WorldWideScience

Sample records for appropriations

  1. Appropriability, services and reputation

    NARCIS (Netherlands)

    Dolfsma, W.A.

    2011-01-01

    The appropriability regime (Teece 1986) that innovating service firms face is generally weaker than what firms in manufacturing sectors face. An important means to appropriate benefits from innovation that service firms can use is their reputation. This conceptual paper offers insights into how a fi

  2. Cereals, Appropriability and Hierarchy

    OpenAIRE

    Mayshar, Joram; Moav, Omer; Neeman, Zvika; Pascali, Luigi

    2015-01-01

    We propose that the development of social hierarchy following the Neolithic Revolution was an outcome of the ability of the emergent elite to appropriate cereal crops from farmers and not a result of land productivity, as argued by conventional theory. We argue that cereals are easier to appropriate than roots and tubers, and that regional differences in the suitability of land for different crops explain therefore differences in the formation of hierarchy and states. A simple model illustrat...

  3. Appropriateness of diagnostics tests.

    Science.gov (United States)

    Cappelletti, P

    2016-05-01

    The evolution of the concept of 'appropriateness', in the three past decades, from 'no harm' and 'no waste' to 'medical decision-making' and 'determining outcomes' highlights two main points: its foundation is evidence-based medicine, and it is a quality of every phase of the total testing process, not only for the selection of tests. Nevertheless, appropriateness in Laboratory Hematology, as well as in Laboratory Medicine, is an elusive concept: 'Appropriateness' interplays with 'patient's safety', 'healthcare costs', 'clinical decision-making', and 'effectiveness', and the criteria for appropriateness, mainly adherence to clinical guidelines, are often not evidence-based and not always consensus-based. Moreover, practising appropriateness is a complex issue because of the ambiguity of the criteria and targets, the never-ending work of implementing guidelines and their audit, and the uniqueness of the clinical situation of the individual patient. Authors agree on some practical rules: establishing a multidisciplinary and multiprofessional team, choosing carefully clinical targets, finding or building evidences, sharing guidelines with clinicians, choosing adequate tools for changing, working hard on implementation, identifying the 'right' laboratory methods and processes, checking progress indefinitely, providing information, interpretations, and consultations, and promoting feedback and audits. The success depends on the 'right' combination of educational, operative, and reinforcing interventions. Competences in organization, in implementation science, and in interpersonal relationship management are essential as well as knowledge and experience in Hematology, not only in Laboratory Hematology. PMID:27161094

  4. Appropriation of Information Systems

    DEFF Research Database (Denmark)

    Kjærgaard, Annemette Leonhardt; Jensen, Tina Blegind

    2008-01-01

    This paper explores the use of cognitive mapping for eliciting users' sensemaking during information system (IS) appropriation. Despite the potential usefulness of sensemaking, few studies in IS research use it as a theoretical lens to address IS appropriation. A possible reason for this may be...... that sensemaking does not easily lend itself to be used in practice. We introduce cognitive mapping as a way to elicit users' sensemaking and illustrate its value by reporting on findings from an empirical study of the introduction of an Electronic Patient Record (EPR) system. The contribution of the...

  5. Conceptualization and Appropriation

    DEFF Research Database (Denmark)

    Bossen, Claus; Dalsgård, Peter

    2005-01-01

    parasitic system. First, we argue that the failure of the management's system is caused by the concept of knowledge upon which the system was built. Hence, design of computer systems is as much a question of critical conceptual understanding of its application domain as a question of doing ethnography...... and system development. Second, we argue that the process of design extends far into the process of use and that much can be learned by looking at the process of appropriation of a new system. The problems of conceptualisation and appropriation point towards the need to critically examine the mangle...... of practice in which artefacts, actors and organizations intertwine...

  6. Appropriering, system, bogobjekt

    DEFF Research Database (Denmark)

    Kromann, Thomas Hvid

    og en afpersonaliseringens poetik bliver konstrueret og typologiseret ud fra et heterogent og spredt tekstmateriale. En poetik, der er kendetegnet af en vidtdreven afmytologisering og afpersonalisering af kunstnerrollen og værket. I kapitel 2, Appropriering, analyseres approprieringsteknikker som...... værker af Bjørn Nørgaard, Hans-Jørgen Nielsen, Henning Christiansen, Vagn Steen og Per Kirkeby (i kap. 2, 3 og 4) analyseres eksempler på appropriering, systemer og bogobjekter. Afpersonalisering er som strategi ikke en homogen metode, men derimod en heterogen og individuel praksis, der spænder fra...

  7. Value Appropriation in Business Exchange

    DEFF Research Database (Denmark)

    Ellegaard, Chris; Medlin, Christopher J.; Geersbro, Jens

    2014-01-01

    authors propose four areas with high potential for future research into value appropriation: network position effects, appropriation acts and behaviors, buyer-seller relationship effects, and appropriation over time. Practical implications – Boundary spanning managers acting in industrial markets must......Purpose – Value appropriation is a central, yet neglected aspect in business exchange research. The purpose of the paper is to generate an overview of research on active value appropriation in business exchange and provide the foundation for further research into value appropriation, as well as...... some initial guidance for managers. Design/methodology/approach – Literatures investigating value appropriation were identified by the means of a systematic review of the overall management literature. Findings – The authors provide an overview and comparison of the literatures and find that they apply...

  8. Chemical technology for appropriate development

    NARCIS (Netherlands)

    Van Brakel, J.

    1978-01-01

    'Chemical technology for appropriate development' is basicly a critical review of the literature. It gives a conceptual analysis of so called appropriate technology and the choice of production systems for less-development countries. The role of about 40 organizations active in this emerging field a

  9. The moral appropriateness of shame

    Directory of Open Access Journals (Sweden)

    M. Ally

    2005-07-01

    Full Text Available In this article I explore the much neglected moral emotion of shame and consider the senses in which it may be regarded as morally appropriate. I argue that there is a connection between coming to terms with shame for those who feel ashamed, and judgments concerning its moral appropriateness. The elucidation of normative connections between shame, self-respect and autonomy implies the need to accept certain aspects of shame as regrettable yet, sometimes, as valuable.

  10. The moral appropriateness of shame

    OpenAIRE

    M. Ally

    2005-01-01

    In this article I explore the much neglected moral emotion of shame and consider the senses in which it may be regarded as morally appropriate. I argue that there is a connection between coming to terms with shame for those who feel ashamed, and judgments concerning its moral appropriateness. The elucidation of normative connections between shame, self-respect and autonomy implies the need to accept certain aspects of shame as regrettable yet, sometimes, as valuable.

  11. ACR Appropriateness Criteria Head Trauma.

    Science.gov (United States)

    Shetty, Vilaas S; Reis, Martin N; Aulino, Joseph M; Berger, Kevin L; Broder, Joshua; Choudhri, Asim F; Kendi, A Tuba; Kessler, Marcus M; Kirsch, Claudia F; Luttrull, Michael D; Mechtler, Laszlo L; Prall, J Adair; Raksin, Patricia B; Roth, Christopher J; Sharma, Aseem; West, O Clark; Wintermark, Max; Cornelius, Rebecca S; Bykowski, Julie

    2016-06-01

    Neuroimaging plays an important role in the management of head trauma. Several guidelines have been published for identifying which patients can avoid neuroimaging. Noncontrast head CT is the most appropriate initial examination in patients with minor or mild acute closed head injury who require neuroimaging as well as patients with moderate to severe acute closed head injury. In short-term follow-up neuroimaging of acute traumatic brain injury, CT and MRI may have complementary roles. In subacute to chronic traumatic brain injury, MRI is the most appropriate initial examination, though CT may have a complementary role in select circumstances. Advanced neuroimaging techniques are areas of active research but are not considered routine clinical practice at this time. In suspected intracranial vascular injury, CT angiography or venography or MR angiography or venography is the most appropriate imaging study. In suspected posttraumatic cerebrospinal fluid leak, high-resolution noncontrast skull base CT is the most appropriate initial imaging study to identify the source, with cisternography reserved for problem solving. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every three years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment. PMID:27262056

  12. Appropriate prescribing for older people

    NARCIS (Netherlands)

    Drenth - van Maanen, A.C.

    2013-01-01

    Appropriate prescribing is the result of pharmacotherapeutic decision-making to maximise the net health benefit of treatment, given the resources available. Several risk factors for inappropriate prescribing in older people have been identified, such as polypharmacy, impaired renal function, and fre

  13. Art,authenticity and appropriation

    Institute of Scientific and Technical Information of China (English)

    James O.Young

    2006-01-01

    It is often suggested that artists from one culture(outsiders)cannot successfully employ styles,stories,motifs and other artistic content developed in the context of another culture.I call this suggestion the aesthetic handicap thesis and argue against it.Cultural appropriation can result in works of high aesthetic value.

  14. Appropriate prescribing for older people

    OpenAIRE

    Drenth - van Maanen, A.C.

    2013-01-01

    Appropriate prescribing is the result of pharmacotherapeutic decision-making to maximise the net health benefit of treatment, given the resources available. Several risk factors for inappropriate prescribing in older people have been identified, such as polypharmacy, impaired renal function, and frequent transfers between healthcare settings. The objectives of the studies described in this thesis were to describe the frequency and nature of risk factors for inappropriate prescribing in older ...

  15. ACR Appropriateness Criteria Crohn Disease.

    Science.gov (United States)

    Kim, David H; Carucci, Laura R; Baker, Mark E; Cash, Brooks D; Dillman, Jonathan R; Feig, Barry W; Fowler, Kathryn J; Gage, Kenneth L; Noto, Richard B; Smith, Martin P; Yaghmai, Vahid; Yee, Judy; Lalani, Tasneem

    2015-10-01

    Crohn disease is a chronic inflammatory disorder involving the gastrointestinal tract, characterized by episodic flares and times of remission. Underlying structural damage occurs progressively, with recurrent bouts of inflammation. The diagnosis and management of this disease process is dependent on several clinical, laboratory, imaging, endoscopic, and histologic factors. In recent years, with the maturation of CT enterography, and MR enterography, imaging has played an increasingly important role in relation to Crohn Disease. In addition to these specialized examination modalities, ultrasound and routine CT have potential uses. Fluoroscopy, radiography, and nuclear medicine may be less beneficial depending on the clinical scenario. The imaging modality best suited to evaluating this disease may change, depending on the target population, severity of presentation, and specific clinical situation. This document presents seven clinical scenarios (variants) in both the adult and pediatric populations and rates the appropriateness of the available imaging options. They are summarized in a consolidated table, and the underlying rationale and supporting literature are presented in the accompanying narrative. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every three years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment. PMID:26435118

  16. Academic appropriation and Impact Indicators

    Directory of Open Access Journals (Sweden)

    Wilson López López

    2012-06-01

    Full Text Available The role of appropriation of scientific knowledge and the indicators designed to measure its impact is being hotly debated in Iberoamerica right now. I will separate what I call academic appropriation of knowledge from what many authors have called social appropriation of knowledge. The former isrelated to knowledge communication and transference practices in scientific communities, and the latter has to do with the multiple ways in which knowledge goes to society. This editorial will address academic appropriation.Academic appropriations are found in many levels: the first is that performed by colleagues (peers who use this knowledge, and citations are the indicators of usage. This is a sensitive indicator, and thus vulnerable to citation dynamics in academic communities. For example, communities with low levels of knowledge use are generally endogamic and have low international collaboration.They are also characterised by not easily modifying their citation habits. In this sense, a part of these citations generally make themselves invisible, this is, they do not acknowledge neither their own efforts, not those made by local peer groups (regional, and are negatively paradoxical, even when proclaimed in an anti-mainstream science discourse. At the same time, they downplay their own production or the regional production, and ground their work on the production that they claim to go beyond.On the other hand, research groups with an important output can improve or decrease the visibility of other groups and journals, since the amount of work ends up concentrating citations in particular works or journals, which affects themeasures derived from citation-expressed impacts. In this sense, and as a response with additional elements for assessing academic production, it is suggested that: 1. The quartile of the journal be used, since it gives a more accurate idea of its dynamics and shows the journal in relation to other journals with its variability

  17. Appropriation and dementia in India.

    Science.gov (United States)

    Brijnath, Bianca; Manderson, Lenore

    2011-12-01

    Biomedical technologies like MRI scans offer a way for carers and people with dementia to 'see' pathology, as a means to reorient their perceptions of the body and functionality. Through interpretive and syncretic processes, the MRI and the diagnosis of dementia facilitate the incorporation of the clinical category 'dementia' into social understandings of illness and care in India. Complex shifts occur as families and providers move from socio-cultural explanations of disruption to bio-social etiologies of the disease 'dementia' and then to socio-ecological frameworks of causality. Both the biomedicalisation of illness and the localisation of illness occur as the clinical category 'dementia' is folded into local understandings of illness and care. Through elucidating how the dialectic between biomedical and local knowledge is operationalized, we offer insights into how dementia is absorbed and appropriated into Indian cultural contexts. PMID:21837538

  18. Appropriate technology. [Criteria and recommendations

    Energy Technology Data Exchange (ETDEWEB)

    McRobie, G.

    1979-08-01

    The impact of technology transfers on the work force of developing countries can, if the technology is inappropriate to the needs and expectations of the country, lead to mass migration to urban areas and the creation of social, economic, and environmental problems that defy solution. The concept of intermedite technology, as espoused by E.F. Schumacher, is explained as appropriate if it meets most of the criteria of relative smallness, simplicity, capital cheapness, and nonviolence. These criteria are applied to several industries (construction, sugar production, cotton spinning, soap, and mini-hydro) to illustrate what is already occurring in some areas to scale down some large-scale technologies and to scale up some village technologies. Infrastructure planning, alternatives to bureaucracy, and contributions available to large industrial firms are suggested. 9 references.

  19. 22 CFR 223.11 - Appropriate action.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Appropriate action. 223.11 Section 223.11...-EMPLOYMENT RESTRICTIONS § 223.11 Appropriate action. The Administrator may take appropriate action in the... action....

  20. The Appropriateness of Hierarchies (Editorial

    Directory of Open Access Journals (Sweden)

    Denise Koufogiannakis

    2010-09-01

    Full Text Available In the early days of EBLIP, then referred to as evidence based librarianship (EBL, there were calls to strengthen our research base with "better" forms of evidence. These proposed better quality research methods were all quantitative and I admit myself to saying that ‚librarianship tends to reflect more qualitative, social sciences/humanities in its research methods and study types which tend to be less rigorous and more prone to bias‛ (Crumley and Koufogiannakis 2002, p.61. Although this was not meant to be a slight to qualitative research, I can see how it came across as one. Now, I would not put ‚less rigorous and more prone to bias‛ in that sentence, although the first half of the statement certainly still holds true. In our 2002 article, the general point that Ellen Crumley and I were trying to make is that a medical style research hierarchy is not a good fit for librarianship, where qualitative methods are generally more appropriate. At that time, we proposed a ‚core-centred approach to librarianship research‛ (p.68 rather than a hierarchical one, although this did not gain much traction within the EBLIP literature. We noted: ‚rather than relying on an evidence hierarchy, which is an artificial concept for librarians, Fig.3 suggests a core-centred approach. The types of studies that are likely to be conducted by librarians are placed near the centre, moving from a hierarchical to an encompassing model. … *This+ presents a more equitable view of a model for research in the profession‛ (p.67.Today I am even more resolved that it is time to remove the concept of a hierarchy of evidence from EBLIP. This concept is tied very closely to the medical model of evidence based medicine (EBM and is solely focused on quantitative research. Library and information studies (LIS is a social sciences discipline and as such is concerned mostly with questions of why we do things and how people function in the world. The actions of people

  1. 7 CFR 3430.63 - Expiring appropriations.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 15 2010-01-01 2010-01-01 false Expiring appropriations. 3430.63 Section 3430.63... appropriations. (a) CSREES awards supported with agency appropriations. Most CSREES awards are supported with annual appropriations. On September 30th of the 5th fiscal year after the period of availability...

  2. Externalities in appropriation: Responses to probabilistic losses

    OpenAIRE

    Blanco, Esther; Haller, Tobias; Walker, James M.

    2014-01-01

    We examine behavior in one-shot appropriation games with deterministic and probabilistic degradation externalities, where the marginal net benefit from appropriation is endogenous, dependent on individuals' expectations of group appropriation. The experimental design involves a menu of games where the magnitude of a loss parameter associated with probabilistic degradation varies across games. On average, as the loss parameter increases we observe a significant reduction in group appropriation...

  3. 50 CFR 34.8 - Appropriations authorized.

    Science.gov (United States)

    2010-10-01

    ... 50 Wildlife and Fisheries 6 2010-10-01 2010-10-01 false Appropriations authorized. 34.8 Section 34... (CONTINUED) THE NATIONAL WILDLIFE REFUGE SYSTEM REFUGE REVENUE SHARING WITH COUNTIES § 34.8 Appropriations authorized. The Act authorizes appropriations to the fund for any fiscal year when the aggregate amount...

  4. 24 CFR 340.3 - Appropriations.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 2 2010-04-01 2010-04-01 false Appropriations. 340.3 Section 340.3 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued) GOVERNMENT... Appropriations. There is authority for Congress to appropriate such sums as may be necessary to enable...

  5. APPROPRIATION IN A COMPETITIVE THEORY OF VALUE

    OpenAIRE

    Louis Makowski; Joseph M. Ostroy

    2012-01-01

    Two perspectives on the price system are examined, as a method of valuation represented by Walrasian equilibrium and as a means of appropriation represented by “perfectly competitive equilibrium.” The stronger requirements of perfectly competitive equilibrium emphasize that valuation is driven by appropriation. Similarities between the full appropriation property of perfectly competitive equilibrium and efficient incentive compatible mechanism design are demonstrated.

  6. Value Appropriation within a Business Network

    OpenAIRE

    Ellegaard, Chris; Geersbro, Jens; Medlin, Christopher J.

    2010-01-01

    This paper explores the interplay between value creation and appropriation of value by firms within a business network context. These two value processes are inter-linked. Collectively firms create a product of value to an end consumer and a part of that value is appropriated by each firm in the network. Value appropriation is composed of a number of different negotiation processes, value and cost moving between exchange parties and price making and taking spread across time. Value appropriat...

  7. 32 CFR 3.5 - Appropriate use.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 1 2010-07-01 2010-07-01 false Appropriate use. 3.5 Section 3.5 National... CONTRACTS, GRANTS, OR COOPERATIVE AGREEMENTS FOR PROTOTYPE PROJECTS § 3.5 Appropriate use. In accordance... Executive for the agency determines in writing that exceptional circumstances justify the use of...

  8. 2011 Education Appropriations Guide. Issue Brief

    Science.gov (United States)

    Delisle, Jason; Cohen, Jennifer

    2011-01-01

    Congress completed the fiscal year 2011 appropriations process on April 14th, 2011, finalizing annual funding for nearly all federal education programs through September 30, 2011 at $68.3 billion, up $4.2 billion from the prior year. Making sense of the federal education budget and the appropriations process can be a frustrating task for education…

  9. 7 CFR 457.9 - Appropriation contingency.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 6 2010-01-01 2010-01-01 false Appropriation contingency. 457.9 Section 457.9 Agriculture Regulations of the Department of Agriculture (Continued) FEDERAL CROP INSURANCE CORPORATION, DEPARTMENT OF AGRICULTURE COMMON CROP INSURANCE REGULATIONS § 457.9 Appropriation...

  10. 2012 Education Appropriations Guide. Issue Brief

    Science.gov (United States)

    Delisle, Jason; Cohen, Jennifer

    2012-01-01

    Congress completed the fiscal year 2012 appropriations process on December 17th, 2011, finalizing annual funding for federal education programs through September 30, 2012 at $68.1 billion, down $233 million from the prior year. It is the first year since 2007 that Congress did not increase total appropriations for education programs. This issue…

  11. Economy-oriented strategy of appropriate technique

    Institute of Scientific and Technical Information of China (English)

    Xiaoyang CHEN; Dekun ZHONG

    2008-01-01

    From angle of economy this paper tries to establish the outlook on appropriate technique effect by reconsidering the cost and economics. In light of the cur-rent situation of domestic technique and the relevant liv-ing example, it proposes the basic tactics for innovation of the appropriate technique and for low-tech strategy.

  12. Appropriate flow forecasting for reservoir operation

    NARCIS (Netherlands)

    Dong, Xiaohua

    2005-01-01

    The aim of the study presented in this thesis is to develop and apply a methodology to determine the appropriate model application by including the water management objective explicitly, and to demonstrate its benefits.

  13. Appropriateness of Lyme Disease Serologic Testing

    OpenAIRE

    Ramsey, Alan H.; Belongia, Edward A.; Chyou, Po-Huang; Davis, Jeffrey P.

    2004-01-01

    BACKGROUND Although rapid diagnosis of Lyme disease is essential for effective treatment, there is concern about inappropriate testing. We conducted a prospective, cross-sectional survey of clinicians to assess the use and appropriateness of Lyme disease serologic tests (LDSTs).

  14. Appropriation of Digital Competence in Teacher Education

    Directory of Open Access Journals (Sweden)

    Elen Instefjord

    2014-12-01

    Full Text Available The aim of the article is to explore opportunities for appropriation of digital competence in teacher education. Digital competence is knowledge, skills and attitudes required in order to use technology critically and reflectively in the process of building new knowledge. According to Wertsch learning to use a cultural artefact is characterized by two processes: mastery and appropriation. The article reports from a case study of two teacher education institutions. Findings indicate that the same challenges are found in both institutions: the conflict between mastery and appropriation, and between personal and educational use of technology, and the resistance towards technology among some teacher educators. The results signify that in order to create opportunities for appropriation of digital competence and encourage use of technology as part of pre-service teachers’ professional didactic competence, technology should be better integrated as pedagogical tools for teaching and learning in all subjects in the teacher education programmes.

  15. Appropriation of security technologies in the workplace

    OpenAIRE

    Parkin, S.; Krol, K.

    2015-01-01

    Using two case studies, we examine the appropriation of security technologies by employees in organisations. We find that employees adapt security technologies and procedures in many different ways, and that the implications of adaptation for employees’ productive tasks and the wider organisation are not considered in process. We want to understand how appropriation within technology use can be observed, so that organisations can reconcile unanticipated security adaptions with standard practi...

  16. Chautauqua notebook: appropriate technology on radio

    Energy Technology Data Exchange (ETDEWEB)

    Renz, B.

    1981-01-01

    Experiences in establishing and maintaining a regional call-in information-exchange radio show (Chautauqua) on energy conservation, appropriate technology, renewable energy sources, and self-reliance are discussed. Information is presented on: appropriate technology; the Chautauquaa concept; topics discussed; research performed; guests; interviewing tips; types of listeners; program features; where to find help; promotion and publicity; the technical and engineering aspects; the budget and funding; and station policies. (MCW)

  17. Appropriation of Digital Competence in Teacher Education

    OpenAIRE

    Elen Instefjord

    2014-01-01

    The aim of the article is to explore opportunities for appropriation of digital competence in teacher education. Digital competence is knowledge, skills and attitudes required in order to use technology critically and reflectively in the process of building new knowledge. According to Wertsch learning to use a cultural artefact is characterized by two processes: mastery and appropriation. The article reports from a case study of two teacher education institutions. Findings indicate that the s...

  18. Ways of art appropriation by the advertising

    Directory of Open Access Journals (Sweden)

    Roberta Fernandes Esteves

    2013-09-01

    Full Text Available Based on the different ways of appropriation of the artistic visualrepresentations by the advertising communication, proposed by Lucia Santaella (2005 – imitation of the ways of composing and incorporation of the artistic image – this article presents, as of the examination of advertisements broadcast in different countries, seven new categories outlined on the basis of partial or total use of the appropriated image and the interference performed in them.

  19. Pragmatic Distance and Appropriateness of Utterance Politeness

    Institute of Scientific and Technical Information of China (English)

    吴丽丽

    2014-01-01

    The Politeness Principle proposed by Leech complements Grice ’ Cooperative Principle to a cer-tain extent in explaining the indirectness of language .However , the nature of politeness is its relativity . Determined by various factors such as social and cultural ones , the appropriateness of politeness at utter-ance level is affected by the appropriateness of the pragmatic distance between the participants .Different from the interpersonal relationships , pragmatic distance is calculated and determined in the process of communication varying with the variation of the communicative factors .Pragmatic distance is dynamic and can be maintained and altered by participants by using certain linguistic expressions to achieve the appro -priateness of politeness in communication .

  20. Teaching Rhythmic Gymnastics: A Developmentally Appropriate Approach.

    Science.gov (United States)

    Palmer, Heather C.

    This book is designed to guide teachers through the process of creating a developmentally appropriate rhythmic gymnastics program for children age 5-11. Rhythmic gymnastics programs develop fitness, inspire creativity, and allow all children to work at their own level. The book features 10 chapters in two parts. Part 1, "Getting Started on a…

  1. Defining and Operationalizing Appropriation for Science Learning

    Science.gov (United States)

    Levrini, Olivia; Fantini, Paola; Tasquier, Giulia; Pecori, Barbara; Levin, Mariana

    2015-01-01

    The goal of this article is to contribute to understanding the interplay between students' disciplinary engagement and their identity construction. The term appropriation, borrowed from scholars in linguistics and education, was chosen to capture this broader sense of productive learning that sits at the nexus of disciplinary engagement and…

  2. Earmarks and State Appropriations for Higher Education

    Science.gov (United States)

    Delaney, Jennifer A.

    2011-01-01

    This study considers the relationship between federal academic earmarks and state appropriations for higher education. Often referred to as "pork," federal academic earmarks are both controversial and understudied. Using a unique panel dataset which spans 1990-2006, this study conducts a panel analysis with two-way state and year-fixed effects. It…

  3. Rediscovering Enterprise: Developing Appropriate University Entrepreneurship Education

    Science.gov (United States)

    Bridge, Simon; Hegarty, Cecilia; Porter, Sharon

    2010-01-01

    Purpose: Entrepreneurship can refer to business start-up, but now sometimes has wider connotations. This paper aims to explore what entrepreneurship means for the promoters of entrepreneurship education and what might be appropriate for the students who consume it. Design/methodology/approach: The paper assesses the work of NICENT (The Northern…

  4. Localized appropriability: Percuniary externalities in knowledge exploitation

    OpenAIRE

    Antonelli, Cristiano

    2008-01-01

    Pecuniary externalities are crucial in shaping the strategies to value the distinctive competences and the economic success of innovative firms. The analysis of conditions for localized knowledge appropriation and exploitation makes it possible to identify idiosyncratic production factors. The introduction of directed technological change biased towards intensive usage provides the opportunity for the exploitation of technological knowledge.

  5. Is Bloom's Taxonomy Appropriate for Computer Science?

    OpenAIRE

    Johnson, Colin G.; Fuller, Ursula

    2007-01-01

    Bloom's taxonomy attempts to provide a set of levels of cognitive engagement with material being learned. It is usually presented as a generic framework. In this paper we outline some studies which examine whether the taxonomy is appropriate for computing, and how its application in computing might differ from its application elsewhere. We place this in the context of ongoing debates concerning graduateness and attempts to benchmark the content of a computing degree.

  6. An Appropriate Indicator for Diagnosing Gestational Diabetes

    OpenAIRE

    Jui-Hung Sun; Lai-Chu See; Tsung-Hong Chiu; T’sang-T’ang Hsieh; Miau-Ju Huang

    2005-01-01

    Background: This study was intended to simplify the diagnostic procedure for gestationaldiabetes mellitus (GDM) through using a single plasma glucose level, after a100 g oral glucose tolerance test (OGTT), as the most appropriate indicatorfor diagnosing GDM in pregnant women with a positive 50 g, 1-hour oralglucose challenge test (GCT) in Northern Taiwan.Methods: A total of 973 native Taipei metropolitan pregnant women with a positiveGCT, who underwent a 100 g, 3-hour OGTT were retrospectivel...

  7. The CANDU Reactor System: An Appropriate Technology.

    Science.gov (United States)

    Robertson, J A

    1978-02-10

    CANDU power reactors are characterized by the combination of heavy water as moderator and pressure tubes to contain the fuel and coolant. Their excellent neutron economy provides the simplicity and low costs of once-through natural-uranium fueling. Future benefits include the prospect of a near-breeder thorium fuel cycle to provide security of fuel supply without the need to develop a new reactor such as the fast breeder. These and other features make the CANDU system an appropriate technology for countries, like Canada, of intermediate economic and industrial capacity. PMID:17788102

  8. Food appropriation through large scale land acquisitions

    International Nuclear Information System (INIS)

    The increasing demand for agricultural products and the uncertainty of international food markets has recently drawn the attention of governments and agribusiness firms toward investments in productive agricultural land, mostly in the developing world. The targeted countries are typically located in regions that have remained only marginally utilized because of lack of modern technology. It is expected that in the long run large scale land acquisitions (LSLAs) for commercial farming will bring the technology required to close the existing crops yield gaps. While the extent of the acquired land and the associated appropriation of freshwater resources have been investigated in detail, the amount of food this land can produce and the number of people it could feed still need to be quantified. Here we use a unique dataset of land deals to provide a global quantitative assessment of the rates of crop and food appropriation potentially associated with LSLAs. We show how up to 300–550 million people could be fed by crops grown in the acquired land, should these investments in agriculture improve crop production and close the yield gap. In contrast, about 190–370 million people could be supported by this land without closing of the yield gap. These numbers raise some concern because the food produced in the acquired land is typically exported to other regions, while the target countries exhibit high levels of malnourishment. Conversely, if used for domestic consumption, the crops harvested in the acquired land could ensure food security to the local populations. (letter)

  9. An Appropriate Indicator for Diagnosing Gestational Diabetes

    Directory of Open Access Journals (Sweden)

    Jui-Hung Sun

    2005-12-01

    Full Text Available Background: This study was intended to simplify the diagnostic procedure for gestationaldiabetes mellitus (GDM through using a single plasma glucose level, after a100 g oral glucose tolerance test (OGTT, as the most appropriate indicatorfor diagnosing GDM in pregnant women with a positive 50 g, 1-hour oralglucose challenge test (GCT in Northern Taiwan.Methods: A total of 973 native Taipei metropolitan pregnant women with a positiveGCT, who underwent a 100 g, 3-hour OGTT were retrospectively surveyed.GDM was defined according to the standards of National Diabetes DataGroup. Plasma glucose levels, obtained 1 hour following a GCT and at multipletiming following a 100 g oral glucose load, were used to plot receiveroperative characteristic curves to determine the most appropriate indicatorfor diagnosing GDM.Results: In the 973 pregnant women with a positive GCT, a 2-hour plasma glucoselevel above 165 mg/dl revealed a sensitivity and specificity of 91.2% and90.3%, respectively.Conclusions: To simplify the diagnostic procedure for GDM, we suggest that a 2-hourplasma glucose level above 165 mg/dl after a 100 g OGTT might be anappropriate indicator for diagnosing GDM in women with a positive GCT.

  10. Public Space Design between Alienation and Appropriation

    DEFF Research Database (Denmark)

    Smith, Shelley; Steinø, Nicolai

    2014-01-01

    Urban public space in a Western context has become increasingly functionalized and pre-determined. Designations for use, and by whom, have become more prolific – often in the name of practicality or safety – and have introduced more or less formalised codes of accepted behaviour. This represents a...... barrier to the appropriation of public space by citizens, in particular when it comes to less conventional and new cultural practices – and this in turn becomes a barrier for both inclusion and for how we define and conceptualise space itself. This is problematic in a notion of public space as the space...... alternative urban practices for a discussion of the role of architecture and design in materialising space, between segregation and intolerance on the one hand, and inclusion and curiosity on the other. While the design approach adopted may vary, it ultimately plays a large role in determining the scope of...

  11. Rapid diagnostics and appropriate antibiotic use.

    Science.gov (United States)

    Rice, Louis B

    2011-05-01

    Most antibiotics are prescribed by physicians lacking postgraduate training in infectious diseases. As such, prescribing physicians have varying levels of interest and sophistication in thinking about how to use molecular and microbiological data to inform therapeutic choices. Strategies designed to modify physician antimicrobial-prescribing practices must therefore choose simplicity over complexity and must acknowledge our fundamental ignorance of many of the specifics of antibiotic-microorganism interactions. They must also acknowledge the critical nature of bacterial illnesses in hospitalized patients and the importance of delivering effective antimicrobial therapy early in the illness. "Back-end" strategies that evaluate therapy at defined intervals will be more readily accepted than strategies limiting physician choices early in the illness. It is therefore critical that we develop rapid and reliable microbiological assays, evidence-based recommendations on appropriate durations of therapy, and accurate surrogate markers of infection resolution. PMID:21460296

  12. Shoosing the appropriate size wind turbine

    Energy Technology Data Exchange (ETDEWEB)

    Lynette, R. [FloWind Corp., San Rafael, CA (United States)

    1996-12-31

    Within the past several years, wind turbines rated at 400 kW and higher have been introduced into the market, and some manufacturers are developing machines rated at 750 - 1,000+ kW. This raises the question: What is the appropriate size for utility-grade wind turbines today? The answer depends upon the site where the machines will be used and the local conditions. The issues discussed in the paper are: (1) Site-Related (a) Visual, noise, erosion, television interference, interference with aviation (b) Siting efficiency (2) Logistics (a) Adequacy of roads and bridges to accept large vehicles (b) Availability and cost of cranes for erection and maintenance (c) Capability of local repair/overhauls (3) Cost Effectiveness (a) Capital costs (1) Wind Turbine (2) Infrastructure costs (b) Maintenance costs (4) Technical/Financial Risk. 1 fig., 1 tab.

  13. Selecting appropriate cases when tracing causal mechanisms

    DEFF Research Database (Denmark)

    Beach, Derek; Pedersen, Rasmus Brun

    2016-01-01

    , ontological determinism, causal asymmetry and causal homogeneity and the importance of context. We then develop a set of case selection guidelines that are in methodological alignment with these underlying assumptions. Section 4 develops guidelines for research where the mechanism is the primary focus......The last decade has witnessed resurgence in the interest in studying the causal mechanisms linking causes and outcomes in the social sciences. This article explores the overlooked implications for case selection when tracing mechanisms using in-depth case studies. Our argument is that existing case...... selection guidelines are appropriate for research aimed at making cross-case claims about causal relationships, where case selection is primarily used to control for other causes. However, existing guidelines are not in alignment with case-based research that aims to trace mechanisms, where the goal is to...

  14. Evidence for Policy Making: Clinical Appropriateness Study of Lumbar Spine MRI Prescriptions Using RAND Appropriateness Method

    Directory of Open Access Journals (Sweden)

    Hossein Yousefi Manesh

    2013-01-01

    Full Text Available MRI is a new and expensive diagnostic technology, which has been used increasingly all over the world. Low back pain is a worldwide prevalent disorder and MRI technique is one of the several ways to diagnose it. This paper aims to identify the appropriateness of lumbar spine MRI prescriptions in Shiraz teaching hospitals using standardized RAND Appropriateness Method (RAM criteria. Methods This study consisted of two phases. The first phase involved a qualitative enquiry and the second phase had a quantitative cross-sectional nature. In the first phase RAM was used for developing lumbar spine MRI indications and scenarios. In the second phase, the finalized scenarios were compared with the history and physical examination of 300 patients with low back pain. The rate of appropriateness of lumbar spine MRI prescription was then calculated. Results Of 300 cases of lumbar spine MRI prescriptions, approximately 167 (56% were considered inappropriate, 72 (24% were uncertain, and 61 (20% were deemed to be appropriate. The economic burden of inappropriate prescriptions was calculated at 88,009,000 Rials. In addition, the types of expertise and physical examination were considered as related factors to appropriateness of prescriptions. Conclusion In conclusion, a large proportion of lumbar spine MRI prescriptions, which result in financial burden on the insurance companies and the patients alike is unnecessary. This study suggests that policy makers consider this evidence while decision-making. Our findings highlight the imperative role of Health Technology Assessment (HTA and Clinical Practice Guidelines (CPGs. As a result, developing local clinical guidelines may create the commitment needed in physicians in prescribing appropriate prescriptions within the health sector. The study further recommends that appropriate scenarios should be considered as a criterion for payment and reimbursement.

  15. Exploring voices, exploring appropriate education. A practitioners’ discourse'

    NARCIS (Netherlands)

    Grol, C.E.J.

