge, models and data to develop a framework for understanding the interplay between global change drivers, regional, and continental sustainability of US agriculture. For example, well-established instrumented and calibrated research networks will allow for the examination of the potential tradeoffs between: 1) crop production, 2) land use and carbon emissions and sequestration, 3) groundwater depletion, and 4) nitrogen dynamics. NEON represents a major investment in scientific infrastructure in support of ecological research at a continental scale and is intended to address multiple ecological grand challenges. NEON will collect data from automated sensors and sample organisms and ecological variables in 20 eco-climatic domains. We will provide examples of how NEON's full potential can be realized when these data are combined with long term experimental results and other sensor networks [e.g., Ameriflux, Fluxnet, the Long-term Ecological Research Program (LTER), the Long-term Agroecosystem Research Network (LTAR)], Critical Zone Observatory (CZO).

  15. The impact of pain on quality of life and the unmet needs of pain management: results from pain sufferers and physicians participating in an Internet survey.

    Science.gov (United States)

    McCarberg, Bill H; Nicholson, Bruce D; Todd, Knox H; Palmer, Trish; Penles, Leslie

    2008-01-01

    Pain is one of the most common medical complaints, but despite its prevalence, many individuals still suffer with unrelieved or undertreated pain. This marketing research survey was designed to determine the physical, psychological, and economic impact pain has on the lives of individuals suffering with pain and to identify the unmet needs of patients who have taken opioid medications to treat their pain. In addition, the survey sought to address the challenges physicians face when treating patients with pain. Pain sufferers were recruited through e-mail invitation to an Internet survey; 173,854 invitations were sent out, 22,018 people responded (12.7%), and 606 met the criteria for inclusion in the survey as pain sufferers. Of these, 359 people had moderate to moderately severe chronic pain and 247 people had moderate to moderately severe acute pain. Additionally, physicians currently treating pain were recruited through e-mail and postal mail invitations and 492 met eligibility criteria: 241 specialists (orthopedic or general surgeons, pain specialists or anesthesiologists), 125 primary care, and 126 emergency medicine physicians. Results of this survey supported what many physicians observe in their practice and hear from their patients, that pain has a negative impact on daily activities in the majority of pain sufferers. Many chronic pain sufferers reported that pain had deleterious effects on their mental health, employment status, sleep, and personal relationships. The impact of pain on patient quality of life and the unmet needs in pain management were recognized by the majority of physicians surveyed, with inadequate pain control, end-of-dose pain, and side effects associated with increased dosing reported as negative factors influencing their choice of pain medication. In conclusion, effective communication between physicians and patients is encouraged to not only improve overall pain management but also to establish shared treatment goals with functional

  16. Reach Address Database (RAD)

    Data.gov (United States)

    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,...

  17. Unmet needs of women with breast cancer during and after primary treatment: A prospective study in Denmark

    DEFF Research Database (Denmark)

    von Heymann-Horan, A.B; Dalton, Susanne Oksbjerg; Dziekanska, Angelika;

    2013-01-01

    their diagnosis and throughout the disease trajectory. Material and methods. Consecutive women with newly diagnosed breast cancer, undergoing surgery at the Breast Surgery Clinic, Rigshospitalet, Denmark, between 2008 and 2009 (N = 261), completed questionnaires on their unmet needs, anxiety, physical functioning.......14-5.44), not having a partner (OR 2.25; 95% CI 1.22-4.17) and anxiety (OR 1.13; 95% CI 1.05-1.20) at four months; and age (OR 0.91; 95% CI 0.87-0.94), not having a partner (OR 2.21; 95% CI 1.10-4.46) and having had one or more unmet needs at four months (OR 6.83, 95% CI 3.55-13.16) at eight months. Conclusion....... A total of 53% of women with breast cancer had unmet needs at some time between diagnosis and the end of primary treatment (eight months after diagnosis). A contextual understanding of unmet needs is necessary for planning cancer rehabilitation, as not only factors such as anxiety, physical functioning...

  18. Unmet needs of outpatients with late-life depression; a comparison of patient, staff and carer perceptions

    NARCIS (Netherlands)

    Houtjes, Wim; Meijel, Berno van; Deeg, Dorly; Beekman, Aartjan

    2011-01-01

    There is evidence that late life depression is associated with high levels of unmet needs. Only a minority of the depressed patients appears to be adequately treated. Ninety-nine older patients (58-92 years), 96 informal carers and 85 health-care professionals were recruited from six outpatient fac

  19. A Call to Action: An Address to the Tulsa Metropolitan Chamber of Commerce, A Response to the Report of the National Commission on Excellence in Education: A Nation at Risk.

    Science.gov (United States)

    Zenke, Larry L.

    The Superintendent of Schools reports factual information about and briefly describes accomplishments of the Tulsa Public Schools to enable the Board of Directors of the Chamber of Commerce to assess the status of the schools vis-a-vis the Report of the National Commission on Excellence in Education. Recent scores of students on national…

  20. Management of Ewing sarcoma family of tumors: Current scenario and unmet need.

    Science.gov (United States)

    Biswas, Bivas; Bakhshi, Sameer

    2016-09-18

    Ewing sarcoma family tumors (ESFT) are heterogeneous, aggressive group of disease with peak incidence in adolescent and young adults. The outcome has been improved dramatically from 10% with surgery and radiotherapy alone to 65%-70% now, in localized disease, with the introduction of chemotherapy. Chemotherapy regimen evolved from single agent to multiagent with effort of many cooperative clinical trials over decades. The usual treatment protocol include introduction of multi-agent chemotherapy in neoadjuvant setting to eradicate systemic disease with timely incorporation of surgery and/or radiotherapy as local treatment modality and further adjuvant chemotherapy to prevent recurrence. Risk adapted chemotherapy in neoadjuvant and adjuvant setting along with radiotherapy has been used in many international collaborative trials and has resulted in improved outcome, more so in patients with localized disease. The role of high dose chemotherapy with stem cell rescue is still debatable. The outcome of patients with metastatic disease is dismal with long term outcome ranges from 20%-40% depending on the sites of metastasis and intensity of treatment. There is a huge unmet need to improve outcome further, more so in metastatic setting. Novel therapy targeting the molecular pathways and pathogenesis of ESFT is very much required. Here we have discussed the current standard of management in patients with ESFT, investigational targeted or novel therapies along with future promises. PMID:27672565

  1. Unmet need of contraception: a critical juncture toward family planning goals.

    Science.gov (United States)

    Haldar, Dibakar; Saha, Indranil; Paul, Bobby; Mukherjee, Abhijit; Ray, Tapobrata Guha

    2013-01-01

    India is the first country in the world to implement a family planning program, and this program has succeeded in generating universal knowledge about family planning methods. In spite of this, there exists a wide gap between knowledge and acceptance of family planning methods reflecting an unmet need for contraception. Different communication channels used to disseminate knowledge like television, radio, and newspapers aim to change the family planning methods. Being a didactic method, these have the least potential to change the attitudes of the people. This article represents the tip of the iceberg of the fate arising out of incomplete information provided through mass media not supported by a formal family planning program. One primipara woman after getting pregnant took an emergency contraceptive pill and attended a clinic with vaginal bleeding, abdominal pain, and pallor. Ultimately she underwent suction evacuation and survived. This indicates that mass media should not be a substitute, but rather a supplement to the routine program of the health worker to promote contraception.

  2. Management of Ewing sarcoma family of tumors: Current scenario and unmet need

    Science.gov (United States)

    Biswas, Bivas; Bakhshi, Sameer

    2016-01-01

    Ewing sarcoma family tumors (ESFT) are heterogeneous, aggressive group of disease with peak incidence in adolescent and young adults. The outcome has been improved dramatically from 10% with surgery and radiotherapy alone to 65%-70% now, in localized disease, with the introduction of chemotherapy. Chemotherapy regimen evolved from single agent to multiagent with effort of many cooperative clinical trials over decades. The usual treatment protocol include introduction of multi-agent chemotherapy in neoadjuvant setting to eradicate systemic disease with timely incorporation of surgery and/or radiotherapy as local treatment modality and further adjuvant chemotherapy to prevent recurrence. Risk adapted chemotherapy in neoadjuvant and adjuvant setting along with radiotherapy has been used in many international collaborative trials and has resulted in improved outcome, more so in patients with localized disease. The role of high dose chemotherapy with stem cell rescue is still debatable. The outcome of patients with metastatic disease is dismal with long term outcome ranges from 20%-40% depending on the sites of metastasis and intensity of treatment. There is a huge unmet need to improve outcome further, more so in metastatic setting. Novel therapy targeting the molecular pathways and pathogenesis of ESFT is very much required. Here we have discussed the current standard of management in patients with ESFT, investigational targeted or novel therapies along with future promises. PMID:27672565

  3. Access Disparity and Health Inequality of the Elderly: Unmet Needs and Delayed Healthcare

    Directory of Open Access Journals (Sweden)

    Tetsuji Yamada

    2015-02-01

    Full Text Available The purpose of this study is to investigate healthcare access disparity that will cause delayed and unmet healthcare needs for the elderly, and to examine health inequality and healthcare cost burden for the elderly. To produce clear policy applications, this study adapts a modified PRECEDE-PROCEED model for framing theoretical and experimental approaches. Data were collected from a large collection of the Community Tracking Study Household Survey 2003–2004 of the USA. Reliability and construct validity are examined for internal consistency and estimation of disparity and inequality are analyzed by using probit/ols regressions. The results show that predisposing factors (e.g., attitude, beliefs, and perception by socio-demographic differences are negatively associated with delayed healthcare. A 10% increase in enabling factors (e.g., availability of health insurance coverage, and usual sources of healthcare providers are significantly associated with a 1% increase in healthcare financing factors. In addition, information through a socio-economic network and support system has a 5% impact on an access disparity. Income, health status, and health inequality are exogenously determined. Designing and implementing easy healthcare accessibility (healthcare system and healthcare financing methods, and developing a socio-economic support network (including public health information are essential in reducing delayed healthcare and health inequality.

  4. A survey of cancer patients' unmet information and coordination needs in handovers -- a cross-sectional study

    DEFF Research Database (Denmark)

    Søndergaard, Eva Gad; Grøne, Bettina Haastrup; Wulff, Christian Nielsen;

    2013-01-01

    The care responsibilities for cancer patients are frequently handed over from one healthcare professional to another. These handovers are known to pose a threat to the safety of patients and the efficiency of the healthcare system. Little is known about specific needs of cancer patients in handov......The care responsibilities for cancer patients are frequently handed over from one healthcare professional to another. These handovers are known to pose a threat to the safety of patients and the efficiency of the healthcare system. Little is known about specific needs of cancer patients...... in handovers. The objectives of this study were to examine cancer patients' unmet needs for information and coordination in handovers and to analyse the association between patients' demographic and clinical characteristics and unmet information and coordination needs....

  5. Unmet reproductive health needs among women in some West African countries: a systematic review of outcome measures and determinants

    OpenAIRE

    Ayanore, Martin Amogre; Pavlova, Milena; Groot, Wim

    2016-01-01

    Background Identifying relevant measures of women’s reproductive health needs is critical to improve women’s chances of service utilization. The study aims to systematically review and analyze the adequacy of outcome measures and determinants applied in previous studies for assessing women reproductive health needs across West Africa. Methods Evidence on outcomes and determinants of unmet reproductive health needs among women of childbearing age in diverse multicultural, religious, and ethnic...

  6. Responding to the Needs of Children and Families After a Disaster: Linkages Between Unmet Needs and Caregiver Functioning

    OpenAIRE

    Kilmer, Ryan P.; Gil-Rivas, Virginia

    2010-01-01

    Disasters may negatively influence caregivers’ ability to respond to the needs of their families. In this context, service organizations’ response to families’ needs may affect caregivers’ symptoms and parenting. Interviews were conducted with caregivers affected by Hurricane Katrina approximately 12-months (T1; N = 68) and 2 years post-hurricane (T2; N = 52). Caregivers reported high levels of service needs and unmet needs for themselves and their child(ren) and family at both time points. R...

  7. A new method to address unmet needs for extracting individual cell migration features from a large number of cells embedded in 3D volumes.

    Directory of Open Access Journals (Sweden)

    Ivan Adanja

    Full Text Available BACKGROUND: In vitro cell observation has been widely used by biologists and pharmacologists for screening molecule-induced effects on cancer cells. Computer-assisted time-lapse microscopy enables automated live cell imaging in vitro, enabling cell behavior characterization through image analysis, in particular regarding cell migration. In this context, 3D cell assays in transparent matrix gels have been developed to provide more realistic in vitro 3D environments for monitoring cell migration (fundamentally different from cell motility behavior observed in 2D, which is related to the spread of cancer and metastases. METHODOLOGY/PRINCIPAL FINDINGS: In this paper we propose an improved automated tracking method that is designed to robustly and individually follow a large number of unlabeled cells observed under phase-contrast microscopy in 3D gels. The method automatically detects and tracks individual cells across a sequence of acquired volumes, using a template matching filtering method that in turn allows for robust detection and mean-shift tracking. The robustness of the method results from detecting and managing the cases where two cell (mean-shift trackers converge to the same point. The resulting trajectories quantify cell migration through statistical analysis of 3D trajectory descriptors. We manually validated the method and observed efficient cell detection and a low tracking error rate (6%. We also applied the method in a real biological experiment where the pro-migratory effects of hyaluronic acid (HA were analyzed on brain cancer cells. Using collagen gels with increased HA proportions, we were able to evidence a dose-response effect on cell migration abilities. CONCLUSIONS/SIGNIFICANCE: The developed method enables biomedical researchers to automatically and robustly quantify the pro- or anti-migratory effects of different experimental conditions on unlabeled cell cultures in a 3D environment.

  8. Addressing the workforce pipeline challenge

    International Nuclear Information System (INIS)

    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. (authors)

  9. Addressing the workforce pipeline challenge

    Energy Technology Data Exchange (ETDEWEB)

    Leonard Bond; Kevin Kostelnik; Richard Holman

    2006-11-01

    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.

  10. UK prescribing practices as proxy markers of unmet need in allergic rhinitis: a retrospective observational study

    Science.gov (United States)

    Price, David B; Scadding, Glenis; Bachert, Claus; Saleh, Hesham; Nasser, Shuaib; Carter, Victoria; von Ziegenweidt, Julie; Durieux, Alice M S; Ryan, Dermot

    2016-01-01

    Little data on UK prescribing patterns and treatment effectiveness for allergic rhinitis (AR) are available. We quantified unmet pharmacologic needs in AR by assessing AR treatment effectiveness based on the prescribing behaviour of UK general practitioners (GP) during two consecutive pollen seasons (2009 and 2010). We conducted a retrospective observational study with the data from the Optimum Patient Care Research Database. We assessed diagnoses and prescription data for patients with a recorded diagnosis of rhinitis who took rhinitis medication during the study period. We assessed the data from 25,069 patients in 2009 and 22,381 patients in 2010. Monotherapy was the initial prescription of the season for 67% of patients with seasonal AR (SAR) and 77% of patients with nonseasonal upper airways disease (NSUAD), for both years. Initial oral antihistamine (OAH) or intranasal corticosteroid (INS) monotherapy proved insufficient for >20% of SAR and >37% of NSUAD patients. Multiple therapy was the initial prescription for 33% of SAR and 23% of NSUAD in both years, rising to 45% and >50% by season end, respectively. For NSUAD, dual-therapy prescriptions doubled and triple-therapy prescriptions almost tripled during both seasons. Many patients revisited their GP regardless of initial prescription. Initial OAH or INS monotherapy provides insufficient symptom control for many AR patients. GPs often prescribe multiple therapies at the start of the season, with co-prescription becoming more common as the season progresses. However, patients prescribed multiple therapies frequently revisit their GP, presumably to adjust treatment. These data suggest the need for more effective AR treatment and management strategies. PMID:27334893

  11. UK prescribing practices as proxy markers of unmet need in allergic rhinitis: a retrospective observational study.

    Science.gov (United States)

    Price, David B; Scadding, Glenis; Bachert, Claus; Saleh, Hesham; Nasser, Shuaib; Carter, Victoria; von Ziegenweidt, Julie; Durieux, Alice M S; Ryan, Dermot

    2016-01-01

    Little data on UK prescribing patterns and treatment effectiveness for allergic rhinitis (AR) are available. We quantified unmet pharmacologic needs in AR by assessing AR treatment effectiveness based on the prescribing behaviour of UK general practitioners (GP) during two consecutive pollen seasons (2009 and 2010). We conducted a retrospective observational study with the data from the Optimum Patient Care Research Database. We assessed diagnoses and prescription data for patients with a recorded diagnosis of rhinitis who took rhinitis medication during the study period. We assessed the data from 25,069 patients in 2009 and 22,381 patients in 2010. Monotherapy was the initial prescription of the season for 67% of patients with seasonal AR (SAR) and 77% of patients with nonseasonal upper airways disease (NSUAD), for both years. Initial oral antihistamine (OAH) or intranasal corticosteroid (INS) monotherapy proved insufficient for >20% of SAR and >37% of NSUAD patients. Multiple therapy was the initial prescription for 33% of SAR and 23% of NSUAD in both years, rising to 45% and >50% by season end, respectively. For NSUAD, dual-therapy prescriptions doubled and triple-therapy prescriptions almost tripled during both seasons. Many patients revisited their GP regardless of initial prescription. Initial OAH or INS monotherapy provides insufficient symptom control for many AR patients. GPs often prescribe multiple therapies at the start of the season, with co-prescription becoming more common as the season progresses. However, patients prescribed multiple therapies frequently revisit their GP, presumably to adjust treatment. These data suggest the need for more effective AR treatment and management strategies. PMID:27334893

  12. Addressing Sexual Harassment

    Science.gov (United States)

    Young, Ellie L.; Ashbaker, Betty Y.

    2008-01-01

    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…

  13. Addressing Social Issues.

    Science.gov (United States)

    Schoebel, Susan

    1991-01-01

    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…

  14. Professional health care use and subjective unmet need for social or emotional problems: a cross-sectional survey of the married and divorced population of Flanders

    Directory of Open Access Journals (Sweden)

    Colman Elien

    2012-11-01

    Full Text Available Abstract Background The high mental health care consumption rates of divorced singles may constitute a heavy burden on the public health care system. This raises the question of whether their higher health care use stems from a greater need, or whether there are other factors contributing to these high consumption rates. We examine both health care use and subjective unmet need (perceiving a need for care without seeking it because of social or emotional problems of the divorced singles, the repartnered divorcees, and the married. Moreover, we investigate how health care use and subjective unmet need relate to each other. Methods We conduct several gender specific logistic regressions employing data from the Divorce in Flanders Survey (N men = 2884; N women = 3317. Results Results show that the divorced singles have more contact with professional health care providers (general practitioners, psychiatrists, and psychologists because of social or emotional problems, and more often perceive unmet needs. The higher health care use rates and greater subjective unmet needs can largely be attributed to higher levels of depressive symptoms. Surprisingly, we find that non-frequent health care users more often perceive a subjective unmet need than frequent health care users and those who have not contacted any health care provider. Conclusion The single divorced consult health care providers more often because of social or emotional problems and they also perceive unmet needs more often.

  15. Nation

    DEFF Research Database (Denmark)

    Østergaard, Uffe

    2014-01-01

    Nation er et gammelt begreb, som kommer af det latinske ord for fødsel, natio. Nationalisme bygger på forestillingen om, at mennesker har én og kun én national identitet og har ret til deres egen nationalstat. Ordet og forestillingen er kun godt 200 år gammel, og i 1900-tallet har ideologien bredt...... sig over hele verden. Nationalisme er blevet global....

  16. Bioreactors Addressing Diabetes Mellitus

    OpenAIRE

    Minteer, Danielle M.; Gerlach, Jorg C; Marra, Kacey G.

    2014-01-01

    The concept of bioreactors in biochemical engineering is a well-established process; however, the idea of applying bioreactor technology to biomedical and tissue engineering issues is relatively novel and has been rapidly accepted as a culture model. Tissue engineers have developed and adapted various types of bioreactors in which to culture many different cell types and therapies addressing several diseases, including diabetes mellitus types 1 and 2. With a rising world of bioreactor develop...

  17. Review of ICT-Based Services for Identified Unmet Needs in People with Dementia

    Science.gov (United States)

    Lauriks, Steve; Reinersmann, Annika; van der Roest, Henriëtte Geralde; Meiland, Franka; Davies, Richard; Moelaert, Ferial; Mulvenna, Maurice D.; Nugent, Chris D.; Dröes, Rose-Marie

    Some of the needs that people with dementia and their informal carers currently perceive as insufficiently met by regular care and support services might be alleviated, or even be met, using modern Information and Communication Technology (ICT). The study described in this chapter was designed to provide an insight into the state of the art in ICT solutions that could contribute to meet the most frequently mentioned unmet needs by people with dementia and their informal carers. These needs can be summarized as (1) the need for general and personalized information; (2) the need for support with regard to symptoms of dementia; (3) the need for social contact and company; and (4) the need for health monitoring and perceived safety. Databases that were searched include PubMed, Cinahl, Psychinfo, Google (Scholar), INSPEC and IEEE. In total 22 websites and 46 publications were included that satisfied the following criteria: the article reports on people with dementia and/or their informal carers and discusses an ICT device that has been tested within the target group and has proven to be helpful. Within the first need area 18 relevant websites and three studies were included; within the second need area 4 websites and 20 publications were included. Within the third and fourth need area 11 and 12 publications were included, respectively. Most articles reported on uncontrolled studies. It is concluded that the informational websites offer helpful information for carers but seem less attuned to the person with dementia and do not offer personalized information. ICT solutions aimed at compensating for disabilities, such as memory problems and daily activities, demonstrate that people with mild to moderate dementia are capable of handling simple electronic equipment and can benefit from it in terms of more confidence and enhanced positive affect. Instrumental ICT support for coping with behavioural and psychological changes in dementia is relatively disregarded as yet, while

  18. Bioreactors addressing diabetes mellitus.

    Science.gov (United States)

    Minteer, Danielle M; Gerlach, Jorg C; Marra, Kacey G

    2014-11-01

    The concept of bioreactors in biochemical engineering is a well-established process; however, the idea of applying bioreactor technology to biomedical and tissue engineering issues is relatively novel and has been rapidly accepted as a culture model. Tissue engineers have developed and adapted various types of bioreactors in which to culture many different cell types and therapies addressing several diseases, including diabetes mellitus types 1 and 2. With a rising world of bioreactor development and an ever increasing diagnosis rate of diabetes, this review aims to highlight bioreactor history and emerging bioreactor technologies used for diabetes-related cell culture and therapies.

  19. Addressing Environmental Health Inequalities

    Science.gov (United States)

    Gouveia, Nelson

    2016-01-01

    Environmental health inequalities refer to health hazards disproportionately or unfairly distributed among the most vulnerable social groups, which are generally the most discriminated, poor populations and minorities affected by environmental risks. Although it has been known for a long time that health and disease are socially determined, only recently has this idea been incorporated into the conceptual and practical framework for the formulation of policies and strategies regarding health. In this Special Issue of the International Journal of Environmental Research and Public Health (IJERPH), “Addressing Environmental Health Inequalities—Proceedings from the ISEE Conference 2015”, we incorporate nine papers that were presented at the 27th Conference of the International Society for Environmental Epidemiology (ISEE), held in Sao Paulo, Brazil, in 2015. This small collection of articles provides a brief overview of the different aspects of this topic. Addressing environmental health inequalities is important for the transformation of our reality and for changing the actual development model towards more just, democratic, and sustainable societies driven by another form of relationship between nature, economy, science, and politics. PMID:27618906

  20. Addressing Environmental Health Inequalities.

    Science.gov (United States)

    Gouveia, Nelson

    2016-01-01

    Environmental health inequalities refer to health hazards disproportionately or unfairly distributed among the most vulnerable social groups, which are generally the most discriminated, poor populations and minorities affected by environmental risks. Although it has been known for a long time that health and disease are socially determined, only recently has this idea been incorporated into the conceptual and practical framework for the formulation of policies and strategies regarding health. In this Special Issue of the International Journal of Environmental Research and Public Health (IJERPH), "Addressing Environmental Health Inequalities-Proceedings from the ISEE Conference 2015", we incorporate nine papers that were presented at the 27th Conference of the International Society for Environmental Epidemiology (ISEE), held in Sao Paulo, Brazil, in 2015. This small collection of articles provides a brief overview of the different aspects of this topic. Addressing environmental health inequalities is important for the transformation of our reality and for changing the actual development model towards more just, democratic, and sustainable societies driven by another form of relationship between nature, economy, science, and politics. PMID:27618906

  1. Addressing Software Security

    Science.gov (United States)

    Bailey, Brandon

    2015-01-01

    Historically security within organizations was thought of as an IT function (web sites/servers, email, workstation patching, etc.) Threat landscape has evolved (Script Kiddies, Hackers, Advanced Persistent Threat (APT), Nation States, etc.) Attack surface has expanded -Networks interconnected!! Some security posture factors Network Layer (Routers, Firewalls, etc.) Computer Network Defense (IPS/IDS, Sensors, Continuous Monitoring, etc.) Industrial Control Systems (ICS) Software Security (COTS, FOSS, Custom, etc.)

  2. Addressing Climate Crisis

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    @@ A series of extreme global weather events,like floods in Pakistan and droughts in Russia,should serve as a call to the world to take action against climate change.But worries have been mounting since global climate talks stalled,partly due to rifts between developed and developing countries.What efforts should be made to force progress in the negotiating process? What role has China played in combating climate change? Su Wei,China's chief climate negotiator and Director-General of the Climate Change Department of the National Development and Reform Commission(NDRC),sat down with Beijing Review reporter Hu Yue to answer these questions and more.

  3. Addressing Climate Crisis

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    A series of extreme global weather events,like floods in Pakistan and droughts in Russia,should serve as a call to the world to take action against climate change.But worries have been mounting since global climate talks stalled,partly due to rifts between developed and developing countries.What efforts should be made to force progress in the negotiating process?What role has China played in combating climate change?Su Wei,China’s chief climate negotiator and Director-General of the Climate Change Department of the National Development and Reform Commission(NDRC),sat down with Beijing Review reporter Hu Yue to answer these questions and more.Edited excerpts follow

  4. Addressing the labour shortage

    Energy Technology Data Exchange (ETDEWEB)

    Riemer, J. [Alberta Economic Development, Edmonton, AB (Canada)

    2005-07-01

    Labour shortages are an increasing concern for companies in Alberta, where the economy is booming. This presentation provided statistics on labour shortages and Alberta's labour force. Between 1995 and 2004, employment in Alberta increased by more than 433,000 jobs, and is predicted to grow, but the natural population increase in the province is only 19,600 per year. It is expected that by 2010, immigrants will account for all growth in Canada's labour force. By 2020, an additional $100 billion of capital will be invested in Alberta, which is competing for labour with every other industrialized economy in the world. This presentation included a series of graphs and charts depicting Canada's national unemployment rate by province; Alberta's unemployment rate; oil sands capital expenditure; regional workforce requirements; and new jobs in the oil sands industry from 1998 to 2010. Employment requirements by trade were also highlighted along with projected labour shortages in 16 different trades. The author recommended that better long-term labour supply and demand models are needed along with rationalization and streamlining of credentials systems. Other solutions to labour shortages may include the removal of barriers to interprovincial and foreign workers; education and training; enhanced productivity; industry collaboration; and maximization of the labour pool to include women and Aboriginal workers. tabs., figs.

  5. Road Map to Address Cognitive Health

    Centers for Disease Control (CDC) Podcasts

    2014-06-09

    In this podcast, CDC’s 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.

  6. Addressing Student Debt in the Classroom

    Science.gov (United States)

    Perkins, David; Johnston, Tim; Lytle, Rick

    2016-01-01

    Student debt is a national concern. The authors address debt in the classroom to enhance students' understanding of the consequences of debt and the need for caution when financing their education. However, student feedback indicates this understanding has a delayed effect on borrowing behavior and underscores the importance of making difficult…

  7. Addressing psychiatric comorbidity.

    Science.gov (United States)

    Woody, G E; McLellan, A T; O'Brien, C P; Luborsky, L

    1991-01-01

    Research studies indicate that addressing psychiatric comorbidity can improve treatment for selected groups of substance-abusing patients. However, the chances for implementing the necessary techniques on a large scale are compromised by the absence of professional input and guidance within programs. This is especially true in public programs, which treat some of the most disadvantaged, disturbed, and socially destructive individuals in the entire mental health system. One starting point for upgrading the level of knowledge and training of staff members who work in this large treatment system could be to develop a better and more authoritative information dissemination network. Such a system exists in medicine; physicians are expected to read appropriate journals and to guide their treatment decisions using the data contained in the journals. Standards of practice and methods for modifying current practice are within the tradition of reading new facts, studying old ones, and comparing treatment outcome under different conditions with what is actually being done. No such general system of information-gathering or -sharing exists, particularly in public treatment programs. One of the most flagrant examples of this "educational shortfall" can be found among those methadone programs that adamantly insist on prescribing no more than 30 to 35 mg/day for all patients, in spite of the overwhelming evidence that these dose levels generally are inadequate. In some cases, program directors are unaware of studies that have shown the relationship between dose and outcome. In other cases, they are aware of the studies but do not modify their practices accordingly. This example of inadequate dosing is offered as an example of one situation that could be improved by adherence to a system of authoritative and systematic information dissemination. Many issues in substance abuse treatment do not lend themselves to information dissemination as readily as that of methadone dosing

  8. Address Points, Addressing, Published in 2008, Taylor County.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Address Points dataset, was produced all or in part from Orthoimagery information as of 2008. It is described as 'Addressing'. Data by this publisher are often...

  9. 32 CFR Appendix B to Part 516 - Mailing Addresses

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 3 2010-07-01 2010-07-01 true Mailing Addresses B Appendix B to Part 516 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY AID OF CIVIL AUTHORITIES AND PUBLIC RELATIONS LITIGATION Pt. 516, App. B Appendix B to Part 516—Mailing Addresses The following is...

