WorldWideScience

Sample records for admissible initial states

  1. Predicting recidivism among first admissions at Tennessee's state psychiatric hospitals.

    Science.gov (United States)

    Lambert, E W; Sherwood, V; Fitzpatrick, L J

    1983-10-01

    Using data from computerized patient records, the authors attempted to identify characteristics of first admissions to state psychiatric facilities who would later become recidivists. In an examination of 22,062 first admissions to all state hospitals in Tennessee, they found six variables with significant ability to predict recidivism: age, delusional beliefs, assaultive acts, out-of-state residence, indigence, and living with parents. A risk profile that predicted future recidivism with statistical significance at all five Tennessee state hospitals was subsequently developed, but the predictive accuracy was too low for the profile to be clinically useful. The authors believe the benefits of early identification of patients at risk justify further research.

  2. Pattern of Medical Admissions at Enugu State University of Science ...

    African Journals Online (AJOL)

    Technology Teaching Hospital, Parklane, Enugu, 2Department of Community Medicine, University of Nigeria Teaching. Hospital, Ituku/Ozalla ... A review of medical admissions into the Enugu State University of Science and Technology. Teaching .... Cord lesions, rabies, Guilliane Barré syndrome, motor neuron disease and ...

  3. Pattern of medical admissions at Enugu state university of science ...

    African Journals Online (AJOL)

    Pattern of medical admissions at Enugu state university of science and technology teaching hospital: a 5 year review. ... The diseases encountered most were diabetes mellitus‑735/3,865 (19.1%), hypertension/congestive cardiac failure‑703/3,865 (18.2%), strokes‑614/3,865 (15.9%) and human immunodeficiency virus ...

  4. SIRS score on admission and initial concentration of IL-6 as severe acute pancreatitis outcome predictors.

    Science.gov (United States)

    Gregoric, Pavle; Pavle, Gregoric; Sijacki, Ana; Ana, Sijacki; Stankovic, Sanja; Sanja, Stankovic; Radenkovic, Dejan; Dejan, Radenkovic; Ivancevic, Nenad; Nenad, Ivancevic; Karamarkovic, Aleksandar; Aleksandar, Karamarkovic; Popovic, Nada; Nada, Popovic; Karadzic, Borivoje; Borivoje, Karadzic; Stijak, Lazar; Stefanovic, Branislav; Branislav, Stefanovic; Milosevic, Zoran; Zoran, Milosević; Bajec, Djordje; Djordje, Bajec

    2010-01-01

    Early recognition of severe form of acute pancreatitis is important because these patients need more agressive diagnostic and therapeutical approach an can develope systemic complications such as: sepsis, coagulopathy, Acute Lung Injury (ALI), Acute Respiratory Distress Syndrome (ARDS), Multiple Organ Dysfunction Syndrome (MODS), Multiple Organ Failure (MOF). To determine role of the combination of Systemic Inflammatory Response Syndrome (SIRS) score and serum Interleukin-6 (IL-6) level on admission as predictor of illness severity and outcome of Severe Acute Pancreatitis (SAP). We evaluated 234 patients with first onset of SAP appears in last twenty four hours. A total of 77 (33%) patients died. SIRS score and serum IL-6 concentration were measured in first hour after admission. In 105 patients with SIRS score 3 and higher, initial measured IL-6 levels were significantly higher than in the group of remaining 129 patients (72 +/- 67 pg/mL, vs 18 +/- 15 pg/mL). All nonsurvivals were in the first group, with SIRS score 3 and 4 and initial IL-6 concentration 113 +/- 27 pg/mL. The values of C-reactive Protein (CRP) measured after 48h, Acute Physiology and Chronic Health Evaluation (APACHE II) score on admission and Ranson score showed the similar correlation, but serum amylase level did not correlate significantly with Ranson score, IL-6 concentration and APACHE II score. The combination of SIRS score on admission and IL-6 serum concentration can be early, predictor of illness severity and outcome in SAP.

  5. State nuclear initiatives in the United States

    International Nuclear Information System (INIS)

    Strauss, P.L.; Stoiber, C.R.

    1977-01-01

    The paper deals with State nuclear initiatives regarding the role of nuclear power in the energy future of the United States. The question of whether and under what circumstances nuclear facilities should be used to generate electricity was put to the popular vote in several States in 1976. Some general principles of Federal-State relations are discussed with specific reference to nuclear regulations. The initiative mechanism itself is described as well as its legal form and background. The parallel developments in the State and Federal legislative consideration of nuclear issues is reviewed and the suggested reasons for the defeat of the proposals in the seven States concerned are discussed. Finally, the author draws some conclusions on the effects of the 1976 initiatives on future decision-making in the US on energy policy in general and nuclear power in particular. (NEA) [fr

  6. Admission CT perfusion may overestimate initial infarct core: the ghost infarct core concept.

    Science.gov (United States)

    Boned, Sandra; Padroni, Marina; Rubiera, Marta; Tomasello, Alejandro; Coscojuela, Pilar; Romero, Nicolás; Muchada, Marián; Rodríguez-Luna, David; Flores, Alan; Rodríguez, Noelia; Juega, Jesús; Pagola, Jorge; Alvarez-Sabin, José; Molina, Carlos A; Ribó, Marc

    2017-01-01

    Identifying infarct core on admission is essential to establish the amount of salvageable tissue and indicate reperfusion therapies. Infarct core is established on CT perfusion (CTP) as the severely hypoperfused area, however the correlation between hypoperfusion and infarct core may be time-dependent as it is not a direct indicator of tissue damage. This study aims to characterize those cases in which the admission core lesion on CTP does not reflect an infarct on follow-up imaging. We studied patients with cerebral large vessel occlusion who underwent CTP on admission but received endovascular thrombectomy based on a non-contrast CT Alberta Stroke Program Early CT Score (ASPECTS) >6. Admission infarct core was measured on initial cerebral blood volume (CBV) CTP and final infarct on follow-up CT. We defined ghost infarct core (GIC) as initial core minus final infarct >10 mL. 79 patients were studied. Median National Institutes of Health Stroke Scale (NIHSS) score was 17 (11-20), median time from symptoms to CTP was 215 (87-327) min, and recanalization rate (TICI 2b-3) was 77%. Thirty patients (38%) presented with a GIC >10 mL. GIC >10 mL was associated with recanalization (TICI 2b-3: 90% vs 68%; p=0.026), admission glycemia (185 min: 26%; p=0.033). An adjusted logistic regression model identified time from symptom to CTP imaging 10 mL (OR 2.89, 95% CI 1.04 to 8.09). At 24 hours, clinical improvement was more frequent in patients with GIC >10 mL (66.6% vs 39%; p=0.017). CT perfusion may overestimate final infarct core, especially in the early time window. Selecting patients for reperfusion therapies based on the CTP mismatch concept may deny treatment to patients who might still benefit from reperfusion. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  7. Morbidity pattern of diabetic admissions at the Abia State University ...

    African Journals Online (AJOL)

    Of the 853 diabetic patients, 326 (38.22%) were males and 527 (61.28%) were females. Their ages ranged from 22 to 85 (mean 56.4+12.7 years).The indications for admission were chronic diabetic complications of which uncontrolled diabetes, neuropathy and diabetic foot ulcers were the commonest. There was a low ...

  8. Data Sharing Between Providers and Quality Initiatives Eliminate Unnecessary Nursing Home Admissions.

    Science.gov (United States)

    Charles, Ryan J; Singal, Bonita M; Urquhart, Andrew G; Masini, Michael A; Hallstrom, Brian R

    2017-05-01

    The Michigan Arthroplasty Registry Collaborative Quality Initiative (MARCQI) has monitored discharge disposition, after total hip and knee arthroplasties, since inception in 2012 and found the standardized risk of extended care facility (ECF) placement to be highly variable between hospitals. The variation in standardized risks of ECF placement among MARCQI member sites was reported to the collaborative. At the May 2, 2014 quarterly meeting, a quality initiative was started, emphasizing the wide variability between hospitals, the contribution of hospital and surgeon to that variability using median odds ratios, and the need for outlier hospitals to initiate quality improvement (QI) processes. Patients from 29 hospitals that were members of MARCQI before the intervention were included in this analysis. We compared standardized risks before and after the intervention in the entire cohort, and for 3 hospitals that implemented institution-specific QI projects. We report changes in ECF placement, length of stay, emergency room visits, and readmissions over time. This study includes 31,347 patients before and 20,879 patients after the implementation of the quality initiative. The range in standardized risk dropped from 9.4%-46.1% to 9.4%-32.4% and the average dropped from 23.0% to 19.6%. Three outlier hospitals decreased their absolute risk of ECF placement by 12.2%, 8.9%, and 12.4% after QI, without increases in adverse outcomes. Discharge to ECF after primary hip and knee arthroplasties is highly variable and influenced by hospital and surgeon practices. Hospital-level QI measures can decrease ECF admissions. Copyright © 2016 Elsevier Inc. All rights reserved.

  9. Imperfect physician assistant and physical therapist admissions processes in the United States

    Directory of Open Access Journals (Sweden)

    Phillip Eugene Jones

    2014-05-01

    Full Text Available We compared and contrasted physician assistant and physical therapy profession admissions processes based on the similar number of accredited programs in the United States and the co-existence of many programs in the same school of health professions, because both professions conduct similar centralized application procedures administered by the same organization. Many studies are critical of the fallibility and inadequate scientific rigor of the high-stakes nature of health professions admissions decisions, yet typical admission processes remain very similar. Cognitive variables, most notably undergraduate grade point averages, have been shown to be the best predictors of academic achievement in the health professions. The variability of non-cognitive attributes assessed and the methods used to measure them have come under increasing scrutiny in the literature. The variance in health professions students’ performance in the classroom and on certifying examinations remains unexplained, and cognitive considerations vary considerably between and among programs that describe them. One uncertainty resulting from this review is whether or not desired candidate attributes highly sought after by individual programs are more student-centered or graduate-centered. Based on the findings from the literature, we suggest that student success in the classroom versus the clinic is based on a different set of variables. Given the range of positions and general lack of reliability and validity in studies of non-cognitive admissions attributes, we think that health professions admissions processes remain imperfect works in progress.

  10. Nonimmigrant Admissions - Annual Report

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  11. Application of the Constrained Admissible Region Multiple Hypothesis Filter to Initial Orbit Determination of a Break-up

    Science.gov (United States)

    Kelecy, Tom; Shoemaker, Michael; Jah, Moriba

    2013-08-01

    A break-up in Low Earth Orbit (LEO) is simulated for 10 objects having area-to-mass ratios (AMR's) ranging from 0.1-10.0 m2/kg. The Constrained Admissible Region Multiple Hypothesis Filter (CAR-MHF) is applied to determining and characterizing the orbit and atmospheric drag parameters (CdA/m) simultaneously for each of the 10 objects with no a priori orbit or drag information. The results indicate that CAR-MHF shows promise for accurate, unambiguous and autonomous determination of the orbit and drag states.

  12. THE ADMISSION OF NEWLY CREATED STATES TO THE MEMBERSHIP OF THE UNITED NATIONS: THE CASE OF REPUBLIC OF MACEDONIA

    Directory of Open Access Journals (Sweden)

    Milorad Petreski

    2017-01-01

    Full Text Available The international law which regulates the formation, functioning and legal capacity of international organizations, and also the international law in the United Nations system, are always relevant and subject to progressive development, because the international relations are in constant dynamics. Each newly created state has one major foreign policy goal during its first years of formation or after obtaining independence – admission to the membership of the United Nations. That is because the decision of admission to the membership of the UN guarantees the country’s statehood which can no longer be questioned. The country becomes part of a global community of nations – the international community. Therefore, the present paper is a qualitative research regarding the admission of new states to the international community, and the decision-making process concerning the admission of new Member States to the UN.

  13. Chagas disease in the State of Pernambuco, Brazil: analysis of admissions and mortality time series.

    Science.gov (United States)

    Braz, Suellen Carvalho de Moura; Melo, Myllena de Fátima Alheiros Dias; Lorena, Virginia Maria Barros de; Souza, Wayner Vieira de; Gomes, Yara de Miranda

    2011-01-01

    A time series study of admissions, deaths and acute cases was conducted in order to evaluate the context of Chagas disease in Pernambuco. Data reported to the Information Technology Department of the Brazilian National Health Service between 1980 and 2008 was collected for regions and Federal Units of Brazil; and microregions and municipalities of Pernambuco. Rates (per 100,000 inhabitants) of hospitalization, mortality and acute cases were calculated using a national hospital database (SIH), a national mortality database (SIM) and the national Information System for Notifiable Diseases (SINAN), respectively. The national average for Chagas disease admissions was 0.99 from 1995 to 2008. Pernambuco obtained a mean of 0.39 in the same period, with the highest rates being concentrated in the interior of the state. The state obtained a mean mortality rate of 1.56 between 1980 and 2007, which was lower than the national average (3.66). The mortality rate has tended to decline nationally, while it has remained relatively unchanged in Pernambuco. Interpolating national rates of admissions and deaths, mortality rates were higher than hospitalization rates between 1995 and 2007. The same occurred in Pernambuco, except for 2003. Between 2001 and 2006, rates for acute cases were 0.56 and 0.21 for Brazil and Pernambuco, respectively. Although a decrease in Chagas mortality has occurred in Brazil, the disease remains a serious public health problem, especially in the Northeast region. It is thus essential that medical care, prevention and control regarding Chagas disease be maintained and improved.

  14. Perfect state transfer without state initialization and remote collaboration

    International Nuclear Information System (INIS)

    Markiewicz, Marcin; Wiesniak, Marcin

    2009-01-01

    We present a perfect state transfer protocol via a qubit chain with the evolution governed by the xx Hamiltonian. In contrast to the recent protocol announced in Phys. Rev. Lett. 101, 230502 (2008), our method does not demand any remote-cooperated initialization and sending classical information about measurement outcomes. We achieve the perfect state transfer only with the assumption of access to two spins at each end of the chain, while the initial state of the whole chain is irrelevant.

  15. The effect of gun control laws on hospital admissions for children in the United States.

    Science.gov (United States)

    Tashiro, Jun; Lane, Rebecca S; Blass, Lawrence W; Perez, Eduardo A; Sola, Juan E

    2016-10-01

    Gun control laws vary greatly between states within the United States. We hypothesized that states with strict gun laws have lower mortality and resource utilization rates from pediatric firearms-related injury admissions. Kids' Inpatient Database (1997-2012) was searched for accidental (E922), self-inflicted (E955), assault (E965), legal intervention-related (E970), or undetermined circumstance (E985) firearm injuries. Patients were younger than 20 years and admitted for their injuries. Case incidence trends were examined for the study period. Propensity score-matched analyses were performed using 38 covariates to compare outcomes between states with strict or lenient gun control laws. Overall, 38,424 cases were identified, with an overall mortality of 7%. Firearm injuries were most commonly assault (64%), followed by accidental (25%), undetermined circumstance (7%), or self-inflicted (3%). A small minority involved military-grade weapons (0.2%). Most cases occurred in lenient gun control states (48%), followed by strict (47%) and neutral (6%).On 1:1 propensity score-matched analysis, in-hospital mortality by case was higher in lenient (7.5%) versus strict (6.5%) states, p = 0.013. Lenient states had a proportionally higher rate of accidental (31%) and self-inflicted injury (4%) versus strict states (17% and 1.6%, respectively), p gun control contributes not only to worse outcomes per case, but also to a more significant and detrimental impact on public health. Epidemiologic study, level III.

  16. Final Report: Multi-State Sharing Initiative

    Energy Technology Data Exchange (ETDEWEB)

    Begoli, Edmon [ORNL; Boehmann, Brant [ORNL; DeNap, Frank A [ORNL

    2012-04-01

    In 2003 a joint effort between the U.S. Department of Homeland Security (DHS) and the U.S. Department of Justice created state and metropolitan intelligence fusion centers. These fusion centers were an effort to share law enforcement, disaster, and terrorism related information and intelligence between state and local jurisdictions and to share terrorism related intelligence between state and local law enforcement agencies and various federal entities. In 2006, DHS commissioned the Oak Ridge National Laboratory to establish and manage a groundbreaking program to assist local, state, and tribal leaders in developing the tools and methods required to anticipate and forestall terrorist events and to enhance disaster response. This program, called the Southeast Region Research Initiative (SERRI), combines science and technology with validated operational approaches to address regionally unique requirements and suggest regional solutions with the potential for national application. In 2009, SERRI sponsored the Multistate Sharing Initiative (MSSI) to assist state and metropolitan intelligence fusion centers with sharing information related to a wider variety of state interests than just terrorism. While these fusion centers have been effective at sharing data across organizations within their respective jurisdictions, their organizational structure makes bilateral communication with federal entities convenient and also allows information to be further disbursed to other local entities when appropriate. The MSSI-developed Suspicious Activity Report (SAR) sharing system allows state-to-state sharing of non-terrorism-related law enforcement and disaster information. Currently, the MSSI SAR system is deployed in Alabama, Kentucky, Tennessee, and South Carolina. About 1 year after implementation, cognizant fusion center personnel from each state were contacted to ascertain the status of their MSSI SAR systems. The overwhelming response from these individuals was that the MSSI

  17. Hindcasting to measure ice sheet model sensitivity to initial states

    Directory of Open Access Journals (Sweden)

    A. Aschwanden

    2013-07-01

    Full Text Available Validation is a critical component of model development, yet notoriously challenging in ice sheet modeling. Here we evaluate how an ice sheet system model responds to a given forcing. We show that hindcasting, i.e. forcing a model with known or closely estimated inputs for past events to see how well the output matches observations, is a viable method of assessing model performance. By simulating the recent past of Greenland, and comparing to observations of ice thickness, ice discharge, surface speeds, mass loss and surface elevation changes for validation, we find that the short term model response is strongly influenced by the initial state. We show that the thermal and dynamical states (i.e. the distribution of internal energy and momentum can be misrepresented despite a good agreement with some observations, stressing the importance of using multiple observations. In particular we identify rates of change of spatially dense observations as preferred validation metrics. Hindcasting enables a qualitative assessment of model performance relative to observed rates of change. It thereby reduces the number of admissible initial states more rigorously than validation efforts that do not take advantage of observed rates of change.

  18. Kennesaw State University Classroom Technology Initiative.

    Science.gov (United States)

    McHaney, Jane; Wallace, Deborah; Taylor, Beverley

    The purpose of the Kennesaw State University (KSU) Coca Cola/Board of Regents Classroom Technology Initiative was to develop preservice and inservice teachers' expertise in educational technology such as computers, presentation software, and multimedia and to teach educators to apply those skills to content instruction. Project goals were to…

  19. The difference between critical care initiation anion gap and prehospital admission anion gap is predictive of mortality in critical illness.

    Science.gov (United States)

    Lipnick, Michael S; Braun, Andrea B; Cheung, Joyce Ting-Wai; Gibbons, Fiona K; Christopher, Kenneth B

    2013-01-01

    We hypothesized that the delta anion gap defined as difference between critical care initiation standard anion gap and prehospital admission standard anion gap is associated with all cause mortality in the critically ill. Observational cohort study. Two hundred nine medical and surgical intensive care beds in two hospitals in Boston, MA. Eighteen thousand nine hundred eighty-five patients, age ≥18 yrs, who received critical care between 1997 and 2007. The exposure of interest was delta anion gap and categorized a priori as 10 mEq/L. Logistic regression examined death by days 30, 90, and 365 postcritical care initiation and in-hospital mortality. Adjusted odds ratios were estimated by multivariable logistic regression models. The discrimination of delta anion gap for 30-day mortality was evaluated using receiver operator characteristic curves performed for a subset of patients with all laboratory data required to analyze the data via physical chemical principles (n = 664). None. Delta anion gap was a particularly strong predictor of 30-day mortality with a significant risk gradient across delta anion gap quartiles following multivariable adjustment: delta anion gap anion gap 5-10 mEq/L odds ratio 1.56 (95% confidence interval 1.35-1.81; p anion gap >10 mEq/L odds ratio 2.18 (95% confidence interval 1.76-2.71; p anion gap 0-5 mEq/L. Similar significant robust associations post multivariable adjustments are seen with death by days 90 and 365 as well as in-hospital mortality. Correcting for albumin or limiting the cohort to patients with standard anion gap at critical care initiation of 10-18 mEq/L did not materially change the delta anion gap-mortality association. Delta anion gap has similarly moderate discriminative ability for 30-day mortality in comparison to standard base excess and strong ion gap. An increase in standard anion gap at critical care initiation relative to prehospital admission standard anion gap is a predictor of the risk of all cause patient

  20. Nationwide trends of hospital admissions for acute cholecystitis in the United States.

    Science.gov (United States)

    Wadhwa, Vaibhav; Jobanputra, Yash; Garg, Sushil K; Patwardhan, Soumil; Mehta, Dhruv; Sanaka, Madhusudhan R

    2017-02-01

    Acute cholecystitis is a fairly common inpatient diagnosis among the gastrointestinal disorders. The aim of this study was to use a national database of US hospitals to evaluate the incidence and costs of hospital admissions associated with acute cholecystitis. We analyzed the National Inpatient Sample Database (NIS) for all patients in which acute cholecystitis (ICD-9 codes: 574.00, 574.01, 574.30, 574.31, 574.60, 574.61 or 575.0) was the principal discharge diagnosis from 1997 to 2012. The NIS is the largest all-payer inpatient database in the United States and contains data from approximately 8 million hospital stays each year. The statistical significance of the difference in the number of hospital discharges, lengths of stay and associated hospital costs over the study period was determined by using the Chi-square test for trends. In 1997, there were 149 661 hospital admissions with a principal discharge diagnosis of acute cholecystitis, which increased to 215 995 in 2012 ( P cholecystitis decreased by 17% between 1997 and 2012 (i.e. from 4.7 days to 3.9 days; (P cholecystitis has increased significantly in the United States over the last 16 years, along with a great increase in the associated hospital charges. However, there has been a gradual decline in the mean length of stay. Inpatient costs associated with acute cholecystitis contribute significantly to the total healthcare bill. Further research on cost-effective evaluation and management of acute cholecystitis is required. © The Author(s) 2016. Published by Oxford University Press and Sixth Affiliated Hospital of Sun Yat-Sen University.

  1. Nationwide trends of hospital admissions for acute cholecystitis in the United States

    Science.gov (United States)

    Wadhwa, Vaibhav; Jobanputra, Yash; Garg, Sushil K; Patwardhan, Soumil; Mehta, Dhruv

    2017-01-01

    Background and aims: Acute cholecystitis is a fairly common inpatient diagnosis among the gastrointestinal disorders. The aim of this study was to use a national database of US hospitals to evaluate the incidence and costs of hospital admissions associated with acute cholecystitis. Method: We analyzed the National Inpatient Sample Database (NIS) for all patients in which acute cholecystitis (ICD-9 codes: 574.00, 574.01, 574.30, 574.31, 574.60, 574.61 or 575.0) was the principal discharge diagnosis from 1997 to 2012. The NIS is the largest all-payer inpatient database in the United States and contains data from approximately 8 million hospital stays each year. The statistical significance of the difference in the number of hospital discharges, lengths of stay and associated hospital costs over the study period was determined by using the Chi-square test for trends. Results: In 1997, there were 149 661 hospital admissions with a principal discharge diagnosis of acute cholecystitis, which increased to 215 995 in 2012 ( P cholecystitis decreased by 17% between 1997 and 2012 (i.e. from 4.7 days to 3.9 days; (P cholecystitis has increased significantly in the United States over the last 16 years, along with a great increase in the associated hospital charges. However, there has been a gradual decline in the mean length of stay. Inpatient costs associated with acute cholecystitis contribute significantly to the total healthcare bill. Further research on cost-effective evaluation and management of acute cholecystitis is required. PMID:27174434

  2. Nonimmigrant Admissions: Fiscal Year 2010

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  3. Nonimmigrant Admissions - Fiscal Year 2013

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  4. Nonimmigrant Admissions: Fiscal Year 2016

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  5. Nonimmigrant Admissions: Fiscal Year 2011

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  6. Nonimmigrant Admissions: Fiscal Year 2004

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  7. Nonimmigrant Admissions: Fiscal Year 2014

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  8. Nonimmigrant Admissions: Fiscal Year 2005

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  9. Nonimmigrant Admissions: Fiscal Year 2012

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  10. Nonimmigrant Admissions: Fiscal Year 2015

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  11. Nonimmigrant Admissions: Fiscal Year 2009

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  12. Nonimmigrant Admissions: Fiscal Year 2008

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  13. Nonimmigrant Admissions: Fiscal Year 2006

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  14. Nonimmigrant Admission: Fiscal Year 2007

    Data.gov (United States)

    Department of Homeland Security — Nonimmigrants are foreign nationals granted temporary admission into the United States. The major purposes for which nonimmigrant admission may be authorized include...

  15. An analytic initial-state parton shower

    International Nuclear Information System (INIS)

    Kilian, W.

    2011-12-01

    We present a new algorithm for an analytic parton shower. While the algorithm for the final-state shower has been known in the literature, the construction of an initial-state shower along these lines is new. The aim is to have a parton shower algorithm for which the full analytic form of the probability distribution for all branchings is known. For these parton shower algorithms it is therefore possible to calculate the probability for a given event to be generated, providing the potential to reweight the event after the simulation. We develop the algorithm for this shower including scale choices and angular ordering. Merging to matrix elements is used to describe high-energy tails of distributions correctly. Finally, we compare our results with those of other parton showers and with experimental data from LEP, Tevatron and LHC. (orig.)

  16. LPRS by State, County, Country of Birth and Major Class of Admission 2008

    Data.gov (United States)

    Department of Homeland Security — These tables offer county-level data for the top 200 counties of residence of new LPRs by major class of admission and by country of birth. OIS assigns county of...

  17. LPRS by State, County, Country of Birth and Major Class of Admission 2016

    Data.gov (United States)

    Department of Homeland Security — These tables offer county-level data for the top 200 counties of residence of new LPRs by major class of admission and by country of birth. OIS assigns county of...

  18. LPRS by State, County, Country of Birth and Major Class of Admission 2007

    Data.gov (United States)

    Department of Homeland Security — These tables offer county-level data for the top 200 counties of residence of new LPRs by major class of admission and by country of birth. OIS assigns county of...

  19. LPRS by State, County, Country of Birth and Major Class of Admission 2009

    Data.gov (United States)

    Department of Homeland Security — These tables offer county-level data for the top 200 counties of residence of new LPRs by major class of admission and by country of birth. OIS assigns county of...

  20. LPRS by State, County, Country of Birth and Major Class of Admission 2010

    Data.gov (United States)

    Department of Homeland Security — These tables offer county-level data for the top 200 counties of residence of new LPRs by major class of admission and by country of birth. OIS assigns county of...

  1. LPRS by State, County, Country of Birth and Major Class of Admission 2015

    Data.gov (United States)

    Department of Homeland Security — These tables offer county-level data for the top 200 counties of residence of new LPRs by major class of admission and by country of birth. OIS assigns county of...

  2. LPRS by State, County, Country of Birth and Major Class of Admission 2012

    Data.gov (United States)

    Department of Homeland Security — These tables offer county-level data for the top 200 counties of residence of new LPRs by major class of admission and by country of birth. OIS assigns county of...

  3. LPRS by State, County, Country of Birth and Major Class of Admission 2011

    Data.gov (United States)

    Department of Homeland Security — These tables offer county-level data for the top 200 counties of residence of new LPRs by major class of admission and by country of birth. OIS assigns county of...

  4. Predicting Freshman Grade Point Average From College Admissions Test Scores and State High School Test Scores

    OpenAIRE

    Koretz, Daniel; Yu, C; Mbekeani, Preeya Pandya; Langi, M.; Dhaliwal, Tasminda Kaur; Braslow, David Arthur

    2016-01-01

    The current focus on assessing “college and career readiness” raises an empirical question: How do high school tests compare with college admissions tests in predicting performance in college? We explored this using data from the City University of New York and public colleges in Kentucky. These two systems differ in the choice of college admissions test, the stakes for students on the high school test, and demographics. We predicted freshman grade point average (FGPA) from high school GPA an...

  5. Initial state radiation experiment at MAMI

    Directory of Open Access Journals (Sweden)

    Mihovilovič M.

    2014-05-01

    Full Text Available In an attempt to contribute further insight into the discrepancy between the Lamb shift and elastic scattering determinations of the proton charge radius, a new experiment at MAMI is underway, aimed at measuring proton form-factors at very low momentum transfers by using a new technique based on initial state radiation. This paper reports on the conclusions of the pilot measurement performed in 2010, whose main goal was to check the feasibility of the proposed experiment and to recognize and overcome any obstacles before running the full experiment. The modifications to the experimental apparatus are then explained which significantly improved the quality of data collected in the full scale experiment, which was successfully executed in August 2013. At the end first findings of the new experiment are discussed.

  6. Non-traumatic incidental findings in patients undergoing whole-body computed tomography at initial emergency admission.

    Science.gov (United States)

    Kroczek, Eduard K; Wieners, Gero; Steffen, Ingo; Lindner, Tobias; Streitparth, Florian; Hamm, Bernd; Maurer, Martin H

    2017-10-01

    To evaluate the number, localisation and importance of non-traumatic incidental findings (IFs) in patients with suspected or obvious multiple trauma undergoing whole-body CT (WBCT) in a level-1 trauma centre. Between January 2009 and December 2013, a total of 2440 patients with trauma undergoing WBCT at admission to a level-1 trauma centre of a university hospital were retrospectively analysed, through imaging IFs unrelated to trauma with the radiological reports. All IFs were grouped into four categories according to their clinical relevance. Category 1: urgent treatment or further clarification needed; category 2: further examination and follow-up within 3-6 months required; category 3: findings with no immediate consequences for the treatment of the patient but of potential relevance in the future; category 4: harmless findings. Altogether, 5440 IFs in 2440 patients (1735 male, 705 female; mean age 45.1 years) were documented. In 204 patients (8.4%) urgent category 1 findings were reported, 766 patients (31.4%) had category 2 findings, 1236 patients (50.7%) had category 3 findings and 1173 patients (48.1%) had category 4 findings. Most IFs were detected in the abdomen/pelvis (42.5%). 602 (24.7%) of the patients had no IFs. WBCT scans of unrelated trauma patients demonstrate a high rate of IF. A substantial percentage (8.4%) of patients had urgent category 1IFs and a high percentage (31.4%) had category 2 IFs requiring a follow-up. This high number of patients with polytrauma undergoing WBCT, having IFs of high relevance, poses a major challenge for the level-1 trauma centre in the acute and postacute management of these patients. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  7. How many schools adopt interviews during the student admission process across the health professions in the United States of America?

    Science.gov (United States)

    Glazer, Greer; Startsman, Laura F; Bankston, Karen; Michaels, Julia; Danek, Jennifer C; Fair, Malika

    2016-01-01

    Health profession schools use interviews during the admissions process to identify certain non-cognitive skills that are needed for success in diverse, inter-professional settings. This study aimed to assess the use of interviews during the student admissions process across health disciplines at schools in the United States of America in 2014. The type and frequency of non-cognitive skills assessed were also evaluated. Descriptive methods were used to analyze a sample of interview rubrics collected as part of a national survey on admissions in the health professions, which surveyed 228 schools of medicine, dentistry, pharmacy, nursing, and public health. Of the 228 schools, 130 used interviews. The most desirable non-cognitive skills from 34 schools were identified as follows: communication skills (30), motivation (22), readiness for the profession (17), service (12), and problem-solving (12). Ten schools reported using the multiple mini-interview format, which may indicate potential for expanding this practice. Disparities in the use of interviewing across health professions should be verified to help schools adopt interviews during student admissions processes.

  8. Post-Affirmative Action: A Phenomenological Study of Admission Initiatives by Chief Diversity Officers to Support Diversity

    Science.gov (United States)

    Gichuru, Margaret

    2010-01-01

    The purpose of this phenomenological study was to explore the experiences of chief diversity officers (CDOs) and how they enhanced admission of minority students in the post-affirmative action era. Six chief diversity officers, who played a pivotal leadership role in diversity of their respective campuses, described their experiences. Using…

  9. Admissions Standards and the Use of Key Marketing Techniques by United States' Colleges and Universities.

    Science.gov (United States)

    Goldgehn, Leslie A.

    1989-01-01

    A survey of admissions deans and directors investigated the use and perceived effectiveness of 15 well-known marketing techniques: advertising, advertising research, a marketing plan, market positioning, market segmentation, marketing audit, marketing research, pricing, program and service accessibility, program development, publicity, target…

  10. Influence of atmospheric states in semi-arid areas on hospital admission in cardio-surgical department

    Science.gov (United States)

    Yackerson, Naomy S.; Zilberman, Arkadi; Aizenberg, Alexander

    2017-04-01

    The influence of the changes in atmospheric state, typical for areas close to big deserts, on acute myocardial infarction (AMI) was analyzed. Under test was the group of 3256 patients (77 % males, 23 % females), hospitalized in the Cardio-Surgical Department of Soroka Medical Center at Ben-Gurion University (BGU, Israel) during 2000-2008. To explore the relationship between atmospheric parameters and AMI, multivariate regression analysis has been performed. AMI was most frequent in winter to spring and least in summer. The highest number of cases was recorded in December and the lowest in September. Hospital admissions showed a higher prevalence in men than in women; the ratio is 3.3/1.0. About 60 % of males were aged between 45 and 65 years old with maximum ˜55 (21 %), whereas 60 % of women hospital admissions were aged between 65 and 80 years old with maximum ˜72 (24 %). The result suggested that the monthly mean relative humidity at daytime and its overall daily differences, wind speed, and respirable fraction of particulate concentration are associated with the admission for AMI. The results of the study confirm the importance of atmospheric state variability for cardiovascular diseases.

  11. Predicting Freshman Grade Point Average From College Admissions Test Scores and State High School Test Scores

    Directory of Open Access Journals (Sweden)

    Daniel Koretz

    2016-09-01

    Full Text Available The current focus on assessing “college and career readiness” raises an empirical question: How do high school tests compare with college admissions tests in predicting performance in college? We explored this using data from the City University of New York and public colleges in Kentucky. These two systems differ in the choice of college admissions test, the stakes for students on the high school test, and demographics. We predicted freshman grade point average (FGPA from high school GPA and both college admissions and high school tests in mathematics and English. In both systems, the choice of tests had only trivial effects on the aggregate prediction of FGPA. Adding either test to an equation that included the other had only trivial effects on prediction. Although the findings suggest that the choice of test might advantage or disadvantage different students, it had no substantial effect on the over- and underprediction of FGPA for students classified by race-ethnicity or poverty.

  12. Epidemiological trends and geographic variation in hospital admissions for diverticulitis in the United States

    Science.gov (United States)

    Nguyen, Geoffrey C; Sam, Justina; Anand, Nitasha

    2011-01-01

    AIM: To characterize the increasing incidence and geographic variation of acute diverticulitis. METHODS: Using the nationwide inpatient sample (NIS) we identified a cohort who had been admitted with diverticulitis between 1998 and 2005. We calculated age-, sex-, and region-specific rates of hospitalizations for diverticulitis over time. RESULTS: The age-adjusted hospitalization rate for diverticulitis increased from 61.8 per 100 000 to 75.5 per 100 000 between 1998 and 2005, and increased similarly in both sexes. Diverticulitis-associated admissions were male-predominant in those younger than age 45 years but were female-predominant thereafter. Admission rates increased the most among those diverticulitis-associated hospitalizations were lower in the West (50.4/100 000) compared to the Northeast (77.7/100 000), South (73.9/100 000), and Midwest (71.0/100 000). CONCLUSION: Diverticulitis-associated hospitalizations have steeply risen, especially in young adults. These epidemiological trends vary by geographic region and warrant further investigation into potential dietary and environmental etiologies. PMID:21472127

  13. Political initiative needed in the United States

    International Nuclear Information System (INIS)

    Hollister, K.

    1979-01-01

    The financing of nuclear power stations in the United States is in trouble mainly because of the long lead times caused by licensing. It will again become feasible when legislation reduces the construction time to eight years or less. The overriding need to protect the dollar by reducing oil imports, will lead the US Government to embrace nuclear power openly. (U.K.)

  14. Evaluating U.S. States climate change initiatives

    International Nuclear Information System (INIS)

    Silva, P.

    2004-01-01

    This paper evaluates sub-federal efforts to mitigate climate change in the United States through a range of climate-relevant initiatives, identifying principal trends and detailing climate-relevant initiatives in several states. These strategies include renewable electricity mandates, State and regional greenhouse gas emissions inventories, mandatory greenhouse gas emissions reporting, State greenhouse gas emissions caps, greenhouse gas emissions reductions from motor vehicles, and greenhouse gas emissions cap-and-trade programs for electric generation in several States. Many municipalities in the United States are also pursuing a range of climate-relevant initiatives, those actions are beyond the scope of this paper, but it should be noted they also influence state and national consideration of climate-relevant initiatives in the United States. (author)

  15. Long-term PM2.5 Exposure and Neurological Hospital Admissions in the Northeastern United States.

    Science.gov (United States)

    Kioumourtzoglou, Marianthi-Anna; Schwartz, Joel D; Weisskopf, Marc G; Melly, Steven J; Wang, Yun; Dominici, Francesca; Zanobetti, Antonella

    2016-01-01

    Long-term exposure to fine particles (particulate matter ≤ 2.5 μm; PM2.5) has been consistently linked to heart and lung disease. Recently, there has been increased interest in examining the effects of air pollution on the nervous system, with evidence showing potentially harmful effects on neurodegeneration. Our objective was to assess the potential impact of long-term PM2.5 exposure on event time, defined as time to first admission for dementia, Alzheimer's (AD), or Parkinson's (PD) diseases in an elderly population across the northeastern United States. We estimated the effects of PM2.5 on first hospital admission for dementia, AD, and PD among all Medicare enrollees ≥ 65 years in 50 northeastern U.S. cities (1999-2010). For each outcome, we first ran a Cox proportional hazards model for each city, adjusting for prior cardiopulmonary-related hospitalizations and year, and stratified by follow-up time, age, sex, and race. We then pooled the city-specific estimates by employing a random effects meta-regression. We followed approximately 9.8 million subjects and observed significant associations of long-term PM2.5 city-wide exposure with all three outcomes. Specifically, we estimated a hazard ratio (HR) of 1.08 (95% CI: 1.05, 1.11) for dementia, an HR of 1.15 (95% CI: 1.11, 1.19) for AD, and an HR of 1.08 (95% CI: 1.04, 1.12) for PD admissions per 1-μg/m3 increase in annual PM2.5 concentrations. To our knowledge, this is the first study to examine the relationship between long-term exposure to PM2.5 and time to first hospitalization for common neurodegenerative diseases. We found strong evidence of association for all three outcomes. Our findings provide the basis for further studies, as the implications of such exposures could be crucial to public health. Kioumourtzoglou MA, Schwartz JD, Weisskopf MG, Melly SJ, Wang Y, Dominici F, Zanobetti A. 2016. Long-term PM2.5 exposure and neurological hospital admissions in the northeastern United States. Environ

  16. Likelihood functions for state space models with diffuse initial conditions

    NARCIS (Netherlands)

    Koopman, S.J.; Shephard, N.; de Vos, A.F.

    2010-01-01

    State space models with non-stationary processes and/or fixed regression effects require a state vector with diffuse initial conditions. Different likelihood functions can be adopted for the estimation of parameters in time-series models with diffuse initial conditions. In this article, we consider

  17. Likelihood functions for state space models with diffuse initial conditions

    NARCIS (Netherlands)

    Francke, M.K.; Koopmans, S.J.; de Vos, A.F.

    2008-01-01

    State space models with nonstationary processes and fixed regression effects require a state vector with diffuse initial conditions. Different likelihood functions can be adopted for the estimation of parameters in time series models with diffuse initial conditions. In this paper we consider

  18. Diversity among Equals: Educational Opportunity and the State of Affirmative Admissions in New England. Charting Educational Pathways.

    Science.gov (United States)

    Coelen, Stephen P.; Berger, Joseph B.; Crosson, Patricia H.

    This report reviews the practice of Affirmative Admissions as a strategy for achieving diversity within New England colleges and universities. It shows how educational leaders perceive Affirmative Admissions, the nature of regional Affirmative Admissions policies, and the numbers of student affected by current enrollment strategies. This report is…

  19. Initial presenting electrocardiogram as determinant for hospital admission in patients presenting to the emergency department with chest pain: a pilot investigation.

    Science.gov (United States)

    Challa, Prasanna K; Smith, Karen M; Conti, C Richard

    2007-11-01

    Evaluation of chest pain accounts for millions of costly Emergency Department (ED) visits and hospital admissions annually. Of these, approximately 10-20% are myocardial infarctions (MI). Patients with chest pain whose initial electrocardiogram (ECG) is normal do not require hospital admission for evaluation and management of a possible myocardial infarction. The medical records of a consecutive cohort of 250 patients who presented to the ED with chest pain and were admitted by the ED physician to a cardiology inpatient service of an academic tertiary care medical center were reviewed. Reasons for admission to hospital was to rule out an acute coronary syndrome, specifically, myocardial infarction. The initial ECG of each patient was evaluated for abnormalities and compared with the final diagnosis. Of the 75 patients presenting with normal ECGs (normal, upright T waves and isoelectric ST segments), 1 (1.3%) was subsequently diagnosed with a myocardial infarction by Troponin I elevation alone. Of the 55 patients presenting with abnormal ECGs but no clear evidence of ischemia [i.e., left bundle branch block (LBBB), right bundle branch block (RBBB), left anterior hemiblock (LAH)], 2 (3.6%) were diagnosed with MI. Of the 48 patients presenting with abnormal ECGs questionable for ischemia (nonspecific ST and T wave changes that were not clearly ST segment elevation or depression), 7 (14.6%) were diagnosed with an MI. Of the 72 patients who presented with abnormal ECGs showing ischemia (acute ST segment elevation and/or depression), 39 (54.2%) were shown to have evidence for MI. Patients who presented with normal ECGs (category 1) were extremely low risk for acute myocardial infarction. Patients with abnormal ECGs but no evidence of definite ischemia (category 2) had a relatively low incidence of MI. Patients with abnormal ECGs questionable for ischemia (category 3) had an intermediate risk of acute myocardial infarction. The majority of patients with abnormal ECGs

  20. Properties of the set of admissible 'state-control' pairs for first-order evolution control systems

    International Nuclear Information System (INIS)

    Tolstonogov, A A

    2001-01-01

    We consider a control system described by a non-linear first-order evolution equation on an evolution triple of Banach spaces (a 'Gelfand triple') with a mixed multivalued control constraint whose values are non-convex closed sets in the control space. Besides the original system, we consider systems with the following control constraints: the constraint whose values are the closed convex hulls of the values of the original constraint, and the constraint whose values are the extreme points of the convexified constraint that belong to the original one. We study topological properties of the sets of admissible 'state-control' pairs for the same system with various constraints and consider the relations between them. An example of a non-linear parabolic control system is worked out in detail

  1. Climate change initiatives of state departments of transportation : synthesis

    Science.gov (United States)

    2008-01-01

    The WSDOT Public Transportation Division Director requested a synthesis report on the role of state departments of transportation in climate change initiatives. A search of available information has revealed a host of measures underway to reduce gree...

  2. Efficacy versus Equity: What Happens When States Tinker With College Admissions in a Race-Blind Era?

    Science.gov (United States)

    Black, Sandra E.; Cortes, Kalena E.; Lincove, Jane Arnold

    2016-01-01

    We investigate the efficacy and equity of college admissions criteria by estimating the effect of multiple measures of college readiness on college performance in the context of race-blind automatic admissions policies. We take advantage of a unique institutional feature of the Texas higher education system to control for selection into…

  3. Short- and Long-Term Validity of High School GPA for Admission to Colleges outside the United States

    Science.gov (United States)

    Al-Hattami, Abdulghani

    2014-01-01

    High school GPA is the only admission criterion that is currently used by many colleges in Yemen to select their potential students. Its predictive validity was investigated to ensure the accuracy of the admission decisions in these colleges. The relationship between students' persistence in the 4 years of college and high school GPA was studied…

  4. Prior knowledge processing for initial state of Kalman filter

    Czech Academy of Sciences Publication Activity Database

    Suzdaleva, Evgenia

    2010-01-01

    Roč. 24, č. 3 (2010), s. 188-202 ISSN 0890-6327 R&D Projects: GA ČR(CZ) GP201/06/P434 Institutional research plan: CEZ:AV0Z10750506 Keywords : Kalman filter ing * prior knowledge * state-space model * initial state distribution Subject RIV: BC - Control Systems Theory Impact factor: 0.729, year: 2010 http://library.utia.cas.cz/separaty/2009/AS/suzdaleva-prior knowledge processing for initial state of kalman filter .pdf

  5. The United States initiative for international radioactive source management (ISRM)

    International Nuclear Information System (INIS)

    Naraine, N.; Karhnak, J.

    1999-01-01

    The United States takes seriously the potential problems from uncontrolled radioactive sources. To address these problems, the United States Department of State is leading the development of an initiative for International Radioactive Source Management (ISRM). The Department of State, through a number of Federal and state agencies, regulatory bodies and private industry, will endeavor to provide coordinated support to the international community, particularly through IAEA, to assist in the development and implementation of risk-based clearance levels to support import/export of radioactive contaminated metals and the tracking, management, identification, remediation, and disposition of 'lost sources' entering nation states and targeted industries. The United States believes that the international control of radioactive sources is critical in avoiding wide-spread contamination of the world metal supply. Thus the initiative has four objectives: (1) Protect sources from becoming lost (Tracking management); (2) Identify primary locations where sources have been lost (Stop future losses); (3) Locate lost sources (monitor and retrieve); and (4) Educate and train (deploy knowledge and technology). A number of efforts already underway in the United States support the overall initiative. The EPA has provided a grant to the Conference of Radiation Program Control Directors (CRCPD) to develop a nation-wide program for the disposition of orphaned radioactive sources. This program now has internet visibility and a toll-free telephone number to call for assistance in the disposal of sources. The Nuclear Regulatory Commission (NRC), the Department of Energy (DOE), and other government agencies as well as private companies are assisting CRCPD in this program. The NRC has begun a program to improve control of radioactive sources in the United States, and also intends to promulgate a regulation defining conditions for the release of materials from licensed facilities. The DOE is

  6. Post-neonatal medical admissions into the paediatric ward of Ebonyi ...

    African Journals Online (AJOL)

    Post-neonatal medical admissions into the paediatric ward of Ebonyi State University Teaching Hospital, Abakaliki: the initial experience and outcome. ... The commonest causes of admission in the group as a whole were severe malaria (22.3 percent), gastroenteritis (12.8 percent), pneumonia (10.5 percent) and measles ...

  7. State-of-the-Art in Open Courseware Initiatives Worldwide

    Science.gov (United States)

    Vladoiu, Monica

    2011-01-01

    We survey here the state-of-the-art in open courseware initiatives worldwide. First, the MIT OpenCourseWare project is overviewed, as it has been the real starting point of the OCW movement. Usually, open courseware refers to a free and open digital publication of high quality university level educational materials that are organized as courses,…

  8. The Florida State Initial Teacher Certification Test: A Case Study.

    Science.gov (United States)

    Dorn, Charles M.

    1989-01-01

    Describes the development of the art certification examination which was designed for the Florida State Initial Teacher Certification Test. Discusses problems of subjectivity, content, and question format. Suggests criteria which can guide the development of viable college art education programs that can adequately prepare teachers in the areas of…

  9. United States policy initiatives in promoting the RERTR program

    International Nuclear Information System (INIS)

    Huizenga, David G.

    1996-01-01

    The Reduced Enrichment for Research and Test Reactors (RERTR) program has been successful in furthering efforts to reduce and eventually eliminate highly enriched uranium (HEU) from international commerce. Three key policy initiatives are underway to further promote the RERTR program. The first initiative is implementation of a new nuclear weapons nonproliferation policy concerning foreign research reactor spent nuclear fuel. Under this policy, the United States will accept over the next 13 years research reactor spent fuel from 41 countries that have converted or plan to convert to use LEU fuels. The second initiative is to pursue cooperative efforts to expand the RERTR program to new regions of the globe, including Russia and China. The third initiative is to restart the advanced LEU fuels development program at the Argonne National Laboratory in order to increase the number of reactors that can convert to use LEU without significant detriment to their performance

  10. Shock Initiation and Equation of State of Ammonium Nitrate

    Science.gov (United States)

    Robbins, David; Sheffield, Steve; Dattelbaum, Dana; Chellappa, Raja; Velisavljevic, Nenad

    2013-06-01

    Ammonium nitrate (AN) is a widely used fertilizer and mining explosive commonly found in ammonium nitrate-fuel oil. Neat AN is a non-ideal explosive with measured detonation velocities approaching 4 km/s. Previously, we reported a thermodynamically-complete equation of state for AN based on its maximum density, and showed that near-full density AN did not initiate when subjected to shock input conditions up to 22 GPa. In this work, we extend these initial results, by presenting new Hugoniot data for intermediate density neat AN obtained from gas gun-driven plate impact experiments. AN at densities from 1.8 to 1.5 g/cm3 were impacted into LiF windows using a two-stage light gas gun. Dual VISARs were used to measure the interfacial particle velocity wave profile as a function of time following impact. The new Hugoniot data, in addition to updates to thermodynamic parameters derived from structural analysis and vibrational spectroscopy measurements in high pressure diamond anvil cell experiments, are used to refine the unreacted EOS for AN. Furthermore, shock initiation of neat AN was observed as the initial porosity increased (density decreased). Insights into the relationship(s) between initial density and shock initiation sensitivity are also presented, from evidence of shock initiation in the particle velocity profiles obtained for the lower density AN samples.

  11. Tests and College Admissions.

    Science.gov (United States)

    Hargadon, Fred

    1981-01-01

    Discusses different emphases placed by institutions of higher education on a range of admissions criteria including academic performance, evidence of graduation, letters of recommendation, personal essays, and interviews. Concludes that standardized tests are not the pervasive barrier to higher education in the United States that many test critics…

  12. Generalization of the second law for a nonequilibrium initial state

    Energy Technology Data Exchange (ETDEWEB)

    Hasegawa, H.-H., E-mail: hhh@mx.ibaraki.ac.j [Department of Mathematical Sciences, Ibaraki University, Bunkyo, Mito 310-8512 (Japan); Ishikawa, J.; Takara, K. [Department of Mathematical Sciences, Ibaraki University, Bunkyo, Mito 310-8512 (Japan); Driebe, D.J. [Division of Math, Science and Technology, Nova Southeastern University, Fort Lauderdale, FL 33314 (United States)

    2010-02-08

    We generalize the second law of thermodynamics in its maximum work formulation for a nonequilibrium initial distribution. It is found that in an isothermal process, the Boltzmann relative entropy (H-function) is not just a Lyapunov function but also tells us the maximum work that may be gained from a nonequilibrium initial state. The generalized second law also gives a fundamental relation between work and information. It is valid even for a small Hamiltonian system not in contact with a heat reservoir but with an effective temperature determined by the isentropic condition. Our relation can be tested in the Szilard engine, which will be realized in the laboratory.

  13. Initial angular momentum state in pp annihilation at rest

    CERN Document Server

    Bizzarri, R

    1972-01-01

    The author shows that no quantitative statement on the relative importance of initial P-states in pp annihilation can be made. Annihilations in flight indicate that P-wave annihilation into K/sub 1 //sup 0/K/sub 1//sup 0/ is inhibited while annihilation into pi pi is enhanced and might suggest a P-wave contamination approximately 10%. The observatory of the final state K/sub 1//sup 0/K/sub 1//sup 0/n from annihilations at rest indicates that the depression of the K/sub 1//sup 0/K/sub 1//sup 0/ final state is not so important and suggests a P-wave contamination smaller than 4%. Furthermore the successes obtained in the analysis of various final states on the assumption of S-wave annihilation are hard to reconcile with a P-wave contribution bigger than approximately 5%. (20 refs).

  14. Initial-State Graviton Radiation in Quantum Black Hole Production

    CERN Document Server

    AUTHOR|(CDS)2262067

    2017-01-01

    Monte Carlo simulation of quantum black hole production in the ATLAS experiment that allows for graviton radiation in the initial state is discussed and studied. It is concluded that, using trapped surface calculations and graviton emission, a black hole signal would be significant for Planck scales up to 4.5 TeV given a proton-proton luminosity of 37 fb$^{-1}$ in the 13 TeV LHC configuration.

  15. Design, construction and initial state of the underground openings

    Energy Technology Data Exchange (ETDEWEB)

    2010-12-15

    The report is included in a set of Production reports, presenting how the KBS-3 repository is designed, produced and inspected. The set of reports is included in the safety report for the KBS-3 repository and repository facility. The report provides input on the initial state of the underground openings for the assessment of the long-term safety, SR-Site. The initial state refers to the properties of the underground openings at final disposal, backfilling or closure. In addition, the report provides input to the operational safety report, SR-Operation, on how the underground openings shall be constructed and inspected. The report presents the design premises and the methodology applied to design the underground openings and adapt them the to the site conditions so that they conform to the design premises. It presents the reference design at Forsmark and its conformity to the design premises. It also describes the reference methods to be applied to construct and inspect the different kinds of underground openings. Finally, the initial state of the underground openings and its conformity to the design premises is presented

  16. Design, production and initial state of the buffer

    International Nuclear Information System (INIS)

    Boerjesson, Lennart; Gunnarsson, David; Johannesson, Lars-Erik; Jonsson, Esther

    2010-12-01

    The report is included in a set of Production reports, presenting how the KBS-3 repository is designed, produced and inspected. The set of reports is included in the safety report for the KBS-3 repository and repository facility. The report provides input on the initial state of the buffer for the assessment of the long-term safety, SR-Site. The initial state refers to the properties of the engineered barriers once they have been finally placed in the KBS-3 repository and will not be further handled within the repository facility. In addition, the report provides input to the operational safety report, SR-Operation, on how the buffer shall be handled and installed. The report presents the design premises and reference design of the buffer and verifies the conformity of the reference design to the design premises. It also describes the production of the buffer, from excavation and delivery of buffer material to installation in the deposition hole. Finally, the initial state of the buffer and its conformity to the reference design and design premises is presented

  17. Design, production and initial state of the canister

    International Nuclear Information System (INIS)

    Cederqvist, Lars; Johansson, Magnus; Leskinen, Nina; Ronneteg, Ulf

    2010-12-01

    The report is included in a set of Production reports, presenting how the KBS-3 repository is designed, produced and inspected. The set of reports is included in the safety report for the KBS-3 repository and repository facility.The report provides input on the initial state of the canisters to the assessment of the long-term safety, SR-Site. The initial state refers to the properties of the engineered barriers once they have been finally placed in the KBS-3 repository and will not be further handled within the repository facility. In addition, the report provides input to the operational safety report, SR-Operation, on how the canisters shall be handled and disposed. The report presents the design premises and reference design of the canister and verifies the conformity of the reference design to the design premises. The production methods and the ability to produce canisters according to the reference design are described. Finally, the initial state of the canisters and their conformity to the reference design and design premises are presented

  18. Design, production and initial state of the canister

    Energy Technology Data Exchange (ETDEWEB)

    Cederqvist, Lars; Johansson, Magnus; Leskinen, Nina; Ronneteg, Ulf

    2010-12-15

    The report is included in a set of Production reports, presenting how the KBS-3 repository is designed, produced and inspected. The set of reports is included in the safety report for the KBS-3 repository and repository facility.The report provides input on the initial state of the canisters to the assessment of the long-term safety, SR-Site. The initial state refers to the properties of the engineered barriers once they have been finally placed in the KBS-3 repository and will not be further handled within the repository facility. In addition, the report provides input to the operational safety report, SR-Operation, on how the canisters shall be handled and disposed. The report presents the design premises and reference design of the canister and verifies the conformity of the reference design to the design premises. The production methods and the ability to produce canisters according to the reference design are described. Finally, the initial state of the canisters and their conformity to the reference design and design premises are presented

  19. Design, production and initial state of the buffer

    Energy Technology Data Exchange (ETDEWEB)

    Boerjesson, Lennart; Gunnarsson, David; Johannesson, Lars-Erik; Jonsson, Esther

    2010-12-15

    The report is included in a set of Production reports, presenting how the KBS-3 repository is designed, produced and inspected. The set of reports is included in the safety report for the KBS-3 repository and repository facility. The report provides input on the initial state of the buffer for the assessment of the long-term safety, SR-Site. The initial state refers to the properties of the engineered barriers once they have been finally placed in the KBS-3 repository and will not be further handled within the repository facility. In addition, the report provides input to the operational safety report, SR-Operation, on how the buffer shall be handled and installed. The report presents the design premises and reference design of the buffer and verifies the conformity of the reference design to the design premises. It also describes the production of the buffer, from excavation and delivery of buffer material to installation in the deposition hole. Finally, the initial state of the buffer and its conformity to the reference design and design premises is presented

  20. Association of Indoor Smoke-Free Air Laws with Hospital Admissions for Acute Myocardial Infarction and Stroke in Three States

    Directory of Open Access Journals (Sweden)

    Brett R. Loomis

    2012-01-01

    Full Text Available Objective. To examine whether comprehensive smoke-free air laws enacted in Florida, New York, and Oregon are associated with reductions in hospital admissions for acute myocardial infarction (AMI and stroke. Methods. Analyzed trends in county-level, age-adjusted, hospital admission rates for AMI and stroke from 1990 to 2006 (quarterly for Florida, 1995 to 2006 (monthly for New York, and 1998 to 2006 (monthly for Oregon to identify any association between admission rates and passage of comprehensive smoke-free air laws. Interrupted time series analysis was used to adjust for the effects of preexisting moderate local-level laws, seasonal variation in hospital admissions, differences across counties, and a secular time trend. Results. More than 3 years after passage of statewide comprehensive smoke-free air laws, rates of hospitalization for AMI were reduced by 18.4% (95% CI: 8.8–28.0% in Florida and 15.5% (95% CI: 11.0–20.1% in New York. Rates of hospitalization for stroke were reduced by 18.1% (95% CI: 9.3–30.0% in Florida. The few local comprehensive laws in Oregon were not associated with reductions in AMI or stroke statewide. Conclusion. Comprehensive smoke-free air laws are an effective policy tool for reducing the burden of AMI and stroke.

  1. Quantum quenches in the thermodynamic limit. II. Initial ground states

    Science.gov (United States)

    Rigol, Marcos

    2014-09-01

    A numerical linked-cluster algorithm was recently introduced to study quantum quenches in the thermodynamic limit starting from thermal initial states [M. Rigol, Phys. Rev. Lett. 112, 170601 (2014), 10.1103/PhysRevLett.112.170601]. Here, we tailor that algorithm to quenches starting from ground states. In particular, we study quenches from the ground state of the antiferromagnetic Ising model to the XXZ chain. Our results for spin correlations are shown to be in excellent agreement with recent analytical calculations based on the quench action method. We also show that they are different from the correlations in thermal equilibrium, which confirms the expectation that thermalization does not occur in general in integrable models even if they cannot be mapped to noninteracting ones.

