WorldWideScience

Sample records for american intensively managed

  1. Biology and management of insect pests in North American intensively managed hardwood forest systems.

    Energy Technology Data Exchange (ETDEWEB)

    Coyle, David R.; Nebeker, T., E.; Hart, E., R.; Mattson, W., J.

    2005-01-01

    Annu. Rev. Entomol. 50:1-29. Abstract Increasing demand for wood and wood products is putting stress on traditional forest production areas, leading to long-term economic and environmental concerns. Intensively managed hardwood forest systems (IMHFS), grown using conventional agricultural as well as forestry methods, can help alleviate potential problems in natural forest production areas. Although IMHFS can produce more biomass per hectare per year than natural forests, the ecologically simplified, monocultural systems may greatly increase the crops susceptibility to pests. Species in the genera Populus and Salix comprise the greatest acreage in IMHFS in North America, but other species, including Liquidambar styracifua and Platanus occidentalis, are also important. We discuss life histories, realized and potential damage, and management options for the most economically infuential pests that affect these hardwood species. The substantial inherent challenges associated with pest management in the monocultural environments created by IMHFS are reviewed. Finally, we discuss ways to design IMHFS that may reduce their susceptibility to pests, increase their growth and productivity potential, and create a more sustainable environment.

  2. American Society for Pain Management Nursing Position Statement: Prescribing and Administering Opioid Doses Based Solely on Pain Intensity.

    Science.gov (United States)

    Pasero, Chris; Quinlan-Colwell, Ann; Rae, Diana; Broglio, Kathleen; Drew, Debra

    2016-06-01

    The foundation of safe and effective pain management is an individualized, comprehensive pain assessment, which includes, but is not limited to, determining the intensity of pain if the patient is able to report it. An unforeseen consequence of the widespread use of pain intensity rating scales is the practice of prescribing specific doses of opioid analgesics based solely on specific pain intensity. Many factors in addition to pain intensity influence opioid requirements, and there is no research showing that a specific opioid dose will relieve pain of a specific intensity in all patients. The American Society for Pain Management Nursing (ASPMN) holds the position that the practice of prescribing doses of opioid analgesics based solely on a patient's pain intensity should be prohibited because it disregards the relevance of other essential elements of assessment and may contribute to untoward patient outcomes. PMID:27108082

  3. Erythroneura lawsoni abundance and feeding injury levels are influenced by foliar nutrient status in intensively managed American sycamore.

    Energy Technology Data Exchange (ETDEWEB)

    Coyle, David, Robert: Aubrey, Doug, Patric; Bentz, Jo-Ann

    2010-01-01

    Abstract 1 Abundance and feeding injury of the leafhopper Erythroneura lawsoni Robinson was measured in an intensively-managed American sycamore Platanus occidentalis L. plantation. Trees were planted in spring 2000 in a randomized complete block design, and received one of three annual treatments: (i) fertilization (120 kg N/ha/year); (ii) irrigation (3.0 cm/week); (iii) fertilization + irrigation; or (iv) control (no treatment). 2 Foliar nutrient concentrations were significantly influenced by the treatments because only sulphur and manganese levels were not statistically greater in trees receiving fertilization. 3 Over 116 000 E. lawsoni were captured on sticky traps during the study. Leafhopper abundance was highest on nonfertilized trees for the majority of the season, and was positively correlated with foliar nutrient concentrations. Significant temporal variation in E. lawsoni abundance occurred, suggesting five discrete generations in South Carolina. 4 Significant temporal variation occurred in E. lawsoni foliar injury levels, with the highest injury ratings occurring in late June and August. Foliar injury was negatively correlated with foliar nutrient content, and higher levels of injury occurred more frequently on nonfertilized trees. 5 The results obtained in the present study indicated that increased E. lawsoni abundance occurred on trees that did not receive fertilization. Nonfertilized trees experienced greater foliar injury, suggesting that lower foliar nutrient status may have led to increased levels of compensatory feeding.

  4. The state of American management.

    Science.gov (United States)

    Wriston, W B

    1990-01-01

    Every year, the president of the United States offers his State of the Union address. Here, from one of the most respected managers in America, is a report on the State of American Management. The state of management, says Walter B. Wriston, is good. Despite the predictions of America's decline, our economy continues to prosper. That is because of this fundamental truth: the United States is the only country in the world that renews itself daily. This is the Age of Pluralism, and U.S. business is based on pluralism. The spirit of the entrepreneur has entered the mainstream of U.S. management, transforming bureaucracy and emphasizing leadership. Today's top executives need to be more like politicians than the number-crunchers of yesterday. At the same time, information is flowing more freely, so corporations are eliminating layers of managers who were really just transmission lines. And top managers are learning to listen to the people who are closest to the work. Everyone today is a knowledge worker. The accelerating pace of knowledge has put a greater premium than ever on talent. Globalization is a big part of this new world. From the manager's viewpoint, globalization means that "you're in a marketplace where you're suddenly waking up with a guy...from a country you're not too sure where it is, who's eating your lunch in your hometown." To understand global competition, managers in large and small companies need broad vision. Finally, to deal with change, U.S. managers must confront some issues at home. For instance, our accounting systems are obsolete, both in companies and in our national accounts.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:10103813

  5. Intensive Care Management in Pediatric Burn Patients

    Directory of Open Access Journals (Sweden)

    Ayşe Ebru Sakallıoğlu Abalı

    2011-07-01

    Full Text Available Burn injury is still a leading cause of morbidity and mortality in children. This article aimed to review the current principles of management from initial assessment to early management and intensive care for pediatric burn patients. (Journal of the Turkish Society Intensive Care 2011; 9 Suppl: 62-9

  6. [Quality management in intensive care medicine].

    Science.gov (United States)

    Martin, J; Braun, J-P

    2014-02-01

    Treatment of critical ill patients in the intensive care unit is tantamount to well-designed risk or quality management. Several tools of quality management and quality assurance have been developed in intensive care medicine. In addition to external quality assurance by benchmarking with regard to the intensive care medicine, peer review procedures have been established for external quality assurance in recent years. In the process of peer review of an intensive care unit (ICU), external physicians and nurses visit the ICU, evaluate on-site proceedings, and discuss with the managing team of the ICU possibilities for optimization. Furthermore, internal quality management in the ICU is possible based on the 10 quality indicators of the German Interdisciplinary Society for Intensive Care Medicine (DIVI, "Deutschen Interdisziplinären Vereinigung für Intensiv- und Notfallmedizin"). Thereby every ICU has numerous possibilities to improve their quality management system. PMID:24493011

  7. American Samoa ESI: MGT (Management Area Polygons)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains management area data for special management areas, marine parks, marine sanctuaries, national parks, and wildlife refuges in American Samoa....

  8. Managing the Knowledge-Intensive Firm

    CERN Document Server

    Ejler, Nicolaj; Czerniawska, Fiona

    2011-01-01

    Over the last decade, there has been a substantial rise in the number of knowledge-intensive firms. The core assets of these businesses are the people themselves and so, successful managers of knowledge-intensive firms must inspire their employees and target their individual ambitions, to ensure high performance.This book examines what sets knowledge-intensive firms apart from other types of organizations, and the resultant organizational and strategic differences in business models, talent management, and client-handling approaches. A new model for transforming the management of knowledge-int

  9. American Health Information Management Association

    Science.gov (United States)

    ... Government Corporate & Government Training Signature Partners Sponsorship Exhibitors Advertise With AHIMA Copyright & Permissions RSS LinkedIn Facebook Twitter YouTube Copyright © 2016 by The American Health ...

  10. Medicare Managed Care Spillovers and Treatment Intensity.

    Science.gov (United States)

    Callison, Kevin

    2016-07-01

    Evidence suggests that the share of Medicare managed care enrollees in a region affects the costs of treating traditional fee-for-service (FFS) Medicare beneficiaries; however, little is known about the mechanisms through which these 'spillover effects' operate. This paper examines the relationship between Medicare managed care penetration and treatment intensity for FFS enrollees hospitalized with a primary diagnosis of AMI. I find that increased Medicare managed care penetration is associated with a reduction in both the costs and the treatment intensity of FFS AMI patients. Specifically, as Medicare managed care penetration increases, FFS AMI patients are less likely to receive surgical reperfusion and mechanical ventilation and to experience an overall reduction in the number of inpatient procedures. Copyright © 2015 John Wiley & Sons, Ltd. PMID:25960418

  11. Management Studies, Cultural Criticism and American Dreams

    DEFF Research Database (Denmark)

    Guthey, Eric

    2005-01-01

    The article reviews three books related to industrial management, including "False Prophets: The Gurus Who Created Modern Management and Why Their Ideas Are Bad for Business Today," by James Hoopes, "Organization and Innovation: Guru Schemes and American Dreams," by David Knights and Darren Mc...

  12. Conservation and management of the American crocodile

    Science.gov (United States)

    Kushlan, James A.

    1988-11-01

    The American crocodile is a rare and endangered species, the range of which has contracted to disjunct locations such as Hispaniola, Jamaica, Cuba, Panama, and southern Florida. In an attempt to determine what factors might be limiting population growth, an extensive collaborative research program was conducted in 1978 82 in southern Florida. Limiting factors explicitly studied included climate, hurricanes, population dispersion, nesting habitat, fertility, predation, nest chamber environment, juvenile survivorship, artificial mortality, disturbance, and environmental contamination. No single natural factor limits the population, although in concert various factors result in low adult recruitment rates. Such natural limitations explain the natural rarity of this tropical species at the temperate limits of its range. Two artificial sources of mortality are death of adults on roads and the flooding of nests by high groundwater tables. These sources of mortality are potentially controllable by the appropriate management agencies. Active management, by such means as protection of individuals, habitat preservation and enhancement, nest site protection, and captive breeding, is also appropriate for assuring the survival of a rare species. The American crocodile has survived in southern Florida in face of extensive human occupancy of parts of its former nesting habitat, demonstrating the resilience of a threatened species. This case history illustrates the efficacy of conducting research aimed at testing specific management hypotheses, the importance of considering biographical constraints limiting population status in peripheral populations, the need for active management of rare species, and the role of multiple reserves in a conservation and management strategy.

  13. Disease Management to Promote Blood Pressure Control Among African Americans

    OpenAIRE

    Brennan, Troyen; Spettell, Claire; Villagra, Victor; Ofili, Elizabeth; McMahill-Walraven, Cheryl; Lowy, Elizabeth J.; Daniels, Pamela; Quarshie, Alexander; Mayberry, Robert

    2010-01-01

    African Americans have a higher prevalence of hypertension and poorer cardiovascular and renal outcomes than white Americans. The objective of this study was to determine whether a telephonic nurse disease management (DM) program designed for African Americans is more effective than a home monitoring program alone to increase blood pressure (BP) control among African Americans enrolled in a national health plan.

  14. It's All About Relationships: African-American and European-American Women's Hotel Management Careers

    OpenAIRE

    Farrar, Angela L.

    1996-01-01

    Among the 44000-plus general managers employed in United States' hotels in 1993, there were only 100 women, 15 African-Americans, and three African-American women. Additionally, less than 0.5 percent of corporate hospitality managers were women. Given this relative underrepresentation of European-American women and African-Americans, combined with the increasing diversity of hotel clientele and service p...

  15. 76 FR 53149 - North American Waterfowl Management Plan

    Science.gov (United States)

    2011-08-25

    ... workshops, participants identified 3 fundamental objectives for waterfowl management from a list of 31... Fish and Wildlife Service North American Waterfowl Management Plan AGENCY: Fish and Wildlife Service... Wildlife Service, announce the availability of the draft North American Waterfowl Management Plan...

  16. Evolution of Sustainability in American Forest Resource Management Planning in the Context of the American Forest Management Textbook

    OpenAIRE

    Thomas J. Straka

    2009-01-01

    American forest resource management and planning goes back to the European roots of American Forestry. Timber management plans, documents based on forest regulation for timber production, were the foundation of American forestry. These types of management plans predominated until World War II. Multiple use forestry developed after World War II and issues like recreation, wildlife, water quality, and wilderness became more important. In the 1970’s harvest scheduling became part of the planni...

  17. Asthma Management Disparities: A Photovoice Investigation with African American Youth

    Science.gov (United States)

    Evans-Agnew, Robin

    2016-01-01

    Disparities in asthma management are a burden on African American youth. The objective of this study is to describe and compare the discourses of asthma management disparities (AMDs) in African American adolescents in Seattle to existing youth-related asthma policies in Washington State. Adolescents participated in a three-session photovoice…

  18. Innovation Management Practices in Production-Intensive Service Firms

    OpenAIRE

    Aas, Tor Helge; Breunig, Karl Joachim; Hydle, Katja Maria; Pedersen, Per Egil

    2015-01-01

    This paper posits that innovation management practices are contingent upon the type of industry, and examines the innovation management practices in a distinctive set of service firms: production-intensive service firms. Production-intensive services are standardised services produced at a large scale. These services have received little attention from prior comprehensive qualitative innovation management practices research. The examination in this paper is based on in-depth interviews with 2...

  19. Novel margin management to enhance Auchenorrhyncha biodiversity in intensive grasslands

    OpenAIRE

    Blake, R.J.; Woodcock, B.A.; Ramsay, A. J.; Pilgrim, E.S.; Brown, V. K.; Tallowin, J.R.; Potts, Simon

    2011-01-01

    Agricultural intensification, including changes in cutting, grazing and fertilizer regimes, has led to declines in UK and NW European grassland biodiversity. We aimed to develop field margin management practices that would support invertebrate diversity and abundance on intensively managed grassland farms, focusing on planthoppers and leafhoppers (Auchenorrhyncha). Replicated across four farms in south-west England, we manipulated conventional management practices (inorganic fertilizer, cutti...

  20. Managing malaria in the intensive care unit

    OpenAIRE

    Marks, M; Gupta-Wright, A.; Doherty, JF; Singer, M; Walker, D.

    2014-01-01

    The number of people travelling to malaria-endemic countries continues to increase, and malaria remains the commonest cause of serious imported infection in non-endemic areas. Severe malaria, mostly caused by Plasmodium falciparum, often requires intensive care unit (ICU) admission and can be complicated by cerebral malaria, respiratory distress, acute kidney injury, bleeding complications, and co-infection. The mortality from imported malaria remains significant. This article reviews the man...

  1. Management Planning and Control: Supporting Knowledge-Intensive Organizations

    Science.gov (United States)

    Herremans, Irene M.; Isaac, Robert G.

    2005-01-01

    Purpose: The purpose of this paper is to develop propositions for empirical validation regarding appropriate management planning and control systems (MPACS) in knowledge-intensive organizations. Design/methodology/approach: The propositions were developed from interviews with members of a knowledge-intensive virtual organization that is known for…

  2. The World's Best Anglo-American Universities' Knowledge Management Attributes

    Science.gov (United States)

    Tower, Greg; Plummer, Julie; Ridgewell, Brenda; Goforth, Emily; Tower, Spence

    2009-01-01

    Key knowledge management attributes of the world's most prestigious Anglo-American universities are surprisingly under-reported especially by best ranked USA institutions. This leads to calls for more transparency.

  3. A Comparison between American and Chinese Classroom Management

    Institute of Scientific and Technical Information of China (English)

    CHAI Xue-ting; FAN Xiao-bin

    2016-01-01

    The classroom is an episode of the school culture, a stage to show the idea of school, and a transmission position to spread national education philosophy. There are obvious differences in terms of American and Chinese classroom management in three aspects:the teaching objectives, the teaching environment, the solution of the classroom problem behavior, and these dif-ferences are caused by the distinction in values and culture. The comparison between American and Chinese classroom manage-ment is of great significance for learning from teaching experience of foreign countries and promoting students' comprehensive development.

  4. Management intensity and topography determined plant diversity in vineyards.

    Directory of Open Access Journals (Sweden)

    Juri Nascimbene

    Full Text Available Vineyards are amongst the most intensive forms of agriculture often resulting in simplified landscapes where semi-natural vegetation is restricted to small scattered patches. However, a tendency toward a more sustainable management is stimulating research on biodiversity in these poorly investigated agro-ecosystems. The main aim of this study was to test the effect on plant diversity of management intensity and topography in vineyards located in a homogenous intensive hilly landscape. Specifically, this study evaluated the role of slope, mowing and herbicide treatments frequency, and nitrogen supply in shaping plant diversity and composition of life-history traits. The study was carried out in 25 vineyards located in the area of the Conegliano-Valdobbiadene DOCG (Veneto, NE Italy. In each vineyard, 10 plots were placed and the abundance of all vascular plants was recorded in each plot. Linear multiple regression was used to test the effect of management and topography on plant diversity. Management intensity and topography were both relevant drivers of plant species diversity patterns in our vineyards. The two most important factors were slope and mowing frequency that respectively yielded positive and negative effects on plant diversity. A significant interaction between these two factors was also demonstrated, warning against the detrimental effects of increasing mowing intensity on steep slope where plant communities are more diverse. The response of plant communities to mowing frequency is mediated by a process of selection of resistant growth forms, such in the case of rosulate and reptant species. The other two management-related factors tested in this study, number of herbicide treatments and N fertilization, were less influential. In general, our study corroborates the idea that some simple changes in farming activities, which are compatible with grape production, should be encouraged for improving the natural and cultural value of the

  5. Forest Management Intensity Affects Aquatic Communities in Artificial Tree Holes

    Science.gov (United States)

    Petermann, Jana S.; Rohland, Anja; Sichardt, Nora; Lade, Peggy; Guidetti, Brenda; Weisser, Wolfgang W.; Gossner, Martin M.

    2016-01-01

    Forest management could potentially affect organisms in all forest habitats. However, aquatic communities in water-filled tree-holes may be especially sensitive because of small population sizes, the risk of drought and potential dispersal limitation. We set up artificial tree holes in forest stands subject to different management intensities in two regions in Germany and assessed the influence of local environmental properties (tree-hole opening type, tree diameter, water volume and water temperature) as well as regional drivers (forest management intensity, tree-hole density) on tree-hole insect communities (not considering other organisms such as nematodes or rotifers), detritus content, oxygen and nutrient concentrations. In addition, we compared data from artificial tree holes with data from natural tree holes in the same area to evaluate the methodological approach of using tree-hole analogues. We found that forest management had strong effects on communities in artificial tree holes in both regions and across the season. Abundance and species richness declined, community composition shifted and detritus content declined with increasing forest management intensity. Environmental variables, such as tree-hole density and tree diameter partly explained these changes. However, dispersal limitation, indicated by effects of tree-hole density, generally showed rather weak impacts on communities. Artificial tree holes had higher water temperatures (on average 2°C higher) and oxygen concentrations (on average 25% higher) than natural tree holes. The abundance of organisms was higher but species richness was lower in artificial tree holes. Community composition differed between artificial and natural tree holes. Negative management effects were detectable in both tree-hole systems, despite their abiotic and biotic differences. Our results indicate that forest management has substantial and pervasive effects on tree-hole communities and may alter their structure and

  6. Environmental management in North American mining sector.

    Science.gov (United States)

    Asif, Zunaira; Chen, Zhi

    2016-01-01

    This paper reviews the environmental issues and management practices in the mining sector in the North America. The sustainable measures on waste management are recognized as one of the most serious environmental concerns in the mining industry. For mining activities, it will be no surprise that the metal recovery reagents and acid effluents are a threat to the ecosystem as well as hazards to human health. In addition, poor air quality and ventilation in underground mines can lead to occupational illness and death of workers. Electricity usage and fuel consumption are major factors that contribute to greenhouse gases. On the other hand, many sustainability challenges are faced in the management of tailings and disposal of waste rock. This paper aims to highlight the problems that arise due to poor air quality and acid mine drainage. The paper also addresses some of the advantages and limitations of tailing and waste rock management that still have to be studied in context of the mining sector. This paper suggests that implementation of suitable environmental management tools like life cycle assessment (LCA), cleaner production technologies (CPTs), and multicriteria decision analysis (MCD) are important as it ultimately lead to improve environmental performance and enabling a mine to focus on the next stage of sustainability. PMID:26527335

  7. Gender and Homework Management Reported by African American Students

    Science.gov (United States)

    Xu, Jianzhong

    2010-01-01

    The present study linked gender and grade level to homework management strategies and homework completion behaviours. The participants were 685 African American students in the south-eastern USA, including 370 eighth graders and 315 eleventh graders. Gender appeared related to the majority of homework measures examined in the present study.…

  8. Strategic Management of Quality: An American and British Perspective.

    Science.gov (United States)

    Weller, L. David; McElwee, Gerard

    1997-01-01

    Total Quality Management is being implemented in American and British schools to improve educational outcomes. The 14 points of Deming's quality model and Porter's models of competition and drivers of cost provide a systematic, structured template to promote educational excellence and meet the demands of social, political, and economic forces.…

  9. Difficult airway management from Emergency Department till Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Debasis Pradhan

    2015-01-01

    Full Text Available We report a case of "can ventilate but can′t intubate" situation which was successfully managed in the Emergency Department and Intensive Care Unit by the use of ProSeal laryngeal mask airway and Frova Intubating Introducer as bridging rescue devices. Use of appropriate technique while strictly following the difficult airway algorithm is the mainstay of airway management in unanticipated difficult airway situations. Although the multiple airway devices were used but each step took not more than 2 min and "don′t struggle, skip to the next step principle" was followed. With the availability of many advanced airway management tools, the intensivists should have a training and experience along with preparedness in order to perform such lifesaving airway managements.

  10. Energy resource management for energy-intensive manufacturing industries

    Energy Technology Data Exchange (ETDEWEB)

    Brenner, C.W.; Levangie, J.

    1981-10-01

    A program to introduce energy resource management into an energy-intensive manufacturing industry is presented. The food industry (SIC No. 20) was chosen and 20 companies were selected for interviews, but thirteen were actually visited. The methodology for this program is detailed. Reasons for choosing the food industry are described. The substance of the information gained and the principal conclusions drawn from the interviews are given. Results of the model Energy Resource Management Plan applied to three companies are compiled at length. Strategies for dissemination of the information gained are described. (MCW)

  11. Management of Acute Myeloid Leukemia in the Intensive Care Setting.

    Science.gov (United States)

    Cowan, Andrew J; Altemeier, William A; Johnston, Christine; Gernsheimer, Terry; Becker, Pamela S

    2015-10-01

    Patients with acute myeloid leukemia (AML) who are newly diagnosed or relapsed and those who are receiving cytotoxic chemotherapy are predisposed to conditions such as sepsis due to bacterial and fungal infections, coagulopathies, hemorrhage, metabolic abnormalities, and respiratory and renal failure. These conditions are common reasons for patients with AML to be managed in the intensive care unit (ICU). For patients with AML in the ICU, providers need to be aware of common problems and how to manage them. Understanding the pathophysiology of complications and the recent advances in risk stratification as well as newer therapy for AML are relevant to the critical care provider. PMID:24756309

  12. Energy intensity: A decomposition and counterfactual exercise for Latin American countries

    International Nuclear Information System (INIS)

    This paper investigates trends in energy intensity over the last 40 years. Based on a sample of 75 countries, it applies the Fisher Ideal Index to decompose the energy intensity into the relative contributions of energy efficiency and economic structure. Then, the determinants of these energy indexes are examined through panel data regression techniques. Special attention is lent to Latin American countries (LAC) by comparing its performance to that of a similar set of countries chosen through the synthetic control method. When analyzed by income level, energy intensity has decreased in a range between 40 and 54% in low and medium income countries respectively. Efficiency improvements drive these changes, while the structural effect does not represent a clear source of change. The regression analysis shows that per capita income, petroleum prices, fuel-energy mix, and GDP growth are main determinants of energy intensity and efficiency, while there are no clear correlations with the activity component. In the case of LAC the energy intensity decreased around 20% which could be interpreted as an under-performance. However, the counterfactual exercise suggests that LAC has closed the gap with respect to its synthetic control

  13. Comparison of intensive case management for psychotic and nonpsychotic patients.

    Science.gov (United States)

    Mohamed, Somaia

    2016-02-01

    While the original goal of intensive community-based service programs such as assertive community treatment (ACT) was reduction of hospital use, this goal has diminished in importance because of the extensive reduction in inpatient bed availability and use. This study sought to identify target populations that benefit most from such programs, hypothesizing that those with psychotic symptoms would show more benefits than others because of improved medication compliance. Administrative outcome data from the Department of Veterans Affairs Mental Health Intensive Case Management program from 2008-2011 were compared among 3 groups: (a) veterans clinically diagnosed with a psychotic disorder who also exhibited at least moderately severe psychotic symptoms (N = 2,502); (b) veterans with a psychotic disorder who did not exhibit such symptoms (N = 2,338); and (c) veterans with no psychotic diagnoses (N = 820). Baseline characteristics were compared to identify potentially confounding differences between the groups. Analysis of covariance (ANCOVA) was used to compare changes in symptoms, substance use, and community functioning 6 months after entry. Two significant differences were observed between the 3 groups after controlling for baseline measures, but not in the hypothesized direction, thus failing to confirm our hypothesis. Although we did not find evidence that patients with psychotic symptoms benefit any more from intensive community-based care than other participants, this study highlights a need to clarify the role of intensive case management (ICM) services in a context in which minimizing inpatient care plays is a less central objective, and tends to encourage offering ACT to selected patients with nonpsychotic disorders. PMID:26168139

  14. Production Performance of Fayoumi Chicken under Intensive Management

    OpenAIRE

    M K I Khan; M.J. Khatun; M.S.A. Bhuiyan; R. Sharmin

    2006-01-01

    This study was conducted at Chittagong Government Veterinary College Pahartali, Chittagong to know the productive performance of Fayoumi chicken under intensive management. The Fayoumi pullets were collected from the Regional Government Poultry Farm, Pahartali, Chittagong, Bangladesh. The age and weight of each chicken were recorded at the laying of first egg and obtained the age and weight at sexual maturity was 163.63±1.17 days and 1253.11±16.42 g, respectively. Daily egg production was rec...

  15. The agrodiversity experiment : three years of data from a multisite study in intensively managed grasslands

    NARCIS (Netherlands)

    Kirwan, L.; Connolly, J.; Brophy, C.; Elgersma, A.

    2014-01-01

    Intensively managed grasslands are globally prominent ecosystems. We investigated whether experimental increases in plant diversity in intensively managed grassland communities can increase their resource use efficiency. This work consisted of a coordinated, continental-scale 33-site experiment. The

  16. Cluster based parallel database management system for data intensive computing

    Institute of Scientific and Technical Information of China (English)

    Jianzhong LI; Wei ZHANG

    2009-01-01

    This paper describes a computer-cluster based parallel database management system (DBMS), InfiniteDB, developed by the authors. InfiniteDB aims at efficiently sup-port data intensive computing in response to the rapid grow-ing in database size and the need of high performance ana-lyzing of massive databases. It can be efficiently executed in the computing system composed by thousands of computers such as cloud computing system. It supports the parallelisms of intra-query, inter-query, intra-operation, inter-operation and pipelining. It provides effective strategies for managing massive databases including the multiple data declustering methods, the declustering-aware algorithms for relational operations and other database operations, and the adaptive query optimization method. It also provides the functions of parallel data warehousing and data mining, the coordinator-wrapper mechanism to support the integration of heteroge-neous information resources on the Internet, and the fault tol-erant and resilient infrastructures. It has been used in many applications and has proved quite effective for data intensive computing.

  17. EFFECTS OF HIGH AND LOW MANAGEMENT INTENSITY ON PROFITABILITY FOR THREE WATERMELON GENOTYPES

    OpenAIRE

    Taylor, Merritt J.; Lu, Wenhua; Duthie, James A; Roberts, B. Warren; Edelson, Jonathan V.

    2003-01-01

    A replicated, small plot study on watermelon [Citrullus lanatus (Thunberg) Matsumura and Nakai] in 1997, 1999, and 2000 revealed that production management intensity affected yields and profitability of watermelon, in Oklahoma. Management intensity was based on a combination of cultural practices and levels of use of production methods. Low intensity management (LM) consisted of use of soil fertilization and weed control. High intensity management (HM) included the same weed control and ferti...

  18. IML-CZO: Critical Zone Observatory for Intensively Managed Landscapes

    Science.gov (United States)

    Kumar, Praveen; Papanicolaou, Thanos

    2014-05-01

    Intensively managed landscapes, regions of significant land use change, serve as a cradle for economic prosperity. However, the intensity of change is responsible for unintended deterioration of our land and water environments. By understanding present day dynamics in the context of long-term co-evolution of the Critical Zone comprising of the landscape, soil and biota, IML-CZO aims to support the assessment of short- and long-term resilience of the crucial ecological, hydrological and climatic services provided by the Critical Zone. An observational network of three sites in Illinois, Iowa, and Minnesota that capture the geological diversity of the low relief, glaciated, and tile-drained landscape will drive novel scientific and technological advances. IML-CZO will provide leadership in developing the next generation of scientists and practitioners, and informing management strategies aimed at reducing the vulnerability of the system to present and emerging trends in human activities. IML-CZO, one of the nine observatories funded by the United States National Science Foundation (NSF), consists of two core sites: the 3,690- sq. km. Upper Sangamon River Basin in Illinois and 270-sq. km. Clear Creek Watershed in Iowa, along with the 44,000- sq. km. Minnesota River Basin as third participating site. These sites together are characterized by low-relief landscapes with poorly drained soils and represent a broad range of physiographic variations found throughout the glaciated Midwest, and thereby provide an opportunity to advance understanding of the CZO in this important region. Through novel measurements, analysis and modeling, IML-CZO aims to address the following questions: • How do different time scales of geologic evolution and anthropogenic influence interact to determine the trajectory of CZ structure and function? • How is the co-evolution of biota, consisting of both vegetation and microbes, and soil affected due to intensive management? • How have

  19. Enrichment Ratio and Aggregate Stability Dynamics in Intensely Managed Landscapes

    Science.gov (United States)

    Wacha, K.; Papanicolaou, T.; Filley, T. R.; Hou, T.; Abban, B. K.; Wilson, C. G.; Boys, J.

    2015-12-01

    Challenges in understanding the soil carbon dynamics within intensely managed landscapes (IMLs), found throughout much the US Midwest, is highly complex due to the presence of heterogeneous landscape features and properties, as well as a mosaic of physical and biogeochemical processes occurring at different time scales. In addition, rainfall events exacerbate the effects of tillage by the impact of raindrops, which break down aggregates that encase carbon and dislodge and entrain soil particles and aggregates along the downslope. The redistribution of soil and carbon can have huge implications on biogeochemical cycling and overall carbon budgeting. In this study, we provide some rare field data on the mechanisms impacting aggregate stability, enrichment ratio values to estimate fluxes of carbon, as well as lignin chemistry to see influences on oxidation/mineralization rates. Rainfall simulation experiments were conducted within agricultural fields. Experiments were performed on the midslope (eroding) and toeslope (depositional) sections of representative hillslopes, under a variety of land managements, including row crop (conventional and conservation) and restored grasslands. Sensors were utilized to capture the evolution of soil moisture, temperature, microbial respiration pulses, and discharge rates to identify pseudo-steady state conditions. Samples collected at the weir outlet were tested for sediment concentrations and size fractions, as well as carbon and lignin fluxes. Preliminary findings show that conservation management practices have higher aggregate stability and decreased mass fluxes of carbon in the downslope than conventional tillage techniques.

  20. Part 2, Conflict management. Managing low-to-mid intensity conflict in the health care setting.

    Science.gov (United States)

    Aschenbrener, C A; Siders, C T

    1999-01-01

    Physician executives face low to mid-level intensity conflicts, day-to-day issues and problems associated with pressures and changes in the health care environment. Such conflicts can be sorted on the basis of relationship, duration, and intensity. The authors apply the five major modes of conflict management--competition, avoidance, compromise, accommodation, and collaboration--to specific scenarios taken from their work in health care and suggest guidelines for managing conflicts with peers, supervisees, and authority figures. Thorough preparation and a portfolio of skills build flexibility through the conflict management process. In part 1 of this article series, the authors presented the conflict management checklist, a diagnostic tool for assessing conflict in organizations. PMID:10558283

  1. Performance Management in Self-Managing Teams : A case study of a knowledge-intensive company

    OpenAIRE

    Eriksson, Emelie; Öjersson, Emelie

    2012-01-01

    For many companies, especially the ones that are knowledge-intensive such as consulting companies or service delivery firms, it has been increasingly popular to organize the employees in so called self-managing teams. These teams have proven to increase efficiency as they reduce overhead costs by not having the need of being supervised by a manager. These teams should handle the daily work tasks by themselves as well as make decisions, handle the teams’ development in line with company desire...

  2. The residence time of intensively managed agricultural landscapes

    Science.gov (United States)

    Bowling, Laura; Cherkauer, Keith; Chiu, Chun-mei; Rahman, Sanoar

    2015-04-01

    Much of the agricultural landscape across the Midwestern United States is intensively managed through numerous surface and subsurface drainage improvements, and the growing extraction of groundwater resources. The relatively recent glaciation of the North Central region means that the landscape is less dissected and hydrologically connected than older till areas. Low topographic gradients and underlying dense till which restricts vertical water movement, as well as kettle depressions, have led to poorly drained soils and extensive wetlands within the landscape. Large areas of this land could only be farmed once the excess water was removed through artificial surface and subsurface drainage. Conventional wisdom in the region maintains that subsurface tile drainage reduces the occurrence of peak flow events by increasing soil water storage capacity. At the watershed scale, this view does not take into account the coincident increase in surface drainage and reduction in residence time in surface depressions. This paper explores to what degree water management and irrigation has changed surface and subsurface water storage and residence time over the last century and how this has impacted flow duration throughout the Wabash River system in Indiana, USA. The effects of subsurface tile drains, wetlands and aquifer storage are explicitly represented within the Variable Infiltration Capacity (VIC) macroscale hydrology model. We maintain a focus on the entire Wabash River, a river system of historic importance that is also representative of many similar areas in the till plain region of the agricultural Midwest, which contribute to water quality and flood dynamics of the Mississippi river system. By lowering the water table, surface and subsurface drainage improvements have increased the subsurface storage capacity at the beginning of rain events, but this is overwhelmed by the decrease in surface storage capacity for intermediate to large events, decreasing the current

  3. Stormwater management the American way: why no policy transfer?

    Directory of Open Access Journals (Sweden)

    David P. Dolowitz

    2015-09-01

    Full Text Available From the 1940s until the 1980s the federal government gradually extended its authority over the structure of the American stormwater management system. The goal was to improve the water quality of the nation’s waterways by regulating the pollution loads entering the system, primarily through the use of gray infrastructure. However during the1980s the Environmental Protection Agency (EPA began to explore new approaches toward the regulation of stormwater pollution. Instead of focusing only on gray mechanisms, the EPA began developing and promoting the use of low impact development (LID techniques as an element municipal governments could use to achieve their total maxim daily load of pollutants allowable under the National Pollutant Discharge Elimination System permit system. In light of the incentive offered by the EPA for the use of LID in the management of stormwater, it should be expected to provide a perfect area to observe policy transfer between federal, state and local governments; but it does not. This article will establish why the EPA began promoting a green approach to stormwater management and why this has not led to a widespread transfer of best management practices in the ways the literatures associated with federalism and policy transfer would suggest.

  4. 25 CFR 183.3 - Does the American Indian Trust Fund Management Reform Act of 1994 apply to this part?

    Science.gov (United States)

    2010-04-01

    ... CARLOS APACHE TRIBE LEASE FUND Introduction § 183.3 Does the American Indian Trust Fund Management Reform... 25 Indians 1 2010-04-01 2010-04-01 false Does the American Indian Trust Fund Management Reform Act... accordance with the American Indian Trust Funds Management Act of 1994 (Management Act), except where...

  5. Reading and analysis on management guidelines for hyperthyroidism published in 2011 by American Thyroid Association and American Association of Clinical Endocrinologists

    International Nuclear Information System (INIS)

    Recently, the American Thyroid Association and American Association of Clinical Endocrinologists published 'Hyperthyroidism and other causes of thyrotoxicosis: management guidelines of the American Thyroid Association and American Association of Clinical Endocrinologists', and created 100 evidence-based recommendations. The guideline systematically introduced the diagnoses and therapies of hyperthyroidism, emphasizing the indications, contraindications, preparations, methodologies and follow-up strategies. The guideline also provided detailed management principles for hyperthyroidism in children and pregnancy, Graves' ophthalmopathy and some unusual causes of hyperthyroidism. (authors)

  6. Maximizing Conservation and Production with Intensive Forest Management: It's All About Location

    Science.gov (United States)

    Tittler, Rebecca; Filotas, Élise; Kroese, Jasmin; Messier, Christian

    2015-11-01

    Functional zoning has been suggested as a way to balance the needs of a viable forest industry with those of healthy ecosystems. Under this system, part of the forest is set aside for protected areas, counterbalanced by intensive and extensive management of the rest of the forest. Studies indicate this may provide adequate timber while minimizing road construction and favoring the development of large mature and old stands. However, it is unclear how the spatial arrangement of intensive management areas may affect the success of this zoning. Should these areas be agglomerated or dispersed throughout the forest landscape? Should managers prioritize (a) proximity to existing roads, (b) distance from protected areas, or (c) site-specific productivity? We use a spatially explicit landscape simulation model to examine the effects of different spatial scenarios on landscape structure, connectivity for native forest wildlife, stand diversity, harvest volume, and road construction: (1) random placement of intensive management areas, and (2-8) all possible combinations of rules (a)-(c). Results favor the agglomeration of intensive management areas. For most wildlife species, connectivity was the highest when intensive management was far from the protected areas. This scenario also resulted in relatively high harvest volumes. Maximizing distance of intensive management areas from protected areas may therefore be the best way to maximize the benefits of intensive management areas while minimizing their potentially negative effects on forest structure and biodiversity.

  7. Differences between Finnish and American management styles – Experiences from an employee point of view

    OpenAIRE

    Vesterinen, Kerttu-Kaarina

    2012-01-01

    Background and objective of the study I have chosen the topic because of my personal interest in the subject and since it has been recently in the headlines. I believe that management will be more and more studied and therefore also better understood by managers. The objective of the research was to find out strengths and weaknesses of American management style in Finland. Methodology and the theoretical framework The study is based on my experiences from American companies. I have...

  8. Hydrologic and Water Quality Assessment from an Intensively Managed Watershed Scale Turfgrass System

    Science.gov (United States)

    Managed turf accounts for approximately 17 million hectares of land in the U.S. and is the most intensively managed system in the urban landscape. The primary objective of this research effort was to assess the watershed scale hydrologic and surface water quality impact from a well managed golf cour...

  9. Utilization and environmental management of residues from intensive animal production

    Science.gov (United States)

    Animal manures are traditional sources of nutrients in agriculture. Under proper management, manures provide nutrients to soil, reducing or eliminating the use of commercial fertilizers, as well as organic carbon that improves soil physical properties and soil health. However, excessive application ...

  10. Bridging the Gap: An Exploration of American and Norwegian communication and management patterns in the workplace

    OpenAIRE

    Kokonaski, Natassja

    2015-01-01

    The purpose of this study is to explore the nuances of Norwegian-American manager-employee relationships, particularly as they relate to the influence of cultural background upon workplace environment, management tactics, and communication efforts in each group. As globalization continues to be a driving force in the international market, American and Norwegian professionals are becoming increasingly interconnected. While these cultures may seem similar at a glance, subtle differences exis...

  11. Simulation of the Effect of Intensive Forest Management on Forest Production in Sweden

    OpenAIRE

    Ola Rosvall; Anders Lundström; Ulf Johansson; Nils Fahlvik; Urban Nilsson

    2011-01-01

    The effects of intensifying the management of 15% of the Swedish forest land on potential future forest production over a 100-year period were investigated in a simulation study. The intensive management treatments, which were introduced over a period of 50 years, were: intensive fertilization of Norway spruce (IntFert); bulking-up Norway spruce elite populations using somatic embryogenesis (SE-seedlings); planting of lodgepole pine, hybrid larch, and Sitka spruce (Contorta, Larch, and Sitka)...

  12. Alcoholic hepatitis—the case for intensive management

    OpenAIRE

    O'Beirne, J; Patch, D; Holt, S; Hamilton, M.; Burroughs, A.

    2000-01-01

    Alcoholic hepatitis is a common condition with a high mortality. Although treatment options for established alcoholic hepatitis are limited, many of the complications of this condition are preventable. This case report and discussion illustrate the important role of early diagnosis and intervention in this patient group. Important management points are stressed to aid physicians who may encounter this condition rarely.


Keywords: alcoholic hepatitis; ascites; hepatorenal syndrome; cirrhosis...

  13. Evidence and consensus based guideline for the management of delirium, analgesia, and sedation in intensive care medicine. Revision 2015 (DAS-Guideline 2015 – short version

    Directory of Open Access Journals (Sweden)

    DAS-Taskforce 2015

    2015-11-01

    Full Text Available In 2010, under the guidance of the DGAI (German Society of Anaesthesiology and Intensive Care Medicine and DIVI (German Interdisciplinary Association for Intensive Care and Emergency Medicine, twelve German medical societies published the “Evidence- and Consensus-based Guidelines on the Management of Analgesia, Sedation and Delirium in Intensive Care”. Since then, several new studies and publications have considerably increased the body of evidence, including the new recommendations from the American College of Critical Care Medicine (ACCM in conjunction with Society of Critical Care Medicine (SCCM and American Society of Health-System Pharmacists (ASHP from 2013. For this update, a major restructuring and extension of the guidelines were needed in order to cover new aspects of treatment, such as sleep and anxiety management. The literature was systematically searched and evaluated using the criteria of the Oxford Center of Evidence Based Medicine. The body of evidence used to formulate these recommendations was reviewed and approved by representatives of 17 national societies. Three grades of recommendation were used as follows: Grade “A” (strong recommendation, Grade “B” (recommendation and Grade “0” (open recommendation. The result is a comprehensive, interdisciplinary, evidence and consensus-based set of level 3 guidelines. This publication was designed for all ICU professionals, and takes into account all critically ill patient populations. It represents a guide to symptom-oriented prevention, diagnosis, and treatment of delirium, anxiety, stress, and protocol-based analgesia, sedation, and sleep-management in intensive care medicine.

  14. Evidence and consensus based guideline for the management of delirium, analgesia, and sedation in intensive care medicine. Revision 2015 (DAS-Guideline 2015) – short version

    Science.gov (United States)

    Baron, Ralf; Binder, Andreas; Biniek, Rolf; Braune, Stephan; Buerkle, Hartmut; Dall, Peter; Demirakca, Sueha; Eckardt, Rahel; Eggers, Verena; Eichler, Ingolf; Fietze, Ingo; Freys, Stephan; Fründ, Andreas; Garten, Lars; Gohrbandt, Bernhard; Harth, Irene; Hartl, Wolfgang; Heppner, Hans-Jürgen; Horter, Johannes; Huth, Ralf; Janssens, Uwe; Jungk, Christine; Kaeuper, Kristin Maria; Kessler, Paul; Kleinschmidt, Stefan; Kochanek, Matthias; Kumpf, Matthias; Meiser, Andreas; Mueller, Anika; Orth, Maritta; Putensen, Christian; Roth, Bernd; Schaefer, Michael; Schaefers, Rainhild; Schellongowski, Peter; Schindler, Monika; Schmitt, Reinhard; Scholz, Jens; Schroeder, Stefan; Schwarzmann, Gerhard; Spies, Claudia; Stingele, Robert; Tonner, Peter; Trieschmann, Uwe; Tryba, Michael; Wappler, Frank; Waydhas, Christian; Weiss, Bjoern; Weisshaar, Guido

    2015-01-01

    In 2010, under the guidance of the DGAI (German Society of Anaesthesiology and Intensive Care Medicine) and DIVI (German Interdisciplinary Association for Intensive Care and Emergency Medicine), twelve German medical societies published the “Evidence- and Consensus-based Guidelines on the Management of Analgesia, Sedation and Delirium in Intensive Care”. Since then, several new studies and publications have considerably increased the body of evidence, including the new recommendations from the American College of Critical Care Medicine (ACCM) in conjunction with Society of Critical Care Medicine (SCCM) and American Society of Health-System Pharmacists (ASHP) from 2013. For this update, a major restructuring and extension of the guidelines were needed in order to cover new aspects of treatment, such as sleep and anxiety management. The literature was systematically searched and evaluated using the criteria of the Oxford Center of Evidence Based Medicine. The body of evidence used to formulate these recommendations was reviewed and approved by representatives of 17 national societies. Three grades of recommendation were used as follows: Grade “A” (strong recommendation), Grade “B” (recommendation) and Grade “0” (open recommendation). The result is a comprehensive, interdisciplinary, evidence and consensus-based set of level 3 guidelines. This publication was designed for all ICU professionals, and takes into account all critically ill patient populations. It represents a guide to symptom-oriented prevention, diagnosis, and treatment of delirium, anxiety, stress, and protocol-based analgesia, sedation, and sleep-management in intensive care medicine. PMID:26609286

  15. Root Zone Sensors for Irrigation Management in Intensive Agriculture

    Directory of Open Access Journals (Sweden)

    Jochen Hemming

    2009-04-01

    Full Text Available Crop irrigation uses more than 70% of the world’s water, and thus, improving irrigation efficiency is decisive to sustain the food demand from a fast-growing world population. This objective may be accomplished by cultivating more water-efficient crop species and/or through the application of efficient irrigation systems, which includes the implementation of a suitable method for precise scheduling. At the farm level, irrigation is generally scheduled based on the grower’s experience or on the determination of soil water balance (weather-based method. An alternative approach entails the measurement of soil water status. Expensive and sophisticated root zone sensors (RZS, such as neutron probes, are available for the use of soil and plant scientists, while cheap and practical devices are needed for irrigation management in commercial crops. The paper illustrates the main features of RZS’ (for both soil moisture and salinity marketed for the irrigation industry and discusses how such sensors may be integrated in a wireless network for computer-controlled irrigation and used for innovative irrigation strategies, such as deficit or dual-water irrigation. The paper also consider the main results of recent or current research works conducted by the authors in Tuscany (Italy on the irrigation management of container-grown ornamental plants, which is an important agricultural sector in Italy.

  16. Current Soil Nutrient Status of Intensively Managed Greenhouses

    Institute of Scientific and Technical Information of China (English)

    HU Yun-Cai; SONG Zhi-Wen; LU Wen-Long; C.POSCHENRIEDER; U.SCHMIDHALTER

    2012-01-01

    Nine districts covering the main greenhouse vegetable areas in Tianjin Municipality of the North China Plain were selected for the soil investigation in 2010 to survey the current soil nutrient status (soil available N,P and K),acidification and salinization due to excessive input of fertilizers in greenhouses in Tianjin. The study showed that,in particular,soil available P content increased with the age of greenhouses.In contrast,our results did not reveal higher K accumulation and lowered pH in the greenhouse soils compared with cultivation in open fields.Over-fertilization,causing high NO3- accumulation,most likely resulted in salinity problems in the greenhouses.Ninety percent of the investigated greenhouse soils had electrical conductivity values of saturated paste extracts of 2-10 d S m-1,which might affect the yields of vegetable crops like green bean,pepper,cabbage,carrot,eggplant,lettuce,spinach,celery,cucumber and tomato. The findings of our survey of the current fertility and salinity problems in greenhouse soils suggest that there is an urgent need to improve the farmers' practices and strategies in fertilization management in greenhouses of China.Because education and the agricultural technical extension services may play a more important role in avoiding overuse of fertilizers,we suggest that current nutrient management practices should be improved in the near future through training of local farmers in farmers' schools and through strengthening the agricultural extension services with practical techniques.

  17. RISK MANAGEMENT AND THE ENVIRONMENT: IMPACTS AT THE INTENSIVE AND EXTENSIVE MARGINS

    OpenAIRE

    Soule, Meredith J.; Nimon, R. Wesley; Mullarkey, Daniel J.

    2001-01-01

    Risk management programs, such as subsidized crop insurance, affect production decisions at both the intensive (input use) and extensive(land use) margins. The production decisions in turn affect the environment. This paper reviews and synthesizes the literature linking risk management policies and environmental outcomes and points to future research needs.

  18. Marx’s Agricultural Intensive Management Thought and Its Guiding Significance

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    Through analyzing Marx’s agricultural intensive management thought,this paper points out that the existence and development of agricultural management mode experience historical course and the development of agricultural intensification depends on many objective conditions.On the basis of this,it discusses the guiding significance of Marx’s agricultural intensive management thought to China’s agricultural development.It is required to fully realize basic current situations of China’s agriculture,widely popularize agricultural mechanization and electrification,speed up artificial transformation of soil structure,promote chemical application of agriculture,make rational use of water resource,and spread improved seeds.

  19. Home-Based Diabetes Symptom Self-Management Education for Mexican Americans with Type 2 Diabetes

    Science.gov (United States)

    García, Alexandra A.; Brown, Sharon A.; Horner, Sharon D.; Zuñiga, Julie; Arheart, Kristopher L.

    2015-01-01

    This pilot study evaluated an innovative diabetes symptom awareness and self-management educational program for Mexican Americans, a fast growing minority population experiencing a diabetes epidemic. Patients with diabetes need assistance interpreting and managing symptoms, which are often annoying and potentially life-threatening. A repeated…

  20. Native American Technical Assistance and Training for Renewable Energy Resource Development and Electrical Generation Facilities Management

    Energy Technology Data Exchange (ETDEWEB)

    A. David Lester

    2008-10-17

    The Council of Energy Resource Tribes (CERT) will facilitate technical expertise and training of Native Americans in renewable energy resource development for electrical generation facilities, and distributed generation options contributing to feasibility studies, strategic planning and visioning. CERT will also provide information to Tribes on energy efficiency and energy management techniques.This project will provide facilitation and coordination of expertise from government agencies and private industries to interact with Native Americans in ways that will result in renewable energy resource development, energy efficiency program development, and electrical generation facilities management by Tribal entities. The intent of this cooperative agreement is to help build capacity within the Tribes to manage these important resources.

  1. International Transfers of Managers in North American and European MNEs

    OpenAIRE

    Daniel Ondrack

    1985-01-01

    Global-scale MNEs require a network of managers to direct and control operations around the world. Managerial resources for these jobs can be managers from the headquarters country, host and third countries. International transfers can be for specific staffing needs, for management development and for organization development. The general hypothesis examined in this paper was the global scale MNEs would operate in a regio-or geocentric fashion with full integration of the world pool of manage...

  2. Variation in pupil diameter in North American Gartersnakes (Thamnophis) is regulated by immersion in water, not by light intensity.

    Science.gov (United States)

    Fontenot, Clifford L

    2008-07-01

    A variable pupil generally regulates the amount of incoming light available for image formation on the retina. However, some of the semi-aquatic snakes (North American Gartersnakes, Thamnophis) that forage in relatively low light conditions reduce the pupil aperture in response to submergence underwater at the expense incoming light. Given that these snakes have all-cone retinas, reduction of incoming light because of pupillary constriction upon immersion seems counterintuitive. To test the effect of light and water on pupil aperture, three species of North American Gartersnakes (T. atratus, T. hammondii, and T. sirtalis) were exposed to nine light intensities in air and water. There was no effect of light on relative pupil aperture for any species. However, all three species showed a significant reduction in pupil aperture upon submergence underwater. The lack of a light response is surprising, and may be related to the method of accommodation in snakes. Snakes lack a ciliary muscle, and move the lens by constricting the pupil, which increases pressure in the posterior chamber and pushes the lens forward. Upon submergence, the snakes may be attempting to overcome the change in refractive index and defocus imposed by the water, by constricting the pupil. Thus, having the iris muscle involved in accommodation may preclude it from much of a light regulating function. PMID:18514250

  3. Attention-Deficit/Hyperactivity Disorder: Presentation and Management in the Haitian American Child

    OpenAIRE

    Prudent, Nicole; Johnson, Peggy; Carroll, Jennifer; Culpepper, Larry

    2005-01-01

    A case study of a young Haitian American is presented that is illustrative of cultural issues that influence care of those with attention-deficit/hyperactivity disorder (ADHD). Medications are the preferred treatment for ADHD and can be combined with psychological intervention. However, many Haitians and Haitian Americans see psychoactive medications as leading to substance abuse or mental illness. Efficacious psychosocial treatments include contingency management, parent training, and behavi...

  4. Chinese American Parents’ Acculturation and Enculturation, Bicultural Management Difficulty, Depressive Symptoms, and Parenting

    OpenAIRE

    Kim, Su Yeong; Shen, Yishan; Huang, Xuan; Wang, Yijie; Orozco-Lapray, Diana

    2014-01-01

    This study examined whether Chinese American parents’ acculturation and enculturation were related to parenting practices (punitive parenting, democratic child participation, and inductive reasoning) indirectly through the mediation of parents’ bicultural management difficulty and parental depressed mood. Data came from a two-wave study of Chinese American families in Northern California. Mothers and fathers were assessed when their children were in early adolescence and then again in middle ...

  5. Towards a physiological basis for intensive culture of American sycamore, Platanus occidentalis L

    International Nuclear Information System (INIS)

    The light environment of forest canopies is complex leading to differentiation in morphological development and alteration of physiological processes that are important for the proper combination of genotype and site factors to maximize final yield. To select leaves and plants of a uniform age plastochron and leaf plastochron indices were developed for American sycamore Platanus occidentalis L. The application of these indices was useful in selecting a population of plants of uniform age and, morphological development, and useful in selecting leaves of uniform age within the zone of leaf development. Labeling studies in which leaves of specific ages were fed 14CO2 indicated that leaves of this species undergo transitions in degree and direction of export. Acropetal export of photosynthates conforms to a phyllotactic sequence, suggesting a relationship between arrangement of vascular bundles and phyllotaxy. Examination of the 14CO2 labeling patterns in source leaves (LPI 2.0) showed rapid incorporation of label into amino acid, sugar, and organic acid chemical pools that can be used to in situ synthesis of proteins, lipids, and other structural components. However as the irradiance regime under which the plants were grown decreased, leaves partitioned more fixed 14CO2 into starch than into the water soluble fraction from which metabolic and structural components as well as a transport species could be synthesized

  6. (Dis) connections between management and care in a surgical intensive care unit

    OpenAIRE

    Borges, Maria Cristina Leite Araujo; Silva, Lucilane Maria Sales da

    2013-01-01

    Objective: The objective was to understand the perception of the nursing team on the (dis)connections between management actions and care performed by nurses in a surgical intensive care unit. Method: Exploratory research with qualitative approach carried out in a surgical intensive care unit of a hospital in the public net of Fortaleza-CE, Brazil. Data was collected between March and July 2011, through semi-structured interviews and systematic observations, with 20 nursing ...

  7. Regional anesthesia for management of acute pain in the intensive care unit

    OpenAIRE

    Pinto, Mario; Dagal, Armagan; O’Donnell, Brendan; Stogicza, Agnes; Chiu, Sheila; Edwards, William Thomas

    2015-01-01

    Pain is a major problem for Intensive Care Unit (ICU) patients. Despite numerous improvements it is estimated that as many as 70% of the patients experience moderate-to-severe postoperative pain during their stay in the ICU. Effective pain management means not only decreasing pain intensity, but also reducing the opioids’ side effects. Minimizing nausea, vomiting, urinary retention, and sedation may indeed facilitate patient recovery and it is likely to shorten the ICU and hospital stay. Adeq...

  8. Talent Management Programmes at British, American and Canadian Universities: Comparative Study

    OpenAIRE

    Boichenko Maryna

    2015-01-01

    The article deals with the peculiarities of talent management programmes implementation at the top British, American and Canadian universities. The essence of the main concepts of research - talent and talent management - has been revealed. Talent management is referred to as the systematic attraction, identification, development, engagement, retention and deployment of those individuals who are of particular value to an organization, either in view of their “high potential” for the future or...

  9. A Scoping Review of Behavioral Weight Management Interventions in Overweight/Obese African American Females.

    Science.gov (United States)

    Sutton, Suzanne M; Magwood, Gayenell S; Jenkins, Carolyn H; Nemeth, Lynne S

    2016-08-01

    African American females are adversely affected by overweight and obesity and accompanying physical, psychosocial, and economic consequences. Behavioral weight management interventions are less effective in addressing the needs of overweight and obese African American females. The objective of this scoping review was to explore weight management research in this population to identify key concepts, gaps in the literature, and implications for future research. Analyses revealed a broad array in purpose, theoretical frameworks, settings, study designs, interventions, intervention strategies, and outcome variables, making comparison difficult. Many of the articles included in this review did not provide a rich description of methods, which hinder their use in the development of future studies. Consistent application of a combined theory may address the gaps identified in this review by providing a reliable method for assessing needs, developing interventions, and evaluating the effectiveness and fidelity of behavioral weight management interventions in overweight and obese African American females. PMID:26927607

  10. Does management intensity in inter rows effect soil physical properties in Austrian and Romanian vineyards?

    Science.gov (United States)

    Bauer, Thomas; Strauss, Peter; Stiper, Katrin; Klipa, Vladimir; Popescu, Daniela; Winter, Silvia; Zaller, Johann G.

    2016-04-01

    Successful viticulture is mainly influenced by soil and climate. The availability of water during the growing season highly influences wine quality and quantity. To protect soil from being eroded most of the winegrowers keep the inter row zones of the vineyards green. Greening also helps to provide water-stress to the grapes for harvesting high quality wines. However, these greening strategies concerning the intensity of inter row management differ from farm to farm and are mainly based on personal experience of the winegrowers. However to what extent different inter row management practices affect soil physical properties are not clearly understood yet. To measure possible effects of inter row management in vineyards on soil physical parameters we selected paired vineyards with different inter row management in Austria and Romania. In total more than 7000 soil analysis were conducted for saturated and unsaturated hydraulic conductivity, soil water retention, water stable aggregates, total organic carbon, cation exchange capacity, potassium, phosphorous, soil texture, bulk density and water infiltration. The comparison between high intensity management with at least one soil disturbance per year, medium intensity with one soil disturbance every second inter row per year and low intensity management with no soil disturbance since at least 5 years indicates that investigated soil physical properties did not improve for the upper soil layer (3-8cm). This is in contrast to general perceptions of improved soil physical properties due to low intensity of inter row management, i.e. permanent vegetated inter rows. This may be attributed to long term and high frequency mechanical stress by agricultural machinery in inter rows.

  11. Quicker, Better, Cheaper? Managing Performance in American Government.

    Science.gov (United States)

    Forsythe, Dall W., Ed.

    These case studies and analytic essays are intended to give the reader a richer understanding of when and how top managers succeed or fail in their efforts to use performance management (PM) systems to improve the functioning of federal, state, and local government in the United States (U.S.). The question mark in the title is intended to remind…

  12. Crew resource management training in the intensive care unit: a multisite controlled before-after study.

    NARCIS (Netherlands)

    Kemper, P.F.; Bruijne, M. de; Dyck, C. van; So, R.L.; Tangkau, P.; Wagner, C.

    2016-01-01

    Introduction There is a growing awareness today that adverse events in the intensive care unit (ICU) are more often caused by problems related to non-technical skills than by a lack of technical, or clinical, expertise. Team training, such as crew resource management (CRM), aims to improve these non

  13. Ultimate biochemical oxygen demand in semi-intensively managed shrimp pond waters

    Science.gov (United States)

    Three independent studies were conducted to quantified ultimate biochemical oxygen demand (UBOD) and the corresponding decomposition rate constant for production pond (average 21.5 ha each) waters and effluents on six semi-intensively managed marine shrimp (Litopenaeus vannamei) farms in Honduras. S...

  14. An Analysis of Intensive Mode Pedagogy in Management Education in India

    Science.gov (United States)

    Mishra, Sita; Nargundkar, Rajendra

    2015-01-01

    Purpose: Management education is at its peak in India. But pedagogy and modes of delivery are not always innovative compared to top international Business Schools. It is through experimentation that the paper may be able to discover what works best in our context. The purpose of this paper is to determine the effectiveness of intensive mode of…

  15. Forest Management and Forest Sector of Russia: Conditions and Ways for Transition to Intensive Model

    Directory of Open Access Journals (Sweden)

    N. A. Moiseev

    2014-02-01

    Full Text Available The causes for protracted crisis at the system of forest management and development of forest sector in Russia are discussed in the paper and recommendations for recovery from recession have been done based on transition from extensive to the intensive model of development.

  16. Challenges in participatory primary stress management interventions in knowledge intensive SMEs

    DEFF Research Database (Denmark)

    Gish, Liv; Ipsen, Christine

    2013-01-01

    While knowledge intensive SMEs have recognized the need for change with respect to productivity and wellbeing, and to some extend have access to tools and methods for enabling this, they still lack process competences and are uncertain about how to approach primary stress interventions and initiate...... relevant change processes. This paper presents the outline of our research and development project on participatory primary stress management interventions in knowledge intensive SMEs, as well as the preliminary results and related implications. The research and development project is conducted in order to...... develop an operational model which SMEs can use when they want to initiate participatory primary stress management interventions in their company. The development project builds on a process model for participatory primary interventions in larger knowledge intensive companies and the premises behind this...

  17. Management accounting and control systems used by R&D intensive firms in different organizational life-cycle stages

    OpenAIRE

    Silvola, H. (Hanna)

    2007-01-01

    Abstract This dissertation investigates the use of management accounting and control systems in R&D intensive firms in different organizational life-cycle stages. The thesis consists of four essays focusing on two categories of management accounting and control systems: capital budgeting decisions and management control systems. First, we investigate the evaluation and financing of investment projects in R&D intensive firms. Second, we moreover investigate how R&D intensive fir...