  10. Observations of IPv6 Addresses

    OpenAIRE

    Malone, David

    2008-01-01

    IPv6 addresses are longer than IPv4 addresses, and are so capable of greater expression. Given an IPv6 address, conventions and standards allow us to draw conclusions about how IPv6 is being used on the node with that address. We show a technique for analysing IPv6 addresses and apply it to a number of datasets. The datasets include addresses seen at a busy mirror server, at an IPv6-enabled TLD DNS server and when running traceroute across the production IPv6 network. The technique quantif...

  11. Is food allergen analysis flawed? Health and supply chain risks and a proposed framework to address urgent analytical needs.

    Science.gov (United States)

    Walker, M J; Burns, D T; Elliott, C T; Gowland, M H; Mills, E N Clare

    2016-01-01

    Food allergy is an increasing problem for those affected, their families or carers, the food industry and for regulators. The food supply chain is highly vulnerable to fraud involving food allergens, risking fatalities and severe reputational damage to the food industry. Many facets are being pursued to ameliorate the difficulties including better food labelling and the concept of thresholds of elicitation of allergy symptoms as risk management tools. These efforts depend to a high degree on the ability reliably to detect and quantify food allergens; yet all current analytical approaches exhibit severe deficiencies that jeopardise accurate results being produced particularly in terms of the risks of false positive and false negative reporting. If we fail to realise the promise of current risk assessment and risk management of food allergens through lack of the ability to measure food allergens reproducibly and with traceability to an international unit of measurement, the analytical community will have failed a significant societal challenge. Three distinct but interrelated areas of analytical work are urgently needed to address the substantial gaps identified: (a) a coordinated international programme for the production of properly characterised clinically relevant reference materials and calibrants for food allergen analysis; (b) an international programme to widen the scope of proteomics and genomics bioinformatics for the genera containing the major allergens to address problems in ELISA, MS and DNA methods; (c) the initiation of a coordinated international programme leading to reference methods for allergen proteins that provide results traceable to the SI. This article describes in more detail food allergy, the risks of inapplicable or flawed allergen analyses with examples and a proposed framework, including clinically relevant incurred allergen concentrations, to address the currently unmet and urgently required analytical requirements. Support for the

  12. The Effect of Structured Counseling towards Knowledge, Attitude, and Participation of Modern Contraceptive among Unmet Need Couples

    Directory of Open Access Journals (Sweden)

    Herlina Simanjuntak

    2016-06-01

    pasangan usia subur (PUS yang unmet need. Penelitian ini merupakan eksperimen semu dengan rancangan pretest-posttest dengan kelompok kontrol. Penelitian ini dilakukan pada periode Maret – Juni 2015. Pengambilan sampel dilakukan dengan stratified random sampling pada 48 orang untuk kelompok perlakuan (konseling terstruktur dan 48 orang untuk kelompok kontrol (konseling standar. Perbedaan peningkatan pengetahuan dan sikap pada kelompok perlakuan dan kontrol diuji dengan uji Mann-Whitney U, sedangkan pengaruh konseling terstruktur terhadap partisipasi kontrasepsi modern dianalisis dengan uji regresi logistik ganda. Hasil penelitian menunjukkan perbedaan bermakna pada skor pengetahuan dan sikap setelah dilakukan konseling terstruktur antara kelompok perlakuan dan kontrol dengan nilai p < 0,05. Wanita usia subur (WUS yang berada pada kelompok perlakuan akan berpeluang ikutserta menggunakan kontrasepsi modern dengan OR= 6,167 (95% CI= 2,427-15,67. Kesimpulan penelitian ini, konseling yang dilakukan secara terstruktur mampu meningkatkan pengetahuan, sikap dan keikutsertaan kontrasepsi modern pada PUS.

  13. Quality of Life and Unmet Need in People with Psychosis in the London Borough of Haringey, UK

    Directory of Open Access Journals (Sweden)

    Maria Lambri

    2012-01-01

    Full Text Available Objectives. Deinstitutionalization of long-term psychiatric patients produced various community-based residential care facilities. However, inner-city areas have many patients with severe mental illness (SMI as well as deprivation, unemployment, and crime. This makes meeting their community needs complex. We undertook a needs assessment of service provision and consonance between service users’ evaluation of need and by care workers. Design. Cross-sectional study with random sample of SMI service users in four housing settings: rehabilitation units; high-supported; medium-supported; low-supported housing. Setting. London Borough of Haringey. Outcome Measures. 110 SMI service users and 110 keyworkers were interviewed, using Camberwell Assessment of Need; SF-36; Lancashire Quality-of-Life profile; demographic and clinical information. Results. People in “low-support” and “high-support” housing had similar symptom scores, though low support had significantly lower quality of life. Quality of life was positively predicted by self-reported mental-health score and negatively predicted by unmet-need score in whole sample and in medium-support residents. Residents’ and care-workers’ assessments of need differed considerably. Conclusions. Although patients’ housing needs were broadly met, those in low-supported housing fared least well. Attendance to self-reported mental health and unmet social needs to quality of life underpins planning of residential services for those with SMI. Social and personal needs of people in supported housing may be underestimated and overlooked; service providers need to prioritise these if concept of “recovery” is to advance.

  14. Integrating unmet needs into dementia health-related quality of life research and care: Introduction of the Hierarchy Model of Needs in Dementia.

    NARCIS (Netherlands)

    Schölzel-Dorenbos, C.J.M.; Meeuwsen, E.J.; Olde Rikkert, M.G.M.

    2010-01-01

    OBJECTIVES: To make an inventory of needs assessment instruments in dementia, to explore the interaction between unmet needs and health-related quality of life (HRQoL) and to relate these to the conceptual model of Maslow's Hierarchy of needs in order to design a dementia-specific model. METHODS: Na

  15. Welfare work addressing immigrants and refugees

    DEFF Research Database (Denmark)

    Øland, Trine

    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....

  16. Ministerial Presentation: Philippines. Philippine National Presentation [International Ministerial Conference on Nuclear Energy in the 21. Century: Addressing Energy Needs and Environmental Challenges, Beijing (China), 20-22 April 2009

    International Nuclear Information System (INIS)

    generation that will result to sustainable and reasonably-priced electricity rates. We are however, confronted with the challenge that, on the average, about 60% of energy sources utilized in the power generation mix come from fossil fuels primarily oil, coal and natural gas. Moreover, the Philippines still has one of the highest power rates in Asia. That is yet another basis as to why we are seriously considering nuclear power since it provides a relatively competitive generation cost with the cheapest power source which is coal. Among power sources with high upfront costs like wind and solar, nuclear power has the cheapest generation cost. As we work to bring about access to affordable and sufficient electricity for every Filipino, we keep in mind that energy utilization must be consistent with the need for the protection and preservation of our planet's fragile ecosystems. Therefore, we are aiming to reduce the country's contribution to carbon dioxide emissions. The Philippines has taken proactive action by laying the groundwork to shift to a renewable energy system. As a signatory to the UN Framework Convention on Climate Change and the subsequent Kyoto Protocol, we are fully committed to doing our part in addressing global warming even though we are not legally bound to impose a national limitation on emissions. In our efforts to ensure that the use of energy must not damage our environment, we have to deal with the fact that renewable energy development is still costly. As such, nuclear power presents an appealing energy option since the complete nuclear power chain emits the least carbon which is about the same as wind and hydropower. For a developing and non oil-producing country like the Philippines, these are the merits we see in utilizing nuclear energy in power generation. We have already undertaken a nuclear power program in the past. Political circumstances then resulted to the mothballing of the Bataan Nuclear Power Plant, our lone nuclear power plant which

  17. Suicide Prevention Interventions for Sexual & Gender Minority Youth: An Unmet Need.

    Science.gov (United States)

    Marshall, Alexandra

    2016-06-01

    Suicide is currently the second leading cause of death in the U.S. among youth ages 10 to 24. Sexual and gender minority (SGM) youth face heightened risk for suicide and report greater odds of attempting suicide than their heteronormative peers. Contributing factors of experience, which are distinctly different from the experiences of heteronormative youth, place SGM youth at heightened risk for suicide. While interventions aimed at addressing suicide risk factors for all youth are being implemented and many have proven effective in the general population, no evidence-based intervention currently exists to reduce suicide risk within this special population. This perspective article discusses this need and proposes the development of an evidence-based suicide risk reduction intervention tailored to SGM youth. Creating a supportive school climate for SGM youth has been shown to reduce suicide risk and may provide protective effects for all youth while simultaneously meeting the unique needs of SGM youth. PMID:27354846

  18. Social Security and Undergraduates with Disabilities: An Analysis of the National Postsecondary Student Aid Survey. Addressing Trends in Development in Secondary Education and Transition. Information Brief. Vol. 3, Issue 4.

    Science.gov (United States)

    Berry, Hugh; Conway, Megan A.; Change, Kelly B.T.

    2004-01-01

    The purpose of this brief is to describe the characteristics of undergraduate students receiving Social Security Disability Insurance (SSDI) and Social Security Administration (SSI) benefits as they relate to issues of participation in postsecondary education and employment. This brief describes results from the National Postsecondary Student Aid…

  19. On the 40th Anniversary of the Restoration of the Lawful Seat of the People's Republic of China in the United Nations Keynote Address at the Fourth Lanting Forum

    Institute of Scientific and Technical Information of China (English)

    Wu Hailong

    2011-01-01

    Excellencies,Scholars and experts,Friends from the business commnmunity and the press,Ladies and gentlemen,The theme of this Lanting Forum is China and the United Nations (UN).This is of special significance,because this year marks the 40th anniversary of the restoration of the lawful seat of the People's Republic of China in the UN.

  20. From Unmet Clinical Need to Entrepreneurship: Taking Your Informatics Solution to Market

    OpenAIRE

    Bowles, Kathryn H.; Heil, Eric

    2014-01-01

    This paper will describe the process for taking a decision support solution to market as a start-up business. The nurse inventor and Co-Founder of RightCare Solutions, Inc. will share the steps from answering a clinical question, to registering an invention, creating a business plan and company, obtaining venture funding, and launching a commercial product. We will share positives about the experience such as how to get start-up funds, gaining national exposure and access to an excellent team...

  1. Key outcomes and addressing remaining challenges--perspectives from a final evaluation of the China GAVI project.

    Science.gov (United States)

    Yang, Weizhong; Liang, Xiaofeng; Cui, Fuqiang; Li, Li; Hadler, Stephen C; Hutin, Yvan J; Kane, Mark; Wang, Yu

    2013-12-27

    During the China GAVI project, implemented between 2002 and 2010, more than 25 million children received hepatitis B vaccine with the support of project, and the vaccine proved to be safe and effective. With careful consideration for project savings, China and GAVI continually adjusted the budget, additionally allowing the project to spend operational funds to support demonstration projects to improve timely birth dose (TBD), conduct training of EPI staff, and to monitor the project impact. Results from the final evaluation indicated the achievement of key outcomes. As a result of government co-investment, human resources at county level engaged in hepatitis B vaccination increased from 29 per county on average in 2002 to 66 in 2009. All project counties funded by the GAVI project use auto-disable syringes for hepatitis B vaccination and other vaccines. Surveyed hepatitis B vaccine coverage increased from 71% in 2002 to 93% in 2009 among infants. The HBsAg prevalence declined from 9.67% in 1992 to 0.96% in 2006 among children under 5 years of age. However, several important issues remain: (1) China still accounts for the largest annual number of perinatal HBV infections (estimated 84,121) in the WHO WPR region; (2) China still lacks a clear national policy for safe injection of vaccines; (3) vaccination of high risk adults and protection of health care workers are still not implemented; (4) hepatitis B surveillance needs to be refined to more accurately monitor acute hepatitis B; and (5) a program for treatment of persons with chronic HBV infection is needed. Recommendations for future hepatitis B control include: using the lessons learned from the China GAVI project for future introductions of new vaccines; addressing unmet needs with a second generation hepatitis B program to reach every infant, including screening mothers, and providing HBIG for infants born to HBsAg positive mothers; expanding vaccination to high risk adults; addressing remaining unsafe

  2. Partnerships as panacea for addressing global problems?

    OpenAIRE

    Kolk, Ans

    2013-01-01

    textabstractThis chapter examines partnerships and their peculiarities, based on recent research from various disciplines, in the context of the large problems faced by (global) society. These problems are very complex, often cross national boundaries, and cannot easily be 'solved' by one single actor. Previous 'unilateral' attempts to address them have not been particularly successful, and there are limits to what a single actor can do. Cooperation also enables different actors to leverage t...

  3. Forest Policies Addressing Climate Change in China

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    As a developing country with a large population and a fragile ecological environment, China is particularly vulnerable to the adverse effects of climate change. Beginning with the Rio Conference of 1992 China has played a progressively enhanced role in combating climate change. A series of policies and measures to address climate change have been taken in the overall context of national sustainable development strategy, making positive contributions to the mitigation and adaptation to climate change, among ...

  4. Port virtual addressing for PC

    International Nuclear Information System (INIS)

    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

  5. 2015 ASHG Awards and Addresses

    Science.gov (United States)

    2016-01-01

    Each year at the annual meeting of The American Society of Human Genetics (ASHG), addresses are given in honor of The Society and a number of award winners. A summary of each of these is given below. On the following pages, we have printed the presidential address and the addresses for the William Allan Award, the Curt Stern Award, and the Victor A. McKusick Leadership Award. Webcasts of these addresses, as well as those of many other presentations, can be found at http://www.ashg.org.

  6. Reclaiming unused IPv4 addresses

    CERN Multimedia

    IT Department

    2016-01-01

    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...

  7. Caring for the brain tumor patient: Family caregiver burden and unmet needs

    Science.gov (United States)

    Schubart, Jane R.; Kinzie, Mable B.; Farace, Elana

    2008-01-01

    The rapid onset and progression of a brain tumor, cognitive and behavioral changes, and uncertainty surrounding prognosis are issues well known to health practitioners in neuro-oncology. We studied the specific challenges that family caregivers face when caring for patients experiencing the significant neurocognitive and neurobehavioral disorders associated with brain tumors. We selected 25 family caregivers of adult brain tumor patients to represent the brain tumor illness trajectory (crisis, chronic, and terminal phases). Interviews documented caregiving tasks and decision-making and information and support needs. Themes were permitted to emerge from the data in qualitative analysis. We found that the family caregivers in this study provided extraordinary uncompensated care involving significant amounts of time and energy for months or years and requiring the performance of tasks that were often physically, emotionally, socially, or financially demanding. They were constantly challenged to solve problems and make decisions as care needs changed, yet they felt untrained and unprepared as they struggled to adjust to new roles and responsibilities. Because the focus was on the patient, their own needs were neglected. Because caregiver information needs are emergent, they are not always known at the time of a clinic visit. Physicians are frequently unable to address caregiver questions, a situation compounded by time constraints and cultural barriers. We provide specific recommendations for (1) improving the delivery of information; (2) enhancing communication among patients, families, and health care providers; and (3) providing psychosocial support for family caregivers. PMID:17993635

  8. Unmet health needs identified by Haitian women as priorities for attention: a qualitative study.

    Science.gov (United States)

    Peragallo Urrutia, Rachel; Merisier, Delson; Small, Maria; Urrutia, Eugene; Tinfo, Nicole; Walmer, David K

    2012-06-01

    This 2009 qualitative study investigated Haitian women's most pressing health needs, barriers to meeting those needs and proposed solutions, and how they thought the community and outside organizations should be involved in addressing their needs. The impetus for the study was to get community input into the development of a Family Health Centre in Leogane, Haiti. Individual interviews and focus group discussions were conducted with 52 adult women in six communities surrounding Leogane. The most pressing health needs named by the women were accessible, available and affordable health care, potable water, enough food to eat, improved economy, employment, sanitation and education, including health education. Institutional corruption, lack of infrastructure and social organization, the cost of health care, distance from services and lack of transport as barriers to care were also important themes. The involvement of foreign organizations and local community groups, including grassroots women's groups who would work in the best interests of other women, were identified as the most effective solutions. Organizations seeking to improve women's health care in Haiti should develop services and interventions that prioritize community partnership and leadership, foster partnerships with government, and focus on public health needs.

  9. Causes of childhood visual impairment and unmet low-vision care in blind school students in Ghana.

    Science.gov (United States)

    Ntim-Amponsah, C T; Amoaku, W M K

    2008-10-01

    The purpose of this study was to determine the causes of childhood visual impairment and blindness in students of a school for blind children, to determine how many students had some residual vision, and to evaluate any unmet low-vision care. A survey of students in the blind school was conducted in two parts in May-June and then October 2003. The sample consisted of 201 students who became blind before the age of 16. Information was obtained from student interviews, doctors' referral notes and ophthalmic examination of all students who consented. Students with residual vision had low-vision assessments. These investigations were supplemented with active participation of the investigators in Parent-Teacher Association meetings and focus group discussions with parents. One hundred and ninety-nine students consented and were recruited, whereas two declined. Ninety-six became visually impaired within their first year of life and 33 by the age of 5 years. Pathology of the cornea and then the lens were the commonest causes of blindness. One hundred and eight students were totally blind, whereas 87 (43.7%) had some residual vision and formed the target for the second part of the study. Fifty-one out of 77 of this target group who turned up for low-vision examination had useful residual vision by the World Health Organisation (WHO) low-vision examination chart. Spectacle magnifiers aided two students to read normal print at N5 and N8, respectively. Different visual aids would help enhance the residual vision in some of the others. Emotional trauma was apparent in parents and teachers. Children who became blind later in life remained in shock for a longer time and adapted less well to their visual impairment. Visual impairment in the population is not uncommon. Some causes are preventable. There is a significant unmet need for low-vision care, particularly amongst children in Ghana, and perhaps many countries in the West Africa subregion. It is hoped that the findings from

  10. From unmet clinical need to entrepreneurship: taking your informatics solution to market.

    Science.gov (United States)

    Bowles, Kathryn H; Heil, Eric

    2014-01-01

    This paper will describe the process for taking a decision support solution to market as a start-up business. The nurse inventor and Co-Founder of RightCare Solutions, Inc. will share the steps from answering a clinical question, to registering an invention, creating a business plan and company, obtaining venture funding, and launching a commercial product. We will share positives about the experience such as how to get start-up funds, gaining national exposure and access to an excellent team, disseminating your work broadly, further enhancing the product, and obtaining equity, and financial rewards. We will discuss cons such as losing control, dilution of ownership, and conflict of interest. This paper will encourage nurse informaticians to think differently and learn about the steps in the process from an experienced team.

  11. From unmet clinical need to entrepreneurship: taking your informatics solution to market.

    Science.gov (United States)

    Bowles, Kathryn H; Heil, Eric

    2014-01-01

    This paper will describe the process for taking a decision support solution to market as a start-up business. The nurse inventor and Co-Founder of RightCare Solutions, Inc. will share the steps from answering a clinical question, to registering an invention, creating a business plan and company, obtaining venture funding, and launching a commercial product. We will share positives about the experience such as how to get start-up funds, gaining national exposure and access to an excellent team, disseminating your work broadly, further enhancing the product, and obtaining equity, and financial rewards. We will discuss cons such as losing control, dilution of ownership, and conflict of interest. This paper will encourage nurse informaticians to think differently and learn about the steps in the process from an experienced team. PMID:24943561

  12. Epilepsy therapy: anticonvulsants, lessons learned and unmet medical needs. Interview by Rona Williamson.

    Science.gov (United States)

    Klitgaard, Henrik

    2013-01-01

    Henrik Klitgaard, PhD, is currently Vice-President, UCB Fellow, Neurosciences Therapeutic Area and is based in Braine-l'Alleud, Belgium. He received a PhD in Human Physiology in 1989 at the August Krogh Institute at the University of Copenhagen (Denmark). During his university career, Klitgaard worked at the Pasteur Institute in Paris (France) and at Harvard University (MA, USA). Klitgaard is a leading figure in the epilepsy research community, thanks to more than 80 peer-reviewed papers and 15 reviews and book chapters, as well as frequent lectures at top neuroscience and epilepsy science meetings. His memberships and accolades include a position on the US National Institute of Health's epilepsy advisory committee, membership of the Neurobiology Committees of both the International League Against Epilepsy and American Epilepsy Society and a seat on the Scientific Advisory Committee of the patient organization C.U.R.E. (Citizens United for Research in Epilepsy). For more than two decades, Klitgaard has conducted antiepileptic drug discovery in the pharmaceutical industry. He has contributed numerous publications on basic and applied aspects of epilepsy research and has frequently been an invited speaker at epilepsy congresses and meetings. During his career in the pharmaceutical industry, Klitgaard has been involved in the discovery and development of antiepileptic drugs at both Novo Nordisk A/S and UCB Pharma. He is also currently involved in the development of two clinical and several preclinical AED candidates. PMID:23253386

  13. Using the unmet obstetric needs indicator to map inequities in life-saving obstetric interventions at the local health care system in Kenya

    DEFF Research Database (Denmark)

    Echoka, Elizabeth; Dubourg, Dominique; Makokha, Anselimo;

    2014-01-01

    BackgroundDeveloping countries with high maternal mortality need to invest in indicators that not only provide information about how many women are dying, but also where, and what can be done to prevent these deaths. The unmet Obstetric Needs (UONs) concept provides this information. This concept...... was applied at district level in Kenya to assess how many women had UONs and where the women with unmet needs were located.MethodsA facility based retrospective study was conducted in 2010 in Malindi District, Kenya. Data on pregnant women who underwent a major obstetric intervention (MOI) or died...... in facilities that provide comprehensive Emergency Obstetric Care (EmOC) services in 2008 and 2009 were collected. The difference between the number of women who experienced life threatening obstetric complications and those who received care was quantified. The main outcome measures in the study were...

  14. Rural-Urban Inequity in Unmet Obstetric Needs and Functionality of Emergency Obstetric Care Services in a Zambian District.

    Directory of Open Access Journals (Sweden)

    Selia Ng'anjo Phiri

    Full Text Available Zambia has a high maternal mortality ratio, 398/100,000 live births. Few pregnant women access emergency obstetric care services to handle complications at childbirth. We aimed to assess the deficit in life-saving obstetric services in the rural and urban areas of Kapiri Mposhi district.A cross-sectional survey was conducted in 2011 as part of the 'Response to Accountable priority setting for Trust in health systems' (REACT project. Data on all childbirths that occurred in emergency obstetric care facilities in 2010 were obtained retrospectively. Sources of information included registers from maternity ward admission, delivery and operation theatre, and case records. Data included age, parity, mode of delivery, obstetric complications, and outcome of mother and the newborn. An approach using estimated major obstetric interventions expected but not done in health facilities was used to assess deficit of life-saving interventions in urban and rural areas.A total of 2114 urban and 1226 rural childbirths occurring in emergency obstetric care facilities (excluding abortions were analysed. Facility childbirth constituted 81% of expected births in urban and 16% in rural areas. Based on the reference estimate that 1.4% of childbearing women were expected to need major obstetric intervention, unmet obstetric need was 77 of 106 women, thus 73% (95% CI 71-75% in rural areas whereas urban areas had no deficit. Major obstetric interventions for absolute maternal indications were higher in urban 2.1% (95% CI 1.60-2.71% than in rural areas 0.4% (95% CI 0.27-0.55%, with an urban to rural rate ratio of 5.5 (95% CI 3.55-8.76.Women in rural areas had deficient obstetric care. The likelihood of under-going a life-saving intervention was 5.5 times higher for women in urban than rural areas. Targeting rural women with life-saving services could substantially reduce this inequity and preventable deaths.

  15. Opening Address [Technical Meeting/Workshop on Topical Issues on Infrastructure Development: Managing the Development of a National Infrastructure for Nuclear Power Plants, Vienna (Austria), 24-27 January 2012

    International Nuclear Information System (INIS)

    after the accident. The IAEA has taken a series of actions in response to the Fukushima accident, including the activation of the IAEA Incident and Emergency Centre immediately after the accident and sending several IAEA International Fact Finding Expert Missions to Japan. Currently, the IAEA is working hard to implement the IAEA Action Plan on Nuclear Safety, which was agreed at the Board of Governors last September. This Action Plan and its implementation will be explained later by my colleagues; I would like to point out that the development of the infrastructrure necessary for Member States embarking on nuclear power programme is one of the 12 areas covered in that action plan. I would like to stress that there is progress in Member States for the introduction of nuclear power. I had several opportunities in bilateral meetings to experience the commitment of senior officials in embarking countries. During the last two months, I visited two newcomer countries - Malaysia and UAE, and got first-hand information about their potential for a national nuclear program. During the side events of the last IAEA General Conference, senior officials from UAE, Turkey and Vietnam clearly expressed their commitments to nuclear power programmes with steady progress in the cooperation with vendor countries. I am impressed that these countries are working closely with vendor countries in developing the required physical infrastructure and human resources. Quite recently, I was informed that Belarus and Bangladesh had intergovernmental agreements with Russia to introduce nuclear power in their countries. So nuclear power remains an important option for energy supply. However, it is a fact that the public is concerned about nuclear safety, and several countries have experienced difficulties in national decisions to introduce nuclear power programmes. Although the situation differs among the countries, I hope that participants can learn good practices for public communication from the

  16. Addressing problems of employee performance.

    Science.gov (United States)

    McConnell, Charles R

    2011-01-01

    Employee performance problems are essentially of 2 kinds: those that are motivational in origin and those resulting from skill deficiencies. Both kinds of problems are the province of the department manager. Performance problems differ from problems of conduct in that traditional disciplinary processes ordinarily do not apply. Rather, performance problems are addressed through educational and remedial processes. The manager has a basic responsibility in ensuring that everything reasonable is done to help each employee succeed. There are a number of steps the manager can take to address employee performance problems.

  17. Keynote Address: Rev. Mark Massa

    Science.gov (United States)

    Massa, Mark S.

    2011-01-01

    Rev. Mark S. Massa, S.J., is the dean and professor of Church history at the School of Theology and Ministry at Boston College. He was invited to give a keynote to begin the third Catholic Higher Education Collaborative Conference (CHEC), cosponsored by Boston College and Fordham University. Fr. Massa's address posed critical questions about…

  18. Introduction to IP address management

    CERN Document Server

    Rooney, Tim

    2010-01-01

    "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"--

  19. Communities Address Barriers to Connectivity.

    Science.gov (United States)

    Byers, Anne

    1996-01-01

    Rural areas lag behind urban areas in access to information technologies. Public institutions play a critical role in extending the benefits of information technologies to those who would not otherwise have access. The most successful rural telecommunications plans address barriers to use, such as unawareness of the benefits, technophobia, the…

  20. Caregivers for people with end-stage lung disease: Characteristics and unmet needs in the whole population

    Directory of Open Access Journals (Sweden)

    David C Currow

    2008-08-01

    Full Text Available David C Currow1, Alicia Ward2, Katie Clark3, Catherine M Burns4, Amy P Abernethy1,51Department of Palliative and Supportive Services, Flinders University, Adelaide, Australia; 2Concord Repatriation General Hospital Palliative Care Department, Concord, Sydney, Australia; 3Notre Dame University, Darlinghurst, Sydney, Australia; 4Division of Medical Oncology, Department of Medicine, Duke University Medical Centre, Durham, North Carolina, USA; 5Division of Medical Oncology, Department of Medicine, Duke University Medical Centre, Durham, North Carolina, USAIntroduction: End-stage lung disease (ESLD (predominantly caused by chronic obstructive pulmonary disease and restrictive lung disease is a significant cause of death. Little is known about community care for people with ESLD especially in the period leading to death. This paper describes demographic characteristics of caregivers, and key characteristics of the deceased irrespective of specialist service utilization.Methods: The South Australian Health Omnibus is an annual, random, face-to-face, cross-sectional survey conducted statewide. For the last eight years questions about end of life have been asked of 3000 respondents annually (participation rate 77.9%. Directly standardized to the whole population, this study describes people who cared for someone with ESLD until death.Results: One third (6370/18267 had someone die in the last five years from a terminal illness, 644 from ESLD (3.5% of respondents; 10.2% of deaths. One in five (20.8% provided physical care: 43 respondents provided day-to-day and 63 provided intermittent hands-on care for an average of 40.1 months (SD 56.9. Caregivers were on average 51.2 years old (range 17–85; SD 16.5 and one in five was a spouse. Additional support to provide physical care was an unmet need by 17% of caregivers. The deceased were an average of 73.9 years old (range 47–92; SD 10.4. Only 31.1% were assessed as ‘comfortable’ or ‘very comfortable

  1. Burden and Unmet Needs of Caregivers of Chronic Obstructive Pulmonary Disease Patients: A Systematic Review of the Volume and Focus of Research Output.

    Science.gov (United States)

    Mansfield, Elise; Bryant, Jamie; Regan, Timothy; Waller, Amy; Boyes, Allison; Sanson-Fisher, Rob

    2016-10-01

    Caregivers of individuals with chronic obstructive pulmonary disease (COPD) experience significant burden. To develop effective interventions to support this vulnerable group, it is necessary to understand how this burden varies as a function of patient well-being and across the illness trajectory. This systematic review aimed to identify the number and type of data-based publications exploring the burden and unmet needs of caregivers of individuals with COPD. Medline, Embase, PsycINFO and Cochrane databases were searched for studies published between January 2000 and February 2014. Studies were eligible if they were quantitative studies examining unmet needs of, or burden on, adult caregivers of individuals with COPD. Eligible papers were categorised according to (i) type (i.e. descriptive, measurement and intervention studies); (ii) whether they measured associations between patient and caregiver burden and (iii) whether they measured caregiver burden longitudinally. Twenty-seven data-based papers met criteria for inclusion. There was a significant increase in the total number of publications over time. The majority of publications were descriptive studies (n = 25), with one measurement and one intervention study identified. Fourteen descriptive studies measured the relationship between patient or caregiver factors and caregiver burden. Only two studies measured caregiver burden over time. There are a number of gaps in the body of research examining burden and unmet needs of caregivers of individuals with COPD that preclude the development of effective interventions for this population. Greater research effort should be directed towards identifying rigorous measurement tools which more accurately characterise caregiver burden, so that evidence-based interventions can be developed. PMID:26979431

  2. 46 CFR 67.321 - Requirement to report change of address of managing owner.

    Science.gov (United States)

    2010-10-01

    ... 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...

  3. Organization for rare diseases India (ORDI) - addressing the challenges and opportunities for the Indian rare diseases' community.