    2012-01-01

    My thesis describes an exploratory process into a practitioners’ discourse on appropriate education. Chapter one: Appropriate Education is about the Dutch educational policy called Passend onderwijs. The chapter positions the appropriate education in national and international educational and ethica

  16. Neurophysiological appropriateness of ionizing radiation effects

    International Nuclear Information System (INIS)

    The goal of this study was to compare bioelectrical activity of the brain in remote period of acute radiation sickness (ARS), chronic and prenatal irradiation as a result of the Chernobyl disaster. Registration of computerized 19-channel EEG, visual and somato-sensory evoked potentials have been carried out for 70 patients who had a verified ARS, 100 Chernobyl disaster survivors, who have been working in the Chernobyl exclusion zone since 1986-87 during 5 and more years, 50 prenatally irradiated children, and relevant controls. The relative risks of neurophysiological abnormalities are 4.5 for the ARS-patients, 3.6 for the chronically irradiated persons and 3.7 for the prenatally irradiated children. The data obtained testify to possibility of radiation-induced neurophysiological abnormalities in examined Chernobyl accident survivors which seems to be non-stochastic effects of ionizing radiation. For all examined irradiated patients it was typically an increasing of δ- and β- powers of EEG, particularly, in the frontal lobe shifted to the left fronto-temporal region, but spectral power of both θ- and α-range was significantly depressed. Aforesaid signs together with data of evoked potentials reflect the structural and functional abnormalities of limbic system and the left hemisphere as the first revealed neurophysiological appropriateness of ionizing radiation effects. (author)

  17. 50 CFR 35.4 - Appropriations and personnel.

    Science.gov (United States)

    2010-10-01

    ... 50 Wildlife and Fisheries 6 2010-10-01 2010-10-01 false Appropriations and personnel. 35.4 Section... Appropriations and personnel. No appropriation shall be made available for the payment of expenses or salaries for the administration of a wilderness unit as a separate entity nor shall any appropriation be...

  18. 32 CFR 22.515 - Provisions of annual appropriations acts.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 1 2010-07-01 2010-07-01 false Provisions of annual appropriations acts. 22.515... Provisions of annual appropriations acts. An annual appropriations act can include general provisions stating... during which a given year's appropriations are available for obligation), and because they can vary...

  19. Appropriateness in health care delivery: definitions, measurement and policy implications.

    OpenAIRE

    Lavis, J N; Anderson, G M

    1996-01-01

    A major focus of the current health care debate is the notion that a substantial proportion of the health care delivered in Canada is inappropriate. There are two types of appropriateness: appropriateness of a service and appropriateness of the setting in which care is provided (i.e., inpatient v. outpatient or home care). Measuring both types objectively requires the comparison of observed patterns of care with explicit criteria for appropriate care. The few studies of appropriateness conduc...

  20. Typologie de pratiques de gestion et indices d'appropriation.

    OpenAIRE

    Gauche, Karine

    2013-01-01

    Experts and researchers in sciences of management have questioned for more than thirty years the concept of appropriation. Many studies related to a particular case of organization, with for objective characterizing the process of appropriation. The questioning on the etymology of the term "appropriation" is useful to clarify the various perspectives of research on the appropriation. It also opens ways for a simplified observation of the appropriation of management tools. Data have been colle...

  1. ACR Appropriateness Criteria Review ACR Appropriateness Criteria® Occupational Lung Diseases.

    Science.gov (United States)

    Bacchus, Leon; Shah, Rakesh D; Chung, Jonathan H; Crabtree, Traves P; Heitkamp, Darel E; Iannettoni, Mark D; Johnson, Geoffrey B; Jokerst, Clinton; McComb, Barbara L; Saleh, Anthony G; Steiner, Robert M; Mohammed, Tan-Lucien H; Ravenel, James G

    2016-01-01

    Occupational lung disease is a category of disease entities characterized by a reaction of the lung parenchyma to inhaled aerosolized particles found in the environment. This document summarizes the imaging appropriateness data for silicosis, coal worker pneumoconiosis, and asbestosis. The main points of the document are that computed tomography is more sensitive than radiography, computed tomography without contrast generally suffices for evaluation, and fluorodeoxyglucose-positron emission tomography may have utility in patients with mesothelioma. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every 3 years by a multidisciplinary expert panel. The guideline development and review includes an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment. PMID:26656194

  2. 45 CFR 605.33 - Free appropriate public education.

    Science.gov (United States)

    2010-10-01

    ... Preschool, Elementary, and Secondary Education § 605.33 Free appropriate public education. (a) General. A recipient that operates a public elementary or secondary education program shall provide a free appropriate... 45 Public Welfare 3 2010-10-01 2010-10-01 false Free appropriate public education. 605.33...

  3. 7 CFR 29.41 - The Appropriations Act.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 2 2010-01-01 2010-01-01 false The Appropriations Act. 29.41 Section 29.41... REGULATIONS TOBACCO INSPECTION Regulations Definitions § 29.41 The Appropriations Act. The Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act for 2002 (Pub. L. 107-76)....

  4. 10 CFR 1022.22 - Requests for authorizations or appropriations.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Requests for authorizations or appropriations. 1022.22... ENVIRONMENTAL REVIEW REQUIREMENTS Other Requirements § 1022.22 Requests for authorizations or appropriations. It is DOE policy to indicate in any requests for new authorizations or appropriations transmitted to...

  5. Towards a Holistic Understanding of Technology-mediated Learning Appropriation

    OpenAIRE

    Janson, Andreas; Söllner, Matthias; Leimeister, Jan Marco

    2015-01-01

    Information technology in the learning process is one major success factor for innovative learning scenarios. A necessary pre-condition is the faithful appropriation of technology-mediated learning (TML) to ensure learning outcomes. However, research still lacks insights concerning determinants and consequences of a faithful TML appropriation. Therefore, this research-in-progress paper presents a mixed-methods research approach to gain a holistic understanding of TML appropriation. First, ...

  6. Creative Commons and Appropriation: Implicit Collaboration in Digital Works

    OpenAIRE

    R. Lyle Skains

    2016-01-01

    Appropriation is a common practice in art and literature; electronic literature in particular lends itself readily to appropriation and collaboration, due to its multimodal and born-digital nature. This paper presents practice-based research examining the effects of digital appropriation on two works of digital fiction (a hyperfiction and an interactive fiction), demonstrating how it alters the creative writer’s typical process, as well as the resulting narrative itself. This practice of appr...

  7. Chapitre 3. Le sens du principe de non-appropriation

    OpenAIRE

    Roth, Armand D.

    2015-01-01

    La prohibition de l’appropriation nationale demeure ambiguë, bien qu’elle soit consacrée par plusieurs instruments internationaux. Aucun de ces instruments ne précise le sens de la notion « d’appropriation nationale ». L’étude de la fonction de cette interdiction (section I) permet de définir les activités d’appropriation prohibées par le droit de l’espace (section II). Section I : La fonction du principe de non-appropriation La doctrine a opéré des recoupements entre différents principes com...

  8. Sandy PMO Disaster Relief Appropriations Act of 2013 Financial Data

    Data.gov (United States)

    Department of Homeland Security — Sandy PMO: Disaster Relief Appropriations Act of 2013 (Sandy Supplemental Bill) Financial Data. This is the Sandy Supplemental Quarterly Financial Datasets that are...

  9. Indications for myocardial-perfusion-scintigraphy according to the appropriateness criteria; Indikationen zur Myokardperfusionsszintigrafie unter Beruecksichtigung der Appropriateness-Kriterien

    Energy Technology Data Exchange (ETDEWEB)

    Lindner, Oliver [Inst. fuer Radiologie, Nuklearmedizin und Molekulare Bildgebung, Herz- und Diabeteszentrum NRW, Univ. der Ruhr-Univ. Bochum (Germany)

    2010-06-15

    The German National Care Guideline (Nationale Versorgungsleitlinie) for chronic CAD provides diagnostic algorithms with indications for the use of cardiac radionuclide imaging. In addition, the Appropriateness Criteria of the American College of Cardiology Foundation (ACCF) provide evidence-medicine based and expert rated indications for the appropriate use of myocardial-perfusion-scintigraphy performed as SPECT or PET. They may serve as a guide for clinicians asking for a cardiac radionuclide study and for nuclear physicians to check for appropriate use. An appropriate imaging test provides an incremental information and a clinical benefit with respect to health outcomes and survival. A total of 67 indications was reviewed, 33 were classified as appropriate while uncertain and inappropriate designations were assigned for 9 and 25 indications, respectively. This paper gives an overview of the appropriate and the uncertain indications for myocardial perfusion imaging. (orig.)

  10. 45 CFR 84.33 - Free appropriate public education.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Free appropriate public education. 84.33 Section... ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Preschool, Elementary, and Secondary Education § 84.33 Free appropriate public education. (a) General. A recipient...

  11. 34 CFR 104.33 - Free appropriate public education.

    Science.gov (United States)

    2010-07-01

    ... FEDERAL FINANCIAL ASSISTANCE Preschool, Elementary, and Secondary Education § 104.33 Free appropriate... 34 Education 1 2010-07-01 2010-07-01 false Free appropriate public education. 104.33 Section 104.33 Education Regulations of the Offices of the Department of Education OFFICE FOR CIVIL...

  12. 7 CFR 15b.22 - Free appropriate public education.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 1 2010-01-01 2010-01-01 false Free appropriate public education. 15b.22 Section 15b... PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Preschool, Elementary, Secondary, Adult, and Extension Education § 15b.22 Free appropriate public education. (a) General. A recipient that operates...

  13. Appropriation of a Shared Workspace: Organizing Principles and Their Application

    Science.gov (United States)

    Overdijk, Maarten; van Diggelen, Wouter

    2008-01-01

    The use and effects of a CSCL-tool are not always predictable from the properties of the tool alone, but depend on how that tool is appropriated. This paper presents the findings from a case study about the appropriation of a graphical shared workspace. When students are presented with a new tool they may encounter competing constraints and…

  14. Evaluation of the appropriate perioperative antibiotic prophylaxis in Italy.

    Directory of Open Access Journals (Sweden)

    Francesco Napolitano

    Full Text Available BACKGROUND: The appropriate use of antibiotics prophylaxis in the prevention and reduction in the incidence of surgical site infection is widespread. This study evaluates the appropriateness of the prescription of antibiotics prophylaxis prior to surgery amongst hospitalized patients in the geographic area of Avellino, Caserta, and Naples (Italy and the factors associated with a poor adherence. METHODS: A sample of 382 patients admitted to 23 surgical wards and undergoing surgery in five hospitals were randomly selected. RESULTS: Perioperative antibiotic prophylaxis was appropriate in 18.1% of cases. The multivariate logistic regression analysis showed that patients with hypoalbuminemia, with a clinical infection, with a wound clean were more likely to receive an appropriate antibiotic prophylaxis. Compared with patients with an American Society of Anesthesiologists (ASA score ≥4, those with a score of 2 were correlated with a 64% reduction in the odds of having an appropriate prophylaxis. The appropriateness of the timing of prophylactic antibiotic administration was observed in 53.4% of the procedures. Multivariate logistic regression model showed that such appropriateness was more frequent in older patients, in those admitted in general surgery wards, in those not having been underwent an endoscopic surgery, in those with a higher length of surgery, and in patients with ASA score 1 when a score ≥4 was chosen as the reference category. The most common antibiotics used inappropriately were ceftazidime, sultamicillin, levofloxacin, and teicoplanin. CONCLUSIONS: Educational interventions are needed to improve perioperative appropriate antibiotic prophylaxis.

  15. 16 CFR 614.1 - Appropriate proof of identity.

    Science.gov (United States)

    2010-01-01

    ... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Appropriate proof of identity. 614.1 Section... IDENTITY § 614.1 Appropriate proof of identity. (a) Consumer reporting agencies shall develop and implement reasonable requirements for what information consumers shall provide to constitute proof of identity...

  16. Indigenous Thought, Appropriation, and Non-Aboriginal People

    Science.gov (United States)

    Haig-Brown, Celia

    2010-01-01

    In this article, I explore the question, "What is the relationship between appropriation of Indigenous thought and what might be called "deep learning" based in years of education in Indigenous contexts." Beginning with an examination of meanings ascribed to cultural appropriation, I bring texts from Gee on secondary discourses, Foucault on the…

  17. 42 CFR 136.109 - Availability of appropriations.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Availability of appropriations. 136.109 Section 136.109 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE... Facilities and Services § 136.109 Availability of appropriations. The Secretary will from time to...

  18. 25 CFR 40.1 - Appropriations for loans or grants.

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Appropriations for loans or grants. 40.1 Section 40.1 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR EDUCATION ADMINISTRATION OF EDUCATIONAL LOANS, GRANTS AND OTHER ASSISTANCE FOR HIGHER EDUCATION § 40.1 Appropriations for loans or grants....

  19. 38 CFR 18.433 - Free appropriate public education.

    Science.gov (United States)

    2010-07-01

    ... education. 18.433 Section 18.433 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS..., Secondary, and Adult Education § 18.433 Free appropriate public education. (a) General. A recipient that operates a public elementary or secondary education program shall provide a free appropriate...

  20. 5 CFR 532.217 - Appropriated fund survey jobs.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Appropriated fund survey jobs. 532.217... PREVAILING RATE SYSTEMS Prevailing Rate Determinations § 532.217 Appropriated fund survey jobs. (a) A lead agency shall survey the following required jobs: Job title Job grade Janitor (Light) 1 Janitor (Heavy)...

  1. Undoing Appropriateness: Raciolinguistic Ideologies and Language Diversity in Education

    Science.gov (United States)

    Flores, Nelson; Rosa, Jonathan

    2015-01-01

    In this article, Nelson Flores and Jonathan Rosa critique appropriateness-based approaches to language diversity in education. Those who subscribe to these approaches conceptualize standardized linguistic practices as an objective set of linguistic forms that are appropriate for an academic setting. In contrast, Flores and Rosa highlight the…

  2. 43 CFR 20.506 - Appropriations, legislation and lobbying.

    Science.gov (United States)

    2010-10-01

    ... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Appropriations, legislation and lobbying... RESPONSIBILITIES AND CONDUCT Other Employee Conduct Provisions § 20.506 Appropriations, legislation and lobbying... manner a Member of Congress, to favor or oppose, by vote or otherwise, any legislation or...

  3. Budget estimates fiscal year 1989: Appropriation, Salaries and expenses

    International Nuclear Information System (INIS)

    The budget estimates for Salaries and Expenses for FY 1989 provide for obligations of $450,000,000 to be funded in total by a new appropriation. The sum appropriated shall be reduced by the amount of revenues received during fiscal year 1989 from licensing fees, inspection services, and other services and collections, excluding those monies received for the cooperative nuclear safety research program, services rendered to foreign governments and international organizations, and the material and information access authorization programs, so as to result in a final fiscal year 1989 appropriation estimated at not more than $247,500,000

  4. 18 CFR 367.2150 - Account 215, Appropriated retained earnings.

    Science.gov (United States)

    2010-04-01

    ... NATURAL GAS ACT Balance Sheet Chart of Accounts Proprietary Capital § 367.2150 Account 215, Appropriated... ACT OF 2005, FEDERAL POWER ACT AND NATURAL GAS ACT UNIFORM SYSTEM OF ACCOUNTS FOR CENTRALIZED...

  5. Are referrals to occupational therapy for developmental coordination disorder appropriate?

    OpenAIRE

    Dunford, C; Street, E.; O'Connell, H; Kelly, J; Sibert, J

    2004-01-01

    Aims: To assess children referred to the Occupational Therapy Service in Gwent with a presumptive diagnosis of developmental coordination disorder (DCD) in order to investigate the appropriateness of their referral.

  6. What Is an Activity? Appropriating an Activity-Centric System

    Science.gov (United States)

    Yarosh, Svetlana; Matthews, Tara; Moran, Thomas P.; Smith, Barton

    Activity-Centric Computing (ACC) systems seek to address the fragmentation of office work across tools and documents by allowing users to organize work around the computational construct of an Activity. Defining and structuring appropriate Activities within a system poses a challenge for users that must be overcome in order to benefit from ACC support. We know little about how knowledge workers appropriate the Activity construct. To address this, we studied users’ appropriation of a production-quality ACC system, Lotus Activities, for everyday work by employees in a large corporation. We contribute to a better understanding of how users articulate their individual and collaborative work in the system by providing empirical evidence of their patterns of appropriation. We conclude by discussing how our findings can inform the design of other ACC systems for the workplace.

  7. Teaching children with autism to tell socially appropriate lies.

    Science.gov (United States)

    Bergstrom, Ryan; Najdowski, Adel C; Alvarado, Marisela; Tarbox, Jonathan

    2016-06-01

    This study used a nonconcurrent multiple baseline across participants design to evaluate the use of rules, role-play, and feedback for teaching 3 children with autism spectrum disorder to tell socially appropriate lies when (a) presented with an undesired gift and (b) someone's appearance changed in an undesired way. The intervention was effective in teaching use of socially appropriate lies, and generalization to untrained people and gifts or appearances was observed. PMID:26831011

  8. APPROPRIATE ALLOCATION OF CONTINGENCY USING RISK ANALYSIS METHODOLOGY

    OpenAIRE

    Andi Andi

    2004-01-01

    Many cost overruns in the world of construction are attributable to either unforeseen events or foreseen events for which uncertainty was not appropriately accommodated. It is argued that a significant improvement to project management performance may result from greater attention to the process of analyzing project risks. The objective of this paper is to propose a risk analysis methodology for appropriate allocation of contingency in project cost estimation. In the first step, project risks...

  9. Riscritture appropriate e approprianti. Traduzione e revisione del testo letterario

    OpenAIRE

    Franca Cavagnoli

    2012-01-01

    Both the translation and the revised version of a literary text give rise to similar issues, for in both cases one can adopt a strategy of either appropriate rewriting or appropriating rewriting. In the former case, the tendency is to respect the properties and peculiar qualities of the Other; in the latter, the tendency is to manipulate and distort the text, to reduce the Other to the Self and not to contemplate the creative potentialities of contaminated language. Italian publishing houses ...

  10. Managing Knowledge Flows through Appropriation and Learning Strategies

    OpenAIRE

    Jensen, Paul H.; Elizabeth Webster

    2006-01-01

    In this paper, the management of outgoing and incoming knowledge is modelled as part of the firm’s profit-seeking strategy. Firms stem their outflow of commercially-sensitive knowledge through appropriation mechanisms such as patents and secrecy and stimulate inflows of commercially-valuable knowledge through networking, attending conferences and other forms of external interaction. It is probable, however, that some learning styles undermine some appropriation mechanisms. For instance, recen...

  11. The logic of appropriability: From Schumpeter to Arrow to Teece

    OpenAIRE

    Winter, Sidney G.

    2006-01-01

    This note expounds the abstract fundamentals of the appropriability problem, re-assessing insights from three classic contributions: those of Schumpeter, Arrow and Teece. Whereas the first two contributions were explicitly concerned with the implications of appropriability for society at large, Teece's main concern was with practical questions of business strategy and economic organization. This note argues that, his practical concerns notwithstanding, Teece contributed, en passant but fundam...

  12. PATRIMONY BY APPROPRIATION – AN INSTRUMENT IN BUSINESS OPERATION

    OpenAIRE

    Luminița Tuleașcă

    2014-01-01

    The patrimony by appropriation represents an instrument in business operation, even the business itself, therefore it is required to regulate it in accordance with the requirements of modern economy. This paper analyzes and proposes some solutions for the problems of the patrimony by appropriation as instrument by the dint of which a business is operated, as a modern patrimony management technique and as an instrument for limiting commercial entrepreneurs’ liability. We consider the full auto...

  13. Applying appropriate-use criteria to cardiac revascularisation in India

    Science.gov (United States)

    Sood, Neeraj; Ugargol, Allen P; Barnes, Kayleigh; Mahajan, Anish

    2016-01-01

    Objectives The high prevalence of coronary heart disease and dramatic growth of cardiac interventions in India motivate an evaluation of the appropriateness of coronary revascularisation procedures in India. Although, appropriate-use criteria (AUC) have been used to analyse the appropriateness of cardiovascular care in the USA, they are yet to be applied to care in India. In our study, we apply AUC to cardiac care in Karnataka, India, compare our results to international applications of AUC, and suggest ways to improve the appropriateness of care in India. Setting Data were collected from the Vajpayee Arogyashree Scheme, a government-sponsored health insurance scheme in Karnataka, India. These data were collected as part of the preauthorisation process for cardiac procedures. Participants The final data included a random sample of 600 patients from 28 hospitals in Karnataka, who obtained coronary artery bypass grafting or percutaneous coronary intervention between 1 October 2014 and 31 December 2014. Primary and secondary outcome measures We obtained our primary baseline results using a random imputation simulation to fill in missing data. Our secondary outcome measure was a best case–worst case scenario where missing data were filled to give the lowest or highest number of appropriate cases. Results Of the cases, 86.7% (CI 0.837% to 0.892%) were deemed appropriate, 3.65% (CI 0.023% to 0.055%) were inappropriate and 9.63% (CI 0.074% to 0.123%) were uncertain. Conclusions The vast majority of cardiac revascularisation procedures performed on beneficiaries of a government-sponsored insurance programme in India were found to be appropriate. These results meet or exceed levels of appropriate use of cardiac care in the USA. PMID:27029773

  14. An audit tool for assessing the appropriateness of carotid endarterectomy

    Directory of Open Access Journals (Sweden)

    Feasby Thomas E

    2004-07-01

    Full Text Available Abstract Background To update appropriateness ratings for carotid endarterectomy using the best clinical evidence and to develop a tool to audit the procedure's use. Methods A nine-member expert panel drawn from all the Canadian Specialist societies that are involved in the care of patients with carotid artery disease, used the RAND Appropriateness Methodology to rate scenarios where carotid endarterectomy may be performed. A 9-point rating scale was used that permits the categorization of the use of carotid endarterectomy as appropriate, uncertain, or inappropriate. A descriptive analysis was undertaken of the final results of the panel meeting. A database and code were then developed to rate all carotid endarterectomies performed in a Western Canadian Health region from 1997 to 2001. Results All scenarios for severe symptomatic stenosis (70–99% were determined to be appropriate. The ratings for moderate symptomatic stenosis (50–69% ranged from appropriate to inappropriate. It was never considered appropriate to perform endarterectomy for mild stenosis (0–49% or for chronic occlusions. Endarterectomy for asymptomatic carotid disease was thought to be of uncertain benefit at best. The majority of indications for the combination of endarterectomy either prior to, or at time of coronary artery bypass grafting were inappropriate. The audit tool classified 98.0% of all cases. Conclusions These expert panel ratings, based on the best evidence currently available, provide a comprehensive and updated guide to appropriate use of carotid endarterectomy. The resulting audit tool can be downloaded by readers from the Internet and immediately used for hospital audits of carotid endarterectomy appropriateness.

  15. Appropriate Hydrological Modelling of Climate Change Impacts on River Flooding

    OpenAIRE

    Booij, M. J.; Rizzoli, A.E.; Jakeman, A. J.

    2002-01-01

    How good should a river basin model be to assess the impact of climate change on river flooding for a specific geographical area? The determination of such an appropriate model should reveal which physical processes should be incorporated and which data and mathematical process descriptions should be used at which spatial and temporal scales. A procedure for determining an appropriate model has been developed and applied to the above mentioned specific problem for the Meuse river in France, B...

  16. Factors Associated with the Appropriate Use of Asthma Drugs

    OpenAIRE

    Marie-Sophie Jobin; Jocelyne Moisan; Yves Bolduc; Eileen Dorval; Louis-Philippe Boulet; Jean-Pierre Grégoire

    2011-01-01

    BACKGROUND: When used properly, asthma drugs can reduce asthma-related morbidity and mortality.OBJECTIVE: To assess the use of asthma drugs, and to identify factors associated with appropriateness of use among patients 12 to 45 years of age.METHODS: Asthmatic patients were interviewed about their asthma drug(s) use and the factors potentially associated with appropriateness of use according to the 2003 Canadian Asthma Consensus Conference guidelines. To determine the factors associated with t...

  17. Textual appropriation: totalitarian violence in Shakespeare’s Macbeth and Textual appropriation: totalitarian violence in Shakespeare’s Macbeth and

    OpenAIRE

    Anna Stegh Camati

    2008-01-01

    Adaptations and vernacular appropriations on page and stage offer alternative readings of Shakespeare’s plays, mediated by heterogeneous forces of race, language and culture Appropriation can take multiple forms, as each generation attempts to redefine Shakespeare in contemporary terms in an ongoing process of mutation (Marsden 9). In an essay entitled “The Postcolonial/Postmodern Shakespeare”, Jyotsna Singh states that the postmodernist tendency to pluralize and decenter all totalizing assum...

  18. Making appropriation 'stick': stabilizing politics in an 'inherently feminist' tool.

    Science.gov (United States)

    Hasson, Katie Ann

    2012-10-01

    This article examines how feminist politics are made to 'stick' to appropriated technologies in the context of a contemporary feminist women's health clinic in the US. Feminist clinics such as 'FemHealth', founded as part of 1970s women's health movements, put medical tools and knowledge into lay women's hands, making the appropriation of medical technologies a centerpiece of their political project. In the process, they rejected the authority of physicians and gave new politicized meanings to the tools they claimed as their own. As lay healthworkers at FemHealth continued the project of appropriation, they also continued to negotiate their dependence on physicians to perform tasks that required a medical license. Drawing on participant observation and interviews with healthworkers, I argue that struggles over the role and authority of physicians in this clinic play out through debates over two similar and competing tools used in the abortion procedure: the single-tooth tenaculum and the cervical stabilizer. Many healthworkers invested in the stabilizer as 'inherently feminist' in hopes that it would maintain its politics even when passed into physicians' hands. While appropriation depends on the ability of users to alter a technology's meanings, actors may feel invested in the new politics taken on by appropriated tools and work towards making those meanings persist, or 'stick'. PMID:23189608

  19. Investigation of Appropriate Refractory Material for Laboratory Electritic Resistrance Furnance

    Directory of Open Access Journals (Sweden)

    J.B Agboola

    2009-07-01

    Full Text Available There have been numerous efforts to increase the local content of furnaces; hence the choice of appropriate refractory material for lining of locally manufactured furnaces has remained a major concern. This research work investigates the choice of appropriate local refractory material for the lining of laboratory electric resistance furnace.Electric resistance furnaces are extensively used in the laboratory for heat treatment of metals and alloys. Refractory binders such as silicon carbide were experimented upon for strength and resistance to high temperature.The results obtained showed that Kankara fireclay containing 15% SiC ( 5.70 % linear shrinkage , 46.2% apparent porosity, 1.77gkm³ Bulk density, 18 cycles of spalling tests at 1300°C, 5.253KN/m² of cold strength has appropriate properties for producing grooved bricks for lining of laboratory electric resistance Furnace.

  20. Korean guidelines for the appropriate use of cardiac CT

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Young Jin [Dept. of Radiology, Severance Hospital, Yonsei University College of Medicine, Seoul(Korea, Republic of); Yong, Hwan Seok [Dept. of Radiology, Korea University Guro Hospital, Korea University College of Medicine, Seoul(Korea, Republic of); Kim, Sung Mok [Dept. of Radiology, amsung Medical Center, Sungkyunkwan University School of Medicine, Seoul (Korea, Republic of); Kim, Jung A [Dept. of Radiology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang (Korea, Republic of); Hong, Yoo Jin [Dept. of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul (Korea, Republic of)

    2015-04-15

    The development of cardiac CT has provided a non-invasive alternative to echocardiography, exercise electrocardiogram, and invasive angiography and cardiac CT continues to develop at an exponential speed even now. The appropriate use of cardiac CT may lead to improvements in the medical performances of physicians and can reduce medical costs which eventually contribute to better public health. However, until now, there has been no guideline regarding the appropriate use of cardiac CT in Korea. We intend to provide guidelines for the appropriate use of cardiac CT in heart diseases based on scientific data. The purpose of this guideline is to assist clinicians and other health professionals in the use of cardiac CT for diagnosis and treatment of heart diseases, especially in patients at high risk or suspected of heart disease.

  1. [The appropriateness of hospital admissions: reflections for a global approach].

    Science.gov (United States)

    Pasini, E; Scherillo, M; Ramponi, C

    2000-05-01

    In accordance with a recent definition, appropriateness of medical care is a diagnostic-therapeutic intervention with a correct use of resources and competency, and a procedure that satisfies the request of patients. This definition considers not only the risk/benefit relationship but also the interaction between costs and benefits. In this light, the concept of appropriateness needs a global approach. The identification of the Mission and Vision of the structure, the use of medical guidelines, the distribution of documents which inform patients on the procedures carried out in the hospital and the modalities of access to the structure, the implementation of procedures which define hospital admission and finally the random check of medical records could represent important steps to implement a quality system aimed at guaranteeing the appropriateness of hospital admissions in accordance with the international standards for total quality management ISO 9000. PMID:10834130

  2. Korean guidelines for the appropriate use of cardiac CT

    International Nuclear Information System (INIS)

    The development of cardiac CT has provided a non-invasive alternative to echocardiography, exercise electrocardiogram, and invasive angiography and cardiac CT continues to develop at an exponential speed even now. The appropriate use of cardiac CT may lead to improvements in the medical performances of physicians and can reduce medical costs which eventually contribute to better public health. However, until now, there has been no guideline regarding the appropriate use of cardiac CT in Korea. We intend to provide guidelines for the appropriate use of cardiac CT in heart diseases based on scientific data. The purpose of this guideline is to assist clinicians and other health professionals in the use of cardiac CT for diagnosis and treatment of heart diseases, especially in patients at high risk or suspected of heart disease.

  3. Social Appropriateness in EU Counter-Terrorism Law and Policy

    DEFF Research Database (Denmark)

    Martins, Bruno Oliveira

    versus justice equation, on the issues of privacy and data protection, and on the broader respect for fundamental rights more generally. In this process, the legitimacy and the social appropriateness of some of these measures have been questioned, both at the societal level and before or by European...... institutionalist theory with insights from the New Haven school, namely its societal and process-oriented conceptions of law, it crosses legal and political science traditions to explore the ways in which EU counter-terrorism law and policy acquire and maintain social appropriateness....

  4. Construct validity of the Concern For Appropriateness scale.

    Science.gov (United States)

    Cutler, B L; Wolfe, R N

    1985-06-01

    Construct validity of the Concern For Appropriateness scale (CFA; Lennox & Wolfe, 1984), a measure of the tendency to adopt protective self-presentation styles, is examined using a multitrait-multimethod approach. Self-ratings on the CFA and ratings by suitemates constitute the two methods, and concern for appropriateness, interpersonal trust, and boredom susceptibility are assessed with each. Multitrait-multimethod analysis shows that the CFA scale exhibits convergent validity against peer ratings and discriminant validity against boredom susceptibility, the only other variable demonstrating convergence. Results indicate that the CFA exhibits construct validity and might therefore prove useful as an operationalization for self-presentation tendencies. PMID:16367476

  5. 40 CFR 24.08 - Selection of appropriate hearing procedures.

    Science.gov (United States)

    2010-07-01

    ... undertake only a RCRA Facility Investigation and/or Corrective Measures Study, which may include monitoring... recommendations for appropriate corrective measures), or (2) To undertake such investigations and/or studies and... remedy, or (3) To undertake investigations/studies with respect to a release from an underground...

  6. Developing an Appropriate Goalball Unit for Secondary Physical Education

    Science.gov (United States)

    Laughlin, Michael K.; Happel, Kathleen

    2016-01-01

    Goalball, a sport designed for those with visual impairments, is a competitive and recreational sport enjoyed by athletes around the world. Students with and without visual impairments can experience positive outcomes when teachers appropriately include a goalball unit as part of their inclusive secondary physical education curriculum. This…

  7. 24 CFR 100.143 - Appropriate corrective action.

    Science.gov (United States)

    2010-04-01

    ... the employees involved; (4) Developing outreach programs, marketing strategies, or loan products to... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Appropriate corrective action. 100.143 Section 100.143 Housing and Urban Development Regulations Relating to Housing and...

  8. Mediating Third-Wave Feminism: Appropriation as Postmodern Media Practice.

    Science.gov (United States)

    Shugart, Helene A.; Waggoner, Catherine Egley; Hallstein, D. Lynn O'Brien

    2001-01-01

    Analyzes gendered representations of Alanis Morissette, Kate Moss, and Ally McBeal. Argue that, in each case, the appropriation of third-wave feminist tenets is accomplished via a postmodern aesthetic code of juxtaposition that serves to recontextualize and reinscribe those sensibilities in a way that ultimately functions to reify dominant…

  9. Selecting appropriate methods of knowledge synthesis to inform biodiversity policy

    NARCIS (Netherlands)

    Pullin, Andrew; Frampton, Geoff; Jongman, Rob; Kohl, Christian; Livoreil, Barbara; Lux, Alexandra; Pataki, György; Petrokofsky, Gillian; Podhora, Aranka; Saarikoski, Heli; Santamaria, Luis; Schindler, Stefan; Sousa-pinto, Isabel; Vandewalle, Marie; Wittmer, Heidi

    2016-01-01

    Responding to different questions generated by biodiversity and ecosystem services policy or management requires different forms of knowledge (e.g. scientific, experiential) and knowledge synthesis. Additionally, synthesis methods need to be appropriate to policy context (e.g. question types, budget

  10. Developmentally and Culturally Appropriate Practices. Burning Issues [Series].

    Science.gov (United States)

    San Diego County Office of Education, CA.

    This information packet contains five documents concerned with preschool education of migrant children. Three articles recommend that early childhood programs (1) have a developmentally appropriate curriculum that emphasizes life experiences, experiential learning, and large motor coordination; (2) reinforce natural learning that occurs in the…

  11. The Importance of Introductory Statistics Students Understanding Appropriate Sampling Techniques

    Science.gov (United States)

    Menil, Violeta C.

    2005-01-01

    In this paper the author discusses the meaning of sampling, the reasons for sampling, the Central Limit Theorem, and the different techniques of sampling. Practical and relevant examples are given to make the appropriate sampling techniques understandable to students of Introductory Statistics courses. With a thorough knowledge of sampling…

  12. APPROPRIATENESS OF GIFTED CHILDREN SOCIALIZATION IN CONTEMPORARY SOCIOCULTURAL CONDITIONS

    Directory of Open Access Journals (Sweden)

    Rimma Litvak

    2012-01-01

    Full Text Available The article opens general appropriateness of one of the most important directions in working with gifted children that is socialization; it substantiatesappropriateness as an axiom scheme, providing successfulness of the examined process; authors deduce about general outlook of gifted children socialization.

  13. Appropriate Language Assessment in Content and Language Integrated Learning

    Science.gov (United States)

    Morgan, Carol

    2006-01-01

    This article describes a small-scale research project in two schools using content and language integrated learning (CLIL), one English and one Austrian, where in both cases there had been considerable misgivings about appropriate forms of assessment to match the different kinds of language skill developed in the CLIL process. Teachers were…

  14. Training L2 Learners to Use Facebook Appropriately and Effectively

    Science.gov (United States)

    Prichard, Caleb

    2013-01-01

    Recognizing how essential communication technologies have become to language learners, the TESOL Technology Standards Task Force set three goals for learners (Healey et al., 2011): 1) demonstrating skills in technology for a multilingual world, 2) using technology appropriately and ethically, and 3) using and evaluating technology for language…

  15. Resolution analyses for selecting an appropriate airborne electromagnetic (AEM) system

    DEFF Research Database (Denmark)

    Christensen, N.B.; Lawrie, Ken

    2012-01-01

    Abstract. The choice of an appropriate airborne electromagnetic system for a given task should be based on a comparative analysis of candidate systems, consisting of both theoretical considerations and field studies including test lines. It has become common practice to quantify the system...

  16. Turkish High School Students' Definitions for Parallelograms: Appropriate or Inappropriate?

    Science.gov (United States)

    Cansiz Aktas, Meral

    2016-01-01

    The aim of this study was to investigate the appropriateness of high school students' definitions. The participants in this study were 269 high school students from a public school in Ordu city, which is on the Black Sea coast of Turkey. The participants were asked to write their definitions with no time constraints. In the analysis of the…

  17. Riscritture appropriate e approprianti. Traduzione e revisione del testo letterario

    Directory of Open Access Journals (Sweden)

    Franca Cavagnoli

    2012-11-01

    Full Text Available Both the translation and the revised version of a literary text give rise to similar issues, for in both cases one can adopt a strategy of either appropriate rewriting or appropriating rewriting. In the former case, the tendency is to respect the properties and peculiar qualities of the Other; in the latter, the tendency is to manipulate and distort the text, to reduce the Other to the Self and not to contemplate the creative potentialities of contaminated language. Italian publishing houses seem to be afraid of hybridity: homologation, order, syntactical and lexical propriety appear more alluring. But it is the two elements of the foreign and the new enclosed in the concept of hybridity that allow the translator to challenge the cultural values of the publishing establishment. Even if liminal space is an unexplored area by the Italian publishing sector, the concept of in-betweeness is very useful for translation, in particular post-colonial translation. One of the fields in which the creative potential of liminal space can be fully explored by translators, revisers and publishers alike is the field of contact languages, for pidgins and creoles move freely in the interstitial zone. An example taken from Jean Rhys’ Wide Sargasso Sea (1966, and its comparison with Adriana Motti’s translation, published by Adelphi in 1971, allow us to show what is meant by appropriate and appropriating rewriting.