  2. Initial state report for the safety assessment SR-Can

    Energy Technology Data Exchange (ETDEWEB)

    Pers, Karin (ed.) [Kemakta Konsult AB, Stockholm (Sweden)

    2006-10-15

    A comprehensive description of the initial state of the engineered parts of the repository system is one of the main bases for the safety assessment. There is no obvious definition of the time of the initial state. For the engineered part of their repository system, the time of deposition is a natural starting point and the initial state in SR-Can is, therefore, defined as the state at the time of deposition for the engineered barrier system. The initial state of the engineered parts of the repository system is largely obtained from the design specifications of the repository, including allowed tolerances or allowance for deviations. Also the manufacturing, excavation and control methods have to be described in order to adequately discuss and handle hypothetical initial states outside the allowed limits in the design specifications. It should also be noted that many parts of the repository system are as yet not finally designed, there can be many changes in the future. The design and technical solutions presented here are representative of the current stage of development. The repository system is based on the KBS-3 method, in which copper canisters with a cast iron insert containing spent nuclear fuel are surrounded by bentonite clay and deposited at 400-700 m depth in saturated granitic rock. The facility design comprises rock caverns, tunnels, deposition positions etc. Deposition tunnels are linked by tunnels for transport and communication and shafts for ventilation. One ramp and five shafts connect the surface facility to the underground repository. The ramp is used for heavy and bulky transports and the shafts are for utility systems and for transport of excavated rock, backfill and staff. For the purposes of the safety assessment, the engineered parts of the repository system have been sub-divided into a number of components or sub-systems. These are: The fuel, (also including cavities in the canister since strong interactions between the two occur if the

  3. Initial state report for the safety assessment SR-Can

    International Nuclear Information System (INIS)

    Pers, Karin

    2006-10-01

    A comprehensive description of the initial state of the engineered parts of the repository system is one of the main bases for the safety assessment. There is no obvious definition of the time of the initial state. For the engineered part of their repository system, the time of deposition is a natural starting point and the initial state in SR-Can is, therefore, defined as the state at the time of deposition for the engineered barrier system. The initial state of the engineered parts of the repository system is largely obtained from the design specifications of the repository, including allowed tolerances or allowance for deviations. Also the manufacturing, excavation and control methods have to be described in order to adequately discuss and handle hypothetical initial states outside the allowed limits in the design specifications. It should also be noted that many parts of the repository system are as yet not finally designed, there can be many changes in the future. The design and technical solutions presented here are representative of the current stage of development. The repository system is based on the KBS-3 method, in which copper canisters with a cast iron insert containing spent nuclear fuel are surrounded by bentonite clay and deposited at 400-700 m depth in saturated granitic rock. The facility design comprises rock caverns, tunnels, deposition positions etc. Deposition tunnels are linked by tunnels for transport and communication and shafts for ventilation. One ramp and five shafts connect the surface facility to the underground repository. The ramp is used for heavy and bulky transports and the shafts are for utility systems and for transport of excavated rock, backfill and staff. For the purposes of the safety assessment, the engineered parts of the repository system have been sub-divided into a number of components or sub-systems. These are: The fuel, (also including cavities in the canister since strong interactions between the two occur if the

  4. Sunlight-Initiated Photochemistry: Excited Vibrational States of Atmospheric Chromophores

    Directory of Open Access Journals (Sweden)

    Veronica Vaida

    2008-01-01

    Full Text Available Atmospheric chemical reactions are often initiated by ultraviolet (UV solar radiation since absorption in that wavelength range coincides to typical chemical bond energies. In this review, we present an alternative process by which chemical reactions occur with the excitation of vibrational levels in the ground electronic state by red solar photons. We focus on the O–H vibrational manifold which can be an atmospheric chromophore for driving vibrationally mediated overtone-induced chemical reactions. Experimental and theoretical O–H intensities of several carboxylic acids, alcohols, and peroxides are presented. The importance of combination bands in spectra at chemically relevant energies is examined in the context of atmospheric photochemistry. Candidate systems for overtone-initiated chemistry are provided, and their lowest energy barrier for reaction and the minimum quanta of O–H stretch required for reaction are calculated. We conclude with a discussion of the major pathways available for overtone-induced reactions in the atmosphere.

  5. Creating cat states in one-dimensional quantum walks using delocalized initial states

    International Nuclear Information System (INIS)

    Zhang, Wei-Wei; Gao, Fei; Goyal, Sandeep K; Sanders, Barry C; Simon, Christoph

    2016-01-01

    Cat states are coherent quantum superpositions of macroscopically distinct states and are useful for understanding the boundary between the classical and the quantum world. Due to their macroscopic nature, cat states are difficult to prepare in physical systems. We propose a method to create cat states in one-dimensional quantum walks using delocalized initial states of the walker. Since the quantum walks can be performed on any quantum system, our proposal enables a platform-independent realization of the cat states. We further show that the linear dispersion relation of the effective quantum walk Hamiltonian, which governs the dynamics of the delocalized states, is responsible for the formation of the cat states. We analyze the robustness of these states against environmental interactions and present methods to control and manipulate the cat states in the photonic implementation of quantum walks. (paper)

  6. Initial-state parton shower kinematics for NLO event generators

    International Nuclear Information System (INIS)

    Odaka, Shigeru; Kurihara, Yoshimasa

    2007-01-01

    We are developing a consistent method to combine tree-level event generators for hadron collision interactions with those including one additional QCD radiation from the initial-state partons, based on the limited leading-log (LLL) subtraction method, aiming at an application to NLO event generators. In this method, a boundary between non-radiative and radiative processes necessarily appears at the factorization scale (μ F ). The radiation effects are simulated using a parton shower (PS) in non-radiative processes. It is therefore crucial in our method to apply a PS which well reproduces the radiation activities evaluated from the matrix-element (ME) calculations for radiative processes. The PS activity depends on the applied kinematics model. In this paper we introduce two models for our simple initial-state leading-log PS: a model similar to the 'old' PYTHIA-PS and a p T -prefixed model motivated by ME calculations. PS simulations employing these models are tested using W-boson production at LHC as an example. Both simulations show a smooth matching to the LLL subtracted W+1 jet simulation in the p T distribution of W bosons, and the summed p T spectra are stable against a variation of μ F , despite that the p T -prefixed PS results in an apparently harder p T spectrum. (orig.)

  7. Promoting Inclusive Holistic Graduate Admissions in Educational Leadership Preparation Programs

    Directory of Open Access Journals (Sweden)

    Christa Boske

    2018-04-01

    Full Text Available Aspiring and practicing school leaders often identify graduate degrees as playing a significant role in achieving educational access and engaging in building, district-wide, regional, state, and national decision-making regarding practice and policy impacting marginalized populations in K–12 U.S. schools. The rationale behind initiating discourse on graduate student involvement grows out of current policy and reform initiatives requiring increased accountability for improved student performance, especially for children from predetermined “subgroups” due to race, class, native language, and ability (i.e., emotional, social, cognitive, and physical. The call for more deliberate involvement in understanding graduate admissions also arises in regard to student attrition and retention concerns. Faculty often play an under-examined role as gatekeepers throughout the admissions process. The way in which they understand graduate requirements, holistic evaluation, and merit affords opportunities to positively address significant implications for racial equity and diversity in graduate education. To understand faculty reliance upon graduate admissions criteria that undermine espoused university strategic plans, college-level diversity goals, and programmatic decision-making, four professors across the U.S. explore graduate admissions processes and the significance of implementing holistic admissions criteria. We present a holistic graduate admissions conceptual model for school leadership preparation programs to consider when increasing equity and access for minoritized candidates.

  8. A state-wide obstetric hemorrhage quality improvement initiative.

    Science.gov (United States)

    Bingham, Debra; Lyndon, Audrey; Lagrew, David; Main, Elliott K

    2011-01-01

    The mission of the California Maternal Quality Care Collaborative is to eliminate preventable maternal death and injury and to promote equitable maternity care in California. This article describes California Maternal Quality Care Collaborative's (CMQCC's) statewide multistakeholder quality improvement initiative to improve readiness, recognition, response, and reporting of maternal hemorrhage at birth and details the essential role of nurses in its success. In partnership with the State Department of Maternal, Child, and Adolescent Health, CMQCC identified maternal hemorrhage as a significant quality improvement opportunity. CMQCC organized a multidisciplinary, multistakeholder task force to develop a strategy for addressing obstetric (OB) hemorrhage. The OB Hemorrhage Task Force, co-chaired by nurse and physician team leaders, identified four priorities for action and developed a comprehensive hemorrhage guideline. CMQCC is using a multilevel strategy to disseminate the guideline, including an open access toolkit, a minimal support-mentoring model, a county partnership model, and a 30-hospital learning collaborative. In participating hospitals, nurses have been the primary drivers in developing both general and massive hemorrhage policies and procedures, ensuring the availability of critical supplies, organizing team debriefing after a stage 2 (or greater) hemorrhage, hosting skills stations for measuring blood loss, and running obstetric (OB) hemorrhage drills. Each of these activities requires effort and leadership skill, even in hospitals where clinicians are convinced that these changes are needed. In some hospitals, the burden to convince physicians of the value of these new practices has rested primarily upon nurses. Thus, the statewide initiative in which nurse and physician leaders work together models the value of teamwork and provides a real-time demonstration of the potential for effective interdisciplinary collaboration to make a difference in the

  9. Mathematics Admission Test Remarks

    Directory of Open Access Journals (Sweden)

    Ideon Erge

    2016-12-01

    Full Text Available Since 2014, there have been admission tests in mathematics for applicants to the Estonian University of Life Sciences for Geodesy, Land Management and Real Estate Planning; Civil Engineering; Hydraulic Engineering and Water Pollution Control; Engineering and Technetronics curricula. According to admission criteria, the test must be taken by students who have not passed the specific mathematics course state exam or when the score was less than 20 points. The admission test may also be taken by those who wish to improve their state exam score. In 2016, there were 126 such applicants of whom 63 took the test. In 2015, the numbers were 129 and 89 and in 2014 150 and 47 accordingly. The test was scored on scale of 100. The arithmetic average of the score was 30.6 points in 2016, 29.03 in 2015 and 18.84 in 2014. The test was considered to be passed with 1 point in 2014 and 20 points in 2015 and 2016. We analyzed test results and gave examples of problems which were solved exceptionally well or not at all.

  10. Acute kidney injury in bariatric surgery patients requiring intensive care admission: a state-wide, multicenter, cohort study.

    Science.gov (United States)

    Morgan, David J R; Ho, Kwok M

    2015-01-01

    A multidisciplinary bariatric surgical approach is currently the most effective treatment for obesity. However, little is known about how the physiologic impact of weight reduction surgery superimposed on premorbid obesity-related co-morbidities may adversely influence perioperative renal function. This observational, multicenter study investigated all bariatric surgery patients (n = 590) admitted to any intensive care unit (ICU) in Western Australia between 2007 and 2011. Using Acute Kidney Injury Network (AKIN) criteria, we ascertained the incidence and contributing risk factors for acute kidney injury (AKI). Acute kidney injury (AKI) occurred in 103 patients, accounting for 17.5% of all ICU admissions after bariatric surgery with 76.8% of the AKI episodes limited to AKIN stage 1. In a multivariate analysis, male gender, premorbid hypertension, higher admission APACHE II scores, and blood transfusions were all associated with AKI, while preexisting chronic kidney disease and body mass index (BMI) appeared not to influence renal decline. Both ICU (6.7 versus 2.5 d, Ppatients required hemodialysis while both ICU mortality (2.9 versus 0%, P = .005) and long-term mortality (18.2 versus 4.7 deaths per 1000 bariatric patient-yr, P = .01) were greater in patients experiencing AKI. AKI is common in bariatric patients requiring critical care support leading to increased healthcare utilization, prolonged hospitalization, and is associated with a higher mortality. BMI, a previously described risk factor, was not predictive of AKI in this cohort. Copyright © 2015 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.

  11. Equation of state, initiation, and detonation of pure ammonium nitrate

    Science.gov (United States)

    Robbins, D. L.; Sheffield, S. A.; Dattelbaum, D. M.; Velisavljevic, N.; Stahl, D. B.

    2009-06-01

    Ammonium nitrate (AN) is a widely used fertilizer and mining explosive throughout the world. One of the more common explosives using AN is called ANFO, a mixture of AN prills and fuel oil in a 94:6 ratio by weight. The AN prills are specially made to absorb the fuel oil, forming a mixture that reacts under shock loading through a diffusion-controlled process, resulting in a non-ideal explosive with detonation velocities around 4 km/s. While there are a number of studies on ANFO, there are only a few studies relating to the equation of state (EOS) and detonation properties of pure AN - resulting mainly from studies of accidents that have occurred during transportation of large quantities of AN. We present the results of a series of gas gun-driven plate impact experiments on pressed AN ranging in density from 1.72 to 0.9 g/cm^3. Several of the high density experiments were performed in front surface impact geometry, in which pressed AN disks were built into the projectile front and impacted onto LiF windows. Additional experiments at low density have been done in ``half cell'' multiple magnetic gauge gun experiments. From this work a complete unreacted EOS has been developed, as well as some initiation and detonation information. Additional high pressure x-ray diffraction experiments in diamond anvil cells have provided a static isotherm for AN.

  12. The Current Use of United States Medical Licensing Examination Step 1 Scores: Holistic Admissions and Student Well-being are in the Balance.

    Science.gov (United States)

    Moynahan, Kevin F

    2017-12-19

    United States Medical Licensing Examination Step 1 scores increasingly are being used by graduate medical education programs to "screen out" applicants to invite for an interview; medical students with scores below a certain (usually unpublished) point are not considered for an interview. Conversely, many students are extended an interview invitation based solely on their Step 1 scores, prior to the release of their Medical Student Performance Evaluation. In this Invited Commentary, the author discusses why this practice has gained popularity as well as the unintended effects it has had in multiple domains--holistic undergraduate medical education admissions practices, student well-being, and medical school curricula. Possible solutions are considered, including a pass/fail reporting structure, a national basic science curriculum, and better alignment between undergraduate and graduate medical education admissions processes and values. Through collaborative work between the Association of American Medical Colleges, the National Board of Medical Examiners, the Accredidation Coucil for Graduate Medical Education, and medical educators, an alternative, more holistic standardized metric by which to compare students' applications should be developed.

  13. Consumer Satisfaction in Long-Term Care: State Initiatives in Nursing Homes and Assisted Living Facilities

    Science.gov (United States)

    Lowe, Timothy J.; Lucas, Judith A.; Castle, Nicholas G.; Robinson, Joanne P.; Crystal, Stephen

    2003-01-01

    Purpose: We report the results of a survey of state initiatives that measure resident satisfaction in nursing homes and assisted living facilities, and we describe several model programs for legislators and public administrators contemplating the initiation of their own state programs. Design and Methods: Data on state initiatives and programs…

  14. Admissions and Plebe Year Data as Indicators of Academic Success in Engineering Majors at the United States Naval Academy

    National Research Council Canada - National Science Library

    Kristof, Nicholas

    2002-01-01

    This research analyzes the relationship between academic success in high school and at the freshman collegiate level and academic performance in engineering majors at the United States Naval Academy (USNA...

  15. Admission-Group Salary Differentials in the United States: The Significance of Labor Market Institutional Selection of High-Skilled Workers.

    Science.gov (United States)

    Hao, Lingxin

    In 1990 a temporary-to-permanent pathway was established for highly skilled workers admitted to the United States under nonimmigrant programs. The paper argues that this policy shift has allowed employers to play a crucial role in the immigration of highly skilled workers, thereby creating labor-market institutional selection that gives a salary advantage to highly skilled temporary-admitted workers retained in the United States. Through analyses of the salary differentials among admission-category groups, the paper finds that the salary advantage is based on recruitment from Western countries, adjustment from temporary to permanent status after a second employer screening, working in the information technology sector and the private sector, holding a supervisory position, or having a skill-matched job, all of which are consequences of institutional selection rather than individual self-selection. Our results also reveal a difference between those admitted from abroad and those recruited from graduating foreign students in USA higher educational institutions, which suggests a distinction between overseas hiring and domestic hiring. Policy implications for the United States and other receiving countries are discussed.

  16. State Mindfulness Scale (SMS): development and initial validation.

    Science.gov (United States)

    Tanay, Galia; Bernstein, Amit

    2013-12-01

    The goal of the present research was to develop and test a novel conceptual model and corresponding measure of state mindfulness-the State Mindfulness Scale (SMS). We developed the SMS to reflect traditional Buddhist and contemporary psychological science models of mindfulness not similarly reflected in extant published measures of the construct. Study 1 exploratory and confirmatory factor analyses supported a higher order 2-factor solution encompassing 1 second-order state mindfulness factor, and 2 first-order factors, one reflecting state mindfulness of bodily sensations and the other state mindfulness of mental events. Study 2 provided cross-sectional evidence of the convergent, discriminant, and incremental convergent validity of SMS scores with respect to other measures of state and trait mindfulness. Study 3, a randomized control experimental mindfulness intervention study, yielded a number of key findings with respect to SMS stability as a function of time and context, construct validity, incremental sensitivity to change in state mindfulness over time, and incremental predictive criterion-related validity. Findings are discussed with respect to the potential contribution of the SMS to the study of mindfulness as a statelike mental behavior, biopsychobehavioral research on the mechanisms of mindfulness, and clinical evaluation of mindfulness. (PsycINFO Database Record (c) 2013 APA, all rights reserved).

  17. Small Island States Green Energy Initiative. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Khattak, Nasir [Climate Inst., Washington, DC (United States)

    1999-10-15

    This report covers the activities carried out during a one year period from 7/15/99 to 7/15/00 as part of the Small Islands Green Energy Initiative. The three activities were: 1) Energy Ministerial conference in the Caribbean; 2) Training session on renewable energy for utility engineers; and 3) Case studies compilation on renewable energy in the Caribbean.

  18. Multi-State Initiatives---Agriculture Security Preparedness

    National Research Council Canada - National Science Library

    Gordon, Ellen

    2004-01-01

    ... to protect the nation's food security. The National Homeland Security Strategy puts states on the front lines in the war against terrorism including the struggle to secure the agriculture industry from potentially devastating attack...

  19. 78 FR 62415 - Refugee Admissions for Fiscal Year 2014

    Science.gov (United States)

    2013-10-21

    ... October 2, 2013 Refugee Admissions for Fiscal Year 2014 Memorandum for the Secretary of State In... authorize the following actions: The admission of up to 70,000 refugees to the United States during fiscal... with Federal refugee resettlement assistance under the Amerasian immigrant admissions program, as...

  20. OARSI-FDA initiative: defining the disease state of osteoarthritis.

    Science.gov (United States)

    Lane, N E; Brandt, K; Hawker, G; Peeva, E; Schreyer, E; Tsuji, W; Hochberg, M C

    2011-05-01

    To respond to a pre-specified set of questions posed by the United States Food and Drug Administration (FDA) on defining the disease state to inform the clinical development of drugs, biological products, and medical devices for the prevention and treatment of osteoarthritis (OA). An Osteoarthritis Research Society International (OARSI) Disease State working group was established, comprised of representatives from academia and industry. The Working Group met in person and by teleconference on several occasions from the Spring of 2008 through the Autumn of 2009 to develop consensus-based, evidence-informed responses to these questions. A report was presented at a public forum in December 2009 and accepted by the OARSI Board of Directors in the Summer of 2010. An operational definition of OA was developed incorporating current understanding of the condition. The structural changes that characterize OA at the joint level were distinguished from the patients' experience of OA as the 'disease' and 'illness', respectively. Recommendations were made regarding the evaluation of both in future OA clinical trials. The current poor understanding of the phenotypes that characterize OA was identified as an important area for future research. The design and conduct of clinical trials for new OA treatments should address the heterogeneity of the disease, treatment-associated structural changes in target joints and patient-reported outcomes. Copyright © 2011 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.

  1. Toward a semi-self-paced EEG brain computer interface: decoding initiation state from non-initiation state in dedicated time slots.

    Directory of Open Access Journals (Sweden)

    Lingling Yang

    Full Text Available Brain computer interfaces (BCIs offer a broad class of neurologically impaired individuals an alternative means to interact with the environment. Many BCIs are "synchronous" systems, in which the system sets the timing of the interaction and tries to infer what control command the subject is issuing at each prompting. In contrast, in "asynchronous" BCIs subjects pace the interaction and the system must determine when the subject's control command occurs. In this paper we propose a new idea for BCI which draws upon the strengths of both approaches. The subjects are externally paced and the BCI is able to determine when control commands are issued by decoding the subject's intention for initiating control in dedicated time slots. A single task with randomly interleaved trials was designed to test whether it can be used as stimulus for inducing initiation and non-initiation states when the sensory and motor requirements for the two types of trials are very nearly identical. Further, the essential problem on the discrimination between initiation state and non-initiation state was studied. We tested the ability of EEG spectral power to distinguish between these two states. Among the four standard EEG frequency bands, beta band power recorded over parietal-occipital cortices provided the best performance, achieving an average accuracy of 86% for the correct classification of initiation and non-initiation states. Moreover, delta band power recorded over parietal and motor areas yielded a good performance and thus could also be used as an alternative feature to discriminate these two mental states. The results demonstrate the viability of our proposed idea for a BCI design based on conventional EEG features. Our proposal offers the potential to mitigate the signal detection challenges of fully asynchronous BCIs, while providing greater flexibility to the subject than traditional synchronous BCIs.

  2. Effectiveness of pre-admission data and letters of recommendation to predict students who will need professional behavior intervention during clinical rotations in the United States

    Directory of Open Access Journals (Sweden)

    Chalee Engelhard

    2016-06-01

    Full Text Available The study aimed at finding the value of letters of recommendation in predicting professional behavior problems in the clinical portion of a Doctor of Physical Therapy program learning cohorts from 2009-2014 in the United States. De-identified records of 137 Doctor of Physical Therapy graduates were examined by the descriptive statistics and comparison analysis. Thirty letters of recommendation were investigated based on grounded theory from 10 student applications with 5 randomly selected students of interest and 5 non-students of interest. Critical thinking, organizational skills, and judgement were statistically significant and quantitative differentiating characteristics. Qualitatively, significant characteristics of the student of interest included effective communication and cultural competency. Meanwhile, those of nonstudents of interest included conflicting personality descriptor, commitment to learning, balance, teamwork skills, potential future success, compatible learning skills, effective leadership skills, and emotional intelligence. Emerged significant characteristics did not consistently match common non-professional behavior issues encountered in clinic. Pre-admission data and letters of recommendation appear of limited value in predicting professional behavior performance in clinic.

  3. Effectiveness of pre-admission data and letters of recommendation to predict students who will need professional behavior intervention during clinical rotations in the United States.

    Science.gov (United States)

    Engelhard, Chalee; Leugers, Rebecca; Stephan, Jenna

    2016-01-01

    The study aimed at finding the value of letters of recommendation in predicting professional behavior problems in the clinical portion of a Doctor of Physical Therapy program learning cohorts from 2009-2014 in the United States. De-identified records of 137 Doctor of Physical Therapy graduates were examined by the descriptive statistics and comparison analysis. Thirty letters of recommendation were investigated based on grounded theory from 10 student applications with 5 randomly selected students of interest and 5 non-students of interest. Critical thinking, organizational skills, and judgement were statistically significant and quantitative differentiating characteristics. Qualitatively, significant characteristics of the student of interest included effective communication and cultural competency. Meanwhile, those of nonstudents of interest included conflicting personality descriptor, commitment to learning, balance, teamwork skills, potential future success, compatible learning skills, effective leadership skills, and emotional intelligence. Emerged significant characteristics did not consistently match common non-professional behavior issues encountered in clinic. Pre-admission data and letters of recommendation appear of limited value in predicting professional behavior performance in clinic.

  4. New results on initial state & quarkonia with ATLAS

    CERN Document Server

    Tapia Araya, Sebastian; The ATLAS collaboration

    2017-01-01

    Weak bosons do not interact strongly with the dense and hot medium formed in the nuclear collisions, thus should be sensitive to the nuclear modification of parton distribution functions (nPDFs). The in-medium modification of heavy quarkonium states plays an important role in studying the hot and dense medium formed in the larger collision systems. The ATLAS detector, optimized for searching new physics in proton-proton collisions, is especially well equipped to measure Z, W bosons and quakonium in the high occupancy environment produced in heavy-ion collisions. We will present recent results on the Z boson and quarkonia yields as a function of centrality, transverse momentum and rapidity, from the ATLAS experiment.

  5. Moving State Marine SINS Initial Alignment Based on High Degree CKF

    Directory of Open Access Journals (Sweden)

    Yong-Gang Zhang

    2014-01-01

    Full Text Available A new moving state marine initial alignment method of strap-down inertial navigation system (SINS is proposed based on high-degree cubature Kalman filter (CKF, which can capture higher order Taylor expansion terms of nonlinear alignment model than the existing third-degree CKF, unscented Kalman filter and central difference Kalman filter, and improve the accuracy of initial alignment under large heading misalignment angle condition. Simulation results show the efficiency and advantage of the proposed initial alignment method as compared with existing initial alignment methods for the moving state SINS initial alignment with large heading misalignment angle.

  6. [The smoke free movies initiative in the United States].

    Science.gov (United States)

    Lanis, Lorenzo; Terrone, Rosangela; Gorini, Giuseppe

    2003-01-01

    Movies influence fashion, lifestyles, and represent smoking as an acceptable behaviour. In fact the greatest tobacco companies built relationships with Hollywood's actors and producers, in order to show smoking and cigarette brands in films. All over the world laws have been developed, in order to restrict smoking and tobacco advertising. Films showing tobacco do not violate these laws, even in those states where tobacco advertising is restricted. Moreover, films are better than any other commercial advertisements because the audience is total unconscious of the sponsor's involvement. Stanton Glantz, Medicine Professor at San Francisco University, is the voice of the movement for smoke-free movies. A lot of studies show that cigarette smoking is more frequently in '90s movies than in 60's and 70's movies. The smoking actors seem to be attractive, strong, healthy and successful. Films showing smoking influence tomorrow's customers: adolescents. Teenagers watching "smoking films" are the most exposed to start smoking. Hence the need to educate Hollywood industry, in order to have smoke-free movies.

  7. National trends in inpatient admissions following stereotactic radiosurgery and the in-hospital patient outcomes in the United States from 1998 to 2011.

    Science.gov (United States)

    Ho, Allen L; Li, Alexander Y; Sussman, Eric S; Pendharkar, Arjun V; Iyer, Aditya; Thompson, Patricia A; Tayag, Armine T; Chang, Steven D

    2016-01-01

    This study sought to examine trends in stereotactic radiosurgery (SRS) and in-hospital patient outcomes on a national level by utilizing national administrative data from the Nationwide Inpatient Sample (NIS) database. Using the NIS database, all discharges where patients underwent inpatient SRS were included in our study from 1998 - 2011 as designated by the ICD9-CM procedural codes. Trends in the utilization of primary and adjuvant SRS, in-hospital complications and mortality, and resource utilization were identified and analyzed. Our study included over 11,000 hospital discharges following admission for primary SRS or for adjuvant SRS following admission for surgery or other indication. The most popular indication for SRS continues to be treatment of intracranial metastatic disease (36.7%), but expansion to primary CNS lesions and other non-malignant pathology beyond trigeminal neuralgia has occurred over the past decade. Second, inpatient admissions for primary SRS have declined by 65.9% over this same period of time. Finally, as inpatient admissions for SRS become less frequent, the complexity and severity of illness seen in admitted patients has increased over time with an increase in the average comorbidity score from 1.25 in the year 2002 to 2.29 in 2011, and an increase in over-all in-hospital complication rate of 2.8 times over the entire study period. As the practice of SRS continues to evolve, we have seen several trends in associated hospital admissions. Overall, the number of inpatient admissions for primary SRS has declined while adjuvant applications have remained stable. Over the same period, there has been associated increase in complication rate, length of stay, and mortality in inpatients. These associations may be explained by an increase in the comorbidity-load of admitted patients as more high-risk patients are selected for admission at inpatient centers while more stable patients are increasingly being referred to outpatient centers.

  8. Nursing Admission Practices to Discern "Fit": A Case Study Exemplar

    Science.gov (United States)

    Sinutko, Jaime M.

    2014-01-01

    Admission to a baccalaureate nursing school in the United States is currently a challenging proposition for a variety of reasons. This research explored a holistic nursing school admission process at a small, private, baccalaureate college using a retrospective, mixed-method, approach. The holistic method included multiple admission criteria, both…

  9. Genital Herpes - Initial Visits to Physicians' Offices, United States, 1966-2012

    Science.gov (United States)

    ... Data & Statistics Sexually Transmitted Diseases Figure 48. Genital Herpes — Initial Visits to Physicians’ Offices, United States, 1966 – ... page . NOTE : The relative standard errors for genital herpes estimates of more than 100,000 range from ...

  10. Hospice Admission Assessment.

    Science.gov (United States)

    Moon, Paul J

    2017-04-01

    Hospice admission assessment is a pivotal encounter for patient/family and hospice representative. For patient/family, the admission is the threshold by which a particular level of care can commence and, symbolically, a certain marker in health status trajectory is reached. For hospice representative, the admission episode is an occasion to inaugurate an ambience that can serve to frame future hospice care experiences for the patient/family. Through a narrative lens, hospice admission assessment can be seen as experiential time and space, where patient's and family's stories are mindfully and deliberately witnessed and explored. Through the practice of narrative mining, the hospice representative can better understand others' offered stories of reality, which will better inform the plan of palliation and hospice care.

  11. The Common Core State Standards Initiative: An Event History Analysis of State Adoption

    Science.gov (United States)

    LaVenia, Mark; Cohen-Vogel, Lora; Lang, Laura B.

    2015-01-01

    Today, with states' near-universal adoption of the Common Core State Standards, the political system has achieved that which was not possible less than 2 decades ago. Just why this is so remains unanswered. Some observers have attributed states' embrace of the standards to the substantial financial incentives that the federal government embedded…

  12. Investigating approaches to diversity in a national survey of physics doctoral degree programs: The graduate admissions landscape

    Science.gov (United States)

    Potvin, Geoff; Chari, Deepa; Hodapp, Theodore

    2017-12-01

    Graduate admissions play a critical gatekeeping role in the physics community not only because they select students who are allowed to begin their graduate studies, but also because they influence how students perceive graduate school, and in some cases whether or not they will even choose to apply. In conjunction with the APS Bridge Program, we conducted a national survey of graduate directors (and related faculty) of physics Ph.D. programs in the United States to explore graduate admissions practices. Our focus was on criteria used in determining admissions, mechanisms through which graduate applicants are handled, and how student representation considerations are incorporated into admissions (if at all). We report here on existing graduate admission practices in physics departments and highlight some critical issues for understanding barriers for diversifying graduate physics, including the use of GRE scores (and the relative importance placed on them). We find that the use of a minimum GRE score for admission, a practice in opposition to recommendations made by the tests designers, is reported to be used in many departments (more than one in three). We also find letters of recommendation to be highly valued in admissions decisions. Our data describe various initiatives at the institutional or individual level to increase gender diversity in admissions. A sizable number of departments also express a latent demand for greater numbers of students from traditionally marginalized racial or ethnic groups, but simultaneously report a lack of such applicants.

  13. Investigating approaches to diversity in a national survey of physics doctoral degree programs: The graduate admissions landscape

    Directory of Open Access Journals (Sweden)

    Geoff Potvin

    2017-12-01

    Full Text Available Graduate admissions play a critical gatekeeping role in the physics community not only because they select students who are allowed to begin their graduate studies, but also because they influence how students perceive graduate school, and in some cases whether or not they will even choose to apply. In conjunction with the APS Bridge Program, we conducted a national survey of graduate directors (and related faculty of physics Ph.D. programs in the United States to explore graduate admissions practices. Our focus was on criteria used in determining admissions, mechanisms through which graduate applicants are handled, and how student representation considerations are incorporated into admissions (if at all. We report here on existing graduate admission practices in physics departments and highlight some critical issues for understanding barriers for diversifying graduate physics, including the use of GRE scores (and the relative importance placed on them. We find that the use of a minimum GRE score for admission, a practice in opposition to recommendations made by the tests designers, is reported to be used in many departments (more than one in three. We also find letters of recommendation to be highly valued in admissions decisions. Our data describe various initiatives at the institutional or individual level to increase gender diversity in admissions. A sizable number of departments also express a latent demand for greater numbers of students from traditionally marginalized racial or ethnic groups, but simultaneously report a lack of such applicants.

  14. Methane dissociation on Ni(1 1 1): Reaction probabilities using direct and initial state selected approaches

    Energy Technology Data Exchange (ETDEWEB)

    Teixidor, Marc Moix [Departament de Quimica Fisica, Universitat de Barcelona, Marti i Franques 1, 08028 Barcelona (Spain); Institut de Quimica Teorica i Computacional de la UB (IQTCUB) (Spain); Huarte-Larranaga, Fermin, E-mail: fermin.huarte@ub.edu [Departament de Quimica Fisica, Universitat de Barcelona, Marti i Franques 1, 08028 Barcelona (Spain); Institut de Quimica Teorica i Computacional de la UB (IQTCUB) (Spain)

    2012-05-03

    Graphical abstract: Thermal flux eigenstates are employed in this work to calculate reaction probabilities in the CH{sub 4} + Ni(1 1 1) dissociative sticking reaction. Highlights: Black-Right-Pointing-Pointer Initial state and direct quantum approaches are compared for gas surface reactions. Black-Right-Pointing-Pointer Transition state wave packet dynamics has advantages for multidimensional systems. Black-Right-Pointing-Pointer Lattice vibration significantly increases the numerical effort in the TSWP approach. - Abstract: We present two strategies for obtaining initial state selected reaction probabilities employing the multi-configurational time-dependent Hartree approach. The standard approach consists in building a wave function representative of the initial state of the reactants and propagating the wave into the strong interaction region. Reversely, a complete set of quantum states can be built in the strong interaction region and propagated outwards, obtaining the reaction probability from flux correlation functions. These two schemes are compared in our paper for the particular case of gas/surface reactions. In order to do this, we have computed initial state-selected reaction probabilities for the CH{sub 4} + Ni(1 1 1) dissociative adsorption reaction. The system is modeled by considering exclusively normal incidence and treating the molecule as quasidiatomic H-X, with X=CH{sub 3}. Results are compared with previous standard wave packet calculations analyzing the role of vibration and rotation in the molecule as well as the surface temperature.

  15. Environment and initial state engineered dynamics of quantum and classical correlations

    International Nuclear Information System (INIS)

    Wang, Cheng-Zhi; Li, Chun-Xian; Guo, Yu; Lu, Geng-Biao; Ding, Kai-He

    2016-01-01

    Based on an open exactly solvable system coupled to an environment with nontrivial spectral density, we connect the features of quantum and classical correlations with some features of the environment, initial states of the system, and the presence of initial system–environment correlations. Some interesting features not revealed before are observed by changing the structure of environment, the initial states of system, and the presence of initial system–environment correlations. The main results are as follows. (1) Quantum correlations exhibit temporary freezing and permanent freezing even at high temperature of the environment, for which the necessary and sufficient conditions are given by three propositions. (2) Quantum correlations display a transition from temporary freezing to permanent freezing by changing the structure of environment. (3) Quantum correlations can be enhanced all the time, for which the condition is put forward. (4) The one-to-one dependency relationship between all kinds of dynamic behaviors of quantum correlations and the initial states of the system as well as environment structure is established. (5) In the presence of initial system–environment correlations, quantum correlations under local environment exhibit temporary multi-freezing phenomenon. While under global environment they oscillate, revive, and damp, an explanation for which is given. - Highlights: • Various interesting behaviors of quantum and classical correlations are observed in an open exactly solvable model. • The important effects of the bath structure on quantum and classical correlations are revealed. • The one-to-one correspondence between the type of dynamical behavior of quantum discord and the initial state is given. • Quantum correlations are given in the presence of initial qubits–bath correlations.

  16. Initial-state dependence of the quench dynamics in integrable quantum systems

    Energy Technology Data Exchange (ETDEWEB)

    Rigol, Marcos [Department of Physics,Georgetown University, Washington, DC 20057 (United States); Fitzpatrick, Mattias [Department of Physics,Georgetown University, Washington, DC 20057 (United States); Department of Physics, Middlebury College, Middlebury, Vermont 05753 (United States)

    2011-09-15

    We identify and study classes of initial states in integrable quantum systems that, after the relaxation dynamics following a sudden quench, lead to near-thermal expectation values of few-body observables. In the systems considered here, those states are found to be insulating ground states of lattice hard-core boson Hamiltonians. We show that, as a suitable parameter in the initial Hamiltonian is changed, those states become closer to Fock states (products of single site states) as the outcome of the relaxation dynamics becomes closer to the thermal prediction. At the same time, the energy density approaches a Gaussian. Furthermore, the entropy associated with the generalized canonical and generalized grand-canonical ensembles, introduced to describe observables in integrable systems after relaxation, approaches that of the conventional canonical and grand-canonical ensembles. We argue that those classes of initial states are special because a control parameter allows one to tune the distribution of conserved quantities to approach the one in thermal equilibrium. This helps in understanding the approach of all the quantities studied to their thermal expectation values. However, a finite-size scaling analysis shows that this behavior should not be confused with thermalization as understood for nonintegrable systems.

  17. Detecting initial system-environment correlations: Performance of various distance measures for quantum states

    Science.gov (United States)

    Wißmann, S.; Leggio, B.; Breuer, H.-P.

    2013-08-01

    We study the time evolution of four distance measures in the presence of initial system-environment correlations. It is well known that the trace distance between two quantum states of an open system may increase due to initial correlations, which leads to a breakdown of the contractivity of the reduced dynamics. Here we compare and analyze, for two different models, the time evolution of the trace distance, the Bures metric, the Hellinger distance, and the Jensen-Shannon divergence regarding an increase above their initial values, witnessing initial correlations. This work generalizes, deepens, and corrects a part of the study performed by Dajka [Phys. Rev. APLRAAN1050-294710.1103/PhysRevA.84.032120 84, 032120 (2011)] and thereby reveals generic features of the considered distance measures with respect to the capability of detecting initial system-environment correlations.

  18. Dynamic evolution of initial instability during non-steady-state growth.

    Science.gov (United States)

    Dong, Zhibo; Zheng, Wenjian; Wei, Yanhong; Song, Kuijing

    2014-06-01

    Dynamic evolution of initial instability is investigated by an analytic model obtained by modifying the theory of Warren and Langer [Phys. Rev. E 47, 2702 (1993)] and the quantitative phase-field model in directional solidification under transient conditions for realistic parameters of a dilute alloy. The evolutions of tip velocity and concentration in the liquid side of the interface predicted by the analytic model agree very well with that from the phase-field simulation in the linear growth stage of the non-steady-state growth, indicating that the model could be used as a convenient method to study the initial instability during non-steady-state growth. The influences of non-steady-state conditions which include the increasing rate of pulling speed and temperature gradient at the onset of initial instability are investigated, and we find that, the initial instability seems to depend strongly on the non-steady-state conditions and the non-steady-state history, and thus, it should be primarily considered in the study of the transient growth.

  19. Extracting Information about the Initial State from the Black Hole Radiation.

    Science.gov (United States)

    Lochan, Kinjalk; Padmanabhan, T

    2016-02-05

    The crux of the black hole information paradox is related to the fact that the complete information about the initial state of a quantum field in a collapsing spacetime is not available to future asymptotic observers, belying the expectations from a unitary quantum theory. We study the imprints of the initial quantum state contained in a specific class of distortions of the black hole radiation and identify the classes of in states that can be partially or fully reconstructed from the information contained within. Even for the general in state, we can uncover some specific information. These results suggest that a classical collapse scenario ignores this richness of information in the resulting spectrum and a consistent quantum treatment of the entire collapse process might allow us to retrieve much more information from the spectrum of the final radiation.

  20. Forensic human identification in the United States and Canada: a review of the law, admissible techniques, and the legal implications of their application in forensic cases.

    Science.gov (United States)

    Holobinko, Anastasia

    2012-10-10

    Forensic human identification techniques are successful if they lead to positive personal identification. However, the strongest personal identification is of no use in the prosecution--or vindication--of an accused if the associated evidence and testimony is ruled inadmissible in a court of law. This review examines the U.S. and Canadian legal rulings regarding the admissibility of expert evidence and testimony, and subsequently explores four established methods of human identification (i.e., DNA profiling, forensic anthropology, forensic radiography, forensic odontology) and one complementary technique useful in determining identity, and the legal implications of their application in forensic cases. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  1. Nutrition initiatives in the context of population aging: where does the United States stand?

    Science.gov (United States)

    Chalé, Angela; Unanski, Amanda G; Liang, Raymond Y

    2012-01-01

    In 2011, the earliest segment of the baby boom generation turned 65 years of age. This event marks the beginning of a new phase of growth of the older adult population in the United States and is in line with what is referred to worldwide as "population aging." By 2030, older adults will comprise 20% of the U.S. population. With the impending increase in the older adult population, the United States is unprepared to handle the accompanying social and economic impact of growing rates of age-related diseases such as diabetes, hypertension, and cardiovascular disease. These diseases have nutritional determinants and, as such, they signify the need for effective preventive nutrition initiatives to address population aging in the United States. Comparatively, the European Union (EU) is projected to reach an older adult population of 24% by 2030. In this special article we evaluate nutrition initiatives for older adults in the United States and also examine nutrition initiatives in the European Union in search of an ideal model. However, we found that available data for EU initiatives targeted at population aging were limited. We conclude by offering the proposal of a physician-based model that establishes the primary care physician as the initiator of nutrition screening, education, referrals, and follow-up for the older adult population in the United States as a long-term goal. Apropos of the immediate future, we consider barriers that underscore the establishment of a physician-based model and suggest objectives that are attainable. Although the data are limited for the European Union, this model may serve to guide management of chronic diseases with a nutritional component in economies similar to the United States worldwide.

  2. Initial excited-state structural dynamics of 9-methyladenine from UV resonance Raman spectroscopy.

    Science.gov (United States)

    Oladepo, Sulayman A; Loppnow, Glen R

    2011-05-19

    The photophysics and photochemistry of nucleobases are the factors governing the photostability of DNA and RNA, since they are the UV chromophores in nucleic acids. Because the formation of photoproducts involves structural changes in the excited electronic state, we study here the initial excited-state structural dynamics of 9-methyladenine (9-MeA) by using UV resonance Raman (UVRR) spectroscopy. UV resonance Raman intensities are sensitive to the initial excited-state structural dynamics of molecules. Therefore, information about the initial structural changes in the excited-state of a given molecule can be obtained from its UVRR intensities. The resonance Raman spectra of 9-MeA at wavelengths throughout its 262 nm absorption band were measured, and a self-consistent analysis of the resulting resonance Raman excitation profiles and absorption spectrum was performed using a time-dependent wave packet formalism. We found that the initial structural dynamics of this molecule primarily lie along the N3C4, C4C5, C5C6, C5N7, N7C8, and C8N9 stretching vibrations and CH(3) deformation vibrations. These results are discussed in the context of photochemistry and other deactivation processes. © 2011 American Chemical Society

  3. First study of the interference between initial and final state radiation at the Z resonance

    CERN Document Server

    Abreu, P; Adye, T; Agasi, E; Ajinenko, I; Aleksan, Roy; Alekseev, G D; Alemany, R; Allport, P P; Almehed, S; Amaldi, Ugo; Amato, S; Andreazza, A; Andrieux, M L; Antilogus, P; Apel, W D; Arnoud, Y; Åsman, B; Augustin, J E; Augustinus, A; Baillon, Paul; Bambade, P; Barate, R; Barbi, M S; Bardin, Dimitri Yuri; Baroncelli, A; Bärring, O; Barrio, J A; Bartl, Walter; Bates, M J; Battaglia, Marco; Baubillier, M; Baudot, J; Becks, K H; Begalli, M; Beillière, P; Belokopytov, Yu A; Belous, K S; Benvenuti, Alberto C; Berggren, M; Bertrand, D; Bianchi, F; Bigi, M; Bilenky, S M; Billoir, P; Bloch, D; Blume, M; Blyth, S; Bolognese, T; Bonesini, M; Bonivento, W; Booth, P S L; Borisov, G; Bosio, C; Bosworth, S; Botner, O; Boudinov, E; Bouquet, B; Bourdarios, C; Bowcock, T J V; Bozzo, M; Branchini, P; Brand, K D; Brenke, T; Brenner, R A; Bricman, C; Brillault, L; Brown, R C A; Brückman, P; Brunet, J M; Bugge, L; Buran, T; Burgsmüller, T; Buschmann, P; Buys, A; Cabrera, S; Caccia, M; Calvi, M; Camacho-Rozas, A J; Camporesi, T; Canale, V; Canepa, M; Cankocak, K; Cao, F; Carena, F; Carroll, L; Caso, Carlo; Castillo-Gimenez, M V; Cattai, A; Cavallo, F R; Cerrito, L; Chabaud, V; Charpentier, P; Chaussard, L; Chauveau, J; Checchia, P; Chelkov, G A; Chen, M; Chierici, R; Chliapnikov, P V; Chochula, P; Chorowicz, V; Chudoba, J; Cindro, V; Collins, P; Contreras, J L; Contri, R; Cortina, E; Cosme, G; Cossutti, F; Crawley, H B; Crennell, D J; Crosetti, G; Cuevas-Maestro, J; Czellar, S; Dahl-Jensen, Erik; Dahm, J; D'Almagne, B; Dam, M; Damgaard, G; Dauncey, P D; Davenport, Martyn; Da Silva, W; Defoix, C; Deghorain, A; Della Ricca, G; Delpierre, P A; Demaria, N; De Angelis, A; de Boer, Wim; De Brabandere, S; De Clercq, C; La Vaissière, C de; De Lotto, B; De Min, A; De Paula, L S; De Saint-Jean, C; Dijkstra, H; Di Ciaccio, Lucia; Djama, F; Dolbeau, J; Dönszelmann, M; Doroba, K; Dracos, M; Drees, J; Drees, K A; Dris, M; Dufour, Y; Edsall, D M; Ehret, R; Eigen, G; Ekelöf, T J C; Ekspong, Gösta; Elsing, M; Engel, J P; Ershaidat, N; Erzen, B; Espirito-Santo, M C; Falk, E; Fassouliotis, D; Feindt, Michael; Ferrer, A; Filippas-Tassos, A; Firestone, A; Fischer, P A; Föth, H; Fokitis, E; Fontanelli, F; Formenti, F; Franek, B J; Frenkiel, P; Fries, D E C; Frodesen, A G; Fulda-Quenzer, F; Fuster, J A; Galloni, A; Gamba, D; Gandelman, M; García, C; García, J; Gaspar, C; Gasparini, U; Gavillet, P; Gazis, E N; Gelé, D; Gerber, J P; Gerdyukov, L N; Gibbs, M; Gokieli, R; Golob, B; Gopal, Gian P; Gorn, L; Górski, M; Guz, Yu; Gracco, Valerio; Graziani, E; Grosdidier, G; Grzelak, K; Gumenyuk, S A; Gunnarsson, P; Günther, M; Guy, J; Hahn, F; Hahn, S; Hallgren, A; Hamacher, K; Hao, W; Harris, F J; Hedberg, V; Henriques, R P; Hernández, J J; Herquet, P; Herr, H; Hessing, T L; Higón, E; Hilke, Hans Jürgen; Hill, T S; Holmgren, S O; Holt, P J; Holthuizen, D J; Hoorelbeke, S; Houlden, M A; Hrubec, Josef; Huet, K; Hultqvist, K; Jackson, J N; Jacobsson, R; Jalocha, P; Janik, R; Jarlskog, C; Jarlskog, G; Jarry, P; Jean-Marie, B; Johansson, E K; Jönsson, L B; Jönsson, P E; Joram, Christian; Juillot, P; Kaiser, M; Kapusta, F; Karafasoulis, K; Karlsson, M; Karvelas, E; Katsanevas, S; Katsoufis, E C; Keränen, R; Khokhlov, Yu A; Khomenko, B A; Khovanskii, N N; King, B J; Kjaer, N J; Klein, H; Klovning, A; Kluit, P M; Köne, B; Kokkinias, P; Koratzinos, M; Korcyl, K; Kourkoumelis, C; Kuznetsov, O; Kramer, P H; Krammer, Manfred; Kreuter, C; Kronkvist, I J; Krumshtein, Z; Krupinski, W; Kubinec, P; Kucewicz, W; Kurvinen, K L; Lacasta, C; Laktineh, I; Lamblot, S; Lamsa, J; Lanceri, L; Lane, D W; Langefeld, P; Last, I; Laugier, J P; Lauhakangas, R; Leder, Gerhard; Ledroit, F; Lefébure, V; Legan, C K; Leitner, R; Lemoigne, Y; Lemonne, J; Lenzen, Georg; Lepeltier, V; Lesiak, T; Liko, D; Lindner, R; Lipniacka, A; Lippi, I; Lörstad, B; Loken, J G; López, J M; Loukas, D; Lutz, P; Lyons, L; MacNaughton, J N; Maehlum, G; Maio, A; Malychev, V; Mandl, F; Marco, J; Marco, R P; Maréchal, B; Margoni, M; Marin, J C; Mariotti, C; Markou, A; Maron, T; Martínez-Rivero, C; Martínez-Vidal, F; Martí i García, S; Masik, J; Matorras, F; Matteuzzi, C; Matthiae, Giorgio; Mazzucato, M; McCubbin, M L; McKay, R; McNulty, R; Medbo, J; Merk, M; Meroni, C; Meyer, S; Meyer, W T; Michelotto, M; Migliore, E; Mirabito, L; Mitaroff, Winfried A; Mjörnmark, U; Moa, T; Møller, R; Mönig, K; Monge, M R; Morettini, P; Müller, H; Mundim, L M; Murray, W J; Muryn, B; Myatt, Gerald; Naraghi, F; Navarria, Francesco Luigi; Navas, S; Nawrocki, K; Negri, P; Neumann, W; Neumeister, N; Nicolaidou, R; Nielsen, B S; Nieuwenhuizen, M; Nikolaenko, V; Niss, P; Nomerotski, A; Normand, Ainsley; Novák, M; Oberschulte-Beckmann, W; Obraztsov, V F; Olshevskii, A G; Onofre, A; Orava, Risto; Österberg, K; Ouraou, A; Paganini, P; Paganoni, M; Pagès, P; Palka, H; Papadopoulou, T D; Papageorgiou, K; Pape, L; Parkes, C; Parodi, F; Passeri, A; Pegoraro, M; Peralta, L; Pernegger, H; Pernicka, Manfred; Perrotta, A; Petridou, C; Petrolini, A; Petrovykh, M; Phillips, H T; Piana, G; Pierre, F; Pimenta, M; Pindo, M; Plaszczynski, S; Podobrin, O; Pol, M E; Polok, G; Poropat, P; Pozdnyakov, V; Prest, M; Privitera, P; Pukhaeva, N; Pullia, Antonio; Radojicic, D; Ragazzi, S; Rahmani, H; Ratoff, P N; Read, A L; Reale, M; Rebecchi, P; Redaelli, N G; Regler, Meinhard; Reid, D; Renton, P B; Resvanis, L K; Richard, F; Richardson, J; Rídky, J; Rinaudo, G; Ripp, I; Romero, A; Roncagliolo, I; Ronchese, P; Roos, L; Rosenberg, E I; Rosso, E; Roudeau, Patrick; Rovelli, T; Rückstuhl, W; Ruhlmann-Kleider, V; Ruiz, A; Rybicki, K; Rybin, A; Saarikko, H; Sacquin, Yu; Sadovskii, A; Sajot, G; Salt, J; Sánchez, J; Sannino, M; Schimmelpfennig, M; Schneider, H; Schwickerath, U; Schyns, M A E; Sciolla, G; Scuri, F; Seager, P; Sedykh, Yu; Segar, A M; Seitz, A; Sekulin, R L; Shellard, R C; Siccama, I; Siegrist, P; Simonetti, S; Simonetto, F; Sissakian, A N; Sitár, B; Skaali, T B; Smadja, G; Smirnov, N; Smirnova, O G; Smith, G R; Solovyanov, O; Sosnowski, R; Souza-Santos, D; Spassoff, Tz; Spiriti, E; Sponholz, P; Squarcia, S; Stanescu, C; Stapnes, Steinar; Stavitski, I; Stichelbaut, F; Stocchi, A; Strauss, J; Strub, R; Stugu, B; Szczekowski, M; Szeptycka, M; Tabarelli de Fatis, T; Tavernet, J P; Chikilev, O G; Tilquin, A; Timmermans, J; Tkatchev, L G; Todorov, T; Toet, D Z; Tomaradze, A G; Tomé, B; Tonazzo, A; Tortora, L; Tranströmer, G; Treille, D; Trischuk, W; Tristram, G; Trombini, A; Troncon, C; Tsirou, A L; Turluer, M L; Tyapkin, I A; Tyndel, M; Tzamarias, S; Überschär, B; Ullaland, O; Uvarov, V; Valenti, G; Vallazza, E; van Apeldoorn, G W; van Dam, P; Van Doninck, W K; Van Eldik, J; Vassilopoulos, N; Vegni, G; Ventura, L; Venus, W A; Verbeure, F; Verlato, M; Vertogradov, L S; Vilanova, D; Vincent, P; Vitale, L; Vlasov, E; Vodopyanov, A S; Vrba, V; Wahlen, H; Walck, C; Waldner, F; Weierstall, M; Weilhammer, Peter; Weiser, C; Wetherell, Alan M; Wicke, D; Wickens, J H; Wielers, M; Wilkinson, G R; Williams, W S C; Winter, M; Witek, M; Woschnagg, K; Yip, K; Yushchenko, O P; Zach, F; Zaitsev, A; Zalewska-Bak, A; Zalewski, Piotr; Zavrtanik, D; Zevgolatakos, E; Zimin, N I; Zito, M; Zontar, D; Zuberi, R; Zucchelli, G C; Zumerle, G

    1996-01-01

    The interference between initial and final state radiation in the process \\eemm\\ at $\\sqs \\approx \\MZ$ has been studied by measuring the forward-backward asymmetry as a function of the acoplanarity angle between the final state muons. The interference is expected to be sensitive to the space-time separation of the initial and final state radiation. The measured asymmetry distribution has been compared to theoretical predictions using the \\KORALZ\\ generator, with and without ørdalph\\ interference. The magnitude of the interference between initial and $ \\pm 0.06 $ (syst.) \\GeV} . \\end{center} has been extracted. The interpretation of this result is discussed. There is an additional uncertainty in the estimate of \\GZ\\ from as yet uncalculated higher order interference terms. By assuming a value of \\GZ\\ consistent with the world average, the data were used to estimate the size of these uncalculated corrections. The interference between initial and final state radiation in the process \\eemm\\ at \\sqs \\approx \\MZ h...

  4. The Impact of Solid Organ Transplant History on Inpatient Complications, Mortality, Length of Stay, and Cost for Primary Total Hip Arthroplasty Admissions in the United States.

    Science.gov (United States)

    Navale, Suparna M; Szubski, Caleb R; Klika, Alison K; Schiltz, Nicholas K; Desai, Pratik P; Barsoum, Wael K

    2017-04-01

    As the prevalence of and life expectancy after solid organ transplantation increases, some of these patients will require total hip arthroplasty (THA). Immunosuppressive therapy, metabolic disorders, and post-transplant medications may place transplant patients at higher risk of adverse events following surgery. The objective of this study was to compare inpatient complications, mortality, length of stay (LOS), and costs for THA patients with and without solid organ transplant history. A retrospective cross-sectional analysis was conducted using 1998-2011 Nationwide Inpatient Sample. Primary THA patients were queried (n = 3,175,456). After exclusions, remaining patients were assigned to transplant (n = 7558) or non-transplant groups (n = 2,772,943). After propensity score matching, adjusted for patient and hospital characteristics, logistic regression and paired t-tests examined the effect of transplant history on outcomes. Between 1998 and 2011, THA volume among transplant patients grew approximately 48%. The overall prevalence of one or more complications following THA was greater in the transplant group than in the non-transplant group (32.0% vs 22.1%; P history was associated with increased complication risk (odds ratio, 1.56) after THA, longer hospital LOS (+0.64 days; P < .001), and increased admission costs (+$887; P = .005). Transplant patients exhibited increased odds of inpatient complications, longer LOS, and greater admission costs after THA compared with non-transplant patients. Copyright © 2016 Elsevier Inc. All rights reserved.

  5. Deterministic Electrical Charge-State Initialization of Single Nitrogen-Vacancy Center in Diamond

    Directory of Open Access Journals (Sweden)

    Y. Doi

    2014-03-01

    Full Text Available Apart from applications in classical information-processing devices, the electrical control of atomic defects in solids at room temperature will have a tremendous impact on quantum devices that are based on such defects. In this study, we demonstrate the electrical manipulation of individual prominent representatives of such atomic solid-state defects, namely, the negative charge state of single nitrogen-vacancy defect centers (NV^{−} in diamond. We experimentally demonstrate, deterministic, purely electrical charge-state initialization of individual NV centers. The NV centers are placed in the intrinsic region of a p-i-n diode structure that facilitates the delivery of charge carriers to the defect for charge-state switching. The charge-state dynamics of a single NV center were investigated by time-resolved measurements and a nondestructive single-shot readout of the charge state. Fast charge-state switching rates (from negative to neutrally charged defects, which are greater than 0.72 ± 0.10  μs^{−1}, were realized. Furthermore, in no-operation mode, the realized charge states were stable for presumably much more than 0.45 s. We believe that the results obtained are useful not only for ultrafast electrical control of qubits, long T_{2} quantum memory, and quantum sensors associated with single NV centers but also for classical memory devices based on single atomic storage bits working under ambient conditions.

  6. Modulation of Soil Initial State on WRF Model Performance Over China

    Science.gov (United States)

    Xue, Haile; Jin, Qinjian; Yi, Bingqi; Mullendore, Gretchen L.; Zheng, Xiaohui; Jin, Hongchun

    2017-11-01

    The soil state (e.g., temperature and moisture) in a mesoscale numerical prediction model is typically initialized by reanalysis or analysis data that may be subject to large bias. Such bias may lead to unrealistic land-atmosphere interactions. This study shows that the Climate Forecast System Reanalysis (CFSR) dramatically underestimates soil temperature and overestimates soil moisture over most parts of China in the first (0-10 cm) and second (10-25 cm) soil layers compared to in situ observations in July 2013. A correction based on the global optimal dual kriging is employed to correct CFSR bias in soil temperature and moisture using in situ observations. To investigate the impacts of the corrected soil state on model forecasts, two numerical model simulations—a control run with CFSR soil state and a disturbed run with the corrected soil state—were conducted using the Weather Research and Forecasting model. All the simulations are initiated 4 times per day and run 48 h. Model results show that the corrected soil state, for example, warmer and drier surface over the most parts of China, can enhance evaporation over wet regions, which changes the overlying atmospheric temperature and moisture. The changes of the lifting condensation level, level of free convection, and water transport due to corrected soil state favor precipitation over wet regions, while prohibiting precipitation over dry regions. Moreover, diagnoses indicate that the remote moisture flux convergence plays a dominant role in the precipitation changes over the wet regions.

  7. Vibrating sample magnetometer 2D and 3D magnetization effects associated with different initial magnetization states

    Directory of Open Access Journals (Sweden)

    Ronald E. Lukins

    2017-05-01

    Full Text Available Differences in VSM magnetization vector rotation associated with various initial magnetization states were demonstrated. Procedures and criteria were developed to select sample orientation and initial magnetization states to allow for the combination of two different 2D measurements runs (with the same field profiles to generate a dataset that can be representative of actual 3D magnetization rotation. Nickel, cast iron, and low moment magnetic tape media were used to demonstrate these effects using hysteresis and remanent magnetization test sequences. These results can be used to generate 2D and 3D magnetic properties to better characterize magnetic phenomena which are inherently three dimensional. Example applications are magnetic tape-head orientation sensitivity, reinterpretation of 3D coercivity and other standard magnetic properties, and multi-dimensional shielding effectiveness.

  8. Coherence Evolution and Transfer Supplemented by Sender's Initial-State Restoring

    Science.gov (United States)

    Fel'dman, E. B.; Zenchuk, A. I.

    2017-12-01

    The evolution of quantum coherences comes with a set of conservation laws provided that the Hamiltonian governing this evolution conserves the spin-excitation number. At that, coherences do not intertwist during the evolution. Using the transmission line and the receiver in the initial ground state we can transfer the coherences to the receiver without interaction between them, although the matrix elements contributing to each particular coherence intertwist in the receiver's state. Therefore we propose a tool based on the unitary transformation at the receiver side to untwist these elements and thus restore (at least partially) the structure of the sender's initial density matrix. A communication line with two-qubit sender and receiver is considered as an example of implementation of this technique.

  9. 22 CFR 146.220 - Admissions.