    Science.gov (United States)

    Rajasimha, Harsha Karur; Shirol, Prasannakumar Basayya; Ramamoorthy, Preveen; Hegde, Madhuri; Barde, Sangeeta; Chandru, Vijay; Ravinandan, M E; Ramchandran, Ramani; Haldar, Kasturi; Lin, Jimmy C; Babar, Imran A; Girisha, Katta M; Srinivasan, Sudha; Navaneetham, Duraiswamy; Battu, Rajani; Devarakonda, Rajashree; Kini, Usha; Vijayachandra, Kinnimulki; Verma, Ishwar C

    2014-08-13

    In order to address the unmet needs and create opportunities that benefit patients with rare disease in India, a group of volunteers created a not-for-profit organization named Organization for Rare Diseases India (ORDI; www.ordindia.org). ORDI plans to represent the collective voice and advocate the needs of patients with rare diseases and other stakeholders in India. The ORDI team members come from diverse backgrounds such as genetics, molecular diagnostics, drug development, bioinformatics, communications, information technology, patient advocacy and public service. ORDI builds on the lessons learned from numerous similar organizations in the USA, European Union and disease-specific rare disease foundations in India. In this review, we provide a background on the landscape of rare diseases and the organizations that are active in this area globally and in India. We discuss the unique challenges in tackling rare diseases in India, and highlight the unmet needs of the key stakeholders of rare diseases. Finally, we define the vision, mission, goals and objectives of ORDI, identify the key developments in the health care context in India and welcome community feedback and comments on our approach.

  4. Addressing passive smoking in children.

    Directory of Open Access Journals (Sweden)

    Sasha G Hutchinson

    Full Text Available BACKGROUND: A significant number of parents are unaware or unconvinced of the health consequences of passive smoking (PS in children. Physicians could increase parental awareness by giving personal advice. AIM: To evaluate the current practices of three Dutch health professions (paediatricians, youth health care physicians, and family physicians regarding parental counselling for passive smoking (PS in children. METHODS: All physicians (n = 720 representing the three health professions in Limburg, The Netherlands, received an invitation to complete a self-administered electronic questionnaire including questions on their: sex, work experience, personal smoking habits, counselling practices and education regarding PS in children. RESULTS: The response rate was 34%. One tenth (11% of the responding physicians always addressed PS in children, 32% often, 54% occasionally and 4% reported to never attend to it. The three health professions appeared comparable regarding their frequency of parental counselling for PS in children. Addressing PS was more likely when children had respiratory problems. Lack of time was the most frequently mentioned barrier, being very and somewhat applicable for respectively 14% and 43% of the physicians. One fourth of the responders had received postgraduate education about PS. Additionally, 49% of the responders who did not have any education about PS were interested in receiving it. CONCLUSIONS: Physicians working in the paediatric field in Limburg, The Netherlands, could more frequently address PS in children with parents. Lack of time appeared to be the most mentioned barrier and physicians were more likely to counsel parents for PS in children with respiratory complaints/diseases. Finally, a need for more education on parental counselling for PS was expressed.

  5. Addressing inequities in healthy eating.

    Science.gov (United States)

    Friel, Sharon; Hattersley, Libby; Ford, Laura; O'Rourke, Kerryn

    2015-09-01

    What, when, where and how much people eat is influenced by a complex mix of factors at societal, community and individual levels. These influences operate both directly through the food system and indirectly through political, economic, social and cultural pathways that cause social stratification and influence the quality of conditions in which people live their lives. These factors are the social determinants of inequities in healthy eating. This paper provides an overview of the current evidence base for addressing these determinants and for the promotion of equity in healthy eating. PMID:26420812

  6. Nanoscale content-addressable memory

    Science.gov (United States)

    Davis, Bryan (Inventor); Principe, Jose C. (Inventor); Fortes, Jose (Inventor)

    2009-01-01

    A combined content addressable memory device and memory interface is provided. The combined device and interface includes one or more one molecular wire crossbar memories having spaced-apart key nanowires, spaced-apart value nanowires adjacent to the key nanowires, and configurable switches between the key nanowires and the value nanowires. The combination further includes a key microwire-nanowire grid (key MNG) electrically connected to the spaced-apart key nanowires, and a value microwire-nanowire grid (value MNG) electrically connected to the spaced-apart value nanowires. A key or value MNGs selects multiple nanowires for a given key or value.

  7. 75 FR 37881 - Surety Companies Acceptable on Federal Bonds-Change in Business Address and Redomestication...

    Science.gov (United States)

    2010-06-30

    ... Fiscal Service Surety Companies Acceptable on Federal Bonds--Change in Business Address and Redomestication; Safeco National Insurance Company AGENCY: Financial Management Service, Fiscal Service, Treasury... Company (NAIC 24759) formally changed its ``Business Address'' to ``62 Maple Avenue, Keene, NH...

  8. Gaps in Prevention and Treatment: Dental Care for Low-Income Children. New Federalism: National Survey of America's Families, Series B, No. B-15. Assessing the New Federalism: An Urban Institute Program To Assess Changing Social Policies.

    Science.gov (United States)

    Kenney, Genevieve M.; Ko, Grace; Ormond, Barbara A.

    Using estimates drawn from the 1997 National Survey of America's Families (NSAF), this brief examines variations in the receipt of dental care services and in unmet need for dental care across different subgroups of children aged 3 and over, both nationally and across 13 states. The NSAF is a household survey that provides information on more than…

  9. Library outreach: addressing Utah's "Digital Divide".

    Science.gov (United States)

    McCloskey, K M

    2000-10-01

    A "Digital Divide" in information and technological literacy exists in Utah between small hospitals and clinics in rural areas and the larger health care institutions in the major urban area of the state. The goals of the outreach program of the Spencer S. Eccles Health Sciences Library at the University of Utah address solutions to this disparity in partnership with the National Network of Libraries of Medicine-- Midcontinental Region, the Utah Department of Health, and the Utah Area Health Education Centers. In a circuit-rider approach, an outreach librarian offers classes and demonstrations throughout the state that teach information-access skills to health professionals. Provision of traditional library services to unaffiliated health professionals is integrated into the library's daily workload as a component of the outreach program. The paper describes the history, methodology, administration, funding, impact, and results of the program.

  10. Addressing viral resistance through vaccines

    Science.gov (United States)

    Laughlin, Catherine; Schleif, Amanda; Heilman, Carole A

    2015-01-01

    Antimicrobial resistance is a serious healthcare concern affecting millions of people around the world. Antiviral resistance has been viewed as a lesser threat than antibiotic resistance, but it is important to consider approaches to address this growing issue. While vaccination is a logical strategy, and has been shown to be successful many times over, next generation viral vaccines with a specific goal of curbing antiviral resistance will need to clear several hurdles including vaccine design, evaluation and implementation. This article suggests that a new model of vaccination may need to be considered: rather than focusing on public health, this model would primarily target sectors of the population who are at high risk for complications from certain infections. PMID:26604979

  11. Addressing failures in exascale computing

    Energy Technology Data Exchange (ETDEWEB)

    Snir, Marc; Wisniewski, Robert W.; Abraham, Jacob A.; Adve, Sarita; Bagchi, Saurabh; Balaji, Pavan; Belak, Jim; Bose, Pradip; Cappello, Franck; Carlson, William; Chien, Andrew A.; Coteus, Paul; Debardeleben, Nathan A.; Diniz, Pedro; Engelmann, Christian; Erez, Mattan; Saverio, Fazzari; Geist, Al; Gupta, Rinku; Johnson, Fred; Krishnamoorthy, Sriram; Leyffer, Sven; Liberty, Dean; Mitra, Subhasish; Munson, Todd; Schreiber, Robert; Stearly, Jon; Van Hensbergen, Eric

    2014-05-01

    We present here a report produced by a workshop on “Addressing Failures in Exascale Computing” held in Park City, Utah, August 4–11, 2012. The charter of this workshop was to establish a common taxonomy about resilience across all the levels in a computing system; discuss existing knowledge on resilience across the various hardware and software layers of an exascale system; and build on those results, examining potential solutions from both a hardware and software perspective and focusing on a combined approach. The workshop brought together participants with expertise in applications, system software, and hardware; they came from industry, government, and academia; and their interests ranged from theory to implementation. The combination allowed broad and comprehensive discussions and led to this document, which summarizes and builds on those discussions.

  12. Addressing Failures in Exascale Computing

    Energy Technology Data Exchange (ETDEWEB)

    Snir, Marc [Argonne National Laboratory (ANL); Wisniewski, Robert [Intel Corporation; Abraham, Jacob [unknown; Adve, Sarita [University of Illinois, Urbana-Champaign; Bagchi, Saurabh [Purdue University; Balaji, Pavan [Argonne National Laboratory (ANL); Belak, J. [Lawrence Livermore National Laboratory (LLNL); Bose, Pradip [IBM T. J. Watson Research Center; Cappello, Franck [Argonne National Laboratory (ANL); Carlson, Bill [unknown; Chien, Andrew [University of Chicago; Coteus, Paul [IBM T. J. Watson Research Center; DeBardeleben, Nathan [Los Alamos National Laboratory (LANL); Diniz, Pedro [University of Southern California; Engelmann, Christian [ORNL; Erez, Mattan [University of Texas at Austin; Fazzari, Saverio [Booz Allen Hamilton; Geist, Al [ORNL; Gupta, Rinku [Argonne National Laboratory (ANL); Johnson, Fred [Science Applications International Corporation (SAIC), Oak Ridge, TN; Krishnamoorthy, Sriram [Pacific Northwest National Laboratory (PNNL); Leyffer, Sven [Argonne National Laboratory (ANL); Liberty, Dean [AMD; Mitra, Subhasish [Stanford University; Munson, Todd [Argonne National Laboratory (ANL); Schreiber, Rob [HP Labs; Stearley, Jon [Sandia National Laboratories (SNL); Van Hensbergen, Eric [ARM

    2014-01-01

    We present here a report produced by a workshop on Addressing failures in exascale computing' held in Park City, Utah, 4-11 August 2012. The charter of this workshop was to establish a common taxonomy about resilience across all the levels in a computing system, discuss existing knowledge on resilience across the various hardware and software layers of an exascale system, and build on those results, examining potential solutions from both a hardware and software perspective and focusing on a combined approach. The workshop brought together participants with expertise in applications, system software, and hardware; they came from industry, government, and academia, and their interests ranged from theory to implementation. The combination allowed broad and comprehensive discussions and led to this document, which summarizes and builds on those discussions.

  13. Quality of life, unmet needs, and iatrogenic injuries in rehabilitation of patients with Ehlers-Danlos Syndrome hypermobility type/Joint Hypermobility Syndrome.

    Science.gov (United States)

    Bovet, Claire; Carlson, Matthew; Taylor, Matthew

    2016-08-01

    Ehlers-Danlos Syndrome, hypermobility type (EDS-HT) and the joint hypermobility syndrome (JHS) are connective tissue disorders that form an overlapping clinical syndrome and are associated with frequent medical visits and substantial morbidity. EDS-HT/JHS-associated pain correlates with poor quality of life. While physical therapy is the recommended treatment for EDS-HT/JHS, little is known about therapy-related patient experiences and iatrogenic injuries. We studied 38 adult EDS-HT/JHS patients, eliciting health-related quality of life (HRQoL) from 28 patients through the RAND SF-36 questionnaire. We also explored physical therapy experiences through focus groups with 13 patients. Our patients displayed poor HRQoL, with 71% reporting worse health over the past year. SF-36 scores were significantly lower than the scores of the average American population (P < 0.001 for 8 of 10 categories assessed), but were comparable to EDS-HT/JHS populations in Belgium, the Netherlands, Sweden, and Italy. Focus groups identified factors associated with: negative past physical therapy experiences, iatrogenic joint injuries, positive treatment experiences, and unmet rehabilitation needs. This group of EDS-HT/JHS patients has significant decrements in HRQoL and many unmet treatment needs, as well as a risk for iatrogenic injuries. We identify several approaches to help meet patients' needs and improve joint rehabilitation in patients with EDS-HT/JHS. © 2016 Wiley Periodicals, Inc. PMID:27273746

  14. Supportive care needs among Indigenous cancer patients in Queensland, Australia: less comorbidity is associated with greater practical and cultural unmet need.

    Science.gov (United States)

    Diaz, A; Bernardes, C M; Garvey, G; Valery, P C

    2016-03-01

    Little is known about the supportive care needs (SCN) of Australian Indigenous cancer patients. This cross-sectional study investigated the association between comorbidity and SCN among newly diagnosed Indigenous cancer patients in Queensland. Comorbidity was ascertained from medical chart review using the Charlson Comorbidity Index (CCI) and SCN were measured using the Supportive Care Needs Assessment Tool for Indigenous Peoples (SCNAT-IP). Of 183 participants, 76 (42%) had no comorbidity (CCI = 0), 60 (33%) had had a CCI score of 1 and 47 (26%) had a CCI of two or more, with the most common condition being diabetes (30%). The most common moderate-high unmet need items varied between comorbidity groups, although all patients most frequently reported moderate-high unmet need in the Physical and Psychological and the Practical and Cultural needs domains. Patients with the greatest comorbidity (CCI ≥ 2) had significantly more reduced odds of practical and cultural needs than patients without comorbidity (OR 0.28, 95% CI 0.11-0.75). This appeared to be partially explained by time since diagnosis, age, whether they were receiving current treatment and residential remoteness. Patients' experience of chronic disease, hospitals and the healthcare system may better prepare them for the practical and cultural aspects of their cancer journey. PMID:26918689

  15. Building Footprints - Montana Structures/Addresses Framework

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — The Montana Structures/Addresses Framework is a statewide spatial database of structure and address points in the State of Montana. The Montana Structures/Addresses...

  16. Addressing neurological disorders with neuromodulation.

    Science.gov (United States)

    Oluigbo, Chima O; Rezai, Ali R

    2011-07-01

    Neurological disorders are becoming increasingly common in developed countries as a result of the aging population. In spite of medications, these disorders can result in progressive loss of function as well as chronic physical, cognitive, and emotional disability that ultimately places enormous emotional and economic on the patient, caretakers, and the society in general. Neuromodulation is emerging as a therapeutic option in these patients. Neuromodulation is a field, which involves implantable devices that allow for the reversible adjustable application of electrical, chemical, or biological agents to the central or peripheral nervous system with the objective of altering its functioning with the objective of achieving a therapeutic or clinically beneficial effect. It is a rapidly evolving field that brings together many different specialties in the fields of medicine, materials science, computer science and technology, biomedical, and neural engineering as well as the surgical or interventional specialties. It has multiple current and emerging indications, and an enormous potential for growth. The main challenges before it are in the need for effective collaboration between engineers, basic scientists, and clinicians to develop innovations that address specific problems resulting in new devices and clinical applications.

  17. Faktor-faktor yang Berhubungan Dengan Unmet Need KB Pasca-Salin IUD post-placenta di Kamar Rawat Pasca-bersalin RSUP DR. M. Djamil periode Januari-Maret 2013

    Directory of Open Access Journals (Sweden)

    Sari Handayani Utami

    2013-09-01

    Full Text Available AbstrakWanita pada periode post-partum memiliki angka unmet need terhadap kontrasepsi, padahal ini waktu yang tepat untuk mulai memakai kontrasepsi. Salah satu kontrasepsi pasca-salin terkini yang mulai disosialisasikan adalah IUD post-placenta. Namun demikian, masih belum banyak wanita pasangan usia subur yang menggunakan alat kontrasepsi ini bahkan mengetahuinya. Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan unmet need KB pasca-salin IUD post-placenta. Jenis penelitian survey dengan desain cross sectional study. Waktu pengambilan data dari 12 Januari sampai dengan 12 Maret 2013. Sampel adalah wanita pasangan usia subur yang melahirkan pervaginam dan dipilih secara accidental sampling. Penelitian dilakukan pada 88 orang responden dengan 50 orang bukan akseptor KB IUD post-placenta dan 38 orang akseptor KB IUD Post-placenta. Pengumpulan data dilakukan menggunakan kuesioner melalui wawancara terpimpin. Data dianalisis secara univariat dan bivariat. Hasil penelitian menunjukkan faktor yang memiliki hubungan signifikan dengan unmet need IUD post-placenta adalah faktor pengetahuan (p value = 0,001, sedangkan faktor lain yang tidak memiliki hubungan signifikan adalah faktor pendidikan (p value = 0,222, faktor status ekonomi (p value = 1,000, dan faktor konseling KB (p value = 0,583.Kata kunci: faktor yang berhubungan, unmet need, KB pasca-salin, IUD post-placentaAbstractThe women in post-partum period have unmet need rate to contraception, whereas it’s approriate time to start using contraception. One of recent post-partum contraception method is IUD post-placenta. But, only a few women of fertile age couple use this contraception even has known it. The purpose of this study was to determine the factors associated to unmet need of post-partum contraception IUD post-placenta. This survey study with cross sectional design study. The data was collected from January 12 until March 12 2013. The subject were

  18. Addressing verification challenges [International safeguards symposium on addressing verification challenges

    International Nuclear Information System (INIS)

    In his welcome address the Director General of the International Atomic Energy Agency (IAEA), Mr. M. ElBaradei, stated that safeguards activities are probably the most difficult task entrusted to an international organization and to determine all the details of a country's nuclear programme is a daunting challenge that raises a number of questions. There is an increase in nuclear power around the globe as a result of shortages of energy and concerns about energy independence and climate change. On the one hand, this is good, because without energy there is no hope for development on the other hand, however, it means that nuclear know-how and nuclear technology will continue to spread to more and more countries. There is also an increase in the number of countries interested in developing nuclear fuel cycle capabilities: sensitive fuel cycle activities, reprocessing and above all uranium enrichment. It even seems that some countries might be hedging their bets in order to have the know-how should they need to develop their own deterrence. Verifying enrichment or reprocessing facilities is quite difficult, and the so-called conversion time is extremely short. Thus, the IAEA is dealing with what is called 'virtual nuclear weapon States'. The IAEA has been talking for a number of years about the need to develop a new international or multinational approach to the fuel cycle in order to avoid a situation with nine nuclear weapon States and another 20 or 30 States having the capacity to develop nuclear weapons in a very short period of time. There is a need to remember that there is a linkage between nuclear disarmament and non-proliferation. Furthermore safeguards activities, though fundamentally technical in nature, are carried out in a political charged environment. The security dimension - that is, nuclear terrorism - also presents a new challenge, because State systems of accounting for and control of nuclear material are no longer simply tools for safeguards, but

  19. Addressing concerns and achieving expectations

    Energy Technology Data Exchange (ETDEWEB)

    Miller, C.L. [Dept. of Energy, Washington, DC (United States)

    1995-12-01

    Approximately 2-1/2 years ago many of us were gathered here in Prague at a similar conference with a similar name, {open_quotes}Energy and Environment: Transitions in Eastern Europe.{close_quotes} Over 300 professionals from 26 nations attended. The objective of the conference was to: Facilitate the Solution of Long and Short Term Energy and Environmental Problems in Eastern Europe by Bringing Together People, ideas and technologies which could be applied to specific problems in a logical step-by-step manner. It was conceded at the time that the long term solution would consist of thoughtfully integrated steps and that the conference was the first step. We are here in the Czech Republic again this week to continue what was started. As before, this conference continues to: (1) Provide a forum to identify and discuss cost-effective environmentally acceptable energy and environmental technology options and their associated socioeconomic issues. (2) Stimulate the Formation of business partnerships (3) Identify key barrier issues hindering technology applications and identify implementation pathways that eliminate or avoid obstacles to progress.

  20. Actions States and Communities Can Take to Address Cognitive Health

    Centers for Disease Control (CDC) Podcasts

    2014-06-09

    In this podcast, CDC’s 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.

  1. An address geocoding solution for Chinese cities

    Science.gov (United States)

    Zhang, Xuehu; Ma, Haoming; Li, Qi

    2006-10-01

    We introduce the challenges of address geocoding for Chinese cities and present a potential solution along with a prototype system that deal with these challenges by combining and extending current geocoding solutions developed for United States and Japan. The proposed solution starts by separating city addresses into "standard" addresses which meet a predefined address model and non-standard ones. The standard addresses are stored in a structured relational database in their normalized forms, while a selected portion of the non-standard addresses are stored as aliases to the standard addresses. An in-memory address index is then constructed from the address database and serves as the basis for real-time address matching. Test results were obtained from two trials conducted in the city Beijing. On average 80% matching rate were achieved. Possible improvements to the current design are also discussed.

  2. Contraceptive use and distribution of high-risk births in Nigeria: a sub-national analysis

    Directory of Open Access Journals (Sweden)

    Akanni Akinyemi

    2015-11-01

    Full Text Available Background: Family planning expansion has been identified as an impetus to harnessing Nigeria's demographic dividend. However, there is a need for data to address pockets of inequality and to better understand cultural and social factors affecting contraceptive use and health benefits. This paper contributes to addressing these needs by providing evidence on the trends and sub-national patterns of modern contraceptive prevalence in Nigeria and the association between contraceptive use and high-risk births in Nigeria. Design: The study utilised women's data from the last three Demographic and Health Surveys (2003, 2008, and 2013 in Nigeria. The analysis involved descriptive, bivariate, and multivariate analyses. The multivariate analyses were performed to examine the relationship between high-risk births and contraceptive use. Associations were examined using Poisson regression. Results: Findings showed that respondents in avoidable high-risk birth categories were less likely to use contraceptives compared to those at no risk [rate ratio 0.82, confidence interval: 0.76–0.89, p<0.001]. Education and wealth index consistently predicted significant differences in contraceptive use across the models. Conclusions: The results of this study suggest that women in the high-risk birth categories were significantly less likely to use a modern method of contraception relative to those categorised as having no risk. However, there are huge sub-national variations at regional and state levels in contraceptive prevalence and subsequent high-risk births. These results further strengthen evidence-based justification for increased investments in family planning programmes at the state and regional levels, particularly regions and states with high unmet needs for family planning.

  3. Unmet need for mental health care in schizophrenia: an overview of literature and new data from a first-admission study.

    Science.gov (United States)

    Mojtabai, Ramin; Fochtmann, Laura; Chang, Su-Wei; Kotov, Roman; Craig, Thomas J; Bromet, Evelyn

    2009-07-01

    We present an overview of the literature on the patterns of mental health service use and the unmet need for care in individuals with schizophrenia with a focus on studies in the United States. We also present new data on the longitudinal course of treatments from a study of first-admission patients with schizophrenia. In epidemiological surveys, approximately 40% of the respondents with schizophrenia report that they have not received any mental health treatments in the preceding 6-12 months. Clinical epidemiological studies also find that many patients virtually drop out of treatment after their index contact with services and receive little mental health care in subsequent years. Clinical studies of patients in routine treatment settings indicate that the treatment patterns of these patients often fall short of the benchmarks set by evidence-based practice guidelines, while at least half of these patients continue to experience significant symptoms. The divergence from the guidelines is more pronounced with regard to psychosocial than medication treatments and in outpatient than in inpatient settings. The expansion of managed care has led to further reduction in the use of psychosocial treatments and, in some settings, continuity of care. In conclusion, we found a substantial level of unmet need for care among individuals with schizophrenia both at community level and in treatment settings. More than half of the individuals with this often chronic and disabling condition receive either no treatment or suboptimal treatment. Recovery in this patient population cannot be fully achieved without enhancing access to services and improving the quality of available services. The recent expansion of managed care has made this goal more difficult to achieve.

  4. 32 CFR 37.1010 - What substantive issues should my award document address?

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 1 2010-07-01 2010-07-01 false What substantive issues should my award document address? 37.1010 Section 37.1010 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE... Document § 37.1010 What substantive issues should my award document address? You necessarily will...

  5. 75 FR 78998 - Disease, Disability, and Injury Prevention and Control Special Emphasis Panel (SEP): Addressing...

    Science.gov (United States)

    2010-12-17

    ... Announcement (FOA) PS11-002; and Addressing TB Control and Lung Health Activities through the Vietnam National Lung Hospital/National TB Program (NLH/ NTP), FOA PS11-004, Initial Review In accordance with Section... Facilities, Laboratories, Prisons And Other Community Settings, FOA PS11-002'' and ``Addressing TB...

  6. International partnership in lunar missions: Inaugural address

    Indian Academy of Sciences (India)

    Dr A P J Abdul Kalam

    2005-12-01

    I am delighted to participate in the 6th International Conference on Exploration and Utilization of the Moon organized by the Physical Research Laboratory,Ahmedabad.I greet the organizers, eminent planetary exploration and space scientists from India and abroad,academicians,industrialists,engineers,entrepreneurs and distinguished guests.I understand that the International Lunar Conference is a forum to discuss scienti fic results of the ongoing and future space missions related to lunar exploration.This conference will also be utilized to develop understanding on various strategies,initiatives and missions leading to a permanent human presence on our Moon as the future objective.I am happy to note that interactions that took place in the earlier conferences have been bene ficial to participating countries through the intense sharing of scientific knowledge,data and hands-on mission experiences of various space agencies pursuing lunar exploration programmes.I find that nearly 100 scientific papers are being presented in this conference and that the Moon missions being planned and conducted by all the space faring nations of the world are being presented,reviewed and discussed.I note with excitement that many key issues related to space science and Moon missions are being addressed in this conference.These deliberations are important for the world space science community.This will enable you to obtain a comprehensive picture of the goals and policies of all nations striving towards a common vision of space research,being made available for the bene fit of all mankind.Indeed this augurs well for progress towards universal peace and harmony that is a cherished goal of the people of the world as a whole.

  7. E6 Addressing Scheme and Network Architecture

    OpenAIRE

    Dmitry Anatolyevich Zaitsev; Sergey Ivanovich Bolshakov

    2012-01-01

    The paper describes new E6 addressing scheme for the creation of world-wide networks totally constructed on the base of Ethernet technology. Hierarchic E6 addresses with the length of 6 octets are used instead of both Ethernet MAC-addresses and IP-addresses that allows the routing within world-wide networks and cuts overhead of TCP, IP headers; the address space is extended in 16K times regarding IP addresses. Standard Ethernet LLC2 facilities are employed for guaranteed delivery of informati...

  8. A Novel Approach for TNA Address Management

    Institute of Scientific and Technical Information of China (English)

    2003-01-01

    We present a new scheme to allocate/de-allocate Transport Network Assigned (TN A) address using Link Management Protocol (LMP) and to register/resolution these addresses using Lightweight Directory Access Protocol (LDAP) for Automatically Switched Optical Network (ASON).

  9. Parenting Among Adolescents and Young Adults with Human Immunodeficiency Virus Infection in the United States: Challenges, Unmet Needs, and Opportunities.

    Science.gov (United States)

    Hatfield-Timajchy, Kendra; Brown, Jennifer L; Haddad, Lisa B; Chakraborty, Rana; Kourtis, Athena P

    2016-07-01

    Given the realistic expectations of HIV-infected adolescents and young adults (AYA) to have children and start families, steps must be taken to ensure that youth are prepared to deal with the challenges associated with their HIV and parenting. Literature reviews were conducted to identify published research and practice guidelines addressing parenting or becoming parents among HIV-infected AYA in the United States. Research articles or practice guidelines on this topic were not identified. Given the paucity of information available on this topic, this article provides a framework for the development of appropriate interventions and guidelines for use in clinical and community-based settings. First, the social, economic, and sexual and reproductive health challenges facing HIV-infected AYA in the United States are summarized. Next, family planning considerations, including age-appropriate disclosure of HIV status to those who are perinatally infected, and contraceptive and preconception counseling are described. The impact of early childbearing on young parents is discussed and considerations are outlined during the preconception, antenatal, and postnatal periods with regard to antiretroviral medications and clinical care guidelines. The importance of transitioning AYA from pediatric or adolescent to adult-centered medical care is highlighted. Finally, a comprehensive approach is suggested that addresses not only medical needs but also emphasizes ways to mitigate the impact of social and economic factors on the health and well-being of these young parents and their children. PMID:27410495

  10. SAVI: The IETF Standard in Address Validation

    OpenAIRE

    Bagnulo, Marcelo; García-Martínez, Alberto

    2013-01-01

    In this article we describe Source Address Validation Implementation (SAVI), a security architecture being standardized by the IETF to prevent source address spoofing within a link. SAVI devices, usually layer 2 switches, create bindings between the IP address of a node and a property of the host¿s network attachment, such as the port through which the packet is received. Bindings are created by monitoring the packet exchange associated with IP address configuration mechanisms such as DHCP, S...

  11. Address allocation to mobile ad hoc networks

    OpenAIRE

    Sakander, Zeeshan

    2006-01-01

    Addressing in MANETs is of significant importance, as a mobile device cannot participate in unicast communications until it is assigned a conflict-free IP address. All routing protocols assume nodes to be configured a priori with a unique IP address. Allocating addresses to mobile nodes is a fundamental and difficult problem. Unlike infrastructure based networks, MANETs support autonomous and spontaneous networking and therefore, should be capable of self-organization and self-configuration. ...

  12. Improving IPV6 Addressing Types and Size

    Directory of Open Access Journals (Sweden)

    Khaldoun Batiha

    2013-07-01

    Full Text Available IPv6 protocol is the next candidate protocol after IPv4 protocolthatused foralong time. For this protocoltheaddressing types and address sizeare discussedto list some modifications that could improve itsperformancethrough the internet. Atthe same time, we prove that multicast addressing type is the mostimportant addressing type since it can mimic any other addressing type. Finally,a short studyis developedin order to reduce the current IPv6 address size to haveless overhead in the basic header packet, thisreductionomitsabout 40% of the over all basic IPv6 basic packet overhead.