  18. Reliability and validity of the Chinese version Appropriateness Evaluation Protocol

    NARCIS (Netherlands)

    Liu, W. (Wenwei); Yuan, S. (Suwei); Wei, F. (Fengqing); Yang, J. (Jing); Zhang, Z. (Zhe); Zhu, C. (Changbin); Ma, J. (Jin)

    2015-01-01

    textabstractObjective: To adapt the Appropriateness Evaluation Protocol (AEP) to the specific settings of health care in China and to validate the Chinese version AEP (C-AEP). Methods: Forward and backward translations were carried out to the original criteria. Twenty experts participated in the con

  19. The Appropriation of Fine Art into Contemporary Narrative Picturebooks

    Science.gov (United States)

    Serafini, Frank

    2015-01-01

    Many picturebook artists have been formally trained in specific artistic styles, movements, and techniques. These artists appropriate and transform works of fine art to varying degrees to fit the themes and designs of the stories they illustrate and publish, and to increase the significance and impact of their illustrations. The…

  20. Development and Appropriation of an Integration Policy for Sport

    DEFF Research Database (Denmark)

    Agergaard, Sine

    2011-01-01

    To answer why sports clubs have been ascribed a central role in resolving integration issues in Denmark, this article refers to the anthropology of policy. First, policy is defined as what Mauss has called ‘a total social fact’. In other words, policy is a social phenomenon that reflects the hist......-Danish ethnic background) appropriate these political assumptions....

  1. The appropriation process of the belief in a just world.

    Science.gov (United States)

    Barreiro, Alicia

    2013-12-01

    Research on the belief in a just world (BJW) has been developing since the mid 60s. However, studies have been mainly developed from an individual differences perspective. As a consequence there are no studies that analyze the cognitive processes implied in the appropriation of the BJW during the socialization processes that occur in infancy and onwards. The main purpose of this paper is therefore to analyze this psychological process from childhood to adolescence. The study was carried out with a convenience sample of children and adolescents (N = 216) from Buenos Aires, between 6 and 17 years old, who participated in an interview guided by the piagetian clinical method. Results indicate that during the appropriation process of the BJW participants reconstruct this belief to make it coherent with hypothetical deductive thinking. This is expressed in three different justifications that the individuals give to justify their BJW: immanent justice, social reciprocity and personal merit. Yet, the appropriation process is incomplete. In the majority of the adolescents a magical thinking remains, constituting a state of cognitive polyphasia expressed in oscillating answers. In conclusion, the BJW is not a previous social condition transmitted from one generation to another. Its appropriation goes beyond the mere reproduction of social beliefs and involves a conceptual reconstruction. PMID:24014228

  2. Understanding the Concept of Nationally Appropriate Mitigation Action

    DEFF Research Database (Denmark)

    Sharma, Sudhir; Desgain, Denis DR

    This publication is intended to enable national policy makers and other stakeholders, such as the private sector and technical experts, to acquaint themselves with the concept of NAMA. It aims to provide a comprehensive overview of the Nationally Appropriate Mitigation Action (NAMA) concept and...

  3. The Appropriateness of the Concept Mastery Test for Graduate Students.

    Science.gov (United States)

    Goolsby, Thomas M., Jr.

    A study was conducted to determine the appropriateness of the Concept Mastery Test for graduate students enrolled in an introductory research methodology course. Ss represented a cross-section of students entering a master's program at a large southeastern university. The Concept Mastery Test (CMT), the Nelson-Denny Reading Test (ND), and the…

  4. 34 CFR 300.17 - Free appropriate public education.

    Science.gov (United States)

    2010-07-01

    ... 34 Education 2 2010-07-01 2010-07-01 false Free appropriate public education. 300.17 Section 300.17 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION ASSISTANCE TO STATES FOR THE EDUCATION...

  5. Relations between the technological standards and technological appropriation

    Directory of Open Access Journals (Sweden)

    Carlos Alberto PRADO GUERRERO

    2010-06-01

    Full Text Available The objective of this study is to analyze the educational practices of using Blackboard in blended learning environments with students of higher education to understand the relationship between technological appropriation and standards of educational technology. To achieve that goal, the following research question was raised: ¿To what extent are the standards of education technology with the appropriation of technology in blended learning environments in higher educa­tion related? The contextual framework of this work includes the following topics: the institution, teaching, teachers and students. The design methodology that was used is of a correlation type. Correlations were carried out to determine the frequency and level in the technological standards as well as the appropriation of technology. In the comparison of the results obtained by the students, the teachers and the platform; we found that students in the school study showed a high degree of technology ownership and this was the same for the performance shown on the technological standards. It was established that teachers play a key role in developing the techno­logical appropriation of students and performance in technology standards.

  6. The Archive Effect: Appropriation Films and the Experience of History

    Science.gov (United States)

    Baron, Jaimie Rachel

    2010-01-01

    Since the beginning of cinema, filmmakers have appropriated previously shot visual-- and later audiovisual--documents and recontextualized them in their own films for various ends. Because these documents have generally derived from official state or commercial film archives, they have come to be referred to as "archival documents." Endowed with…

  7. Cooperative Learning that Features a Culturally Appropriate Pedagogy

    Science.gov (United States)

    Phuong-Mai, Nguyen; Terlouw, Cees; Pilot, Albert; Elliott, Julian

    2009-01-01

    Many recent intercultural studies have shown that people cooperate with each other differently across cultures. We argue that cooperative learning (CL), an educational method originating in the USA and with fundamental psychological assumptions based on Western values, should be adjusted to be culturally appropriate for any non-Western cultures in…

  8. ACR Appropriateness Criteria Clinically Suspected Pulmonary Arteriovenous Malformation.

    Science.gov (United States)

    Hanley, Michael; Ahmed, Osmanuddin; Chandra, Ankur; Gage, Kenneth L; Gerhard-Herman, Marie D; Ginsburg, Michael; Gornik, Heather L; Johnson, Pamela T; Oliva, Isabel B; Ptak, Thomas; Steigner, Michael L; Strax, Richard; Rybicki, Frank J; Dill, Karin E

    2016-07-01

    Pulmonary arteriovenous malformations are often included in the differential diagnosis of common clinical presentations, including hypoxemia, hemoptysis, brain abscesses, and paradoxical stroke, as well as affecting 30% to 50% of patients with hereditary hemorrhagic telangiectasia (HHT). Various imaging studies are used in the diagnostic and screening settings, which have been reviewed by the ACR Appropriateness Criteria Vascular Imaging Panel. Pulmonary arteriovenous malformation screening in patients with HHT is commonly performed with transthoracic echocardiographic bubble study, followed by CT for positive cases. Although transthoracic echocardiographic bubble studies and radionuclide perfusion detect right-to-left shunts, they do not provide all of the information needed for treatment planning and may remain positive after embolization. Pulmonary angiography is appropriate for preintervention planning but not as an initial test. MR angiography has a potential role in younger patients with HHT who may require lifelong surveillance, despite lower spatial resolution compared with CT. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every three years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment. PMID:27209598

  9. Towards appropriate seismic margins in nuclear plant piping

    International Nuclear Information System (INIS)

    Some results of ongoing research being conducted for the US Nuclear Regulatory Commission (NRC) at the Energy Technology Engineering Center (ETEC) are reported. These results include the development of a methodology for establishing and estimating appropriate seismic margins in nuclear plant piping

  10. Applicability of the Appropriate use Criteria for Myocardial Perfusion Scintigraphy

    Energy Technology Data Exchange (ETDEWEB)

    Oliveira, Anderson de [Universidade Federal Fluminense - UFF, Niterói, RJ (Brazil); Comissão Nacional de Energia Nuclear - CNEN (Brazil); Rezende, Maria Fernanda [Universidade Federal Fluminense - UFF, Niterói, RJ (Brazil); Hospital Pró-Cardíaco, Rio de Janeiro, RJ (Brazil); Corrêa, Renato; Mousinho, Rodrigo [Hospital Pró-Cardíaco, Rio de Janeiro, RJ (Brazil); Azevedo, Jader Cunha [Universidade Federal Fluminense - UFF, Niterói, RJ (Brazil); Hospital Pró-Cardíaco, Rio de Janeiro, RJ (Brazil); Miranda, Sandra Marina; Oliveira, Aline Ribeiro [Universidade Federal Fluminense - UFF, Niterói, RJ (Brazil); Gutterres, Ricardo Fraga [Comissão Nacional de Energia Nuclear - CNEN (Brazil); Mesquita, Evandro Tinoco; Mesquita, Cláudio Tinoco [Universidade Federal Fluminense - UFF, Niterói, RJ (Brazil); Hospital Pró-Cardíaco, Rio de Janeiro, RJ (Brazil)

    2014-11-15

    Appropriateness Criteria for nuclear imaging exams were created by American College of Cardiology (ACC) e American Society of Nuclear Cardiology (ASNC) to allow the rational use of tests. Little is known whether these criteria have been followed in clinical practice. To evaluate whether the medical applications of myocardial perfusion scintigraphy (MPS) in a private nuclear medicine service of a tertiary cardiology hospital were suitable to the criteria of indications proposed by the American medical societies in 2005 and 2009 and compare the level of indication of both. We included records of 383 patients that underwent MPS, November 2008 up to February 2009. Demographic characteristics, patient's origin, coronary risk factors, time of medical graduation and appropriateness criteria of medical applications were studied. The criteria were evaluated by two independent physicians and, in doubtful cases, defined by a medical expert in MPS. Mean age was 65 ± 12 years. Of the 367 records reviewed, 236 (64.3%) studies were performed in men and 75 (20.4%) were internee. To ACC 2005, 255 (69.5%) were considered appropriate indication and 13 (3.5%) inappropriate. With ACC 2009, 249 (67.8%) were considered appropriate indications and 13 (5.2%) inappropriate. We observed a high rate of adequacy of medical indications for MPS. Compared to the 2005 version, 2009 did not change the results.

  11. 14 CFR 1261.403 - Consultation with appropriate officials; negotiation.

    Science.gov (United States)

    2010-01-01

    ...; negotiation. 1261.403 Section 1261.403 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION... appropriate officials; negotiation. (a) The authority pursuant to § 1261.402 to determine to forego collection... respect to claims against commercial carriers for loss of or damage to NASA freight shipment—the...

  12. The taxation of the petroleum products in the appropriation bill for 2001 and the correcting appropriation bill for 2000

    International Nuclear Information System (INIS)

    This document provides information on the petroleum products taxation in the framework of the appropriation bills. The following aspects are presented : the utilization of fuels more respectful of the environment, the taxation lightening measures, measures in favor of the transportation sector, the juridical references and elements for the economic situation. (A.L.B.)

  13. Disney animation: Global diffusion and local appropriation of culture

    Directory of Open Access Journals (Sweden)

    Souad Belkhyr

    2012-08-01

    Full Text Available Children’s media products reflect the cultural values of their producers as well as the social, political and economic conditions under which they were produced. Watching an animated feature, therefore, cannot be regarded as an innocent and simple act of consumption. It rather involves a complex process of coding/decoding and appropriating cultural meanings. The relation between structured patterns of global communication on the one hand, and the local conditions under which Disney cartoon products are marketed and consumed in the Arab world, on the other, can be perceived as the main axis of globalized diffusion and local appropriation of American cultural values and lifestyle. The consequences of which are difficult to foretell.

  14. Software appropriation over time: from adoption to stabilization and beyond

    Directory of Open Access Journals (Sweden)

    Antonette Mendoza

    2010-01-01

    Full Text Available Technologies are introduced into an organization with the aim of improving productivity. However, persistent use of an information system is required to enhance productivity and user satisfaction. In this paper, we examine the process of technology appropriation and the factors that encourage and discourage use of an information system over time. In a longitudinal field study in an educational setting, we identify changing expectations and influences that encourage persistent use of a technology above and beyond adoption. Our work indicates that stabilization of a technology may only be a temporary plateau. Further appropriation may occur beyond initial stabilization as expectations and influences encourage persistent use of a technology. We have found that the driving forces in encouraging productive use of a technology are the ability for users to experience the technology as useful and to have easy access to ongoing training.

  15. Methods of achieving and maintaining an appropriate caesarean section rate.

    LENUS (Irish Health Repository)

    Robson, Michael

    2013-04-01

    Caesarean section rates continue to increase worldwide. The appropriate caesarean section rate remains a topic of debate among women and professionals. Evidence-based medicine has not provided an answer and depends on interpretation of the literature. Overall caesarean section rates are unhelpful, and caesarean section rates should not be judged in isolation from other outcomes and epidemiological characteristics. Better understanding of caesarean section rates, their consequences and their benefits will improve care, and enable learning between delivery units nationally and internationally. To achieve and maintain an appropriate caesarean section rate requires a Multidisciplinary Quality Assurance Programme in each delivery unit, recognising caesarean section rates as one of many factors that determine quality. Women will always choose the type of delivery that seems safest to them and their babies. Professionals need to monitor the quality of their practice continuously in a standardised way to ensure that women can make the right choice.

  16. When mathematics students fail to use appropriate learning strategies

    Science.gov (United States)

    Anthony, Glenda

    1996-04-01

    Both research findings and curriculum documents support and promote the use of learning strategies as a significant factor in successful mathematics learning. However, despite such promotion, it appears that presently many senior students' learning behaviours are of a passive, dependent nature rather than an active, self-regulated nature. Without appropriate strategic learning behaviours students will be ill-equipped to cope with the high cognitive demands of a constructivist learning environment. Based on an examination of students' awareness and applications of learning strategies this paper identifies five possible reasons for students' failure to use appropriate learning strategies. Findings highlight the need for the learning environment to support, in active ways, the development and use of strategic learning behaviours.

  17. Appropriation and the uses of comics in information science literature

    Directory of Open Access Journals (Sweden)

    Valdir José Morigi

    2016-04-01

    Full Text Available Introduction: This article realizes the bibliographic mapping in the studies of Information Science, to demonstrate the development of comics in this area. Objective: Mapping studies about comics made in Information Science, showing their uses and appropriations in the dissemination's process of the collected results in this research. Methodology: Bibliographical research with qualitative-quantitative approach. Results: The comics are subject of research in Information Science from the perspective of the dissemination and interpretation of informatiom. Its use helps in the learning of the users and scholars shows its benefits. The studies demonstrate that the comics provide a mental effort because the visuals also allow learning. Studies also show that they can be used for research, where are showed the knowledge acquired in reading of comics, in other words, the knowledge without scientific basis. Conclusions: Concludes that some studies of Information Science determine which purposes the comics are appropriated by users.

  18. Diligence in determining the appropriate form of stationarity

    Directory of Open Access Journals (Sweden)

    André Heymans

    2014-02-01

    Full Text Available Orientation: One of the most vexing problems of modelling time series data is determining the appropriate form of stationarity, as it can have a significant influence on the model’s explanatory properties, which makes interpreting the results problematic.Research purpose: This article challenged the assumption that most financial time series are first differenced stationary. The common difference first, ask questions later approach was revisited by taking a more systematic approach when analysing the statistical properties of financial time series data.Motivation for the study: Since Nelson and Plosser’s (1982 argued that many macroeconomic time series are difference stationary, many econometricians simply differenced data in order to achieve stationarity. However, the inherent properties of time series data have changed over the past 30 years. This necessitates a proper evaluation of the properties of data before deciding on the appropriate course of action, in order to avoid over-differencing which causes variables to lose their explanatory ability that leads to spurious results.Research approach, design and method: This article introduced a rigorous process that enables econometricians to determine the most appropriate form of stationarity, which is led by the underlying statistical properties of several financial and economic variables.Main findings: The results highlighted the importance of consulting the d parameter to makea more informed decision, rather than only assuming that the data are I(1. Evidence also suggested that the appropriate form of stationarity can vary, but emphasises the importance to consider a series to be fractionally differenced.Practical/managerial implications: Only when data are correctly classified and transformed accordingly will the data be neither under- nor over-differenced, thus enhancing the validity of the results generated by statistical models.Contribution/value-add: By utilising this rigorous

  19. Disney animation: Global diffusion and local appropriation of culture

    OpenAIRE

    Souad Belkhyr

    2012-01-01

    Children’s media products reflect the cultural values of their producers and the social, political and economic conditions under which they were produced. Watching an animated cartoon, therefore, cannot be regarded as an innocent and simple act of consumption. It rather involves a complex process of coding/decoding and appropriating cultural meanings. Disney films are not only global means of entertainment but they can also function as an ideological apparatus. In an era of globalisation wher...

  20. Software appropriation over time: from adoption to stabilization and beyond

    OpenAIRE

    Antonette Mendoza; Jennie Carroll; Linda Stern

    2010-01-01

    Technologies are introduced into an organization with the aim of improving productivity. However, persistent use of an information system is required to enhance productivity and user satisfaction. In this paper, we examine the process of technology appropriation and the factors that encourage and discourage use of an information system over time. In a longitudinal field study in an educational setting, we identify changing expectations and influences that encourage persistent use of a technol...

  1. Selecting appropriate methods of knowledge synthesis to inform biodiversity policy

    OpenAIRE

    Pullin, Andrew; Frampton, Geoff; Jongman, Rob; Kohl, Christian; Livoreil, Barbara; Lux, Alexandra; Pataki, György; Petrokofsky, Gillian; Podhora, Aranka; Saarikoski, Heli; Santamaria, Luis; Schindler, Stefan; Sousa-pinto, Isabel; VANDEWALLE Marie; Wittmer, Heidi

    2016-01-01

    Responding to different questions generated by biodiversity and ecosystem services policy or management requires different forms of knowledge (e.g. scientific, experiential) and knowledge synthesis. Additionally, synthesis methods need to be appropriate to policy context (e.g. question types, budget, timeframe, output type, required scientific rigour). In this paper we present a range of different methods that could potentially be used to conduct a knowledge synthesis in response to questions...

  2. Romanian special forces identifying appropriate missions and organizational structure

    OpenAIRE

    Cucu, Dan

    2004-01-01

    Trying to adapt to the post-9/11 challenges to Euro-Atlantic security, the Romanian Ministry of National Defense continues its efforts to modernize and professionalize the country's armed forces in accordance with NATO standards. Part of this process is the development of a Special Forces (SF) capability that is to accomplish initial operational readiness by FY 2005. With appropriate organizational arrangements and focused combat training, the Romanian SF will increase their performance durin...

  3. False reports of childhood events in appropriate interviews

    OpenAIRE

    Ost, James; Foster, S.; Costall, Alan; Bull, Ray

    2005-01-01

    The present study employed the “parental misinformation & CloseCurly ” paradigm to examine whether individuals report false events from their childhood even when they are interviewed in an appropriate manner by a trained interviewer. Each participant was interviewed on three occasions. By the final interview, one participant produced a “full & Close Curly ” report, and six participants produced “partial & Close Curly ” reports, of childhood events that did not occur. Although participants rep...

  4. Diffusion and appropriation of knowledge in different organizational structures

    OpenAIRE

    Gabriel Yoguel; Analia Erbes; Veronica Robert; Jose Borello

    2007-01-01

    The central question of this paper is: what are the forces that determine the continuum negative relationship between knowledge diffusion and appropriation in the context of the new techno-productive paradigm? In connection to this question we will make reference to the following issues: [i] How does new knowledge spread in a capitalist economy and how is this issue related to a collusive or classical spread of the benefits of technical progress?; [ii] Does the underlying logic specific to ta...

  5. Pharmacist-led feedback workshops increase appropriate prescribing of antimicrobials.

    OpenAIRE

    McLellan, Lucy; Dornan, Tim; Newton, Pippa; Williams, Steven D; Lewis, Penny; Steinke, Douglas; Tully, Mary P

    2016-01-01

    OBJECTIVES: To investigate whether and how structured feedback sessions can increase rates of appropriate antimicrobial prescribing by junior doctors. METHODS: This was a mixed-methods study, with a conceptual orientation towards complexity and systems thinking. Fourteen junior doctors, in their first year of training, were randomized to intervention (feedback) and 21 to control (routine practice) groups in a single UK teaching hospital. Feedback on their antimicrobial prescribing was given, ...

  6. FROM TALK TO ACTION: POLICY STAKEHOLDERS, APPROPRIATENESS, AND SELECTIVE DISINVESTMENT

    OpenAIRE

    Paprica, P. Alison; Anthony J. Culyer; Elshaug, Adam G; Peffer, Justin; Sandoval, Guillermo A.

    2015-01-01

    Objectives: There is widespread commitment—at least in principle—to “evidence-informed” clinical practice and policy development in health care. The intention is that only “appropriate” care ought to be delivered at public expense. Although the rationale for an appropriateness agenda is widely endorsed, and methods have been proposed for addressing it, few published studies exist of contemporary policy initiatives which have actually led to successful disinvestment. Our objective was to explo...

  7. Appropriating the Returns from Industrial R&D

    OpenAIRE

    Richard C. Levin; Alvin K. Klevorick; Richard R. Nelson; Winter, Sidney G.

    1988-01-01

    In this paper, we describe the results of an inquiry into the nature of appropriability conditions in over one hundred manufacturing industries, and we discuss how this information has been and might be used to cast light on important issues in the economics of innovation and public policy. Our data, derived from a survey of high-level R&D executives, are informed opinions about the nature of an industry's technological and economic environment rather than quantitative measures of inputs and ...

  8. Do executives get appropriate compensation? : Evidence from intellectual capital perspective

    OpenAIRE

    Xie, Yamin

    2013-01-01

    This paper presents an empirical analysis of top executive compensation from intellectual capital perspective using data from US listed companies and aims to examine whether executives get appropriate compensation. I propose a pay-contribution compensation scheme and extend previous research on agency theory, by exploring how executive compensation contract design may be based on the firm’s intellectual capital (IC). Such features would serve the core purpose of compensation design, which is ...

  9. Appropriate Design Guided by Simulation: An Hovercraft Application

    OpenAIRE

    Alexandre dit Sandretto, Julien; Piccani de Souza, Douglas; Chapoutot, Alexandre

    2016-01-01

    A design methodology based on simulation of dynamical be- havior is presented in this paper. The particularity of our method is that it exploits the set-membership simulation. Indeed, this method allows one to consider an interval of values for each parameter of the dynamical model. Find- ing the parameters validating the requirements is then a fil- ter, based on a Branch and Prune algorithm. We prefer an approach of appropriate design that is a design which vali- dates the physical constrain...

  10. Appropriateness of colonoscopy: Diagnostic yield and safety in guidelines

    Institute of Scientific and Technical Information of China (English)

    Mario Grassini; Carlo Verna; Paolo Niola; Monica Navino; Edda Battaglia; Gabrio Bassotti

    2007-01-01

    AIM:To evaluate if the guidelines for the appropriateness of performing colonoscopy by American Society for Gastrointestinal Endoscopy (AGSE) and Italian Society of Digestive Endoscopy (SIED) yield a good diagnostic efficacy and do not present risks of missing important colonic pathologies in an Italian population sample.METHODS:A total of 1017 consecutive patients (560 men and 457 women; mean age 64.4 ± 16 years)referred to an open-access endoscopy unit for colonoscopy from July 2004 to May 2006 were evaluated according to ASGE and SIED guidelines for appropriateness of performing the procedure. Diagnostic yield was defined as the percentage of relevant colonic pathologies of the total number of colonoscopies performed.RESULTS:About 85.2% patients underwent colonoscopy that was considered appropriate based on at least one ASGE or SIED criterion,while it was considered inappropriate for 14.8% of patients. The diagnostic yield of colonoscopy was significantly higher for appropriate colonoscopies (26.94% vs 10.6%,P<0.001) than for inappropriate colonoscopies (5.3%). There was no missed colorectal cancer following the ASGE/SIED criteria.CONCLUSION:ASGE/SIED guidelines have shown a good diagnostic yield and the rate of missing relevant colonic pathologies seems very low. Unfortunately,the percentage of inappropriate referrals for colonoscopy in an open-access endoscopy system is still high,despite the number of papers published on the issue and the definition of international guidelines. Further steps are required to update and standardize the guidelines toincrease their diffusion and to promote educational programs for general practitioners.

  11. HOW TO SELECT APPROPRIATE HUMAN RESOURCE CONTROLLING INDICATORS

    OpenAIRE

    Monika Dugelova; Mariana Strenitzerova

    2015-01-01

    Human resource controlling represents a company’s strategic method to support its role is planning, checking, and managing—including information supplement for human resources department. Human resource controlling helps with optimization and transformation of human resource functions and with general human resource management. Our survey deals with the implementation of human resource controlling in information technology companies. The selection of appropriate human resource controlling too...

  12. Percutaneous Coronary Intervention Utilization and Appropriateness across the United States

    OpenAIRE

    Michael P Thomas; Parzynski, Craig S.; Curtis, Jeptha P.; Milan Seth; Nallamothu, Brahmajee K.; Chan, Paul S.; Spertus, John A.; Patel, Manesh R.; Bradley, Steven M.; Gurm, Hitinder S.

    2015-01-01

    Background Substantial geographic variation exists in percutaneous coronary intervention (PCI) use across the United States. It is unclear the extent to which high PCI utilization can be explained by PCI for inappropriate indications. The objective of this study was to examine the relationship between PCI rates across regional healthcare markets utilizing hospital referral regions (HRRs) and PCI appropriateness. Methods The number of PCI procedures in each HRR was obtained from the 2010 100% ...

  13. Selection an Appropriate Leadership Style to Direct Hospital Manpower

    OpenAIRE

    Arab, M.; Tajvar, M; F Akbari

    2006-01-01

    This research has tried to find most proper leadership styles based on a approved model to direct hospital manpower appropriately. The main objective of this research was the comparison between manager’s existing leadership styles and suggested styles to them in order to direct existing styles toward suggested ones. In this cross- sectional study all Qom province hospital managers participated. From the hospital the staff, 385 persons were selected by randomized stratifying sampling. Data wer...

  14. Design Methodology for Appropriate Technology: Engineering as if People Mattered

    OpenAIRE

    Akbar Adhiutama; Corinthias P. M. Sianipar; Gatot Yudoko; Kiyoshi Dowaki

    2013-01-01

    Since the emerging of its idea circa four decades ago, Appropriate Technology (AT) had been proven as a comprehensive solution in a limited condition. However, practitioners & academia have different opinions with engineers on how an AT must be designed. Researchers had noted the crucial factors in the issue as such, and they gave a notion of the urgency for a dedicated design methodology for AT. This study, therefore, aims to provide it. Such methodology is developed by incorporating AT ...

  15. Irrigation infrastructure and water appropriation rules for food security

    Science.gov (United States)

    Gohar, Abdelaziz A.; Amer, Saud A.; Ward, Frank A.

    2015-01-01

    In the developing world's irrigated areas, water management and planning is often motivated by the need for lasting food security. Two important policy measures to address this need are improving the flexibility of water appropriation rules and developing irrigation storage infrastructure. Little research to date has investigated the performance of these two policy measures in a single analysis while maintaining a basin wide water balance. This paper examines impacts of storage capacity and water appropriation rules on total economic welfare in irrigated agriculture, while maintaining a water balance. The application is to a river basin in northern Afghanistan. A constrained optimization framework is developed to examine economic consequences on food security and farm income resulting from each policy measure. Results show that significant improvements in both policy aims can be achieved through expanding existing storage capacity to capture up to 150 percent of long-term average annual water supplies when added capacity is combined with either a proportional sharing of water shortages or unrestricted water trading. An important contribution of the paper is to show how the benefits of storage and a changed water appropriation system operate under a variable climate. Results show that the hardship of droughts can be substantially lessened, with the largest rewards taking place in the most difficult periods. Findings provide a comprehensive framework for addressing future water scarcity, rural livelihoods, and food security in the developing world's irrigated regions.

  16. ACR appropriateness Criteria® second and third trimester bleeding.

    Science.gov (United States)

    Podrasky, Ann E; Javitt, Marcia C; Glanc, Phyllis; Dubinsky, Theodore; Harisinghani, Mukesh G; Harris, Robert D; Khati, Nadia J; Mitchell, Donald G; Pandharipande, Pari V; Pannu, Harpreet K; Shipp, Thomas D; Siegel, Cary Lynn; Simpson, Lynn; Wall, Darci J; Wong-You-Cheong, Jade J; Zelop, Carolyn M

    2013-12-01

    Vaginal bleeding occurring in the second or third trimesters of pregnancy can variably affect perinatal outcome, depending on whether it is minor (i.e. a single, mild episode) or major (heavy bleeding or multiple episodes.) Ultrasound is used to evaluate these patients. Sonographic findings may range from marginal subchorionic hematoma to placental abruption. Abnormal placentations such as placenta previa, placenta accreta and vasa previa require accurate diagnosis for clinical management. In cases of placenta accreta, magnetic resonance imaging is useful as an adjunct to ultrasound and is often appropriate for evaluation of the extent of placental invasiveness and potential involvement of adjacent structures. MRI is useful for preplanning for cases of complex delivery, which may necessitate a multi-disciplinary approach for optimal care.The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every two years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances where evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment. PMID:24263752

  17. Textual appropriation in engineering master's theses: a preliminary study.

    Science.gov (United States)

    Eckel, Edward J

    2011-09-01

    In the thesis literature review, an engineering graduate student is expected to place original research in the context of previous work by other researchers. However, for some students, particularly those for whom English is a second language, the literature review may be a mixture of original writing and verbatim source text appropriated without quotations. Such problematic use of source material leaves students vulnerable to an accusation of plagiarism, which carries severe consequences. Is such textual appropriation common in engineering master's writing? Furthermore, what, if anything, can be concluded when two texts have been found to have textual material in common? Do existing definitions of plagiarism provide a sufficient framework for determining if an instance of copying is transgressive or not? In a preliminary attempt to answer these questions, text strings from a random sample of 100 engineering master's theses from the ProQuest Dissertations and Theses database were searched for appropriated verbatim source text using the Google search engine. The results suggest that textual borrowing may indeed be a common feature of the master's engineering literature review, raising questions about the ability of graduate students to synthesize the literature. The study also illustrates the difficulties of making a determination of plagiarism based on simple textual similarity. A context-specific approach is recommended when dealing with any instance of apparent copying. PMID:20521174

  18. APPROPRIATE ALLOCATION OF CONTINGENCY USING RISK ANALYSIS METHODOLOGY

    Directory of Open Access Journals (Sweden)

    Andi Andi

    2004-01-01

    Full Text Available Many cost overruns in the world of construction are attributable to either unforeseen events or foreseen events for which uncertainty was not appropriately accommodated. It is argued that a significant improvement to project management performance may result from greater attention to the process of analyzing project risks. The objective of this paper is to propose a risk analysis methodology for appropriate allocation of contingency in project cost estimation. In the first step, project risks will be identified. Influence diagramming technique is employed to identify and to show how the risks affect the project cost elements and also the relationships among the risks themselves. The second step is to assess the project costs with regards to the risks under consideration. Using a linguistic approach, the degree of uncertainty of identified project risks is assessed and quantified. The problem of dependency between risks is taken into consideration during this analysis. For the final step, as the main purpose of this paper, a method for allocating appropriate contingency is presented. Two types of contingencies, i.e. project contingency and management reserve are proposed to accommodate the risks. An illustrative example is presented at the end to show the application of the methodology.

  19. The Concept of Appropriateness in Issuing Administrative Acts

    Directory of Open Access Journals (Sweden)

    Iulian Nedelcu

    2011-05-01

    Full Text Available Administrative acts are a legal way of organizing the execution and enforcement of the law. Law can not and should not establish all cases and all the ways, by means of which public administration bodies interfere with administrative actions, therefore administrative public bodies must have some initiative and ought to be able to assess the situations in which they will issue these acts and to appreciate their appropriateness. The appropriateness principle of administrative acts must be correlated with the legality principle. It can be concluded that the appropriateness principle underscores the power conferred by public administration, permitted in accordance with which it has the right and duty to judge when issuing an administrative compliance of the state of lawand facts, an appreciation that public administration is based on a single criterion: the interests of the community that they represent. Also, the very organization of the state as a state of law leads to the conclusion that the law – which is the materialization of the idea of justice – should be the standard on which the activity of human individuals report both to the quality of beneficiaries of the provisions and benefits of public administration and on the other hand as officials, public servants or ordinary employees in public administration system.

  20. Whole blood viscosity extrapolation formula: Note on appropriateness of units

    Directory of Open Access Journals (Sweden)

    Ezekiel Uba Nwose

    2011-01-01

    Full Text Available Background : A series has recently been done on whole blood viscosity. The first on the series proposed extrapolation chart with conventional reference range. Since the publication, two concerns have been received in personal communications. The first expressed concern over the use of serum proteins values in ′g/L′ instead of ′g/dL′ that was contained in the referenced material. The second enquired on suitability of the formula for determination of blood viscosity at low shear rate. Aim : This work sets out to compare different units-converted-modifications of the extrapolation with a view to develop a statement of comparison and suitability of units. Materials and Methods : The values of haematocrit and serum proteins were used in different unit-conversions on the mathematical formula to derive four modifications, which were compared. Five clinical cases that were specifically tested for whole blood viscosity, and had results for haematocrit and serum proteins were evaluated. The appropriateness of modifications for determination of viscosity at low shear rate was reviewed. Results : Except as modified and used in the series, determination of whole blood viscosity at low shear rate using other unit conversions on the formula yields negative values for all five cases. Conclusion : Given that it is unexpected for blood viscosity level to be zero let alone less, it is logical that negative values are invalid. A formula that gives the least invalid results may be most appropriate. Therefore, extrapolation modification used in the series is most appropriate.

  1. Appropriate antibiotic administration in critically ill patients with pneumonia

    Directory of Open Access Journals (Sweden)

    R A Khan

    2015-01-01

    Full Text Available Inappropriate initial antibiotics for pneumonia infection are usually linked to extended intensive care unit stay and are associated with an increased risk of mortality. This study evaluates the impact of inappropriate initial antibiotics on the length of intensive care unit stay, risk of mortality and the co-predictors that influences these outcomes. This retrospective study was conducted in an intensive care unit of a teaching hospital. The types of pneumonia investigated were hospital-acquired pneumonia and ventilator-associated pneumonia. Three different time points were defined as the initiation of appropriate antibiotics at 24 h, between 24 to 48 h and at more than 48 h after obtaining a culture. Patients had either hospital-acquired pneumonia (59.1% or ventilator-associated pneumonia (40.9%. The length of intensive care unit stay ranged from 1 to 52 days (mean; 9.78±10.02 days. Patients who received appropriate antibiotic agent at 24 h had a significantly shorter length of intensive care unit stay (5.62 d, P<0.001. The co-predictors that contributed to an extended intensive care unit stay were the time of availability of susceptibility results and concomitant diseases, namely cancer and sepsis. The only predictor of intensive care unit death was cancer. The results support the need for early appropriate initial antibiotic therapy in hospital-acquired pneumonia and ventilator-associated pneumonia infections.

  2. Pre-service Teachers’ Appropriation of Conceptual Tools

    Directory of Open Access Journals (Sweden)

    Honorine Nocon

    2014-04-01

    Full Text Available Teachers and teacher educators in the US struggle with conflicting needs. They must thinkcritically and adaptively in response to the rapidly changing demographics of their students andadjust to a policy climate that emphasizes standardization, measurement, and disregard forteachers as professionals. Embattled pre-service teacher education programs in institutions ofhigher education have traditionally sought to develop teacher candidates’ knowledge, skills, anddispositions. The authors argue that in the current climate pre-service teachers also mustappropriate conceptual frameworks to support their development as responsive professionals.While dispositions are beliefs and attitudes the origin and teaching of which remain in dispute,concepts like social justice, political-economic equity, and formative assessment are abstract ideasor concepts that inform practice. Conceptual tools, i.e., concepts, theories, and frameworks, guidenovice teachers in making decisions in response to the growing and rapidly changing studentpopulations they will teach as well as the policy contexts that constrain their teaching practice.The appropriation of conceptual tools contributes to development of vision and adaptive expertiserequired by responsive teacher professionals.Using an activity theory framework developed by Wartofsky (1973/1979 that draws in particularon the classification of artifacts, or tools, this article frames and critically examines teachers’need for conceptual tools, the appropriation of those tools, and a mixed methods study of thatappropriation. The study demonstrates that teacher candidates do appropriate conceptual tools,but that measurement of that process, though desirable in the current policy context, requires thedevelopment of a systematic and replicable methodology.