    Science.gov (United States)

    2010-04-01

    ... Relations DEPARTMENT OF STATE CIVIL RIGHTS NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR...) Administratively separate units. For the purposes only of this section, §§ 146.225 and 146.230, and §§ 146.300... shall not discriminate on the basis of sex in admission or recruitment in violation of §§ 146.300...

  10. Impact of the Initial State on BDS Real-Time Orbit Determination Filter Convergence

    Directory of Open Access Journals (Sweden)

    Yun Qing

    2018-01-01

    Full Text Available High precision real-time orbit of navigation satellites are usually predicted based on batch estimation solutions, which is highly dependent on the accuracy of the dynamic model. However, for the BDS satellites, the accuracy and reliability of the predicted orbit usually decrease due to the inaccurate dynamic model or orbit maneuvers. To improve this situation, the sequential estimation Square Root Information Filtering (SRIF was applied to determine the real-time BDS orbits. In the filter algorithm, usually a long period is required for the orbit to converge to the final accuracy, due to lake of accurate initial state. This paper focuses on the impact of the initial state with different a priori Standard Deviation (STD on the BDS orbit convergence performance in both normal and abnormal periods. For the normal period, the Ultra-Rapid (UR orbit products and the Broadcast Ephemerides (BRDC used as initial orbits are discussed respectively. For the abnormal period, orbit maneuver is analyzed. Experimental results show that a proper a priori STD of initial state can significantly accelerate the orbit convergence, while a loose a priori STD takes more than 10 h to converge in the radial direction for the BDS GEO/IGSO/MEO satellites. When the UR orbit product is used as the initial orbit, the orbit of the IGSO/MEO satellites can converge to decimeter-level immediately. When the BRDC product is used, the accuracy of meter-level can be obtained for the IGSO/MEO immediately, and converge to decimeter-level in about 6 h. For the period after the orbit maneuver, the real-time orbit accuracy can reach meter-level in about 6 h after the first group of broadcast ephemerides is received.

  11. Transfer of polarization from the initial to the final state in deep inelastic lepton scattering

    International Nuclear Information System (INIS)

    Bigi, I.I.Y.

    1977-01-01

    It is suggested to look for reactions of the type polarized lepton+nucleon→polarized baryon+anything or lepton+polarized nucleon→polarized baryon+anything in the deep inelastic region. The observation of such a transfer of polarization from the initial to the final (hadronic) state could yield information on the underlying dynamics; it also offers the possibility to find clear signals for the production of ''new'' hadrons like charmed baryons. (author)

  12. Dynamical initial-state model for relativistic heavy-ion collisions

    Science.gov (United States)

    Shen, Chun; Schenke, Björn

    2018-02-01

    We present a fully three-dimensional model providing initial conditions for energy and net-baryon density distributions in heavy-ion collisions at arbitrary collision energy. The model includes the dynamical deceleration of participating nucleons or valence quarks, depending on the implementation. The duration of the deceleration continues until the string spanned between colliding participants is assumed to thermalize, which is either after a fixed proper time, or a fluctuating time depending on sampled final rapidities. Energy is deposited in space time along the string, which in general will span a range of space-time rapidities and proper times. We study various observables obtained directly from the initial-state model, including net-baryon rapidity distributions, two-particle rapidity correlations, as well as the rapidity decorrelation of the transverse geometry. Their dependence on the model implementation and parameter values is investigated. We also present the implementation of the model with 3+1-dimensional hydrodynamics, which involves the addition of source terms that deposit energy and net-baryon densities produced by the initial-state model at proper times greater than the initial time for the hydrodynamic simulation.

  13. Burden of Infected Diabetic Foot Ulcers on Hospital Admissions and Costs.

    Science.gov (United States)

    Hicks, Caitlin W; Selvarajah, Shalini; Mathioudakis, Nestoras; Sherman, Ronald E; Hines, Kathryn F; Black, James H; Abularrage, Christopher J

    2016-05-01

    Costs related to diabetic foot ulcer (DFU) care are greater than $1 billion annually and rising. We sought to describe the impact of diabetes mellitus (DM) on foot ulcer admissions in the United States, and to investigate potential explanations for rising hospital costs. The Nationwide Inpatient Sample (2005-2010) was queried using International Classification of Diseases, 9th Revision (ICD-9) codes for a primary diagnosis of foot ulceration. Multivariable analyses were used to compare outcomes and per-admission costs among patients with foot ulceration and DM versus non-DM. In total, 962,496 foot ulcer patients were admitted over the study period. The overall rate of admissions was relatively stable over time, but the ratio of DM versus non-DM admissions increased significantly (2005: 10.2 vs. 2010: 12.7; P foot ulcers, respectively, and significantly increased cost of care (DM: $1.38 vs. non-DM: $0.13 billion/year; P Diabetes increases the incidence of foot ulcer admissions by 11-fold, accounting for more than 80% of all amputations and increasing hospital costs more than 10-fold over the 5 years. The majority of these costs are related to the treatment of infected foot ulcers. Education initiatives and early prevention strategies through outpatient multidisciplinary care targeted at high-risk populations are essential to preventing further increases in what is already a substantial economic burden. Copyright © 2016 Elsevier Inc. All rights reserved.

  14. Design, production and initial state of the backfill and plug in deposition tunnels

    Energy Technology Data Exchange (ETDEWEB)

    Boerjesson, Lennart; Gunnarsson, David; Johannesson, Lars-Erik; Jonsson, Esther

    2010-12-15

    The report is included in a set of Production reports, presenting how the KBS-3 repository is designed, produced and inspected. The set of reports is included in the safety report for the KBS-3 repository and repository facility. The report provides input on the initial state of the backfill and plug in deposition tunnels for the assessment of the long-term safety, SR-Site. The initial state refers to the properties of the engineered barriers once they have been finally placed in the KBS-3 repository and will not be further handled within the repository facility. In addition, the report provides input to the operational safety report, SR-Operation, on how the backfill and plug shall be handled and installed. The report presents the design premises and reference designs of the backfill and plug in deposition tunnels and verifies their conformity to the design premises. It also describes the production of the backfill from excavation and delivery of backfill material to installation in the deposition tunnel, and gives an outline of the installation of the plug. Finally, the initial states of the backfill and plug and their conformity to the reference designs and design premises are presented

  15. General Practitioners and Involuntary Admission

    DEFF Research Database (Denmark)

    Jepsen, Britta; Lomborg, Kirsten; Engberg, Marianne

    2010-01-01

    Background: In many countries, medical authorities are responsible for involuntary admissions of mentally ill patients. Nonetheless, very little is known about GPs' experiences with involuntary admission. Aim: The aim of the present study was to explore GP's experiences from participating in invo...... by the psychiatric system. Conclusion: The unpleasant experiences and induced feelings resulting from involuntary admissions reflect an undesirable and stressful working environment.......Background: In many countries, medical authorities are responsible for involuntary admissions of mentally ill patients. Nonetheless, very little is known about GPs' experiences with involuntary admission. Aim: The aim of the present study was to explore GP's experiences from participating...... in involuntary admissions. Setting: General practice, Aarhus, Denmark. Method: One focus group interview and six individual interviews were conducted with 13 Danish GPs, who had recently sectioned one of their own patients. Results: GPs experienced stress and found the admission procedure time consuming...

  16. Exploring associations between state education initiatives and teachers' sleep: A social-ecological approach.

    Science.gov (United States)

    Fujishiro, Kaori; Farley, Amy N; Kellemen, Marie; Swoboda, Christopher M

    2017-10-01

    Social policies that are not specifically aimed at impacting health can still have health consequences. State education reforms, such as standardized testing and stringent accountability for schools and teachers, may affect teacher health by changing their working conditions. This study explores associations between state education initiatives and teachers' sleep, an important predictor of productivity and chronic health conditions. The Behavioral Risk Factor Surveillance System 2013 and 2014 data sets provided sleep and demographic data for 7836 teachers in 29 states in the United States. We linked the teacher data to state education reform data from the U.S. Department of Education. Logistic regression was used to estimate odds ratios (ORs) of reporting inadequate sleep (i.e., education policies after adjusting for demographic characteristics. Teachers had significantly higher odds of reporting inadequate sleep if their state financed professional development, sanctioned or rewarded schools based on student performance, and regulated classroom materials for state-wide common core standards (ORs ranging from 1.25 to 1.84). More strictly defined inadequate sleep (education policies may have impacts on teacher sleep. Consequences of education reform for teacher health deserve more attention. Published by Elsevier Ltd.

  17. Toward Improved Reliability of Seasonal Hydrologic Forecast: Accounting for Initial Condition and State-Parameter Uncertainties

    Science.gov (United States)

    DeChant, C. M.; Moradkhani, H.

    2012-12-01

    Providing reliable estimates of seasonal water supply is a primary goal in operational hydro-meteorological prediction. In order to achieve this goal, it is accepted that hydrologists must accurately estimate forecast initial conditions (land surface states prior to forecast) and the future climate conditions, and quantify the uncertainty in these two forecast stages to provide a full estimation of the uncertainty in a given forecast. Recent work has highlighted the benefits of such a framework through advancing both land surface state estimation techniques and future climate estimation/modeling, within the operational Ensemble Streamflow Prediction (ESP) methodology. Often overlooked in this framework, the uncertainty in land surface state estimates play a key role in providing reliable seasonal forecasts. In order to quantify and reduce this uncertainty, land surface state-parameter estimation, through ensemble data assimilation, is performed with observations of snow and streamflow in a mountainous basin. Through incorporation of both snow and streamflow data for estimation of land surface states and parameters, the quantity of water stored at the land surface can be estimated, and parameter uncertainty can be estimated for seasonal simulations. With the inclusion of parameter uncertainty in the hydrologic forecasting framework, more robust quantification of hydrologic uncertainty is possible, leading to more useful forecasts for end users. This study seeks to examine the role of combined state-parameter estimation for characterization of initial conditions with the potential to be formally adopted in operational ESP framework, and validates results with probabilistic verification of both ESP and ESP with state-parameter estimation.

  18. Unplanned intensive care unit admission following trauma.

    Science.gov (United States)

    Rubano, Jerry A; Vosswinkel, James A; McCormack, Jane E; Huang, Emily C; Shapiro, Marc J; Jawa, Randeep S

    2016-06-01

    The prevalence and outcomes of trauma patients requiring an unplanned return to the intensive care unit (ICU) and those initially admitted to a step-down unit or floor and subsequently upgraded to the ICU, collectively termed unplanned ICU (UP-ICU) admission, are largely unknown. A retrospective review of the trauma registry of a suburban regional trauma center was conducted for adult patients who were admitted between 2007 and 2013, focusing on patients requiring ICU admission. Prehospital or emergency department intubations and patients undergoing surgery immediately after emergency room evaluation were excluded. Of 5411 admissions, there were 212 UP-ICU admissions, 541 planned ICU (PL-ICU) admissions, and 4658 that were never admitted to the ICU (NO-ICU). Of the 212 UP-ICU admits, 19.8% were unplanned readmissions to the ICU. Injury Severity Score was significantly different between PL-ICU (16), UP-ICU (13), and NO-ICU (9) admits. UP-ICU patients had significantly more often major (Abbreviated Injury Score ≥ 3) head/neck injury (46.7%) and abdominal injury (9.0%) than the NO-ICU group (22.5%, 3.4%), but significantly less often head/neck (59.5%) and abdominal injuries (17.9%) than PL-ICU patients. Major chest injury in the UP-ICU group (27.8%) occurred at a statistically comparable rate to PL-ICU group (31.6%) but more often than the NO-ICU group (14.7%). UP-ICU patients also significantly more often underwent major neurosurgical (10.4% vs 0.7%), thoracic (0.9% vs 0.1%), and abdominal surgery (8.5% vs 0.4%) than NO-ICU patients. Meanwhile, the PL-ICU group had statistically comparable rates of neurosurgical (6.8%) and thoracic surgical (0.9%) procedures but lower major abdominal surgery rate (2.0%) than the UP-ICU group. UP-ICU admission occurred at a median of 2 days following admission. UP-ICU median hospital LOS (15 days), need for mechanical ventilation (50.9%), and in-hospital mortality (18.4%) were significantly higher than those in the PL-ICU (9 days

  19. An information model of a centralized admission campaign in ...

    African Journals Online (AJOL)

    The aim of the work is to structure individual application environments of the information model of a centralized admission campaign in higher education institutions in Russia by modifying the corresponding structure of the Federal information system supporting state final examination and admission procedures. , The ...

  20. Connecticut State University System Initiative for Nanotechnology-Related Equipment, Faculty Development and Curriculum Development

    Energy Technology Data Exchange (ETDEWEB)

    Broadbridge, Christine C. [Southern Connecticut State University

    2013-03-28

    DOE grant used for partial fulfillment of necessary laboratory equipment for course enrichment and new graduate programs in nanotechnology at the four institutions of the Connecticut State University System (CSUS). Equipment in this initial phase included variable pressure scanning electron microscope with energy dispersive x-ray spectroscopy elemental analysis capability [at Southern Connecticut State University]; power x-ray diffractometer [at Central Connecticut State University]; a spectrophotometer and spectrofluorimeter [at Eastern Connecticut State University; and a Raman Spectrometer [at Western Connecticut State University]. DOE's funding was allocated for purchase and installation of this scientific equipment and instrumentation. Subsequently, DOE funding was allocated to fund the curriculum, faculty development and travel necessary to continue development and implementation of the System's Graduate Certificate in Nanotechnology (GCNT) program and the ConnSCU Nanotechnology Center (ConnSCU-NC) at Southern Connecticut State University. All of the established outcomes have been successfully achieved. The courses and structure of the GCNT program have been determined and the program will be completely implemented in the fall of 2013. The instrumentation has been purchased, installed and has been utilized at each campus for the implementation of the nanotechnology courses, CSUS GCNT and the ConnSCU-NC. Additional outcomes for this grant include curriculum development for non-majors as well as faculty and student research.

  1. The Impacts of State Health Reform Initiatives on Adults in New York and Massachusetts

    Science.gov (United States)

    Long, Sharon K; Stockley, Karen

    2011-01-01

    Objective To analyze the effects of health reform efforts in two large states—New York and Massachusetts. Data Sources/Study Setting National Health Interview Survey (NHIS) data from 1999 to 2008. Study Design We take advantage of the “natural experiments” that occurred in New York and Massachusetts to compare health insurance coverage and health care access and use for adults before and after the implementation of the health policy changes. To control for underlying trends not related to the reform initiatives, we subtract changes in the outcomes over the same time period for comparison groups of adults who were not affected by the policy changes using a differences-in-differences framework. The analyses are conducted using multiple comparison groups and different time periods as a check on the robustness of the findings. Data Collection/Extraction Methods Nonelderly adults ages 19–64 in the NHIS. Principal Findings We find evidence of the success of the initiatives in New York and Massachusetts at expanding insurance coverage, with the greatest gains reported by the initiative that was broadest in scope—the Massachusetts push toward universal coverage. There is no evidence of improvements in access to care in New York, reflecting the small gains in coverage under that state's reform effort and the narrow focus of the initiative. In contrast, there were significant gains in access to care in Massachusetts, where the impact on insurance coverage was greater and a more comprehensive set of reforms were implemented to improve access to a full array of health care services. The estimated gains in coverage and access to care reported here for Massachusetts were achieved in the early period under health reform, before the state's reform initiative was fully implemented. Conclusions Comprehensive reform initiatives are more successful at addressing gaps in coverage and access to care than are narrower efforts, highlighting the potential gains under national

  2. Patterns of opioid initiation at first visits for pain in United States primary care settings.

    Science.gov (United States)

    Mundkur, Mallika L; Rough, Kathryn; Huybrechts, Krista F; Levin, Raisa; Gagne, Joshua J; Desai, Rishi J; Patorno, Elisabetta; Choudhry, Niteesh K; Bateman, Brian T

    2018-05-01

    The primary objective of this study was to characterize variation in patterns of opioid prescribing within primary care settings at first visits for pain, and to describe variation by condition, geography, and patient characteristics. 2014 healthcare utilization data from Optum's Clinformatics™ DataMart were used to evaluate individuals 18 years or older with an initial presentation to primary care for 1 of 10 common pain conditions. The main outcomes assessed were (1) the proportion of first visits for pain associated with an opioid prescription fill and (2) the proportion of opioid prescriptions with >7 days' supply. We identified 205 560 individuals who met inclusion criteria; 9.1% of all visits were associated with an opioid fill, ranging from 4.1% (headache) to 28.2% (dental pain). Approximately half (46%) of all opioid prescriptions supplied more than 7 days, and 10% of prescriptions supplied ≥30 days. We observed a 4-fold variation in rates of opioid initiation by state, with highest rates of prescribing in Alabama (16.6%) and lowest rates in New York (3.7%). In 2014, nearly half of all patients filling opioid prescriptions received more than 7 days' of opioids in an initial prescription. Policies limiting initial supplies have the potential to substantially impact opioid prescribing in the primary care setting. Copyright © 2017 John Wiley & Sons, Ltd.

  3. Production of pectinases by Aspergillus niger in solid state fermentation at high initial glucose concentrations.

    Science.gov (United States)

    Solis-Pereyra, S; Favela-Torres, E; Gutiérrez-Rojas, M; Roussos, S; Saucedo-Castañeda, G; Gunasekaran, P; Viniegra-González, G

    1996-05-01

    Exopectinase (exo-p) and endopectinase (endo-p) production by Aspergillus niger CH4 in solid state culture was studied at initial glucose concentrations of 100, 250, 350 and 450 g/l. The highest activity of exo-p (35 U/g) was produced at 72 and 120 h in the medium containing 100 and 250 g glucose/l, respectively. The maximum endo-p activity (9 U/g) was produced at 72 h in the medium with 250 g glucose/l. The reduction in pectinase production at 350 and 450 g/l initial glucose concentration was due neither to repression of the synthesis of the enzyme nor to the glucose consumption rate of the strain but due to a drastic drop in pH of the medium.

  4. Balance control during gait initiation: State-of-the-art and research perspectives.

    Science.gov (United States)

    Yiou, Eric; Caderby, Teddy; Delafontaine, Arnaud; Fourcade, Paul; Honeine, Jean-Louis

    2017-11-18

    It is well known that balance control is affected by aging, neurological and orthopedic conditions. Poor balance control during gait and postural maintenance are associated with disability, falls and increased mortality. Gait initiation - the transient period between the quiet standing posture and steady state walking - is a functional task that is classically used in the literature to investigate how the central nervous system (CNS) controls balance during a whole-body movement involving change in the base of support dimensions and center of mass progression. Understanding how the CNS in able-bodied subjects exerts this control during such a challenging task is a pre-requisite to identifying motor disorders in populations with specific impairments of the postural system. It may also provide clinicians with objective measures to assess the efficiency of rehabilitation programs and better target interventions according to individual impairments. The present review thus proposes a state-of-the-art analysis on: (1) the balance control mechanisms in play during gait initiation in able bodied subjects and in the case of some frail populations; and (2) the biomechanical parameters used in the literature to quantify dynamic stability during gait initiation. Balance control mechanisms reviewed in this article included anticipatory postural adjustments, stance leg stiffness, foot placement, lateral ankle strategy, swing foot strike pattern and vertical center of mass braking. Based on this review, the following viewpoints were put forward: (1) dynamic stability during gait initiation may share a principle of homeostatic regulation similar to most physiological variables, where separate mechanisms need to be coordinated to ensure stabilization of vital variables, and consequently; and (2) rehabilitation interventions which focus on separate or isolated components of posture, balance, or gait may limit the effectiveness of current clinical practices.

  5. Distance between quantum states in the presence of initial qubit-environment correlations: A comparative study

    Science.gov (United States)

    Dajka, Jerzy; Łuczka, Jerzy; Hänggi, Peter

    2011-09-01

    The time evolution of the trace distance between two states of an open quantum system may increase due to initial system-environment correlations, thus exhibiting a breakdown of distance contractivity of the reduced dynamics. We analyze how the time evolution of the distance depends on the chosen distance measure. Here we elucidate the behavior of the trace distance, the Hilbert-Schmidt distance, the Bures distance, the Hellinger distance, and the quantum Jensen-Shannon divergence for two system-environment setups, namely a qubit bilinearly coupled to an infinite and a finite-size environment with the latter composed of harmonic oscillators.

  6. First measurement of proton's charge form factor at very low Q2 with initial state radiation

    Directory of Open Access Journals (Sweden)

    M. Mihovilovič

    2017-08-01

    Full Text Available We report on a new experimental method based on initial-state radiation (ISR in e–p scattering, which exploits the radiative tail of the elastic peak to study the properties of electromagnetic processes and to extract the proton charge form factor (GEp at extremely small Q2. The ISR technique was implemented in an experiment at the three-spectrometer facility of the Mainz Microtron (MAMI. This led to a precise validation of radiative corrections far away from elastic line and provided first measurements of GEp for 0.001≤Q2≤0.004(GeV/c2.

  7. Admission Control in IMS Networks

    Directory of Open Access Journals (Sweden)

    Erik Chromy

    2013-01-01

    Full Text Available In our paper there is an emphasis on simulations of admission control methods in MATLAB environment. The main task of admission control method is to make a decision if the connection requiring network access should be accepted to the network or the access should be rejected. If the connection is accepted to the network, the admission control has to ensure that Quality of Service of this connection will be satisfied, as well as Quality of Service of all other existing connections. We have observed several Measurement based admission control algorithms and the result is the identification of the suitable algorithm which can estimate the required bandwidth.

  8. NNSA's next generation safeguards initiative to define an effective state system of accounting and control

    International Nuclear Information System (INIS)

    Stevens, Rebecca S.; Sunshine, Alexander; Matthews, Caroline; Frazer, Sarah; Matthews, Carrie

    2010-01-01

    The International Nuclear Safeguards and Engagement Program (INSEP), the international outreach component of the Next Generation Safeguards Initiative (NGSI), is a collaborative program that endeavors to strengthen international safeguards at all stages of nuclear development. One of the critical ways the program achieves this objective is through working with partners to increase the effectiveness of the State System of Accountancy for and Control of Nuclear Materials (SSAC) - the essential elements of national, regulatory and facility safeguards competencies that work as a system to provide the International Atomic Energy Agency (IAEA) and the world the full assurance of the state's adherence to its safeguards agreements. INSEP provides assistance in developing a state's SSAC in a number of areas, from developing national legislation governing the possession and use of nuclear material to working with nuclear facility operators to developing good practices in waste management. INSEP has collaborated with foreign partners in peaceful nuclear applications for over two decades, but recently, it has focused its efforts on strengthening SSACs due to the growth of nuclear power worldwide, particularly in countries with limited nuclear infrastructures. This new area of focus has prompted INSEP to develop a model of SSAC competencies that will serve not only as a structure for its engagement with partner states, but also as a means to facilitate coordination with other states that provide training and assistance, and as a mechanism for evaluating the effectiveness of its work in reaching its intended objectives. While this model uses as its starting point the requirements on a State that are presented in the Comprehensive Safeguards Agreement and the Additional Protocol, it is not, in itself, a requirements document or guidance for implementing requirements. It is rather an analysis of what capabilities will be needed in a State to be able to meet requirements and to

  9. Initiatives of cross-border regional planning in Matamoros-Brownsville (Mexico-United States

    Directory of Open Access Journals (Sweden)

    Xavier Oliveras González

    2016-03-01

    Full Text Available Cross-border regional planning is a recent phenomenon, which its first initiatives date back to 1960s. Currently some experiences have been conducted, most of them in Europe. The weak development of this phenomenon lies on the obstacles and limitations that it has to deal with. Those obstacles derive from the asymmetries between the political and administrative systems, urban and spatial policies, land planning and land uses, etc. on each side of an international border. In a great extent, cross-border planning has been theoretically approached from an institutional construction perspective. However, in this research it has been adopted the symbolic regional construction perspective that allows to analyze cross-border regional planning through spatial imaginaries. In this sense, crossborder planning is understood as a result of the interaction between regional actors and the social constructed values and meanings (geographical, cultural, social, economic, historical, etc. given to border and cross-border regions. This investigation pursues, in first place, to determine the spatial imaginaries on which cross-border planning is constructed and, at the same time, the spatial imaginaries that cross-border planning reproduces; in second place, to determine in which way cross-border planning contributes to deactivate the border (deborder or, on the contrary, to reproduce and reinforce the spatial differentiation process (the process by which two contiguous national or bordered spaces build spatial discontinuities as a way to distinguish of each other. To achieve these objectives, it has been conducted a content analysis based on the documentation of the spatial and urban planning and of the cross-border initiatives from a case study area; a direct observation of an ongoing cross-border initiative; and interviews to key informants (planning agencies and other organizations related to cross-border initiatives. In the Mexico-United States border region

  10. Regional, State, and Local Initiatives in Nanotechnology: Report of the National Nanotechnology Initiative Workshop, April 1-3, 2009, Oklahoma City, OK

    Science.gov (United States)

    2009-04-01

    interested in pursuing RSL nanotechnology initiatives as a means to share resources and make the most of transdisciplinary expertise to raise the...1) target a comprehensive nanoelectronics discipline-enabling technology; (2) invest in state-of-the- art infrastructure; (3) support world-class...a suite of state-of- the- art nanofabrication and nanomeasurement equipment, selected to provide flexibility for upgrades as technologies advance and

  11. Influence of the initial state of carbon nanotubes on their colloidal stability under natural conditions

    International Nuclear Information System (INIS)

    Schwyzer, Irene; Kaegi, Ralf; Sigg, Laura; Magrez, Arnaud; Nowack, Bernd

    2011-01-01

    The colloidal stability of dry and suspended carbon nanotubes (CNTs) in the presence of amphiphilic compounds (i.e. natural organic matter or surfactants) at environmentally realistic concentrations was investigated over several days. The suspensions were analyzed for CNT concentration (UV-vis spectroscopy), particle size (nanoparticle tracking analysis), and CNT length and dispersion quality (TEM). When added in dry form, around 1% of the added CNTs remained suspended. Pre-dispersion in organic solvent or anionic detergent stabilized up to 65% of the added CNTs after 20 days of mild shaking and 5 days of settling. The initial state of the CNTs (dry vs. suspended) and the medium composition hence are critical determinants for the partitioning of CNTs between sediment and the water column. TEM analysis revealed that single suspended CNTs were present in all suspensions and that shaking and settling resulted in a fractionation of the CNTs with shorter CNTs remaining predominantly in suspension. - Highlights: → Individually suspended CNTs are present under environment relevant conditions. → The number of suspended CNTs varies depending on the medium composition. → Surfactants at environmental concentrations have no suspending effect on dry CNTs. → Pre-dispersed CNTs are more stable in suspension than dry CNTs. - The colloidal stability of CNTs varies a lot depending on the initial state of the CNTs (dry vs. pre-dispersed), the applied dispersant for pre-suspension, and the composition of the medium.

  12. From Initial Nucleation to Cassie-Baxter State of Condensed Droplets on Nanotextured Superhydrophobic Surfaces

    Science.gov (United States)

    Lv, Cunjing; Zhang, Xiwen; Niu, Fenglei; He, Feng; Hao, Pengfei

    2017-02-01

    Understanding how droplet condensation happens plays an essential role for our fundamental insights of wetting behaviors in nature and numerous applications. Since there is a lack of study of the initial formation and growing processes of condensed droplets down to nano-/submicroscale, relevant underlying mechanisms remain to be explored. We report an in situ observation of vapor condensation on nano-/microtextured superhydrophobic surfaces using optical microscopy. An interesting picture of the vapor condensation, from the initial appearance of individual small droplets (≤1 μm) to a Cassie-Baxter wetting state (>30 μm), are exhibited. It is found that individual droplets preferentially nucleate at the top and the edge of single micropillars with very high apparent contact angles on the nanotextures. Scenarios of two distinguished growing modes are reported statistically and the underlying mechanisms are discussed in the view of thermodynamics. We particularly reveal that the formation of the Cassie-Baxter wetting state is a result of a continuous coalescence of individual small droplets, in which the nanotexture-enhanced superhydrophobicity plays a crucial role. We envision that these fundamental findings can deepen our understanding of the nucleation and development of condensed droplets in nanoscale, so as to optimize design strategies of superhydrophobic materials for a broad range of water-harvesting and heat-transfer systems.

  13. A quality improvement approach to cognitive assessment on hospice admission: could we use the 4AT or Short CAM?

    Science.gov (United States)

    Baird, Lucy; Spiller, Juliet Anne

    2017-01-01

    Background Prevalence studies show that 13%-42% of patients admitted to specialist palliative care inpatient units have delirium. Symptoms of delirium are often subtle and easily missed, or misdiagnosed as fatigue or depression, and so the use of a screening tool could improve early identification and management of delirium and lead to improved outcomes. Patients admitted to hospices are often frail and tired, therefore a quick and easy-to-use method of cognitive assessment is essential. Methods A quality improvement (QI) approach (PDSA: Plan, Do, Study, Act) was used to improve screening for delirium on admission to a hospice unit. A baseline measure was taken of the rate of performance of cognitive assessment on admission. Five PDSA cycles were then undertaken which involved implementing change and then evaluating results through auditing case notes and interviewing staff. Results The first cycle determined staff preference between two cognitive assessment methods: the Short Confusion Assessment Method and the four 'A's Test (4AT). Two further PDSA cycles embedded the 4AT (the preferred tool) into the admission process, establishing it as a usable tool in the hospice setting for up to 92% of admissions. A subsequent cycle showing poor sustainability prompted staff education and changes to admission documentation, resulting in an increase in cognitive assessment being performed, from 50% to 76%. Conclusion The 4AT is a usable tool in the hospice inpatient setting to assess patients' cognitive state on admission and can easily be incorporated into the admission process. The QI approach highlighted the need to link staff awareness of their use of the screening tool with perceived improvements in the treatment of delirium, which prompted the creation and implementation of a 'Delirium Checklist'. Some initial lack of sustainability was addressed by staff education and changes to the admission paperwork to ensure compliance with the use of the 4AT and sustained

  14. Variational data assimilation for the optimized ozone initial state and the short-time forecasting

    Directory of Open Access Journals (Sweden)

    S.-Y. Park

    2016-03-01

    Full Text Available In this study, we apply the four-dimensional variational (4D-Var data assimilation to optimize initial ozone state and to improve the predictability of air quality. The numerical modeling systems used for simulations of atmospheric condition and chemical formation are the Weather Research and Forecasting (WRF model and the Community Multiscale Air Quality (CMAQ model. The study area covers the capital region of South Korea, where the surface measurement sites are relatively evenly distributed. The 4D-Var code previously developed for the CMAQ model is modified to consider background error in matrix form, and various numerical tests are conducted. The results are evaluated with an idealized covariance function for the appropriateness of the modified codes. The background error is then constructed using the NMC method with long-term modeling results, and the characteristics of the spatial correlation scale related to local circulation are analyzed. The background error is applied in the 4D-Var research, and a surface observational assimilation is conducted to optimize the initial concentration of ozone. The statistical results for the 12 h assimilation periods and the 120 observatory sites show a 49.4 % decrease in the root mean squared error (RMSE, and a 59.9 % increase in the index of agreement (IOA. The temporal variation of spatial distribution of the analysis increments indicates that the optimized initial state of ozone concentration is transported to inland areas by the clockwise-rotating local circulation during the assimilation windows. To investigate the predictability of ozone concentration after the assimilation window, a short-time forecasting is carried out. The ratios of the RMSE (root mean squared error with assimilation versus that without assimilation are 8 and 13 % for the +24 and +12 h, respectively. Such a significant improvement in the forecast accuracy is obtained solely by using the optimized initial state. The potential

  15. Numerical simulation of laser shock in the presence of the initial state due to welding

    International Nuclear Information System (INIS)

    Julan, Emricka

    2014-01-01

    Surface treatments as laser shock peening offer the possibility to reduce tensile stresses or to generate compressive stresses in order to prevent crack initiation or reduce crack growth rate in particular in the areas where tension weld residual stresses are present. Laser shock peening may be applied on different metallic components to prevent stress corrosion cracking of Inconel 600 and high cycle thermal fatigue of austenitic stainless steels. The main aim of the PhD thesis is to develop the numerical simulation of laser peening. In the first section, axisymmetrical and 3D numerical models for one or several pulses have been developed in Code Aster and Europlexus softwares. These models were validated by experimental tests carried out in PIMM-ENSAM laboratory. Parameters identification of Johnson-Cook constitutive law was carried out for Inconel 600 at high strain rates. Moreover a new test was proposed which allowed proving the isotropic behavior of Inconel 600 at high strain rates. A modification of the Johnson-Cook constitutive law was also proposed, to take into account in a new way the sensitivity of the law to high strain rates. The second section of the thesis concerns a study on the effect of an initial state of welding on residual stresses after application of laser peening. We could conclude that this initial state has no strong influence on final residual stresses. Finally, a qualitative study on the effect of strain hardening induced by laser peening on fatigue life of stainless steels was undertaken, which shows the advantage of laser peening on shot peening due to smaller strain hardening created by laser peening. (author)

  16. Search for Charmonium States Decaying to J/\\psi\\gamma \\gamma $ Using Initial-State Radiation Events

    Energy Technology Data Exchange (ETDEWEB)

    Aubert, B.; Barate, R.; Bona, M.; Boutigny, D.; Couderc, F.; Karyotakis, Y.; Lees, J.P.; Poireau, V.; Tisserand, V.; Zghiche, A.; Grauges, E.; /Barcelona U., ECM; Palano,; /Bari U. /INFN, Bari; Chen, J.C.; Qi, N.D.; Rong, G.; Wang, P.; Zhu, Y.S.; /Beijing, Inst. High Energy Phys.; Eigen, G.; Ofte, I.; Stugu, B.; /Bergen U.; Abrams, G.S.; /LBL,

    2006-11-30

    We study the processes e{sup +}e{sup -} {yields} (J/{psi}{gamma}{gamma}){gamma} and e{sup +}e{sup -} {yields} (J/{psi}{pi}{sup -}{pi}{sup +}){gamma} where the hard photon radiated from an initial e{sup +}e{sup -} collision with center-of-mass (CM) energy near 10.58 GeV is detected. In the final state J/{psi}{gamma}{gamma} we consider J/{psi}{pi}{sup 0}, J/{psi}{eta}, {chi}{sub c1}{gamma}, and {chi}c{sub 2}{gamma} candidates. The invariant mass of the hadronic final state defines the effective e{sup +}e{sup -} CM energy in each event, so these data can be compared with direct e{sup +}e{sup -} measurements. We report 90% CL upper limits for the integrated cross section times branching fractions of the J/{psi}{gamma}{gamma} channels in the Y (4260) mass region.

  17. Optimal admission to higher education

    DEFF Research Database (Denmark)

    Albæk, Karsten

    2016-01-01

    that documents the relevance of theory and illustrates how to apply optimal admission procedures. Indirect gains from optimal admission procedures include the potential for increasing entire cohorts of students' probability of graduating with a higher education degree, thereby increasing the skill level...

  18. Relativistic and noise effects on multiplayer Prisoners' dilemma with entangling initial states

    Science.gov (United States)

    Goudarzi, H.; Rashidi, S. S.

    2017-11-01

    Three-players Prisoners' dilemma (Alice, Bob and Colin) is studied in the presence of a single collective environment effect as a noise. The environmental effect is coupled with final states by a particular form of Kraus operators K_0 and K_1 through amplitude damping channel. We introduce the decoherence parameter 0≤p≤1 to the corresponding noise matrices, in order to controling the rate of environment influence on payoff of each players. Also, we consider the Unruh effect on the payoff of player, who is located at a noninertial frame. We suppose that two players (Bob and Colin) are in Rindler region I from Minkowski space-time, and move with same uniform acceleration (r_b=r_c) and frequency mode. The game is begun with the classical strategies cooperation ( C) and defection ( D) accessible to each player. Furthermore, the players are allowed to access the quantum strategic space ( Q and M). The quantum entanglement is coupled with initial classical states by the parameter γ \\in [0,π /2]. Using entangled initial states by exerting an unitary operator \\hat{J} as entangling gate, the quantum game (competition between Prisoners, as a three-qubit system) is started by choosing the strategies from classical or quantum strategic space. Arbitrarily chosen strategy by each player can lead to achieving profiles, which can be considered as Nash equilibrium or Pareto optimal. It is shown that in the presence of noise effect, choosing quantum strategy Q results in a winning payoff against the classical strategy D and, for example, the strategy profile ( Q, D, C) is Pareto optimal. We find that the unfair miracle move of Eisert from quantum strategic space is an effective strategy for accelerated players in decoherence mode (p=1) of the game.

  19. Race and College Admissions: An Alternative to Affirmative Action?

    OpenAIRE

    Mark C. Long

    2004-01-01

    During the late 1990s, several states eliminated affirmative action admissions policies at their public colleges. Some of these states substituted a program that grants admission to the top x% of each high school's graduating class. These new programs were instituted in efforts to restore minority college enrollments to their prior levels. This paper finds that the preferences given to minority applicants under affirmative action are large and that the minority share of admitted students in t...

  20. False confessions, expert testimony, and admissibility.

    Science.gov (United States)

    Watson, Clarence; Weiss, Kenneth J; Pouncey, Claire

    2010-01-01

    The confession of a criminal defendant serves as a prosecutor's most compelling piece of evidence during trial. Courts must preserve a defendant's constitutional right to a fair trial while upholding the judicial interests of presenting competent and reliable evidence to the jury. When a defendant seeks to challenge the validity of that confession through expert testimony, the prosecution often contests the admissibility of the expert's opinion. Depending on the content and methodology of the expert's opinion, testimony addressing the phenomenon of false confessions may or may not be admissible. This article outlines the scientific and epistemological bases of expert testimony on false confession, notes the obstacles facing its admissibility, and provides guidance to the expert in formulating opinions that will reach the judge or jury. We review the 2006 New Jersey Superior Court decision in State of New Jersey v. George King to illustrate what is involved in the admissibility of false-confession testimony and use the case as a starting point in developing a best-practice approach to working in this area.

  1. Bending Priorities: a Study in Policy Framing. State of Michigan’s Brownfield Initiative

    Directory of Open Access Journals (Sweden)

    Richard HULA

    2009-10-01

    Full Text Available This paper explores the political process bywhich the state of Michigan successfully crafted andimplemented such a brownfield initiative. Althoughthe primary focus here is on the experience of asingle state, the lessons to be learned from thiscase have national and international implicationsbecause Michigan is a leader in brownfieldprograms. The paper begins with a review of thegeneral policy context in which state brownfieldpolicy is made. Particular attention is given tothe widespread dissatisfaction of a variety ofstakeholders with long dominant federal programsin the area of environmental cleanups. The secondsection outlines a number of fundamental legislativeand administrative changes that have beenimplemented in Michigan environmental policyover the past decade. Section three reviews thebroad literature on issue framing and considershow it might help identify the specific mechanismsby which the innovative brownfield program wasadopted. The final section provides an informal testof elements of the issue-framing model by exploringin some detail the convergence of public opinionwith key elements of the innovative policy, andwhether there was any significant shift in publicopinion over time.

  2. Calculation of free-energy differences from computer simulations of initial and final states

    International Nuclear Information System (INIS)

    Hummer, G.; Szabo, A.

    1996-01-01

    A class of simple expressions of increasing accuracy for the free-energy difference between two states is derived based on numerical thermodynamic integration. The implementation of these formulas requires simulations of the initial and final (and possibly a few intermediate) states. They involve higher free-energy derivatives at these states which are related to the moments of the probability distribution of the perturbation. Given a specified number of such derivatives, these integration formulas are optimal in the sense that they are exact to the highest possible order of free-energy perturbation theory. The utility of this approach is illustrated for the hydration free energy of water. This problem provides a quite stringent test because the free energy is a highly nonlinear function of the charge so that even fourth order perturbation theory gives a very poor estimate of the free-energy change. Our results should prove most useful for complex, computationally demanding problems where free-energy differences arise primarily from changes in the electrostatic interactions (e.g., electron transfer, charging of ions, protonation of amino acids in proteins). copyright 1996 American Institute of Physics

  3. Scalable approximate policies for Markov decision process models of hospital elective admissions.

    Science.gov (United States)

    Zhu, George; Lizotte, Dan; Hoey, Jesse

    2014-05-01

    To demonstrate the feasibility of using stochastic simulation methods for the solution of a large-scale Markov decision process model of on-line patient admissions scheduling. The problem of admissions scheduling is modeled as a Markov decision process in which the states represent numbers of patients using each of a number of resources. We investigate current state-of-the-art real time planning methods to compute solutions to this Markov decision process. Due to the complexity of the model, traditional model-based planners are limited in scalability since they require an explicit enumeration of the model dynamics. To overcome this challenge, we apply sample-based planners along with efficient simulation techniques that given an initial start state, generate an action on-demand while avoiding portions of the model that are irrelevant to the start state. We also propose a novel variant of a popular sample-based planner that is particularly well suited to the elective admissions problem. Results show that the stochastic simulation methods allow for the problem size to be scaled by a factor of almost 10 in the action space, and exponentially in the state space. We have demonstrated our approach on a problem with 81 actions, four specialities and four treatment patterns, and shown that we can generate solutions that are near-optimal in about 100s. Sample-based planners are a viable alternative to state-based planners for large Markov decision process models of elective admissions scheduling. Copyright © 2014 Elsevier B.V. All rights reserved.

  4. 78 FR 17281 - Notice of Public Meeting on FY 2014 U.S. Refugee Admissions Program

    Science.gov (United States)

    2013-03-20

    ... DEPARTMENT OF STATE [Public Notice 8241] Notice of Public Meeting on FY 2014 U.S. Refugee Admissions Program There will be a meeting on the President's FY 2014 U.S. Refugee Admissions Program on.... Refugee Admissions Program. Persons wishing to attend this meeting must notify the Bureau of Population...

  5. Initial and Final State Interaction Effects in Small-x Quark Distributions

    Energy Technology Data Exchange (ETDEWEB)

    Xiao, Bo-Wen; Yuan, Feng

    2010-08-30

    We study the initial and final state interaction effects in the transverse momentum dependent parton distributions in the small-x saturation region. In particular, we discuss the quark distributions in the semi-inclusive deep inelastic scattering, Drell-Yan lepton pair production and dijet-correlation processes in pA collisions. We calculate the quark distributions in the scalar-QED model and then extend to the color glass condensate formalism in QCD. The quark distributions are found universal between the DIS and Drell-Yan processes. On the other hand, the quark distribution from the qq'-->qq' channel contribution to the dijet-correlation process is not universal. However, we find that it can be related to the quark distribution in DIS process by a convolution with the normalized unintegrated gluon distribution in the CGC formalism in the large Nc limit.

  6. Localized Bioconvection Patterns and Their Initial State Dependency in Euglena gracilis Suspensions in an Annular Container

    Science.gov (United States)

    Shoji, Erika; Nishimori, Hiraku; Awazu, Akinori; Izumi, Shunsuke; Iima, Makoto

    2014-04-01

    Localized patterns of bioconvection in Euglena gracilis suspensions were experimentally analyzed in an annular container. Near the critical mean density of convection, we succeeded in isolating two basic types of localized convection patterns. One was an almost stationary pattern consisting of two convection cells centered by an isolated high-density region of the microorganism where a downflow was generated, which we call a "bioconvection unit". The other was a traveling wave pattern consisting of an array of moving high-density waves bounded in a certain area. The effect of the mean density of E. gracilis on the emergence of the localized convection pattern was also examined. Near the critical mean density, we found that the emergence probability of the localized convection pattern depends on the initial state, i.e., whether E. gracilis has a uniform or localized distribution, which suggests that the system is bistable. Such bistability is often accompanied by localized structures in spatially extended dissipative systems.

  7. Comment on ‘Initial states of qubit–environment models leading to conserved quantities’

    International Nuclear Information System (INIS)

    Lo, C F

    2014-01-01

    Recently, Gardas and Dajka (2013 J. Phys. A: Math. Theor. 46 235301) proposed a theoretical scheme on how to prepare a proper initial state of a composite qubit–boson system which could assure no energy exchange between the two subsystems. For illustration, they applied the proposed scheme to both the Jaynes–Cummings model and the multi-photon Rabi model. However, it has already been rigorously proven that the k-photon Rabi model for k > 2 does not have eigenstates in the Hilbert space spanned by the eigenstates of the corresponding k-photon Jaynes–Cummings model and that the two-photon Rabi model has a discrete eigenenergy spectrum with normalizable eigenstates only if the coupling strength is smaller than a critical value. Hence, the proposed theoretical scheme is not applicable to the multi-photon Rabi model. (comment)

  8. Two Temperature Magneto-Thermoelasticity with Initial Stress: State Space Formulation

    Directory of Open Access Journals (Sweden)

    Sunita Deswal

    2013-01-01

    Full Text Available Magneto-thermoelastic interactions in an initially stressed isotropic homogeneous elastic half-space with two temperatures are studied using mathematical methods under the purview of the L-S model of linear theory of generalized thermoelasticity. The formalism deals with the state space approach with the purpose of counteracting the difficulties of handling the displacement potential functions. Of specific concern here is the propagation of waves owing to ramp type increase in temperature and load. The medium is considered to be permeated by a uniform magnetic field. The expressions for different field parameters such as displacement, temperature, strain, and stress in the physical domain are obtained by applying a numerical inversion technique. Results of some earlier workers have been deduced from the present formulation. Numerical work is also performed for a suitable material with the aim of illustrating the results.

  9. Initial state-specific photodissociation dynamics of pyrrole via 1 π σ ∗/ S 0 conical intersection initiated with optimally controlled UV-laser pulses

    Science.gov (United States)

    Nandipati, K. R.; Kanakati, Arun Kumar; Singh, H.; Lan, Z.; Mahapatra, S.

    2017-09-01

    Optimal initiation of quantum dynamics of N-H photodissociation of pyrrole on the S0-1πσ∗(1A2) coupled electronic states by UV-laser pulses in an effort to guide the subsequent dynamics to dissociation limits is studied theoretically. Specifically, the task of designing optimal laser pulses that act on initial vibrational states of the system for an effective UV-photodissociation is considered by employing optimal control theory. The associated control mechanism(s) for the initial state dependent photodissociation dynamics of pyrrole in the presence of control pulses is examined and discussed in detail. The initial conditions determine implicitly the variation in the dissociation probabilities for the two channels, upon interaction with the field. The optimal pulse corresponds to the objective fixed as maximization of overall reactive flux subject to constraints of reasonable fluence and quantum dynamics. The simple optimal pulses obtained by the use of genetic algorithm based optimization are worth an experimental implementation given the experimental relevance of πσ∗-photochemistry in recent times.

  10. A new approach for evaluating water hammer including the initial state of pressurization of the installation and fluid

    Directory of Open Access Journals (Sweden)

    G. Kaless

    2016-04-01

    Full Text Available The water hammer phenomenon is well known since the 19th century, while its mathematical formulation, by means of differential equations, is due to works of researchers such us Allievi (1903 and others from the beginning of the 20th century. The equations found in the technical publications produce a strange water hammer when the initial condition is defined assuming an incompressible fluid and a rigid pipe. The correct solution requires solving the water hammer equations for the initial state. When the finite difference method is applied, the initial state is solved by means of a set of non-linear equations. A novel approach is proposed including the initial state of pressurization into the governing equations and hence simplifying the calculus of the initial conditions. Furthermore, a critical reading of the deduction of the equations is done pointing out conceptual inconsistencies and proposing corrections.

  11. The EU Family Reunification Directive Revisited. An analysis of admission policies for family reunification of Third Country Nationals in EU Member States

    OpenAIRE

    Van den Broucke, Sarah; Vanduynslager, Lieselot; De Cuyper, Peter

    2016-01-01

    After more than a decade of implementing the Family Reunification Directive 2003/86/EC and in times when regional migration policies in the EU are being questioned, this fact sheet aims to provide insight in the commonality of the ‘common’ European framework for family reunification for Third Country Nationals. By studying the variety in national application of the Directive’s optional provisions, it looks into the extent to which national Member States form part of and co-shape regional EU m...

  12. Initial state radiation effects in inclusive J/ψ production at B factories

    Energy Technology Data Exchange (ETDEWEB)

    Shao, Hua-Sheng [Department of Physics and State Key Laboratory of Nuclear Physics and Technology,Peking University,Beijing 100871 (China)

    2014-04-30

    Based on Monte Carlo techniques, we analyze the initial state radiation (ISR) effects in prompt J/ψ inclusive production at B factories. ISR enhances cross section σ(e{sup −}e{sup +}→J/ψ+gg+X) by about 15–25%, which is almost the same size as the QCD and relativistic correction. Moreover, ISR slightly changes σ(e{sup −}e{sup +}→J/ψ+cc-macron+X). The J/ψ momentum spectrum in e{sup −}e{sup +}→J/ψ+gg+X and in e{sup −}e{sup +}→J/ψ+cc-macron+X is softer after the photon showering from the initial e{sup ±} beam radiation. After combining the QCD,relativistic, and ISR corrections,a more precise theoretical result is obtained. The new result provides a more stringent constraint of the color-octet contribution to σ(e{sup −}e{sup +}→J/ψ+X{sub non−cc-macron})

  13. Do state traditions matter? Comparing deliberative governance initiatives for climate change adaptation in Dutch corporatism and British pluralism

    NARCIS (Netherlands)

    Vink, M.J.; Benson, D.; Boezeman, D.; Cook, H.E.; Dewulf, A.R.P.J.; Termeer, C.J.A.M.

    2015-01-01

    In the emerging field of climate adaptation, deliberative governance initiatives are proposed to yield better adaptation strategies. However, introducing these network-centred deliberations between public and private players may contrast with traditions of interest intermediation between state and

  14. Admissibility of logical inference rules

    CERN Document Server

    Rybakov, VV

    1997-01-01

    The aim of this book is to present the fundamental theoretical results concerning inference rules in deductive formal systems. Primary attention is focused on: admissible or permissible inference rules the derivability of the admissible inference rules the structural completeness of logics the bases for admissible and valid inference rules. There is particular emphasis on propositional non-standard logics (primary, superintuitionistic and modal logics) but general logical consequence relations and classical first-order theories are also considered. The book is basically self-contained and

  15. High Penetration Solar PV Deployment Sunshine State Solar Grid Initiative (SUNGRIN)

    Energy Technology Data Exchange (ETDEWEB)

    Meeker, Rick [Nhu Energy, Inc., Tallahassee, FL (United States); Florida State Univ., Tallahassee, FL (United States); Steurer, Mischa [Florida State Univ., Tallahassee, FL (United States); Faruque, MD Omar [Florida State Univ., Tallahassee, FL (United States); Langston, James [Florida State Univ., Tallahassee, FL (United States); Schoder, Karl [Florida State Univ., Tallahassee, FL (United States); Ravindra, Harsha [Florida State Univ., Tallahassee, FL (United States); Hariri, Ali [Florida State Univ., Tallahassee, FL (United States); Moaveni, Houtan [New York Power Authority (NYPA), New York (United States); University of Central Florida, Florida Solar Energy Center, Cocoa, FL (Unitied States); Click, Dave [ESA Renewables, LLC, Sanford, FL (United States); University of Central Florida, Florida Solar Energy Center, Cocoa, FL (United States); Reedy, Bob [University of Central Florida, Florida Solar Energy Center, Cocoa, FL (United States)

    2015-05-31

    The report provides results from the Sunshine State Solar Grid Initiative (SUNGRIN) high penetration solar PV deployment project led by Florida State University’s (FSU) Center for Advanced Power Systems (CAPS). FSU CAPS and industry and university partners have completed a five-year effort aimed at enabling effective integration of high penetration levels of grid-connected solar PV generation. SUNGRIN has made significant contributions in the development of simulation-assisted techniques, tools, insight and understanding associated with solar PV effects on electric power system (EPS) operation and the evaluation of mitigation options for maintaining reliable operation. An important element of the project was the partnership and participation of six major Florida utilities and the Florida Reliability Coordinating Council (FRCC). Utilities provided details and data associated with actual distribution circuits having high-penetration PV to use as case studies. The project also conducted foundational work supporting future investigations of effects at the transmission / bulk power system level. In the final phase of the project, four open-use models with built-in case studies were developed and released, along with synthetic solar PV data sets, and tools and techniques for model reduction and in-depth parametric studies of solar PV impact on distribution circuits. Along with models and data, at least 70 supporting MATLAB functions have been developed and made available, with complete documentation.

  16. The French-German initiative for Chernobyl. Programme 1 safety state of the sarcophagus

    Energy Technology Data Exchange (ETDEWEB)

    Pretzsch, G.; Roloff, R.; Roloff, R.; Artmann, A. [Gesellschaft fur Anlagenund Reaktorsicherheit (GRS) (Germany); Lhomme, V. [Institut de Radioprotection et de Surete Nucleaire, 92 - Fontenay-aux-Roses (France); Berberich, G. [Erftstadt-Gymnich (Germany); Selesnew, A

    2005-07-01

    The data collected and processed within the framework of the French-German Initiative are an excellent basis for the intended specialist application at the Chernobyl Centre as well as for an extended use in connection with the restoration of the Sarcophagus as part of the 'Shelter Implementation Plan' performed under the auspices of the European Bank for Reconstruction and Development. The major goals of the S.I.P. are the stabilisation of the existing Sarcophagus and the erection of a New Safe Confinement (N.S.C.) around the already existing Sarcophagus, the degasifier wing and the turbine building.This N.S.C. is to safely confine the radioactive materials for at least 100 years and is to allow their retrieval from inside if need be as well as the dismantling of the old structure.In addition, the database can be used for obtaining information needed for project descriptions, safety analysis reports, etc. The Ukrainian safety authority S.N.R.C.U. (State Nuclear Regulatory Committee of Ukraine) and its technical safety organisation, the State Scientific-Technical Center (S.S.T.C.), have also signaled their interest in using the database.Further information on the F.G.I. and on the 'Radioecology and Health Programmes' can be found at: www.fgi1-chernobyl.de.vu; www.grs.de, www.irsn.fr; www.fgi.icc.gov.ua. (N.C.)

  17. Australian - US initiative to construct a silicon-based solid state quantum computer

    International Nuclear Information System (INIS)

    Clark, R.G.

    2000-01-01

    Full text: The ability of a quantum computer to carry out calculations at the atomic level by manipulation of superpositions of quantum states is expected to provide massive parallel processing leading to unprecedented computing power in applications of commercial and national significance. An overview will be given of the Australian-US initiative to construct a (nuclear spin) solid state quantum computer (SSQC) based on a precise array of 31 P dopants (nuclear spin I = 1/2) embedded in isotopically-pure 28 Si (I=0). The main goals with respect to the engineering of a SSQC prototype are the construction and characterisation of a 2-qubit device that will form the fundamental building block of a scalable, silicon-based QC and development of an 'industrial' fabrication method which constitutes a blueprint for a practical large-scale QC. Fabrication of the SSQC prototype, and its readout and control, is being approached through proving experiments on a series of test structures achievable in the near-term. I will also outline the research programs of the Special Research Centre for Quantum Computer Technology, which involves some 50 researchers at the Universities of New South Wales, Queensland and Melbourne, and how these programs link in to the projects conducted by our partner investigators at Los Alamos National Laboratory. In the first six months of research at the Centre, we are close to achieving our three year objectives

  18. A state-wide partnership to promote safe and supportive schools: the PBIS Maryland Initiative.

    Science.gov (United States)

    Bradshaw, Catherine P; Pas, Elise T; Bloom, Jerry; Barrett, Susan; Hershfeldt, Patricia; Alexander, Andrea; McKenna, Milton; Chafin, Ann E; Leaf, Philip J

    2012-07-01

    Schools continue to be an important context for preventive interventions targeting a range of behavioral and mental health problems. Yet competing demands on teachers and shifting priorities in response to federal legislation have posed some unique challenges to prevention researchers working in school settings. This paper summarizes an approach to prevention partnerships developed over a decade and centered on the three-tiered Positive Behavioral Interventions and Supports (PBIS) model. A state-wide initiative was formed and led through a partnership between the Maryland State Department of Education, Sheppard Pratt Health System, and Johns Hopkins University, which focused on implementing evidence-based practices and conducting prevention research in Maryland public schools. Drawing on a community-based participatory research framework for developing research partnerships, we highlight the importance of forming and sustaining authentic relationships to support school-based prevention research and implementation of evidence-based programs. We also discuss how these relationships have been used to disseminate PBIS and rigorously test its effectiveness. We describe some lessons learned from the partnership and identify potential areas for future research on the prevention partnership model. We conclude with a discussion of the implications for both researchers and community partners engaged in translational research in school settings.

  19. GeoBolivia the initiator Spatial Data Infrastructure of the Plurinational State of Bolivia's Node

    Science.gov (United States)

    Molina Rodriguez, Raul Fernando; Lesage, Sylvain

    2014-05-01

    Started in 2011, the GeoBolivia project (www.geo.gob.bo)aims at building the Spatial Data Infrastructure of the Plurinational State of Bolivia (IDE-EPB by its Spanish initials), as an effort of the Vice Presidency of the State to give an open access to the public geographic information of Bolivia. The first phase of the project has already been completed. It consisted in implementing an infrastructure and a geoportal for accessing the geographic information through WMS, WFS, WCS and CSW services. The project is currently in its second phase dedicated to decentralizing the structure of IDE-EPB and promoting its use throughout the Bolivian State. The whole platform uses free software and open standards. As a complement, an on-line training module was developed to undertake the transfer of the knowledge the project generated. The main software components used in the SDI are: gvSIG, QGis, uDig as GIS desktop clients; PostGreSQL and PostGIS as geographic database management system; geOrchestra as a framework containing the GeoServer map server, the GeoNetwork catalog server and the OpenLayers and Mapfish GIS webclient; MapServer as a map server for generating OpenStreetMap tiles; Debian as operating system; Apache and Tomcat as web servers. Keywords: SDI, Bolivia, GIS, free software, catalog, gvSIG, QGIS, uDig, geOrchestra, OpenLayers, Mapfish, GeoNetwork, MapServer, GeoServer, OGC, WFS, WMS, WCS, CSW, WMC.

  20. Smoking initiation among young adults in the United States and Canada, 1998-2010: a systematic review.

    Science.gov (United States)

    Freedman, Kit S; Nelson, Nanette M; Feldman, Laura L

    2012-01-01

    Young adults have the highest smoking rate of any age group in the United States and Canada, and recent data indicate that they often initiate smoking as young adults. The objective of this study was to systematically review peer-reviewed articles on cigarette smoking initiation and effective prevention efforts among young adults. We searched 5 databases for research articles published in English between 1998 and 2010 on smoking initiation among young adults (aged 18-25) living in the United States or Canada. We extracted the following data from each study selected: the measure of initiation used, age range of initiation, age range of study population, data source, target population, sampling method, and sample size. We summarized the primary findings of each study according to 3 research questions and categories of data (eg, sociodemographic) that emerged during the data extraction process. Of 1,072 identified studies, we found 27 articles that met our search criteria, but several included a larger age range of initiation (eg, 18-30, 18-36) than we initially intended to include. Disparities in young adult smoking initiation existed according to sex, race, and educational attainment. The use of alcohol and illegal drugs was associated with smoking initiation. The risk of smoking initiation among young adults increased under the following circumstances: exposure to smoking, boredom or stress while serving in the military, attending tobacco-sponsored social events while in college, and exposure to social norms and perceptions that encourage smoking. Effective prevention efforts include exposure to counter-marketing, denormalization campaigns, taxation, and the presence of smoke-free policies. Much remains to be learned about young adult smoking initiation, particularly among young adults in the straight-to-work population. Dissimilar measures of smoking initiation limit our knowledge about smoking initiation among young adults. We recommend developing a standardized

  1. ED navigators prevent unnecessary admissions.

    Science.gov (United States)

    2012-02-01

    RN Navigators in the emergency department at Montefiore Medical Center work with social workers to prevent unnecessary admissions. Program targets the homeless and patients with tenuous living situations. CMs work with the emergency department staff to identify patients who don't meet admission criteria but can't be safely discharged. The hospital collaborates with a local housing assistance agency which sends a van to transport appropriate patients to a shelter.