  13. Identifying and addressing potential conflict of interest: a professional medical organization's code of ethics.

    Science.gov (United States)

    Heim, Lori

    2010-01-01

    The new Consumer Alliance agreement between the American Academy of Family Physicians (AAFP) and The Coca-Cola Company provides a valuable opportunity to illustrate AAFP's adherence to its ethical foundation, demonstrate the AAFP's commitment to serving physicians and the public, and maintain the trust Americans put in their family physicians and the organization that represents them. Throughout the development of this program, as well as in all business interactions, the AAFP consistently addresses possible conflict of interest openly and directly, sharing with our members and the public exactly what measures we take to ensure that, in fact, no unethical conduct or breach of trust would--or will in the future--occur. In this case, the AAFP saw a public health and education need that was both unmet and undermined by the barrage of marketing messages and confusing information, and acted to fill that need. In so doing, the AAFP hewed to its high ethical standards, its core values, and its mission in the decisions made and the actions that followed. PMID:20644192

  14. New dialogue for the way forward in maternal health: addressing market inefficiencies.

    Science.gov (United States)

    McCarthy, Katharine; Ramarao, Saumya; Taboada, Hannah

    2015-06-01

    Despite notable progress in Millennium Development Goal (MDG) five, to reduce maternal deaths three-quarters by 2015, deaths due to treatable conditions during pregnancy and childbirth continue to concentrate in the developing world. Expanding access to three effective and low-cost maternal health drugs can reduce preventable maternal deaths, if available to all women. However, current failures in markets for maternal health drugs limit access to lifesaving medicines among those most in need. In effort to stimulate renewed action planning in the post-MDG era, we present three case examples from other global health initiatives to illustrate how market shaping strategies can scale-up access to essential maternal health drugs. Such strategies include: sharing intelligence among suppliers and users to better approximate and address unmet need for maternal health drugs, introducing innovative financial strategies to catalyze otherwise unattractive markets for drug manufacturers, and employing market segmentation to create a viable and sustainable market. By building on lessons learned from other market shaping interventions and capitalizing on opportunities for renewed action planning and partnership, the maternal health field can utilize market dynamics to better ensure sustainable and equitable distribution of essential maternal health drugs to all women, including the most marginalized.

  15. Leveling the playing field: the personal coach program as an innovative approach to assess and address the supportive care needs of underserved cancer patients.

    Science.gov (United States)

    Hohenadel, Joanne; Kaegi, Elizabeth; Laidlaw, Jack; Kovacik, Galina; Cortinois, Andrea; Kang, Rita; Jadad, Alejandro R

    2007-04-01

    Supportive care addresses informational, social, emotional, spiritual, physical, and practical needs that impact the lives of patients and their families. Accessing supportive care services is particularly challenging for patients facing significant financial and social barriers. This report discusses the Personal Coach Program (PCP), which provides specially trained coach navigators of supportive care for cancer patients, with special focus on those facing the above-mentioned barriers. The PCP was piloted with 63 patients treated at the Princess Margaret Hospital in Toronto, Ontario, Canada. Patients faced barriers of language, poverty, culture, social isolation, and literacy. Triangulation was used to compare and contrast multiple sources of quantitative and qualitative evaluation data. Identifying appropriate patients for referral to the PCP was a major challenge. Six categories of unmet needs were identified: practical factors related to daily living, cancer information, emotional support, interaction with the healthcare team, problems with physical health,and factors related to family and friends. Many significant barriers to supportive care and unmet needs are not identified by time-pressured clinical staff in cancer clinics. The PCP helped to identify needs and to improve ability to access services. Participants were highly satisfied with the program and believed it had positive implications for both physical and emotional health. Based on these results, a demonstration model for a supportive-care program is proposed as an integral component of care for all cancer patients, including those at risk for underservice. PMID:17500506

  16. Preliminary development and psychometric evaluation of an unmet needs measure for adolescents and young adults with cancer: the Cancer Needs Questionnaire - Young People (CNQ-YP

    Directory of Open Access Journals (Sweden)

    Clinton-McHarg Tara

    2012-01-01

    Full Text Available Abstract Background Adolescents and young adult (AYA cancer survivors may have unique physical, psychological and social needs due to their cancer occurring at a critical phase of development. The aim of this study was to develop a psychometrically rigorous measure of unmet need to capture the specific needs of this group. Methods Items were developed following a comprehensive literature review, focus groups with AYAs, and feedback from health care providers, researchers and other professionals. The measure was pilot tested with 32 AYA cancer survivors recruited through a state-based cancer registry to establish face and content validity. A main sample of 139 AYA cancer patients and survivors were recruited through seven treatment centres and invited to complete the questionnaire. To establish test-retest reliability, a sub-sample of 34 participants completed the measure a second time. Exploratory factor analysis was performed and the measure was assessed for internal consistency, discriminative validity, potential responsiveness and acceptability. Results The Cancer Needs Questionnaire - Young People (CNQ-YP has established face and content validity, and acceptability. The final measure has 70 items and six factors: Treatment Environment and Care (33 items; Feelings and Relationships (14 items; Daily Life (12 items; Information and Activities (5 items; Education (3 items; and Work (3 items. All domains achieved Cronbach's alpha values greater than 0.80. Item-to-item test-retest reliability was also high, with all but four items reaching weighted kappa values above 0.60. Conclusions The CNQ-YP is the first multi-dimensional measure of unmet need which has been developed specifically for AYA cancer patients and survivors. The measure displays a strong factor structure, and excellent internal consistency and test-retest reliability. However, the small sample size has implications for the reliability of the statistical analyses undertaken

  17. Novel Duplicate Address Detection with Hash Function.

    Science.gov (United States)

    Song, GuangJia; Ji, ZhenZhou

    2016-01-01

    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.

  18. Novel Duplicate Address Detection with Hash Function.

    Science.gov (United States)

    Song, GuangJia; Ji, ZhenZhou

    2016-01-01

    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. PMID:26991901

  19. Achievements, challenges and unmet needs for haemophilia patients with inhibitors: Report from a symposium in Paris, France on 20 November 2014.

    Science.gov (United States)

    Dargaud, Y; Pavlova, A; Lacroix-Desmazes, S; Fischer, K; Soucie, M; Claeyssens, S; Scott, D W; d'Oiron, R; Lavigne-Lissalde, G; Kenet, G; Escuriola Ettingshausen, C; Borel-Derlon, A; Lambert, T; Pasta, G; Négrier, C

    2016-01-01

    Over the past 20 years, there have been many advances in haemophilia treatment that have allowed patients to take greater control of their disease. However, the development of factor VIII (FVIII) inhibitors is the greatest complication of the disease and a challenge in the treatment of haemophilia making management of bleeding episodes difficult and surgical procedures very challenging. A meeting to discuss the unmet needs of haemophilia patients with inhibitors was held in Paris on 20 November 2014. Topics discussed were genetic and non-genetic risk factors for the development of inhibitors, immunological aspects of inhibitor development, FVIII products and inhibitor development, generation and functional properties of engineered antigen-specific T regulatory cells, suppression of immune responses to FVIII, prophylaxis in haemophilia patients with inhibitors, epitope mapping of FVIII inhibitors, current controversies in immune tolerance induction therapy, surgery in haemophilia patients with inhibitors and future perspectives for the treatment of haemophilia patients with inhibitors. A summary of the key points discussed is presented in this paper.

  20. An Experimental of IPv6 Address Assignment for Global Unicast Address Using NS-3

    Directory of Open Access Journals (Sweden)

    Dr. P. Sumathi

    2015-11-01

    Full Text Available Internet Protocol Version 6 (IPv6 is the next generation protocol and in the near future, routers are going to become more faster and new technologies are going to reduce the Internet delay. IPv6 global unicast address is similar to IPv4 public address and globally routable. This Global unicast address assignment process provides new function called Stateless Address Auto Configuration (SLAAC is a significant feature for host itself generating and configuring own addresses to enable communication. In this paper aims to describe experimental about IPv6 address assignment for global unicast address and evaluation of a host using various parameters such as Default router IP address, Throughput, Average End to End Delay and Domain Name Server (DNS IP address. The study was carried out using an open source Network Simulator (NS-3 to study and analyses the behavior of IPv6 address assignment.

  1. 7 CFR 1730.3 - RUS addresses.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 11 2010-01-01 2010-01-01 false RUS addresses. 1730.3 Section 1730.3 Agriculture... ELECTRIC SYSTEM OPERATIONS AND MAINTENANCE General § 1730.3 RUS addresses. (a) Persons wishing to obtain...) Documents required to be submitted to RUS under this part are to be sent to the office of the...

  2. Public Address Systems. Specifications - Installation - Operation.

    Science.gov (United States)

    Palmer, Fred M.

    Provisions for public address in new construction of campus buildings (specifications, installations, and operation of public address systems), are discussed in non-technical terms. Consideration is given to microphones, amplifiers, loudspeakers and the placement and operation of various different combinations. (FS)

  3. A Novel Approach for TNA Address Management

    Institute of Scientific and Technical Information of China (English)

    Xiaodong Wang; Yaohui Jin; Weishen Hu; Shenli Zhu

    2003-01-01

    We present a new scheme to allocate/de- allocate Transport Network Assigned (TNA) address using Link ManagementProtocol (LMP) and to register/resolution these addresses using Lightweight Directory Access Protocol (LDAP) forAutomatically Switched Optical Network (ASON).

  4. Approaches for Resolving Dynamic IP Addressing.

    Science.gov (United States)

    Foo, Schubert; Hui, Siu Cheung; Yip, See Wai; He, Yulan

    1997-01-01

    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…

  5. Image compression using address-vector quantization

    Science.gov (United States)

    Nasrabadi, Nasser M.; Feng, Yushu

    1990-12-01

    A novel vector quantization scheme, the address-vector quantizer (A-VQ), is proposed which exploits the interblock correlation by encoding a group of blocks together using an address-codebook (AC). The AC is a set of address-codevectors (ACVs), each representing a combination of addresses or indices. Each element of the ACV is an address of an entry in the LBG-codebook, representing a vector-quantized block. The AC consists of an active (addressable) region and an inactive (nonaddressable) region. During encoding the ACVs in the AC are reordered adaptively to bring the most probable ACVs into the active region. When encoding an ACV, the active region is checked, and if such an address combination exists, its index is transmitted to the receiver. Otherwise, the address of each block is transmitted individually. The SNR of the images encoded by the A-VQ method is the same as that of a memoryless vector quantizer, but the bit rate is by a factor of approximately two.

  6. An Experimental of IPv6 Address Assignment for Global Unicast Address Using NS-3

    OpenAIRE

    DR.P.SUMATHI; Dr. Saroj Patel; Prabhakaran,, Dorairaj

    2015-01-01

    Internet Protocol Version 6 (IPv6) is the next generation protocol and in the near future, routers are going to become more faster and new technologies are going to reduce the Internet delay. IPv6 global unicast address is similar to IPv4 public address and globally routable. This Global unicast address assignment process provides new function called Stateless Address Auto Configuration (SLAAC) is a significant feature for host itself generating and configuring own addresses to enable communi...

  7. Data structure, method and system for address lookup

    OpenAIRE

    Stefanakis, G.; Sourdis, I.; Nedeltchev, G.G.; De Smet, R.

    2010-01-01

    Method and computer system for constructing a decision tree for use in address lookup of a requested address in an address space. The address space is arranged as a set of basic address ranges. Each basic address range is defined by a lower and an upper bound address, and an address in the address space is represented by a predetermined number of bits.

  8. Addressing the sluggish progress in reducing maternal mortality in India.

    Science.gov (United States)

    Rai, Rajesh Kumar; Tulchinsky, Theodore Herzl

    2015-03-01

    Although some progress has been made in India, achievement of the Fifth Millennium Development Goal (MDG5; ie, 75% reduction in maternal mortality ratio [MMR] from 1990 by 2015) target seems to be unattainable by 2015. Failure of the National Population Policy, 2000, and the National Health Policy, 2002, to reduce the MMR demanded a new direction, leading to the establishment of a National Rural Health Mission in 2005. This commentary addresses both the real achievements and the hurdles faced in India's stagnating progress in maternal health. Promotion of maternal nutrition and health education, with greater attention to emergency obstetrical care at the district subcenter and primary health care center levels, must be prioritized. These changes of focus are vital to make prenatal, delivery, and postnatal care safer with increased resources allotted to adolescents, the poor, and women living in rural areas in order to enhance maternal health and achieve the MDG target.

  9. Addressing the financial consequences of cancer: qualitative evaluation of a welfare rights advice service.

    Directory of Open Access Journals (Sweden)

    Suzanne Moffatt

    Full Text Available BACKGROUND: The onset, treatment and trajectory of cancer is associated with financial stress among patients across a range of health and welfare systems and has been identified as a significant unmet need. Welfare rights advice can be delivered effectively in healthcare settings, has the potential to alleviate financial stress, but has not yet been evaluated. We present an evaluation of a welfare rights advice intervention designed to address the financial consequences of cancer. METHODS: Descriptive study of welfare outcomes among 533 male and 641 female cancer patients and carers aged 4-95 (mean 62 years, who accessed the welfare rights advice service in North East England between April 2009 and March 2010; and qualitative interview study of a maximum variation sample of 35 patients and 9 carers. RESULTS: Over two thirds of cancer patients and carers came from areas of high socio-economic deprivation. Welfare benefit claims were successful for 96% of claims made and resulted in a median increase in weekly income of £70.30 ($109.74, €84.44. Thirty-four different types of benefits or grants were awarded. Additional resources were perceived to lessen the impact of lost earnings, help offset costs associated with cancer, reduce stress and anxiety and increase ability to maintain independence and capacity to engage in daily activities, all of which were perceived to impact positively on well-being and quality of life. Key barriers to accessing benefit entitlements were knowledge, system complexity, eligibility concerns and assumptions that health professionals would alert patients to entitlements. CONCLUSIONS: The intervention proved feasible, effectively increased income for cancer patients and was highly valued. Addressing the financial sequelae of cancer can have positive social and psychological consequences that could significantly enhance effective clinical management and suitable services should be routinely available. Further research

  10. Address forms in Chinese audit opinions

    Institute of Scientific and Technical Information of China (English)

    Ziye; Zhao

    2014-01-01

    Although forms of address are widely used in textual and other types of disclosure,empirical evidence of their effects is rare.China provides a unique setting in which to test the economic consequences of the forms of address used in audit reports.From 2003 to 2011,about 60%of auditors surveyed addressed their clients by their real names in audit opinions,while the others used honorifics.Based on a sample of Chinese audit opinions,I report the following findings.First,the announcement of an audit opinion that uses the client’s real name elicits a greater market response than the announcement of an opinion featuring an honorific form of address.Second,the effects of real-name forms of address are stronger in firms with weak board governance.Third,the association between audit fees and audit risk factors,such as loss-making,is stronger in firms that are addressed by their real names in audit reports.I conclude from these findings that the forms of address used in audit opinions may reveal private information on audit quality.The results of this study are consistent with the power-solidarity effect described by sociolinguists.

  11. Local address and emergency contact details

    CERN Multimedia

    2013-01-01

    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

  12. Opening Address: Meeting Tomorrow's Energy Needs

    International Nuclear Information System (INIS)

    I want to thank the IAEA, as well as the international and local organizing committees, for assembling this impressive group of conference attendees to share information and exchange ideas this week. I am honoured to be a part of this distinguished panel. I also want to thank our Japanese colleagues for their wonderful hospitality and for selecting the beautiful city of Kyoto as the venue. This is an historic time of challenge and opportunity. President Obama is seeking to accelerate our nation's transformation to a low carbon economy. He has set a goal of reducing carbon emissions by 80 per cent by 2050. As we meet here in Kyoto, the site of another historic climate change discussion, President Obama is preparing to attend the United Nations Climate Change Conference in Copenhagen, continuing his Administration's commitment to tackling climate change and building a clean energy economy. Four months ago, Dr. Warren 'Pete' Miller was confirmed by the United States Senate to serve as Assistant Secretary for the Department of Energy's Office of Nuclear Energy. Soon afterwards, I joined Pete as his Principal Deputy. In that short time, Pete and I have come to appreciate fully the enormous task we have before us. Transforming our economy from one reliant on fossil fuels to a low carbon future will take investments in energy efficiency and all forms of low carbon energy technologies, including nuclear energy. Our job is to assure that nuclear technologies can contribute to meeting this aggressive goal for reduced greenhouse gas emissions. Nuclear energy can contribute to the future energy supply in two basic areas: (i) in its traditional role of generating electricity and (ii) as a source of process heat for industrial, petrochemical and desalination purposes. Within the Office of Nuclear Energy, we are now developing a roadmap that will help us in 'meeting tomorrow's energy needs' by addressing these two vital areas. We have established five strategic goals as the

  13. 76 FR 38459 - Surety Companies Acceptable on Federal Bonds-Redomestication and Change in Business Address...

    Science.gov (United States)

    2011-06-30

    .... Department of the Treasury, Financial Management Service, Financial Accounting and Services Division, Surety... Carrico, Director, Financial Accounting and Services Division, Financial Management Service. BILLING CODE... Address; National Farmers Union Property and Casualty Company AGENCY: Financial Management Service,...

  14. NOAA's Coral Reef Conservation Program: 2016 projects to address coral reef conservation issues

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — In 2016 the following projects will take place to address aspects of coral reef conservation: Enhancing Management of Pacific ESA-listed Corals with Improved...

  15. Addressing Transition Issues in Languages Education.

    Science.gov (United States)

    Steigler-Peters, Susi; Moran, Wendy; Piccioli, Maria Teresa; Chesterton, Paul

    2003-01-01

    Focuses on what has been learned from the implementation and evaluation of the Australian Language and Continuity Initiative (LCI) in relation to addressing transition issues in language education. (Author/VWL)

  16. Radiation and occupational health: opening address

    International Nuclear Information System (INIS)

    The part of address discusses the following issue: benefits of radiological protection in Malaysia, traceability and accountability as assurance of the validity of radiation measurement, Laboratory Accreditation Scheme, Atomic Energy Licensing Act

  17. Address Points, Published in unknown, SWGRC.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Address Points dataset as of unknown. Data by this publisher are often provided in Geographic coordinate system; in a Not Sure projection; The extent of these...

  18. An Efficient Reconfigurable Content Addressable Memory

    Directory of Open Access Journals (Sweden)

    Saswathy Sekharan

    2014-01-01

    Full Text Available This paper introduces an efficient reconfigurable Content Addressable memory (CAMs which is a hardware search engine that are much faster than other algorithmic approaches for search intensive applications. Content Addressable Memories are composed of conventional semiconductor memory (usually SRAM with added comparison circuitry that enables a search operation to complete in a single clock cycle. To understand more about Content Addressable Memory, it helps to contrast it with RAM. A RAM is an integrated circuit that stores data temporarily. In CAM, the user supplies the data and gets back the address.In this paper we introduce a temporary memory called Cache. The cache-CAM (C-CAM saves 80% power over a conventional CAM. Compared with existing software search engines proposed hardware search engine can do multiple searches at a time with more flexibility.

  19. Addressing Your Child's Weight at the Doctor

    Science.gov (United States)

    ... Beverage Toolkit Addressing your Child's Weight at the Doctor Updated:Aug 4,2014 The discussion of weight ... tips on how to make talking with your doctor about weight and childhood obesity less daunting: Come ...

  20. Census Bureau Planned Acquisition: Address Data

    Data.gov (United States)

    US Census Bureau, Department of Commerce — The Census Bureau updates and maintains address data to support the correct allocation of population and housing for censuses and surveys. Boundaries, streets,...

  1. Measuring the Density Matrix by Local Addressing

    CERN Document Server

    Kis, Z

    2001-01-01

    We introduce a procedure to measure the density matrix of a material system. The density matrix is addressed locally in this scheme by applying a sequence of delayed light pulses. The procedure is based on the stimulated Raman adiabatic passage (STIRAP) technique. It is shown that a series of population measurements on the target state of the population transfer process yields unambiguous information about the populations and coherences of the addressed states, which therefore can be determined.

  2. Address Points, address, Published in 2008, 1:24000 (1in=2000ft) scale, Juab County.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Address Points dataset, published at 1:24000 (1in=2000ft) scale, was produced all or in part from Other information as of 2008. It is described as 'address'....

  3. Parcels and Land Ownership, rural addressing does collect address points, Published in unknown, Gibson County Government.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Parcels and Land Ownership dataset as of unknown. It is described as 'rural addressing does collect address points'. The extent of these data is generally Gila...

  4. 46 CFR 67.113 - Managing owner designation; address; requirement to report change of address.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 2 2010-10-01 2010-10-01 false Managing owner designation; address; requirement to... Required for Vessel Documentation § 67.113 Managing owner designation; address; requirement to report change of address. The owner of each vessel must designate a managing owner on the Application...

  5. States Address Civics with Mandated Task Forces

    Science.gov (United States)

    Delander, Brady

    2014-01-01

    By coincidence or not, Massachusetts, Illinois and Virginia created civic education task forces not long after national test results showed a dismal understanding of the subject matter across all grade levels. Results of the 2010 National Assessment of Educational Progress showed just 25 percent of all testtakers in grades 4, 8 and 12 demonstrated…

  6. 校园网IP地址冲突原因分析及防范——以青海民族大学为例%Campus Network IP Address Conflict Causes Analysis and Prevention --Qinghai University for Nationalities As Example

    Institute of Scientific and Technical Information of China (English)

    马丽君

    2011-01-01

    Through research,analysis of the IP address causes of conflict,on the basis of IP address conflicts should be resolved in the management and technical guard against them,to ensure the safety of the campus network on the LAN IP address conflict operation.%文章通过对局域网中IP地址的冲突问题进行研究,分析了常见的IP地址的冲突原因,在此基础上提出了IP地址冲突的解决应在管理上和技术上加以防范,保证校园网安全运行。

  7. Strategies for Addressing Spreadsheet Compliance Challenges

    CERN Document Server

    Weber, Brandon

    2006-01-01

    Most organizations today use spreadsheets in some form or another to support critical business processes. However the financial resources, and developmental rigor dedicated to them are often minor in comparison to other enterprise technology. The increasing focus on achieving regulatory and other forms of compliance over key technology assets has made it clear that organizations must regard spreadsheets as an enterprise resource and account for them when developing an overall compliance strategy. This paper provides the reader with a set of practical strategies for addressing spreadsheet compliance from an organizational perspective. It then presents capabilities offered in the 2007 Microsoft Office System which can be used to help customers address compliance challenges.

  8. Addressing techniques of liquid crystal displays

    CERN Document Server

    Ruckmongathan, Temkar N

    2014-01-01

    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

  9. ON THE CHOICE ADDRESS FORMS: INTIMATE ADDRESS FORMS AS IN-GROUP IDENTITY MARKERS OF BLACK SOUTH AFRICANS IN 'INVICTUS' MOVIE

    OpenAIRE

    Prihantoro Prihantoro

    2012-01-01

    Invictus is a movie which is adapted from a true story of how the South African President, Nelson Mandela, tried to unite South Africa by supporting the national rugby team, Springbok, which used to be the symbol of Apartheid. His relation with other characters in this movie is reflected from the address forms and the choice is influenced by many aspects like social distance among the participants, age difference, formality scale etc. This paper focuses on the choice of address forms used amo...

  10. Unmet needs in automated cytogenetics

    International Nuclear Information System (INIS)

    Though some, at least, of the goals of automation systems for analysis of clinical cytogenetic material seem either at hand, like automatic metaphase finding, or at least likely to be met in the near future, like operator-assisted semi-automatic analysis of banded metaphase spreads, important areas of cytogenetic analsis, most importantly the determination of chromosomal aberration frequencies in populations of cells or in samples of cells from people exposed to environmental mutagens, await practical methods of automation. Important as are the clinical diagnostic applications, it is apparent that increasing concern over the clastogenic effects of the multitude of potentially clastogenic chemical and physical agents to which human populations are being increasingly exposed, and the resulting emergence of extensive cytogenetic testing protocols, makes the development of automation not only economically feasible but almost mandatory. The nature of the problems involved, and acutal of possible approaches to their solution, are discussed

  11. Native Women at Risk: Addressing Cancer Prevention.

    Science.gov (United States)

    Thiemann, Kay M. B.

    1994-01-01

    Discusses outcomes of a conference that brought together representatives from Indian tribes, state health departments, the Indian Health Service, the Mayo Clinic, and the American Cancer Society, to address the high rate of cervical cancer among American Indian women. Describes barriers to health care and plans to promote cancer screening among…

  12. China-ROK Forum Addresses Monetary Issues

    Institute of Scientific and Technical Information of China (English)

    陈伟

    2008-01-01

    On June 12th,2008,the China-Korea Forum was held in Shanghai to address hot issues in China’s nancial sector such as banking reform,securities market and RMB appreciation,Vice Mayor of Shanghai,o cials from Shanghai Securities Exchange Research Center and the Korea Financial Service Commission were invited to share their wisdom on these issues.

  13. Addressing production stops in the food industry

    DEFF Research Database (Denmark)

    Hansen, Zaza Nadja Lee; Herbert, Luke Thomas; Jacobsen, Peter

    2014-01-01

    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...

  14. Registering Names and Addresses for Information Technology.

    Science.gov (United States)

    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…

  15. Rational Rhymes for Addressing Common Childhood Issues

    Science.gov (United States)

    Warren, Jeffrey M.

    2011-01-01

    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…

  16. Problem Solvers: Solutions--The Inaugural Address

    Science.gov (United States)

    Dause, Emily

    2014-01-01

    Fourth graders in Miss Dause's and Mrs. Hicks's mathematics classes at South Mountain Elementary School in Dillsburg, Pennsylvania, worked with the data from the Inauagural Address problem that was previously published published in the February 2013 issue of "Teaching Children Mathematics". This activity allowed students to…

  17. IP Address Use in Internetworking Routing

    OpenAIRE

    2003-01-01

    tut quiz present anim This interactive tutorial covers the following: How routers use the elements of the IP address to forward packets of information., How information travels through the Internet.The interactions consists of pop-up definitions of terms, animations and self-check questions. EC3760 Introduction to Information Operations Engineering

  18. How Sociology Texts Address Gun Control

    Science.gov (United States)

    Tonso, William R.

    2004-01-01

    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…

  19. Addressing South Africa's Engineering Skills Gaps

    Science.gov (United States)

    Hall, Jonathan; Sandelands, Eric

    2009-01-01

    Purpose: This paper aims to provide a case study of how engineering skills gaps are being addressed by Murray & Roberts in South Africa. Design/methodology/approach: The paper focuses on skills challenges in South Africa from a reflective practitioner perspective, exploring a case example from an industry leader. Findings: The paper explores how…

  20. Nationalism in Stateless Nations

    DEFF Research Database (Denmark)

    Thomsen, Robert Chr.

    "Nationalism in Stateless Nations" explores national identities and nationalist movements since 1967, using the examples of Scotland and Newfoundland. Adding to the debate about globalisation and the future of the nation-state, the book argues that ethnically rooted nationalism in modern liberal...... previously independent countries, are excellent examples of this. Building on theories of national identity-formation and nationalism, it traces the development of cultural and political nationalism, and changing images of the national self. With a focus on important fomenting factors and actors...... - intellectuals, political parties and the media - the book combines historical, sociological, political and media studies analyses in an interdisciplinary investigation, providing a comprehensive account of the waxing and waning of nationalism....

  1. Regional Seminars to Address Current Nuclear Export Control Issues

    International Nuclear Information System (INIS)

    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.

  2. Improving student learning by addressing misconceptions

    Science.gov (United States)

    Engelmann, Carol A.; Huntoon, Jacqueline E.

    2011-12-01

    Students—and often those who teach them—come to class with preconceptions and misconceptions that hinder their learning. For instance, many K-12 students and teachers believe groundwater exists in the ground in actual rivers or lakes, but in fact, groundwater is found in permeable rock layers called aquifers. Such misconceptions need to be addressed before students can learn scientific concepts correctly. While other science disciplines have been addressing preconceptions and misconceptions for many years, the geoscience community has only recently begun to concentrate on the impact these have on students' learning. Valuable research is being done that illuminates how geologic thinking evolves from the "novice" to "expert" level. The expert is defined as an individual with deep understanding of Earth science concepts. As research progresses, geoscientists are realizing that correcting preconceptions and misconceptions can move teachers and students closer to the "expert" level [Libarkin, 2005].

  3. CANE: The Content Addressed Network Environment

    CERN Document Server

    Gardner-Stephen, Paul

    2007-01-01

    The fragmented nature and asymmetry of local and remote file access and network access, combined with the current lack of robust authenticity and privacy, hamstrings the current internet. The collection of disjoint and often ad-hoc technologies currently in use are at least partially responsible for the magnitude and potency of the plagues besetting the information economy, of which spam and email borne virii are canonical examples. The proposed replacement for the internet, Internet Protocol Version 6 (IPv6), does little to tackle these underlying issues, instead concentrating on addressing the technical issues of a decade ago. This paper introduces CANE, a Content Addressed Network Environment, and compares it against current internet and related technologies. Specifically, CANE presents a simple computing environment in which location is abstracted away in favour of identity, and trust is explicitly defined. Identity is cryptographically verified and yet remains pervasively open in nature. It is argued tha...

  4. Politeness Strategies in American Presidential Inaugural Addresses

    Institute of Scientific and Technical Information of China (English)

    李立文; 朱琳靓

    2008-01-01

    American presidential inaugural address(PIA)a very important variety with worldwide influence and long-lasting significance.Its main task and purpose is to outline the main policies of the new government and win people's support.However.the prerequisite of winning people's sympathy and support lies in people's good relationship with and trust in the government.Therefore almost all the speakers resort to"approached-based" positive politeness strategy quite often which performs this function very well.

  5. Addressing spiritual leadership: an organizational model.

    Science.gov (United States)

    Burkhart, Lisa; Solari-Twadell, P Ann; Haas, Sheila

    2008-01-01

    The Joint Commission requires health systems to address spiritual care. Research indicates that spirituality is associated with better physical, psychological, and social health and that culturally diverse populations and individuals at end-of-life often request spiritual care. The authors report the results of a consensus conference of 21 executives representing 10 large faith-based health systems who discussed the input, process, and outcomes of a corporate model for spiritual leadership. Specific initiatives are highlighted.

  6. Addressing language barriers to healthcare in India.

    Science.gov (United States)

    Narayan, Lalit

    2013-01-01

    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. PMID:24758452

  7. Matching Alternative Addresses: a Semantic Web Approach

    Science.gov (United States)

    Ariannamazi, S.; Karimipour, F.; Hakimpour, F.

    2015-12-01

    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.