  3. Analysis of databases appropriation in the academic staffs of Iranian Universities of Medical Sciences according to the social appropriation approach

    OpenAIRE

    Keyvanara, Mahmoud; Sohrabi, Mozaffar Cheshmeh; Zare, Firoozeh; Hassnazadeh, Akbar; Malekahmadi, Parisa

    2014-01-01

    Background: Numerous researches conducted on about the quality of perception of media messages shows that the people are not passive receivers but they have the ability of understanding, interpreting and accepting or rejecting messages. In order to make clear the relationship of information and communication technologies with social changes and to gain a broader vision from this scope, sociological theories about information and communication technologies’ usage, especially appropriation appr...

  4. How Important is the Use of Authentic Materials in Developing Appropri-ate and Effective Listening Skills

    Institute of Scientific and Technical Information of China (English)

    HAN Fei

    2013-01-01

    Listening plays a significant role in both the absorbing of knowledge and social communication, however, it has not re-ceived enough attention over the past few decades. In recent years, it has been debated whether there are any strategies in devel-oping appropriate and effective listening skills and whether to adopt the authentic materials in listening teaching. In this disserta-tion, the importance of authentic materials, adopting authentic materials in the listening instruction will be presented.

  5. Quantifying the Human Appropriation of Fresh Water by African Agriculture

    Directory of Open Access Journals (Sweden)

    Joseph Alcamo

    2009-12-01

    Full Text Available Human appropriation of renewable freshwater (HARF is a measure for the influence of human activities on the global water cycle. It describes the fraction of accessible water that is directly used by human-dominated systems. We present a comprehensive model-based analysis of HARF for crop production on the African continent. Our analysis includes the components evapotranspiration from cropland (“green” water fluxes and water used for cropland irrigation (crop-related fraction of “blue” water fluxes. Model experiments were conducted for two scenarios with a time horizon of 2050, taking into account the combined effects of land-use change, climate change, and technological change. For the year 2000, evapotranspiration from Africa's rainfed cropland (green water flux is estimated to be 1085 km3/yr, whereas the abstraction of water for irrigation purposes from the renewable water resources (blue water flux is estimated to be approximately 180 km3/yr. According to the model experiments, between 2000–2050, an area between 1.25 million km2 and 1.56 million km2 of natural biomes will be converted to cropland. Consequently, for 2050, evapotranspiration from rainfed cropland is substantially greater than in 2000, ranging from 1870–2040 km3/yr, depending on the scenario, and irrigation abstraction increases up to 194–330 km3/yr. These findings point out the significant role of water appropriated for rainfed crop production in the continental water cycle, in contrast to the sum of water appropriated for irrigation. Furthermore, they suggest that it would be worthwhile to look for opportunities to reduce the amount of water evaporated and transpired from cropland to increase the “water productivity” of cropland. Finally, they indicate that under the given scenarios, this additional production is very likely to come at the cost of the extent of natural biomes and their associated ecosystem services.

  6. ACR Appropriateness Criteria Low Back Pain.

    Science.gov (United States)

    Patel, Nandini D; Broderick, Daniel F; Burns, Judah; Deshmukh, Tejaswini K; Fries, Ian Blair; Harvey, H Benjamin; Holly, Langston; Hunt, Christopher H; Jagadeesan, Bharathi D; Kennedy, Tabassum A; O'Toole, John E; Perlmutter, Joel S; Policeni, Bruno; Rosenow, Joshua M; Schroeder, Jason W; Whitehead, Matthew T; Cornelius, Rebecca S; Corey, Amanda S

    2016-09-01

    Most patients presenting with uncomplicated acute low back pain (LBP) and/or radiculopathy do not require imaging. Imaging is considered in those patients who have had up to 6 weeks of medical management and physical therapy that resulted in little or no improvement in their back pain. It is also considered for those patients presenting with red flags raising suspicion for serious underlying conditions, such as cauda equina syndrome, malignancy, fracture, and infection. Many imaging modalities are available to clinicians and radiologists for evaluating LBP. Application of these modalities depends largely on the working diagnosis, the urgency of the clinical problem, and comorbidities of the patient. When there is concern for fracture of the lumbar spine, multidetector CT is recommended. Those deemed to be interventional candidates, with LBP lasting for > 6 weeks having completed conservative management with persistent radiculopathic symptoms, may seek MRI. Patients with severe or progressive neurologic deficit on presentation and red flags should be evaluated with MRI. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer-reviewed journals and the application of well-established methodologies (the RAND/UCLA Appropriateness Method and the Grading of Recommendations Assessment, Development, and Evaluation) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances in which evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment. PMID:27496288

  7. Appropriate Contrast Enhancement Measures for Brain and Breast Cancer Images

    Directory of Open Access Journals (Sweden)

    Suneet Gupta

    2016-01-01

    Full Text Available Medical imaging systems often produce images that require enhancement, such as improving the image contrast as they are poor in contrast. Therefore, they must be enhanced before they are examined by medical professionals. This is necessary for proper diagnosis and subsequent treatment. We do have various enhancement algorithms which enhance the medical images to different extents. We also have various quantitative metrics or measures which evaluate the quality of an image. This paper suggests the most appropriate measures for two of the medical images, namely, brain cancer images and breast cancer images.

  8. R&D Subsidies and the Surplus Appropriability Problem

    DEFF Research Database (Denmark)

    Sørensen, Anders

    2005-01-01

    It may be optimal from a welfare perspective to use R&D subsidies when the source of R&D distortions originates from the surplus appropriability problem and technological spillovers in the form of knowledge spillovers, creative destruction, and duplication externalities are absent. Hence, R&D sub...... unwilling to use the level of spending required to implement the optimum policy. The argument is developed in a semi-endogenous growth model where the only distortion is monopoly pricing of intermediate goods.Keywords: R&D, policy instruments, welfare, market powerJEL: O38, O41...

  9. Simple and Appropriate Methods for Household Water Treatment

    OpenAIRE

    Demitry, Morris Elya

    2011-01-01

    Shortage of drinking water is the big challenge for Sudan. The cost of water treatment is the main reason for using untreated water for drinking purposes in many urban areas in Sudan. Water born‐diseases (diarrhea, typhoid, etc) are common and there are many victims in unimproved urban areas in Khartoum (Sudan) due to poor or the lack of treatment of drinking water. In this work, a simple and appropriate method (sand filter) for household water treatment was tested and developed. The main ...

  10. Disney animation: Global diffusion and local appropriation of culture

    Directory of Open Access Journals (Sweden)

    Souad Belkhyr

    2012-08-01

    Full Text Available Children’s media products reflect the cultural values of their producers and the social, political and economic conditions under which they were produced. Watching an animated cartoon, therefore, cannot be regarded as an innocent and simple act of consumption. It rather involves a complex process of coding/decoding and appropriating cultural meanings. Disney films are not only global means of entertainment but they can also function as an ideological apparatus. In an era of globalisation where the boundaries and divisions between entertainment and materiel consumption are blurred, Arab audiences are faced with a one-way flow of seemingly alien ideas and values that are disseminated through Disney stories, images and narratives. The relation between structured patterns of communication under globalization, on one hand, and the local conditions under which Disney cartoon products are marketed and consumed in the Arab world, on the other, can be understood as the main axis of globalised diffusion and localised appropriation of American cultural values and lifestyle among Arab societies

  11. Is focused parathyroidectomy appropriate for patients with primary hyperparathyroidism?

    Science.gov (United States)

    Kim, Won Woong; Rhee, Yumie; Ban, Eun Jeong; Lee, Cho Rok; Kang, Sang-Wook; Nam, Kee-Hyun; Chung, Woong Youn; Park, Cheong Soo

    2016-01-01

    Purpose The aim of this study was to determine whether focused or complete parathyroidectomy was more appropriate and to compare follow-up data in primary hyperparathyroidism (PHPT). Methods We retrospectively analyzed 225 operations for PHPT at Yonsei University Health System between 2000 and 2012. After excluding 93 patients, the remaining 132 were divided into 2 groups: those who underwent focused parathyroidectomy (FP) and those who underwent conventional parathyroidectomy (CP). We compared clinicopathological features; preoperative calcium, parathyroid hormone (PTH), phosphorus, vitamin D, 24-hour urine calcium, and alkaline phosphatase levels; postoperative calcium and PTH levels; pathologic diagnosis; multiplicity; and results of a localization study between the 2 groups. Results There was no significant difference in the rates of development of postoperative persistent hyperparathyroidism (1/122 FP patients and 1/10 CP patients) between the 2 groups due to a technical reason (FP 0.8% vs. CP 10.0%, P = 0.146). Multiglandular disease (MGD) was uncommon in all cases (6 of 132, 4.5%). All MGD cases were diagnosed using a preoperative localization study. Sestamibi scan and ultrasonography sensitivity were 94.2% and 90.2%, respectively. Conclusion We suggest that FP is appropriate in PHPT, except in cases of MGD if detected before the operation using preoperative imaging. Knowledge of hereditary PHPT and improved preoperative localization studies, such as high-resolution ultrasonography, contributed to the decision to perform FP rather than CP in all cases of unilateral results of the localizing study.

  12. Appropriateness of lumbar spine magnetic resonance imaging in Spain

    Energy Technology Data Exchange (ETDEWEB)

    Kovacs, Francisco M. [Spanish Back Pain Research Network (REIDE), Fundación Kovacs, Paseo de Mallorca 36, 07012 Palma de Mallorca (Spain); Research Department, Fundación Kovacs, Paseo de Mallorca 36, 07012 Palma de Mallorca (Spain); Arana, Estanislao, E-mail: aranae@uv.es [Spanish Back Pain Research Network (REIDE), Fundación Kovacs, Paseo de Mallorca 36, 07012 Palma de Mallorca (Spain); Servicio de Radiología, Fundación Instituto Valenciano de Oncología, Valencia (Spain); Fundación Instituto de Investigación en Servicios de Salud, Valencia (Spain); Royuela, Ana [Spanish Back Pain Research Network (REIDE), Fundación Kovacs, Paseo de Mallorca 36, 07012 Palma de Mallorca (Spain); CIBER Epidemiología y Salud Pública (CIBERESP) (Spain); Unidad de Bioestadística Clínica, Hospital Ramón y Cajal, IRYCIS, Ctra. Colmenar Km. 9.1, 28034 Madrid (Spain); Cabrera, Alberto [Spanish Back Pain Research Network (REIDE), Fundación Kovacs, Paseo de Mallorca 36, 07012 Palma de Mallorca (Spain); Hospital de Galdakao, Barrio Labeaga, 48960 Galdakao, Vizcaya (Spain); Casillas, Carlos [Spanish Back Pain Research Network (REIDE), Fundación Kovacs, Paseo de Mallorca 36, 07012 Palma de Mallorca (Spain); Instituto de Traumatología Unión de Mutuas, Av. del Lledó, C/Juan de Herrera, 27 12004 Castellón (Spain); and others

    2013-06-15

    Objectives: To determine the minimum percentage of lumbar spine magnetic resonance imaging (LSMRI) which are inappropriately prescribed in routine practice. Methods: LSMRI performed prospectively on 602 patients in 12 Radiology Services across 6 regions in Spain, were classified as “appropriate”, “uncertain” or “inappropriate” based on the indication criteria established by the National Institute for Clinical Excellence, the American College of Physicians and Radiology, and current evidence-based clinical guidelines. Studies on patients reporting at least one “red flag” were classified as “appropriate”. A logistic regression model was developed to identify factors associated with a higher likelihood of inappropriate LSMRI, including gender, reporting of referred pain, health care setting (private/public), and specialty of prescribing physician. Before performing the LSMRI, the radiologists also assessed the appropriateness of the prescription. Results: Eighty-eight percent of LSMRI were appropriate, 1.3% uncertain and 10.6% inappropriate. The agreement of radiologists’ assessment with this classification was substantial (k = 0.62). The odds that LSMRI prescriptions were inappropriate were higher for patients without referred pain [OR (CI 95%): 13.75 (6.72; 28.16)], seen in private practice [2.25 (1.20; 4.22)], by orthopedic surgeons, neurosurgeons or primary care physicians [2.50 (1.15; 5.56)]. Conclusion: Efficiency of LSMRI could be improved in routine practice, without worsening clinical outcomes.

  13. Appropriateness of lumbar spine magnetic resonance imaging in Spain

    International Nuclear Information System (INIS)

    Objectives: To determine the minimum percentage of lumbar spine magnetic resonance imaging (LSMRI) which are inappropriately prescribed in routine practice. Methods: LSMRI performed prospectively on 602 patients in 12 Radiology Services across 6 regions in Spain, were classified as “appropriate”, “uncertain” or “inappropriate” based on the indication criteria established by the National Institute for Clinical Excellence, the American College of Physicians and Radiology, and current evidence-based clinical guidelines. Studies on patients reporting at least one “red flag” were classified as “appropriate”. A logistic regression model was developed to identify factors associated with a higher likelihood of inappropriate LSMRI, including gender, reporting of referred pain, health care setting (private/public), and specialty of prescribing physician. Before performing the LSMRI, the radiologists also assessed the appropriateness of the prescription. Results: Eighty-eight percent of LSMRI were appropriate, 1.3% uncertain and 10.6% inappropriate. The agreement of radiologists’ assessment with this classification was substantial (k = 0.62). The odds that LSMRI prescriptions were inappropriate were higher for patients without referred pain [OR (CI 95%): 13.75 (6.72; 28.16)], seen in private practice [2.25 (1.20; 4.22)], by orthopedic surgeons, neurosurgeons or primary care physicians [2.50 (1.15; 5.56)]. Conclusion: Efficiency of LSMRI could be improved in routine practice, without worsening clinical outcomes

  14. From Adaptation to Appropriation: Framing the World Through News Translation

    Directory of Open Access Journals (Sweden)

    Valdeón Roberto A.

    2014-02-01

    Full Text Available Terminological issues are problematic in the analysis of translation processes in news production. In the 1980s, Stetting coined the term “transediting”, which has been widely used in the translation studies literature, but “translation” itself becomes contentious in communication studies, a discipline closely related to news translation research. Only a few communication scholars have specifically dealt with the linguistic and cultural transformations of source texts, but they tend to regard translation as word-for-word transfer, unusual news production. More productive for the study of news translation seems to be the application of the concept of framing, widely used in communication studies. Framing considers the linguistic and paralinguistic elements of news texts in the promotion of certain organizing ideas that the target audience can identify with. In news translation, this entails the adaptation of a text for the target readership, a process can lead to appropriation of source material. Two examples are mentioned to illustrate this point: the appropriation of the US Department of State cables by the Wikileak organisation, and the pro-Romanian slogans produced by the Gandul newspaper as a response to Britain’s anti-immigration campaigns. The final section relates news adaptation to adaptation of other text types, such as literary and historical works.

  15. Initiatives to improve appropriate antibiotic prescribing in primary care.

    Science.gov (United States)

    Harris, Diane J

    2013-11-01

    Influencing clinicians' prescribing behaviour is important because inappropriate use and overuse of antibiotics are major drivers of antibiotic resistance. A systematic review of interventions for promoting prudent prescribing of antibiotics by general practitioners suggests that multifaceted interventions will maximize acceptability. This article reports how this type of approach has been used successfully in Derbyshire, UK over the last 4 years. The range of interventions that have been used includes educational meetings (both open group events and others targeted at higher prescribers in the surgery) using a supportive and guiding ethos; the provision of support materials aimed at empowering avoidance or delayed antibiotic prescribing, where appropriate, and improving patients' knowledge and confidence in self-management; and the production of different treatment guidelines incorporating key messages with evidence, indicating where antibiotics are unlikely to be of benefit. Education on antibiotics in schools was a novel approach, which was developed in North Derbyshire to increase public awareness of the appropriate treatment for common illnesses without using antibiotics. PMID:24030546

  16. Design Methodology for Appropriate Technology: Engineering as if People Mattered

    Directory of Open Access Journals (Sweden)

    Akbar Adhiutama

    2013-08-01

    Full Text Available Since the emerging of its idea circa four decades ago, Appropriate Technology (AT had been proven as a comprehensive solution in a limited condition. However, practitioners & academia have different opinions with engineers on how an AT must be designed. Researchers had noted the crucial factors in the issue as such, and they gave a notion of the urgency for a dedicated design methodology for AT. This study, therefore, aims to provide it. Such methodology is developed by incorporating AT characteristics, fundamental issues in community empowerment, and the principles of existing design methodologies. The methodology emphasizes combination between bottom-up and top-down design approaches. It means that an AT must be started purely from local conditions rather than given technical specifications, and be given back to local people to be seamlessly integrated into their routines. It also underlines the crucial importance of community involvement throughout design stages. By looking at previous design methodologies that were developed based on pure Engineering Problem Solving (EPS, this study delivers a fresh and comprehensive one that covers surrounding issues and concepts to produce an AT based on the real meaning of technological appropriateness.

  17. Improving the radiologist–CAD interaction: designing for appropriate trust

    International Nuclear Information System (INIS)

    Computer-aided diagnosis (CAD) has great potential to improve radiologists' diagnostic performance. However, the reported performance of the radiologist–CAD team is lower than what might be expected based on the performance of the radiologist and the CAD system in isolation. This indicates that the interaction between radiologists and the CAD system is not optimal. An important factor in the interaction between humans and automated aids (such as CAD) is trust. Suboptimal performance of the human–automation team is often caused by an inappropriate level of trust in the automation. In this review, we examine the role of trust in the radiologist–CAD interaction and suggest ways to improve the output of the CAD system so that it allows radiologists to calibrate their trust in the CAD system more effectively. Observer studies of the CAD systems show that radiologists often have an inappropriate level of trust in the CAD system. They sometimes under-trust CAD, thereby reducing its potential benefits, and sometimes over-trust it, leading to diagnostic errors they would not have made without CAD. Based on the literature on trust in human–automation interaction and the results of CAD observer studies, we have identified four ways to improve the output of CAD so that it allows radiologists to form a more appropriate level of trust in CAD. Designing CAD systems for appropriate trust is important and can improve the performance of the radiologist–CAD team. Future CAD research and development should acknowledge the importance of the radiologist–CAD interaction, and specifically the role of trust therein, in order to create the perfect artificial partner for the radiologist. This review focuses on the role of trust in the radiologist–CAD interaction. The aim of the review is to encourage CAD developers to design for appropriate trust and thereby improve the performance of the radiologist–CAD team. - Highlights: • Radiologists often have an inappropriate

  18. Determination of appropriate models and parameters for premixing calculations

    International Nuclear Information System (INIS)

    The purpose of the present work is to use experiments that have been performed at Forschungszentrum Karlsruhe during about the last ten years for determining the most appropriate models and parameters for premixing calculations. The results of a QUEOS experiment are used to fix the parameters concerning heat transfer. The QUEOS experiments are especially suited for this purpose as they have been performed with small hot solid spheres. Therefore the area of heat exchange is known. With the heat transfer parameters fixed in this way, a PREMIX experiment is recalculated. These experiments have been performed with molten alumina (Al2O3) as a simulant of corium. Its initial temperature is 2600 K. With these experiments the models and parameters for jet and drop break-up are tested

  19. Appropriate Strategies for Rural Houses In Northwest China

    Institute of Scientific and Technical Information of China (English)

    HE Quan; LIU Jia-ping; LU Xiao-hui; YANG Liu

    2009-01-01

    To avoid the old road of urban development with high consumption and high pollution,this paper took the houses in a village near Yinchuan(a typical city of Northwest China)as an exemplary proiect to explore the appropriate strategies in the arid cold climate for the sustainable devdopment in rural undeveloped areas Northwest China.Firstly,all houses were designed according to the principles of passive solar heating.Second-ly,optimized biomass energy technologies such as biogas pit and straw gasification stove were utilized for cooking or heating.Last but not the least important,the ecological building materials such as earth,straw bale,fly ash were used to construct houses,which improves the indoor thermal comfort and meanwhile lowers the negative impact on the environment.Low costs,easy accessibility and habitants'inclination were taken into account in the process of design.

  20. The appropriateness of a proton pump inhibitor prescription.

    LENUS (Irish Health Repository)

    Moran, N

    2014-11-01

    Proton pump inhibitors (PPIs) are one of the most commonly prescribed groups of drug in Ireland, at great expense to the Irish healthcare executive. This study aims to evaluate the appropriateness of PPI prescriptions on admission and discharge in a tertiary referral hospital. All non-elective admissions in the Emergency Department in one week were included in the study. 102 patients in total were included, with 36 (35.4%) treated with a PPI on admission. Of these, only 3 (8.3%) had a clear indication noted as per current NICE guidelines. 18 new in-hospital PPI prescriptions were documented. 11 (61%) of which were present on discharge prescriptions. Continuing PPI prescription on discharge into the community may be inappropriate, costly and potentially harmful. Brief interventions aimed at reducing inappropriate PPI prescriptions have been shown to be effective at reducing the cost and potential harm of unnecessary treatment.

  1. Narrative Intertextuality: How Pacheco Appropriates The Go-Between

    Directory of Open Access Journals (Sweden)

    Jorge Alcázar

    2016-01-01

    Full Text Available This essay explores the role of rewriting in postmodern fiction, whether it goes under such names as appropriation, adaptation or the interaction between a hypotext and a hypertext. The core of the article is concerned with a minute comparison between H. P. Hartley’s novel The Go-Between (1953 and José Emilio Pacheco’s Las batallas en el desierto (1981. Similarities such as the role of a child/adult narrator, his infatuation with a mature woman, the traumatic experience it entails, how a distant past is recreated, the clash of opposite social classes, the narrative thematics of music, as well as other minor details are brought to the fore.

  2. Cultural Appropriations; Ethnic-Racial Representations; Black Press

    Directory of Open Access Journals (Sweden)

    Maria Angélica Zubaran

    2015-12-01

    Full Text Available This paper investigates the exchange and circulation of ideas in the black diaspora, particularly in the newspaper The Example, mapping and discussing the ethnic-racial and gender representations constructed in the narratives produced by the editors of this newspaper, during the campaign for the construction of a monument to the “Black Mother”. The aim is to analyze how the newspaper’s editors have appropriated texts that circulated in other newspapers about the campaign to the monument of the “Black Mother”, adapted them to their own interests and given them new meanings. From the theoretical approach of Cultural Studies, we understand the black press as a cultural artifact that not only informs but also produces discourses and representations that contribute to the formation of black subjectivities and identities.

  3. The importance of applying an appropriate data partitioning

    CERN Document Server

    Dimitrov, Gancho; The ATLAS collaboration

    2015-01-01

    In this presentation are described specific technical solutions put in place in various database applications of the ATLAS experiment at LHC where we make use of several partitioning techniques available in Oracle 11g. With the broadly used range partitioning and its option of automatic interval partitioning we add our own logic in PLSQL procedures and scheduler jobs to sustain data sliding windows in order to enforce various data retention policies. We also make use of the new Oracle 11g reference partitioning in the ATLAS Nightly Build System to achieve uniform data segmentation. However the most challenging was to segment the data of the new ATLAS Distributed Data Management system, which resulted in tens of thousands list type partitions and sub-partitions. Partition and sub-partition management, index strategy, statistics gathering and queries execution plan stability are important factors when choosing an appropriate physical model for the application data management. The so-far accumulated knowledge wi...

  4. The importance of having an appropriate data segmentation (partitioning)

    CERN Document Server

    Dimitrov, Gancho; The ATLAS collaboration

    2014-01-01

    In this presentation will be shown real life examples from database applications in the ATLAS experiment @ LHC where we make use of many Oracle partitioning techniques available in Oracle 11g. With the broadly used range partitioning and its option of automatic interval partitioning we add our own logic in PLSQL for sustaining data sliding windows in order to enforce various data retention policies. We also make use of the reference partitioning in some use cases, however the most challenging was to segment the data of a large bookkeeping system which resulted in tens of thousands list partitions and list sub-partitions. Partition and sub-partition management, index strategy, statistics gathering and queries execution plan stability are important factors when choosing an appropriate for the use case data management model. The gained experience with all of those will be shared with the audience.

  5. Appropriate electromagnetic techniques for imaging geothermal fracture zones

    Energy Technology Data Exchange (ETDEWEB)

    Groom, R.; Walker, P. [PetRos EiKon Incorporated, Ontario (Canada)

    1996-05-01

    Electromagnetic surface detection of fracture zones has often been approached by using the magnetotelluric method. This technique suffers greatly from the quantity and scale of the conductive inhomogeneities lying above the fracture zones. Additionally, it suffers from the inherent inability to focus the source on the target. There are no such source focusing capabilities in magnetotellurics. Accordingly, the quantity of magnetotelluric data required to resolve targets in such complex conditions can make the technique inefficient and insufficient from a cost perspective. When attempting to reveal a subsurface structure and image it, the basic physical responses at hand must be kept in mind, and the appropriate source must be utilized, which most effectively illuminates the target. A further advantage to controlled sources is that imaging techniques may be used to accentuate the response due to knowledge and control of the source.

  6. Appropriating Technologies for Contextual Knowledge: Mobile Personal Learning Environments

    Science.gov (United States)

    Attwell, Graham; Cook, John; Ravenscroft, Andrew

    The development of Technology Enhanced Learning has been dominated by the education paradigm. However social software and new forms of knowledge development and collaborative meaning making are challenging such domination. Technology is increasingly being used to mediate the development of work process knowledge and these processes are leading to the evolution of rhizomatic forms of community based knowledge development. Technologies can support different forms of contextual knowledge development through Personal Learning Environments. The appropriation or shaping of technologies to develop Personal Learning Environments may be seen as an outcome of learning in itself. Mobile devices have the potential to support situated and context based learning, as exemplified in projects undertaken at London Metropolitan University. This work provides the basis for the development of a Work Orientated MoBile Learning Environment (WOMBLE).

  7. The tricks plants use to reach appropriate light

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    The perception of ambient light signals that produce a relevant response to ensure exposure to appropriate levels of light energy is vital for plants. In response to this, intricate molecular mechanisms to mediate light signaling have evolved in plants. Among the responses induced by light, seedling extension is a determining event for plant survival in darkness, especially in the initial stage of plant growth. Here we review previous studies and recent progress towards an understanding of light signaling that regulates seedling elongation. We focus on the three regions of the sunlight spectrum that primarily control seedling elongation, namely red/far-red light, blue/UV-A light and UV-B light, and summarize the four signaling pathways that correspond to the three effective spectra.

  8. Encouraging appropriate, evidence-based use of oral nutritional supplements.

    Science.gov (United States)

    Stratton, Rebecca J; Elia, Marinos

    2010-11-01

    With the considerable cost of disease-related malnutrition to individuals and to society (estimated to be >£13×109 for the UK, 2007 prices), there is a need for effective and evidence-based ways of preventing and treating this condition. The wide range of oral nutritional supplements that may be prescribed for the dietary management of malnutrition and other conditions account for only about 1% (about £99×106, 2007 data) of the prescribing budget in England. Systematic reviews and meta-analyses consistently suggest that ready-made, multi-nutrient liquids which may be prescribed can improve energy and nutritional intake, body weight and have a variety of clinical and functional benefits in a number of patient groups. Meta-analyses have repeatedly shown that oral nutritional supplements produce significant reductions in complications (e.g. infections) and mortality, and a recent meta-analysis shows a reduction in hospital admissions (OR 0·56 (95% CI 0·41, 0·77), six randomised controlled trials). Such benefits suggest that the appropriate use of oral nutritional supplements should form an integral part of the management of malnutrition, particularly as there is currently a lack of evidence for alternative oral nutrition strategies (e.g. food fortification and counselling). As with all therapies, compliance to oral nutritional supplements needs to be maximised and the use monitored. To make sure that those at risk of malnutrition are identified and treated appropriately, there is a need to embed national and local policies into routine clinical practice. In doing so, the economic burden of this costly condition can be curtailed. As recently suggested by the National Institute for Health and Clinical Excellence, substantial cost savings could be made if screening and treatment of malnourished patients was undertaken. PMID:20696091

  9. ACR Appropriateness Criteria® Resectable Rectal Cancer

    International Nuclear Information System (INIS)

    The management of resectable rectal cancer continues to be guided by clinical trials and advances in technique. Although surgical advances including total mesorectal excision continue to decrease rates of local recurrence, the management of locally advanced disease (T3-T4 or N+) benefits from a multimodality approach including neoadjuvant concomitant chemotherapy and radiation. Circumferential resection margin, which can be determined preoperatively via MRI, is prognostic. Toxicity associated with radiation therapy is decreased by placing the patient in the prone position on a belly board, however for patients who cannot tolerate prone positioning, IMRT decreases the volume of normal tissue irradiated. The use of IMRT requires knowledge of the patterns of spreads and anatomy. Clinical trials demonstrate high variability in target delineation without specific guidance demonstrating the need for peer review and the use of a consensus atlas. Concomitant with radiation, fluorouracil based chemotherapy remains the standard, and although toxicity is decreased with continuous infusion fluorouracil, oral capecitabine is non-inferior to the continuous infusion regimen. Additional chemotherapeutic agents, including oxaliplatin, continue to be investigated, however currently should only be utilized on clinical trials as increased toxicity and no definitive benefit has been demonstrated in clinical trials. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every two years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances where evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment

  10. Pakistan's health policy: appropriateness and relevance to women's health needs.

    Science.gov (United States)

    Rizvi, Narjis; Nishtar, Sania

    2008-12-01

    The interface between national health policy and women's health needs is complex in developing countries like Pakistan. This paper aims to assess if Pakistan's national health policy 2001 is relevant and appropriate to women's health needs. Through review of existing data on women, a profile of women's health needs was developed which was transformed into framework of analysis. This framework indicates that Pakistani women's health needs are determined by gender disparities in health and health-related sectors. Comparison of national health policy with women's health needs framework reveals that although policy focuses on women's health through prioritization of gender equity, it is however addressed as an isolated theme without acknowledging the vital role gender inequalities in health and health-related sectors play in defining women's health needs. Moreover, gender equity is translated as provision of reproductive health services to married mothers, ignoring various critical overarching issues of women's life such as sexual abuse, violence, induced abortion, etc. Health systems strengthening strategies are though suggested but these fails to recognize main obstacles of utilization of healthcare services by women including non-availability of female healthcare providers and gender-based obstacles to healthcare utilization such as illiteracy, lack of empowerment to make decisions related to health, etc. In order to be relevant and appropriate to women's health needs the policy should: (1) use gender equity in health and health-related sectors as an approach to develop a healthy policy (2) expand the focus from reproductive health to life cycle approach to address all issues around women's life (3) strengthen health systems through creation of gender equity among all cadres of health providers (4) tailoring health interventions to counter gender-based obstacles to utilization of healthcare services and (5) dissemination interventions for behavior change. PMID

  11. Defining appropriate incentive levels: A review of theory and practice

    International Nuclear Information System (INIS)

    The theoretical and practical aspects related to determining the incentive levels for demand-side management (DSM) programs are discussed. The theoretical aspects comprise the efficiency criteria, from a social point of view; the equity issue, or ensuring that no one pays higher rates as a result of conservation programs; and the method of recovering the customer's investment, or the implicit discount rate method. The study of these theoretical aspects takes into account the perspectives of all the concerned parties and focuses on the need to harmonize the efficiency criteria which are in opposition. From this process are derived general criteria for aiding program planners and managers to determine the incentive levels for their DSM programs. Past experience has shown that incentive levels cannot be determined in an isolated manner. Other characteristics affecting the carrying out of DSM programs will also have repercussions on the success rate. To determine the appropriate incentives, it is important to have a clear understanding of what the DSM program intends to achieve. Factors such as the market sector, the technology chosen, and demographic characteristics can influence all aspects of the design and implementation of the program, including the type and level of incentive offered. When the goals of the program are clearly established and the intended market is clearly determined, a strategy should be formed which will have the greatest chance of fulfilling the program objectives. The role of each element in the program must be well understood. It is only at this stage that it is possible to determine an appropriate level of incentive. 7 refs

  12. Heterologous expression of membrane proteins: choosing the appropriate host.

    Directory of Open Access Journals (Sweden)

    Florent Bernaudat

    Full Text Available BACKGROUND: Membrane proteins are the targets of 50% of drugs, although they only represent 1% of total cellular proteins. The first major bottleneck on the route to their functional and structural characterisation is their overexpression; and simply choosing the right system can involve many months of trial and error. This work is intended as a guide to where to start when faced with heterologous expression of a membrane protein. METHODOLOGY/PRINCIPAL FINDINGS: The expression of 20 membrane proteins, both peripheral and integral, in three prokaryotic (E. coli, L. lactis, R. sphaeroides and three eukaryotic (A. thaliana, N. benthamiana, Sf9 insect cells hosts was tested. The proteins tested were of various origins (bacteria, plants and mammals, functions (transporters, receptors, enzymes and topologies (between 0 and 13 transmembrane segments. The Gateway system was used to clone all 20 genes into appropriate vectors for the hosts to be tested. Culture conditions were optimised for each host, and specific strategies were tested, such as the use of Mistic fusions in E. coli. 17 of the 20 proteins were produced at adequate yields for functional and, in some cases, structural studies. We have formulated general recommendations to assist with choosing an appropriate system based on our observations of protein behaviour in the different hosts. CONCLUSIONS/SIGNIFICANCE: Most of the methods presented here can be quite easily implemented in other laboratories. The results highlight certain factors that should be considered when selecting an expression host. The decision aide provided should help both newcomers and old-hands to select the best system for their favourite membrane protein.

  13. Choosing appropriate temporal and spatial scales for ecological restoration

    Indian Academy of Sciences (India)

    J Baird Callicott

    2002-07-01

    Classic ecological restoration seems tacitly to have taken the Clementsian ``balance of nature” paradigm for granted: plant succession terminates in a climax community which remains at equilibrium until exogenously disturbed after which the process of succession is restarted until the climax is reached. Human disturbance is regarded as unnatural and to have commenced in the Western Hemisphere at the time of European incursion. Classic ecological restoration thus has a clear and unambiguous target and may be conceived as aiming to foreshorten the natural processes that would eventually lead to the climax of a given site, which may be determined by its state at ``settlement”. According to the new ``flux of nature” paradigm in ecology a given site has no telos and is constantly changing. Human disturbance is ubiquitous and long-standing, and at certain spatial and temporal scales is ``incorporated”. Any moment in the past 10,000 years that may be selected as a benchmark for restoration efforts thus appears to be arbitrary. Two prominent conservationists have therefore suggested that the ecological conditions in North America at the Pleistocene–Holocene boundary, prior to the anthropogenic extinction of the Pleistocene megafauna, be the target for ecological restoration. That suggestion explicitly assumes evolutionary temporal scales and continental spatial scales as the appropriate frame of reference for ecological restoration. However, ecological restoration should be framed in ecological spatio-temporal scales, which may be defined temporally in reference to ecological processes such as disturbance regimes and spatially in reference to ecological units such as landscapes, ecosystems, and biological provinces. Ecological spatio-temporal scales are also useful in achieving a scientifically defensible distinction between native and exotic species, which plays so central a role in the practice of ecological restoration and the conservation of biodiversity

  14. Appropriate Separator Sizing: A Modified Stewart and Arnold Method

    Directory of Open Access Journals (Sweden)

    F. Boukadi

    2012-01-01

    Full Text Available Oil and gas separators were one of the first pieces of production equipment to be used in the petroleum industry. The different stages of separation are completed using the following three principles: gravity, centrifugal force, and impingement. The sizes of the oil droplets, in the production water, are based mainly on the choke valve pressure drop. The choke valve pressure drop creates a shearing effect; this reduces the ability of the droplets to combine. One of the goals of oil separation is to reduce the shearing effect of the choke. Separators are conventionally designed based on initial flow rates; as a result, the separator is no longer able to accommodate totality of produced fluids. Changing fluid flow rates as well as emulsion viscosity effect separator design. The reduction in vessel performance results in recorded measurements that do not match actual production levels inducing doubt into any history matching process and distorting reservoir management programs. In this paper, the new model takes into account flow rates and emulsion viscosity. The generated vessel length, vessel diameter, and slenderness ratio monographs are used to select appropriate separator size based on required retention time. Model results are compared to API 12J standards.