  18. Scanning tour USA. Traffic management: the American blend

    OpenAIRE

    Immers, B.; Taale, H.; Wilmink, I.R.; Katwijk, R.T. van; Schuurman, H.; Hoogendoorn, S.; Wilmink, A.

    2013-01-01

    In The Netherlands traffic management is being considered a serious policy option to deal with traffic congestion and its negative impact on safety, economy and livability. Building new roads is often not feasible due to a lack of space, environmental and funding issues. Also, pricing is not an option for the next couple of years due to political reasons. That leaves traffic management as the way to move forward to deal with the still increasing amount of mobility. The purpose of traffic mana...

  19. Evaluation of corporate energy management practices of energy intensive industries in Turkey

    International Nuclear Information System (INIS)

    Turkey is one of a number of countries who still lack a national management standard for energy. Industrial energy consumption accounts for 42% of Turkey's total energy consumption. With the help of a questionnaire and analytical framework, this paper investigates Industrial Energy Management Practice in Turkey and highlights significant bottlenecks and shortcomings of energy intensive industries in terms of energy management application. The survey was carried out as a multiple case study of the Turkish iron, steel, cement, paper, ceramics and textile industries. Outcomes of the questionnaire are evaluated according to the analytical framework which covers company characteristics, regulations, external relations of the companies and internal organizational conditions. After analyzing these elements on the basis of a minimum requirement list, it was found that only 22% of the surveyed companies actually practice corporate energy management in Turkey. The main barriers to proper energy management implementation were identified as lack of synergy between the stakeholders, the extent and scope of energy manager courses, and inadequate awareness of and lack of financial support for energy management activities. As a guideline to overcome present obstacles, a set of policy options are offered: strengthening and restructuring of legal and institutional frameworks, promotion of energy efficiency, education, training and capacity building and facilitating implementation of the international energy management standard ISO 50001. -- Highlights: ► Developing an analytical scheme to assess degree of Energy Management Application. ► Investigation of Energy Management Practices in Turkish Energy Intensive Industries. ► Analysis of challenges which hinder full implementation of energy management in Turkey. ► Presenting a set of essential policy options thought for all stakeholders.

  20. Early rebleeding in patients with subarachnoid haemorrhage under intensive blood pressure management.

    Science.gov (United States)

    Oheda, Motoki; Inamasu, Joji; Moriya, Shigeta; Kumai, Tadashi; Kawazoe, Yushi; Nakae, Shunsuke; Kato, Yoko; Hirose, Yuichi

    2015-08-01

    The objective of this study was to report the frequency and clinical characteristics of early rebleeding in subarachnoid haemorrhage (SAH) patients who underwent intensive blood pressure (BP) management. Patients with aneurysmal SAH frequently present to the emergency department (ED) with elevated BP. Intensive BP management has been recommended to lower the risk of early rebleeding. However, few studies have reported the frequency of early rebleeding in SAH patients undergoing BP management. In our institution, SAH patients with systolic BP (SBP)>140 mmHg received continuous intravenous nicardipine to maintain their SBP within 120±20 mmHg after diagnosis. An attempt to implement intensive BP management was made on 309 consecutive SAH patients who presented to our ED within 48 hours of SAH onset. Overall, 24 (7.8%) of the 309 patients sustained early rebleeding. Fifteen patients sustained early rebleeding before the implementation of BP management, and the other nine sustained early rebleeding after the implementation of BP management. Therefore, the frequency of early rebleeding under BP management was 3.1% (9/294). When the 309 patients were dichotomised using ED SBP of 140 mmHg as a cut off (SBP>140 mmHg; n=239 versus SBP⩽140 mmHg; n=70), the latter counter-intuitively exhibited a significantly higher frequency of early rebleeding (5.9% versus 14.2%; p=0.04). This relatively low frequency of early rebleeding under BP management may be acceptable. However, early rebleeding is not eradicated even with strict BP control as factors other than elevated BP are involved. ED SBP within the target range (SBP⩽140 mmHg) does not negate the risk of early rebleeding. Other treatment options that reduce the risk should also be explored. PMID:26077940

  1. Risk Management in Financial Institutions: a Study on the American Investment Banks in the Financial Crisis

    OpenAIRE

    Husjainova, Elmira; Chen, Guang; Lin, Manlu

    2011-01-01

    This paper, as it’s titled, is about risk management in investment banks. To put it more broadly, we try to illustrate to what extent the traditional risk management approaches could work in the modern financial world along with the expansion of financial derivatives, tools and activities. We take the American financial market and step into the topic by the case analysis on Lehman Brothers and Goldman Sachs. Besides, we explain the other relevant concepts and players such as short selling and...

  2. Management of Hyperthyroidism in Pregnancy: Comparison of Recommendations of American Thyroid Association and Endocrine Society

    OpenAIRE

    Shahram Alamdari; Fereidoun Azizi; Hossein Delshad; Farzaneh Sarvghadi; Atieh Amouzegar; Ladan Mehran

    2013-01-01

    Appropriate diagnosis and treatment of hyperthyroidism during pregnancy are of outmost importance, because hyperthyroidism has major adverse impact on both mother and fetus. Since data on the management of thyroid dysfunction during pregnancy is rapidly evolving, two guidelines have been developed by the American Thyroid Association and the Endocrine society in the last 2 years. We compare here the recommendations of these two guidelines regarding management of hyperthyroidism during pregnanc...

  3. Cardiovascular Risk Reduction for African-American Men through Health Empowerment and Anger Management

    Science.gov (United States)

    Stephens, Torrance; Braithwaite, Harold; Johnson, Larry; Harris, Catrell; Katkowsky, Steven; Troutman, Adewale

    2008-01-01

    Objective: To examine impact of CVD risk reduction intervention for African-American men in the Atlanta Empowerment Zone (AEZ) designed to target anger management. Design: Wilcoxon Signed-Rank Test was employed as a non-parametric alternative to the t-test for independent samples. This test was employed because the data used in this analysis…

  4. 77 FR 32420 - Atlantic Coastal Fisheries Cooperative Management Act Provisions; American Lobster Fishery

    Science.gov (United States)

    2012-06-01

    ... fishing year. ADDRESSES: Copies of the American Lobster Environmental Assessment/ Regulatory Impact Review... Federal lobster fishery management measures in the Exclusive Economic Zone (EEZ) under the authority of... Federal Register (74 FR 67) to notify the public that any further investment in the Area 1 trap...

  5. Compare the Chinese and American Accounting Management System

    Institute of Scientific and Technical Information of China (English)

    刘晨

    2014-01-01

    Cultureplays an important role in the development of accounting. Dif erent culture environments foster dif erent accountants, andthen dif erent accounting subcultures, which wil have dif erent influence on the choice of accounting systems. Dif erent cultures in China and the United States influenced the two countries accounting system, which lead to dif erent management system.

  6. Scanning tour USA. Traffic management: the American blend

    NARCIS (Netherlands)

    Immers, B.; Taale, H.; Wilmink, I.R.; Katwijk, R.T. van; Schuurman, H.; Hoogendoorn, S.; Wilmink, A.

    2013-01-01

    In The Netherlands traffic management is being considered a serious policy option to deal with traffic congestion and its negative impact on safety, economy and livability. Building new roads is often not feasible due to a lack of space, environmental and funding issues. Also, pricing is not an opti

  7. Report by a special panel of the American Nuclear Society: Protection and management of plutonium

    International Nuclear Information System (INIS)

    The American Nuclear Society (ANS) established an independent and prestigious panel several months ago to take the matter up where the US National Academy of Science (NAS) left off. The challenge was to look at the broader issue of what to do with civil plutonium, as well as excess weapons material. In terms of approach, the report focused on several short- and long-term issues. The short-term focus was on the disposition of excess weapons plutonium, while the longer-range issue concerned the disposition of the plutonium being produced in the civil nuclear fuel cycle. For the short term, the ANS panel strongly endorsed the concept that all plutonium scheduled for release from the US and Russian weapons stocks should be converted to a form that is intensively radioactive in order to protect the plutonium from theft of seizure (the spent fuel standard). However, since the conversion will at best take several years to complete, the panel has concluded that immediate emphasis should be placed on the assurance that all unconverted materials are protected as securely as when they were part of the active weapon stockpiles. More importantly, the panel also recommended prompt implementation of the so-called reactor option for disposing of surplus US and Russian weapons plutonium. The longer-term issues covered by the panel were those posed by the growing stocks of both separated plutonium and spent fuel generated in the world's civil nuclear power programs. These issues included what fuel cycle policies should be prudently pursued in light of proliferation risks and likely future energy needs, what steps should be taken in regard to the increase in the demand for nuclear power in the future, and how civil plutonium in its various forms should be protected and managed to minimize proliferation. Overall, the panel concluded that plutonium is an energy resource that should be used and not a waste material to be disposed of

  8. An Official American Thoracic Society/European Respiratory Society Workshop Report: Evaluation of Respiratory Mechanics and Function in the Pediatric and Neonatal Intensive Care Units.

    Science.gov (United States)

    Peterson-Carmichael, Stacey; Seddon, Paul C; Cheifetz, Ira M; Frerichs, Inéz; Hall, Graham L; Hammer, Jürg; Hantos, Zoltán; van Kaam, Anton H; McEvoy, Cindy T; Newth, Christopher J L; Pillow, J Jane; Rafferty, Gerrard F; Rosenfeld, Margaret; Stocks, Janet; Ranganathan, Sarath C

    2016-02-01

    Ready access to physiologic measures, including respiratory mechanics, lung volumes, and ventilation/perfusion inhomogeneity, could optimize the clinical management of the critically ill pediatric or neonatal patient and minimize lung injury. There are many techniques for measuring respiratory function in infants and children but very limited information on the technical ease and applicability of these tests in the pediatric and neonatal intensive care unit (PICU, NICU) environments. This report summarizes the proceedings of a 2011 American Thoracic Society Workshop critically reviewing techniques available for ventilated and spontaneously breathing infants and children in the ICU. It outlines for each test how readily it is performed at the bedside and how it may impact patient management as well as indicating future areas of potential research collaboration. From expert panel discussions and literature reviews, we conclude that many of the techniques can aid in optimizing respiratory support in the PICU and NICU, quantifying the effect of therapeutic interventions, and guiding ventilator weaning and extubation. Most techniques now have commercially available equipment for the PICU and NICU, and many can generate continuous data points to help with ventilator weaning and other interventions. Technical and validation studies in the PICU and NICU are published for the majority of techniques; some have been used as outcome measures in clinical trials, but few have been assessed specifically for their ability to improve clinical outcomes. Although they show considerable promise, these techniques still require further study in the PICU and NICU together with increased availability of commercial equipment before wider incorporation into daily clinical practice. PMID:26848609

  9. Managing Diversity: Afghan-Americans And The Aftermath Of The Twin Towers Tragedy

    Directory of Open Access Journals (Sweden)

    Belal A. Kaifi

    2011-07-01

    Full Text Available Ethnic and religious diversity is part of each society in the modern world and being an Afghan is another dimension of these differences in the United States. The research question for this study was to see if Afghan-Americans are experiencing more discriminatory practices as a result of the 9/11 events. The results of 502 Afghan-Americans demonstrated that they do report more discrimination in the post-9/11 era. Specifically, Afghan men have experienced more discrimination in the workplace and Afghan women have experienced more discrimination in public. Implications and recommendations are offered for effective diversity management.

  10. [Management of quality in an Intensive Care Unit: implementation of ISO 9001:2008 international standard].

    Science.gov (United States)

    Lorenzo Torrent, R; Sánchez Palacios, M; Santana Cabrera, L; Cobian Martinez, J L; García del Rosario, C

    2010-10-01

    The Quality Management Systems make it possible to prioritize actions to maintain the safety and efficacy of health technologies. The Intensive Care Unit of our hospital has implemented a quality management plan, which has obtained accreditation as "Service Certificate that manages its activities according to UNE-EN ISO 9001:2008" standard. With the application of quality management system, it has been possible to detect the needs that the Service can cover in order to obtain the satisfaction of the patient, relative or health personnel of the other services of the hospital, to improve communications inside and outside of service, to secure greater understanding of the processes of the organization and control of risk, to delimit responsibilities clearly to all the personnel, to make better use of the time and resources and, finally, to improve the motivation of the personnel. PMID:20822737

  11. EGG PRODUCTION AND HATCHABILITY OF LOCAL DUCKS UNDER SEMI INTENSIVE VS EXTENSIVE MANAGEMENTS

    Directory of Open Access Journals (Sweden)

    P. Widiyaningrum

    2016-06-01

    Full Text Available The study aimed to compare the egg production and hatchability of local ducks under different management systems, namely semi-intensive and extensive. The research conducted was an experimental one-way classification with two treatments. Each treatment used 15 male and 120 females (mating ratio 1:8, and ducks aged 13-14 months. Eggs production was recorded during three weeks period. About 300 eggs were selected from each treatment to be hatched. Fertility was observed at 4th days of hatching process using egg candler. Data of eggs production, eggs weight, fertility, and hatchability were analyzed using unpaired two sample Student’s t-test. The results showed that average of egg weight, fertility and hatchability were not different under two management system, but egg production in the semi-intensive maintenance was significantly higher (P<0.05 than those in the extensive system. Egg production in the semi-intensive was 12.3% higher than those in the extensive. In conclusion, the semi-intensive system that is applied in this study the number of eggs production but did not affect the average of egg weight, fertility and hatchability.

  12. EGG PRODUCTION AND HATCHABILITY OF LOCAL DUCKS UNDER SEMI INTENSIVE VS EXTENSIVE MANAGEMENTS

    Directory of Open Access Journals (Sweden)

    P. Widiyaningrum

    2016-05-01

    Full Text Available The study aimed to compare the egg production and hatchability of local ducks under different management systems, namely semi-intensive and extensive. The research conducted was an experimental one-way classification with two treatments. Each treatment used 15 male and 120 females (mating ratio 1:8, and ducks aged 13-14 months. Eggs production was recorded during three weeks period. About 300 eggs were selected from each treatment to be hatched. Fertility was observed at 4th days of hatching process using egg candler. Data of eggs production, eggs weight, fertility, and hatchability were analyzed using unpaired two sample Student’s t-test. The results showed that average of egg weight, fertility and hatchability were not different under two management system, but egg production in the semi-intensive maintenance was significantly higher (P<0.05 than those in the extensive system. Egg production in the semi-intensive was 12.3% higher than those in the extensive. In conclusion, the semi-intensive system that is applied in this study the number of eggs production but did not affect the average of egg weight, fertility and hatchability. 

  13. Management intensity affects traits of soil microarthropod community in montane spruce forest

    Czech Academy of Sciences Publication Activity Database

    Farská, Jitka; Prejzková, Kristýna; Rusek, Josef

    2014-01-01

    Roč. 75, March (2014), s. 71-79. ISSN 0929-1393 R&D Projects: GA ČR GA526/03/1259; GA ČR GAP504/12/1218; GA MŠk LC06066 Grant ostatní: GAJU(CZ) 143/2010/P Institutional support: RVO:60077344 Keywords : Oribatida * Collembola * spruce forest * trait * management intensity Subject RIV: EH - Ecology, Behaviour Impact factor: 2.644, year: 2014

  14. The sustainability of endangered species under intensive management: the case of the scimitarhorned oryx Oryx dammah

    OpenAIRE

    Gilbert, Tania

    2011-01-01

    The world is facing an unprecedented loss of biodiversity caused by anthropogenic environmental change. Captive breeding and reintroduction can help mitigate the effects of biodiversity loss for some endangered species, but to accomplish this, captive populations need to be self-sustainable. Intensive population management aims to achieve sustainability by maximising the retention of genetic diversity, maintaining demographic stability, and reducing adaptation to captivity. Recent evaluations...

  15. [Critically ill patients with decompensated liver cirrhosis - New aspects and intensive care management].

    Science.gov (United States)

    Maschmeier, Miriam; Hüsing, Anna; Schmidt, Hartmut; Kabar, Iyad

    2015-10-01

    The prevalence of liver cirrhosis in the German population is about 1 %. Clinically, compensated liver cirrhosis should be distinguished from decompensated cirrhosis with poor prognosis. Decompensated cirrhosis is defined by the occurrence of complications and consequences of portal hypertension (such as ascites, variceal bleeding, hepatic encephalopathy and hepatorenal syndrome) and progressive liver failure. Optimizing the management of these patients in the intensive care unit could essentially improve their outcome. PMID:26445254

  16. Management of nurse shortage and its impact on pathogen dissemination in the intensive care unit.

    OpenAIRE

    Jordi Ferrer; Pierre-Yves Boelle; Jérôme Salomon; Katiuska Miliani; François L’Hériteau; Pascal Astagneau; Laura Temime

    2014-01-01

    Introduction: Studies provide evidence that reduced nurse staffing resources are associated to an increase in health care-associated infections in intensive care units, but tools to assess the contribution of the mechanisms driving these relations are still lacking. We present an agent-based model of pathogen spread that can be used to evaluate the impact on nosocomial risk of alternative management decisions adopted to deal with transitory nurse shortage. Materials and methods: We constru...

  17. Effect of peer education on the noise management in Iranian neonatal intensive care unit

    OpenAIRE

    Biabanakigoortani, Azam; Namnabati, Mahboobeh; Abdeyazdan, Zahra; Badii, Zohreh

    2016-01-01

    Background: Advancements in neonatal intensive care unit (NICU) science and technology have increased the survival rate of preterm infants. Despite these advances, they are still facing with neurobehavioral problems. Noise level in NICU is a potential source of stress for preterm infants. It should be decreased to the standard level as much as possible. The purpose of this study was to evaluate the effect of peer education on the performance of staff in noise management in the NICU. Materials...

  18. Clinical Alarms in Intensive Care Units: Perceived Obstacles of Alarm Management and Alarm Fatigue in Nurses

    OpenAIRE

    Cho, Ok Min; Kim, Hwasoon; Lee, Young Whee; Cho, Insook

    2016-01-01

    Objectives The purpose of this descriptive study was to investigate the current situation of clinical alarms in intensive care unit (ICU), nurses' recognition of and fatigue in relation to clinical alarms, and obstacles in alarm management. Methods Subjects were ICU nurses and devices from 48 critically ill patient cases. Data were collected through direct observation of alarm occurrence and questionnaires that were completed by the ICU nurses. The observation time unit was one hour block. On...

  19. Intensity, productivity and efficiency in agriculture in Finland and implications for N and P fertiliser management

    OpenAIRE

    BÀckman, Stefan

    2008-01-01

    The purpose of this study was to evaluate intensity, productivity and efficiency in agriculture in Finland and show implications for N and P fertiliser management. Environmental concerns relating to agricultural production have been and still are focused on arguments about policies that affect agriculture. These policies constrain production while demand for agricultural products such as food, fibre and energy continuously increase. Therefore the importance of increasing productivity is a gre...

  20. Consequences of More Intensive Forestry for the Sustainable Management of Forest Soils and Waters

    OpenAIRE

    Eva Ring; Peter Högberg; Anneli Ågren; Gustaf Egnell; Kevin Bishop; Lucas, Richard W.; Futter, Martyn N.; Sponseller, Ryan A.; Hjalmar Laudon

    2011-01-01

    Additions of nutrients, faster growing tree varieties, more intense harvest practices, and a changing climate all have the potential to increase forest production in Sweden, thereby mitigating climate change through carbon sequestration and fossil fuel substitution. However, the effects of management strategies for increased biomass production on soil resources and water quality at landscape scales are inadequately understood. Key knowledge gaps also remain regarding the sustainability of sho...

  1. Talent Management Programmes at British, American and Canadian Universities: Comparative Study

    Directory of Open Access Journals (Sweden)

    Boichenko Maryna

    2015-12-01

    Full Text Available The article deals with the peculiarities of talent management programmes implementation at the top British, American and Canadian universities. The essence of the main concepts of research - talent and talent management - has been revealed. Talent management is referred to as the systematic attraction, identification, development, engagement, retention and deployment of those individuals who are of particular value to an organization, either in view of their “high potential” for the future or because they are fulfilling business/ operation-critical roles. The factors that drive the development of talent management at the universities have been defined. The benefits that can be obtained as a result of talent management programmes implementation in higher education institutions have been pointed out. The differences in talent management programmes implementation at the universities of Great Britain, the USA and Canada have been found out. These differences depend mainly on the human resources policy of the institution represented in its strategic plan. It has been concluded that most top British and American higher education institutions run talent development programmes, but the target categories and forms of their implementation greatly differ. Canadian universities in the human resources policy focus on professional development of staff and faculty, but do not have special talent management programmes. Progressive conceptual ideas of foreign experience that can be used in practice of Ukrainian universities have been considered.

  2. American cutaneous leishmaniasis: presentation and problems of patient management

    Directory of Open Access Journals (Sweden)

    Jeffrey D. Chulay

    1988-12-01

    Full Text Available We report our experience with the diagnosis and treatment of 60 patients with American cutaneous leishmaniasis. They were infected in Panama (55, Brazil (4 or Colombia (I. Among 35 patients with a 3 week exposure in Panama, the mean maximum incubation period was 33 days (range 4-81 days. Diagnosis was delayed an average of 93 days after onset of skin lesions, due to the patient's delay in seeking medical attention (31 days, medical personnel's delay in considering the diagnosis (45 days, and the laboratory's delay in confirming the diagnosis (17 days. Forty-four patients (73% developed ulcers typical of cutaneous leishmaniasis. Sixteen additional patients (27% had atypical macular, papular, squamous, verrucous or acneiform skin lesions that were diagnosed only because leishmanial cultures were obtained. Of the 59 patients treated with pentavalent antimonial drugs, only 34 (58% were cured after the first course of treatment. Lesions which were at least 2 cm in diameter, ulcerated, or caused by Leishmania braziliensis were less likely to be cured after a single course of treatment than were lesions smaller than 2 cm, nonulcerated or caused by Leishmania mexicana or Leishmania donovani.Relatamos nossa experiência em 60 pacientes com leishmaniose tegumentar americana diagnosticada e tratada entre 1977 e 1982. Cinqüenta e cinco pacientes foram infectados no Panamá, 4 no Brasil, e 1 na Colômbia. Entre 35 pacientes com uma exposição de 3 semanas no Panamá, a média do período de incubação foi 33 dias (limite sobre 4 e 81 dias. O diagnóstico foi feito, em média, 93 dias depois do início das lesões de pele, devido a demora do paciente em procurar o serviço médico (31 dias, a demora do médico em considerar o diagnóstico (45 dias, e a demora do laboratório em confirmar o diagnóstico (17 dias. Quarenta e quatro pacientes (73% desenvolveram úlceras típicas de leishmaniose cutânea. Porém, 16 pacientes (27% tiveram lesões de pele at

  3. Challenges encountered by critical care unit managers in the large intensive care units

    Directory of Open Access Journals (Sweden)

    Mokgadi C. Matlakala

    2014-02-01

    Full Text Available Background: Nurses in intensive care units (ICUs are exposed regularly to huge demands interms of fulfilling the many roles that are placed upon them. Unit managers, in particular, are responsible for the efficient management of the units and have the responsibilities of planning, organising, leading and controlling the daily activities in order to facilitate the achievement of the unit objectives.Objectives: The objective of this study was to explore and present the challenges encountered by ICU managers in the management of large ICUs.Method: A qualitative, exploratory and descriptive study was conducted at five hospital ICUs in Gauteng province, South Africa. Data were collected through individual interviews from purposively-selected critical care unit managers, then analysed using the matic coding.Results: Five themes emerged from the data: challenges related to the layout and structure of the unit, human resources provision and staffing, provision of material resources, stressors in the unit and visitors in the ICU.Conclusion: Unit managers in large ICUs face multifaceted challenges which include the demand for efficient and sufficient specialised nurses; lack of or inadequate equipment that goes along with technology in ICU and supplies; and stressors in the ICU that limit the efficiency to plan, organise, lead and control the daily activities in the unit. The challenges identified call for multiple strategies to assist in the efficient management of large ICUs.

  4. Effects of coffee management intensity on composition, structure and regeneration status of Ethiopian moist evergreen Afromontane forests

    OpenAIRE

    Hundera, Kitessa; Aerts, Raf; Fontaine, M; Mechelen, M. van; Gijbels, Pieter; Honnay, Olivier; Muys, Bart

    2013-01-01

    The effect of arabica coffee management intensity on composition, structure and regeneration of moist evergreen Afromontane forests was studied in three traditional coffee management systems of Southwest Ethiopia: semi-plantation coffee (SPC), semi-forest coffee (SFC) and forest coffee (FC). Vegetation and environmental data were collected in 84 plots from forests varying in intensity of coffee management. After controlling for environmental variation (altitude, aspect, slope, soil nutrient a...

  5. PanDA Beyond ATLAS: Workload Management for Data Intensive Science

    CERN Document Server

    Schovancova, J; The ATLAS collaboration; Klimentov, A; Maeno, T; Nilsson, P; Oleynik, D; Panitkin, S; Petrosyan, A; Vaniachine, A; Wenaus, T; Yu, D

    2013-01-01

    The PanDA Production ANd Distributed Analysis system has been developed by ATLAS to meet the experiment's requirements for a data-driven workload management system for production and distributed analysis processing capable of operating at LHC data processing scale. After 7 years of impressively successful PanDA operation in ATLAS there are also other experiments which can benefit from PanDA in the Big Data challenge, with several at various stages of evaluation and adoption. The new project "Next Generation Workload Management and Analysis System for Big Data" is extending PanDA to meet the needs of other data intensive scientific applications in HEP, astro-particle and astrophysics communities, bio-informatics and other fields as a general solution to large scale workload management. PanDA can utilize dedicated or opportunistic computing resources such as grids, clouds, and High Performance Computing facilities, and is being extended to leverage next generation intelligent networks in automated workflow mana...

  6. Linking nursery nutritional status and water availability post-planting under intense summer drought: the case of a South American Mediterranean tree species

    OpenAIRE

    Ovalle JF; Arellano EC; Oliet JA; Becerra P; Ginocchio R

    2016-01-01

    Drought-avoidance traits of South American Mediterranean tree species are crucial attributes to be considered in nursery practices aimed at improving the performance of seedlings exposed to intense summer drought in dryland reforestation projects. In this study, we determined the relation between nursery fertilization doses and the development of drought-avoidance traits of the soapbark tree Quillaja saponaria (Mol.) under contrasting watering regimes following post-planting. Seedlings were g...

  7. How does vineyard management intensity affect ecosystem services and disservices - insights from a meta-analysis

    Science.gov (United States)

    Winter, Silvia; Zaller, Johann G.; Kratschmer, Sophie; Pachinger, Bärbel; Strauss, Peter; Bauer, Thomas; Paredes, Daniel; Gómez, José A.; Guzmán, Gema; Landa, Blanca; Nicolai, Annegret; Burel, Francoise; Cluzeau, Daniel; Popescu, Daniela; Bunea, Claudiu-Ioan; Potthoff, Martin; Guernion, Muriel; Batáry, Péter

    2016-04-01

    Viticultural agro-ecosystems provide a range of different ecosystem services which are affected by management decisions of winegrowers. At the global scale, vineyards are often high intensity agricultural systems with bare soil or inter-row vegetation consisting of only a few plant species. These systems primarily aim at optimizing wine production by reducing competition for water and nutrients between grapevines and weeds and by preventing the outbreak of pests and diseases. At the same time, this kind of management is often associated with ecosystem disservices such as high rates of soil erosion, degradation of soil structure and fertility, contamination of groundwater and decline of biodiversity. Recently, several initiatives across the world tried to overcome detrimental effects of that management style by creating biodiversity friendly vineyards. The consequences of establishing divers cover crop mixes or tolerating spontaneous vegetation in vineyards for ecosystem services (including yield) overstretching local case studies has not been investigated yet. This meta-analysis will provide an overview of all published studies comparing the effects of different vineyard management practices on a range of different ecosystem services like biodiversity, pest control, pollination, soil conservation and carbon sequestration. The aggregated effect size will point out which management measures can provide the best overall net sum of ecosystem services. This meta-analysis is part of the transdisciplinary BiodivERsA project VineDivers and will ultimately lead into management and policy recommendations for various stakeholder groups engaged in viticulture.

  8. Simulation of the Effect of Intensive Forest Management on Forest Production in Sweden

    Directory of Open Access Journals (Sweden)

    Ola Rosvall

    2011-03-01

    Full Text Available The effects of intensifying the management of 15% of the Swedish forest land on potential future forest production over a 100-year period were investigated in a simulation study. The intensive management treatments, which were introduced over a period of 50 years, were: intensive fertilization of Norway spruce (IntFert; bulking-up Norway spruce elite populations using somatic embryogenesis (SE-seedlings; planting of lodgepole pine, hybrid larch, and Sitka spruce (Contorta, Larch, and Sitka; fertilization with wood ash on peatlands (Wood ash; and conventional fertilization in mature forests (ConFert. Potential sites for applying intensive forest management (IFM to sites with low nature conservation values were determined with a nature conservation score (NCS. Four different scenarios were simulated: “Base scenario”, which aimed at reducing the negative impact on nature conservation values, “Fast implementation”, “No IntFert” (IntFert was not used, and “Large Forest Companies”, where the majority of plots were selected on company land. Total yields during the 100-year simulation period were about 85–92% higher for the intensive forest management scenarios than for the reference scenario (business as usual. In the “No IntFert” scenario total production was 1.8% lower and in the “Large Forest Companies” scenario total production was 4.8% lower than in the “Base scenario”. “Fast implementation” of IFM increased yield by 15% compared to the “Base scenario”. Norway spruce SE-seedlings and IntFert gave the highest yields, measured as total production during the 100-year simulation period, but relative to the yields in the reference scenario, the highest increases in yield were for Contorta. The “Base scenario” and “No IntFert” gave the highest yields for plots with the lowest NCS, but plots with higher NCS had to be used in the “Fast implementation” and “Large Forest Companies” scenarios. More than

  9. Intensive use of an intertidal mudflat by foraging adult American horseshoe crabs Limulus polyphemus in the Great Bay estuary, New Hampshire

    Directory of Open Access Journals (Sweden)

    Wan-Jean LEE

    2010-10-01

    Full Text Available Although concerns about harvesting levels of the American Horseshoe Crab, Limulus polyphemus have prompted increased research into its ecology, current understanding of the species’ foraging ecology is mostly limited to mid-Atlantic populations. This study elucidates the spatial and temporal pattern of Limulus foraging on an intertidal mudflat of a northern New England estuary. A novel survey method was used to monitor Limulus foraging activity without disturbing the sediment. A fixed 50 m´2 m transect was monitored with monthly surveys of the number of Limulus feeding pits from June to October 2009, May and June 2010. Snorkelling surveys were also carried out to observe individual behavior and examine the spatial scale of activity of individual animals. Results showed frequent and intensive use of the mudflat by foraging Limulus. Limulus were actively foraging within the survey area during all months surveyed. Foraging patterns exhibited a seasonal pattern with activity levels peaking in August 2009 and increased significantly towards the end of the study in June 2010. It was also shown that Limulus intertidal foraging persisted and peaked after the spring breeding season. Observations of foraging Limulus revealed that individual predators dig multiple pits within a single high tide, with little disturbance to the sediment in between. In addition to altering the perception of Limulus as a subtidal predator outside of the breeding season, findings from this study suggests a segregation of spawning and feeding habitats, thus underscoring the need to consider a wider range of critical habitats in the management of Limulus populations [Current Zoology 56 (5: 611–617, 2010].

  10. Building waste management core indicators through Spatial Material Flow Analysis: Net recovery and transport intensity indexes

    International Nuclear Information System (INIS)

    Highlights: ► Sustainability and proximity principles have a key role in waste management. ► Core indicators are needed in order to quantify and evaluate them. ► A systematic, step-by-step approach is developed in this study for their development. ► Transport may play a significant role in terms of environmental and economic costs. ► Policy action is required in order to advance in the consecution of these principles. - Abstract: In this paper, the material and spatial characterization of the flows within a municipal solid waste (MSW) management system are combined through a Network-Based Spatial Material Flow Analysis. Using this information, two core indicators are developed for the bio-waste fraction, the Net Recovery Index (NRI) and the Transport Intensity Index (TII), which are aimed at assessing progress towards policy-related sustainable MSW management strategies and objectives. The NRI approaches the capacity of a MSW management system for converting waste into resources through a systematic metabolic approach, whereas the TII addresses efficiency in terms of the transport requirements to manage a specific waste flow throughout the entire MSW management life cycle. Therefore, both indicators could be useful in assessing key MSW management policy strategies, such as the consecution of higher recycling levels (sustainability principle) or the minimization of transport by locating treatment facilities closer to generation sources (proximity principle). To apply this methodological approach, the bio-waste management system of the region of Catalonia (Spain) has been chosen as a case study. Results show the adequacy of both indicators for identifying those points within the system with higher capacity to compromise its environmental, economic and social performance and therefore establishing clear targets for policy prioritization. Moreover, this methodological approach permits scenario building, which could be useful in assessing the outcomes of

  11. Consequences of More Intensive Forestry for the Sustainable Management of Forest Soils and Waters

    Directory of Open Access Journals (Sweden)

    Eva Ring

    2011-02-01

    Full Text Available Additions of nutrients, faster growing tree varieties, more intense harvest practices, and a changing climate all have the potential to increase forest production in Sweden, thereby mitigating climate change through carbon sequestration and fossil fuel substitution. However, the effects of management strategies for increased biomass production on soil resources and water quality at landscape scales are inadequately understood. Key knowledge gaps also remain regarding the sustainability of shorter rotation periods and more intensive biomass harvests. This includes effects of fertilization on the long-term weathering and supply of base cations and the consequences of changing mineral availability for future forest production. Furthermore, because soils and surface waters are closely connected, management efforts in the terrestrial landscape will potentially have consequences for water quality and the ecology of streams, rivers, and lakes. Here, we review and discuss some of the most pertinent questions related to how increased forest biomass production in Sweden could affect soils and surface waters, and how contemporary forestry goals can be met while minimizing the loss of other ecosystem services. We suggest that the development of management plans to promote the sustainable use of soil resources and water quality, while maximizing biomass production, will require a holistic ecosystem approach that is placed within a broader landscape perspective.

  12. Regional anesthesia for management of acute pain in the intensive care unit.

    Science.gov (United States)

    De Pinto, Mario; Dagal, Armagan; O'Donnell, Brendan; Stogicza, Agnes; Chiu, Sheila; Edwards, William Thomas

    2015-01-01

    Pain is a major problem for Intensive Care Unit (ICU) patients. Despite numerous improvements it is estimated that as many as 70% of the patients experience moderate-to-severe postoperative pain during their stay in the ICU. Effective pain management means not only decreasing pain intensity, but also reducing the opioids' side effects. Minimizing nausea, vomiting, urinary retention, and sedation may indeed facilitate patient recovery and it is likely to shorten the ICU and hospital stay. Adequate postoperative and post-trauma pain management is also crucial for the achievement of effective rehabilitation. Furthermore, recent studies suggest that effective acute pain management may be helpful in reducing the development of chronic pain. When used appropriately, and in combination with other treatment modalities, regional analgesia techniques (neuraxial and peripheral nerve blocks) have the potential to reduce or eliminate the physiological stress response to surgery and trauma, decreasing the possibility of surgical complications and improving the outcomes. Also they may reduce the total amount of opioid analgesics necessary to achieve adequate pain control and the development of potentially dangerous side effects. PMID:26557482

  13. The Bariatric Patient in the Intensive Care Unit: Pitfalls and Management.

    Science.gov (United States)

    Pompilio, Carlos E; Pelosi, Paolo; Castro, Melina G

    2016-09-01

    The increasing number of bariatric/metabolic operations as important alternatives for the treatment of obesity and type 2 diabetes brought several concerns about the intensive care of patients undergoing those procedures. Intensive Care Unit admission criteria are needed in order to better allocate resources and avoid unnecessary interventions. Furthermore, well-established protocols, helpful in many clinical situations, are not directly applicable to obese patients. Indeed, difficult airway management, mechanical ventilation, fluid therapy protocols, prophylaxis, and treatment of venous thromboembolic events have unique aspects that should be taken into consideration. Finally, new data related to planning nutrition therapy of the critically obese have been highlighted and deserve consideration. In this review, we provide an outline of recent studies related to those important aspects of the care of the bariatric/metabolic patients in critical conditions. PMID:27464648

  14. Saudi Guidelines on the Diagnosis and Treatment of Pulmonary Hypertension: Intensive care management of pulmonary hypertension

    Science.gov (United States)

    Al-Azem, M. Ali; Al-Hazmi, Manal S.

    2014-01-01

    Pulmonary hypertension (PH) in the Intensive Care Unit (ICU) may be due to preexisting pulmonary vascular lung disease, liver disease, or cardiac diseases. PH also may be caused by critical illnesses, such as acute respiratory distress syndrome (ARDS), acute left ventricular dysfunction and pulmonary embolism, or may occur after cardiac or thoracic surgery. Regardless of the underlying cause of PH, the final common pathway for hemodynamic deterioration and death is RV failure, which is the most challenging aspect of patient management. Therapy is thus aimed at acutely relieving RV overload by decreasing PVR and reversing RV failure with pulmonary vasodilators and inotropes. PMID:25076990

  15. Saudi Guidelines on the Diagnosis and Treatment of Pulmonary Hypertension: Intensive care management of pulmonary hypertension

    Directory of Open Access Journals (Sweden)

    M. Ali Al-Azem

    2014-01-01

    Full Text Available Pulmonary hypertension (PH in the Intensive Care Unit (ICU may be due to preexisting pulmonary vascular lung disease, liver disease, or cardiac diseases. PH also may be caused by critical illnesses, such as acute respiratory distress syndrome (ARDS, acute left ventricular dysfunction and pulmonary embolism, or may occur after cardiac or thoracic surgery. Regardless of the underlying cause of PH, the final common pathway for hemodynamic deterioration and death is RV failure, which is the most challenging aspect of patient management. Therapy is thus aimed at acutely relieving RV overload by decreasing PVR and reversing RV failure with pulmonary vasodilators and inotropes.

  16. Management of infections in critically ill returning travellers in the intensive care unit-II

    DEFF Research Database (Denmark)

    Rello, Jordi; Manuel, Oriol; Eggimann, Philippe;

    2016-01-01

    This position paper is the second ESCMID Consensus Document on this subject and aims to provide intensivists, infectious disease specialists, and emergency physicians with a standardized approach to the management of serious travel-related infections in the intensive care unit (ICU) or the...... emergency department. This document is a cooperative effort between members of two European Society of Clinical Microbiology and Infectious Diseases (ESCMID) study groups and was coordinated by Hakan Leblebicioglu and Jordi Rello for ESGITM (ESCMID Study Group for Infections in Travellers and Migrants) and...... syndromes requiring ICU admission in travellers, covering immunocompromised patients....

  17. Successful nonsurgical management of post-orthodontic gingival enlargement with intensive cause-related periodontal therapy.

    Science.gov (United States)

    Kwon, TaeHyun; Kim, David M; Levin, Liran

    2015-03-01

    Successful nonsurgical management of severe postorthodontic gingival enlargement and erythema in a 24-year-old male is presented. The patient received an intensive cause-related periodontal therapy, consisting of oral hygiene instruction, scaling and root planing, and weekly recall visits. At week five, complete resolution of the lesions was achieved. By targeting the primary etiologic factor, i.e., plaque, periodontal health was restored without needing surgical intervention. Reducing the bacterial load will give the biologic natural healing capacity of the body the opportunity to stabilize the periodontal condition and, thus, should be considered as the first line of intervention before a surgical approach is taken. PMID:25928969

  18. Pursuing the American Dream: The Effect of Immigrant Settlement among Asian Americans and Occupational Disparities in Management

    Directory of Open Access Journals (Sweden)

    Hideki Morooka

    2013-06-01

    Full Text Available It is well established that Asian Americans are fairly represented in professional occupations due to their high educational attainment. However, the representation of Asian Americans in managerial occupations is still small. Despite the dramatic increase of Asian Americans as a percentage of the population in recent decades, not many studies have been conducted to investigate the association between immigrant settlement and occupational disparities in managerial occupations of Asian Americans by ethnicities as well as immigrant generations. In this paper, I examine the characteristics that influence Asian Americans who embark on managerial occupations as compared to other occupations by nativity and the length of their residence in the United States. I also compare trends of native-born Asian Americans with those of native-born non-Hispanic whites to examine whether an occupational disparity has been approaching convergence.

  19. Physical and Hydrologic Responses of an Intensively Managed Loblolly Pine Plantation to Forest Harvesting and Site Preparation

    OpenAIRE

    Miwa, Masato

    1999-01-01

    The Southeastern Lower Coastal Plain wet pine flats include thousands of acres of jurisdictional wetlands that are economically, socially, and environmentally important. These highly productive forests have been intensively managed as pine plantations for the past few decades. More recently, harvesting and site preparation practices have become a concern among natural resource managers because intensive forestry practices may alter soil physical properties and site hydrology. These alterat...

  20. Challenges in the Anesthetic and Intensive Care Management of Acute Ischemic Stroke.

    Science.gov (United States)

    Kirkman, Matthew A; Lambden, Simon; Smith, Martin

    2016-07-01

    Acute ischemic stroke (AIS) is a devastating condition with high morbidity and mortality. In the past 2 decades, the treatment of AIS has been revolutionized by the introduction of several interventions supported by class I evidence-care on a stroke unit, intravenous tissue plasminogen activator within 4.5 hours of stroke onset, aspirin commenced within 48 hours of stroke onset, and decompressive craniectomy for supratentorial malignant hemispheric cerebral infarction. There is new class I evidence also demonstrating benefits of endovascular therapy on functional outcomes in those with anterior circulation stroke. In addition, the importance of the careful management of key systemic physiological variables, including oxygenation, blood pressure, temperature, and serum glucose, has been appreciated. In line with this, the role of anesthesiologists and intensivists in managing AIS has increased. This review highlights the main challenges in the endovascular and intensive care management of AIS that, in part, result from the paucity of research focused on these areas. It also provides guidelines for the management of AIS based upon current evidence, and identifies areas for further research. PMID:26368664

  1. PanDA Beyond ATLAS : A Scalable Workload Management System For Data Intensive Science

    CERN Document Server

    Borodin, M; The ATLAS collaboration; Jha, S; Golubkov, D; Klimentov, A; Maeno, T; Nilsson, P; Oleynik, D; Panitkin, S; Petrosyan, A; Schovancova, J; Vaniachine, A; Wenaus, T

    2014-01-01

    The LHC experiments are today at the leading edge of large scale distributed data-intensive computational science. The LHC's ATLAS experiment processes data volumes which are particularly extreme, over 140 PB to date, distributed worldwide at over of 120 sites. An important element in the success of the exciting physics results from ATLAS is the highly scalable integrated workflow and dataflow management afforded by the PanDA workload management system, used for all the distributed computing needs of the experiment. The PanDA design is not experiment specific and PanDA is now being extended to support other data intensive scientific applications. PanDA was cited as an example of "a high performance, fault tolerant software for fast, scalable access to data repositories of many kinds" during the "Big Data Research and Development Initiative" announcement, a 200 million USD U.S. government investment in tools to handle huge volumes of digital data needed to spur science and engineering discoveries. In this talk...

  2. On-farm habitat restoration counters biotic homogenization in intensively managed agriculture.

    Science.gov (United States)

    Ponisio, Lauren C; M'Gonigle, Leithen K; Kremen, Claire

    2016-02-01

    To slow the rate of global species loss, it is imperative to understand how to restore and maintain native biodiversity in agricultural landscapes. Currently, agriculture is associated with lower spatial heterogeneity and turnover in community composition (β-diversity). While some techniques are known to enhance α-diversity, it is unclear whether habitat restoration can re-establish β-diversity. Using a long-term pollinator dataset, comprising ∼9,800 specimens collected from the intensively managed agricultural landscape of the Central Valley of California, we show that on-farm habitat restoration in the form of native plant 'hedgerows', when replicated across a landscape, can boost β-diversity by approximately 14% relative to unrestored field margins, to levels similar to some natural communities. Hedgerows restore β-diversity by promoting the assembly of phenotypically diverse communities. Intensively managed agriculture imposes a strong ecological filter that negatively affects several important dimensions of community trait diversity, distribution, and uniqueness. However, by helping to restore phenotypically diverse pollinator communities, small-scale restorations such as hedgerows provide a valuable tool for conserving biodiversity and promoting ecosystem services. PMID:26542192

  3. Pain Management Experiences and the Acceptability of Cognitive Behavioral Strategies Among American Indians and Alaska Natives

    Science.gov (United States)

    Haozous, Emily A.; Doorenbos, Ardith Z.; Stoner, Susan

    2014-01-01

    Purpose The purpose of this project was to explore the chronic pain experience and establish cultural appropriateness of cognitive behavioral pain management (CBPM) techniques in American Indians and Alaska Natives (AI/ANs). Design A semistructured interview guide was used with three focus groups of AI/AN patients in the U.S. Southwest and Pacific Northwest regions to explore pain and CBPM in AI/ANs. Findings The participants provided rich qualitative data regarding chronic pain and willingness to use CBPM. Themes included empty promises and health care insufficiencies, individuality, pain management strategies, and suggestions for health care providers. Conclusion Results suggest that there is room for improvement in chronic pain care among AI/ANs and that CBPM would likely be a viable and culturally appropriate approach for chronic pain management. Implications This research provides evidence that CBPM is culturally acceptable and in alignment with existing traditional AI/AN strategies for coping and healing. PMID:25403169

  4. Closed-loop control for cardiopulmonary management and intensive care unit sedation using digital imaging

    Science.gov (United States)

    Gholami, Behnood

    This dissertation introduces a new problem in the delivery of healthcare, which could result in lower cost and a higher quality of medical care as compared to the current healthcare practice. In particular, a framework is developed for sedation and cardiopulmonary management for patients in the intensive care unit. A method is introduced to automatically detect pain and agitation in nonverbal patients, specifically in sedated patients in the intensive care unit, using their facial expressions. Furthermore, deterministic as well as probabilistic expert systems are developed to suggest the appropriate drug dose based on patient sedation level. Patients in the intensive care unit who require mechanical ventilation due to acute respiratory failure also frequently require the administration of sedative agents. The need for sedation arises both from patient anxiety due to the loss of personal control and the unfamiliar and intrusive environment of the intensive care unit, and also due to pain or other variants of noxious stimuli. In this dissertation, we develop a rule-based expert system for cardiopulmonary management and intensive care unit sedation. Furthermore, we use probability theory to quantify uncertainty and to extend the proposed rule-based expert system to deal with more realistic situations. Pain assessment in patients who are unable to verbally communicate is a challenging problem. The fundamental limitations in pain assessment stem from subjective assessment criteria, rather than quantifiable, measurable data. The relevance vector machine (RVM) classification technique is a Bayesian extension of the support vector machine (SVM) algorithm which achieves comparable performance to SVM while providing posterior probabilities for class memberships and a sparser model. In this dissertation, we use the RVM classification technique to distinguish pain from non-pain as well as assess pain intensity levels. We also correlate our results with the pain intensity

  5. Biochar application reduces N2O emission in intensively managed temperate grassland

    Science.gov (United States)

    Felber, R.; Leifeld, J.; Neftel, A.

    2012-04-01

    Biochar, a pyrolysis product of organic residues, is seen as an amendment for agricultural soils to improve soil fertility, sequester CO2 and reduce N2O emissions. Mainly used in highly weathered tropical soils, the interest of using biochar in intensively managed temperate soils is increasing. Our previous laboratory incubations have shown N2O reduction potentials of between 20 and 100% for temperate soils after biochar application (Felber et al., Biogeosciences Discuss, 2012). To assess the effect of biochar application under field conditions, a plot experiment (3 control vs. 3 biochar amended plots of 3x3 m size at a rate of 15 t ha-1) was set up in a temperate intensively managed grassland soil. N2O and CO2 emissions were quasi-continuously measured by static chambers under standard management practice over 8 months. In parallel soil samples were taken monthly from all plots and their N2O and CO2 productions were measured under controlled conditions in the lab. At the beginning of the field measurements (April 2011) cumulative N2O fluxes from biochar amended plots were above those of control plots, but the pattern reversed towards reduced fluxes from biochar plots after 3 months and the reduction reached about 15% by the end of 2011. The biochar effect on reducing N2O emissions in the laboratory was two times that of the field measurements, indicating that results from laboratory experiments are not directly transferable to field conditions. The experiments indicate a substantial N2O emission reduction potential of biochar in temperate grassland fields.

  6. A dataset to assess providers׳ knowledge and attitudes towards the 2013 American College of Cardiology/American Heart Association Cholesterol Management Guideline.

    Science.gov (United States)

    Pokharel, Yashashwi; Steinberg, Lynne; Chan, Winston; Akeroyd, Julia M; Jones, Peter H; Nambi, Vijay; Nasir, Khurram; Petersen, Laura; Ballantyne, Christie M; Virani, Salim S

    2016-06-01

    We previously examined provider׳s understanding of the 2013 American College of Cardiology/American Heart Association (ACC/AHA) cholesterol management guideline (DOI: http://dx.doi.org/10.1016/j.jacl.2015.11.002)(Virani et al., 2013) [1], and also assessed whether a case-based educational intervention could improve providers׳ knowledge gaps and attitudes towards the guideline (DOI: 10.1016/j.atherosclerosis.2015.12.044) (Pokharel, et al., 2016) [2]. Here we describe the dataset that we used to examine our objectives. PMID:27054163

  7. Hospital post-intensive management of major trauma: a pilot study in Internal Medicine

    Directory of Open Access Journals (Sweden)

    Valerio Verdiani

    2013-04-01

    Full Text Available BACKGROUND Major trauma is the fourth cause of death in Western countries, and the first one in patients aged 35 years or younger. In-hospital post-intensive care represents a crucial step in the comprehensive medical assistance for these patients, but no data is available. AIM OF THE STUDY To evaluate an hospital post-intensive clinical pathway for patients with major trauma discharged from Intensive Care Unit (ICU. PATIENTS AND METHODS We designed a clinical pathway project for patients with major trauma discharged from an ICU at Careggi Hospital, in Florence. Patients were admitted in two Internal Medical wards of the same hospital. Nurses and physicians were trained to the management of devices and essential critical problems. We analysed characteristics of patients, APACHE score, devices, clinical and biochemical parameters. We determined medical complicances, ICU readmissions and hospital mortality. After a three months follow-up we evaluated hospital readmission, mortality and residual disability. RESULTS AND DISCUSSION We studied 92 patients (mean age 41 ± 20 years; 70 male with major trauma discharged from ICU (82.6% of patients underwent invasive mechanic ventilation. On admission, tracheotomy tube was present in 21 patients (22.8%. During internal wards stay, tracheotomy tube was removed in 16 patients. Medical complicances were identified and treated in more than 80% of patients. Four patients (4.3% were readmitted to ICU, one patient (1.1% died. Mean internal medical ward stay was 13 ± 9.6 days. After three months follow-up: three patients (3.2% died; the rate of planned hospital readmission for orthopedic or surgery interventions was 14.7%; 70% of patients did not have any disability. CONCLUSIONS Patients with major trauma discharged from ICU often have medical complications and are managed by the use of multiple devices. Results of our pilot study suggest that a post-intensive clinical pathway in internal wards for patients with

  8. Latin America’s Subtle Racism: Salient Managerial Implications For Non-Latin American Managers

    Directory of Open Access Journals (Sweden)

    Rutilio Martinez

    2011-03-01

    Full Text Available Since the mid nineteen nineties most Latin American nations have implemented free market policies. The ensuing economic stability has attracted investment from non-Latin corporations, thereby causing the transfer of non-Latin executives to Latin nations. For many of these executives, their Latin assignments include an unexpected challenge: Dealing with Latin America’s subtle but pervasive racism. Such racism contributes to the mistreatment of labor and influences the promotion and hiring of executives. These behaviors, although unapologetically accepted in Latin America, hurt productivity. Non-Latin managers should, therefore, treat workers fairly and hire and promote executives based exclusively upon job related factors.  

  9. Risk Management and Insurance Implications Associated with the Americans with Disabilities Act: Accessibility to Places of Public Accommodation

    OpenAIRE

    Robert J. Aalberts; Donald W. Hardigree

    1992-01-01

    The authors provided an analysis of Title Ill of the Americans with Disabilities Act and its impact on risk managers. They explained the issue of accessibility to public accommodations, along with the requirements for conforming with the Title III requirements of the Act. Potential insurance and risk management implications are addressed, with an analysis of possible loss control actions or remedies and insurance coverages.

  10. Spirituality, Religiosity, and Weight Management Among African American Adolescent Males: The Jackson Heart KIDS Pilot Study.

    Science.gov (United States)

    Bruce, Marino A; Beech, Bettina M; Griffith, Derek M; Thorpe, Roland J

    2016-01-01

    Spirituality and religion have been identified as important determinants of health for adults; however, the impact of faith-oriented factors on health behaviors and outcomes among African American adolescent males has not been well studied. The purpose of this study is to examine the relationship between religiosity and spirituality and obesity-related behaviors among 12-19 year old African American males (N = 105) in the Jackson Heart KIDS Pilot Study. Key variables of interest are church attendance, prayer, daily spirituality, weight status, attempts to lose weight, nutrition, physical activity, and stress. Daily spirituality is associated with whether an individual attempts to lose weight. The results from logistic regression models suggest that daily spirituality increases the odds that African American male adolescents attempt to lose weight (OR = 1.22, CI: 1.07-1.41) and have a history of diet-focused weight management (OR = 1.13, CI: 1.02-1.26). Future studies are needed to further explore the association between religion, spirituality, and obesity-related behaviors. PMID:27337622

  11. Performance analysis of data intensive cloud systems based on data management and replication: a survey

    Energy Technology Data Exchange (ETDEWEB)

    Malik, Saif; Khan, Samee U.; Ewen, Sam J.; Tziritas, Nikos; Kolodziej, Joanna; Zomaya, Albert; Madani, Sajjad A.; Min-Allah, Nasro; Wang, Lizhe; Xu, Cheng-Zhong; Malluhi, Qutaibah M.; Pecero, Jonathan; Balaji, Pavan; Vishnu, Abhinav; Ranjan, Rajiv; Zeadally, Sherali; Li, Hongziang

    2015-03-14

    As we delve deeper into the ‘Digital Age’, we witness an explosive growth in the volume, velocity, and variety of the data available on the Internet. For example, in 2012 about 2.5 quintillion bytes of data was created on a daily basis that originated from myriad of sources and applications including mobiledevices, sensors, individual archives, social networks, Internet of Things, enterprises, cameras, software logs, etc. Such ‘Data Explosions’ has led to one of the most challenging research issues of the current Information and Communication Technology era: how to optimally manage (e.g., store, replicated, filter, and the like) such large amount of data and identify new ways to analyze large amounts of data for unlocking information. It is clear that such large data streams cannot be managed by setting up on-premises enterprise database systems as it leads to a large up-front cost in buying and administering the hardware and software systems. Therefore, next generation data management systems must be deployed on cloud. The cloud computing paradigm provides scalable and elastic resources, such as data and services accessible over the Internet Every Cloud Service Provider must assure that data is efficiently processed and distributed in a way that does not compromise end-users’ Quality of Service (QoS) in terms of data availability, data search delay, data analysis delay, and the like. In the aforementioned perspective, data replication is used in the cloud for improving the performance (e.g., read and write delay) of applications that access data. Through replication a data intensive application or system can achieve high availability, better fault tolerance, and data recovery. In this paper, we survey data management and replication approaches (from 2007 to 2011) that are developed by both industrial and research communities. The focus of the survey is to discuss and characterize the existing approaches of data replication and management that tackle the

  12. Reproductive Performance of Saanen Goats under Rural or Intensive Management Systems in Elazığ Region, Turkey

    Directory of Open Access Journals (Sweden)

    Yaşar Akar

    2013-01-01

    Full Text Available This study was carried out to compare the reproductive performance of Saanen goats under rural (n:75 and intensive (n:206 management systems in Elazığ region. Single and multiple births, stillbirth, dystocia, abortion and kids survival rates were determined in both the goat flocks between February 1 and April 30 2011. Percentages of single and multiple births, stillbirth, dystocia and abortion were not statistically different between the flocks. However, the kids survival rates of intensive management system (74.05% were lower than rural management system (88.88%, (P<0.003. Overall percentage of single and multiple births, stillbirth, dystocia, abortion and kids survival in all goats were 45.08, 54.92, 17.62, 12.29, 13.16 and 78.40%, respectively. Our results show that rural and intensive management systems do not have an important effect on reproductive performance of Saanen goats.

  13. How to improve your knowledge intensive organisation : implementing a knowledge management scan within public and private sector organisations

    OpenAIRE

    Koolmees, Hans; Smeijsters, Henk; Schoenmakers, Sylvia

    2009-01-01

    The Centre of Research in Knowledge Organisations and Knowledge Management of Zuyd University has developed a knowledge management scan. The scan initiates from two models. The first model is based on the Value Based Knowledge Management approach (Tissen, Andriessen & Lekanne Deprez, 1998) and includes 6 basic abilities of a knowledge-intensive organisation that will enable the organisation to operate successfully in a knowledge based economy (.The second model, developed by Wierdsma and Swie...

  14. Hydrologic and biogeochemical functioning of intensively managed catchments: A synthesis of top-down analyses

    Science.gov (United States)

    Basu, Nandita B.; Thompson, Sally E.; Rao, P. Suresh C.

    2011-10-01

    This paper synthesizes a 3-year collaborative effort to characterize the biogeochemical and hydrological features of intensively managed agricultural catchments by combining data analysis, modeling, and preliminary hypothesis testing. The specific focus was on the Midwestern region of the United States. The results suggest that: (1) water management, specifically the homogenization of evapotranspiration losses driven by mono-cultural vegetation cover, and the homogenization of runoff generation driven by artificial drainage, has created engineered, predictable hydrologic systems; (2) nutrient and pesticide management, specifically their regular applications have created two kinds of biogeochemical export regimes: chemostatic (low variability in concentration as exhibited by nitrate) and episodic (high variability in concentration as exhibited by pesticides); (3) coupled mass-balance models for water and solutes reproduce these two regimes as a function of chemical rate constants. Phosphorus transport regimes were found to be episodic at smaller spatial scales, but chemostatic at larger scales. Chemostatic response dominates in transport-limited catchments that have internal sources of the solute to buffer the periodicity in episodic inputs, while episodic response dominates in source-limited catchments. The shift from episodic nitrate export in pristine catchments to chemostatic regimes in managed watersheds was attributed to legacy stores of nitrogen (built from continued fertilizer applications) that buffer interannual variations in biogeochemical processing. Fast degradation kinetics of pesticides prevents the build-up of legacy sources, and leads to episodic export. Analytical expressions were derived for the probability density functions of solute delivery ratio as a function of the stochastics of rainfall-runoff events and biogeochemical controls.

  15. Impact of Hydrologic Variability on Nutrient Age Distribution in Intensively Managed Landscapes

    Science.gov (United States)

    Kumar, P.; Woo, D. K.

    2014-12-01

    The distribution, concentration, and transport of nutrients in agricultural landscapes are of significant societal concern. Our interests in reactive nitrogen and the nitrogen cycle have shifted from increasing the efficiency of nitrogen delivery to target crop species to decreasing environmental damage caused by intensive agricultural practices. Enhancing the reactive nitrogen use efficiency to increase food production to meet future demand inevitably contributes to an increase in the reactive nitrogen load in the ecosystem, and damaging the environment. However, due to the complexity of the nitrogen cycle, the dynamics of nitrogen in soils and its interactions with ecohydrological processes at the watershed and regional scales are not well understood to enable adequate remedial measures. To unravel the complexity of this dynamics we have developed a model for characterizing the nitrogen age (elapsed time) distribution. The goal of our study is to develop and analyze the dynamics of nitrogen in the context of age and transit times resulting from advection, mixing, and production/destruction processes; evaluate the effects of micro-topographic variability on the nitrogen age distributions; and investigate how the temporal dynamics of the nitrogen age distribution are affected by changes in the variability of climate drivers. Our study is performed for the Upper Sangamon River Basin in the Critical Zone Observatory for Intensively Managed Landscapes (IML-CZO).

  16. Clinical management of potential ibuprofen toxicosis in a South American red-footed tortoise (Geochelone carbonaria).

    Science.gov (United States)

    Gladden, Juliet N

    2006-09-01

    This article describes the clinical management of potential ibuprofen toxicosis in South American red-footed tortoise (Geochelone carbonaria). A 2.5-year-old, 0.78-kg Geochelone carbonaria tortoise was presented to the emergency clinic after ingesting solubilized ibuprofen (200 mg) in a gelatin capsule. Treatment on initial presentation consisted of esophagostomy tube placement for gastric lavage and activated charcoal administration, intravenous and intraosseous fluid therapy, and administration of gastrointestinal protectants (sucralfate and famotidine). The tortoise was discharged to the owners. Although follow-up diagnostic monitoring was minimal because of owner compliance, the patient was noted to be alive and in reasonable health 1 year after initial presentation. This is the first report on the management of potential nonsteroidal anti-inflammatory drug toxicosis in any chelonian species. PMID:16931380

  17. Spanish recruitment programmes for Latin Americans in countries of origin: a flexible management framework

    Directory of Open Access Journals (Sweden)

    Ana Mª López-Sala

    2014-09-01

    Full Text Available In the past decade, countries whose markets needed seasonal labour have sought new ways of importing foreign workers through channelling and recruitment programmes in countries of origin. This article seeks to demonstrate that, in the case of Spain, the effective development of this process has only been possible because of a flexible and dynamic system in which bilateral agreements have played a major role, among them those signed with some Latin American countries. Flexible management of these programmes has been implemented via legislation, via the institutions and actors involved, and via the immigrants themselves, who have managed (or been forced to adapt to the changes of a labour market conditioned by the globalisation of labour and capital.