  2. Positive XPS binding energy shift of supported Cu{sub N}-clusters governed by initial state effects

    Energy Technology Data Exchange (ETDEWEB)

    Peters, S.; Peredkov, S. [Technische Universität Berlin, IOAP, Strasse des 17. Juni 135, 10623 Berlin (Germany); Al-Hada, M. [Department of Physics, College of Education and Linguistics, University of Amran (Yemen); Neeb, M., E-mail: matthias.neeb@helmholtz-berlin.de [Helmholtz-Zentrum Berlin, Wilhelm-Conrad-Röntgen-Campus Adlershof, Elektronenspeicherring BESSY II, Albert-Einstein-Straße 15, 12489 Berlin (Germany); Eberhardt, W. [Technische Universität Berlin, IOAP, Strasse des 17. Juni 135, 10623 Berlin (Germany); DESY, Center for Free Electron Laser Science (CFEL), Notkestr. 85, 22607 Hamburg (Germany)

    2014-01-01

    Highlights: • Size dependent initial and final state effects of mass-selected deposited clusters. • Initial state effect dominates positive XPS shift in supported Cu-clusters. • Size dependent Coulomb correlation shift in the Auger final state of Cu cluster. • Size-dependent Auger parameter analysis. • Positive XPS shift differs from negative surface core level shift in crystalline copper. - Abstract: An initial state effect is established as origin for the positive 2p core electron binding energy shift found for Cu{sub N}-clusters supported by a thin silica layer of a p-doped Si(1 0 0) wafer. Using the concept of the Auger parameter and taking into account the usually neglected Coulomb correlation shift in the Auger final state (M{sub 4,5}M{sub 4,5}) it is shown that the initial state shift is comparable to the measured XPS shift while the final state relaxation shift contributes only marginally to the binding energy shift. The cluster results differ from the negative surface core-level shift of crystalline copper which has been explained in terms of a final state relaxation effect.

  3. 77 FR 58987 - North Eastern States, Inc.; Supplemental Notice That Initial Market-Based Rate Filing Includes...

    Science.gov (United States)

    2012-09-25

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission North Eastern States, Inc.; Supplemental Notice That Initial Market-Based... above-referenced proceeding, of North Eastern States, Inc.'s application for market-based rate authority...

  4. 77 FR 20817 - Diamond State Generation Partners, LLC; Supplemental Notice That Initial Market-Based Rate Filing...

    Science.gov (United States)

    2012-04-06

    ... Energy Regulatory Commission Diamond State Generation Partners, LLC; Supplemental Notice That Initial Market-Based Rate Filing Includes Request for Blanket Section 204 Authorization This is a supplemental notice in the above-referenced proceeding of Diamond State Generation Partners, LLC's application for...

  5. 76 FR 64341 - Silver State Solar Power North LLC; Supplemental Notice That Initial Market-Based Rate Filing...

    Science.gov (United States)

    2011-10-18

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. ER12-32-000] Silver State Solar Power North LLC; Supplemental Notice That Initial Market-Based Rate Filing Includes Request for... Silver State Solar Power North, LLC's application for market-based rate authority, with an accompanying...

  6. 77 FR 20381 - Silver State Solar Power North, LLC; Supplemental Notice That Initial Market-Based Rate Filing...

    Science.gov (United States)

    2012-04-04

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. ER12-1316-000] Silver State Solar Power North, LLC; Supplemental Notice That Initial Market-Based Rate Filing Includes Request for... Silver State Solar Power North, LLC's application for market-based rate authority, with an accompanying...

  7. Moving the Barricades to Physical Activity: A Qualitative Analysis of Open Streets Initiatives Across the United States.

    Science.gov (United States)

    Eyler, Amy A; Hipp, J Aaron; Lokuta, Julie

    2015-01-01

    Ciclovía, or Open Streets initiatives, are events where streets are opened for physical activity and closed to motorized traffic. Although the initiatives are gaining popularity in the United States, little is known about planning and implementing them. The goals of this paper are to explore the development and implementation of Open Streets initiatives and make recommendations for increasing the capacity of organizers to enhance initiative success. Phenomenology with qualitative analysis of structured interviews was used. Study setting was urban and suburban communities in the United States. Study participants were organizers of Open Streets initiatives in U.S. cities. Using a list of 47 events held in 2011, 27 lead organizers were interviewed by telephone about planning, implementation, and lessons learned. The interviews were digitally recorded and transcribed. A phenomenologic approach was used, an initial coding tool was developed after reviewing a sample of transcripts, and constant comparative coding methodology was applied. Themes and subthemes were generated from codes. The most common reasons for initiation were to highlight or improve health and transportation. Most initiatives aimed to reach the general population, but some targeted families, children, or specific neighborhoods. Getting people to understand the concept of Open Streets was an important challenge. Other challenges included lack of funding and personnel, and complex logistics. These initiatives democratize public space for citizens while promoting physical activity, social connectedness, and other broad agendas. There are opportunities for the research community to contribute to the expanse and sustainability of Open Streets, particularly in evaluation and dissemination.

  8. United States-European Commission Urban Freight Twinning Initiative: Compendium of Project Summaries

    Science.gov (United States)

    2017-09-01

    This compendium is comprised of 33 brief summaries of urban freight initiatives that include research projects, plans, pilot demonstrations, and other efforts. These initiatives were presented at a roundtable discussion that was part of the 2017 Annu...

  9. Technical progress report. Private sector initiatives between the United States and Japan. January 1990 - December 1990

    International Nuclear Information System (INIS)

    1993-01-01

    OAK A271 This annual report for calendar year 1990 describes the efforts performed under the Private Sector Initiatives contract. The report also describes those efforts that have continued with private funding after being initiated under this contract

  10. Technical progress report. Private sector initiatives between the United States and Japan. January 1992 - December 1992

    International Nuclear Information System (INIS)

    1993-01-01

    OAK A271 This annual report for calendar year 1992 describes the efforts performed under the Private Sector Initiatives contract. The report also describes those efforts that have continued with private funding after being initiated under this contract

  11. Multiparticle Collectivity from Initial State Correlations in High Energy Proton-Nucleus Collisions

    Science.gov (United States)

    Dusling, Kevin; Mace, Mark; Venugopalan, Raju

    2018-01-01

    Qualitative features of multiparticle correlations in light-heavy ion (p +A ) collisions at RHIC and LHC are reproduced in a simple initial state model of partons in the projectile coherently scattering off localized domains of color charge in the heavy nuclear target. These include (i) the ordering of the magnitudes of the azimuthal angle n th Fourier harmonics of two-particle correlations vn{2 }, (ii) the energy and transverse momentum dependence of the four-particle Fourier harmonic v2{4 }, and (iii) the energy dependence of four-particle symmetric cumulants measuring correlations between different Fourier harmonics. Similar patterns are seen in an Abelian version of the model, where we observe v2{2 }>v2{4 }≈v2{6 }≈v2{8 } of two, four, six, and eight particle correlations. While such patterns are often interpreted as signatures of collectivity arising from hydrodynamic flow, our results provide an alternative description of the multiparticle correlations seen in p +A collisions.

  12. Search for the Supersymmetric Partner to the Top Quark Using Recoils Against Strong Initial State Radiation

    CERN Document Server

    AUTHOR|(INSPIRE)INSPIRE-00375257

    The ATLAS experiment at Large Hadron Collider (LHC) searches for experimental evidence of beyond the standard model physics at the TeV scale. As we collect more data at the LHC we continue to extend our sensitivity to these new phenomena, probing for the existence of increasingly massive particles. Despite this progress there are still regions of parameter space where constraints remain weak. One common region where we lack sensitivity is when the new BSM particle has a very small mass splitting between it and its decay products. The BSM particle then has little energy left over to give momenta to its decay products and the low momenta decay products are difficult to experimentally detect. These regions of small mass splitting are called compressed regions. We are able to gain sensitivity to these difficult regions by searching for new particles produced in conjunction with hard initial state radiation (ISR). The hard ISR boosts the new particle’s decay products and gives them momentum. This thesis covers t...

  13. Non-Bunch–Davis initial state reconciles chaotic models with BICEP and Planck

    Directory of Open Access Journals (Sweden)

    Amjad Ashoorioon

    2014-10-01

    Full Text Available The BICEP2 experiment has announced a signal for primordial gravity waves with tensor-to-scalar ratio r=0.2−0.05+0.07 [1]. There are two ways to reconcile this result with the latest Planck experiment [2]. One is by assuming that there is a considerable tilt of r, Tr, with a positive sign, Tr=dln⁡r/dln⁡k≳0.57−0.27+0.29 corresponding to a blue tilt for the tensor modes of order nT≃0.53−0.27+0.29, assuming the Planck experiment best-fit value for tilt of scalar power spectrum nS. The other possibility is to assume that there is a negative running in the scalar spectral index, dnS/dln⁡k≃−0.02 which pushes up the upper bound on r from 0.11 up to 0.26 in the Planck analysis assuming the existence of a tensor spectrum. Simple slow-roll models fail to provide such large values for Tr or negative runnings in nS [1]. In this note we show that a non-Bunch–Davies initial state for perturbations can provide a match between large field chaotic models (like m2ϕ2 with the latest Planck result [3] and BICEP2 results by accommodating either the blue tilt of r or the negative large running of nS.

  14. Initial state effects on the cosmic microwave background and trans-Planckian physics

    International Nuclear Information System (INIS)

    Goldstein, Kevin; Lowe, David A.

    2003-01-01

    There exists a one complex parameter family of de Sitter invariant vacua, known as α vacua. In the context of slow roll inflation, we show that all but the Bunch-Davies vacuum generates unacceptable production of high energy particles at the end of inflation. As a simple model for the effects of trans-Planckian physics, we go on to consider non-de Sitter invariant vacua obtained by patching modes in the Bunch-Davies vacuum above some momentum scale M c , with modes in an α vacuum below M c . Choosing M c near the Planck scale M Pl , we find acceptable levels of hard particle production, and corrections to the cosmic microwave perturbations at the level of HM Pl /M c 2 , where H is the Hubble parameter during inflation. More general initial states of this type with H c Pl can give corrections to the spectrum of cosmic microwave background perturbations at order 1. The parameter characterizing the α vacuum during inflation is a new cosmological observable

  15. Azimuthal anisotropies and initial-state fluctuations from SPS to LHC energies

    CERN Document Server

    Milosevic, Jovan

    2016-01-01

    The $v_{3}$ coefficient, obtained using the PbAu data from the CERES detector at the top SPS energy, is presented. The $v_{2}$ is measured over a $p_{T}$ range up to 100 GeV/c in PbPb collisions collected with the CMS detector. The $v_{2}\\{2\\}$ of charged and strange particles emitted in pp collisions shows a mass ordering effect. The $v_{2}\\{4\\}$ and $v_{2}\\{6\\}$ are comparable to the $v_{2}\\{2\\}$, and thus supports the collective nature of the long-range correlations in high-multiplicity pp collisions at 13~TeV. Principle Component Analysis (PCA) of two-particle harmonics ($V_{n\\Delta}$) is studied in PbPb and high-multiplicity pPb collisions at the LHC. The factorization breaking of the $V_{n\\Delta}$ can be attributed to the effect of initial-state fluctuations (ISF). Using a PCA, the $V_{n\\Delta}$ are characterized through the leading and sub-leading modes. The leading modes are essentially equivalent to the $v_{n}\\{2\\}$. The sub-leading modes represent the largest sources of factorization breaking.

  16. HIPAA, HIPAA, Hooray? Current Challenges and Initiatives in Health Informatics in the United States

    Directory of Open Access Journals (Sweden)

    Sanjaya Joshi

    2008-01-01

    Full Text Available A review of the current challenges, trends and initiatives around the various regulations as related to Health Informatics in the United States is presented.A summary of the functions in a workflow-based approach organized into the process and compliance for HIPAA, secure email and fax communications interfaces, e-prescriptions and patient safety and the health information technology savings claims versus costs follows: * HIPAA compliance is complex; data interoperability and integration remains difficult. * Email and faxing is possible with current over-the-shelf technologies within the purview of the HIPAA Security and Privacy rule. * Integration of e-prescribing and NPI data is an area where health informatics can make a real difference. * Medical errors remain high. * There are no real savings yet from the usage of health information technologies; the costs for implementation remain high, and the business model has not evolved to meet the needs. * Health Information Technology (Health IT projects continue to have a significant failure rate; Open Source technologies are a viable alternative both for cost reduction and scalability.A discussion on the macro view of health informatics is also presented within the context of healthcare models and a comparison of the U.S. system against other countries.

  17. Cell-State Transitions Regulated by SLUG Are Critical for Tissue Regeneration and Tumor Initiation

    Directory of Open Access Journals (Sweden)

    Sarah Phillips

    2014-05-01

    Full Text Available Perturbations in stem cell activity and differentiation can lead to developmental defects and cancer. We use an approach involving a quantitative model of cell-state transitions in vitro to gain insights into how SLUG/SNAI2, a key developmental transcription factor, modulates mammary epithelial stem cell activity and differentiation in vivo. In the absence of SLUG, stem cells fail to transition into basal progenitor cells, while existing basal progenitor cells undergo luminal differentiation; together, these changes result in abnormal mammary architecture and defects in tissue function. Furthermore, we show that in the absence of SLUG, mammary stem cell activity necessary for tissue regeneration and cancer initiation is lost. Mechanistically, SLUG regulates differentiation and cellular plasticity by recruiting the chromatin modifier lysine-specific demethylase 1 (LSD1 to promoters of lineage-specific genes to repress transcription. Together, these results demonstrate that SLUG plays a dual role in repressing luminal epithelial differentiation while unlocking stem cell transitions necessary for tumorigenesis.

  18. Report on the Trilateral Initiative. IAEA verification of weapon-origin material in the Russian Federation and the United States

    International Nuclear Information System (INIS)

    Shea, Thomas E.

    2001-01-01

    Just over five years ago, the Trilateral Initiative was launched to investigate the technical, legal and financial issues associated with IAEA verification of weapon-origin fissile material in the Russian Federation and the United States. Since then, the Joint Working Group has developed concepts and equipment suitable for such a verification mission, anticipating that the States would submit classified forms of fissile material to IAEA verification under new agreements developed for this purpose. This article summarizes the accomplishments to date and identifies the future steps foreseen under the Trilateral Initiative. As there is no legal commitment on the Parties to this Initiative as yet, the issues considered are still changing. Since it was launched, the Initiative has been given a sense of importance and weight, raising the expectations of the international community. The Final Document of the 2000 Conference on the Treaty on the Non-Proliferation of Nuclear Weapons (NPT), for example, under the review of Article VI of the Treaty, includes the statement to 'complete and implement the Trilateral Initiative'. It was launched following independent statements by the President of the United States beginning in 1993, and by the President of the Russian Federation in 1996. It is an Initiative between the IAEA, the Russian Federation and the United States that is in the context of Article VI of the NPT. The intention is to examine the technical, legal and financial issues associated with IAEA verification of weapon origin and other fissile material released from defense programmes in those two countries

  19. Canada-United States-Mexico Trilateral Cooperation on Childhood Obesity Initiative.

    Science.gov (United States)

    Rabadán-Diehl, Cristina; Safdie, Margarita; Rodin, Rachel

    2016-08-01

    Childhood obesity is an important public health problem that affects countries in the Americas. In 2014, Pan American Health Organization (PAHO) Member States agreed on a Plan of Action for the Prevention of Obesity in Children and Adolescents in an effort to address the impact of this disorder in the Americas region. The interventions laid out in this regional plan are multi-faceted and require multi-sectoral partnerships. Building on a strong history of successful trilateral collaboration, Canada, Mexico, and the United States formed a partnership to address the growing epidemic of childhood obesity in the North American region. This collaborative effort, known as the Trilateral Cooperation on Childhood Obesity Initiative, is the first initiative in the region to address chronic noncommunicable diseases by bringing together technical and policy experts, with strong leadership and support from the secretaries and ministers of health. The Initiative's goals include increasing levels of physical activity and reducing sedentary behavior through 1) increased social mobilization and citizen engagement, 2) community- based outreach, and 3) changes to the built (man-made) environment. This article describes the background and development process of the Initiative; specific goals, activities, and actions achieved to date; and opportunities and next steps. This information may be useful for those forming other partnerships designed to address childhood obesity or other complex public health challenges in the region. RESUMEN La obesidad infantil es un problema de salud pública importante que afecta a los países de las Américas. En el 2014, los Estados Miembros de la Organización Panamericana de la Salud (OPS) acordaron un Plan de acción para la prevención de la obesidad en la niñez y la adolescencia con el fin de hacer frente a las repercusiones de este trastorno en la Región de las Américas. Las intervenciones que componen este plan regional son multifacéticas y

  20. Setting ART initiation targets in response to changing guidelines: The importance of addressing both steady-state and backlog.

    Science.gov (United States)

    Martin, Catherine; Naidoo, Nicolette P; Venter, W D Francois; Jaffer, Ambereen; Barker, Pierre M

    2014-05-12

    Target setting is useful in planning, assessing and improving antiretroviral treatment (ART) programmes. In the past 4 years, the ART initiation environment has been transformed due to the change in eligibility criteria (starting ART at a CD4+ count steady-state need for ART initiation and backlog in a North West Province district, accounting for the shift in eligibility. Comparison of actual v. targeted ART initiations was undertaken. The change in CD4+ count threshold adds a once-off group of newly eligible patients to the pool requiring ART - the backlog. The steady-state remains unchanged as it is determined by the annual rate of new HIV infections in previous years. The steady-state need for the district was 639 initiations/month, and the backlog was ~15,388 patients. After the shift in eligibility in September 2011, the steady-state target was exceeded over several months with some backlog addressed. Of the total backlog for this district, 72% remains to be cleared. South Africa has two pools of patients who need ART: the steady-state of HIV-infected patients entering the programme each year, determined by historical infection rates; and the backlog created by the shift in eligibility. The healthcare system needs to build long- term capacity to meet the steady-state need for ART and additional capacity to address the backlog.

  1. Association Between Direct-to-Consumer Advertising and Testosterone Testing and Initiation in the United States, 2009-2013.

    Science.gov (United States)

    Layton, J Bradley; Kim, Yoonsang; Alexander, G Caleb; Emery, Sherry L

    2017-03-21

    Testosterone initiation increased substantially in the United States from 2000 to 2013, especially among men without clear indications. Direct-to-consumer advertising (DTCA) also increased during this time. To investigate associations between televised DTCA and testosterone testing and initiation in the United States. Ecologic study conducted in designated market areas (DMAs) in the United States. Monthly testosterone advertising ratings were linked to DMA-level testosterone use data from 2009-2013 derived from commercial insurance claims. Associations between DTCA and testosterone testing, initiation, and initiation without recent baseline tests were estimated using Poisson generalized estimating equations. Monthly Nielsen ratings for testosterone DTCA in the 75 largest DMAs. (1) Rates of new serum testosterone testing; (2) rates of testosterone initiation (in-office injection, surgical implant, or pharmacy dispensing) for all testosterone products combined and for specific brands; and (3) rates of testosterone initiation without recent serum testosterone testing. Of 17 228 599 commercially insured men in the 75 DMAs, 1 007 990 (mean age, 49.6 [SD, 11.5] years) had new serum testosterone tests and 283 317 (mean age, 51.8 [SD, 11.3] years) initiated testosterone treatment. Advertising intensity varied by geographic region and time, with the highest intensity seen in the southeastern United States and with months ranging from no ad exposures to a mean of 13.6 exposures per household. Nonbranded advertisements were common prior to 2012, with branded advertisements becoming more common during and after 2012. Each household advertisement exposure was associated with a monthly increase in rates of new testosterone testing (rate ratio [RR], 1.006; 95% CI, 1.004-1.008), initiation (RR, 1.007; 95% CI, 1.004-1.010), and initiation without a recent test (RR, 1.008; 95% CI, 1.002-1.013). Mean absolute rate increases were 0.14 tests (95% CI, 0.09-0.19), 0.05 new

  2. 45 CFR 618.300 - Admission.

    Science.gov (United States)

    2010-10-01

    ... OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Admission and Recruitment Prohibited § 618.300 Admission. (a) General. No person shall, on the basis of sex, be denied admission, or be subjected to discrimination in admission, by any...

  3. 44 CFR 68.9 - Admissible evidence.

    Science.gov (United States)

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Admissible evidence. 68.9 Section 68.9 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF... admissible. (b) Documentary and oral evidence shall be admissible. (c) Admissibility of non-expert testimony...

  4. LibQUAL+® and the Information Commons Initiative at Buffalo State College: 2003 to 2009

    Directory of Open Access Journals (Sweden)

    Eugene J. Harvey

    2013-06-01

    Full Text Available Objective – To examine the effect of a transition to an information commons model of service organization on perceptions of library service quality. In 2003, the E. H. Butler Library at Buffalo State College began development of an Information Commons, which included moving the computing help desk to the library, reorganizing the physical units in the library around functional service areas, and moving the reference desk to the lobby.Methods – In 2003, 2006, and 2009, the library administered the LibQUAL+ survey, which measures the relationship between perceived library service delivery and library user satisfaction. The 2003 survey was conducted before the implementation of the Information Commons Initiative. Analyses of variance were conducted to compare the effect of the service changes on users’ perceptions of library service quality between the three data collection points, as well as to explore differences between undergraduate and graduate students. Results – The analyses revealed significant differences between the three data points, with significantly more positive perceptions of library service quality in 2006 and 2009 than in 2003. Comparisons between 2006 and 2009 were not statistically significant. In 2003, no significant differences were found between undergraduate and graduate students’ perceptions. However, in 2006, undergraduate students perceived higher levels of service quality after the development of the Information Commons than graduate students. This difference was maintained in 2009.Conclusion – The Information Commons has become a popular place for new programming, exhibits, workshops, and cultural events on campus. The library staff and administration have regained the respect of the campus community, as well as an appreciation for user-driven input and feedback and for ongoing assessment and evaluation.

  5. Opening a Side-Gate: Engaging the Excluded in Chilean Higher Education through Test-Blind Admission

    Science.gov (United States)

    Koljatic, Mladen; Silva, Monica

    2013-01-01

    The article describes a test-blind admission initiative in a Chilean research university aimed at expanding the inclusion of talented, albeit educationally and socially disadvantaged, students. The outcomes of the test-blind admission cohort were compared with those of students admitted via the regular admission procedure to the same academic…

  6. Corruption-free Education. Lessons from a State- and Civil Society Joint Initiative in Peru

    OpenAIRE

    Castilla, Samuel Rotta

    2008-01-01

    A recent anti-corruption initiative targeting Peru's education sector was undertaken jointly by the Office of the Ombudsman and Transparency International's chapter in Peru, Proética. The initiative sought to help shape the public discussion surrounding educational reform by introducing the issue of corruption - one of several factors undermining the fundamental right of all to quality education. This U4 Brief reviews the initiative's methodology, findings, and lessons learned, including an o...

  7. Interim initial state report for the safety assessment SR-Can

    Energy Technology Data Exchange (ETDEWEB)

    Pers, Karin (ed.) [Kemakta Konsult AB, Stockholm (Sweden)

    2004-07-01

    A thorough description of the initial state of the engineered parts of the repository system is one of the main bases for the SR-Can safety assessment. The initial state refers to the state at the time of deposition for the spent fuel and the engineered barriers and the natural, undisturbed state at the time of beginning of excavation for the repository for the geosphere and the biosphere. The repository system is based on the KBS-3 method, where copper canisters with a cast iron insert containing spent nuclear fuel are surrounded by bentonite clay and deposited at approximately 500 m depth in saturated, granitic rock. For the purpose of the safety assessment the engineered portion of the repository system has been divided into a number of consecutive barriers or sub-systems. The importance of a particular feature for safety has influenced the resolution into components. In principle, components close to the source term and those that play an important role for safety are treated in more detail than more peripheral components. For the option with 40 years of reactor operation, the quantity of BWR fuel is estimated at 7200 tonnes and the quantity of PWR fuel at 2300 tonnes. The fuel burn-up may vary from 15 MWd/kgU up to 60 MWd/kg. Geometric aspects of the fuel cladding tubes of importance in the safety assessment are, as a rule, handled sufficiently pessimistically in analyses of radionuclide transport that differences between different fuel types are irrelevant. The relative differences in radionuclide inventory with respect to burn-up are small. Deviations in inventory and deviating or damaged fuel are not considered in the SR-Can interim reporting but will be handled in the final reporting of SR-Can. The canister consists of an inner container, the insert of cast iron and an outer shell of copper. The cast iron insert provides mechanical stability and the copper shell protects against corrosion in the repository environment. The copper shell is 5 cm thick and

  8. Interim initial state report for the safety assessment SR-Can

    International Nuclear Information System (INIS)

    Pers, Karin

    2004-07-01

    A thorough description of the initial state of the engineered parts of the repository system is one of the main bases for the SR-Can safety assessment. The initial state refers to the state at the time of deposition for the spent fuel and the engineered barriers and the natural, undisturbed state at the time of beginning of excavation for the repository for the geosphere and the biosphere. The repository system is based on the KBS-3 method, where copper canisters with a cast iron insert containing spent nuclear fuel are surrounded by bentonite clay and deposited at approximately 500 m depth in saturated, granitic rock. For the purpose of the safety assessment the engineered portion of the repository system has been divided into a number of consecutive barriers or sub-systems. The importance of a particular feature for safety has influenced the resolution into components. In principle, components close to the source term and those that play an important role for safety are treated in more detail than more peripheral components. For the option with 40 years of reactor operation, the quantity of BWR fuel is estimated at 7200 tonnes and the quantity of PWR fuel at 2300 tonnes. The fuel burn-up may vary from 15 MWd/kgU up to 60 MWd/kg. Geometric aspects of the fuel cladding tubes of importance in the safety assessment are, as a rule, handled sufficiently pessimistically in analyses of radionuclide transport that differences between different fuel types are irrelevant. The relative differences in radionuclide inventory with respect to burn-up are small. Deviations in inventory and deviating or damaged fuel are not considered in the SR-Can interim reporting but will be handled in the final reporting of SR-Can. The canister consists of an inner container, the insert of cast iron and an outer shell of copper. The cast iron insert provides mechanical stability and the copper shell protects against corrosion in the repository environment. The copper shell is 5 cm thick and

  9. The Last State to Grant Nurse Practitioners DEA Licensure: An Education Improvement Initiative on the Florida Prescription Drug Monitoring Program.

    Science.gov (United States)

    Kellams, Joni R; Maye, John P

    Nurse practitioners (NPs) now have prescriptive authority for controlled substances in all 50 states in the United States. Florida, the last state to grant NPs DEA licensure, has been wrought with prescription diversion practices for a number of years as pill mills, doctor shopping, and overprescribing proliferated. Prescription Drug Monitoring Programs (PDMPs) help curb drug diversion activity and play a key role in reducing the abuse of controlled substances. The primary objective of this education improvement initiative was to increase knowledge of actively licensed NPs in the state of Florida regarding the state's PDMP. The main themes included the drug abuse problem, description and progression of the PDMP, and how to use the Florida PDMP. Upon approval from the institutional review board, this education improvement initiative gauged NP knowledge of the PDMP and main themes before and after an educational PowerPoint intervention. A pretest/posttest questionnaire was administered for assessment of all knowledge questions. One hundred forty-five NPs with active advanced registered NP licenses in Florida completed both the pretest and posttest questionnaires. Descriptive statistics and paired t tests were used for statistical significance testing. Knowledge of the PDMP and the main themes of the education improvement initiative significantly increased (p < .001) from pretest to posttest results. This education improvement initiative had positive effects for NPs on the knowledge of the Florida PDMP and the main themes. This indicated that Florida NPs are able to acquire greater comprehension of the PDMP by an education intervention.

  10. Elite US college admissions: could the quest for admission increase overuse injury risk?

    OpenAIRE

    Schwebel, David C.; Yang, Jingzhen

    2016-01-01

    Abstract: This commentary addresses the intriguing correspondence of two trends. First, we describe the increasing selectivity for undergraduate admission to elite colleges and universities in the United States and an apparent preference for ?angular? applicants who have demonstrated tremendous accomplishment in a single non-academic pursuit such as music, athletics, or the arts. Second, we describe an apparent increase in overuse injuries among American children and adolescents, a trend that...

  11. Impact of North Carolina's motorcycle helmet law on hospital admissions and charges for care of traumatic brain injuries.

    Science.gov (United States)

    Naumann, Rebecca B; Marshall, Stephen W; Proescholdbell, Scott K; Austin, Anna; Creppage, Kathleen

    2015-04-01

    BACKGROUND North Carolina requires motorcyclists of all ages to wear federally approved safety helmets. The purpose of this article is to estimate the impact of this state law in terms of hospital admissions for traumatic brain injury (TBI) and associated hospital charges. METHODS Hospital admissions of North Carolina motorcyclists with TBIs and associated hospital charges in 2011 were extracted from the North Carolina Hospital Discharge Data system. We estimated hospital admissions and charges for the same year under the counterfactual condition of North Carolina without a universal motorcycle helmet law by using various substitutes (Florida, Pennsylvania, and South Carolina residents treated in North Carolina). RESULTS North Carolina's universal helmet law prevented an estimated 190 to 226 hospital admissions of North Carolina motorcyclists with TBI in 2011. Averted hospital charges to taxpayer-funded sources (ie, government and public charges) were estimated to be between $9.5 million and $11.6 million for 2011, and total averted hospital charges for 2011 were estimated to be between $25.3 million and $31.0 million. LIMITATIONS Cost estimates are limited to inpatients during the initial period of hospital care. This study was unable to capture long-term health care costs and productivity losses incurred by North Carolina's TBI patients and their caregivers. CONCLUSIONS North Carolina's universal motorcycle helmet law generates health and economic benefits for the state and its taxpayers.

  12. Sex Discrimination, Admissions in Higher Education and the Law

    Science.gov (United States)

    Sandler, Bernice

    1975-01-01

    Defines sex discrimination in higher education in the following areas: admissions and Title IX provisions, types of discrimination in admissions, additional factors that affect admissions policies, affirmative recruiting and preference admissions, and how to end discrimination in admissions. (PG)

  13. Undergraduate Programme: Admissions for 2013

    Indian Academy of Sciences (India)

    IAS Admin

    2013-02-01

    Feb 1, 2013 ... interdisciplinary topics to serve as a platform for attractive career opportunities in academia and industry. Applications are invited for admission to the four-year B S programme at the Institute. Eligibility, selection criteria and other details are available at our website http://www.iisc.ernet.in/ug. ELIGIBILITY.

  14. Optimal Admission to Higher Education

    DEFF Research Database (Denmark)

    Albæk, Karsten

    This paper constructs higher education admission rules that maximise graduation rates and thus increase the skill level of the work force. An application shows that students with a low level in mathematics in secondary school ought to find it easier to be admitted to an economics programme than t...

  15. Admission to selective schools, alphabetically

    Czech Academy of Sciences Publication Activity Database

    Jurajda, Štěpán; Münich, Daniel

    2010-01-01

    Roč. 29, č. 6 (2010), s. 1100-1109 ISSN 0272-7757 R&D Projects: GA MŠk LC542 Institutional research plan: CEZ:MSM0021620846 Keywords : admissions to school * alphabetical order * order effects Subject RIV: AH - Economics Impact factor: 1.066, year: 2010

  16. Open Admissions: Before the Deluge.

    Science.gov (United States)

    Newcomb, Theodore M.

    Institutions of higher education will have to change themselves radically if they are seriously interested in instituting open admissions policies, and one of the biggest obstacles to creating a learning environment conducive to a new kind of student will be overcoming institutional pride in its own elitism. Students have traditionally entered the…

  17. Personal Qualities and College Admissions.

    Science.gov (United States)

    Willingham, Warren W.; Breland, Hunter M.

    The extent to which personal and academic factors are important in college admission decisions was studied in 1978, based on data on 25,000 applicants to 9 colleges (Colgate University, Williams College, Ohio Wesleyan University, Kenyon College, Kalamazoo College, Occidental College, Hartwick College, University of Richmond, and Bucknell…

  18. Admission haematological abnormalities and postoperative ...

    African Journals Online (AJOL)

    Admission haematological abnormalities and postoperative outcomes in neonates with acute surgical conditions in Alexandria, Egypt. HL Wella, SMM Farahat. Abstract. No Abstract. Full Text: EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT · AJOL African Journals ...

  19. Association between U.S. State AIDS Drug Assistance Program (ADAP) Features and HIV Antiretroviral Therapy Initiation, 2001–2009

    Science.gov (United States)

    Hanna, David B.; Buchacz, Kate; Gebo, Kelly A.; Hessol, Nancy A.; Horberg, Michael A.; Jacobson, Lisa P.; Kirk, Gregory D.; Kitahata, Mari M.; Korthuis, P. Todd; Moore, Richard D.; Napravnik, Sonia; Patel, Pragna; Silverberg, Michael J.; Sterling, Timothy R.; Willig, James H.; Collier, Ann; Samji, Hasina; Thorne, Jennifer E.; Althoff, Keri N.; Martin, Jeffrey N.; Rodriguez, Benigno; Stuart, Elizabeth A.; Gange, Stephen J.

    2013-01-01

    Background U.S. state AIDS Drug Assistance Programs (ADAPs) are federally funded to provide antiretroviral therapy (ART) as the payer of last resort to eligible persons with HIV infection. States differ regarding their financial contributions to and ways of implementing these programs, and it remains unclear how this interstate variability affects HIV treatment outcomes. Methods We analyzed data from HIV-infected individuals who were clinically-eligible for ART between 2001 and 2009 (i.e., a first reported CD4+ <350 cells/uL or AIDS-defining illness) from 14 U.S. cohorts of the North American AIDS Cohort Collaboration on Research and Design (NA-ACCORD). Using propensity score matching and Cox regression, we assessed ART initiation (within 6 months following eligibility) and virologic suppression (within 1 year) based on differences in two state ADAP features: the amount of state funding in annual ADAP budgets and the implementation of waiting lists. We performed an a priori subgroup analysis in persons with a history of injection drug use (IDU). Results Among 8,874 persons, 56% initiated ART within six months following eligibility. Persons living in states with no additional state contribution to the ADAP budget initiated ART on a less timely basis (hazard ratio [HR] 0.73, 95% CI 0.60–0.88). Living in a state with an ADAP waiting list was not associated with less timely initiation (HR 1.12, 95% CI 0.87–1.45). Neither additional state contributions nor waiting lists were significantly associated with virologic suppression. Persons with an IDU history initiated ART on a less timely basis (HR 0.67, 95% CI 0.47–0.95). Conclusions We found that living in states that did not contribute additionally to the ADAP budget was associated with delayed ART initiation when treatment was clinically indicated. Given the changing healthcare environment, continued assessment of the role of ADAPs and their features that facilitate prompt treatment is needed. PMID:24260137

  20. Improving Agricultural Science Teachers' Work Attitude in Akwa Ibom State of Nigeria: The Financial Initiative Perspective

    Science.gov (United States)

    Ben, Camilus Bassey

    2014-01-01

    This research study carried out to investigate the influence of financial incentive initiatives on agricultural teachers' work attitude in Akwa Ibom State, Nigeria. One hypothesis was formulated to guide the study. Ex-post facto research design was adopted for the study. A total sample of 150 agricultural science teachers and 150 students drawn…

  1. The association of admission heart rate and in-hospital cardiovascular events in patients with non-ST-segment elevation acute coronary syndromes: results from 135 164 patients in the CRUSADE quality improvement initiative.

    Science.gov (United States)

    Bangalore, Sripal; Messerli, Franz H; Ou, Fang-Shu; Tamis-Holland, Jacqueline; Palazzo, Angela; Roe, Matthew T; Hong, Mun K; Peterson, Eric D

    2010-03-01

    To evaluate the relationship between presenting heart rate (HR) and in-hospital events in patients with non-ST-segment elevation acute coronary syndromes (NSTE-ACS). We evaluated 139 194 patients with NSTE-ACS in the CRUSADE quality improvement initiative. The presenting HR was summarized as 10 beat increments. Patients with systolic BP HR of 60-69 b.p.m. after controlling for baseline variables. Primary outcome was a composite of in-hospital events all-cause mortality, non-fatal re-infarction, and stroke. Secondary outcomes were each of these considered separately. From the cohort of 135 164 patients, 8819 (6.52%) patients had a primary outcome (death/re-infarction or stroke) of which 5271 (3.90%) patients died, 3578 (2.65%) patients had re-infarction, and 1038 (0.77%) patients had a stroke during hospitalization. The relationship between presenting HR and primary outcome, all-cause mortality, and stroke followed a 'J-shaped' curve with an increased event rate at very low and high HR even after controlling for baseline variables. However, there was no relationship between presenting HR and risk of re-infarction. In contrast to patients with stable CAD, in the acute setting, the relationship between presenting HR and in-hospital cardiovascular outcomes has a 'J-shaped' curve (higher event rates at very low and high HRs). These associations should be considered in ACS prognostic models.

  2. Somnabulism: Emergency Department Admissions Due to Sleepwalking-Related Trauma

    Directory of Open Access Journals (Sweden)

    Thomas C Sauter

    2016-11-01

    Full Text Available INTRODUCTION: Somnambulism is a state of dissociated consciousness, in which the affected person is partially asleep and partially awake. There is pervasive public opinion that sleepwalkers are protected from hurting themselves. There have been few scientific reports of trauma associated with somnambulism and no published investigations on the epidemiology or trauma patterns associated with somnambulism. METHODS: We included all emergency department (ED admissions to University Hospital Inselspital, Berne, Switzerland, from January 1, 2000, until August 11, 2015, when the patient had suffered a trauma associated with somnambulism. Demographic data (age, gender, nationality and medical data (mechanism of injury, final diagnosis, hospital admission, mortality and medication on admission were included. RESULTS: Of 620,000 screened ED admissions, 11 were associated with trauma and sleepwalking. Two patients (18.2% had a history of known non-rapid eye movement parasomnias. The leading cause of admission was falls. Four patients required hospital admission for orthopedic injuries needing further diagnostic testing and treatment (36.4%. These included two patients with multiple injuries (18.2%. None of the admitted patients died. CONCLUSION: Although sleepwalking seems benign in the majority of cases and most of the few injured patients did not require hospitalization, major injuries are possible. When patients present with falls of unknown origin, the possibility should be evaluated that they were caused by somnambulism.

  3. Somnambulism: Emergency Department Admissions Due to Sleepwalking-Related Trauma.

    Science.gov (United States)

    Sauter, Thomas C; Veerakatty, Sajitha; Haider, Dominik G; Geiser, Thomas; Ricklin, Meret E; Exadaktylos, Aristomenis K

    2016-11-01

    Somnambulism is a state of dissociated consciousness, in which the affected person is partially asleep and partially awake. There is pervasive public opinion that sleepwalkers are protected from hurting themselves. There have been few scientific reports of trauma associated with somnambulism and no published investigations on the epidemiology or trauma patterns associated with somnambulism. We included all emergency department (ED) admissions to University Hospital Inselspital, Berne, Switzerland, from January 1, 2000, until August 11, 2015, when the patient had suffered a trauma associated with somnambulism. Demographic data (age, gender, nationality) and medical data (mechanism of injury, final diagnosis, hospital admission, mortality and medication on admission) were included. Of 620,000 screened ED admissions, 11 were associated with trauma and sleepwalking. Two patients (18.2%) had a history of known non-rapid eye movement parasomnias. The leading cause of admission was falls. Four patients required hospital admission for orthopedic injuries needing further diagnostic testing and treatment (36.4%). These included two patients with multiple injuries (18.2%). None of the admitted patients died. Although sleepwalking seems benign in the majority of cases and most of the few injured patients did not require hospitalization, major injuries are possible. When patients present with falls of unknown origin, the possibility should be evaluated that they were caused by somnambulism.

  4. Initial activation state, stimulation intensity and timing of stimulation interact in producing behavioral effects of TMS

    OpenAIRE

    Silvanto, Juha; Bona, Silvia; Cattaneo, Zaira

    2017-01-01

    Behavioral effects of transcranial magnetic stimulation (TMS) have been shown to depend on various factors, such as neural activation state, stimulation intensity, and timing of stimulation. Here we examined whether these factors interact, by applying TMS at either sub- or suprathreshold intensity (relative to phosphene threshold, PT) and at different time points during a state-dependent TMS paradigm. The state manipulation involved a behavioral task in which a visual prime (color grating) wa...

  5. Evaluation of the State Energy Conservation Program from program initiation to September 1978. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Heller, James N.; Grossmann, John R.; Shochet, Susan; Bresler, Joel; Duggan, Noreene

    1980-03-01

    The State Energy Conservation Program was established in 1975 to promote energy conservation and to help states develop and implement their own conservation programs. Base (5) and supplemental (3) programs required states to implement programs including: mandatory thermal-efficiency standards and insulation requirements for new and renovated buildings; mandatory lighting efficiency standards for public buildings; mandatory standards and policies affecting the procurement practices of the state and its political subdivisions; program measures to promote the availability and use of carpools, vanpools, and public transportation; a traffic law or regulation which permits a right turn-on-red; and procedures to carry out a continuing public education effort to increase awareness of energy conservation; procedures which promote effective coordination among local, state, and Federal energy conservation programs; and procedures for carrying out energy audits on buildings and industrial plants. All 50 states and Puerto Rico, Guam, the Virgin Islands, American Samoa, and the District of Columbia participated in the program. The total 1980 energy savings projected by the states is about 5.9 quadrillion Btu's or about 7% of the DOE projected 1980 baseline consumption of just under 83 quads. The detailed summary is presented on the following: information the SECP evaluation; DOE response to the SECP; DOE's role in the program management process; the effectiveness of the states in managing the SECP; the status of program measure implementation; innovative state energy conservation programs; and the evaluation methodology.

  6. Toward a Taxonomy of the Admissions Decision-Making Process: A Public Document Based on the First and Second College Board Conferences on Admissions Models

    Science.gov (United States)

    Perfetto, Greg; Escandón, Mérida; Graff, Steve; Rigol, Gretchen; Schmidt, Amy

    1999-01-01

    In August of 1998, a group of about 50 admissions deans, directors, and researchers from the United States gathered in Toronto at the invitation of the College Board. The participants represented a broad cross section of private and public colleges and universities. The goal of the symposium was to begin a dialogue on the future of admissions, and…

  7. Adapting Child Care Market Price Surveys to Support State Quality Initiatives. White Paper

    Science.gov (United States)

    Branscome, Kenley

    2016-01-01

    Recent changes to the Child Care and Development Fund (CCDF) require a state's child care market price survey to: (1) be statistically valid and reliable and (2) reflect variations in the cost of child care services by geographic area, type of provider, and age of child. States may use an alternative methodology for setting payment rates--such as…

  8. Solar America Initiative State Working Group: Final Scientific/Technical Report

    Energy Technology Data Exchange (ETDEWEB)

    Taylor, Julie

    2012-03-30

    Through the support from the Department of Energy, NARUC has educated thousands of stakeholders, including Public Utility Commissioners, commission staff, and State energy officials on solar energy technology, implementation, and policy. During the lifetime of this grant, NARUC staff engaged stakeholders in policy discussions, technical research, site visits, and educational meetings/webinars/materials that provided valuable education and coordination on solar energy technology and policy among the States. Primary research geared toward State decision-makers enabled stakeholders to be informed on current issues and created new solar energy leaders throughout the United States. Publications including a Frequently Asked Questions guide on feed-in tariffs and a legal analysis of state implementation of feed-in tariffs gave NARUC members the capacity to understand complex issues related to the economic impacts of policies supportive of solar energy, and potential paths for implementation of technology. Technical partnerships with the National Renewable Energy Laboratory (NREL) instructed NARUC members on feed-in tariff policy for four States and solar PV resource assessment in seven States, as well as economic impacts of solar energy implementation in those States. Because many of the States in these technical partnerships had negligible amounts of solar energy installed, this research gave them new capacity to understand how policies and implementation could impact their constituency. This original research produced new data now available, not only to decision-makers, but also to the public at-large including educational institutions, NGOs, consumer groups, and other citizens who have an interest in solar energy adoption in the US. Under this grant, stakeholders engaged in several dialogs. These educational opportunities brought NARUC members and other stakeholders together several times each year, shared best practices with State decision-makers, fostered

  9. Data-Based Decision-Making: Three State-Level Educational Leadership Initiatives

    Science.gov (United States)

    Cooley, Van E.; Shen, Jianping; Miller, Deborah S.; Winograd, Peter N.; Rainey, John Mark; Yuan, Wenhui; Ryan, Lisa

    2006-01-01

    The accountability required by school-reform measures such as No Child Left Behind has placed increased emphasis on data analysis for appraising schools, administrators, teachers, and students. The focus of accountability-driven initiatives is developing policies and procedures that collectively influence the district, the school, and most…

  10. ORIGINAL ARTICLES Hyperglycaemic emergency admissions to a ...

    African Journals Online (AJOL)

    2007-09-18

    % of expenditure. ... (i.e. capital costs and overhead costs) were obtained from a costing audit of HIV/. AIDS admissions to GFJH in .... cost-effective strategies that improve the quality of inpatient care and outcome of admissions.

  11. MEASURES AND INITIATIVES ADOPTED TO MANAGE AND DEVELOP TOURISM ACTIVITY IN THE UE MEMBER STATES

    Directory of Open Access Journals (Sweden)

    Molnar Elisabeta

    2010-12-01

    Full Text Available The paper presents measures adopted to manage and develop tourism activity by the UE member states as: Croatia, Germany, Greece, Hungary, Denmark, Italy, Ireland, Malta, Spain and Romania.

  12. A climatology and preliminary investigation of predictability of pristine nocturnal convective initiation in the central United States

    Science.gov (United States)

    Stelten, Sean; Gallus, William

    2017-04-01

    The prediction of convective initiation remains a challenge to forecasters in the central United States, especially for elevated events at night. This study examines a subset of 287 nocturnal elevated convective initiation events that occurred without direct influence from surface boundaries or pre-existing convection over a four-month period during the summer of 2015 (May, June, July, and August). Events were first classified into one of four types based on apparent formation mechanisms and location relative to any low-level jet. A climatology of each of the four types was performed focusing on general spatial tendencies over the central United States and initiation timing trends. Additionally, analysis of initiation elevation was performed. Simulations from five convection-allowing models available during the Plains Elevated Convection At Night (PECAN) field campaign, along with four versions of a 4km horizontal grid spacing Weather Research and Forecasting (WRF) model using different planetary boundary layer (PBL) parameterizations, were used to examine predictability of these types of convective initiation. The climatology revealed a dual-peak pattern for initiation timing with one peak near 0400 UTC and another 0700 UTC, and it was found that the dual peak structure was present for all four types of events, suggesting that the evolution of the low-level jet was not directly responsible for the twin peaks. Subtle differences in location and elevation of the initiation for the different types were identified. The convection-allowing models run during the PECAN project were found to be more deficient with location than timing. Threat scores typically averaged around 0.3 for the models, with false alarm ratios and hit rates both averaging around 0.5 to 0.6 for the various models. Initiation occurring within the low-level jet but far from a surface front was the one type that was occasionally missed by all five models examined. Once case for each of the four types

  13. The Evolution of College Admission Requirements

    Science.gov (United States)

    Beale, Andrew V.

    2012-01-01

    The development of college admissions requirements during the seventeenth and eighteenth centuries was basically the story of the admission policies and practices at Harvard College. Candidates for admission were examined on their ability to read and translate Latin and Greek, and a careful check was made of their character and background. With…

  14. 13 CFR 113.300 - Admission.

    Science.gov (United States)

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Admission. 113.300 Section 113.300 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION NONDISCRIMINATION IN FINANCIAL ASSISTANCE... Discrimination on the Basis of Sex in Admission and Recruitment Prohibited § 113.300 Admission. (a) General. No...

  15. Intuitionistic Rules : Admissible Rules of Intermediate Logics

    NARCIS (Netherlands)

    Goudsmit, J.P.

    2015-01-01

    In this thesis, we investigate the admissible rules of intermediate logics. On the one hand, one can characterize the admissibility of rules in certain logic, and on the other hand, one can characterize logics through their admissible rules. We take both approaches, and reach new results in both

  16. Test-Based Admission to Selective Universities:

    DEFF Research Database (Denmark)

    Thomsen, Jens-Peter

    2016-01-01

    in the social gradient in the primary admission system, admitting students on the basis of their high school grade point average, and in the secondary admission system, admitting university students based on more qualitative assessments. I find that the secondary higher education admission system does...

  17. Time evolution of one-dimensional gapless models from a domain wall initial state: stochastic Loewner evolution continued?

    International Nuclear Information System (INIS)

    Calabrese, Pasquale; Hagendorf, Christian; Doussal, Pierre Le

    2008-01-01

    We study the time evolution of quantum one-dimensional gapless systems evolving from initial states with a domain wall. We generalize the path integral imaginary time approach that together with boundary conformal field theory allows us to derive the time and space dependence of general correlation functions. The latter are explicitly obtained for the Ising universality class, and the typical behavior of one- and two-point functions is derived for the general case. Possible connections with the stochastic Loewner evolution are discussed and explicit results for one-point time dependent averages are obtained for generic κ for boundary conditions corresponding to stochastic Loewner evolution. We use this set of results to predict the time evolution of the entanglement entropy and obtain the universal constant shift due to the presence of a domain wall in the initial state

  18. On the precision of calculations if initial state radiation in the LEP Z line-shape fits

    International Nuclear Information System (INIS)

    Jadach, S.; Skrzypek, M.; Pietrzyk, B.

    1999-02-01

    Calculation of Initial State Radiation (ISR) in the fitting program MIZA and in the Standard Model program BHM is improved within the analysis of the Z line-shape measurements at LEP. The uncertainty on the determination of the Z line-shape parameters coming from the precision of ISR calculations is 2 x 10 -4 on σ 0 and 0.1 MeV on m Z and Γ Z . (author)

  19. THE JUDGE'S PROBATIVE INITIATIVE: CONTRASTS AND LIMITATIONS FROM THE LEGAL-CONSTITUTIONAL PARADIGM OF LAWFUL DEMOCRATIC STATE

    Directory of Open Access Journals (Sweden)

    Igor Alves Noberto Soares

    2016-12-01

    Full Text Available This article will reflect on the production of proof by the judge, in the context of Criminal Procedure, according to the rules presents in the brazilian legal system. Therefore, the critcial incursions will take into account the technical constructions expressed from the legal and constitutional paradigm of Lawful Democratic State, in order to counter the currently permissive system that confers, to judging agent, the probative initiative.

  20. 78 FR 58546 - State System Development Initiative (SSDI) Grant Program; Single-Case Deviation From Competition...

    Science.gov (United States)

    2013-09-24

    ... DEPARTMENT OF HEALTH & HUMAN SERVICES Health Resources and Services Administration State System...: Health Resources and Services Administration (HRSA), Department of Health and Human Services (HHS... intended to not only advance and strengthen data capacity by directing grant resources towards Title V MCH...

  1. The United State of Wyoming: Teacher-to-Teacher Initiative Boosts Reading Scores Statewide

    Science.gov (United States)

    Lain, Sheryl

    2014-01-01

    When teachers collaborate in schools, taking collective responsibility to improve instruction and achieve goals, student performance improves and good results happen. Wyoming is one example of a state that uses peer-to-peer professional learning with notable results. Teachers joined together to form a statewide professional community and saw the…

  2. Initial Validity Evidence for the State Mindfulness Scale for Physical Activity with Youth

    Science.gov (United States)

    Ullrich-French, Sarah; Cox, Anne; Cole, Amy; Rhoades Cooper, Brittany; Gotch, Chad

    2017-01-01

    Experiencing mindfulness during movement-based interventions (e.g., yoga) may help support adaptive physical activity motivation processes in youth. However, there is currently no measure for assessing state mindfulness with youth within the context of physical activity. The purpose of this study was to qualitatively and quantitatively evaluate a…

  3. The State of Development Education in Spain: Initiatives, Trends and Challenges

    Science.gov (United States)

    Calvo, Adelina

    2017-01-01

    In this paper I analyse the state of development education (DE) in Spain, considering the specific context of the country, its history and the challenges it currently faces. I provide a review of the overall policy framework, highlighting the Spanish Cooperation Strategy on DE as a significant turning point in the consolidation of DE. Theoretical…

  4. Sustainability for the Americas Initiative: Land Design Institute, Ball State University

    Science.gov (United States)

    J. L. Motloch; Pedro Pacheco; Eloy F. Jr. Casagrande

    2006-01-01

    The Ball State University Land Design Institute (LDI) pursues ecologically and culturally sustainable land design through education, research, outreach, and demonstration. LDI seeks to lead communities (local, regional, global) to sustainable futures. It connects communities and sustainability experts to optimize education about land management, planning, and design...

  5. Initial measurement of assets produced in Bulgarian companies – current state and ways for improvement

    Directory of Open Access Journals (Sweden)

    Mincho Minev

    2017-10-01

    Full Text Available The initial evaluation of the production is one of the most complex tasks that accounting specialists face in their practice. The quality of the accounting information provided to the various internal and external users depends to a great extent on the way in which this task is resolved. In this article, using the results of an undertaken research, the practice of leading Bulgarian companies will be analyzed with regard to the costing of their production. The main purpose is to make recommendations for optimizing the process of costing in Bulgarian companies and to increase the quality of the accounting information produced as a result of this process.

  6. Resting state functional connectivity changes in adults with developmental stuttering: an initial sLORETA study.

    Directory of Open Access Journals (Sweden)

    Kathleen eJoos

    2014-10-01

    Full Text Available Introduction: Stuttering is defined as speech characterized by verbal dysfluencies, but should not be seen as an isolated speech disorder, but as a generalized sensorimotor timing deficit due to impaired communication between speech related brain areas. Therefore we focused on resting state brain activity and functional connectivity.Method: We included 11 patients with developmental stuttering and 11 age matched controls. To objectify stuttering severity and the impact on the quality of life (QoL, we used the Dutch validated Test for Stuttering Severity-Readers (TSS-R and the Overall Assessment of the Speaker’s Experience of Stuttering (OASES, respectively. Furthermore, we used standardized low resolution brain electromagnetic tomography (sLORETA analyses to look at resting state activity and functional connectivity differences and their correlations with the TSS-R and OASES.Results: No resting state activity differences were identified in comparison to fluently speaking controls or in correlation with stuttering severity or QoL measures. Significant alterations in resting state functional connectivity were found, predominantly interhemispheric, i.e. a decreased functional connectivity for high frequency oscillations (beta and gamma between motor speech areas (BA44 and 45 and the contralateral premotor (BA 6 and motor (BA 4 areas. A positive correlation was found between functional connectivity at low frequency oscillations (theta and alpha and stuttering severity, while a mixed increased and decreased functional connectivity at low and high frequency oscillations correlated with QoL.Discussion: PWS are characterized by decreased high frequency interhemispheric functional connectivity between motor speech, premotor and motor areas in the resting state, while higher functional connectivity in the low frequency bands indicates more severe speech disturbances, suggesting that increased interhemispheric and right sided functional connectivity is

  7. The Admissibility of Subregional Courts' Decisions before the ...

    African Journals Online (AJOL)

    However, it is not clear whether the cases decided by subregional courts are admissible before the African Commission on Human and Peoples' Rights or the African Court on Human and Peoples' Rights. Focusing on the Economic Community of West African States Court of Justice, the East African Court of Justice, and the ...

  8. Pattern of diabetes admissions in a Northern Nigerian tertiary health ...

    African Journals Online (AJOL)

    Frequent indications for admission were sepsis 63(30.9%), hyperglycaemic hyper-osmolar state 29(14.2%), cerebrovascular accident 19(9.3%), DM foot ulcer 15(7.4%), diabetes ketoacidosis 15(7.4%), hypoglycaemia 12(5.9%), nephropathy 29(14.2%) and severe hypertension 22(10.8%). Chronic complications found in ...

  9. The Appointment of a Huntington's Disease Nurse Specialist has Reduced Admission Rate and Improved Admission Quality.

    Science.gov (United States)

    Bourke, David; Finucane, Gregory; Dysart, Jo; Roxburgh, Richard

    2012-01-01

    We aimed to determine if the appointment of a Huntington's disease (HD) nurse specialist has influenced inpatient admission rates and admission quality at Auckland Hospital. We collated HD inpatient admission data for the 32 months before and after her appointment and compared the quality of cognition, mood, speech/swallowing and safety assessments between admissions where the nurse was and was not involved. After the appointment of the HD nurse there was a 51% reduction in average monthly HD admission rates (p = 0.0009). HD admissions specifically related to HD decreased by 54% (p = 0.005). There was also an improvement in the quality of admissions.

  10. Evaluating Kinship Care Alternatives: A Comparison of a Private Initiative to Traditional State Services

    Directory of Open Access Journals (Sweden)

    Rodney A. Ellis

    2002-05-01

    Full Text Available Multiple stressors on the child welfare system have forced innovative solutions to the overburdened foster care program. A promising alternative is kinship care, in which children are placed with biological relatives. Proponents cite the opportunity to place the child in familiar surroundings, the natural access to additional family resources, and the degree to which it is sensitive to the norms and values of non-dominant cultural groups. Various models of kinship care have been implemented in several jurisdictions, yet little or no research has been done to determine which alternatives are the most effective. This paper addresses that deficit. It reports the results of a study that compares stability of placement outcomes between a program operated by a private,not-for-profit organization (n=60 and a more traditional program (n=79 operated by a state child welfare agency. Results support the use of the private alternative over the more traditional state-operated program.

  11. United States Air Force Research Initiation Program. 1985 Technical Report. Volume 3.

    Science.gov (United States)

    1987-04-01

    ethoxyacetic acid as metabolites of ethylene glycol monomethyl ether and ethylene glycol monoethyl ether respectively in primary testicular cell cultures (2...these with sodium azide in a variety of solvents including diglyme and diethylene glycol did not yield useful quantities of the azide. However, we...product states that it is a 6% solution of the MMM product Light Water (FC206) in water. The major non-aqueous component of AFFF is diethylene glycol

  12. Estimating Renewable Energy Economic Potential in the United States: Methodology and Initial Results

    Energy Technology Data Exchange (ETDEWEB)

    Brown, Austin [National Renewable Energy Lab. (NREL), Golden, CO (United States); Beiter, Philipp [National Renewable Energy Lab. (NREL), Golden, CO (United States); Heimiller, Donna [National Renewable Energy Lab. (NREL), Golden, CO (United States); Davidson, Carolyn [National Renewable Energy Lab. (NREL), Golden, CO (United States); Denholm, Paul [National Renewable Energy Lab. (NREL), Golden, CO (United States); Melius, Jennifer [National Renewable Energy Lab. (NREL), Golden, CO (United States); Lopez, Anthony [National Renewable Energy Lab. (NREL), Golden, CO (United States); Hettinger, Dylan [National Renewable Energy Lab. (NREL), Golden, CO (United States); Mulcahy, David [National Renewable Energy Lab. (NREL), Golden, CO (United States); Porro, Gian [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2016-08-01

    The report describes a geospatial analysis method to estimate the economic potential of several renewable resources available for electricity generation in the United States. Economic potential, one measure of renewable generation potential, is defined in this report as the subset of the available resource technical potential where the cost required to generate the electricity (which determines the minimum revenue requirements for development of the resource) is below the revenue available in terms of displaced energy and displaced capacity.

  13. Admission Test and Pregnancy Outcome

    Directory of Open Access Journals (Sweden)

    Setareh Akhavan

    2017-07-01

    Full Text Available Background: The admission test (AT has been carried out for many years, but there are still debates about the prognostic value of the test. Therefore, we aimed to examine the value of the AT in predicting the adverse outcome in neonates. Methods: In this cross-sectional study, 425 pregnant women with normal vaginal delivery were studied between2009 and 2014at Vali-e-Asr Hospital. Based on the results, the women were divided into 2groups of normal and abnormal ATs. All the patients were followed up until the birth of their baby, when the status of mother and neonate was determined. The main outcomes of the study were cesarean rate, neonatal intensive care unit (NICU admission, fetus demise, neonatal acidosis, and Apgar score. The independent t-test, chi-square test, Fisher exact test, and logistic regression were used for statistical analysis. The data were analyzed using SPSS (version 17. Results: Of 425 pregnant women studied, 142 (33.4% had abnormal ATs with a mean age of 29 (±4.5 years. Multivariate analysis showed that an abnormal AT was able to predict the incidence of cesarean section, intrauterine growth restriction, turned cord, and Apgar<7, but it could not predict neonatal death and hypoxia. Conclusion: The AT was shown to be a useful screening test with risk factors such as oligohydramnios, bloody amniotic fluid, meconium amniotic fluid, intrauterine growth restriction, and turned cord. Additionally, the test was also able to predict NICU admission and the need for cesarean section, but it could not predict the occurrence of neonatal death.