  15. The appropriateness of organic solar cells for indoor lighting conditions

    Science.gov (United States)

    Minnaert, B.; Veelaert, P.

    2010-05-01

    Most commercially available photovoltaic solar cells are crystalline silicon cells. However, in indoor environments, the efficiency of silicon solar cells is poor. Typically, the light intensity under artificial lighting conditions is less than 10 W/m2 as compared to 100-1000 W/m2 under outdoor conditions. Moreover, the spectrum is different from the outdoor solar spectrum and there is more diffuse than direct light. Taken into account the predicted cheaper costs for the production of organic solar cells, a possible niche market for organic PV can be indoor applications. In this article, we study the influence of the narrow absorption window, characteristic for organic solar cells, for different indoor conditions. This comparison is made for typical artificial light sources, i.e. a common incandescent lamp, an LED lamp and a "warm" and a "cool" fluorescent tube, which are compared to the outdoor AM 1.5 spectrum as reference. The comparisons are done by simulation based on the quantum efficiencies of the solar cells and the light spectra of the different light sources. A classical silicon solar cell is used as reference. In this way we determine the appropriateness for indoor use of organic solar cells.

  16. Appropriate mask selection study for nuclear industries activities

    International Nuclear Information System (INIS)

    The pollution control is one of the major aims to a factory for preserving employee's health and outside environment. The best way to control the dust is to design machines in such a way that either producing the dust is prevented or the amount of produced dust which goes to the environment be less than a defined limit. If dust control is not possible, other ways such as blocking the production area, using localized air control system, and personal controls can be applied. In this work, an attempt was made to examine the quality of different disposable personal masks to be used in industry, especially in nuclear industries. To accomplish the purpose of the study, 21 samples were collected from 10 different companies. In order to choose the most appropriate mask, these masks were examined for their effectiveness with the atmospheric particle method. The quality factor was calculated by examining the pressure drop. This research indicated that there was a significant difference between the qualities of the examined masks. The lowest, average and highest quality factors for different masks, are about 0.002. 0.044 and 0.247, respectively

  17. Selection an Appropriate Leadership Style to Direct Hospital Manpower

    Directory of Open Access Journals (Sweden)

    M Arab

    2006-07-01

    Full Text Available This research has tried to find most proper leadership styles based on a approved model to direct hospital manpower appropriately. The main objective of this research was the comparison between manager’s existing leadership styles and suggested styles to them in order to direct existing styles toward suggested ones. In this cross- sectional study all Qom province hospital managers participated. From the hospital the staff, 385 persons were selected by randomized stratifying sampling. Data were collected by two types of validated questionnaires, one for the staff and another for managers, and analyzed by SPSS software. The finding showed that among four types of leadership styles, 75% of manager’s leadership style was “consultative” and rest were “exploitative- authoritative” or “benevolent- authoritative”, but in the view of about 78% of the staff, manager’s leadership style was “benevolent- authoritative” and only 0.8% of them believed that manager’s style was participative .In general, based on the staff point of view, managers behaved less participative. On the other hand, Tannenbaum and Schmidt leadership style continuum model proved that the best leadership style for all the hospital managers was the “consultative” one. It can be concluded that there was 25% gap between existing leadership styles and suggested ones and it should be tried to close this gap as far as posible.

  18. Appropriateness of newborn screening for classic galactosaemia: a systematic review.

    Science.gov (United States)

    Varela-Lema, L; Paz-Valinas, L; Atienza-Merino, G; Zubizarreta-Alberdi, R; Villares, R Vizoso; López-García, M

    2016-09-01

    Currently, there is no universal agreement on galactosaemia screening, fundamentally because of the risk-benefit uncertainties. We conducted two exhaustive systematic searches in the main electronic databases (PubMed, Embase, Cochrane, etc.) to recover relevant information about the disease and screening test/s in order to support decision making in Spain. All of the 45 studies identified that covered disease issues were retrospective case series or cross-sectional analysis (level-4 evidence). Studies consistently found that the majority of patients presented characteristic symptomatology before diagnosis. Long term disabilities were not significantly correlated with age of diagnosis, onset of dietary restriction or strict diet compliance. The five studies that provided accuracy data used different cut-off points and verification tests, and thus differed in their definitions of a positive case (level-3b evidence). The estimated sensitivity was 100 % and the specificity 99.9 %. The false-positive rate ranged from 0.0005 % to 0.25 %, and the PPV from 0 % to 64.3 %. The comparative clinical effectiveness in relation to not screening or implementation of other programs is unknown. In summary, existing evidence remains insufficient to establish the appropriateness of newborn screening for galactosaemia screening, although health benefits could be expected if early diagnosis and treatment is achieved. If screening is implemented in Spain, it would be important that a pilot programme be implemented to assess false positive rate and ensure that early diagnosis is not delayed. PMID:27116003

  19. Niche appropriation by Drosophila intestinal stem cell tumours.

    Science.gov (United States)

    Patel, Parthive H; Dutta, Devanjali; Edgar, Bruce A

    2015-09-01

    Mutations that inhibit differentiation in stem cell lineages are a common early step in cancer development, but precisely how a loss of differentiation initiates tumorigenesis is unclear. We investigated Drosophila intestinal stem cell (ISC) tumours generated by suppressing Notch (N) signalling, which blocks differentiation. Notch-defective ISCs require stress-induced divisions for tumour initiation and an autocrine EGFR ligand, Spitz, during early tumour growth. On achieving a critical mass these tumours displace surrounding enterocytes, competing with them for basement membrane space and causing their detachment, extrusion and apoptosis. This loss of epithelial integrity induces JNK and Yki/YAP activity in enterocytes and, consequently, their expression of stress-dependent cytokines (Upd2, Upd3). These paracrine signals, normally used within the stem cell niche to trigger regeneration, propel tumour growth without the need for secondary mutations in growth signalling pathways. The appropriation of niche signalling by differentiation-defective stem cells may be a common mechanism of early tumorigenesis. PMID:26237646

  20. Who owns urban waste? Appropriation conflicts in emerging countries.

    Science.gov (United States)

    Cavé, Jérémie

    2014-09-01

    Managing solid waste in developing cities is not an easy task and many public policies have failed to bring the expected results. It is here argued that comprehending the solid waste handling in the South implies reconsidering the proper definition of waste. Where does the product end and where does rubbish begin? The answer to this question is far from being obvious. Solid waste appears as a blurred concept. Such a thorny issue is all the more relevant today, as municipal solid waste management approaches in the developing world are being reformulated: dumping sites are banned, sanitary landfills are imposed, and separate collection is being introduced. The current sector transformations are here analysed through a novel theoretical analysis combined with an original qualitative and quantitative empirical work. Through two case-studies of one-million inhabitant cities from emerging countries, it is shown that if appropriation conflicts arise that is because the urban solid waste deposit in Southern countries can be defined as an impure public good. This issue does not only involve private service operators and informal wastepickers; several other actors covet the urban solid waste deposit's cream, that is, recyclable items. In emerging countries, huge industrial groups are starting to target domestic recyclable waste as an alternative for raw materials, which costs are increasing ever more. PMID:25037749

  1. Liver transplantation in adults:Choosing the appropriate timing

    Institute of Scientific and Technical Information of China (English)

    Maria; Siciliano; Lucia; Parlati; Federica; Maldarelli; Massimo; Rossi; Stefano; Ginanni; Corradini

    2012-01-01

    Liver transplantation is indicated in patients with acute liver failure,decompensated cirrhosis,hepatocellular carcinoma and rare liver-based genetic defects that trigger damage of other organs.Early referral to a transplant center is crucial in acute liver failure due to the high mortality with medical therapy and its unpredictable evolution.Referral to a transplant center should be considered when at least one complication of cirrhosis occurs during its natural history.However,because of the shortage of organ donors and the short-term mortality after liver transplantation on one hand and the possibility of managing the complications of cirrhosis with other treatments on the other,patients are carefully selected by the transplant center to ensure that transplantation is indicated and that there are no medical,surgical and psychological contraindications.Patients approved for transplantation are placed on the transplant waiting list and prioritized according to disease severity.Thus,the appropriate timing of transplantation depends on recipient disease severity and,although this is still a matter of debate,also on donor quality.These two variables are known to determine the "transplant benefit"(i.e.,when the expected patient survival is better with,than without,transplantation) and should guide donor allocation.

  2. Understanding the concept of nationally appropriate mitigation action

    Energy Technology Data Exchange (ETDEWEB)

    Sharma, S.; Desgain, D.

    2013-05-15

    This publication is intended to enable national policy makers and other stakeholders, such as the private sector and technical experts, to acquaint themselves with the concept of NAMA. It aims to provide a comprehensive overview of the Nationally Appropriate Mitigation Action (NAMA) concept and enhance the understanding of NAMAs by explaining the underlying decisions of the Conference of the Parties in layman's terms. The first chapter describes how the concept of NAMA emerged in the context of the negotiations on climate change. The chapter gives an overview of how the concepts of NAMA and related MRV and financing issues have evolved through the different COPs. The second chapter clarifies the understanding of NAMAs in the context of the global temperature goal, and moves on to discuss the legal nature and scope of NAMAs. The chapter subsequently analyses the diversity of NAMAs submitted by developing countries to the UNFCCC, and ends by proposing a structure for formal submission of a NAMA. The third chapter specifically addresses the concept of measurement, reporting and verification (MRV), and describes the implications for countries implementing the MRV requirements. The last chapter discusses institutional arrangements, under the Convention, for providing financing to develop and implement NAMAs. The chapter also briefly discusses the different financial sources for implementing NAMAs, and concludes by explaining the concept of incremental cost in this specific context. (Author)

  3. Is antibiotic dosing appropriate for renal function in older adults?

    Institute of Scientific and Technical Information of China (English)

    T.S.Dharmarajan; RanganathanRajendran; MarilouCorpuz; EdwardP.Norkus

    2000-01-01

    A retrospective observational study was used to detennine if antibiotic dosing practices in older adults were adjusted for age or disease related changes in renal function in 196 patients, 17 to 99 years, hospitalized for urosepsis or pneumonia. Appropriate or inappropriate antibiotic dosing, based on ereatinine clearance, was assessed in three groups categorized by age and renal function. Duration of antibiotic therapy (iv, oral and total) was statistically equivalent across the three age groups. Older patients had significantly higher serum BUN (P<0.0000), creatinine (P=0.0078), renal impairment (P<0.000), and hospital deaths (P<0.000) compared to the young. Older adults were prescribed inappropriately higher antibiotic dosages significantly more often (P<0.000) than the young. The very old, prescribed excessive antibiotic doses (P=0.005) not adjusted for renal status, had an increased rate of Clostridium difficile colitis infection (P=0.014). In conclusion, excessive antibiotic dosing, not adjusted for ereatinine clearance, occurs in the elderly and we believe that it is correctable.

  4. A community assessment model appropriate for the Iranian community.

    Directory of Open Access Journals (Sweden)

    Kourosh Holakouie Naieni

    2014-03-01

    Full Text Available Community assessment is one of the core competencies for public health professionals; mainly because it gives them a better understanding of the strengths and drawbacks of their jurisdictions. We planned to recognize an appropriate model that provides a conceptual framework for the Iranian community.This study was conducted in Tehran, during 2009-2010 and consisted of two parts: a review of the literature and qualitative interview with selected experts as well as focus group discussion with health field staff. These steps were done to develop a conceptual framework: planning for a steering committee, forming a working committee, re-viewing community assessment models and projects, preparing the proposed model draft, in-depth interview and focused group discussions with national experts, finalizing the draft, and preparing the final model.Three different models published and applied routinely in different contexts. The 2008 North Carolina Community Assessment model was used as a reference. Ten national and 18 international projects were compared to the reference and one and six projects were completely compatible with this model, respectively.Our final proposed model takes communities through eight steps to complete a collaborative community assessment: form a community assessment team, solicit community participation and gain inter-sectoral collaboration, establish a working committee, empower the community, collect and analyze community's primary and secondary statistics, solicit community input to select health priorities, evaluate the community assessment and develop the community assessment document, an develop the community action plans.

  5. Bibliometrics: tracking research impact by selecting the appropriate metrics.

    Science.gov (United States)

    Agarwal, Ashok; Durairajanayagam, Damayanthi; Tatagari, Sindhuja; Esteves, Sandro C; Harlev, Avi; Henkel, Ralf; Roychoudhury, Shubhadeep; Homa, Sheryl; Puchalt, Nicolás Garrido; Ramasamy, Ranjith; Majzoub, Ahmad; Ly, Kim Dao; Tvrda, Eva; Assidi, Mourad; Kesari, Kavindra; Sharma, Reecha; Banihani, Saleem; Ko, Edmund; Abu-Elmagd, Muhammad; Gosalvez, Jaime; Bashiri, Asher

    2016-01-01

    Traditionally, the success of a researcher is assessed by the number of publications he or she publishes in peer-reviewed, indexed, high impact journals. This essential yardstick, often referred to as the impact of a specific researcher, is assessed through the use of various metrics. While researchers may be acquainted with such matrices, many do not know how to use them to enhance their careers. In addition to these metrics, a number of other factors should be taken into consideration to objectively evaluate a scientist's profile as a researcher and academician. Moreover, each metric has its own limitations that need to be considered when selecting an appropriate metric for evaluation. This paper provides a broad overview of the wide array of metrics currently in use in academia and research. Popular metrics are discussed and defined, including traditional metrics and article-level metrics, some of which are applied to researchers for a greater understanding of a particular concept, including varicocele that is the thematic area of this Special Issue of Asian Journal of Andrology. We recommend the combined use of quantitative and qualitative evaluation using judiciously selected metrics for a more objective assessment of scholarly output and research impact. PMID:26806079

  6. Translation research: from accurate diagnosis to appropriate treatment

    Directory of Open Access Journals (Sweden)

    Pass Harvey I

    2004-10-01

    Full Text Available Abstract This review article focuses on the various aspects of translational research, where research on human subjects can ultimately enhance the diagnosis and treatment of future patients. While we will use specific examples relating to the asbestos related cancer mesothelioma, it should be stressed that the general approach outlined throughout this review is readily applicable to other diseases with an underlying molecular basis. Through the integration of molecular-based technologies, systematic tissue procurement and medical informatics, we now have the ability to identify clinically applicable "genotype"-"phenotype" associations across cohorts of patients that can rapidly be translated into useful diagnostic and treatment strategies. This review will touch on the various steps in the translational pipeline, and highlight some of the most essential elements as well as possible roadblocks that can impact success of the program. Critical issues with regard to Institutional Review Board (IRB and Health Insurance Portability and Accountability Act (HIPAA compliance, data standardization, sample procurement, quality control (QC, quality assurance (QA, data analysis, preclinical models and clinical trials are addressed. The various facets of the translational pipeline have been incorporated into a fully integrated computational system, appropriately named Dx2Tx. This system readily allows for the identification of new diagnostic tests, the discovery of biomarkers and drugable targets, and prediction of optimal treatments based upon the underlying molecular basis of the disease.

  7. Pratiques de l’appropriation foncière en contexte musulman Land appropriation practices in the Muslim context

    Directory of Open Access Journals (Sweden)

    Alice Wilson

    2011-10-01

    Full Text Available Cet article porte sur la question de la « propriété » et de sa transmission. Nous proposons de nous départir d’une vision culturaliste du droit, qui prévaut largement dans les travaux sur les mondes musulmans, au profit d’une approche ethnographique des pratiques d’acquisition et de transmission de la propriété foncière. Nous montrons comment, sur des terrains algériens et soudanais, les acteurs mobilisent des droits locaux et nationaux, voire internationaux, pour faire valoir un titre à la propriété, en particulier sur des biens collectifs ou publics. L’attention est focalisée sur les pratiques actuelles d’appropriation foncière en zone agricole et/ou périurbaine et sur les conflits qui leur sont inhérents. Après avoir succinctement présenté le cadre « praxéologique » de la démarche que nous entreprenons, ainsi que les travaux récents au sujet de la propriété dans ces deux pays, nous décrivons comment opèrent, autour d’un objet commun (les modes d’accès à la terre, le jeu des protagonistes, leurs différents référents juridiques et les institutions impliquées dans l’arène de la négociation pour l’accès à la terre et la résolution éventuelle du conflit.This article deals with the question of “property” and its transmission. Our approach distances itself from the right-wing culturalist perspectives often adopted in studies of the Muslim world to favour an ethnographical approach examining the ways in which land is acquired and transferred. We show how actors in Algeria and Sudan use local, national and even international laws to claim title to land, especially in cases of collective or public goods. Our focus then shifts to the land appropriation practices currently affecting agricultural and/or peri-urban areas and the conflicts they give rise to. After briefly presenting our “praxelogical” approach and recent work on property in both countries, we describe how protagonists

  8. Selection of an appropriately simple storm runoff model

    Directory of Open Access Journals (Sweden)

    A. I. J. M. van Dijk

    2009-09-01

    Full Text Available Alternative conceptual storm runoff models, including several published ones, were evaluated against storm flow time series for 260 catchments in Australia (23–1902 km2. The original daily streamflow data was separated into baseflow and storm flow components and from these, event rainfall and storm flow totals were estimated. For each tested model structure, the number of free parameters was reduced in stages. The appropriate balance between simplicity and explanatory power was decided based on Aikake's Final Prediction Error Criterion and evidence of parameter equivalence. The majority of catchments showed storm recession half-times in the order of a day, with more rapid drainage in dry catchments. Overland and channel travel time did not appear to be an important driver of storm flow recession. A storm runoff model with two free parameters (one related to storm event size, the other to antecedent baseflow and a fixed initial loss of 12 mm provided the optimal model structure. The optimal model had some features similar to the Soil Conservation Service Curve Number technique, but performed an average 12 to 19% better. The non-linear relationship between event rainfall and event runoff may be associated with saturated area expansion during storms and/or the relationship between storm event size and peak rainfall intensity. Antecedent baseflow was a strong predictor of runoff response. A simple conceptual relationship between groundwater storage and saturated catchment area proved adequate and produced realistic estimates of saturated area of <0.1% for the driest and >5% for the wettest catchments.

  9. Selecting appropriate bedding to reduce locomotion problems in broilers

    Directory of Open Access Journals (Sweden)

    ICL Almeida Paz

    2010-09-01

    Full Text Available Two experiments were carried out at the Poultry Sector of the School of Agrarian Sciences of the Federal University of Grande Dourados to evaluate the incidence of leg problems in broilers reared on two distinct types of bedding material: rice husks or wood shavings, both new and reused. In both trials, a randomized experimental design was applied in factorial arrangement (2 x 2 x 2 using two genetic strains (Cobb® or Ross®; two sexes (male or female, and two litter materials (rice husks or wood shavings. In each trial 1080 one day pullets were reared equally divided in the treatments. The birds were placed in 4.5 m² boxes at a density of 10 birds m-2. All birds were fed diets with equal nutritional density, and water was offered ad libitum. Feeds were divided in three phases: starter diet (1 - 21 days, grower diet (22 - 35 days, and finisher diet (36 - 45 days. On day 45, fifty birds were randomly selected in each experiment to evaluate flock leg problems. The following parameters were analyzed: gait score, incidence of valgus and varus disorder, footpad dermatitis, femoral degeneration, tibial dyschondroplasia, and spondylolisthesis. Ambient temperature during rearing and litter caking and moisture content were recorded in four boxes per treatment. The analytical hierarchy process was used to organize the data into specific criteria. Several criteria, related to the attributes that were determinant according to the statistical analysis, were chosen in order to provide the best input to the process. Results indicated that new wood-shavings bedding was the most appropriate bedding to prevent locomotion problems, followed by new rice husks, reused wood shavings, and reused rice husks. However, when leg problems were associated to sex and genetic strain, male Ross birds strain presented less problems when reared on new rice husks, followed by new wood shavings

  10. Fluxes of radiocesium to milk and appropriate countermeasures

    International Nuclear Information System (INIS)

    Radiocesium contamination of milk persists in some areas of Belarus, Ukraine and Russian Federation which received fallout from the Chernobyl accident. In general, effective countermeasures have been used which ensure that radiocesium activity concentrations in milk from collective farms does not exceed intervention limits. However, farming practices differ greatly between the large collective farms, and the small, family operated private farms which are responsible for a major part of the food consumed in many rural areas. As a result of comparative low rate of use of fertilizers and utilization of poor quality land 137Cs activity concentrations in milk from family-owned cows continues to exceed intervention limits in some areas. It is therefore important to be able reliably to quantify the rates of transfer of 137Cs to private milk, so that all areas where persistent problems occur are identified, and appropriate countermeasure strategies applied. Where there is considerable variation, within a few km2, in both soil type and deposition, the 137Cs content of private milk is highly variable. However, combining information about soil type, transfer rates for each major soil type, deposition, pasture size and grazing strategies can be a useful method of quantifying transfer of radiocesium to milk. Geographical information systems provide a promising new tool to integrate these factors. Effective Countermeasures are available to reduce radiocesium transfer to private milk. Private farmers are more sceptical of such methods than the scientists, administrators and agriculturalists in their society, particularly those methods involving the use of chemical additives given to their animals. Increased information efforts on the local level appears to be a prerequisite for a successful implementation of necessary Countermeasures

  11. Selection of an appropriately simple storm runoff model

    Directory of Open Access Journals (Sweden)

    A. I. J. M. van Dijk

    2010-03-01

    Full Text Available An appropriately simple event runoff model for catchment hydrological studies was derived. The model was selected from several variants as having the optimum balance between simplicity and the ability to explain daily observations of streamflow from 260 Australian catchments (23–1902 km2. Event rainfall and runoff were estimated from the observations through a combination of baseflow separation and storm flow recession analysis, producing a storm flow recession coefficient (kQF. Various model structures with up to six free parameters were investigated, covering most of the equations applied in existing lumped catchment models. The performance of alternative structures and free parameters were expressed in Aikake's Final Prediction Error Criterion (FPEC and corresponding Nash-Sutcliffe model efficiencies (NSME for event runoff totals. For each model variant, the number of free parameters was reduced in steps based on calculated parameter sensitivity. The resulting optimal model structure had two or three free parameters; the first describing the non-linear relationship between event rainfall and runoff (Smax, the second relating runoff to antecedent groundwater storage (CSg, and a third that described initial rainfall losses (Li, but which could be set at 8 mm without affecting model performance too much. The best three parameter model produced a median NSME of 0.64 and outperformed, for example, the Soil Conservation Service Curve Number technique (median NSME 0.30–0.41. Parameter estimation in ungauged catchments is likely to be challenging: 64% of the variance in kQF among stations could be explained by catchment climate indicators and spatial correlation, but corresponding numbers were a modest 45% for CSg, 21% for Smax and none for Li, respectively. In gauged catchments, better

  12. Annual Status Report on Nationally Appropriate Mitigation Actions (NAMAs) 2013

    Energy Technology Data Exchange (ETDEWEB)

    Haensel, G.; Roeser, F.; Hoehne, N. [Ecofys, Utrecht (Netherlands); Van Tilburg, X.; Cameron, L. [ECN Policy Studies, Amsterdam (Netherlands)] (eds.)

    2013-11-15

    results of an online survey that collected respondents' considerations taken when designing and implementing NAMAs and elements perceived as key in operationalising a NAMA registry. UNEP Risoe Centre reflects on the linkages between lowcarbon development strategies, nationally appropriate mitigation actions and measuring, reporting and verification processes. The Overseas Environmental Cooperation Center (OECC) reflects on domestic institutional arrangement instead as essential elements in the development, coordination and implementation of NAMAs and their MRV. The contribution of the World Resources Institute (WRI) seeks to unpack MRV needs for estimating the greenhouse gas emissions reductions associated with NAMAs, as well as existing resources available to assist countries. The NAMA Facility presents an overview of its objectives, governance structure and selection and implementation procedures for NAMA support projects.

  13. Annual Status Report on Nationally Appropriate Mitigation Actions (NAMAs) 2012

    Energy Technology Data Exchange (ETDEWEB)

    Haensel, G.; Roeser, F.; Hoehne, N. [Ecofys, Utrecht (Netherlands); Van Tilburg, X.; Cameron, L. [ECN Policy Studies, Amsterdam (Netherlands)] (eds.)

    2012-11-15

    The development of Nationally Appropriate Mitigation Actions (NAMAs) has increased significantly over the last few years. The flexibility of the NAMA mechanism is widely regarded as an opportunity to deliver benefits that go far beyond greenhouse gas (GHG) emission reductions. Many developing countries are developing pilot NAMAs that deliver important insights into the challenges of, and opportunities for, NAMA development from a national perspective. A few countries are already a step ahead and experiences gained from pilot NAMA development are feeding into the formulation of national climate change policies in which NAMAs are becoming a key element. To maintain the momentum in NAMA development, clear signs at the international level are needed that developed countries will follow through with their financial commitments made under the Copenhagen Accord. Without this financial support, NAMAs will not be able to realise their full potential and induce transformational change. The Annual Status Report on NAMAs 2012 is a continuation of previously published NAMA Status Reports. The report presents an overview of the state of play of NAMAs and of support activities for NAMA development and implementation. A new feature of the Annual Status Report on NAMAs 2012 is that it is produced as a joint effort by several organizations that are closely involved in analysing and supporting NAMA development processes worldwide. The Annual Status Report on NAMAs 2012 is written by authors from Ecofys, the Energy research Centre of the Netherlands, the Center of Clean Air Policy (CCAP), the World Resources Institute (WRI) and Deutsche Gesellschaft fuer Internationale Zusammenarbeit (GIZ). In the section on 'Selected contributions on NAMAs', each organization discusses a specific topic of interest in relation to NAMA development that is closely related to their current NAMA activities or that is expected to provide 'food for thought' on potential ways forward for

  14. Art and Appropriation – when does artistic freedom become copyright infringement?

    OpenAIRE

    Lubna , Arielle Gem; Mabb, David

    2011-01-01

    Art and Appropriation – when does artistic freedom become copyright infringement? Artist David Mabb considers works in his practice, including a run-in with Magnum Photos and appropriating the work of William Morris.

  15. Ways to Develop College Students’Awareness of Appropriateness in Oral Communication

    Institute of Scientific and Technical Information of China (English)

    李晓莉

    2014-01-01

    Appropriateness is very important in oral communication. By analyzing the problems in oral communication, this arti-cle puts forward some efficient ways to raise college students’awareness of appropriateness in oral communication.

  16. The Appropriation of Collaborative Learning : Qualitative Insights from a Flipped Classroom

    OpenAIRE

    Janson, Andreas; Söllner, Matthias; Leimeister, Jan Marco

    2016-01-01

    Collaborative learning is an important part of innovative learning scenarios such as flipped classrooms. However, little insights are available regarding the appropriation process of collaborative learning. Based on adaptive structuration theory, we derive insights on the appropriation process of collaborative learning by means of a qualitative approach. The results show that appropriation is characterized by initial appropriation and task-related discussions. Moreover, an analysis of the ide...

  17. LA PRE-APPROPRIATION D'UN OUTIL DE GESTION A L'HOPITAL

    OpenAIRE

    Lemaire, Célia; Nobre, Thierry

    2013-01-01

    This research analyzes pre-appropriation phase of a management tool introduction process referred to as "benchmarking" in a health care facility, from a participant-observation method. The research first presents a chronological analysis of the pre-appropriation stages, followed by an analysis by stakeholder. The dominant perspective of the pre-appropriation is socio-political, yet other dimensions are also identified. This research helps to better understand the phase of pre-appropriation, w...

  18. Tensions Between the Resource Damage and the Private Benefits of Appropriation in the Commons

    OpenAIRE

    Blanco, Esther; Lopez, Maria Claudia; Walker, James M.

    2013-01-01

    This study examines appropriation decisions in a linear appropriation game setting with variations in the resource damage from appropriation and simultaneous variations in the resource damage and the opportunity cost of conservation, where the ratio of these two variables is held constant. In symmetric and asymmetric group contexts, subjects make decisions without feedback from a menu of seven decision situations. In summary, individual appropriation levels are found to be inversely correlate...

  19. 20 CFR 404.1537 - What we mean by appropriate treatment.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false What we mean by appropriate treatment. 404... DISABILITY INSURANCE (1950- ) Determining Disability and Blindness Medical Considerations § 404.1537 What we mean by appropriate treatment. By appropriate treatment, we mean treatment for drug addiction...

  20. 20 CFR 416.937 - What we mean by appropriate treatment.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false What we mean by appropriate treatment. 416.937 Section 416.937 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SUPPLEMENTAL SECURITY INCOME... § 416.937 What we mean by appropriate treatment. By appropriate treatment, we mean treatment for...

  1. 29 CFR 103.30 - Appropriate bargaining units in the health care industry.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 2 2010-07-01 2010-07-01 false Appropriate bargaining units in the health care industry. 103.30 Section 103.30 Labor Regulations Relating to Labor NATIONAL LABOR RELATIONS BOARD OTHER RULES Appropriate Bargaining Units § 103.30 Appropriate bargaining units in the health care industry. (a)...

  2. 41 CFR 101-39.102-1 - Records, facilities, personnel, and appropriations.

    Science.gov (United States)

    2010-07-01

    ..., personnel, and appropriations. 101-39.102-1 Section 101-39.102-1 Public Contracts and Property Management... appropriations. (a) If GSA decides to establish a fleet management system, GSA, with the assistance of the..., personnel, and appropriations, if any, that are proposed for transfer to the fleet management system....

  3. 78 FR 71023 - Determination Under the Foreign Operations, and Related Programs Appropriations Act

    Science.gov (United States)

    2013-11-27

    ... Determination Under the Foreign Operations, and Related Programs Appropriations Act Determination Pursuant to Section 7041(a)(1)(C) of the Department of State, Foreign Operations, and Related Programs Appropriations Act, 2012 (DIV. I, Pub. L. 112-74) as Carried Forward by the Full Year Continuing Appropriations...

  4. 78 FR 66841 - Israel Loan Guarantees Issued Under the Emergency Wartime Supplemental Appropriations Act of 2003...

    Science.gov (United States)

    2013-11-07

    ... Appropriations Act of 2003--Standard Terms and Conditions AGENCY: Agency for International Development (USAID... behalf of the State of Israel. Pursuant to the Emergency Wartime Supplemental Appropriations Act of 2003...-216-3055. SUPPLEMENTARY INFORMATION: Pursuant to the Emergency Wartime Supplemental Appropriations...

  5. 3 CFR - Assignment of Reporting Functions Under the Supplemental Appropriations Act, 2009

    Science.gov (United States)

    2010-01-01

    ... Supplemental Appropriations Act, 2009 Presidential Documents Other Presidential Documents Memorandum of July 17, 2009 Assignment of Reporting Functions Under the Supplemental Appropriations Act, 2009 Memorandum for... Supplemental Appropriations Act, 2009 (Public Law 111-32), as follows: 1. To the Attorney General, of...

  6. 32 CFR 644.477 - Civil works property-reimbursement of appropriation.

    Science.gov (United States)

    2010-07-01

    ... appropriation. 644.477 Section 644.477 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY... the Related Land) § 644.477 Civil works property—reimbursement of appropriation. Under title 33... credited to the appropriation for the work for which the property was acquired. Buildings or...

  7. 40 CFR 35.910-9 - Allotment of Fiscal Year 1978 appropriation.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Allotment of Fiscal Year 1978 appropriation. 35.910-9 Section 35.910-9 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GRANTS AND... Water Act § 35.910-9 Allotment of Fiscal Year 1978 appropriation. (a) Public Law 95-240 appropriated...

  8. The Appropriate Use of Neurostimulation of the Spinal Cord and Peripheral Nervous System for the Treatment of Chronic Pain and Ischemic Diseases : The Neuromodulation Appropriateness Consensus Committee

    NARCIS (Netherlands)

    Deer, Timothy R.; Mekhail, Nagy; Provenzano, David; Pope, Jason; Krames, Elliot; Leong, Michael; Levy, Robert M.; Abejon, David; Buchser, Eric; Burton, Allen; Buvanendran, Asokumar; Candido, Kenneth; Caraway, David; Cousins, Michael; de Jongste, Micheal; Diwan, Sudhir; Eldabe, Sam; Gatzinsky, Kliment; Foreman, Robert D.; Hayek, Salim; Kim, Philip; Kinfe, Thomas; Kloth, David; Kumar, Krishna; Rizvi, Syed; Lad, Shivanand P.; Liem, Liong; Linderoth, Bengt; Mackey, Sean; McDowell, Gladstone; McRoberts, Porter; Poree, Lawrence; Prager, Joshua; Raso, Lou; Rauck, Richard; Russo, Marc; Simpson, Brian; Slavin, Konstantin; Staats, Peter; Stanton-Hicks, Michael; Verrills, Paul; Wellington, Joshua; Williams, Kayode; North, Richard

    2014-01-01

    Introduction: The Neuromodulation Appropriateness Consensus Committee (NACC) of the International Neuromodulation Society (INS) evaluated evidence regarding the safety and efficacy of neurostimulation to treat chronic pain, chronic critical limb ischemia, and refractory angina and recommended approp

  9. Appropriate Pupilness

    DEFF Research Database (Denmark)

    Kofoed, Jette

    2008-01-01

    The analytical focus in this article is on how social categories intersect in daily school life and how intersections intertwine with other empirically relevant categories such as normality, pupilness and (in)appropriatedness. The point of empirical departure is a daily ritual where teams for foo...

  10. CPD Appropriations

    Data.gov (United States)

    Department of Housing and Urban Development — The datasets are the full-year allocations for HUD's Office of Community Planning and Development (CPD) formula programs: Community Development Block Grants (CDBG);...

  11. Constrained Appropriations

    DEFF Research Database (Denmark)

    Wildermuth, Norbert

    2008-01-01

      A discussion of the contingent character of young Brazilian's media culture is the focus of my contribution's theoretical approach. Thus, while giving recognition to young people's active agency in the creation of media-centred lifestyles and youth cultures, I will seek to demonstrate their pra...

  12. Functional upgrading, Bargaining Power and Value Appropriation of Emerging Economy Producers

    OpenAIRE

    Pham Thi Song Hanh; Bent Petersen

    2013-01-01

    In order to accrue economic rent a firm not only has to create value for its customers, it must also be capable of appropriating this value. Without possessing value appropriation capabilities the firm is at risk of passing on the created value to its suppliers, customers or competitors. There is ample evidence that emerging economy firms inserted in global value chains generally have difficulties in appropriating the added value they create - either due to a very competitive industry structu...

  13. Interventions to improve the appropriate use of polypharmacy for older people

    OpenAIRE

    Patterson, Susan M; Cadogan, Cathal A.; Kerse, Ngaire; Cardwell, Chris R.; Bradley, Marie C; Ryan, Cristin; Hughes, Carmel

    2014-01-01

    BackgroundInappropriate polypharmacy is a particular concern in older people and is associated with negative health outcomes. Choosing the best interventions to improve appropriate polypharmacy is a priority, hence interest in appropriate polypharmacy, where many medicines may be used to achieve better clinical outcomes for patients, is growing.ObjectivesThis review sought to determine which interventions, alone or in combination, are effective in improving the appropriate use of polypharmacy...

  14. Indigenous Land Rights in Sub-Saharan Africa: Appropriation, Security and Investment Demand

    OpenAIRE

    Sjaastad, E.; Bromley, D.W.

    1996-01-01

    Metadata only record We discuss the links between rights appropriation, tenure security, and investment demand in sub-Saharan Africa. Common assertions regarding indigenous tenure are: (a) insecurity of tenure leads to suboptimal investment incentives; and (b) appropriation of land rights in the public domain in rent-dissipating. We argue that land use and investment decisions among African farmers often have two motives--productivity and rights appropriation. The usual assertions thus see...

  15. Developmentally Appropriate Technology Practice: Exploring Myths and Perceptions of Early Childhood and Instructional Technology Professionals

    Science.gov (United States)

    Blake, Sally; Winsor, Denise; Burkett, Candice; Allen, Lee

    2011-01-01

    The integration of technology in early childhood classrooms has become a controversial issue among professionals in this field. One issue which may influence technology in these classrooms may be perceptions of what is developmentally appropriate practice (DAP). This article explores perceptions about technology and age appropriate recommendations…

  16. Department of Energy--appropriate technology small grants program: final rule.

    Science.gov (United States)

    1980-02-01

    This rule prescribes amendments to the Program Guidelines for the Appropriate Technology Small Grants Program which were issued pursuant to the Energy Research and Development Administration Appropriation Authorization of 1977. The full text of Part 470, as amended, is set forth in this final rule. PMID:10247837

  17. 78 FR 12771 - Notice of Proposed Information Collection for Disaster Relief Appropriations Act, 2013 Public...