  8. Innovative Legal Approaches to Address Obesity

    Science.gov (United States)

    Pomeranz, Jennifer L; Teret, Stephen P; Sugarman, Stephen D; Rutkow, Lainie; Brownell, Kelly D

    2009-01-01

    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

  9. Addressing Gender Inequities in Collegiate Sport

    Directory of Open Access Journals (Sweden)

    Athena Yiamouyiannis

    2012-05-01

    Full Text Available The purpose of this study was to examine issues related to female representation within the governance structure of the National Collegiate Athletic Association (NCAA. A descriptive statistics approach through the lens of feminism was taken in collecting and analyzing data related to the gender representation of staff leadership positions within the NCAA national office and gender representation within the NCAA Division I, II, and III governance structure. This was coupled with a review of NCAA programming initiatives related to leadership opportunities. Although a number of strategies are being implemented by the NCAA to provide greater access and leadership opportunities for women (e.g., diversity initiatives, Senior Woman Administrator legislation, and guaranteed representation on committees, women continue to be underrepresented within NCAA governance substructures and upper leadership levels within the NCAA national office. In addition, nongender neutral sport governance policies still exist that impede the progress of achieving gender equality.

  10. Nation/non-nation

    DEFF Research Database (Denmark)

    Sonnichsen, André; Gad, Ulrik Pram

    2008-01-01

    Is nationality the only way of organizing political community? Given the ubiquity of the national principle, one might think so. But, in practice, the national principle is constantly challenged by what can be termed non-national identities. This article looks at manners in which such deviating...... identities can be conceptualized, how contemporary European states have attempted to deal with them when they arise and to what extent non-national modes of organizing political community can point towards a challenge to the national principle itself. In its capacity as an introduction to the special issue......, this article seeks to frame the subsequent articles within the overarching theme of the tension between national and non-national communities in contemporary Europe....

  11. Addressing Unfair Trading Practices in Bulgaria

    OpenAIRE

    World Bank

    2014-01-01

    The Government of Bulgaria (GoB) is concerned that large retail chains may be using their superior bargaining position to dictate the terms of contractual relations with their suppliers. The Government believes that this constitutes unfair trading practices (UTP) and remedies should be found in the nation's competition policy framework. The GoB is considering the introduction of the concep...

  12. Addressing Infectious Disease Challenges by Investigating Microbiomes.

    Science.gov (United States)

    Balskus, Emily P

    2016-07-01

    Microbial communities occupy essentially every habitat on earth and have profound effects on our environment and human health. The National Microbiome Initiative will provide a framework for interdisciplinary microbiome research. The challenges inherent in discovering and understanding microbiome functions, especially those associated with infectious disease, present countless opportunities for chemists. PMID:27626096

  13. 78 FR 35149 - Addresses of Regional Offices

    Science.gov (United States)

    2013-06-12

    ..., Louisiana, Mississippi, North Carolina, South Carolina, and Tennessee; the Commonwealth of Puerto Rico; and... Relations With Native American Tribal Governments'' (59 FR 22951), Executive Order 13175, and 512 DM 2, we...--NATIONAL COASTAL WETLANDS CONSERVATION GRANT PROGRAM 0 14. The authority citation for part 84 continues...

  14. Addressing the water resource management issue

    OpenAIRE

    Orprecio, J.; Rola, Agnes C.; Deutsch, William; Coxhead, Ian; Sumbalan, Antonio

    2002-01-01

    Metadata only record The rapid growth in demand for water by the agricultural, industrial and household sectors will place greater pressure on Philippine water supplies in the future. Among the many water management issues, surface water management, watershed management or more precisely, river basin management is prominent in both the local and national scenes.

  15. Addressing Competitive Stress in Junior Tennis Players.

    Science.gov (United States)

    Dunlap, Patricia; Berne, Linda A.

    1991-01-01

    The PRECEDE model (an acronym for predisposing, reinforcing, and enabling causes in education diagnosis and evaluation) emphasizes outcomes rather than inputs. The model was used in assessing the health needs of nationally ranked junior tennis players. The objective was to reduce stress illness in high-level competition. (JD)

  16. A Task Force to Address Bullying.

    Science.gov (United States)

    Keller, Ronald; Budin, Wendy C; Allie, Tammy

    2016-02-01

    Bullying in the workplace can create a dysfunctional environment that is associated with serious physical and psychological harm to the person being bullied. Nurses' experience with bullying has gained considerable attention in recent years, and warrants further discussion. Nurse leaders need to develop and implement effective bullying prevention initiatives that will foster the functioning of a professional and productive staff in a healthy work environment. The aim of this article is to review workplace bullying as experienced by nurses, and describe how nurses at a Magnet-designated academic medical center developed and implemented a bullying task force to address the problem.

  17. Panels and Lectures Address China Controversies

    Directory of Open Access Journals (Sweden)

    Video Resources

    2010-04-01

    Full Text Available Editors note: Over the past several months, colleagues have brought to our attention three public panel discussions and lectures that address contemporary controversies in Chinese studies. These discussions have been video-recorded and are available to view on the internet. These presentations may be useful either for scholarly pursuits or may be excerpted for classroom viewing. We wish to thank those who contacted us about these resources, and we encourage readers who know of other such video resources to let us know about them so that we can inform our ASIANetwork colleagues of their existence and availability.

  18. A Task Force to Address Bullying.

    Science.gov (United States)

    Keller, Ronald; Budin, Wendy C; Allie, Tammy

    2016-02-01

    Bullying in the workplace can create a dysfunctional environment that is associated with serious physical and psychological harm to the person being bullied. Nurses' experience with bullying has gained considerable attention in recent years, and warrants further discussion. Nurse leaders need to develop and implement effective bullying prevention initiatives that will foster the functioning of a professional and productive staff in a healthy work environment. The aim of this article is to review workplace bullying as experienced by nurses, and describe how nurses at a Magnet-designated academic medical center developed and implemented a bullying task force to address the problem. PMID:26817556

  19. Grid Added Value to Address Malaria

    CERN Document Server

    Breton, V; Hofmann, M

    2008-01-01

    Through this paper, we call for a distributed, internet-based collaboration to address one of the worst plagues of our present world, malaria. The spirit is a non-proprietary peer-production of information-embedding goods. And we propose to use the grid technology to enable such a world wide "open source" like collaboration. The first step towards this vision has been achieved during the summer on the EGEE grid infrastructure where 46 million ligands were docked for a total amount of 80 CPU years in 6 weeks in the quest for new drugs.

  20. HEP technologies to address medical imaging challenges

    CERN Document Server

    CERN. Geneva

    2016-01-01

    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.

  1. Results Analysis of IP Address Auto- Configuration in Wireless Manets

    OpenAIRE

    S.Zahoor Ul Huq; S. Shabana Begum; Dr. K.E.Sreenivasa Murthy; Prof. B. Satyanaryana

    2011-01-01

    The main task of an address allocation protocol is to manage the address allocation to the nodes in the ad hoc MANETs. All routing protocols assume nodes to be configured a priori with a uniqueIP address. Allocating addresses to mobile nodes is a fundamental and difficult problem. A mobile device cannot participate in unicast communications until it is assigned a conflict-free IP address. So addressing in MANETs is of significant importance, and the address configuration process should be fas...

  2. Integrated optical addressing of an ion qubit

    CERN Document Server

    Mehta, Karan K; McConnell, Robert; Ram, Rajeev J; Sage, Jeremy M; Chiaverini, John

    2015-01-01

    Scalable implementation of the optics required to control trapped atomic ions' quantum states will be required to construct large-scale ion trap quantum information processors. All experiments in ion traps so far have employed approaches cumbersome to scale to even a few tens of qubits, with the majority relying on manipulation of free space beams with bulk optics. Here we demonstrate lithographically defined nanophotonic dielectric waveguides integrated within a linear surface-electrode ion trap chip, and qubit addressing at multiple locations via focusing grating couplers that emit through openings in the trap electrodes to an ion trapped 50 $\\mu$m above the chip. We perform quantum coherent operations using visible light routed in and emitted from silicon nitride waveguides and couplers, on the optical qubit transition in individual $^{88}$Sr$^+$ ions. The addressing beam is focused near the ion position with a 2 $\\mu$m 1/$e^2$-radius along the trap axis, and we measure crosstalk errors between $10^{-2}$ a...

  3. Community Changes Address Common Health Threat

    Centers for Disease Control (CDC) Podcasts

    2013-09-30

    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.

  4. Addressing Disease-Related Malnutrition in Healthcare

    OpenAIRE

    Correia, Maria Isabel; Hegazi, Refaat A.; Diaz-Pizarro Graf, José Ignacio; Gomez-Morales, Gabriel; Fuentes Gutiérrez, Catalina; Goldin, Maria Fernanda; Navas, Angela; Pinzón Espitia, Olga Lucia; Tavares, Gilmária Millere

    2015-01-01

    Alarmingly high rates of disease-related malnutrition have persisted in hospitals of both emerging and industrialized nations over the past 2 decades, despite marked advances in medical care over this same interval. In Latin American hospitals, the numbers are particularly striking; disease-related malnutrition has been reported in nearly 50% of adult patients in Argentina, Brazil, Chile, Costa Rica, Cuba, Dominican Republic, Ecuador, Mexico, Panama, Paraguay, Peru, Puerto Rico, Venezuela, an...

  5. Addressing submarine geohazards through scientific drilling

    Science.gov (United States)

    Camerlenghi, A.

    2009-04-01

    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

  6. Library outreach: addressing Utah's “Digital Divide”

    Science.gov (United States)

    McCloskey, Kathleen M.

    2000-01-01

    A “Digital Divide” in information and technological literacy exists in Utah between small hospitals and clinics in rural areas and the larger health care institutions in the major urban area of the state. The goals of the outreach program of the Spencer S. Eccles Health Sciences Library at the University of Utah address solutions to this disparity in partnership with the National Network of Libraries of Medicine—Midcontinental Region, the Utah Department of Health, and the Utah Area Health Education Centers. In a circuit-rider approach, an outreach librarian offers classes and demonstrations throughout the state that teach information-access skills to health professionals. Provision of traditional library services to unaffiliated health professionals is integrated into the library's daily workload as a component of the outreach program. The paper describes the history, methodology, administration, funding, impact, and results of the program. PMID:11055305

  7. A mental model proposed to address sustainability and terrorism issues.

    Science.gov (United States)

    Schwing, Richard

    2002-06-01

    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.

  8. Address Forms in Chinese and English-Speaking Culture

    Institute of Scientific and Technical Information of China (English)

    王晓茹

    2015-01-01

    Address forms is one of markers of politeness and is an indispensable part of communication. An appropriate address form promotes interpersonal communication smoothly. An address form is polite in one culture, but might be inappropriate in an⁃other culture. The paper contrasts address forms in English and Chinese culture and explores the reasons for their different choice of address terms.

  9. Addressing consumerization of IT risks with nudging

    Directory of Open Access Journals (Sweden)

    Iryna Yevseyeva

    2015-01-01

    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.

  10. Programming chemistry in DNA-addressable bioreactors

    DEFF Research Database (Denmark)

    Fellermann, H.; Cardelli, L.

    2014-01-01

    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...

  11. World Federation of Vascular Societies: presidential address

    DEFF Research Database (Denmark)

    Sillesen, Henrik Hegaard

    2010-01-01

    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...... is best for other reasons, i.e. financial. Due to the increasing complex procedures - endovascular evolution and what is then "left" for open surgery - specialisation into "mainly open vascular surgeon" and "mainly endovascular surgeon" preceded by a common basic training into both, seems unavoidable...... important to train in clinical investigative methods, non-surgical treatment, decision making as is training in technical aspects of interventions. Similarly, it is vital, that the vascular specialist always recommends the treatment which is best to the individual patient, not only what he can do or what...

  12. Professional Culture and Climate: Addressing Unconscious Bias

    Science.gov (United States)

    Knezek, Patricia

    2016-10-01

    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.

  13. Addressing food waste reduction in Denmark

    DEFF Research Database (Denmark)

    Halloran, Afton Marina Szasz; Clement, Jesper; Kornum, Niels;

    2014-01-01

    . In order to better understand food waste and loss more research must be conducted on the total amount of food waste at every level of the food supply chain. Solutions can be found through improved communication, more efficient food packaging, and better in interpretation of food labels by consumers......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...

  14. Addressing stress corrosion cracking on multi layer pipeline coating systems

    Energy Technology Data Exchange (ETDEWEB)

    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)

    2005-07-01

    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)

  15. Addressing violence against women: a call to action.

    Science.gov (United States)

    García-Moreno, Claudia; Zimmerman, Cathy; Morris-Gehring, Alison; Heise, Lori; Amin, Avni; Abrahams, Naeemah; Montoya, Oswaldo; Bhate-Deosthali, Padma; Kilonzo, Nduku; Watts, Charlotte

    2015-04-25

    Violence against women and girls is prevalent worldwide but historically has been overlooked and condoned. Growing international recognition of these violations creates opportunities for elimination, although solutions will not be quick or easy. Governments need to address the political, social, and economic structures that subordinate women, and implement national plans and make budget commitments to invest in actions by multiple sectors to prevent and respond to abuse. Emphasis on prevention is crucial. Community and group interventions involving women and men can shift discriminatory social norms to reduce the risk of violence. Education and empowerment of women are fundamental. Health workers should be trained to identify and support survivors and strategies to address violence should be integrated into services for child health, maternal, sexual, and reproductive health, mental health, HIV, and alcohol or substance abuse. Research to learn how to respond to violence must be strengthened. The elimination of violence against women and girls is central to equitable and sustainable social and economic development and must be prioritised in the agenda for development after 2015.

  16. ADDRESSING THE SPECTRE OF CYBER TERRORISM: A COMPARATIVE PERSPECTIVE

    Directory of Open Access Journals (Sweden)

    Fawzia Cassim

    2012-08-01

    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.

  17. IP address management : augmenting Sandia's capabilities through open source tools.

    Energy Technology Data Exchange (ETDEWEB)

    Nayar, R. Daniel

    2005-08-01

    Internet Protocol (IP) address management is an increasingly growing concern at Sandia National Laboratories (SNL) and the networking community as a whole. The current state of the available IP addresses indicates that they are nearly exhausted. Currently SNL doesn't have the justification to obtain more IP address space from Internet Assigned Numbers Authority (IANA). There must exist a local entity to manage and allocate IP assignments efficiently. Ongoing efforts at Sandia have been in the form of a multifunctional database application notably known as Network Information System (NWIS). NWIS is a database responsible for a multitude of network administrative services including IP address management. This study will explore the feasibility of augmenting NWIS's IP management capabilities utilizing open source tools. Modifications of existing capabilities to better allocate available IP address space are studied.

  18. The potential for entomophagy to address undernutrition.

    Science.gov (United States)

    Nadeau, Luc; Nadeau, Isaac; Franklin, Frank; Dunkel, Florence

    2015-01-01

    The use of insects as food for humans has the potential to substantially reduce undernutrition worldwide. The Food and Agriculture Organization of the United Nations estimates that 805 million people are undernourished, with a total food energy deficit of 67.6 billion kcal/day (84 kcal/day/person). Calculations in this article suggest that this deficit could theoretically be reduced or eliminated through edible insect rearing, utilizing organic side streams as feed, on 15,586 to 92,976 ha. PMID:25401273

  19. The potential for entomophagy to address undernutrition.

    Science.gov (United States)

    Nadeau, Luc; Nadeau, Isaac; Franklin, Frank; Dunkel, Florence

    2015-01-01

    The use of insects as food for humans has the potential to substantially reduce undernutrition worldwide. The Food and Agriculture Organization of the United Nations estimates that 805 million people are undernourished, with a total food energy deficit of 67.6 billion kcal/day (84 kcal/day/person). Calculations in this article suggest that this deficit could theoretically be reduced or eliminated through edible insect rearing, utilizing organic side streams as feed, on 15,586 to 92,976 ha.

  20. Opening Address [Presented by D. Magliani

    International Nuclear Information System (INIS)

    Full text: I am very pleased to address you this morning on behalf of A.-M. Cetto, Head of the Department of Technical Cooperation, as we open this important international symposium. Interest in the symposium has been very high, with the number of registered participants greatly exceeding the number initially expected. Every region is represented in significant number, particularly Europe. The symposium's aim, to provide a forum to discuss and exchange information on advances over the past decade in radiation dosimetry and its supportive role in radiation medicine and radiation protection, is of high importance to the technical cooperation programme, which has a long standing, well-established focus on health. Accurate measurements in radiation dosimetry are critical in decisions making related to human health and to the safety of radiation workers and the general public, and the focus of this symposium strengthens technical cooperation activities in this sector. In each programme cycle, the IAEA receives large numbers of requests for technical cooperation support in the fields of dosimetry and medical radiation physics. Currently, we have 144 active projects that include these fields of activity. Under the scope of our interregional technical cooperation project on medical physics in radiation medicine (INT/6/054), the IAEA is working with Member States, international physics societies and the World Health Organization to promote the recognition of medical physics in radiation medicine, and to harmonize educational material in order to ensure the safe and effective diagnosis and treatment of patients. We are very pleased to support the attendance of 36 participants at the symposium under this project. Participants can expect to return home with a fresh overview of the latest developments and trends in radiation dosimetry, and a better understanding of the issues. This will contribute to standardization in the field, leading to improved diagnosis and treatment of

  1. Quality versus Quantity: The Role of Socioeconomic Status on Parent-Reported Service Knowledge, Service Use, Unmet Service Needs, and Barriers to Service Use

    Science.gov (United States)

    Pickard, Katherine E.; Ingersoll, Brooke R.

    2016-01-01

    Research within the autism spectrum disorder field has emphasized the role of socioeconomic status in shaping parents' ability to access services for their child with autism spectrum disorder. However, research has yet to explore the possible mechanisms underlying this relationship. This study sought to address this research gap by examining the…

  2. Can Social Identity Theory Addresses the Ethnocentric Tendencies of Consumers?

    Directory of Open Access Journals (Sweden)

    Tamgid Ahmed Chowdhury

    2012-12-01

    Full Text Available This paper investigates two issues of consumer psychology. First part of the paper assesses the applicability of ‘consumer ethnocentric tendencies scale(CETSCALE’ for a developing country Bangladesh to challenge the orthodox belief that consumer ethnocentrism is a phenomenon of developed nations only. With statistically significant results, the study shows that 13 out of 17 items of original CETSCALE are applicable for Bangladesh which validates that CETSCALE can be a research instrument for developing nations. In the second part, based on the modified CETSCALE items, this paperinvestigates the applicability of ‘social identity theory’ in addressing ethnocentric tendencies of different socio-demographic groups of consumers in Bangladesh. Results show that even if all 13 items of modified CETSCALE were supported by the surveyed population as a whole, the opinions on the scale items differ when the consumers are segregated into smaller social identities. And this deviationis due to their ‘in-group’ interests which supports the applicability of the social identity theory in the present context. The methodology is based on 788 samples collected from 22 districts of Bangladesh.

  3. Global Governance: Some concerns about authentic democracy addressed

    Directory of Open Access Journals (Sweden)

    Gillian Brock

    2011-05-01

    Full Text Available In this paper I take up a commonly voiced concern about the viability of global governance in general, and cosmopolitan democracy in particular, namely, whether genuine democracy can be achieved at the international level. Some (such as, Will Kymlicka argue that genuine democracy is only possible within nation-states, because authentic deliberation requires common nationality or identity, which generates the trust and solidarity necessary to sustain deliberation and democracy. Through analysis of the argument and consideration of the requirements of genuine democracy, we can see that these concerns can be addressed. I go on to suggest that the major challenge facing models of global governance is not one concerning lack of common identity, solidarity, or opportunities for authentic deliberation, rather, it lies elsewhere. We can assess global governance arrangements in terms of two main variables, which are sometimes in tension: effectiveness and accountability. We want systems of global governance to incorporate both considerations. Accountability can take the form of democratic procedures but alternative forms of accountability are also possible. Furthermore, a system of governance that both effectively attends to people’s interests and is suitably accountable can certainly claim to have adequate democratic credentials on the “Responsive Democracy” view I discuss. DOWNLOAD THIS PAPER FROM SSRN: http://ssrn.com/abstract=1837317

  4. Collaborative socioeconomic tool development to address management and planning needs

    Science.gov (United States)

    Richardson, Leslie A.; Huber, Christopher; Cullinane Thomas, Catherine; Donovan, Elizabeth; Koontz, Lynne M.

    2014-01-01

    Public lands and resources managed by the National Park Service (NPS) and other land management agencies provide a wide range of social and economic benefits to both nearby local communities and society as a whole, ranging from job creation, to access to unique recreational opportunities, to subsistence and tribal uses of the land. Over the years, there has been an increased need to identify and analyze the socioeconomic effects of the public’s use of NPS lands and resources, and the wide range of NPS land management decisions. This need stems from laws such as the National Environmental Policy Act (NEPA), increased litigation and appeals on NPS management decisions, as well as an overall need to demonstrate how parks benefit communities and the American public. To address these needs, the U.S. Geological Survey (USGS) and NPS have an ongoing partnership to collaboratively develop socioeconomic tools to support planning needs and resource management. This article discusses two such tools. The first, Assessing Socioeconomic Planning Needs (ASPN), was developed to help NPS planners and managers identify key social and economic issues that can arise as a result of land management actions. The second tool, the Visitor Spending Effects (VSE) model, provides a specific example of a type of analysis that may be recommended by ASPN. The remainder of this article discusses the development, main features, and plans for future versions and applications of both ASPN and the VSE.

  5. Addressing Female Iron-Deficiency Anaemia in India: Is Vegetarianism the Major Obstacle?

    OpenAIRE

    Anu Rammohan; Niyi Awofeso; Marie-Claire Robitaille

    2012-01-01

    Objectives. We examined the influence of vegetarian diet on the risk of developing anaemia among Indian women and suggest initiatives for addressing diet-related iron-deficiency anaemia. Methods. We analysed data on diet, social class, and haemoglobin levels from the nationally representative Indian National Family and Health Survey 2005/06 for a sample of 81,301 women aged 15–49 years using logistic regression models. Results. After controlling for individual-level factors and household leve...

  6. Addressing Underrepresentation: Physics Teaching for All

    Science.gov (United States)

    Rifkin, Moses

    2016-02-01

    Every physics teacher wants to give his or her students the opportunity to learn physics well. Despite these intentions, certain groups of students—including women and underrepresented minorities (URMs)—are not taking and not remaining in physics. In many cases, these disturbing trends are more significant in physics than in any other science. This is a missed opportunity for our discipline because demographic diversity strengthens science. The question is what we can do about these trends in our classrooms, as very few physics teachers have been explicitly prepared to address them. In this article, I will share some steps that I've taken in my classroom that have moved my class in the right direction. In the words of Nobel Prize-winning physicist Carl Wieman and psychologists Lauren Aguilar and Gregory Walton: "By investing a small amount of class time in carefully designed and implemented interventions, physics teachers can promote greater success among students from diverse backgrounds. Ultimately, we hope such efforts will indeed improve the diversity and health of the physics profession."

  7. Assessing what to address in science communication

    Science.gov (United States)

    Bruine de Bruin, Wändi; Bostrom, Ann

    2013-01-01

    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

  8. Presidential address: Experimenting with the scientific past.

    Science.gov (United States)

    Radick, Gregory

    2016-06-01

    When it comes to knowledge about the scientific pasts that might have been - the so-called 'counterfactual' history of science - historians can either debate its possibility or get on with the job. Taking the latter course means re-engaging with some of the most general questions about science. It can also lead to fresh insights into why particular episodes unfolded as they did and not otherwise. Drawing on recent research into the controversy over Mendelism in the early twentieth century, this address reports and reflects on a novel teaching experiment conducted in order to find out what biology and its students might be like now had the controversy gone differently. The results suggest a number of new options: for the collection of evidence about the counterfactual scientific past, for the development of collaborations between historians of science and science educators, for the cultivation of more productive relationships between scientists and their forebears, and for heightened self-awareness about the curiously counterfactual business of being historical. PMID:27353945

  9. Vaccine hesitancy: understanding better to address better.

    Science.gov (United States)

    Kumar, Dewesh; Chandra, Rahul; Mathur, Medha; Samdariya, Saurabh; Kapoor, Neelesh

    2016-01-01

    Vaccine hesitancy is an emerging term in the socio-medical literature which describes an approach to vaccine decision making. It recognizes that there is a continuum between full acceptance and outright refusal of some or all vaccines and challenges the previous understanding of individuals or groups, as being either anti-vaccine or pro-vaccine. The behaviours responsible for vaccine hesitancy can be related to confidence, convenience and complacency. The causes of vaccine hesitancy can be described by the epidemiological triad i.e. the complex interaction of environmental- (i.e. external), agent- (i.e. vaccine) and host (or parent)- specific factors. Vaccine hesitancy is a complex and dynamic issue; future vaccination programs need to reflect and address these context-specific factors in both their design and evaluation. Many experts are of the view that it is best to counter vaccine hesitancy at the population level. They believe that it can be done by introducing more transparency into policy decision-making before immunization programs, providing up-to-date information to the public and health providers about the rigorous procedures undertaken before introduction of new vaccines, and through diversified post-marketing surveillance of vaccine-related events. PMID:26839681

  10. Beyond open big data: addressing unreliable research.

    Science.gov (United States)

    Moseley, Edward T; Hsu, Douglas J; Stone, David J; Celi, Leo Anthony

    2014-11-11

    The National Institute of Health invests US $30.9 billion annually in medical research. However, the subsequent impact of this research output on society and the economy is amplified dramatically as a result of the actual medical treatments, biomedical innovations, and various commercial enterprises that emanate from and depend on these findings. It is therefore a great concern to discover that much of published research is unreliable. We propose extending the open data concept to the culture of the scientific research community. By dialing down unproductive features of secrecy and competition, while ramping up cooperation and transparency, we make a case that what is published would then be less susceptible to the sometimes corrupting and confounding pressures to be first or journalistically attractive, which can compromise the more fundamental need to be robustly correct.

  11. Addressing multimorbidity to improve healthcare and economic sustainability

    Directory of Open Access Journals (Sweden)

    Francesca Colombo

    2016-02-01

    Full Text Available Abstract Patients with multimorbidity are responsible for more than half of all healthcare utilization, challenging the healthcare budgets of all European nations. Although the European Union is showing signs of a fragile economic recovery, achieving sustainable growth will depend on delivering a combination of fiscal responsibility, structural reforms, and improved efficiency. Addressing the challenges of multimorbidity and providing more effective, affordable, and sustainable care, has climbed the political agenda at a global, European, and national level. Current healthcare systems are poorly adapted to cope with the challenges of patients with multimorbidity. Little is known about the epidemiology and natural history of multimorbidity; the evidence base is weak; clinical guidelines are not always relevant to this population; and financing and delivery systems have not evolved to adequately measure and reward quality and performance. Pockets of innovation are, however, beginning to emerge. In Spain, for example, the ongoing economic crisis has forced regional governments to deliver substantial efficiency savings and, with this in mind, integrated care programmes have been introduced across the country for people with chronic disease and multimorbidity. Early results suggest that formalized integrated care for patients with multimorbidity improves their perceptions of care coordination, reduces hospital and emergency admissions and readmissions, and reduces average costs per capita. Such innovations require meaningful investments at a national level – something that is now supported within the framework of the European Union’s Stability and Growth Pact. Journal of Comorbidity 2016;6(1:21–27 An erratum to this article can be found here: http://dx.doi.org/10.15256/joc.2016.6.77

  12. Addressing Earth Science Data Access Challenges through User Experience Research

    Science.gov (United States)

    Hemmings, S. N.; Banks, B.; Kendall, J.; Lee, C. M.; Irwin, D.; Toll, D. L.; Searby, N. D.

    2013-12-01

    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

  13. Computational strategies to address chromatin structure problems

    Science.gov (United States)

    Perišić, Ognjen; Schlick, Tamar

    2016-06-01

    While the genetic information is contained in double helical DNA, gene expression is a complex multilevel process that involves various functional units, from nucleosomes to fully formed chromatin fibers accompanied by a host of various chromatin binding enzymes. The chromatin fiber is a polymer composed of histone protein complexes upon which DNA wraps, like yarn upon many spools. The nature of chromatin structure has been an open question since the beginning of modern molecular biology. Many experiments have shown that the chromatin fiber is a highly dynamic entity with pronounced structural diversity that includes properties of idealized zig-zag and solenoid models, as well as other motifs. This diversity can produce a high packing ratio and thus inhibit access to a majority of the wound DNA. Despite much research, chromatin’s dynamic structure has not yet been fully described. Long stretches of chromatin fibers exhibit puzzling dynamic behavior that requires interpretation in the light of gene expression patterns in various tissue and organisms. The properties of chromatin fiber can be investigated with experimental techniques, like in vitro biochemistry, in vivo imagining, and high-throughput chromosome capture technology. Those techniques provide useful insights into the fiber’s structure and dynamics, but they are limited in resolution and scope, especially regarding compact fibers and chromosomes in the cellular milieu. Complementary but specialized modeling techniques are needed to handle large floppy polymers such as the chromatin fiber. In this review, we discuss current approaches in the chromatin structure field with an emphasis on modeling, such as molecular dynamics and coarse-grained computational approaches. Combinations of these computational techniques complement experiments and address many relevant biological problems, as we will illustrate with special focus on epigenetic modulation of chromatin structure.