  18. Blood metabolites and some fertility parameters in dairy cows under intensive management system

    International Nuclear Information System (INIS)

    Dairy farms (1, 2, 3 and 4) of the intensive management system were selected. They are located 50 kilometers south of Khartoum state in a semi-arid zone. The effect of management on some fertility parameters, blood metabolites and minerals were investigated. Changes in blood metabolites with stage of lactation were also monitored. Other parameters studied were body weight, body condition score at calving. The results revealed that days to first P4 rise after calving and number of services per conception (NSPC) were lower in the farm s contained the cross-bred (Fresian X Zebu) compared to the farm contained the pure Fresian breed. The pure Fresian cows showed heavier weights and less body score at calving compared to the cross breed. Blood metabolites reflected the nutritional status of the dairy cows under study, plasma total protein, albumin, globulin, urea and Glucose did not show significant changes either either either between farms or in response to lactation stages. However, high levels of Globulins might indicate inflammation due to some diseases such as mastitis, metritis and lameness. Plasma level of Calcium and Phosphorous did not change significantly either between farms or due to stages of lactation.(Author)

  19. Optimal Multi-scale Demand-side Management for Continuous Power-Intensive Processes

    Science.gov (United States)

    Mitra, Sumit

    With the advent of deregulation in electricity markets and an increasing share of intermittent power generation sources, the profitability of industrial consumers that operate power-intensive processes has become directly linked to the variability in energy prices. Thus, for industrial consumers that are able to adjust to the fluctuations, time-sensitive electricity prices (as part of so-called Demand-Side Management (DSM) in the smart grid) offer potential economical incentives. In this thesis, we introduce optimization models and decomposition strategies for the multi-scale Demand-Side Management of continuous power-intensive processes. On an operational level, we derive a mode formulation for scheduling under time-sensitive electricity prices. The formulation is applied to air separation plants and cement plants to minimize the operating cost. We also describe how a mode formulation can be used for industrial combined heat and power plants that are co-located at integrated chemical sites to increase operating profit by adjusting their steam and electricity production according to their inherent flexibility. Furthermore, a robust optimization formulation is developed to address the uncertainty in electricity prices by accounting for correlations and multiple ranges in the realization of the random variables. On a strategic level, we introduce a multi-scale model that provides an understanding of the value of flexibility of the current plant configuration and the value of additional flexibility in terms of retrofits for Demand-Side Management under product demand uncertainty. The integration of multiple time scales leads to large-scale two-stage stochastic programming problems, for which we need to apply decomposition strategies in order to obtain a good solution within a reasonable amount of time. Hence, we describe two decomposition schemes that can be applied to solve two-stage stochastic programming problems: First, a hybrid bi-level decomposition scheme with

  20. Presentation and management of organophosphate poisoning in an intensive care unit

    International Nuclear Information System (INIS)

    To determine the various demographic factors, clinical features, management and outcome of organophosphate poisoning in an intensive care unit (ICU) setting. Study Design: Descriptive quantitative study. Place and Duration of study: ICU of PNS Shifa hospital, Karachi. From February 2008-February 2010. Patients and Methods: Total of 40 patients were admitted in the ICU of PNS Shifa hospital, Karachi from Feb 2008- Feb 2010 with the history of organophosphate (OP) ingestion. A complete history was taken from the patients and relatives. Baseline laboratory investigations were done. All the data was tabulated on a structured performed after tasking consent from the relatives. Variables of the study were demographic factors as gender, age, cause and mode of poisoning, clinical course, ICU management and its outcome. Results: Out of 40 patients 32 (80%) were females and 8 (20%) were males. The age varied from 12-56 years. Twenty eight (70%) were in the 14-28 years age group. Twenty nine (72%) had poison for suicidal purpose and rest had the insecticide accidently. Twenty six (62%) of them were unmarried. In 38 (95%) patients the clinical features of parasympathetic overactivity was observed. All these patients were given atropine and pralidoxime. Fifteen (37%) patients required mechanical ventilation. Five (12%) out of these patients developed ventilator associated pneumonia. The time duration of mechanical ventilation was 1-3 weeks. All the patients were successfully recovered. Total duration of hospital stay on our patients was 2-4 weeks. Conclusion: Early and aggressive management of organophosphate poisoning in an ICU setting reduces not only the mortality but also decreases the duration of hospital stay. (author)

  1. An official American Thoracic Society workshop report: assessment and palliative management of dyspnea crisis.

    Science.gov (United States)

    Mularski, Richard A; Reinke, Lynn F; Carrieri-Kohlman, Virginia; Fischer, Mark D; Campbell, Margaret L; Rocker, Graeme; Schneidman, Ann; Jacobs, Susan S; Arnold, Robert; Benditt, Joshua O; Booth, Sara; Byock, Ira; Chan, Garrett K; Curtis, J Randall; Donesky, Doranne; Hansen-Flaschen, John; Heffner, John; Klein, Russell; Limberg, Trina M; Manning, Harold L; Morrison, R Sean; Ries, Andrew L; Schmidt, Gregory A; Selecky, Paul A; Truog, Robert D; Wang, Angela C C; White, Douglas B

    2013-10-01

    In 2009, the American Thoracic Society (ATS) funded an assembly project, Palliative Management of Dyspnea Crisis, to focus on identification, management, and optimal resource utilization for effective palliation of acute episodes of dyspnea. We conducted a comprehensive search of the medical literature and evaluated available evidence from systematic evidence-based reviews (SEBRs) using a modified AMSTAR approach and then summarized the palliative management knowledge base for participants to use in discourse at a 2009 ATS workshop. We used an informal consensus process to develop a working definition of this novel entity and established an Ad Hoc Committee on Palliative Management of Dyspnea Crisis to further develop an official ATS document on the topic. The Ad Hoc Committee members defined dyspnea crisis as "sustained and severe resting breathing discomfort that occurs in patients with advanced, often life-limiting illness and overwhelms the patient and caregivers' ability to achieve symptom relief." Dyspnea crisis can occur suddenly and is characteristically without a reversible etiology. The workshop participants focused on dyspnea crisis management for patients in whom the goals of care are focused on palliation and for whom endotracheal intubation and mechanical ventilation are not consistent with articulated preferences. However, approaches to dyspnea crisis may also be appropriate for patients electing life-sustaining treatment. The Ad Hoc Committee developed a Workshop Report concerning assessment of dyspnea crisis; ethical and professional considerations; efficient utilization, communication, and care coordination; clinical management of dyspnea crisis; development of patient education and provider aid products; and enhancing implementation with audit and quality improvement. PMID:24161068

  2. Effects of inter-row management intensity on wild bee, plant and soil biota diversity in vineyards

    Science.gov (United States)

    Kratschmer, Sophie; Pachinger, Bärbel; Winter, Silvia; Zaller, Johann G.; Buchholz, Jacob; Querner, Pascal; Strauß, Peter; Bauer, Thomas; Stiper, Katrin

    2016-04-01

    Vineyards may provide a range of essential ecosystem services, which interact with a diverse community of above- and belowground organisms. Intensive soil management like frequent tilling has resulted in the degradation of habitat quality with consequences on biodiversity and ecosystem services. This study is part of the European BiodivERsA project "VineDivers - Biodiversity-based ecosystem services in vineyards". We study the effects of different soil management intensities on above- and below-ground biodiversity (plants, insect pollinators, and soil biota), their interactions and the consequences for ecosystem services. We investigated 16 vineyards in Austria assessing the diversity of (1) wild bees using a semi-quantitative transect method, (2) earthworms by hand sorting, (3) Collembola (springtails) via pitfall trapping and soil coring, (4) plants by relevés and (5) litter decomposition (tea bag method). Management intensity differed in tillage frequency from intermediate intensity resulting in temporary vegetation cover to no tillage in permanent vegetation cover systems. First results show opposed relationships between the biodiversity of selected species groups and management intensity. We will discuss possible explanations and evaluate ecological interactions between wild bee, plant and soil biota diversity.

  3. An enhanced Bayesian fingerprinting framework for studying sediment source dynamics in intensively managed landscapes

    Science.gov (United States)

    Abban, B.; (Thanos) Papanicolaou, A. N.; Cowles, M. K.; Wilson, C. G.; Abaci, O.; Wacha, K.; Schilling, K.; Schnoebelen, D.

    2016-06-01

    An enhanced revision of the Fox and Papanicolaou (hereafter referred to as "F-P") (2008a) Bayesian, Markov Chain Monte Carlo fingerprinting framework for estimating sediment source contributions and their associated uncertainties is presented. The F-P framework included two key deterministic parameters, α and β, that, respectively, reflected the spatial origin attributes of sources and the time history of eroded material delivered to and collected at the watershed outlet. However, the deterministic treatment of α and β is limited to cases with well-defined spatial partitioning of sources, high sediment delivery, and relatively short travel times with little variability in transport within the watershed. For event-based studies in intensively managed landscapes, this may be inadequate since landscape heterogeneity results in variabilities in source contributions, their pathways, delivery times, and storage within the watershed. Thus, probabilistic treatments of α and β are implemented in the enhanced framework to account for these variabilities. To evaluate the effects of the treatments of α and β on source partitioning, both frameworks are applied to the South Amana Subwatershed (SASW) in the U.S. midwest. The enhanced framework is found to estimate mean source contributions that are in good agreement with estimates from other studies in SASW. The enhanced framework is also able to produce expected trends in uncertainty during the study period, unlike the F-P framework, which does not perform as expected. Overall, the enhanced framework is found to be less sensitive to changes in α and β than the F-P framework, and, therefore, is more robust and desirable from a management standpoint.

  4. Leptospirosis in American Samoa 2010: epidemiology, environmental drivers, and the management of emergence.

    Science.gov (United States)

    Lau, Colleen L; Dobson, Annette J; Smythe, Lee D; Fearnley, Emily J; Skelly, Chris; Clements, Archie C A; Craig, Scott B; Fuimaono, Saipale D; Weinstein, Philip

    2012-02-01

    Leptospirosis has recently been reported as an emerging disease worldwide, and a seroprevalence study was undertaken in American Samoa to better understand the drivers of transmission. Antibodies indicative of previous exposure to leptospirosis were found in 15.5% of 807 participants, predominantly against three serovars that were not previously known to occur in American Samoa. Questionnaires and geographic information systems data were used to assess behavioral factors and environmental determinants of disease transmission, and logistic regression was used to identify factors associated with infection. Many statistically significant factors were consistent with previous studies, but we also showed a significant association with living at lower altitudes (odds ratio [OR] = 1.53, 95% confidence interval [CI]: 1.03-2.28), and having higher numbers of piggeries around the home (OR = 2.63, 95% CI: 1.52-4.40). Our findings support a multifaceted approach to combating the emergence of leptospirosis, including modification of individual behavior, but importantly also managing the evolving environmental drivers of risk. PMID:22302868

  5. Emerging Themes in the Ecology and Management of North American Forests

    International Nuclear Information System (INIS)

    The 7th North American Forest Ecology Workshop, consisting of 149 presentations in 16 oral sessions and a poster session, reflected a broad range of topical areas currently under investigation in forest ecology and management. There was an overarching emphasis on the role of disturbance, both natural and anthropogenic, in the dynamics of forest ecosystems, and the recognition that legacies from past disturbances strongly influence future trajectories. Climate was invoked as a major driver of ecosystem change. An emphasis was placed on application of research findings for predicting system responses to changing forest management initiatives. Several needs emerged from the discussions regarding approaches to the study of forest ecosystems, including (1) consideration of variable spatial and temporal scales, (2) long-term monitoring, (3) development of universal databases more encompassing of time and space to facilitate meta-analyses, (4) combining field studies and modeling approaches, (5) standardizing methods of measurement and assessment, (6) guarding against oversimplification or over generalization from limited site-specific results, (7) greater emphasis on plant-animal interactions, and (8) better alignment of needs and communication of results between researchers and managers.

  6. Emerging Themes in the Ecology and Management of North American Forests

    Directory of Open Access Journals (Sweden)

    Terry L. Sharik

    2010-01-01

    Full Text Available The 7th North American Forest Ecology Workshop, consisting of 149 presentations in 16 oral sessions and a poster session, reflected a broad range of topical areas currently under investigation in forest ecology and management. There was an overarching emphasis on the role of disturbance, both natural and anthropogenic, in the dynamics of forest ecosystems, and the recognition that legacies from past disturbances strongly influence future trajectories. Climate was invoked as a major driver of ecosystem change. An emphasis was placed on application of research findings for predicting system responses to changing forest management initiatives. Several “needs” emerged from the discussions regarding approaches to the study of forest ecosystems, including (1 consideration of variable spatial and temporal scales, (2 long-term monitoring, (3 development of universal databases more encompassing of time and space to facilitate meta-analyses, (4 combining field studies and modeling approaches, (5 standardizing methods of measurement and assessment, (6 guarding against oversimplification or overgeneralization from limited site-specific results, (7 greater emphasis on plant-animal interactions, and (8 better alignment of needs and communication of results between researchers and managers.

  7. The Impact of Supply Chain Management Practices on Supply Chain Performance in Jordan: The Moderating Effect of Competitive Intensity

    OpenAIRE

    Ayman Bahjat Abdallah; Bader Yousef Obeidat; Noor Osama Aqqad

    2014-01-01

    The purpose of this study is to test the impact of supply chain management practices on supply chainperformance in terms of supply chain efficiency and supply chain effectiveness. Additionally, we investigate themoderating effect of competitive intensity on the relationship between supply chain management practices andsupply chain performance. Data for this research were collected from 104 manufacturing companies in Jordan.Hierarchical regressions were used to test the hypothesized relationsh...

  8. Customized recommendations for production management clusters of North American automatic milking systems.

    Science.gov (United States)

    Tremblay, Marlène; Hess, Justin P; Christenson, Brock M; McIntyre, Kolby K; Smink, Ben; van der Kamp, Arjen J; de Jong, Lisanne G; Döpfer, Dörte

    2016-07-01

    Automatic milking systems (AMS) are implemented in a variety of situations and environments. Consequently, there is a need to characterize individual farming practices and regional challenges to streamline management advice and objectives for producers. Benchmarking is often used in the dairy industry to compare farms by computing percentile ranks of the production values of groups of farms. Grouping for conventional benchmarking is commonly limited to the use of a few factors such as farms' geographic region or breed of cattle. We hypothesized that herds' production data and management information could be clustered in a meaningful way using cluster analysis and that this clustering approach would yield better peer groups of farms than benchmarking methods based on criteria such as country, region, breed, or breed and region. By applying mixed latent-class model-based cluster analysis to 529 North American AMS dairy farms with respect to 18 significant risk factors, 6 clusters were identified. Each cluster (i.e., peer group) represented unique management styles, challenges, and production patterns. When compared with peer groups based on criteria similar to the conventional benchmarking standards, the 6 clusters better predicted milk produced (kilograms) per robot per day. Each cluster represented a unique management and production pattern that requires specialized advice. For example, cluster 1 farms were those that recently installed AMS robots, whereas cluster 3 farms (the most northern farms) fed high amounts of concentrates through the robot to compensate for low-energy feed in the bunk. In addition to general recommendations for farms within a cluster, individual farms can generate their own specific goals by comparing themselves to farms within their cluster. This is very comparable to benchmarking but adds the specific characteristics of the peer group, resulting in better farm management advice. The improvement that cluster analysis allows for is

  9. Personalized Weight Management Interventions for Cardiovascular Risk Reduction: A Viable Option for African-American Women.

    Science.gov (United States)

    Franklin, Nina C; Arena, Ross

    2016-01-01

    Obesity is an independent contributor to cardiovascular disease (CVD) and a major driving force behind racial/ethnic and gender disparities in risk. Due to a multitude of interrelating factors (i.e., personal, social, cultural, economic and environmental), African-American (AA) women are disproportionately obese and twice as likely to succumb to CVD, yet they are significantly underrepresented in behavioral weight management interventions. In this selective review we highlight components of the limited interventions shown to enhance weight loss outcomes in this population and make a case for leveraging Web-based technology and artificial intelligence techniques to deliver personalized programs aimed at obesity treatment and CVD risk reduction. Although many of the approaches discussed are generally applicable across populations burdened by disparate rates of obesity and CVD, we specifically focus on AA women due to the disproportionate impact of these non-communicable diseases and the general paucity of interventions targeted to this high-risk group. PMID:26908050

  10. Management of Differentiated Thyroid Cancer in Children: Focus on the American Thyroid Association Pediatric Guidelines.

    Science.gov (United States)

    Parisi, Marguerite T; Eslamy, Hedieh; Mankoff, David

    2016-03-01

    First introduced in 1946, radioactive iodine (I-131) produces short-range beta radiation with a half-life of 8 days. The physical properties of I-131 combined with the high degree of uptake in the differentiated thyroid cancers (DTCs) led to the use of I-131 as a therapeutic agent for DTC in adults. There are two indications for the potential use of I-131 therapy in pediatric thyroid disorders: nonsurgical treatment of hyperthyroidism owing to Graves' disease and the treatment of children with intermediate- and high-risk DTC. However, children are not just miniature adults. Not only are children and the pediatric thyroid gland more sensitive to radiation than adults but also the biologic behavior of DTC differs between children and adults as well. As opposed to adults, children with DTC typically present with advanced disease at diagnosis; yet, they respond rapidly to therapy and have an excellent prognosis that is significantly better than that in adult counterparts with advanced disease. Unfortunately, there are also higher rates of local and distant disease recurrence in children with DTC compared with adults, mandating lifelong surveillance. Further, children have a longer life expectancy during which the adverse effects of I-131 therapy may become manifest. Recognizing the differences between adults and children with DTC, the American Thyroid Association commissioned a task force of experts who developed and recently published a guideline to address the unique issues related to the management of thyroid nodules and DTC in children. This article reviews the epidemiology, diagnosis, staging, treatment, therapy-related effects, and suggestions for surveillance in children with DTC, focusing not only on the differences between adults and children with this disease but also on the latest recommendations from the inaugural pediatric management guidelines of the American Thyroid Association. PMID:26897719

  11. Effectiveness of classroom based crew resource management training in the intensive care unit: study design of a controlled trial.

    NARCIS (Netherlands)

    Kemper, P.F.; Bruijne, M. de; Dyck, C. van; Wagner, C.

    2011-01-01

    Background: Crew resource management (CRM) has the potential to enhance patient safety in intensive care units (ICU) by improving the use of non-technical skills. However, CRM evaluation studies in health care are inconclusive with regard to the effect of this training on behaviour and organizationa

  12. Diabetes rehabilitation : development and first results of a Multidisciplinary Intensive Education Program for patients with prolonged self-management difficulties

    NARCIS (Netherlands)

    Keers, JC; Blaauwwiekel, EE; Hania, M; Bouma, J; Scholten-Jaegers, SMHJ; Sanderman, R; Links, TP

    2004-01-01

    For a number of diabetes patients regular care may be insufficient. A Multidisciplinary Intensive Education Program (MIEP), based on the empowerment approach, has been developed to help patients obtain their treatment goals (adequate self-management, glycemic control and quality of life). The aim of

  13. Diabetes rehabilitation : Effects of a Multidisciplinary Intensive Education Programme for diabetic patients with prolonged self-management difficulties

    NARCIS (Netherlands)

    Keers, JC; Links, TP; Bouma, J; Scholten-Jaegers, SMHJ; Gans, ROB; Sanderman, R

    2005-01-01

    This study aimed to determine effects of a Multidisciplinary Intensive Education Programme (MIEP) based on the empowerment approach for diabetic patients with prolonged self-management difficulties. In 89 participants, glycaemic control (HbA1c), health related quality of life (HR-QoL) and indicators

  14. Comparison of net global warming potential and greenhouse gas intensity affected by management practices in two dryland cropping sites

    Science.gov (United States)

    Little is known about the effect of management practices on net global warming potential (GWP) and greenhouse gas intensity (GHGI) that account for all sources and sinks of greenhouse gas (GHG) emissions in dryland cropping systems. The objective of this study was to compare the effect of a combinat...

  15. Disparities in lipid management for African Americans and Caucasians with coronary artery disease: A national cross-sectional study

    Directory of Open Access Journals (Sweden)

    Carter-Edwards Lori

    2004-08-01

    Full Text Available Abstract Background Individuals with coronary artery disease are at high risk for adverse health outcomes. This risk can be diminished by aggressive lipid management, but adherence to lipid management guidelines is far from ideal and substantial racial disparities in care have been reported. Lipid treatment and goal attainment information is not readily available for large patient populations seen in the fee-for-service setting. As a result, national programs to improve lipid management in this setting may focus on lipid testing as an indicator of lipid management. We describe the detection, treatment, and control of dyslipdemia for African Americans and Caucasians with coronary artery disease to evaluate whether public health programs focusing on lipid testing can eliminate racial disparities in lipid management. Methods Physicians and medical practices with high numbers of prescriptions for coronary artery disease medications were invited to participate in the Quality Assurance Program. Medical records were reviewed from a random sample of patients with coronary artery disease seen from 1995 through 1998. Data related to the detection, treatment, and control of dyslipidemia were abstracted from the medical record and evaluated in cross-sectional stratified and logistic regression analyses using generalized estimation equations. Results Data from the medical records of 1,046 African Americans and 22,077 Caucasians seen in outpatient medical practices in 23 states were analyzed. African-American patients were younger, more likely to be women and to have diabetes, heart failure, and hypertension. The low density lipoprotein cholesterol (LDL-C testing rate for Caucasian men was over 1.4 times higher than that for African-American women and about 1.3 times higher than that for African-American men. Almost 60% of tested Caucasian men and less than half of tested African Americans were prescribed lipid-lowering drugs. Tested and treated Caucasian men

  16. International Human Resources Management of Japanese, American, and European Firms in Asia : The Roles of Headquarters and Subsidiaries

    OpenAIRE

    Hiromichi Shibata; Andrew Doyle

    2006-01-01

    The main role of the headquarters international human resources departments/business units of seven Japanese firms we researched is to manage the Japanese expatriates at their subsidiaries in Asia; they have little involvement with the management of local employees. The headquarters international human resources departments/business units at five researched American firms tend to maintain strong company value/mission that drives use of their performance appraisal/promotion systems for employe...

  17. “So We Adapt Step by Step”: Acculturation Experiences Affecting Diabetes Management and Perceived Health for Chinese American Immigrants

    OpenAIRE

    Chun, Kevin M.; Chesla, Catherine A.; Kwan, Christine M.L.

    2010-01-01

    This study examines how acculturation affects type 2 diabetes management and perceived health for Chinese American immigrants in the U.S. Acculturation experiences or cultural adaptation experiences affecting diabetes management and health were solicited from an informant group of immigrant patients and their spouses (N=40) during group, couple and individual interviews conducted in 2005 to 2008. A separate respondent group of immigrant patients and their spouses (N=19) meeting inclusion crit...

  18. Hyperthyroidism and Other Causes of Thyrotoxicosis: Management Guidelines of the American Thyroid Association and American Association of Clinical Endocrinologists

    Directory of Open Access Journals (Sweden)

    V V Fadeyev

    2011-12-01

    Full Text Available В конце весны 2011 г. вышли новые рекомендации Американской тиреоидной ассоциации и Американской ассоциации клинических эндокринологов по диагностике и лечению тиреотоксикоза. Они озаглавлены “Гипертиреоз и другие причины тиреотоксикоза”. Bahn R.S., Burch H.B., Cooper D.S., Garber J.R., Greenlee M.C., Klein I., Laurberg P., McDougall I.R., Montori V.M., Rivkees S.A., Ross D.S., Sosa J.A., Stan M.N. Hyperthyroidism and Other Causes of Thyrotoxicosis: Management Guidelines of the American Thyroid Association and American Association of Clinical Endocrinologists. Thyroid. 2011:21. Рекомендации представляют собой достаточно большой документ, изданный на 54 журнальных страницах. Важно отметить, что в его создании участвовали не только американские, но и европейские эксперты, т.е. представленные рекомендации не узкоспецифичны для США, где, как известно, есть свои особенности организации медицинской помощи. В документе сформулировано собственно 100 пунктов рекомендаций, каждому из которых представлен уровень силы рекомендации и уровень доказательности. Большая же часть объема документа представлена обсуждением и аргументацией,на основании которой были сформулированы 100 рекомендаций. В этой статье хотелось бы

  19. Classroom Management Training for Teachers in Urban Environments Serving Predominately African American Students: A Review of the Literature

    Science.gov (United States)

    Larson, Kristine E.

    2016-01-01

    The purpose of this paper was to review the literature in terms of professional development activities that researchers have enlisted to reduce student problem behaviors and improve classroom management competencies among teachers who work in urban environments serving predominately African American students. First, the author conducted a…

  20. Stress Management-Augmented Behavioral Weight Loss Intervention for African American Women: A Pilot, Randomized Controlled Trial

    Science.gov (United States)

    Cox, Tiffany L.; Krukowski, Rebecca; Love, ShaRhonda J.; Eddings, Kenya; DiCarlo, Marisha; Chang, Jason Y.; Prewitt, T. Elaine; West, Delia Smith

    2013-01-01

    The relationship between chronic stress and weight management efforts may be a concern for African American (AA) women, who have a high prevalence of obesity, high stress levels, and modest response to obesity treatment. This pilot study randomly assigned 44 overweight/obese AA women with moderate to high stress levels to either a 12-week…

  1. Database Management System Construction for the Evaluation Results of Intensive Land Use in the Development Areas of Hunan Province

    Institute of Scientific and Technical Information of China (English)

    Mingliang; LIU

    2013-01-01

    Using spatial data integration and database technology,analyzing and integrating the assessment results in all the development zones at different time in Hunan Province,the paper is intended to construct the database and managerial system for the assessment results of land use intensity in development zones,thus formulating"one map"of Hunan Development zones and realizing the integrated management and application of the assessment results in all the development zones at any time of Hunan above the provincial level.It has been proved that the system has good application effect and promising development in land management for land management departments and development zones.

  2. Recommendations for responsible monitoring and regulation of clinical software systems. American Medical Informatics Association, Computer-based Patient Record Institute, Medical Library Association, Association of Academic Health Science Libraries, American Health Information Management Association, American Nurses Association.

    Science.gov (United States)

    Miller, R A; Gardner, R M

    1997-01-01

    In mid-1996, the FDA called for discussions on regulation of clinical software programs as medical devices. In response, a consortium of organizations dedicated to improving health care through information technology has developed recommendations for the responsible regulation and monitoring of clinical software systems by users, vendors, and regulatory agencies. Organizations assisting in development of recommendations, or endorsing the consortium position include the American Medical Informatics Association, the Computer-based Patient Record Institute, the Medical Library Association, the Association of Academic Health Sciences Libraries, the American Health Information Management Association, the American Nurses Association, the Center for Healthcare Information Management, and the American College of Physicians. The consortium proposes four categories of clinical system risks and four classes of measured monitoring and regulatory actions that can be applied strategically based on the level of risk in a given setting. The consortium recommends local oversight of clinical software systems, and adoption by healthcare information system developers of a code of good business practices. Budgetary and other constraints limit the type and number of systems that the FDA can regulate effectively. FDA regulation should exempt most clinical software systems and focus on those systems posing highest clinical risk, with limited opportunities for competent human intervention. PMID:9391932

  3. Effects of Coffee Management Intensity on Composition, Structure, and Regeneration Status of Ethiopian Moist Evergreen Afromontane Forests

    Science.gov (United States)

    Hundera, Kitessa; Aerts, Raf; Fontaine, Alexandre; Van Mechelen, Maarten; Gijbels, Pieter; Honnay, Olivier; Muys, Bart

    2013-03-01

    The effect of arabica coffee management intensity on composition, structure, and regeneration of moist evergreen Afromontane forests was studied in three traditional coffee-management systems of southwest Ethiopia: semiplantation coffee, semiforest coffee, and forest coffee. Vegetation and environmental data were collected in 84 plots from forests varying in intensity of coffee management. After controlling for environmental variation (altitude, aspect, slope, soil nutrient availability, and soil depth), differences in woody species composition, forest structure, and regeneration potential among management systems were compared using one way analysis of variance. The study showed that intensification of forest coffee cultivation to maximize coffee production negatively affects diversity and structure of Ethiopian moist evergreen Afromontane forests. Intensification of coffee productivity starts with the conversion of forest coffee to semiforest coffee, which has significant negative effects on tree seedling abundance. Further intensification leads to the conversion of semiforest to semiplantation coffee, causing significant diversity losses and the collapse of forest structure (decrease of stem density, basal area, crown closure, crown cover, and dominant tree height). Our study underlines the need for shade certification schemes to include variables other than canopy cover and that the loss of species diversity in intensively managed coffee systems may jeopardize the sustainability of coffee production itself through the decrease of ecosystem resilience and disruption of ecosystem services related to coffee yield, such as pollination and pest control.

  4. Limitations of intensive forest-economic and water management activities by stress factors; 1: 1 000 000

    International Nuclear Information System (INIS)

    On this map the limitations of intensive forest-economic and water management activities by stress factors on the territory of the Slovak Republic are shown. Limitations of the use of forests result from the present state of their damage by emissions, which requires a special management or re-categorisation of forests to the forests with special purpose with a counter-emission function. The second category of limitations covers those resulting from the effect of geodynamic processes. Localities stricken by geodynamic processes require a special regime of management i.e. less intensive, which should also palliate manifestations of geodynamic processes. Limitations of use of water sources are the result of the present state of their contamination. Two degrees of limitations of use of underground and surface waters exist. Very heavy contamination prevents use of water for drinking or even as utility water, heavy contamination prevents use of water for drinking. (author)

  5. European and North American lung cancer screening experience and implications for pulmonary nodule management

    International Nuclear Information System (INIS)

    The potential for low dose computed tomography (LDCT) to act as an effective tool in screening for lung cancer is currently the subject of several randomised control trials. It has recently been given prominence by interim results released by the North American National Lung Screening Trial (NLST). Several other trials assessing LDCT as a screening tool are currently underway in Europe, and are due to report their final results in the next few years. These include the NELSON, DLSCT, DANTE, ITALUNG, MILD and LUSI trials. Although slow to instigate a trial of its own, the UK Lung Screen (UKLS) trial will shortly commence. The knowledge gained from the newer trials has mostly reinforced and refined previous concepts that have formed the basis of existing nodule management guidelines. This article takes the opportunity to summarise the main aspects and initial results of the trials presently underway, assess the status of current collaborative efforts and the scope for future collaboration, and analyse observations from these studies that may usefully inform the management of the indeterminate pulmonary nodule. (orig.)

  6. Coastal activities in American Samoa in 2012 for use in coastal management

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The American Samoa Coastal use Participatory Mapping Project was developed through a partnership between the American Samoa Government's Department of Commerce...

  7. 2013 AHA/ACC guideline on lifestyle management to reduce cardiovascular risk: A report of the American College of Cardiology/American Heart Association task force on practice guidelines

    Science.gov (United States)

    The goals of the American College of Cardiology (ACC) and the American Heart Association (AHA) are to prevent cardiovascular (CV) diseases, improve the management of people who have these diseases through professional education and research, and develop guidelines, standards and policies that promot...

  8. Birth weight and weaning weight of Boer kids under an intensive management system

    International Nuclear Information System (INIS)

    In Malaysia, mutton (as chevon is called locally) is one of the main red meat consumed. The total mutton demand in 2007 was 20,000 mT. However, its output for the year was only 1750 mT, a mere 8.75% self-sufficiency. The demand is met by import of mutton and live animals, especially from Australia. However, with stimulus provided under the National Agricultural Policy and the recent introduction of the Boer goats with excellent body conformation, growth rate and carcass quality, the goat industry is rapidly developing. Many medium to large Boer goat farms are being established with purebred Boer goats and crosses imported from Australia and South African as breeding animals. Many of the farmers are new to the farming industry and have acquired knowledge and skills through short courses, publications, government extension workers, local and foreign stock suppliers, or hired consultants. To ensure the economic viability of the industry, good management systems, quality and cost-effective feed resources, and highly productive animals are essential. However, there is little information on the growth and reproductive performance of Boer goats in Malaysia. In addition, the effects of genetic and non-genetic factors influencing the traits of interest have yet to be evaluated. A project was undertaken to evaluate the growth performance of the Boer goats under intensive management system. This reports the preliminary results, focusing on the effects of year of birth, sex of kid and litter type on birth and weaning weights in one of the newly established Boer goat farms. The data is from 397 purebred Boer kids, offspring of 174 does and 16 bucks imported from Australia, in a medium sized (300-1000 heads), commercial farm. The kids were raised with their dams in group pens in raised, wooden sheds. They were fed fresh Napier grass, provided twice daily, supplemented with concentrated feed. The kids were weaned at about 90 d of age. The GLM procedure of SAS 9.1 was used to

  9. Inappropriate emergency management of status epilepticus in children contributes to need for intensive care

    OpenAIRE

    Chin, R; Verhulst, L; Neville, B.; Peters, M; Scott, R.

    2004-01-01

    Objectives: To characterise the clinical features, emergency pre-paediatric intensive care (PIC) treatment, and course of status epilepticus (SE) in children admitted to PIC. This may provide insight into reasons for admission to PIC and provide a framework for the development of strategies that decrease the requirement for intensive care.

  10. High-intensity interval training without weight loss improves exercise but not basal or insulin-induced metabolism in overweight/obese African American women.

    Science.gov (United States)

    Arad, Avigdor D; DiMenna, Fred J; Thomas, Naketa; Tamis-Holland, Jacqueline; Weil, Richard; Geliebter, Allan; Albu, Jeanine B

    2015-08-15

    The purpose of this randomized controlled clinical trial was to determine the effect of a 14-week high-intensity interval training (HIIT) intervention with weight stability on metabolic flexibility, insulin sensitivity, and cardiorespiratory fitness in sedentary, premenopausal, nondiabetic, overweight/obese African American women. Twenty-eight subjects were allocated to one of two groups: HIIT, which performed three sessions per week of four high-intensity cycling intervals, or a control group (CON), which maintained their normal level of physical activity. Diet was controlled for all subjects to ensure weight stability. Pre- and postintervention (pre/post), subjects completed an incremental cycling test to limit of tolerance and, following a 10-day high-fat controlled feeding period, a euglycemic-hyperinsulinemic clamp to determine insulin sensitivity and substrate oxidation. Nine members of HIIT (age, 29 ± 4 yr; body mass, 90.1 ± 13.8 kg) and eleven members of CON (age, 30 ± 7 yr; body mass, 85.5 ± 10.7 kg) completed the study. HIIT experienced an increased limit of tolerance (post, 1,124 ± 202 s; pre, 987 ± 146 s; P < 0.05), gas exchange threshold (post, 1.29 ± 0.34 liters/min; pre, 0.97 ± 0.23 liters/min; P < 0.05), and fat oxidation at the same absolute submaximal work rate compared with CON (P < 0.05 for group-by-time interaction in all cases). However, changes in peak oxygen consumption (V̇o2peak), insulin sensitivity, free fatty acid suppression during insulin stimulation, and metabolic flexibility were not different in HIIT compared with CON. High-intensity interval training with weight stability increased exercise fat oxidation and tolerance in subjects at risk for diabetic progression, but did not improve insulin sensitivity or fat oxidation in the postabsorptive or insulin-stimulated state. PMID:26112241

  11. The influence of abiotic controls and management intensity on phosphorus cycling in established grassland and forest ecosystems

    Science.gov (United States)

    Alt, F.; Oelmann, Y.; Wilcke, W.

    2011-12-01

    It is commonly assumed that the bioavailability and cycling of phosphorus (P) is mainly controlled by abiotic soil properties including soil pH and the concentrations and reactivities of clay minerals, CaCO3 and Al/Fe oxides In managed ecosystems, kind, timing and duration of P additions and type and amount of harvested biomass are the major input and output fluxes. Our objective was to disentangle the effects of abiotic controls, and type and intensity of management on the P cycle in soils of temperate grasslands and forests of different management intensity in three regions across Germany in the frame of the Biodiversity Exploratories project. The pH value was the most important variable explaining P concentrations and partitioning in soil and changes in pH are the main mechanism how land-use is affecting the P cycle. However, after the influence of pH was accounted for in a sequential statistical approach, land-use intensity, classified according to the extent of annual biomass removal, explained a significant (P soils of highly diverse systems (up to 57 plant species) in one of the study regions, the Schwäbische Alb, a mid-range mountain area on limestone where soils showed a limited variation in pH in the carbonate buffer range, pedogenic Fe oxide concentrations, fertilizer-P application rates, and TP concentrations in soil explained more than half of the variation in bioavailable inorganic (Pi) concentrations extracted with NaHCO3 in soil. Our results demonstrate that mainly soil pH and mineralogical composition, and intensity of management of the managed ecosystems are significant controls of the P cycle determining the size of bioavailable P pool in soil.

  12. Contribution of different grass species to plant-atmosphere ammonia exchange in intensively managed grassland

    Directory of Open Access Journals (Sweden)

    M. Mattsson

    2009-01-01

    Full Text Available Species diversity in grasslands usually declines with increasing input of nitrogen from fertilizers or atmospheric deposition. Conversely, species diversity may also impact the build-up of soil and plant nitrogen pools. One important pool is NH3/NH4+ which also can be exchanged between plant leaves and the atmosphere. Limited information is available on how plant-atmosphere ammonia exchange is related to species diversity in grasslands. We have here investigated grass species abundance and different foliar nitrogen pools in 4-year-old intensively managed grassland. Apoplastic pH and NH4+ concentrations of the 8 most abundant species (Lolium perenne, Phleum pratense, Festuca pratensis, Lolium multiflorum, Poa pratensis, Dactylis glomerata, Holcus lanatus, Bromus mollis were used to calculate stomatal NH3 compensation points. Apoplastic NH4+ concentrations differed considerably among the species, ranging from 13 to 117 μM, with highest values in Festuca pratensis. Also apoplastic pH values varied, from pH 6.0 in Phleum pratense to 6.9 in Dactylis glomerata. The observed differences in apoplastic NH4+ and pH resulted in a large span of predicted values for the stomatal NH3 compensation point which ranged between 0.20 and 6.57 nmol mol−1. Three species (Lolium perenne, Festuca pratensis and Dactylis glomerata had sufficiently high NH3 compensation point and abundance to contribute to the bi-directional NH3 fluxes recorded over the whole field. The other 5 grass species had NH3 compensation points considerably below the atmospheric NH3 concentration and were thus not likely to contribute to NH3 emission but only to NH3 uptake from the atmosphere. Evaluated across species, leaf bulk-tissue NH4

  13. Intensive care management of patients with acute intermittent porphyria: Clinical report of four cases and review of literature

    Directory of Open Access Journals (Sweden)

    Mehta Madhur

    2010-01-01

    Full Text Available Acute intermittent porphyria (AIP, the most common and the most severe form of acute hepatic porphyria, is an autosomal dominant condition. It results from lower-than-normal levels (less than 50% of porphobilinogen (PBG deaminase. Patients may present commonly with gastrointestinal complaints and neuropsychiatric manifestations. Diagnosis may be confirmed with the presence of intermediary metabolites of haem synthesis, amino levulinic acid (ALA and PBG in urine or with specific enzyme assays. Abdominal pain is the most common symptom (90%. Peripheral polyneuropathy, primarily motor with flaccid paresis of proximal musculature, with or without autonomic involvement, is characteristic. Respiratory failure necessitates ventilator and intensive care support. Avoidance of precipitating factors and the use of haem preparations and intravenous dextrose form the basis of management. Gabapentin and propofol, rather than the conventional antiepileptics appear to be the appropriate choice for seizure control. Here, we present intensive care management of four cases of AIP with varying clinical presentation.

  14. PATIENT DATA MANAGEMENT SYSTEM IN INTENSIVE CARE UNIT (ICU) USING LABVIEW

    OpenAIRE

    Amritjot Kaur*, Shimi S. L

    2016-01-01

    This paper proposes a new system that takes the benefits of data flow technology. Its objective is to collect the data from monitoring system in the intensive care unit (ICU) and store that data for further analysis. Then it will be available for medical personnel to analyze data and take the suitable medication for patients. In fact, the monitoring system in intensive care unit provides a large amount of data quickly and continuously. Most units operate with a very limited storage capacity w...

  15. Intensive Care Unit–Acquired Weakness: Implications for Physical Therapist Management

    OpenAIRE

    Nordon-Craft, Amy; Moss, Marc; Quan, Dianna; Schenkman, Margaret

    2012-01-01

    Patients admitted to the intensive care unit (ICU) can develop a condition referred to as “ICU-acquired weakness.” This condition is characterized by profound weakness that is greater than might be expected to result from prolonged bed rest. Intensive care unit–acquired weakness often is accompanied by dysfunction of multiple organ systems. Individuals with ICU-acquired weakness typically have significant activity limitations, often requiring physical assistance for even the...

  16. Reducing environmental risk by improving N management in intensive Chinese agricultural systems

    OpenAIRE

    Ju, X.T.; Xing, G.X.; Chen, X. P.; Zhang, S L; Zhang, L J; Liu, X. J.; Z. L. Cui; Yin, B; Christie, Peter; Zhu, Z.L.; F. S. Zhang

    2009-01-01

    Excessive N fertilization in intensive agricultural areas of China has resulted in serious environmental problems because of atmospheric, soil, and water enrichment with reactive N of agricultural origin. This study examines grain yields and N loss pathways using a synthetic approach in 2 of the most intensive double-cropping systems in China: waterlogged rice/upland wheat in the Taihu region of east China versus irrigated wheat/rainfed maize on the North China Plain. When compared with knowl...

  17. Diabetes rehabilitation: development and first results of a Multidisciplinary Intensive Education Program for patients with prolonged self-management difficulties

    OpenAIRE

    Keers, JC; Blaauwwiekel, EE; Hania, M; J. Bouma; Scholten-Jaegers, SMHJ; Sanderman, R.; Links, TP

    2004-01-01

    For a number of diabetes patients regular care may be insufficient. A Multidisciplinary Intensive Education Program (MIEP), based on the empowerment approach, has been developed to help patients obtain their treatment goals (adequate self-management, glycemic control and quality of life). The aim of this pilot study is to determine the effects of MIEP and it's mechanisms of influence. MIEP consisted of 12 days group-sessions and individual counseling. At baseline and 3-months follow-up, blood...

  18. A questionnaire based survey to evaluate the usage pattern of carbapenems for sepsis management in intensive care unit

    OpenAIRE

    Vikram Kumar Shetty; Vishwaprakash M. K.; Somashekara S. C.

    2016-01-01

    Background: Sepsis remains one of the most common critical illnesses for patients to be admitted to an intensive care unit (ICU) and has very high associated morbidity and mortality ranging from 18 to 50%. It is a well-known fact that early goal directed therapy with broad spectrum antibiotics, IV fluids and other supportive therapies improve outcome. The current study was done to know the importance of carbapenems in the management of sepsis focusing on perceived use and the clinical outcome...

  19. KPI-focused Simulation and Management System for Eco-Efficient Design of Energy-Intensive Production Systems

    OpenAIRE

    Riexinger, Günther; Holtewert, Philipp; Bruns, Axel; Wahren, Sylvia; Tran, Khoi; Bauernhansl, Thomas

    2015-01-01

    The optimal eco-efficient design of production processes guarantees sustainable and resource-efficient manufacturing systems. Within the scope of the European project "DAPhNE", Fraunhofer IPA enables eco-efficient design with a new integrated system for the simulation and management of energy-intensive production systems as well as related key performance indicators (KPIs). The approach presented in this paper is based on a holistic production model and simulation system including dynamic KPI...

  20. Historical changes in channel network extent and channel planform in an intensively managed landscape: Natural versus human-induced effects

    Science.gov (United States)

    Rhoads, Bruce L.; Lewis, Quinn W.; Andresen, William

    2016-01-01

    Humans have become major geomorphological agents, effecting substantial change in the characteristics of Earth's physical landscapes. The agricultural Midwest of the United States is a region marked by pronounced human influence at the landscape scale. Humans undoubtedly have strongly influenced critical zone processes, including fluvial processes, in intensively managed agricultural landscapes, yet the exact nature of human alteration of these processes is unknown. This study documents historical changes in the extent of the stream channel network and in channel planform within the upper Sangamon River basin - an intensively managed agricultural watershed in Illinois. Results indicate that the modern channel network is nearly three times more extensive than the channel network in the 1820s. Most change in drainage density has occurred in headwater portions of the basin where numerous drainage ditches have been added to the network to drain flat uplands. No detectable change in channel position is evident between 1940 and 2012 along about 60% of the total length of the Sangamon River and its major tributaries. Nearly 30% of the total length exhibits change related to meander dynamics (cutoffs and lateral migration), whereas about 8% has changed as a result of channelization. Channelized sections typically remain straight for decades following human modification, supporting the notion that humans produce long-lasting catastrophic change in channel planform in this region. The findings confirm that humans are effective agents of morphological change in fluvial systems in this intensively managed watershed. Documenting human-induced versus natural changes in fluvial systems is important for evaluating how other critical zone processes in intensively managed landscapes have been affected by these changes. Human-induced changes in channel extent and planform most likely have altered this landscape from one dominated by biogeochemical transformations and storage of water

  1. Innovation management in knowledge intensive service companies : a case study of Det Norske Veritas and TrygVesta

    OpenAIRE

    2007-01-01

    Innovation has always remained a significant factor in the growth and development of the companies. Both manufacturing and service industries have been striving to innovate and enhance their business performance. With regards to innovation management, manufacturing companies have remained the prime subject of analysis. Despite the significant growth and value creation of the service industries generally speaking, and knowledge intensive services in particular, a major focus of research has be...

  2. Database Management System Construction for the Evaluation Results of Intensive Land Use in the Development Areas of Hunan Province

    OpenAIRE

    Liu, Mingliang

    2013-01-01

    Using spatial data integration and database technology, analyzing and integrating the assessment results in all the development zones at different time in Hunan Province, the paper is intended to construct the database and managerial system for the assessment results of land use intensity in development zones, thus formulating “one map†of Hunan Development zones and realizing the integrated management and application of the assessment results in all the development zones at any time of Hu...

  3. The Role of Dietary Protein and Fat in Glycaemic Control in Type 1 Diabetes: Implications for Intensive Diabetes Management

    OpenAIRE

    Paterson, Megan; Bell, Kirstine J.; O’Connell, Susan M.; Smart, Carmel E.; Shafat, Amir; King, Bruce

    2015-01-01

    A primary focus of the management of type 1 diabetes has been on matching prandial insulin therapy with carbohydrate amount consumed. However, even with the introduction of more flexible intensive insulin regimes, people with type 1 diabetes still struggle to achieve optimal glycaemic control. More recently, dietary fat and protein have been recognised as having a significant impact on postprandial blood glucose levels. Fat and protein independently increase the postprandial glucose excursion...

  4. Managing U.S. climate risk through mitigation: Insights from the American Climate Prospectus

    Science.gov (United States)

    Kopp, R. E., III; Hsiang, S. M.; Houser, T.; Larsen, K.; Rasmussen, D. M., Jr.; Jina, A.; Rising, J.; Delgado, M.; Mohan, S.; Muir-Wood, R.; Wilson, P. S.

    2014-12-01

    The American Climate Prospectus (ACP), the technical analysis underlying the Risky Business project, quantitatively assessed the economic risks posed to the United States by six categories of climate change impacts: crop yield, energy demand, coastal storm damage, criminal activity, labor productivity, and mortality [1]. At a national level, measured by impact on gross domestic product, increased mortality and decreased labor productivity pose the large risks, followed by increased energy demand and coastal damages. Changes in crop yield and crime have smaller impacts. The ACP was not intended to conduct a benefit-cost analysis of climate change mitigation. It assessed the economic consequences of future impacts on an economy with a structure equivalent to that of the current economy, not accounting for socio-economic development and adaptation, and did not assess the cost of mitigation. One of its primary goals was to inform adaptation decisions that are conventionally considered 'endogenous' in economic analyses of climate change. Nonetheless, its results provide insight into the potential of mitigation to manage climate risk. Differences between RCP 8.5 (moderately-high business-as-usual emissions), RCP 4.5 (moderate mitigation) and RCP 2.6 (extremely strong mitigation) are not apparent until mid-century and become significant only late in the century. For all impacts except coastal damages, mitigation significantly reduces uncertainty in late-century impact estimates. Nationally, mitigation significantly and monotonically reduces median projected labor productivity losses and violent crime. Switching from RCP 8.5 to RCP 4.5 also significantly reduces median projections of mortality and energy demand, but the domestic value to the U.S. of further mitigation to RCP 2.6 is less clear. The marginal benefits decline in part because some regions of the country (especially the Northwest) may experience increased crop yields, reduced mortality, and reduced energy

  5. Quantification and Physiology of Carbon Dynamics in Intensively Managed Loblolly Pine (Pinus taeda L.)

    OpenAIRE

    Gough, Christopher Michael

    2003-01-01

    Loblolly pine (Pinus taeda L.) occupies 13 million hectares in the United States and represents a critical component of the global carbon (C) cycle. Forest management alters C dynamics, affecting the C sequestration capacity of a site. Identifying drivers that influence C cycling, quantifying C fluxes, and determining how management alters processes involved in C cycling will allow for an understanding of C sequestration capacity in managed forests. Objectives of the first study included (...

  6. Ethical guidance in the era of managed care: an analysis of the American College of Healthcare Executives' Code of Ethics.

    Science.gov (United States)

    Higgins, W

    2000-01-01

    Market competition and the rise of managed care are transforming the healthcare system from a physician-dominated cottage industry into a manager-dominated corporate enterprise. The managed care revolution is also undermining the safe-guards offered by medical ethics and raising serious public concerns. These trends highlight the growing importance of ethical standards for managers. The most comprehensive ethical guidance for health service managers is contained in the American College of Healthcare Executives' (ACHE) Code of Ethics. An analysis of the ACHE Code suggests that it does not adequately address several ethical concerns associated with managed care. The ACHE may wish to develop a supplemental statement regarding ethical issues in managed care. A supplemental statement that provides more specific guidance in the areas of financial incentives to reduce utilization, social mission, consumer/patient information, and the health service manager's responsibility to patients could be extremely valuable in today's complex and rapidly changing environment. More specific ethical guidelines would not ensure individual or organizational compliance. However, they would provide professional standards that could guide decision making and help managers evaluate performance in managed care settings. PMID:11066951

  7. Native American Values and Management Education: Envisioning an Inclusive Virtuous Circle

    Science.gov (United States)

    Verbos, Amy Klemm; Gladstone, Joe S.; Kennedy, Deanna M.

    2011-01-01

    Circles are symbols of interconnectedness. Behavioral circles can be vicious or virtuous. Many American Indians are caught in a vicious circle of exclusion from the purported benefits of Westernization, entrapment in its negative elements, and the ongoing undermining of their culture and thus their identities. Yet Native Americans, along with many…

  8. [Managed care. Its impact on health care in the USA, especially on anesthesia and intensive care].

    Science.gov (United States)

    Bauer, M; Bach, A

    1998-06-01

    Managed care, i.e., the integration of health insurance and delivery of care under the direction of one organization, is gaining importance in the USA health market. The initial effects consisted of a decrease in insurance premiums, a very attractive feature for employers. Managed care promises to contain expenditures for health care. Given the shrinking public resources in Germany, managed care seems attractive for the German health system, too. In this review the development of managed care, the principal elements, forms of organisation and practical tools are outlined. The regulation of the delivery of care by means of controlling and financial incentives threatens the autonomy of physicians: the physician must act as a "double agent", caring for the interest for the individual patient and being restricted by the contract with the managed care organisation. Cost containment by managed care was achieved by reducing the fees for physicians and hospitals (and partly by restricting care for patients). Only a fraction of this cost reduction was handed over to the enrollee or employer, and most of the money was returned with profit to the shareholders of the managed care organisations. The preeminent role of primary care physicians as gatekeepers of the health network led to a reduced demand for specialist services in general and for university hospitals and anesthesiologists in particular. The paradigm of managed care, i.e., to guide the patient and the care giver through the health care system in order to achieve cost-effective and high quality care, seems very attractive. The stress on cost minimization by any means in the daily practice of managed care makes it doubtful if managed care should be an option for the German health system, in particular because there are a number of restrictions on it in German law. PMID:9676303

  9. The impacts of a community forestry program on forest conditions, management intensity and revenue generation in the Dang district of Nepal

    OpenAIRE

    Narayan Raj Poudel; Nobuhiko Fuwa; Keijiro Otsuka

    2014-01-01

    A growing literature documents the positive impact of community management on non-timber forest conservation, but not on the management of timber forests which require higher management intensity than do non-timber forests. We find in Nepal that better market access encourages felling of mature timber trees before but not after the community management began and that population pressure leads to deforestation, which would have taken place under government management, but encourages forest man...

  10. The effect of a 3-month moderate-intensity physical activity program on body composition in overweight and obese African American college females

    Science.gov (United States)

    Casazza, K.; Durant, N. H.

    2014-01-01

    Summary This study evaluated body composition outcomes following a 3-month exercise program for overweight/obese Black women. BMI decreased over the 3-month study despite an observed increase in body fat. Enhancements in bone marrow density and muscle density were also observed. Results show promising yet hypothesis-generating findings to explore in future research. Introduction Few studies have evaluated the relationship between aerobic physical activity (PA) and body composition among young adult overweight/obese African American (AA) women. Purpose The current study evaluated the effect of a 3-month moderate-intensity aerobic physical activity intervention for overweight and obese young adult women on bone, lean, and fat mass. Methods Participants (n=15) were a randomly selected subset of AA female college students (M age=21.7 years; M BMI= 33.3) enrolled in a larger PA promotion pilot study (n=31). Study protocol required participants to engage in four 30–60-min moderate-intensity aerobic PA sessions each week. Whole body composition was measured by dual-energy X-ray absorptiometry (DXA), and peripheral quantitative computed tomography (pQCT) was used to assess additional quantitative and qualitative assessment of the radius. Results BMI decreased over the duration of the study (P=.034), reflected by a marginal decrease in body weight (P=.057). However, unexpectedly, increases in adipose tissue measures were observed, including total body fat (P=.041), percent body fat (P=.044), trunk fat (P=.031), and percent trunk fat (P=.041). No changes in DXA-measured bone outcomes were observed (i.e., bone mineral density, P=.069; bone mineral content, P=.211). Results from the pQCT assessment showed that bone marrow density increased (P=.011), but cortical density remained stable (P=.211). A marginally significant increase in muscle density (P=.053) and no changes in muscle area (P=.776) were observed. Conclusions A 3-month moderate-intensity PA program was associated

  11. Strategic threat management: an exploration of nursing strategies in the pediatric intensive care unit.

    Science.gov (United States)

    Durso, Francis T; Ferguson, Ashley N; Kazi, Sadaf; Cunningham, Charlene; Ryan, Christina

    2015-03-01

    Part of the work of a critical care nurse is to manage the threats that arise that could impede efficient and effective job performance. Nurses manage threats by employing various strategies to keep performance high and workload manageable. We investigated strategic threat management by using the Threat-Strategy Interview. Threats frequently involved technology, staff, or organizational components. The threats were managed by a toolbox of multifaceted strategies, the most frequent of which involved staff-, treatment- (patient + technology), examination- (patient + clinician), and patient-oriented strategies. The profile of strategies for a particular threat often leveraged work facets similar to the work facet that characterized the threat. In such cases, the nurse's strategy was directed at eliminating the threat (not working around it). A description at both a domain invariant level - useful for understanding strategic threat management generally - and a description at an operational, specific level - useful for guiding interventions-- are presented. A structural description of the relationship among threats, strategies, and the cues that trigger them is presented in the form of an evidence accumulation framework of strategic threat management. PMID:25287275

  12. Cross-Cultural Communication And Dimensions: A Hybrid Analysis Of Horizontal And Vertical Individualist And Collectivist Tendencies Among African American And European American Management Students

    Directory of Open Access Journals (Sweden)

    Ephraim Okoro

    2011-11-01

    Full Text Available This article describes research about horizontal and vertical individualism and collectivism (HVIC among African American and European American university students. The survey is based on the work of Harry Triandis (1995, one of the seminal researchers of individualism and collectivism (I-C. The survey of attitude and scenario items, developed by Harry Triandis (1995, was administered to undergraduate management students in three universities in the Eastern and Southeastern United States. Many of the attitude and scenario survey items directly address preferred communication patterns. The findings are also interpreted in terms of situational preferences about I-C, including the following contexts: social events, workplace decisions, and group and work dynamics. The research is unique in that it measures four types of the I-C dimension: horizontal individualism, vertical individualism, horizontal collectivism, and vertical collectivism, as conceptualized by Triandis (1995. Furthermore, it emerges from the premise that cultures are neither strictly collectivist nor individualist; rather, cultures have profiles in which individualist tendencies are prominent in some circumstances whereas collectivist tendencies are emphasized in others. Also, this article provides findings that can easily be converted into training about cross-cultural similarities and differences. Related recommendations for future research and implications for teaching are provided.

  13. American Association of Clinical Endocrinologists, Associazione Medici Endocrinologi, and European Thyroid Association Medical Guidelines for Clinical Practice for the Diagnosis and Management of thyroid Nodules

    DEFF Research Database (Denmark)

    Gharib, Hossein; Papini, Enrico; Paschke, Ralf;

    2010-01-01

    American Association of Clinical Endocrinologists, Associazione Medici Endocrinologi, and European Thyroid Association Medical Guidelines for Clinical Practice for the Diagnosis and Management of Thyroid Nodules are systematically developed statements to assist health care professionals in medica...

  14. American Association of Clinical Endocrinologists, Associazione Medici Endocrinologi, and European Thyroid Association Medical guidelines for clinical practice for the diagnosis and management of thyroid nodules

    DEFF Research Database (Denmark)

    Gharib, Hossein; Papini, Enrico; Paschke, Ralf;

    2010-01-01

    American Association of Clinical Endocrinologists, Associazione Medici Endocrinologi, and European Thyroid Association Medical Guidelines for Clinical Practice for the Diagnosis and Management of Thyroid Nodules are systematically developed statements to assist health care professionals in medica...

  15. Eighth joint national committee (JNC-8 guidelines and the outpatient management of hypertension in the African-American population

    Directory of Open Access Journals (Sweden)

    Nicole Abel

    2015-01-01

    Full Text Available Background: Hypertension is a common medical disease, occurring in about one third of young adults and almost two thirds of individuals over the age of 60. With the release of the Eighth Joint National Committee on Prevention, Detection, Evaluation, and Treatment (JNC-8 guidelines, there have been major changes in blood pressure management in the various subgroups. Aim: Optimal blood pressure management and markers of end-organ damage in African-American adult patients were compared between patients who were managed according to the JNC-8 hypertension management guidelines and those who were treated with other regimens. Materials and Methods: African-American patients aged 18 years or older with an established diagnosis of hypertension were included in the study who were followed up in our internal medicine clinic between January 1, 2013 and December 31, 2103; the data on their systolic and diastolic blood pressure readings, heart rate, body mass index (BMI, age, gender, comorbidities, and medications were recorded. Patients were divided into four groups based on the antihypertensive therapy as follows - Group 1: Diuretic only; Group 2: Calcium channel blocker (CCB only; Group 3: Diuretic and CCB; Group 4: Other antihypertensive agent. Their blood pressure control, comorbidities, and associated target organ damage were analyzed. Results: In all 323 patients, blood pressures were optimally controlled. The majority of the patients (79.6% were treated with either a diuretic, a CCB, or both. Intergroup comparison analysis showed no statistically significant difference in the mean systolic blood pressure, mean diastolic blood pressure, associated comorbidities, or frequency of target organ damage. Conclusion: Although diuretics or CCBs are recommended as first-line agents in African-American patients, we found no significant difference in the optimal control of blood pressure and frequency of end-organ damage compared to management with other agents.

  16. Regulation of Meadow Saffron (Colchicum autumnale L.) in non-intensively managed grasslands

    OpenAIRE

    Jung, Linda S.

    2014-01-01

    During the last decades, the toxic grassland species C. autumnale has become an increasing problem in extensively managed semi-natural grasslands of some Central European regions (Briemle, 2006; Winter et al., 2011). Farmers with high population densities of the plant have increasing difficulties to market their hay. As C. autumnale is sensitive to an increased cutting frequency, there is a risk that farmers intensify or abandon management. This would inevitably lead to high losses of biodive...

  17. EFFECT OF FLOOR TYPE ON BEHAVIOURAL ACTIVITIES OF INTENSIVELY MANAGED OSTRICHES

    OpenAIRE

    Dan SEABO; Esu WAUGH; Chistopher TSOPITO; Funnie COOPER

    2015-01-01

    Effects of providing grit on daily behavioural activities of intensively kept ostriches were investigated at the Botswana College of Agriculture. Two groups of ostriches were each housed in a 30 x 6m pen. Each group had seven ostriches in it. Each member of the group was identified by a number tag attached to its neck. Activities studied were feeding, picking objects, walking about, sparring, standing rest, sitting rest, grooming self, and grooming others. The study lasted 30 days. The result...