    Science.gov (United States)

    2013-02-25

    ... technology, e.g., permitting electronic submission of responses. This Notice also lists the following... Office of Community Planning and Development to monitor special appropriation grants under the Community... recovery needs. The recent Hurricane Sandy supplemental appropriation (Pub. L. 113- 2) provides funding...

  18. Mobile phone appropriation in the favelas of Rio de Janeiro, Brazil

    DEFF Research Database (Denmark)

    de Souza e Silva, Adriana Araujo; Sutko, Daniel; Salis, Fernando;

    2011-01-01

    This qualitative case study describes the social appropriation of mobile phones among low-income communities in Rio de Janeiro (Brazil) by asking how favela (slum) residents appropriate cell phones. Findings highlight the difficulty these populations encounter in acquiring and using cell phones due...

  19. The effect of product–context appropriateness on emotion associations in evoked eating occasions

    NARCIS (Netherlands)

    Piqueras Fiszman, B.; Jaeger, S.R.

    2015-01-01

    The aim of this research was to investigate the impact that perceived product–context appropriateness exerts on elicited emotion associations. The experimental approach consisted in creating eating occasions (as a multi-component entity) varying in appropriateness, which consumers were instructed to

  20. "Appropriateness" in Foreign Language Acquisition and Use: Some Theoretical, Methodological and Ethical Considerations

    Science.gov (United States)

    Dewaele, Jean-Marc

    2008-01-01

    In this contribution, I focus on the concept of "appropriateness" in the usage, the learning and the teaching of foreign languages. Using a participant-based emic perspective, I investigate multilinguals' perceptions of appropriateness in their foreign languages. Referring to the existing literature, and using previously unpublished material…

  1. 76 FR 45208 - Agency Use of Appropriated Funds for Child Care Costs for Lower Income Employees

    Science.gov (United States)

    2011-07-28

    ... that the children of employees' same-sex domestic partners fall within the definition of ``child'' for... MANAGEMENT 5 CFR Part 792 RIN 3206-AL36 Agency Use of Appropriated Funds for Child Care Costs for Lower... agencies' use of appropriated funds to provide child care subsidies for lower-income civilian employees,...

  2. Steps to Teach Appropriate Sports and Games Behaviors through Physical Education

    Science.gov (United States)

    Samalot-Rivera, Amaury; Vidoni, Carla

    2015-01-01

    Social interventions during physical education classes can help students increase their appropriate behaviors and decrease inappropriate ones. Many educators assume that students develop appropriate social skills as a byproduct of participating in physical education and sport. However, the physical education literature shows that appropriate…

  3. 40 CFR 35.910-10 - Allotment of Fiscal Year 1979 appropriation.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Allotment of Fiscal Year 1979 appropriation. 35.910-10 Section 35.910-10 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GRANTS AND... Water Act § 35.910-10 Allotment of Fiscal Year 1979 appropriation. (a) Title II of Public Law...

  4. 40 CFR 35.910-11 - Allotment of Fiscal Year 1980 appropriation.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Allotment of Fiscal Year 1980 appropriation. 35.910-11 Section 35.910-11 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GRANTS AND... Water Act § 35.910-11 Allotment of Fiscal Year 1980 appropriation. (a) Title II of Public Law...

  5. Mobile Phone Appropriation of Students and Staff at an Institution of Higher Learning

    Science.gov (United States)

    Karim, Nor Shahriza Abdul; Oyebisi, Ishaq Oyefolahan; Mahmud, Murni

    2010-01-01

    Purpose: The purpose of this paper is to investigate the adoption and appropriation of mobile phone (MP) technologies by building on the technology appropriation theories. The paper also looks into the choice of MP use through various attractors, the purposes of MP use and the extent of use of various MP applications and features by the targeted…

  6. Labourers' Letters from Wellington to Surrey, 1840-1845: Lefebvre, Bernstein and Pedagogies of Appropriation

    Science.gov (United States)

    Middleton, Sue

    2010-01-01

    Henri Lefebvre suggested that social researchers engage in "the concrete analysis of rhythms" in order to reveal the "pedagogy of appropriation (the appropriation of the body, as of spatial practice)". Lefebvre's spatial analysis has influenced educational researchers, while the idea of "pedagogy" has travelled beyond education. This…

  7. Sensory quality and appropriateness of raw and boiled Jerusalem artichoke tubers (Helianthus tuberosus L.)

    DEFF Research Database (Denmark)

    Bach, Vibe; Kidmose, Ulla; Thybo, Anette;

    2013-01-01

    BACKGROUND: The aim of the present study was to investigate the sensory attributes, dry matter and sugar content of five varieties of Jerusalem artichoke tubers and their relation to the appropriateness of the tubers for raw and boiled preparation. RESULTS: Sensory evaluation of raw and boiled...... Jerusalem artichoke tubers was performed by a trained sensory panel and a semi-trained consumer panel of 49 participants, who also evaluated the appropriateness of the tubers for raw and boiled preparation. The appropriateness of raw Jerusalem artichoke tubers was related to Jerusalem artichoke flavour......, green nut flavour, sweetness and colour intensity, whereas the appropriateness of boiled tubers was related to celeriac aroma, sweet aroma, sweetness and colour intensity. In both preparations the variety Dwarf stood out from the others by being the least appropriate tuber. CONCLUSION: A few sensory...

  8. Energy and water development appropriations for 1999: Part 6. Hearings before a Subcommittee of the Committee on Appropriations, House of Representatives, One Hundred Fifth Congress, Second Session

    International Nuclear Information System (INIS)

    This is part 6 of the hearings before the subcommittee on energy and water development of the committee on appropriations. Included are statements from witnesses of the Department of Energy, environmental management and commercial waste management, nuclear waste technical review board, atomic energy defense activities, naval reactors, and defense nuclear facilities safety board

  9. Energy and water development appropriations for 1994. Hearings before a Subcommittee of the Committee on Appropriations, House of Representatives, One Hundred Third Congress, First Session. Part 5

    International Nuclear Information System (INIS)

    Part 5 of the hearings for the Energy and Water Development Appropriations for 1994 contains budget hearings for the Department of Energy. Contained in this volume is the statement of the Secretary of Energy and budget proposals and justifications for Departmental Administration, Energy Research, Nuclear Energy and Commercial Waste Management, Solar and Renewables, and Power Marketing Administrations

  10. Energy and water appropriations, fiscal year 1999. Hearings before a Subcommittee of the Committee on Appropriations, One Hundred Fifth Congress, Second Session

    International Nuclear Information System (INIS)

    These are hearings on H.R. 2203/S. 1004 an act making appropriations for energy and water development for the fiscal year ending September 30, 1998. Witnesses before the committee were from the US DOE for atomic energy defense activities, Office of Energy Research; US DOD, civil; US Corps of Engineers, civil; and US DOI, Bureau of Reclamation

  11. Energy and water development appropriations, fiscal year 1998. Hearings before a Subcommittee of the Committee on Appropriations, US Senate, One Hundred Fifth Congress, First Session

    International Nuclear Information System (INIS)

    These are hearings on H.R. 2203/S. 1004 an act making appropriations for energy and water development for the fiscal year ending September 30, 1998. Witnesses before the committee were from the US DOE for atomic energy defense activities, the Bonneville Power Administration, environmental restoration and waste management; the US DOI, bureau of reclamation; US DOD, civil; and Corps of Engineers, civil

  12. Energy and water development appropriations for 1999: Part 5. Hearings before a Subcommittee of the Committee on Appropriations, House of Representatives, One Hundred Fifth Congress, Second Session

    International Nuclear Information System (INIS)

    This is part 5 of the hearings before the subcommittee on energy and water development of the committee on appropriations. Included are statements from witnesses of the Secretary of Energy, departmental administration, energy research, renewable energy, nuclear energy, Power Marketing Administration, Federal Energy Regulatory Commission, and the Nuclear Regulatory Commission

  13. Energy and water development appropriations for 1994. Hearings before a Subcommittee of the Committee on Appropriations, House of Representatives, One Hundred Third Congress, First Session. Part 6

    International Nuclear Information System (INIS)

    Part 6 of the Energy and Water Development Appropriations for 1994 contains hearings for (1) Environmental Restoration and Waste Management; Environment, Safety, and Health; (2) Environmental Restoration and Waste Management Budget Justifications; (3) Defense Nuclear Facilities Safety Board; (4) Atomic Energy Defense Activities; and (5) Naval Reactors. Along with the budget requests, accomplishments and justifications for the proposed budgets are presented

  14. An Introduction to Selecting Appropriate Goals and Activities for the Severely/Profoundly Impaired That Are Appropriate for Their Age. (Using Curricular Domains).

    Science.gov (United States)

    Arnold, Yvonne

    Two introductory manuals, written as part of a practicum to meet the staff needs in the Philadelphia, Pennsylvania School District's severely/profoundly impaired (SPI) programs, focus on selecting goals and activities that are age appropriate for SPI students. Introductory materials review judicial rulings regarding Philadelphia's services for SPI…

  15. Identity appropriateness and the structure of the theory of planned behaviour.

    Science.gov (United States)

    Case, Philippa; Sparks, Paul; Pavey, Louisa

    2016-03-01

    In contrast to the cost-benefit, utility-based approach to decision-making implicit in models such as the theory of planned behaviour (TPB), the logic of appropriateness (March, 1994. A Primer on Decision Making: How decisions happen. New York, NY: The Free Press) describes decision-making in terms of heuristic decision rules that involve matching identities to situations. This research is the first to apply the logic of appropriateness in conjunction with the theoretical structure of the TPB and assessed whether a measure of identity appropriateness might independently predict adults' intentions to engage in binge drinking. In Study 1, participants (N = 197) completed questionnaires assessing attitudes, subjective norm, perceived behavioural control, past behaviour, and identity appropriateness in relation to binge drinking. Path analysis revealed an independent predictive effect of identity appropriateness on intentions in addition to an indirect effect via attitudes. In Study 2 (N = 179), a prospective measure of behaviour was included in a similar study: Identity appropriateness again predicted intentions independently of the extended TPB predictors. It was again also found to be a strong predictor of attitudes. We suggest that the notion of identity appropriateness may assist in explaining the capacity of measures of self-identity to predict people's behavioural intentions. PMID:25916752

  16. Appropriate use criteria in clinical routine practice: implications in a nuclear cardiology lab.

    Science.gov (United States)

    Gimelli, Alessia; Rovai, Ilaria; Liga, Riccardo; Pasanisi, Emilio Maria; Marzullo, Paolo

    2016-06-01

    The efforts for a broad application of the appropriate use criteria to reduce inappropriate nuclear stress testing have frequently been unsuccessful and the reported rates of inappropriateness have varied widely between studies. We sought to analyze the criteria of clinical appropriateness of a cohort of consecutive patients referred to our nuclear cardiology laboratory to perform stress myocardial perfusion imaging (MPI) and to assess the relationships between test appropriateness and the evaluation of ischaemia. A cohort of 251 consecutive patients, admitted to our Institute from January to March 2015, who underwent stress/rest MPI on a dedicated cardiac camera equipped with cadmium-zinc-telluride detectors, was selected. The level of clinical appropriateness of each MPI test was categorized in each patient according to the AUC criteria. According to the accepted criteria, the majority of the MPI stress-tests could be classified as clinically appropriate (218 of 251, 87 % of the tests), while only 16 (6 %) and 17 (7 %) resulted of uncertain appropriateness or clearly inappropriate, respectively. Of the 251 appropriate tests, 22 (10 %), 65 (30 %), and 131 (60 %) showed the presence of a mild (SDS < 4), moderate (4 ≥ SDS < 7), and severe (SDS ≥ 7) ischemic burden, respectively, while none of the inappropriate test showed moderate-to-severe ischaemia (P < 0.001 for comparisons). The rate of inappropriate MPI tests is considerably low in a high-volume laboratory. Appropriate and inappropriate studies identify patients at high and low probability of significant ischemia, respectively, providing insights on the effects of the level of appropriateness on stress-test results. PMID:26961179

  17. The appropriation of divine life in Cyril of Alexandria [Reseña

    OpenAIRE

    Wozniak, R.J. (Robert J.)

    2005-01-01

    Reseña de Daniel A. KEATING, Tbe appropriation of divine life in Cyril of Alexandria, Oxford University Press («Oxford theological monographs))), Oxford 2004, X + 315 pp., 14 X 22, ISBN 0-19-926713-8.

  18. OUTLINE OF RECOMMENDATIONS FOR APPROPRIATE DOMESTIC RABBIT MANAGEMENT IN ACCORDANCE WITH ANIMAL PROTECTION AND WELFARE CONSIDERATIONS

    OpenAIRE

    Löliger, H.

    1996-01-01

    Abstract not available. Löliger, H. (1996). OUTLINE OF RECOMMENDATIONS FOR APPROPRIATE DOMESTIC RABBIT MANAGEMENT IN ACCORDANCE WITH ANIMAL PROTECTION AND WELFARE CONSIDERATIONS. http://hdl.handle.net/10251/10473.

  19. Institutionalizing planning, enactment and reflection of daily lessons through appropriate organizational restructuring

    OpenAIRE

    Raval, Harini; McKenney, Susan; Pieters, Jules

    2011-01-01

    Raval, H., McKenney, S., & Pieters, J. (2011). Institutionalizing planning, enactment and reflection of daily lessons through appropriate organizational restructuring. The Asia-Pacific Educational Researcher, 20(3), 438-435.

  20. Budget estimates, fiscal year 1984/85. Appropriation: salaries and expenses

    International Nuclear Information System (INIS)

    This report contains the fiscal year budget justifications to Congress. The budget estimates for salaries and expenses for fiscal year 1984 to 1985 provide for obligations of $466,800,000 to be funded in total by a new appropriation

  1. Status Report on Nationally Appropriate Mitigation Actions (NAMAs). Mid-year update June 2013

    Energy Technology Data Exchange (ETDEWEB)

    Van Tilburg, X.; Bristow, S. [ECN Policy Studies, Amsterdam (Netherlands); Roeser, F.; Escalante, D.; Fekete, H. [Ecofys, Cologne (Germany)

    2013-06-15

    This mid-year update of the Annual Status Report on Nationally Appropriate Mitigation Actions, last published by Ecofys and ECN in November 2012, highlights recent trends in NAMA development and support and identifies where more progress is needed.

  2. The disconnect in the appropriation of new technologies into students’ everyday lives. A three country comparison.

    OpenAIRE

    Caron, André H.; Nili Berner; Pierre-Luc Chabot

    2011-01-01

    There is little doubt that students eagerly appropriate new technologies into their lives.  However, the authors wanted to explore what steps would be needed to ensure a proper appropriation of new technologies when applied to academic settings.  This paper presents a 3-country comparison of students reporting on their academic activities and technology use in everyday life. Though the numbers vary slightly within each country, the final results show an overall disconnect between the amount o...

  3. Esthetic experiences and technology – about the possibilities and potential uses and appropriations of smartphones

    Directory of Open Access Journals (Sweden)

    Graziela Soares Bianchi

    2013-04-01

    Full Text Available This paper brings reflections and noteson the esthetic experiences in communication studies. Are thoughtful and related possibilities and movements in process from the appropriations of mobile platforms, especially smartphone, observed in a particular way, in their uses and appropriations for young users. Based in authors like Kerckhove (2009, Manovich (2001, Winocur (2009, among others, to reflect the communicative experience in the sociocultural context of mobility and interaction.

  4. Teaching children with autism appropriate play in unsupervised environments using a self-management treatment package.

    OpenAIRE

    Stahmer, A C; Schreibman, L

    1992-01-01

    The present study used a self-management treatment package to teach 3 children with autism, who exhibited inappropriate play behaviors, to play appropriately in the absence of a treatment provider. After self-management training, generalization and maintenance of the behavior change were assessed. Because of the detrimental effects of self-stimulation (arm flapping, spinning toys, twirling, etc.) on learning, the relationship between self-stimulatory behaviors and appropriate play was measure...

  5. Delays in Appropriate Antibiotic Therapy for Gram-Negative Bloodstream Infections: A Multicenter, Community Hospital Study

    OpenAIRE

    Moehring, Rebekah W.; Richard Sloane; Chen, Luke F.; Smathers, Emily C.; Schmader, Kenneth E.; Fowler, Vance G.; Weber, David J.; Sexton, Daniel J.; Anderson, Deverick J.

    2013-01-01

    BACKGROUND: Gram-negative bacterial bloodstream infection (BSI) is a serious condition with estimated 30% mortality. Clinical outcomes for patients with severe infections improve when antibiotics are appropriately chosen and given early. The objective of this study was to estimate the association of prior healthcare exposure on time to appropriate antibiotic therapy in patients with gram-negative BSI. METHOD: We performed a multicenter cohort study of adult, hospitalized patients with gram-ne...

  6. On the semiotic appropriation of ICT tools for people in loss of autonomy

    OpenAIRE

    Billonnet, Laurent; Pignier, Nicole; Tsala-Effa, Didier; Geslin-Beyaert, Anne; Dumas, Jean-Michel

    2011-01-01

    It is now widely accepted that ICT objects for people with loss of autonomy do not meet the expected services. Their non-appropriation by the people is the main reason. This finding is important for policy makers and institutional medical organizations and caregivers as well as device manufacturers. Consequently, the concept of adequate appropriation is a process that must be developed in order to reduce dependency and introduce the notion of "natural health behavior." The object / equipment ...

  7. The Human side of organizational change : improving appropriation of project evolutions

    OpenAIRE

    Clement, Perotti; Minel, Stéphanie; Roussel, Benoît; Renaud, Jean

    2012-01-01

    This paper deals with the success of organisational change. Our empirical study starts with an illustration of our industrial problem: how to structure organisational change to ensure a future desired state is correctly appropriated. Based on an analysis of the literature, we propose considering organisational change as a dual appropriation process: the first at the company level and the second at an individual level. We then show that the project is a valid way to manage it and to structure ...

  8. Footprinting e-learners' activity: A first step to help their appropriation of the training system?

    OpenAIRE

    Ollagnier-Beldame, Magali

    2010-01-01

    Information and communication technologies have invaded the field of training, though their performances have been judged by companies to be insufficient. Among the origins of this state of affairs, the author considers that the lack of knowledge of what happens in a "real use situation" plays an important role. Indeed, understanding what is involved in learners-system interactions is fundamental to improve the system appropriation and its efficient usage. This appropriation is a dual necessi...

  9. Ironic Appropriation of Hemingway's For Whom the Bell Tolls in Bulosan's The Cry and the Dedication

    OpenAIRE

    Brown, Robert

    2013-01-01

    In his article "Ironic Appropriation of Hemingway's For Whom the Bell Tolls in Bulosan's The Cry and the Dedication" Robert Brown discusses Carlos Bulosan's The Cry and the Dedication and Ernest Hemingway's For Whom the Bell Tolls. Brown claims that Bulosan's appropriation of For Whom borders on plagiarism and that this in part defines The Cry as a postcolonial text. Brown maintains that E. San Juan Jr.'s otherwise comprehensive introduction to The Cry ignores Hemingway's text in favor of a F...

  10. Guidebook for the Development of a Nationally Appropriate Mitigation Action for Solar Water Heaters

    DEFF Research Database (Denmark)

    Haselip, James Arthur; Lütken, Søren E.; Sharma, Sudhir

    This guidebook provides an introduction to designing government-led interventions to scale up investment in solar water heater (SWH) markets, showing how these interventions can be packaged as Nationally Appropriate Mitigation Actions (NAMAS). Reflecting the changing balance in global greenhouse...... gas emissions, NAMAs embody the principle of common but differentiated responsibilities. In addition to developed countries’ commitments to make quantitative reductions of greenhouse gas emissions, developing countries are invited to contribute with voluntary actions that are ‘nationally appropriate...

  11. Is the Water Footprint an Appropriate Tool for Forestry and Forest Products: The Fennoscandian Case

    OpenAIRE

    Launiainen, Samuli; Martyn N. Futter; Ellison, David; Clarke, Nicholas; Finér, Leena; Högbom, Lars; Laurén, Ari; Ring, Eva

    2013-01-01

    The water footprint by the Water Footprint Network (WF) is an ambitious tool for measuring human appropriation and promoting sustainable use of fresh water. Using recent case studies and examples from water-abundant Fennoscandia, we consider whether it is an appropriate tool for evaluating the water use of forestry and forest-based products. We show that aggregating catchment level water consumption over a product life cycle does not consider fresh water as a renewable resource and is inconsi...

  12. Evaluation: A Critical Factor in Appropriate Career Development In Developing Economies

    OpenAIRE

    Joy Nkeiruka Onyeka; Ugwuegbulam Charles C.

    2013-01-01

    Developing economies are very often faced with challenging problems of under development. It becomes necessary therefore, that individuals within these economies are properly guided to face the challenges. Guidance and counselling assist people experience appropriate career choice and development. To achieve this, there must be reliable data. This paper examines the role of evaluation in appropriate career development. WAEC and NECO multiple choice test items in Mathematics were surveyed. The...

  13. On the Problem of Identifying the Appropriate Price Variable to Study the Price-Volume Relation

    OpenAIRE

    Imad A Moosa; Talla M. Al-Deehani

    2009-01-01

    Model selection tests and criteria are employed to identify empirically the most appropriate price variable for the purposeof studying the price-volume relation. Five different price variables are considered as explanatory variables in modelselection tests, which are carried out on a bilateral basis using data on stock prices and trading volume in eleven markets/indices. The results show that the most appropriate price variable varies from one market to another although two pricevariables app...

  14. TECHNO – ECONOMIC ACCEPTABILITY ANALISYS OF WASTE DISPOSAL BY INJECTION INTO APPROPRIATE FORMATION

    OpenAIRE

    Vladislav Brkić; Daria Karasalihović Sedlar

    2013-01-01

    During exploration and production of oil and natural gas, various types of waste must be disposed in a permanent and safe way. There is a range of methods for processing and disposal of waste, such as disposal into landfills, solidification, namely chemical stabilization, thermal processing, appropriate formation injections uncovered by a deep well, disposal into salt domes and bioremediation. The method of waste disposal into appropriate formations is a method where strict geological and tec...

  15. Appropriation of social media for knowledge sharing by patients with chronic illness

    OpenAIRE

    Isika, Nwakego; Mendoza, Antonette; Bosua, Rachelle

    2016-01-01

    Social media technologies are increasingly utilized by patients, leading to development of online social groups where patients share experiences and offer support to their peers on these platforms. There is limited research investigating actual use of social media platforms by patients, issues faced in using such platforms and how appropriation of these platforms impact patient outcomes. A conceptual model based on social support theory and model of technology appropriation is proposed in ord...

  16. Are nurse and pharmacist independent prescribers making clinically appropriate prescribing decisions? An analysis of consultations

    OpenAIRE

    Latter, Sue; Smith, Alesha; Blenkinsopp, Alison; Nicholls, Peter G.; Little, Paul; Chapman, Stephen

    2012-01-01

    OBJECTIVES: Legislation and health policy enabling nurses and pharmacists to prescribe a comprehensive range of medicines has been in place in the UK since 2006. Our objective was to evaluate the clinical appropriateness of prescribing by these professionals. METHODS: A modified version of the Medication Appropriateness Index (MAI) was used by 10 medical, seven pharmacist and three nurse independent raters to evaluate a sample of 100 audio-recorded consultations in which a medicine was pr...

  17. An evaluation of the appropriateness and safety of nurse and midwife prescribing in Ireland.

    LENUS (Irish Health Repository)

    Naughton, Corina

    2012-09-19

    AIM: To evaluate the clinical appropriateness and safety of nurse and midwife prescribing practice. BACKGROUND: The number of countries introducing nurse and midwife prescribing is increasing; however, concerns over patient safety remain. DESIGN: A multi-site documentation evaluation was conducted using purposeful and random sampling. The sample included 142 patients\\' records and 208 medications prescribed by 25 Registered Nurse Prescribers. METHODS: Data were extracted from patient and prescription records between March-May 2009. Two expert reviewers applied the modified Medication Appropriate Index tool (8 criteria) to each drug. The percentage of appropriate or inappropriate responses for each criterion was reported. Reviewer concordance was measured using the Cohen\\'s kappa statistic (inter-rater reliability). RESULTS: Nurse or midwife prescribers from eight hospitals working in seventeen different areas of practice were included. The reviewers judged that 95-96% of medicines prescribed were indicated and effective for the diagnosed condition. Criteria relating to dosage, directions, drug-drugs or disease-condition interaction, and duplication of therapy were judged appropriate in 87-92% of prescriptions. Duration of therapy received the lowest value at 76%. Overall, reviewers indicated that between 69 (reviewer 2)-80% (reviewer 1) of prescribing decisions met all eight criteria. CONCLUSION: The majority of nurse and midwife prescribing decisions were deemed safe and clinically appropriate. However, risk of inappropriate prescribing with the potential for drug errors was detected. Continuing education and evaluation of prescribing practice, especially related to drug and condition interactions, is required to maximize appropriate and safe prescribing.

  18. The Appropriateness of Renal Angioplasty. The ANPARIA Software: A Multidisciplinary Expert Panel Approach

    International Nuclear Information System (INIS)

    Percutaneous transluminal renal angioplasty (PTRA) is an invasive technique that is costly and involves the risk of complications and renal failure. The ability of PTRA to reduce the administration of antihypertensive drugs has been demonstrated. A potentially greater benefit, which nevertheless remains to be proven, is the deferral of the need for chronic dialysis. The aim of the study (ANPARIA) was to assess the appropriateness of PTRA to impact on the evolution of renal function. A standardized expert panel method was used to assess the appropriateness of medical treatment alone or medical treatment with revascularization in various clinical situations. The choice of revascularization by either PTRA or surgery was examined for each clinical situation. Analysis was based on a detailed literature review and on systematically elicited expert opinion, which were obtained during a two-round modified Delphi process. The study provides detailed responses on the appropriateness of PTRA for 1848 distinct clinical scenarios. Depending on the major clinical presentation, appropriateness of revascularization varied from 32% to 75% for individual scenarios (overal 48%). Uncertainty as to revascularization was 41% overall. When revascularization was appropriate, PTRA was favored over surgery in 94% of the scenarios, except in certain cases of aortic atheroma where sugery was the preferred choice. Kidney size >7 cm, absence of coexisting disease, acute renal failure, a high degree of stenosis (≥70%), and absence of multiple arteries were identified as predictive variables of favorable appropriateness ratings. Situations such as cardiac failure with pulmonary edema or acute thrombosis of the renal artery were defined as indications for PTRA. This study identified clinical situations in which PTRA or surgery are appropriate for renal artery disease. We built a decision tree which can be used via Internet: the ANPARIA software (http://www

  19. Energy and water development appropriations for 1986. Part 7. Hearings before a Subcommittee of the Committee on Appropriations, House of Representatives, Ninety-Ninth Congress, First Session

    International Nuclear Information System (INIS)

    Part 7 of the hearing record covers three areas of the DOE appropriations: Atomic Energy Defense activities, power marketing administrations, and departmental administration. Representatives of DOE and the US Army reviewed the nuclear defense mission and activities under the defense and arms control programs. The administrators of the Alaska, Bonneville, Southeastern, Southwestern, and Western Power Administrations and a representative of the Conservation and Renewable Energy division described programs and budget requirements, as well as estimates of power demands for their regions. Administrative personnel described DOE procedures and explained the budget requests. Supporting documentation accompanies the testimony of the 16 witnesses

  20. Adoption, adaptation, and abandonment: Appropriation of science education professional development learning

    Science.gov (United States)

    Longhurst, Max L.

    Understanding factors that impact teacher utilization of learning from professional development is critical in order maximize the educational and financial investment in teacher professional learning. This study used a multicase mixed quantitative and qualitative methodology to investigate the factors that influence teacher adoption, adaption, or abandonment of learning from science teacher professional development. The theoretical framework of activity theory was identified as a useful way to investigate the phenomenon of teacher appropriation of pedagogical practices from professional development. This framework has the capacity to account for a multitude of elements in the context of a learning experience. In this study educational appropriation is understood through a continuum of how an educator acquires and implements both practical and conceptual aspects of learning from professional development within localized context. The variability associated with instructional changes made from professional development drives this inquiry to search for better understandings of the appropriation of pedagogical practices. Purposeful sampling was used to identify two participants from a group of eighth-grade science teachers engaged in professional development designed to investigate how cyber-enabled technologies might enhance instruction and learning in integrated science classrooms. The data from this investigation add to the literature of appropriation of instructional practices by connecting eight factors that influence conceptual and practical tools with the development of ownership of pedagogical practices in the appropriation hierarchy. Recommendations are shared with professional development developers, providers, and participants in anticipation that future science teaching experiences might be informed by findings from this study.

  1. Ethics under uncertainty: the morality and appropriateness of utilitarianism when outcomes are uncertain.

    Science.gov (United States)

    Kortenkamp, Katherine V; Moore, Colleen F

    2014-01-01

    Real-life moral dilemmas inevitably involve uncertainty, yet research has not considered how uncertainty affects utilitarian moral judgments. In addition, even though moral dilemma researchers regularly ask respondents, "What is appropriate?" but interpret it to mean, "What is moral?," little research has examined whether a difference exists between asking these 2 types of questions. In this study, 140 college students read moral dilemmas that contained certain or uncertain consequences and then responded as to whether it was appropriate and whether it was moral to kill 1 to save many (a utilitarian choice). Ratings of the appropriateness and morality of the utilitarian choice were lower under uncertainty than certainty. A follow-up experiment found that these results could not be explained entirely by a change in the expected values of the outcomes or a desire to avoid the worst-case scenario. In addition, the utilitarian choice to kill 1 to save many was rated as more appropriate than moral. The results imply that moral decision making may depend critically on whether uncertainties in outcomes are admitted and whether people are asked about appropriateness or morality. PMID:25588277

  2. Is the water footprint an appropriate tool for forestry and forest products: the Fennoscandian case.

    Science.gov (United States)

    Launiainen, Samuli; Futter, Martyn N; Ellison, David; Clarke, Nicholas; Finér, Leena; Högbom, Lars; Laurén, Ari; Ring, Eva

    2014-03-01

    The water footprint by the Water Footprint Network (WF) is an ambitious tool for measuring human appropriation and promoting sustainable use of fresh water. Using recent case studies and examples from water-abundant Fennoscandia, we consider whether it is an appropriate tool for evaluating the water use of forestry and forest-based products. We show that aggregating catchment level water consumption over a product life cycle does not consider fresh water as a renewable resource and is inconsistent with the principles of the hydrologic cycle. Currently, the WF assumes that all evapotranspiration (ET) from forests is a human appropriation of water although ET from managed forests in Fennoscandia is indistinguishable from that of unmanaged forests. We suggest that ET should not be included in the water footprint of rain-fed forestry and forest-based products. Tools for sustainable water management should always contextualize water use and water impacts with local water availability and environmental sensitivity. PMID:23420472

  3. The neural basis of novelty and appropriateness in processing of creative chunk decomposition.

    Science.gov (United States)

    Huang, Furong; Fan, Jin; Luo, Jing

    2015-06-01

    Novelty and appropriateness have been recognized as the fundamental features of creative thinking. However, the brain mechanisms underlying these features remain largely unknown. In this study, we used event-related functional magnetic resonance imaging (fMRI) to dissociate these mechanisms in a revised creative chunk decomposition task in which participants were required to perform different types of chunk decomposition that systematically varied in novelty and appropriateness. We found that novelty processing involved functional areas for procedural memory (caudate), mental rewarding (substantia nigra, SN), and visual-spatial processing, whereas appropriateness processing was mediated by areas for declarative memory (hippocampus), emotional arousal (amygdala), and orthography recognition. These results indicate that non-declarative and declarative memory systems may jointly contribute to the two fundamental features of creative thinking. PMID:25797834

  4. The Effect of ICD Programming on Inappropriate and Appropriate ICD Therapies in Ischemic and Nonischemic Cardiomyopathy

    DEFF Research Database (Denmark)

    Sedláček, Kamil; Ruwald, Anne-Christine; Kutyifa, Valentina;

    2015-01-01

    INTRODUCTION: The MADIT-RIT trial demonstrated reduction of inappropriate and appropriate ICD therapies and mortality by high-rate cut-off and 60-second-delayed VT therapy ICD programming in patients with a primary prophylactic ICD indication. The aim of this analysis was to study effects of MADIT......-RIT ICD programming in patients with ischemic and nonischemic cardiomyopathy. METHODS AND RESULTS: First and total occurrences of both inappropriate and appropriate ICD therapies were analyzed by multivariate Cox models in 791 (53%) patients with ischemic and 707 (47%) patients with nonischemic...... cardiomyopathy. Patients with ischemic and nonischemic cardiomyopathy had similar incidence of first inappropriate (9% and 11%, P = 0.21) and first appropriate ICD therapy (11.6% and 14.1%, P = 0.15). Patients with ischemic cardiomyopathy had higher mortality rate (6.1% vs. 3.3%, P = 0.01). MADIT-RIT high...

  5. ACR Appropriateness Criteria Fever Without Source or Unknown Origin-Child.

    Science.gov (United States)

    Westra, Sjirk J; Karmazyn, Boaz K; Alazraki, Adina L; Dempsey, Molly E; Dillman, Jonathan R; Garber, Matthew; Moore, Sheila G; Raske, Molly E; Rice, Henry E; Rigsby, Cynthia K; Safdar, Nabile; Simoneaux, Stephen F; Strouse, Peter J; Trout, Andrew T; Wootton-Gorges, Sandra L; Coley, Brian D

    2016-08-01

    The cause of fever in a child can often be determined from history, physical examination, and laboratory tests; infections account for the majority of cases. Yet in 20%, no apparent cause can be found, designated as fever without source (FWS). The yield of chest radiography in children with FWS is low, and it is usually not appropriate. However, in children with respiratory signs, high fever (>39°C), or marked leukocytosis (≥20,000/mm(3)), chest radiography is usually appropriate, as it has a higher yield in detecting clinically occult pneumonia. In newborns with FWS, there is higher risk for serious bacterial infection, and the routine use of chest radiography is controversial. In children with neutropenia, fever is a major concern. In some clinical circumstances, such as after hematopoietic stem cell transplantation, chest CT scan may be appropriate even if the results of chest radiography are negative or nonspecific, as it has higher sensitivity and can demonstrate specific findings (such as lung nodule and "halo sign") that can guide management. In a child with prolonged fever of unknown origin despite extensive medical workup (fever of unknown origin), diagnosis is usually dependent on clinical and laboratory studies, and imaging tests have low yield. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or

  6. A Decision Support Tool for Appropriate Glucose-Lowering Therapy in Patients with Type 2 Diabetes

    Science.gov (United States)

    Benhamou, Pierre Yves; Charpentier, Guillaume; Consoli, Agostino; Diamant, Michaela; Gallwitz, Baptist; Khunti, Kamlesh; Mathieu, Chantal; Ridderstråle, Martin; Seufert, Jochen; Tack, Cees; Vilsbøll, Tina; Phan, Tra-Mi; Stoevelaar, Herman

    2015-01-01

    Abstract Background: Optimal glucose-lowering therapy in type 2 diabetes mellitus requires a patient-specific approach. Although a good framework, current guidelines are insufficiently detailed to address the different phenotypes and individual needs of patients seen in daily practice. We developed a patient-specific decision support tool based on a systematic analysis of expert opinion. Materials and Methods: Based on the American Diabetes Association (ADA)/European Association for the Study of Diabetes (EASD) 2012 position statement, a panel of 12 European experts rated the appropriateness (RAND/UCLA Appropriateness Method) of treatment strategies for 930 clinical scenarios, which were permutations of clinical variables considered relevant to treatment choice. These included current treatment, hemoglobin A1c difference from individualized target, risk of hypoglycemia, body mass index, life expectancy, and comorbidities. Treatment options included addition of a second or third agent, drug switches, and replacement by monotherapies if the patient was metformin-intolerant. Treatment costs were not considered. Appropriateness (appropriate, inappropriate, uncertain) was based on the median score and expert agreement. The panel recommendations were embedded in an online decision support tool (DiaScope®; Novo Nordisk Health Care AG, Zürich, Switzerland). Results: Treatment appropriateness was associated with (combinations of) the patient variables mentioned above. As second-line agents, dipeptidyl peptidase-4 inhibitors were considered appropriate in all scenarios, followed by glucagon-like peptide-1 receptor agonists (50%), insulins (33%), and sulfonylureas (25%), but not pioglitazone (0%). Ratings of third-line combinations followed a similar pattern. Disagreement was highest for regimens including pioglitazone, sulfonylureas, or insulins and was partly due to differences in panelists' opinions and in drug availability and reimbursement across European countries

  7. Appropriate interval of dose for the genetic improvement by radiomutation in the californian pepper wonder variety

    International Nuclear Information System (INIS)

    The research was carried out at Agricultural Research Institute Jorge Dimitrov. Seeds of the pepper variety California Wonder were irradiated, with acute doses between 100-800 Gy, with an intervals of 100 Gy, in a source of 60 Co gamma ray, with the objective to determine their radiosensitivity and to establish the appropriate dose interval for the mutations breeding. It was observed a decrease of the growth indicators, productivity and seeds fertility with the increment of the irradiation dose and settled down to the interval among 130-460 Gy, as the most appropriate for the genetical breeding throughout mutations in this variety

  8. Des usages et des stratégies d’appropriation

    OpenAIRE

    Ben Amor, Amor

    2013-01-01

    Dans cet article l'auteur aborde la question de l’appropriation de la technologie du téléphone portable par de jeunes cadres tunisiens, pour la plupart des migrants (internes) vers la capitale Tunis, et pour qui le cellulaire devient un outil indispensable pour mieux s’adapter au contexte d’accueil. Cinq situations où cette appropriation technologique est manifeste sont analysées : les liens familiaux, les liens sociaux, le mariage, la religion et le travail. L’usage du téléphone portable s’i...