  14. Computational strategies to address chromatin structure problems.

    Science.gov (United States)

    Perišić, Ognjen; Schlick, Tamar

    2016-01-01

    While the genetic information is contained in double helical DNA, gene expression is a complex multilevel process that involves various functional units, from nucleosomes to fully formed chromatin fibers accompanied by a host of various chromatin binding enzymes. The chromatin fiber is a polymer composed of histone protein complexes upon which DNA wraps, like yarn upon many spools. The nature of chromatin structure has been an open question since the beginning of modern molecular biology. Many experiments have shown that the chromatin fiber is a highly dynamic entity with pronounced structural diversity that includes properties of idealized zig-zag and solenoid models, as well as other motifs. This diversity can produce a high packing ratio and thus inhibit access to a majority of the wound DNA. Despite much research, chromatin's dynamic structure has not yet been fully described. Long stretches of chromatin fibers exhibit puzzling dynamic behavior that requires interpretation in the light of gene expression patterns in various tissue and organisms. The properties of chromatin fiber can be investigated with experimental techniques, like in vitro biochemistry, in vivo imagining, and high-throughput chromosome capture technology. Those techniques provide useful insights into the fiber's structure and dynamics, but they are limited in resolution and scope, especially regarding compact fibers and chromosomes in the cellular milieu. Complementary but specialized modeling techniques are needed to handle large floppy polymers such as the chromatin fiber. In this review, we discuss current approaches in the chromatin structure field with an emphasis on modeling, such as molecular dynamics and coarse-grained computational approaches. Combinations of these computational techniques complement experiments and address many relevant biological problems, as we will illustrate with special focus on epigenetic modulation of chromatin structure. PMID:27345617

  15. The 2009 NCTE Presidential Address: Sailing over the Edge--Navigating the Uncharted Waters of a World Gone Flat

    Science.gov (United States)

    Beers, Kylene

    2010-01-01

    This article presents the text of the author's presidential address, delivered at the National Council of Teachers of English (NCTE) Annual Convention in Philadelphia, Pennsylvania, on November 22, 2009. For the author, the title of this president's address, "Sailing over the Edge: Navigating the Uncharted Waters of a World Gone Flat," calls to…

  16. Addressing the Complexity of the Earth System

    Energy Technology Data Exchange (ETDEWEB)

    Nobre, Carlos; Brasseur, Guy P.; Shapiro, Melvyn; Lahsen, Myanna; Brunet, Gilbert; Busalacchi, Antonio; Hibbard, Kathleen A.; Seitzinger, Sybil; Noone, Kevin; Ometto, Jean P.

    2010-10-01

    This paper highlights the role of the Earth-system biosphere and illustrates the complex: biosphere-atmosphere interactions in the Amazon Basin, changes in nitrogen cycling, ocean chemistry, and land use. It introduces three important requirements for accelerating the development and use of Earth system information. The first requirement is to develop Earth system analysis and prediction models that account for multi-scale physical, chemical and biological processes, including their interactions in the coupled atmosphere-ocean-land-ice system. The development of these models requires partnerships between academia, national research centers, and operational prediction facilities, and builds upon accomplishments in weather and climate predictions. They will highlight the regional aspects of global change, and include modules for water system, agriculture, forestry, energy, air quality, health, etc. The second requirement is to model the interactions between humans and the weather-climate-biogeochemical system. The third requirement is to introduce novel methodologies to account for societal drivers, impacts and feedbacks. This is a challenging endeavor requiring creative solutions and some compromising because human behavior cannot be fully represented within the framework of present-day physical prediction systems.

  17. Analytical Approaches to Address Homeland Security Issues

    Energy Technology Data Exchange (ETDEWEB)

    Holter, Gregory M.; Young, Jonathan

    2003-11-01

    Homeland security concerns arising since September 11, 2001, have captured national attention and sparked a number of responses at all levels of government. As events have unfolded and the nature of the situation has become better understood within the United States, the need for effective planning and response has resulted in the identification of significant analytical challenges. These challenges relate to a number of different needs, including the following: (1) estimating the probability and the potential impact of various threats, (2) identifying the need for and effectiveness of specific counter-measures, and (3) assessing the combined results of interacting activities and events. Analytical approaches traditionally used for safety engineering and risk analysis, coupled with analytical approaches borrowed from other systems analysis disciplines, can be usefully adapted to help meet these challenges. This paper identifies and discusses several illustrative examples of the analytical challenges currently being faced with respect to homeland security. Linkages are then examined between these specific challenges and traditional analytical approaches from a variety of disciplines, including safety engineering and risk analysis. Since effective cooperation among responsible agencies and organizations has been identified as an issue of concern and is essential to achieve an effective homeland security strategy and response capability, issues relating to multiple interacting activities are specifically highlighted.

  18. 49 CFR 534.7 - Situations not directly addressed by this part.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 6 2010-10-01 2010-10-01 false Situations not directly addressed by this part. 534.7 Section 534.7 Transportation Other Regulations Relating to Transportation (Continued) NATIONAL HIGHWAY TRAFFIC SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RIGHTS AND RESPONSIBILITIES OF MANUFACTURERS IN THE CONTEXT OF CHANGES IN...

  19. 32 CFR 37.500 - What must my pre-award business evaluation address?

    Science.gov (United States)

    2010-07-01

    ... DoD GRANT AND AGREEMENT REGULATIONS TECHNOLOGY INVESTMENT AGREEMENTS Pre-Award Business Evaluation § 37.500 What must my pre-award business evaluation address? (a) You must determine the qualification... 32 National Defense 1 2010-07-01 2010-07-01 false What must my pre-award business...

  20. Networking of integrated pest management: A powerful approach to address common challenges in agriculture

    DEFF Research Database (Denmark)

    Lamichhane, Jay Ram; Aubertot, J-N; Begg, Graham;

    2016-01-01

    of knowledge transfer into practice and the communication gap both at country level and between countries, and lack of multi-, inter- and transdisciplinary IPM research. There is an increasing awareness that trans-national networking is one means to overcome such challenges and to address common priorities...

  1. The new candidate IPV6 address size prediction

    Directory of Open Access Journals (Sweden)

    Khaldoun Batiha

    2014-01-01

    Full Text Available IPv4 protocol is now no more sufficient due to its limited address space where this protocol uses only 32-bit for addressing. IPv6 protocol is the next protocol which was introduced as a new protocol that provide a huge address space .In This paper we discussed the significant overhead in the IPv6 standard packet due to its 128 bits address size, so we develop three different studies in order to generate a prediction of exhibition date for several address sizes so we can suggest another size for address size in IPv6 to improve the overall performance of the internet and tolerate the overhead by reducing the address size. In the same time this size should accommodate the accelerated growth in needs for unassigned blocks of addresses for very long time.   Keywords: Ipv4 Protocol, Ipv6 Protocol, Addressing Types, Ipv6 Header, Exhibition Date, Address Pool.

  2. Biological approaches for addressing the grand challenge of providing access to clean drinking water.

    Science.gov (United States)

    Riley, Mark R; Gerba, Charles P; Elimelech, Menachem

    2011-03-31

    The U.S. National Academy of Engineering (NAE) recently published a document presenting "Grand Challenges for Engineering". This list was proposed by leading engineers and scientists from around the world at the request of the U.S. National Science Foundation (NSF). Fourteen topics were selected for these grand challenges, and at least seven can be addressed using the tools and methods of biological engineering. Here we describe how biological engineers can address the challenge of providing access to clean drinking water. This issue must be addressed in part by removing or inactivating microbial and chemical contaminants in order to properly deliver water safe for human consumption. Despite many advances in technologies this challenge is expanding due to increased pressure on fresh water supplies and to new opportunities for growth of potentially pathogenic organisms.

  3. Biological approaches for addressing the grand challenge of providing access to clean drinking water

    Directory of Open Access Journals (Sweden)

    Gerba Charles P

    2011-03-01

    Full Text Available Abstract The U.S. National Academy of Engineering (NAE recently published a document presenting "Grand Challenges for Engineering". This list was proposed by leading engineers and scientists from around the world at the request of the U.S. National Science Foundation (NSF. Fourteen topics were selected for these grand challenges, and at least seven can be addressed using the tools and methods of biological engineering. Here we describe how biological engineers can address the challenge of providing access to clean drinking water. This issue must be addressed in part by removing or inactivating microbial and chemical contaminants in order to properly deliver water safe for human consumption. Despite many advances in technologies this challenge is expanding due to increased pressure on fresh water supplies and to new opportunities for growth of potentially pathogenic organisms.

  4. Multi Sensor Approach to Address Sustainable Development

    Science.gov (United States)

    Habib, Shahid

    2007-01-01

    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

  5. Addressing contrasting cognitive models in scientific collaboration

    Science.gov (United States)

    Diviacco, P.

    2012-04-01

    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

  6. Evaluating Judicial Performance and Addressing Gender Bias

    Directory of Open Access Journals (Sweden)

    Angela Melville

    2014-12-01

    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

  7. Moving to world's best uranium address

    International Nuclear Information System (INIS)

    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 CO2 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

  8. Temporal and Spatial Classification of Active IPv6 Addresses

    OpenAIRE

    Plonka, David; Berger, Arthur

    2015-01-01

    There is striking volume of World-Wide Web activity on IPv6 today. In early 2015, one large Content Distribution Network handles 50 billion IPv6 requests per day from hundreds of millions of IPv6 client addresses; billions of unique client addresses are observed per month. Address counts, however, obscure the number of hosts with IPv6 connectivity to the global Internet. There are numerous address assignment and subnetting options in use; privacy addresses and dynamic subnet pools significant...

  9. Addressing Tobacco in Managed Care: Results of the 2002 Survey

    Directory of Open Access Journals (Sweden)

    Carol McPhillips-Tangum

    2004-10-01

    Full Text Available Introduction In the United States, tobacco use is the leading preventable cause of death and disease. The health and cost consequences of tobacco dependence have made treatment and prevention of tobacco use a key priority among multiple stakeholders, including health plans, insurers, providers, employers, and policymakers. In 2002, the third survey of tobacco control practices and policies in health plans was conducted by America’s Health Insurance Plans’ technical assistance office as part of the Addressing Tobacco in Managed Care (ATMC program. Methods The ATMC survey was conducted in the spring of 2002 via mail, e-mail, and fax. A 19-item survey instrument was developed and pilot-tested. Of the 19 items, 12 were the same as in previous years, four were modified to collect more detailed data on areas of key interest, and three were added to gain information about strategies to promote smoking cessation. The sample for the survey was drawn from the 687 plans listed in the national directory of member and nonmember health plans in America's Health Insurance Plans. Results Of the 246 plans in the sample, 152 plans (62% representing more than 43.5 million health maintenance organization members completed the survey. Results show that health plans are using evidence-based programs and clinical guidelines to address tobacco use. Compared to ATMC survey data collected in 1997 and 2000, the 2002 ATMC survey results indicate that more health plans are providing full coverage for first-line pharmacotherapies and telephone counseling for smoking cessation. Plans have also shown improvement in their ability to identify at least some members who smoke. Similarly, a greater percentage of plans are employing strategies to address smoking cessation during the postpartum period to prevent smoking relapse and during pediatric visits to reduce or eliminate children’s exposure to environmental tobacco smoke. Conclusion The results of the 2002 ATMC survey

  10. Research on the Mo del of a Lightweight Resource Addressing

    Institute of Scientific and Technical Information of China (English)

    LUO Bingqing; SUN Zhixin

    2015-01-01

    This paper discussed the characteristics of addressing from the perspective of Internet address-ing mechanism. An Internet of things (IOT) resource ad-dressing iteration model was defined. In the model, a di-rect addressing mode for active nodes and an indirect addressing mode for passive codes were proposed, which meet the requirement for multiple encoding mode. A uni-fied IOT resource lightweight addressing scheme based on IPv6 has been proposed to implement the two addressing modes. The scheme utilized the virtual domain to solve the problem of the heterogeneous encoding. The paper imple-mented the addressing process from the Internet host to the sensor node based on IPv6 over low-power wireless personal area networks (6LoWPAN) protocol. The experi-ment results show that the scheme is performed to realize communication between wireless sensor networks and IPv6 networks.

  11. Opening Address: Japan's Nuclear Reactor Strategy

    International Nuclear Information System (INIS)

    Thank you very much Mr. Chairman for your kind introduction. Distinguished colleagues, ladies and gentlemen, it is a great pleasure for me to have the chance to address you here in Kyoto at this 'International Conference on Fast Reactors and Related Fuel Cycles (FR09)'. At the outset, I would like to thank the IAEA for organizing this conference and, taking this opportunity, I would like to assure its new Director General, Y. Amano, of Japan's continuing support for the IAEA. I am looking forward to continuing to work with the IAEA in order to extend the benefits of the peaceful uses of nuclear energy and science and technology to a global population. We are witnessing today a global emergence of interest in the construction of nuclear power plants. There are a number of reasons for this. Major factors are the urgent and ever growing need for energy, particularly in the developing world, fluctuations in fossil fuel prices, the pursuit of security of energy supply and the growing recognition of the need to combat global warming. Despite the global economic crisis, the IAEA's latest projections continue to show a significant increase in nuclear generating capacity in the medium term. The low projection for 2030 is now 511 GW(e) of generating capacity, compared with 370 GW(e) today. The high projection is 807 GW(e); more than a doubling of present levels. Most of the 30 countries that already use nuclear power plan to expand their output. Growth targets have been raised significantly in China, India and the Russian Federation. In addition, according to the IAEA, some 50 countries - mostly in the developing world - have informed the IAEA that they might be interested in launching nuclear power programmes and 12 of these are actively considering nuclear power. Even in the high case projection, however, nuclear power's share of global power generation will go down from the current 16% level to 14% by 2030 and then rise to 22% by 2050, according to the projection

  12. Addressing an Uncertain Future Using Scenario Analysis

    Energy Technology Data Exchange (ETDEWEB)

    Siddiqui, Afzal S.; Marnay, Chris

    2006-12-15

    nature, such as the Energy Information Administration's (EIA's) National Energy Modeling System (NEMS). NEMS is the source of the influential Annual Energy Outlook whose business-as-usual (BAU) case, the Reference Case, forms the baseline for most of the U.S. energy policy discussion. NEMS is an optimizing model because: 1. it iterates to an equilibrium among modules representing the supply, demand, and energy conversion subsectors; and 2. several subsectoral models are individually solved using linear programs (LP). Consequently, it is deeply rooted in the recent past and any effort to simulate the consequences of a major regime shift as depicted in Figure 1 must come by applying an exogenously specified scenario. And, more generally, simulating futures that lie outside of our recent historic experience, even if they do not include regime switches suggest some form of scenario approach. At the same time, the statistical validity of scenarios that deviate significantly outside the ranges of historic inputs should be questioned.

  13. Addressing concerns related to geologic hazards at the site of the proposed Transuranic Waste Facility , TA-63, Los Alamos National Laboratory: focus on the current Los Alamos Seismic Network earthquake catalog, proximity of identified seismic events to the proposed facility , and evaluation of prev

    Energy Technology Data Exchange (ETDEWEB)

    Roberts, Peter M. [Los Alamos National Laboratory; Schultz-Fellenz, Emily S. [Los Alamos National Laboratory; Kelley, Richard E. [Los Alamos National Laboratory

    2012-04-02

    This technical paper presents the most recent and updated catalog of earthquakes measured by the Los Alamos Seismic Network at and around Los Alamos National Laboratory (LANL), with specific focus on the site of the proposed transuranic waste facility (TWF) at Technical Area 63 (TA-63). Any questions about the data presented herein, or about the Los Alamos Seismic Network, should be directed to the authors of this technical paper. LANL and the Los Alamos townsite sit atop the Pajarito Plateau, which is bounded on its western edge by the Pajarito fault system, a 35-mile-long system locally comprised of the down-to-the-east Pajarito fault (the master fault) and subsidiary down-to-the-west Rendija Canyon, Guaje Mountain, and Sawyer Canyon faults (Figure 1). This fault system forms the local active western margin of the Rio Grande rift near Los Alamos, and is potentially seismogenic (e.g., Gardner et al., 2001; Reneau et al., 2002; Lewis et al., 2009). The proposed TWF area at TA-63 is situated on an unnamed mesa in the north-central part of LANL between Twomile Canyon to the south, Ten Site Canyon to the north, and the headwaters of Canada del Buey to the east (Figure 2). The local bedrock is the Quaternary Bandelier Tuff, formed in two eruptive pulses from nearby Valles caldera, the eastern edge of which is located approximately 6.5 miles west-northwest of the technical area. The older member (Otowi Member) of the Bandelier Tuff has been dated at 1.61 Ma (Izett and Obradovich 1994). The younger member (Tshirege Member) of the Bandelier Tuff has been dated at 1.256 Ma (age from Phillips et al. 2007) and is widely exposed as the mesa-forming unit around Los Alamos. Several discrete cooling units comprise the Tshirege Member. Commonly accepted stratigraphic nomenclature for the Tshirege Member is described in detail by Broxton and Reneau (1995), Gardner et al. (2001), and Lewis et al. (2009). The Tshirege Member cooling unit exposed at the surface at TA-63 is Qbt3

  14. 76 FR 57701 - National Oil and Hazardous Substances Pollution Contingency Plan; National Priorities List

    Science.gov (United States)

    2011-09-16

    ... AGENCY 40 CFR Part 300 National Oil and Hazardous Substances Pollution Contingency Plan; National... rule published on July 29, 2011, (76 FR 45484) is withdrawn as of September 16, 2011. ADDRESSES... Environmental protection, Air pollution control, Chemicals, Hazardous waste, Hazardous...

  15. 76 FR 57702 - National Oil and Hazardous Substances Pollution Contingency Plan National Priorities List

    Science.gov (United States)

    2011-09-16

    ... AGENCY 40 CFR Part 300 National Oil and Hazardous Substances Pollution Contingency Plan National... rule published on July 29, 2011, (76 FR 45483) is withdrawn as of September 16, 2011. ADDRESSES... Environmental protection, Air pollution control, Chemicals, Hazardous waste, Hazardous...

  16. 76 FR 57662 - National Oil and Hazardous Substances Pollution Contingency Plan; National Priorities List

    Science.gov (United States)

    2011-09-16

    ... AGENCY 40 CFR Part 300 National Oil and Hazardous Substances Pollution Contingency Plan; National... withdrawal of the direct final action (76 FR 45432) is effective as of September 16, 2011. ADDRESSES... Environmental protection, Air pollution control, Chemicals, Hazardous waste, Hazardous...

  17. 76 FR 57661 - National Oil and Hazardous Substances Pollution Contingency Plan; National Priorities List

    Science.gov (United States)

    2011-09-16

    ... AGENCY 40 CFR Part 300 National Oil and Hazardous Substances Pollution Contingency Plan; National... withdrawal of the direct final action (76 FR 45428) is effective as of September 16, 2011. ADDRESSES... protection, Air pollution control, Chemicals, Hazardous waste, Hazardous substances,...

  18. Unmet Need for Family Planning, Contraceptive Failure, and Unintended Pregnancy among HIV-Infected and HIV-Uninfected Women in Zimbabwe

    OpenAIRE

    McCoy, Sandra I.; Raluca Buzdugan; Ralph, Lauren J.; Angela Mushavi; Agnes Mahomva; Anna Hakobyan; Constancia Watadzaushe; Jeffrey Dirawo; Cowan, Frances M; Padian, Nancy S

    2014-01-01

    BACKGROUND: Prevention of unintended pregnancies among women living with HIV infection is a strategy recommended by the World Health Organization for prevention of mother-to-child transmission of HIV (PMTCT). We assessed pregnancy intentions and contraceptive use among HIV-positive and HIV-negative women with a recent pregnancy in Zimbabwe. METHODS: We analyzed baseline data from the evaluation of Zimbabwe's Accelerated National PMTCT Program. Eligible women were randomly sampled from the cat...

  19. Addressing Parenting Disputes Between Estranged Parents Through Community Mediation

    Directory of Open Access Journals (Sweden)

    Madhawa Palihapitiya

    2014-07-01

    Full Text Available Mediation provides a means of resolving disputes that promises to reduce litigation while avoiding further damage to party relationships. The present study addressed the question whether parents engaged in parenting disputes generated by divorce or separation received the promised benefits of mediation when services were delivered by means of community mediation, which combined the dual features of free services and volunteer mediators. Reported outcomes such as agreements, party satisfaction, relationship changes, and court involvement, as well as the connection between these outcomes and party factors of custodial status and income level, were examined, and several encouraging trends emerged. Results indicated that an economically diverse group of disputing parents were provided access to mediation services delivered under community mediation. Moreover, the prospect of avoiding litigation motivated a majority of parents to participate in community mediation. The positive outcomes reported by most parents, irrespective of income level and custodial status, included agreement and process satisfaction rates consistent with national trends, the development of parenting plans, and for a sizable minority of parents, reduced court involvement and improved between-parent interactions. However, non-custodial parents tended to be significantly more positive about mediation’s helpfulness with parenting issues than were custodial parents.

  20. Addressing Parental Vaccine Concerns: Engagement, Balance, and Timing

    Science.gov (United States)

    Glanz, Jason M.; Kraus, Courtney R.; Daley, Matthew F.

    2015-01-01

    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. PMID:26252770

  1. Results Analysis of IP Address Auto- Configuration in Wireless Manets

    Directory of Open Access Journals (Sweden)

    S. Zahoor Ul Huq

    2011-10-01

    Full Text Available The main task of an address allocation protocol is to manage the address allocation to the nodes in the ad hoc MANETs. All routing protocols assume nodes to be configured a priori with a uniqueIP address. Allocating addresses to mobile nodes is a fundamental and difficult problem. A mobile device cannot participate in unicast communications until it is assigned a conflict-free IP address. So addressing in MANETs is of significant importance, and the address configuration process should be fast, as the algorithm must be able to select, allocate and assign a unique network address to the unconfigured node before with a unique IP address. Here we are providing two solutions for unique address assignment. One is by the using the broadcasting method (BrM, in which unique addresses are assigned, unique addresses are assigned with the cost of network load. This method works fine whenever a new ad hoc network has to be initiated and at a same time a group of nodes have to be configured with a unique IP addresses. But this method loads the network with much network traffic, when new nodes are to be joined. In order to overcome this we are using another approach which uses Modular Arithmetic (MoA. Modular Arithmetic with some modifications is used to generate the unique IP Addresses without loading the network. The proposed scheme is capable of assigning a unique IP address with low communicationoverhead, even addresses distribution and low latency when applied to large scale MANETs and even supports network merging and partitioning..

  2. 12 CFR 5.52 - Change of address.

    Science.gov (United States)

    2010-01-01

    ... CORPORATE ACTIVITIES Other Changes in Activities and Operations § 5.52 Change of address. (a) Authority. 12... 12 Banks and Banking 1 2010-01-01 2010-01-01 false Change of address. 5.52 Section 5.52 Banks and... notify the OCC of any change in its address. However, no notice is required if the change in...

  3. An Efficient Geographical Addressing Scheme for the Internet

    NARCIS (Netherlands)

    Meijerink, Bernd; Baratchi, Mitra; Heijenk, Geert

    2016-01-01

    Geocast is a scheme which allows packets to be sent to a destination area instead of an address. This allows the addressing of any device in a specific region without further knowledge. In this paper we present an addressing mechanism that allows efficient referral to areas of arbitrary size. The bi

  4. Address Terms among University Students in Ghana: A Case Study

    Science.gov (United States)

    Afful, Joseph Benjamin Archibald

    2006-01-01

    An important feature of the interface between language and society is the use of address terms. Following Brown and Gilman (1960), research studies of address terms have been extended to several cultural settings. This study contributes to this fertile area of sociolinguistic studies by describing the address terms used among undergraduates in an…

  5. 76 FR 22681 - Defense Logistics Agency (DLA) Address Directory

    Science.gov (United States)

    2011-04-22

    ... of the Secretary Defense Logistics Agency (DLA) Address Directory AGENCY: Department of Defense. ACTION: Notice. SUMMARY: The Defense Logistics Agency (DLA) is updating its Address Directory which is.... Jody Sinkler, 703-767-5045. SUPPLEMENTARY INFORMATION: DLA Address Directory: Defense Logistics...

  6. Individually addressable cathodes with integrated focusing stack or detectors

    Energy Technology Data Exchange (ETDEWEB)

    Thomas, Clarence E.; Baylor, Larry R.; Voelkl, Edgar; Simpson, Michael L.; Paulus, Michael J.; Lowndes, Douglas; Whealton, John; Whitson, John C.; Wilgen, John B.

    2005-07-12

    Systems and method are described for addressable field emission array (AFEA) chips. A plurality of individually addressable cathodes are integrated with an electrostatic focusing stack and/or a plurality of detectors on the addressable field emission array. The systems and methods provide advantages including the avoidance of space-charge blow-up.

  7. Incorporating Natural Helpers to Address Service Disparities for Young Children with Conduct Problems

    OpenAIRE

    Acevedo-Polakovich, I. David; NIEC, LARISSA N.; Barnet, Miya L.; Bell, Katrina M.

    2013-01-01

    In response to the high levels of unmet need among historically underserved young children with conduct problems, this paper outlines some of the key issues involved in incorporating natural helpers into the delivery of parenting interventions for the treatment of conduct problems among historically underserved children. Strategies for the selection and training of natural helpers are discussed along with challenges that might be encountered in these processes. Directions for future research ...

  8. 77 FR 61418 - National Institute of Nursing Research; Notice of Closed Meeting

    Science.gov (United States)

    2012-10-09

    ... HUMAN SERVICES National Institutes of Health National Institute of Nursing Research; Notice of Closed... of Committee: National Institute of Nursing Research Special Emphasis Panel; Addressing Needs of...: Tamizchelvi Thyagarajan, Ph.D., Scientific Review Officer, National Institute of Nursing Research,...

  9. Assisted reproductive technologies are an integrated part of national strategies addressing demographic and reproductive challenges

    DEFF Research Database (Denmark)

    Ziebe, Søren; Devroey, Paul; Jensen, Tina Kold

    2012-01-01

    The decline in the total fertility rate in the latter half of the 20th century in many European countries is becoming increasingly important in determining the demographic composition of Europe and its individual member states. This review focuses on discussion surrounding how assisted reproductive...... technology (ART) can impact declining fertility rates....

  10. Addressing Geriatric Oral Health Concerns through National Oral Health Policy in India

    Directory of Open Access Journals (Sweden)

    Abhinav Singh

    2015-01-01

    Full Text Available There is an escalating demand for geriatric oral healthcare in all developed and developing countries including India. Two-thirds of the world’s elderly live in developing countries. This is a huge population that must receive attention from policy-makers who will be challenged by the changing demands for social and health services including oral health services. Resources are limited thus rather than being aspirational in wanting to provide all treatment needed for everybody, this critique presents a road map of how we might answer the present and future geriatric oral health concerns in a most efficient manner in a developing country. Viewing the recent Indian demographic profile and the trends in oral health, pertinent policy subjects have been discussed concerning the oral health needs of the elderly and also the associated challenges which include strategies to improve quality of life, strategies to train and educate the dental workforce and above all the role of healthcare systems towards realization of better aged society in India and other developing countries

  11. Addressing national priorities through nuclear technology: Application of stable isotope techniques in evaluating nutritional intervention programs

    International Nuclear Information System (INIS)

    The concept is a new concept in Kenya that need driven technology. A paradigm shift from the conventional methods of measuring breast milk intake by means of weighing infants before and after feeding. A validation tool against anthropometrical measures of body fat through body density and skin-fold measurements. A reliable, accurate and non-invasive tool for monitoring lean body mass changes in clinical assessments.Isotopes Techniques in Body composition assessment.Technique-based Parameters of efficacy and/or effect are: Isotope (deuterium) dose given orally to subject (about 30 grams),Saliva (or urine) samples collected after 3-4 hrs, Concentration of isotope in saliva is measured using Fourier Transformed Infra-red Spectrophotometer (FTIR), Concentration gives the Total Body Water (TBW) component in the body, TBW = 73% Fat Free Mass (FFM), Calculate FFM (kg) from equation and subtract from Total Body Weight (kg) to get value of Fat Mass (kg)

  12. [Violence in old age: the issue addressed in indexed national journals].

    Science.gov (United States)

    de Castro, Anúbes Pereira; Guilam, Maria Cristina Rodrigues; Sousa, Eduardo Sérgio Soares; Marcondes, Willer Baumgarten

    2013-05-01

    One of the consequences of increased life expectancy is the increase in the elderly population in many countries, including Brazil. Considering the vulnerability of this age group and the increasing prevalence of violence against the elderly, there is a pressing need for research and control interventions to minimize the phenomenon. This exploratory and descriptive article conducts an analysis into this topic in indexed Brazilian studies in SciELO, with special emphasis on the last five years. The themes were categorized into: Social construction and conceptualizations, 37.5%; Elderly Care and Protection Policies, 43.75%; and Typology of violence against the elderly, 18.75%. The results show that the Policy of protection of the elderly permeates the majority of discussions about violence in old age and the focus of the researchers' attention is on domestic violence, which needs to be broadened in field research. PMID:23670456

  13. [Violence in old age: the issue addressed in indexed national journals].

    Science.gov (United States)

    de Castro, Anúbes Pereira; Guilam, Maria Cristina Rodrigues; Sousa, Eduardo Sérgio Soares; Marcondes, Willer Baumgarten

    2013-05-01

    One of the consequences of increased life expectancy is the increase in the elderly population in many countries, including Brazil. Considering the vulnerability of this age group and the increasing prevalence of violence against the elderly, there is a pressing need for research and control interventions to minimize the phenomenon. This exploratory and descriptive article conducts an analysis into this topic in indexed Brazilian studies in SciELO, with special emphasis on the last five years. The themes were categorized into: Social construction and conceptualizations, 37.5%; Elderly Care and Protection Policies, 43.75%; and Typology of violence against the elderly, 18.75%. The results show that the Policy of protection of the elderly permeates the majority of discussions about violence in old age and the focus of the researchers' attention is on domestic violence, which needs to be broadened in field research.

  14. Addressing security issues related to virtual institute distributed activities

    Science.gov (United States)

    Stytz, Martin R.; Banks, Sheila B.

    2008-03-01

    One issue confounding the development and experimentation of distributed modeling and simulation environments is the inability of the project team to identify and collaborate with resources, both human and technical, from outside the United States. This limitation is especially significant within the human behavior representation area where areas such as cultural effects research and joint command team behavior modeling require the participation of various cultural and national representatives. To address this limitation, as well as other human behavior representation research issues, NATO Research and Technology Organization initiated a project to develop a NATO virtual institute that enables more effective and more collaborative research into human behavior representation. However, in building and operating a virtual institute one of the chief concerns must be the cyber security of the institute. Because the institute "exists" in cyberspace, all of its activities are susceptible to cyberattacks, subterfuge, denial of service and all of the vulnerabilities that networked computers must face. In our opinion, for the concept of virtual institutes to be successful and useful, their operations and services must be protected from the threats in the cyber environment. A key to developing the required protection is the development and promulgation of standards for cyber security. In this paper, we discuss the types of cyber standards that are required, how new internet technologies can be exploited and can benefit the promulgation, development, maintenance, and robustness of the standards. This paper is organized as follows. Section One introduces the concept of the virtual institutes, the expected benefits, and the motivation for our research and for research in this area. Section Two presents background material and a discussion of topics related to VIs, uman behavior and cultural modeling, and network-centric warfare. Section Three contains a discussion of the

  15. Address Points, GLYNN.ADDRESSES - Glynn County 911 Address, Published in 2010, 1:2400 (1in=200ft) scale, Glynn County Board of Commissioners.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Address Points dataset, published at 1:2400 (1in=200ft) scale, was produced all or in part from Field Survey/GPS information as of 2010. It is described as...