  14. A Comparison of Nursing Education and Workforce Planning Initiatives in the United States and England.

    Science.gov (United States)

    White, Elizabeth

    2018-01-01

    Health care systems in England and the United States are under similar pressures to provide higher quality, more efficient care in the face of aging populations, increasing care complexity, and rising costs. In 2010 and 2011, major strategic reports were published in the two countries with recommendations for how to strengthen their respective nursing workforces to address these challenges. In England, it was the 2010 report of the Prime Minister's Commission on the Future of Nursing and Midwifery, Front Line Care: The Future of Nursing and Midwifery in England. In the United States, it was the Institute of Medicine's report The Future of Nursing: Leading Change, Advancing Health. The authors of both reports recommended shifting entry level nursing education to the baccalaureate degree and building capacity within their educational systems to prepare nurses as leaders, educators, and researchers. This article will explore how, with contrasting degrees of success, the nursing education systems in the United States and England have responded to these recommendations and examine how different regulatory and funding structures have hindered or enabled these efforts.

  15. Meeting a Forensic Podiatry Admissibility Challenge: A Daubert Case Study.

    Science.gov (United States)

    Nirenberg, Michael

    2016-05-01

    This article is an introduction to the United States Supreme Court's standard of admissibility of forensic evidence and testimony at trial, known as the Daubert standard, with emphasis on how this standard applies to the field of forensic podiatry. The author, a forensic podiatrist, provided law enforcement with evidence tying a bloody sock-clad footprint found at the scene of a homicide to the suspect. In 2014, the author testified at a pretrial hearing, known as "a Daubert hearing," to address the admissibility of this evidence in court. This was the first instance of forensic podiatry being the primary subject of a Daubert hearing. The hearing resulted in the court ordering this evidence admissible. The expert's testimony contributed to the suspect's conviction. This article serves as a reference for forensic podiatrists and experts in similar fields that involve impression evidence, providing evidentiary standards and their impact on expert evidence and testimony. © 2016 American Academy of Forensic Sciences.

  16. State of Simulation in Healthcare Education: An Initial Survey in Beijing.

    Science.gov (United States)

    Zhao, Zichen; Niu, Pengfei; Ji, Xiang; Sweet, Robert M

    2017-01-01

    In 2013, medical error was the third leading cause of death in the United States. 1 In China, as in the case with the United States, training and assessment are developing as a strategy to reduce the occurrence of such errors. The objective of this study was to assess the current state of the use of simulation-based training in Beijing and to explore the barriers to further development. This study included hospitals in Beijing accredited by the Standardized Residency Training (SRT) program. The questionnaire was designed online and distributed to the SRT management departments by e-mail or instant message. Thirty hospitals were invited to participate in this survey, and 15 responses were completed and met the inclusion criteria. Task trainers (15/15), full-scale mannequins (14/15), standardized patients (12/15), and virtual reality workstations (11/15) were the most common types of simulation modalities available for use. Among the given specialties for SRT, the availability of simulation courses was 2/2 for pediatric internal medicine, 1/1 for pediatric surgery, 10/11 for surgery, 11/14 for internal medicine, 7/9 for anesthesiology, 6/8 for emergency medicine, and 3/9 for obstetrics/gynecology. Of the 13 institutions with available simulation curricula, 12/13 had simulation focused on proficiency-based skill training, 11/13 had medical knowledge learning, 10/13 had skill competency assessment. The main targeted trainees in these hospitals were residents (or postgraduate residents) and medical students (or interns). The top 2 barriers were the shortage of sustainable financial resources (12/15) and advocacy from their institutional authorities (7/15). It is evident that there is a need for more development of training facilities, and for training the "trainers" and administrators. Financial funding, curricular design, and research seem to be crucial for building a long-term, sustainable, effective program.

  17. United States Air Force Research Initiation Program for 1987. Volume 3

    Science.gov (United States)

    1989-04-01

    Chemistry Dr. Henry Kurtz Memphis State Univ. Specialty: Chemistry GEOPHYSICS LABORATORY (Hanscom Air Force Base) Dr. Lee A. Flippin Dr. Gandikota Rao...Available at this Time Dr. Lee A. Flippin 760-7MG-056 32 Modelling and Prediction in a Dr. Mayer Humi Nonlocal Turbulence Model 760-7MG-028 33 Report...P. Girad, and G. Hamamdjian, J. Appl. Phys. 56, 2268 (1984); J. Appl. Phys. 56 2275 (1984); B. Pistoulet, F.M. Rouche , and S. Abdalla, Phys. Rev. b

  18. State and local fiscal impacts associated with nuclear energy centers: some initial considerations

    International Nuclear Information System (INIS)

    Bjornstad, D.J.

    1976-04-01

    The concept of the nuclear energy center is designed to consolidate a number of electrical power reactors and/or related fuel cycle activities on a single site. Such a siting strategy would concentrate a great deal of economic activity in one area and, as a consequence, generate significant impacts on state and local governments by increasing tax bases and public service demands and by altering intergovernmental fiscal relations. This study was designed to place rough empirical measures on relevant impact variables and to highlight areas for which a need for further research was indicated.

  19. Constraining models of initial state with v{sub 2} and v{sub 3} data from LHC and RHIC

    Energy Technology Data Exchange (ETDEWEB)

    Retinskaya, Ekaterina, E-mail: ekaterina.retinskaya@cea.fr [CEA, IPhT, Institut de physique théorique de Saclay, F-91191 Gif-sur-Yvette (France); Luzum, Matthew, E-mail: MWLuzum@lbl.gov [McGill University, 3600 University Street, Montreal QC H3A 2TS (Canada); Lawrence Berkeley National Laboratory, Berkeley, CA 94720 (United States); Ollitrault, Jean-Yves, E-mail: jean-yves.ollitrault@cea.fr [CNRS, URA2306, IPhT, Institut de physique théorique de Saclay, F-91191 Gif-sur-Yvette (France)

    2014-06-15

    We present a combined analysis of elliptic and triangular flow data from LHC and RHIC using viscous relativistic hydrodynamics. Elliptic flow v{sub 2} in hydrodynamics is proportional to the participant eccentricity ε{sub 2} and triangular flow is proportional to the participant triangularity ε{sub 3}, which means v{sub n}=κ{sub n}ε{sub n}, where κ{sub n} is the linear response coefficient in harmonic n. Experimental data for v{sub 2} and v{sub 3} combined with hydrodynamic calculations of κ{sub n} thus provide us with the rms values of initial anisotropies ε{sub 2} and ε{sub 3}. By varying free parameters in the hydro calculation (in particular the shear viscosity), we obtain an allowed band in the (rms ε{sub 2}, rms ε{sub 3}) plane. Comparison with Monte Carlo models of the initial state allows us to exclude several of these models. We illustrate that the effect of changing the granularity of the initial state is similar to changing the medium properties, making these effects difficult to disentangle.

  20. Analysis of Institutional Competitiveness of Junior High Schools through the Admission Test to High School Education

    Science.gov (United States)

    Armendáriz, Joyzukey; Tarango, Javier; Machin-Mastromatteo, Juan Daniel

    2018-01-01

    This descriptive and correlational research studies 15,658 students from 335 secondary schools in the state of Chihuahua, Mexico, through the results of the examination of admission to high school education (National High School Admission Test--EXANI I from the National Assessment Center for Education--CENEVAL) on logical-mathematical and verbal…

  1. 22 CFR 40.61 - Aliens present without admission or parole.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Aliens present without admission or parole. 40.61 Section 40.61 Foreign Relations DEPARTMENT OF STATE VISAS REGULATIONS PERTAINING TO BOTH... Immigration Violators § 40.61 Aliens present without admission or parole. INA 212(a)(6)(A)(i) does not apply...

  2. 77 FR 19408 - Notice of Public Meeting on FY 2013 U.S. Refugee Admissions Program

    Science.gov (United States)

    2012-03-30

    ... DEPARTMENT OF STATE [Public Notice: 7836] Notice of Public Meeting on FY 2013 U.S. Refugee Admissions Program There will be a meeting on the President's FY 2013 U.S. Refugee Admissions Program on Tuesday, May 1, 2012 from 2 p.m. to 4 p.m. The meeting will be held at the Refugee Processing Center, 1401...

  3. 76 FR 19176 - Notice of Public Meeting on FY 2012 Refugee Admissions Program

    Science.gov (United States)

    2011-04-06

    ... DEPARTMENT OF STATE [Public Notice: 7409] Notice of Public Meeting on FY 2012 Refugee Admissions Program There will be a meeting on the President's FY 2012 U.S. Refugee Admissions Program on Thursday, May 12, 2011 from 2 p.m. to 4 p.m. The meeting will be held at the Refugee Processing Center, 1401...

  4. 75 FR 20031 - Notice of Public Meeting on FY 2011 Refugee Admissions Program

    Science.gov (United States)

    2010-04-16

    ... DEPARTMENT OF STATE [Public Notice 6954] Notice of Public Meeting on FY 2011 Refugee Admissions Program There will be a meeting on the President's FY 2011 Refugee Admissions Program on Tuesday, May 4, 2010 from 2 p.m. to 4 p.m. The meeting will be held at the Refugee Processing Center, 1401 Wilson...

  5. Estimating Renewable Energy Economic Potential in the United States. Methodology and Initial Results

    Energy Technology Data Exchange (ETDEWEB)

    Brown, Austin; Beiter, Philipp; Heimiller, Donna; Davidson, Carolyn; Denholm, Paul; Melius, Jennifer; Lopez, Anthony; Hettinger, Dylan; Mulcahy, David; Porro, Gian

    2016-08-01

    This report describes a geospatial analysis method to estimate the economic potential of several renewable resources available for electricity generation in the United States. Economic potential, one measure of renewable generation potential, may be defined in several ways. For example, one definition might be expected revenues (based on local market prices) minus generation costs, considered over the expected lifetime of the generation asset. Another definition might be generation costs relative to a benchmark (e.g., a natural gas combined cycle plant) using assumptions of fuel prices, capital cost, and plant efficiency. Economic potential in this report is defined as the subset of the available resource technical potential where the cost required to generate the electricity (which determines the minimum revenue requirements for development of the resource) is below the revenue available in terms of displaced energy and displaced capacity. The assessment is conducted at a high geospatial resolution (more than 150,000 technology-specific sites in the continental United States) to capture the significant variation in local resource, costs, and revenue potential. This metric can be a useful screening factor for understanding the economic viability of renewable generation technologies at a specific location. In contrast to many common estimates of renewable energy potential, economic potential does not consider market dynamics, customer demand, or most policy drivers that may incent renewable energy generation.

  6. An Evaluation of Washington State SNAP-Ed Farmers' Market Initiatives and SNAP Participant Behaviors.

    Science.gov (United States)

    Walkinshaw, Lina Pinero; Quinn, Emilee L; Rocha, Anita; Johnson, Donna B

    2018-02-23

    To describe Supplemental Nutrition Assistance Program-Education (SNAP-Ed)-supported farmers' market (FM) access activities in Washington State communities and identify associations between participation in these activities and SNAP participants' FM shopping and fruit and vegetable consumption. Descriptive study; data included stakeholder interviews and surveys with FM managers and a stratified clustered random sample of SNAP participants. Washington State. A total of 51 SNAP-Ed stakeholders, 400 SNAP participants, and 94 FM managers participated. Partnership measures and SNAP-Ed FM access activities; SNAP participants' participation in FM access activities, FM shopping frequency, and fruit and vegetable consumption. Thematic content analysis, descriptive statistics, and 0-inflated Poisson and ordinary least-squares regression models. A total of 343 FM access activities and strong multi-sector partnerships were identified. Fifty percent of SNAP participants shopped at an FM in the past year, and 30% at least monthly. The SNAP participants participating in FM access activities shopped at FMs more frequently (P=.005). The SNAP participants shopping at FMs ate fruit and vegetables more frequently than did non-FM shoppers (P<.001). Through nutrition education and systems and environmental changes, Washington SNAP-Ed developed effective programming and multi-sector partnerships. These efforts are associated with SNAP participants' FM shopping and fruit and vegetable consumption. Copyright © 2018 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.

  7. Heterogeneity of change in state affect following insulin therapy initiation in type 2 diabetic patients

    Directory of Open Access Journals (Sweden)

    Gruszczyńska Ewa

    2017-09-01

    Full Text Available The aim of the study was to explore heterogeneity of change in state affect following the introduction of insulin therapy in patients with type 2 diabetes. State affect was assessed twice among 305 patients: just before the introduction of insulin therapy and at 1-month follow-up. Latent class growth modeling showed that negative affect (NA increased in 78% of the sample, whereas positive affect (PA improved in only 17% of the participants. On the basis of cross-tabulation of these changes a 4-class model of emotional response to the new treatment was obtained. The largest subgroup of participants (57% manifested “threat response”, i.e. moderate-stable PA with increase in NA. Participants in the “challenge response” subgroup (11.8% showed increases in both NA and PA. The third class (10.2% characterized by “no response”, had low-stable NA and moderate-stable PA. The smallest “stress response” subgroup (9.8% showed increase in NA and high-stable PA. Gender, age and education level were significant covariates of group membership. Thus, the findings revealed heterogeneous emotional response to the new treatment, which may be of clinical relevance for improving diabetic patients’ adjustment through a more individual, person-centered approach.

  8. The Effect of a State Department of Education Teacher Mentor Initiative on Science Achievement

    Science.gov (United States)

    Pruitt, Stephen L.; Wallace, Carolyn S.

    2012-06-01

    This study investigated the effectiveness of a southern state's department of education program to improve science achievement through embedded professional development of science teachers in the lowest performing schools. The Science Mentor Program provided content and inquiry-based coaching by teacher leaders to science teachers in their own classrooms. The study analyzed the mean scale scores for the science portion of the state's high school graduation test for the years 2004 through 2007 to determine whether schools receiving the intervention scored significantly higher than comparison schools receiving no intervention. The results showed that all schools achieved significant improvement of scale scores between 2004 and 2007, but there were no significant performance differences between intervention and comparison schools, nor were there any significant differences between various subgroups in intervention and comparison schools. However, one subgroup, economically disadvantaged (ED) students, from high-level intervention schools closed the achievement gap with ED students from no-intervention schools across the period of the study. The study provides important information to guide future research on and design of large-scale professional development programs to foster inquiry-based science.

  9. Admission Criteria for MBA Programs

    Directory of Open Access Journals (Sweden)

    Silvana Dakduk

    2016-11-01

    Full Text Available This paper reports a review of studies on admission criteria for MBA programs. The method consisted in a literary review based on a systematic search in international databases (Emerald, ABI/INFORM Global, ProQuest Education Journals, ProQuest European Business, ProQuest Science Journal, ProQuest Research Library, ProQuest Psychology Journals, ProQuest Social Science Journals and Business Source Complete of studies published from January 1990 to December 2013, which explore the academic performance of students or graduates of MBA programs. A quantitative review was performed. Results show that most researchers studied relations between GMAT (Graduate Management Admission Test and UGPA (Undergraduate Grade Point Average as predictors of GGPA (Graduate Grade Point Average. On the other hand, work experience and personal traits (such as personality, motivation, learning strategies, self-efficacy beliefs and achievement expectations and their relation with GGPA had been less studied, and results are not consistent enough to consider them valid predictors of student performance at this time.

  10. United States-Mexico cross-border health insurance initiatives: Salud Migrante and Medicare in Mexico.

    Science.gov (United States)

    Vargas Bustamante, Arturo; Laugesen, Miriam; Caban, Mabel; Rosenau, Pauline

    2012-01-01

    While U.S. health care reform will most likely reduce the overall number of uninsured Mexican-Americans, it does not address challenges related to health care coverage for undocumented Mexican immigrants, who will remain uninsured under the measures of the reform; documented low-income Mexican immigrants who have not met the five-year waiting period required for Medicaid benefits; or the growing number of retired U.S. citizens living in Mexico, who lack easy access to Medicare-supported services. This article reviews two promising binational initiatives that could help address these challenges-Salud Migrante and Medicare in Mexico; discusses their prospective applications within the context of U.S. health care reform; and identifies potential challenges to their implementation (legal, political, and regulatory), as well as the possible benefits, including coverage of uninsured Mexican immigrants, and their integration into the U.S. health care system (through Salud Migrante), and access to lower-cost Medicare-supported health care for U.S. retirees in Mexico (Medicare in Mexico).

  11. Factors Associated with Nursing Home Admission after Stroke in Older Women.

    Science.gov (United States)

    Bell, Christina L; LaCroix, Andrea Z; Desai, Manisha; Hedlin, Haley; Rapp, Stephen R; Cene, Crystal; Savla, Jyoti; Shippee, Tetyana; Wassertheil-Smoller, Sylvia; Stefanick, Marcia L; Masaki, Kamal

    2015-10-01

    We examined the social and economic factors associated with nursing home (NH) admission in older women, overall and poststroke. The Women's Health Initiative (WHI) included women aged 50-79 years at enrollment (1993-1998). In the WHI Extension Study (2005-2010), participants annually reported any NH admission in the preceding year. Separate multivariate logistic regression models analyzed social and economic factors associated with long-term NH admission, defined as an admission on 2 or more questionnaires, overall and poststroke. Of 103,237 participants, 8904 (8.6%) reported NH admission (2005-2010); 534 of 2225 (24.0%) women with incident stroke reported poststroke NH admission. Decreased likelihoods of NH admission overall were demonstrated for Asian, Black, and Hispanic women (versus whites, adjusted odds ratio [aOR] = .35-.44, P stroke (aOR = 2.59, 95% CI = 2.15-3.12). Increased odds of NH admission after stroke were demonstrated for women with moderate disability after stroke (aOR = 2.76, 95% CI = 1.73-4.42). Further adjustment for stroke severity eliminated the association found for race/ethnicity, income, and social support. The level of care needed after a disabling stroke may overwhelm social and economic structures in place that might otherwise enable avoidance of NH admission. We need to identify ways to provide care consistent with patients' preferences, even after a disabling stroke. Copyright © 2015 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  12. The family medicine residency training initiative in miscarriage management: impact on practice in Washington State.

    Science.gov (United States)

    Darney, Blair G; Weaver, Marcia R; Stevens, Nancy; Kimball, Jeana; Prager, Sarah W

    2013-02-01

    Non-complicated spontaneous abortion cases should be counseled about the full range of management approaches, including uterine evacuation using manual vacuum aspiration (MVA). The Residency Training Initiative in Miscarriage Management (RTI-MM) is an intensive, multidimensional intervention designed to facilitate implementation of office-based management of spontaneous abortion using MVA in family medicine residency settings. The purpose of this study was to test the impact of the RTI-MM on self-reported use of MVA for management of spontaneous abortion. We used a pretest/posttest one group study design and a web-based, anonymous survey to collect data on knowledge, attitudes, perceived barriers, and practice of office-based management of spontaneous abortion. We used multivariable models to estimate incident relative risks and accounted for data clustering at the residency site level. Our sample included 441 residents and faculty from 10 family medicine residency sites. Our findings show a positive association between the RTI-MM and self-reported use of MVA for management of spontaneous abortion (adjusted RR=9.11 [CI=4.20--19.78]) and were robust to model specification. Male gender, doing any type of management of spontaneous abortion (eg, expectant, medication), other on-site reproductive health training interventions, and support staff knowledge scores were also significant correlates of physician practice of MVA. Our findings suggest that the RTI-MM was successful in influencing the practice of management of spontaneous abortion using MVA in this population and that support staff knowledge may impact physician practice. Integrating MVA into family medicine settings would potentially improve access to evidence-based, comprehensive care for women.

  13. Chinese Policy in Post-Soviet States. «One Belt — One Road Initiative»

    Directory of Open Access Journals (Sweden)

    Yuliya M. Borisova

    2017-01-01

    Full Text Available Former Soviet Union countries is of special interest for China. Russian influence in former republics has been declining since the Soviet Union collapsed. China used these changes to start developing of bilateral relations with Central Asia states, as a first priority, and continued with Ukraine, Belorussia, South Caucasus governments. Former Soviet countries’ course to weaken Russian influence helped Chinese policy to be promoted. It has altered from bitty steps to concerted course in the region. China began to play a major role in the trade and economic development of Central Asia, supporting its policy with political mechanisms. To strengthen its positions, Beijing proposed its “One belt - one road” strategic initiative, which consists of two major projects : Silk Road Economic Belt and the 21st Century Maritime Silk Route Economic Belt. These projects involve almost all of the former soviet states, of which Central Asian countries play a major part. This world region is seen in China as a platform for invading European markets, and it also provides a way to avoid trespassing of the Russian borders. In the context of Chinese “One road — one belt” initiative, there is a great concern of the cooperation with EAEU project. EAEU is aimed to provide coordinated unified economic policy with state-members, to guarantee the free movement of goods, capital and labour. Moscow sees its initiative as an instrument for construction of economic and political structure in the region, same as Beijing does. Possibility of two global projects coexistence, which can be distinguished as competitive, is a problem to be solved.   

  14. Initial-State Radiation Measurement of the e+e- -> pi+pi-pi+pi- Cross Section

    CERN Document Server

    Lees, J.P.; Tisserand, V.; Garra Tico, J.; Grauges, E.; Martinelli, M.; Milanes, D.A.; Palano, A.; Pappagallo, M.; Eigen, G.; Stugu, B.; Brown, David Nathan; Kerth, L.T.; Kolomensky, Yu.G.; Lynch, G.; Koch, H.; Schroeder, T.; Asgeirsson, D.J.; Hearty, C.; Mattison, T.S.; McKenna, J.A.; Khan, A.; Blinov, V.E.; Buzykaev, A.R.; Druzhinin, V.P.; Golubev, V.B.; Kravchenko, E.A.; Onuchin, A.P.; Serednyakov, S.I.; Skovpen, Yu.I.; Solodov, E.P.; Todyshev, K.Yu.; Yushkov, A.N.; Bondioli, M.; Kirkby, D.; Lankford, A.J.; Mandelkern, M.; Stoker, D.P.; Atmacan, H.; Gary, J.W.; Liu, F.; Long, O.; Vitug, G.M.; Campagnari, C.; Hong, T.M.; Kovalskyi, D.; Richman, J.D.; West, C.A.; Eisner, A.M.; Kroseberg, J.; Lockman, W.S.; Martinez, A.J.; Schalk, T.; Schumm, B.A.; Seiden, A.; Cheng, C.H.; Doll, D.A.; Echenard, B.; Flood, K.T.; Hitlin, D.G.; Ongmongkolkul, P.; Porter, F.C.; Rakitin, A.Y.; Andreassen, R.; Dubrovin, M.S.; Huard, Z.; Meadows, B.T.; Sokoloff, M.D.; Sun, L.; Bloom, P.C.; Ford, W.T.; Gaz, A.; Nagel, M.; Nauenberg, U.; Smith, J.G.; Wagner, S.R.; Ayad, R.; Toki, W.H.; Spaan, B.; Kobel, M.J.; Schubert, K.R.; Schwierz, R.; Bernard, D.; Verderi, M.; Clark, P.J.; Playfer, S.; Bettoni, D.; Bozzi, C.; Calabrese, R.; Cibinetto, G.; Fioravanti, E.; Garzia, I.; Luppi, E.; Munerato, M.; Negrini, M.; Piemontese, L.; Santoro, V.; Baldini-Ferroli, R.; Calcaterra, A.; de Sangro, R.; Finocchiaro, G.; Nicolaci, M.; Patteri, P.; Peruzzi, I.M.; Piccolo, M.; Rama, M.; Zallo, A.; Contri, R.; Guido, E.; Lo Vetere, M.; Monge, M.R.; Passaggio, S.; Patrignani, C.; Robutti, E.; Bhuyan, B.; Prasad, V.; Lee, C.L.; Morii, M.; Edwards, A.J.; Adametz, A.; Marks, J.; Uwer, U.; Bernlochner, F.U.; Ebert, M.; Lacker, H.M.; Lueck, T.; Dauncey, P.D.; Tibbetts, M.; Behera, P.K.; Mallik, U.; Chen, C.; Cochran, J.; Meyer, W.T.; Prell, S.; Rosenberg, E.I.; Rubin, A.E.; Gritsan, A.V.; Guo, Z.J.; Arnaud, N.; Davier, M.; Grosdidier, G.; Le Diberder, F.; Lutz, A.M.; Malaescu, B.; Roudeau, P.; Schune, M.H.; Stocchi, A.; Wormser, G.; Lange, D.J.; Wright, D.M.; Bingham, I.; Chavez, C.A.; Coleman, J.P.; Fry, J.R.; Gabathuler, E.; Hutchcroft, D.E.; Payne, D.J.; Touramanis, C.; Bevan, A.J.; Di Lodovico, F.; Sacco, R.; Sigamani, M.; Cowan, G.; Brown, David Norvil; Davis, C.L.; Denig, A.G.; Fritsch, M.; Gradl, W.; Hafner, A.; Prencipe, E.; Alwyn, K.E.; Bailey, D.; Barlow, R.J.; Jackson, G.; Lafferty, G.D.; Behn, E.; Cenci, R.; Hamilton, B.; Jawahery, A.; Roberts, D.A.; Simi, G.; Dallapiccola, C.; Cowan, R.; Dujmic, D.; Sciolla, G.; Lindemann, D.; Patel, P.M.; Robertson, S.H.; Schram, M.; Biassoni, P.; Lazzaro, A.; Lombardo, V.; Neri, N.; Palombo, F.; Stracka, S.; Cremaldi, L.; Godang, R.; Kroeger, R.; Sonnek, P.; Summers, D.J.; Nguyen, X.; Taras, P.; De Nardo, G.; Monorchio, D.; Onorato, G.; Sciacca, C.; Raven, G.; Snoek, H.L.; Jessop, C.P.; Knoepfel, K.J.; LoSecco, J.M.; Wang, W.F.; Honscheid, K.; Kass, R.; Brau, J.; Frey, R.; Sinev, N.B.; Strom, D.; Torrence, E.; Feltresi, E.; Gagliardi, N.; Margoni, M.; Morandin, M.; Posocco, M.; Rotondo, M.; Simonetto, F.; Stroili, R.; Akar, S.; Ben-Haim, E.; Bomben, M.; Bonneaud, G.R.; Briand, H.; Calderini, G.; Chauveau, J.; Hamon, O.; Leruste, Ph.; Marchiori, G.; Ocariz, J.; Sitt, S.; Biasini, M.; Manoni, E.; Pacetti, S.; Rossi, A.; Angelini, C.; Batignani, G.; Bettarini, S.; Carpinelli, M.; Casarosa, G.; Cervelli, A.; Forti, F.; Giorgi, M.A.; Lusiani, A.; Oberhof, B.; Paoloni, E.; Perez, A.; Rizzo, G.; Walsh, J.J.; Lopes Pegna, D.; Lu, C.; Olsen, J.; Smith, A.J.S.; Telnov, A.V.; Anulli, F.; Cavoto, G.; Faccini, R.; Ferrarotto, F.; Ferroni, F.; Gaspero, M.; Li Gioi, L.; Mazzoni, M.A.; Piredda, G.; Bunger, C.; Grunberg, O.; Hartmann, T.; Leddig, T.; Schroder, H.; Waldi, R.; Adye, T.; Olaiya, E.O.; Wilson, F.F.; Emery, S.; de Monchenault, G.Hamel; Vasseur, G.; Y\\`, Ch.; Aston, D.; Bard, D.J.; Bartoldus, R.; Cartaro, C.; Convery, M.R.; Dorfan, J.; Dubois-Felsmann, G.P.; Dunwoodie, W.; Field, R.C.; Franco Sevilla, M.; Fulsom, B.G.; Gabareen, A.M.; Graham, M.T.; Grenier, P.; Hast, C.; Innes, W.R.; Kelsey, M.H.; Kim, H.; Kim, P.; Kocian, M.L.; Leith, D.W.G.S.; Lewis, P.; Li, S.; Lindquist, B.; Luitz, S.; Luth, V.; Lynch, H.L.; MacFarlane, D.B.; Muller, D.R.; Neal, H.; Nelson, S.; Ofte, I.; Perl, M.; Pulliam, T.; Ratcliff, B.N.; Roodman, A.; Salnikov, A.A.; Schindler, R.H.; Snyder, A.; Su, D.; Sullivan, M.K.; Va'vra, J.; Wagner, A.P.; Weaver, M.; Wisniewski, W.J.; Wittgen, M.; Wright, D.H.; Wulsin, H.W.; Yarritu, A.K.; Young, C.C.; Ziegler, V.; Park, W.; Purohit, M.V.; White, R.M.; Wilson, J.R.; Randle-Conde, A.; Sekula, S.J.; Bellis, M.; Benitez, J.F.; Burchat, P.R.; Miyashita, T.S.; Alam, M.S.; Ernst, J.A.; Gorodeisky, R.; Guttman, N.; Peimer, D.R.; Soffer, A.; Lund, P.; Spanier, S.M.; Eckmann, R.; Ritchie, J.L.; Ruland, A.M.; Schilling, C.J.; Schwitters, R.F.; Wray, B.C.; Izen, J.M.; Lou, X.C.; Bianchi, F.; Gamba, D.; Lanceri, L.; Vitale, L.; Martinez-Vidal, F.; Oyanguren, A.; Ahmed, H.; Albert, J.; Banerjee, Sw.; Choi, H.H.F.; King, G.J.; Kowalewski, R.; Lewczuk, M.J.; Nugent, I.M.; Roney, J.M.; Sobie, R.J.; Tasneem, N.; Gershon, T.J.; Harrison, P.F.; Latham, T.E.; Puccio, E.M.T.; Band, H.R.; Dasu, S.; Pan, Y.; Prepost, R.; Wu, S.L.

    2012-01-01

    We study the process e+e- -> pi+pi-pi+pi-gamma, with a photon emitted from the initial-state electron or positron, using 454.3 fb^-1 of data collected with the BABAR detector at SLAC, corresponding to approximately 260,000 signal events. We use these data to extract the non-radiative sigma(e+e- ->pi+pi-pi+pi-) cross section in the energy range from 0.6 to 4.5 Gev. The total uncertainty of the cross section measurement in the peak region is less than 3%, higher in precision than the corresponding results obtained from energy scan data.

  15. Coordinating across scales: Building a regional marsh bird monitoring program from national and state Initiatives

    Science.gov (United States)

    Shriver, G.W.; Sauer, J.R.

    2008-01-01

    Salt marsh breeding bird populations (rails, bitterns, sparrows, etc.) in eastern North America are high conservation priorities in need of site specific and regional monitoring designed to detect population changes over time. The present status and trends of these species are unknown but anecdotal evidence of declines in many of the species has raised conservation concerns. Most of these species are listed as conservation priorities on comprehensive wildlife plans throughout the eastern U.S. National Wildlife Refuges, National Park Service units, and other wildlife conservation areas provide important salt marsh habitat. To meet management needs for these areas, and to assist regional conservation planning, survey designs are being developed to estimate abundance and population trends for these breeding bird species. The primary purpose of this project is to develop a hierarchical sampling frame for salt marsh birds in Bird Conservation Region (BCR) 30 that will provide the ability to estimate species population abundances on 1) specific sites (i.e. National Parks and National Wildlife Refuges), 2) within states or regions, and 3) within BCR 30. The entire breeding range of Saltmarsh Sharp-tailed and Coastal Plain Swamp sparrows are within BCR 30, providing an opportunity to detect population trends within the entire breeding ranges of two priority species.

  16. Redox States of Initial Atmospheres Outgassed on Rocky Planets and Planetesimals

    Energy Technology Data Exchange (ETDEWEB)

    Schaefer, Laura [Arizona State University, School of Earth and Space Exploration, Tempe, AZ 85287 (United States); Fegley, Bruce Jr., E-mail: lschaefer@asu.edu [Planetary Chemistry Laboratory, Department of Earth and Planetary Sciences, Washington University, St. Louis, MO 63130 (United States)

    2017-07-10

    The Earth and other rocky planets and planetesimals in the solar system formed through the mixing of materials from various radial locations in the solar nebula. This primordial material likely had a range of oxidation states as well as bulk compositions and volatile abundances. We investigate the oxygen fugacity produced by the outgassing of mixtures of solid meteoritic material, which approximate the primitive nebular materials. We find that the gas composition and oxygen fugacity of binary and ternary mixtures of meteoritic materials vary depending on the proportion of reduced versus oxidized material, and also find that mixtures using differentiated materials do not show the same oxygen fugacity trends as those using similarly reduced but undifferentiated materials. We also find that simply mixing the gases produced by individual meteoritic materials together does not correctly reproduce the gas composition or oxygen fugacity of the binary and ternary mixtures. We provide tabulated fits for the oxygen fugacities of all of the individual materials and binary mixtures that we investigate. These values may be useful in planetary formation models, models of volatile transport on planetesimals or meteorite parent bodies, or models of trace element partitioning during metal-silicate fractionation.

  17. Global assessments of the state of the marine environment: Contemporary initiatives

    International Nuclear Information System (INIS)

    Bewers, J.M.; Boelens, R.G.V.

    1999-01-01

    A large number of assessments of regional marine areas have been conducted in recent years for a variety of purposes. Periodic reviews of the state of the marine environment have been undertaken by the United Nations Joint Group of Experts on the Scientific Aspects of Marine Environmental Protection (GESAMP). The most recent of these global assessments was published in 1990. The international adoption of a Global Programme of Action for the Protection of the Marine Environment from Land-Based Activities in 1995 has led to additional demand for regional assessments and a global review. The regional assessments are either completed or in train largely through mechanisms associated with the UNEP Regional Seas Programme. The global assessment has been assigned to GESAMP and incorporated into its plans for the preparation of a new global review to be completed in the year 2002. The Intergovernmental Oceanographic Commission, (IOC) the Scientific Committee for Oceanic Research (SCOR) and the Scientific Committee on Problems of the Environment (SCOPE) are collaborating in a review of ocean science. The Global Environment Facility (GEF) recently approved funding for a 'Global International Waters Assessment' (GIWA) partly as a means of determining priorities within its International Waters Portfolio. This paper outlines the nature of, and contemporary activities within, these various assessments. (author)

  18. Implementing Smarter Lunchrooms Makeovers in New York state middle schools: an initial process evaluation.

    Science.gov (United States)

    Thomas, Laura N; Hill, Tisa F; Gaines, Alisha; Dollahite, Jamie S

    2016-01-01

    This paper presents design and findings from the process evaluation of a randomized controlled trial (RCT) testing the effectiveness of Smarter Lunchrooms Movement (SLM) interventions to encourage consumption of either fruit, vegetables, or unflavored milk in middle school cafeterias (grades 6-8, typically children ages 10-14 years). Using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework adapted for environmental interventions, the process evaluation monitored fidelity to SLM protocol, determined barriers and facilitators influencing fidelity, and identified the training and support needs of implementers. Under research team guidance, community partners (interventionists) assisted school food service staff (providers) with a six week implementation of protocol items in 13 public middle school cafeterias (two milk treatment, three vegetable treatment, four fruit treatment, and four control) in New York State during the 2013-2014 academic year. Process evaluation measures included semi-quantitative measures of implementation and maintenance (lunchroom audits) and qualitative data (environmental assessments and semi-structured interviews with school food service staff). Analyses identified challenges and opportunities for improving intervention delivery. Approximately 75 % of enrolled students participated in school lunch programs and thus were exposed to the SLM intervention. Findings indicated potential contamination by other nutrition-related activities in the lunchroom and larger school environment may have affected the intervention impact. Modest implementation fidelity scores were observed for intervention treatments. Providers reported treatments were acceptable and feasible, however interventionists confirmed motivation and perceived effectiveness varied among schools. Post-intervention audits revealed limited maintenance of intervention protocols. Strategies to enhance buy-in and communication among providers and

  19. Definition and initial validation of a Lupus Low Disease Activity State (LLDAS).

    Science.gov (United States)

    Franklyn, Kate; Lau, Chak Sing; Navarra, Sandra V; Louthrenoo, Worawit; Lateef, Aisha; Hamijoyo, Laniyati; Wahono, C Singgih; Chen, Shun Le; Jin, Ou; Morton, Susan; Hoi, Alberta; Huq, Molla; Nikpour, Mandana; Morand, Eric F

    2016-09-01

    Treating to low disease activity is routine in rheumatoid arthritis, but no comparable goal has been defined for systemic lupus erythematosus (SLE). We sought to define and validate a Lupus Low Disease Activity State (LLDAS). A consensus definition of LLDAS was generated using Delphi and nominal group techniques. Criterion validity was determined by measuring the ability of LLDAS attainment, in a single-centre SLE cohort, to predict non-accrual of irreversible organ damage, measured using the Systemic Lupus International Collaborating Clinics Damage Index (SDI). Consensus methodology led to the following definition of LLDAS: (1) SLE Disease Activity Index (SLEDAI)-2K ≤4, with no activity in major organ systems (renal, central nervous system (CNS), cardiopulmonary, vasculitis, fever) and no haemolytic anaemia or gastrointestinal activity; (2) no new lupus disease activity compared with the previous assessment; (3) a Safety of Estrogens in Lupus Erythematosus National Assessment (SELENA)-SLEDAI physician global assessment (scale 0-3) ≤1; (4) a current prednisolone (or equivalent) dose ≤7.5 mg daily; and (5) well tolerated standard maintenance doses of immunosuppressive drugs and approved biological agents. Achievement of LLDAS was determined in 191 patients followed for a mean of 3.9 years. Patients who spent greater than 50% of their observed time in LLDAS had significantly reduced organ damage accrual compared with patients who spent less than 50% of their time in LLDAS (p=0.0007) and were significantly less likely to have an increase in SDI of ≥1 (relative risk 0.47, 95% CI 0.28 to 0.79, p=0.005). A definition of LLDAS has been generated, and preliminary validation demonstrates its attainment to be associated with improved outcomes in SLE. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  20. An Analysis of Current Energy Policy Initiatives in New Mexico. What are the Potential Impacts to the State's Water Resources?

    Science.gov (United States)

    Klise, G. T.; Hart, W. E.; Kobos, P. H.; Malczynski, L. A.; Tidwell, V. C.

    2008-12-01

    Population in New Mexico is increasing rapidly with recent projections showing that the state will add more than 1 million people by 2035. This growth will create a demand for additional energy and water supplies that have yet to be developed. New Mexico currently exports about 50% of the energy generated within the state to neighboring states, and existing power plants predominately utilize traditional fossil fuels such as coal, oil and natural gas. Because traditional electric generation technologies utilize large quantities of water, New Mexico can also be seen as exporting water for the benefit of electricity consumed in neighboring states. As it is, both surface water and groundwater supplies are stretched thin and these internal and external stresses stemming from population growth will have a substantial impact on the state's water resources. In 2004, the Governor laid out a plan to make New Mexico a "Clean Energy State" by implementing renewable portfolio standards, developing renewable energy transmission infrastructure, creating an alternative energy innovation fund and creating state specific tax credits for renewable energy production and manufacturing. Recent work in the National Energy-Water Roadmap has pointed out that certain renewable sources of energy utilize less water than traditional power plants, and technological fixes to existing power plants will result in less water consumption. If New Mexico carries out its energy initiative, what will be the impacts to the state's water resources? Will it be possible to meet competing demands for this water? These questions and others will be analyzed in a decision-support tool that can look at the connection between both the physical and economic systems to see what the tradeoffs might be as a result of specific policy decisions. The ability to plan for future energy needs and understanding potential impacts to the state's limited water resources will be an invaluable tool for decision-makers in New

  1. The Influence of College Attendance on Risk for Marijuana Initiation in the United States: 1977 to 2015.

    Science.gov (United States)

    Miech, Richard A; Patrick, Megan E; O'Malley, Patrick M; Johnston, Lloyd D

    2017-06-01

    To examine a potential increase in marijuana initiation among US college students as compared with their age peers not in college before and after 2013, a watershed year for increasing tolerance of marijuana use in the United States. Data come from the Monitoring the Future study, which has followed longitudinal panels drawn from annual nationally representative, baseline samples of 12th-grade students starting with the class of 1976. We studied panel members aged 19 to 22 years who had never used marijuana by 12th grade between 1977 and 2015. College as a risk factor for marijuana initiation has increased significantly since 2013. The increased probability of past-year marijuana use for those enrolled versus not enrolled in college was 51% in 2015, 41% in 2014, and 31% in 2013; it averaged 17% to 22% from 1977 to 2012 among youths who had never used marijuana by 12th grade. College has grown as a risk factor for marijuana initiation since 2013. Public Health Implications. College students are in position to usher in new increases in population marijuana use unless colleges soon address the issue with new or modified programs for marijuana prevention and intervention.

  2. Implementation and evaluation of the HEROES initiative: a tri-state coordinated school health program to reduce childhood obesity.

    Science.gov (United States)

    King, Mindy H; Lederer, Alyssa M; Sovinski, Danielle; Knoblock, Heidi M; Meade, Rhonda K; Seo, Dong-Chul; Kim, Nayoung

    2014-05-01

    This article describes the design, implementation, and evaluative findings of the HEROES (Healthy, Energetic, Ready, Outstanding, Enthusiastic, Schools) Initiative, a school-based multilevel childhood obesity prevention intervention. Based on the Centers for Disease Control and Prevention's recommended coordinated school health approach, the HEROES Initiative works to alleviate the burden of childhood obesity in Southern Indiana, Northwestern Kentucky, and Southeastern Illinois in the United States. Process evaluation was conducted with the 17 participating schools in spring 2012 based on interviews with school personnel and observation of the school environment. Findings showed that despite some variability, schools were generally able to implement the intervention with fidelity. School-level outcome evaluation was also based on observation of the school environment, and revealed that schools had implemented a number of new practices to encourage physical activity and healthy eating. Assessment of student-level outcomes was based on professionally collected physiological measurements and self-reported behavioral data collected over an 18-month period of time, last collected in spring 2012. Findings demonstrated that the HEROES Initiative has been successful in reducing the percentage of overweight children in participating schools and healthfully modifying their dietary, physical activity, and sedentary behaviors. Strategies that have facilitated success and challenges related to the intervention are discussed.

  3. Initiation of a Marinoan Snowball Earth in a state-of-the-art atmosphere-ocean general circulation model

    Directory of Open Access Journals (Sweden)

    A. Voigt

    2011-03-01

    Full Text Available We study the initiation of a Marinoan Snowball Earth (~635 million years before present with the state-of-the-art atmosphere-ocean general circulation model ECHAM5/MPI-OM. This is the most sophisticated model ever applied to Snowball initiation. A comparison with a pre-industrial control climate shows that the change of surface boundary conditions from present-day to Marinoan, including a shift of continents to low latitudes, induces a global-mean cooling of 4.6 K. Two thirds of this cooling can be attributed to increased planetary albedo, the remaining one third to a weaker greenhouse effect. The Marinoan Snowball Earth bifurcation point for pre-industrial atmospheric carbon dioxide is between 95.5 and 96% of the present-day total solar irradiance (TSI, whereas a previous study with the same model found that it was between 91 and 94% for present-day surface boundary conditions. A Snowball Earth for TSI set to its Marinoan value (94% of the present-day TSI is prevented by doubling carbon dioxide with respect to its pre-industrial level. A zero-dimensional energy balance model is used to predict the Snowball Earth bifurcation point from only the equilibrium global-mean ocean potential temperature for present-day TSI. We do not find stable states with sea-ice cover above 55%, and land conditions are such that glaciers could not grow with sea-ice cover of 55%. Therefore, none of our simulations qualifies as a "slushball" solution. While uncertainties in important processes and parameters such as clouds and sea-ice albedo suggest that the Snowball Earth bifurcation point differs between climate models, our results contradict previous findings that Snowball Earth initiation would require much stronger forcings.

  4. General adherence to guideline recommendations on initial diagnosis of bladder cancer in the United States and influencing factors.

    Science.gov (United States)

    Karl, Alexander; Adejoro, Oluwakayode; Saigal, Christopher; Konety, Badrinath

    2014-08-01

    Because international guidelines recommend best practices regarding staging of incident bladder cancer, we determined the adherence to such recommendations in the United States, performing a large retrospective database analysis. Patients with the diagnosis of urothelial cancer were identified in the Surveillance, Epidemiology, and End Results (SEER)-Medicare database between 1992 and 2007. Staging procedures were identified and analyzed. As reference for published recommendations, we used the American Urological Association (AUA), European Association of Urology (EAU), and National Comprehensive Cancer Network (NCCN) guidelines. Based on these sources, recommended initial staging of bladder cancer was analyzed. Of all 56,130 patients, 6148 (10.9%) had a cytologic examination, 29,677 (52.9%) had a standard urinalysis, 2882 (5.1%) underwent intravenous pyelography (IVP), 6950 (12.4%) underwent retrograde pyelography (RPG), and 8145 (14.5%) had computed tomography/magnetic resonance imaging (CT/MRI). There was a significant trend over the years to a higher use of cytologic analysis, standard urinalysis, and CT/MRI. We observed a significant trend toward a lower rate of IVP and a stable use of RPG. The limitation of our study is that claims data are designed for payment processing, not quality measurement. Despite published recommendations on the initial diagnosis of bladder cancer, our data show that less than half of the included patients received all the elements thought to be required for an initial diagnosis of bladder cancer as recommended by guidelines. Greater adherence to recommendations may ensure optimal treatment strategies. Appropriate treatment is critical to patient outcomes, because evidence-based therapeutic management can be practiced only if an accurate assessment of the disease takes place at the time of initial diagnosis. Copyright © 2014 Elsevier Inc. All rights reserved.

  5. 64 Percent of Asian and Pacific Islander Treatment Admissions Name Alcohol as Their Problem

    Science.gov (United States)

    Data Spotlight May 28, 2013 64 Percent of Asian and Pacific Islander Treatment Admissions Name Alcohol as ... common problem in the United States. 1 When Asians and Pacific Islanders (APIs) go to treatment, alcohol ...

  6. Emergency department admissions are more profitable than non-emergency department admissions.

    Science.gov (United States)

    Henneman, Philip L; Lemanski, Michael; Smithline, Howard A; Tomaszewski, Andrew; Mayforth, Janice A

    2009-02-01

    We compare the contribution margin per case per hospital day of emergency department (ED) admissions with non-ED admissions in a single hospital, a 600-bed, academic, tertiary referral, Level I trauma center with an annual ED census of 100,000. This was a retrospective comparison of the contribution margin per case per day for ED and non-ED inpatient admissions for fiscal years 2003, 2004, and 2005 (October 1 through September 30). Contribution margin is defined as net revenue minus total direct costs; it is then expressed per case per hospital day. Service lines are a set of linked patient care services. Observation admissions and outpatient services are not included. Resident expenses (eg, salary and benefits) and revenue (ie, Medicare payment of indirect medical expenses and direct medical expenses) are not included. Overhead expenses are not included (eg, building maintenance, utilities, information services support, administrative services). For fiscal year 2003 through fiscal year 2005, there were 51,213 ED and 57,004 non-ED inpatient admissions. Median contribution margin per day for ED admissions was higher than for non-ED admissions: ED admissions $769 (interquartile range $265 to $1,493) and non-ED admissions $595 (interquartile range $178 to $1,274). Median contribution margin per day varied by site of admissions, by diagnosis-related group, by service line, and by insurance type. In summary, ED admissions in our institution generate a higher contribution margin per day than non-ED admissions.

  7. Fundamental structural characteristics of planar granular assemblies: Self-organization and scaling away friction and initial state

    Science.gov (United States)

    Matsushima, Takashi; Blumenfeld, Raphael

    2017-03-01

    The microstructural organization of a granular system is the most important determinant of its macroscopic behavior. Here we identify the fundamental factors that determine the statistics of such microstructures, using numerical experiments to gain a general understanding. The experiments consist of preparing and compacting isotropically two-dimensional granular assemblies of polydisperse frictional disks and analyzing the emergent statistical properties of quadrons—the basic structural elements of granular solids. The focus on quadrons is because the statistics of their volumes have been found to display intriguing universal-like features [T. Matsushima and R. Blumenfeld, Phys. Rev. Lett. 112, 098003 (2014), 10.1103/PhysRevLett.112.098003]. The dependence of the structures and of the packing fraction on the intergranular friction and the initial state is analyzed, and a number of significant results are found. (i) An analytical formula is derived for the mean quadron volume in terms of three macroscopic quantities: the mean coordination number, the packing fraction, and the rattlers fraction. (ii) We derive a unique, initial-state-independent relation between the mean coordination number and the rattler-free packing fraction. The relation is supported numerically for a range of different systems. (iii) We collapse the quadron volume distributions from all systems onto one curve, and we verify that they all have an exponential tail. (iv) The nature of the quadron volume distribution is investigated by decomposition into conditional distributions of volumes given the cell order, and we find that each of these also collapses onto a single curve. (v) We find that the mean quadron volume decreases with increasing intergranular friction coefficients, an effect that is prominent in high-order cells. We argue that this phenomenon is due to an increased probability of stable irregularly shaped cells, and we test this using a herewith developed free cell analytical model

  8. Reliability of admission cardiotocography for intrapartum monitoring ...

    African Journals Online (AJOL)

    Background To evaluate the role of admission cardiotocography in intrapartum patients in detecting fetal hypoxia already present and to correlate the results of admission cardiotocography with perinatal outcome. Materials and Methods: It was a cross‑sectional study conducted in the Labor and Maternity ward during the ...

  9. Assessing academic potential for university admission: The ...

    African Journals Online (AJOL)

    A Biographical Questionnaire (BQ) has been used in the Faculty of Humanities at the University of the Witwatersrand since the mid-80s, to identify potential to succeed at university among applicants who have not met the requirements for automatic admission. As the key instrument in a special admissions process, the

  10. Profile in Action: Linking Admission and Retention

    Science.gov (United States)

    Cortes, Carla M.

    2013-01-01

    A profile-oriented retention strategy embraces the admission process as a powerful lever in improving retention and completion rates and recognizes that the student profile can be shaped by changes in admission policies or priorities--even within the current market position of the institution. In addition, the student body can be oriented toward…

  11. Decline in adolescent treatment admissions for methamphetamine ...

    African Journals Online (AJOL)

    Background and objectives. The purpose of this report is to describe the changing trends in adolescent treatment admissions for methamphetamine in Cape Town, and to discuss possible implications. Method. Data were collected on admissions for drug abuse treatment through a regular monitoring system involving drug ...

  12. Admissions 2015 Indian Institute of Science, Bangalore

    Indian Academy of Sciences (India)

    IAS Admin

    2015-02-02

    Feb 2, 2015 ... advertisement that will appear in Employment News dated 14th February 2015 and also our website: www.iisc.ernet.in/admissions. Online submission of application be made by accessing the IISc website www.iisc.ernet.in/admissions for all the programmes. IMPORTANT DATES. Website opening and ...

  13. 45 CFR 86.21 - Admission.

    Science.gov (United States)

    2010-10-01

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex... of sex, be denied admission, or be subjected to discrimination in admission, by any recipient to...

  14. 6 CFR 17.300 - Admission.

    Science.gov (United States)

    2010-01-01

    ... Security DEPARTMENT OF HOMELAND SECURITY, OFFICE OF THE SECRETARY NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex... basis of sex, be denied admission, or be subjected to discrimination in admission, by any recipient to...

  15. Lexical Profiles of Thailand University Admission Tests

    Science.gov (United States)

    Cherngchawano, Wirun; Jaturapitakkul, Natjiree

    2014-01-01

    University Admission Tests in Thailand are important documents which reflect Thailand's education system. To study at a higher education level, all students generally need to take the University Admission Tests designed by the National Institute of Educational Testing Service (NIETS). For the English test, vocabulary and reading comprehension is…

  16. Age of initiation, Determinants and Prevalence of Cigarette Smoking among Teenagers in Mushin Local Government Area of Lagos State, Nigeria.

    Science.gov (United States)

    Abiola, Ao; Balogun, Os; Odukoya, Oo; Olatona, Fa; Odugbemi, To; Moronkola, Rk; Solanke, Aa; Akintunde, Oj; Fatoba, Oo

    2016-01-01

    Cigarette smoking constitutes a major threat to the health and wellbeing of teenagers. While smoking has been on decline in the developed countries, the reverse is the case in developing countries. The aim of this study was to determine the age of initiation, determinants and prevalence of cigarette smoking among teenagers in Mushin Local Government Area of Lagos state, Nigeria. This was a descriptive cross-sectional study among 475 teenagers selected by multistage sampling. A pre-tested, structured, interviewer-administered questionnaire was used for data collection. The study was carried out in November, 2014. Response rate was 84.6%. Mean age of the respondents was 16.4±1.65years. Range and mean age of initiation of cigarette smoking were 7 to 17 years and 12.0±3.32 years respectively. Teenagers who were above 15 years (OR:5.13, 95%CI: 0.87-30.26), males (OR:5.19, 95%CI: 1.57-17.18), married (OR:8.41, 95%CI: 1.04- 63.35), had ≤primary school education(OR:4.31, 95%CI: 1.07-17.33), influenced by friends(OR:308.84, 95%CI: 84.87-1123.81), and influenced by advertisements (OR:27.83, 95%CI: 3.92-197.64) were more likely to have initiated cigarette smoking. Furthermore, teenagers who were males (OR:12.77, 95%CI: 2.90-56.28), married (OR:19.24, 95%CI: 2.05-180.45), had ≤primary school education(OR:7.85, 95%CI: 2.37-26.01), influenced by friends(OR:28.56, 95%CI: 10.86-75.07), and influenced by advertisements (OR:5.95, 95%CI: 1.72-20.61) were more likely to be current cigarette smokers. In addition, 24.9% had initiated cigarette smoking while 14.7% were current smokers of cigarette. Mean age of initiation of cigarette smoking was 12.0±3.32 years. Determinants of cigarette smoking were age, gender, marital status, educational background, friends and advertisements. Life time prevalence of cigarette smoking was higher than prevalence of current cigarette smokers. Cigarette smoking reduction programs should take these factors into consideration.

  17. Economic and energy impacts from participation in the regional greenhouse gas initiative: A case study of the State of Maryland

    International Nuclear Information System (INIS)

    Ruth, Matthias; Gabriel, Steven A.; Palmer, Karen L.; Burtraw, Dallas; Paul, Anthony; Chen, Yihsu; Hobbs, Benjamin F.; Irani, Daraius; Michael, Jeffrey; Ross, Kim M.; Conklin, Russell; Miller, Julia

    2008-01-01

    Tradable emissions allowance systems to reduce carbon emissions are increasingly promoted as means to mitigate climate change. This paper briefly reviews the application of such systems at the global, regional, and corporate scales. Given the recent expansion of cap-and-trade systems at the regional level, the paper concentrates on energy and economic implications at that level, using the decision of the State of Maryland, USA, to join the Regional Greenhouse Gas Initiative as an illustration. The paper presents the results of an analysis of the implications for technology choice, generation capacity, energy reliability, and cost to ratepayers of that decision, combining a national electricity market model with a regional model that includes market power and an economic impact model. The results suggest several issues that will be key to the acceptability and effectiveness of cap-and-trade systems for regional climate change mitigation policy, including rules for distribution of allowances and subsidies for energy efficiency programs. (author)

  18. Amphibian Research and Monitoring Initiative (ARMI): A successful start to a national program in the United States

    Science.gov (United States)

    Muths, Erin; Jung, Robin E.; Bailey, Larissa L.; Adams, Michael J.; Corn, P. Stephen; Dodd, C. Kenneth; Fellers, Gary M.; Sadinski, Walter J.; Schwalbe, Cecil R.; Walls, Susan C.; Fisher, Robert N.; Gallant, Alisa L.; Battaglin, William A.; Green, D. Earl

    2005-01-01

    Most research to assess amphibian declines has focused on local-scale projects on one or a few species. The Amphibian Research and Monitoring Initiative (ARMI) is a national program in the United States mandated by congressional directive and implemented by the U.S. Department of the Interior (specifically the U.S. Geological Survey, USGS). Program goals are to monitor changes in populations of amphibians across U.S. Department of the Interior lands and to address research questions related to amphibian declines using a hierarchical framework of base-, mid- and apex-level monitoring sites. ARMI is currently monitoring 83 amphibian species (29% of species in the U.S.) at mid- and apex-level areas. We chart the progress of this 5-year-old program and provide an example of mid-level monitoring from 1 of the 7 ARMI regions.

  19. ZFHX4 interacts with the NuRD core member CHD4 and regulates the glioblastoma tumor initiating cell state

    Science.gov (United States)

    Chudnovsky, Yakov; Kim, Dohoon; Zheng, Siyuan; Whyte, Warren A.; Bansal, Mukesh; Bray, Mark-Anthony; Gopal, Shuba; Theisen, Matthew A.; Bilodeau, Steve; Thiru, Prathapan; Muffat, Julien; Yilmaz, Omer H.; Mitalipova, Maya; Woolard, Kevin; Lee, Jeongwu; Nishimura, Riko; Sakata, Nobuo; Fine, Howard A.; Carpenter, Anne E.; Silver, Serena J.; Verhaak, Roel G. W.; Califano, Andrea; Young, Richard A.; Ligon, Keith L.; Mellinghoff, Ingo K.; Root, David E.; Sabatini, David M.; Hahn, William C.; Chheda, Milan G.

    2014-01-01

    Summary Glioblastomas (GBM) harbor subpopulations of therapy-resistant tumor initiating cells (TICs) that are self-renewing and multipotent. To understand the regulation of the TIC state, we performed an image-based screen for genes regulating GBM TIC maintenance and identified ZFHX4, a 397-kDa transcription factor. ZFHX4 is required to maintain TIC-associated and normal human neural precursor cell phenotypes in vitro, suggesting that ZFHX4 regulates differentiation, and its suppression increases glioma-free survival in intracranial xenografts. ZFHX4 interacts with CHD4, a core member of the NuRD (nucleosome remodeling and deacetylase) complex. ZFHX4 and CHD4 bind to overlapping sets of genomic loci and control similar gene expression programs. Using expression data derived from GBM patients, we found that ZFHX4 significantly affects CHD4-mediated gene expression perturbations, which defines ZFHX4 as a master regulator of CHD4. These observations define ZFHX4 as a regulatory factor that links the chromatin remodeling NuRD complex and the GBM TIC state. PMID:24440720

  20. NNSA's next generation safeguards initiative to define an effective state system of accounting and control

    Energy Technology Data Exchange (ETDEWEB)

    Stevens, Rebecca S [Los Alamos National Laboratory; Sunshine, Alexander [NNSA; Matthews, Caroline [PNNL; Frazer, Sarah [PNNL; Matthews, Carrie [NON LANL

    2010-01-01

    The International Nuclear Safeguards and Engagement Program (INSEP), the international outreach component of the Next Generation Safeguards Initiative (NGSI), is a collaborative program that endeavors to strengthen international safeguards at all stages of nuclear development. One of the critical ways the program achieves this objective is through working with partners to increase the effectiveness of the State System of Accountancy for and Control of Nuclear Materials (SSAC) - the essential elements of national, regulatory and facility safeguards competencies that work as a system to provide the International Atomic Energy Agency (IAEA) and the world the full assurance of the state's adherence to its safeguards agreements. INSEP provides assistance in developing a state's SSAC in a number of areas, from developing national legislation governing the possession and use of nuclear material to working with nuclear facility operators to developing good practices in waste management. INSEP has collaborated with foreign partners in peaceful nuclear applications for over two decades, but recently, it has focused its efforts on strengthening SSACs due to the growth of nuclear power worldwide, particularly in countries with limited nuclear infrastructures. This new area of focus has prompted INSEP to develop a model of SSAC competencies that will serve not only as a structure for its engagement with partner states, but also as a means to facilitate coordination with other states that provide training and assistance, and as a mechanism for evaluating the effectiveness of its work in reaching its intended objectives. While this model uses as its starting point the requirements on a State that are presented in the Comprehensive Safeguards Agreement and the Additional Protocol, it is not, in itself, a requirements document or guidance for implementing requirements. It is rather an analysis of what capabilities will be needed in a State to be able to meet requirements

  1. Health care resource utilization before and after perampanel initiation among patients with epilepsy in the United States.