  18. PROGNOSTIC FACTORS IN SEVERE LEPTOSPIROSIS. NECESSITY OF MANAGEMENT IN INTENSIVE CARE UNIT AND MORTALITY (IN SPANISH)

    OpenAIRE

    Garcés-Contreras Rafae; Moreno-Artuz Mauro A; Moreno-Grau Álvaro; De la Vega-del Risco Fernando; Bello-Espinosa Ariel; Ramos-Clason Enrique; Gnecco-Ramos Mary; Casare-Romero Edinson; Jiménez-Jiménez Ana; Ramos-Olascuaga Leydi; Gallardo-Isaza Yunis

    2014-01-01

    Introduction: the leptospirosis is the most frequent anthropozoonosis of worldwide distribution in tropical countries, as much in rural area as in marginalized areas of urban regions. In our country, there are not studies about predictor factors of severity and necessity of intensive care unit (ICU) and mortality, which motivates to carry out the present study and to assess these variables. Objective: to determine the predictor variables of severity, the necessity of ICU and ...

  19. A Rectourethral Fistula due to Transrectal High-Intensity Focused Ultrasound Treatment: Diagnosis and Management

    OpenAIRE

    Valeria Fiaschetti; Guglielmo Manenti; Isabelle Di Poce; Maria Fornari; Aurora Ricci; Enrico Finazzi Agrò; Giovanni Simonetti

    2012-01-01

    Colovesical fistula (CVF) is an abnormal connection between the enteric and the urinary systems. The rectourethral fistula (RUF) is a possible but extremely rare complication of treatment of prostate cancer with “transrectal High-Intensity Focused Ultrasound (HIFU) treatment.” We present a case of CVF due to HIFU treatment of recurrent prostate cancer. The case was assessed with cystography completed with a pelvic CT scan—with MPR, MIP, and VR reconstruction—before emptying the bladder. Since...

  20. Measuring and Managing Answer Quality for Online Data-Intensive Services

    OpenAIRE

    Kelley, Jaimie; Stewart, Christopher; Morris, Nathaniel; Tiwari, Devesh; He, Yuxiong; Elnikety, Sameh

    2015-01-01

    Online data-intensive services parallelize query execution across distributed software components. Interactive response time is a priority, so online query executions return answers without waiting for slow running components to finish. However, data from these slow components could lead to better answers. We propose Ubora, an approach to measure the effect of slow running components on the quality of answers. Ubora randomly samples online queries and executes them twice. The first execution ...

  1. Transfusion-related acute lung injury management in a pediatric intensive care unit

    OpenAIRE

    Dotis, J.; Stabouli, S.; Violaki, A; Vogiatzi, L; Mitroudi, M; Oikonomou, M.; Athanassiou-Metaxa, M; Kotsiou, M

    2011-01-01

    Transfusion-related acute lung injury (TRALI) constitutes a life threatening complication of blood transfusion. In severe TRALI cases supportive care with mechanical ventilation in intensive care unit is needed. We present two severe TRALI cases caused by leukocyte depleted, ABO compatible, packed red blood cell transfusions, coming from multiparous women donors. In the first case diagnosis was based on clinical findings and established by the identification of leukocyte antibodies in donor's...

  2. Intensive care management of patients with severe intracerebral haemorrhage after endovascular treatment of brain arteriovenous malformations

    International Nuclear Information System (INIS)

    We studied the impact of emergency neurosurgery and intensive care on the outcome for patients with severe intracerebral haemorrhage after endovascular treatment of brain arteriovenous malformations (AVMs). We reviewed the case notes of 18 patients with severe haemorrhage after embolisation of a brain AVM between 1986 and 2001. During this period the treatment changed: before 1993, these patients were not surgically treated, and they died, while after 1994, all patients underwent emergency surgery. We established a standardised protocol for emergency treatment and intensive care in May 1998, and emergency surgery was performed as soon as possible after the onset of symptoms of haemorrhage. Postoperative intensive care was according to a standardised regime. During these 15 years, 24 out of 605 patients undergoing 1066 interventions had a haemorrhage during or after the procedure, of which 18 were severe (3% of patients, 1.7% of interventions). All patients had a severe clinical deficit (mean Glasgow coma scale 4.2); eight had uni- or bilateral mydriasis. From 1989 to April 1998 four (31%) of 13 patients died, one (7.5%) remained in a vegetative state and eight (61.5%) made a good recovery. All five patients treated between 1998 and 2001 had a favourable outcome. The mean time from onset of the symptoms of haemorrhage to reaching the operation room was 129 min between 1989 and 1998 and 24 min between 1998 and 2001. Standardised emergency treatment and intensive care with early resuscitation, minimal radiological exploration before rapid surgery improved the outcome. A short time between the onset of the symptoms of haemorrhage and evacuation of the haematoma may be the most important factor for a favourable outcome. (orig.)

  3. Work Incapacity and Treatment Costs After Severe Accidents: Standard Versus Intensive Case Management in a 6-Year Randomized Controlled Trial.

    Science.gov (United States)

    Scholz, Stefan M; Andermatt, Peter; Tobler, Benno L; Spinnler, Dieter

    2016-09-01

    Purpose Case management is widely accepted as an effective method to support medical rehabilitation and vocational reintegration of accident victims with musculoskeletal injuries. This study investigates whether more intensive case management improves outcomes such as work incapacity and treatment costs for severely injured patients. Methods 8,050 patients were randomly allocated either to standard case management (SCM, administered by claims specialists) or intensive case management (ICM, administered by case managers). These study groups differ mainly by caseload, which was approximately 100 cases in SCM and 35 in ICM. The setting is equivalent to a prospective randomized controlled trial. A 6-year follow-up period was chosen in order to encompass both short-term insurance benefits and permanent disability costs. All data were extracted from administrative insurance databases. Results Average work incapacity over the 6-year follow-up, including contributions from daily allowances and permanent losses from disability, was slightly but insignificantly higher under ICM than under SCM (21.6 vs. 21.3 % of pre-accident work capacity). Remaining work incapacity after 6 years of follow-up showed no difference between ICM and SCM (8.9 vs. 8.8 % of pre-accident work incapacity). Treatment costs were 43,500 Swiss Francs (CHF) in ICM compared to 39,800 in SCM (+9.4 %, p = 0.01). The number of care providers involved in ICM was 10.5 compared to 10.0 in ICM (+5.0 %, p reintegration of accident victims. PMID:26687330

  4. Management strategies to effect change in intensive care units: lessons from the world of business. Part II. Quality-improvement strategies.

    Science.gov (United States)

    Gershengorn, Hayley B; Kocher, Robert; Factor, Phillip

    2014-03-01

    The success of quality-improvement projects relies heavily on both project design and the metrics chosen to assess change. In Part II of this three-part American Thoracic Society Seminars series, we begin by describing methods for determining which data to collect, tools for data presentation, and strategies for data dissemination. As Avedis Donabedian detailed a half century ago, defining metrics in healthcare can be challenging; algorithmic determination of the best type of metric (outcome, process, or structure) can help intensive care unit (ICU) managers begin this process. Choosing appropriate graphical data displays (e.g., run charts) can prompt discussions about and promote quality improvement. Similarly, dashboards/scorecards are useful in presenting performance improvement data either publicly or privately in a visually appealing manner. To have compelling data to show, ICU managers must plan quality-improvement projects well. The second portion of this review details four quality-improvement tools-checklists, Six Sigma methodology, lean thinking, and Kaizen. Checklists have become commonplace in many ICUs to improve care quality; thinking about how to maximize their effectiveness is now of prime importance. Six Sigma methodology, lean thinking, and Kaizen are techniques that use multidisciplinary teams to organize thinking about process improvement, formalize change strategies, actualize initiatives, and measure progress. None originated within healthcare, but each has been used in the hospital environment with success. To conclude this part of the series, we demonstrate how to use these tools through an example of improving the timely administration of antibiotics to patients with sepsis. PMID:24601668

  5. Research on American Library Crisis Management%美国图书馆危机管理研究

    Institute of Scientific and Technical Information of China (English)

    柳莎

    2011-01-01

    This paper analyzes theory and practice about crisis management of American library,discusses the content of American Library crisis management,including disaster crisis,collection crisis,financial crisis,network security crisis,the crisis of violence and accidents and social status crisis,in order to provide valuable advice about crisis management for our country libraries,thus improve theory research and practice level about the crisis management of our country libraries.%分析美国图书馆危机管理的理论与实践,讨论美国图书馆危机管理内容,包括灾难危机、馆藏危机、财政危机、网络安全危机、暴力事故危机、图书馆社会地位危机,从中找出对我国图书馆危机管理提供可借鉴的经验,从而提高我国图书馆危机管理的理论研究和实践水平。

  6. Leptospirosis in American Samoa 2010: Epidemiology, Environmental Drivers, and the Management of Emergence

    OpenAIRE

    Lau, Colleen L.; Annette J Dobson; Lee D Smythe; Fearnley, Emily J.; Skelly, Chris; Archie C.A. Clements; Craig, Scott B; Fuimaono, Saipale D.; Weinstein, Philip

    2012-01-01

    Leptospirosis has recently been reported as an emerging disease worldwide, and a seroprevalence study was undertaken in American Samoa to better understand the drivers of transmission. Antibodies indicative of previous exposure to leptospirosis were found in 15.5% of 807 participants, predominantly against three serovars that were not previously known to occur in American Samoa. Questionnaires and geographic information systems data were used to assess behavioral factors and environmental det...

  7. A Catchment Systems Engineering (CSE) approach to managing intensively farmed land

    Science.gov (United States)

    Jonczyk, Jennine; Quinn, Paul; Barber, Nicholas; Wilkinson, Mark; ODonnell, Greg

    2014-05-01

    Rural land management practices can have a significant impact on the hydrological and nutrient dynamics within a catchment which can dramatically alter the way it processes water, exacerbating nutrient losses from the system. A collaborative and holistic approach for managing potential conflicts between land management activity for food production alongside the aspiration to achieve good water quality and the need to make space for water can ensure the long-term sustainability of our agricultural catchments. Catchment System Engineering (CSE) is an interventionist approach to altering the catchment scale runoff regime through the manipulation of hydrological flow pathways throughout the catchment. By targeting hydrological flow pathways at source, such as overland flow, field drain and ditch function, a significant component of the runoff generation can be managed, greatly reducing erosive soil losses. Coupled with management of farm nutrients at source many runoff attenuation features or measures can be co-located to achieve benefits for water quality. Examples of community-led mitigation measures using the CSE approach will be presented from two catchments in Northumberland, Northern England, that demonstrate the generic framework for identification of multipurpose features that slow, store and filter runoff at strategic locations in the landscape. Measures include within-field barriers, edge of field traps and within-field sediment filters and sediment traps which demonstrate how sediment can be trapped locally (including silt and clay fractions) and be recovered for use back on the land. Deliverables from this CSE approach includes the reduction of downstream flood risk and capturing of sediment and associated nutrients. The CSE approach allows for a more natural flood and nutrient management approach which helps to restore vital catchment functions to re-establish a healthy catchment system.

  8. Impact of grazing on carbon dioxide flux exchanges in an intensively managed grassland

    OpenAIRE

    Jerome, Elisabeth; Beckers, Yves; Bodson, Bernard; Dumortier, Pierre; Moureaux, Christine; Aubinet, Marc

    2013-01-01

    To date, there are few studies assessing the impact of specific management events, particularly grazing, on carbon (C) and carbon dioxide (CO2) fluxes in managed grasslands. Grazing effects are indeed difficult to discern. They vary with the stocking rate and the length of the grazing period. Moreover, they are often masked by environmental responses. The aim of the present study was to assess the impact of grazing on the CO2 fluxes of a grassland grazed by the Belgian Blue breed of cattle. ...

  9. Linking nursery nutritional status and water availability post-planting under intense summer drought: the case of a South American Mediterranean tree species

    Directory of Open Access Journals (Sweden)

    Ovalle JF

    2016-06-01

    Full Text Available Drought-avoidance traits of South American Mediterranean tree species are crucial attributes to be considered in nursery practices aimed at improving the performance of seedlings exposed to intense summer drought in dryland reforestation projects. In this study, we determined the relation between nursery fertilization doses and the development of drought-avoidance traits of the soapbark tree Quillaja saponaria (Mol. under contrasting watering regimes following post-planting. Seedlings were grown for 6 months using four increasing doses of controlled-release fertilizer (0, 3, 6, and 12 g L-1 of Basacote® Plus 15:8:12. After outplanting, half of the seedlings were watered weekly and the other half were left unwatered for one growing season from September 2011 to May 2012. Seedlings were periodically measured for morphological and ecophysiological parameters, and carefully harvested for root measurements at the end of the study. Our results showed that high fertilization doses produced significantly larger seedlings in the nursery with high nitrogen and phosphorous foliar concentrations, which resulted in a significantly higher shoot dry mass after outplanting. Unfertilized seedlings grown with water application had a significantly higher stem diameter, root dry mass and lower shoot/root compared with seedlings with high fertilizer dose. These results highlight the ability of this species to maintain drought-avoidance traits, such as high xylem water potential and chlorophyll fluorescence, during the first 3 months of the 7-month drought period. High nutrient loading, although resulting in improved shoot productivity after outplanting, did not make a significant contribution to the early development of drought-avoidance traits in Q. saponaria.

  10. A Lightweight, High-performance I/O Management Package for Data-intensive Computing

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Jun

    2011-06-22

    Our group has been working with ANL collaborators on the topic bridging the gap between parallel file system and local file system during the course of this project period. We visited Argonne National Lab -- Dr. Robert Ross's group for one week in the past summer 2007. We looked over our current project progress and planned the activities for the incoming years 2008-09. The PI met Dr. Robert Ross several times such as HEC FSIO workshop 08, SC08 and SC10. We explored the opportunities to develop a production system by leveraging our current prototype to (SOGP+PVFS) a new PVFS version. We delivered SOGP+PVFS codes to ANL PVFS2 group in 2008.We also talked about exploring a potential project on developing new parallel programming models and runtime systems for data-intensive scalable computing (DISC). The methodology is to evolve MPI towards DISC by incorporating some functions of Google MapReduce parallel programming model. More recently, we are together exploring how to leverage existing works to perform (1) coordination/aggregation of local I/O operations prior to movement over the WAN, (2) efficient bulk data movement over the WAN, (3) latency hiding techniques for latency-intensive operations. Since 2009, we start applying Hadoop/MapReduce to some HEC applications with LANL scientists John Bent and Salman Habib. Another on-going work is to improve checkpoint performance at I/O forwarding Layer for the Road Runner super computer with James Nuetz and Gary Gridder at LANL. Two senior undergraduates from our research group did summer internships about high-performance file and storage system projects in LANL since 2008 for consecutive three years. Both of them are now pursuing Ph.D. degree in our group and will be 4th year in the PhD program in Fall 2011 and go to LANL to advance two above-mentioned works during this winter break. Since 2009, we have been collaborating with several computer scientists (Gary Grider, John bent, Parks Fields, James Nunez, Hsing

  11. The Role of Dietary Protein and Fat in Glycaemic Control in Type 1 Diabetes: Implications for Intensive Diabetes Management.

    Science.gov (United States)

    Paterson, Megan; Bell, Kirstine J; O'Connell, Susan M; Smart, Carmel E; Shafat, Amir; King, Bruce

    2015-09-01

    A primary focus of the management of type 1 diabetes has been on matching prandial insulin therapy with carbohydrate amount consumed. However, even with the introduction of more flexible intensive insulin regimes, people with type 1 diabetes still struggle to achieve optimal glycaemic control. More recently, dietary fat and protein have been recognised as having a significant impact on postprandial blood glucose levels. Fat and protein independently increase the postprandial glucose excursions and together their effect is additive. This article reviews how the fat and protein in a meal impact the postprandial glycaemic response and discusses practical approaches to managing this in clinical practice. These insights have significant implications for patient education, mealtime insulin dose calculations and dosing strategies. PMID:26202844

  12. Towards Sustainable Mineral-Intensive Growth in Orissa : Managing Environmental and Social Impacts

    OpenAIRE

    World Bank

    2007-01-01

    The study's objective was to support the socio-economic development program of the Government of Orissa by helping to analyze and formulate practical strategies for strengthening an institutional and regulatory framework with respect to managing the environmental and social impacts of investments in the mining and industry sectors. This study, conducted for about a year, focused on two set...

  13. IBM, CERN join to create a data-intensive management system

    CERN Multimedia

    2003-01-01

    "IBM, White Plains, N.Y., has agreed to collaborate with the European Organization for Nuclear Research's (CERN), Geneva, Switzerland, openlab for a DataGrid project. The aim is to develop a vast data-management system based on Grid computing to investigate the origins of the universe (1/2 page).

  14. Accounting for residual effects of previously applied nitrogen fertilizer on intensively managed grasslands

    NARCIS (Netherlands)

    Vellinga, Th.V.; Andre, G.; Schils, R.L.M.; Kraak, T.; Oenema, O.

    2010-01-01

    Only 0·20–0·70 of the fertilizer-nitrogen (N) applied to grassland is taken up in herbage in the harvest directly following application. Residual effects at subsequent harvests can be large but are poorly quantified, and rarely taken into account in current management practices. An increased underst

  15. Continuous EEG monitoring in the intensive care unit: beta scientific and management scientific aspects

    NARCIS (Netherlands)

    Sanders, P.M.H.; van Putten, M.J.A.M.; Jarm, T.; Kramar, P.; Zupanic, A.

    2007-01-01

    Due to various technological advances, it is now possible to continuously monitor critically ill patients using EEG, including the extraction of various quantitative features. In this study, several beta scientific and management scientific aspects of the implementation and use of cEEg on the ICU wi

  16. Heel blood sampling in European neonatal intensive care units: compliance with pain management guidelines

    DEFF Research Database (Denmark)

    Losacco, Valentina; Cuttini, Marina; Greisen, Gorm; Haumont, Dominique; Pallás-Alonso, Carmen R; Pierrat, Veronique; Warren, Inga; Smit, Bert J; Westrup, Björn; Sizun, Jacques

    2011-01-01

    France were the most likely, and Belgium and Spain the least likely to employ recommended combinations of evidence-based pain management measures. Conclusions Heel puncture is a common procedure in preterm neonates, but pain appears inadequately treated in many units and countries. Better compliance with...

  17. Time Management - New Religion of Our Age: 'Time' In Anglo-American Culture vs. 'Vrijeme' in Croatian Culture

    Directory of Open Access Journals (Sweden)

    Ksenija Juretić

    2004-11-01

    Full Text Available This research on time management within the project ‘Management in Entrepreneurship’ is based both on cognitive linguistics and the cultural dimension of time in international business. In accordance with our conceptualization and relationship to time, culture can be divided into monochronic time (M-time and polychronic time (P-time cultures. While M-time culture, which is best represented by the United States, emphasizes schedules, a precise reckoning of time, and promptness, P-time culture, Croatia, falling into this category, emphasizes the involvement of people rather than a rigid adherence to the clock. The results, so far, show how our conceptualization of time - on a subconscious level - influences our lives and how theories of time management can be transferred into teaching Business English in Croatia where, ‘having done something on time’ is definitely of less importance than to the American society.

  18. Adaptive harvest management of North American waterfowl populations: a brief history and future prospects

    Science.gov (United States)

    Nichols, J.D.; Runge, M.C.; Johnson, F.A.; Williams, B.K.

    2007-01-01

    Since 1995, the US Fish and Wildlife Service has used an adaptive approach to the management of sport harvest of mid-continent Mallard ducks (Anas platyrhynchos) in North America. This approach differs from many current approaches to conservation and management in requiring close collaboration between managers and scientists. Key elements of this process are objectives, alternative management actions, models permitting prediction of system responses, and a monitoring program. The iterative process produces optimal management decisions and leads to reduction in uncertainty about response of populations to management. This general approach to management has a number of desirable features and is recommended for use in many other programs of management and conservation.

  19. Evidence and consensus based guideline for the management of delirium, analgesia, and sedation in intensive care medicine. Revision 2015 (DAS-Guideline 2015) – short version

    OpenAIRE

    DAS-Taskforce 2015; Baron, Ralf; Binder, Andreas; Biniek, Rolf; Braune, Stephan; Buerkle, Hartmut; Dall, Peter; Demirakca, Sueha; Eckardt, Rahel; Eggers, Verena; Eichler, Ingolf; Fietze, Ingo; Freys, Stephan; Fründ, Andreas; Garten, Lars

    2015-01-01

    In 2010, under the guidance of the DGAI (German Society of Anaesthesiology and Intensive Care Medicine) and DIVI (German Interdisciplinary Association for Intensive Care and Emergency Medicine), twelve German medical societies published the “Evidence- and Consensus-based Guidelines on the Management of Analgesia, Sedation and Delirium in Intensive Care”. Since then, several new studies and publications have considerably increased the body of evidence, including the new recommendations from th...

  20. Evidence and consensus based guideline for the management of delirium, analgesia, and sedation in intensive care medicine. Revision 2015 (DAS-Guideline 2015) - short version

    OpenAIRE

    Baron, R.; Binder, A.; Biniek, R; Braune, S; Buerkle, H; Dall, P.; Demirakca, S; Eckardt, R; Eggers, V; Eichler, I; Fietze, I.; Freys, S; Fründ, A; Garten, L; Gohrbandt, B

    2015-01-01

    In 2010, under the guidance of the DGAI (German Society of Anaesthesiology and Intensive Care Medicine) and DIVI (German Interdisciplinary Association for Intensive Care and Emergency Medicine), twelve German medical societies published the "Evidence- and Consensus-based Guidelines on the Management of Analgesia, Sedation and Delirium in Intensive Care". Since then, several new studies and publications have considerably increased the body of evidence, including the new recommendations from th...

  1. Factors that guide nurse managers regarding the staffing of agency nurses in intensive care units at private hospitals in Pretoria

    Directory of Open Access Journals (Sweden)

    Karien Jooste

    2013-01-01

    Full Text Available Staffing needs affect the nursing department’s budget, staff productivity, the quality of care provided to patients and even the retention of nurses. It is unclear how the role players (the nursing agency manager, the nurse manager and the agency nurse perceive the staffing of agency nurses in intensive care units (ICUs. The purpose of this study was to explore and describe the factors that guide nurse managers regarding the staffing of agency nurses in ICUs at private hospitals in Pretoria. A quantitative exploratory and descriptive design was used. A survey by means of a structured questionnaire was carried out. Probability sampling was implemented to obtain a study sample (n = 124. One similar self-administered 5-point scale instrument was completed by the participants. Data was analysed by means of descriptive and inferential statistics. The principles of validity and reliability were adhered to and ethical considerations were also taken into account. The results indicated limitations in the determining of posts, recruitment and advertising, as well as the selection and appointment of agency nurses in ICUs at private hospitals in Pretoria. Recommendations on staffing are made to nurse managers in ICUs.

  2. Sustaining the Productivity and Function of Intensively Managed Forests - Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Burger, James A.; Xu, Yi-Jun

    2001-03-23

    The main goal of this study is to ensure sustainable management of wetland forests in the southeastern United States. The study is projected to measure soil, hydrology, and forest responses to several management scenarios across a complete forest cycle. From August 1997 to August 2000 the study has received funding as one of the Agenda 2020 projects, from the U.S. Department of Energy (Cooperative Agreement Number DE-FC07-97ID13551), the National Council of the Paper Industry for Air and Stream Improvement, and Westvac Corporation. Quarterly progress reports were submitted regularly to the Department and all project participants. This final report summarizes the project results and progress achieved during this 3-year period. Over the past three years all research objectives planned for this project were completed.

  3. The role of metrics and measurements in a software intensive total quality management environment

    Science.gov (United States)

    Daniels, Charles B.

    1992-01-01

    Paramax Space Systems began its mission as a member of the Rockwell Space Operations Company (RSOC) team which was the successful bidder on a massive operations consolidation contract for the Mission Operations Directorate (MOD) at JSC. The contract awarded to the team was the Space Transportation System Operations Contract (STSOC). Our initial challenge was to accept responsibility for a very large, highly complex and fragmented collection of software from eleven different contractors and transform it into a coherent, operational baseline. Concurrently, we had to integrate a diverse group of people from eleven different companies into a single, cohesive team. Paramax executives recognized the absolute necessity to develop a business culture based on the concept of employee involvement to execute and improve the complex process of our new environment. Our executives clearly understood that management needed to set the example and lead the way to quality improvement. The total quality management policy and the metrics used in this endeavor are presented.

  4. Time-series analysis reveals genetic responses to intensive management of razorback sucker (Xyrauchen texanus)

    OpenAIRE

    Thomas E Dowling; Turner, Thomas F.; Carson, Evan W; Saltzgiver, Melody J; Adams, Deborah; Kesner, Brian; Paul C Marsh

    2013-01-01

    Time-series analysis is used widely in ecology to study complex phenomena and may have considerable potential to clarify relationships of genetic and demographic processes in natural and exploited populations. We explored the utility of this approach to evaluate population responses to management in razorback sucker, a long-lived and fecund, but declining freshwater fish species. A core population in Lake Mohave (Arizona-Nevada, USA) has experienced no natural recruitment for decades and is m...

  5. Grassland Resistance and Resilience after Drought Depends on Management Intensity and Species Richness

    OpenAIRE

    Anja Vogel; Michael Scherer-Lorenzen; Alexandra Weigelt

    2012-01-01

    The degree to which biodiversity may promote the stability of grasslands in the light of climatic variability, such as prolonged summer drought, has attracted considerable interest. Studies so far yielded inconsistent results and in addition, the effect of different grassland management practices on their response to drought remains an open question. We experimentally combined the manipulation of prolonged summer drought (sheltered vs. unsheltered sites), plant species loss (6 levels of 60 do...

  6. Intensive pig production and manure management in Beijing, North China Plain

    OpenAIRE

    Mendoza Huaitalla, Roxana

    2014-01-01

    China, at the forefront of the livestock revolution, has experienced a more industrialized change, with an increment of the large livestock farms and of the decoupling between the livestock and arable land. Meat production in China is dominated by pork, which comprises approximately 50% of worldwide pig production. The description of the pig husbandry and manure management systems in the large animal operations of the NCP is not widely available. In order to describe the status quo o...

  7. Patient safety in the Intensive Care Unit : With special reference to Airway management and Nursing procedures

    OpenAIRE

    Engström, Joakim

    2016-01-01

    The overall aim of the present thesis was to study aspects of patient safety in critically ill patients with special focus on airway management, respiratory complications and nursing procedures. Study I describes a method called pharyngeal oxygen administration during intubation in an experimental acute lung injury model. The study showed that pharyngeal oxygenation prevented or considerably increased the time to life-threatening hypoxemia at shunt fractions by at least up to 25% and that thi...

  8. Case management for high-intensity service users: towards a relational approach to care co-ordination.

    Science.gov (United States)

    McEvoy, Phil; Escott, Diane; Bee, Penny

    2011-01-01

    This study is based on a formative evaluation of a case management service for high-intensity service users in Northern England. The evaluation had three main purposes: (i) to assess the quality of the organisational infrastructure; (ii) to obtain a better understanding of the key influences that played a role in shaping the development of the service; and (iii) to identify potential changes in practice that may help to improve the quality of service provision. The evaluation was informed by Gittell's relational co-ordination theory, which focuses upon cross-boundary working practices that facilitate task integration. The Assessment of Chronic Illness Care Survey was used to assess the organisational infrastructure and qualitative interviews with front line staff were conducted to explore the key influences that shaped the development of the service. A high level of strategic commitment and political support for integrated working was identified. However, the quality of care co-ordination was variable. The most prominent operational factor that appeared to influence the scope and quality of care co-ordination was the pattern of interaction between the case managers and their co-workers. The co-ordination of patient care was much more effective in integrated co-ordination networks. Key features included clearly defined, task focussed, relational workspaces with interactive forums where case managers could engage with co-workers in discussions about the management of interdependent care activities. In dispersed co-ordination networks with fewer relational workspaces, the case managers struggled to work as effectively. The evaluation concluded that the creation of flexible and efficient task focused relational workspaces that are systemically managed and adequately resourced could help to improve the quality of care co-ordination, particularly in dispersed networks. PMID:21143543

  9. Diagnosis & Correction of Soil Nutrient Limitations in Intensively managed southern pine forests

    Energy Technology Data Exchange (ETDEWEB)

    University of Florida

    2002-10-25

    Forest productivity is one manner to sequester carbon and it is a renewable energy source. Likewise, efficient use of fertilization can be a significant energy savings. To date, site-specific use of fertilization for the purpose of maximizing forest productivity has not been well developed. Site evaluation of nutrient deficiencies is primarily based on empirical approaches to soil testing and plot fertilizer tests with little consideration for soil water regimes and contributing site factors. This project uses mass flow diffusion theory in a modeling context, combined with process level knowledge of soil chemistry, to evaluate nutrient bioavailability to fast-growing juvenile forest stands growing on coastal plain Spodosols of the southeastern U.S. The model is not soil or site specific and should be useful for a wide range of soil management/nutrient management conditions. In order to use the model, field data of fast-growing southern pine needed to be measured and used in the validation of the model. The field aspect of the study was mainly to provide data that could be used to verify the model. However, we learned much about the growth and development of fast growing loblolly. Carbon allocation patterns, root shoot relationships and leaf area root relationships proved to be new, important information. The Project Objectives were to: (1) Develop a mechanistic nutrient management model based on the COMP8 uptake model. (2) Collect field data that could be used to verify and test the model. (3) Model testing.

  10. Nitrous oxide emissions from an intensively managed greenhouse vegetable cropping system in Northern China

    International Nuclear Information System (INIS)

    Nitrous oxide (N2O) emissions from a typical greenhouse vegetable system in Northern China were measured from February 2004 to January 2006 using a close chamber method. Four nitrogen management levels (NN, MN, CN, and SN) were used. N2O emissions occurred intermittently in the growing season, strongly correlating with N fertilization and irrigation. No peak emissions were observed after fertilization in the late Autumn season due to low soil temperature. 57-94% of the seasonal N2O emissions came from the initial growth stage, corresponding to the rewetting process in the soil. The annual N2O emissions ranged from 2.6 to 8.8 kg N ha-1 yr-1, accounting for 0.27-0.30% of the annual nitrogen input. Compared with conventional N management, site-specific N management reduced N fertilization rate by 69% in 2004 and by 76% in 2005, and consequently reduced N2O emissions by 51% in 2004 and 27% in 2005, respectively. - High N2O emissions coming from the initial growth stage can be attributed to the rewetting process in the greenhouse soil.

  11. A Rectourethral Fistula due to Transrectal High-Intensity Focused Ultrasound Treatment: Diagnosis and Management

    Directory of Open Access Journals (Sweden)

    Valeria Fiaschetti

    2012-01-01

    Full Text Available Colovesical fistula (CVF is an abnormal connection between the enteric and the urinary systems. The rectourethral fistula (RUF is a possible but extremely rare complication of treatment of prostate cancer with “transrectal High-Intensity Focused Ultrasound (HIFU treatment.” We present a case of CVF due to HIFU treatment of recurrent prostate cancer. The case was assessed with cystography completed with a pelvic CT scan—with MPR, MIP, and VR reconstruction—before emptying the bladder. Since the CT scan confirmed that the fistula involved solely the urethra and excluded even a minimal involvement of the bladder, it was possible to employ a conservative treatment by positioning a Foley catheter of monthly duration, in order to allow the urethra to rest. Still today, after 6 months, the patient is in a good clinical condition and has not shown yet signs of a recurrence of the fistula.

  12. Paranasal sinus osteoma in an American miniature horse: computed tomographic evaluation and surgical management

    International Nuclear Information System (INIS)

    A 3-year-old American Miniature Horse stallion was presented with a suspected mass in the right nasal region. The horse experienced nasal discharge from the right nostril and difficulty breathing. Computed tomography revealed a subcutaneous soft tissue swelling visible on the right side of the face. A 3 times 4 cm paranasal sinus osteoma located dorsal and medial to the first molar was surgically removed. The most common location of osteomas in horses is paranasal sinuses. The American Miniature Horse presented in this case is consistent with observations made by others, that sinus osteomas in horses occur almost exclusively in young mate horses. The reason for this tendency is unknown

  13. Microbial Development in Soils Under Intensively Managed Bamboo (Phyllostachys praecox) Stands

    Institute of Scientific and Technical Information of China (English)

    XU Qiu-Fang; JIANG Pei-Kun

    2005-01-01

    Phyllostachys praecox C. D. Chu et C. S. Chao, a favored bamboo shoot species, has been widely planted in recent years. Four stands with different historical management practices were selected for this study to understand the evolution of soil microbial ecology by determining the effects of a new mulching and heavy fertilization practice on soil quality using microbiological parameters. Compared with the traditional practice (index 1), microbial biomass carbon (MBC) and soil microbial respiration carbon (MRC) with the new management practice significantly decreased (P < 0.01 and P < 0.05,respectively) with 1-2 years of mulching (index 2) and then for continued mulching significantly increased (P < 0.05). The ratios of MBC/TOC (total organic carbon) and MRC/TOC also significantly diminished (P < 0.05) with mulching. The average well color development (AWCD) and Shannon index decreased with mulching time, and the significant decrease(P < 0.05) in Shannon index occurred from index 2 to index 3. The results from a principal components analysis (PCA)showed that the scores of the first principal component for indexes 1 and 2 were significantly larger (P < 0.05) than soils mulched 3-4 years or 5-6 years. Also, the second principal component scores for index 1 were larger than those for index 2, suggesting that the ability of soil microorganisms to utilize soil carbon was decreasing with longer use of the new management practice and causing a deterioration of soil biological properties.

  14. A Comparative Study of the Relationships between Conflict Management Styles and Job Satisfaction, Organizational Commitment, and Propensity to Leave the Job among Saudi and American Universities' Faculty Members

    Science.gov (United States)

    Alzahrani, Mohammed

    2013-01-01

    This study used Rahim Organizational Conflict Inventory-II, Form C to examine the preference for conflict management styles among Saudi and American faculty members. Additionally, the study examined the relationships between conflict management styles and job satisfaction, organizational commitment, and propensity to leave the job. A random sample…

  15. THE PERFORMANCE OF JAVA AND ONGOLE CROSSBRED BULL UNDER INTENSIVE FEEDING MANAGEMENT

    Directory of Open Access Journals (Sweden)

    C.M.S. Lestari

    2014-10-01

    Full Text Available This study was set up to evaluate the performance of Java and Ongole Crossbred (OC bulls fedconcentrate and rice straw. A total of four Java bulls and four OC bulls were used in this experiment. Thebulls were fed concentrates (50% of the total dry matter feed requirement and rice straw (ad libitum.The concentrates were consisted of rice bran, beer waste product, copra meal, minerals, with crudeprotein (CP and total digestible nutrients (TDN contents of 15.32% and 73.09%, respectively. Theaverage daily gain (ADG, dry matter intake (DMI, protein and energy intake, and feed conversion ratio(FCR were observed. The results of this study showed that the ADG, DMI, CP and TDN intake, andFCR were not significantly different (p> 0.05. The ADG of Java and OC bulls were 0.58 kg and 0.78kg, respectively. The averages of DMI, CP and TDN intake were 6.59 kg (2.09% of BW, 0.81 kg and4.34 kg for Java bulls whereas for OC bulls were 6.42 kg (2.11% of BW, 0.78 kg, and 4.20 kg,respectively. The FCR of Java bulls was 11.49 and those of OC bulls was 9.21. It can be concluded thatJava and OC bulls raised intensively and fed concentrate and rice straw had the similar performance.

  16. THE PERFORMANCE OF JAVA AND ONGOLE CROSSBRED BULL UNDER INTENSIVE FEEDING MANAGEMENT

    Directory of Open Access Journals (Sweden)

    C.M.S. Lestari

    2011-06-01

    Full Text Available This study was set up to evaluate the performance of Java and Ongole Crossbred (OC bulls fed concentrate and rice straw. A total of four Java bulls and four OC bulls were used in this experiment. The bulls were fed concentrates (50% of the total dry matter feed requirement and rice straw (ad libitum. The concentrates were consisted of rice bran, beer waste product, copra meal, minerals, with crude protein (CP and total digestible nutrients (TDN contents of 15.32% and 73.09%, respectively. The average daily gain (ADG, dry matter intake (DMI, protein and energy intake, and feed conversion ratio (FCR were observed. The results of this study showed that the ADG, DMI, CP and TDN intake, and FCR were not significantly different (p> 0.05. The ADG of Java and OC bulls were 0.58 kg and 0.78 kg, respectively. The averages of DMI, CP and TDN intake were 6.59 kg (2.09% of BW, 0.81 kg and 4.34 kg for Java bulls whereas for OC bulls were 6.42 kg (2.11% of BW, 0.78 kg, and 4.20 kg, respectively. The FCR of Java bulls was 11.49 and those of OC bulls was 9.21. It can be concluded that Java and OC bulls raised intensively and fed concentrate and rice straw had the similar performance.

  17. Interactions into Opportunities: Career Management for Low-Income, First-Generation African American College Students

    Science.gov (United States)

    Parks-Yancy, Rochelle

    2012-01-01

    This study explores how low-income, African American college students obtain social capital resources from university contacts to set and achieve career goals. Students knew little about career options available to future college graduates beyond jobs that were related to their current jobs. Few students utilized the information, influence, and…

  18. Managing Regional Collaboration in Higher Education: The Case of the North American Free Trade Agreement (NAFTA).

    Science.gov (United States)

    Crespo, Manuel

    2000-01-01

    Describes accomplishments in increasing collaboration in higher education within the North American Free Trade Agreement (NAFTA). Analyzes procedures for determining equivalencies of courses and degrees and for improving transnational mobility of students and professors. Also discusses the role of the private sector in research, education and…

  19. Review of Alternative Management Options of Vegetable Crop Residues to Reduce Nitrate Leaching in Intensive Vegetable Rotations

    Directory of Open Access Journals (Sweden)

    Laura Agneessens

    2014-12-01

    Full Text Available Vegetable crop residues take a particular position relative to arable crops due to often large amounts of biomass with a N content up to 200 kg N ha−1 left behind on the field. An important amount of vegetable crops are harvested during late autumn and despite decreasing soil temperatures during autumn, high rates of N mineralization and nitrification still occur. Vegetable crop residues may lead to considerable N losses through leaching during winter and pose a threat to meeting water quality objectives. However, at the same time vegetable crop residues are a vital link in closing the nutrient and organic matter cycle of soils. Appropriate and sustainable management is needed to harness the full potential of vegetable crop residues. Two fundamentally different crop residue management strategies to reduce N losses during winter in intensive vegetable rotations are reviewed, namely (i on-field management options and modifications to crop rotations and (ii removal of crop residues, followed by a useful and profitable application.

  20. Gap formation in Danish beech (Fagus sylvatica) forests of low management intensity

    DEFF Research Database (Denmark)

    Ritter, Eva; Vesterdal, Lars

    2006-01-01

    -based managed forest, soil solution was collected for 5 years and soil moisture measured in the fourth year after gap formation. Average NO3-N concentrations were significantly higher in the gaps (9.9 and 8.1 mg NO3-N l(-1), respectively) than under closed canopy (0.2 mg l(-1)). In the semi-natural forest...... semi-natural forest, advanced regeneration and lateral closure of the gap affected soil moisture levels in the gap in the last year of the study. Author Keywords: gaps; drainage fluxes; Fagus sylvatica L.; nitrate; soil moisture; soil solution; unmanaged forest ecosystems; WATBAL......Soil moisture content (0-90 cm depth) and nitrate-nitrogen (NO3-N) concentrations in soil solution (90 cm depth) were monitored after gap formation (diameter 15-18 m) in three Danish beech-dominated forests on nutrient-rich till soils. NO3-N drainage losses were estimated by the water balance model...

  1. Improving Performance of Replacement Heifers in Hot Arid Environment Under Intensive Management

    Directory of Open Access Journals (Sweden)

    M. A. Razzaque

    2009-01-01

    Full Text Available Problem statement: Imported Holstein Friesian dairy cattle are exposed to hot arid climate in feedlot management in Kuwait. Desert climate is extreme reaching high 45-50°C in summer and low -4°C in winter at day and night respectively. High calf mortality, poor reproduction and milk yields were main constraints to viable dairying. The objectives of this study were to assess the magnitude of calf mortality, its causes; implement strategic intervention measures for improving calf survival rates and evaluate dairy herd performance. Approach: Two scenarios were used: (1 studying dairy herd performance without applying intervention measures and (2 introducing improved management with interventions. Performance of the herds of situations 1 and 2 were compared. Three classes of dairy herds, pre-weaned calves, heifers and first lactation cows born in Kuwait were used. Results: Implementing intervention measures resulted in significant (p = 0.001 reduction of crude calf mortality rates from a mean of 43.6% to a low 4.67%. Growth rates of calves and heifers increased significantly, resulting in breeding of locally raised heifers at 15 mo age instead of usual practice of breeding at 18-22 mo. Feed cost was significantly reduced by 14-25% by early breeding of heifers. Herd culling rate was reduced from 62-33% and conception rates increased by 41%. The milk yield was increased by 1.25-1.50 fold through replacing the imported cows by locally born heifers. Adult cattle mortality rates reduced from high 9 to a low 1%. Case study showed that locally born and reared dairy herd formed a mean of 65.8% of total dairy cattle in cooperating farms. Conclusion: A systematic applied research studies in the commercial dairy farms had resulted in a visible improvement in the performance of all categories of locally born dairy herds and they were better adapted to the local hostile climate.

  2. Critical review of the current knowledge of the biology of the American woodcock and its management on the breeding grounds

    Science.gov (United States)

    Sepik, G.F.; McAuley, D.G.; Longcore, J.R.

    1993-01-01

    We critiqued previous work on the biology and management of the American woodcock (Scolopax minor) on the breeding grounds. We determined that little is known about habitat variables and weather extremes that may limit the population. Most investigators who attempted to define habitat requirements of the woodcock used inadequate sample sizes, limited the duration of their studies, did not account for effects of weather, or failed to adequately measure habitat variables. Furthermore, the effects of hunting on local or regional populations has never been adequately studied. We concluded that obtaining data to understand the biology of the woodcock and the effects of hunting is essential before managers can reverse the long-term decline of woodcock numbers.

  3. EFFECT OF FLOOR TYPE ON BEHAVIOURAL ACTIVITIES OF INTENSIVELY MANAGED OSTRICHES

    Directory of Open Access Journals (Sweden)

    Dan SEABO

    2015-09-01

    Full Text Available Effects of providing grit on daily behavioural activities of intensively kept ostriches were investigated at the Botswana College of Agriculture. Two groups of ostriches were each housed in a 30 x 6m pen. Each group had seven ostriches in it. Each member of the group was identified by a number tag attached to its neck. Activities studied were feeding, picking objects, walking about, sparring, standing rest, sitting rest, grooming self, and grooming others. The study lasted 30 days. The results of the study show that during the mornings and afternoons, ostriches without access to grit allocated significantly (P<0.05 greater proportion of their activity time to feeding than did those with access to grit. The proportion of time allocated to morning feeding by the non-grit group was 23.1% as opposed to 13.9% for the grit group. In the afternoon, the non-grit group of ostriches continued allocating significantly more time (13.3 % to feeding than the grit group which only allocated 4.8% of their activity to the same activity. This trend in apportioning activity time by the two groups of ostriches was maintained with regards to the proportion of time allocated to walking about in the pens. The non-grit group allocated significantly (P<0.05 greater proportions of time to walking than the grit group. In the morning, non-grit ostriches allocated 25.8% of their daily activity to walking about in the pen while their grit counterparts allocated 19.9% to the same activity. The grit-fed group of ostriches rested more as they allocated significantly higher proportion (28.1% of their afternoon time to resting while standing than the proportion (17.7% allocated to the same by the non-grit group. Both treatment groups allocated higher proportions of their activity times to morning feeding. The group with access to grit spent 35.2% of the morning time feeding while allocating only 22.5% for the same activity in the afternoon feeding. The non-grit group allocated 24

  4. Time-series analysis reveals genetic responses to intensive management of razorback sucker (Xyrauchen texanus).

    Science.gov (United States)

    Dowling, Thomas E; Turner, Thomas F; Carson, Evan W; Saltzgiver, Melody J; Adams, Deborah; Kesner, Brian; Marsh, Paul C

    2014-03-01

    Time-series analysis is used widely in ecology to study complex phenomena and may have considerable potential to clarify relationships of genetic and demographic processes in natural and exploited populations. We explored the utility of this approach to evaluate population responses to management in razorback sucker, a long-lived and fecund, but declining freshwater fish species. A core population in Lake Mohave (Arizona-Nevada, USA) has experienced no natural recruitment for decades and is maintained by harvesting naturally produced larvae from the lake, rearing them in protective custody, and repatriating them at sizes less vulnerable to predation. Analyses of mtDNA and 15 microsatellites characterized for sequential larval cohorts collected over a 15-year time series revealed no changes in geographic structuring but indicated significant increase in mtDNA diversity for the entire population over time. Likewise, ratios of annual effective breeders to annual census size (N b /N a) increased significantly despite sevenfold reduction of N a. These results indicated that conservation actions diminished near-term extinction risk due to genetic factors and should now focus on increasing numbers of fish in Lake Mohave to ameliorate longer-term risks. More generally, time-series analysis permitted robust testing of trends in genetic diversity, despite low precision of some metrics. PMID:24665337

  5. Management of swine-flu patients in the intensive care unit: Our experience

    Directory of Open Access Journals (Sweden)

    Raktima Anand

    2012-01-01

    Full Text Available Background: H1N1 pandemic in 2009-2010 created a state of panic not only in India, but in the whole world. The clinical picture seen with H1N1 is different from the seasonal influenza involving healthy young adults. Critical care management of such patients imposes a challenge for anesthesiologist. Materials and Methods: A retrospective analysis of hospitalized positive H1N1 patients was performed from July 2009-June 2010. Those requiring the ventilatory support were included in the study. Result: 54 patients were admitted in the swine-flu ward during the study period out of which 19 required ventilatory support. The average day of presentation to the health care facility was 6 th day causing delay in initiation of antiviral therapy and increased severity of the disease. 65% of the ventilated patients were having associated comorbidities. Mortality was 74% among ventilated patients. Conclusion: Positive H1N1 with severe disease profile have a poor outcome. Early identification of high-risk factors and thus early intervention in the form of antiretroviral therapy and respiratory care will help in reducing the overall mortality.

  6. Scrub Typhus with Acute Respiratory Distress Syndrome (ARDS) and its Management in Intensive Care Unit: A Case Report.

    Science.gov (United States)

    Sankuratri, Srinivas; Kalagara, Pavani; Samala, Kartika Balaji; Veledandi, Prabhakar Krishna; Atiketi, Srinadh Babu

    2015-05-01

    Scrub typhus is zoonotic disease caused by Orientia tsutsugamushi (O tsutsugamushi). It is transmitted to humans by the bite of trombiculid mite larvae (chiggers). It is a re-emerging infectious disease in India. Clinical manifestations include fever, headache, anorexia, myalgia, eschar, adenopathy and maculopapular rash. Complications of Scrub typhus develop after first week of illness. Complications include meningoencephalitis, jaundice, myocarditis, ARDS and renal failure. Eschar and rash may be unnoticed or absent. Thorough physical examination, identification of eschar/rash throws light in thinking about scrub typhus, treating and preventing further complications. Here, we report a case of scrub typhus with Acute Respiratory Distress Syndrome (ARDS) and its management with non invasive ventilation in the intensive care unit. PMID:26155511

  7. A Virtual World Versus Face-to-Face Intervention Format to Promote Diabetes Self-Management Among African American Women: A Pilot Randomized Clinical Trial

    OpenAIRE

    Rosal, Milagros C.; Heyden, Robin; Mejilla, Roanne; Capelson, Roberta; Chalmers, Karen A; Rizzo DePaoli, Maria; Veerappa, Chetty; Wiecha, John M

    2014-01-01

    Background Virtual world environments have the potential to increase access to diabetes self-management interventions and may lower cost. Objective We tested the feasibility and comparative effectiveness of a virtual world versus a face-to-face diabetes self-management group intervention. Methods We recruited African American women with type 2 diabetes to participate in an 8-week diabetes self-management program adapted from Power to Prevent, a behavior-change in-person group program for Afri...

  8. Latin America’s Subtle Racism: Salient Managerial Implications For Non-Latin American Managers

    OpenAIRE

    Rutilio Martinez; Cris de la Torre

    2011-01-01

    Since the mid nineteen nineties most Latin American nations have implemented free market policies. The ensuing economic stability has attracted investment from non-Latin corporations, thereby causing the transfer of non-Latin executives to Latin nations. For many of these executives, their Latin assignments include an unexpected challenge: Dealing with Latin America’s subtle but pervasive racism. Such racism contributes to the mistreatment of labor and influences the promotion and hiring of e...

  9. Motivating Vietnamese Employees and Managers in an American Joint-Venture: What a Challenge!

    OpenAIRE

    Virginia Bodolica; Marie Waxin

    2007-01-01

    Paul Fierman, an American expatriate, was the General Director of the Vietnamese subsidiary of Chicago Food and Beverage Company (CFB Co.) in Haiphong. His three-year mandate consisted of preparing and executing, in collaboration with the Asia Pacific Regional Director, a strategy of creating synergy among three Asian subsidiaries, which should allow CFB Co. to conquer the three markets. Six months after his arrival, Paul was facing many problems, including a decrease in the sales of non-alco...

  10. Facilitators and barriers to hypertension self-management in urban African Americans: perspectives of patients and family members

    Directory of Open Access Journals (Sweden)

    Flynn SJ

    2013-08-01

    Full Text Available Sarah J Flynn,1,2 Jessica M Ameling,1,2 Felicia Hill-Briggs,1–3 Jennifer L Wolff,4,5 Lee R Bone,1,3 David M Levine,1,4 Debra L Roter,3 LaPricia Lewis-Boyer,1,2 Annette R Fisher,6 Leon Purnell,6 Patti L Ephraim,2,7 Jeffrey Barbers,1,2 Stephanie L Fitzpatrick,1,2 Michael C Albert,1,8 Lisa A Cooper,1,2 Peter J Fagan,9,10 Destiny Martin,1 Hema C Ramamurthi,1,2 L Ebony Boulware1,2,7 1Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA; 2Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, MD, USA; 3Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA; 4Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA; 5Division of Geriatric Medicine and Gerontology, Johns Hopkins University School of Medicine, Baltimore, MD, USA; 6Community and Provider Advisory Board, Johns Hopkins Center to Eliminate Cardiovascular Health Disparities, Baltimore, MD, USA; 7Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA; 8Johns Hopkins Community Physicians, Johns Hopkins Medical Institutions, Baltimore, MD, USA; 9Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA; 10Johns Hopkins HealthCare LLC, Glen Burnie, MD, USA Introduction: We aimed to inform the design of behavioral interventions by identifying patients’ and their family members’ perceived facilitators and barriers to hypertension self-management. Materials and methods: We conducted focus groups of African American patients with hypertension and their family members to elicit their views about factors influencing patients’ hypertension self-management. We recruited African American patients with hypertension (n = 18 and their family members (n = 12 from an urban, community-based clinical

  11. Effects of the intense geomagnetic storm of September-October 2012 on the equatorial, low- and mid-latitude F region in the American and African sector during the unusual 24th solar cycle

    Science.gov (United States)

    de Jesus, R.; Fagundes, P. R.; Coster, A.; Bolaji, O. S.; Sobral, J. H. A.; Batista, I. S.; de Abreu, A. J.; Venkatesh, K.; Gende, M.; Abalde, J. R.; Sumod, S. G.

    2016-02-01

    The main purpose of this paper is to investigate the response of the ionospheric F layer in the American and African sectors during the intense geomagnetic storm which occurred on 30 September-01 October 2012. In this work, we used observations from a chain of 20 GPS stations in the equatorial, low- and mid-latitude regions in the American and African sectors. Also, in this study ionospheric sounding data obtained during 29th September to 2nd October, 2012 at Jicamarca (JIC), Peru, São Luis (SL), Fortaleza (FZ), Brazil, and Port Stanley (PST), are presented. On the night of 30 September-01 October, in the main and recovery phase, the h´F variations showed an unusual uplifting of the F region at equatorial (JIC, SL and FZ) and mid- (PST) latitude stations related with the propagations of traveling ionospheric disturbances (TIDs) generated by Joule heating at auroral regions. On 30 September, the VTEC variations and foF2 observations at mid-latitude stations (American sector) showed a long-duration positive ionospheric storm (over 6 h of enhancement) associated with large-scale wind circulations and equatorward neutral winds. Also, on 01 October, a long-duration positive ionospheric storm was observed at equatorial, low- and mid- latitude stations in the African sector, related with the large-scale wind circulations and equatorward neutral winds. On 01 and 02 October, positive ionospheric storms were observed at equatorial, low- and mid-latitude stations in the American sector, possibly associated with the TIDs and an equatorward neutral wind. Also, on 01 October negative ionospheric storms were observed at equatorial, low- and mid-latitude regions in the American sector, probably associated with the changes in the O/N2 ratio. On the night of 30 September-01 October, ionospheric plasma bubbles were observed at equatorial, low- and mid- latitude stations in the South American sector, possibly associated with the occurrence of geomagnetic storm.

  12. Control of Giardia infections with ronidazole and intensive hygiene management in a dog kennel.

    Science.gov (United States)

    Fiechter, Ruth; Deplazes, Peter; Schnyder, Manuela

    2012-06-01

    Infections with the intestinal protozoan parasite Giardia in dogs and cats are common. Clinical signs vary from asymptomatic to small bowel diarrhea and associated discomfort. The control of infections in dogs is frequently a frustrating issue for animal owners and veterinarians. Drugs with antiprotozoal activity such as fenbendazole and metronidazole are recommended, however, they do not show 100% efficacy and superinfections occur regularly. Ronidazole is currently the drug of choice for the treatment of Tritrichomonas foetus in cats and there is now limited information available about its efficacy against Giardia spp. In the kennel investigated, dogs regularly showed loose feces and the presence of Giardia (assemblage C, renamed as G. canis) cysts. An elimination strategy of this parasite involving strict hygiene management and disinfection of the enclosures with 4-chlorine-M-cresol, oral treatment with ronidazole (30-50mg/kg BW bid for 7 days) and two shampooings (containing chlorhexidine) at the beginning and the end of the treatments was implemented for a group of 6 dogs. As a control another group of 7 dogs was transferred to the disinfected enclosures and shampooed, but left untreated. Dog feces were tested for the presence of Giardia cysts (SAF concentration technique) or Giardia antigen with a commercial ELISA (NOVITEC(®)) and a quick immunochromatography-based test (SensPERT(®)) before and between 5 and 40 days after the last treatment. All ronidazole-treated dogs were negative for Giardia cysts and antigen up to 26 days after the last treatment, while between 1 and 5 of the control animals tested positive in each of the test series. At this point, also dogs of the control group were again moved into clean enclosures, shampooed twice and treated with ronidazole. Five, 12 and 19 days after the last treatment, the dogs in the control group tested negative for Giardia cysts and antigen. However, all animals had again positive results at later time points

  13. Intensive Eucalyptus plantation management in Brazil: Long-term effects on soil carbon dynamics across 300 sites

    Science.gov (United States)

    Cook, R. L.; Stape, J.; Binkley, D.

    2011-12-01

    Intensively managed forest plantations now cover more than 6 million hectares in Brazil, and another 20 million hectares in other tropical regions. Although aboveground biomass, and therefore carbon, is well monitored due to commercial interest, the belowground carbon dynamics and site sustainability remain poorly understood. So, how does intensive silviculture change the storage of carbon in soils? Trends in soil organic carbon from land-use change indicate that conversion from pastures to Eucalyptus plantations should maintain soil carbon stocks. However, comprehensive, long-term studies are needed to understand the variability in these trends to better manage these systems for sustainable productivity across a highly variable landscape, as well as to understand the role that soils may play in sequestering carbon for climate change mitigation. In this unique, long-term soil study, soil samples were collected in the 1980s/90s, 2001, and 2010 across 300 intensively managed Eucalyptus plantation sites located in the states of Bahia, Espirito Santo, and Sao Paulo, Brazil. Natural ecosystems for these states include Savannah-Dry Forest, Atlantic Forest, and Savanna, respectively. The sampling covered at least three complete rotations of Eucalyptus at each site; climate, past land use, productivity, and soil characteristics vary across this geographic gradient. Across the two periods, both Espirito Santo (P<0.001) and Bahia (P=0.05) showed a decrease in soil carbon concentrations, while Sao Paulo saw no change over time. For the 0-30 cm layer, plantations in Espirito Santo state had the largest decrease in soil carbon concentration up to 2001, decreasing soil carbon stocks at an average rate of 1.3 Mg C ha-1 year-1. This, however, was followed by no significant change from 2001 to 2010 which may indicate stabilization of soil carbon stocks under the new land use. The Eucalyptus in Bahia created no change in the first sampling period, but saw a decline of 0.35 Mg C ha-1

  14. Ammonia sources and sinks in an intensively managed grassland using dynamic chambers

    Directory of Open Access Journals (Sweden)

    M. David

    2009-02-01

    Full Text Available Grassland is a canopy with a complex structure where sources and sinks of ammonia may coexist at the plant level. Moreover, management practices such as mowing, hay production and grazing, may change the composition of the sward and hence the source-sinks relationship at the canopy level as well as the interaction with the atmosphere. There is therefore a need to better understand the exchanges of ammonia between grasslands and the atmosphere, especially regarding the locations of sources and sinks and their magnitudes.

    Fluxes of atmospheric ammonia (NH3 within a grassland canopy were assessed in the field and under controlled conditions using a dynamic chamber technique (cuvette. These cuvette measurements were combined with extraction techniques to estimate the ammonium (NH4+ concentration and the pH of a given part of the plant or soil, leading to an estimated ammonia compensation point (Cp. The combination of the cuvette and the extraction techniques was used to identify the potential sources and sinks of NH3 within the different compartments of the grassland: the soil, the litter or "litter leaves", and the functioning "green leaves". A set of 6 field experiments and 6 laboratory experiments were performed in which the different compartments were either added or removed from the cuvettes.

    This study shows that the cuvette measurements agree with the extraction technique in ordering the strength of compartment sources. It suggests that in the studied grassland the green leaves were mostly a sink for NH3 with a compensation point around 0.1–0.4 μg m−3 NH3 and an NH3 flux of 6 to 7 ng m−2 s−1 NH3. Cutting of the grass did not increase the NH3 fluxes of the green leaves. The litter was found to be the largest source of NH3 in the canopy, with a compensation

  15. Management of Respiratory Motion in Extracorporeal High-Intensity Focused Ultrasound Treatment in Upper Abdominal Organs: Current Status and Perspectives

    Energy Technology Data Exchange (ETDEWEB)

    Muller, A., E-mail: arnaud.muller@chu-lyon.fr [Centre Hospitalier Lyon Sud, Service de Radiologie, Hospices Civils de Lyon (France); Petrusca, L.; Auboiroux, V. [University of Geneva, Department of Radiology, Faculty of Medicine (Switzerland); Valette, P. J. [Centre Hospitalier Lyon Sud, Service de Radiologie, Hospices Civils de Lyon (France); Salomir, R. [University of Geneva, Department of Radiology, Faculty of Medicine (Switzerland); Cotton, F. [Centre Hospitalier Lyon Sud, Service de Radiologie, Hospices Civils de Lyon (France)

    2013-12-15

    Extracorporeal high-intensity focused ultrasound (HIFU) is a minimally invasive therapy considered with increased interest for the ablation of small tumors in deeply located organs while sparing surrounding critical tissues. A multitude of preclinical and clinical studies have showed the feasibility of the method; however, concurrently they showed several obstacles, among which the management of respiratory motion of abdominal organs is at the forefront. The aim of this review is to describe the different methods that have been proposed for managing respiratory motion and to identify their advantages and weaknesses. First, we specify the characteristics of respiratory motion for the liver, kidneys, and pancreas and the problems it causes during HIFU planning, treatment, and monitoring. Second, we make an inventory of the preclinical and clinical approaches used to overcome the problem of organ motion. Third, we analyze their respective benefits and drawbacks to identify the remaining physical, technological, and clinical challenges. We thereby consider the outlook of motion compensation techniques and those that would be the most suitable for clinical use, particularly under magnetic resonance thermometry monitoring.

  16. Management of Respiratory Motion in Extracorporeal High-Intensity Focused Ultrasound Treatment in Upper Abdominal Organs: Current Status and Perspectives

    International Nuclear Information System (INIS)

    Extracorporeal high-intensity focused ultrasound (HIFU) is a minimally invasive therapy considered with increased interest for the ablation of small tumors in deeply located organs while sparing surrounding critical tissues. A multitude of preclinical and clinical studies have showed the feasibility of the method; however, concurrently they showed several obstacles, among which the management of respiratory motion of abdominal organs is at the forefront. The aim of this review is to describe the different methods that have been proposed for managing respiratory motion and to identify their advantages and weaknesses. First, we specify the characteristics of respiratory motion for the liver, kidneys, and pancreas and the problems it causes during HIFU planning, treatment, and monitoring. Second, we make an inventory of the preclinical and clinical approaches used to overcome the problem of organ motion. Third, we analyze their respective benefits and drawbacks to identify the remaining physical, technological, and clinical challenges. We thereby consider the outlook of motion compensation techniques and those that would be the most suitable for clinical use, particularly under magnetic resonance thermometry monitoring

  17. Effects of fire management on the richness and abundance of central North American grassland land snail faunas

    Directory of Open Access Journals (Sweden)

    Nekola, J. C.