  9. Appropriate Health Promotion for Australian Aboriginal and Torres Strait Islander Communities

    DEFF Research Database (Denmark)

    Demaio, Alessandro Rhyll; Drysdale, Marlene; de Courten, Maximilian

    2012-01-01

    Health promotion for Australian Aboriginal and Torres Strait Islander communities and their people has generally had limited efficacy and poor sustainability. It has largely failed to recognise and appreciate the importance of local cultures and continues to have minimal emphasis on capacity......, and their socio-cultural environment, towards better health. This commentary aims to examine and apply the 8 principles of Culturally-Appropriate Health Promotion to the Australian Aboriginal and Torres Strait Islander context. It proposes its widespread adoption as a framework for a more respectful......, collaborative, locally-acceptable and therefore appropriate approach to Australian Aboriginal and Torres Strait Islander health promotion....

  10. NASA guidelines for assuring the adequacy and appropriateness of security safeguards in sensitive applications

    Science.gov (United States)

    Tompkins, F. G.

    1984-01-01

    The Office of Management and Budget (OMB) Circular A-71, transmittal Memorandum No. 1, requires that each agency establish a management control process to assure that appropriate administrative, physical and technical safeguards are incorporated into all new computer applications. In addition to security specifications, the management control process should assure that the safeguards are adequate for the application. The security activities that should be integral to the system development process are examined. The software quality assurance process to assure that adequate and appropriate controls are incorporated into sensitive applications is also examined. Security for software packages is also discussed.

  11. Cost savings associated with improving appropriate and reducing inappropriate preventive care: cost-consequences analysis

    Directory of Open Access Journals (Sweden)

    Baskerville Neill

    2005-03-01

    Full Text Available Abstract Background Outreach facilitation has been proven successful in improving the adoption of clinical preventive care guidelines in primary care practice. The net costs and savings of delivering such an intensive intervention need to be understood. We wanted to estimate the proportion of a facilitation intervention cost that is offset and the potential for savings by reducing inappropriate screening tests and increasing appropriate screening tests in 22 intervention primary care practices affecting a population of 90,283 patients. Methods A cost-consequences analysis of one successful outreach facilitation intervention was done, taking into account the estimated cost savings to the health system of reducing five inappropriate tests and increasing seven appropriate tests. Multiple data sources were used to calculate costs and cost savings to the government. The cost of the intervention and costs of performing appropriate testing were calculated. Costs averted were calculated by multiplying the number of tests not performed as a result of the intervention. Further downstream cost savings were determined by calculating the direct costs associated with the number of false positive test follow-ups avoided. Treatment costs averted as a result of increasing appropriate testing were similarly calculated. Results The total cost of the intervention over 12 months was $238,388 and the cost of increasing the delivery of appropriate care was $192,912 for a total cost of $431,300. The savings from reduction in inappropriate testing were $148,568 and from avoiding treatment costs as a result of appropriate testing were $455,464 for a total savings of $604,032. On a yearly basis the net cost saving to the government is $191,733 per year (2003 $Can equating to $3,687 per physician or $63,911 per facilitator, an estimated return on intervention investment and delivery of appropriate preventive care of 40%. Conclusion Outreach facilitation is more expensive

  12. Flowmeters for use in the nuclear industry: How to select the appropriate instrument

    International Nuclear Information System (INIS)

    Because flow is one of the most common process variables measured, numerous types of flowmeters based on a variety of measurement principles are available. Although these numerous flowmeter types allow one to measure almost any flow, the wide variety also makes selecting an appropriate flowmeter a complex and potentially difficult task. This paper reviews the definition and importance of basic hydraulic principles and the design parameters critical to an accurate flow measurement, the principles used in flow monitoring and their advantages and disadvantages, and a method for selecting an appropriate flowmeter. 6 refs

  13. Automatic detection of hidden dimensions to obtain appropriate reaction coordinates in the Outlier FLOODing (OFLOOD) method

    Science.gov (United States)

    Harada, Ryuhei; Nakamura, Tomotake; Shigeta, Yasuteru

    2015-10-01

    As a strategy for reproducing rare, biologically important events, we previously developed the Outlier FLOODing (OFLOOD) method [J. Comput. Chem. 36 (2015) 97-102]. This method utilizes conformational resampling from rarely occurring states, detected as outliers, to promote conformational transitions relevant to the rare events. However, to perform OFLOOD efficiently requires specifying a set of appropriate reaction coordinates (RCs) with non-trivial specifications. Therefore, in this paper, we propose a strategy to obtain a set of appropriate RCs using a method where the best set of RCs are automatically searched from the initially given RCs, via clustering the states of biomolecules.

  14. Appropriateness of colonoscopy in Europe (EPAGE II). Screening for colorectal cancer

    DEFF Research Database (Denmark)

    Arditi, C; Peytremann-Bridevaux, I; Burnand, B; Eckardt, V F; Bytzer, P; Agréus, L; Dubois, R W; Vader, J-P; Froehlich, F; Pittet, V; Schusselé Filliettaz, S; Juillerat, P; Gonvers, J-J

    2009-01-01

    appropriateness criteria for colonoscopy in these circumstances. RESULTS: Available evidence for CRC screening comes from small case-controlled studies, with heterogeneous results, and from indirect evidence from randomized controlled trials (RCTs) on fecal occult blood test (FOBT) screening and studies on...... sigmoidoscopy are considered appropriate indications. CONCLUSIONS: Despite the lack of evidence based on randomized controlled trials (RCTs), colonoscopy is recommended by most published guidelines and EPAGE II criteria available online (http://www.epage.ch), as a screening option for CRC in individuals at...

  15. Youth as Design Partners: Age-Appropriate Websites for Middle and High School Students

    Science.gov (United States)

    Chow, Anthony S.; Smith, Kathelene McCarty; Sun, Katherine

    2012-01-01

    This study explored the impact of using best practices identified in previous studies in designing age-appropriate websites for middle and high school youth. Utilizing a mixed-method approach, 31 middle and 22 high school youth took part in six focus groups across four states. Participants were introduced to a website specifically designed for…

  16. The Role of Environmental Hazard in Mothers' Beliefs about Appropriate Supervision

    Science.gov (United States)

    Damashek, Amy; Borduin, Charles; Ronis, Scott

    2014-01-01

    Understanding factors that influence mothers' beliefs about appropriate levels of supervision for their children may assist in efforts to reduce child injury rates. This study examined the interaction of child (i.e. age, gender, and injury risk behavior) and maternal perception of environmental hazard (i.e. hazard level, injury likelihood,…

  17. Effects of Varied Levels of Treatment Integrity on Appropriate Toy Manipulation in Children with Autism

    Science.gov (United States)

    Groskreutz, Nicole C.; Groskreutz, Mark P.; Higbee, Thomas S.

    2011-01-01

    We assessed the effects of varying the treatment integrity of a prompting procedure on appropriate toy manipulation in two preschool-aged children with autism. Following an assessment to identify toys with high levels of inappropriate toy manipulation, each of three toys was associated with implementation of the prompting procedure at a different…

  18. Instructed Concept Appropriation and L2 Pragmatic Development in the Classroom

    Science.gov (United States)

    van Compernolle, Rémi A.; Henery, Ashlie

    2014-01-01

    In this article, we investigate the integration of concept-based pragmatics instruction, grounded in Vygotskian sociocultural psychology, in an intact second-semester French class (n = 13) over the course of an academic term. Our focus is on learners' appropriation of the concepts of self-presentation, social distance, and power with respect…

  19. A Framework of the Decision Support System (DSS) for Higher Education Appropriate Scale

    Institute of Scientific and Technical Information of China (English)

    ZHAI Li-li; GAO Chang-yuan; HAO Hong-jun

    2002-01-01

    According to the relation of the developing speed and scale of higher education and those of national economy, the establishing method and structure of higher education appropriate scale DSS (HEASDSS) are researched applying to educational economic principle and decision support system theory.

  20. A Method for Selection of Appropriate Assistive Technology for Computer Access

    Science.gov (United States)

    Jenko, Mojca

    2010-01-01

    Assistive technologies (ATs) for computer access enable people with disabilities to be included in the information society. Current methods for assessment and selection of the most appropriate AT for each individual are nonstandardized, lengthy, subjective, and require substantial clinical experience of a multidisciplinary team. This manuscript…

  1. Appropriation, Parody, Gender Play, and Self-Representation in Preadolescents' Digital Video Production

    Science.gov (United States)

    Ivashkevich, Olga; Shoppell, Samantha

    2013-01-01

    The authors discuss their participant observation study with the 10-year-old boy and 8-year-old girl who collaborated on making digital videos at home. Major themes that emerged from this research include appropriation of popular culture texts, parody, gender play, and managing self-representations. These themes highlight the benefits of video…

  2. Appropriation, Mastery and Resistance to Technology in Early Childhood Preservice Teacher Education

    Science.gov (United States)

    Laffey, James

    2004-01-01

    This report describes how early childhood preservice teachers appropriate, master, and/or resist learning to use technology in teaching. The data collected were part of a three-year study supported by the National Science Foundation of an entire teacher education program to investigate how preservice teachers (PSTs) become socialized to the role…

  3. 5 CFR Appendix C to Subpart B of... - Appropriated Fund Wage and Survey Areas

    Science.gov (United States)

    2010-01-01

    ... Emmet Lyon Osceola Minnesota: Jackson Lincoln Lyon Murray Nobles Pipestone Rock Tennessee Eastern... definitions for appropriated fund employees. With a few exceptions, each area is defined in terms of county... Wyoming or Eastern Tennessee. (2) Survey area definition. Lists each county, independent city, or...

  4. Concurrent Reinforcement Schedules for Problem Behavior and Appropriate Behavior: Experimental Applications of the Matching Law

    Science.gov (United States)

    Borrero, Carrie S. W.; Vollmer, Timothy R.; Borrero, John C.; Bourret, Jason C.; Sloman, Kimberly N.; Samaha, Andrew L.; Dallery, Jesse

    2010-01-01

    This study evaluated how children who exhibited functionally equivalent problem and appropriate behavior allocate responding to experimentally arranged reinforcer rates. Relative reinforcer rates were arranged on concurrent variable-interval schedules and effects on relative response rates were interpreted using the generalized matching equation.…

  5. The Effects of Fixed-Time Escape on Inappropriate and Appropriate Classroom Behavior

    Science.gov (United States)

    Waller, Rachael D.; Higbee, Thomas S.

    2010-01-01

    Few studies have explored the effects of fixed-time (FT) reinforcement on escape-maintained behavior of students in a classroom setting. We measured the effects of an FT schedule on the disruptive and appropriate academic behaviors of 2 junior high students in a public school setting. Results demonstrated that FT escape from tasks resulted in a…

  6. 77 FR 42905 - Agency Use of Appropriated Funds for Child Care Costs for Lower Income Employees

    Science.gov (United States)

    2012-07-20

    ... regulations (76 FR 45208) revising part 792 of title 5, Code of Federal Regulations. This final rule makes... spousal benefits by entering into a Federally recognized marriage. That is because child care subsidies... MANAGEMENT 5 CFR Part 792 RIN 3206-AL36 Agency Use of Appropriated Funds for Child Care Costs for...

  7. A Review of the Principles for Culturally Appropriate Art Therapy Assessment Tools

    Science.gov (United States)

    Betts, Donna

    2013-01-01

    In an increasingly diverse society, and with the broadening scope of art therapy, the duty of art therapists to ensure responsible and appropriate assessment is ever more important. This article discusses considerations that are necessary for the successful adaptation and use of drawing-based assessments in cross-cultural and multicultural…

  8. 12 CFR 615.5351 - Standards for determination of appropriate individual institution minimum capital ratios.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Standards for determination of appropriate individual institution minimum capital ratios. 615.5351 Section 615.5351 Banks and Banking FARM CREDIT... for loss, and other ratios compared to the ratios of its peers or industry norms; and (e) The views...

  9. Teaching Young Children about the Civil Rights Movement: Applying Effective & Developmentally Appropriate Strategies

    Science.gov (United States)

    Foster, Janet E.; Root, Tonja L.; Lee, Seungyoun

    2015-01-01

    Considering the importance of the Civil Rights Movement, children need to be introduced to the related concepts early in their school experiences, and teachers need to consider students' developmental needs and curriculum standards in order to provide appropriate content and methods of instruction. The purpose of this article is to introduce a…

  10. Is Suicide Training Sufficient for Psychology Trainees to Respond Appropriately to Suicidal Clients?

    Science.gov (United States)

    Bromley, Nicole M.

    2012-01-01

    This study reports the frequency of suicide training for current psychology trainees. Additionally, the research uses the Suicide Intervention Response Inventory-Second Edition (SIRI-2) to assess psychology trainees' ability to respond appropriately to suicidal clients. This study compares scores on the SIRI-2 between participants who are in…

  11. 40 CFR 35.910-7 - Fiscal Year 1977 Supplemental Appropriations Act allotments.

    Science.gov (United States)

    2010-07-01

    ..., and pumping stations, and treatment of combined sewer overflows), as shown in table V of the EPA... Treatment Works-Clean Water Act § 35.910-7 Fiscal Year 1977 Supplemental Appropriations Act allotments. (a... (secondary treatment, more stringent treatment required to meet water quality standards, and...

  12. Structural Equation Models of Latent Interactions: An Appropriate Standardized Solution and Its Scale-Free Properties

    Science.gov (United States)

    Wen, Zhonglin; Marsh, Herbert W.; Hau, Kit-Tai

    2010-01-01

    Standardized parameter estimates are routinely used to summarize the results of multiple regression models of manifest variables and structural equation models of latent variables, because they facilitate interpretation. Although the typical standardization of interaction terms is not appropriate for multiple regression models, straightforward…

  13. Prospects for Appropriate Technology: Clues from the Philosophy of E. F. Schumacher.

    Science.gov (United States)

    Willoughby, Kelvin

    1985-01-01

    Discusses the role of technology in environmental affairs. The background of the appropriate technology movement and an analysis of its practicability and viability are provided. Five metaphysical propositions are reviewed and the importance of meta-technological factors is emphasized. (ML)

  14. Arab Americans with Disabilities and Their Families: A Culturally Appropriate Approach for Counselors

    Science.gov (United States)

    Al Khateeb, Jamal M.; Al Hadidi, Muna S.; Al Khatib, Amal J.

    2014-01-01

    The authors present a brief introduction to Americans of Arab descent and a brief overview of Arab culture. Then, culturally appropriate counseling considerations related to family, attitudes toward disability, religion, communication, acculturation, help-seeking behaviors, and stereotypes are highlighted. In the last section, the authors provide…

  15. Turning My World Upside Down: How I Learned To Question Developmentally Appropriate Practice. Issues in Education.

    Science.gov (United States)

    O'Brien, Leigh M.

    1997-01-01

    Discusses problems associated with accepting assumptions about the universal applicability of developmentally appropriate practices. Questions the need to separate the "developmental" from the "academic." Encourages early childhood educators to reassess issues pertaining to inclusion, exclusion, process vs. product, cultural diversity, and…

  16. The Chief Financial Officer's Perception of Financial Management Response to Eroding State Appropriations

    Science.gov (United States)

    Tate, James Adam

    2012-01-01

    State fiscal support for public higher education is declining, particularly during recessionary periods. Public colleges and universities have limited channels of revenue and depend on state appropriations for current operating needs. There is an imperative now for public institutions to do more with less, be more efficient and effective in order…

  17. The Impact of State Appropriations and Grants on Access to Higher Education and Outmigration

    Science.gov (United States)

    Toutkoushian, Robert K.; Hillman, Nicholas W.

    2012-01-01

    The question of how states can best use financial policy to achieve their goals is very important for many higher education stakeholders. In this study, the authors use panel data for all 50 states over a 20-year period to examine how state appropriations, need-based grants, and merit-based grants affect student enrollment in college and whether…

  18. Walking towards Instrumental Appropriation of Mobile Devices. A Comparison of Studies

    Science.gov (United States)

    Hernandez Serrano, Maria José; Yang, Lingling

    2013-01-01

    The study of instrumental appropriation is considered a relevant outstanding and productive perspective in the arena of Mobile ICT and learning. This paper seeks for the consolidation of this perspective at a theoretical and analytical level. Regarding the theoretical level, two characteristics of mobile devices--flexibility and mobility--are…

  19. A Study of State Tax Appropriations for Capital Needs in U.S. Public Higher Education

    Science.gov (United States)

    Harris, Delphine; Manns, Derrick; Katsinas, Stephen

    2012-01-01

    This study investigated the relationship of key issues related to capital and operating budget practices of state tax appropriations and policies at the state level, including new facilities construction, renovation, replacement and renewal which may exist between and among states by governance structure. Recognized "good practices" in capital…

  20. State Funding and the Engaged University: Understanding Community Engagement and State Appropriations for Higher Education

    Science.gov (United States)

    Weerts, David J.

    2014-01-01

    Some higher education leaders have suggested that colleges and universities could generate state support if they were more productively engaged in addressing societal needs. This multi-case study examines how community engagement is expressed and understood at institutions that vary in their expected levels of state appropriations. The findings…

  1. Information Activities and Appropriation in Teacher Trainees' Digital, Group-Based Learning

    Science.gov (United States)

    Hanell, Fredrik

    2016-01-01

    Introduction: This paper reports results from an ethnographic study of teacher trainees' information activities in digital, group-based learning and their relation to the interplay between use and appropriation of digital tools and the learning environment. Method: The participants in the present study are 249 pre-school teacher trainees in…

  2. Advance Appropriations: A Needless and Confusing Education Budget Technique. Federal Education Budget Project

    Science.gov (United States)

    Delisle, Jason

    2007-01-01

    This report argues that advance appropriations serve no functional purpose for schools, but they create a loss of transparency, comparability, and simplicity in federal education budgeting. It allocates spending before future budgets have been established. The approach was originally used to skirt spending limits and budget procedures in place…

  3. Special Education Preservice Teachers' Appropriation of Pedagogical Tools for Teaching Reading

    Science.gov (United States)

    Leko, Melinda M.; Brownell, Mary T.

    2011-01-01

    This study examined various influences on special education preservice teachers' appropriation of pedagogical tools for teaching reading to students with high-incidence disabilities using an activity theory framework. Interview, observation, and artifact data were collected on 6 preservice teachers, their reading methods course instructors, field…

  4. Passport to Digital Citizenship: Journey toward Appropriate Technology Use at School and at Home

    Science.gov (United States)

    Ribble, Mike

    2009-01-01

    Technology has changed people's lives. In fewer than 30 years, people have gone from barely hearing about cell phones, laptops, and MP3 players to almost not being able to live without them. Digital citizenship describes the norms of appropriate, responsible behavior with regard to technology use. In this article, the author presents nine elements…

  5. The Right to Appropriate and Meaningful Education for Children with ASD

    Science.gov (United States)

    Marshall, David; Goodall, Craig

    2015-01-01

    This paper will explore from a "child's rights perspective" the "right" of children with autistic spectrum disorder (ASD) to appropriate and meaningful education. Human "rights" principles within international law will be evaluated in relation to how they have been interpreted and applied in relation to achieving this…

  6. Social models provide a norm of appropriate food intake for young women.

    Directory of Open Access Journals (Sweden)

    Lenny R Vartanian

    Full Text Available It is often assumed that social models influence people's eating behavior by providing a norm of appropriate food intake, but this hypothesis has not been directly tested. In three experiments, female participants were exposed to a low-intake model, a high-intake model, or no model (control condition. Experiments 1 and 2 used a remote-confederate manipulation and were conducted in the context of a cookie taste test. Experiment 3 used a live confederate and was conducted in the context of a task during which participants were given incidental access to food. Participants also rated the extent to which their food intake was influenced by a variety of factors (e.g., hunger, taste, how much others ate. In all three experiments, participants in the low-intake conditions ate less than did participants in the high-intake conditions, and also reported a lower perceived norm of appropriate intake. Furthermore, perceived norms of appropriate intake mediated the effects of the social model on participants' food intake. Despite the observed effects of the social models, participants were much more likely to indicate that their food intake was influenced by taste and hunger than by the behavior of the social models. Thus, social models appear to influence food intake by providing a norm of appropriate eating behavior, but people may be unaware of the influence of a social model on their behavior.

  7. Fertility studies in female childhood cancer survivors: selecting appropriate comparison groups

    NARCIS (Netherlands)

    Berg, M. van den; Dulmen-den Broeder, E. van; Overbeek, A.; Ronckers, C.; Dorp, W. van; Kremer, L.; Heuvel-Eibrink, M. van den; Huizinga, G.; Loonen, J.J.; Versluys, A.; Bresters, D.; Lambalk, C.; Kaspers, G.; Leeuwen, F.N. van

    2014-01-01

    Little information is available on the use of appropriate comparison groups for studies investigating late effects of childhood cancer. Two comparison groups in a nationwide study on reproductive function and ovarian reserve in female childhood cancer survivors were recruited (The Dutch Childhood On

  8. Fertility studies in female childhood cancer survivors : selecting appropriate comparison groups

    NARCIS (Netherlands)

    van den Berg, M. H.; van Dulmen-den Broeder, E.; Overbeek, A.; Ronckers, C. M.; van Dorp, W.; Kremer, L. C.; van den Heuvel-Eibrink, M. M.; Huizinga, G. A.; Loonen, J. J.; Versluys, A. B.; Bresters, D.; Lambalk, C. B.; Kaspers, G. J. L.; van Leeuwen, F. E.

    2014-01-01

    Little information is available on the use of appropriate comparison groups for studies investigating late effects of childhood cancer. Two comparison groups in a nationwide study on reproductive function and ovarian reserve in female childhood cancer survivors were recruited (The Dutch Childhood On

  9. Appropriate storage for high-penetration grid-connected photovoltaic plants

    International Nuclear Information System (INIS)

    This paper addresses the dual questions: What is the appropriate storage size and its related properties for matching very large photovoltaic plants to the grid; and what are the available technologies for achieving this end. For this purpose a “Usefulness Index” is defined, which, for any grid flexibility, leads to a PV-storage combination that allows high grid-penetration without storage being wastefully large. The paper then examines the sensitivity of this “appropriate storage size” to variations in our assumptions. The specific case of the Israeli electricity grid is employed for numerical discussion, but the formalism should be useful for wider application. In particular, the “appropriate storage size” deduced in this manner is argued to be a valuable point of departure for optimizations of a more sophisticated nature. Regarding available storage technologies, none is found to have all of the required properties for massive PV-grid penetration, but hybrid combinations should be capable of achieving this end. - Highlights: ► Application of internal system constraints to identify appropriate PV-storage combinations for high PV grid penetration. ► Introduction of storage usefulness index to aid in this identification. ► Discussion of the extent to which the existing storage technologies can facilitate massive PV penetration.

  10. Preparing Books for Children from Birth to Age Six: The Approach of Appropriateness for the Child

    Science.gov (United States)

    Çer, Ekran

    2016-01-01

    Children's books must primarily be appropriate for children so that they could be a significant stimulus in children's lives. In other words, it is essential that the concepts child reality, literary criteria and artist sensitivity be reflected in books in order to create children's books. From birth to age 6, the fact that children's books are…

  11. Identification of an appropriate low flow forecast model for the Meuse River

    NARCIS (Netherlands)

    Demirel, Mehmet C.; Booij, Martijn J.; Cluckie, Ian; Chen, Yangbo; Babovic, Vladan; Konikow, Lenny; Mynett, Arthur; Demuth, Siegfried; Savic, Dragan A.

    2009-01-01

    This study investigates the selection of an appropriate low flow forecast model for the Meuse River based on the comparison of output uncertainties of different models. For this purpose, three data driven models have been developed for the Meuse River: a multivariate ARMAX model, a linear regression

  12. How to select appropriate encoding strategies for producing LOD-Enabled Bibliographic Data

    OpenAIRE

    Subirats-Coll, Imma; Zeng, Marcia L.

    2013-01-01

    The webinar presents the LODE-BD Recommendations - Linked Open Data (LOD)-enabled bibliographical data- which aims at providing bibliographic data providers of open repositories with a set of recommendations that will support the selection of appropriate encoding strategies for producing meaningful Linked Open Data (LOD)-enabled bibliographical data (LODE-BD).

  13. Contextualizing Policy Appropriation: Teachers' Perspectives, Local Responses, and English-Only Ballot Initiatives

    Science.gov (United States)

    de Jong, Ester J.

    2008-01-01

    Few studies have focused on practitioners' perspectives on and interpretations of official language policies in schools and how such policies shape their practices. Teachers are an integral part of the process of policy appropriations that occur within and across policy levels (state, district, school, and teacher). Through interviews with…

  14. 40 CFR 60.1865 - What are the appropriate units of measurement for reporting my data?

    Science.gov (United States)

    2010-07-01

    ... measurement for reporting my data? 60.1865 Section 60.1865 Protection of Environment ENVIRONMENTAL PROTECTION... Guidelines and Compliance Times for Small Municipal Waste Combustion Units Constructed on or Before August 30, 1999 Model Rule-Reporting § 60.1865 What are the appropriate units of measurement for reporting my...

  15. Can Suicide Be Ethical? A Utilitarian Perspective on the Appropriateness of Choosing to Die

    Science.gov (United States)

    Feldman, David B.

    2006-01-01

    In his article in the current issue of Death Studies, "Can Suicide be a Good Death?" David Lester argues that each person should determine whether suicide is appropriate for him or her in relative isolation from the opinions of others. In the present article, I use a utilitarian ethical perspective to critique this assertion. According to…

  16. 当代艺术中的挪用%On Appropriation in Present Art

    Institute of Scientific and Technical Information of China (English)

    徐元

    2009-01-01

    Appropriation, as a popular phenomenon and important method in present art creation, represents not only a pursuit of new creation but a way of developing the useful and discarding the useless of creative convention of modernism.In the process of "appropriation",artists show wisdom in their thinking and art expression, a deep consideration of some problems between individuals and related art and culture.The paper,starting with the basic meanings of appropriation, through many cases of its use, states importance of appropriation and its cause in creation to explore the inevitable trend and practical significance of appropriation in present art.%挪用作为当代艺术创作中一种流行的现象和重要的方法,不仅体现为对新意义的追寻,也表现为对现代主义创作传统的扬弃.艺术家在"挪用"的过程中,折射出自己在思想、艺术表达方面的智慧,以及承载个体对相关艺术与文化问题的思考.该文从挪用的基本含义入手,通过当代艺术中挪用的例子引出挪用在当代艺术中的含义及其成为创作方法的成因,以探究挪用在当代艺术中存在的必然的理由和现实的意义.

  17. ACR Appropriateness Criteria® Hodgkin Lymphoma-Unfavorable Clinical Stage I and II.

    Science.gov (United States)

    Roberts, Kenneth B; Younes, Anas; Hodgson, David C; Advani, Ranjana; Dabaja, Bouthaina S; Dhakal, Sughosh; Flowers, Christopher R; Ha, Chul S; Hoppe, Bradford S; Mendenhall, Nancy P; Metzger, Monika L; Plastaras, John P; Shapiro, Ronald; Smith, Sonali M; Terezakis, Stephanie A; Winkfield, Karen M; Constine, Louis S

    2016-08-01

    These guidelines review the historical evolution of treatment for early-stage Hodgkin lymphoma (HL) with current standards that rely on prognostic factors to risk stratify and direct current treatment schemes that includes differentiation of favorable and unfavorable presentations. The major clinical trials for unfavorable early-stage HL are reviewed. Patients in this heterogenous subgroup of classic HL are best managed with sequential chemotherapy and radiotherapy. The role of imaging response assessment as a means to modify therapy is a strategy under investigation. Tailoring the radiation treatment volume and radiation dose prescription along with selective use of modern conformal techniques is expected to help reduce long-term toxicities. Many patients are well served receiving involved-site radiotherapy to 30 Gy after appropriate systemic therapy intensity; but, there are nuances for which some variations in the chemotherapy and radiotherapy specifics are appropriately individualized. Following a discussion of the current evidence-based treatment algorithms, several different example cases are reviewed to help physicians make appropriate treatment decisions. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every 3 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances where evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment. PMID:27299425

  18. Using scenarios to test the appropriateness of pharmacist prescribing in asthma management

    Directory of Open Access Journals (Sweden)

    Hanna T

    2014-03-01

    Full Text Available Objective: To explore the potential for community pharmacist prescribing in terms of usefulness, pharmacists’ confidence, and appropriateness, in the context of asthma management. Methods: Twenty community pharmacists were recruited using convenience sampling from a group of trained practitioners who had already delivered asthma services. These pharmacists were asked to complete a scenario-based questionnaire (9 scenarios modelled on information from real patients. Pharmacist interventions were independently reviewed and rated on their appropriateness according to the Respiratory Therapeutic Guidelines (TG by three expert researchers. Results: In seven of nine scenarios (78%, the most common prescribing intervention made by pharmacists agreed with TG recommendations. Although the prescribing intervention was appropriate in the majority of cases, the execution of such interventions was not in line with guidelines (i.e. dosage or frequency in the majority of scenarios. Due to this, only 47% (76/162 of the interventions overall were considered appropriate. However, pharmacists were deemed to be often following common clinical practice for asthma prescribing. Therefore 81% (132/162 of prescribing interventions were consistent with clinical practice, which is often not guideline driven, indicating a need for specific training in prescribing according to guidelines. Pharmacists reported that they were confident in making prescribing interventions and that this would be very useful in their management of the patients in the scenarios. Conclusion: Community pharmacists may be able to prescribe asthma medications appropriately to help achieve good outcomes for their patients. However, further training in the guidelines for prescribing are required if pharmacists are to support asthma management in this way.

  19. 25 CFR 39.137 - May schools operate a language development program without a specific appropriation from Congress?

    Science.gov (United States)

    2010-04-01

    ... without a specific appropriation from Congress? 39.137 Section 39.137 Indians BUREAU OF INDIAN AFFAIRS... a specific appropriation from Congress? Yes, a school may operate a language development program without a specific appropriation from Congress, but any funds used for such a program must come...

  20. 25 CFR 170.608 - Can a tribe pay contract support costs from Department of the Interior or BIA appropriations?

    Science.gov (United States)

    2010-04-01

    ... the Interior or BIA appropriations? 170.608 Section 170.608 Indians BUREAU OF INDIAN AFFAIRS... the Interior or BIA appropriations? No. Contract support costs for IRR construction projects cannot be paid out of Department of the Interior or BIA appropriations. Contracts and Agreements Under ISDEAA...

  1. 48 CFR 3432.770 - Prohibition against the use of ED funds to influence legislation or appropriations.

    Science.gov (United States)

    2010-10-01

    ... use of ED funds to influence legislation or appropriations. 3432.770 Section 3432.770 Federal... legislation or appropriations. The contracting officer shall insert the clause at 3452.232-70, Prohibition Against the Use of ED Funds to Influence Legislation or Appropriations, in contracts with...

  2. 48 CFR 3452.232-70 - Prohibition against the use of ED funds to influence legislation or appropriations.

    Science.gov (United States)

    2010-10-01

    ... use of ED funds to influence legislation or appropriations. 3452.232-70 Section 3452.232-70 Federal... funds to influence legislation or appropriations. The following clause is to be used in accordance with 3432.770: Prohibition Against the Use of ED Funds To Influence Legislation or Appropriations (APR...

  3. Evaluation of the appropriateness of imipenem/cilastatin prescription and dosing in a tertiary care hospital

    Directory of Open Access Journals (Sweden)

    Kabbara WK

    2015-03-01

    Full Text Available Wissam K Kabbara, George T Nawas, Wijdan H RamadanDepartment of Pharmacy Practice, School of Pharmacy, Lebanese American University, Byblos, Lebanon Background: Imipenem/cilastatin is an antibacterial agent of the carbapenem class of β-lactams that is known to have an extremely wide spectrum of activity against Gram-positive, Gram-negative, aerobic, anaerobic, and even multidrug-resistant strains. The objective of this study was to evaluate the appropriate use of imipenem/cilastatin in a local tertiary care hospital. The study assessed the indication both empirically and after the culture results were available, the dose and dose adjustment in renal failure, as well as the incidence of seizure in hospitalized patients receiving imipenem/cilastatin. Methods: This observational study was conducted in a tertiary care hospital over a 3-month period. The treatment of 100 patients with imipenem/cilastatin was evaluated both empirically and after culture results were available. Analysis of the appropriateness of imipenem/cilastatin indication, dose, and monitoring of seizure frequency was based on the package insert, updated published guidelines, and clinical judgment. Results: Patients from internal medicine and intensive care units comprised approximately 50% of the population in the study. The patients received imipenem/cilastatin mainly for urinary tract infections (27% or for sepsis of an unknown focus (22%. The use of imipenem/cilastatin empirically was appropriate in 97.2% (n=69/71 of the cases, and its use postculture in 86% of the cases. There were 29% of the patients who were not started on imipenem/cilastatin empirically. Four patients out of the 29 patients (13.8% who were not started on imipenem/cilastatin empirically inappropriately received imipenem/cilastatin post-culture results. Thirty-three patients (33% were not dosed appropriately, 30 of whom had renal impairment and creatinine clearance fluctuations. Only one patient developed a

  4. Evaluation of the appropriateness of imipenem/cilastatin prescription and dosing in a tertiary care hospital

    Science.gov (United States)

    Kabbara, Wissam K; Nawas, George T; Ramadan, Wijdan H

    2015-01-01

    Background Imipenem/cilastatin is an antibacterial agent of the carbapenem class of β-lactams that is known to have an extremely wide spectrum of activity against Gram-positive, Gram-negative, aerobic, anaerobic, and even multidrug-resistant strains. The objective of this study was to evaluate the appropriate use of imipenem/cilastatin in a local tertiary care hospital. The study assessed the indication both empirically and after the culture results were available, the dose and dose adjustment in renal failure, as well as the incidence of seizure in hospitalized patients receiving imipenem/cilastatin. Methods This observational study was conducted in a tertiary care hospital over a 3-month period. The treatment of 100 patients with imipenem/cilastatin was evaluated both empirically and after culture results were available. Analysis of the appropriateness of imipenem/cilastatin indication, dose, and monitoring of seizure frequency was based on the package insert, updated published guidelines, and clinical judgment. Results Patients from internal medicine and intensive care units comprised approximately 50% of the population in the study. The patients received imipenem/cilastatin mainly for urinary tract infections (27%) or for sepsis of an unknown focus (22%). The use of imipenem/cilastatin empirically was appropriate in 97.2% (n=69/71) of the cases, and its use postculture in 86% of the cases. There were 29% of the patients who were not started on imipenem/cilastatin empirically. Four patients out of the 29 patients (13.8%) who were not started on imipenem/cilastatin empirically inappropriately received imipenem/cilastatin post-culture results. Thirty-three patients (33%) were not dosed appropriately, 30 of whom had renal impairment and creatinine clearance fluctuations. Only one patient developed a seizure while on imipenem/cilastatin. Conclusion The prescription of imipenem/cilastatin at our setting was mostly appropriate to what is recommended in the guidelines

  5. Think Yourself Thin: Concern for Appropriateness Mediates the Link Between Hypnotizability and Disordered Eating.

    Science.gov (United States)

    Bachner-Melman, Rachel; Lev-Ari, Lilac; Levin, Raz; Lichtenberg, Pesach

    2016-01-01

    There has been no research examining why people with disordered eating tend to be highly hypnotizable. The authors examine the hypothesis that concern for appropriateness mediates the association between hypnotizability and disordered eating. Fifty participants aged 15 to 30 completed the Eating Attitudes Test-26 (EAT-26) and the Concern for Appropriateness Scale (CAS) and were administered the Stanford Hypnotic Susceptibility Scale: Form C (SHSS:C). EAT-26 scores predicted CAS scores (β = 0.24, p < .001), CAS scores predicted SHSS:C scores (β = 0.38, p < .001), and the mediation model was significant (Sobel Test; R(2) = .24, z = 2.54, p < .01). Individuals with problematic eating attitudes may tend to be more hypnotizable than those with normal eating attitudes at least in part because they are highly influenced by interpersonal messages. PMID:26894425

  6. From Adoption to Use: the process of appropriating a mobile phone

    Directory of Open Access Journals (Sweden)

    Jennie Carroll

    2003-05-01

    Full Text Available Users appropriate a technology through a process of evaluation that results either in rejection or adoption, adaptation and integration of the technology into their everyday activities. Currently this process, and the influences on users’ decisions within that process, is poorly understood. This paper reports a research project that examines young people’s appropriation of mobile technologies. Thirty young Australians were supplied with a free WAP phone for a month and were tracked from their expectations, the initial encounter and the first month of use of a WAP phone. We found that the influences on their adoption of the phones were quite different to those on ongoing use and so the influences on adoption do not predict long-term use. It is clear that studying adoption is only one step towards understanding technology acceptance and use and that rejection of a technology, even one that is supplied free of cost, is an ever-present option.