    Science.gov (United States)

    Faught, Edward; Laliberté, François; Wang, Zhixiao; Barghout, Victoria; Haider, Batool; Lejeune, Dominique; Germain, Guillaume; Choi, Jiyoon; Wagh, Aneesha; Duh, Mei Sheng

    2017-10-01

    The purpose of this study was to evaluate changes in health care resource utilization following the initiation of perampanel for the treatment of epilepsy in the United States. Health care claims from Symphony Health's Integrated Dataverse database between December 2012 and November 2015 were analyzed. Patients newly initiated on perampanel, having ≥1 epilepsy (International Classification of Diseases, Ninth Revision, Clinical Modification [ICD-9-CM] code 345.xx, ICD-10-CM code G40.xxx) or nonfebrile convulsion (ICD-9-CM code 780.39, ICD-10-CM code R56.9) diagnosis, and having ≥6 months of baseline and observation periods were included. Patients <12 years old at perampanel initiation were excluded. Of the 2,508 perampanel patients included in the study, the mean [median] (±standard deviation [SD]) age was 35.8 [34] (±16.0) years and 56.2% were female. The mean [median] (±SD) observation duration was 459.8 [462] (±146.3) days in the postperampanel period. The postperampanel period was associated with significantly lower rates of all health care resource utilization outcomes than the pre-period. For the post- versus pre-period, perampanel users had 42.3 versus 53.8 overall hospitalizations per 100 person-years (rate ratio [RR] = 0.80, p < 0.001) and 1,240.2 versus 1,343.8 outpatient visits per 100 person-years (RR = 0.91, p < 0.001). Epilepsy-related hospitalizations and outpatient visits were 25.2 versus 33.6 per 100 person-years (RR = 0.76, p < 0.001) and 327.0 versus 389.0 per 100 person-years (RR = 0.84, p < 0.001), respectively. Additionally, a significantly lower rate of status epilepticus in the post-period (1.8 events per 100 person-years) was observed compared to the pre-period (4.4 events per 100 person-years; RR = 0.43, p < 0.001). The monthly time trend of hospitalizations showed an increasing trend leading up to the initiation of perampanel, after which the hospitalizations decreased steadily. Use of perampanel for the treatment of epilepsy was

  2. Integrating Health into Local Climate Response: Lessons from the U.S. CDC Climate-Ready States and Cities Initiative.

    Science.gov (United States)

    Sheehan, Mary C; Fox, Mary A; Kaye, Charlotte; Resnick, Beth

    2017-09-20

    Public health has potential to serve as a frame to convey the urgency of behavior change needed to adapt to a changing climate and reduce greenhouse gas emissions. Local governments form the backbone of climate-related public health preparedness. Yet local health agencies are often inadequately prepared and poorly integrated into climate change assessments and plans. We reviewed the climate health profiles of 16 states and two cities participating in the U.S. Centers for Disease Control and Prevention (CDC)'s Climate-Ready States and Cities Initiative (CRSCI) that aims to build local capacity to assess and respond to the health impacts of climate change. Following recommendations from a recent expert panel strategic review, we present illustrations of emerging promising practice and future directions. We found that CRSCI has strengthened climate preparedness and response in local public health agencies by identifying critical climate-health impacts and vulnerable populations, and has helped integrate health more fully into broader climate planning. Promising practice was found in all three recommendation areas identified by the expert panel (leveraging partnerships, refining assessment methodologies and enhancing communications), particularly with regard to health impacts of extreme heat. Vast needs remain, however, suggesting the need to disseminate CRSCI experience to non-grantees. In conclusion, the CRSCI program approach and selected activities illustrate a way forward toward robust, targeted local preparedness and response that may serve as a useful example for public health departments in the United States and internationally, particularly at a time of uncertain commitment to climate change agreements at the national level. https://doi.org/10.1289/EHP1838.

  3. Inflammatory biomarkers and prediction for intensive care unit admission in severe community-acquired pneumonia.

    Science.gov (United States)

    Ramírez, Paula; Ferrer, Miquel; Martí, Verónica; Reyes, Soledad; Martínez, Raquel; Menéndez, Rosario; Ewig, Santiago; Torres, Antoni

    2011-10-01

    Increased inflammatory response is related to severity and outcome in community-acquired pneumonia, but the role of inflammatory biomarkers in deciding intensive care unit admission is unknown. We assessed the relationship between inflammatory response, prediction for intensive care unit admission, delayed intensive care unit admission, and outcome in patients with community-acquired pneumonia. Prospective clinical study. Intensive care units of two university hospitals. We included 627 ward and 58 intensive care unit patients with community-acquired pneumonia, 36 with direct and 22 with delayed intensive care unit admission. Serum levels of C-reactive protein, procalcitonin, tumor necrosis factor-α, interleukin-1, interleukin-6, interleukin-8, and interleukin-10 at admission. We assessed the prediction for intensive care unit admission of biomarkers and the Infectious Diseases Society of America/American Thoracic Society guidelines minor criteria for severe community-acquired pneumonia. Procalcitonin (p=.001), C-reactive protein (p=.005), tumor necrosis factor-α (p=.042), and interleukin-6 (p=.003) levels were higher in intensive care unit-admitted patients; however, the Infectious Diseases Society of America/American Thoracic Society guidelines minor severity criteria predicted better intensive care unit admission (odds ratio, 12.03; 95% confidence interval, 5.13-28.20; pintensive care unit admission compared with 14 (23%) with levels above the cutoff (p=.032). In patients initially admitted to wards, procalcitonin (p=.012) and C-reactive protein (p=.039) were higher in those 22 patients subsequently transferred to the intensive care unit after adjusting for age, comorbidities, and Pneumonia Severity Index risk class. Despite initially admitted to wards, 14 (64%) patients with delayed intensive care unit admission had already criteria for severe community-acquired pneumonia at admission compared with 73 (12%) ward patients (pintensive care unit admission

  4. Elite US college admissions: could the quest for admission increase overuse injury risk?

    Science.gov (United States)

    Schwebel, David C; Yang, Jingzhen

    2016-07-01

    This commentary addresses the intriguing correspondence of two trends. First, we describe the increasing selectivity for undergraduate admission to elite colleges and universities in the United States and an apparent preference for "angular" applicants who have demonstrated tremendous accomplishment in a single non-academic pursuit such as music, athletics, or the arts. Second, we describe an apparent increase in overuse injuries among American children and adolescents, a trend that many experts attribute to specialization within a single athletic, musical or artistic pursuit among youth who in previous generations were more "generalist" in their extracurricular activities. It is premature to demonstrate causality and suggest increasing college selectivity has led to increasing rates of overuse injuries, but we speculate there may be a causal relation present and encourage scholarly research on the topic. © 2016 KUMS, All rights reserved.

  5. Pediatric hospital admissions in Indigenous children: a population-based study in remote Australia.

    Science.gov (United States)

    Dossetor, Philippa J; Martiniuk, Alexandra L C; Fitzpatrick, James P; Oscar, June; Carter, Maureen; Watkins, Rochelle; Elliott, Elizabeth J; Jeffery, Heather E; Harley, David

    2017-11-22

    We analysed hospital admissions of a predominantly Aboriginal cohort of children in the remote Fitzroy Valley in Western Australia during the first 7 years of life. All children born between January 1, 2002 and December 31, 2003 and living in the Fitzroy Valley in 2009-2010 were eligible to participate in the Lililwan Project. Of 134 eligible children, 127 (95%) completed Stage 1 (interviews of caregivers and medical record review) in 2011 and comprised our cohort. Lifetime (0-7 years) hospital admission data were available and included the dates, and reasons for admission, and comorbidities. Conditions were coded using ICD-10-AM discharge codes. Of the 127 children, 95.3% were Indigenous and 52.8% male. There were 314 admissions for 424 conditions in 89 (70.0%) of 127 children. The 89 children admitted had a median of five admissions (range 1-12). Hospitalization rates were similar for both genders (p = 0.4). Of the admissions, 108 (38.6%) were for 56 infants aged Valley 70.0% of children were hospitalised at least once before age 7 years and over one third of admissions were in infants. Infections were the most common reason for admission in all age groups but comorbidities were common and may contribute to need for admission. Many hospitalizations were feasibly preventable. High admission rates reflect disadvantage, remote location and limited access to primary healthcare and outpatient services. Ongoing public health prevention initiatives including breast feeding, vaccination, healthy diet, hygiene and housing improvements are crucial, as is training of Aboriginal Health Workers to increase services in remote communities.

  6. Admission Control Methods in IMS Networks

    Directory of Open Access Journals (Sweden)

    Erik Chromy

    2016-09-01

    Full Text Available In this paper we present admission control methods for IMS network. The task of RACS block is to accept or reject new connection into the network. The main goal of the admission control method is to ensure the Quality of Service not only for new connection but also for already accepted connections. We discuss and compare three admission control algorithms in the paper from the qualitative parameters point of view.

  7. Competing feedbacks drive state transitions during initial catchment evolution: Examples from post-mining landscape and ecosystems evolution

    Science.gov (United States)

    Hinz, Christoph; Wolfgang, Schaaf; Werner, Gerwin

    2014-05-01

    Within the context of severely disturbed landscapes with little or no ecological memory, such as post-mining landscapes, we propose a simple framework that explains the catchment evolution as a result of competing feedbacks influenced by the initial conditions and the atmospheric drivers such as rainfall intermittency and intensity. The first stage of the evolution is dominated by abiotic feedbacks triggered by rainfall and subsequent fluid flow causing particle mobilisation on the surface and in the subsurface leading to flow concentration or in some instances to densification of surface and subsurface substrates. Subsequently, abiotic-biotic feedbacks start to compete in the sense that biological activity generally stabilizes substrate by preventing particle mobilisation and hence contribute to converting the substrate to a habitat. We suggest that these competing feedbacks may generate alternative stable states in particular under semi-arid and arid climatic conditions, while in temperate often energy limited environments biological process "outcompete" abiotic processes leading to a stable state, in particular from the water balance point of view for comparable geomorphic situations. To illustrate this framework, we provide examples from post-mining landscapes, in which soil, water and vegetation was monitored. In case of arid regions in Australia, we provide evidence that the initial conditions of a mine waste disposal "locked" the system into a state that was limited by water and nutrient storage capacity while at the same time it was stable from a geomorphic point of view for the observation period. The cause of the system to be locked in, is the very high hydraulic conductivity of the substrate, that has not undergone any changes during the first years. In contrast to this case study, we illustrate how this framework explains the evolution of an artificial catchment (Hühnerwasser Catchment) in Lusatia (150 km southeast of Berlin, Germany). During the

  8. Elastic Constants of Solids and Fluids with Initial Pressure via a Unified Approach Based on Equations-of-State

    Science.gov (United States)

    Cantrell, John H.

    2014-01-01

    The second and third-order Brugger elastic constants are obtained for liquids and ideal gases having an initial hydrostatic pressure p(sub 1). For liquids the second-order elastic constants are C(sub 11) = A + p(sub 1), C(sub 12) = A -- p(sub 1), and the third-order constants are C(sub 111) = --(B + 5A + 3p(sub 1)), C(sub 112) = --(B + A -- p(sub 1)), and C(sub 123) = A -- B -- p1, where A and B are the Beyer expansion coefficients in the liquid equation of state. For ideal gases the second order constants are C(sub 11) = p(sub 1)gamma + p9sub 1), C(sub 12) = p(sub 1)gamma -- p(sub 1), and the third-order constants are C(sub 111) = p(sub 1)(gamma(2) + 4gamma + 3), C(sub 112) = --p(sub 1)(gamma(2) -- 1), and C(sub 123) = --p(sub 1) (gamma(2) -- 2gamma + 1), where gamma is the ratio of specific heats. The inequality of C(sub 11) and C(sub 12) results in a nonzero shear constant C(sub 44) = (1/2)(C(sub 11) C(sub 12)) = p(sub 1) for both liquids and gases. For water at standard temperature and pressure the ratio of terms p1/A contributing to the second-order constants is approximately 4.3 x 10(-5). For atmospheric gases the ratio of corresponding terms is approximately 0.7. Analytical expressions that include initial stresses are derived for the material 'nonlinearity parameters' associated with harmonic generation and acoustoelasticity for fluids and solids of arbitrary crystal symmetry. The expressions are used to validate the relationships for the elastic constants of fluids.

  9. Certain Admissible Classes of Multivalent Functions

    Directory of Open Access Journals (Sweden)

    M. K. Aouf

    2014-01-01

    Full Text Available We investigate some applications of the differential subordination and the differential superordination of certain admissible classes of multivalent functions in the open unit disk U. Several differential sandwich-type results are also obtained.

  10. The Economic Consequences of Hospital Admissions.

    Science.gov (United States)

    Dobkin, Carlos; Finkelstein, Amy; Kluender, Raymond; Notowidigdo, Matthew J

    2018-02-01

    We use an event study approach to examine the economic consequences of hospital admissions for adults in two datasets: survey data from the Health and Retirement Study, and hospitalization data linked to credit reports. For non-elderly adults with health insurance, hospital admissions increase out-of-pocket medical spending, unpaid medical bills and bankruptcy, and reduce earnings, income, access to credit and consumer borrowing. The earnings decline is substantial compared to the out-of-pocket spending increase, and is minimally insured prior to age-eligibility for Social Security Retirement Income. Relative to the insured non-elderly, the uninsured non-elderly experience much larger increases in unpaid medical bills and bankruptcy rates following a hospital admission. Hospital admissions trigger less than 5 percent of all bankruptcies.

  11. Alphabetical order effects in school admissions

    Czech Academy of Sciences Publication Activity Database

    Jurajda, Štěpán; Münich, Daniel

    2016-01-01

    Roč. 31, č. 4 (2016), s. 483-498 ISSN 0267-1522 Institutional support: PRVOUK-P23 Keywords : admissions * alphabetical order * order effects Subject RIV: AH - Economics Impact factor: 1.033, year: 2016

  12. Call Admission Control in Mobile Cellular Networks

    CERN Document Server

    Ghosh, Sanchita

    2013-01-01

    Call Admission Control (CAC) and Dynamic Channel Assignments (DCA) are important decision-making problems in mobile cellular communication systems. Current research in mobile communication considers them as two independent problems, although the former greatly depends on the resulting free channels obtained as the outcome of the latter. This book provides a solution to the CAC problem, considering DCA as an integral part of decision-making for call admission. Further, current technical resources ignore movement issues of mobile stations and fluctuation in network load (incoming calls) in the control strategy used for call admission. In addition, the present techniques on call admission offers solution globally for the entire network, instead of considering the cells independently.      CAC here has been formulated by two alternative approaches. The first approach aimed at handling the uncertainty in the CAC problem by employing fuzzy comparators.  The second approach is concerned with formulation of CAC ...

  13. IISc Undergraduate Programme: Admissions for 2013

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education; Volume 18; Issue 2. IISc Undergraduate Programme: Admissions for 2013. Information and Announcements Volume 18 Issue 2 February 2013 pp 200-200. Fulltext. Click here to view fulltext PDF. Permanent link:

  14. Time-Series Analysis of the Impact of Prescription Drug Monitoring Programs on Heroin Treatment Admissions.

    Science.gov (United States)

    Branham, Douglas Keith

    2018-03-21

    Prescription drug abuse has become a major issue in the United States in recent years. Prescription drug monitoring programs (PDMPs) are designed to help health care providers to prevent such abuses. There may be unintended effects of these programs. Specifically, PDMPs may move prescription opioid users to begin use of heroin. This article aims to evaluate the impact of PDMPs on heroin abuse across several different states through use of treatment admissions records obtained from the Treatment Episode Data Set. Operational dates and other characteristics of state PDMPs were obtained from the Prescription Drug Monitoring Program Training and Technical Assistance Center. Data for the dependent variable were collected from the Treatment Episodes Data Set from 1992 to 2012. Interrupted time-series analyses using autoregressive integrated moving average modeling were used to estimate the effect of presence of an operational PDMP on the number of admissions reporting heroin as their primary drug being used. The relationship between heroin admissions and prescription opioid admissions was significant for the average data (β = 0.41, p = 0.0017) and the 5-year data (β = 0.5, p = 0.036), both showing positive associations between heroin and prescription drug admissions in states in the post PDMP implementation period. Conclusions/Importance: The study found a positive relationship that between heroin and prescription opioid admissions post PDMP implementation. Future research should attempt to identify what this relationship means and how this information can be used to improve opioid policy.

  15. Weathering the storm: nurses' satisfaction with a mobile admission nurse service.

    Science.gov (United States)

    Kirkbride, Geri; Floyd, Valerie; Tate, Cheryl; Wendler, M Cecilia

    2012-04-01

    To evaluate nurses' satisfaction with, and perceptions of, a practice innovation introducing a Mobile Admission Nurse service. Staff nurses identified that the admission process, while crucial to initiating safe and appropriate acute care, can be disruptive and interfere with care in progress. A pilot project implementing the role of a Mobile Admission Nurse was introduced to address this need. A self-developed web-based survey was administered to a convenience sample of 104 RNs who had used the services during the pilot project. Staff nurses (n = 78) reported a chaotic, demanding work environment within which the admission process disrupts the flow of care. The Mobile Admission Nurse helped them in 'weathering the storm', which was the overarching theme that emerged during data analysis. Having an admission nurse complete the admission process steadied workflow processes for nurses. Improved patient safety and increased staff and family satisfaction were also reported. The strongly positive feedback led to expansion of the service. Proactively redesigning work processes, using a structured theoretical model such as the (Plan-Do-Study-Act) PDSA approach, may improve outcomes in a chaotic practice environment. © 2011 Blackwell Publishing Ltd.

  16. Technical progress report. Private sector initiatives between the United States and Japan. January 1989 - December 1989; ANNUAL

    International Nuclear Information System (INIS)

    1990-01-01

    This annual report for calendar year 1989 describes the efforts performed under the Private Sector Initiatives contract. The report also describes those efforts that have continued with private funding after being initiated under this contract

  17. Technical progress report. Private sector initiatives between the United States and Japan. January 1991 - December 1991; ANNUAL

    International Nuclear Information System (INIS)

    1993-01-01

    This annual report for calendar year 1991 describes the efforts performed under the Private Sector Initiatives contract. The report also describes those efforts that have continued with private funding after being initiated under this contract

  18. Nonperturbative multiphoton detachment rates of H{sup -} and their relation to the electronic structure of the initial state

    Energy Technology Data Exchange (ETDEWEB)

    Nicolaides, Cleanthes A. [Physics Department, National Technical University, Athens (Greece); Theoretical and Physical Chemistry Institute, National Hellenic Research Foundation 48, Vas. Constantinou Ave., 116/35 Athens (Greece). E-mail: can at eie.gr; Haritos, Costas [Theoretical and Physical Chemistry Institute, National Hellenic Research Foundation 48, Vas. Constantinou Ave., 116/35 Athens (Greece); Mercouris, Theodorus [Theoretical and Physical Chemistry Institute, National Hellenic Research Foundation 48, Vas. Constantinou Ave., 116/35 Athens (Greece). E-mail: thmerc at eie.gr

    2000-07-28

    By implementing the many-electron, many-photon theory, a series of ab initio nonperturbative calculations have produced multiphoton electron detachment rates (MPEDRs) for H{sup -} interacting with linearly polarized light of frequency in the range 0.136-0.326 eV and intensity in the range 2.5x10{sup 10}-10x10{sup 10} W cm{sup -2}. For these laser parameters, detachment takes place by three, four, five, six and seven photons. For detachment by four and six photons, the rate exhibits structure which is due to field-induced interference between the {sup 1}S and the {sup 1}D channels. Analysis of the relation between the MPEDRs and initial state electronic structure reveals the type and the degree of direct and indirect self-consistent influence of radial and angular correlation at the configurational and at the orbital level. It is shown that the magnitude of the MPEDRs is proportional to the magnitude of the 1s orbital for large values of the coordinate r. By using a numerical multiconfigurational Hartee-Fock (MCHF) wavefunction with only the 1s{sup 2}, 2s{sup 2} and 2p{sup 2} configurations, the large-r behaviour of the 1s orbital is already very close to that determined from the use of a ten-term MCHF wavefunction, which we believe is sufficient to secure accurate results. (author)

  19. Parents' perceptions of timing of initiation of sexuality discussion with adolescents in Anambra State, South Eastern Nigeria.

    Science.gov (United States)

    Emelumadu, O F; Ezeama, N N; Ifeadike, C O; Ubajaka, C F; Adogu, P O U; Umeh, U; Nwamoh, U N; Ukegbu, A U; Onyeonoro, U U

    2014-10-01

    This study was aimed at determining the perception of the timing and practice of sexuality discussion among parents in South Eastern Nigeria. A cross-sectional, descriptive, community-based study. The study was carried out in 3 randomly selected Local Government Areas in Anambra State, South Eastern Nigeria. The study participants were parents with adolescent children resident in the study areas for at least 2 years. Most parents opined that sexuality discussion should be initiated after puberty. Only 20% of them discussed reproductive health issues often with their adolescents, while another 20% never discussed such issues with their adolescent children. Topics most commonly discussed bordered on the adverse consequences of sex rather than measures for preventing them. About half of parents were willing to discuss contraception with their adolescent child. Predictors of parent-child communication were age, gender, and educational status. Common reasons for low parental involvement in sexuality discussions were due to their lack of capacity and the perception that discussing such issues before puberty is ill timed. Therefore, measures should be taken to improve the capacity of parents to engage in such conversations to provide sexuality information to their teens. Copyright © 2014 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.

  20. An Investigation of the Awareness and Use of Open Access Initiative at the Federal Polytechnic, Offa, Kwara State, Nigeria

    Directory of Open Access Journals (Sweden)

    Issa, A.O.

    2014-09-01

    Full Text Available This study investigated the information environment of lecturers in Federal Polytechnic, Offa, Kwara State, Nigeria, in relation to their information seeking behavior, extent of use of the polytechnic library, perceptions of the resources and services of the library, level of awareness and extent of use of the open access model of scholarly communications, as well as the challenges of accessing and using information resources. It adopted the survey research method, using a questionnaire for data collection, while the descriptive statistics method was used to analyse the data, using tabular presentation and simple percentages. From a population of 280 lecturers for the study, a purposive sample of 164 was drawn. The findings showed that the lecturers' information needs are focused on online use; they hardly use the polytechnic library due to their perceptions of the resources and services of the library. They are, to a greater extent, aware of open access initiatives, but do not publish in open access outlets, while various challenges affect their access and use of information resources for teaching and research. A recommendation was made, among others, that the polytechnic management should pay more critical attention to the library especially in the areas of adequate, current and comprehensive collections on all the programmes of the institution, as well as the provision of wireless internet services on the campus through a public-private partnership arrangement.

  1. Transport processes associated with the initial elevated concentrations of Chernobyl radioactivity in surface air in the United States

    International Nuclear Information System (INIS)

    Larsen, R.J.; Haagenson, P.L.; Reiss, N.M.

    1989-01-01

    Elevated concentrations of radioactivity from the Chernobyl accident were encountered in the surface air over the United States along the east coast and in the north-west on 9 and 10 May 1986. The nearly simultaneous arrival of radioactive debris at widely separated locations resulted from different paths being taken by the debris released at different times during the course of the accident. Debris released during the explosion at the Chernobyl reactor was transported across the Arctic, within the lower troposphere, and zonally across Asia and the North Pacific Ocean, within the mid-troposphere. This debris descended into the planetary boundary layer along the east coast of the US. The descent was associated with a quasi-stationary cyclone located over the western North Atlantic Ocean. Debris that had a different composition of radioactivity was released from the damaged reactor during the week immediately following the initial explosion. This debris was then transported zonally across Asia and the North Pacific Ocean within the planetary boundary layer and lower troposphere and was swept into the north-western US. (author)

  2. What is the evidence for the management of patients along the pathway from the emergency department to acute admission to reduce unplanned attendance and admission? An evidence synthesis.

    Science.gov (United States)

    Credé, Sarah H; O'Keeffe, Colin; Mason, Suzanne; Sutton, Anthea; Howe, Emma; Croft, Susan J; Whiteside, Mike

    2017-05-16

    Globally, the rate of emergency hospital admissions is increasing. However, little evidence exists to inform the development of interventions to reduce unplanned Emergency Department (ED) attendances and hospital admissions. The objective of this evidence synthesis was to review the evidence for interventions, conducted during the patient's journey through the ED or acute care setting, to manage people with an exacerbation of a medical condition to reduce unplanned emergency hospital attendance and admissions. A rapid evidence synthesis, using a systematic literature search, was undertaken in the electronic data bases of MEDLINE, EMBASE, CINAHL, the Cochrane Library and Web of Science, for the years 2000-2014. Evidence included in this review was restricted to Randomised Controlled Trials (RCTs) and observational studies (with a control arm) reported in peer-reviewed journals. Studies evaluating interventions for patients with an acute exacerbation of a medical condition in the ED or acute care setting which reported at least one outcome related to ED attendance or unplanned admission were included. Thirty papers met our inclusion criteria: 19 intervention studies (14 RCTs) and 11 controlled observational studies. Sixteen studies were set in the ED and 14 were conducted in an acute setting. Two studies (one RCT), set in the ED were effective in reducing ED attendance and hospital admission. Both of these interventions were initiated in the ED and included a post-discharge community component. Paradoxically 3 ED initiated interventions showed an increase in ED re-attendance. Six studies (1 RCT) set in acute care settings were effective in reducing: hospital admission, ED re-attendance or re-admission (two in an observation ward, one in an ED assessment unit and three in which the intervention was conducted within 72 h of admission). There is no clear evidence that specific interventions along the patient journey from ED arrival to 72 h after admission benefit ED

  3. Clinical Predictors of Intensive Care Unit Admission for Asthmatic Children

    Directory of Open Access Journals (Sweden)

    Mohammad Hasan Kargar Maher

    2015-07-01

    Full Text Available IntroductionChildren with severe asthma attack are a challenging group of patients who could be difficult to treat and leading to significant morbidity and mortality. Asthma attack severity is qualitatively estimated as mild, moderate and severe attacks and respiratory failure based on conditions such as respiration status, feeling of dyspnea, and the degree of unconsciousness. part of which are subjective rather than objective. We investigated clinical findings as predictors of severe attack and probable requirement for Pediatric Intensive Care Unit (PICU admission.Materials and MethodsIn a cross sectional and analytical study 120 patients with asthma attack were enrolled from April 2010 to April 2014 (80 admitted in the ward and 40 in pediatric intensive care unit. Predictors of PICU admission were investigated regarding to initial heart rate(HR, respiratory rate (RR, Arterial Oxygen Saturation(SaO2 and PaCo2 and clinically evident cyanosis.ResultsInitial heart rate(p-value=0.02, respiratory rate (p-value=0.03, Arterial Oxygen Saturation(p-value=0.02 and PaCo2(p-value=0.03 and clinically evident cyanosis were significantly different in two groups(Ward admitted and PICU admittedConclusion There was a significant correlation between initial vital sign and blood gas analysis suggesting usefulness of these factors as predictors of severe asthma attack and subsequent clinical course.

  4. Quantization, non-locality and lie-admissible formulations

    International Nuclear Information System (INIS)

    Broadbridge, P.

    1982-01-01

    If higher order wave equations are reduced to first order by supplementary conditions, then quadratic Hamiltonians of the most general type will emerge. Even then, for several reasons elaborated below, canonical quantization can still not be applied consistently. The benefit of clinging to a Lagrangian description of non-localized phenomena is then questionable. Non canonical quantization procedures should be considered. Some initial attempts at Lie-admissible quantization are examined critically here, and it is concluded that further recourse to experiment seems to be necessary

  5. Admission to dedicated pediatric cardiac intensive care units is associated with decreased resource use in neonatal cardiac surgery.

    Science.gov (United States)

    Johnson, Joyce T; Wilkes, Jacob F; Menon, Shaji C; Tani, Lloyd Y; Weng, Hsin-Yi; Marino, Bradley S; Pinto, Nelangi M

    2018-02-21

    Neonates undergoing congenital heart surgery require highly specialized, resource-intensive care. Location of care and degree of specialization can vary between and within institutions. Using a multi-institutional cohort, we sought to determine whether location of admission is associated with an increase in health care costs, resource use and mortality. We retrospectively analyzed admission for neonates (ICU) with total hospital costs, mortality, and length of stay. Of 19,984 neonates (60% male) identified, 39% were initially admitted to a cardiac ICU (CICU), 48% to a neonatal ICU (NICU), and 13% to a pediatric ICU. In adjusted models, admission to a CICU versus NICU was associated with a $20,440 reduction in total hospital cost for infants aged 2 to 7 days at admission (P = .007) and a $23,700 reduction in total cost for infants aged 8 to 14 days at admission (P = .01). Initial admission to a CICU or pediatric ICU versus NICU at ICU length of stay and fewer days of mechanical ventilation. There was no difference in adjusted mortality by admission location. Admission to an ICU specializing in cardiac care is associated with significantly decreased hospital costs and more efficient resource use for neonates requiring cardiac surgery. Copyright © 2018 The American Association for Thoracic Surgery. Published by Elsevier Inc. All rights reserved.

  6. 32 CFR 776.66 - Bar admission and disciplinary matters.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 5 2010-07-01 2010-07-01 false Bar admission and disciplinary matters. 776.66... ADVOCATE GENERAL Rules of Professional Conduct § 776.66 Bar admission and disciplinary matters. (a) Bar admission and disciplinary matters. A covered attorney, in connection with any application for bar admission...

  7. 45 CFR 84.42 - Admissions and recruitment.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Admissions and recruitment. 84.42 Section 84.42... Education § 84.42 Admissions and recruitment. (a) General. Qualified handicapped persons may not, on the basis of handicap, be denied admission or be subjected to discrimination in admission or recruitment by...

  8. 45 CFR 605.42 - Admissions and recruitment.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 3 2010-10-01 2010-10-01 false Admissions and recruitment. 605.42 Section 605.42... Postsecondary Education § 605.42 Admissions and recruitment. (a) General. Qualified handicapped persons may not... recruitment by a recipient to which this subpart applies. (b) Admissions. In administering its admission...

  9. 15 CFR 8b.20 - Admission and recruitment.

    Science.gov (United States)

    2010-01-01

    ... 15 Commerce and Foreign Trade 1 2010-01-01 2010-01-01 false Admission and recruitment. 8b.20... Secondary Education § 8b.20 Admission and recruitment. (a) General. Qualified handicapped may not, on the basis of handicap, be denied admission or be subjected to discrimination in admission or recruitment by...

  10. 34 CFR 104.42 - Admissions and recruitment.

    Science.gov (United States)

    2010-07-01

    ... 34 Education 1 2010-07-01 2010-07-01 false Admissions and recruitment. 104.42 Section 104.42... ASSISTANCE Postsecondary Education § 104.42 Admissions and recruitment. (a) General. Qualified handicapped... admission or recruitment by a recipient to which this subpart applies. (b) Admissions. In administering its...

  11. The Pattern of Surgical Admissions in University of Nigeria Teaching ...

    African Journals Online (AJOL)

    The digestive system and genitourinary systems were the most commonly affected systems. Emergency admission accounted for 18.1% of all surgical admissions while elective admissions accounted for the rest. Conclusion: More detailed research on the pattern of admissions is important in planning and should be carried ...

  12. Causes of Hospital Admissions in Domus

    DEFF Research Database (Denmark)

    Skov Benthien, Kirstine; Nordly, Mie; von Heymann-Horan, Annika

    2018-01-01

    CONTEXT: Avoidable hospital admissions are important negative indicators of quality of end-of-life care. Specialized palliative care (SPC) may support patients remaining at home. OBJECTIVES: Therefore, the purpose of this study was to investigate if SPC at home could prevent hospital admissions...... options and their caregivers. They were included from the Department of Oncology, Rigshospitalet, Denmark, between 2013 and 2016. The control group received usual care. Outcomes were hospital admissions, causes thereof, and patient and caregiver perceptions of place of care (home, hospital, etc...... in patients with incurable cancer. METHODS: These are secondary results of Domus: a randomized controlled trial of accelerated transition to SPC with psychological intervention at home (Clinicaltrials.gov: NCT01885637). Participants were patients with incurable cancer and limited antineoplastic treatment...

  13. The therapeutic relationship after psychiatric admission.

    LENUS (Irish Health Repository)

    Roche, Eric

    2014-03-01

    The therapeutic relationship is one of the most central and important factors in the treatment of mental health disorders. A better therapeutic relationship is associated with service engagement, medication adherence, and satisfaction with services. This study aimed to compare the demographic and clinical factors associated with the therapeutic relationship in voluntarily and involuntarily admitted psychiatric service users. We found that individuals who had been admitted involuntarily, who had a diagnosis of a psychotic disorder, and who reported higher levels of perceived pressures on admission were more likely to have a poorer therapeutic relationship with their consultant psychiatrist. Greater levels of insight and treatment satisfaction, together with higher levels of procedural justice experienced on admission, were associated with a better therapeutic relationship. We found that the level of perceived coercion on admission was not related to the therapeutic relationship. Targeted interventions to improve the therapeutic relationship, particularly for involuntarily admitted service users, are discussed.

  14. Communication dated 23 June 2009 received from the Permanent Mission of the United States of America with regard to Global Initiative to Combat Nuclear Terrorism Plenary Meeting

    International Nuclear Information System (INIS)

    2009-01-01

    The Secretariat has received a communication dated 23 June 2009 from the Permanent Mission of the United States of America transmitting the 16 June 2009 message from President Barack Obama to the Global Initiative to Combat Nuclear Terrorism (GICNT) Plenary Meeting held in the Hague on 16-17 June 2009. As requested in that communication, the abovementioned message is herewith circulated for the information of all Member States

  15. Medical Conditions of Nursing Home Admissions

    Directory of Open Access Journals (Sweden)

    Nawrot Tim

    2010-07-01

    Full Text Available Abstract Background As long-term nursing home care is likely to increase with the aging of the population, identifying chronic medical conditions is of particular interest. Although need factors have a strong impact on nursing home (NH admission, the diseases causing these functional disabilities are lacking or unclear in the residents' file. We investigated the medical reason (primary diagnosis of a nursing home admission with respect to the underlying disease. Methods This study is based on two independent, descriptive and comparative studies in Belgium and was conducted at two time points (1993 and 2005 to explore the evolution over twelve years. Data from the subjects were extracted from the resident's file; additional information was requested from the general practitioner, nursing home physician or the head nurse in a face-to-face interview. In 1993 we examined 1332 residents from 19 institutions, and in 2005 691 residents from 7 institutions. The diseases at the time of admission were mapped by means of the International Classification of Diseases - 9th edition (ICD-9. Longitudinal changes were assessed and compared by a chi-square test. Results The main chronic medical conditions associated with NH admission were dementia and stroke. Mental disorders represent 48% of all admissions, somatic disorders 43% and social/emotional problems 8%. Of the somatic disorders most frequently are mentioned diseases of the circulatory system (35% [2/3 sequels of stroke and 1/5 heart failure], followed by diseases of the nervous system (15% [mainly Parkinson's disease] and the musculoskeletal system (14% [mainly osteoarthritis]. The most striking evolution from 1993 to 2005 consisted in complicated diabetes mellitus (from 4.3 to 11.4%; p Conclusion Diseases like stroke, diabetes and mobility problems are only important for institutionalisation if they cause functional disability. Diabetes related complications as cause of admission increased almost three

  16. Admission Control Techniques for UMTS System

    Directory of Open Access Journals (Sweden)

    P. Kejik

    2010-09-01

    Full Text Available Universal mobile telecommunications system (UMTS is one of the 3rd generation (3G cell phone technologies. The capacity of UMTS is interference limited. Radio resources management (RRM functions are therefore used. They are responsible for supplying optimum coverage, ensuring efficient use of physical resources, and providing the maximum planned capacity. This paper deals with admission control techniques for UMTS. An own UMTS simulation program and several versions of proposed admission control algorithms are presented in this paper. These algorithms are based on fuzzy logic and genetic algorithms. The performance of algorithms is verified via simulations.

  17. Retrospective Evaluation of the Short-Term Sustainability of the Locally Grown Produce Initiative of the Hunger Prevention and Nutrition Assistance Program in New York State.

    Science.gov (United States)

    Allsopp, Marie A K; Hosler, Akiko S

    2018-03-27

    The Hunger Prevention and Nutrition Assistance Program (HPNAP) is a New York State Department of Health program. The HPNAP improves nutritional quality of food available at food banks, food pantries, soup kitchens, and emergency shelters through contractual relationships to fund the purchase, delivery, storage, and service of nutritious food. To determine whether a one-time fiscal stimulus of the Locally Grown Produce Initiative to HPNAP contractors in 2012-2013 would result in a short-term sustainable increase in the proportion of dollars spent on New York State Grown (NYSG) produce. Quasi-experimental, nonequivalent control group design. We analyzed New York State Department of Health administrative data regarding expenditures on all produce and NYSG produce by HPNAP contractors. New York State. The proportion of dollars spent on NYSG produce during 2011-2012 (preintervention) and 2013-2014 (postintervention) was compared between HPNAP food bank contractors (recipients of stimulus money, n = 8) and non-food bank contractors (nonrecipients, n = 34) using nonparametric methods. The HPNAP Locally Grown Produce Initiative was associated with an increased proportion of NYSG produce spending by food bank contractors that received a fiscal stimulus 1 year later. Upstate food banks had the largest increase (median 31.6%) among all HPNAP contractors. The results of this study revealed that the Locally Grown Produce Initiative fiscal stimulus had a positive, year-long and statewide effect on the proportion of expenditure on NYSG produce by food banks. We hope that the initial success seen in New York State may encourage other states to adopt similar initiatives in future.

  18. Measurement of the e(+)e(-) -> pi(+) pi(-) cross section between 600 and 900 MeV using initial state radiation

    NARCIS (Netherlands)

    Ablikim, M.; Achasov, M. N.; Ai, X.C.; Albayrak, O.; Albrecht, M.; Ambrose, D.J.; Amoroso, A.; Haddadi, Z.; Kalantar-Nayestanaki, N.; Kavatsyuk, M.; Loehner, H.; Messchendorp, J.G.; Tiemens, M.

    2016-01-01

    We extract the e(+) e(-) -> pi(+) pi(-) cross section in the energy range between 600 and 900 MeV, exploiting the method of initial state radiation. A data set with an integrated luminosity of 2.93 fb(-1) taken at a center-of-mass energy of 3.773 GeV with the BESIII detector at the BEPCII collider

  19. Evidence of the Adoption and Implementation of a Statewide Childhood Obesity Prevention Initiative in the New York State WIC Program: The "NY Fit WIC" Process Evaluation

    Science.gov (United States)

    Sekhobo, Jackson P.; Egglefield, Katherine; Edmunds, Lynn S.; Shackman, Gene

    2012-01-01

    Process evaluations are critical in determining whether outcome evaluations are warranted. This study assessed the extent to which a childhood obesity prevention initiative, "NY Fit WIC", was adopted and implemented by the New York State Supplemental Nutrition Program for Women, Infants and Children (WIC). Process data came from…

  20. How Can VET Systems Meet the Challenges of Innovation and New Skill Requirements? An Exploration of State and Territory Initiatives in Australia. Working Paper No. 59

    Science.gov (United States)

    Ferrier, Fran

    2005-01-01

    This paper reports on a Centre for the Economics of Education and Training (CEET) project that explored policies, programs and other initiatives by Australia's states and territories to support innovation, and to build vocational education and training (VET) capability to respond to its effects on skill needs. The project was undertaken in late…

  1. Programs of Study as a State Policy Mandate: A Longitudinal Study of the South Carolina Personal Pathways to Success Initiative. Final Technical Report: Major Findings and Implications

    Science.gov (United States)

    Hammond, Cathy; Drew, Sam F.; Withington, Cairen; Griffith, Cathy; Swiger, Caroline M.; Mobley, Catherine; Sharp, Julia L.; Stringfield, Samuel C.; Stipanovic, Natalie; Daugherty, Lindsay

    2013-01-01

    This is the final technical report from the National Research Center for Career and Technical Education's (NRCCTE's) five-year longitudinal study of South Carolina's Personal Pathway to Success initiative, which was authorized by the state's Education and Economic Development Act (EEDA) in 2005. NRCCTE-affiliated researchers at the National…

  2. Curriculum Initiatives in the United States, Germany and Japan for World-Class Education in the 21st Century.

    Science.gov (United States)

    Bieniawski, Z. T.; Bieniawski, Stefan R.

    1996-01-01

    Summarizes a research study performed to assess curriculum changes in engineering education. Discusses the implications of the various curriculum strategies and initiatives and identifies the necessary socio-technological ingredients for world-class education of engineers. (DDR)

  3. Do state traditions matter? Comparing deliberative governance initiatives for climate change adaptation in Dutch corporatism and British pluralism

    NARCIS (Netherlands)

    Vink, M.J.; Benson, D.; Boezeman, D.F.; Cook, H.; Dewulf, A.; Termeer, C.J.A.M.

    2015-01-01

    In the emerging field of climate adaptation, deliberative governance initiatives are proposed to yield better adaptation strategies. However, introducing these network-centred deliberations between public and private players may contrast with institutionalized traditions of interest intermediation

  4. Perceptions of Nursing Education Administrators Regarding the Relationship of Admission Criteria to Student Graduation

    Science.gov (United States)

    Cline, Joy F.

    2013-01-01

    This research investigated admission criteria of baccalaureate nursing students related to their success in a multi-state sample of peer universities in the United States. The researcher used mixed methods to collect data that were analyzed using descriptive and phenomenological approaches. The sample of the study was chairpersons from peer…

  5. Effect of Medicaid disease management programs on emergency admissions and inpatient costs.

    Science.gov (United States)

    Conti, Matthew S

    2013-08-01

    To determine the impact of state Medicaid diabetes disease management programs on emergency admissions and inpatient costs. National InPatient Sample sponsored by the Agency for Healthcare Research and Quality Project for the years from 2000 to 2008 using 18 states. A difference-in-difference methodology compares costs and number of emergency admissions for Washington, Texas, and Georgia, which implemented disease management programs between 2000 and 2008, to states that did not undergo the transition to managed care (N = 103). Costs and emergency admissions were extracted for diabetic Medicaid enrollees diagnosed in the reform and non-reform states and collapsed into state and year cells. In the three treatment states, the implementation of disease management programs did not have statistically significant impacts on the outcome variables when compared to the control states. States that implemented disease management programs did not achieve improvements in costs or the number of emergency of admissions; thus, these programs do not appear to be an effective way to reduce the burden of this chronic disease. © Health Research and Educational Trust.

  6. Predicting Appropriate Admission of Bronchiolitis Patients in the Emergency Department: Rationale and Methods.

    Science.gov (United States)

    Luo, Gang; Stone, Bryan L; Johnson, Michael D; Nkoy, Flory L

    2016-03-07

    In young children, bronchiolitis is the most common illness resulting in hospitalization. For children less than age 2, bronchiolitis incurs an annual total inpatient cost of $1.73 billion. Each year in the United States, 287,000 emergency department (ED) visits occur because of bronchiolitis, with a hospital admission rate of 32%-40%. Due to a lack of evidence and objective criteria for managing bronchiolitis, ED disposition decisions (hospital admission or discharge to home) are often made subjectively, resulting in significant practice variation. Studies reviewing admission need suggest that up to 29% of admissions from the ED are unnecessary. About 6% of ED discharges for bronchiolitis result in ED returns with admission. These inappropriate dispositions waste limited health care resources, increase patient and parental distress, expose patients to iatrogenic risks, and worsen outcomes. Existing clinical guidelines for bronchiolitis offer limited improvement in patient outcomes. Methodological shortcomings include that the guidelines provide no specific thresholds for ED decisions to admit or to discharge, have an insufficient level of detail, and do not account for differences in patient and illness characteristics including co-morbidities. Predictive models are frequently used to complement clinical guidelines, reduce practice variation, and improve clinicians' decision making. Used in real time, predictive models can present objective criteria supported by historical data for an individualized disease management plan and guide admission decisions. However, existing predictive models for ED patients with bronchiolitis have limitations, including low accuracy and the assumption that the actual ED disposition decision was appropriate. To date, no operational definition of appropriate admission exists. No model has been built based on appropriate admissions, which include both actual admissions that were necessary and actual ED discharges that were unsafe. The

  7. Correlates of Initiation of Treatment for Chronic Hepatitis C Infection in United States Veterans, 2004-2009.

    Directory of Open Access Journals (Sweden)

    Adi V Gundlapalli

    Full Text Available We describe the rates and predictors of initiation of treatment for chronic hepatitis C (HCV infection in a large cohort of HCV positive Veterans seen in U.S. Department of Veterans Affairs (VA facilities between January 1, 2004 and December 31, 2009. In addition, we identify the relationship between homelessness among these Veterans and treatment initiation. Univariate and multivariable Cox Proportional Hazards regression models with time-varying covariates were used to identify predictors of initiation of treatment with pegylated interferon alpha plus ribavirin. Of the 101,444 HCV treatment-naïve Veterans during the study period, rates of initiation of treatment among homeless and non-homeless Veterans with HCV were low and clinically similar (6.2% vs. 7.4%, p<0.0001. For all U.S. Veterans, being diagnosed with genotype 2 or 3, black or other/unknown race, having Medicare or other insurance increased the risk of treatment. Veterans with age ≥50 years, drug abuse, diabetes, and hemoglobin < 10 g/dL showed lower rates of treatment. Initiation of treatment for HCV in homeless Veterans is low; similar factors predicted initiation of treatment. Additionally, exposure to treatment with medications for diabetes predicted lower rates of treatment. As newer therapies become available for HCV, these results may inform further studies and guide strategies to increase treatment rates in all U.S. Veterans and those who experience homelessness.

  8. Effect of the final-state interaction on the initial core-hole lifetime: the case of the 4s-hole lifetime of Sn metal

    International Nuclear Information System (INIS)

    Ohno, Masahide

    2003-01-01

    The first theoretical study of the effect of the final-state interaction on the initial core-hole lifetime is presented. The 4s-hole lifetime width of Sn metal is calculated by an ab-initio atomic many-body theory (Green's function method). When the final-state interaction in the 4p4d two-hole state, created by the 4s -1 -4p -1 4d -1 εf super Coster-Kronig (CK) transition of the initial 4s hole, is explicitly taken into account, the ab-initio atomic many-body calculation of the 4s-hole X-ray photoelectron spectroscopy (XPS) spectrum of Sn atom can provide excellent agreement with experiment in both the 4s-hole energy and the 4s-hole lifetime width. Otherwise, the many-body calculation underestimates considerably the 4s-hole lifetime width. The 4p4d two-hole state interacts strongly with the 4d triple-hole state by the 4p -1 4d -1 -4d -3 εf super CK transition. The interaction affects greatly the initial 4s-hole lifetime width

  9. Differential Prediction Generalization in College Admissions Testing

    Science.gov (United States)

    Aguinis, Herman; Culpepper, Steven A.; Pierce, Charles A.

    2016-01-01

    We introduce the concept of "differential prediction generalization" in the context of college admissions testing. Specifically, we assess the extent to which predicted first-year college grade point average (GPA) based on high-school grade point average (HSGPA) and SAT scores depends on a student's ethnicity and gender and whether this…

  10. Tricyclic antidepressant overdose necessitating ICU admission ...

    African Journals Online (AJOL)

    Tricyclic antidepressant (TCA) overdose necessitating intensive care unit (ICU) admission remains a significant problem in the Western Cape. In this retrospective study, we reviewed the course of life-threatening TCA overdose in our centre to identify potential prognostic indicators. TCA levels >1 000 ng/ml were associated ...

  11. Inappropriate Intensive Care Unit admissions: Nigerian doctors ...

    African Journals Online (AJOL)

    2015-12-04

    Dec 4, 2015 ... Conclusion: Inappropriate ICU admissions were perceived as a common event and were mainly attributed to pressure from seniors, referring clinicians, and hospital management. Further work is ..... Financial support and sponsorship. Nil. Conflicts of interest. There are no conflicts of interest. References. 1.

  12. Alphabetical order effects in school admissions

    Czech Academy of Sciences Publication Activity Database

    Jurajda, Štěpán; Münich, Daniel

    2016-01-01

    Roč. 31, č. 4 (2016), s. 483-498 ISSN 0267-1522 R&D Projects: GA ČR(CZ) GBP402/12/G130 Institutional support: RVO:67985998 Keywords : admissions * alphabetical order * order effects Subject RIV: AH - Economics Impact factor: 1.033, year: 2016

  13. 38 CFR 23.220 - Admissions.

    Science.gov (United States)

    2010-07-01

    ...) NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE... covered by these Title IX regulations. (b) Administratively separate units. For the purposes only of this... which §§ 23.300 through 23.310 apply shall not discriminate on the basis of sex in admission or...

  14. 15 CFR 8a.220 - Admissions.

    Science.gov (United States)

    2010-01-01

    ... Commerce and Foreign Trade Office of the Secretary of Commerce NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Coverage § 8a.220 Admissions. (a.... (b) Administratively separate units. For the purposes only of this section, §§ 8a.225 and 8a.230, and...

  15. 45 CFR 86.15 - Admissions.

    Science.gov (United States)

    2010-10-01

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Coverage § 86.15 Admissions. (a...) Administratively separate units. For the purposes only of this section, §§ 86.16 and 86.17, and Subpart C, each...

  16. 43 CFR 41.220 - Admissions.

    Science.gov (United States)

    2010-10-01

    ... Lands: Interior Office of the Secretary of the Interior NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Coverage § 41.220 Admissions. (a.... (b) Administratively separate units. For the purposes only of this section, §§ 41.225 and 41.230, and...

  17. 45 CFR 2555.220 - Admissions.

    Science.gov (United States)

    2010-10-01

    ... NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE... covered by these Title IX regulations. (b) Administratively separate units. For the purposes only of this... sex in admission or recruitment in violation of §§ 2555.300 through 2555.310. (d) Educational...

  18. 10 CFR 1042.220 - Admissions.

    Science.gov (United States)

    2010-01-01

    ... ENERGY (GENERAL PROVISIONS) NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES... separate units. For the purposes only of this section, §§ 1042.225 and 1042.230, and §§ 1042.300 through... apply shall not discriminate on the basis of sex in admission or recruitment in violation of §§ 1042.300...

  19. 40 CFR 5.220 - Admissions.

    Science.gov (United States)

    2010-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GENERAL NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Coverage § 5.220 Admissions. (a.... (b) Administratively separate units. For the purposes only of this section, §§ 5.225 and 5.230, and...

  20. 24 CFR 3.220 - Admissions.

    Science.gov (United States)

    2010-04-01

    ... NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE... covered by these Title IX regulations. (b) Administratively separate units. For the purposes only of this... §§ 3.300 through 3.310 apply shall not discriminate on the basis of sex in admission or recruitment in...

  1. Seasonal variations in hospital admissions for mania

    DEFF Research Database (Denmark)

    Medici, Clara Reece; Vestergaard, Claus Høstrup; Hadzi-Pavlovic, Dusan

    2016-01-01

    BACKGROUND: Bipolar disorder is characterized by a seasonal pattern with emerging evidence that weather conditions may trigger symptoms. Thus, our aims were to investigate if year-to-year variations in admissions with mania correlated with year-to-year variations in key meteorological variables, ...

  2. Confronting the categories: Equitable admissions without apartheid ...

    African Journals Online (AJOL)

    Confronting the categories: Equitable admissions without apartheid race classification. Z Erasmus. Abstract. South Africa's government requires information on apartheid race classification to implement and monitor racial redress. This has sparked resistance to race classification as a criterion for redress in higher education ...

  3. THE PROCEDURE REGARDING THE ADMISSION OF GUILT

    Directory of Open Access Journals (Sweden)

    ANDREI ZARAFIU

    2012-05-01

    Full Text Available Considering the present normative framework, even if in criminal matters the transactions between the judicial organs, which exercise the procedural function of indictment, and the defendant are not permitted, the admission of guilt appears as an incipient form of negotiation of penalty. In anticipation of a future special procedure regarding the accord of admission of guilt, the present institution has generated a great amount of controversy which has, inevitably, caused a matchlessly practice to appear. The purpose of this study is to identify the primary consequences of the norms which now regulate the judgment regarding the admission of guilt and to offer concrete and punctual solutions to the grave problems generated by a defective normative framework. The article has as basic study a documentary material which is comprised not only of normative guidelines, but also of a judicial practice generated by the application of these norms for almost a year. Last, but not least, the actual dimension of the admission of guilt procedure is also underlined by the dealing of the legal issues introduced by the Constitutional Court’s recently handed down decisions in these matters.

  4. Inappropriate involuntary admissions to psychiatric hospitals | van ...

    African Journals Online (AJOL)

    ... 8 day group in terms of gender, age, substance abuse history, diagnosis and previous admissions. There were more male patients, younger people, and individuals with a history of substance abuse in the ≤ 7 day group, while more patients in the ≥ 8 day group had a diagnosis of schizophrenia or bipolar mood disorder.

  5. Perceptions of veterinary admissions committee members of ...

    African Journals Online (AJOL)

    Veterinary admission committees are asked to create and implement a fair, reliable, and valid system to select the candidates most likely to succeed in veterinary school from a large pool of applicants. Although numerous studies have explored grade point average (GPA) as a predictive value of later academic success, ...

  6. 10 CFR 2.708 - Admissions.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 false Admissions. 2.708 Section 2.708 Energy NUCLEAR REGULATORY... he can neither truthfully admit nor deny them; or (ii) Written objections on the ground that some or... whole or in part. (2) Answers on matters to which such objections are made may be deferred until the...

  7. Analysis of the medication reconciliation process conducted at hospital admission

    Directory of Open Access Journals (Sweden)

    María Beatriz Contreras Rey

    2016-07-01

    Full Text Available Objective: To analyze the outcomes of a medication reconciliation process at admission in the hospital setting. To assess the role of the Pharmacist in detecting reconciliation errors and preventing any adverse events entailed. Method: A retrospective study was conducted to analyze the medication reconciliation activity during the previous six months. The study included those patients for whom an apparently not justified discrepancy was detected at admission, after comparing the hospital medication prescribed with the home treatment stated in their clinical hospital records. Those patients for whom the physician ordered the introduction of home medication without any specification were also considered. In order to conduct the reconciliation process, the Pharmacist prepared the best pharmacotherapeutical history possible, reviewing all available information about the medication the patient could be taking before admission, and completing the process with a clinical interview. The discrepancies requiring clarification were reported to the physician. It was considered that the reconciliation proposal had been accepted if the relevant modification was made in the next visit of the physician, or within 24-48 hours maximum; this case was then labeled as a reconciliation error. For the descriptive analysis, the Statistics® SPSS program, version 17.0, was used. Outcomes: 494 medications were reconciled in 220 patients, with a mean of 2.25 medications per patient. More than half of patients (59.5% had some discrepancy that required clarification; the most frequent was the omission of a medication that the patient was taking before admission (86.2%, followed by an unjustified modification in dosing or way of administration (5.9%. In total, 312 discrepancies required clarification; out of these, 93 (29.8% were accepted and considered as reconciliation errors, 126 (40% were not accepted, and in 93 cases (29,8% acceptance was not relevant due to a change in

  8. Increased admissions for diabetes mellitus after burn.

    Science.gov (United States)

    Duke, Janine M; Randall, Sean M; Fear, Mark W; Boyd, James H; O'Halloran, Emily; Rea, Suzanne; Wood, Fiona M

    2016-12-01

    Currently, limited long-term data on hyperglycaemia and insulin sensitivity in burn patients are available and the data that do exist are primarily related to paediatric severe burns. The aim of this study was to assess if burn is associated with increased post-burn admissions for diabetes mellitus. A population-based longitudinal study using linked hospital morbidity and death data from Western Australia was undertaken of all persons hospitalized for a first burn (n=30,997) in 1980-2012 and a frequency matched non-injury comparison cohort, randomly selected from Western Australia's birth registrations and electoral roll (n=123,399). Crude admission rates and summed length of stay for diabetes mellitus were calculated. Negative binomial and Cox proportional hazards regression modelling were used to generate incidence rate ratios (IRR) and hazard ratios (HR), respectively. After adjustment for socio-demographic factors and pre-existing health status, the burn cohort had 2.21 times (95% Confidence Interval (CI): 1.36-1.56) as many admissions and almost three times the number of days in hospital with a diabetes mellitus diagnosis (IRR, 95% CI: 2.94, 2.12-4.09) than the uninjured cohort. Admission rates were significantly elevated for those burned during childhood (burn cohort during the first 5 years post-burn when compared with the uninjured (HR, 95% CI: 1.96, 1.46-2.64); no significant difference was found beyond 5 years post-burn (HR, 95% CI: 1.08, 0.82-1.41). Findings of increased hospital admission rates and prolonged length of hospital stay for diabetes mellitus in the burn cohort provide evidence that burns have longer term effects on blood glucose and insulin regulation after wound healing. The first five years after burn discharge appears to be a critical period with significantly elevated incident admissions for diabetes mellitus during this time. Results would suggest prolonged clinical management after discharge and or wound healing to minimise post

  9. A Retrospective Analysis of Corticosteroid Utilization Before Initiation of Biologic DMARDs Among Patients with Rheumatoid Arthritis in the United States.

    Science.gov (United States)

    Spivey, Christina A; Griffith, Jenny; Kaplan, Cameron; Postlethwaite, Arnold; Ganguli, Arijit; Wang, Junling

    2017-12-04

    Understanding the effects of corticosteroid utilization prior to initiation of biologic disease-modifying antirheumatic drugs (DMARDs) can inform decision-makers on the appropriate use of these medications. This study examined treatment patterns and associated burden of corticosteroid utilization before initiation of biologic DMARDs among rheumatoid arthritis (RA) patients. A retrospective analysis was conducted of adult RA patients in the US MarketScan Database (2011-2015). The following patterns of corticosteroid utilization were analyzed: whether corticosteroids were used; duration of use (short/long duration defined as biologic DMARD initiation were examined using Cox proportional hazards models. Likelihood and number of adverse events were examined using logistic and negative binomial regression models. Generalized linear models were used to examine healthcare costs. Independent variables in all models included patient demographics and health characteristics. A total of 25,542 patients were included (40.84% used corticosteroids). Lower hazard of biologic DMARD initiation was associated with corticosteroid use (hazard ratio = 0.89, 95% confidence interval = 0.83-0.96), long duration and lower dose. Corticosteroid users compared to non-users had higher incidence rates of various adverse events including cardiovascular events (P biologic DMARDS and higher burden of adverse events and healthcare utilization/costs before the initiation of biologic DMARDs. AbbVie Inc.