    2002-01-01

    Full Text Available The land snail faunas from 72 upland and lowland grassland sites from central North America were analyzed. Sixteen of these had been exposed to fire management within the last 15 years, while the remainder had not. A total of 91,074 individuals in 72 different species were observed. Richness was reduced by approximately 30% on burned sites, while abundance was reduced by 50-90%. One-way ANOVA of all sites (using management type as the independent variable, a full 2-way ANOVA (using management and grassland type of all sites, and a 2-way ANOVA limited to 26 sites paired according to their habitat type and geographic location, demonstrated in all cases a highly significant (up to p < 0.0005 reduction in richness and abundance on fire managed sites. Contingency table analysis of individual species demonstrated that 44% experienced a significant reduction in abundance on fire-managed sites. Only six species positively responded to fire. Comparisons of fire response to the general ecological preferences of these species demonstrated that fully 72% of turf-specialists were negatively impacted by fire, while 67% of duff-specialists demonstrated no significant response. These differences were highly significant (p = 0.0006. Thus, frequent use of fire management represents a significant threat to the health and diversity of North American grassland land snail communities. Protecting this fauna will require the preservation of site organic litter layers, which will require the increase of fire return intervals to 15+ years in conjunction with use of more diversified methods to remove woody and invasive plants.

  18. Can Efficient Irrigation and Nitrogen Management Practices Contribute to Nitrate Reduction in Groundwater under Intensive Farmer-Managed Vegetable Fields in Slovenia Catchments?

    International Nuclear Information System (INIS)

    Groundwater is a very important source of drinking water in Slovenia. However, the intensification of agriculture through the use of nitrogen (N) fertilizers and organic manure from livestock (pig farms) to enhance crop yields may be one of the causes of groundwater contamination through nitrate leaching. It is predicted that intensive vegetable production is the major cause of nitrate contamination in the Ljubljana aquifer which is the major source of drinking water in Ljubljana, Slovenia. The Project. Slovenia aims to meet the EU Water Framework Directive (2000/60/EC) and national standards for good quality groundwater status by 2013 while maintaining an intensive agriculture production. A Technical Cooperation Project (TCP) SLO5002 was funded by IAEA to help improve the capabilities of the Slovenia Counterpart institutes to address nitrate (and also) pesticides in drinking water by establishing a monitoring system for soil water balance, and for pesticide and nitrate leaching from agricultural benchmark sites in Slovenia catchments. The objective of the study is to assess how different irrigation, nitrogen and cropping system management strategies could help reduce nitrate leaching while sustaining yields in a farmer-managed vegetable field using farmers' (one time fertilizer application before planting and irrigating shortly after planting) and improved practices (scheduled irrigation and fertilization) in a benchmark site in Sneberje, Slovenia. The project also aims to transfer knowledge to the stakeholders. Nitrogen-15 fertilizer was used as a tracer to monitor N acquisition by plants and nitrate movement in the soil. Soil water was monitored using 2 capacitance probes (EnviroScan and the Time Domain Reflectometer). The IAEA provided experts, training, equipment, stable and radioactive tracers and consumables and the Government of Slovenia executed the Project

  19. Evaluation of American Indian Health Service Training in Pain Management and Opioid Substance Use Disorder.

    Science.gov (United States)

    Katzman, Joanna G; Fore, Chris; Bhatt, Snehal; Greenberg, Nina; Griffin Salvador, Julie; Comerci, George C; Camarata, Christopher; Marr, Lisa; Monette, Rebecca; Arora, Sanjeev; Bradford, Andrea; Taylor, Denise; Dillow, Jenny; Karol, Susan

    2016-08-01

    We examined the benefits of a collaboration between the Indian Health Service and an academic medical center to address the high rates of unintentional drug overdose in American Indians/Alaska Natives. In January 2015, the Indian Health Service became the first federal agency to mandate training in pain and opioid substance use disorder for all prescribing clinicians. More than 1300 Indian Health Service clinicians were trained in 7 possible 5-hour courses specific to pain and addiction. We noted positive changes in pre- and postcourse knowledge, self-efficacy, and attitudes as well as thematic responses showing the trainings to be comprehensive, interactive, and convenient. PMID:27196642

  20. Guided Imagery for Stress and Symptom Management in Pregnant African American Women

    Directory of Open Access Journals (Sweden)

    Nancy Jallo

    2014-01-01

    Full Text Available The purpose of this study was to evaluate the efficacy of a guided imagery (GI intervention for stress reduction in pregnant African American women beginning early in the second trimester. This prospective longitudinal study of 72 women used a randomized controlled experimental design with two groups conducted over 12 weeks. The intervention was a CD with 4 professionally recorded tracts designed and sequenced to influence study variables. Participants in both GI and usual care (UC completed measures and donated 5 cc of blood at baseline, 8 weeks and 12 weeks. Participants also completed a daily stress scale. A mixed-effects linear model tested for differences between groups for self-reported measures of stress, anxiety, and fatigue as well as corticotrophin releasing hormone (CRH, a biologic marker of stress. Significant differences in perceived stress daily scores and at week 8 but not week 12 were found in the GI group compared to UC group. The GI group reported significantly less fatigue and anxiety than the UC group at week 8 but not week 12. There were no significant differences in CRH levels between groups. Results suggest that GI intervention may be effective in reducing perceived stress, anxiety, and fatigue measures among pregnant African American women.

  1. Intensive diabetes management and goal setting are key aspects of improving metabolic control in children and young people with type 1 diabetes mellitus

    Institute of Scientific and Technical Information of China (English)

    Astha; Soni; Sze; May; Ng

    2014-01-01

    Diabetes control in children remains poor in spite of advances in treatment for last 10 years. The aim of this review was to look at various aspects of intensive therapy in the management of type 1 diabetes such as insulin regimes, role of target setting, psycho-educational approaches and self-management. To achieve good metabolic control, clear goal setting with adequate support for self-management are essential. Psycho-educational and behavioural interventions aimed at specific areas of management have shown significant improvement in quality of life and diabetes control.

  2. Irrigation and fertilization effects on Nantucket Pine Tip Moth (Lepidoptera: Tortricidae) Damage levels and pupal weight in an intensively-managed pine plantation.

    Energy Technology Data Exchange (ETDEWEB)

    Coyle, David, R.; Nowak, John, T.; Fettig, Christopher, J.

    2003-10-01

    The widespread application of intensive forest management practices throughout the southeastern U.S. has increased loblolly pine, Pinus taeda L., yields and shortened conventional rotation lengths. Fluctuations in Nantucket pine tip moth, Rhyacionia frustrana (Comstock), population density and subsequent damage levels have been linked to variations in management intensity. We examined the effects of two practices, irrigation and fertilization, on R. frustrana damage levels and pupal weights in an intensively-managed P. taeda plantation in South Carolina. Trees received intensive weed control and one of the following treatments; irrigation only. fertilization only, irrigation + fertilization, or control. Mean whole-tree tip moth damage levels ranged from <1 to 48% during this study. Damage levels differed significantly among treatments in two tip moth generations in 2001, but not 2000. Pupal weight was significantly heavier in fertilization compared to the irrigation treatment in 2000, but no significant differences were observed in 2001. Tree diameter. height. and aboveground volume were significantly greater in the irrigation + fertilization than in the irrigation treatment after two growing seasons. Our data suggest that intensive management practices that include irrigation and fertilization do not consistently increase R. frustrana damage levels and pupal weights as is commonly believed. However, tip moth suppression efforts in areas adjacent to our study may have partially reduced the potential impacts of R. frustrana on this experiment.

  3. Short-Term Efficacy and Correlates of Change in Health Weight Management Program for Chinese American Children.

    Science.gov (United States)

    Chen, Jyu-Lin; Kwan, Monica

    2016-05-01

    A pretest and posttest study design was used to test a healthy weight management intervention with overweight and/or obese Chinese American children. Children attended 8-weekly small group sessions while parents attended a single 2-hour parent workshop. Children had their weight, height, blood pressure, waist and hip circumference, and fast lipids data assessed and completed several questions questionnaires regarding food choices, self-efficacy, and knowledge at baseline, 2 months, and 6 months. Parents completed questionnaires regarding demographic, acculturation level and family environment. We found significant reduction of body mass index, waist/hip ratio, systolic blood pressure and improvement of child's eating style, physical activity knowledge, self-efficacy, and children's quality of life at 6-month follow-up. In addition, significant improvement of high-density lipoprotein cholesterol and decrease in triglyceride were found at 6-month follow-up. Improvement of nutrition self-efficacy and decreased stimulus environment were associated with decreased body mass index in overweight and obese Chinese American children. PMID:26149851

  4. Spatial distribution of soils determines export of nitrogen and dissolved organic carbon from an intensively managed agricultural landscape

    Directory of Open Access Journals (Sweden)

    T. Wohlfart

    2012-11-01

    Full Text Available The surrounding landscape of a stream has crucial impacts on the aquatic environment. This study pictures the hydro-biogeochemical situation of the Tyrebækken creek catchment in central Jutland, Denmark. The intensively managed agricultural landscape is dominated by rotational croplands. The small catchment mainly consist of sandy soil types besides organic soils along the streams. The aim of the study was to characterise the relative influence of soil type and land use on stream water quality. Nine snapshot sampling campaigns were undertaken during the growing season of 2009. Total dissolved nitrogen (TDN, nitrate (NO3, ammonium nitrogen and dissolved organic carbon (DOC concentrations were measured, and dissolved organic nitrogen (DON was calculated for each grabbed sample. Electrical conductivity, pH and flow velocity were measured during sampling. Statistical analyses showed significant differences between the northern, southern and converged stream parts, especially for NO3 concentrations with average values between 1.4 mg N l−1 and 9.6 mg N l−1. Furthermore, throughout the sampling period DON concentrations increased to 2.8 mg N l−1 in the northern stream contributing up to 81% to TDN. Multiple-linear regression analyses performed between chemical data and landscape characteristics showed a significant negative influence of organic soils on instream N concentrations and corresponding losses in spite of their overall minor share of the agricultural land (12.9%. On the other hand, organic soil frequency was positively correlated to the corresponding DOC concentrations. Croplands also had a significant influence but with weaker correlations. For our case study we conclude that the fractions of coarse textured and organic soils have a major influence on N and DOC export in this intensively used landscape. Meanwhile, the contribution of DON to the total N

  5. The North American Bats and Mines Project: a cooperative approach for integrating wildlife, ecosystem management, and mine land reclamation

    Energy Technology Data Exchange (ETDEWEB)

    Taylor, D.A.R. [Bat Conservation International, Austin, TX (United States)

    1995-06-01

    Abandoned underground mines in North America provide a habitat for bats. Closure of mines without conducting biological surveys can endanger bat species that are abundant. The North American Bats and Mines Project (NABMP) has been created by the U.S. Bureau of Land Management and Bat Conservation International to provide coordination among government and conservation organizations and the mining industry in order to minimize the loss of bats living in mines. NABMP provides coordination through education on the importance of mines for bat populations by providing training on mine assessment and closure methods, by assisting with protection and improvement of abandoned mine roosts, and by developing methods for creating new bat habitat. 1 tab.

  6. Functional management of ankle sprains: what volume and intensity of walking is undertaken in the first week postinjury:what volume and intensity of walking is undertaken in the first week postinjury

    OpenAIRE

    Tully, Mark; Bleakley, C M; O'Connor, S.R.; McDonough, S.M.

    2012-01-01

    BACKGROUND: Acute ankle sprains are usually managed functionally, with advice to undertake progressive weight-bearing and walking. Mechanical loading is an important modular of tissue repair; therefore, the clinical effectiveness of walking after ankle sprain may be dose dependent. The intensity, magnitude and duration of load associated with current functional treatments for ankle sprain are unclear.AIM: To describe physical activity (PA) in the first week after ankle sprain and to compare r...

  7. Knowledge, attitudes, beliefs and behaviour intentions for three bowel management practices in intensive care: effects of a targeted protocol implementation for nursing and medical staff

    OpenAIRE

    Knowles, Serena; Lam, Lawrence T; McInnes, Elizabeth; Elliott, Doug; Hardy, Jennifer; Middleton, Sandy

    2015-01-01

    Background Bowel management protocols have the potential to minimize complications for critically ill patients. Targeted implementation can increase the uptake of protocols by clinicians into practice. The theory of planned behaviour offers a framework in which to investigate clinicians’ intention to perform the behaviour of interest. This study aimed to evaluate the effect of implementing a bowel management protocol on intensive care nursing and medical staffs’ knowledge, attitude, subjectiv...

  8. A Technical Evaluation of Wireless Connectivity from Patient Monitors to an Anesthesia Information Management System During Intensive Care Unit Surgery.

    Science.gov (United States)

    Simpao, Allan F; Galvez, Jorge A; England, W Randall; Wartman, Elicia C; Scott, James H; Hamid, Michael M; Rehman, Mohamed A; Epstein, Richard H

    2016-02-01

    Surgical procedures performed at the bedside in the neonatal intensive care unit (NICU) at The Children's Hospital of Philadelphia were documented using paper anesthesia records in contrast to the operating rooms, where an anesthesia information management system (AIMS) was used for all cases. This was largely because of logistical problems related to connecting cables between the bedside monitors and our portable AIMS workstations. We implemented an AIMS for documentation in the NICU using wireless adapters to transmit data from bedside monitoring equipment to a portable AIMS workstation. Testing of the wireless AIMS during simulation in the presence of an electrosurgical generator showed no evidence of interference with data transmission. Thirty NICU surgical procedures were documented via the wireless AIMS. Two wireless cases exhibited brief periods of data loss; one case had an extended data gap because of adapter power failure. In comparison, in a control group of 30 surgical cases in which wired connections were used, there were no data gaps. The wireless AIMS provided a simple, unobtrusive, portable alternative to paper records for documenting anesthesia records during NICU bedside procedures. PMID:26797553

  9. Reproductive parameters in the critically endangered Blue-throated Macaw: limits to the recovery of a parrot under intensive management.

    Directory of Open Access Journals (Sweden)

    Igor Berkunsky

    Full Text Available Rediscovered in the wild twenty years ago, the breeding biology of wild Blue-throated Macaws remains largely unexplored, yet is essential to its effective conservation and recovery. Here, we analyse reproductive parameters in an intensively managed wild population of Blue-throated Macaws, providing the first data on the breeding biology of this critically endangered species. During the six-year study period, 2007-2012, the number of active breeding pairs either remained constant or decreased, depending on the site, and no new breeding pairs were discovered despite extensive searching. We documented nesting attempts in natural cavities in dead palms or live hardwoods, and artificial nest boxes. Egg-laying was concentrated during the end of dry season and the beginning of the wet season, August through December. Hatching failure was the greatest cause of egg losses. Half of the breeding attempts of Blue-throated Macaws produced at least one fledging, on average two, after a 85 days nestling period. An average of 4.3 nestlings per year fledged from all known wild nests combined. Each pair lost roughly 65% of its initial reproductive investment at each nesting attempt. In most successful nesting attempts of individualized pairs, a new nesting attempt was not detected the following year. All monitored breeding pairs showed high nest site fidelity, reusing hardwood-tree cavities and nest boxes. Our findings will aid conservation efforts by refining current actions and prompting new approaches towards the conservation and recovery of the Blue-throated Macaw.

  10. Reproductive parameters in the critically endangered Blue-throated Macaw: limits to the recovery of a parrot under intensive management.

    Science.gov (United States)

    Berkunsky, Igor; Daniele, Gonzalo; Kacoliris, Federico P; Díaz-Luque, José A; Silva Frias, Carmen P; Aramburu, Rosana M; Gilardi, James D

    2014-01-01

    Rediscovered in the wild twenty years ago, the breeding biology of wild Blue-throated Macaws remains largely unexplored, yet is essential to its effective conservation and recovery. Here, we analyse reproductive parameters in an intensively managed wild population of Blue-throated Macaws, providing the first data on the breeding biology of this critically endangered species. During the six-year study period, 2007-2012, the number of active breeding pairs either remained constant or decreased, depending on the site, and no new breeding pairs were discovered despite extensive searching. We documented nesting attempts in natural cavities in dead palms or live hardwoods, and artificial nest boxes. Egg-laying was concentrated during the end of dry season and the beginning of the wet season, August through December. Hatching failure was the greatest cause of egg losses. Half of the breeding attempts of Blue-throated Macaws produced at least one fledging, on average two, after a 85 days nestling period. An average of 4.3 nestlings per year fledged from all known wild nests combined. Each pair lost roughly 65% of its initial reproductive investment at each nesting attempt. In most successful nesting attempts of individualized pairs, a new nesting attempt was not detected the following year. All monitored breeding pairs showed high nest site fidelity, reusing hardwood-tree cavities and nest boxes. Our findings will aid conservation efforts by refining current actions and prompting new approaches towards the conservation and recovery of the Blue-throated Macaw. PMID:24941317

  11. Active Surveillance for the Management of Localized Prostate Cancer (Cancer Care Ontario Guideline): American Society of Clinical Oncology Clinical Practice Guideline Endorsement

    OpenAIRE

    Chen, RC; Rumble, RB; Loblaw, DA; Finelli, A.; Ehdaie, B; Cooperberg, MR; Morgan, SC; Tyldesley, S; Haluschak, JJ; Tan, W.; Justman, S; Jain, S

    2016-01-01

    To endorse Cancer Care Ontario's guideline on Active Surveillance for the Management of Localized Prostate Cancer. The American Society of Clinical Oncology (ASCO) has a policy and set of procedures for endorsing clinical practice guidelines developed by other professional organizations.The Active Surveillance for the Management of Localized Prostate Cancer guideline was reviewed for developmental rigor by methodologists. The ASCO Endorsement Panel then reviewed the content and the recommenda...

  12. Elephant Management in North American Zoos: Environmental Enrichment, Feeding, Exercise, and Training

    Science.gov (United States)

    Greco, Brian J.; Meehan, Cheryl L.; Miller, Lance J.; Shepherdson, David J.; Morfeld, Kari A.; Andrews, Jeff; Baker, Anne M.; Carlstead, Kathy; Mench, Joy A.

    2016-01-01

    The management of African (Loxodonta africana) and Asian (Elephas maximus) elephants in zoos involves a range of practices including feeding, exercise, training, and environmental enrichment. These practices are necessary to meet the elephants’ nutritional, healthcare, and husbandry needs. However, these practices are not standardized, resulting in likely variation among zoos as well as differences in the way they are applied to individual elephants within a zoo. To characterize elephant management in North America, we collected survey data from zoos accredited by the Association of Zoos and Aquariums, developed 26 variables, generated population level descriptive statistics, and analyzed them to identify differences attributable to sex and species. Sixty-seven zoos submitted surveys describing the management of 224 elephants and the training experiences of 227 elephants. Asian elephants spent more time managed (defined as interacting directly with staff) than Africans (mean time managed: Asians = 56.9%; Africans = 48.6%; pzoos in the midrange for these measures. There were an average of 7.2 feedings every 24-hour period, with only 1.2 occurring during the nighttime. Feeding schedules were predictable at 47.5% of zoos. We also calculated the relative use of rewarding and aversive techniques employed during training interactions. The population median was seven on a scale from one (representing only aversive stimuli) to nine (representing only rewarding stimuli). The results of our study provide essential information for understanding management variation that could be relevant to welfare. Furthermore, the variables we created have been used in subsequent elephant welfare analyses. PMID:27414654

  13. 美国医院ICU管理介绍%Introduction of ICU management in American hospital

    Institute of Scientific and Technical Information of China (English)

    苏茂生; 董家鸿; 段伟东; 江颖; 何蕾; 马焕先; 赵庆华; 孟翔飞; 刘哲; 王敬

    2015-01-01

    Although there are different national conditions and institution of hospital ICU between America and China, some management and operation experience in which are still worth to learn for us. Based on experience from Miami Jakson Memorial Hospital ICU of America, this article attempts to compare and explain ICU manage-ment from the management system, family visits, medical equipment, staff categories, daily work flow and 10 aspects of ICU professional content including monitoring, capacity adjusting and maintaining, hemodynamic and airway man-agement, infection control, sedation and analgesia, nutrition support, anti coagulation and blood glucose control, physi-cal training, safety management and humanization and training, aiming to provide some insights worthy learning.%美国医院ICU遵循的国情制度虽与我国不同,但一些管理和运行经验仍值得借鉴。本文从美国Miami Jakson Memorial Hospital ICU的管理制度、家属探视、医护设备、人员类别、日常工作流程以及ICU专业内容,包括监测、容量维持、调整及血流动力学、气道管理、感染控制、镇静镇痛、营养支持、抗凝及血糖控制、物理训练、安全管理和人性化和学习培训等十个方面逐一进行比对讲解,希望能为提高我国ICU医护水平起到启示作用。

  14. THE ISSUE AND IMPORTANCE OF CREDIT RISK MANAGEMENT EXEMPLIFIELD BY THE COLLAPSE OF AMERICAN MORTGAGE MARKET

    OpenAIRE

    Karolina Przenajkowska

    2008-01-01

    The risk is connected to all types of economic activities. It is especially important for the functioning of banks, which are institutions based on the trust of the society. The most common risk banks have to face is the credit risk. The first part of the paper refers to the reasons, classification and consequences of its appearance. Serious negative effects of credit risk existence force banks to design programs of this type of risk management. The credit risk management is founded on the ba...

  15. No Memory Effects of Restoration on N2O Exchange above an intensively managed Grassland in Switzerland

    Science.gov (United States)

    Merbold, L.; Decock, C.; Hörtnagl, L. J.; Fuchs, K.; Eugster, W.

    2015-12-01

    Here we present 3 consecutive years of EC flux measurements of N2O, CH4 and CO2) carried out in intensively managed grassland in Switzerland. Our measurements of greenhouse gas (GHG) concentrations were based on a recently developed CW-QCL absorption spectrometer to measure the concentrations of N2O and CH4 and an infrared gas analyzer to measure the concentrations of CO2 and H2O. We investigated the magnitude of trace gas emissions during a year of major disturbance (grassland restoration - including ploughing and fertilization in 2012) and the two following years representing business as usual (up to 6 harvests per year which are followed by fertilizer application, 2013 and 2014). We observed large peaks of N2O (up to 50 nmol m-2 s-1) in 2012 during thawing of the soil after the winter period and after re-sowing as well as inorganic fertilizer application at the beginning of summer. N2O emissions following harvest and fertilizer application ranged between 2 and 7 nmol m-2 s-1 and background fluxes were no larger than 1 nmol m-2 s-1. Fluxes of N2O were primarily controlled by soil water content and temperature, while management activities lead to larger variation of N2O fluxes during several days after the management event when compared to the background flux measurements. Annual flux budgets were dominated by CO2 emissions and N2O emissions contributed largely to the annual budget in 2012 but to a much lesser extend in the post-disturbance years (2013/2014). CH4 flux contribution to the annual budget was negligible. We conclude that grassland restoration results in large N2O emissions, while not leading to larger N2O emissions in subsequent years. Still, such specific time periods of enhanced N2O emissions need to be considered in decadal greenhouse gas budget estimates due to the fact that a single year can offset previous carbon and nitrogen sinks.

  16. Taking Care of Business: Walter Carpenter and the Management of American Enterprise.

    Science.gov (United States)

    Cheape, Charles W.

    1996-01-01

    Evaluates the life and career of DuPont corporate executive, Walter Carpenter, and uses it to illustrate the rise of the managerial class. Neither owners nor entrepreneurs, managers like Carpenter used their intelligence and skill to reorganize and expand the companies the companies where they worked. (MJP)

  17. Managing for Development Results at the Inter-American Development Bank

    OpenAIRE

    Koldo Echebarría

    2011-01-01

    This presentation provides effective management strategies and instruments to measure results of interventions at the project and country level. The presenter includes portions of the Development Effectiveness Matrix as well as a review of the Progress Monitoring Report and results-based budgeting.

  18. Helping African American Children Self-Manage Asthma: The Importance of Self-Efficacy

    Science.gov (United States)

    Kaul, Teri

    2011-01-01

    Background: Asthma is the leading cause of chronic illness among children in the United States, with a disproportionately higher incidence among minority children. In an attempt to increase understanding of the factors that may influence self-management of chronic disease, the study examined the relationship between self-efficacy belief and asthma…

  19. Ecosystem function enhanced by combining four functional types of plant species in intensively managed grassland mixtures: a 3-year continental-scale field experiment

    NARCIS (Netherlands)

    Finn, J.A.; Connolly, J.; Sebastià, M.T.; Elgersma, A.

    2013-01-01

    1.A coordinated continental-scale field experiment across 31 sites was used to compare the biomass yield of monocultures and four species mixtures associated with intensively managed agricultural grassland systems. To increase complementarity in resource use, each of the four species in the experime

  20. The management of response time Stark echo and its intensity in the presence of non-resonant laser pulses with spatial inhomogeneity

    International Nuclear Information System (INIS)

    The possibility of management of the response time Stark echo and the influence of a transverse irreversible relaxation on its intensity by change of the mutual orientation of external spatial non-uniform non-resonant laser pulses are analyzed. (paper)

  1. 2015 Recommendations for the management of polymyalgia rheumatica: a European League Against Rheumatism/American College of Rheumatology collaborative initiative.

    Science.gov (United States)

    Dejaco, Christian; Singh, Yogesh P; Perel, Pablo; Hutchings, Andrew; Camellino, Dario; Mackie, Sarah; Abril, Andy; Bachta, Artur; Balint, Peter; Barraclough, Kevin; Bianconi, Lina; Buttgereit, Frank; Carsons, Steven; Ching, Daniel; Cid, Maria; Cimmino, Marco; Diamantopoulos, Andreas; Docken, William; Duftner, Christina; Fashanu, Billy; Gilbert, Kate; Hildreth, Pamela; Hollywood, Jane; Jayne, David; Lima, Manuella; Maharaj, Ajesh; Mallen, Christian; Martinez-Taboada, Victor; Maz, Mehrdad; Merry, Steven; Miller, Jean; Mori, Shunsuke; Neill, Lorna; Nordborg, Elisabeth; Nott, Jennifer; Padbury, Hannah; Pease, Colin; Salvarani, Carlo; Schirmer, Michael; Schmidt, Wolfgang; Spiera, Robert; Tronnier, David; Wagner, Alexandre; Whitlock, Madeline; Matteson, Eric L; Dasgupta, Bhaskar

    2015-10-01

    Therapy for polymyalgia rheumatica (PMR) varies widely in clinical practice as international recommendations for PMR treatment are not currently available. In this paper, we report the 2015 European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) recommendations for the management of PMR. We used the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) methodology as a framework for the project. Accordingly, the direction and strength of the recommendations are based on the quality of evidence, the balance between desirable and undesirable effects, patients' and clinicians' values and preferences, and resource use. Eight overarching principles and nine specific recommendations were developed covering several aspects of PMR, including basic and follow-up investigations of patients under treatment, risk factor assessment, medical access for patients and specialist referral, treatment strategies such as initial glucocorticoid (GC) doses and subsequent tapering regimens, use of intramuscular GCs and disease modifying anti-rheumatic drugs (DMARDs), as well as the roles of non-steroidal anti-rheumatic drugs and non-pharmacological interventions. These recommendations will inform primary, secondary and tertiary care physicians about an international consensus on the management of PMR. These recommendations should serve to inform clinicians about best practices in the care of patients with PMR. PMID:26359488

  2. Provider Adherence to National Guidelines for Managing Hypertension in African Americans

    Directory of Open Access Journals (Sweden)

    Jeanette Sessoms

    2015-01-01

    Full Text Available Purpose. To evaluate provider adherence to national guidelines for the treatment of hypertension in African Americans. Design. A descriptive, preexperimental, quantitative method. Methods. Electronic medical records were reviewed and data were obtained from 62 charts. Clinical data collected included blood pressure readings, medications prescribed, laboratory studies, lifestyle modification, referral to hypertension specialist, and follow-up care. Findings. Overall provider adherence was 75%. Weight loss, sodium restriction, and physical activity recommendations were documented on 82.3% of patients. DASH diet and alcohol consumption were documented in 6.5% of participants. Follow-up was documented in 96.6% of the patients with controlled blood pressure and 9.1% in patients with uncontrolled blood pressure. Adherence in prescribing ACEIs in patients with a comorbidity of DM was documented in 70% of participants. Microalbumin levels were ordered in 15.2% of participants. Laboratory adherence prior to prescribing medications was documented in 0% of the patients and biannual routine labs were documented in 65% of participants. Conclusion. Provider adherence overall was moderate. Despite moderate provider adherence, BP outcomes and provider adherence were not related. Contributing factors that may explain this lack of correlation include patient barriers such as nonadherence to medication and lifestyle modification recommendations and lack of adequate follow-up. Further research is warranted.

  3. Sociodemographic Factors, Acculturation, and Nutrition Management among Hispanic American Adults with Self-reported Diabetes.

    Science.gov (United States)

    Yoshida, Yilin Xu; Simonsen, Neal; Chen, Liwei; Zhang, L U; Scribner, Richard; Tseng, Tung-Sung

    2016-01-01

    This study aimed to examine whether sociodemographic factors and acculturation affect achievement of selected American Diabetes Association (ADA) nutrition therapy recommendations among Hispanics with diabetes. Cross-sectional data for Hispanics with diabetes in the National Health and Nutrition Examination Survey (NHANES) 2003-2010 were used. Achievements of the ADA recommendation for five nutrition components were examined (i.e., daily intake of saturated fat, cholesterol, sodium, and fiber, and daily servings of alcohol). Acculturation measurement derived from language use, country of birth, and length of residence in the U.S. Logistic regressions were performed. Only 49% of Hispanics with diabetes met three or more recommended criteria. Male gender and younger age (≤45) predicted poor recommendation adherence. More acculturated individuals had around 50% lower odds to achieve saturated fat [OR 0.5, CI 0.2-0.7], fiber [OR 0.5, CI 0.2-0.9], sodium [OR 0.5, CI 0.3-0.9] and cholesterol intake [OR 0.5, CI 0.3-0.8] recommendations than their less acculturated counterparts. PMID:27524787

  4. Management Employment-Relations Strategies: Perspectives from Studies of European (and American) Airlines

    OpenAIRE

    Greg J. Bamber; Gittell, Jody Hoffer; Kochan, Thomas Anton; von Nordenflycht, Andrew

    2009-01-01

    We discuss deregulation (liberalisation) and some of the international institutions that influence the management of people in airlines. As a point of departure, we summarise contrasting models from successful ‘new entrant’ airlines: Ryanair and Southwest. We consider examples of various categories of airlines in different ‘ideal types’ of institutional context: liberal-market economies and coordinated-market economies. These are two varieties of advanced capitalism. The former include the U...

  5. Deny, Distance, or Dismantle? How White Americans Manage a Privileged Identity.

    Science.gov (United States)

    Knowles, Eric D; Lowery, Brian S; Chow, Rosalind M; Unzueta, Miguel M

    2014-11-01

    Social scientists have traditionally argued that whiteness-the attribute of being recognized and treated as a White person in society-is powerful because it is invisible. On this view, members of the racially dominant group have the unique luxury of rarely noticing their race or the privileges it confers. This article challenges this "invisibility thesis," arguing that Whites frequently regard themselves as racial actors. We further argue that whiteness defines a problematic social identity that confronts Whites with 2 psychological threats: the possibility that their accomplishments in life were not fully earned (meritocratic threat) and the association with a group that benefits from unfair social advantages (group-image threat). We theorize that Whites manage their racial identity to dispel these threats. According to our deny, distance, or dismantle (3D) model of White identity management, dominant-group members have three strategies at their disposal: deny the existence of privilege, distance their own self-concepts from the White category, or strive to dismantle systems of privilege. Whereas denial and distancing promote insensitivity and inaction with respect to racial inequality, dismantling reduces threat by relinquishing privileges. We suggest that interventions aimed at reducing inequality should attempt to leverage dismantling as a strategy of White identity management. PMID:26186110

  6. Reading and analysis on management guidelines for hypothyroidism published in 2012 by American thyroid association and American association of clinical endocrinologists

    International Nuclear Information System (INIS)

    Recently, American Thyroid Association and American Association of Clinical Endocrinologists published Clinical Guideline for Hypothyroidism. The authors took an evidence-based medicine approach, and created 52 recommendations on 15 issues. The guideline emphasized that serum thyrotropin is the single best screening test for primary thyroid dysfunction for the vast majority of outpatient clinical situations. The standard treatment for hypothyroidism is replacement with L-thyroxine. The decision to treat subclinical hypothyroidism when the serum thyrotropin is less than 10 mIU/L should be tailored to the individual patient. (authors)

  7. Evaluation of an mHealth Medication Regimen Self-Management Program for African American and Hispanic Uncontrolled Hypertensives

    Directory of Open Access Journals (Sweden)

    Tatiana M. Davidson

    2015-11-01

    Full Text Available African Americans and Hispanics have disproportionate rates of uncontrolled essential hypertension (EH compared to Non-Hispanic Whites. Medication non-adherence (MNA is the leading modifiable behavior to improved blood pressure (BP control. The Smartphone Medication Adherence Stops Hypertension (SMASH program was developed using a patient-centered, theory-guided, iterative design process. Electronic medication trays provided reminder signals, and Short Message Service [SMS] messaging reminded subjects to monitor BP with Bluetooth-enabled monitors. Motivational and reinforcement text messages were sent to participants based upon levels of adherence. Thirty-eight African-American (18 and Hispanic (20 uncontrolled hypertensives completed clinic-based anthropometric and resting BP evaluations prior to randomization, and again at months 1, 3 and 6. Generalized linear mixed modeling (GLMM revealed statistically significant time-by-treatment interactions (p < 0.0001 indicating significant reductions in resting systolic blood pressure (SBP and diastolic blood pressure (DBP for the SMASH group vs. the standard care (SC control group across all time points. 70.6% of SMASH subjects vs. 15.8% of the SC group reached BP control (< 140/90 mmH at month 1 (p < 0.001. At month 6, 94.4% of the SMASH vs. 41.2% of the SC group exhibited controlled BP (p < 0.003. Our findings provide encouraging evidence that efficacious mHealth, chronic disease, medical regimen, self-management programs can be developed following principles of patient-centered, theory-guided design.

  8. Role of 3D PET-FDG in the Management of Lymphomas. The Latin American Experience

    International Nuclear Information System (INIS)

    Aim: To assess the role that 3D PET and FDG played in the management of patients referred to our institution (last two years) for either initial staging (IS), intra-treatment evaluation (IT), or post treatment (PT) evaluation of patients with Hodgkin (HL) or Non Hodgkin lymphomas (NHL). Material and Methods: Fifty-four studies were performed to 42 patients (15 HL; 27 NHL) for IS (9), IT (12) or PT (33). Most patients had previously performed conventional imaging procedures (CT, Gallium-SPECT, MRI) during staging or clinical follow up (median 18 months.) Biopsy was done when relevant. At least 6-hour fasting and glucose serum level ≤ 1.2 g/l was required before IV injection of 50 to 60 microCi /Kg of [18F]-Fluorodeoxiglucose (FDG.) After a 60 to 90-minute uptake period, a whole body PET scan was performed, 5-minute acquisition and 2-minute transmission per bed, 5 to 7 beds, with an average scanning time of 1 hour. Localized images (15 minutes) were done when deemed relevant. Results: FDG PET showed: 1) IS: 9 unsuspected sites in 4 patients, upstaging 2 of them (22.2%) -1 HL from II to III and 1 NHL from III to IV-. 2) IT: it helped to change the management previously decided by conventional imaging in 41.6% of patients (either stop or continue therapy.) 3) PT (Chemotherapy or EBRT): it helped to change the management of patients based on conventional imagining to a more aggressive (21.9%) or conservative one (20.6%.) Overall, either biopsy or follow up confirmed two false negative and 3 false positive PET studies. Conclusions: This ongoing clinical study of HL and NHL patients showed that 3D PET-FDG was as good as 2D PET in the management of Lymphoma. Besides being more accurate than conventional imaging for initial staging, it had a major impact in assessing treatment (IT or PT), and it helped to improve the management in more than 40% of patients. Besides, additional advantages were reported by patients and referrals when compared PET to Gallium-SPECT: mainly

  9. Radiotherapy Technical Considerations in the Management of Locally Advanced Pancreatic Cancer: American-French Consensus Recommendations

    International Nuclear Information System (INIS)

    Summary: Pancreatic carcinoma is a leading cause of cancer-related mortality. Approximately 30% of pancreatic cancer patients present with locally advanced, unresectable nonmetastatic disease. For these patients, two therapeutic options exist: systemic chemotherapy or chemoradiotherapy. Within this context, the optimal technique for pancreatic irradiation is not clearly defined. A search to identify relevant studies was undertaken using the Medline database. All Phase III randomized trials evaluating the modalities of radiotherapy in locally advanced pancreatic cancer were included, as were some noncontrolled Phase II and retrospective studies. An expert panel convened with members of the Radiation Therapy Oncology Group and GERCOR cooperative groups to review identified studies and prepare the guidelines. Each member of the working group independently evaluated five endpoints: total dose, target volume definition, radiotherapy planning technique, dose constraints to organs at risk, and quality assurance. Based on this analysis of the literature, we recommend either three-dimensional conformal radiation therapy or intensity-modulated radiation therapy to a total dose of 50 to 54 Gy at 1.8 to 2 Gy per fraction. We propose gross tumor volume identification to be followed by an expansion of 1.5 to 2 cm anteriorly, posteriorly, and laterally, and 2 to 3 cm craniocaudally to generate the planning target volume. The craniocaudal margins can be reduced with the use of respiratory gating. Organs at risk are liver, kidneys, spinal cord, stomach, and small bowel. Stereotactic body radiation therapy should not be used for pancreatic cancer outside of clinical trials. Radiotherapy quality assurance is mandatory in clinical trials. These consensus recommendations are proposed for use in the development of future trials testing new chemotherapy combinations with radiotherapy. Not all of these recommendations will be appropriate for trials testing radiotherapy dose or dose

  10. A holistic life cycle analysis of waste management scenarios at increasing source segregation intensity: the case of an Italian urban area.

    Science.gov (United States)

    Di Maria, Francesco; Micale, Caterina

    2014-11-01

    Life cycle analysis of several waste management scenarios for an Italian urban area was performed on the basis of different source segregation collection (SS) intensities from 0% up to 52%. Source segregated waste was recycled and or/recovered by composting. Residual waste management options were by landfilling, incineration with energy recovery or solid recovered fuel (SRF) production to substitute for coal. The increase in fuel and materials consumption due to increase in SS had negligible influence on the environmental impact of the system. Recycling operations such as incineration and SRF were always advantageous for impact reduction. There was lower impact for an SS of 52% even though the difference with the SS intensity of 35% was quite limited, about 15%. In all the configurations analyzed, the best environmental performance was achieved for the management system producing SRF by the biodrying process. PMID:25008299

  11. Effectiveness of classroom based crew resource management training in the intensive care unit: study design of a controlled trial

    Directory of Open Access Journals (Sweden)

    Kemper Peter F

    2011-11-01

    Full Text Available Abstract Background Crew resource management (CRM has the potential to enhance patient safety in intensive care units (ICU by improving the use of non-technical skills. However, CRM evaluation studies in health care are inconclusive with regard to the effect of this training on behaviour and organizational outcomes, due to weak study designs and the scarce use of direct observations. Therefore, the aim of this study is to determine the effectiveness and cost-effectiveness of CRM training on attitude, behaviour and organization after one year, using a multi-method approach and matched control units. The purpose of the present article is to describe the study protocol and the underlying choices of this evaluation study of CRM in the ICU in detail. Methods/Design Six ICUs participated in a paired controlled trial, with one pre-test and two post test measurements (respectively three months and one year after the training. Three ICUs were trained and compared to matched control ICUs. The 2-day classroom-based training was delivered to multidisciplinary groups. Typical CRM topics on the individual, team and organizational level were discussed, such as situational awareness, leadership and communication. All levels of Kirkpatrick's evaluation framework (reaction, learning, behaviour and organisation were assessed using questionnaires, direct observations, interviews and routine ICU administration data. Discussion It is expected that the CRM training acts as a generic intervention that stimulates specific interventions. Besides effectiveness and cost-effectiveness, the assessment of the barriers and facilitators will provide insight in the implementation process of CRM. Trial registration Netherlands Trial Register (NTR: NTR1976

  12. American Head and Neck Society

    Science.gov (United States)

    American Head & Neck Society Head and Neck Cancer Research & Education American Head & Neck Society | AHNS Head and Neck Cancer Research & Education About AHNS ... and Announcements Copyright ©2016 · American Head and Neck Society · Privacy and Return Policy Managed by BSC Management, ...

  13. A holistic life cycle analysis of waste management scenarios at increasing source segregation intensity: The case of an Italian urban area

    International Nuclear Information System (INIS)

    Highlights: • Waste management scenarios starting from different SS intensity were analyzed by LCA. • Several experimental data were utilized for the inventory. • Collection activities influences marginally global impact. • Maximum global environmental gain was achieved by SRF for coke substitution. - Abstract: Life cycle analysis of several waste management scenarios for an Italian urban area was performed on the basis of different source segregation collection (SS) intensities from 0% up to 52%. Source segregated waste was recycled and or/recovered by composting. Residual waste management options were by landfilling, incineration with energy recovery or solid recovered fuel (SRF) production to substitute for coal. The increase in fuel and materials consumption due to increase in SS had negligible influence on the environmental impact of the system. Recycling operations such as incineration and SRF were always advantageous for impact reduction. There was lower impact for an SS of 52% even though the difference with the SS intensity of 35% was quite limited, about 15%. In all the configurations analyzed, the best environmental performance was achieved for the management system producing SRF by the biodrying process

  14. Study protocol for Women of Color and Asthma Control: A randomized controlled trial of an asthma-management intervention for African American women

    Directory of Open Access Journals (Sweden)

    Janevic Mary R

    2012-01-01

    Full Text Available Abstract Background Among adults in the United States, asthma prevalence is disproportionately high among African American women; this group also experiences the highest levels of asthma-linked mortality and asthma-related health care utilization. Factors linked to biological sex (e.g., hormonal fluctuations, gender roles (e.g., exposure to certain triggers and race (e.g., inadequate access to care all contribute to the excess asthma burden in this group, and also shape the context within which African American women manage their condition. No prior interventions for improving asthma self-management have specifically targeted this vulnerable group of asthma patients. The current study aims to evaluate the efficacy of a culturally- and gender-relevant asthma-management intervention among African American women. Methods/Design A randomized controlled trial will be used to compare a five-session asthma-management intervention with usual care. This intervention is delivered over the telephone by a trained health educator. Intervention content is informed by the principles of self-regulation for disease management, and all program activities and materials are designed to be responsive to the specific needs of African American women. We will recruit 420 female participants who self-identify as African American, and who have seen a clinician for persistent asthma in the last year. Half of these will receive the intervention. The primary outcomes, upon which the target sample size is based, are number of asthma-related emergency department visits and overnight hospitalizations in the last 12 months. We will also assess the effect of the intervention on asthma symptoms and asthma-related quality of life. Data will be collected via telephone survey and medical record review at baseline, and 12 and 24 months from baseline. Discussion We seek to decrease asthma-related health care utilization and improve asthma-related quality of life in African American

  15. Effect of Intensive Atropine Doses (Rapid Incremental Loading and Titration for Management of Organophosphorus Pesticide Poisoning: a Case Series

    Directory of Open Access Journals (Sweden)

    Abu Saleh Ahmed

    2014-03-01

    , Basher A, Amin MR, Faiz MA. Effect of Intensive Atropine Doses (Rapid Incremental Loading and Titration for Management of Organophosphorus Pesticide Poisoning: a Case Series. Asia Pac J Med Toxicol 2014;3:23-6.

  16. American Society of Hand Therapists

    Science.gov (United States)

    ... ago Follow Us Who we are The American Society of Hand Therapists (ASHT) is a professional organization ... a chartered accredited association management company. © 2016 American Society of Hand Therapists. All Rights Reserved. Advertisement

  17. 浅谈高校预算科学化精细化管理%A Study on the Scientific and Intensive Management of College Budget

    Institute of Scientific and Technical Information of China (English)

    王卫兵

    2012-01-01

      文章阐述了高校预算科学化精细化管理的内涵,指出了当前高校预算管理中存在的问题,并从优化财政预算编制、减少固定指标的费用项目、改革现有预算管理环境、建立预算管理信息系统等八个方面详细论述加强高校预算科学化精细化管理的具体对策,具有一定的指导意义。%  Based on a brief introduction of scientific and intensive management of college budget, this article analyzes the existing problems in current college budget management. In addition, it puts forward countermeasures to strengthen scientific and intensive management of college budget from the aspects of optimizing financial budget, decreasing expense projects with fixed index, reforming the current environment of budget management as well as establishing the information system of budget management, which is expected to be of significance in guidance.

  18. Spatiotemporal Pattern and Driving Forces of Arable Land-Use Intensity in China: Toward Sustainable Land Management Using Emergy Analysis

    OpenAIRE

    Hualin Xie; Jinlang Zou; Hailing Jiang; Ning Zhang; Yongrok Choi

    2014-01-01

    The level of arable land-use intensity has important impacts on food security and rural sustainable development. Using the emergy method, we investigate the spatial disparities and driving forces of arable land-use intensity in China from 1999 to 2008 at the national, regional and provincial levels. The empirical results show that chemical fertilizer was the largest component of agricultural inputs and that agricultural diesel oil recorded the highest growth rate. The degree of heterogeneitie...

  19. Pain in hospitalized children: A prospective cross-sectional survey of pain prevalence, intensity, assessment and management in a Canadian pediatric teaching hospital

    OpenAIRE

    Taylor, Elsa M; Kristina Boyer; Campbell, Fiona A

    2008-01-01

    BACKGROUND: Pain is under-recognised and undertreated. Although standards now exist for pain management, it is not known if this has improved care of hospitalized children.OBJECTIVES: To benchmark pain prevalence, pain intensity, pain assessment documentation and pharmacological treatment of pain. The aim was to highlight areas of good practice, identify areas for improvement and inform development of hospital standards, education, future audits and the research agenda.METHODS: The present pr...

  20. Organic matter decomposition and microarthropod community structure in corn fields under low input and intensive management in Guaíra (SP

    Directory of Open Access Journals (Sweden)

    G.S Rodrigues

    1997-01-01

    Full Text Available The rate of organic matter decomposition and the structure of the communities of microarthropods were compared between two corn fields receiving contrasting agricultural management practices (low input and intensive farming. The rate of decomposition tended to be higher in the intensively managed field in the beginning of the growing season, but decreased to a level significantly lower than the observed in the low input field by the end of the growing season. This suggested that the biological community associated with the decomposition process could be negatively influenced in the intensively managed field. Analyses of the structure of microarthropod communities indicated differences between the two areas. The microarthropod populations present in the intensively managed field suffered abrupt decrease in numbers as the season progressed.A taxa de decomposição da matéria orgânica e a estrutura da comunidade de microartrópodes foram comparadas entre dois campos cultivados com milho mas recebendo manejos distintos, sendo um campo manejado intensivamente e outro com baixo uso de insumos. A taxa de decomposição foi mais alta no campo intensivamente manejado no início da cultura, mas decresceu para um nível significativamente inferior àquela observada no campo com baixo uso de insumos ao final da estação. Tal tendência sugeriu que a estrutura da comunidade dos organismos associados ao processo de decomposição poderia estar sendo negativamente influenciada no campo intensivamente manejado. Análises da estrutura das comunidades de microartrópodes indicaram que diferentes comunidades estavam presentes nos dois campos. As populações de microartrópodes presentes no campo sob manejo intensivo sofreram queda abrupta em números, sendo praticamente eliminadas já no segundo mês de desenvolvimento da cultura.

  1. Extreme hypernatremic dehydration due to potential sodium intoxication: consequences and management for an infant with diarrhea at an urban intensive care unit in Bangladesh: a case report

    OpenAIRE

    Das, Sumon Kumar; Afroze, Farzana; Ahmed, Tahmeed; Faruque, Abu Syed Golam; Sarker, Shafiqul Alam; Huq, Sayeeda; Islam, M. Munirul; Shahrin, Lubaba; Matin, Fariha Bushra; Chisti, Mohammod Jobayer

    2015-01-01

    Introduction Hypernatremia (serum sodium ≥150mmol/L) is one of the most life-threatening complications of childhood diarrhea, and its management remains challenging, even in a highly advanced critical care setting. This case report describes the acute clinical course and 3-month neurological follow-up after discharge of an infant with extreme hypernatremia in an intensive care unit in Dhaka, Bangladesh. Case presentation A 6-month-old Asian Bangladeshi girl of middle-class socioeconomic statu...

  2. American Society for Pain Management Nursing guidelines on monitoring for opioid-induced sedation and respiratory depression.

    Science.gov (United States)

    Jarzyna, Donna; Jungquist, Carla R; Pasero, Chris; Willens, Joyce S; Nisbet, Allison; Oakes, Linda; Dempsey, Susan J; Santangelo, Diane; Polomano, Rosemary C

    2011-09-01

    result, there are considerable variations in screening for risk and monitoring practices. All of these factors prompted the American Society for Pain Management Nursing to approve the formation of an expert consensus panel to examine the scientific basis and state of practice for assessment and monitoring practices for adult hospitalized patients receiving opioid analgesics for pain control and to propose recommendations for patient care, education, and systems-level changes that promote quality care and patient safety. PMID:21893302

  3. American Association of Clinical Endocrinologists, Associazione Medici Endocrinologi, and European Thyroid Association medical guidelines for clinical practice for the diagnosis and management of thyroid nodules

    DEFF Research Database (Denmark)

    Gharib, H; Papini, E; Paschke, R;

    2010-01-01

    area are expected, periodic revisions are inevitable. We encourage medical professionals to use this information in conjunction with their best clinical judgment. Any decision by practitioners to apply these guidelines must be made in light of local resources and individual patient circumstances.......American Association of Clinical Endocrinologists, Associazione Medici Endocrinologi, and European Thyroid Association medical guidelines for clinical practice for the diagnosis and management of thyroid nodules are systematically developed statements to assist health care professionals in medical...

  4. Adolescent Secretive Behavior: African American and Hmong Adolescents' Strategies and Justifications for Managing Parents' Knowledge about Peers

    Science.gov (United States)

    Bakken, Jeremy P.; Brown, B. Bradford

    2010-01-01

    Drawing upon the expectancy violation-realignment theory of autonomy development, this qualitative study examined African American and Hmong adolescent autonomy-seeking behaviors and parent-child communication about activities and relationships with peers. Twenty-two African American and 11 Hmong adolescents in grades 6-12 and 14 African American…

  5. Site characterization and performance assessment for a low-level radioactive waste management site in the American Southwest

    International Nuclear Information System (INIS)

    The Area 5 Radioactive Waste Management Site located in southern Nevada, has been used for the disposal of low-level radioactive waste since 1961. The site is located in the Mohave Desert of the American Southwest, an extremely arid region receiving as little as 0.1 m/yr of precipitation. Site characterization studies have measured the physical, hydrologic, and geochemical properties of core samples collected from 10 shallow boreholes and 3 deep boreholes that extend through the unsaturated zone to the uppermost aquifer. Results indicate that the unsaturated zone consists of 240 m of dry alluvial sediments and is remarkably uniform with respect to most physical parameters. Measurements of saturated hydraulic conductivity with depth showed no evidence of trends, layering, or anisotropy. Parameters for hydraulic functions were not highly variable and exhibited little trend with depth. Water potential profiles indicate that water movement in the upper alluvium is upward, except immediately following a precipitation event. Below the evaporative zone, the liquid flux was downward and of the same order of magnitude as the upward thermal vapor flux induced by the geothermal gradient. The extreme climatic conditions at the site reduce or eliminate many radionuclide release and transport mechanisms. Downward transport of radionuclides to the uppermost aquifer appears unlikely under current climatic conditions. Important radionuclide transport pathways appear to be limited to upward diffusion and advection of gases and biologically-mediated transport. Conceptual models of disposal site performance have been developed based on site characterization studies. The limited transport pathways and limited land use potential of the site provide reasonable assurance that regulatory performance objectives can be met

  6. American Association of Clinical Endocrinologists, Associazione Medici Endocrinologi, and European Thyroid Association medical guidelines for clinical practice for the diagnosis and management of thyroid nodules: Executive Summary of recommendations

    DEFF Research Database (Denmark)

    Gharib, H; Papini, E; Paschke, R;

    2010-01-01

    American Association of Clinical Endocrinologists, Associazione Medici Endocrinologi, and European Thyroid Association medical guidelines for clinical practice for the diagnosis and management of thyroid nodules are systematically developed statements to assist health care professionals in medica...

  7. Emerging resistance among bacterial pathogens in the intensive care unit – a European and North American Surveillance study (2000–2002

    Directory of Open Access Journals (Sweden)

    Thornsberry Clyde

    2004-07-01

    Full Text Available Abstract Background Globally ICUs are encountering emergence and spread of antibiotic-resistant pathogens and for some pathogens there are few therapeutic options available. Methods Antibiotic in vitro susceptibility data of predominant ICU pathogens during 2000–2 were analyzed using data from The Surveillance Network (TSN Databases in Europe (France, Germany and Italy, Canada, and the United States (US. Results Oxacillin resistance rates among Staphylococcus aureus isolates ranged from 19.7% to 59.4%. Penicillin resistance rates among Streptococcus pneumoniae varied from 2.0% in Germany to as high as 20.2% in the US; however, ceftriaxone resistance rates were comparably lower, ranging from 0% in Germany to 3.4% in Italy. Vancomycin resistance rates among Enterococcus faecalis were ≤ 4.5%; however, among Enterococcus faecium vancomycin resistance rates were more frequent ranging from 0.8% in France to 76.3% in the United States. Putative rates of extended-spectrum β-lactamase (ESBL production among Enterobacteriaceae were low, Escherichia coli in the five countries studied. Ceftriaxone resistance rates were generally lower than or similar to piperacillin-tazobactam for most of the Enterobacteriaceae species examined. Fluoroquinolone resistance rates were generally higher for E. coli (6.5% – 13.9%, Proteus mirabilis (0–34.7%, and Morganella morganii (1.6–20.7% than other Enterobacteriaceae spp (1.5–21.3%. P. aeruginosa demonstrated marked variation in β-lactam resistance rates among countries. Imipenem was the most active compound tested against Acinetobacter spp., based on resistance rates. Conclusion There was a wide distribution in resistance patterns among the five countries. Compared with other countries, Italy showed the highest resistance rates to all the organisms with the exception of Enterococcus spp., which were highest in the US. This data highlights the differences in resistance encountered in intensive care units in

  8. Challenges in Individualizing Drug Dosage for Intensive Care Unit Patients: Is Augmented Renal Clearance What We Really Want to Know? Some Suggested Management Approaches and Clinical Software Tools.

    Science.gov (United States)

    Jelliffe, Roger

    2016-08-01

    Acutely ill intensive care unit (ICU) patients often have large apparent volumes of distribution of drugs and, because of this, their drug clearance (CL) is usually also increased. 'Augmented renal Cl' is a current issue in the management of drug therapy for acutely ill and unstable ICU patients; however, Cl, the product of volume and the rate constant for excretion, describes only a theoretical volume of drug cleared per unit of time. Information of the actual rate of movement of the drug itself is obscured. It is suggested that the most useful clinical information is given by describing drug volume and elimination rate constant separately. This also permits better understanding of the patient's separate issues of fluid balance and drug elimination, especially when dialysis, renal replacement therapy, or extracorporeal membrane oxygenation (ECMO) may be used, and facilitates management of these two important separate clinical issues. Optimal management of drug therapy also requires optimal methods embodied in clinical software to describe drug behavior in these highly unstable patients, and considerably more data than for ordinary patients. The interacting multiple model (IMM) clinical software facilitates management of both fluid balance and drug therapy in these unstable patients. Illustrative cases are discussed, and new monitoring and management strategies are suggested. Like other ICU skills, physicians need to learn optimal tools for managing drug therapy in the ICU. Further work should help evaluate these new approaches. PMID:26914772

  9. Climate policy and energy-intensive manufacturing: A comprehensive analysis of the effectiveness of cost mitigation provisions in the American Energy and Security Act of 2009

    International Nuclear Information System (INIS)

    In response to the ongoing climate policy debates, this study examines the cost impacts of carbon-pricing legislation on selected US energy-intensive manufacturing industries. Specifically, it evaluates output-based rebate measures and the border adjustment provision specified in the bill, and tests the effectiveness of cost containment features of the policy, such as the international offsets, under various market assumptions. Results of the examination confirm that in all policy cases or industries, the output-based rebates would effectively mitigate the manufacturers' carbon-pricing costs in the short-to-medium term. However as the rebates decline after 2020, especially in a case where low-carbon electricity generation or international offsets are not readily available or implemented, these industries would suffer greater declines in profitability. At the same time, the study's findings were mixed concerning the effectiveness of the border adjustment measure in reducing cost impacts after 2020. While border adjustments could reduce costs to US manufacturing sectors, at least temporarily, they could create problems for domestic downstream producers and exports, under cost pass-along conditions. However at best, the output-based rebates, international offset, and border adjustment and measures primarily buy time for manufacturers. The only long-term solution is for EITE industries to invest in energy-saving and next-generation low-carbon technologies. - Highlights: → The output-based rebates would effectively mitigate the costs of carbon-pricing for EITE industries. → After 2021 economic impacts on the EITE industries would escalate. → The BA measure would support US firms passing through their emissions costs to their US customers. → The BA measure would not alleviate the higher production costs of US. EITE exports. → In the medium term the only true solution is for US. EITE manufacturers to invest in energy-saving technologies.

  10. AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS, AMERICAN COLLEGE OF ENDOCRINOLOGY, AND ASSOCIAZIONE MEDICI ENDOCRINOLOGI MEDICAL GUIDELINES FOR CLINICAL PRACTICE FOR THE DIAGNOSIS AND MANAGEMENT OF THYROID NODULES - 2016 UPDATE

    DEFF Research Database (Denmark)

    Gharib, Hossein; Papini, Enrico; Garber, Jeffrey R;

    2016-01-01

    thyroid FNA, (4) therapeutic options, and (5) follow-up strategy. Thyroid nodule management during pregnancy and in children are also addressed. On the basis of US features, thyroid nodules may be categorized into 3 groups: low-, intermediate-and high-malignancy risk. FNA should be considered for nodules......, elastographic pattern, or results of other imaging techniques to improve the management of these lesions. Most thyroid nodules do not require any treatment, and levothyroxine (LT4) suppressive therapy is not recommended. Percutaneous ethanol injection (PEI) should be the first-line treatment option for......UNLABELLED: Thyroid nodules are detected in up to 50 to 60% of healthy subjects. Most nodules do not cause clinically significant symptoms, and as a result, the main challenge in their management is to rule out malignancy, with ultrasonography (US) and fine-needle aspiration (FNA) biopsy serving as...

  11. American Tinnitus Association

    Science.gov (United States)

    American Tinnitus Association Donate Become A Member Member Login Find A Provider Search form Search Menu Close Understanding The Facts Managing Your Tinnitus Research Toward A Cure About Us Initiatives News & ...

  12. LCA of a collective biogas plant to manage manure in a french intensive farming and agroindustry area

    OpenAIRE

    Aissani, L.; Collet, A.; Béline, F.

    2012-01-01

    This work has been carried out to evaluate the environmental impact through a Life Cycle Assessment (LCA) of a collective biogas plant incorporating pig slurry, cattle manure and waste from food processing industry. This collective biogas plant is actually a project located in an intensive farming and agro-industry area close to Rennes (France). Water from surface resources (river) located within this area is used to supply the towns located around for tap water. However, the excess of nitrog...

  13. Model Point-of-Care Ultrasound Curriculum in an Intensive Care Unit Fellowship Program and Its Impact on Patient Management

    OpenAIRE

    Keith Killu; Victor Coba; Michael Mendez; Subhash Reddy; Tanja Adrzejewski; Yung Huang; Jessica Ede; Mathilda Horst

    2014-01-01

    Objectives. This study was designed to assess the clinical applicability of a Point-of-Care (POC) ultrasound curriculum into an intensive care unit (ICU) fellowship program and its impact on patient care. Methods. A POC ultrasound curriculum for the surgical ICU (SICU) fellowship was designed and implemented in an urban, academic tertiary care center. It included 30 hours of didactics and hands-on training on models. Minimum requirement for each ICU fellow was to perform 25–50 exams on respec...

  14. Tree mortality, fire scar formation and regeneration 8 years after low-intensity fire in managed Pinus sylvestris stands

    OpenAIRE

    Piha, Aura

    2011-01-01

    Fire is an important driver of the boreal forest ecosystem, and a useful tool for the restoration of degraded forests. However, we lack knowledge on the ecological processes initiated by prescribed fires, and whether they bring about the desired restoration effects. The purpose of this study was to investigate the impacts of low-intensity experimental prescribed fires on four ecological processes in young commercial Scots pine (Pinus sylvestris) stands eight years after the burning. The proce...

  15. Prevalence of gastrointestinal helminths in Banaraja fowls reared in semi-intensive system of management in Mayurbhanj district of Odisha

    OpenAIRE

    Ananta Hembram; M. R. Panda; B. N. Mohanty; Pradhan, C. R.; Dehuri, M.; Sahu, A.; Behera, M.