  16. Addressing the financing needs of small businesses in the Seventh Federal Reserve District

    OpenAIRE

    Jeremiah P. Boyle

    2010-01-01

    Addressing the Financing Needs of Small Businesses is a Federal Reserve System initiative designed to inform policymakers on the issues that restrict the flow of credit and opportunities to improve the flow of credit to small businesses. A widely held view among policymakers and other observers is that economic recovery and prospects for job growth will falter if small businesses cannot meet payroll, pay suppliers and invest in innovation and expansion. ; As part of this national initiative, ...

  17. Partnerships as panacea for addressing global problems? On rationale, context, actors, impact and limitations

    OpenAIRE

    Kolk, A.

    2014-01-01

    This chapter examines partnerships and their peculiarities, based on recent research from various disciplines, in the context of the large problems faced by (global) society. These problems are very complex, often cross national boundaries, and cannot easily be 'solved' by one single actor. Previous 'unilateral' attempts to address them have not been particularly successful, and there are limits to what a single actor can do. Cooperation also enables different actors to leverage their resourc...

  18. Potential opportunities to reduce cervical cancer by addressing risk factors other than HPV

    OpenAIRE

    Kumar, Ramaiah Vinay; Bhasker, Suman

    2013-01-01

    Cervical cancer is the most common cancer in developing world and 80% of global burden is reported from these nations. Human papillomavirus along with poverty, illiteracy/lower education level and standards, multi-parity, tobacco, malnutrition and poor genital hygiene may act synergistically to cause cervical cancer. Risk factor of cervical cancer may in itself be the reason for non-viability of cervical cancer vaccine program in this part of the world. Interventions to address these risk fac...

  19. Obama Presents Far-Reaching Climate Plan, Addresses Keystone Pipeline Proposal

    Science.gov (United States)

    Showstack, Randy

    2013-07-01

    Stating that climate change "is a challenge that does not pause for partisan gridlock," U.S. President Barack Obama took matters into his own hands and presented a broad-based climate action plan on 25 June. The plan, which relies on existing administrative authority and does not require congressional approval, includes three primary objectives: cutting carbon pollution in the United States, preparing the nation for the impacts of climate change, and leading international efforts to address climate change.

  20. A New Method to Detect Abnormal IP Address on DHCP

    OpenAIRE

    Ling-Feng Chiang; Jiang-Whai Dai

    2009-01-01

    Dynamic Host Configuration Protocol (DHCP) provides a means of allocating and managing IP addresses dynamically over a network. An important characteristic of the DHCP server is that different hosts or network cards are not allowed to simultaneously use the same IP address in the DHCP mechanism. However, anyone can guest corresponding parameters such as IP address, subnet mask, and default gateway from the DHCP mode, and then reconfigure a static IP to access the network from DHCP mode. Accor...

  1. Discovery of IPv6 router interface addresses via heuristic methods

    OpenAIRE

    Gray, Matthew D.

    2015-01-01

    With the assignment of the last available blocks of public IPv4 addresses from Internet Assigned Numbers Authority, there is continued pressure for widespread IPv6 adoption. Because the IPv6 address space is orders of magnitude larger than the IPv4 address space, researchers need new methods and techniques to accurately measure and characterize growth in IPv6. This thesis focuses on IPv6 router infrastructure and examines the possibility of using heuristic methods in order to discover IPv6 ro...

  2. 77 FR 75254 - List of Units of the National Park System Exempt From the Provisions of the National Parks Air...

    Science.gov (United States)

    2012-12-19

    ...: Barry.Brayer@faa.gov . Vicki McCusker--Mailing address: Natural Sounds and Night Skies Division... Canyon of the Gunnison National Park, CO Capulin Volcano National Monument, NM Carlsbad Caverns National Park, NM Casa Grande Ruins National Monument, AZ Coronado National Memorial, AZ Devils Tower...

  3. IP ADDRESS AUTOCONFIGURATION FOR WIRELESS AD HOC NETWORKS

    Institute of Scientific and Technical Information of China (English)

    阿姆贾德

    2002-01-01

    A novel mechanism was specified by which a node in ad hoc network may autoconfigure an IP address which is unique throughout the mobile ad hoc network. This new algorithm imposes less and constant overhead and delay in obtaining an IP address, and fully utilizes the available addresses space of an ad hoc network, and independent of the existing routing protocol, and less prone to security threats. Moreover, a new Join/Leave mechanism was proposed as an enhancement to the new IP address autoconfiguration algorithm, to support the overall operation of the existing routing protocol of wireless ad hoc networks.

  4. Profiling the Australian Consumer of Complementary and Alternative Medicine: A Secondary Analysis of National Health Survey Data.

    Science.gov (United States)

    Leach, Matthew J

    2016-07-01

    use of CAM in this high-need population suggests that the present health care system may be inadequate in addressing the needs of these consumers and that CAM may play an important role in servicing these unmet demands. PMID:27548495

  5. Addressing Disproportionality through Undoing Racism, Leadership Development, and Community Engagement

    Science.gov (United States)

    James, Joyce; Green, Deborah; Rodriguez, Carolyne; Fong, Rowena

    2008-01-01

    In 2005 the Texas 79th legislature passed Senate Bill 6, which included mandates to address disproportionality. This article will describe how the Texas Department of Family Protective Services in collaboration with Casey Family Programs' Texas State Strategy systems improvement initiative is addressing disproportionality statewide through…

  6. Method for the electro-addressable functionalization of electrode arrays

    Energy Technology Data Exchange (ETDEWEB)

    Harper, Jason C.; Polsky, Ronen; Dirk, Shawn M.; Wheeler, David R.; Arango, Dulce C.; Brozik, Susan M.

    2015-12-15

    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.

  7. The (Im)possibility of the Project: Radford Address

    Science.gov (United States)

    Green, Bill

    2010-01-01

    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, as well…

  8. 75 FR 3977 - Addressing Tax Delinquency by Government Contractors

    Science.gov (United States)

    2010-01-25

    .... (Presidential Sig.) THE WHITE HOUSE, WASHINGTON, January 20, 2010 [FR Doc. 2010-1561 Filed 1-22-10; 11:15 am... Memorandum of January 20, 2010--Addressing Tax Delinquency by Government Contractors #0; #0; #0; Presidential... Documents#0;#0; #0; #0;Title 3-- #0;The President ] Memorandum of January 20, 2010 Addressing...

  9. Student Perceptions of Peer Credibility Based on Email Addresses

    Science.gov (United States)

    Livermore, Jeffrey A.; Scafe, Marla G.; Wiechowski, Linda S.; Maier, David J.

    2013-01-01

    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…

  10. The "Depreciation" and "Appreciation" of Some Address Terms in China.

    Science.gov (United States)

    Zhucheng, Ju

    1991-01-01

    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)

  11. Addressable Macromolecular Architectures: Towards stimuli promoted motion at the nanoscale

    NARCIS (Netherlands)

    Kutnyanszky, Edit

    2012-01-01

    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 magn

  12. Payment - National

    Data.gov (United States)

    U.S. Department of Health & Human Services — Payment measures – national data. This data set includes national-level data for the payment measures associated with a 30-day episode of care for heart attack,...

  13. HCAHPS - National

    Data.gov (United States)

    U.S. Department of Health & Human Services — The national average for the HCAHPS survey categories. HCAHPS is a national, standardized survey of hospital patients about their experiences during a recent...

  14. Complications - National

    Data.gov (United States)

    U.S. Department of Health & Human Services — Complications - national data. This data set includes national-level data the hip/knee complication measure, and the Agency for Healthcare Research and Quality...

  15. Addressing the risk of inadequate and excessive micronutrient intakes: traditional versus new approaches to setting adequate and safe micronutrient levels in foods

    Directory of Open Access Journals (Sweden)

    Maaike J. Bruins

    2015-01-01

    Full Text Available Fortification of foods consumed by the general population or specific food products or supplements designed to be consumed by vulnerable target groups is amongst the strategies in developing countries to address micronutrient deficiencies. Any strategy aimed at dietary change needs careful consideration, ensuring the needs of at-risk subgroups are met whilst ensuring safety within the general population. This paper reviews the key principles of two main assessment approaches that may assist developing countries in deciding on effective and safe micronutrient levels in foods or special products designed to address micronutrient deficiencies, that is, the cut-point method and the stepwise approach to risk–benefit assessment. In the first approach, the goal is to shift population intake distributions such that intake prevalences below the Estimated Average Requirement (EAR and above the Tolerable Upper Intake Level (UL are both minimized. However, for some micronutrients like vitamin A and zinc, a narrow margin between the EAR and UL exists. Increasing their intakes through mass fortification may pose a dilemma; not permitting the UL to be exceeded provides assurance about the safety within the population but can potentially leave a proportion of the target population with unmet needs, or vice versa. Risk–benefit approaches assist in decision making at different micronutrient intake scenarios by balancing the magnitude of potential health benefits of reducing inadequate intakes against health risks of excessive intakes. Risk–benefit approaches consider different aspects of health risk including severity and number of people affected. This approach reduces the uncertainty for policy makers as compared to classic cut-point methods.

  16. Is Sport Nationalism Justifiable?

    Directory of Open Access Journals (Sweden)

    José Luis Pérez Triviño

    2015-07-01

    Full Text Available The article aims to clarify the deep relationships established between sport and nationalism by considering, among other factors, the instrumentalisation of sport by political elites, political apathy of citizens, economic resources for sport, the question of violence or identitarian matters. In order to define if the combination of sport and nationalism is admissible, the paper defines sport nationalism and distinguishes the political use of sport for purposes of domestic and foreign policy. In the first section the analysis focuses on whether a causal link with respect to the contribution to violence can be established and with respect to its use in the internal politics of a state, the paper differentiates between normal political circumstances and political crises in order to properly address the question of whether there are grounds to assert that sport can distract citizens from asserting their genuine interests.

  17. Is Sport Nationalism Justifiable?

    Directory of Open Access Journals (Sweden)

    José Luis Pérez Triviño

    2012-01-01

    Full Text Available The article aims to clarify the deep relationships established between sport and nationalism by considering, among other factors, the instrumentalisation of sport by political elites, political apathy of citizens, economic resources for sport, the question of violence or identitarian matters. In order to define if the combination of sport and nationalism is admissible, the paper defines sport nationalism and distinguishes the political use of sport for purposes of domestic and foreign policy. In the first section the analysis focuses on whether a causal link with respect to the contribution to violence can be established and with respect to its use in the internal politics of a state, the paper differentiates between normal political circumstances and political crises in order to properly address the question of whether there are grounds to assert that sport can distract citizens from asserting their genuine interests.

  18. National Flood Interoperability Experiment

    Science.gov (United States)

    Maidment, D. R.

    2014-12-01

    The National Flood Interoperability Experiment is led by the academic community in collaboration with the National Weather Service through the new National Water Center recently opened on the Tuscaloosa campus of the University of Alabama. The experiment will also involve the partners in IWRSS (Integrated Water Resources Science and Services), which include the USGS, the Corps of Engineers and FEMA. The experiment will address the following questions: (1) How can near-real-time hydrologic forecasting at high spatial resolution, covering the nation, be carried out using the NHDPlus or next generation geofabric (e.g. hillslope, watershed scales)? (2) How can this lead to improved emergency response and community resilience? (3) How can improved an improved interoperability framework support the first two goals and lead to sustained innovation in the research to operations process? The experiment will run from September 2014 through August 2015, in two phases. The mobilization phase from September 2014 until May 2015 will assemble the components of the interoperability framework. A Summer Institute to integrate the components will be held from June to August 2015 at the National Water Center involving faculty and students from the University of Alabama and other institutions coordinated by CUAHSI. It is intended that the insight that arises from this experiment will help lay the foundation for a new national scale, high spatial resolution, near-real-time hydrologic simulation system for the United States.

  19. Time to address the problems at the neural interface

    Science.gov (United States)

    Durand, Dominique M.; Ghovanloo, Maysam; Krames, Elliot

    2014-04-01

    Neural engineers have made significant, if not remarkable, progress in interfacing with the nervous system in the last ten years. In particular, neuromodulation of the brain has generated significant therapeutic benefits [1-5]. EEG electrodes can be used to communicate with patients with locked-in syndrome [6]. In the central nervous system (CNS), electrode arrays placed directly over or within the cortex can record neural signals related to the intent of the subject or patient [7, 8]. A similar technology has allowed paralyzed patients to control an otherwise normal skeletal system with brain signals [9, 10]. This technology has significant potential to restore function in these and other patients with neural disorders such as stroke [11]. Although there are several multichannel arrays described in the literature, the workhorse for these cortical interfaces has been the Utah array [12]. This 100-channel electrode array has been used in most studies on animals and humans since the 1990s and is commercially available. This array and other similar microelectrode arrays can record neural signals with high quality (high signal-to-noise ratio), but these signals fade and disappear after a few months and therefore the current technology is not reliable for extended periods of time. Therefore, despite these major advances in communicating with the brain, clinical translation cannot be implemented. The reasons for this failure are not known but clearly involve the interface between the electrode and the neural tissue. The Defense Advanced Research Project Agency (DARPA) as well as other federal funding agencies such as the National Science Foundation (NSF) and the National Institutes of Health have provided significant financial support to investigate this problem without much success. A recent funding program from DARPA was designed to establish the failure modes in order to generate a reliable neural interface technology and again was unsuccessful at producing a robust

  20. Nation Branding and Russian Foreign Policy

    OpenAIRE

    Simons Gregory

    2013-01-01

    Globalisation has stimulated an intense competition among countries, in which the issue of nation brand is a central consideration. Since the mid-2000s, Russia has joined a list of countries that seek to use nation branding to fulfil politically determined and directed national ambitions. In taking stock of the current debate on this issue, the author addresses how Russia uses nation branding, what ends this is intended to serve, and what tangible resources are exploited to brand the country....

  1. Duplicate Address Detection Table in IPv6 Mobile Networks

    Science.gov (United States)

    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.

  2. Idaho National Laboratory Mission Accomplishments, Fiscal Year 2015

    Energy Technology Data Exchange (ETDEWEB)

    Allen, Todd Randall [Idaho National Lab. (INL), Idaho Falls, ID (United States); Wright, Virginia Latta [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2015-09-01

    A summary of mission accomplishments for the research organizations at the Idaho National Laboratory for FY 2015. Areas include Nuclear Energy, National and Homeland Security, Science and Technology Addressing Broad DOE Missions; Collaborations; and Stewardship and Operation of Research Facilities.

  3. National Library of Medicine Web Resources for Student Health Professionals

    Energy Technology Data Exchange (ETDEWEB)

    Womble, R.

    2010-04-02

    Familiarize students affiliated with the Student National Medical Association with the National Library of Medicine's online resources that address medical conditions, health disparities, and public health preparedness needs.

  4. IPv6 addressing proxy: mapping native addressing from legacy technologies and devices to the Internet of Things (IPv6).

    Science.gov (United States)

    Jara, Antonio J; Moreno-Sanchez, Pedro; Skarmeta, Antonio F; Varakliotis, Socrates; Kirstein, Peter

    2013-05-17

    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.

  5. IPv6 addressing proxy: mapping native addressing from legacy technologies and devices to the Internet of Things (IPv6).

    Science.gov (United States)

    Jara, Antonio J; Moreno-Sanchez, Pedro; Skarmeta, Antonio F; Varakliotis, Socrates; Kirstein, Peter

    2013-01-01

    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. PMID:23686145

  6. IPv6 Addressing Proxy: Mapping Native Addressing from Legacy Technologies and Devices to the Internet of Things (IPv6

    Directory of Open Access Journals (Sweden)

    Peter Kirstein

    2013-05-01

    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.

  7. ALEX: Improving SIP Support in Systems with Multiple Network Addresses

    OpenAIRE

    Torrero, Livio; Risso, Fulvio Giovanni Ottavio; Baldi, Mario

    2005-01-01

    The successful and increasingly adopted session initiation protocol (SIP) does not adequately support hosts with multiple network addresses, such as dual-stack (IPv4-IPv6) or IPv6 multi-homed devices. This paper presents the Address List Extension (ALEX) to SIP that adds effective support to systems with multiple addresses, such as dual-stack hosts or multi-homed IPv6 hosts. ALEX enables IPv6 transport to be used for SIP messages, as well as for communication sessions between SIP user agents ...

  8. IP address lookup for Internet routers using cache routing table

    OpenAIRE

    Houassi Hichem; Bilami Azeddine

    2010-01-01

    So that the routers forward an IP packet with his destination, they are running a forwarding decision on an incoming packet to determine the packet's next-hop router. This is achieved by looking up the longest matching prefix with a packet destination address in the routing tables. Therefore, one major factor in the overall performance of a router is the speed of the IP address lookup operation due to the increase in routing table size, in this paper, a new IP address lookup algorithm based o...

  9. Culinary nationalism.

    Science.gov (United States)

    Ferguson, Priscilla Parkhurst

    2010-01-01

    Culinary consciousness raisers, cooking texts often serve as vehicles of national identification. From Pampille (Marthe Allard Daudet) and her cookbook, Les Bons Plats de France, in 1913 to the international culinary competitions of today such as the Bocuse d'or, culinary distinction promotes national interests. In contrast to the strident nationalism of the early twentieth century, culinary nationalism today operates in an increasingly globalized world. National culinary distinction defines the nation and sells its products in a highly competitive international arena. A recent culinary text, the South Korean film Le Grand Chef [Sik Gaek ] (2007), illustrates the phenomenon, subsuming national culinary promotion in a mega culinary competition, all in the service of Korean culinary achievement.

  10. Culinary nationalism.

    Science.gov (United States)

    Ferguson, Priscilla Parkhurst

    2010-01-01

    Culinary consciousness raisers, cooking texts often serve as vehicles of national identification. From Pampille (Marthe Allard Daudet) and her cookbook, Les Bons Plats de France, in 1913 to the international culinary competitions of today such as the Bocuse d'or, culinary distinction promotes national interests. In contrast to the strident nationalism of the early twentieth century, culinary nationalism today operates in an increasingly globalized world. National culinary distinction defines the nation and sells its products in a highly competitive international arena. A recent culinary text, the South Korean film Le Grand Chef [Sik Gaek ] (2007), illustrates the phenomenon, subsuming national culinary promotion in a mega culinary competition, all in the service of Korean culinary achievement. PMID:21539054

  11. National Intelligence and National Prosperity

    Science.gov (United States)

    Hunt, Earl; Wittmann, Werner

    2008-01-01

    What is the relation between the cognitive competence of a national population that nation's economic prosperity? Lynn and Vanhanen [Lynn, R. & Vanhanen, T. (2002). "IQ and the wealth of nations." Westport, CT: Praeger.] presented data pointing to an exceptionally strong relationship between IQ scores and Gross Domestic Product per capita (GDP/c).…

  12. The impact of national traditions and cultures on national foresight processes

    DEFF Research Database (Denmark)

    Andersen, Per Dannemand; Rasmussen, Lauge Baungaard

    2014-01-01

    This paper addresses the influence of national traditions, styles or culture on the use of foresight in decision-making processes. Inspired by sociologists’ contributions on national culture, the paper demonstrates that two dimensions of national culture, power distance and uncertainty avoidance,...

  13. Management of Address Information to Improve Quality of Customer Contact

    Institute of Scientific and Technical Information of China (English)

    CHANG Taiwoo; PARK Jinwoo; PARK Chankwon; JEONG Hanil; NAM Yunseok

    2004-01-01

    Customer relationship management systems are gaining importance in today's business environment since customer satisfaction is crucial to the success of an enterprise, and especially so in e-business environment where customers can find substitute suppliers quite easily. In CRM, the quality of customer information is very important, and the address information even more so. It is because the address information plays a major role for customer contact channel and for timely and effective marketing service. Furthermore, it gives the basic source of geographic information for the offline delivery, the terminal activity of the e-commerce. In this study, we analyze various standards and proposals for the address information, and propose data models for the management of the information focusing on address components, and proto-type systems for management and service.

  14. Web Sites that Address Gestational Diabetes and Perinatal Obesity

    OpenAIRE

    Montgomery, Kristen S.

    2003-01-01

    Obesity contributes to multiple health problems during pregnancy and predisposes a woman to develop gestational diabetes. This column reviews the currently best Web sites that address gestational diabetes and obesity during the perinatal period.

  15. Address Points, Published in Not Provided, Shield Engineering, Inc..

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Address Points dataset as of Not Provided. Data by this publisher are often provided in Not Applicable coordinate system; in a Not Applicable projection; The...

  16. Find Shortage Areas: HPSA & MUA/P by Address

    Data.gov (United States)

    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 is a locator tool designed to...

  17. Addressing Uncertainty in Fecal Indicator Bacteria Dark Inactivation Rates

    Science.gov (United States)

    Fecal contamination is a leading cause of surface water quality degradation. Roughly 20% of all total maximum daily load assessments approved by the United States Environmental Protection Agency since 1995, for example, address water bodies with unacceptably high fecal indicator...

  18. Building a next generation Internet with source address validation architecture

    Institute of Scientific and Technical Information of China (English)

    WU JianPing; REN Gang; LI Xing

    2008-01-01

    The IP packet forwarding of current Internet is mainly destination based. In the forwarding process, the source IP address is not checked in most cases.This causes serious security, management and accounting problems. Based on the drastically increased IPv6 address space, a "source address validation architecture" (SAVA) is proposed in this paper, which can guarantee that every packet received and forwarded holds an authenticated source IP address. The design goals of the architecture are lightweight, loose coupling, "multi-fence support" and incremental deployment. This paper discusses the design and implementation for the architecture, including inter-AS, intra-AS and local subnet. The performance and scalability of SAVA are described. This architecture is deployed into the CNGI-CERNET2infrastructure--a large-scale native IPv6 backbone network of the China Next Generation Internet project. We believe that the SAVA will help the transition to a new, more secure and dependable Internet.

  19. 43 CFR Appendix B to Part 2 - Internet Addresses

    Science.gov (United States)

    2010-10-01

    ... Regulations (43 CFR, Part 2, Subparts A and B): http://www.doi.gov/foia/foiaregs.html 7. DOI FOIA Policy and... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Internet Addresses B Appendix B to Part 2... INFORMATION ACT Pt. 2, App. B Appendix B to Part 2—Internet Addresses 1. Department of the Interior (DOI)...

  20. Presidential Address: Industry Location, Economic Development Incentives, and Clusters

    OpenAIRE

    Woodward, Douglas P.

    2012-01-01

    In his Presidential Address, Professor Woodward uses South Carolina’s economic development experience as a case study of significant challenges in regional development. The state has re-industrialized and emerged as a leader in attracting capital investment through generous financial incentives, after watching the demise of its major industry cluster (textiles and apparel) since the 1970s. The address argues that regional science research continues to advance our understanding of regional pol...

  1. Addressing Limited Data for Textual Entailment Across Domains

    OpenAIRE

    Shivade, Chaitanya; Raghavan, Preethi; Patwardhan, Siddharth

    2016-01-01

    We seek to address the lack of labeled data (and high cost of annotation) for textual entailment in some domains. To that end, we first create (for experimental purposes) an entailment dataset for the clinical domain, and a highly competitive supervised entailment system, ENT, that is effective (out of the box) on two domains. We then explore self-training and active learning strategies to address the lack of labeled data. With self-training, we successfully exploit unlabeled data to improve ...

  2. A Comparative Study of Chinese and American Ways of Address

    Institute of Scientific and Technical Information of China (English)

    李静

    2009-01-01

    From a cross-cultural pragmatic perspective,this paper nakes a comparative study on American and Chinese ways of address,and finds that due to different cultural values,languages differ in the actual realization of address strategies and modifications,which leads to varied interactional styles,and thus holds that there exist distinctive cultural differences in the interactional styles of verbal behaviors,which challenges the universality of pragmatic rules among different languages and cultures.

  3. A DHCP-based IP address autoconfiguration for MANETs

    OpenAIRE

    Calderón, María; Bernardos, Carlos J.

    2006-01-01

    Mobile Ad hoc Networks (MANETs) are expected to become more and more important in the upcoming years, playing a significant role in 4G networks. In order to enable the deployment of IP services in such networks, IP address autoconfiguration mechanisms are required. Although the ad hoc topic has been a very intense research area, with a plethora of published papers about routing, there is a lack of proposals of address autoconfiguration with enough support from the technical ...

  4. The role of game design in addressing behavioural change

    OpenAIRE

    Coulton, Paul

    2015-01-01

    With the increasing promotion of design for behavioural change as a means of addressing the complex societal and environmental challenges the world currently faces, comes the associated challenge of developing appropriate design techniques to achieve such change. Whilst many designers have sought inspiration from game design they have often drawn from the techniques associated with ‘gamification’ which has been heavily criticised as manipulative and only capable of addressing simplistic extri...

  5. A New Method to Detect Abnormal IP Address on DHCP

    Directory of Open Access Journals (Sweden)

    Ling-Feng Chiang

    2009-08-01

    Full Text Available Dynamic Host Configuration Protocol (DHCP provides a means of allocating and managing IP addresses dynamically over a network. An important characteristic of the DHCP server is that different hosts or network cards are not allowed to simultaneously use the same IP address in the DHCP mechanism. However, anyone can guest corresponding parameters such as IP address, subnet mask, and default gateway from the DHCP mode, and then reconfigure a static IP to access the network from DHCP mode. According to the DHCP mechanism, this study traces abnormalities of the client IP or MAC address by comparing the ARP table and DHCP binding table in this paper. This work performs the proposed method to detect abnormal hosts on both DHCPv4 and DHCPv6. The difference between these two tables provides illegality information to transmit to relevant routers or switching devices via the DHCP server to block the illegal user from accessing network resources. This study approach requires no source address or MAC address retrieval of the packet. This work significantly improves system performance by effectively blocking illegal users before packets transmit.

  6. Nationalism in Contemporary Nation States

    DEFF Research Database (Denmark)

    Larsen, Christian Albrekt

    2016-01-01

    cases and countries with an overweight of national liberals, e.g. the US, and an overweight of de-constructivists, e.g. Japan, that are not well-captured by Kohn’s original framework. Furthermore, the study finds changes in nation-perceptions, especially in Eastern Europe, that point to the possibility...... in this and previous empirical studies. The article uses three rounds of ISSP data on national identity, which enables analyses across 44 countries and across two decades. The article applies MCA-analyses, as the first in the field. The article finds congruence between public criteria for being national and measures...... of national proudness, national belonging, attitudes to foreign mass media content and attitudes towards migration and migrations. The congruence supports the established two dimensional conceptual framework and demonstrates the presence of competing nation-perceptions within countries. However, the articles...

  7. The needs of people with HIV in the UK: findings from a national survey.

    Science.gov (United States)

    Anderson, W J; Weatherburn, P

    2004-12-01

    The aim of this study was to describe the needs of people living with HIV in the UK. A questionnaire addressing 17 areas of need was completed by 1821 people living with HIV in the UK. The core need indicator was a personal assessment of happiness with current state. A quarter of all respondents were happy with their current state across all needs. For each need, the following proportions were unhappy with their current state: sex, 40%; anxiety/depression, 33%; sleep, 32%; self-confidence, 32%; money, 28%; household chores and self-care, 18%; housing, 18%; appetite, eating and drinking, 17%; friendships, 17%; discrimination, 16%; mobility, 15%; dealing with health professionals, 15%; relationships, 14%; drugs and alcohol, 9%; taking treatments regularly, 5%; HIV treatment knowledge, 4%; looking after children, 2%. Although some people with HIV are coping well with minimal unmet need, the overall picture of need is dominated by personal, social and economic issues. PMID:15601484

  8. Constituting Antebellum African American Identity: Resistance, Violence, and Masculinity in Henry Highland Garnet's (1843) "Address to the Slaves"

    Science.gov (United States)

    Jasinski, James

    2007-01-01

    In August 1843 Presbyterian minister Henry Highland Garnet delivered his "Address to the Slaves of the United States of America" to the National Convention of Colored Citizens in Buffalo, NY. While often read (and almost as often dismissed) as either an unqualified call for a violent slave rebellion or, at the least, a celebration of prior acts of…

  9. The Center on the Social and Emotional Foundations for Early Learning: Addressing Challenging Behavior in Infants and Toddlers

    Science.gov (United States)

    Hunter, Amy; Hemmeter, Mary Louise

    2009-01-01

    The Center on the Social and Emotional Foundations for Early Learning (CSEFEL) is a federally funded national resource center designed to support early care and education providers address the social-emotional needs of children birth through age 5 years. Recent research has found that an extraordinarily high number of young children are being…

  10. A Global Perspective on Using Implementation Research to Address Hypertension-Associated Target Organ Damage.

    Science.gov (United States)

    Peprah, Emmanuel; Lopez-Class, Maria; Shero, Susan; John-Sowah, Joylene; Engelgau, Michael

    2016-01-01

    Hypertension, a major risk factor for cardiovascular disease, imposes a significant public health burden and challenge to address it worldwide. Scaling up delivery of proven, effective interventions for hypertension could significantly advance the goal of reducing the global burden. Although significant progress has been made in many countries, some lament that large-scale initiatives focused on reducing blood pressure in global populations have not effectively addressed this challenge. Late-stage implementation research plays a critical role in determining effective and sustainable scale-up of these initiatives. In this article, we briefly discuss some of the global initiatives that have been funded by the National Heart, Lung, and Blood Institute of the US National Institutes of Health. Intervention delivery strategies in low resource settings must have demonstrated effectiveness and consideration for the social, cultural and physical context (eg, access, affordability, and availability of medications) in which a program is being delivered in order to be sustainable nationally and globally. Hence, the use of implementation research is central to determining sustainable delivery of evidence-based and tailored interventions focused on hypertension control. The sustained control of hypertension in global populations holds tremendous potential for reducing morbidity, premature mortality, and the adverse economic impact of cardiovascular disease in all regions. PMID:27440980

  11. THE PRAGMATIC MEANINGS OF ADDRESS TERMS SAMPEYAN AND ANDA

    Directory of Open Access Journals (Sweden)

    Djoko Susanto

    2014-07-01

    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

  12. Cooking Nation

    OpenAIRE

    Tuori, Salla

    2007-01-01

    Abstract This article explores the discourses of multiculturalism and gender equality in relation to nation-building in Finland. The two discourses relate differently to the nation so that gender equality is seen as inherent to the nation while multiculturalism is seen as a challenge posed from outside. Nevertheless, the two discourses are dependent upon each other and cite each other. The material for the ...