  10. HPV vaccination initiation after the routine-recommended ages of 11–12 in the United States

    Directory of Open Access Journals (Sweden)

    Daniel C. Beachler

    2016-12-01

    Full Text Available Background: Since 2006, routine HPV vaccination has been recommended for females aged 11–12 in the US. However not much is known about the extent of and factors associated with HPV vaccination after the ages of 11–12. Methods: Provider-verified data on 8710 females aged 13–17 were analyzed from the 2013 NIS-Teen survey. 2013 Data was utilized since it was the first year one can fully evaluate the age at vaccination through age 17 for females who could receive the HPV vaccine at age 11. Results: Among HPV vaccinated females who were 17 in 2013, 47% (95% CI=43–50% received their first dose after age 12, and 24% (95% CI=21–26% received their first dose after age 14. The HPV vaccine was more likely to be initiated later than the meningococcal and Tdap vaccines (p<0.05, and later HPV vaccine initiation was more common among those having a more highly educated mother and those not receiving a check-up/well visit between the ages of 11 and 12 in adjusted analyses (p-values<0.05. Females initiating the HPV vaccine late were more likely to not receive three doses (RR=1.90, 95% CI=1.76–2.04. Conclusions: HPV vaccination is commonly initiated after the age of 12 in the US, which could limit the vaccine׳s population-level effectiveness. Keywords: HPV vaccines, Late initiation, Vaccination, NIS-Teen

  11. Can advanced paramedics in the field diagnose patients and predict hospital admission?

    LENUS (Irish Health Repository)

    Cummins, Niamh Maria

    2013-02-13

    BACKGROUND: Accurate patient diagnosis in the prehospital environment is essential to initiate suitable care pathways. The advanced paramedic (AP) is a relatively recent role in Ireland, and refers to a prehospital practitioner with advanced life-support skills and training. OBJECTIVES: The objectives of this study were to compare the diagnostic decisions of APs with emergency medicine (EM) physicians, and to investigate if APs, as currently trained, can predict the requirement for hospital admission. METHODS: A prospective study was initiated, whereby each emergency ambulance call received via the statutory 999 system was recorded by the attending AP. The AP was asked to provide a clinical diagnosis for each patient, and to predict if hospital admission was required. The data was then cross-referenced with the working diagnosis of the receiving emergency physician and the hospital admission records. RESULTS: A total of 17 APs participated in the study, and 1369 emergency calls were recorded over a 6-month period. Cases where a general practitioner attended the scene were excluded from the concordance analysis. Concordance with the receiving emergency physician represents 70% (525\\/748) for all cases of AP diagnosis, and is mirrored with 70% (604\\/859) correct hospital admission predictions. CONCLUSIONS: AP diagnosis and admission prediction for emergency calls is similar to other emergency medical services systems despite the relative recency of the AP programme in Ireland. Recognition of non-concordance case types may identify priorities for AP education, and drive future AP practice in areas such as \\'treat and refer\\'.

  12. Gait initiation is impaired in subjects with Parkinson's disease in the OFF state: Evidence from the analysis of the anticipatory postural adjustments through wearable inertial sensors.

    Science.gov (United States)

    Bonora, Gianluca; Mancini, Martina; Carpinella, Ilaria; Chiari, Lorenzo; Horak, Fay B; Ferrarin, Maurizio

    2017-01-01

    People with Parkinson's disease (PD) typically demonstrate impaired anticipatory postural adjustments (APAs) that shift the body center of mass forward (imbalance) and over the stance leg (unloading) prior to gait initiation. APAs are known to be smallest when people with PD are in their OFF-medication state compared to ON-medication or healthy controls. The aim of this pilot study is to validate a previously developed method for the assessment of gait initiation on PD patients in OFF state with body-worn, inertial sensors. Ten subjects with mild-to-moderate idiopathic PD and twelve healthy controls of similar age performed three gait initiation trials. The spatio-temporal parameters of APAs were extracted from three wearable sensors, placed on the shins and on the lower back, and validated with two force plates. Temporal parameters extracted from sensors and force plates, as well as the trunk medio-lateral acceleration and the correspondent displacement of the center of pressure, were significantly correlated. Subjects with PD showed hypometric adjustments in the medio-lateral direction (p-valuegait initiation deficits with wearable technology provides valuable instrument for the assessment of gait initiation in clinical environments. Copyright © 2016 Elsevier B.V. All rights reserved.

  13. State-to-state photodissociation of carbonyl sulfide (ν2=0,1|JlM). II. The effect of initial bending on coherence of S(1D2) polarization

    International Nuclear Information System (INIS)

    Brom, Alrik J. van den; Rakitzis, T. Peter; Janssen, Maurice H. M.

    2005-01-01

    Photodissociation studies using ion imaging are reported, measuring the coherence of the polarization of the S( 1 D 2 ) fragment from the photolysis of single-quantum state-selected carbonyl sulfide (OCS) at 223 and 230 nm. A hexapole state-selector focuses a molecular beam of OCS parent molecules in the ground state (ν 2 =0 vertical bar JM=10) or in the first excited bending state (ν 2 =1 vertical bar JlM=111). At 230 nm photolysis the Im[a 1 (1p arallel ,perpendicular )] moment for the fast S( 1 D 2 ) channel increases by about 50% when the initial OCS parent state changes from the vibrationless ground state to the first excited bending state. No dependence on the initial bending state is found for photolysis at 223 nm. We observe separate rings in the slow channel of the velocity distribution of S( 1 D 2 ) correlating to single CO(J) rotational states. The additional available energy for photolysis at 223 nm is found to be channeled mostly into the CO(J) rotational motion. An improved value for the OC-S bond energy D 0 =4.292 eV is reported

  14. Building analytic capacity, facilitating partnerships, and promoting data use in state health agencies: a distance-based workforce development initiative applied to maternal and child health epidemiology.

    Science.gov (United States)

    Rankin, Kristin M; Kroelinger, Charlan D; Rosenberg, Deborah; Barfield, Wanda D

    2012-12-01

    The purpose of this article is to summarize the methodology, partnerships, and products developed as a result of a distance-based workforce development initiative to improve analytic capacity among maternal and child health (MCH) epidemiologists in state health agencies. This effort was initiated by the Centers for Disease Control's MCH Epidemiology Program and faculty at the University of Illinois at Chicago to encourage and support the use of surveillance data by MCH epidemiologists and program staff in state agencies. Beginning in 2005, distance-based training in advanced analytic skills was provided to MCH epidemiologists. To support participants, this model of workforce development included: lectures about the practical application of innovative epidemiologic methods, development of multidisciplinary teams within and across agencies, and systematic, tailored technical assistance The goal of this initiative evolved to emphasize the direct application of advanced methods to the development of state data products using complex sample surveys, resulting in the articles published in this supplement to MCHJ. Innovative methods were applied by participating MCH epidemiologists, including regional analyses across geographies and datasets, multilevel analyses of state policies, and new indicator development. Support was provided for developing cross-state and regional partnerships and for developing and publishing the results of analytic projects. This collaboration was successful in building analytic capacity, facilitating partnerships and promoting surveillance data use to address state MCH priorities, and may have broader application beyond MCH epidemiology. In an era of decreasing resources, such partnership efforts between state and federal agencies and academia are essential for promoting effective data use.

  15. Reconstruction of Initial Wave Field of a Nonsteady-State Wave Propagation from Limited Measurements at a Specific Spatial Point Based on Stochastic Inversion

    Directory of Open Access Journals (Sweden)

    S. L. Han

    2013-01-01

    Full Text Available This paper studies an inverse problem that can be used for reconstructing initial wave field of a nonsteady-state wave propagation. The inverse problem is ill posed in the sense that small changes in the input data can greatly affect the solution of the problem. To address the difficulty, the problem is formulated in the form of an inference problem in an appropriately constructed stochastic model. It is shown that the stochastic inverse model enables the initial surface disturbance to be reconstructed, including its confidence intervals given the noisy measurements. The reconstruction procedure is illustrated through applications to some simulated data for two- and three-dimensional problem.

  16. An instrumental variable approach finds no associated harm or benefit with early dialysis initiation in the United States

    NARCIS (Netherlands)

    Scialla, Julia J.; Liu, Jiannong; Crews, Deidra C.; Guo, Haifeng; Bandeen-Roche, Karen; Ephraim, Patti L.; Tangri, Navdeep; Sozio, Stephen M.; Shafi, Tariq; Miskulin, Dana C.; Michels, Wieneke M.; Jaar, Bernard G.; Wu, Albert W.; Powe, Neil R.; Boulware, L. Ebony; Cook, Courtney; Coresh, Josef; Crews, Deidra; Ephraim, Patti; Jaar, Bernard; Kim, Jeonyong; Liu, Yang; Luly, Jason; McDermott, Aidan; Michels, Wieneke; Scheel, Paul; Sozio, Stephen; Wu, Albert; Zhou, Jing; Powe, Neil; Collins, Allan; Foley, Robert; Gilbertson, David; Heubner, Brooke; Herzog, Charles; St Peter, Wendy; Nally, Joseph; Arrigain, Susana; Jolly, Stacey; Konig, Vicky; Liu, Xiaobo; Navaneethan, Sankar; Schold, Jesse; Zager, Phil; Miskulin, Dana; Meyer, Klemens; Scialla, Julia

    2014-01-01

    The estimated glomerular filtration rate (eGFR) at dialysis initiation has been rising. Observational studies suggest harm, but may be confounded by unmeasured factors. As instrumental variable methods may be less biased, we performed a retrospective cohort study of 310,932 patients who started

  17. Child-Initiated Pedagogies: Moving toward Democratically Appropriate Practices in Finland, England, Estonia, and the United States

    Science.gov (United States)

    Kinos, Jarmo; Robertson, Leena; Barbour, Nancy; Pukk, Maarika

    2016-01-01

    The Convention on the Rights of the Child calls for children to be treated as human beings with a distinct set of rights, instead of as passive objects of care. They can and should be agents in their own lives. Child-initiated pedagogy recognizes this by respecting children's individual and collective views, interests, and motivations.…

  18. Electromagnetic radiation as a probe of the initial state and of viscous dynamics in relativistic nuclear collisions

    Science.gov (United States)

    Vujanovic, Gojko; Paquet, Jean-François; Denicol, Gabriel S.; Luzum, Matthew; Jeon, Sangyong; Gale, Charles

    2016-07-01

    The penetrating nature of electromagnetic signals makes them suitable probes to explore the properties of the strongly interacting medium created in relativistic nuclear collisions. We examine the effects of the initial conditions and shear relaxation time on the spectra and flow coefficients of electromagnetic probes, using an event-by-event 3+1-dimensional viscous hydrodynamic simulation (music).

  19. An intervention to improve care and reduce costs for high-risk patients with frequent hospital admissions: a pilot study

    Directory of Open Access Journals (Sweden)

    Kostrowski Shannon

    2011-10-01

    Full Text Available Abstract Background A small percentage of high-risk patients accounts for a large proportion of Medicaid spending in the United States, which has become an urgent policy issue. Our objective was to pilot a novel patient-centered intervention for high-risk patients with frequent hospital admissions to determine its potential to improve care and reduce costs. Methods Community and hospital-based care management and coordination intervention with pre-post analysis of health care utilization. We enrolled Medicaid fee-for-service patients aged 18-64 who were admitted to an urban public hospital and identified as being at high risk for hospital readmission by a validated predictive algorithm. Enrolled patients were evaluated using qualitative and quantitative interview techniques to identify needs such as transportation to/advocacy during medical appointments, mental health/substance use treatment, and home visits. A community housing partner initiated housing applications in-hospital for homeless patients. Care managers facilitated appropriate discharge plans then worked closely with patients in the community using a harm reduction approach. Results Nineteen patients were enrolled; all were male, 18/19 were substance users, and 17/19 were homeless. Patients had a total of 64 inpatient admissions in the 12 months before the intervention, versus 40 in the following 12 months, a 37.5% reduction. Most patients (73.3% had fewer inpatient admissions in the year after the intervention compared to the prior year. Overall ED visits also decreased after study enrollment, while outpatient clinic visits increased. Yearly study hospital Medicaid reimbursements fell an average of $16,383 per patient. Conclusions A pilot intervention for high-cost patients shows promising results for health services usage. We are currently expanding our model to serve more patients at additional hospitals to see if the pilot's success can be replicated. Trial registration

  20. Admission criteria and diversity in medical school

    DEFF Research Database (Denmark)

    O'Neill, Lotte Dyhrberg; Vonsild, Maria Cecilie; Wallstedt, B.

    2013-01-01

    Introduction: The underrepresentation of students from lower socioeconomic backgrounds in medical education is an important social issue. There is currently little evidence about whether changes in admission strategy could increase the diversity of medical students. Denmark introduced an “attribute...... of students admitted via the two tracks between the years 2002-2007. Method: This prospective cohort study included 1074 medical students admitted between the years 2002-2007 to the University of Southern Denmark (USD) medical school. Of these, 454 were admitted by grade-based selection and 620 were selected......-based or attribute-based) had no statistically significant effect on the social diversity of medical students admitted to USD. Discussion: It may be a myth that attribute-based admission widens access and increases social diversity. To the contrary, there is evidence that combining grade-based with attribute...

  1. Development of Unique Advanced Medical Research and Development Initiatives in the Western United States and Pacific Rim

    Science.gov (United States)

    2012-11-01

    large food producers (fresh produce, meats , poultry , dairy, and packaged foods), the food processors and the wholesale food distributors. Salmonella...academia, government and industry to allow the military to actively pursue and leverage partnerships that fuse military and civilian technologies to...the fractured industry market in RT. Therefore, initiating this integrated system for PT is not only Photon Depth Dose is proportional to an

  2. The development and implementation of the national evaluation strategy of Access to Care, a multi-site linkage to care initiative in the United States.

    Science.gov (United States)

    Kim, Jeeyon Janet; Maulsby, Cathy; Kinsky, Suzanne; Riordan, Maura; Charles, Vignetta; Jain, Kriti; Holtgrave, David R

    2014-10-01

    The Access to Care (A2C) is a multi-site initiative that seeks to increase the access to and retention in effective HIV healthcare and support services by people living with HIV across the United States. As the initiative implemented evidence-based programs in new settings with diverse populations, it was important to document these innovative efforts to contribute to the evidence base for best practices. In a partnership between Johns Hopkins University, AIDS United, and the A2C sites, a national evaluation strategy was developed and implemented to build knowledge about how linkage to care interventions could be most effectively implemented within the context of local, real-world settings. This article provides an overview of the efforts to develop and implement a national monitoring and evaluation strategy for a multi-site initiative. The findings may be of utility for other HIV interventions that are seeking to incorporate a monitoring and evaluation component into their efforts.

  3. Dependence of emergence of the collapse and revival effect of Doppler - Rabi osciallations on the initial state of the moving-atom - electromagnetic-field system

    International Nuclear Information System (INIS)

    Kozlovskii, Andrei V

    2010-01-01

    The quantum dynamics of a system consisting of a moving two-level atom and a single-mode electromagnetic field in the standing-wave resonator is studied by using the stationary phase approximation. The conditions resulting in the emergence of the collapse - revival effect of Doppler - Rabi oscillations are analysed for the initial coherent state of the electromagnetic field in the resonator. It is shown that both the character and the possibility of this effect emergence directly depend on the initial parameters of the system: the rate of the atomic centre-of-mass motion, coupling constants of the atom with the field, the mean number of photons in the resonator. Under conditions when the collapse - revival effect is absent, the system dynamics qualitatively depends on the intial electronic state of the atom. (nonlinear optical phenomena)

  4. THE OBJECT OF THE ADMISSION OF GUILT

    Directory of Open Access Journals (Sweden)

    Constantin NEDELCU

    2015-07-01

    Full Text Available This paper aims at studying how elements of negotiated justice specific to common law systems entered into the Romanian criminal procedural law system. It particularly deals with the admission of guilt and about one of its most controversial aspects – the object of recognition. The research concludes that what is recognized within this simplified procedure it is the deed and not its legal classification given by the criminal prosecution bodies.

  5. THE OBJECT OF THE ADMISSION OF GUILT

    OpenAIRE

    Constantin NEDELCU

    2015-01-01

    This paper aims at studying how elements of negotiated justice specific to common law systems entered into the Romanian criminal procedural law system. It particularly deals with the admission of guilt and about one of its most controversial aspects – the object of recognition. The research concludes that what is recognized within this simplified procedure it is the deed and not its legal classification given by the criminal prosecution bodies.

  6. 49 CFR 25.220 - Admissions.

    Science.gov (United States)

    2010-10-01

    ... Office of the Secretary of Transportation NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR... separate units. For the purposes only of this section, §§ 25.225 and 25.230, and §§ 25.300 through 25.310... discriminate on the basis of sex in admission or recruitment in violation of §§ 25.300 through 25.310. (d...

  7. 29 CFR 36.220 - Admissions.

    Science.gov (United States)

    2010-07-01

    ... Secretary of Labor NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING... units. For the purposes only of this section, §§ 36.225 and 36.230, and §§ 36.300 through 36.310, each... basis of sex in admission or recruitment in violation of §§ 36.300 through 36.310. (d) Educational...

  8. Treatment Episode Data Set: Admissions (TEDS-A-1994)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  9. Treatment Episode Data Set: Admissions (TEDS-A-2002)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  10. Treatment Episode Data Set: Admissions (TEDS-A-2006)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  11. Treatment Episode Data Set: Admissions (TEDS-A-1999)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  12. Treatment Episode Data Set: Admissions (TEDS-A-2003)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  13. Treatment Episode Data Set: Admissions (TEDS-A-1997)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  14. Treatment Episode Data Set: Admissions (TEDS-A-2000)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  15. Treatment Episode Data Set: Admissions (TEDS-A-2005)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  16. Treatment Episode Data Set: Admissions (TEDS-A-2008)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  17. Treatment Episode Data Set: Admissions (TEDS-A-2004)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  18. Treatment Episode Data Set: Admissions (TEDS-A-2001)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  19. Treatment Episode Data Set: Admissions (TEDS-A-2013)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  20. Treatment Episode Data Set: Admissions (TEDS-A-1993)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  1. Treatment Episode Data Set: Admissions (TEDS-A-2010)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  2. Treatment Episode Data Set: Admissions (TEDS-A-2009)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  3. Treatment Episode Data Set: Admissions (TEDS-A-1995)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  4. Treatment Episode Data Set: Admissions (TEDS-A-1992)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  5. Treatment Episode Data Set: Admissions (TEDS-A-2011)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  6. Treatment Episode Data Set: Admissions (TEDS-A-2007)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  7. Treatment Episode Data Set: Admissions (TEDS-A-2012)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  8. Treatment Episode Data Set: Admissions (TEDS-A-1998)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  9. Treatment Episode Data Set: Admissions (TEDS-A-1996)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Admissions (TEDS-A) is a national census data system of annual admissions to substance abuse treatment facilities. TEDS-A provides...

  10. ACE - Foreign Trade Zone (FTZ) Admissions (e214)

    Data.gov (United States)

    Department of Homeland Security — ACE FTZ Admissions relies on 2 input datasets received from Trade Filers. These are the FT transaction (describes the Admission) and FZ transaction (describes the...

  11. Set the initial reference state of a team brachytherapy high dose rate; Establecimiento del estado de referencia inicial de un equipo de braquiterapia de alta tasa de dosis

    Energy Technology Data Exchange (ETDEWEB)

    Clemente Gutierrez, F.; Diaz Fuentes, R.; Cabello Murillo, E.; Casa de Julian, M. A. de la; Ferrando Sanchez, A.; Adaimi Hernandez, P.

    2011-07-01

    You have set the initial reference state for a team of high-rate brachytherapy doses according to the recommendations made in the text used as a reference, being always within the functional tolerances established for the team, or the number associated with each test. The team was ready for clinical use under the provisions of Royal Decree 1566/1998 of Quality Control in Radiotherapy.

  12. Perceived coercion in voluntary hospital admission.

    LENUS (Irish Health Repository)

    O'Donoghue, Brian

    2014-01-30

    The legal status of service users admitted to psychiatric wards is not synonymous with the level of coercion that they can perceive during the admission. This study aimed to identify and describe the proportion of individuals who were admitted voluntarily but experienced levels of perceived coercion comparable to those admitted involuntarily. Individuals admitted voluntarily and involuntarily to three psychiatric hospitals were interviewed using the MacArthur Admission Experience Interview and the Structured Clinical Interview for DSM-IV diagnoses. One hundered sixty-one individuals were interviewed and 22% of the voluntarily admitted service users had levels of perceived coercion similar to that of the majority of involuntarily admitted service users. Voluntarily admitted service users who experienced high levels of perceived coercion were more likely to have more severe psychotic symptoms, have experienced more negative pressures and less procedural justices on admission. Individuals brought to hospital under mental health legislation but who subsequently agreed to be admitted voluntarily and those treated on a secure ward also reported higher levels of perceived coercion. It needs to be ensured that if any service user, whether voluntary or involuntary, experiences treatment pressures or coercion that there is sufficient oversight of the practice, to ensure that individual\\'s rights are respected.

  13. Perceived coercion in voluntary hospital admission.

    Science.gov (United States)

    O'Donoghue, Brian; Roche, Eric; Shannon, Stephen; Lyne, John; Madigan, Kevin; Feeney, Larkin

    2014-01-30

    The legal status of service users admitted to psychiatric wards is not synonymous with the level of coercion that they can perceive during the admission. This study aimed to identify and describe the proportion of individuals who were admitted voluntarily but experienced levels of perceived coercion comparable to those admitted involuntarily. Individuals admitted voluntarily and involuntarily to three psychiatric hospitals were interviewed using the MacArthur Admission Experience Interview and the Structured Clinical Interview for DSM-IV diagnoses. One hundered sixty-one individuals were interviewed and 22% of the voluntarily admitted service users had levels of perceived coercion similar to that of the majority of involuntarily admitted service users. Voluntarily admitted service users who experienced high levels of perceived coercion were more likely to have more severe psychotic symptoms, have experienced more negative pressures and less procedural justices on admission. Individuals brought to hospital under mental health legislation but who subsequently agreed to be admitted voluntarily and those treated on a secure ward also reported higher levels of perceived coercion. It needs to be ensured that if any service user, whether voluntary or involuntary, experiences treatment pressures or coercion that there is sufficient oversight of the practice, to ensure that individual's rights are respected. © 2013 Elsevier Ireland Ltd. All rights reserved.

  14. Fixed and growth mindsets in physics graduate admissions

    OpenAIRE

    Rachel E. Scherr; Monica Plisch; Kara E. Gray; Geoff Potvin; Theodore Hodapp

    2017-01-01

    Considering the evidence that standard physics graduate admissions practices tend to exclude women and traditionally marginalized racial and ethnic groups from the discipline, we investigate (a) the characteristics of students that physics graduate admissions committee members seek to admit to their programs and (b) the practices associated with these admissions goals. The data for this investigation are interviews with 18 faculty who chair graduate admissions committees in programs that prio...

  15. Social deprivation and hospital admission rates, length of stay and readmissions in emergency medical admissions.

    Science.gov (United States)

    Cournane, Seán; Byrne, Declan; Conway, Richard; O'Riordan, Deirdre; Coveney, Seamus; Silke, Bernard

    2015-12-01

    Patients from deprived backgrounds have a higher in-patient mortality following an emergency medical admission. How deprivation relates to the admission or readmission incidence rates, episode length of stay (LOS) and ancillary resource utilization is less clear. All emergency medical admissions (66,861 episodes in 36,214 patients) between 2002 and 2013, categorized by quintile of Irish National Deprivation Index were assessed against admission or readmission incidence rates (/1000 local population by electoral division), LOS and utilization of five ancillary services. Univariate and multi-variable risk estimates (odds ratios (OR) or incidence rate ratios (IRR)) were calculated, using truncated Poisson regression. The deprivation index quintile was strongly correlated with the emergency medical admission rate with IRR (as compared with quintile 1) as follows: Q2 1.99 (95% CI: 1.96, 2.01), Q3 3.45 (95% CI: 3.41, 3.49), Q4 3.27 (95% CI: 3.23, 3.31) and Q5 4.29 (95% CI: 4.23, 4.35). LOS was not influenced by deprivation status; although increasing deprivation resulted in increased utilization of social services (OR 1.04: 95% CI: 1.03, 1.06), with a lower requirement for occupational therapy (OR 0.94: 95% CI: 0.93, 0.96) and speech/language services (OR 0.83: 95% CI: 0.80, 0.86). There was a rather decreased use of ancillary services with increasing deprivation; however, the readmission rate was strongly predicted by deprivation status. Deprivation status strongly influenced the admission and readmission rates for medical patients admitted as emergencies; however, ancillary resource utilization was not increased. Deprivation index will increase demand on hospital resources due to the aggregate effect on both admission and readmission incidence rates. Copyright © 2015 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.

  16. Evaluation of a Statewide Initiative in the United States to Prevent/Reduce Sexual Harassment in Schools

    Science.gov (United States)

    Weist, Mark D.; Bryant, Yaphet U.; Dantzler, Joyce; Martin, Saran; D'Amico, Marie; Griffith, Brian; Gallun, Betsy

    2009-01-01

    Purpose: The purpose of this paper is to identify best practices in the implementation of school-based sexual violence prevention education. Design/methodology/approach: A three-phase plan was implemented to evaluate the Sexual Harassment/Assault Prevention Project (SHAPP) in one state in the USA. First, a structured review of the prevention…

  17. A Professional Learning Community for the New Teacher Professionalism: The Case of a State-Led Initiative in Singapore Schools

    Science.gov (United States)

    Lee, Daphnee; Lee, Wing On

    2013-01-01

    This paper seeks to explore the empirical fit of two PLC models, using Singapore as a case. Insights emerged from documentary analyses and interviews with state-affiliated agents from the Academy of Singapore Teachers. The proposed DuFour--Fullan model, despite policy aspirations, remains largely DuFour-predominant in practice. Aspirations for a…

  18. Critical care admission following elective surgery was not associated with survival benefit

    DEFF Research Database (Denmark)

    Kahan, Brennan C; Koulenti, Desponia; Arvaniti, Kostoula

    2017-01-01

    PURPOSE: As global initiatives increase patient access to surgical treatments, there is a need to define optimal levels of perioperative care. Our aim was to describe the relationship between the provision and use of critical care resources and postoperative mortality. METHODS: Planned analysis...... of data collected during an international 7-day cohort study of adults undergoing elective in-patient surgery. We used risk-adjusted mixed-effects logistic regression models to evaluate the association between admission to critical care immediately after surgery and in-hospital mortality. We evaluated...... hospital-level associations between mortality and critical care admission immediately after surgery, critical care admission to treat life-threatening complications, and hospital provision of critical care beds. We evaluated the effect of national income using interaction tests. RESULTS: 44,814 patients...

  19. Holistic review in admissions: a strategy to diversify the nursing workforce.

    Science.gov (United States)

    Scott, Linda D; Zerwic, Julie

    2015-01-01

    Individuals both within and outside the nursing profession have called for more diversity in nursing, from the education arena to the workforce. Implementing initiatives that address diversity and determining their effects have been limited. The University of Illinois at Chicago College of Nursing used the American Association of Medical Colleges Holistic Review Project as a platform to implement a process and paradigm shift for admissions to its nursing programs. We believe that the use of holistic admissions can increase the diversity among nursing students and provide the first step toward a diversified nursing profession. In hopes of assisting other institutions, we describe our experiences with preparing and implementing a holistic admissions process within the context of lessons learned and continued challenges. Furthermore, we hope our efforts will serve as a catalyst for a national dialogue on the use of holistic review as a strategy for the development of a more diverse nursing workforce. Copyright © 2015 Elsevier Inc. All rights reserved.

  20. Diagnóstico da competência de leitura de pré-vestibulandos: experiência no Pré–SEED em Itabaiana, Estado do Sergipe = Diagnosis of reading skill of students in the pre-admission course: an experience from Pré-SEED in Itabaiana, Sergipe State

    Directory of Open Access Journals (Sweden)

    Raquel Meister Ko Freitag

    2010-07-01

    Full Text Available Neste texto, apresentamos resultados da aplicação de um instrumento deavaliação de competências de leitura, nos moldes do PISA, em alunos do curso prévestibular oferecido pela Secretaria de Estado da Educação de Sergipe (Pré-Universitário SEED, no município de Itabaiana, Estado do Sergipe. Os resultados corroboram as constatações do exame PISA, evidenciando que os pré-vestibulandos não são leitores proficientes.In this study we present the results of the application of an assessment about the reading skills, based on PISA test. This instrument was applied to the students in the pre-admission course offered by the Secretaria de Estado da Educação de Sergipe (Pré-Universitário SEED, in Itabaiana municipality, Sergipe state. Our results are according to PISA findings, evidencing that students in preadmission course, are not proficient readers.

  1. Epidemiological factors in admissions for diarrhoea in 6 - 60-month ...

    African Journals Online (AJOL)

    Objectives. To describe the diarrhoea admissions and the influencing factors in 6 - 60-month-old children at Morogoro Regional Hospital. Design. A retrospective descriptive study of the type of diarrhoea, patient age, home address, nutritional status, diagnosed infection, month of admission, admission duration and outcome ...

  2. Reclaiming the Educational Role of Chief Admission Officers.

    Science.gov (United States)

    McDonough, Patricia; Robertson, Larry

    1995-01-01

    Describes changes that have occurred in high schools, colleges, and the entrepreneurial admission sector. Relates the evolution of the admission officer's job since the early 1960s and the profession's rapid growth. Details the hybrid role of marketer and educator for chief admissions officers, and issues a call for professional standards. (RJM)

  3. 38 CFR 18.442 - Admissions and recruitment.

    Science.gov (United States)

    2010-07-01

    ... recruitment. 18.442 Section 18.442 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS... Postsecondary Education § 18.442 Admissions and recruitment. (a) General. Qualified handicapped persons may not... recruitment by a recipient. (b) Admission. In administering its admission policies, a recipient; (1) May not...

  4. 45 CFR 1170.42 - Admissions and recruitment.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 3 2010-10-01 2010-10-01 false Admissions and recruitment. 1170.42 Section 1170... FEDERALLY ASSISTED PROGRAMS OR ACTIVITIES Postsecondary Education § 1170.42 Admissions and recruitment. (a... subjected to discrimination in admission or recruitment by a recipient to which this subpart applies. (b...

  5. 22 CFR 142.42 - Admissions and recruitment.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Admissions and recruitment. 142.42 Section 142... and recruitment. (a) General. Qualified handicapped persons may not, on the basis of handicap, be denied admission or be subjected to discrimination in admission or recruitment by a recipient to which...

  6. 7 CFR 15b.30 - Admissions and recruitment.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 1 2010-01-01 2010-01-01 false Admissions and recruitment. 15b.30 Section 15b.30... ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Postsecondary Education § 15b.30 Admissions and recruitment... be subjected to discrimination in admission or recruitment by a recipient to which this subpart...

  7. Pattern and outcome of elderly admissions into the Intensive Care ...

    African Journals Online (AJOL)

    Surgical admissions accounted for 75.8% of admissions while medical admissions were 24.2%. The overall ICU mortality in the elderly was 58.1%.The major predictors of mortality were: need for endotracheal intubation (p=0.001), mechanical ventilation (p=0.001), vasopressor (p=0.001), electrolyte derangement (p=0.001), ...

  8. 13 CFR 113.305 - Preference in admission.

    Science.gov (United States)

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Preference in admission. 113.305 Section 113.305 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION NONDISCRIMINATION IN... Discrimination on the Basis of Sex in Admission and Recruitment Prohibited § 113.305 Preference in admission. A...

  9. The Pattern Of Neurological Admissions At The Lagos University ...

    African Journals Online (AJOL)

    Objective: To determine the profile of neurological admissions at the Lagos University Teaching Hospital Methods: Neurological admission at the Lagos University Teaching Hospital, Lagos, Nigeria between 1995 and 1999 were reviewed using medical records. Result: Neurological admissions accounted for 19.635 of total ...

  10. Involuntary admission of psychiatric patients in the Northern Cape ...

    African Journals Online (AJOL)

    Background. Admission to a mental healthcare facility is not always based on the voluntary consent of the patient. Sometimes a patient is unable or unwilling to consent to admission because of his mental status and lack of insight into his mental illness. If a men- tally ill person needs admission because of a threat to himself ...

  11. Pattern of non-communicable diseases among medical admissions ...

    African Journals Online (AJOL)

    Medical admissions due to non-communicable diseases were carefully selected and analyzed. There were 1853 cases of various non-communicable diseases out of a total medical admission of 3294 constituting 56.2% of total medical admissions. Diseases of the cardiovascular, endocrine and renal systems were the most ...

  12. Exploring unplanned ICU admissions: a systematic review.

    Science.gov (United States)

    Vlayen, Annemie; Verelst, Sandra; Bekkering, Geertruida E; Schrooten, Ward; Hellings, Johan; Claes, Nerée

    2011-01-01

    Adverse events are unintended patient injuries or complications that arise from healthcare management resulting in death, disability or prolonged hospital stay. Adverse events that require critical care are a considerable financial burden to the healthcare system. Medical record review seems to be a reliable method for detecting adverse events. To synthesize the best available evidence regarding the estimates of the incidence and preventability of adverse events that necessitate intensive care admission; to determine the type and consequences (patient harm, mortality, length of ICU stay and direct medical costs) of these adverse events. MEDLINE (from 1966 to present), EMBASE (from 1974 to present) and CENTRAL (version 1-2010) were searched for studies reporting on unplanned admissions to intensive care units (ICUs). Databases of reports, conference proceedings, grey literature, ongoing research, relevant patient safety organizations and two journals were searched for additional studies. Reference lists of retrieved papers were searched and authors were contacted in an attempt to find any further published or unpublished work. Only quantitative studies that used chart review for the detection of adverse events requiring intensive care admission were considered for eligibility. Studies that were published in the English, Dutch, German, French or Spanish language were included. Two reviewers independently extracted data and assessed the methodological quality of the included studies. 28 studies in the English language and one study in French were included. Of these, two were considered duplicate publications and therefore 27 studies were reviewed. Meta-analysis of the data was not appropriate due to statistical heterogeneity between studies; therefore, results are presented in a descriptive way. Studies were categorized according to the population and the providers of care. 1) The majority of the included studies investigated unplanned intensive care admissions after

  13. Patient Health Goals Elicited During Home Care Admission: A Categorization.

    Science.gov (United States)

    Sockolow, Paulina; Radhakrishnan, Kavita; Chou, Edgar Y; Wojciechowicz, Christine

    2017-11-01

    Home care agencies are initiating "patient health goal elicitation" activities as part of home care admission planning. We categorized elicited goals and identified "clinically informative" goals at a home care agency. We examined patient goals that admitting clinicians documented in the point-of-care electronic health record; conducted content analysis on patient goal data to develop a coding scheme; grouped goal themes into codes; assigned codes to each goal; and identified goals that were in the patient voice. Of the 1,763 patient records, 16% lacked a goal; only 15 goals were in a patient's voice. Nurse and physician experts identified 12 of the 20 codes as clinically important accounting for 82% of goal occurrences. The most frequent goal documented was safety/falls (23%). Training and consistent communication of the intent and operationalization of patient goal elicitation may address the absence of patient voice and the less than universal recording of home care patients' goals.

  14. Effects of equation of state, transport, and initial conditions on plasma liner formation and implosion from hypervelocity jets

    Science.gov (United States)

    Schillo, Kevin; Cassibry, Jason; Samulyak, Roman; Langendorf, Samuel; Hsu, Scott; PLX-Alpha Team

    2017-10-01

    The PLX- α project is studying plasma liner formation and implosion by merging a spherical array of plasma jets as a standoff driver for magneto-inertial fusion (MIF). A three-dimensional smoothed particle hydrodynamics (SPFMax) code is used to conduct simulations of merging of discrete plasma jets to form a plasma liner and the subsequent implosion of that liner. Peak ram pressure, Mach number, and uniformity of the liner are presented as a function of initial jet properties and assumptions about transport physics. The initial conditions include the number of jets, density, temperature, and implosion velocity. Solid-angle-averaged and standard deviation of liner ram pressure and Mach number reveal variations during liner formation and implosion. Spherical-harmonic mode-number analysis of spherical slices of ram pressure at various radii and times provide a quantitative means to assess the evolution of liner non-uniformity. Comparisons are made with select and equivalent cases of a uniform, imploding liner. Simulations of 6 and 7 jets are provided for select cases to support near-term experiments on PLX- α and will include synthetic spectra and line-integrated densities.

  15. Perceived coercion and change in perceived need for admission in patients hospitalized for eating disorders.

    Science.gov (United States)

    Guarda, Angela S; Pinto, Angela Marinilli; Coughlin, Janelle W; Hussain, Shahana; Haug, Nancy A; Heinberg, Leslie J

    2007-01-01

    Ambivalence toward treatment is characteristic of eating disorders, and patients are often admitted to inpatient programs under pressure from clinicians, family, friends, educators, or employers. This study evaluated patient perceptions of the admissions process and perceived need for hospitalization and assessed whether these perceptions remain stable in the short term. A total of 139 patients with eating disorders completed a 13-item self-report scale on the admission experience when they were admitted to a behavioral inpatient specialty program and again 2 weeks into their hospitalization. Patients with anorexia nervosa reported higher levels of perceived coercion and pressure and a lower sense of procedural justice than did those with bulimia. Patients under 18 (N=35) reported more perceived coercion than did adult patients (N=104), and a trend was noted for them to disagree that they needed hospitalization. Perceptions of coercion, of pressure by others toward hospitalization, and of procedural justice were stable in the short term. However, of the 46 patients (30 of them adults) who initially did not endorse needing admission, 20 patients (17 of them adults) changed their minds by 2 weeks into hospitalization and agreed that they needed hospital admission. Nearly half of patients with eating disorders who denied a need for treatment on admission converted to acknowledging that they needed to be admitted within 2 weeks of hospitalization. Since treatment avoidance is associated with poor outcome, these findings suggest a need for studies assessing the long-term outcome and ethics of pressuring patients with eating disorders into treatment.

  16. An investigation of factors associated with psychiatric hospital admission despite the presence of crisis resolution teams

    Directory of Open Access Journals (Sweden)

    Nolan Fiona

    2007-10-01

    Full Text Available Abstract Background Crisis resolution teams (CRTs provide a community alternative to psychiatric hospital admission for patients presenting in crisis. Little is known about the characteristics of patients admitted despite the availability of such teams. Methods Data were drawn from three investigations of the outcomes of CRTs in inner London. A literature review was used to identify candidate explanatory variables that may be associated with admission despite the availability of intensive home treatment. The main outcome variable was admission to hospital within 8 weeks of the initial crisis. Associations between this outcome and the candidate explanatory variables were tested using first univariate and then multivariate analysis. Results Patients who were uncooperative with initial assessment (OR 10.25 95% CI-4.20–24.97, at risk of self-neglect (OR 2.93 1.42–6.05, had a history of compulsory admission (OR 2.64 1.07–6.55, assessed outside usual office hours (OR 2.34 1.11–4.94 and/or were assessed in hospital casualty departments (OR 3.12 1.55–6.26, were more likely to be admitted. Other than age, no socio-demographic features or diagnostic variables were significantly associated with risk of admission. Conclusion With the introduction of CRTs, inpatient wards face a significant challenge, as patients who cooperate little with treatment, neglect themselves, or have previously been compulsorily detained are especially likely to be admitted. The increased risk of admission associated with casualty department assessment may be remediable.

  17. The importance of initial-final state correlations for the formation of fragments in heavy ion collisions

    International Nuclear Information System (INIS)

    Gossiaux, P.B.; Aichelin, J.

    1997-01-01

    Using quantum molecular dynamics simulations, the formation of fragments in symmetric reactions is investigated between beam energies of E = 30 A MeV and 600 A MeV. After a comparison with existing data some observables relevant to tackle equilibration are investigated. None of our simulations gives evidence that the system passes through a state of equilibrium. The production mechanisms are also investigated. (K.A.)

  18. The importance of initial-final state correlations for the formation of fragments in heavy ion collisions

    Energy Technology Data Exchange (ETDEWEB)

    Gossiaux, P.B. [Centre National de la Recherche Scientifique, 44 - Nantes (France). Lab. de Physique Subatomique et des Technologies Associees]|[National Superconducting Cyclotron Lab., East Lansing, MI (United States); Aichelin, J. [Centre National de la Recherche Scientifique, 44 - Nantes (France). Lab. de Physique Subatomique et des Technologies Associees

    1997-12-31

    Using quantum molecular dynamics simulations, the formation of fragments in symmetric reactions is investigated between beam energies of E = 30 A MeV and 600 A MeV. After a comparison with existing data some observables relevant to tackle equilibration are investigated. None of our simulations gives evidence that the system passes through a state of equilibrium. The production mechanisms are also investigated. (K.A.). 35 refs.

  19. A multi-state initiative to implement pediatric oral health in primary care practice and clinical education.

    Science.gov (United States)

    Silk, Hugh; Sachs Leicher, Ellen; Alvarado, Veronica; Cote, Elizabeth; Cote, Susan

    2018-12-01

    To implement and study the effect of improving pediatric oral health by training primary care practices and training programs. In six New England States, primary care practices and clinical training programs (medical schools, residencies, physician assistant programs) were recruited and trained to incorporate pediatric oral health into medical practice. We measured the results of varying practice recruitment approaches and measured training outcomes based on self-reported implementation and state reported EPSDT CMS oral health claims. We trained 415 practices across six states with a 74 percent average retention rate of providing services at 6 months. This resulted in 136,963 preventive oral health services (fluoride varnish, oral health assessment, or screening). Thirty-five of 52 health education programs established pediatric oral health curricula. The average cost of recruitment, training, and follow-up for an office or an educational program is approximately $1,000/site. We have created an enduring infrastructure and model for primary care practices and education programs for training in pediatric oral health. © 2017 American Association of Public Health Dentistry.

  20. United States of America activities relative to the International Atomic Energy Agency (IAEA) initiative: Records management for deep geologic repositories

    International Nuclear Information System (INIS)

    Warner, P.J.

    1997-01-01

    The International Atomic Energy Agency (IAEA) has conducted consultant and advisory meetings to prepare a Technical Document which is intended to provide guidance to all IAEA Member States (otherwise known as countries) that are currently planning, designing, constructing or operating a deep or near surface geological repository for the storage and protection of vitrified high-level radioactive waste, spent fuel waste and TRU-waste (transuranic). Eleven countries of the international community are presently in various stages of siting, designing, or constructing deep geologic repositories. Member States of the IAEA have determined that the principle safety of such completed and operation sites must not rely solely on long term institutional arrangements for the retention of information. It is believed that repository siting, design, operation and postoperation information should be gathered, managed and retained in a manner that will provide information to future societies over a very long period of time. The radionuclide life is 10,000 years thus the retention of information must outlive current societies, languages, and be continually migrated to new technology to assure retrieval. This presentation will provide an overview of the status of consideration and implementation of these issues within the United States efforts relative to deep geologic repository projects

  1. United States of America activities relative to the International Atomic Energy Agency (IAEA) initiative: Records management for deep geologic repositories

    Energy Technology Data Exchange (ETDEWEB)

    Warner, P.J.

    1997-03-01

    The International Atomic Energy Agency (IAEA) has conducted consultant and advisory meetings to prepare a Technical Document which is intended to provide guidance to all IAEA Member States (otherwise known as countries) that are currently planning, designing, constructing or operating a deep or near surface geological repository for the storage and protection of vitrified high-level radioactive waste, spent fuel waste and TRU-waste (transuranic). Eleven countries of the international community are presently in various stages of siting, designing, or constructing deep geologic repositories. Member States of the IAEA have determined that the principle safety of such completed and operation sites must not rely solely on long term institutional arrangements for the retention of information. It is believed that repository siting, design, operation and postoperation information should be gathered, managed and retained in a manner that will provide information to future societies over a very long period of time. The radionuclide life is 10,000 years thus the retention of information must outlive current societies, languages, and be continually migrated to new technology to assure retrieval. This presentation will provide an overview of the status of consideration and implementation of these issues within the United States efforts relative to deep geologic repository projects.

  2. Emergency department presentation and readmission after index psychiatric admission: a data linkage study.

    Science.gov (United States)

    Li, Xue; Srasuebkul, Preeyaporn; Reppermund, Simone; Trollor, Julian

    2018-02-28

    To use linked administrative datasets to assess factors associated with emergency department (ED) presentation and psychiatric readmission in three distinctive time intervals after the index psychiatric admission. A retrospective data-linkage study. Cohort study using four linked government minimum datasets including acute hospital care from July 2005 to June 2012 in New South Wales, Australia. People who were alive and aged ≥18 years on 1 July 2005 and who had their index admission to a psychiatric ward from 1 July 2007 to 30 June 2010. ORs of factors associated with psychiatric admission and ED presentation were calculated for three intervals: 0-1 month, 2-5 months and 6-24 months after index separation. Index admission was identified in 35 056 individuals (51% -males) with a median age of 42 years. A total of 12 826 (37%) individuals had at least one ED presentation in the 24 months after index admission. Of those, 3608 (28%) presented within 0-1 month, 6350 (50%) within 2-5 months and 10 294 (80%) within 6-24 months after index admission. A total of 14 153 (40%) individuals had at least one psychiatric readmission in the first 24 months. Of those, 6808 (48%) were admitted within 0-1 month, 6433 (45%) within 2-5 months and 7649 (54%) within 6-24 months after index admission. Principal diagnoses and length of stay at index admission, sociodemographic factors, Charlson Comorbidity Index score, drug and alcohol comorbidity, intellectual disability and other inpatient service use were significantly associated with ED presentations and psychiatric readmissions, and these relationships varied somewhat over the intervals studied. Social determinants of service use, drug and alcohol intervention, addressing needs of individuals with intellectual disability and recovery-oriented whole-person approaches at index admission are key areas for investment to improve trajectories after index admission. © Article author(s) (or their employer(s) unless otherwise

  3. 42 CFR 416.52 - Conditions for coverage-Patient admission, assessment and discharge.

    Science.gov (United States)

    2010-10-01

    ... assessment. (1) Not more than 30 days before the date of the scheduled surgery, each patient must have a... applicable State health and safety laws, standards of practice, and ASC policy. (3) Ensure all patients are... 42 Public Health 3 2010-10-01 2010-10-01 false Conditions for coverage-Patient admission...

  4. Speaking in Tongues: Can International Graduate Students Read International Graduate Admissions Materials?

    Science.gov (United States)

    Taylor, Zachary W.

    2017-01-01

    A recent Educational Testing Services report (2016) found that international graduate students with a TOEFL score of 80--the minimum average TOEFL score for graduate admission in the United States--usually possess reading subscores of 20, equating to a 12th-grade reading comprehension level. However, one public flagship university's international…

  5. Availability of Pre-Admission Information to Prospective Graduate Students in Speech-Language Pathology

    Science.gov (United States)

    Tekieli Koay, Mary Ellen; Lass, Norman J.; Parrill, Madaline; Naeser, Danielle; Babin, Kelly; Bayer, Olivia; Cook, Megan; Elmore, Madeline; Frye, Rachel; Kerwood, Samantha

    2016-01-01

    An extensive Internet search was conducted to obtain pre-admission information and acceptance statistics from 260 graduate programmes in speech-language pathology accredited by the American Speech-Language-Hearing Association (ASHA) in the United States. ASHA is the national professional, scientific and credentialing association for members and…

  6. Pattern of paediatric ophthalmic admissions into the Ogun State ...

    African Journals Online (AJOL)

    The possibility of rubella aetiology of the cataract could not be ruled out in these patients. There is a need for sustained commitment to immunization. The availability of ophthalmic microsurgical instruments will improve the surgical care of patients with a view to better visual outcome. Nigerian Journal of Paediatrics 2002; ...

  7. AM admissions/PM discharges can reduce length of stay.

    Science.gov (United States)

    Shukla, R K; O'Hallaron, R D

    1986-01-01

    This article challenges our present system of afternoon admissions and morning discharges for its inefficiency in utilizing patient stay at the hospital as well as for its insensitivity to consumer convenience. In fact, the tradition of afternoon admissions and morning discharges may have its roots in the hotel industry which sets similar times for arrival and departure of guests. By changing the admission system from afternoon admissions and morning discharges (PM/AM) to morning admissions and evening discharges (AM/PM), the length of stay for most patients can be reduced and used more efficiently.

  8. Unemployment and Causes of Hospital Admission Considering Different Analytical Approaches

    DEFF Research Database (Denmark)

    Berg-Beckhoff, Gabriele; Gulis, Gabriel; Kronborg Bak, Carsten

    2016-01-01

    compensated unemployment and both types of disease specific hospital admission was associated statistically significant in the cross-sectional analysis. With regard to circulatory disease, the cohort approach suggests that social welfare compensated unemployment might lead to hospital admission due......The association between unemployment and hospital admission is known, but the causal relationship is still under discussion. The aim of the present analysis is to compare results of a cross-sectional and a cohort approach considering overall hospital admission and hospital admission due to cancer...

  9. Improving student-perceived benefit of academic advising within education of occupational and physical therapy in the United States: a quality improvement initiative

    Directory of Open Access Journals (Sweden)

    Lisa J. Barnes

    2017-03-01

    Full Text Available Academic advising is a key role for faculty in the educational process of health professionals; however, the best practice of effective academic advising for occupational and physical therapy students has not been identified in the current literature. The purpose of this quality improvement initiative was to assess and improve the faculty/student advisor/advisee process within occupational and physical therapy programs within a school of allied health professions in the United States in 2015. A quality improvement initiative utilizing quantitative and qualitative information was gathered via survey focused on the assessment and improvement of an advisor/advisee process. The overall initiative utilized an adaptive iterative design incorporating the plan-do-study-act model which included a three-step process over a one year time frame utilizing 2 cohorts, the first with 80 students and the second with 88 students. Baseline data were gathered prior to initiating the new process. A pilot was conducted and assessed during the first semester of the occupational and physical therapy programs. Final information was gathered after one full academic year with final comparisons made to baseline. Defining an effective advisory program with an established framework led to improved awareness and participation by students and faculty. Early initiation of the process combined with increased frequency of interaction led to improved student satisfaction. Based on student perceptions, programmatic policies were initiated to promote advisory meetings early and often to establish a positive relationship. The policies focus on academic advising as one of proactivity in which the advisor serves as a portal which the student may access leading to a more successful academic experience.

  10. Altered baseline brain activity with 72 h of simulated microgravity--initial evidence from resting-state fMRI.

    Directory of Open Access Journals (Sweden)

    Yang Liao

    Full Text Available To provide the basis and reference to further insights into the neural activity of the human brain in a microgravity environment, we discuss the amplitude changes of low-frequency brain activity fluctuations using a simulated microgravity model. Twelve male participants between 24 and 31 years old received resting-state fMRI scans in both a normal condition and after 72 hours in a -6° head down tilt (HDT. A paired sample t-test was used to test the amplitude differences of low-frequency brain activity fluctuations between these two conditions. With 72 hours in a -6° HDT, the participants showed a decreased amplitude of low-frequency fluctuations in the left thalamus compared with the normal condition (a combined threshold of P<0.005 and a minimum cluster size of 351 mm(3 (13 voxels, which corresponded with the corrected threshold of P<0.05 determined by AlphaSim. Our findings indicate that a gravity change-induced redistribution of body fluid may disrupt the function of the left thalamus in the resting state, which may contribute to reduced motor control abilities and multiple executive functions in astronauts in a microgravity environment.

  11. Survival Impact of Increasing Time to Treatment Initiation for Patients With Head and Neck Cancer in the United States.

    Science.gov (United States)

    Murphy, Colin T; Galloway, Thomas J; Handorf, Elizabeth A; Egleston, Brian L; Wang, Lora S; Mehra, Ranee; Flieder, Douglas B; Ridge, John A

    2016-01-10

    To estimate the overall survival (OS) impact from increasing time to treatment initiation (TTI) for patients with head and neck squamous cell carcinoma (HNSCC). Using the National Cancer Data Base (NCDB), we examined patients who received curative therapy for the following sites: oral tongue, oropharynx, larynx, and hypopharynx. TTI was the number of days from diagnosis to initiation of curative treatment. The effect of TTI on OS was determined by using Cox regression models (MVA). Recursive partitioning analysis (RPA) identified TTI thresholds via conditional inference trees to estimate the greatest differences in OS on the basis of randomly selected training and validation sets, and repeated this 1,000 times to ensure robustness of TTI thresholds. A total of 51,655 patients were included. On MVA, TTI of 61 to 90 days versus less than 30 days (hazard ratio [HR], 1.13; 95% CI, 1.08 to 1.19) independently increased mortality risk. TTI of 67 days appeared as the optimal threshold on the training RPA, statistical significance was confirmed in the validation set (P < .001), and the 67-day TTI was the optimal threshold in 54% of repeated simulations. Overall, 96% of simulations validated two optimal TTI thresholds, with ranges of 46 to 52 days and 62 to 67 days. The median OS for TTI of 46 to 52 days or fewer versus 53 to 67 days versus greater than 67 days was 71.9 months (95% CI, 70.3 to 73.5 months) versus 61 months (95% CI, 57 to 66.1 months) versus 46.6 months (95% CI, 42.8 to 50.7 months), respectively (P < .001). In the most recent year with available data (2011), 25% of patients had TTI of greater than 46 days. TTI independently affects survival. One in four patients experienced treatment delay. TTI of greater than 46 to 52 days introduced an increased risk of death that was most consistently detrimental beyond 60 days. Prolonged TTI is currently affecting survival. © 2015 by American Society of Clinical Oncology.

  12. The Predictive Validity of using Admissions Testing and Multiple Mini-interviews in Undergraduate University Admissions

    DEFF Research Database (Denmark)

    Makransky, Guido; Havmose, Philip S.; Vang, Maria

    2017-01-01

    The aim of this study was to evaluate the predictive validity of a two-step admissions procedure that included a cognitive ability test followed by multiple mini-interviews (MMIs) used to assess non-cognitive skills, compared to grade-based admissions relative to subsequent drop-out rates...... and academic achievement after one and two years of study. The participants consisted of the entire population of 422 psychology students who were admitted to the University of Southern Denmark between 2010 and 2013. The results showed significantly lower drop-out rates after the first year of study, and non...

  13. Professional perspectives on systemic barriers to admission avoidance: learning from a system dynamics study of older people's admission pathways.

    Science.gov (United States)

    Walsh, Bronagh; Lattimer, Valerie; Wintrup, Julie; Brailsford, Sally

    2015-06-01

    There is debate worldwide about the best way to manage increased healthcare demand within ageing populations, particularly rising rates of unplanned and avoidable hospital admissions. To understand health and social care professionals' perspectives on barriers to admission avoidance throughout the admissions journey, in particular: the causes of avoidable admissions in older people; drivers of admission and barriers to use of admission avoidance strategies; and improvements to reduce unnecessary admissions. A qualitative framework analysis of interview data from a System dynamics (SD) modelling study. Semi-structured interviews were conducted with twenty health and social care professionals with experience of older people's admissions. The interviews were used to build understanding of factors facilitating or hindering admission avoidance across the admissions system. Data were analysed using framework analysis. Three overarching themes emerged: understanding the needs of the patient group; understanding the whole system; and systemwide access to expertise in care of older people. There were diverse views on the underlying reasons for avoidable admissions and recognition of the need for whole-system approaches to service redesign. Participants recommended system redesign that recognises the specific needs of older people, but there was no consensus on underlying patient needs or specific service developments. Access to expertise in management of older and frailer patients was seen as a barrier to admission avoidance throughout the system. Providing access to expertise and leadership in care of frail older people across the admissions system presents a challenge for service managers and nurse educators but is seen as a prerequisite for effective admission avoidance. System redesign to meet the needs of frail older people requires agreement on causes of avoidable admission and underlying patient needs. © 2014 John Wiley & Sons Ltd.

  14. Admission Control Methods in IMS Networks

    Directory of Open Access Journals (Sweden)

    Michal Cuba

    2016-01-01

    Full Text Available The article deals with solving the problem of ensuring Quality of Service (QoS in IP Multimedia Subsystem (IMS networks. Admission Control methods (AC are used to prevent network congestion and the decrease of QoS. The main function of AC is to maximize utilization of network resources and to ensure the level of QoS. Four methods were chosen for comparison. These methods are described in the main part of the article. The last part deals with simulations of these methods in the software MATLAB.

  15. [Triage in acute medical admission units.

    DEFF Research Database (Denmark)

    Brabrand, Mikkel; Folkestad, Lars; Hallas, Peter

    2010-01-01

    the intern on call at the medical departments of all Danish hospitals listed on sundhed.dk. RESULTS: We received 87 answers from 60 individual MAUs covered by a total of 83 interns on call. The MAUs had a median of eight beds and 14 admissions a day. An intern was on call 24 hours a day at 95% of the MAUs......% answered that selected groups of patients were routinely assessed by a senior physician. CONCLUSION: None of the Danish MAUs uses a validated triage tool to prioritize acutely admitted medical patients. Udgivelsesdato: 2010-May-31...

  16. Properties of energetic materials: United States Department of Energy (DOE) Accelerated Strategic Computing Initiative (ASCI) strategic alliances

    Energy Technology Data Exchange (ETDEWEB)

    Adams, T.F.

    1997-01-01

    The Accelerated Strategic Computing Initiative (ASCI) program is designed to provide the computational resources which are required to provide a simulation based approach to the Science Based Stockpile Stewardship (SBSS) program. The capability to predict the properties of energetic materials is one of the areas of interest to the US Department of Energy`s (DOE) ASCI program. This capability will support computational assessments of the safety and reliability of systems containing explosives and other energetic materials subjected to normal and abnormal environments. Several research elements related to energetic material properties are described in more detail below. They are: (A) calculation of decomposition rates, (B) molecular potential functions, (C) physical properties and transport coefficients, (D) molecular energization mechanisms, (E) fracture/failure of energetic material crystals, (F) grain-grain and grain- binder interactions, and (G) aging effects in energetic material. These elements have in common the need to develop computational methods that have a strong foundation in basic physical principles. They will generally have to be implemented to run efficiently on advanced parallel computing platforms to achieve sufficient accuracy.

  17. Republic of Bulgaria Sreden Iskar Cascade hydropower development. Application for participation under the United States Initiative on Joint Implementation

    International Nuclear Information System (INIS)

    1998-11-01

    Interest in water resources and hydropower has been low in Bulgaria for over 20 years and only about 33% of the potential hydropower available to the Country are currently being utilized. This is due in part to past design practices that utilized large reservoirs to regulate runoff and create the necessary head. The Iskar River does not allow for the typical design. However, in recent years, technical advancement in machinery design and more efficient turbine-generators has led to the development of low-head hydro projects. Studies determined that the Iskar Cascade can support low-head hydro development and could provide as much as 93 MW of capacity. This project will initially consist of the construction of three hydroelectric facilities along a 120-km section of the Iskar river in western Bulgaria. Each facility will consist of a powerhouse (housing a turbine and generator), an embankment dam, a concrete spillway with regulating gates, a fish passage, and associated transformers and switchgear. This report gives a description of the project, its sources of funding for specific measures to reduce greenhouse gas emissions, forecasts of greenhouse gas emissions with and without these specific measures, and other environmental considerations

  18. Treatment Patterns and Associated Health Care Costs Before and After Treatment Initiation Among Pulmonary Arterial Hypertension Patients in the United States.

    Science.gov (United States)

    Burger, Charles D; Ozbay, A Burak; Lazarus, Howard M; Riehle, Ellen; Montejano, Leslie B; Lenhart, Gregory; White, R James

    2018-02-13

    Despite multiple treatment options, the prognosis of pulmonary arterial hypertension (PAH) remains poor. PAH patients experience a high economic burden due to comorbidities, hospitalizations, and medication costs. Although combination therapy has been shown to reduce hospitalizations, the relationship between treatment, health care utilization, and costs remains unclear. To provide a characterization of health care utilization and costs in real-world settings by comparing periods before and after initiating PAH-specific treatment. This retrospective study identified PAH patients in the Truven Health MarketScan Commercial and Medicare Supplemental Databases between 2010 and 2014 who initiated treatment with endothelin receptor antagonists (ERAs), phosphodiesterase-5 inhibitors (PDE-5Is), or soluble guanylate cyclase (sGC) stimulators. The index date was the date of the first PAH pharmacy claim. We included patients with ≥ 2 medical claims with diagnoses for PAH (ICD-9-CM: 416.0, 416.8) or PAH-related conditions and continuous enrollment in medical and pharmacy benefits for the 6 months before and after the index date. Treatment patterns were assessed at the drug class level (ERAs, PDE-5Is, sGC stimulators, and prostacyclins) from outpatient pharmacy claims during the 6-month post-index period. All-cause and PAH-related utilization and costs were measured. McNemar's and paired t-tests were used to compare patients' health care resource utilization and costs in the 6-month pre- and posttreatment periods. A total of 3,908 patients met the selection criteria. The study sample was 63% female with a mean age of 63 ± 15 years. Only 5% of patients began initial combination therapy for PAH, defined as claims for ≥ 2 medication classes within the first 30 days of treatment. Treatment interruption (≥ 30-day gap in days supply) of any PAH-specific medication was observed in 38% of patients. Compared with the 6-month pre-index period, the proportion of patients in the 6

  19. Fluorescent lamp recycling initiatives in the United States and a recycling proposal based on extended producer responsibility and product stewardship concepts.