    2015-01-01

    Aim: Studies on the prevalence of gastrointestinal helminths infection in Banaraja fowls of three blocks (Chandua, Shamakhunta and Bangriposi) of Mayurbhanj district in Odisha with respect to semi-intensive system of rearing. Materials and Methods: A total of 160 Banaraja birds (30 males and 130 females) belonging to two age groups (below 1 month age and above 1 month) were examined for the presence of different species of gastrointestinal helminth infection over a period of 1-year. The metho...

  16. Spatiotemporal Pattern and Driving Forces of Arable Land-Use Intensity in China: Toward Sustainable Land Management Using Emergy Analysis

    Directory of Open Access Journals (Sweden)

    Hualin Xie

    2014-05-01

    Full Text Available The level of arable land-use intensity has important impacts on food security and rural sustainable development. Using the emergy method, we investigate the spatial disparities and driving forces of arable land-use intensity in China from 1999 to 2008 at the national, regional and provincial levels. The empirical results show that chemical fertilizer was the largest component of agricultural inputs and that agricultural diesel oil recorded the highest growth rate. The degree of heterogeneities in arable land-use intensity in China showed a decreasing trend, which resulted mainly from the differences among the eastern, northeastern, central and western regions. The regional disparities in labor, pesticides and plastic sheeting decreased from 1999 to 2008. The per capita annual net incomes of household operations and the agricultural policies had a significant positive correlation with total inputs, fertilizer inputs, pesticide inputs and agricultural plastic sheeting. In addition, the nonagricultural population had a greater impact on agricultural plastic sheeting. Finally, we suggest that there is an urgent need to focus on the effects of chemical fertilizer and pesticide inputs on the ecological environment. Agricultural support policies should be introduced for the poor agricultural production provinces.

  17. Lessons learned for a more efficient knowledge and technology transfer to South American countries in the fields of solid waste and contaminated sites management.

    Science.gov (United States)

    Bezama, Alberto; Szarka, Nóra; Navia, Rodrigo; Konrad, Odorico; Lorber, Karl E

    2007-04-01

    The present paper describes the development, performance and conclusions derived from three know-how and technology transfer projects to South American countries. The first project comprised a collaborative study by European and South American universities to find sustainable solutions for Chilean and Ecuadorian leather tanneries which had underachieving process performances. The second project consisted of investigations carried out in a Brazilian municipality to enhance its municipal solid waste management system. The final collaborative programme dealt with the initial identification, evaluation and registration of suspected contaminated sites in an industrial region of Chile. The detailed objectives, methods and procedures applied as well as the results and conclusions obtained in each of the three mentioned projects are presented, giving special attention to the organizational aspects and to the practical approach of each programme, concluding with their main advantages and disadvantages for identifying a set of qualitative and quantitative suggestions, and to establish transferable methods for future applications. PMID:17439050

  18. Food habits of American black bears as a metric for direct management of humanbear conflict in Yosemite Valley, Yosemite National Park, California

    Science.gov (United States)

    Greenleaf, S.S.; Matthews, S.M.; Wright, R.G.; Beecham, J.J.; Leithead, H.M.

    2009-01-01

    The management of human-American black bear (Ursus americanus) conflict has been of significant concern for Yosemite National Park (YNP) personnel since the 1920s. Park managers implemented the YNP Human-Bear Management Plan in 1975 in an effort to reduce human-bear conflicts, especially in the extensively developed Yosemite Valley (YV). We used scat analysis to estimate annual and seasonal food habits of black bears in YV during 2001-02. We assessed the success of efforts to reduce the availability of anthropogenic foods, including garbage, by examining changes in the diet compared to a study from 1974-78 (Graber 1981). We also quantified consumption of non-native fruit to address its possible contribution to human-bear conflicts. The annual percent volume of human-provided food and garbage in black bear scats in YV decreased from 21% to 6% between 1978 and 2002, indicating YNP efforts have been effective. We found high use of non-native apples by bears throughout YV. Non-native food sources could be contributing to habituation and food conditioning, given their proximity to developed areas of YV. We recommend that YNP managers continue to (1) adapt and improve their management tools to address changing circumstances, (2) quantify the success of new management tools, and (3) reduce the availability of non-native food sources. ?? 2009 International Association for Bear Research and Management.

  19. American Religion

    Institute of Scientific and Technical Information of China (English)

    田甜

    2008-01-01

    It is said that American religion,as a great part of American culture,plays an important role in American culture. It is hoped that some ideas can be obtained from this research paper,which focuses on analyzing the great impact is produced to American culture by American religion. Finally, this essay gives two useful standpoints to English learners:Understunding American religion will help understand the American history, culture and American people,and help you to communic.ate with them better. Understanding American religion will help you understand English better.

  20. A hybrid simulated annealing approach to handle energy resource management considering an intensive use of electric vehicles

    DEFF Research Database (Denmark)

    Sousa, Tiago; Vale, Zita; Carvalho, Joao Paulo;

    2014-01-01

    The massification of electric vehicles (EVs) can have a significant impact on the power system, requiring a new approach for the energy resource management. The energy resource management has the objective to obtain the optimal scheduling of the available resources considering distributed...... to determine the best solution in a reasonable amount of time. This paper presents a hybrid artificial intelligence technique to solve a complex energy resource management problem with a large number of resources, including EVs, connected to the electric network. The hybrid approach combines...... simulated annealing (SA) and ant colony optimization (ACO) techniques. The case study concerns different EVs penetration levels. Comparisons with a previous SA approach and a deterministic technique are also presented. For 2000 EVs scenario, the proposed hybrid approach found a solution better than the...

  1. Identification of Elizabethkingia meningoseptica from American bullfrog (Rana catesbeiana farmed in Sabah, Malaysia using PCR method and future management of outbreak

    Directory of Open Access Journals (Sweden)

    Zainuri, N.

    2013-01-01

    Full Text Available Aims: High demand for frog meat in Malaysia especially the American bullfrog (Rana catesbeiana has promoted intensive farming of the animal. However, the farming of American bullfrog is restricted by the occurrence of diseases. This study reports the first isolation of Elizabethkingia meningoseptica from specimens of American bullfrog that suffer from cataract and ‘red-leg’ syndrome.Methodology and Result: The pathogen was isolated from eyes and internal organs (liver, kidney and spleen of thediseased bullfrog specimens. All the bacterial isolates were subjected to phenotypic characterization and antibiotic susceptibility assay, and further identified by using the 16S rDNA sequencing analysis. We designed two pair of specific PCR primers (22-25 mers which are complimentary to the β-lactamase gene in the reference strain ofE. meningoseptica ATCC49470. The result showed all the bacterial isolates shared similar phenotypic characters and antibiotic susceptibility. BLAST analysis of the 16S rDNA sequences indicated that the bacterial isolates had very high sequence homology (100% with E. meningospetica ATCC49470 and E. meningoseptica isolates from mosquito. The two PCR primers were very specific to E. meningoseptica isolates of this study. Conclusion, significance and impact of study: This is the first isolation and characterization of bacterial pathogen, E. meningoseptica in cultured American bullfrog (Rana catesbeina that suffered from eye cataract and ‘red-leg’syndrome in Sabah, Malaysia. It is suspected that one of the possible transmission routes of the bacterial pathogen could be via mosquito bites. The findings suggest that there is urgent requirement for standard guideline of good farming practice to be adopted in frog farms throughout the country. Such a guideline can help in minimizing economic losses, preventing transmission of the zoonotic bacterial pathogen to farm workers, and sustaining the industry in Malaysia andupgrading

  2. Outbreak of carbapenem-resistant Acinetobacter baumannii in the intensive care unit: a multi-level strategic management approach.

    Science.gov (United States)

    Molter, G; Seifert, H; Mandraka, F; Kasper, G; Weidmann, B; Hornei, B; Öhler, M; Schwimmbeck, P; Kröschel, P; Higgins, P G; Reuter, S

    2016-02-01

    An outbreak of carbapenem-resistant Acinetobacter baumannii (CRAb) occurred in an interdisciplinary intensive care unit, affecting 10 patients. Within hours of recognition of the spread of CRAb an intervention team was instituted for collection of available data, decision-making, communication and monitoring of all interventions performed, including cohorting, temporary stop of admissions, staff education, and enforcement of infection control measures. An area was defined for cohortation of patients colonized with CRAb, with a separate nursing team and a second set of mobile equipment. New transmissions were no longer observed after only four days into the institution of enhanced infection control measures. PMID:26778130

  3. The Swiss agri-environment scheme enhances pollinator diversity and plant reproductive succes in nearby intensively managed farmland

    NARCIS (Netherlands)

    Albrecht, M.; Duelli, P.; Müller, C.; Kleijn, D.; Schmid, B.

    2007-01-01

    1. Agri-environment schemes attempt to counteract the loss of biodiversity and associated ecosystem services such as pollination and natural pest control in agro-ecosystems. However, only a few studies have evaluated whether these attempts are successful. 2. We studied the effects of managing meadow

  4. Energy resource management under the influence of the weekend transition considering an intensive use of electric vehicles

    DEFF Research Database (Denmark)

    Sousa, T.; Morais, Hugo; Pinto, T.;

    2015-01-01

    of distributed generation and Vehicle-to-Grid (V2G). This method considers that the energy resources are managed by a Virtual Power Player (VPP) which established contracts with their owners. It takes into account these contracts, the users' requirements subjected to the VPP, and several discharge price steps...

  5. A Global Meta-Analysis on the Impact of Management Practices on Net Global Warming Potential and Greenhouse Gas Intensity from Cropland Soils.

    Science.gov (United States)

    Sainju, Upendra M

    2016-01-01

    Management practices, such as tillage, crop rotation, and N fertilization, may affect net global warming potential (GWP) and greenhouse gas intensity (GHGI), but their global impact on cropland soils under different soil and climatic conditions need further evaluation. Available global data from 57 experiments and 225 treatments were evaluated for individual and combined effects of tillage, cropping systems, and N fertilization rates on GWP and GHGI which accounted for CO2 equivalents from N2O and CH4 emissions with or without equivalents from soil C sequestration rate (ΔSOC), farm operations, and N fertilization. The GWP and GHGI were 66 to 71% lower with no-till than conventional till and 168 to 215% lower with perennial than annual cropping systems, but 41 to 46% greater with crop rotation than monocroppping. With no-till vs. conventional till, GWP and GHGI were 2.6- to 7.4-fold lower when partial than full accounting of all sources and sinks of greenhouse gases (GHGs) were considered. With 100 kg N ha-1, GWP and GHGI were 3.2 to 11.4 times greater with partial than full accounting. Both GWP and GHGI increased curvilinearly with increased N fertilization rate. Net GWP and GHGI were 70 to 87% lower in the improved combined management that included no-till, crop rotation/perennial crop, and reduced N rate than the traditional combined management that included conventional till, monocopping/annual crop, and recommended N rate. An alternative soil respiration method, which replaces ΔSOC by soil respiration and crop residue returned to soil in the previous year, similarly reduced GWP and GHGI by 133 to 158% in the improved vs. the traditional combined management. Changes in GWP and GHGI due to improved vs. traditional management varied with the duration of the experiment and inclusion of soil and climatic factors in multiple linear regressions improved their relationships. Improved management practices reduced GWP and GHGI compared with traditional management

  6. A Global Meta-Analysis on the Impact of Management Practices on Net Global Warming Potential and Greenhouse Gas Intensity from Cropland Soils.

    Directory of Open Access Journals (Sweden)

    Upendra M Sainju

    Full Text Available Management practices, such as tillage, crop rotation, and N fertilization, may affect net global warming potential (GWP and greenhouse gas intensity (GHGI, but their global impact on cropland soils under different soil and climatic conditions need further evaluation. Available global data from 57 experiments and 225 treatments were evaluated for individual and combined effects of tillage, cropping systems, and N fertilization rates on GWP and GHGI which accounted for CO2 equivalents from N2O and CH4 emissions with or without equivalents from soil C sequestration rate (ΔSOC, farm operations, and N fertilization. The GWP and GHGI were 66 to 71% lower with no-till than conventional till and 168 to 215% lower with perennial than annual cropping systems, but 41 to 46% greater with crop rotation than monocroppping. With no-till vs. conventional till, GWP and GHGI were 2.6- to 7.4-fold lower when partial than full accounting of all sources and sinks of greenhouse gases (GHGs were considered. With 100 kg N ha-1, GWP and GHGI were 3.2 to 11.4 times greater with partial than full accounting. Both GWP and GHGI increased curvilinearly with increased N fertilization rate. Net GWP and GHGI were 70 to 87% lower in the improved combined management that included no-till, crop rotation/perennial crop, and reduced N rate than the traditional combined management that included conventional till, monocopping/annual crop, and recommended N rate. An alternative soil respiration method, which replaces ΔSOC by soil respiration and crop residue returned to soil in the previous year, similarly reduced GWP and GHGI by 133 to 158% in the improved vs. the traditional combined management. Changes in GWP and GHGI due to improved vs. traditional management varied with the duration of the experiment and inclusion of soil and climatic factors in multiple linear regressions improved their relationships. Improved management practices reduced GWP and GHGI compared with traditional

  7. The Role of Individual Variables, Organizational Variables and Moral Intensity Dimensions in Libyan Management Accountants’ Ethical Decision Making

    OpenAIRE

    Musbah, Ahmed; Cowton, Christopher J.; Tyfa, David

    2016-01-01

    This study investigates the association of a broad set of variables with the ethical decision making of management accountants in Libya. Adopting a cross-sectional methodology, a questionnaire including four different ethical scenarios was used to gather data from 229 participants. For each scenario, ethical decision making was examined in terms of the recognition, judgment and intention stages of Rest’s model. A significant relationship was found between ethical recognition and ethical judgm...

  8. Use of web services for computerized medical decision support, including infection control and antibiotic management, in the intensive care unit.

    Science.gov (United States)

    Steurbaut, Kristof; Van Hoecke, Sofie; Colpaert, Kirsten; Lamont, Kristof; Taveirne, Kristof; Depuydt, Pieter; Benoit, Dominique; Decruyenaere, Johan; De Turck, Filip

    2010-01-01

    The increasing complexity of procedures in the intensive care unit (ICU) requires complex software services, to reduce improper use of antibiotics and inappropriate therapies, and to offer earlier and more accurate detection of infections and antibiotic resistance. We investigated whether web-based software can facilitate the computerization of complex medical processes in the ICU. The COSARA application contains the following modules: Infection overview, Thorax, Microbiology, Antibiotic therapy overview, Admission cause with comorbidity and admission diagnosis, Infection linking and registration, and Feedback. After the implementation and test phase, the COSARA software was installed on a physician's office PC and then on the bedside PCs of the patients. Initial evaluation indicated that the services had been integrated easily into the daily clinical workflow of the medical staff. The use of a service oriented architecture with web service technology for the development of advanced decision support in the ICU offers several advantages over classical software design approaches. PMID:20086264

  9. Profit and loss analysis for an intensive care unit (ICU in Japan: a tool for strategic management

    Directory of Open Access Journals (Sweden)

    Abe Toshikazu

    2006-01-01

    Full Text Available Abstract Background Accurate cost estimate and a profit and loss analysis are necessary for health care practice. We performed an actual financial analysis for an intensive care unit (ICU of a university hospital in Japan, and tried to discuss the health care policy and resource allocation decisions that have an impact on critical intensive care. Methods The costs were estimated by a department level activity based costing method, and the profit and loss analysis was based on a break-even point analysis. The data used included the monthly number of patients, the revenue, and the direct and indirect costs of the ICU in 2003. Results The results of this analysis showed that the total costs of US$ 2,678,052 of the ICU were mainly incurred due to direct costs of 88.8%. On the other hand, the actual annual total patient days in the ICU were 1,549 which resulted in revenues of US$ 2,295,044. However, it was determined that the ICU required at least 1,986 patient days within one fiscal year based on a break-even point analysis. As a result, an annual deficit of US$ 383,008 has occurred in the ICU. Conclusion These methods are useful for determining the profits or losses for the ICU practice, and how to evaluate and to improve it. In this study, the results indicate that most ICUs in Japanese hospitals may not be profitable at the present time. As a result, in order to increase the income to make up for this deficit, an increase of 437 patient days in the ICU in one fiscal year is needed, and the number of patients admitted to the ICU should thus be increased without increasing the number of beds or staff members. Increasing the number of patients referred from cooperating hospitals and clinics therefore appears to be the best strategy for achieving these goals.

  10. Effect of rainfall intensity and rain drop distribution on runoff and soil erosion on vineyards inter-rows with different soil management

    Science.gov (United States)

    Biddoccu, Marcella; Ferraris, Stefano; Pitacco, Andrea; Cavallo, Eugenio

    2015-04-01

    Vineyard is reported as one of the European agricultural crop where the runoff and soil erosion rates are the highest. In sloping vineyards, in particular, primary roles in determining high runoff and soil erosion rates are played by the alignment of vine-rows along the slope, soil cultivation and management, and traffic of machinery. Runoff and soil erosion processes are deeply related to climate, especially to rainfall intensity and precipitation pattern, along with the soil moisture content and soil surface conditions. Most of the European vineyards are grown in the Mediterranean area, where these aspects assume a specific pattern. A study was carried out to evaluate the role of rainfall intensity and raindrop size in generating runoff and soil erosion in vineyards, in relation to soil management. The study was conducted in the 'Tenuta Cannona Experimental Vine and Wine Centre' of Regione Piemonte, located in the Alto Monferrato hilly vine-growing area (NW Italy). Runoff and soil losses caused by natural rainfall events were monitored on two large (1221 m2) vineyard plots in the period May-November 2014. The plots are managed with different inter-row soil management techniques: tillage (T) and controlled grass cover (GC). An optical disdrometer was installed in the plots. Few rainfall events were observed occurred during summer and autumn, before the grape harvest and the execution of new tillage/mulching operation in autumn, triggering runoff events of different magnitude. For example, a summer storm with 1-min rainfall intensity of about 91 mm h-1gave a negligible amount of runoff (less than 1% of rainfall) in both plots . During a later similar rainfall runoff rates achieved 22% of rainfall and sediment yield of 290 kg ha-1 in the CT plot while it was 2% and 7 kg ha-1 in the GC plot. In the GC plot, in summer and early autumn rainfalls, runoff was less than 2% and sediment yield was lower than 10 kg ha-1. The two plots had a different evolution of the soil

  11. The SmartH2O project: a platform supporting residential water management through smart meters and data intensive modeling

    Science.gov (United States)

    Cominola, A.; Nanda, R.; Giuliani, M.; Piga, D.; Castelletti, A.; Rizzoli, A. E.; Maziotis, A.; Garrone, P.; Harou, J. J.

    2014-12-01

    Designing effective urban water demand management strategies at the household level does require a deep understanding of the determinants of users' consumption. Low resolution data on residential water consumption, as traditionally metered, can only be used to model consumers' behavior at an aggregate level whereas end uses breakdown and the motivations and individual attitudes of consumers are hidden. The recent advent of smart meters allows gathering high frequency consumption data that can be used both to provide instantaneous information to water utilities on the state of the network and continuously inform the users on their consumption and savings. Smart metered data also allow for the characterization of water end uses: this information, coupled with users' psychographic variables, constitutes the knowledge basis for developing individual and multi users models, through which water utilities can test the impact of different management strategies. SmartH2O is an EU funded project which aims at creating an ICT platform able to (i) capture and store quasi real time, high resolution residential water usage data measured with smart meters, (ii) infer the main determinants of residential water end uses and build customers' behavioral models and (iii) predict how the customer behavior can be influenced by various water demand management strategies, spanning from dynamic water pricing schemes to social awareness campaigns. The project exploits a social computing approach for raising users' awareness about water consumption and pursuing water savings in the residential sector. In this work, we first present the SmartH2O platform and data collection, storage and analysis components. We then introduce some preliminary models and results on total water consumption disaggregation into end uses and single user behaviors using innovative fully automated algorithms and overcoming the need of invasive metering campaigns at the fixture level.

  12. Managing end-of-life decision making in intensive care medicine--a perspective from Charite Hospital, Germany.

    Directory of Open Access Journals (Sweden)

    Jan A Graw

    Full Text Available INTRODUCTION: End-of-life-decisions (EOLD have become an important part of modern intensive care medicine. With increasing therapeutic possibilities on the one hand and many ICU-patients lacking decision making capacity or an advance directive on the other the decision making process is a major challenge on the intensive care unit (ICU. Currently, data are poor on factors associated with EOLD in Germany. In 2009, a new law on advance directives binding physicians and the patient's surrogate decision makers was enacted in Germany. So far it is unknown if this law influenced proceedings of EOLD making on the ICU. METHODS: A retrospective analysis was conducted on all deceased patients (n = 224 in a 22-bed surgical ICU of a German university medical center from 08/2008 to 09/2010. Patient characteristics were compared between patients with an EOLD and those without an EOLD. Patients with an EOLD admitted before and after change of legislation were compared with respect to frequencies of EOLD performance as well as advance directive rates. RESULTS: In total, 166 (74.1% of deaths occurred after an EOLD. Compared to patients without an EOLD, comorbidities, ICU severity scores, and organ replacement technology did not differ significantly. EOLDs were shared within the caregiverteam and with the patient's surrogate decision makers. After law enacting, no differences in EOLD performance or frequency of advance directives (8.9% vs. 9.9%; p = 0.807 were observed except an increase of documentation efforts associated with EOLDs (18.7% vs. 43.6%; p<0.001. CONCLUSIONS: In our ICU EOLD proceedings were performed patient-individually. But EOLDs follow a standard of shared decision making within the caregiverteam and the patient's surrogate decision makers. Enacting a law on advance directives has not affected the decision making-process in EOLDs nor has it affected population's advance care planning habits. However, it has led to increased EOLD

  13. Role of Focal Therapy with High-Intensity Focused Ultrasound in the Management of Clinically Localized Prostate Cancer.

    Science.gov (United States)

    Kuru, Timur H; van Essen, Julius; Pfister, David; Porres, Daniel

    2015-01-01

    Overtreatment of prostate cancer (PC) remains one of the main burdens in uro-oncology. Focal therapy may be a reasonable alternative with less side effects and morbidity. Application of high-intensity focused ultrasound (HIFU) induces immediate and irreversible coagulation. The treatment leads to consecutive necrosis with sharply delineated margins, making HIFU a promising tool for the focal therapy of localized PC. Unlike radiation, the treatment leaves no collateral damage outside of the heated tissue, allowing repeated use of HIFU, if necessary. In case of non-organ-confined relapse, additional radical salvage therapy can be performed. This review gives an overview of the existing evidence on focal HIFU. Today, 3 HIFU devices are approved for the treatment of localized PC: Sonablate™, Ablatherm™ and the FocalOne™ device. In summary, the first published results of focal HIFU are promising. The quality of life and potency of the patients are well preserved. Therefore, HIFU treatment, and especially focal ablation of tumor foci, seems to be a safe alternative to standard treatment, with low side effects. The oncologic results seem satisfactory but need further follow-up to validate this practice of PC control. PMID:26632846

  14. MANAGEMENT OF PHYSICAL EXERCISE IN INTENSIVE INSULIN THERAPY FOR CHILDREN WITH TYPE 1 DIABETES MELLITUS CASE REPORT

    Directory of Open Access Journals (Sweden)

    Niewiadomska Monika

    2011-08-01

    Full Text Available Physical activity as a very active method of type I diabetes mellitus (DM complex therapy must be systematic and load-graduated. For patients with diabetes mellitus (DM they are strictly graded to each patient. This work presents our study data about effects of three-month physical training in 8-year old girl with type 1 DM. In her case with well compensated type 1 DM, the physical training brought about improvement of her health status and insulin dose reduction. Control over exercising is essential. Heart rate (HR measuring was done not only before and after training. A continuous HR monitoring was conducted during whole workout in order to make, if necessary, a correction of load volume and intensity. The control testing conducted after 3- month use of physical exercises against a background of insulin therapy and balanced diet in the 8-year old patient showed that there took place a definite organism's adaptation to physical training. The length of distance in 6-min walking test increased from 700 to 780 m. The heart rate during test performance reduced from 165 to148 beats/min. The glycolyzed haemoglobin level reduced from 6.891% to 6.570 %.

  15. Assessment of Body Condition in African (Loxodonta africana) and Asian (Elephas maximus) Elephants in North American Zoos and Management Practices Associated with High Body Condition Scores

    Science.gov (United States)

    Morfeld, Kari A.; Meehan, Cheryl L.; Hogan, Jennifer N.; Brown, Janine L.

    2016-01-01

    Obesity has a negative effect on health and welfare of many species, and has been speculated to be a problem for zoo elephants. To address this concern, we assessed the body condition of 240 elephants housed in North American zoos based on a set of standardized photographs using a 5-point Body Condition Score index (1 = thinnest; 5 = fattest). A multi-variable regression analysis was then used to determine how demographic, management, housing, and social factors were associated with an elevated body condition score in 132 African (Loxodonta africana) and 108 Asian (Elephas maximus) elephants. The highest BCS of 5, suggestive of obesity, was observed in 34% of zoo elephants. In both species, the majority of elephants had elevated BCS, with 74% in the BCS 4 (40%) and 5 (34%) categories. Only 22% of elephants had BCS 3, and less than 5% of the population was assigned the lowest BCS categories (BCS 1 and 2). The strongest multi-variable model demonstrated that staff-directed walking exercise of 14 hours or more per week and highly unpredictable feeding schedules were associated with decreased risk of BCS 4 or 5, while increased diversity in feeding methods and being female was associated with increased risk of BCS 4 or 5. Our data suggest that high body condition is prevalent among North American zoo elephants, and management strategies that help prevent and mitigate obesity may lead to improvements in welfare of zoo elephants. PMID:27415629

  16. Medical advice and diabetes self-management reported by Mexican-American, Black- and White-non-Hispanic adults across the United States

    Directory of Open Access Journals (Sweden)

    Vaccaro Joan A

    2012-03-01

    Full Text Available Abstract Background Diabetes has reached epidemic proportions in the United States, particularly among minorities, and if improperly managed can lead to medical complications and death. Healthcare providers play vital roles in communicating standards of care, which include guidance on diabetes self-management. The background of the client may play a role in the patient-provider communication process. The aim of this study was to determine the association between medical advice and diabetes self care management behaviors for a nationally representative sample of adults with diabetes. Moreover, we sought to establish whether or not race/ethnicity was a modifier for reported medical advice received and diabetes self-management behaviors. Methods We analyzed data from 654 adults aged 21 years and over with diagnosed diabetes [130 Mexican-Americans; 224 Black non-Hispanics; and, 300 White non-Hispanics] and an additional 161 with 'undiagnosed diabetes' [N = 815(171 MA, 281 BNH and 364 WNH] who participated in the National Health and Nutrition Examination Survey (NHANES 2007-2008. Logistic regression models were used to evaluate whether medical advice to engage in particular self-management behaviors (reduce fat or calories, increase physical activity or exercise, and control or lose weight predicted actually engaging in the particular behavior and whether the impact of medical advice on engaging in the behavior differed by race/ethnicity. Additional analyses examined whether these relationships were maintained when other factors potentially related to engaging in diabetes self management such as participants' diabetes education, sociodemographics and physical characteristics were controlled. Sample weights were used to account for the complex sample design. Results Although medical advice to the patient is considered a standard of care for diabetes, approximately one-third of the sample reported not receiving dietary, weight management, or physical

  17. Management strategies to effect change in intensive care units: lessons from the world of business. Part III. Effectively effecting and sustaining change.

    Science.gov (United States)

    Gershengorn, Hayley B; Kocher, Robert; Factor, Phillip

    2014-03-01

    Reaping the optimal rewards from any quality improvement project mandates sustainability after the initial implementation. In Part III of this three-part ATS Seminars series, we discuss strategies to create a culture for change, improve cooperation and interaction between multidisciplinary teams of clinicians, and position the intensive care unit (ICU) optimally within the hospital environment. Coaches are used throughout other industries to help professionals assess and continually improve upon their practice; use of this strategy is as of yet infrequent in health care, but would be easily transferable and potentially beneficial to ICU managers and clinicians alike. Similarly, activities focused on improving teamwork are commonplace outside of health care. Simulation training and classroom education about key components of successful team functioning are known to result in improvements. In addition to creating an ICU environment in which individuals and teams of clinicians perform well, ICU managers must position the ICU to function well within the hospital system. It is important to move away from the notion of a standalone ("siloed") ICU to one that is well integrated into the rest of the institution. Creating a "pull-system" (in which participants are active in searching out needed resources and admitting patients) can help ICU managers both provide better care for the critically ill and strengthen relationships with non-ICU staff. Although not necessary, there is potential upside to creating a unified critical care service to assist with achieving these ends. PMID:24601653

  18. The Society of Thoracic Surgeons, The Society of Cardiovascular Anesthesiologists, and The American Society of ExtraCorporeal Technology: Clinical Practice Guidelines for Cardiopulmonary Bypass—Temperature Management during Cardiopulmonary Bypass

    Science.gov (United States)

    Engelman, Richard; Baker, Robert A.; Likosky, Donald S.; Grigore, Alina; Dickinson, Timothy A.; Shore-Lesserson, Linda; Hammon, John W.

    2015-01-01

    Abstract: To improve our understanding of the evidence-based literature supporting temperature management during adult cardiopulmonary bypass, The Society of Thoracic Surgeons, the Society of Cardiovascular Anesthesiology and the American Society of ExtraCorporeal Technology tasked the authors to conduct a review of the peer-reviewed literature, including 1) optimal site for temperature monitoring, 2) avoidance of hyperthermia, 3) peak cooling temperature gradient and cooling rate, and 4) peak warming temperature gradient and rewarming rate. Authors adopted the American College of Cardiology/American Heart Association method for development clinical practice guidelines, and arrived at the following recommendation. PMID:26543248

  19. Evaluation of an mHealth Medication Regimen Self-Management Program for African American and Hispanic Uncontrolled Hypertensives.

    Science.gov (United States)

    Davidson, Tatiana M; McGillicuddy, John; Mueller, Martina; Brunner-Jackson, Brenda; Favella, April; Anderson, Ashley; Torres, Magaly; Ruggiero, Kenneth J; Treiber, Frank A

    2015-01-01

    African Americans and Hispanics have disproportionate rates of uncontrolled essential hypertension (EH) compared to Non-Hispanic Whites. Medication non-adherence (MNA) is the leading modifiable behavior to improved blood pressure (BP) control. The Smartphone Medication Adherence Stops Hypertension (SMASH) program was developed using a patient-centered, theory-guided, iterative design process. Electronic medication trays provided reminder signals, and Short Message Service [SMS] messaging reminded subjects to monitor BP with Bluetooth-enabled monitors. Motivational and reinforcement text messages were sent to participants based upon levels of adherence. Thirty-eight African-American (18) and Hispanic (20) uncontrolled hypertensives completed clinic-based anthropometric and resting BP evaluations prior to randomization, and again at months 1, 3 and 6. Generalized linear mixed modeling (GLMM) revealed statistically significant time-by-treatment interactions (p theory-guided design. PMID:26593951

  20. Prevalence of gastrointestinal helminths in Banaraja fowls reared in semi-intensive system of management in Mayurbhanj district of Odisha

    Directory of Open Access Journals (Sweden)

    Ananta Hembram

    2015-06-01

    Full Text Available Aim: Studies on the prevalence of gastrointestinal helminths infection in Banaraja fowls of Mayurbhanj district in Odisha with respect to semi-intensive system of rearing. Materials and Methods: A total of 160 Banaraja birds (30 males and 130 females belonging to two age groups (below 1 month age and above 1 month were examined for the presence of different species of gastrointestinal helminth infection over a period of 1-year. The method of investigation included collection of fecal sample and gastrointestinal tracts, examination of fecal sample of birds, collection of parasites from different part of gastrointestinal tract, counting of parasites, and examination of the collected parasites by standard parasitological techniques followed by morphological identification as far as possible up to the species level. Results: Overall, 58.75% birds were found infected with various gastrointestinal helminths. Total five species of parasites were detected that included Ascaridia galli (25.63%, Heterakis gallinarum (33.75%, Raillietina tetragona (46.25%, Raillietina echinobothrida (11.87%, and Echinostoma revolutum (1.87%. Both single (19.15% as well as mixed (80.85% infection were observed. Highest incidence of infection was observed during rainy season (68.88% followed by winter (66.66% and least in summer season (41.81%. Sex-wise incidence revealed slightly higher occurrence among females (59.23% than males (56.67%. Age-wise prevalence revealed that chicks were more susceptible (77.77% than adults (51.30% to gastrointestinal helminths infection. Conclusions: Present study revealed that mixed infection with gastrointestinal helminths of different species was more common than infection with single species and season-wise prevalence was higher in rainy season followed by winter and summer. Chicks were found to be more prone to this parasitic infection and a slight higher prevalence among female birds was observed.

  1. Gifted Asian American Women.

    Science.gov (United States)

    Kitano, Margie K.

    1997-01-01

    Presents an analysis of personal, socialization, and structural factors affecting the lifespan achievement of 15 Asian American women identified as gifted. Their families' intense focus on educational achievement and hard work are described, and the need for better preparation to overcome obstacles in the workplace is discussed. (Author/CR)

  2. Arbuscular mycorrhizal fungi in soil and roots respond differently to phosphorus inputs in an intensively managed calcareous agricultural soil.

    Science.gov (United States)

    Liu, Wei; Zhang, Yunlong; Jiang, Shanshan; Deng, Yan; Christie, Peter; Murray, Philip J; Li, Xiaolin; Zhang, Junling

    2016-01-01

    Understanding the diversity and community structure of arbuscular mycorrhizal fungi (AMF) is important for potentially optimizing their role in mining phosphorus (P) in agricultural ecosystems. Here, we conduct a comprehensive study to investigate the vertical distribution of AMF in a calcareous field and their temporal structure in maize-roots with fertilizer P application over a three-year period. The results showed that soil available-P response to P fertilization but maize yields did not. Phosphorus fertilization had no-significant effect on richness of AMF except at greater soil-depths. High P-supply reduced root colonization while optimum-P tended to increase colonization and fungal richness on all sampling occasions. Crop phenology might override P-supply in determining the community composition of active root inhabiting fungi. Significant differences in the community structure of soil AMF were observed between the controls and P treatments in surface soil and the community shift was attributable mainly to available-P, N/P and pH. Vertical distribution was related mainly to soil electrical conductivity and Na content. Our results indicate that the structure of AMF community assemblages is correlated with P fertilization, soil depth and crop phenology. Importantly, phosphorus management must be integrated with other agricultural-practices to ensure the sustainability of agricultural production in salinized soils. PMID:27102357

  3. Management of kyphoscoliosis patients with respiratory failure in the intensive care unit and during long term follow up

    Directory of Open Access Journals (Sweden)

    Adıgüzel Nalan

    2012-09-01

    Full Text Available Abstract Background We aimed to evaluate the ICU management and long-term outcomes of kyphoscoliosis patients with respiratory failure. Methods A retrospective observational cohort study was performed in a respiratory ICU and outpatient clinic from 2002–2011. We enrolled all kyphoscoliosis patients admitted to the ICU and followed-up at regular intervals after discharge. Reasons for acute respiratory failure (ARF, ICU data, mortality, length of ICU stay and outpatient clinic data, non-invasive ventilation (NIV device settings, and compliance were recorded. NIV failure in the ICU and the long term effect of NIV on pulmonary performance were analyzed. Results Sixty-two consecutive ICU kyphoscoliosis patients with ARF were enrolled in the study. NIV was initially applied to 55 patients, 11 (20% patients were intubated, and the majority had sepsis and septic shock (p  Conclusions We strongly discourage the use of NIV in the case of septic shock in ICU kyphoscoliosis patients with ARF. Pulmonary performance improved with NIV during long term follow up.

  4. Geostatistical approach for management of soil nutrients with special emphasis on different forms of potassium considering their spatial variation in intensive cropping system of West Bengal, India.

    Science.gov (United States)

    Chatterjee, Sourov; Santra, Priyabrata; Majumdar, Kaushik; Ghosh, Debjani; Das, Indranil; Sanyal, S K

    2015-04-01

    indicates reserve native K exploitation under intensive cultivation. These maps highlight the necessity of estimating the other soil K fractions as well for better understanding of soil K supplying capacity and K fertilization strategy rather than the current recommendations, based on the plant-available K alone. In conclusion, the present study revealed that the variability of nutrient distribution was a consequence of complex interactions between the cropping system, nutrient application rates, and the native soil characteristics, and such interactions could be utilized to develop the nutrient management strategies for intensive small-holder system. PMID:25773896

  5. From soilscapes to landscapes: A landscape-oriented approach to simulate soil organic carbon dynamics in intensively managed landscapes

    Science.gov (United States)

    Papanicolaou, A. N. (Thanos); Wacha, Kenneth M.; Abban, Benjamin K.; Wilson, Christopher G.; Hatfield, Jerry L.; Stanier, Charles O.; Filley, Timothy R.

    2015-11-01

    Most available biogeochemical models focus within a soil profile and cannot adequately resolve contributions of the lighter size fractions of organic rich soils for enrichment ratio (ER) estimates, thereby causing unintended errors in soil organic carbon (SOC) storage predictions. These models set ER as constant, usually equal to unity. The goal of this study is to provide spatiotemporal predictions of SOC stocks at the hillslope scale that account for the selective entrainment and deposition of lighter size fractions. It is hypothesized herein that ER values may vary depending on hillslope location, Land Use/Land Cover (LULC) conditions, and magnitude of the hydrologic event. An ER module interlinked with two established models, CENTURY and Watershed Erosion Prediction Project, is developed that considers the effects of changing runoff coefficients, bare soil coverage, tillage depth, fertilization, and soil roughness on SOC redistribution and storage. In this study, a representative hillslope is partitioned into two control volumes (CVs): a net erosional upslope zone and a net depositional downslope zone. We first estimate ER values for both CVs I and II for different hydrologic and LULC conditions. Second, using the improved ER estimates for the two CVs, we evaluate the effects that management practices have on SOC redistribution during different crop rotations. Overall, LULC promoting less runoff generally yielded higher ER values, which ranged between 0.97 and 3.25. Eroded soils in the upland CV were up to 4% more enriched in SOC than eroded soils in the downslope CV due to larger interrill contributions, which were found to be of equal importance to rill contributions. The chronosequence in SOC storage for the erosional zone revealed that conservation tillage and enhanced crop yields begun in the 1980s reversed the downward trend in SOC losses, causing nearly 26% of the lost SOC to be regained.

  6. First real-time measurements of N2O isotopic signatures above intensively managed grassland: analytical performance, validation and illustrative examples

    Science.gov (United States)

    Wolf, Benjamin; Tuzson, Béla; Merbold, Lutz; Decock, Charlotte; Emmenegger, Lukas; Mohn, Joachim

    2014-05-01

    Measurement of the four main N2O isotopic species (14N15N16O / 15N14N16O / 14N14N18O / 14N14N16O) has been suggested as a powerful tool to trace the biogeochemical cycle of N2O and to allocate its emission sources. Studies carried out with microbial pure cultures and mixed population systems (Wunderlin et al. 2012) allowed the determination of characteristic isotopic signatures for the most important production processes. These characteristic signatures have been applied to identify relevant sources at different scales (Park et al. 2012). However, current studies suffer from limited spatial and temporal resolution due to the combination of discrete flask sampling in conjunction with laboratory-based mass spectrometric analysis. We recently demonstrated that a quantum cascade laser (QCL) based absorption spectrometer is capable of simultaneously measuring the three main N2O isotopomers at trace levels (Waechter et al. 2008). Furthermore, its potential for in-situ measurements in conjunction with a liquid nitrogen-free preconcentration unit has been proven (Mohn et al. 2012). Here we present results from the first long-term field measurement campaign conducted on intensively managed grassland in central Switzerland during three months. A modified state-of-the-art laser spectrometer (Aerodyne Research, Inc.) employing a mid-infrared cw-QCL (4.54 μm) and a novel astigmatic multipass cell with 204 m optical path-length was connected to a N2O preconcentration unit. High analytical performance in combination with the applied calibration strategy resulted in excellent long-term precision of 0.20, 0.12 and 0.11o for δ15Nα, δ15Nβ and δ18O which was determined from repeated preconcentration and measurement of target gas from a compressed air tank. This instrumental setup allowed investigating responses of isotopic composition in soil-emitted N2O to management events and weather influences. The accompanying measurements of soil temperature, soil water content, ammonia

  7. Intensive Care, Intense Conflict: A Balanced Approach.

    Science.gov (United States)

    Paquette, Erin Talati; Kolaitis, Irini N

    2015-01-01

    Caring for a child in a pediatric intensive care unit is emotionally and physically challenging and often leads to conflict. Skilled mediators may not always be available to aid in conflict resolution. Careproviders at all levels of training are responsible for managing difficult conversations with families and can often prevent escalation of conflict. Bioethics mediators have acknowledged the important contribution of mediation training in improving clinicians' skills in conflict management. Familiarizing careproviders with basic mediation techniques is an important step towards preventing escalation of conflict. While training in effective communication is crucial, a sense of fairness and justice that may only come with the introduction of a skilled, neutral third party is equally important. For intense conflict, we advocate for early recognition, comfort, and preparedness through training of clinicians in de-escalation and optimal communication, along with the use of more formally trained third-party mediators, as required. PMID:26752393

  8. Net global warming potential and greenhouse gas intensity in a double cropping cereal rotation as affected by nitrogen and straw management

    Science.gov (United States)

    Huang, T.; Gao, B.; Christie, P.; Ju, X.

    2013-08-01

    The effects of nitrogen and straw management on global warming potential (GWP) and greenhouse gas intensity (GHGI) in a winter wheat-summer maize double-cropping system on the North China Plain were investigated. We measured nitrous oxide (N2O) emissions and studied net GWP (NGWP) and GHGI by calculating the net exchange of CO2 equivalent (CO2-eq) from greenhouse gas emissions, agricultural inputs and management practices, and changes in soil organic carbon (SOC), based on a long-term field experiment established in 2006. The field experiment includes six treatments with three fertilizer N levels (zero-N control, optimum and conventional N) and straw removal (i.e. N0, Nopt and Ncon) or return (i.e. N0, Nopt and SNcon). Optimum N management (Nopt, SNopt) saved roughly half of the fertilizer N compared to conventional agricultural practice (Ncon, SNcon) with no significant effect on grain yields. Annual mean N2O emissions reached 3.90 kg N2O-N ha-1 in Ncon and SNcon, and N2O emissions were reduced by 46.9% by optimizing N management of Nopt and SNopt. Straw return increased annual mean N2O emissions by 27.9%. Annual SOC sequestration was 0.40-1.44 Mg C ha-1 yr-1 in plots with N application and/or straw return. Compared to the conventional N treatments the optimum N treatments reduced NGWP by 51%, comprising 25% from decreasing N2O emissions and 75% from reducing N fertilizer application rates. Straw return treatments reduced NGWP by 30% compared to no straw return because the GWP from increments of SOC offset the GWP from higher emissions of N2O, N fertilizer and fuel after straw return. The GHGI trends from the different nitrogen and straw management practices were similar to the NGWP. In conclusion, optimum N and straw return significantly reduced NGWP and GHGI and concomitantly achieved relatively high grain yields in this important winter wheat-summer maize double-cropping system.

  9. Net global warming potential and greenhouse gas intensity in a double-cropping cereal rotation as affected by nitrogen and straw management

    Science.gov (United States)

    Huang, T.; Gao, B.; Christie, P.; Ju, X.

    2013-12-01

    The effects of nitrogen and straw management on global warming potential (GWP) and greenhouse gas intensity (GHGI) in a winter wheat-summer maize double-cropping system on the North China Plain were investigated. We measured nitrous oxide (N2O) emissions and studied net GWP (NGWP) and GHGI by calculating the net exchange of CO2 equivalent (CO2-eq) from greenhouse gas emissions, agricultural inputs and management practices, as well as changes in soil organic carbon (SOC), based on a long-term field experiment established in 2006. The field experiment includes six treatments with three fertilizer N levels (zero N (control), optimum and conventional N) and straw removal (i.e. N0, Nopt and Ncon) or return (i.e. SN0, SNopt and SNcon). Optimum N management (Nopt, SNopt) saved roughly half of the fertilizer N compared to conventional agricultural practice (Ncon, SNcon), with no significant effect on grain yields. Annual mean N2O emissions reached 3.90 kg N2O-N ha-1 in Ncon and SNcon, and N2O emissions were reduced by 46.9% by optimizing N management of Nopt and SNopt. Straw return increased annual mean N2O emissions by 27.9%. Annual SOC sequestration was 0.40-1.44 Mg C ha-1 yr-1 in plots with N application and/or straw return. Compared to the conventional N treatments the optimum N treatments reduced NGWP by 51%, comprising 25% from decreasing N2O emissions and 75% from reducing N fertilizer application rates. Straw return treatments reduced NGWP by 30% compared to no straw return because the GWP from increments of SOC offset the GWP from higher emissions of N2O, N fertilizer and fuel after straw return. The GHGI trends from the different nitrogen and straw management practices were similar to the NGWP. In conclusion, optimum N and straw return significantly reduced NGWP and GHGI and concomitantly achieved relatively high grain yields in this important winter wheat-summer maize double-cropping system.

  10. Net global warming potential and greenhouse gas intensity in a double cropping cereal rotation as affected by nitrogen and straw management

    Directory of Open Access Journals (Sweden)

    T. Huang

    2013-08-01

    Full Text Available The effects of nitrogen and straw management on global warming potential (GWP and greenhouse gas intensity (GHGI in a winter wheat–summer maize double-cropping system on the North China Plain were investigated. We measured nitrous oxide (N2O emissions and studied net GWP (NGWP and GHGI by calculating the net exchange of CO2 equivalent (CO2-eq from greenhouse gas emissions, agricultural inputs and management practices, and changes in soil organic carbon (SOC, based on a long-term field experiment established in 2006. The field experiment includes six treatments with three fertilizer N levels (zero-N control, optimum and conventional N and straw removal (i.e. N0, Nopt and Ncon or return (i.e. N0, Nopt and SNcon. Optimum N management (Nopt, SNopt saved roughly half of the fertilizer N compared to conventional agricultural practice (Ncon, SNcon with no significant effect on grain yields. Annual mean N2O emissions reached 3.90 kg N2O-N ha−1 in Ncon and SNcon, and N2O emissions were reduced by 46.9% by optimizing N management of Nopt and SNopt. Straw return increased annual mean N2O emissions by 27.9%. Annual SOC sequestration was 0.40–1.44 Mg C ha−1 yr−1 in plots with N application and/or straw return. Compared to the conventional N treatments the optimum N treatments reduced NGWP by 51%, comprising 25% from decreasing N2O emissions and 75% from reducing N fertilizer application rates. Straw return treatments reduced NGWP by 30% compared to no straw return because the GWP from increments of SOC offset the GWP from higher emissions of N2O, N fertilizer and fuel after straw return. The GHGI trends from the different nitrogen and straw management practices were similar to the NGWP. In conclusion, optimum N and straw return significantly reduced NGWP and GHGI and concomitantly achieved relatively high grain yields in this important winter wheat–summer maize double-cropping system.

  11. An American Plague: Pro-Market Believers in Health Policy Comment on “On Health Policy and Management (HPAM: Mind the Theory-Policypractice Gap”

    Directory of Open Access Journals (Sweden)

    Jean de Kervasdoué

    2015-02-01

    Full Text Available Although American health policy debates address similar problems to other developed nations, it has factual and ideological specificities. I agree with Chinitz and Rodwin on the dominance of micro-economics thinking. However, I am not certain that learning from management theory or modifying medical education will be powerful enough to change the system. The vested interests of the stakeholders are too powerful, the more so when they are supported by economists who ideologically reinforce them and by neglecting the fact that the basic premises of market ideology are false when applied to medical care. There is enough empirical evidence to support that but, apparently, these facts do not dent these beliefs.

  12. Time Management - New Religion of Our Age: 'Time' In Anglo-American Culture vs. 'Vrijeme' in Croatian Culture

    OpenAIRE

    Ksenija Juretić

    2004-01-01

    This research on time management within the project ‘Management in Entrepreneurship’ is based both on cognitive linguistics and the cultural dimension of time in international business. In accordance with our conceptualization and relationship to time, culture can be divided into monochronic time (M-time) and polychronic time (P-time) cultures. While M-time culture, which is best represented by the United States, emphasizes schedules, a precise reckoning of time, and promptness, P-time cultur...

  13. Sound Intensity

    DEFF Research Database (Denmark)

    Crocker, M.J.; Jacobsen, Finn

    This chapter is an overview, intended for readers with no special knowledge about this particular topic. The chapter deals with all aspects of sound intensity and its measurement from the fundamental theoretical background to practical applications of the measurement technique.......This chapter is an overview, intended for readers with no special knowledge about this particular topic. The chapter deals with all aspects of sound intensity and its measurement from the fundamental theoretical background to practical applications of the measurement technique....

  14. Sound intensity

    DEFF Research Database (Denmark)

    Crocker, Malcolm J.; Jacobsen, Finn

    This chapter is an overview, intended for readers with no special knowledge about this particular topic. The chapter deals with all aspects of sound intensity and its measurement from the fundamental theoretical background to practical applications of the measurement technique.......This chapter is an overview, intended for readers with no special knowledge about this particular topic. The chapter deals with all aspects of sound intensity and its measurement from the fundamental theoretical background to practical applications of the measurement technique....

  15. The contribution of quality to health services. Application of the quality management system ISO 9001:2008 in Intensive Care Unit of the General Hospital of Larissa

    Directory of Open Access Journals (Sweden)

    Dimitrios Patsios

    2014-10-01

    Full Text Available In our country there have been many efforts in recent years to introduce laws that lead to the introduction of the concept of quality in the field of public hospitals. The implementation of health quality systems contributes to health care improvement, while the assessment of quality services is a basic tool in quality management. Purpose: The purpose of the study was to describe the benefits that can be gained by a public institute of health when a quality model is applied. Material and methods: This paper focus on the application of the ISO 9001:2008 standard in the Intensive Care Unit of the General Hospital of Larissa during the years 2010-2012. The results and benefits of its implementation, recorded by measuring satisfaction of the relatives of the patients. The questionnaire Family Satisfaction with Care in the Intensive Care Unit (FS-ICU 24 and quality indicators were applied. The study sample was all the relatives of the patients hospitalized in ICU during 2010-2012. Descriptive statistics was performed. Results: Quality indicators were considerably improved after ISO implementation with SMR falling to 35% in 2012 (from 58% in 2007, thus being one of the lowest in Greece and below European ICU’s SMR mean value. Over 80% of patients’ relatives answered that Nursing and Medical care was “excellent” and over 10% characterized it as “very good”. Family members’ total satisfaction surpassed 90%. Medical and Nursing care were highly appreciated by family members (very positive attitude expressed by over 90% of participants and satisfaction from nursing services approaches 100%. Conclusion: The implementation of quality systems in healthcare organizations is not easy and has many dimensions. However, it offers competitive advantage, improves the efficiency and effectiveness of the health care service providers and substantially contributes to the improvement of the delivered heath care.

  16. Team Performance and Error Management in Chinese and American Simulated Flight Crews: The Role of Cultural and Individual Differences

    Science.gov (United States)

    Davis, Donald D.; Bryant, Janet L.; Tedrow, Lara; Liu, Ying; Selgrade, Katherine A.; Downey, Heather J.

    2005-01-01

    This report describes results of a study conducted for NASA-Langley Research Center. This study is part of a program of research conducted for NASA-LARC that has focused on identifying the influence of national culture on the performance of flight crews. We first reviewed the literature devoted to models of teamwork and team performance, crew resource management, error management, and cross-cultural psychology. Davis (1999) reported the results of this review and presented a model that depicted how national culture could influence teamwork and performance in flight crews. The second study in this research program examined accident investigations of foreign airlines in the United States conducted by the National Transportation Safety Board (NTSB). The ability of cross-cultural values to explain national differences in flight outcomes was examined. Cultural values were found to covary in a predicted way with national differences, but the absence of necessary data in the NTSB reports and limitations in the research method that was used prevented a clear understanding of the causal impact of cultural values. Moreover, individual differences such as personality traits were not examined in this study. Davis and Kuang (2001) report results of this second study. The research summarized in the current report extends this previous research by directly assessing cultural and individual differences among students from the United States and China who were trained to fly in a flight simulator using desktop computer workstations. The research design used in this study allowed delineation of the impact of national origin, cultural values, personality traits, cognitive style, shared mental model, and task workload on teamwork, error management and flight outcomes. We briefly review the literature that documents the importance of teamwork and error management and its impact on flight crew performance. We next examine teamwork and crew resource management training designed to improve

  17. Population Structure and Genetic Diversity of the Endangered South American Giant Otter (Pteronura brasiliensis) from the Orinoco Basin in Colombia: Management Implications and Application to Current Conservation Programs.

    Science.gov (United States)

    Caballero, Susana; Correa-Cárdenas, Camilo A; Trujillo, Fernando

    2015-01-01

    Endangered giant otters, Pteronura brasiliensis, are found along the Amazon and Orinoco rivers and most of their tributaries. Hunting in the mid-1970s pushed giant otter populations to the brink of extinction. We studied population structure and genetic diversity of giant otters from Colombia's Orinoco basin using analyses of partial mitochondrial DNA control region sequences obtained from scat material. We collected and analyzed 54 scat samples from 22 latrines, 2 tissue samples primarily from captive giant otters and 2 from hunted animals near Puerto Carreño and Puerto Inírida (Colombian Orinoco), as well as one tissue sample from Puerto Leguizamo (Colombian Amazon). Thirty-nine partial control region sequences were obtained (258bp), corresponding to 15 unique haplotypes. Most of these haplotypes, found in samples collected around Puerto Carreño, defined one phylogeographic group (phylogroup) not previously described. Higher genetic diversity in the Colombian Orinoco populations than in other South American populations suggests that this newly described phylogroup, as well as a second phylogroup defined from a few Colombian Orinoco and Amazon samples, should be considered distinct genetic management units. National conservation programs, particularly those aiming to establish protected areas, should manage these independently. Current Colombian confiscated animal reintroduction and captive reproduction programs should also consider such differentiation when determining reintroduction locations or improving husbandry practices. PMID:26245782

  18. Response of aquatic plants of peat pits to eutrophication processes resulted from intensive management and overdrying of surrounding them peat meadows

    Science.gov (United States)

    Gołdyn, H.; Arczyńska-Chudy, E.

    2009-04-01

    Aquatic and wetland habitats belong to the most precious nature elements of rural environment. At the same time they are very sensitive to eutrophication and diverse impacts caused by intensive agriculture. If protected and well kept they may enrich plant diversity in agricultural landscape. One of the most important reasons of degradation of waters within the lowland landscape is intensive agriculture. Drainage of marshes, which was especially intensive in the last two centuries, has changed hydrological conditions and modified relationships in many aquatic and terrestrial ecosystems. This resulted in eutrophication of aquatic habitats. The presented study are the part of investigations on the changes of aquatic and marsh vegetation during the last thirty years period within agricultural landscape of Gen. Chlapowski Landscape Park in Wielkopolska Region. Their goal was to analyse changes in aquatic plant communities within the peat pits, which are situated among the meadows. Vegetation of these ecosystems was first studied from 1976 to 1979 and investigations were repeated in 2007. This allowed to evaluate the transformation of vegetation during the last 30 years. Analyses of the chemical composition of water showed a gradual increase in its trophic state. The strongest increase was observed in the concentrations of phosphates and ammonium nitrogen. It was a consequence of intensive management of the surrounding meadows and drainage, led to their overdrying in the 1980s, which simultaneously effected the transformation of meadow vegetation. These changes caused the acceleration of peat mineralization, which was the reason of the increased leaching of nutrients and enrichment of water stored in the peat pits. The diversity of aquatic plant communities revealed significant transformations during the last 30 years. Species diversity, measured by the Shannon index (H') increased from 3.09 to 3.45. The increase in the number of identified plant species and associations

  19. Management of Diabetes in Long-term Care and Skilled Nursing Facilities: A Position Statement of the American Diabetes Association.

    Science.gov (United States)

    Munshi, Medha N; Florez, Hermes; Huang, Elbert S; Kalyani, Rita R; Mupanomunda, Maria; Pandya, Naushira; Swift, Carrie S; Taveira, Tracey H; Haas, Linda B

    2016-02-01

    Diabetes is more common in older adults, has a high prevalence in long-term care (LTC) facilities, and is associated with significant disease burden and higher cost. The heterogeneity of this population with regard to comorbidities and overall health status is critical to establishing personalized goals and treatments for diabetes. The risk of hypoglycemia is the most important factor in determining glycemic goals due to the catastrophic consequences in this population. Simplified treatment regimens are preferred, and the sole use of sliding scale insulin (SSI) should be avoided. This position statement provides a classification system for older adults in LTC settings, describes how diabetes goals and management should be tailored based on comorbidities, delineates key issues to consider when using glucose-lowering agents in this population, and provides recommendations on how to replace SSI in LTC facilities. As these patients transition from one setting to another, or from one provider to another, their risk for adverse events increases. Strategies are presented to reduce these risks and ensure safe transitions. This article addresses diabetes management at end of life and in those receiving palliative and hospice care. The integration of diabetes management into LTC facilities is important and requires an interprofessional team approach. To facilitate this approach, acceptance by administrative personnel is needed, as are protocols and possibly system changes. It is important for clinicians to understand the characteristics, challenges, and barriers related to the older population living in LTC facilities as well as the proper functioning of the facilities themselves. Once these challenges are identified, individualized approaches can be designed to improve diabetes management while lowering the risk of hypoglycemia and ultimately improving quality of life. PMID:26798150

  20. American Speech-Language-Hearing Association

    Science.gov (United States)

    ... Careers Certification Publications Events Advocacy Continuing Education Practice Management Research American Speech-Language-Hearing Association (ASHA) Making effective communication, a human ...

  1. Status report from the American Acne & Rosacea Society on medical management of acne in adult women, part 3: oral therapies.

    Science.gov (United States)

    Del Rosso, James Q; Harper, Julie C; Graber, Emmy M; Thiboutot, Diane; Silverberg, Nanette B; Eichenfield, Lawrence F

    2015-12-01

    Parts 1 and 2 of this 3-part series provided an overview of the epidemiology, visible patterns, and important considerations for clinical and laboratory evaluation of acne vulgaris (AV) in adult women and reviewed the role of proper skin care and topical therapies in this patient population. In Part 3, oral therapies including combination oral contraceptives, spironolactone, antibiotics, and isotretinoin are discussed along with important considerations that clinicians should keep in mind when selecting oral agents for management of AV in adult women. PMID:26761932

  2. Reforming Municipal Budgeting and Financial Management in a South American City: A Case Study of Asuncion, Paraguay

    Directory of Open Access Journals (Sweden)

    Rachel BALLARD

    2000-01-01

    Full Text Available With increasing frequency, the two highly interrelated subjects of municipal budgeting and effective financial management are becoming ever more central to discussions of local governance reform in Latin America. Among the most important factors contributing to this are the growing concern throughout the hemisphere about the decentralization of governmental services and the expanding influence of elected mayors. For at least a decade, governments from Mexico to Argentina, have been discussing and, in some cases, actually carrying out, efforts to decentralize to the local level public service provision in such important program areas as economic development, education, health services and housing.

  3. Status report from the American Acne & Rosacea Society on medical management of acne in adult women, part 2: topical therapies.

    Science.gov (United States)

    Del Rosso, James Q; Harper, Julie C; Graber, Emmy M; Thiboutot, Diane; Silverberg, Nanette B; Eichenfield, Lawrence F

    2015-11-01

    In part 1 of this 3-part series, an overview of the epidemiology, visible patterns, and important considerations for clinical and laboratory evaluation of acne vulgaris (AV) in adult women was provided. Proper selection and integration of skin care products is important in the management of AV in this patient population. Part 2 of this series includes a discussion of over-the-counter and prescription topical therapies for adult women with AV. A summary of key randomized controlled trials also is provided. Further well-designed studies are needed, as data on the use of topical agents in this subpopulation are limited. PMID:26682555

  4. Intensive mobilities:

    DEFF Research Database (Denmark)

    Vannini, Phillip; Bissell, David; Jensen, Ole B.

    This paper explores the intensities of long distance commuting journeys as a way of exploring how bodily sensibilities are being changed by the mobilities that they undertake. The context of this paper is that many people are travelling further to work than ever before owing to a variety of factors...... which relate to transport, housing and employment. Yet we argue that the experiential dimensions of long distance mobilities have not received the attention that they deserve within geographical research on mobilities. This paper combines ideas from mobilities research and contemporary social theory...... with fieldwork conducted in Canada, Denmark and Australia to develop our understanding of the experiential politics of long distance workers. Rather than focusing on the extensive dimensions of mobilities that are implicated in patterns and trends, our paper turns to the intensive dimensions of this...

  5. Rapid Assessment of Logging-Associated Sediment-Delivery Pathways in an Intensively-Managed Forested Watershed in the Southern Cascades, Northern California

    Science.gov (United States)

    Coe, D. B.; Wopat, M. A.; Lindsay, D.; Stanish, S.; Boone, M.; Beck, B.; Wyman, A.; Bull, J.