  13. National Standards or Economic Imperialism?

    Science.gov (United States)

    Conrad, Cecilia A.

    1998-01-01

    Argues that, although most K-12 social standards are deficient in their coverage of economic concepts, the National Council on Economic Education standards are equally deficient in addressing history and social studies subjects. Maintains that both disciplines must cooperate and coordinate their efforts for any meaningful educational reform to…

  14. Address Points, County Wide Address Points, Published in 2008, 1:2400 (1in=200ft) scale, Hamilton County.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Address Points dataset, published at 1:2400 (1in=200ft) scale, was produced all or in part from Not Provided information as of 2008. It is described as 'County...

  15. Address Points, address points, Published in 2009, 1:4800 (1in=400ft) scale, Woodson County.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Address Points dataset, published at 1:4800 (1in=400ft) scale, was produced all or in part from Published Reports/Deeds information as of 2009. It is described...

  16. Address Points, Lafayette Address Points, Published in 2007, 1:24000 (1in=2000ft) scale, Lafayette County Land Records.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Address Points dataset, published at 1:24000 (1in=2000ft) scale, was produced all or in part from Field Survey/GPS information as of 2007. It is described as...

  17. Address Points, Green Co Address Points, Published in 2006, 1:4800 (1in=400ft) scale, MSA Professional Services.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Address Points dataset, published at 1:4800 (1in=400ft) scale, was produced all or in part from Field Survey/GPS information as of 2006. It is described as...

  18. Address Points, Richland Co Address Points, Published in 2006, 1:4800 (1in=400ft) scale, MSA Professional Services.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Address Points dataset, published at 1:4800 (1in=400ft) scale, was produced all or in part from Published Reports/Deeds information as of 2006. It is described...

  19. Address Points, Adams Co Address Points, Published in 2006, 1:4800 (1in=400ft) scale, MSA Professional Services.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Address Points dataset, published at 1:4800 (1in=400ft) scale, was produced all or in part from Published Reports/Deeds information as of 2006. It is described...

  20. Addressing the Grand Challenge of atmospheric carbon dioxide: geologic sequestration vs. biological recycling

    Directory of Open Access Journals (Sweden)

    Stuart Ben J

    2011-11-01

    Full Text Available Abstract On February 15, 2008, the National Academy of Engineering unveiled their list of 14 Grand Challenges for Engineering. Building off of tremendous advancements in the past century, these challenges were selected for their role in assuring a sustainable existence for the rapidly increasing global community. It is no accident that the first five Challenges on the list involve the development of sustainable energy sources and management of environmental resources. While the focus of this review is to address the single Grand Challenge of "develop carbon sequestration methods", is will soon be clear that several other Challenges are intrinsically tied to it through the principles of sustainability. How does the realm of biological engineering play a role in addressing these Grand Challenges?

  1. Unmet needs of bipolar disorder patients

    OpenAIRE

    Hajda M; Prasko J; Latalova K; Hruby R; Ociskova M; Holubova M; Kamaradova D; Mainerova B

    2016-01-01

    Miroslav Hajda,1 Jan Prasko,1 Klara Latalova,1 Radovan Hruby,2 Marie Ociskova,1 Michaela Holubova,1,3 Dana Kamaradova,1 Barbora Mainerova1 1Department of Psychiatry, Faculty of Medicine and Dentistry, Palacky University Olomouc, University Hospital Olomouc, Olomouc, Czech Republic; 2Outpatient Psychiatric Department, Martin, Slovak Republic; 3Department of Psychiatry, Regional Hospital Liberec, Liberec, Czech Republic Background: Bipolar disorder (BD) is a serious mental illness with advers...

  2. Guidelines for Estimating Unmetered Landscaping Water Use

    Energy Technology Data Exchange (ETDEWEB)

    McMordie Stoughton, Kate

    2010-07-28

    The document lays-out step by step instructions to estimate landscaping water using two alternative approaches: evapotranspiration method and irrigation audit method. The evapotranspiration method option calculates the amount of water needed to maintain a healthy turf or landscaped area for a given location based on the amount of water transpired and evaporated from the plants. The evapotranspiration method offers a relatively easy “one-stop-shop” for Federal agencies to develop an initial estimate of annual landscape water use. The document presents annual irrigation factors for 36 cities across the U.S. that represents the gallons of irrigation required per square foot for distinct landscape types. By following the steps outlined in the document, the reader can choose a location that is a close match their location and landscape type to provide a rough estimate of annual irrigation needs without the need to research specific data on their site. The second option presented in the document is the irrigation audit method, which is the physical measurement of water applied to landscaped areas through irrigation equipment. Steps to perform an irrigation audit are outlined in the document, which follow the Recommended Audit Guidelines produced by the Irrigation Association.[5] An irrigation audit requires some knowledge on the specific procedures to accurately estimate how much water is being consumed by the irrigation equipment.

  3. Tutoring Large Numbers: An unmet challenge

    Directory of Open Access Journals (Sweden)

    Helen Lentell

    2004-04-01

    Full Text Available Open and distance learning (ODL is increasingly being regarded as a viable policy option for developing countries with limited educational resources for buildings, books and trained teachers, seeking to increase accessibility for large numbers of learners in education and training opportunities. Advocates of ODL as an appropriate solution to development issues tend to emphasise the hardware and software (curricula, materials and media of instruction and delivery, and especially ICTs rather than the learning support needed (See, for example, World Bank, 2002.In one sense this should not be surprising. As Lentell has noted, tutoring has never been at the forefront of mainstream writing on distance education, at least not until fairly recently (Lentell, 2003. However, whilst tutoring might not be central to the writing about ODL in the north, the practice is somewhat different. Tutoring tends to be the less visible element of ODL, but it is no less essential than good materials and effective administration. Distance education cannot exist without tutors who provide feedback and guidance to students. This point is well demonstrated by, for example, the array of institutional handbooks on tutoring produced by distance education universities. In practice, established distance education providers typically invest considerably in tutoring and other forms of learner support (Rumble, 1997. Moreover, and certainly among learner support professionals, there is an implicit “preferred” model. This model assumes a relatively low student-to-tutor ratio, with the tutor offering proactive individual guidance and feedback. Such a model, however, is not easily transferable to a situation where the reasons for adopting distance education are limited numbers of teachers and limited access to educational provision.

  4. UNMET NEED - MOTHER'S ROLE - CHILDREN'S ATTITUDE

    Directory of Open Access Journals (Sweden)

    Th. Nonibala

    2014-09-01

    Full Text Available Reproduction is the greatest gift of God - for the maintenance of life cycles on earth, time and place being an important factor to accept the gift of God, the Almighty. Since time immemorial, conception of unwed girl is one of the problems faced, and facing and creating problem among the youths, in the families and so to the society every now and then. Awareness of sex and sex education would play a great role as one factor to solve the problem. A good and understanding mother is the need of the hour for the upliftment of children in the families and so to the society. Role of the parents and elders in the families are valued for the successful carrier of the children. Cases reported are selected among the unmarried term pregnancies.

  5. Voluntary sterilization in Serbia: Unmet need?

    Directory of Open Access Journals (Sweden)

    Rašević Mirjana M.

    2002-01-01

    Full Text Available Is voluntary sterilization as a birth control method accepted in Serbia? This is certainly a question that is being imposed for research, regardless of the fact that voluntary sterilization is neither accessible nor promoted. Most importantly because there is no understanding in the social nor political sphere for legalization of voluntary sterilization as a form of birth control, apart from the clear necessity for this, first, step. They are: the recognition that voluntary sterilization is an efficient and safe birth control method, respectability of basic human as well as sexual and reproductive rights, spreading of sterilization as a form of birth control among population of both developed and developing countries and an epidemic diffusion of repeated induced abortions in Serbia. Thus individual recognition of the advantages of relying on voluntary sterilization, in a non-encouraging atmosphere, certainly represents one more argument to enable couples to prevent conception by sterilization. Since it was impossible to carry out a representative research among the population of men and women who are at risk for conception, an attempt was made to obtain a reply to the set question among women who decided to induce abortion. It was done out of at least two reasons. The first being that women with induced abortion in their reproductive history were the target group for voluntary sterilization. The second reason was based on the assumption that bringing a decision on induced abortion is preceded by the reconsideration of an earlier adopted strategy regarding children, giving birth and contraception and thus its rational component is revealed more and therefore more easily measurable. The research was carried out in the University Clinic of Obstetrics and Gynecology 'Narodni front' in Belgrade from January 21st o March 1st 2002, and included 296 women. By comparing the social and demographic characteristics of the female respondents, as well as important events in their reproductive history with structural traits of the total population of women of same age and parity who induce abortion, the representativeness of samples was confirmed and thus generalization of results. The results indicate that a target group is clearly distinct which would decide on sterilization as a contraceptive method. Not only do more than half of the surveyed women who induce abortion believe that voluntary sterilization as a method of contraception should be available in Serbia, but also a large number of surveyed women, almost a half, would subject themselves to voluntary sterilization after having given birth to the desired number of children and when they would be convinced that sterilization does not influence health, sex potency, nor quality of sex life. Younger women, respondents with secondary education, those who gave birth to the desired number of children, as well as those who have a good relationship with their partner, and confronted themselves with a large number of induced abortions, namely those who wish to use contraception in future, are more open to voluntary sterilization. The reasons for individual non acceptance, namely undetermined standpoint towards sterilization as a contraception method, indicate that many of the registered ambivalent or negative opinions could be changed by knowledge spreading on the characteristics of voluntary sterilization.

  6. Neonatal nursing: an unmet challenge in India.

    Science.gov (United States)

    Kalyan, Geetanjli; Vatsa, Manju

    2014-11-01

    Nurses comprise a key component to maternal and newborn health care delivery, including the care of 'at-risk' or sick newborns. However, the efficiency and effectiveness of services rely heavily on adequate numbers of highly skilled neonatal nurses. Currently, in India, a significant shortage of trained nurses in the field of newborn care is contributing to poor neonatal outcomes. Specifically, nurses caring for newborns lack the competency and experience needed to ensure optimal care. This deficiency has been linked to a lack of expert faculty, standardized training and minimal or no exposures to newborn clinical care areas during pre service education. Moreover, in addition to a lack of operational research in the area, nurses who provide care for newborns are often faced with numerous system related issues that impede their ability to provide optimal care. Most notably, frequent changes of work place, poor wages, and lack of continuing education, skill maintenance, recognition, and collaborative team culture further compromise the nursing care. All these lead to poor motivation and competency. To meet this challenge, it is essential that emphasis be placed on the identification and support of nursing faculty with expertise in newborn and neonatal care who are able to ensure that nurses receive standardized education for pre-service, in-service and ongoing care. In addition, importance should be placed on encouraging newborn nursing research as well as on governmental increases in salary compensation. Lastly, given the shortage of physicians to take care of sick neonates in remote areas, the creation of a cadre of Neonatal nurse practitioner/ advanced practice nurses would be an invaluable solution in developing countries. Furthermore, centralized oversight of newborn education and training would be best served, if responsibility was placed with Reproductive maternal newborn child health (RMNCH) workers and district level officers. PMID:25278279

  7. New generation of content addressable memories for associative processing

    Science.gov (United States)

    Lewis, H. G., Jr.; Giambalov, Paul

    2000-05-01

    Content addressable memories (CAMS) store both key and association data. A key is presented to the CAN when it is searched and all of the addresses are scanned in parallel to find the address referenced by the key. When a match occurs, the corresponding association is returned. With the explosion of telecommunications packet switching protocols, large data base servers, routers and search engines a new generation of dense sub-micron high throughput CAMS has been developed. The introduction of this paper presents a brief history and tutorial on CAMS, their many uses and advantages, and describes the architecture and functionality of several of MUSIC Semiconductors CAM devices. In subsequent sections of the paper we address using Associative Processing to accommodate the continued increase in sensor resolution, number of spectral bands, required coverage, the desire to implement real-time target cueing, and the data flow and image processing required for optimum performance of reconnaissance and surveillance Unmanned Aerial Vehicles (UAVs). To be competitive the system designer must provide the most computational power, per watt, per dollar, per cubic inch, within the boundaries of cost effective UAV environmental control systems. To address these problems we demonstrate leveraging DARPA and DoD funded Commercial Off-the-Shelf technology to integrate CAM based Associative Processing into a real-time heterogenous multiprocessing system for UAVs and other platforms with limited weight, volume and power budgets.

  8. Terms of Address in the Chinese Business Enterprise

    Directory of Open Access Journals (Sweden)

    Xiaoyan Huang

    2014-06-01

    Full Text Available 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 state-owned or privately owned.  The authors develop hypotheses to explain the social origins of these observations.  It is also observed that the semantics of address in the enterprise persist across changes in underlying terminology and are resilient with respect to mandated speech.  In examining this subject of persistence, the authors find that the term ‘gē/jiě’ (brother/sister has replaced the term ‘tóngzhì’ (comrade as the primary means of expressing solidarity within the business enterprise.  The authors consider the question of whether address choices can be predicted based on externally observable situations or whether such choices require knowledge of the speaker’s motivations, which are not externally observable.  It is concluded that address is most predictable in situations where power is salient and less predictable in other situations.   

  9. An addressable cell array for a platform of biosensor chips

    Science.gov (United States)

    Yang, Seungkyoung; Choi, Soo-hee; Jung, Moon Youn; Song, Kibong; Park, Jeong Won

    2013-05-01

    In order to detect interested matters in fields, various lab-on-a-chips where chemical, physical, or biological sensors are loaded have been developed. eNOSE can be a representative example among them. Because animals can sense 300~1000 different chemicals by olfactory system - smell -, the olfactory system has been spotlighted as new materials in the field of sensing. Those investigations, however, are usually focused on how to detect signals from the olfactory neurons or receptors loaded on chips and enhance sensing efficacy of chips. Therefore, almost of those chips are designed for only one material sensing. Multi-sensing using multi-channels will be needed when the olfactory systems are adopted well on chips. For multiple sensing, we developed an addressable cell array. The chip has 38 cell-chambers arranged in a circle shape and different cell types of thirty eight can be allocated with specific addresses on the chip without any complex valve system. In order to confirm the cell addressing, we loaded EGFP-transfected and empty vector-transfected HEK293a cells into inlets of the cell array in a planned address and those cells were positioned into each chamber by brief aspiration. The arrayed cells were confirmed as a specific pattern through EGFP and nuclei staining. This cell array which can generate address of sensor materials like cells with their own specification is expected to be applied to a platform for a biosensor chip at various sensing fields.

  10. Address switching: Reforming the architecture and traffic of Internet

    Institute of Scientific and Technical Information of China (English)

    LI Xing; BAO CongXiao

    2009-01-01

    The success of the Internet is largely ascribable to the packet-switching scheme, which, however, also presents major challenges. Having identified three missing links in the current Internet architecture based on our long-term experiences of designing and operating large-scale backbones, we put forward a new, but incrementally deployable, network scheme-address switching. The address switching has both the advantages of packet switching and circuit switching; it supplies the missing links in the current Internet architecture and can reform the Internet traffic. Our analysis, protocol design and experiments indicate that the address switching can greatly improve the quality of service (QoS), security and routing scalability of today's Internet. So it can provide flexible, high-performance and "per-service" networking for the scientific research communities. Moreover, it can provide a fairer and more sustainable business model for the commodity Internet.

  11. No Address Space Operating System Prototype and Its Performance Test

    Institute of Scientific and Technical Information of China (English)

    LIU Fuyan; YOU Jinyuan

    2001-01-01

    In this paper,we first analyze datastorage models in typical operating systems,the re-lation between distributed shared memory and datastorage model,as well as the relation between mem-ory hierarchy and data storage model.Then we pro-pose the concept of No Address Space Operating Sys-tem,discuss an implementation prototype,and ana-lyze its performance and advantages.We believe thatthe concept of process virtual address space should beabandoned in operating systems,instructions shouldaccess files directly,and processes should run on files.Compared with other operating systems,No AddressSpace Operating System has many advantages andshould be adopted in computer systems.

  12. Wind versus Biofuels for Addressing Climate, Health, and Energy

    International Nuclear Information System (INIS)

    The favored approach today for addressing global warming is to promote a variety of options: biofuels, wind, solar thermal, solar photovoltaic, geothermal, hydroelectric, and nuclear energy and to improve efficiency. However, by far, most emphasis has been on biofuels. It is shown here, though, that current-technology biofuels cannot address global warming and may slightly increase death and illness due to ozone-related air pollution. Future biofuels may theoretically slow global warming, but only temporarily and with the cost of increased air pollution mortality. In both cases, the land required renders biofuels an impractical solution. Recent measurements and statistical analyses of U.S. and world wind power carried out at Stanford University suggest that wind combined with other options can substantially address global warming, air pollution mortality, and energy needs simultaneously.

  13. Creating a National HIV Curriculum.

    Science.gov (United States)

    Spach, David H; Wood, Brian R; Karpenko, Andrew; Unruh, Kenton T; Kinney, Rebecca G; Roscoe, Clay; Nelson, John

    2016-01-01

    In recent years, the HIV care provider workforce has not kept pace with an expanding HIV epidemic. To effectively address this HIV workforce shortage, a multipronged approach is needed that includes high-quality, easily accessible, up-to-date HIV education for trainees and practicing providers. Toward this objective, the University of Washington, in collaboration with the AIDS Education and Training Center National Coordinating Resource Center, is developing a modular, dynamic curriculum that addresses the entire spectrum of the HIV care continuum. Herein, we outline the general principles, content, organization, and features of this federally funded National HIV Curriculum, which allows for longitudinal, active, self-directed learning, as well as real-time evaluation, tracking, and feedback at the individual and group level. The online curriculum, which is in development, will provide a free, comprehensive, interactive HIV training and resource tool that can support national efforts to expand and strengthen the United States HIV clinical care workforce. PMID:27086188

  14. Residualization is not the answer: Rethinking how to address multicollinearity.

    Science.gov (United States)

    York, Richard

    2012-11-01

    Here I show that a commonly used procedure to address problems stemming from collinearity and multicollinearity among independent variables in regression analysis, "residualization", leads to biased coefficient and standard error estimates and does not address the fundamental problem of collinearity, which is a lack of information. I demonstrate this using visual representations of collinearity, hypothetical experimental designs, and analyses of both artificial and real world data. I conclude by noting the importance of examining methodological practices to ensure that their validity can be established based on rational criteria.

  15. Addressing the effect of social life cycle assessments

    DEFF Research Database (Denmark)

    Jørgensen, Andreas; Dreyer, Louise Camilla; Wangel, Arne

    2012-01-01

    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...... how the SLCA should be developed so that its use promotes these improvements. Methods: Hypotheses of how the use of SLCA can promote improvement of social conditions in the life cycle are formulated, after which theories and empirical findings from relevant fields of research are used to address...

  16. The role of health education in addressing the health divide

    DEFF Research Database (Denmark)

    Simovska, Venka

    2013-01-01

    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 opportunit......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...

  17. Neurochip Based on Light-addressable Potentiometric Sensor

    Institute of Scientific and Technical Information of China (English)

    Qingjun Liu; Hua Cai; Ying Xu; Lifeng Qin; Lijiang Wang; Ping Wang

    2006-01-01

    A novel neurochip based on light addressable potentiometric sensor (LAPS) is designed. Using its light addressable characteristic. The problems of the limitations of restricted discrete active sites of current neurochips, such as microelectrode array and field effect transistor array can be settled easily. Based on the theoretical analysis of the interface between cells and LAPS, spontaneously discharges of hippocampal neurons induced by Mg2+-free media treatment were recorded by LAPS. The results demonstrate that this kind of neurochip has potential to monitor electrophysiology of cultured cells in a non-invasive way.

  18. Strategies to address climate change in central and Eastern Euopean countries

    Energy Technology Data Exchange (ETDEWEB)

    Simeonova, K. [Energoproekt, Sofia (Bulgaria)

    1996-12-31

    The paper presents analyses based on information mainly from the National Communications of nine Central and Eastern European countries that are undertaking radical transition from centrally planned to market driven economics (EIT). It is designed primarily to provide an overview of the policies and measures to address climate change that have been implemented, or under implementation or planned. In order to better understand the objective of policies and measures and the way they have been implemented in EIT countries that analysis has been supplemented by a review of the national circumstances and overall policy contexts in EIT countries that are relevant to climate change policies and measures problems. Therefore, these issues will be discussed in the paper along with analysis of mitigation policies and measures by sector.

  19. 21 CFR 1404.145 - Does this part address persons who are disqualified, as well as those who are excluded from...

    Science.gov (United States)

    2010-04-01

    ... Food and Drugs OFFICE OF NATIONAL DRUG CONTROL POLICY GOVERNMENTWIDE DEBARMENT AND SUSPENSION... covered transactions. (b) Does not specify the— (1) Office of National Drug Control Policy transactions... 21 Food and Drugs 9 2010-04-01 2010-04-01 false Does this part address persons who...

  20. Ten national cyber security strategies: A comparison

    NARCIS (Netherlands)

    Luiijf, H.A.M.; Besseling, K. van; Spoelstra, M.; Graaf, P. de

    2013-01-01

    A number of nations developed and published a national cyber security strategy (NCSS). Most of them were published in the period 2009 - 2011. Despite the fact that each of these NCSS intends to address the cyber security threat, large differences exist between the NCSS approaches. This paper analyse

  1. 残疾儿童家庭康复现状与需求调查分析%Status and Unmet Needs of Family Rehabilitation for Children with Disabilities

    Institute of Scientific and Technical Information of China (English)

    刘合建; 王桂圆; 彭光阳; 王臣; 王晓东; 邹斌; 牛阳; 陈文华

    2014-01-01

    Objective To investigate the current status of family rehabilitation for children with disability and the unmet needs of habili-tation/rehabilitation for their parents. Methods Family Rehabilitation Needs Survey Questionnaire was used to investigate 186 families of the children with disability from 5 rehabilitation institutions in 4 provinces. Results Most families accepted family rehabilitation, including family support, developed rehabilitation scheme, telephone counseling, real-time guidance and appointment for family rehabilitation. Most families would spent 1-2 hours a day for the family rehabilitation, and prefer the rehabilitation of gross motion. However, the rehabilitation agencies played less importance on supports of family rehabilitation. Conclusion The family rehabilitation supports needs to be improved in specification of rehabilitation process, developing rehabilitation scheme and quality control.%目的:了解残疾儿童家庭康复的现状及家长对家庭康复支持系统的需求。方法采用“家庭康复需求调查问卷表”对4个省5家康复机构治疗的186名残疾儿童家长进行问卷调查。结果家长对家庭康复的接受度较高,希望能得到制定康复方案、电话咨询、实时指导及预约上门康复等全方位的家庭支持。大多数家长能每天安排1~2h为孩子进行家庭康复,康复内容侧重于大运动。康复机构对于家庭康复支持相对不足。结论可从规范康复流程、制定康复方案和控制康复质量等方面给予家庭康复支持。

  2. Responsible nations

    DEFF Research Database (Denmark)

    Lippert-Rasmussen, Kasper

    2009-01-01

    In National Responsibility and Global Justice, David Miller defends the view that a member of a nation can be collectively responsible for an outcome despite the fact that: (i) she did not control it; (ii) she actively opposed those of her nation's policies that produced the outcome; and (iii......) actively opposing the relevant policy was costly for her. I argue that Miller's arguments in favor of this strong externalist view about responsibility and control are insufficient. Specifically, I show that Miller's two models of synchronic collective responsibility*the like-minded group model...

  3. 27 CFR 19.645 - Name and address of bottler.

    Science.gov (United States)

    2010-04-01

    ... addresses) of the distiller; (b) Where “straight whiskies” of the same type which have been produced in the... warehouseman's bonded premises for further storage) and subsequently bottled and labeled as “straight whisky,” such “straight whisky” shall be labeled in accordance with the requirements of the first paragraph...

  4. Bullying in Schools: Addressing Desires, Not Only Behaviours

    Science.gov (United States)

    Rigby, Ken

    2012-01-01

    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…

  5. Addressing the Needs of Students with Rett Syndrome.

    Science.gov (United States)

    Katsiyannis, Antonis; Ellenburg, Jennifer S.; Acton, Olivia M.; Torrey, Gregory

    2001-01-01

    This article discusses symptoms of students with Rett Syndrome, a disability in females characterized by the development of multiple specific deficits following a period of normal functioning after birth. Specific interventions for students with Rett syndrome are provided and address communication, stereotypic movements, self-injurious behaviors,…

  6. Are Teacher and Principal Candidates Prepared to Address Student Cyberbullying?

    Science.gov (United States)

    Styron, Ronald A., Jr.; Bonner, Jessica L.; Styron, Jennifer L.; Bridgeforth, James; Martin, Cecelia

    2016-01-01

    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…

  7. Utilizing Motivational Interviewing to Address Resistant Behaviors in Clinical Supervision

    Science.gov (United States)

    Wahesh, Edward

    2016-01-01

    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.

  8. OPENING ADDRESS TO 2002 SINOAFRICAN SHP TRAINING WORKSHOP

    Institute of Scientific and Technical Information of China (English)

    ZhuXiaozhang; HonoraryDirectorofHRC

    2002-01-01

    I am pleased to be here to give an opening address to this important training workshop specially designated for our African friends, which shows the sincere friendship between China and African countries. I'd also,together with our Director Dr. Chen,express my congratulations to you for your participation in the workshop.

  9. The Democratic Imperative to Address Sexual Equality Rights in Schools

    Science.gov (United States)

    Gereluk, Dianne

    2013-01-01

    Issues of sexual orientation elicit ethical debates in schools and society. In jurisdictions where a legal right has not yet been established, one argument commonly rests on whether schools ought to address issues of same-sex relationships and marriage on the basis of civil equality, or whether such controversial issues ought to remain in the…

  10. State Legislation to Address Childhood Obesity. Program Results Brief

    Science.gov (United States)

    Fiester, Leila

    2012-01-01

    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…

  11. 40 CFR 150.17 - Addresses for applications and correspondence.

    Science.gov (United States)

    2010-07-01

    ..., Environmental Protection Agency, 1200 Pennsylvania Ave., NW., Washington DC 20460-0001. (b) Hand/courier... 40 Protection of Environment 23 2010-07-01 2010-07-01 false Addresses for applications and correspondence. 150.17 Section 150.17 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY...

  12. Addressing Nature Deficit Disorder through Primitive Camping Experiences

    Science.gov (United States)

    Allen, Kevin; Varner, Keegan; Sallee, Jeff

    2011-01-01

    Today's youth suffer from Nature Deficit Disorder, a condition that has been connected to ADHD, shortage of creativity, and general lack of knowledge about the outdoors. A team of educators and specialists are addressing this issue with primitive camping. County educators were trained using experiential learning and train-the-trainer techniques.…

  13. Presidential Address: Culture and the Future of Education Research

    Science.gov (United States)

    Halse, Christine

    2013-01-01

    Recent changes in higher education have confronted education research with a conundrum: how our traditionally multidisciplinary field can refine itself as a unified discipline. In this address I sketch out what this conundrum may mean for education research, both substantively and methodologically, in the future. I propose that one starting point…

  14. Addressing Stereotypes by Moving along the Continuum of Cultural Proficiency

    Science.gov (United States)

    Ward, Cheryl James

    2013-01-01

    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…

  15. Intercultural Identities: Addressing the Global Dimension through Art Education

    Science.gov (United States)

    Bianchi, June

    2011-01-01

    Recent educational policy and practice have established an extended role for all subjects in addressing children and young peoples' academic and interpersonal development, with strategies facilitating key skills and wider learning across areas of Citizenship and Personal, Social and Health education providing an integrated approach to education…

  16. 21 CFR 312.140 - Address for correspondence.

    Science.gov (United States)

    2010-04-01

    ... Generic Drugs (HFD-600), Center for Drug Evaluation and Research, Food and Drug Administration, Metro Park....140 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS FOR HUMAN USE INVESTIGATIONAL NEW DRUG APPLICATION Miscellaneous § 312.140 Address...

  17. Addressing the Need for Management Processes for Higher Education Accreditation.

    Science.gov (United States)

    Brennan, Linda L.; Austin, Walter W.

    2003-01-01

    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…

  18. Address by the Minister of Foreign Affairs of Lithuania

    Directory of Open Access Journals (Sweden)

    Audronius Azubalis

    2010-08-01

    Full Text Available Address by the Minister of Foreign Affairs of Lithuania Audronius Azubalis to the participants of the First International Conference on Nordic and Baltic Studies in Romania:Romania and Lithuania in the Interwar International Relations: Bonds, Intersections and Encounters hosted by the Romanian Association for Baltic and Nordic Studies, Târgoviste, May 19-21, 2010.

  19. Catholic Social Teaching: Addressing Globalization in Catholic Business Education

    Science.gov (United States)

    Ball, James B.; Martinez, Zaida; Toyne, Brian

    2009-01-01

    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…

  20. 7 CFR Appendix A to Part 2710 - List of Addresses

    Science.gov (United States)

    2010-01-01

    ... records, and indexes to those records, is permitted. Section 2. List of Addresses Director, Office of Information Resources Management, 14th and Independence Ave., SW., Rm. 113-W, Washington, DC 20250; Hours: 8:30 a.m.-5:00 p.m. Chief, Planning Division, OIRM, 14th and Independence Ave., SW., Rm....