    Science.gov (United States)

    Silveira, Geraldo Tr; Chang, Shoou-Yuh

    2011-06-01

    This paper presents an overview of mercury-containing lamp (MCL) recycling initiatives currently available in the world, especially in the United States. The majority of MCLs contain mercury which is a neurotoxin, a persistent pollutant in the environment, and can bioaccumulate in the food chain. Although there are some recycling options in the United States, collection rates are still at 23% of all potential used MCLs. This shows that citizens are either indifferent to or unaware of the recycling alternatives. On the other hand, MCL recycling seems not to be a cost-effective process and, for this reason, in the United States, take-back programmes are still sponsored only by consumers or municipalities. A few retailers have recently initiated limited take-back alternatives and manufacturers have not yet supported financially any consistent recycling alternative in the country. Considering successful experiences, this paper makes a suggestion for an MCL recycling system based on the concepts of extended producer responsibility and product stewardship. A manufacturer-importer advance recycling fee is proposed to finance the collection and recycling system while a MCL-energy recycling fee supported by the energy sector creates a lamp refund process. 'PRO Lamp', a producer responsibility organization, will manage the entire system through a widespread public-private agreement.

  20. OMERACT/OARSI initiative to define states of severity and indication for joint replacement in hip and knee osteoarthritis

    DEFF Research Database (Denmark)

    Gossec, Laure; Hawker, Gillian; Davis, Aileen M

    2007-01-01

    . For structure, a comparison of existing indices (Kellgren-Lawrence, OARSI stages, and joint space width) was performed for the hip and the knee. RESULTS: For pain, key features of pain that are most distressing to people with OA from early to late disease were identified. For function, the reduction...... were used. For function, Rasch analysis was performed on existing indices the Hip Dysfunction and Osteoarthritis Outcome Score (HOOS) and the Knee injury and Osteoarthritis Outcome Score (KOOS), each of which subsumes the Western Ontario and McMaster University Osteoarthritis Index (WOMAC) questions......OBJECTIVE: Time to theoretical indication of joint replacement surgery has been proposed as a primary outcome for potential structure-modifying interventions for osteoarthritis (OA). The objectives of this OMERACT/OARSI Working Group were to identify pain, physical function, and structure states...

  1. Using Lean Management to Reduce Emergency Department Length of Stay for Medicine Admissions.

    Science.gov (United States)

    Allaudeen, Nazima; Vashi, Anita; Breckenridge, Julia S; Haji-Sheikhi, Farnoosh; Wagner, Sarah; Posley, Keith A; Asch, Steven M

    The practice of boarding admitted patients in the emergency department (ED) carries negative operational, clinical, and patient satisfaction consequences. Lean tools have been used to improve ED workflow. Interventions focused on reducing ED length of stay (LOS) for admitted patients are less explored. To evaluate a Lean-based initiative to reduce ED LOS for medicine admissions. Prospective quality improvement initiative performed at a single university-affiliated Department of Veterans Affairs (VA) medical center from February 2013 to February 2016. We performed a Lean-based multidisciplinary initiative beginning with a rapid process improvement workshop to evaluate current processes, identify root causes of delays, and develop countermeasures. Frontline staff developed standard work for each phase of the ED stay. Units developed a daily management system to reinforce, evaluate, and refine standard work. The primary outcome was the change in ED LOS for medicine admissions pre- and postintervention. ED LOS at the intervention site was compared with other similar VA facilities as controls over the same time period using a difference-in-differences approach. ED LOS for medicine admissions reduced 26.4%, from 8.7 to 6.4 hours. Difference-in-differences analysis showed that ED LOS for combined medicine and surgical admissions decreased from 6.7 to 6.0 hours (-0.7 hours, P = .003) at the intervention site compared with no change (5.6 hours, P = .2) at the control sites. We utilized Lean management to significantly reduce ED LOS for medicine admissions. Specifically, the development and management of standard work were key to sustaining these results.

  2. Precursor States of Brain Tumor Initiating Cell Lines Are Predictive of Survival in Xenografts and Associated with Glioblastoma Subtypes

    Directory of Open Access Journals (Sweden)

    Carlo Cusulin

    2015-07-01

    Full Text Available In glioblastoma multiforme (GBM, brain-tumor-initiating cells (BTICs with cancer stem cell characteristics have been identified and proposed as primordial cells responsible for disease initiation, recurrence, and therapeutic resistance. However, the extent to which individual, patient-derived BTIC lines reflect the heterogeneity of GBM remains poorly understood. Here we applied a stem cell biology approach and compared self-renewal, marker expression, label retention, and asymmetric cell division in 20 BTIC lines. Through cluster analysis, we identified two subgroups of BTIC lines with distinct precursor states, stem- or progenitor-like, predictive of survival after xenograft. Moreover, stem and progenitor transcriptomic signatures were identified, which showed a strong association with the proneural and mesenchymal subtypes, respectively, in the TCGA cohort. This study proposes a different framework for the study and use of BTIC lines and provides precursor biology insights into GBM.

  3. Implementing competency based admissions at the Albert Einstein College of Medicine.

    Science.gov (United States)

    Kerrigan, Noreen; Akabas, Myles H; Betzler, Thomas F; Castaldi, Maria; Kelly, Mary S; Levy, Adam S; Reichgott, Michael J; Ruberman, Louise; Dolan, Siobhan M

    2016-01-01

    The Albert Einstein College of Medicine (Einstein) was founded in 1955 during an era of limited access to medical school for women, racial minorities, and many religious and ethnic groups. Located in the Bronx, NY, Einstein seeks to educate physicians in an environment of state-of-the-art scientific inquiry while simultaneously fulfilling a deep commitment to serve its community by providing the highest quality clinical care. A founding principle of Einstein, the basis upon which Professor Einstein agreed to allow the use of his name, was that admission to the student body would be based entirely on merit. To accomplish this, Einstein has long used a 'holistic' approach to the evaluation of its applicants, actively seeking a diverse student body. More recently, in order to improve its ability to identify students with the potential to be outstanding physicians, who will both advance medical knowledge and serve the pressing health needs of a diverse community, the Committee on Admissions reexamined and restructured the requirements for admission. These have now been categorized as four 'Admissions Competencies' that an applicant must demonstrate. They include: 1) cocurricular activities and relevant experiences; 2) communication skills; 3) personal and professional development; and 4) knowledge. The purpose of this article is to describe the process that resulted in the introduction and implementation of this competency based approach to the admission process.

  4. Validation of an Administrative Definition of ICU Admission Using Revenue Center Codes.

    Science.gov (United States)

    Weissman, Gary E; Hubbard, Rebecca A; Kohn, Rachel; Anesi, George L; Manaker, Scott; Kerlin, Meeta Prasad; Halpern, Scott D

    2017-08-01

    Describe the operating characteristics of a proposed set of revenue center codes to correctly identify ICU stays among hospitalized patients. Retrospective cohort study. We report the operating characteristics of all ICU-related revenue center codes for intensive and coronary care, excluding nursery, intermediate, and incremental care, to identify ICU stays. We use a classification and regression tree model to further refine identification of ICU stays using administrative data. The gold standard for classifying ICU admission was an electronic patient location tracking system. The University of Pennsylvania Health System in Philadelphia, PA, United States. All adult inpatient hospital admissions between July 1, 2013, and June 30, 2015. None. Among 127,680 hospital admissions, the proposed combination of revenue center codes had 94.6% sensitivity (95% CI, 94.3-94.9%) and 96.1% specificity (95% CI, 96.0-96.3%) for correctly identifying hospital admissions with an ICU stay. The classification and regression tree algorithm had 92.3% sensitivity (95% CI, 91.6-93.1%) and 97.4% specificity (95% CI, 97.2-97.6%), with an overall improved accuracy (χ = 398; p center codes has excellent sensitivity and specificity for identifying true ICU admission. A classification and regression tree algorithm with additional administrative variables offers further improvements to accuracy.

  5. Assistance to Oil and Gas State Agencies and Industry through Continuation of Environmental and Production Data Management and a Water Regulatory Initiative

    Energy Technology Data Exchange (ETDEWEB)

    Grunewald, Ben; Arthur, Dan; Langhus, Bruce; Gillespie, Tom; Binder, Ben; Warner, Don; Roberts, Jim; Cox, D.O.

    2002-05-31

    This grant project was a major step toward completion of the Risk Based Data Management System (RBDMS) project. Additionally the project addresses the needs identified during the projects initial phases. By implementing this project, the following outcomes were sought: (1) State regulatory agencies implemented more formalized environmental risk management practices as they pertain to the production of oil and gas, and injection via Class II wells. (2) Enhancement of oil and gas production by implementing a management system supporting the saving of abandoned or idle wells located in areas with a relatively low environmental risk of endangering underground sources of drinking water (USDWs) in a particular state. (3) Verification that protection of USDWs is adequate and additional restrictions of requirements are not necessary in areas with a relatively low environmental risk. (4) Standardization of data and information maintained by state regulatory agencies and decrease the regulatory cost burden on producers operating in multiple states, and (5) Development of a system for electronic data transfer among operators and state regulatory agencies and reduction of overall operator reporting burdens.

  6. Vaccine-Preventable Admissions to an Irish Paediatric Intensive Care

    LENUS (Irish Health Repository)

    Doyle, Y

    2017-05-01

    In the Republic of Ireland, the schedule of state-funded immunisation for children is comprehensive and includes diphtheria, pertussis, tetanus, pneumococcus, hepatitis B, meningococcus C, haemophilus B, polio, measles, rubella and mumps. Varicella and meningococcal B vaccines are commercially available but are not currently funded by the government. Each of the illnesses preventable by these vaccines can cause substantial morbidity, and rarely mortality, in infants and children. Our PICU continues to see serious illness due to avoidable infection. There were 39 admissions in a 4 year period, with 34 children surviving to discharge. Nine children were infected with pneumococcus, with 4 deaths. There was one case of pertussis, causing death. Most infections occurred in previously healthy children. These preventable conditions represent a significant burden on children, families, and on social and healthcare resources

  7. Admissible perturbations and false instabilities in PT -symmetric quantum systems

    Science.gov (United States)

    Znojil, Miloslav

    2018-03-01

    One of the most characteristic mathematical features of the PT -symmetric quantum mechanics is the explicit Hamiltonian dependence of its physical Hilbert space of states H =H (H ) . Some of the most important physical consequences are discussed, with emphasis on the dynamical regime in which the system is close to phase transition. Consistent perturbation treatment of such a regime is proposed. An illustrative application of the innovated perturbation theory to a non-Hermitian but PT -symmetric user-friendly family of J -parametric "discrete anharmonic" quantum Hamiltonians H =H (λ ⃗) is provided. The models are shown to admit the standard probabilistic interpretation if and only if the parameters remain compatible with the reality of the spectrum, λ ⃗∈D(physical ) . In contradiction to conventional wisdom, the systems are then shown to be stable with respect to admissible perturbations, inside the domain D(physical ), even in the immediate vicinity of the phase-transition boundaries ∂ D(physical ) .

  8. Initial state nuclear effects for jet production measured in root s(NN)=200 GeV d+Au collisions by STAR

    Czech Academy of Sciences Publication Activity Database

    Kapitán, Jan

    2009-01-01

    Roč. 830, - (2009), 619C-620C ISSN 0375-9474. [21st International Conference on Ultrarelativistic Nucleus-Nucleus Collisions (Quark Matter 2009). Knoxville, 30.03.2009-04.04.2009] R&D Projects: GA ČR GA202/07/0079; GA MŠk LC07048; GA MŠk LA09013 Institutional research plan: CEZ:AV0Z10480505 Keywords : heavy-ion collisions * jet reconstruction * initial state nuclear effects Subject RIV: BG - Nuclear, Atomic and Molecular Physics, Colliders Impact factor: 1.706, year: 2009

  9. All-Cause Hospital Admissions Among Older Adults After a Natural Disaster.

    Science.gov (United States)

    Bell, Sue Anne; Abir, Mahshid; Choi, HwaJung; Cooke, Colin; Iwashyna, Theodore

    2017-08-05

    We characterize hospital admissions among older adults for any cause in the 30 days after a significant natural disaster in the United States. The main outcome was all-cause hospital admissions in the 30 days after natural disaster. Separate analyses were conducted to examine all-cause hospital admissions excluding the 72 hours after the disaster, ICU admissions, all-cause inhospital mortality, and admissions by state. A self-controlled case series analysis using the 2011 Medicare Provider and Analysis Review was conducted to examine exposure to natural disaster by elderly adults located in zip codes affected by tornadoes during the 2011 southeastern superstorm. Spatial data of tornado events were obtained from the National Oceanic and Atmospheric Administration's Severe Report database, and zip code data were obtained from the US Census Bureau. All-cause hospital admissions increased by 4% for older adults in the 30 days after the April 27, 2011, tornadoes (incidence rate ratio 1.04; 95% confidence interval 1.01 to 1.07). When the first 3 days after the disaster that may have been attributed to immediate injuries were excluded, hospitalizations for any cause also remained higher than when compared with the other 11 months of the year (incidence rate ratio 1.04; 95% confidence interval 1.01 to 1.07). There was no increase in ICU admissions or inhospital mortality associated with the natural disaster. When data were examined by individual states, Alabama, which had the highest number of persons affected, had a 9% increase in both hospitalizations and ICU admissions. When all time-invariant characteristics were controlled for, this natural disaster was associated with a significant increase in all-cause hospitalizations. This analysis quantifies acute care use after disasters through examining all-cause hospitalizations and represents an important contribution to building models of resilience-the ability to recover from a disaster-and hospital surge capacity

  10. Mortality associated with delays between clinic entry and ART initiation in resource-limited settings: results of a transition-state model.

    Science.gov (United States)

    Hoffmann, Christopher J; Lewis, James J; Dowdy, David W; Fielding, Katherine L; Grant, Alison D; Martinson, Neil A; Churchyard, Gavin J; Chaisson, Richard E

    2013-05-01

    To estimate the mortality impact of delay in antiretroviral therapy (ART) initiation from the time of entry into care. A state-transition Markov process model. This technique allows for assessing mortality before and after ART initiation associated with delays in ART initiation among a general population of ART-eligible patients without conducting a randomized trial. We used patient-level data from 3 South African cohorts to determine transition probabilities for pre-ART CD4 count changes and pre-ART and on-ART mortality. For each parameter, we generated probabilities and distributions for Monte Carlo simulations with 1-week cycles to estimate mortality 52 weeks from clinic entry. We estimated an increase in mortality from 11.0% to 14.7% (relative increase of 34%) with a 10-week delay in ART for patients entering care with our pre-ART cohort CD4 distribution. When we examined low CD4 ranges, the relative increase in mortality delays remained similar; however, the absolute increase in mortality rose. For example, among patients entering with CD4 count 50-99 cells per cubic millimeter, 12-month mortality increased from 13.3% with no delay compared with 17.0% with a 10-week delay and 22.9% with a 6-month delay. Delays in ART initiation, common in routine HIV programs, can lead to important increases in mortality. Prompt ART initiation for patients entering clinical care and eligible for ART, especially those with lower CD4 counts, could be a relatively low-cost approach with a potential marked impact on mortality.

  11. Mortality associated with delays between clinic entry and ART initiation in resource-limited-settings: results of a transition-state model

    Science.gov (United States)

    HOFFMANN, Christopher J; LEWIS, James J; DOWDY, David W; FIELDING, Katherine L; GRANT, Alison D; MARTINSON, Neil A; CHURCHYARD, Gavin J; CHAISSON, Richard E

    2013-01-01

    Objective Estimate the mortality impact of delay in antiretroviral therapy (ART) initiation from the time of entry-into-care. Design A state-transition Markov process model. This technique allows for assessing mortality before and after ART initiation associated with delays in ART initiation among a general population of ART eligible patients without conducting a randomized trial. Methods We used patient-level data from three South African cohorts to determine transition probabilities for pre-ART CD4 count changes and pre-ART and on-ART mortality. For each parameter we generated probabilities and distributions for Monte Carlo simulations with one week cycles to estimate mortality 52 weeks from clinic entry. Results We estimated an increase in mortality from 11.0% to 14.7% (relative increase of 34%) with a 10 week delay in ART for patients entering care with our pre-ART cohort CD4 distribution. When we examined low CD4 ranges, the relative increase in mortality delays remained similar; however, the absolute increase in mortality rose. For example, among patients entering with CD4 count 50–99 cells/mm3, 12 month mortality increased from 13.3% with no delay compared to 17.0% with a 10 week delay and 22.9% with a 6 month delay. Conclusions Delays in ART initiation, common in routine HIV programs, can lead to important increases in mortality. Prompt ART initiation for patients entering clinical care and eligible for ART, especially those with lower CD4 counts, could be a relatively low cost approach with a potential marked impact on mortality. PMID:23392457

  12. Students Selection for University Course Admission at the Joint Admissions Board (Kenya) Using Trained Neural Networks

    Science.gov (United States)

    Wabwoba, Franklin; Mwakondo, Fullgence M.

    2011-01-01

    Every year, the Joint Admission Board (JAB) is tasked to determine those students who are expected to join various Kenyan public universities under the government sponsorship scheme. This exercise is usually extensive because of the large number of qualified students compared to the very limited number of slots at various institutions and the…

  13. Pesticides in streams of the United States : initial results from the National Water-Quality Assessment Program

    Science.gov (United States)

    Larson, Steven J.; Gilliom, Robert J.; Capel, Paul D.

    1999-01-01

    Water samples from 58 rivers and streams across the United States were analyzed for pesticides as part of the National Water-Quality Assessment Program of the U.S. Geological Survey. The sampling sites represent 37 diverse agricultural basins, 11 urban basins, and 10 basins with mixed land use. Forty-six pesticides and pesticide degradation products were analyzed in approximately 2,200 samples collected from 1992 to 1995. The target compounds account for approximately 70 percent of national agricultural use in terms of the mass of pesticides applied annually. All the target compounds were detected in one or more samples. Herbicides generally were detected more frequently and at higher concentrations than insecticides. Nationally, 11 herbicides, 1 herbicide degradation product, and 3 insecticides were detected in more than 10 percent of samples. The number of target compounds detected at each site ranged from 7 to 37. The herbicides atrazine, metolachlor, prometon, and simazine were detected most frequently; among the insecticides, carbaryl, chlorpyrifos, and diazinon were detected the most frequently. Distinct differences in pesticide occurrence were observed in streams draining the various agricultural settings. Relatively high levels of several herbicides occurred as seasonal pulses in corn-growing areas. Several insecticides were frequently detected in areas where the dominant crops consist of orchards and vegetables. The number of pesticides detected and their concentrations were lower in wheat-growing areas than in most other agricultural areas. In most urban areas, the herbicides prometon and simazine and the insecticides carbaryl, chlorpyrifos, diazinon, and malathion were commonly detected. Concentrations of pesticides rarely exceeded standards and criteria established for drinking water, but some pesticides commonly exceeded criteria established for the protection of aquatic life.

  14. Same admissions tools, different outcomes: a critical perspective on predictive validity in three undergraduate medical schools.

    Science.gov (United States)

    Edwards, Daniel; Friedman, Tim; Pearce, Jacob

    2013-12-27

    Admission to medical school is one of the most highly competitive entry points in higher education. Considerable investment is made by universities to develop selection processes that aim to identify the most appropriate candidates for their medical programs. This paper explores data from three undergraduate medical schools to offer a critical perspective of predictive validity in medical admissions. This study examined 650 undergraduate medical students from three Australian universities as they progressed through the initial years of medical school (accounting for approximately 25 per cent of all commencing undergraduate medical students in Australia in 2006 and 2007). Admissions criteria (aptitude test score based on UMAT, school result and interview score) were correlated with GPA over four years of study. Standard regression of each of the three admissions variables on GPA, for each institution at each year level was also conducted. Overall, the data found positive correlations between performance in medical school, school achievement and UMAT, but not interview. However, there were substantial differences between schools, across year levels, and within sections of UMAT exposed. Despite this, each admission variable was shown to add towards explaining course performance, net of other variables. The findings suggest the strength of multiple admissions tools in predicting outcomes of medical students. However, they also highlight the large differences in outcomes achieved by different schools, thus emphasising the pitfalls of generalising results from predictive validity studies without recognising the diverse ways in which they are designed and the variation in the institutional contexts in which they are administered. The assumption that high-positive correlations are desirable (or even expected) in these studies is also problematised.

  15. Duration of Adulthood Overweight, Obesity, and Cancer Risk in the Women's Health Initiative: A Longitudinal Study from the United States.

    Science.gov (United States)

    Arnold, Melina; Jiang, Luohua; Stefanick, Marcia L; Johnson, Karen C; Lane, Dorothy S; LeBlanc, Erin S; Prentice, Ross; Rohan, Thomas E; Snively, Beverly M; Vitolins, Mara; Zaslavsky, Oleg; Soerjomataram, Isabelle; Anton-Culver, Hoda

    2016-08-01

    High body mass index (BMI) has become the leading risk factor of disease burden in high-income countries. While recent studies have suggested that the risk of cancer related to obesity is mediated by time, insights into the dose-response relationship and the cumulative impact of overweight and obesity during the life course on cancer risk remain scarce. To our knowledge, this study is the first to assess the impact of adulthood overweight and obesity duration on the risk of cancer in a large cohort of postmenopausal women. Participants from the observational study of the Women's Health Initiative (WHI) with BMI information from at least three occasions during follow-up, free of cancer at baseline, and with complete covariate information were included (n = 73,913). Trajectories of BMI across ages were estimated using a quadratic growth model; overweight duration (BMI ≥ 25 kg/m2), obesity duration (BMI ≥ 30 kg/m2), and weighted cumulative overweight and obese years, which take into account the degree of overweight and obesity over time (a measure similar to pack-years of cigarette smoking), were calculated using predicted BMIs. Cox proportional hazard models were applied to determine the cancer risk associated with overweight and obesity duration. In secondary analyses, the influence of important effect modifiers and confounders, such as smoking status, postmenopausal hormone use, and ethnicity, was assessed. A longer duration of overweight was significantly associated with the incidence of all obesity-related cancers (hazard ratio [HR] per 10-y increment: 1.07, 95% CI 1.06-1.09). For postmenopausal breast and endometrial cancer, every 10-y increase in adulthood overweight duration was associated with a 5% and 17% increase in risk, respectively. On adjusting for intensity of overweight, these figures rose to 8% and 37%, respectively. Risks of postmenopausal breast and endometrial cancer related to overweight duration were much more pronounced in women who never

  16. RETURN OF THE KING: TIME-SERIES PHOTOMETRY OF FO AQUARII’S INITIAL RECOVERY FROM ITS UNPRECEDENTED 2016 LOW STATE

    International Nuclear Information System (INIS)

    Littlefield, Colin; Garnavich, Peter; Kennedy, Mark R.; Aadland, Erin; Terndrup, Donald M.; Calhoun, Grace V.; Holoien, Thomas; Callanan, Paul; Abe, Lyu; Bendjoya, Philippe; Rivet, Jean-Pierre; Vernet, David; Devogèle, Maxime; Shappee, Benjamin; Heras, Teófilo Arranz; Bonnardeau, Michel; Cook, Michael; Coulter, Daniel; Debackère, André; Dvorak, Shawn

    2016-01-01

    In 2016 May, the intermediate polar FO Aqr was detected in a low state for the first time in its observational history. We report time-resolved photometry of the system during its initial recovery from this faint state. Our data, which includes high-speed photometry with cadences of just 2 s, show the existence of very strong periodicities at 22.5 and 11.26 minutes, equivalent to the spin–orbit beat frequency and twice its value, respectively. A pulse at the spin frequency is also present but at a much lower amplitude than is normally observed in the bright state. By comparing our power spectra with theoretical models, we infer that a substantial amount of accretion was stream-fed during our observations, in contrast to the disk-fed accretion that dominates the bright state. In addition, we find that FO Aqr’s rate of recovery has been unusually slow in comparison to rates of recovery seen in other magnetic cataclysmic variables, with an e -folding time of 115 ± 7 days. The recovery also shows irregular variations in the median brightness of as much as 0.2 mag over a 10-day span. Finally, we show that the arrival times of the spin pulses are dependent upon the system’s overall brightness.

  17. RETURN OF THE KING: TIME-SERIES PHOTOMETRY OF FO AQUARII’S INITIAL RECOVERY FROM ITS UNPRECEDENTED 2016 LOW STATE

    Energy Technology Data Exchange (ETDEWEB)

    Littlefield, Colin; Garnavich, Peter; Kennedy, Mark R.; Aadland, Erin [Department of Physics, University of Notre Dame, Notre Dame, IN (United States); Terndrup, Donald M.; Calhoun, Grace V.; Holoien, Thomas [Department of Astronomy, The Ohio State University, Columbus, Ohio (United States); Callanan, Paul [Department of Physics, University College Cork, Cork (Ireland); Abe, Lyu; Bendjoya, Philippe; Rivet, Jean-Pierre; Vernet, David; Devogèle, Maxime [Université Côte d’Azur, OCA, CNRS, Laboratoire Lagrange, Nice (France); Shappee, Benjamin [Carnegie Observatories, 813 Santa Barbara Street, Pasadena, CA 91101 (United States); Heras, Teófilo Arranz [Observatorio Las Pegueras de Navas de Oro (Segovia) (Spain); Bonnardeau, Michel [MBCAA Observatory, Le Pavillon, F-38930 Lalley (France); Cook, Michael [AAVSO, Newcastle Observatory, Newcastle, Ontario (Canada); Coulter, Daniel [Department of Physics and Astronomy, Michigan State University, East Lansing, MI (United States); Debackère, André [LCOGT, Monistrol sur Loire (France); Dvorak, Shawn [AAVSO, Rolling Hill Observatory, Lake County, Florida (United States); and others

    2016-12-10

    In 2016 May, the intermediate polar FO Aqr was detected in a low state for the first time in its observational history. We report time-resolved photometry of the system during its initial recovery from this faint state. Our data, which includes high-speed photometry with cadences of just 2 s, show the existence of very strong periodicities at 22.5 and 11.26 minutes, equivalent to the spin–orbit beat frequency and twice its value, respectively. A pulse at the spin frequency is also present but at a much lower amplitude than is normally observed in the bright state. By comparing our power spectra with theoretical models, we infer that a substantial amount of accretion was stream-fed during our observations, in contrast to the disk-fed accretion that dominates the bright state. In addition, we find that FO Aqr’s rate of recovery has been unusually slow in comparison to rates of recovery seen in other magnetic cataclysmic variables, with an e -folding time of 115 ± 7 days. The recovery also shows irregular variations in the median brightness of as much as 0.2 mag over a 10-day span. Finally, we show that the arrival times of the spin pulses are dependent upon the system’s overall brightness.

  18. Quality of life before surgical ICU admission.

    Science.gov (United States)

    Abelha, Fernando J; Santos, Cristina C; Barros, Henrique

    2007-11-12

    Examining the quality of life (QOL) of patients before ICU admission will allow outcome variables to be compared and analyzed in relation to it. The objective of this study was to analyze QOL of patients before admission to a surgical ICU and to study its relationship to outcome and to the baseline characteristics of the patients. All adult patients consecutively admitted to the surgical ICU between November 2004 and April 2005, who underwent non-cardiac surgery, were enrolled in this observational and prospective study. The following patient characteristics were recorded: age, gender, body mass index, ASA physical status, type and magnitude of surgical procedure, length of stay (LOS), in ICU and in hospital, mortality, Simplified Acute Physiology Score II (SAPS), history of co-morbidities and quality of life survey score (QOLSS). The relationships between QOLSS and ICU variables and outcome were evaluated. The relationship between the total QOLSS and each variable or outcome was assessed by multiple linear regression. One hundred eighty seven patients completed the study. The preadmission QOLSS of the patients studied was 4.43 +/- 4.90; 28% of patients had a normal quality of life (0 points), 38% had between 1 and 5 points (considered mild deterioration), 21% had between 6 and 10 points (moderate deterioration), 10% had between 11 and 15 points (considered major deterioration) and 3% had more than 15 points (severe limitation of quality of life). A worse preadmission QOLSS was associated with higher SAPS II scores, with older patients (age> 65 years) and with ASA physical status (ASA III/IV). Total QOLSS was significantly worse in elderly patients and in patients with co-morbidities and in patients more severely ill at ICU admission. Patients who died in the ICU and in hospital had worse QOLSS scores compared to those who survived. However, no statistical differences in QOLSS were found in relation to longer ICU stays (ICU LOS). Preadmission QOL correlates with

  19. Quality of life before surgical ICU admission

    Directory of Open Access Journals (Sweden)

    Barros Henrique

    2007-11-01

    Full Text Available Abstract Background: Examining the quality of life (QOL of patients before ICU admission will allow outcome variables to be compared and analyzed in relation to it. The objective of this study was to analyze QOL of patients before admission to a surgical ICU and to study its relationship to outcome and to the baseline characteristics of the patients. Methods: All adult patients consecutively admitted to the surgical ICU between November 2004 and April 2005, who underwent non-cardiac surgery, were enrolled in this observational and prospective study. The following patient characteristics were recorded: age, gender, body mass index, ASA physical status, type and magnitude of surgical procedure, length of stay (LOS, in ICU and in hospital, mortality, Simplified Acute Physiology Score II (SAPS, history of co-morbidities and quality of life survey score (QOLSS. The relationships between QOLSS and ICU variables and outcome were evaluated. The relationship between the total QOLSS and each variable or outcome was assessed by multiple linear regression. Results: One hundred eighty seven patients completed the study. The preadmission QOLSS of the patients studied was 4.43 ± 4.90; 28% of patients had a normal quality of life (0 points, 38% had between 1 and 5 points (considered mild deterioration, 21% had between 6 and 10 points (moderate deterioration, 10% had between 11 and 15 points (considered major deterioration and 3% had more than 15 points (severe limitation of quality of life. A worse preadmission QOLSS was associated with higher SAPS II scores, with older patients (age> 65 years and with ASA physical status (ASA III/IV. Total QOLSS was significantly worse in elderly patients and in patients with co-morbidities and in patients more severely ill at ICU admission. Patients who died in the ICU and in hospital had worse QOLSS scores compared to those who survived. However, no statistical differences in QOLSS were found in relation to longer ICU stays

  20. The Economics of an Admissions Holding Unit.

    Science.gov (United States)

    Schreyer, Kraftin E; Martin, Richard

    2017-06-01

    With increasing attention to the actual cost of delivering care, return-on-investment calculations take on new significance. Boarded patients in the emergency department (ED) are harmful to clinical care and have significant financial opportunity costs. We hypothesize that investment in an admissions holding unit for admitted ED patients not only captures opportunity cost but also significantly lowers direct cost of care. This was a three-phase study at a busy urban teaching center with significant walkout rate. We first determined the true cost of maintaining a staffed ED bed for one patient-hour and compared it to alternative settings. The opportunity cost for patients leaving without being seen was then conservatively estimated. Lastly, a convenience sample of admitted patients boarding in the ED was observed continuously from one hour after decision-to-admit until physical departure from the ED to capture a record of every interaction with a nurse or physician. Personnel costs per patient bed-hour were $58.20 for the ED, $24.80 for an inpatient floor, $19.20 for the inpatient observation unit, and $10.40 for an admissions holding area. An eight-bed holding unit operating at practical capacity would free 57.4 hours of bed space in the ED and allow treatment of 20 additional patients. This could yield increased revenues of $27,796 per day and capture opportunity cost of $6.09 million over 219 days, in return for extra staffing costs of $218,650. Analysis of resources used for boarded patients was determined by continuous observation of a convenience sample of ED-boarded patients, which found near-zero interactions with both nursing and physicians during the boarding interval. Resource expense per ED bed-hour is more than twice that in non-critical care inpatient units. Despite the high cost of available resources, boarded non-critical patients receive virtually no nursing or physician attention. An admissions holding unit is remarkably effective in avoiding the

  1. Cytostatic, cytocidal and potential antitumor properties of a class of quinoid compounds, initiators of the dormant state in the spores of Agaricus bisporus.

    Science.gov (United States)

    Vogel, F S; Kemper, L A; McGarry, S J; Graham, D G

    1975-01-01

    Evidence indicates that dormancy is initiated in the spores of Agaricus bisporus by two quinoid compounds that appear in the zygote during the prodromal period of sporulation. Both are derivatives of a phenol, gamma-L-glutaminyl-4-hydroxybenzene. When purified, these quinoids specifically inhibit mitochondrial respiratory enzymes and protein synthesis in the mushroom and have comparable effects with rat liver mitochondria and ribosomes, with intact bacteria, and with bacterial ribosomes and RNA polymerase in vitro. Five species of mouse ascites tumor cells showed prompt and marked inhibitions of nucleic acid and protein synthesis when millimolar concentrations of these quinoids were added to the tissue culture medium of the tumor cells. Only a small percentage of the cells was killed immediately, as judged by trypan blue uptake. When large numbers of exposed BP8 sarcoma and EL4 leukemic cells were reinjected intraperitoneally into histocompatible mice, the survival times of these animals were notably prolonged beyond those of animals injected with tumor cells that had not been exposed to these inhibitors. In a dose-dependent manner, increasing concentrations of inhibitors produced proportionate increments in survival time, while higher concentrations totally abolished tumor cell growth. The findings indicate that these simple quinoid compounds, which initiate the dormant state in spores, produce a cytostatic state in mammalian tumor cells and thus potentially have strong antitumor properties (Am J Pathol 78:33-48, 1975).

  2. Characteristics of federally licensed firearms retailers and retail establishments in the United States: initial findings from the firearms licensee survey.

    Science.gov (United States)

    Wintemute, Garen J

    2013-02-01

    Firearms have widely supported legitimate purposes but are also frequently used in violent crimes. Owners and senior executives of federally licensed firearms dealers and pawnbrokers are a potentially valuable source of information on retail commerce in firearms, links between legal and illegal commerce, and policies designed to prevent the firearms they sell from being used in crimes. To our knowledge, there has been no prior effort to gather such information. In 2011, we conducted the Firearms Licensee Survey on a probability sample of 1,601 licensed dealers and pawnbrokers in the United States believed to sell 50 or more firearms per year. This article presents details of the design and execution of the survey and describes the characteristics of the respondents and their business establishments. The survey was conducted by mail, using methods developed by Dillman and others. Our response rate was 36.9 % (591 respondents), similar to that for other establishment surveys using similar methods. Respondents had a median age of 54; 89 % were male, 97.6 % were White, and 98.1 % were non-Hispanic. Those who held licenses under their own names had been licensed for a median of 18 years. A large majority of 96.3 % agreed that "private ownership of guns is essential for a free society"; just over half (54.9 %) believed that "it is too easy for criminals to get guns in this country." A match between the job and a personal interest in the shooting sports was the highest-ranking reason for working as a firearms retailer; the highest-ranking concerns were that "there are too many 'gun control' regulations" and that "the government might confiscate my guns." Most respondents (64.3 %) were gun dealers, with significant variation by region. Residential dealers accounted for 25.6 % of all dealers in the Midwest. Median annual sales volume was 200 firearms for both dealers and pawnbrokers. Dealers appeared more likely than pawnbrokers to specialize; they were more likely

  3. Recurrent Admissions for Diabetic Foot Complications

    Directory of Open Access Journals (Sweden)

    Ang CL

    2013-07-01

    Full Text Available Diabetic foot complications are a significant source of morbidity and mortality. Patients who undergo recurrent admissions for the same diabetic foot problems represent a difficult subgroup to treat. From July 2007 to June 2008, there were 38 such patients who were admitted recurrently. Eighteen patients (47% were re-admitted because of previous refusal of surgical treatment. Eighteen patients (47% received treatment as necessary but were still readmitted for recurrent infection at the same wound site. Assessment of patients’ compliance to outpatient treatment was found to be generally lacking. As a significant proportion were re-admitted because of previous refusal of surgery, a trained counselor may be suitable in counselling patients for debridement or amputation surgery.

  4. [Triage in acute medical admission units.

    DEFF Research Database (Denmark)

    Brabrand, Mikkel; Folkestad, Lars; Hallas, Peter

    2010-01-01

    INTRODUCTION: Many emergency departments use validated triage tools. It is currently undocumented if such a practice is common in Danish medical admission units (MAU). The current study was conducted in order to clarify this. MATERIAL AND METHODS: Questionnaire survey with data collected from....... At 87% of the MAUs, a doctor was contacted by the admitting physician, while the contact was the responsibility of a nurse in 13% of MAUs. None of the contacted MAUs used a validated triage tool and 95% answered that they triaged on the basis of individual clinical assessment of patients. However, 22......% answered that selected groups of patients were routinely assessed by a senior physician. CONCLUSION: None of the Danish MAUs uses a validated triage tool to prioritize acutely admitted medical patients. Udgivelsesdato: 2010-May-31...

  5. Open admissions, orality,aand literacy.

    Science.gov (United States)

    Farrell, T J

    1974-09-01

    Open admissions students tend to be highly oral. Their modes of thinking are different from the modes of thinking demanded in the highly literate (i.e., detached, objective, and scientific) world of college. They can learn the more literate modes of thinking, however, but this requires special awareness and effort on the part of their teachers. Some assumptions and instructional approaches made with traditional students cannot be made with highly oral students in a community college. Moreover, the effort to move the students into the more literate modes of thought cannot be limited to a couple of "remedial" courses in reading and writing. The promise of the open door can be realized for highly oral students only as more and more teachers change their assumptions about student learning and modify their instructional practices accordingly.

  6. Admission levels of serum Gc-globulin

    DEFF Research Database (Denmark)

    Schiødt, F V; Bondesen, S; Petersen, I

    1996-01-01

    Gc-globulin scavenges actin released from necrotic hepatocytes to the extracellular space. In 77 patients with fulminant hepatic failure (FHF) (excluding patients treated with liver transplantation), admission levels of serum Gc-globulin and degree of complexing with monomeric actin (complex ratio......) were determined to evaluate their predictive values in relation to survival/nonsurvival. Gc-globulin levels were significantly reduced in 47 nonsurvivors, compared with 30 survivors (96 +/- 71 mg/L vs. 169 +/- 101 mg/L, P ... of patients with non-acetaminophen-induced FHF, whereas a higher value predicted survival in 60 percent. In patients with acetaminophen-induced FHF, nonsurvival was correctly predicted in 100 percent of patients and survival in 53 percent. In comparison, the King's College Hospital (KCH) criteria correctly...

  7. Emergency department orthopedics observation unit as an alternative to admission.

    Science.gov (United States)

    Ernst, Amy A; Jones, Jaime; Weiss, Steven J; Silva, Otono

    2014-10-01

    Inclusion of select orthopedic problems in the orthopedics observation unit (OOU) may reduce hospital admissions. Our system allows OOU status for 24 hours, but the effect on admissions is unknown. Our primary hypothesis was that we could predict which OOU patients required admission based on the presence of uncontrolled pain. Data were prospectively collected for all OOU patients in this prospective observational study, including data on extremity cellulitis, fractures, and spine injuries awaiting brace placement.The primary outcome variable was admission to the hospital versus discharge home. The a priori hypotheses were that patients with more persistent or worsening pain would require admission more often and that the OOU would result in fewer patients needing a costlier inpatient admission to the hospital. An a priori power analysis showed adequate power of 80% to detect a difference between admitted and discharged patients. Data were prospectively collected from August 2011 to August 2012 for 199 consecutive OOU patients, 62% of whom were men. Diagnoses included infection (cellulitis or abscess of extremity) in 76%, fracture in 15% and other in 9% of the patients. Sixty-two patients (31%) were admitted and 7 patients (4%) made return visits for the same problem within a 30-day period. No significant relations existed between any of the independent variables and admission on bivariate analysis. Multivariable logistic regression found no significant predictors of hospital admission. Logistic regression was not performed on 30-day returns because of the low event rate (4%). An OOU prevented 138 of 199 (69%) patients from being admitted to a hospital. There were no significant predictors of which patients would require admission. Pain was not a predictor of need for admission. The lack of significant predictors is important in suggesting that without the ability to predict which patients require admission, a system using an OOU can reduce admissions by more than

  8. Association between use of a health information exchange system and hospital admissions.

    Science.gov (United States)

    Vest, J R; Kern, L M; Campion, T R; Silver, M D; Kaushal, R

    2014-01-01

    Relevant patient information is frequently difficult to obtain in emergency department (ED) visits. Improved provider access to previously inaccessible patient information may improve the quality of care and reduce hospital admissions. Health information exchange (HIE) systems enable access to longitudinal, community-wide patient information at the point of care. However, the ability of HIE to avert admissions is not well demonstrated. We sought to determine if HIE system usage is correlated with a reduction in admissions via the ED. We identified 15,645 adults from New York State with an ED visit during a 6-month period, all of whom consented to have their information accessible in the HIE system, and were continuously enrolled in two area health plans. Using claims we determined if the ED encounter resulted in an admission. We used the HIE's system log files to determine usage during the encounter. We determined the association between HIE system use and the likelihood of admission to the hospital from the ED and potential cost savings. The HIE system was accessed during 2.4% of encounters. The odds of an admission were 30% lower when the system was accessed after controlling for confounding (odds ratio = 0.70; 95%C I= 0.52, 0.95). The annual savings in the sample was $357,000. These findings suggest that the use of an HIE system may reduce hospitalizations from the ED with resultant cost savings. This is an important outcome given the substantial financial investment in interventions designed to improve provider access to patient information in the US.

  9. Analysis of factors influencing admission to intensive care following convulsive status epilepticus in children.

    LENUS (Irish Health Repository)

    Tirupathi, Sandya

    2012-02-01

    OBJECTIVES: To identify clinical features and therapeutic decisions that influence admission to the Intensive Care unit (ICU) in children presenting with convulsive status epilepticus (CSE). METHODS: We evaluated 47 admissions with status epilepticus to a tertiary paediatric hospital A&E over a three year period (2003-2006). Following initial management 23 episodes required admission to ICU and 24 were managed on a paediatric ward. We compared clinical, demographic data and compliance with our CSE protocol between the ICU and ward groups. RESULTS: Median age at presentation in the ICU group was 17 months (range 3 months-11 years) compared to 46 months in the ward group (range 3 months-10 years). Fifty per cent of patients in both groups had a previous history of seizures. Median duration of pre-hospital seizure activity was 30 min in both groups. More than two doses of benzodiazepines were given as first line medication in 62% of the ICU group and 33% of the ward group. Among children admitted to ICU with CSE, 26% had been managed according to the CSE protocol, compared to 66% of children who were admitted to a hospital ward. Febrile seizures were the most common aetiology in both groups. CONCLUSION: Younger age at presentation, administration of more than two doses of benzodiazepines and deviation from the CSE protocol appear to be factors which influence admission of children to ICU. Recognition of pre-hospital administration of benzodiazepines and adherence to therapeutic guidelines may reduce the need for ventilatory support in this group.

  10. The development of a Master of Public Health Program with an initial focus on urban and immigrant health at the State University of New York, Downstate Medical Center.

    Science.gov (United States)

    Imperato, Pascal James; LaRosa, Judith H; Schechter, Leslie

    2005-12-01

    The State University Downstate Medical Center initiated a Master of Public Health (MPH) degree program in July 2001 following planning efforts that began in 1995. Twelve Students entered the program in June 2002. Currently, eighty students are enrolled in the program and eighteen have graduated from it in 2004 and 2005. With an initial focus on urban and immigrant health, the program aims to train public health professionals who can assist in addressing through population-based interventions the health issues of Brooklyn's 2,465,326 people, of whom 38.5% are immigrants to the United States. Starting with four courses in the summer 2002 semester, the program now offers twenty-four courses over the three semesters of the academic year. The program is housed in the Department of Preventive Medicine and Community Health of the College of Medicine and is part-time in nature for most students. In addition to completing required course work, students must also complete a 250-hour practicum experience in which they apply theoretical knowledge in a public health practice setting. Student practicum experiences play a vital role in linking the program to communities and serve as conduits for the initiation of further community based collaboratives. This article describes the challenges encountered in initiating an MPH program in an academic medical center, the importance of both intramural and community support to its success, and the vital role it plays in addressing the health issues of various communities. The program became a leading priority of the Strategic Plan of the Downstate Medical Center in 2000, and received the full support of Downstate's then new president, Dr. John C. LaRosa. This prioritization and support proved essential to the rapid development of the program. The Downstate MPH program offers a concurrent degree to medical students who are able to complete both degrees in a four year period. The Alumni Fund of the College of Medicine provides each MD

  11. Assisted admissions? A national survey of general practitioner experience of involuntary admissions.

    LENUS (Irish Health Repository)

    Kelly, M

    2011-10-01

    The 2001 Mental Health Act introduced in 2006, changed how a patient is admitted involuntarily to a psychiatric unit. This paper reports on a national survey of general practitioners\\' experience implementing the Act. Five hundred and sixty eight (568) GPs completed the survey. Twenty five percent (25%) of respondants had not used it. When used, twenty four percent (24%) report that it takes seven hours or more to complete an admission. Fifty percent (50%) of respondents are confident to complete the necessary paperwork. Overall GPs are dissatisfied with arrangements for transport of patients (mean Likert score 3.5), primarily due to the time delay. GPs believe this places risk on the patient, family and GP. Only thirty-three percent (33%) of respondents feel that the Mental Health Act has improved the patient, GP and family experience of involuntary admission.

  12. qSOFA, SIRS and NEWS for predicting inhospital mortality and ICU admission in emergency admissions treated as sepsis.

    Science.gov (United States)

    Goulden, Robert; Hoyle, Marie-Claire; Monis, Jessie; Railton, Darran; Riley, Victoria; Martin, Paul; Martina, Reynaldo; Nsutebu, Emmanuel

    2018-02-21

    The third international consensus definition for sepsis recommended use of a new prognostic tool, the quick Sequential Organ Failure Assessment (qSOFA), based on its ability to predict inhospital mortality and prolonged intensive care unit (ICU) stay in patients with suspected infection. While several studies have compared the prognostic accuracy of qSOFA to the Systemic Inflammatory Response Syndrome (SIRS) criteria in suspected sepsis, few have compared qSOFA and SIRS to the widely used National Early Warning Score (NEWS). This was a retrospective cohort study carried out in a UK tertiary centre. The study population comprised emergency admissions in whom sepsis was suspected and treated. The accuracy for predicting inhospital mortality and ICU admission was calculated and compared for qSOFA, SIRS and NEWS. Among 1818 patients, 53 were admitted to ICU (3%) and 265 died in hospital (15%). For predicting inhospital mortality, the area under the receiver operating characteristics curve for NEWS (0.65, 95% CI 0.61 to 0.68) was similar to qSOFA (0.62, 95% CI 0.59 to 0.66) (test for difference, P=0.18) and superior to SIRS (PSIRS≥2 (80%, 95% CI 74% to 84%) and higher than qSOFA≥2 (37%, 95% CI 31% to 43%). The specificity of NEWS≥5 (43%, 95% CI 41% to 46%) was higher than SIRS≥2 (21%, 95% CI 19% to 23%) and lower than qSOFA≥2 (79%, 95% CI 77% to 81%). The negative predictive value was 88% (86%-90%) for qSOFA, 86% (82%-89%) for SIRS and 91% (88%-93%) for NEWS. Results were similar for the secondary outcome of ICU admission. NEWS has equivalent or superior value for most test characteristics relative to SIRS and qSOFA, calling into question the rationale of adopting qSOFA in institutions where NEWS is already in use. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  13. Temperature effects on hospital admissions for kidney morbidity in Taiwan

    International Nuclear Information System (INIS)

    Lin, Yu-Kai; Wang, Yu-Chun; Ho, Tsung-Jung; Lu, Chensheng

    2013-01-01

    Objective: This study aimed to associate hospital admissions of kidney diseases with extreme temperature and prolonged heat/cold events in 7 regions of Taiwan. Methods: Age-specific ( 10 , O 3 , and NO 2 ) and potential confounders. Results: We observed a V or J-shape association between daily average temperatures and the RR estimates for hospital admissions of kidney diseases in Taiwan. The lowest risk for hospital admissions of kidney diseases was found at around 25 °C, and risk increased as temperatures deviated from 25 °C. The pooled cumulative 8-day RR for all ages of population of the 7 study areas were 1.10 (95% confidence interval (CI): 1.01, 1.19) at 18 °C and 1.45 (95% CI: 1.27, 1.64) at 30 °C. High temperature has more profound influence on hospital admission of kidney diseases than low temperature. Temperature risks for hospital admissions were similar between younger (< 65 years) and elderly (65 + years) population. This study observed no significant effects of prolonged heat extremes on hospital admissions of kidney diseases. Conclusions: The heat effect for kidney morbidities leading to hospital admission was more significant than that of the cold temperature. This study did not find the age-dependent relative risks for temperature associating with hospital admissions of kidney diseases. - Highlights: ► V or J-shaped association was observed between daily temperatures and hospital admissions for renal diseases in Taiwan. ► The pooled relative risks accounting for 8 days of lag for the 7 study areas were 1.1 at 18 °C and 1.46 at 30 °C. ► There is no difference of the relative risk estimates for hospital admissions between younger and elderly population. ► We found significant protective effects of hospital admissions for prolonged cold extremes, but not for heat extremes

  14. Fifty states of self-control: A U.S. statewide examination of the initiation and inhibition dimensions of self-regulation.

    Science.gov (United States)

    Findley, Matthew; Brown, Ryan

    2018-01-01

    Individual differences in self-control have been shown to reflect two underlying dimensions: initiation and inhibition. We examined the possibility that degrees of self-control might likewise be modeled at a broader social level, similar to other socio-cultural differences that operate at an individual level (e.g., collectivism). To test this notion, we used a variety of mundane behaviors measured at the level of U.S. states to create inhibitory and initiatory indices of self-control at a collective level. We show that statewide levels of initiatory and inhibitory self-control, despite being correlated with one another, exhibit unique patterns of association with a wide range of outcomes, including homicide, suicide, home foreclosures, divorce, and infidelity. This study represents one of the first attempts to model the dimensional structure of self-control at a social level and supports the utility of conceptualizing self-control as an important socio-cultural variable.

  15. Measurement of the e{sup +}e{sup -} → anti pp cross section at BESIII using the untagged-initial state radiation technique

    Energy Technology Data Exchange (ETDEWEB)

    Rosner, Christoph; Ahmed, Samer Ali Nasher; Dbeyssi, Alaa; Larin, Paul; Lin, Dexu; Morales, Cristina [Helmholtz-Institut Mainz, 55128 Mainz (Germany); Maas, Frank [Helmholtz-Institut Mainz, 55128 Mainz (Germany); Institute of Nuclear Physics, Mainz (Germany); PRISMA Cluster of Excellence, Mainz (Germany)

    2015-07-01

    Electromagnetic form factors are fundamental quantities which describe the structure and the internal dynamics of hadrons. In the timelike region, proton form factors are experimentally accessible through the e{sup +} + e{sup -} <-> anti p + p channels. Initial state radiation (ISR) is an effective tool to measure hadronic cross section at high luminosity e{sup +}e{sup -} storage rings, such as the Beijing Electron-Positron Collider II (BEPC-II). This contribution reports on the e{sup +} + e{sup -} → anti p + p + γ analysis for proton form factor measurements at the Beijing Spectrometer III (BESIII/BEPC-II). The case of untagged ISR photon is presented. Monte Carlo simulations for signal and background processes at center of mass energies 4.23, 4.26 and 4.36 GeV, are described.

  16. Geochronological synthesis of Bahia state and the crustal evolution, based in evolution diagram of Sr and initial rate of Sr87/Sr86

    International Nuclear Information System (INIS)

    Sato, K.

    1986-01-01

    The crustal evolution of the ancient terrains of the State of Bahia, Brazil, is attempted with the aid of Sr isotopic results as natural tracers. Some Nd and Pb isotopic data are also available, and support the main conclusions based on Sr evolution diagrams. The analysis of the Sr evolution diagrams shows that the Archean Terrains are mainly formed by accretion from mantle-derived material, but crustal reworking is indicated by the high initial 87 Sr/ 86 Sr value of the Jequie Complex. The Transamazonian mobile belt include both types of materials, but the 87 Sr/ 86 Sr value, generally lower than those of the Jequie Complex, markes improbable a direct derivation. During Middle and Late Proterozoic, the continental crust was already well consolidated, and reworking of crustal material predominated within the Espinhaco and Brasiliano folded systems [pt

  17. Acceptance of Provider Initiated HIV Testing and Counseling among Tuberculosis Patients in East Wollega Administrative Zone, Oromia Regional State, Western Ethiopia

    Directory of Open Access Journals (Sweden)

    Wakjira Kebede

    2014-01-01

    Full Text Available Human immunodeficiency virus (HIV is a powerful risk factor for the development of tuberculosis. This study assessed the acceptance and associated factors that can affect provider initiated HIV testing and counseling (PITC among tuberculosis patients at the East Wollega administrative zone, Oromia regional state, western Ethiopia, from January to August, 2010. A single population proportion formula is used to calculate the total sample size of 406 and the cluster sampling technique was used to select 13 health centers that provide PITC services. The sample size was proportionally allocated to each health center. The study participants were selected using a simple random sampling technique using the lottery method. Structured questionnaire was used for collection of sociodemographic data. From the total of study subjects, 399 (98.2% TB patients were initiated for HIV test and 369 (92.5% patients accepted the initiation. Of those, 353 (95.5% patients had taken HIV test and received their results. According to the reviewed documents, the prevalence of HIV among tuberculosis (TB patients in the study area was 137 (33.7%. The logistic regression result showed the PITC was significantly associated with their knowledge about HIV (AOR = 3.22, 95% CI: 1.3–7.97, self-perceived risk (AOR = 2.93, 95% CI: 1.12–7.66, educational status (AOR = 3.51, 95% CI: 1.13–10.91, and knowledge on transmission of HIV/AIDS (AOR = 7.56, 95% CI: 1.14–40.35 which were significantly associated with the acceptance of PITC among TB patients. Therefore, this study’s results showed, the prevalence of HIV among TB patient was high; to enhance the acceptance of PITC among TB patients, health extension workers must provide health education during home-to-home visiting. TB treatment supervisors also provide counseling intensively for all forms of TB patients during their first clinical encounter.

  18. Accident analyses in nuclear power plants following external initiating events and in the shutdown state. Final report; Unfallanalysen in Kernkraftwerken nach anlagenexternen ausloesenden Ereignissen und im Nichtleistungsbetrieb. Abschlussbericht

    Energy Technology Data Exchange (ETDEWEB)

    Loeffler, Horst; Kowalik, Michael; Mildenberger, Oliver; Hage, Michael

    2016-06-15

    The work which is documented here provides the methodological basis for improvement of the state of knowledge for accident sequences after plant external initiating events and for accident sequences which begin in the shutdown state. The analyses have been done for a PWR and for a BWR reference plant. The work has been supported by the German federal ministry BMUB under the label 3612R01361. Top objectives of the work are: - Identify relevant event sequences in order to define characteristic initial and boundary conditions - Perform accident analysis of selected sequences - Evaluate the relevance of accident sequences in a qualitative way The accident analysis is performed with the code MELCOR 1.8.6. The applied input data set has been significantly improved compared to previous analyses. The event tree method which is established in PSA level 2 has been applied for creating a structure for a unified summarization and evaluation of the results from the accident analyses. The computer code EVNTRE has been applied for this purpose. In contrast to a PSA level 2, the branching probabilities of the event tree have not been determined with the usual accuracy, but they are given in an approximate way only. For the PWR, the analyses show a considerable protective effect of the containment also in the case of beyond design events. For the BWR, there is a rather high probability for containment failure under core melt impact, but nevertheless the release of radionuclides into the environment is very limited because of plant internal retention mechanisms. This report concludes with remarks about existing knowledge gaps and with regard to core melt sequences, and about possible improvements of the plant safety.

  19. Potentially avoidable hospital admissions in older patients with acute myeloid leukaemia in the USA: a retrospective analysis.

    Science.gov (United States)

    El-Jawahri, Areej; Keenan, Tanya; Abel, Gregory A; Steensma, David P; LeBlanc, Thomas W; Chen, Yi-Bin; Hobbs, Gabriela; Traeger, Lara; Fathi, Amir T; DeAngelo, Daniel J; Wadleigh, Martha; Ballen, Karen K; Amrein, Philip C; Stone, Richard M; Temel, Jennifer S

    2016-06-01

    Older adults (≥60 years of age) with acute myeloid leukaemia spend a substantial proportion of their life in hospital after diagnosis. We examined reasons for their hospital admissions and identified potentially avoidable hospital admissions (PAH) in this age group in the USA. In this retrospective analysis, we examined the reasons for hospital admissions in older patients diagnosed with and treated for acute myeloid leukaemia at two tertiary care hospitals in the USA. We included patients receiving intensive induction chemotherapy or non-intensive treatment. We excluded those with acute promyelocytic leukaemia, those seen only for a one-time consultation who received primary treatment elsewhere, and those who received supportive care alone. We identified the eligible cohort using the Dana-Farber Cancer Institute and Massachusetts General Hospital Leukemia Clinical Research Information Systems database. Practising oncologists used a consensus-driven medical record review process to identify the primary reason for each hospital admission and categorise it as potentially avoidable or not avoidable on the basis of an adaptation of Graham's criteria for PAH. We used multivariable logistic regression analyses to identify predictors of PAH. Between May 1, 2005, and Dec 23, 2011, we assessed 1040 hospital admissions (excluding initial admission for diagnosis) in 329 consecutively admitted patients. The most common primary reasons for hospital admissions were: fever or infection (396 [38%]), planned admission for chemotherapy or transplantation (391 [38%]), and uncontrolled symptoms (102 [10%]). We identified 172 (27%) of 649 unplanned hospital admissions as potentially avoidable; among these admissions, 82 (48%) were readmissions because of previous premature hospital discharge, 32 (19%) because of problems that could have been managed in the outpatient setting, and 26 (15%) because of failure of timely outpatient follow-up. In a mixed logistic regression model, higher

  20. Structural and Dynamics Characteristics of Acylphosphatase from Sulfolobus solfataricus in the Monomeric State and in the Initial Native-like Aggregates*

    Science.gov (United States)

    Pagano, Katiuscia; Bemporad, Francesco; Fogolari, Federico; Esposito, Gennaro; Viglino, Paolo; Chiti, Fabrizio; Corazza, Alessandra

    2010-01-01

    It has previously been shown that the acylphosphatase from Sulfolobus solfataricus is capable of forming amyloid-like aggregates under conditions in which the native structure is maintained and via the transient formation of native-like aggregates. Based on the previously determined NMR structure of the native protein, showing a ferredoxin-like fold and the peculiar presence of an unstructured N-terminal segment, we show here, at a molecular level using NMR spectroscopy, that indeed S. solfataricus acylphosphatase remains in a native-like conformation when placed in aggregating conditions and that such a native-like structure persists when the protein forms the initial aggregates, at least within the low molecular weight species. The analysis carried out under different solution conditions, based on the measurement of the combined 1H and 15N chemical shifts and hydrogen/deuterium exchange rates, enabled the most significant conformational changes to be monitored upon transfer of the monomeric state into aggregating conditions and upon formation of the initial native-like aggregates. Important increases of the hydrogen/deuterium exchange rates throughout the native protein, accompanied by small and localized structural changes, in the monomeric protein were observed. The results also allow the identification of the intermolecular interaction regions within the native-like aggregates, that involve, in particular, the N-terminal unstructured segment, the apical region including strands S4 and S5 with the connecting loop, and the opposite active site. PMID:20223823