    2012-12-01

    The potential for water-quality impacts in intensively-managed forested watersheds depends partly upon the frequency of overland flow paths linking logging-related hillslope sediment sources to the channel network, as well as the volume of sediment delivered along these flow paths. In response to public concerns over perceived water-quality impacts from clearcut timber harvesting, the Battle Creek Task Force, composed of subject-matter experts from 4 different state agencies, performed a rapid assessment for visible evidence of sediment delivery pathways from multiple logging-associated features in the upper Battle Creek watershed - an area underlain predominantly by Holocene- and Late Pleistocene-aged volcanic rock types, with highly permeable soils, and relatively few streams. Logging-associated features were selected for assessment based on erosion potential and proximity to stream channels. Identified sediment-delivery pathways were then characterized by dominant erosion process and the relative magnitude of sediment delivery (i.e., low, moderate, and high) was estimated. Approximately 26 km of stream buffers adjacent to 55 clearcut harvest units were assessed, and the single detected instance of sediment delivery was found to be of low magnitude and the result of illegal encroachment by logging equipment into a 5-m wide stream-adjacent equipment-limitation zone. The proportion of sampled sites delivering sediment was found to be highest for tractor-stream crossings, followed by road-stream crossings, stream-adjacent road segments, stream-adjacent landings, and clearcut harvest units, respectively. All 5 tractor-stream crossings delivered sediment, but were generally delivering a low magnitude of sediment derived from sheetwash and rilling. Road-stream crossings (n=39) and stream-adjacent road segments (n=24) delivered observable sediment 69 and 67 percent of the time, respectively. The highest magnitudes of sediment delivery from roads were associated with

  6. Ammonia fluxes in relation to cutting and fertilization of an intensively managed grassland derived from an inter-comparison of gradient measurements

    Science.gov (United States)

    Milford, C.; Theobald, M. R.; Nemitz, E.; Hargreaves, K. J.; Horvath, L.; Raso, J.; Dämmgen, U.; Neftel, A.; Jones, S. K.; Hensen, A.; Loubet, B.; Cellier, P.; Sutton, M. A.

    2009-05-01

    Quantification of ammonia (NH3) land-atmosphere exchange is required for atmospheric modelling and assessment of nitrogen deposition, yet flux measurement methods remain highly uncertain. To address this issue, a major inter-comparison of ammonia fluxes over intensively managed grassland was conducted during the GRAMINAE Integrated Experiment held in Braunschweig, Germany. In order to provide a robust dataset of ammonia exchange with the vegetation, four independent continuous flux gradient systems were operated. Three independently operated continuous wet denuders systems (AMANDA) were compared with a Wet Effluent Diffusion Denuder (mini-WEDD) system. Measurements were made at two distances from an adjacent livestock farm, allowing effects of advection to be quantified in a real landscape setting. Data treatment included filtering for instrument failure, disturbed wind sectors and unsuitable micrometeorological conditions, with corrections made for storage and advection errors. The inter-comparison demonstrated good agreement in measured ammonia concentrations and fluxes (relative standard error <20%) for some periods, although the performance of the ammonia analyzers were variable, with much poorer agreement on particular days. However, by using four systems, the inter-comparison was able to provide a robust mean estimate of continuous ammonia fluxes through the experiment. The observed fluxes were: a) small bi-directional fluxes prior to cutting (-64 to 42 ng NH3 m-2 s-1), b) larger diurnally-varying emissions following cutting (-49 to 703 ng NH3 m-2 s-1) and c) much larger emissions following fertilizer application (0 to 3820 ng NH3 m-2 s-1). The results are a salutary reminder of the uncertainty in unreplicated ammonia flux measurements, while the replication of the present study provides a uniquely robust dataset for the evaluation of ammonia exchange processes. It is clear that consistently reliable determination of ammonia concentrations remains the major

  7. Processes and factors controlling N2O production in an intensively managed low carbon calcareous soil under sub-humid monsoon conditions

    International Nuclear Information System (INIS)

    An automated system for continuous measurement of N2O fluxes on an hourly basis was employed to study N2O emissions in an intensively managed low carbon calcareous soil under sub-humid temperate monsoon conditions. N2O emissions occurred mainly within two weeks of application of NH4+-based fertilizer and total N2O emissions in wheat (average 0.35 or 0.21 kg N ha-1 season-1) and maize (average 1.47 or 0.49 kg N ha-1 season-1) under conventional and optimum N fertilization (300 and 50-122 kg N ha-1, respectively) were lower than previously reported from low frequency measurements. Results from closed static chamber showed that N2O was produced mainly from nitrification of NH4+-based fertilizer, with little denitrification occurring due to limited readily oxidizable carbon and low soil moisture despite consistently high soil nitrate-N concentrations. Significant reductions in N2O emissions can be achieved by optimizing fertilizer N rates, using nitrification inhibitors, or changing from NH4+- to NO3--based fertilizers. - Research highlights: → N2O was produced mainly from nitrification of NH4+ based fertilizers. → Denitrification played minor role on N2O emission due to C and soil moisture limitation. → Using NO3- base fertilizer or NI is an effective way to reduce N2O emission. - Nitrification of NH4+-based fertilizer is the main N2O production process with little denitrification due to limited readily oxidizable carbon and low soil moisture.

  8. Processes and factors controlling N{sub 2}O production in an intensively managed low carbon calcareous soil under sub-humid monsoon conditions

    Energy Technology Data Exchange (ETDEWEB)

    Ju Xiaotang; Lu Xing [Key Laboratory of Plant Nutrition, Chinese Ministry of Agriculture, and College of Resources and Environmental Sciences, China Agricultural University, 2 Yuanmingyuan West Road, Beijing 100193 (China); Gao Zhiling [College of Agricultural Resources and Environmental Sciences, Hebei Agricultural University, Baoding 071001 (China); Chen Xinping; Su Fang [Key Laboratory of Plant Nutrition, Chinese Ministry of Agriculture, and College of Resources and Environmental Sciences, China Agricultural University, 2 Yuanmingyuan West Road, Beijing 100193 (China); Kogge, Martin; Roemheld, Volker [Institute for Plant Nutrition, University of Hohenheim, Stuttgart 70599 (Germany); Christie, Peter [Key Laboratory of Plant Nutrition, Chinese Ministry of Agriculture, and College of Resources and Environmental Sciences, China Agricultural University, 2 Yuanmingyuan West Road, Beijing 100193 (China); Agri-Environment Branch, Agri-Food and Biosciences Institute, BelfastBT9 5PX (United Kingdom); Zhang Fusuo, E-mail: zhangfs@cau.edu.cn [Key Laboratory of Plant Nutrition, Chinese Ministry of Agriculture, and College of Resources and Environmental Sciences, China Agricultural University, 2 Yuanmingyuan West Road, Beijing 100193 (China)

    2011-04-15

    An automated system for continuous measurement of N{sub 2}O fluxes on an hourly basis was employed to study N{sub 2}O emissions in an intensively managed low carbon calcareous soil under sub-humid temperate monsoon conditions. N{sub 2}O emissions occurred mainly within two weeks of application of NH{sub 4}{sup +}-based fertilizer and total N{sub 2}O emissions in wheat (average 0.35 or 0.21 kg N ha{sup -1} season{sup -1}) and maize (average 1.47 or 0.49 kg N ha{sup -1} season{sup -1}) under conventional and optimum N fertilization (300 and 50-122 kg N ha{sup -1}, respectively) were lower than previously reported from low frequency measurements. Results from closed static chamber showed that N{sub 2}O was produced mainly from nitrification of NH{sub 4}{sup +}-based fertilizer, with little denitrification occurring due to limited readily oxidizable carbon and low soil moisture despite consistently high soil nitrate-N concentrations. Significant reductions in N{sub 2}O emissions can be achieved by optimizing fertilizer N rates, using nitrification inhibitors, or changing from NH{sub 4}{sup +}- to NO{sub 3}{sup -}-based fertilizers. - Research highlights: > N{sub 2}O was produced mainly from nitrification of NH{sub 4}{sup +} based fertilizers. > Denitrification played minor role on N{sub 2}O emission due to C and soil moisture limitation. > Using NO{sub 3}{sup -} base fertilizer or NI is an effective way to reduce N{sub 2}O emission. - Nitrification of NH{sub 4}{sup +}-based fertilizer is the main N{sub 2}O production process with little denitrification due to limited readily oxidizable carbon and low soil moisture.

  9. Management of a comprehensive radiation safety program in a major American University and affiliated academic medical center

    International Nuclear Information System (INIS)

    lectures, and instituting a seminar series. Progress made at the institutional level includes; (a) implementing training programs; (b) developing an in-house TLD program; (c) initiating in-house diagnostic x-ray machine testing for units outside the Radiology Department; (d) centralizing radioactive package distribution; (e) simplifying the radiation licensing application process; (f) implementing written lab operating procedures in individual labs; (g) developing radioactive package order and receipt software; (h) implementing special shielding design and radioiodine patient waste management projects. We conclude: (1) involvement of executive management is critical for radiation protection management in multidisciplinary institutions; (2) consultant review is useful in guiding management support of RSO initiatives; (3) increased visibility of the radiation safety program, through training sessions and grand rounds, increases cooperation from users and subsequently improves regulatory compliance; (4) radiation safety division quality assurance meetings help identify weaknesses and provide motivation for improvement; (5) a clear chain of authority is critical in program oversight; (6) open participation in division projects by staff members fosters an intellectually stimulating environment in the group; (7) participation of senior administrators from Occupational and Environmental Safety Office (OESO) in the radiation safety staff meetings helps maintain a professional working relationship between the Radiation Safety Officer and the Director of OESO. (author)

  10. American ginseng

    Science.gov (United States)

    ... Some research suggests that taking a specific American ginseng extract called CVT-E002 (Cold-FX, Afexa Life Sciences, ... AD-fX, Afexa Life Sciences, Canada) containing American ginseng extract in combination with ginkgo leaf extract might help ...

  11. Position of the American Dietetic Association: dietetics professionals can implement practices to conserve natural resources and protect the environment. (Previously titled "natural resource conservation and waste management").

    Science.gov (United States)

    2001-10-01

    It is the position of the American Dietetic Association to encourage environmentally responsible practices that conserve natural resources, minimize the quantity of waste that is generated, and have the least adverse affect on the health of all living organisms and the environment. All components of the food system, from farmer to consumer, are affected by the availability and cost of energy and the availability and quality of water. Outdoor and indoor air quality significantly impacts the health of all living organisms. Decisions that dietetics professionals make as practitioners and consumers can affect the quantity and type of solid waste generated. The demand for natural resources should be evaluated when selecting the most cost-effective, environmentally sensitive approach to the management of solid waste. Special precautions are needed when using and disposing of hazardous and medical waste to protect the safety of our clients and employees. This position paper provides information and resources for dietetics professionals for addressing the complexity of the environmental issue presented. Conservation strategies are identified that dietetics professionals can use in their worksites and at home. These conservation practices may reduce cost and decrease the environmental impact we have on our communities and the world. PMID:11678498

  12. Four years of North American registry home parenteral nutrition outcome data and their implications for patient management

    International Nuclear Information System (INIS)

    The OASIS Registry started annual collection of longitudinal data on patients on home parenteral nutrition (HPN) in 1984. This report describes outcome profiles on 1594 HPN patients in seven disease categories. Analysis showed clinical outcome was principally a reflection of the underlying diagnosis. Patients with Crohn's disease, ischemic bowel disease, motility disorders, radiation enteritis, and congenital bowel dysfunction all had a fairly long-term clinical outcome, whereas those with active cancer and acquired immunodeficiency syndrome (AIDS) had a short-term outcome. The long-term group had a 3-year survival rate of 65 to 80%, they averaged 2.6 complications requiring hospitalization per year, and 49% experienced complete rehabilitation. The short-term group had a mean survival of 6 months; they averaged 4.6 complications per year and about 15% experienced complete rehabilitation. The registry data also indicated HPN was used for 19,700 patients in 1987 with therapy growth averaging about 8% per year. This growth was chiefly from new cancer patients. The number of new patients with long-term disorders in whom HPN was initiated appeared rather constant. The authors conclude that these clinical outcome assessments justify HPN for long-term patients, but the utility and appropriateness of HPN for the cancer and AIDS patients remains uncertain and requires further study. Medical, social, and fiscal aspects of HPN management in long-term and short-term patients appear to involve quite separate considerations

  13. Four years of North American registry home parenteral nutrition outcome data and their implications for patient management

    Energy Technology Data Exchange (ETDEWEB)

    Howard, L.; Heaphey, L.; Fleming, C.R.; Lininger, L.; Steiger, E. (Division of Clinical Nutrition, Albany Medical Center, New York (United States))

    1991-07-01

    The OASIS Registry started annual collection of longitudinal data on patients on home parenteral nutrition (HPN) in 1984. This report describes outcome profiles on 1594 HPN patients in seven disease categories. Analysis showed clinical outcome was principally a reflection of the underlying diagnosis. Patients with Crohn's disease, ischemic bowel disease, motility disorders, radiation enteritis, and congenital bowel dysfunction all had a fairly long-term clinical outcome, whereas those with active cancer and acquired immunodeficiency syndrome (AIDS) had a short-term outcome. The long-term group had a 3-year survival rate of 65 to 80%, they averaged 2.6 complications requiring hospitalization per year, and 49% experienced complete rehabilitation. The short-term group had a mean survival of 6 months; they averaged 4.6 complications per year and about 15% experienced complete rehabilitation. The registry data also indicated HPN was used for 19,700 patients in 1987 with therapy growth averaging about 8% per year. This growth was chiefly from new cancer patients. The number of new patients with long-term disorders in whom HPN was initiated appeared rather constant. The authors conclude that these clinical outcome assessments justify HPN for long-term patients, but the utility and appropriateness of HPN for the cancer and AIDS patients remains uncertain and requires further study. Medical, social, and fiscal aspects of HPN management in long-term and short-term patients appear to involve quite separate considerations.

  14. Audit Report on "Management Controls over the Department of Energy's American Recovery and Reinvestment Act - Louisiana State Energy Program"

    Energy Technology Data Exchange (ETDEWEB)

    None

    2010-05-01

    The Department of Energy's (Department) Office of Energy Efficiency and Renewable Energy (EERE) provides grants to states, territories and the District of Columbia (states) to support their energy priorities through the State Energy Program (SEP). Federal funding is based on a grant formula that considers the population and energy consumption in each state, and amounted to $25 million for Fiscal Year (FY) 2009. The American Recovery and Reinvestment Act of 2009 (Recovery Act) expanded the SEP by authorizing an additional $3.1 billion to states using the existing grant formula. EERE made grant awards to states after reviewing plans that summarize the activities states will undertake to achieve SEP Recovery Act objectives, including preserving and creating jobs; saving energy; increasing renewable energy sources; and, reducing greenhouse gas emissions. EERE program guidance emphasizes that states are responsible for administering SEP within each state, and requires each state to implement internal controls over the use of Recovery Act funds. The State of Louisiana received $71.6 million in SEP Recovery Act funds; a 164-fold increase over its FY 2009 SEP grant of $437,000. As part of the Office of Inspector General's strategy for reviewing the Department's implementation of the Recovery Act, we initiated this review to determine whether the Louisiana State Energy Office had internal controls in place to efficiently and effectively administer Recovery Act funds provided for its SEP program. Louisiana developed a strategy for SEP Recovery Act funding that focused on improving energy efficiency in state buildings, housing and small businesses; increasing Energy Star appliance rebates; and, expanding the use of alternative fuels and renewable energy. Due to a statewide hiring freeze, Louisiana outsourced management of the majority of its projects ($63.3 million) to one general contractor. Louisiana plans to internally manage one project, Education and

  15. Handbook of data intensive computing

    CERN Document Server

    Furht, Borko

    2011-01-01

    Data Intensive Computing refers to capturing, managing, analyzing, and understanding data at volumes and rates that push the frontiers of current technologies. The challenge of data intensive computing is to provide the hardware architectures and related software systems and techniques which are capable of transforming ultra-large data into valuable knowledge. Handbook of Data Intensive Computing is written by leading international experts in the field. Experts from academia, research laboratories and private industry address both theory and application. Data intensive computing demands a fund

  16. Can intense forest fertilization be considered a sustainable management practice in the context of greenhouse gas exchange between soils and the atmosphere?

    Science.gov (United States)

    Oquist, Mats G.; Egnell, Gustaf; Nilsson, Mats

    2016-04-01

    The demand for forest biomass is increasing and there is large potential for increasing biomass production of northern forest ecosystems by various management strategies involving N fertilization. Increased biomass production also leads to more atmospheric carbon sequestration that potentially can mitigate climate change. N fertilization has been shown to increase biomass production and to decrease soil respiration rates. However, the potential increase in N2O emissions following N addition may counteract the sustainability of such management practices in terms of its impact on the sink/source relationship of greenhouse gases. Here we evaluate the effect of various N addition intensities on the soil-atmosphere exchange of CO2 and N2O in a long-term field experiment in a boreal Scots pine (Pinus sylvestris) forest stand. The stand was planted in 1953 and the experiment was established in 1974 with annual N addition at four levels (N0, N1, N2, and N3 receiving 0, 35, 70, and 110 kg N ha-1 year-1, respectively) organized in a randomized block design (n=3) in plots of 30x30m. The high (N3) and intermediate (N2) N addition levels were terminated in 1990 and 2006, respectively, and offered an opportunity to investigate recovery of greenhouse gas exchange following high N loading. Soil-atmosphere exchange of GHGs were estimated weekly during 2010-2011 based on static chamber measurements during the snow free period and snow concentration gradients during winter. In the ongoing treatment (N1) the annual N2O emissions were 25 mg N2O m-2 yr-1, as compared to 6 mg N2O m-2 yr-1 in the control plots, representing a ca 4-fold significant increase due to N-addition. The N2O-N loss from the treatment corresponded to ca 0.5% of the annually added N (35 kg N ha-1). In the N2 treatment (terminated in 2006) annual N2O emissions were 15 mg N2O m-2 yr-1, while in the N3 treatment N2O emissions were the same as in the control plots with no N-additions. Thus the system has capacity to

  17. Resistance to antimicrobial agents in campylobacter isolated from chickens raised in intensive and organic farms and its implications for the management of risk to human health

    OpenAIRE

    Soonthornchaikul, Nantika

    2006-01-01

    The use of antimicrobials in poultry may lead to the emergence of resistant micro-organisms that could cause additional health risk to humans through food consumption. This study aims to investigate the relative health risks from Campylobacter and its antimicrobial resistance associated with chicken raised in organic and intensive rearing systems. Three groups of chicken were tested, pre-packaged intensively reared (PIC) and pre-packaged organically reared chickens (POC) both purchased fro...

  18. American Dream in Early American Literatuer

    Institute of Scientific and Technical Information of China (English)

    屈彩娥; 李小玺

    2008-01-01

    American dream has often been closely rehted to American literature.Many say that the American literary history can be seen as the history of American dreams.In most periods in history,writers,whose dreams have been infused in a variety of characters create the American literature.While in Early American literature,American dream had been presented in a dif-ferent way.

  19. Changes in willingness to self-manage pain among children and adolescents and their parents enrolled in an intensive interdisciplinary pediatric pain treatment program

    OpenAIRE

    Logan, Deirdre E; Conroy, Caitlin; Sieberg, Christine B.; Simons, Laura E.

    2012-01-01

    The importance of willingness to adopt a self-management approach to chronic pain has been demonstrated in the context of cognitive-behaviorally oriented interdisciplinary pain treatment programs for adults, both as a treatment outcome and as a process that facilitates functional improvements. Willingness to self-manage pain has not been studied in pediatric interdisciplinary pain treatment settings. Study aims were (1) to investigate willingness to self-manage pain among children and parents...

  20. Probabilistic Projections of Future Sea-Level Change and Their Implications for Flood Risk Management: Insights from the American Climate Prospectus

    Science.gov (United States)

    Kopp, R. E., III; Delgado, M.; Horton, R. M.; Houser, T.; Little, C. M.; Muir-Wood, R.; Oppenheimer, M.; Rasmussen, D. M., Jr.; Strauss, B.; Tebaldi, C.

    2014-12-01

    damage by 2.6-5.2 billion (1-in-20 chance of >7 billion). Projected increases in tropical cyclone intensity would further increase damages [2]. References: [1] R. E. Kopp et al. (2014), Earth's Future, doi:10.1002/2014EF000239. [2] T. Houser et al. (2014), American Climate Prospectus, www.climateprospectus.org.

  1. Physical properties of soils under intensive agricultural management Propriedades físicas de solos submetidos a práticas intensivas de manejo

    Directory of Open Access Journals (Sweden)

    Jorge Luís Nascimento Soares

    2005-04-01

    Full Text Available Pedologic alterations after long-term sugar cane (Saccharum officinarum cropping cycles under traditional soil management systems were studied on a farm in Bariri, SP, Brazil. A toposequence was established to evaluate the effects of the soil position in the relief in changing soil physical attributes. Morphological field descriptions and laboratory analyses were carried out on vertical profiles of the upper, middle and lower thirds of a Typic Haplorthox slope. Soil bulk density and macroporosity changed along the toposequence reflecting on soil hydrodynamics, especially in the lower slope parts. At sites with high clay levels, empty spaces were filled forming block shaped structures together with the micro-aggregate structure. The intensive cultivation induced the greatest soil structure alterations, even at the deepest layers. The study pointed out the importance of performing detailed morphological observations in vertical profiles, due to the great variation on pedological attributes over short distances. Compacted soil sections were observed side-by-side with desaggregated mottles in the same soil profile. This fact evidenced that both vertical (in each profile and horizontal gradients (along a toposequence need to be considered in studies of time sequence variation of pedological parameters.O presente trabalho foi realizado numa propriedade agrícola situada no município de Bariri, SP, em área cultivada com cana-de-açúcar (Saccharum officinarum, onde foram estudadas algumas alterações pedológicas decorrentes de um longo período de exploração agrícola com sistema tradicional de manejo do solo. Foi estabelecida uma condição de toposseqüência para que pudesse ser avaliada a importância da posição dos solos no relevo sobre as modificações de alguns dos seus atributos físicos. As observações foram realizadas em campo e laboratório, em perfis verticais situados nos terços superior, médio e inferior da encosta em um

  2. Manuseio da síndrome compartimental abdominal em unidade de tratamento intensivo Intensive care management of the abdominal compartment syndrome

    Directory of Open Access Journals (Sweden)

    Luiz Carlos Von Bahten

    2006-06-01

    Full Text Available A síndrome compartimental abdominal (SCA decorre de um aumento agudo na pressão intra-abdominal (PIA, promovendo alterações fisiológicas adversas devido ao acometimento dos principais sistemas orgânicos, podendo levar a falência orgânica e óbito. OBJETIVO: Avaliar a SCA em pacientes com hipertensão intra-abdominal (HIA admitidos na unidade de terapia intensiva (UTI. MÉTODO: Foi realizado um estudo de 548 pacientes submetidos a laparotomia, necessitando de UTI, durante o período de janeiro de 1997 a março de 2001. RESULTADOS: A SCA foi identificada em 29 pacientes (5,29%. Analisando-se o valor máximo de PIA, 9 (31,03% foram grau II, 10 (34,48% foram grau III e 10 (34,48% foram grau IV. Dezoito (62,07% foram reoperados e o fechamento temporário foi realizado em 6 (20,69%. A mortalidade global foi de 68,97%, sendo que a SCA grau II teve 55,56% de mortalidade; a de grau III, 50%; a de grau IV, 100% e a mortalidade dos pacientes reoperados, 61,11%. CONCLUSÕES: A SCA acarreta elevada mortalidade, mesmo com a reoperação precoce e adequado manejo em UTI, devendo-se manter maiores cuidados na sua identificação e prevenção.Abdominal compartment syndrome (ACS is attributed to acute increase in the intra-abdominal pressure (IAP, leading to adverse physiologic alterations because of involving the main organic systems and can lead to organic failure and obit. BACKGROUND: the purpose of this work is to evaluate the intra-abdominal hypertension (IAH and ACS conduct in patients submitted to intensive care unit (ICU. METHODS: in this retrospective work were analysed 548 patients submitted to laparotomy and ICU, during the period from 1997, january to 2001, march. RESULTS: ACS was noted in 29 patients (5.29%. Analysing the maximum IAP value, 9 (31.03% were grade II, 10 (34.48% were grade III and 10 were grade IV. Eighteen (62.07% were submitted to reoperation and temporary closure was used in 6 (20.69%. The global mortality was 68.97%, the

  3. Moving On: Farmer Education in Integrated Insect Pest and Disease Management

    NARCIS (Netherlands)

    Jiggins, J.L.S.; Mancini, F.

    2009-01-01

    This chapter explores intensive hands-on occupational education for farmers in selected European, African, Latin American countries and in south India. An Indian case study of Farmer Field Schools for Integrated Pest and Production Management (IPPM) to ensure food security and livelihood improvement

  4. American Culture Reflected in American English

    Institute of Scientific and Technical Information of China (English)

    李华芳

    2013-01-01

    Language is a vehicle for culture. It is also a key component of culture. It not only reflects culture but also influences culture. As a variety of British English, American English, especially American words and expressions can reflect American culture from many aspects. This paper studies some typical traits of American culture reflected in words and expressions of American Eng-lish.

  5. A global meta-analysis on the impact of management practices on net global warming potential and greenhouse gas intensity from cropland soils

    Science.gov (United States)

    Agricultural practices contribute significant amount of greenhouse gas (GHG) emissions, but little is known about their effects on net global warming potential (GWP) and greenhouse gas intensity (GHGI) that account for all sources and sinks of carbon dioxide emissions per unit area or crop yield. Se...

  6. A Cross-Cultural Examination of SNS Usage Intensity and Managing Interpersonal Relationships Online: The Role of Culture and the Autonomous-Related Self-Construal

    Science.gov (United States)

    Lee, Soon Li; Kim, Jung-Ae; Golden, Karen Jennifer; Kim, Jae-Hwi; Park, Miriam Sang-Ah

    2016-01-01

    Perception of the autonomy and relatedness of the self may be influenced by one's experiences and social expectations within a particular cultural setting. The present research examined the role of culture and the Autonomous-Related self-construal in predicting for different aspects of Social Networking Sites (SNS) usage in three Asian countries, especially focusing on those aspects serving interpersonal goals. Participants in this cross-cultural study included 305 university students from Malaysia (n = 105), South Korea (n = 113), and China (n = 87). The study explored specific social and interpersonal behaviors on SNS, such as browsing the contacts' profiles, checking for updates, and improving contact with SNS contacts, as well as the intensity of SNS use, hypothesizing that those with high intensity of use in the Asian context may be doing so to achieve the social goal of maintaining contact and keeping updated with friends. Two scales measuring activities on other users' profiles and contact with friends' profiles were developed and validated. As predicted, some cross-cultural differences were found. Koreans were more likely to use SNS to increase contact but tended to spend less time browsing contacts' profiles than the Malaysians and Chinese. The intensity of SNS use differed between the countries as well, where Malaysians reported higher intensity than Koreans and Chinese. Consistent with study predictions, Koreans were found with the highest Autonomous-Related self-construal scores. The Autonomous-Related self-construal predicted SNS intensity. The findings suggest that cultural contexts, along with the way the self is construed in different cultures, may encourage different types of SNS usage. The authors discuss study implications and suggest future research directions. PMID:27148100

  7. A Cross-cultural Examination of SNS Usage Intensity and Managing Interpersonal Relationships Online: The Role of Culture and the Autonomous-Related Self-Construal

    Directory of Open Access Journals (Sweden)

    Lee eSoon Li

    2016-04-01

    Full Text Available Perception of the autonomy and relatedness of the self may be influenced by one’s experiences and social expectations within a particular cultural setting. The present research examined the role of culture and the Autonomous-Related self-construal in predicting for different aspects of Social Networking Sites (SNS usage in three Asian countries, especially focusing on those aspects serving interpersonal goals. Participants in this cross-cultural study included 305 university students from Malaysia (n = 105, South Korea (n = 113, and China (n = 87. The study explored specific social and interpersonal behaviors on SNS, such as browsing the contacts’ profiles, checking for updates, and improving contact with SNS contacts, as well as the intensity of SNS use, hypothesizing that those with high intensity of use in the Asian context may be doing so to achieve the social goal of maintaining contact and keeping updated with friends. Two scales measuring activities on other users’ profiles and contact with friends’ profiles were developed and validated. As predicted, some cross-cultural differences were found. Koreans were more likely to use SNS to increase contact but tended to spend less time browsing contacts’ profiles than the Malaysians and Chinese. The intensity of SNS use differed between the countries as well, where Malaysians reported higher intensity than Koreans and Chinese. Consistent with study predictions, Koreans were found with the highest Autonomous-Related self-construal scores. The Autonomous-Related self-construal predicted SNS intensity. The findings suggest that cultural contexts, along with the way the self is construed in different cultures, may encourage different types of SNS usage. The authors discuss study implications and suggest future research directions.

  8. A Cross-Cultural Examination of SNS Usage Intensity and Managing Interpersonal Relationships Online: The Role of Culture and the Autonomous-Related Self-Construal.

    Science.gov (United States)

    Lee, Soon Li; Kim, Jung-Ae; Golden, Karen Jennifer; Kim, Jae-Hwi; Park, Miriam Sang-Ah

    2016-01-01

    Perception of the autonomy and relatedness of the self may be influenced by one's experiences and social expectations within a particular cultural setting. The present research examined the role of culture and the Autonomous-Related self-construal in predicting for different aspects of Social Networking Sites (SNS) usage in three Asian countries, especially focusing on those aspects serving interpersonal goals. Participants in this cross-cultural study included 305 university students from Malaysia (n = 105), South Korea (n = 113), and China (n = 87). The study explored specific social and interpersonal behaviors on SNS, such as browsing the contacts' profiles, checking for updates, and improving contact with SNS contacts, as well as the intensity of SNS use, hypothesizing that those with high intensity of use in the Asian context may be doing so to achieve the social goal of maintaining contact and keeping updated with friends. Two scales measuring activities on other users' profiles and contact with friends' profiles were developed and validated. As predicted, some cross-cultural differences were found. Koreans were more likely to use SNS to increase contact but tended to spend less time browsing contacts' profiles than the Malaysians and Chinese. The intensity of SNS use differed between the countries as well, where Malaysians reported higher intensity than Koreans and Chinese. Consistent with study predictions, Koreans were found with the highest Autonomous-Related self-construal scores. The Autonomous-Related self-construal predicted SNS intensity. The findings suggest that cultural contexts, along with the way the self is construed in different cultures, may encourage different types of SNS usage. The authors discuss study implications and suggest future research directions. PMID:27148100

  9. Environmental consequences of intensive harvesting

    International Nuclear Information System (INIS)

    Sustainable deployment of bioenergy production systems requires that we achieve the ability to predict the impact of intensive harvesting on forest site productivity. During the period 1992-94, collaborators in International Energy Agency Bioenergy Agreement (IEA/BA) Task IX Activity ''Environmental consequences of intensive harvesting'' have refined protocols for conducting field and laboratory research designed to reduce uncertainty associated with predictive models; have published comprehensive reviews of the state of our knowledge related to long-term productivity in intensively managed forests; have sought to improve our understanding of recent research advances on theoretical and empirical levels in the areas of carbon cycling, sustainable forest management, and managing site fertility; and to direct this information to developing acceptable and efficient bioenergy production systems. This paper summarises the findings of these efforts, and indicates where future international collaboration is required to achieve the predictive ability required by the IEA/BA. (Author)

  10. Management

    OpenAIRE

    Pípalová, Jana

    2013-01-01

    This bachelor's thesis deals with the topic "Management in the Organisation". The term "management" is explained with several definitions by various authors and subsequently analysed in theoretical basis the environmental influences which affect the organization are described and explained in this work. The history of the management is also included, in which every historical period is briefly described, and important representatives are mentioned. Another part deals with the term manager. T...

  11. Aliki Varvogli, Travel and Dislocation in Contemporary American Fiction.

    OpenAIRE

    Feleki, Despoina

    2015-01-01

    Travel and Dislocation in Contemporary American Fiction by Aliki Varvogli is the latest addition in the Routledge “Transnational Perspectives on American Literature” series. The writer’s ambitions to trace latest writing trends in American letters and update concerns about narratives of immigration in a post-Nelson Mandela era are expressed from the onset. Within the context of travel narratives and theories of dislocation, the book manages to show how the idea of the American in American let...

  12. American Houses

    Institute of Scientific and Technical Information of China (English)

    张梦华

    2004-01-01

    American houses usually have private kitchens,a living room and sometimes separate areas for eating and watching television,A house usually has its own mailbox,a yard with plants or perhaps a lawn,and a place to store garbage out of sight.

  13. Colorado Plateau Rapid Ecoregion Assessment Management Question H1: Where are high-use recreation sites, developments, roads, infrastructure or areas of intensive recreation use located (including boating)?

    Data.gov (United States)

    Bureau of Land Management, Department of the Interior — This map shows areas of high-use recreation, including recreation sites compiled from USFS and BLM, recreation areas (including OHV areas), water-based recreation...

  14. American Headache Society

    Science.gov (United States)

    ... Us American Migraine Foundation Login THE AMERICAN Headache Society is a professional society of health care providers dedicated to the study ... MIGRAINE MOMENT” FILM CONTEST WINNERS The American Headache Society and American Migraine Foundation, the AHS’s charitable division, ...

  15. Cancer and African Americans

    Science.gov (United States)

    ... Population Profiles > Black/African American > Cancer Cancer and African Americans African Americans have the highest mortality rate ... 65MB] At a glance – Top Cancer Sites for African Americans (2008-2012) Cancer Incidence Rates per 100, ...

  16. American Sign Language

    Science.gov (United States)

    ... Health Info » Voice, Speech, and Language American Sign Language On this page: What is American Sign Language? ... signs "I love you." What is American Sign Language? American Sign Language (ASL) is a complete, complex ...

  17. Integration of fertility management and planting distance on diseases incidence, crop yield and fruit quality in intensive organic ap-ple production systems.

    OpenAIRE

    Pedersen, Senior scientist Hanne Lindhard

    2006-01-01

    To optimise the fruit quality and yield, timing and type of nitrogen supply were investigated in a low input organic system with intensive planting densi-ties. Six fertiliser treatments and 3 planting densities were combined for the apple cultivar ‘Discovery’ in 2004 and 2005. No differences appeared between yields due to soil treatments. Mulching with straw reduced the available nitrogen in the soil and low nitrogen uptake caused less trees infected with fruit tree canker. Mechanical weed cl...

  18. French intensive truck garden

    Energy Technology Data Exchange (ETDEWEB)

    Edwards, T D

    1983-01-01

    The French Intensive approach to truck gardening has the potential to provide substantially higher yields and lower per acre costs than do conventional farming techniques. It was the intent of this grant to show that there is the potential to accomplish the gains that the French Intensive method has to offer. It is obvious that locally grown food can greatly reduce transportation energy costs but when there is the consideration of higher efficiencies there will also be energy cost reductions due to lower fertilizer and pesticide useage. As with any farming technique, there is a substantial time interval for complete soil recovery after there have been made substantial soil modifications. There were major crop improvements even though there was such a short time since the soil had been greatly disturbed. It was also the intent of this grant to accomplish two other major objectives: first, the garden was managed under organic techniques which meant that there were no chemical fertilizers or synthetic pesticides to be used. Second, the garden was constructed so that a handicapped person in a wheelchair could manage and have a higher degree of self sufficiency with the garden. As an overall result, I would say that the garden has taken the first step of success and each year should become better.

  19. MEDUCATE trial : effectiveness of an intensive EDUCATional intervention for IT-mediated MEDication management in the outpatient clinic - study protocol for a cluster randomized controlled trial

    NARCIS (Netherlands)

    van Stiphout, F; Zwart-van Rijkom, J E F; Aarts, J E C M; Koffijberg, H; Klarenbeek-deJonge, E; Krulder, M; Roes, K C B; Egberts, A C G; ter Braak, E W M T

    2015-01-01

    BACKGROUND: Using information technology for medication management is an opportunity to help physicians to improve the quality of their documentation and communication and ultimately to improve patient care and patient safety. Physician education is necessary to take full advantage of information te

  20. MEDUCATE trial: effectiveness of an intensive EDUCATional intervention for IT-mediated MEDication management in the outpatient clinic – study protocol for a cluster randomized controlled trial

    NARCIS (Netherlands)

    Stiphout, van F.; Zwart-van Rijkom, J.E.F.; Aarts, J.E.C.M.; Koffijberg, H.; Klarenbeek-de Jonge, E.; Krulder, M.; Roes, K.C.B.; Egberts, A.C.G.; Braak, ter E.W.M.T.

    2015-01-01

    Background Using information technology for medication management is an opportunity to help physicians to improve the quality of their documentation and communication and ultimately to improve patient care and patient safety. Physician education is necessary to take full advantage of information tec

  1. MEDUCATE trial: Effectiveness of an intensive EDUCATional intervention for IT-mediated MEDication management in the outpatient clinic - study protocol for a cluster randomized controlled trial

    NARCIS (Netherlands)

    F. van Stiphout; J.E.F. Zwart-van Rijkom (Jeannette); J.E.C.M. Aarts (Jos); H. Koffijberg (Hendrik); E. Klarenbeek-deJonge; M. Krulder; K.C. Roes (Kit); A.C.G. Egberts (Antoine); E.W.M.T. ter Braak

    2015-01-01

    textabstractBackground: Using information technology for medication management is an opportunity to help physicians to improve the quality of their documentation and communication and ultimately to improve patient care and patient safety. Physician education is necessary to take full advantage of in

  2. Advocating for Whole Health: The Role of the Mental Health Professional in Promoting Diet, Nutrition, and Management of Physical Disease with American Indian Clients

    Science.gov (United States)

    Harper, Faith G.

    2010-01-01

    A strong correlation between mental health issues, substance abuse issues, and diabetes has been found within the American Indian (AI) community. This multimorbidity exists at higher rates than any other population within the United States. As research shows that more AI are living outside of tribal statistical areas and opting to receive services…

  3. Classification of knowledge-intensive organizations

    Science.gov (United States)

    Marquart, Edward J.

    Managing knowledge workers in knowledge-intensive organizations has become important because knowledge itself is emerging as a primary sustainable competitive advantage. This dissertation traces the development of two important items related to knowledge-intensive organizations. First, it documents a careful study of the literature which allows for the construction of a Knowledge-Intensity Continuum. This continuum then forms the basis for the development of a Knowledge-Intensity Assessment survey instrument which allows an organization to be placed along this continuum. A cross-section of research, consulting, and manufacturing organizations was surveyed using this instrument. The findings provided evidence that supports the validity of the Knowledge-Intensity Continuum. Additionally, onsite interviews provided evidence that the Knowledge-Intensity Assessment survey can be used as a tool to locate any organization on this continuum. Using this survey to clearly identify knowledge-intensive organizations will allow for further research into effective management systems for knowledge workers in these organizations.

  4. Time to rethink the management intensity in a Mediterranean oak woodland: the response of insectivorous birds and leaf-chewing defoliators as key groups in the forest ecosystem

    OpenAIRE

    Pereira, Pedro; Godinho, Carlos; Roque, Inês; Marques, Ana; Branco, Manuela; Rabaça, João E.

    2012-01-01

    International audience & Context The Iberian cork oak Quercus suber montados are dynamic agro-silvo-pastoral systems, contrasting with the abandonment trend of other Mediterranean forested areas. & Aims We aimed to identify the effect of management type and vegetation features on breeding insectivorous birds and leaf-chewing defoliator insects. & Methods In central Portugal, we selected two groups of 20 sites: dense montados (DM, high cover of cork oaks and low cattle impact) and sparse mo...

  5. South American perspectives

    Energy Technology Data Exchange (ETDEWEB)

    Moxon, S.

    1999-03-01

    South America still has enormous potential for the further development of hydroelectric power. The reasons why much of the potential remains untapped are discussed and here environmental considerations are prominent: to a lesser extent, war, military coups, corruption, bad management and hyperinflation have all contributed. Some examples of disastrous South American hydro projects are given. Argentina sees a possible solution in using international contractors. However, privatisation has produced some success stories, notably the Canon del Plato hydro plant in Peru and the Duqueco project in Chile. (UK)

  6. Protracted results of dose-intensive therapy using cyclophosphamide, carmustine, and continuous infusion etoposide with autologous stem cell support in patients with relapse or refractory Hodgkin's disease: a phase II study from the North American Marrow Transplant Group.

    Science.gov (United States)

    Fleming, D R; Wolff, S N; Fay, J W; Brown, R A; Lynch, J P; Bolwell, B J; Stevens, D A; Goodman, S A; Greer, J P; Stein, R S; Pineiro, L A; Collins, R H; Goldsmith, L J; Herzig, G P; Herzig, R H

    1999-09-01

    To determine the long-term results of high-dose chemotherapy and stem cell support in relapsed or primary refractory Hodgkin disease patients. One hundred and thirty-one patients with relapsed or primary refractory Hodgkin's disease were treated with a dose-intensive therapy protocol consisting of etoposide (2400 mg/m2 continuous intravenous infusion) cyclophosphamide (7200 mg/m2 intravenously), and carmustine (300-600 mg/m2 intravenously) CBVi. All patients had previously failed conventional chemoradiotherapy. Severe toxicities were related to infectious, hepatic, and pulmonary complications. Fatal, regimen-related toxicity was 19%; liver and lung dysfunction, as well as infection, were the most frequent problems. Ninety-one (69%) of the patients achieved a complete response (CR) (95% CI = 59% to 75%) after CBVi and autologous stem cell infusion. With a median follow-up of 5.1 years (range 3.0 to 9.5 years), overall and event-free survival are 44% (95% CI = 33% to 47%) and 38% (95% CI = 28% to 46%) respectively. While univariate analysis did not reveal a statistically significant variable to predict a better response, responsiveness to therapy demonstrated a trend. We conclude that CBVi is an effective therapy for relapsed or refractory Hodgkin's disease, producing long-term, durable remissions. PMID:10512166

  7. Management

    OpenAIRE

    Ughetto, Pascal

    2012-01-01

    International audience Quand il s'agit de rendre compte du travail et de ses conditions, le management exerce autant un fort pouvoir de séduction que de répulsion. Le travail d'aujourd'hui est directement confronté à l'empire des dispositifs de gestion. Il importe de reconstituer les mondes sociaux du management - le top management, les directions spécialisées, les cadres de terrain - si l'on veut comprendre où et comment se jouent les marges de manoeuvre accordées à l'activité de travail ...

  8. Management

    OpenAIRE

    2008-01-01

    La globalisation des activités avec son lot de relocalisations, d’alliances stratégiques par-delà les frontières, défie les pratiques traditionnelles du management, nécessairement construites sur les systèmes nationaux. Cas pratiques à l’appui (dont Aventis, BASF, Novartis ou Siemens), les auteurs, tous deux professeurs de management international, détaillent en les analysant les nouveaux impératifs de management et d’organisation que doivent affronter les entreprises. Ils distinguent clairem...

  9. 2012年美国非酒精性脂肪性肝病诊疗指南解读%A clinical interpretation of 2012 American guideline on the diagnosis and management of nonalcoholic fatty liver disease

    Institute of Scientific and Technical Information of China (English)

    沈峰; 范建高

    2012-01-01

    近10年来,随着对非酒精性脂肪性肝病流行病学和自然史认识的持续加深、诊断技术的飞速进步以及治疗手段的不断更新,针对非酒精性脂肪性肝病的诊疗取得了巨大进展.2012年,美国肝病学会、胃肠病学院和胃肠病学会对非酒精性脂肪性肝病诊疗相关问题进行总结,明确了大量临床工作中的具体问题.文章对指南中重点结论进行归纳,并与现有非酒精性脂肪性肝病的指南进行比较,以促进非酒精性脂肪性肝病诊疗的规范化.%Based on the increasingly growing knowledge of the epidemiology and natural history of nonalcoholic fatty liver disease (NAFI.D) .noticeable advances have been made in diagnostic procedures,therapeutic and preventative approaches, and clinical management for NAFLD patients in the past decade. In 2012,the American association for the study of liver diseases , American College of Gastroenterology, and the American Gastroenterological Association issued practice guideline on the diagnosis and management of NAFLD. The paper summarizes key points of this guideline and compare it with other guidelines on NAFLD to assist physicians and other health care providers in the clinical decision-making process.

  10. A mixed methods inquiry: How dairy farmers perceive the value(s of their involvement in an intensive dairy herd health management program

    Directory of Open Access Journals (Sweden)

    Kristensen Erling

    2008-12-01

    Full Text Available Abstract Background Research has been scarce when it comes to the motivational and behavioral sides of farmers' expectations related to dairy herd health management programs. The objectives of this study were to explore farmers' expectations related to participation in a health management program by: 1 identifying important ambitions, goals and subjective well-being among farmers, 2 submitting those data to a quantitative analysis thereby characterizing perspective(s of value added by health management programs among farmers; and 3 to characterize perceptions of farmers' goals among veterinarians. Methods The subject was initially explored by means of literature, interviews and discussions with farmers, herd health management consultants and researchers to provide an understanding (a concourse of the research entity. The concourse was then broken down into 46 statements. Sixteen Danish dairy farmers and 18 veterinarians associated with one large nationwide veterinary practice were asked to rank the 46 statements that defined the concourse. Next, a principal component analysis was applied to identify correlated statements and thus families of perspectives between respondents. Q-methodology was utilized to represent each of the statements by one row and each respondent by one column in the matrix. A subset of the farmers participated in a series of semi-structured interviews to face validate the concourse and to discuss subjects like animal welfare, veterinarians' competences as experienced by the farmers and time constraints in the farmers' everyday life. Results Farmers' views could be described by four families of perspectives: Teamwork, Animal welfare, Knowledge dissemination, and Production. Veterinarians believed that farmers' primary focus was on production and profit, however, farmers' valued teamwork and animal welfare more. Conclusion The veterinarians in this study appear to focus too much on financial performance and increased

  11. Management of infections in critically ill returning travellers in the intensive care unit—I: considerations on infection control and transmission of resistance

    Directory of Open Access Journals (Sweden)

    Hakan Leblebicioglu

    2016-07-01

    Full Text Available Depending on their destinations and activities, international travellers are at a significant risk of contracting both communicable and non-communicable diseases. On return to their home countries, such travellers may require intensive care. The emergence of severe acute respiratory syndrome coronavirus (SARS-CoV and Middle East respiratory syndrome coronavirus (MERS-CoV, and more recently Ebola haemorrhagic fever, has highlighted the risks. Other well-known communicable pathogens such as methicillin-resistant Staphylococcus aureus and carbapenemase-producing Enterobacteriaceae have been described previously. However, malaria remains by far the most important cause of death. The issues related to imported antibiotic resistance and protection from highly contagious diseases are reviewed here. Surveillance strategies based on epidemiological data (country visited, duration of travel, and time elapsed since return and clinical syndromes, together with systematic search policies, are usually mandatory to limit the risk of an outbreak. Single-bed hospital rooms and isolation according to symptoms should be the rule while awaiting laboratory test results. Because person-to-person contact is the main route of transmission, healthcare workers should implement specific prevention strategies.

  12. Management of infections in critically ill returning travellers in the intensive care unit-I: considerations on infection control and transmission of resistance.

    Science.gov (United States)

    Leblebicioglu, Hakan; Rodriguez-Morales, Alfonso J; Rossolini, Gian Maria; López-Vélez, Rogelio; Zahar, Jean-Ralph; Rello, Jordi

    2016-07-01

    Depending on their destinations and activities, international travellers are at a significant risk of contracting both communicable and non-communicable diseases. On return to their home countries, such travellers may require intensive care. The emergence of severe acute respiratory syndrome coronavirus (SARS-CoV) and Middle East respiratory syndrome coronavirus (MERS-CoV), and more recently Ebola haemorrhagic fever, has highlighted the risks. Other well-known communicable pathogens such as methicillin-resistant Staphylococcus aureus and carbapenemase-producing Enterobacteriaceae have been described previously. However, malaria remains by far the most important cause of death. The issues related to imported antibiotic resistance and protection from highly contagious diseases are reviewed here. Surveillance strategies based on epidemiological data (country visited, duration of travel, and time elapsed since return) and clinical syndromes, together with systematic search policies, are usually mandatory to limit the risk of an outbreak. Single-bed hospital rooms and isolation according to symptoms should be the rule while awaiting laboratory test results. Because person-to-person contact is the main route of transmission, healthcare workers should implement specific prevention strategies. PMID:27134158

  13. Self-Management in Pediatric Inflammatory Bowel Disease: A Clinical Report of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition

    OpenAIRE

    Hommel, Kevin A.; Greenley, Rachel N.; Maddux, Michele Herzer; Gray, Wendy N.; Mackner, Laura M.

    2013-01-01

    This clinical report aims to review key self-management and adherence issues in pediatric inflammatory bowel disease (IBD) and to provide recommendations for health care providers regarding evidence-based assessment and treatment approaches to promote optimal self-management. Self-management difficulties in the form of nonadherence to treatment regimens are common in pediatric IBD and are influenced by various disease-related, individual, family, and health-professional relationship factors. ...

  14. Management

    OpenAIRE

    2009-01-01

    L’internationalisation des entreprises a fait naître de nouveaux défis managériaux, qu’ils soient notamment d’ordre environnemental ou culturel. Le manuel d’OESTERLE/SCHMID les intègre ici dans une nouvelle approche du management international. Son évolution en tant que discipline d’enseignement et de recherche à part entière, voisine de la gestion d’entreprise (Betriebswirtschaftslehre), est ici traitée par des responsables scientifiques et économiques de haut rang. On découvrira par ailleur...

  15. Regulatory Practices on Ageing Management and Long Term Operation of Nuclear Power Plants in the Ibero-American Region. Results of the FORO/IAEA Programme on Nuclear and Radiation Safety in Ibero-America

    International Nuclear Information System (INIS)

    Although the operating lifetime of a nuclear power plant was originally anticipated to be in the range of 30-40 years, 200 of the 434 currently in operation are over 30 years old. In this context, Member States have assigned high priority to continuing the operation of nuclear power plants beyond the lifetime initially planned - while also maintaining the highest safety conditions possible. It is thus essential to encourage international cooperative efforts in the development of safety regulatory practices on ageing management and long term operation. Established in 1997, the Ibero-American Forum of Radiological and Nuclear Regulatory Agencies (FORO) aims to strengthen its members' radiological and nuclear safety regulatory organizations. Through a regional network of radiological and nuclear safety regulators, States in the Ibero-American region have worked together to strengthen radiation protection for patients, to improve safety at radiation installations, to tightten controls on radioactive sources used in medicine, agriculture and industry, and to improve safety and security at nuclear power plants. Since FORO's creation, it has cooperated with the IAEA in areas of mututal interest, and a technical programme administered by the IAEA was established in 2003 and formalized in Practical Arrangements signed in 2010. This publication presents the results of the 2009-2010 FORO/IAEA project on regulatory practices on ageing management and safety considerations for extending the operating lifetime of nuclear power plants. The purpose of the project was to provide nuclear regulators in the region with guidance on regulatory criteria, assessment, regulatory inspection and periodic safety reviews relating to ageing management and long term operation of nuclear power plants. The results are presented in a set of four reports, with guidelines for FORO members and a summary report of the project. These reports contain valuable information for the development of future

  16. A computer-assisted recording, diagnosis and management of the medically ill system for use in the intensive care unit: A preliminary report

    Directory of Open Access Journals (Sweden)

    John George

    2009-01-01

    Full Text Available Background: Computerized medical information systems have been popularized over the last two decades to improve quality and safety, and for decreasing medical errors. Aim: To develop a clinician-friendly computer-based support system in the intensive care unit (ICU that incorporates recording, reminders, alerts, checklists and diagnostic differentials for common conditions encountered in critical care. Materials and Methods: This project was carried out at the Medical ICU CMC Hospital, Vellore, in collaboration with the Computer Science Department, VIT University. The first phase was to design and develop monitoring and medication sheets. Terminologies such as checklists (intervention list that pops up at defined times for all patients, reminders (intervention unique to each patient and alerts (time-based, value-based, trend-based were defined. The diagnostic and intervention bundles were characterized in the second phase. The accuracy and reliability of the software to generate alerts, reminders and diagnoses was tested in the third phase. The fourth phase will be to integrate this with the hospital information system and the bedside monitors. Results: Alpha testing was performed using six scenarios written by intensivists. The software generated real-time alerts and reminders and provided diagnostic differentials relevant to critical care. Predefined interventions for each diagnostic possibility appeared as pop-ups. Problems identified during alpha testing were rectified prior to beta testing. Conclusions: The use of a computer-assisted monitoring, recording and diagnostic system appears promising. It is envisaged that further software refinements following beta testing would facilitate the improvement of quality and safety in the critical care environment.

  17. How Active Are Older Americans?

    Directory of Open Access Journals (Sweden)

    Judy Kruger, PhD

    2007-07-01

    Full Text Available IntroductionRegular physical activity can reduce age-related functional decline, as well people’s risk for chronic diseases such as coronary heart disease, hypertension, colon cancer, and diabetes. The objective of this study was to estimate the level of participation in aerobic, muscle-strengthening, and flexibility activities among Americans aged 50 years or older.MethodsUsing population-based data from the 2001 National Health Interview Survey, we classified qualified respondents (N = 11,969 according to whether they met the activity criteria used in Healthy People 2010 goals for leisure-time participation in regular aerobic physical activity, vigorous-intensity aerobic activity, strength-training activity, and flexibility activity. We also classified respondents according to their level of aerobic activity (i.e., inactive, insufficiently active, and regularly active.ResultsWe estimated that 46.4% of older Americans engaged in no leisure-time aerobic activity; that 26.1% were regularly active (participated in light- to moderate-intensity aerobic activities at least 5 days per week for at least 30 minutes or vigorous-intensity activities at least 3 days per week for at least 20 minutes; that 16.2% participated in vigorous-intensity aerobic activities at least 3 days per week for at least 20 minutes; that 13.7% participated in strength-training activities at least 2 days per week; and that 24.5% participated in flexibility activities at least 1 day per week. Among the 26.1% of older Americans who were regularly active, 30.5% engaged in strengthen-training activities at least 2 days per week. Overall, only 8.2% of older Americans met the criteria for both aerobic and strength-training activity.ConclusionAs of 2001, the percentage of older Americans who met recommended activity levels of physical activity were well below the goals for U.S. adults in Healthy People 2010. Further efforts are needed to encourage older Americans to engage in

  18. Obesity and African Americans

    Science.gov (United States)

    ... Data > Minority Population Profiles > Black/African American > Obesity Obesity and African Americans African American women have the ... ss6304.pdf [PDF | 3.38MB] HEALTH IMPACT OF OBESITY More than 80 percent of people with type ...

  19. The patient experience of intensive care

    DEFF Research Database (Denmark)

    Egerod, Ingrid; Bergbom, Ingegerd; Lindahl, Berit;

    2015-01-01

    BACKGROUND: Sedation practices in the intensive care unit have evolved from deep sedation and paralysis toward lighter sedation and better pain management. The new paradigm of sedation has enabled early mobilization and optimized mechanical ventilator weaning. Intensive care units in the Nordic c...... state, where they face the choice of life or death. Caring nurses and family members play an important role in assisting the patient to transition back to life.......BACKGROUND: Sedation practices in the intensive care unit have evolved from deep sedation and paralysis toward lighter sedation and better pain management. The new paradigm of sedation has enabled early mobilization and optimized mechanical ventilator weaning. Intensive care units in the Nordic...... countries have been particularly close to goals of lighter or no sedation and a more humane approach to intensive care. OBJECTIVES: The aim of our study was to systematically review and reinterpret newer Nordic studies of the patient experience of intensive care to obtain a contemporary description of human...

  20. Review on the Disillusionment of Gatsby’s American Dream

    Institute of Scientific and Technical Information of China (English)

    王艳丽

    2014-01-01

    As a spokesperson of the Jazz Age, the American famous novelist F· Scott Fitzgerald who published his masterpiece The Great Gatsby in 1925 is recognized as one of the most important novelists in American literature history. With profound meaning, it is considered as a classic novel revealing the ilusory essence of the American dream. By narrating Gatsby's life, the author skilfuly interprets the conflict between the dream and reality as wel as the intense clash of the spiritual desire and substantial desire in real life. And ultimately Gatsby’s destruction in such conflicts is linked with American history, which implies national tragedy of the United States and satirizes ilusion of American dream.

  1. Influence of airway management strategy on "no-flow-time" during an "Advanced life support course" for intensive care nurses – A single rescuer resuscitation manikin study

    Directory of Open Access Journals (Sweden)

    Bahr Jan

    2008-04-01

    Full Text Available Abstract Background In 1999, the laryngeal tube (VBM Medizintechnik, Sulz, Germany was introduced as a new supraglottic airway. It was designed to allow either spontaneous breathing or controlled ventilation during anaesthesia; additionally it may serve as an alternative to endotracheal intubation, or bag-mask ventilation during resuscitation. Several variations of this supraglottic airway exist. In our study, we compared ventilation with the laryngeal tube suction for single use (LTS-D and a bag-mask device. One of the main points of the revised ERC 2005 guidelines is a low no-flow-time (NFT. The NFT is defined as the time during which no chest compression occurs. Traditionally during the first few minutes of resuscitation NFT is very high. We evaluated the hypothesis that utilization of the LTS-D could reduce the NFT compared to bag-mask ventilation (BMV during simulated cardiac arrest in a single rescuer manikin study. Methods Participants were studied during a one day advanced life support (ALS course. Two scenarios of arrhythmias requiring defibrillation were simulated in a manikin. One scenario required subjects to establish the airway with a LTS-D; alternatively, the second scenario required them to use BMV. The scenario duration was 430 seconds for the LTS-D scenario, and 420 seconds for the BMV scenario, respectively. Experienced ICU nurses were recruited as study subjects. Participants were randomly assigned to one of the two groups first (LTS-D and BMV to establish the airway. Endpoints were the total NFT during the scenario, the successful airway management using the respective device, and participants' preference of one of the two strategies for airway management. Results Utilization of the LTS-D reduced NFT significantly (p Conclusion In our manikin study, NFT was reduced significantly when using LTS-D compared to BMV. During cardiac arrest, the LTS-D might be a good alternative to BMV for providing and maintaining a patent airway

  2. 浅析“三集五大”体系下县级供电企业管理工作的探讨%Management of County-level Power Supply Enterprise under the"Three-Intensive Management and Five-Large Scale Development"System

    Institute of Scientific and Technical Information of China (English)

    张曙光

    2013-01-01

    China State Grid Corp vigorously promotes the"new countryside, new power, new service"development strategy and"Three-Intensive Management and Five-Large Scale Development"key work, which requires grass-roots power supply company to innovate the new mechanism of rural power management. Many power companies constructed the new mechanism of rural power management from new management idea, standard construction, training management, special rectification and performance management in view of the reality, and had achieved obvious effects through practical application. "Three-Intensive Management and Five-Large Scale Development" is put forward in the company's development strategy, and it implements two changes: changing the mode of enterprise development, changing the mode of power grid development. According to the requirements of group operation, intensive development, lean management, and standardization construction, they should implement the intensive management to human resources, financial, and materials, and construct large-scale planning, construction, operation, production, marketing system, and realize the transformation of the development mode of the company, as well as construct strong and smart grid with the backbone of UHV power grid and coordinated development of power at all levels and with informatization, automation, interactive features to realize the transformation of development mode. This paper made analysis on how to carry out the management work of electric power enterprise in the system reform of"Three-Intensive Management and Five-Large Scale Development".%  国家电网公司大力推进“新农村、新电力、新服务”发展战略和“三集五大”重点工作,要求基层供电公司创新农电管理新机制。很多电力公司针对现实情况,从新的管理理念宣贯、标准建设、培训管理、专项整治和绩效管理等五方面初步构建了农电管理新机制,通过实际应用取得了明显的

  3. Sequential chemotherapy and intensity-modulated radiation therapy in the management of locoregionally advanced nasopharyngeal carcinoma: Experience of 370 consecutive cases

    International Nuclear Information System (INIS)

    To investigate the outcome of locoregionally advanced nasopharyngeal carcinoma (NPC) treated with intensity-modulated radiation therapy (IMRT) after induction chemotherapy, with or without concomitant chemotherapy. Between August 2003 and March 2007, 370 patients with locoregionally advanced NPC were treated with IMRT. Presenting stages were stage IIB in 62, stage III in 197, and stage IVA/B in 111 patients. All patients except for 36 patients with cervical lymphadenopathy of 4 cm or less in diameter received 2 cycles of cisplatin-based neoadjuvant chemotherapy. Forty-eight patients received cisplatin-based concurrent chemotherapy as well. With a median follow-up time of 31 months (range 5 to 61 months), the 3-year local control, regional control, metastasis-free survival (MFS), disease-free survival (DFS) and overall survival (OS) rates were 95%, 97%, 86%, 81% and 89%, respectively. Multivariate analyses revealed that both age (≤ 60 vs. >60) and N-classification are significant prognosticators for OS (P = 0.001, hazard ratio [HR] 2.395, 95% confidence interval [CI] 1.432-4.003; P = 0.012, hazard ratio [HR] 2.614, 95% confidence interval [CI] 1.235-5.533); And N-classification is the only significant predicative factor for MFS (P = 0.002, [HR] 1.99, 95% CI 1.279-3.098). T-classification and concurrent chemotherapy were not significant prognostic factors for local/regional control, MFS, DFS, or OS. Subgroup analysis revealed that concurrent chemotherapy provided no significant benefit to IMRT in locoregionally advanced NPC, but was responsible for higher rates of grade 3 or 4 acute toxicities (50% vs. 29.8%, P < 0.005). No grade 3 or 4 late toxicity including xerostomia was observed. However, two patients treated with IMRT and neoadjuvant but without concurrent and adjuvant chemotherapy died of treatment related complications. IMRT following neoadjuvant chemotherapy produced a superb outcome in terms of local control, regional control, MFS, DFS, and OS rates in

  4. Effect of Increasing Experience on Dosimetric and Clinical Outcomes in the Management of Malignant Pleural Mesothelioma With Intensity-Modulated Radiation Therapy

    Energy Technology Data Exchange (ETDEWEB)

    Patel, Pretesh R., E-mail: patel073@mc.duke.edu [Department of Radiation Oncology, Duke University Medical Center, Durham, North Carolina (United States); Yoo, Sua [Department of Radiation Oncology, Duke University Medical Center, Durham, North Carolina (United States); Broadwater, Gloria [Cancer Center Biostatistics, Duke University Medical Center, Durham, North Carolina (United States); Marks, Lawrence B. [Department of Radiation Oncology, University of North Carolina, Chapel Hill, North Carolina (United States); Miles, Edward F. [Naval Medical Center, Portsmouth, Virginia (United States); D' Amico, Thomas A.; Harpole, David [Department of Surgery, Division of Thoracic Surgery, Duke University Medical Center, Durham, North Carolina (United States); Kelsey, Chris R. [Department of Radiation Oncology, Duke University Medical Center, Durham, North Carolina (United States)

    2012-05-01

    Purpose: To assess the impact of increasing experience with intensity-modulated radiation therapy (IMRT) after extrapleural pneumonectomy (EPP) for malignant pleural mesothelioma (MPM). Methods and Materials: The records of all patients who received IMRT following EPP at Duke University Medical Center between 2005 and 2010 were reviewed. Target volumes included the preoperative extent of the pleural space, chest wall incisions, involved nodal stations, and a boost to close/positive surgical margins if applicable. Patients were typically treated with 9-11 beams with gantry angles, collimator rotations, and beam apertures manually fixed to avoid the contalateral lung and to optimize target coverage. Toxicity was graded retrospectively using National Cancer Institute common toxicity criteria version 4.0. Target coverage and contralateral lung irradiation were evaluated over time by using linear regression. Local control, disease-free survival, and overall survival rates were estimated using the Kaplan-Meier method. Results: Thirty patients received IMRT following EPP; 21 patients also received systemic chemotherapy. Median follow-up was 15 months. The median dose prescribed to the entire ipsilateral hemithorax was 45 Gy (range, 40-50.4 Gy) with a boost of 8-25 Gy in 9 patients. Median survival was 23.2 months. Two-year local control, disease-free survival, and overall survival rates were 47%, 34%, and 50%, respectively. Increasing experience planning MPM cases was associated with improved coverage of planning target volumes (P=.04). Similarly, mean lung dose (P<.01) and lung V5 (volume receiving 5 Gy or more; P<.01) values decreased with increasing experience. Lung toxicity developed after IMRT in 4 (13%) patients at a median of 2.2 months after RT (three grade 3-4 and one grade 5). Lung toxicity developed in 4 of the initial 15 patients vs none of the last 15 patients treated. Conclusions: With increasing experience, target volume coverage improved and dose to the

  5. Effect of Increasing Experience on Dosimetric and Clinical Outcomes in the Management of Malignant Pleural Mesothelioma With Intensity-Modulated Radiation Therapy

    International Nuclear Information System (INIS)

    Purpose: To assess the impact of increasing experience with intensity-modulated radiation therapy (IMRT) after extrapleural pneumonectomy (EPP) for malignant pleural mesothelioma (MPM). Methods and Materials: The records of all patients who received IMRT following EPP at Duke University Medical Center between 2005 and 2010 were reviewed. Target volumes included the preoperative extent of the pleural space, chest wall incisions, involved nodal stations, and a boost to close/positive surgical margins if applicable. Patients were typically treated with 9-11 beams with gantry angles, collimator rotations, and beam apertures manually fixed to avoid the contalateral lung and to optimize target coverage. Toxicity was graded retrospectively using National Cancer Institute common toxicity criteria version 4.0. Target coverage and contralateral lung irradiation were evaluated over time by using linear regression. Local control, disease-free survival, and overall survival rates were estimated using the Kaplan-Meier method. Results: Thirty patients received IMRT following EPP; 21 patients also received systemic chemotherapy. Median follow-up was 15 months. The median dose prescribed to the entire ipsilateral hemithorax was 45 Gy (range, 40-50.4 Gy) with a boost of 8-25 Gy in 9 patients. Median survival was 23.2 months. Two-year local control, disease-free survival, and overall survival rates were 47%, 34%, and 50%, respectively. Increasing experience planning MPM cases was associated with improved coverage of planning target volumes (P=.04). Similarly, mean lung dose (P<.01) and lung V5 (volume receiving 5 Gy or more; P<.01) values decreased with increasing experience. Lung toxicity developed after IMRT in 4 (13%) patients at a median of 2.2 months after RT (three grade 3-4 and one grade 5). Lung toxicity developed in 4 of the initial 15 patients vs none of the last 15 patients treated. Conclusions: With increasing experience, target volume coverage improved and dose to the

  6. ICU重症患者的肠内营养的护理管理%Of Enteral Nutrition in Patients with ICU Intensive Care Management

    Institute of Scientific and Technical Information of China (English)

    徐静

    2015-01-01

    因为重症监护病人代谢状态非常高,有很大概率会发生免疫衰竭和代谢障碍状况,从而增加感染几率,甚至引起细胞功能的损坏。一般情况下这种病人不能自主进食,常选择肠内营养补给办法确保病人摄取营养。针对这种情况,该研究分析了ICU重症病房患者肠内营养护理管理效果。%Because ICU patients’s metabolism is fast, the probability of immune failure and metabolic disorders is high as a result of increasing the risk of infection and even lead to the damage of cellular function. Generally speaking,patients can-not eat independently,so we can choose enteral nutrition supply method to ensure their nutrition intake ability. According to this situation, this thesis analyzes the effect of enteral nutrition for ICU patients of nursing management.

  7. Of Enteral Nutrition in Patients with ICU Intensive Care Management%ICU重症患者的肠内营养的护理管理

    Institute of Scientific and Technical Information of China (English)

    徐静

    2015-01-01

    因为重症监护病人代谢状态非常高,有很大概率会发生免疫衰竭和代谢障碍状况,从而增加感染几率,甚至引起细胞功能的损坏。一般情况下这种病人不能自主进食,常选择肠内营养补给办法确保病人摄取营养。针对这种情况,该研究分析了ICU重症病房患者肠内营养护理管理效果。%Because ICU patients’s metabolism is fast, the probability of immune failure and metabolic disorders is high as a result of increasing the risk of infection and even lead to the damage of cellular function. Generally speaking,patients can-not eat independently,so we can choose enteral nutrition supply method to ensure their nutrition intake ability. According to this situation, this thesis analyzes the effect of enteral nutrition for ICU patients of nursing management.

  8. American Recovery and Reinvestment Act (ARRA) Federal Energy Management Program Technical Assistance Project 282 Renewable Energy Opportunities at Fort Gordon, Georgia

    Energy Technology Data Exchange (ETDEWEB)

    Boyd, Brian K.; Gorrissen, Willy J.; Hand, James R.; Horner, Jacob A.; Orrell, Alice C.; Russo, Bryan J.; Weimar, Mark R.; Williamson, Jennifer L.; Nesse, Ronald J.

    2010-09-30

    This document provides an overview of renewable resource potential at Fort Gordon, based primarily upon analysis of secondary data sources supplemented with limited on-site evaluations. This effort focuses on grid-connected generation of electricity from renewable energy sources and also on ground source heat pumps for heating and cooling buildings. The effort was funded by the American Recovery and Reinvestment Act (ARRA) as follow-on to the 2005 Department of Defense (DoD) Renewables Assessment. The site visit to Fort Gordon took place on March 9, 2010.

  9. Historiography, American Theatre, and the First Americans.

    Science.gov (United States)

    Jenkins, Linda Walsh

    American theatre history should include a study of Native American performances, since these performances are rich with "American" symbolic materials such as imagery, symbols, and heraldic visions of animals and landscapes. Indian cultures understood the importance of performance for both the visionary and the community at large. Even the pow-wow…

  10. Sediment Fingerprinting in Intensively Managed Landscapes: Application of an Enhanced Bayesian Un-mixing Framework that accounts for Spatiotemporal Heterogeneity to Study Intra-Seasonal Trends in Source Contributions

    Science.gov (United States)

    Abban, B. K.; Papanicolaou, T.; Wilson, C. G.; Abaci, O.; Wacha, K.; Schnoebelen, D. J.; Rhoads, B. L.; Yu, M.

    2015-12-01

    We apply an enhanced revision of a Bayesian un-mixing framework for estimating sediment source contributions to an intensively managed watershed in the US Midwest that is characterized by spatiotemporal heterogeneity. The framework has two key parameters, namely a and b, that account for spatial origin attributes and the time history of sediments delivered to the watershed outlet, respectively. The probabilistic treatment of these parameters incorporates variability in source erosion processes, as well as the delivery times and storage of eroded material within the watershed. Uncertainty in source contribution estimates in our approach is quantified naturally through the use of Markov Chain Monte Carlo simulations for estimating the posterior probability density functions. The studied watershed is the 26 km² South Amana Sub-Watershed located within the Clear Creek Watershed (CCW), IA, which is part of the Critical Zone Observatory for Intensively Managed Landscapes (IML-CZO). Utilizing stable isotopes of C and N, the Bayesian framework predicted trends in mean source contributions and uncertainty that were in agreement with observations from other studies. Terrestrial sources were found to dominate sediment contributions in the earlier stages of the growing season when land cover was small and the hydrologic forcing was large. Instream sources became more dominate during the latter stages when land cover was well-established and more extensive. Also, the effects of spatial heterogeneity and sediment travel time and delivery on uncertainty in sources contribution estimates were adequately captured. The results clearly showed a reduction in uncertainty when watershed connectivity was greatest and considerable amounts of material were delivered to the collection point at the outlet. On-going application of the framework to the Upper Sangamon River Basin (USRB), which also part of the IML-CZO and has distinct features from CCW, is expected to shed more light on the

  11. Gerenciamento de tecnologia em terapia intensiva Gerenciamiento de tecnología en terapia intensiva Management of technology in Intensive Care Units

    Directory of Open Access Journals (Sweden)

    Cátia Romano Madureira

    2000-12-01

    especificaciones técnico- operacionales de los manuales de los equipos.The lives of hospitalized patients depend on diagnostic-therapeutic procedures and on the care provided by the health team. It also depends on the quality and availability of factors such as: physical structure and material and human and financial resources. The need to optimize these resources and re-establish patients' health has brought about the Intensive Care Units (ICU, whose design must consider the physical environment and clinical equipment which are indispensable in health care. Aiming at identifying the level of knowledge of health professionals as to technical and operational information in equipment manuals and the perception of the interviewed professionals in relation to the adequacy of the physical and electrical installations of such units, we conducted a descriptive study in an ICU of a public hospital in Salvador, Brazil. The results show that such installations were considered to be unsuitable for the safe development of activities and that most of the health team members did not know the technical or operational specifications in the equipment manuals.

  12. Update in the Management of Intensive Care Medicine%重症医学治疗措施调整临床研究进展

    Institute of Scientific and Technical Information of China (English)

    刘相德

    2014-01-01

    近年来,新的临床随机试验结果提示,目前重症医学领域应用的一些传统治疗方法需要调整。本文通过收集整理近年来报道的随机临床试验研究结果,归纳了需要调整的一些治疗方法:(1)控制液体输入量对急性呼吸窘迫综合征(ARDS)患者有益。肺动脉插管不再是ARDS的常规应用方法。(2)尽管激素能改善氧合作用,如果ARDS发病14 d以后才开始应用激素治疗,其最终治疗效果不佳。(3)对于机械通气的患者,每日试着终止应用镇静药物,并尽早让患者处于清醒状态,有助于获得良好治疗效果。(4)休克患者大量应用胰岛素可能导致低血糖症,并可能导致多种并发症。(5)对于脓毒症休克患者,激素可能有助于快速逆转休克的恶化,但是对病死率的改善作用仍有争议。(6)垂体后叶素有助于改善休克患者血流动力学,但是与降低病死率无关。(7)与去甲肾上腺素相比,多巴胺对于休克患者心脏的副作用更大。%Findings of recent new clinical trials in critically ill patients indicate that several traditional treatment strategies in critical care need to be modified.The author reviewed recent literatures of clinical trials on critically ill patients and summa-rized as following changes in the practice.(1 )In patients with ARDS,fluid restriction gives better outcomes than a liberal fluid policy.A pulmonary arterial catheter is no longer necessary to be a routine procedure in ARDS.(2)Although cortico-steroids may improve oxygenation,late use of corticosteroids in ARDS patients (>14 days after diagnosis)is not indicated and may increase risk of death.(3)Daily interruption of sedation and early awakening of mechanically ventilated patients is safe and may shorten the length of ventilation.(4)Intensive insulin therapy in shock patient is associated with hypoglycemia and can cause many complications.(5

  13. 美国公共图书馆管理者认证项目的借鉴与思考%Thinking and Learning of the Manager Accreditation Program of American Public Library

    Institute of Scientific and Technical Information of China (English)

    徐欣禄

    2011-01-01

    The library manager plays an important role in the library development, and decides the future and efficiency of the library to the great extent. Therefore, we should learn from the Manager Accreditation Program of American Public Library, make clear knowledge structure, professional quality and business skill of library managers, in order to improve the professional quality of library mangers and make them obtain better professional opportunities.%在图书馆事业发展中,图书馆管理者起着至关重要的作用,在很大程度上决定着图书馆的发展好坏,决定着图书馆办馆效益的发挥。因此,我国公共图书馆可以借鉴美国公共图书馆管理者认证项目对管理者知识结构、职业素养和业务技能提出的要求,对图书馆管理者进行培训,从而提高管理者的专业素质,使其获得更多的就业机会。

  14. Dengue e dengue hemorrágico: aspectos do manejo na unidade de terapia intensiva Dengue and dengue hemorrhagic fever: management issues in an intensive care unit

    Directory of Open Access Journals (Sweden)

    Sunit Singhi

    2007-05-01

    this review, a literature search was made on Pubmed and on the World Health Organization (WHO and PAHO websites using the terms dengue and dengue shock syndrome. This information was complemented with personal practice. SUMMARY OF THE FINDINGS: Dengue is the most important arthropod-borne viral disease of humans. Its presentation is protean and varies from an undifferentiated viral syndrome to hemorrhagic fever and severe shock. Dengue fever is a self-limiting, nonspecific illness characterized by fever, headache, myalgia, and constitutional symptoms. Its severe forms (hemorrhagic fever and shock syndrome may lead to multisystem involvement and death. Early diagnosis, close monitoring for deterioration and response to treatment are necessary in all cases. WHO has provided a stepwise approach to management that is useful for milder forms and early shock. In the more severe forms aggressive fluid resuscitation and support for failing organs is necessary for the critically ill patient. Research addressing pathophysiological differences between dengue shock and septic shock, choice of fluids, inotropes and techniques of organ support are likely to yield benefits for the critically ill. CONCLUSIONS: There is no specific therapy for dengue infections. Good supportive care may be lifesaving, but ultimately initiatives aimed at vector control and prevention of mosquito bites may provide the greatest benefits.

  15. Utilizing findings from a gender-based analysis to address chronic disease prevention and management among African-American women in a Michigan community.

    Science.gov (United States)

    Lombard, Wendy; Burke, Jodi; Waddell, Sandra; Franke, Arthur

    2015-08-01

    This research note underscores the importance of including strategies to address gender-based disparities when planning and implementing community health improvement programs. Working in collaboration with the Inkster Partnership for a Healthier Community (IPHC), the National Kidney Foundation of Michigan conducted a gender-based analysis as part of its broader community health needs assessment efforts in Inkster, MI. The findings from these studies revealed significant challenges impacting women that were not being adequately addressed within the community. In response to these findings, the IPHC created a strategic action plan to respond to the highest priority needs by increasing community awareness of and linkages to resources that provide supportive services for low-income African-American women. PMID:25542367

  16. 心血管病医院外科ICU护士分层管理体验的质性研究%A qualitative research on the experience of nurse stratified management in surgical intensive care unit in cardiovascular hospital

    Institute of Scientific and Technical Information of China (English)

    薛梅; 李庆印; 石丽; 贾艳; 杨戎

    2013-01-01

    目的 探讨医护人员对外科ICU护士分层管理的体验.方法 采用定性研究方法,对8名从事外科ICU工作的护士长、主任及临床医生进行访谈,并运用Claizzi分析程序进行资料分析.结果 外科ICU护士分层使用模式发挥了管理效能,护理组长任职条件更全面,此模式基本合理,但在普通病区仍不成熟.结论 护士分层使用适用于心血管外科ICU,有利于不同层级护士管理职能的发挥.%Objective To explore the experience of nurse stratified management in surgical intensive care unit (ICU). Methods The qualitative research method was adopted,and 8 experts engaged in surgical ICU,including head nurses,directors and clinical doctors were interviewed. The Claizzi analysis method was employed to analyze the data. Results The nurse stratified model played the management efficiency in surgical ICU. Qualifications of team leaders were more comprehensive. This model was basically reasonable in ICU,but the general ward was still not mature. Conclusion The nurse stratified using is suitable for cardiovascular surgical ICU and in favor of the management functions of nurses in different levels.

  17. A modeling framework for integrated harvest and habitat management of North American waterfowl: Case-study of northern pintail metapopulation dynamics

    Science.gov (United States)

    Mattsson, B.J.; Runge, M.C.; Devries, J.H.; Boomer, G.S.; Eadie, J.M.; Haukos, D.A.; Fleskes, J.P.; Koons, D.N.; Thogmartin, W.E.; Clark, R.G.

    2012-01-01

    We developed and evaluated the performance of a metapopulation model enabling managers to examine, for the first time, the consequences of alternative management strategies involving habitat conditions and hunting on both harvest opportunity and carrying capacity (i.e., equilibrium population size in the absence of harvest) for migratory waterfowl at a continental scale. Our focus is on the northern pintail (Anas acuta; hereafter, pintail), which serves as a useful model species to examine the potential for integrating waterfowl harvest and habitat management in North America. We developed submodel structure capturing important processes for pintail populations during breeding, fall migration, winter, and spring migration while encompassing spatial structure representing three core breeding areas and two core nonbreeding areas. A number of continental-scale predictions from our baseline parameterization (e.g., carrying capacity of 5.5 million, equilibrium population size of 2.9 million and harvest rate of 12% at maximum sustained yield [MSY]) were within 10% of those from the pintail harvest strategy under current use by the U.S. Fish and Wildlife Service. To begin investigating the interaction of harvest and habitat management, we examined equilibrium population conditions for pintail at the continental scale across a range of harvest rates while perturbing model parameters to represent: (1) a 10% increase in breeding habitat quality in the Prairie Pothole population (PR); and (2) a 10% increase in nonbreeding habitat quantity along in the Gulf Coast (GC). Based on our model and analysis, a greater increase in carrying capacity and sustainable harvest was seen when increasing a proxy for habitat quality in the Prairie Pothole population. This finding and underlying assumptions must be critically evaluated, however, before specific management recommendations can be made. To make such recommendations, we require (1) extended, refined submodels with additional

  18. Management

    OpenAIRE

    2010-01-01

    Expert en psychologie sociale et en recherche sociale appliquée, E. WALTER-BUSCH revient ici sur la genèse de l’étude du facteur humain dans l’entreprise. Il évoque dans un premier temps l’engagement social de grands entrepreneurs allemands et américains, pour s’attarder ensuite sur les précurseurs du management et de la recherche sociale appliquée. Dès lors, quels sont les points d’achoppement et les facteurs de réussite en matière de ma­nagement du personnel ? Le second livre répond à ces q...

  19. Iowa Intensive Archaeological Survey

    Data.gov (United States)

    Iowa State University GIS Support and Research Facility — This shape file contains intensive level archaeological survey areas for the state of Iowa. All intensive Phase I surveys that are submitted to the State Historic...

  20. Fears of American Children Following Terrorism

    Science.gov (United States)

    Burnham, Joy J.; Hooper, Lisa M.

    2008-01-01

    Two months after 9/11, the fears of children and adolescents in Grades 2-12 were examined utilizing the American Fear Survey Schedule for Children and Adolescents (FSSC-AM). Fear intensity scores and age and gender differences are reported. Terrorist-related content on the FSSC-AM (e.g., terrorist attacks, our country being invading by enemies)…

  1. Rainfed intensive crop systems

    DEFF Research Database (Denmark)

    Olesen, Jørgen E

    2014-01-01

    This chapter focuses on the importance of intensive cropping systems in contributing to the world supply of food and feed. The impact of climate change on intensive crop production systems is also discussed.......This chapter focuses on the importance of intensive cropping systems in contributing to the world supply of food and feed. The impact of climate change on intensive crop production systems is also discussed....

  2. Intensity modulated proton therapy

    OpenAIRE

    Kooy, H. M.; Grassberger, C

    2015-01-01

    Intensity modulated proton therapy (IMPT) implies the electromagnetic spatial control of well-circumscribed “pencil beams” of protons of variable energy and intensity. Proton pencil beams take advantage of the charged-particle Bragg peak—the characteristic peak of dose at the end of range—combined with the modulation of pencil beam variables to create target-local modulations in dose that achieves the dose objectives. IMPT improves on X-ray intensity modulated beams (intensity modulated radio...

  3. Asian American-Pacific American Relations: The Asian American Perspective.

    Science.gov (United States)

    Chan, Sucheng

    This paper examines the migration and settlement history of Asians into the United States and the interaction of the major Asian immigrants with each other and with American society. An important thesis is that, because the differences between Asian Americans and Pacific Islanders are much greater than the similarities between them, they should no…

  4. The role for saxagliptin within the management of type 2 diabetes mellitus: an update from the 2010 European Association for the Study of Diabetes (EASD 46th annual meeting and the American Diabetes Association (ADA 70th scientific session

    Directory of Open Access Journals (Sweden)

    Aschner Pablo J

    2010-12-01

    Full Text Available Abstract Saxagliptin is a potent, selective DPP4 inhibitor. Highlights from abstracts presented at the 2010 meetings of the European Association for the Study of Diabetes and the American Diabetes Association include studies and analyses that shed light on the promising role for saxagliptin within the management of type 2 diabetes mellitus. Data show that saxagliptin combination therapy improves HbA1c levels compared with placebo, particularly in patients with high HbA1c at baseline, long duration of disease, low baseline creatinine clearance, and low homeostasis model assessment 2 β-cell function at baseline. These efficacy benefits are achieved without any increase in hypoglycemia or other adverse events. The study results also show that the saxagliptin plus metformin combination is a good candidate for initial therapy in drug-naïve patients treated for as long as 72 weeks. Survey data presented confirm that hypoglycemia (and fear of hypoglycemia is a barrier to patients' acceptance of diabetes treatment, limiting its efficacy. Therefore, therapies such as saxagliptin that have a low risk of hypoglycemia may be more acceptable to patients in helping them to achieve glycemic control and to optimize their quality of life. In patients with renal impairment, for whom metformin is contraindicated, saxagliptin monotherapy is a promising option for antidiabetic management as, when given at a reduced dose, it is well-tolerated with a safety profile similar to that of placebo.

  5. Stochastic conditional intensity processes

    DEFF Research Database (Denmark)

    Bauwens, Luc; Hautsch, Nikolaus

    2006-01-01

    model allows for a wide range of (cross-)autocorrelation structures in multivariate point processes. The model is estimated by simulated maximum likelihood (SML) using the efficient importance sampling (EIS) technique. By modeling price intensities based on NYSE trading, we provide significant evidence......In this article, we introduce the so-called stochastic conditional intensity (SCI) model by extending Russell’s (1999) autoregressive conditional intensity (ACI) model by a latent common dynamic factor that jointly drives the individual intensity components. We show by simulations that the proposed...... for a joint latent factor and show that its inclusion allows for an improved and more parsimonious specification of the multivariate intensity process...

  6. High intensity hadron accelerators

    International Nuclear Information System (INIS)

    In this paper we give an introductory discussion of high intensity hadron accelerators with special emphasis on the high intensity feature. The topics selected for this discussion are: Types of acclerator - The principal actions of an accelerator are to confine and to accelerate a particle beam. Focusing - This is a discussion of the confinement of single particles. Intensity limitations - These are related to confinement of intense beams of particles. Power economics - Considerations related to acceleration of intense beams of particles. Heavy ion kinematics - The adaptation of accelerators to accelerate all types of heavy ions

  7. 高职课程教学过程与酒店管理深度融合的研究%On Intensive Integration of Teaching Process at Higher Vocational Colleges with Hotel Management

    Institute of Scientific and Technical Information of China (English)

    池爱文

    2014-01-01

    一些高职毕业生在就业初期的表现差强人意,令就业单位和学校感到担忧,究其原因是由于学生对就业岗位缺乏成熟的认知。文章在对毕业生就业适应性调查的基础上,以课程教学过程为切入点,从职业态度、工作环境、与人合作能力三方面探析了高职课程教学过程与酒店管理深度融合的方式。%Many graduates ’ performance at the beginning of their employment is barely satisfactory ,which wor-ries employers and schools .As a matter of fact ,it is due to students ’ lack of understandings of their positions . This paper ,based on an employment adaptability survey of the graduates ,explores the approaches of the inten-sive integration of the teaching process and hotel management at higher vocational colleges in terms of profes -sional attitude ,working environment and cooperative ability .

  8. Radiation therapy technology innovations applied to the treatment of head and neck patients: - Clinical results of Intensity Modulated Radiotherapy (IMRT), - Contribution of Image Guided Radiotherapy (IGRT) in the management of head and neck patients treated with IMRT

    International Nuclear Information System (INIS)

    Numerous and exciting technological innovations were recently developed in radiotherapy. We aimed to assess benefits in two specific fields. 1) Clinical results of Intensity Modulated Radiotherapy (IMRT) applied to the treatment of Head and Neck (H and N) patients. The first study was a long-term mono-centric prospective registration of all H and N patients treated with IMRT in our institution. Locoregional control was excellent and toxicities limited. Recurrences were in-field. Dosimetric recommendations (parotids mean dose) were established. The second study assessed the impact of IMRT on health-related quality of life for H and N patients through a multicentric matched-pair comparison with conventional radiotherapy. Outstanding benefits were observed particularly in the fields of salivary dysfunction and oral discomfort. 2) Contribution of Image Guided Radiotherapy (IGRT) in the management of H and N patients treated with IMRT. The first study was a monitoring of delivered dose, using 3D dose recalculation from Megavoltage Cone-Beam CT (CBCT), as a quality assurance measure of a panel of H and N IMRT patients aligned with IGRT. Dosimetric consequences of anatomical changes were assessed. Contribution of color-coded MVCBCT dose-difference maps was studied. The aim of the second study was to quantify the inherent relative mobility between anatomic regions of the H and N area and to assess the dosimetric impact of several different matching procedures. Recommendations for the use of CBCT images in a daily practice were established. (author)

  9. Managing Debts

    Science.gov (United States)

    Lawyer, Josephine H.

    1977-01-01

    Problems of people in debt are briefly discussed; recommendations are made for future home economics programs in family financial and debt management that would help to remedy the lack of knowledge and skills of the American consumer in these areas. (TA)

  10. Native Americans, regional drought and tree Island evolution in the Florida Everglades

    Science.gov (United States)

    Bernhardt, C.

    2011-01-01

    This study uses palynologic data to determine the effects of regional climate variability and human activity on the formation and development of tree islands during the last ~4000 years. Although prolonged periods of aridity have been invoked as one mechanism for their formation, Native American land use has also been hypothesized as a driver of tree island development. Using pollen assemblages from head and near tail sediments collected on two tree islands and documented archeological data, the relative roles of Native Americans, climate variability, and recent water-management practices in forming and structuring Everglades tree islands are examined. The timing of changes recorded in the pollen record indicates that tree islands developed from sawgrass marshes ~3800 cal. yr BP, prior to human occupation. Major tree island expansion, recorded near tail sediments, occurred ~1000 years after initial tree island formation. Comparison of the timing of pollen assemblages with other proxy records indicates that tree island expansion is related to regional and global aridity correlated with southward migration of the Intertropical Convergence Zone. Local fire associated with droughts may also have influenced tree island expansion. This work suggests that Native American occupation did not significantly influence tree island formation and that the most important factors governing tree island expansion are extreme hydrologic events due to droughts and intense twentieth century water management.

  11. American Society of Echocardiography

    Science.gov (United States)

    American Society of Echocardiography Join Ase Member Portal Log In Membership Member Portal Log In Join ASE Renew Benefits Rates FASE – Fellow of the American Society of Echocardiography Member Referral Program FAQs Initiatives Advocacy ...

  12. American Urogynecologic Society

    Science.gov (United States)

    ... Patient Site » PFD Registry » Contact Us American Urogynecologic Society 1100 Wayne Avenue, Suite 670 Silver Spring, MD ... Us | Privacy Policy | HONcode Accredited © 2016 American Urogynecologic Society. All rights reserved.

  13. North American Spine Society

    Science.gov (United States)

    ... Coverage Recommendations SpineLine Renew Membership NORTH AMERICAN SPINE SOCIETY BURR RIDGE, IL 7075 Veterans Blvd. Burr Ridge, ... NASS Contact Us © Copyright 2016 North American Spine Society | Terms Of Use | Privacy Statement

  14. American Epilepsy Society

    Science.gov (United States)

    ... a Doctor | Donate main search Search American Epilepsy Society CLINICAL RESOURCES FAQs GUIDELINES IOM EPILEPSY MEDICAL MARIJUANA ... RENEW VOLUNTEER FAES: FELLOW OF THE AMERICAN EPILEPSY SOCIETY MAILING LIST PURCHASE FOR PATIENTS EPILEPSY BENEFIT INTERNATIONAL ...

  15. American Society of Transplantation

    Science.gov (United States)

    ... Trials in Transplantation September 13, 2016 The American Society of Transplantation and its Transplantation & Immunology Research Network ... Learn More Donate Donate Donate to the American Society of Transplantation Advertisement member spotlight View all Joanna ...

  16. American Cancer Society

    Science.gov (United States)

    ... Involved Find Local ACS How the American Cancer Society Fights Childhood Cancer Advances in treatment have improved ... long lasting consequences. Learn how the American Cancer Society is working to save more lives from cancer ...

  17. African Americans and Glaucoma

    Science.gov (United States)

    ... Involved News About Us Donate In This Section African Americans and Glaucoma email Send this article to ... glaucoma is the leading cause of blindness in African Americans. Half of those with glaucoma don't ...

  18. American Vitiligo Research Foundation

    Science.gov (United States)

    ... testing. Please Visit Our Donations Page American Vitiligo Research Foundation "We Walk By Faith, Not By Sight" PO ... by Using GoodSearch Copyright 2005 - 2014 American Vitiligo Research Foundation Inc. Disclaimer: Information provided on this website is ...

  19. Obesity and Hispanic Americans

    Science.gov (United States)

    ... and Data > Minority Population Profiles > Hispanic/Latino > Obesity Obesity and Hispanic Americans Among Mexican American women, 77 ... ss6304.pdf [PDF | 3.38MB] HEALTH IMPACT OF OBESITY More than 80 percent of people with type ...

  20. Obesity and Asian Americans

    Science.gov (United States)

    ... and Data > Minority Population Profiles > Asian American > Obesity Obesity and Asian Americans Non-Hispanic whites are 60% ... youthonline . [Accessed 05/25/2016] HEALTH IMPACT OF OBESITY More than 80 percent of people with type ...

  1. Culture and Personality Among European American and Asian American Men

    OpenAIRE

    Eap, Sopagna; DeGarmo, David S.; Kawakami, Ayaka; Hara, Shelley N.; Hall, Gordon C.N.; Teten, Andra L.

    2008-01-01

    Personality differences between Asian American (N = 320) and European American men (N = 242) and also among Asian American ethnic groups (Korean, Chinese, Japanese, Filipino, and mixed Asian) are examined on the Big Five personality dimension. Personality structures for Asian Americans and European Americans closely replicate established norms. However, congruence is greater for European American and highly acculturated Asian American men than for low acculturated Asian American men. Similar ...

  2. Vibration intensity difference thresholds

    OpenAIRE

    Forta, Nazim Gizem

    2009-01-01

    The intensity difference threshold is defined as ‘the difference in the intensity of two stimuli which is just sufficient for their difference to be detected’. The aim of this thesis is to advance understanding of the perception of vibration intensity differences in humans. In addition to increasing understanding of the tactile senses, knowledge of difference perception could inform various applications such as the optimisation of the vibration characteristics of vehicles and ...

  3. Activty- versus Variability-Based Management Accounting

    DEFF Research Database (Denmark)

    Israelsen, Poul

    Bogen var blandt finalisterne til modtagelse af 1994-prisen “Contribution to Management Accounting Literature Award”, som uddeles af "The Management Accounting Section of the American Accounting Association"......Bogen var blandt finalisterne til modtagelse af 1994-prisen “Contribution to Management Accounting Literature Award”, som uddeles af "The Management Accounting Section of the American Accounting Association"...

  4. Diabetes in African Americans

    OpenAIRE

    Marshall, M.

    2005-01-01

    African Americans have a high risk for type 2 diabetes. Genetic traits, the prevalence of obesity, and insulin resistance all contribute to the risk of diabetes in the African American community. African Americans have a high rate of diabetic complications, because of poor glycaemic control and racial disparities in health care in the USA. African Americans with diabetes may have an atypical presentation that simulates type 1 diabetes, but then their subsequent clinical course is typical of t...

  5. Colonial American Astronomy

    Science.gov (United States)

    Yeomans, Donald K.

    2007-12-01

    While a foundation of German scientific methods enabled the rapid growth of North American Astronomy in the nineteenth century, during the seventeenth and most of the eighteenth centuries, the colonial men of science looked only to the English mother country for scientific patronage and guidance. An essay on fundamental astronomy appeared in one of the annual colonial almanacs as early as 1656, telescopic observations were made about 1660 and the first original colonial astronomical work was published by Thomas Danforth on the comet of 1664. By 1671 the Copernican ideas were so espoused at Harvard College that a physics class refused to read a Ptolemaic textbook when it was assigned to them by a senior instructor. At least in the Cambridge-Boston area, contemporary colonialist had access to the most recent scientific publications from the mother country. Observations of the great comet of 1680 by the Almanac maker, John Foster, reached Isaac Newton and were used and gratefully acknowledged in his Principia. During the seventeenth century the colonial interest in astronomy was more intense than it was for other sciences but colonists still occupied a position in the scientific backwater when compared with contemporary European scientists. Nevertheless, the science of astronomy was successfully transplanted from England to North America in the seventeenth century.

  6. African American Suicide

    Science.gov (United States)

    African American Suicide Fact Sheet Based on 2012 Data (2014) Overview • In 2012, 2,357 African Americans completed suicide in the U.S. Of these, ... 46 per 100,000. • The suicide rate for African Americans ages 10-19 was 2.98 per ...

  7. American Indian Recipes.

    Science.gov (United States)

    Gurnoe, Katherine J.; Skjervold, Christian, Ed.

    Presenting some 60 to 70 Native American recipes, this document includes a brief introduction and a suggested reading list (15 citations related to American Indian foods). The introduction identifies five regional Native American cuisines as follows: in the Southwest, peppers and beans were made into chili, soups, guacamole, and barbecue sauces by…

  8. Heart Disease and African Americans

    Science.gov (United States)

    ... Minority Population Profiles > Black/African American > Heart Disease Heart Disease and African Americans Although African American adults are ... were 30 percent more likely to die from heart disease than non-Hispanic whites. African American women are ...

  9. Infant Mortality and African Americans

    Science.gov (United States)

    ... African American > Infant Heath & Mortality Infant Mortality and African Americans African Americans have 2.2 times the infant mortality rate ... birthweight as compared to non-Hispanic white infants. African Americans had almost twice the sudden infant death syndrome ...

  10. Monitoring and Modeling Carbon Dynamics at a Network of Intensive Sites in the USA and Mexico

    Science.gov (United States)

    Birdsey, R.; Wayson, C.; Johnson, K. D.; Pan, Y.; Angeles, G.; De Jong, B. H.; Andrade, J. L.; Dai, Z.

    2013-05-01

    The Forest Services of the USA and Mexico, supported by NASA and USAID, have begun to establish a network of intensive forest carbon monitoring sites. These sites are used for research and teaching, developing forest management practices, and forging links to the needs of communities. Several of the sites have installed eddy flux towers to basic meteorology data and daily estimates of forest carbon uptake and release, the processes that determine forest growth. Field sampling locations at each site provide estimates of forest biomass and carbon stocks, and monitor forest dynamic processes such as growth and mortality rates. Remote sensing facilitates scaling up to the surrounding landscapes. The sites support information requirements for implementing programs such as Reducing Emissions from Deforestation and Forest Degradation (REDD+), enabling communities to receive payments for ecosystem services such as reduced carbon emissions or improved forest management. In addition to providing benchmark data for REDD+ projects, the sites are valuable for validating state and national estimates from satellite remote sensing and the national forest inventory. Data from the sites provide parameters for forest models that support strategic management analysis, and support student training and graduate projects. The intensive monitoring sites may be a model for other countries in Latin America. Coordination among sites in the USA, Mexico and other Latin American countries can ensure harmonization of approaches and data, and share experiences and knowledge among countries with emerging opportunities for implementing REDD+ and other conservation programs.

  11. Benchmarking cow comfort on North American freestall dairies: lameness, leg injuries, lying time, facility design, and management for high-producing Holstein dairy cows.

    Science.gov (United States)

    von Keyserlingk, M A G; Barrientos, A; Ito, K; Galo, E; Weary, D M

    2012-12-01

    In this paper, we describe a novel approach to corporate involvement in on-farm assessment, driven by the desire to provide a service for dairy producers and to create a vehicle for engagement on issues of dairy cow welfare. This program provides producers with feedback on animal-based (including gait score, leg injuries, and lying time) and facility-based (including freestall design, bedding practices, feed bunk design and management, and stocking density) measures that can be used to better address their management goals. The aim of this paper is to describe variation in the prevalence of lameness and leg injuries, lying behavior, facility design, and management practices for high-producing cows on freestall dairy farms in 3 regions of North America: British Columbia (BC; n=42); California (CA; n=39); and the northeastern United States (NE-US; n=40). Prevalence of clinical lameness averaged (mean ± SD) 27.9±14.1% in BC, 30.8±15.5% in CA, and 54.8±16.7% in NE-US; prevalence of severe lameness averaged 7.1±5.4% in BC, 3.6±4.2% in CA, and 8.2±5.6% in NE-US. Overall prevalence of hock injuries was 42.3±26.2% in BC, 56.2±21.6% in CA, and 81.2±22.5% in NE-US; prevalence of severe injuries was 3.7±5.2% in BC, 1.8±3.1% in CA, 5.4±5.9% in NE-US. Prevalence of swollen knees was minimal in CA (0.3±0.6%) but high (23.1±16.3%) in NE-US (not scored in BC). Lying times were similar across regions (11.0±0.7h/d in BC, 10.4±0.8h/d in CA, 10.6±0.9h/d in NE-US), but individual lying times among cows assessed varied (4.2 to 19.5h/d, 3.7 to 17.5h/d, and 2.8 to 20.5h/d in BC, CA, and NE-US, respectively). These results showed considerable variation in lameness and leg injury prevalence as well as facility design and management among freestall farms in North America. Each of the 3 regions had farms with a very low prevalence of lameness and injuries, suggesting great opportunities for improvement on other farms within the region. PMID:23063152

  12. Light intensity compressor

    Science.gov (United States)

    Rushford, Michael C.

    1990-01-01

    In a system for recording images having vastly differing light intensities over the face of the image, a light intensity compressor is provided that utilizes the properties of twisted nematic liquid crystals to compress the image intensity. A photoconductor or photodiode material that is responsive to the wavelength of radiation being recorded is placed adjacent a layer of twisted nematic liquid crystal material. An electric potential applied to a pair of electrodes that are disposed outside of the liquid crystal/photoconductor arrangement to provide an electric field in the vicinity of the liquid crystal material. The electrodes are substantially transparent to the form of radiation being recorded. A pair of crossed polarizers are provided on opposite sides of the liquid crystal. The front polarizer linearly polarizes the light, while the back polarizer cooperates with the front polarizer and the liquid crystal material to compress the intensity of a viewed scene. Light incident upon the intensity compressor activates the photoconductor in proportion to the intensity of the light, thereby varying the field applied to the liquid crystal. The increased field causes the liquid crystal to have less of a twisting effect on the incident linearly polarized light, which will cause an increased percentage of the light to be absorbed by the back polarizer. The intensity of an image may be compressed by forming an image on the light intensity compressor.

  13. Neutron intensity of fast reactor spent fuel

    Energy Technology Data Exchange (ETDEWEB)

    Takamatsu, Misao; Aoyama, Takafumi [Power Reactor and Nuclear Fuel Development Corp., Oarai, Ibaraki (Japan). Oarai Engineering Center

    1998-03-01

    Neutron intensity of spent fuel of the JOYO Mk-II core with a burnup of 62,500 MWd/t and cooling time of 5.2 years was measured at the spent fuel storage pond. The measured data were compared with the calculated values based on the JOYO core management code system `MAGI`, and the average C/E approximately 1.2 was obtained. It was found that the axial neutron intensity didn`t simply follow the burnup distribution, and the neutron intensity was locally increased at the bottom end of the fuel region due to an accumulation of {sup 244}Cm. (author)

  14. Tax planning of R&D intensive multinationals

    OpenAIRE

    Heckemeyer, Jost H.; Richter, Katharina; Spengel, Christoph

    2014-01-01

    The allocation of management and control in the business decision process finds expression in the coordination intensity between agents in the firm. We develop and test a theory, based on the organizational design literature, for the intensity in which the tax department strives to coordinate with managers from other business units in order to intervene in investment decisions. Our theoret- ical considerations predict that R&D intensity is an important determinant of the tax...

  15. Chronic Pain in Older African American Grandparent Caregivers.

    Science.gov (United States)

    Booker, Staja Q

    2016-06-01

    African American grandparent caregiving is increasing, and evidence shows that grandparent caregiving influences health and its management. As older adults age, their potential of experiencing chronic pain increases, and this is profound given that physiological research shows that African Americans, aside from aging, may have a predisposition for developing chronic pain. Research shows older African Americans experience significant chronic pain, but few have discussed the implications of managing chronic pain in older African Americans who have added parental responsibility. Many older African Americans receive home healthcare services and there is a unique role for home healthcare clinicians in caring for this vulnerable population. This article discusses the impact of pain on caregiving, challenges in pain management, and practice and policy implications to assist home healthcare clinicians maintain the safety and protection of both the older grandparent and grandchildren. PMID:27243429

  16. Summary recommendations for responsible monitoring and regulation of clinical software systems. American Medical Informatics Association, The Computer-based Patient Record Institute, The Medical Library Association, The Association of Academic Health Science Libraries, The American Health Information Management Association, and The American Nurses Association.

    Science.gov (United States)

    Miller, R A; Gardner, R M

    1997-11-01

    Clinical software systems are becoming ubiquitous. A growing literature documents how these systems can improve health care delivery, but concerns about patient safety must now be formally addressed. In 1996, the U.S. Food and Drug Administration (FDA) called for discussions on regulation of software programs as medical devices. In response, a consortium of organizations dedicated to improving health care through information technology developed recommendations for the responsible regulation and monitoring of clinical software systems by users, vendors, and regulatory agencies. These recommendations were revised and approved by the American Medical informatics Association Public Policy Committee and Board. Other organizations reviewed, modified, and approved the recommendations, and the Boards of Directors of most of the organizations in the consortium endorsed the guidelines. The consortium proposes four categories of clinical system risk and four classes of monitoring and regulatory action that can be applied on the basis of the risk level. The consortium recommends that most clinical software systems be supervised locally and that developers of health care information systems adopt a code of good business practices. Budgetary and other constraints limit the type and number of systems that the FDA can regulate effectively; therefore, the FDA should exempt most clinical software systems and focus on systems that pose high clinical risk and provide limited opportunity for competent human intervention. PMID:9382409

  17. Intensity Biased PSP Measurement

    Science.gov (United States)

    Subramanian, Chelakara S.; Amer, Tahani R.; Oglesby, Donald M.; Burkett, Cecil G., Jr.

    2000-01-01

    The current pressure sensitive paint (PSP) technique assumes a linear relationship (Stern-Volmer Equation) between intensity ratio (I(sub o)/I) and pressure ratio (P/P(sub o)) over a wide range of pressures (vacuum to ambient or higher). Although this may be valid for some PSPs, in most PSPs the relationship is nonlinear, particularly at low pressures (less than 0.2 psia when the oxygen level is low). This non-linearity can be attributed to variations in the oxygen quenching (de-activation) rates (which otherwise is assumed constant) at these pressures. Other studies suggest that some paints also have non-linear calibrations at high pressures; because of heterogeneous (non-uniform) oxygen diffusion and quenching. Moreover, pressure sensitive paints require correction for the output intensity due to light intensity variation, paint coating variation, model dynamics, wind-off reference pressure variation, and temperature sensitivity. Therefore to minimize the measurement uncertainties due to these causes, an insitu intensity correction method was developed. A non-oxygen quenched paint (which provides a constant intensity at all pressures, called non-pressure sensitive paint, NPSP) was used for the reference intensity (I(sub NPSP) with respect to which all the PSP intensities (I) were measured. The results of this study show that in order to fully reap the benefits of this technique, a totally oxygen impermeable NPSP must be available.

  18. Occupational Profiles of Blacks in Management: Implications for Career Counseling.

    Science.gov (United States)

    McRae, Mary B.; Carter, Robert T.

    1992-01-01

    Conducted study to provide descriptive occupational information on African-American managers for use in career counseling with African-American students considering business management careers. Data from 110 African-American managers revealed employment in variety of businesses/industries. Many respondents held college degrees; majority held…

  19. Teachers' Perceptions of African American Principals' Leadership in Urban Schools.

    Science.gov (United States)

    Jones, Cornel

    2002-01-01

    Examined the perceptions of teachers of color and European American teachers regarding their African American principals' ability to lead successful urban schools. Survey and interview data indicated that in the areas of image management and relationship development, the two groups perceived their principals' leadership differently.(SM)

  20. High-intensity accelerators

    International Nuclear Information System (INIS)

    The design of high-intensity accelerators is described, using examples of machines being built at the Los Alamos National Laboratory. The major design problem with these accelerators is associated with control of beam loss when accelerator intensity is increased. Beam dynamics, beam loss, and the radio-frequency quadrupole structure are discussed in the first part of the chapter followed by an explanation of plans to achieve high-intensity operation in three projects: the Fusion Material Irradiation Tests (a joint effort with the Hanford Development Laboratory in Richland, Washington), the Proton Storage Ring (an addition to the LAMPF accelerator), and the Racetrack Microtron Project

  1. Diarrhea in neonatal intensive care unit

    Institute of Scientific and Technical Information of China (English)

    Annalisa; Passariello; Gianluca; Terrin; Maria; Elisabetta; Baldassarre; Mario; De; Curtis; Roberto; Paludetto; Roberto; Berni; Canani

    2010-01-01

    AIM:To investigate the frequency,etiology,and current management strategies for diarrhea in newborn.METHODS:Retrospective,nationwide study involving 5801 subjects observed in neonatal intensive care units during 3 years.The main anamnesis and demographic characteristics,etiology and characteristics of diarrhea,nutritional and therapeutic management,clinical outcomes were evaluated.RESULTS:Thirty-nine cases of diarrhea(36 acute,3 chronic) were identified.The occurrence rate of diarrhea was 6.72 per 1000 hosp...

  2. Cultural differences in affect intensity perception in the context of advertising

    OpenAIRE

    Pogosyan, Marianna; Jan B Engelmann

    2011-01-01

    Cultural differences in the perception of positive affect intensity within an advertising context were investigated among American, Japanese, and Russian participants. Participants were asked to rate the intensity of facial expressions of positive emotions, which displayed either subtle, low intensity, or salient, high intensity expressions of positive affect. In agreement with previous findings from cross-cultural psychological research, current results demonstrate both cross-cultural ...

  3. Orchestrating intensities and rhythms

    DEFF Research Database (Denmark)

    Staunæs, Dorthe; Juelskjær, Malou

    2016-01-01

    environmentality and learning-centered governance standards has dramatic and performative effects for the production of (educational) subjectivities. This implies a shift from governing identities, categories and structures towards orchestrating affective intensities and rhythms. Finally, the article discusses...

  4. Exploring intense attosecond pulses

    Science.gov (United States)

    Charalambidis, D.; Tzallas, P.; Benis, E. P.; Skantzakis, E.; Maravelias, G.; Nikolopoulos, L. A. A.; Peralta Conde, A.; Tsakiris, G. D.

    2008-02-01

    After introducing the importance of non-linear processes in the extreme-ultra-violet (XUV) spectral regime to the attosecond (asec) pulse metrology and time domain applications, we present two successfully implemented techniques with excellent prospects in generating intense asec pulse trains and isolated asec pulses, respectively. For the generation of pulse trains two-color harmonic generation is exploited. The interferometric polarization gating technique appropriate for the generation of intense isolated asec pulses is discussed and compared to other relevant approaches.

  5. Data-intensive science

    CERN Document Server

    Critchlow, Terence

    2013-01-01

    Data-intensive science has the potential to transform scientific research and quickly translate scientific progress into complete solutions, policies, and economic success. But this collaborative science is still lacking the effective access and exchange of knowledge among scientists, researchers, and policy makers across a range of disciplines. Bringing together leaders from multiple scientific disciplines, Data-Intensive Science shows how a comprehensive integration of various techniques and technological advances can effectively harness the vast amount of data being generated and significan

  6. Inter-American Development Bank Sustainability Report 2012

    OpenAIRE

    Inter-American Development Bank (IDB)

    2013-01-01

    This Sustainability Report covers sustainability progress and performance in the 2012 fiscal year for the Inter-American Development Bank. The Report includes a section on integrated water resources management.

  7. Treatment Acceptability among Mexican American Parents

    Science.gov (United States)

    Borrego, Joaquin, Jr.; Ibanez, Elizabeth S.; Spendlove, Stuart J.; Pemberton, Joy R.

    2007-01-01

    There is a void in the literature with regard to Hispanic parents' views about common interventions for children with behavior problems. The purpose of this study was to examine the treatment acceptability of child management techniques in a Mexican American sample. Parents' acculturation was also examined to determine if it would account for…

  8. Economics at the American Chemistry Council

    OpenAIRE

    Thomas Kevin Swift

    2014-01-01

    This article examines the role of the economics team at the American Chemistry Council, a major trade association representing the leading companies in the business of chemistry. The history of the team, its organization, its role in providing good statistics, monitoring and forecasting business conditions, conducting policy analysis, and thoughts on managing professionals are presented.

  9. Towards higher intensities

    CERN Multimedia

    CERN Bulletin

    2010-01-01

    Over the past 2 weeks, commissioning of the machine protection system has advanced significantly, opening up the possibility of higher intensity collisions at 3.5 TeV. The intensity has been increased from 2 bunches of 1010 protons to 6 bunches of 2x1010 protons. Luminosities of 6x1028 cm-2s-1 have been achieved at the start of fills, a factor of 60 higher than those provided for the first collisions on 30 March.   The recent increase in LHC luminosity as recorded by the experiments. (Graph courtesy of the experiments and M. Ferro-Luzzi) To increase the luminosity further, the commissioning crews are now trying to push up the intensity of the individual proton bunches. After the successful injection of nominal intensity bunches containing 1.1x1011 protons, collisions were subsequently achieved at 450 GeV with these intensities. However, half-way through the first ramping of these nominal intensity bunches to 3.5 TeV on 15 May, a beam instability was observed, leading to partial beam loss...

  10. Close relationships between Asian American and European American college students.

    Science.gov (United States)

    Chen, C; Edwards, K; Young, B; Greenberger, E

    2001-02-01

    The authors examined attitudes and behaviors regarding close relationships between European and Asian Americans, with a particular emphasis on 5 major subgroups of Asian Americans (Chinese, Japanese, Korean, Vietnamese, and Filipino Americans). Participants were 218 Asian American college students and 171 European American college students attending a culturally diverse university. The European Americans did not differentiate among the various subgroups of Asian Americans. Their attitudes regarding close relationships were less positive toward Asian Americans than toward Mexican and African Americans, a finding contrary to the prediction of social exchange theory (H. Tajfel, 1975). In contrast to the European Americans' view of homogeneity among Asian Americans, the 5 major subgroups of Asian Americans expressed a distinctive hierarchy of social preference among themselves. Results are discussed in terms of their implications for future research on interethnic relations involving Asian Americans. PMID:11294169

  11. Strategies for recruiting additional African Americans into the NASA JSC summer faculty fellows program

    Science.gov (United States)

    Hyman, Ladelle M.

    1993-01-01

    African Americans have participated sporadically in the NASA JSC Summer Faculty Fellows Program--none in 1992 and four in 1993. There is a pool of African Americans who are both qualified to provide services and willing to participate in initiatives which support technologies required for future JSC programs. They can provide human support and handle mission operations, spacecraft systems, planet surface systems, and management tools. Most of these faculty teach at historically black colleges and universities (HBCU's). This research will document the current recruitment system, critique it, and develop a strategy which will facilitate the diversification of the NASA JSC Summer Faculty Fellows Program. While NASA currently mails notices to HBCU's, such notices have generated few applications from, and fewer selections of, targeted faculty. To increase the participation of African Americans in the NASA JSC Summer Faculty Fellows Program, this participant will prepare a strategy which includes a document which identifies HBCU-targeted faculty and enumerates more formally extensive and intensive communication procedures. A fifteen-minute panel discussion, which will include a video, will be delivered during the annual meeting of the American Society for Engineering Education (ASEE) to be held in Edmonton, Alberta, Canada, June 26-29, 1994. An announcement letter will be mailed to targeted faculty; follow-up telephone calls and personal visits will be made and a checklist flowchart will be completed by key NASA personnel or designee. Although initially limited to NASA JSC's recruitment of African Americans, this strategy may be broadened to include other NASA sites and other targeted minority groups.

  12. American Studies in Turkey

    OpenAIRE

    Gülriz Buken

    2006-01-01

    In the discipline of American Studies in Turkey, the major contribution emanates, on the one hand, from the American Culture and Literature Departments instituted in various Universities in Turkey and, on the other, from the American Studies Association of Turkey. Up till now, unfortunately, no Research and Performance Institute or Center for the Study of America has yet been established to secure the necessary contacts with other similar institutions in Europe and in the United States, to fa...

  13. AQD recommends semi-intensive milkfish culture

    OpenAIRE

    Sumagaysay, Neila; Baliao, Dan; Rodriguez, Eduard; Coloso, Relicardo; Luckstaedt, Christian

    1998-01-01

    Details are given of a system for semi-intensive milkfish (Chanos chanos) vulture recommended by the SEAFDEC Aquaculture Department, under the following headings: 1) Pond preparation; 2) Pest (snails) control; 3) Pest (tilapia and other fish) control; 4) Fertilizer application; 5) Stocking density in nursery ponds; 6) Stocking density in grow-out ponds; and, 7) Water management.

  14. American College Health Association

    Science.gov (United States)

    ... Dollars at Work Recognizing Donors Find us on social media! Home Contact Us Marketplace Cart Copyright © 2016 American College Health Association | Privacy and Usage Policies | Spokesperson and ...

  15. Pain management in sickle cell disease.

    Science.gov (United States)

    Jacob, E

    2001-12-01

    The unpredictable, recurrent, intense, and frequently persistent nature of pain associated with sickle cell disease poses a difficult challenge in terms of management. A wide variability exists in the way painful episodes are managed. Variations in practice reflect different views about the suitability of opioids, the efficacy of parenteral administration, and the risk of dependence on opioids. Consequently, the acute and chronic pain associated with sickle cell disease often is undertreated or inappropriately managed. Although medical staff fear that patients might abuse pain medication and become psychologically dependent, patients are more concerned about the side effects associated with analgesics. Some patients may persuade staff to give them more analgesics, engage in clock-watching, and request specific medications or dosages; these patients often are perceived as manipulative or demanding. However, these patients are knowledgeable about their medications and doses that have worked in the past. Requests for specific medications and dosages should not be interpreted as indications of drug-seeking behavior, but clinicians should communicate with these patients, make accurate assessments, and provide adequate doses of opioid analgesics. The American Pain Society recognized that the undertreatment of pain and inappropriate management of pain in sickle cell disease seem to be common. A Clinical Practice Guideline was developed to provide evidence-based recommendations that could potentially improve pain management. The purpose of this report is to describe the pharmacologic strategies used to manage pain associated with sickle cell disease, examine issues and challenges related to pain management as well as concerns and fears related to addiction, and explain the administration of opioids as recommended by the American Pain Society. PMID:11748547

  16. Sedation in neurological intensive care unit

    Directory of Open Access Journals (Sweden)

    Birinder S Paul

    2013-01-01

    Full Text Available Analgesia and sedation has been widely used in intensive care units where iatrogenic discomfort often complicates patient management. In neurological patients maximal comfort without diminishing patient responsiveness is desirable. In these patients successful management of sedation and analgesia incorporates a patient based approach that includes detection and management of predisposing and causative factors, including delirium, monitoring using sedation scales, proper medication selection, emphasis on analgesia based drugs and incorporation of protocols or algorithms. So, to optimize care clinician should be familiar with the pharmacokinetic and pharmacodynamic variables that can affect the safety and efficacy of analgesics and sedatives.

  17. Intense positron beams: linacs

    International Nuclear Information System (INIS)

    Beams of monoenergetic positrons with energies of a few eV to many keV have been used in experiments in atomic physics, solid-state physics and materials science. The production of positron beams from a new source, an electron linac, is described. Intense, pulsed beams of low-energy positrons were produced by a high-energy beam from an electron linac. The production efficiency, moderator geometry, beam spot size and other positron beam parameters were determined for electrons with energies from 60 to 120 MeV. Low-energy positron beams produced with a high-energy electron linac can be of much higher intensity than those beams currently derived from radioactive sources. These higher intensity beams will make possible positron experiments previously infeasible. 10 references, 1 figure

  18. The intense neutron generator

    Energy Technology Data Exchange (ETDEWEB)

    Lewis, W.B

    1966-07-01

    The presentation discusses both the economic and research contexts that would be served by producing neutrons in gram quantities at high intensities by electrical means without uranium-235. The revenue from producing radioisotopes is attractive. The array of techniques introduced by the multipurpose 65 megawatt Intense Neutron Generator project includes liquid metal cooling, superconducting magnets for beam bending and focussing, super-conductors for low-loss high-power radiofrequency systems, efficient devices for producing radiofrequency power, plasma physics developments for producing and accelerating hydrogen, ions at high intensity that are still far out from established practice, a multimegawatt high voltage D.C. generating machine that could have several applications. The research fields served relate principally to materials science through neutron-phonon and other quantum interactions as well as through neutron diffraction. Nuclear physics is served through {mu}-, {pi}- and K-meson production. Isotope production enters many fields of applied research. (author)

  19. The intense neutron generator

    International Nuclear Information System (INIS)

    The presentation discusses both the economic and research contexts that would be served by producing neutrons in gram quantities at high intensities by electrical means without uranium-235. The revenue from producing radioisotopes is attractive. The array of techniques introduced by the multipurpose 65 megawatt Intense Neutron Generator project includes liquid metal cooling, superconducting magnets for beam bending and focussing, super-conductors for low-loss high-power radiofrequency systems, efficient devices for producing radiofrequency power, plasma physics developments for producing and accelerating hydrogen, ions at high intensity that are still far out from established practice, a multimegawatt high voltage D.C. generating machine that could have several applications. The research fields served relate principally to materials science through neutron-phonon and other quantum interactions as well as through neutron diffraction. Nuclear physics is served through μ-, π- and K-meson production. Isotope production enters many fields of applied research. (author)

  20. Impacts of Climate Variability on Latin American Small-scale Fisheries

    Directory of Open Access Journals (Sweden)

    Omar Defeo

    2013-12-01

    Full Text Available Small-scale fisheries (SSFs are social-ecological systems that play a critical role in terms of food security and poverty alleviation in Latin America. These fisheries are increasingly threatened by anthropogenic and climatic drivers acting at multiple scales. We review the effects of climate variability on Latin American SSFs, and discuss the combined effects of two additional human drivers: globalization of markets and governance. We show drastic long-term and large-scale effects of climate variability, e.g., sea surface temperature anomalies, wind intensity, sea level, and climatic indices, on SSFs. These variables, acting in concert with economic drivers, have exacerbated stock depletion rates in Latin American SSFs. The impact of these drivers varied according to the life cycle and latitudinal distribution of the target species, the characteristics of the oceanographic systems, and the inherent features of the social systems. Our review highlights the urgent need to improve management and governance systems to promote resilience as a way to cope with the increasing uncertainty about the impacts of climate and globalization of markets on Latin American SSFs.