  7. Les objets numériques : perception des utilisateurs et tactiques d’appropriation

    OpenAIRE

    Guillemot, Samuel; Gourmelen, Andréa; Kovesi, Klara; Tamaro, Annick

    2015-01-01

    Une partie des objets autrefois tangibles, tels que les photos, les correspondances, les films et les musiques est aujourd’hui démocratisée sous forme numérique. Peut-on pour autant parler d’objets numériques ? Est-il possible de se les approprier ? Si oui, par quel(s) processus ? Cet article prend le parti d’aborder le numérique en termes d’objets, supports de diverses formes d’appropriation et de manipulations. Ces questions ne sont pas dénuées d’intérêt ; en témoigne le cas du célèbre acte...

  8. Space use as an indicator of enclosure appropriateness in African wild dogs (Lycaon pictus).

    Science.gov (United States)

    Hunter, Sally C; Gusset, Markus; Miller, Lance J; Somers, Michael J

    2014-01-01

    A clear understanding of space use is required to more fully understand biological requirements of nonhuman animals in zoos, aid the design of exhibits, and maximize the animals' welfare. This study used electivity indexes to assess space use of two packs of African wild dogs (Lycaon pictus) and the appropriateness of two naturalistic, outdoor enclosures at the San Diego Zoo and Bronx Zoo. The results identified enclosure features that were both underutilized and overutilized. They suggest that replacing underutilized areas with features similar to areas that were overutilized may provide more preferred opportunities for the animals. Assessing space use of animals in human care may serve as an indicator of enclosure appropriateness and could have welfare implications. By looking at the possible reasons for area preferences, animal managers can get an idea of where improvements could be made. Designing future exhibits accordingly thus can provide possible welfare benefits for the animals concerned. PMID:24665950

  9. Paediatric orbital fractures: the importance of regular thorough eye assessment and appropriate referral.

    Science.gov (United States)

    Kassam, Karim; Rahim, Ishrat; Mills, Caroline

    2013-01-01

    The paediatric orbital fracture should always raise alarm bells to all clinicians working in an emergency department. A delay or failure in diagnosis and appropriate referral can result in rapidly developing and profound complications. We present a boy of childhood age who sustained trauma to his eye during a bicycle injury. Acceptance of the referral was based on no eye signs; however, on examination in our unit the eye had reduction in visual acuity, no pupillary reaction, and ophthalmoplegia. CT scan suggested bone impinging on the globe and the child was rushed to theatre for removal of the bony fragment. Postoperatively no improvement was noted and a diagnosis of traumatic optic neuropathy was made. An overview of factors complicating paediatric orbital injuries, their associated "red flags", and appropriate referral are discussed in this short paper. PMID:24349804

  10. Paediatric Orbital Fractures: The Importance of Regular Thorough Eye Assessment and Appropriate Referral

    Directory of Open Access Journals (Sweden)

    Karim Kassam

    2013-01-01

    Full Text Available The paediatric orbital fracture should always raise alarm bells to all clinicians working in an emergency department. A delay or failure in diagnosis and appropriate referral can result in rapidly developing and profound complications. We present a boy of childhood age who sustained trauma to his eye during a bicycle injury. Acceptance of the referral was based on no eye signs; however, on examination in our unit the eye had reduction in visual acuity, no pupillary reaction, and ophthalmoplegia. CT scan suggested bone impinging on the globe and the child was rushed to theatre for removal of the bony fragment. Postoperatively no improvement was noted and a diagnosis of traumatic optic neuropathy was made. An overview of factors complicating paediatric orbital injuries, their associated “red flags”, and appropriate referral are discussed in this short paper.

  11. Selecting appropriate Internet advertising type in air transport services,Case Study: Iran Air Airlines (Homa

    Directory of Open Access Journals (Sweden)

    Hamid Zargham Borojeni

    2012-01-01

    Full Text Available This study is looking for selecting the appropriate form of Internet advertising in the air transport services. The model which is used in this research is a combination of structural models of the interactive advertising, interactive advertising model TOORSON Mr. RAGERS, Mr. Kasipo, and Patty probability model complexity and model of how advertising Mr. Vaqn, obtained, is used. The purpose of this study is to select the appropriate form of Internet advertising in the air transport services, (case study: Iran Air. This study is descriptive - survey. For gathering information, a questionnaire was used. The questionnaire included four parts. With applying exploratory data analysis methods (comparison of the relative frequencies according to the results of Sections 2 and 4 of questionnaires, the Internet advertising Skyscraper as the most desirable form of Internet advertising in air transport services is selected.

  12. Selecting appropriate Internet advertising type in air transport services,Case Study: Iran Air Airlines (Homa

    Directory of Open Access Journals (Sweden)

    anna alaei

    2012-12-01

    Full Text Available This study is looking for selecting the appropriate form of Internet advertising in the air transport services. The model which is used in this research is a combination of structural models of the interactive advertising, interactive advertising model TOORSON Mr. RAGERS, Mr. Kasipo, and Patty probability model complexity and model of how advertising Mr. Vaqn, obtained, is used. The purpose of this study is to select the appropriate form of Internet advertising in the air transport services, (case study: Iran Air. This study is descriptive - survey. For gathering information, a questionnaire was used. The questionnaire included four parts. With applying exploratory data analysis methods (comparison of the relative frequencies according to the results of Sections 2 and 4 of questionnaires, the Internet advertising Skyscraper as the most desirable form of Internet advertising in air transport services is selected.

  13. "The pyrrhonians' main forces" (La 131 and their appropriation by Huet

    Directory of Open Access Journals (Sweden)

    José R. Maia Neto

    2006-01-01

    Full Text Available This paper has two sections. In the first one I examine Pascal's appropriation in La 131 of the Cartesian argument of the deceiver God. Pascal develops a skeptical reading of the argument in order to use it as a premise for his apologetic argument of true religion. In the second section I examine Huet's appropriation of this same Cartesian argument in his Philosophical Treatise on the Weakness of Human Understanding. Based on this work of Huet's and on his margin notes on Pascal's Thoughts, I show that his skeptical reading of the argument is derived from Pascal's, although Huet's and Pascal's goals are distinct: while the latter intends to provide an argument for the Fall of Man, the former intends to show the weakness of reason unassisted by supernatural faith.

  14. Mixing Appropriations and Private Financing to Meet Federal Energy Management Goals

    Energy Technology Data Exchange (ETDEWEB)

    Shonder, John A [ORNL

    2012-06-01

    This report compares several strategies for mixing appropriations and private financing in a typical federal agency that has identified $100 million in required energy conservation measures (ECMs) at its facilities. The analysis shows that in order to maximize savings and minimize overall life-cycle cost, the best strategy for the agency is to use private financing to fund as many of the ECMs as possible within the statutory maximum 25-year project term, beginning with the ECMs with the shortest paybacks. Available appropriations should either be applied to a privately financed project as a one-time payment from savings (i.e., as a buydown ) or used to directly fund longer-payback ECMs that cannot be included in the privately financed project.

  15. Monitoring strategies and scale appropriate hydrologic and biogeochemical modelling for natural resource management

    DEFF Research Database (Denmark)

    Bende-Michl, Ulrike; Volk, Martin; Harmel, Daren;

    2011-01-01

    This short communication paper presents recommendations for developing scale-appropriate monitoring and modelling strategies to assist decision making in natural resource management (NRM). These ideas presented here were discussed in the session (S5) ‘Monitoring strategies and scale......-appropriate hydrologic and biogeochemical modelling for natural resource management’ session at the 2008 International Environmental Modelling and Simulation Society conference, Barcelona, Spain. The outcomes of the session and recent international studies exemplify the need for a stronger collaboration and...... communication between researcher and model developer on the one side, and natural resource managers and the model users on the other side to increase knowledge in: 1) the limitations and uncertainties of current monitoring and modelling strategies, 2) scale-dependent linkages between monitoring and modelling...

  16. Diagnostic and therapeutic appropriateness in bone and joint infections: results of a national survey.

    Science.gov (United States)

    Esposito, Silvano; Russo, Enrico; De Simone, Giuseppe; Gioia, Renato; Petta, Ester; Leone, Sebastiano; Noviello, Silvana; Artioli, Stefania; Ascione, Tiziana; Bartoloni, Alessandro; Bassetti, Matteo; Bertelli, Davide; Boccia, Giovanni; Borrè, Silvio; Brugnaro, Pierluigi; Caramello, Pietro; Coen, Massimo; Crisalli, Maria Paola; De Caro, Francesco; Dodi, Ferdinando; Fantoni, Massimo; Foti, Giuseppe; Giacometti, Andrea; Leoncini, Francesco; Libanore, Marco; Migliore, Simona; Venditti, Mario

    2016-06-01

    The impact of infectious diseases (ID) specialist consultation in the management of many types of bacterial infections has been fully demonstrated but not for bone and joint infections (BJIs). Nineteen ID Italian centres collected of data from June 2009 to May 2012. Italian guidelines (2009) were used to determine the appropriateness of the diagnostic and therapeutic process of BJIs before and after consulting an ID specialist. Data on 311 patients were collected: 111 cases of prosthetic joint infection, 99 osteomyelitis, 64 spondylodiscitis and 37 fixation device infection. A significant increase of microbiological investigations, imaging techniques and blood inflammation markers were noted after consulting the ID specialist. Moreover, inappropriateness of treatment duration, dosage, and number of administrations significantly decreased after consultation. Infectious disease specialist intervention in the management of BJIs significantly increases the appropriateness both in performing instrumental and laboratory analysis, but especially in determining the correct therapy. PMID:25800800

  17. The right to appropriate and meaningful education for children with ASD.

    Science.gov (United States)

    Marshall, David; Goodall, Craig

    2015-10-01

    This paper will explore from a 'child's rights perspective' the 'right' of children with autistic spectrum disorder (ASD) to appropriate and meaningful education. Human 'rights' principles within international law will be evaluated in relation to how they have been interpreted and applied in relation to achieving this 'right'. The International Convention of the Rights of the Child (United Nations in Convention on the rights of the child, office of the high commissioner, United Nations, Geneva, 1989) and the convention on the rights of the person with disability (United Nations in Convention on the rights of person's with disabilities and optional protocol, office of the high commissioner, United Nations, Geneva, 2006) amongst others will be utilised to argue the case for 'inclusive' educational opportunities to be a 'right' of every child on the autistic spectrum. The efficacy of mainstream inclusion is explored, identifying the position that a 'one size fits all' model of education is not appropriate for all children with ASD. PMID:26036647

  18. NAMAs and the carbon market. Nationally appropriate mitigation actions of developing countries

    Energy Technology Data Exchange (ETDEWEB)

    Holm Olsen, K.; Fenhann, J.; Hinostroza, M.

    2009-07-01

    The role of carbon markets in scaling up mitigation actions in developing countries in the post-2012 climate regime is the topic of Perspectives 2009: NAMAs and the Carbon Market - Nationally Appropriate Mitigation Actions of Developing Countries. The eight papers presented explore how mitigation actions in developing countries, in the context of sustainable development, may be supported by technology, finance and capacity development in a measurable, reportable and verifiable manner. Key issues discussed are the pros and cons of market and non-market mechanisms in raising private and public finance, and the appropriate governance structures at the international and national levels. The aim of this publication is to present possible answers to these questions, with a specific focus on the role of existing and emerging carbon markets to finance NAMAs. (LN)

  19. Masculinity (in magazine: appropriations, negotiations and resistance among readers of Men’s Health

    Directory of Open Access Journals (Sweden)

    Filipe Bordinhão dos Santos

    2012-04-01

    Full Text Available This article analyzes the process of identity construction male readers from the appropriation of representations on masculinity at the Men’s Health magazine. Then, was realized study of reception with six assiduous readers of the magazine. Were applied in-depth interviews, structured from categories that correspond to the contemporary construction of masculinity (beauty/sexuality, consumption, work and family. It tried to be noted different forms of appropriation and resistance to this discourse hegemonic masculinity on the construction of identity of these individuals. In conclusion, it was noticed that the media still takes on the role in identity formation of their receptors –which, in time, ranging from upgrading the standard of masculinity of the “new man” to the maintenance of traditional values.

  20. Community Engagement for Culturally Appropriate Obesity Prevention in Hispanic Mother-child Dyads

    OpenAIRE

    Bender, Melinda S.; Clark, Mary Jo; Gahagan, Sheila

    2014-01-01

    Childhood obesity affects approximately 20% of US preschool children. Early prevention is needed to reduce young children’s risks for obesity, especially among Hispanic preschool children who have one of the highest rates of obesity. Vida Saludable was an early childhood obesity intervention designed to be culturally appropriate for low-income Hispanic mothers with preschool children to improve maternal physical activity and reduce children’s sugar sweetened beverage consumption. It was condu...

  1. Community Engagement Approach: Developing a Culturally Appropriate Intervention for Hispanic Mother–Child Dyads

    OpenAIRE

    Bender, MS; Clark, MJ; Gahagan, S

    2014-01-01

    © The Author(s) 2014. Childhood obesity affects approximately 20% of U.S. preschool children. Early prevention is needed to reduce young children’s risks for obesity, especially among Hispanic preschool children who have one of the highest rates of obesity. Vida Saludable was an early childhood obesity intervention designed to be culturally appropriate for low-income Hispanic mothers with preschool children to improve maternal physical activity and reduce children’s sugar-sweetened beverage c...

  2. Is Black-Scholes Model An Appropriate Option Pricing Tool in Chinese Stock Market?

    OpenAIRE

    Mao, Qing

    2007-01-01

    In order to further develop the derivative markets, the Chinese government has decided to launch stock options as soon as possible. The Black-Scholes formula has been the most commonly used option pricing model today. But is the Black-Scholes model an appropriate tool for pricing of Chinese stock option? If the Black-Sholes model is perfect, implied volatilities should be exactly the same for options on the same underlying asset with different strike prices. This project, however, discove...

  3. End-of-life care: identifying an appropriate legal framework for specialist palliative care in Ireland

    OpenAIRE

    Lombard, John

    2014-01-01

    This thesis argues that the legal framework in Ireland for specialist palliative care is inadequate and consequently a more appropriate legal framework must be identified. This research is guided by three central research questions. The first central research question examines the legitimacy of the distinction between specialist palliative care and euthanasia. The second central research question asks what legal framework currently exists in Ireland for specialist palliative care. The third c...

  4. Identifying the appropriate scales to model nitrogen flows from land to water

    OpenAIRE

    Dumont, E.L.

    2007-01-01

    Human activities cause flow of nitrogen (N) from terrestrial to aquatic systems. This has many serious consequences that need to be alleviated. Understanding and anticipation of N flow to aquatic systems can be achieved by modeling. Several models have been developed but one of their major weaknesses is the use of inappropriate scales. Therefore, the objective of this thesis is to increase our ability to identify appropriate spatial and temporal scales for N-flow models in a transparent and c...

  5. Assessing Perceived Stress in Medical Personnel: In Search of an Appropriate Scale for the Bengali Population

    OpenAIRE

    Amrita Chakraborti; Prasenjit Ray; Debasish Sanyal; Rajarshi Guha Thakurta; Bhattacharayya, Amit K.; Asim Kumar Mallick; Ranjan Das; Syed Naiyer Ali

    2013-01-01

    Background: The occurrence of stress and stress related anxiety and depression in medical personnel are being increasingly reported in literature. The perceived stress scale (PSS) is the most widely used psychological instrument for measuring the perception of stress. It is needed to assess perceived stress in our population using appropriately translated version of PSS. The objectives of study were to prepare a Bengali version of PSS-10 and to establish its psychometric properties in the stu...

  6. Is bovine dentine an appropriate substitute for human dentine in erosion/abrasion tests?

    OpenAIRE

    Wegehaupt, F; Gries, D.; A. Wiegand; Attin, T.

    2008-01-01

    The study aimed to compare the dentine wear of primary and permanent human and bovine teeth because of erosion/abrasion and evaluate if bovine dentine is an appropriate substitute for human dentine in further erosion/abrasions tests. Dentine samples from deciduous molars and human third molars as well as from calves' and cattle's lower incisors were prepared and baseline surface profiles were recorded. Each day all samples were demineralized in 1% citric acid, tooth brushed with 100 brushing ...

  7. Harnessing Intellectual Property for Development: Some Thoughts on an Appropriate Theoretical Framework

    OpenAIRE

    Caroline Bongiwe Ncube

    2013-01-01

    This paper considers how an appropriate theoretical framework for Intellectual Property may be constructed. Such a framework would be the lens through which contested IP issues may be resolved and upon which national IP policy and legislation might be based. The paper begins by highlighting the inherent tensions in IP, which are caused by the various stakeholder interests that this body of law seeks to balance, and by the cross-cutting nature of IP. It contends that in order to more equitably...

  8. Ex-situ Technology Appropriation: A case of collaborative interpretation writing

    OpenAIRE

    Polli, Anna Maria; Verdezoto, Nervo; Alzubaidi R-Smith, Nawfal

    2015-01-01

    In order to understand the situated nature of interaction, research has shown that investigating technology appropriation experiences in the real context of use deserve special attention when designing interactive technologies. In this paper, we report on the results of a design experiment regarding technology support for collaborative interpretation in an art gallery. We explore visitors’ practices of commenting on and interpreting an artwork, and how these practices are shaped in interactio...

  9. Collaborative Appropriation: How Couples, Teams, Groups and Communities Adapt and Adopt Technologies

    OpenAIRE

    Muller, Michael; Neureiter, Katja; Verdezoto, Nervo; Krischkowsky, Alina; Al Zubaidi-Polli, Anna Maria; Tscheligi, Manfred

    2016-01-01

    Previous workshops and papers have examined how individual users adopt and adapt technologies to meet their own local needs, by “completing design through use.” However, there has been little systematic study of how groups of people engage collaboratively in these activities. This workshop opens a discussion for these under-studied forms of collaborative appropriation, using a broad range of perspectives including empirical data, design explorations, research, and critique.

  10. Free, Social, and Inclusive: Appropriation and Resistance of New Media Technologies in Brazil

    OpenAIRE

    Horst, Heather A.

    2011-01-01

    This article analyzes how new media are being appropriated within the Brazilian society. Exploring a range of new media practices-from the use of social network sites, microblogging, gaming, music, video production, and digital photography to youth media programs, LAN houses, and online communities-this article examines changes in the production, consumption, and distribution of new media in Brazil. Specifically, it explores different orientations around new media technology as they emerge in...

  11. Authenticity and Appropriation in the Australian Visual Contact Zone of Brenda L. Croft

    OpenAIRE

    Russo, Katherine E.

    2012-01-01

    In the Australian contact zone, visual art has for a long time been represented as colonial property and contemporary Indigenous art has often been studied as an appropriation or worse a stealing of this property. According to this study, the alienable nature of visual technologies has been largely denied by neo-colonial discourses because it implies a relation with other users. The recognition of Indigenous contemporary visual art as legitimate and authentic would be an admittance of co-habi...

  12. Distance Education in Another Register: Uses and Appropriation of Technologies in Teacher Education

    OpenAIRE

    BELMIRA OLIVEIRA-BUENO; ADOLFO SAMUEL DE OLIVEIRA

    2008-01-01

    The article explores the relationships between distance education, information and communication technologies and teacher education. Its focus is on the interactive media and its uses in an in-service teacher education program, in Brazil, and on the ways the teachers used the technologies doing their own appropriateness. It departs from the presuppositions of the society of knowledge, that is, the close relationships between new technologies, continuing professional development and social inc...

  13. Appropriate observables for investigating narrow resonances in kaon photoproduction off a proton

    CERN Document Server

    Mart, T

    2011-01-01

    The existence of non-strange partner of pentaquark, the J^p = 1/2^+ narrow resonance, has been investigated by utilizing kaon photoproduction off a proton. It is found that the corresponding mass is 1650 MeV and the appropriate observables for investigating this resonance are the recoiled hyperon polarization, the beam-recoil double polarization C_x, and differential cross section at backward angles. Future kaon photoproduction experiments at low energies should focus on these observables.

  14. Developing an age-appropriate dental care programme for preschool children / Marilize M. Kitching

    OpenAIRE

    Kitching, Marilize Mabel

    2007-01-01

    Children's oral health is an important but often overlooked component of overall health. Tooth decay therefore remains a common phenomenon among children. It is however entirely preventable through early and sustained intervention. The aim of this research was to develop an age-appropriate programme to enhance children's knowledge and awareness of proper dental care. Action research was applied in this research, which was characterized by various cyclical research phases, including planning, ...

  15. Determination the Appropriateness of Tokat Kazova Lands to Peach Cultivation Using Geographic Information System

    OpenAIRE

    R. Gercekcioglu; T. Susam; T. Oztekin

    2008-01-01

    The aims of this study are to determine the appropriate peach orchard locations among Tokat Kazova lands and to classify the lands according to the suitability for peach cultivation by means of Geographic Information System (GIS). The distances and elevation differences of possible orchard locations to/from the available water resources, soil profile depth, soil profile texture, frost risk, land aspect, and land slope were considered as criterions to classify the lands of Tokat Kazova to dete...

  16. Selection of an Appropriate Mechanized Mining Technical Process for Thin Coal Seam Mining

    OpenAIRE

    Chen Wang; Shihao Tu

    2015-01-01

    Mechanized mining technical process (MMTP) related to the control method of the shearer is a vital process in thin coal seam mining operations. An appropriate MMTP is closely related to safety, productivity, labour intensity, and efficiency. Hence, the evaluation of alternative MMTP is an important part of the mining design. Several parameters should be considered in MMTP evaluation, so the evaluation is complex and must be compliant with a set of criteria. In this paper, two multiple criteri...

  17. Mediation within Irish Construction Industry: Identifying Success Factors for Appropriate Competencies and Processes

    OpenAIRE

    Spillane, John; Oyedele, Lukumon; Hande, Evelyn; Von Meding, Jason; Konanahalli, Ashwini; Jaiyeoba, Babatunde E; Tijani, Iyabo K.

    2011-01-01

    The construction industry notoriously excels at dispute creation both in Ireland and abroad. This paper examines mediation in the Irish construction industry as a means of conflict and dispute resolution. It aims to identify success factors for appropriate competencies and processes required by mediators and other parties operating in the construction industry. Methodology includes a thorough review of the literature, followed by detailed interviews from industry experts to elicit and highlig...

  18. The Two-Way Appropriation of Indigenous Knowledge : Environmental Management Policies and the Laponia Process

    OpenAIRE

    Nilsson Dahlström, Åsa

    2009-01-01

    In the face of climatic changes and environmental problems, indigenous knowledge is increasingly being accepted as an alternative to Western science in conservation policies. While indigenous knowledge may help indigenous empowerment, it is also placed under the control of the authorities whose science and structures it is meant to challenge. Indigenous knowledge is therefore the subject of a two-way appropriation by indigenous peoples as well as environmental authorities. This process is ill...

  19. 1010GUIDE–A SIMPLE FRAMEWORK FOR SELECTING THE APPROPRIATE SDLC FOR A SOFTWARE PROJECT

    Directory of Open Access Journals (Sweden)

    Vaibhav V Prakash

    2016-01-01

    Full Text Available 1010 guide is essentially a flowchart to help software managers choose an efficient software project management methodology based on the metrics they have. Differentiation between critical and non-critical projects which is followed by choosing the pre-defined metrics for the team. Finally a table corresponds to the options chosen and results in a straight forward selection of the appropriate SDLC based on the values given.

  20. 1010GUIDE–A SIMPLE FRAMEWORK FOR SELECTING THE APPROPRIATE SDLC FOR A SOFTWARE PROJECT

    OpenAIRE

    Vaibhav V Prakash; Danny Sunderesan

    2016-01-01

    1010 guide is essentially a flowchart to help software managers choose an efficient software project management methodology based on the metrics they have. Differentiation between critical and non-critical projects which is followed by choosing the pre-defined metrics for the team. Finally a table corresponds to the options chosen and results in a straight forward selection of the appropriate SDLC based on the values given.

  1. “Crossing over”: appropriate private sector principles, to operate more reliable public sector water services

    OpenAIRE

    Wall, K

    2008-01-01

    Private sector institutions utilise many different business methods, some of which can selectively be adapted for use by organisations outside the private sector, to the benefit of their service delivery responsibilities. But the best of the appropriate practices from the private sector have often “not crossed over”. The Water Research Commission (WRC) of South Africa, working in collaboration with the Council for Scientific and Industrial Research (CSIR), finds that the concep...

  2. Monetary Uncertainty, the Appropriate Choice of Central Banker and Social Welfare

    OpenAIRE

    P Lawler

    2004-01-01

    A number of papers have identified the possibility that less precise monetary control or, alternatively, increased uncertainty with regards to the effects of monetary policy on the economy may enhance social welfare. The present paper introduces monetary uncertainty into a model of monetary policy delegation. It is shown that an increase in uncertainty has an ambiguous effect on the appropriate degree of conservatism of an optimally chosen central banker, but produces an unambiguous fall in w...

  3. Investigation of the most appropriate capital structure theory and leverage level determinants

    OpenAIRE

    Lew, Sung Hee

    2012-01-01

    This thesis examines capital structure theories and debt level determinants to develop a better understanding, and to establish the most appropriate theory to explain the behaviour of firms‟ debt and equity choices. It tests three major capital structure theories (e.g. the trade-off, pecking order and market timing theories) using static and dynamic statistical models and 13 capital structure determinants, based on three major capital structure theories. The study uses 4,598 sa...

  4. Features for culturally appropriate avatars for behavior-change promotion in at-risk populations

    OpenAIRE

    Lisetti C

    2009-01-01

    We explore how avatars can be used as social orthotics defined as therapeutic computer-based social companions aimed at promoting healthy behaviors. We review some of the health interventions deployed in helping at-risk populations along with some of the unique advantages that computer-based interventions can add to face-to-face interventions. We posit that artificial intelligence has rendered possible the creation of culturally appropriate dialog-agents for interventions and we identify spec...

  5. Medical Justification of CT Imaging and Use of Appropriateness Criteria in the USA

    International Nuclear Information System (INIS)

    Rapid technical developments and an expanding list of clinical applications that provide new diagnostic information or supplant less accurate or more invasive diagnostic tests have led to a dramatic increase in the use of CT imaging since its introduction in 1973. Our purpose is to discuss the medical benefit of CT imaging given the small risk associated with ionizing radiation used in CT in the context of medical justification, focusing on exam appropriateness, individualization of CT techniques, and decision support tools. (author)

  6. The Living Experience as a design content: from concept to appropriation

    OpenAIRE

    Coelho, Carolina

    2015-01-01

    This article aims to analyse the concept of the living experience applied to architecture, throughout the whole building’s lifecycle, from the design brief and spatial conception envisioned by the architect, to its materialization, and finally to the spatial appropriation undertaken by the user(s) - whether as individuals or as a group. Hence, it will start by focusing on the concept’s state of the art for separate authors and study fields, pointing out their approaches to architecture, and i...

  7. Practicum Students' Beliefs About Developmentally Appropriate Practice for Infants and Toddlers

    OpenAIRE

    Olsen, Kaelin

    2004-01-01

    This study examined practicum students ' beliefs and experiences abo ut developmentally appropriate practice (DAP) prior to a practicum experience and following it. Another goal was to examine differences between the practicum students' majors and their pre- and posttest DAP beliefs and experiences scores. Finally, this investigation sought to determine the differences between practicum students' DAP beliefs and experiences and the amount of time they spent in a practicum setting. A total ...

  8. Nature Appropriation and Associations with Population Health in Canada’s Largest Cities

    Directory of Open Access Journals (Sweden)

    Timothy Jason

    2013-03-01

    Full Text Available Earth is a finite system with a limited supply of resources. As the human population grows, so does the appropriation of Earth’s natural capital, thereby exacerbating environmental concerns such as biodiversity loss, increased pollution, deforestation and global warming. Such concerns will negatively impact human health although it is widely believed that improving socio-economic circumstances will help to ameliorate environmental impacts and improve health outcomes. However, this belief does not explicitly acknowledge the fact that improvements in socio-economic position are reliant on increased inputs from nature. Gains in population health, particularly through economic means, are disconnected from the appropriation of nature to create wealth so that health gains become unsustainable. The current study investigated the sustainability of human population health in Canada with regard to resource consumption or “ecological footprints” (i.e., the resources required to sustain a given population. Ecological footprints of the 20 largest Canadian cities, along with several important determinants of health such as income and education, were statistically compared with corresponding indicators of human population health outcomes. A significant positive relationship was found between ecological footprints and life expectancy, as well as a significant negative relationship between ecological footprints and the prevalence of high blood pressure. Results suggest that increased appropriation of nature is linked to improved health outcomes. To prevent environmental degradation from excessive appropriation of natural resources will require the development of health promotion strategies that are de-coupled from ever-increasing and unsustainable resource use. Efforts to promote population health should focus on health benefits achieved from a lifestyle based on significantly reduced consumption of natural resources.

  9. Nature Appropriation and Associations with Population Health in Canada’s Largest Cities

    OpenAIRE

    Timothy Jason; Daniel Rainham; Rory Cantwell

    2013-01-01

    Earth is a finite system with a limited supply of resources. As the human population grows, so does the appropriation of Earth’s natural capital, thereby exacerbating environmental concerns such as biodiversity loss, increased pollution, deforestation and global warming. Such concerns will negatively impact human health although it is widely believed that improving socio-economic circumstances will help to ameliorate environmental impacts and improve health outcomes. However, this belief does...

  10. Evaluation of the appropriate use of commonly prescribed fluoroquinolones and the risk of dysglycemia

    Science.gov (United States)

    Kabbara, Wissam K; Ramadan, Wijdan H; Rahbany, Peggy; Al-Natour, Souhaila

    2015-01-01

    Background Fluoroquinolones are among the most widely prescribed antibiotics. However, concerns about increasing resistant microorganisms and the risk of dysglycemia associated with the use of these agents have emerged. Objective The primary objective of the study was to evaluate the appropriate use of commonly prescribed fluoroquinolones, including appropriate indication, dose, dose adjustment in renal impairment, and duration of treatment. The secondary objective was to investigate the dysglycemic effect of fluoroquinolone use (hypoglycemia and/or hyperglycemia) in diabetic and nondiabetic patients. Methods A prospective observational study at a teaching hospital in Lebanon was conducted over a 6-month period. A total of 118 patients receiving broad-spectrum fluoroquinolones (levofloxacin, ciprofloxacin, and moxifloxacin) were identified. Patients were mainly recruited from internal medicine floors and intensive care units. Results The final percentage for the appropriate indication, dose, and duration of fluoroquinolone therapy was 93.2%, 74.6%, and 57.6%, respectively. A total of 57.1% of the patients did not receive the appropriate dose adjustment according to their level of renal impairment. In addition, dysglycemia occurred in both diabetic and nondiabetic patients. Dysglycemia was more frequently encountered with ciprofloxacin (50.0%), followed by levofloxacin (42.4%) and moxifloxacin (7.6%). Hyperglycemia was more common than hypoglycemia in all groups. The highest incidence of hyperglycemia occurred with levofloxacin (70.0%), followed by ciprofloxacin (39.0%) and moxifloxacin (33.3%). In contrast, hypoglycemia did not occur in the ciprofloxacin group, but it was more common with moxifloxacin (11.1%) and levofloxacin (6.0%). Conclusion The major clinical interventions for the future will adjust the dose and duration of therapy with commonly prescribed fluoroquinolones. The incidence of hypoglycemia was less common than hyperglycemia. PMID:25960658

  11. The monetary analysis of hyperinflation and the appropriate specification of the demand for money

    OpenAIRE

    Alexandre SOKIC

    2010-01-01

    The paper emerges from the failure of the traditional models of hyperinflation with rational expectations or perfect foresight. Using the insights from two standard optimizing monetary settings the paper shows that the possibility of perfect foresight monetary hyperinflation paths depends robustly on the essentiality of money. We show that the popular semilogarithmic form of the demand for money is not appropriate to analyse monetary hyperinflation with perfect foresight. We propose a simple ...

  12. Practice and Effect of Appropriate Error-correction in English Teaching

    Institute of Scientific and Technical Information of China (English)

    REN Jing-ming; HU Rong

    2002-01-01

    This paper points out that with interference from their native language and culture, Chinese students will inevitably make some errors in the process of learning English. It is important for teachers to know when and how to correct the students' errors. By employing errorcorrection skillfully and appropriately, one can expect to improve the present English teaching and learning, to develop the self-confidence and self-esteem in students themselves.

  13. Africa Pentecostalized? Understanding the African appropriation of Pentecostalism in light of African perspectives

    OpenAIRE

    Østhassel, Ole Aleksander

    2013-01-01

    I want to prepare an understanding of why Pentecostalism seems to be so attractive in Africa. I will outline Ogbu Kalu's understanding of a resonance between African traditional culture and Pentecostalism, and then add perspectives from other African scholars. And the research problem follows: How can we understand the appropriation of Pentecostalism in Africa in light of Ogbu Kalu? Research questions will be: In what way do Pentecostalism and African traditional cult...

  14. A guide to appropriate use of Correlation coefficient in medical research

    OpenAIRE

    Mukaka, MM

    2012-01-01

    Correlation is a statistical method used to assess a possible linear association between two continuous variables. It is simple both to calculate and to interpret. However, misuse of correlation is so common among researchers that some statisticians have wished that the method had never been devised at all. The aim of this article is to provide a guide to appropriate use of correlation in medical research and to highlight some misuse. Examples of the applications of the correlation coefficien...

  15. Nature appropriation and associations with population health in Canada's largest cities.

    Science.gov (United States)

    Rainham, Daniel; Cantwell, Rory; Jason, Timothy

    2013-04-01

    Earth is a finite system with a limited supply of resources. As the human population grows, so does the appropriation of Earth's natural capital, thereby exacerbating environmental concerns such as biodiversity loss, increased pollution, deforestation and global warming. Such concerns will negatively impact human health although it is widely believed that improving socio-economic circumstances will help to ameliorate environmental impacts and improve health outcomes. However, this belief does not explicitly acknowledge the fact that improvements in socio-economic position are reliant on increased inputs from nature. Gains in population health, particularly through economic means, are disconnected from the appropriation of nature to create wealth so that health gains become unsustainable. The current study investigated the sustainability of human population health in Canada with regard to resource consumption or "ecological footprints" (i.e., the resources required to sustain a given population). Ecological footprints of the 20 largest Canadian cities, along with several important determinants of health such as income and education, were statistically compared with corresponding indicators of human population health outcomes. A significant positive relationship was found between ecological footprints and life expectancy, as well as a significant negative relationship between ecological footprints and the prevalence of high blood pressure. Results suggest that increased appropriation of nature is linked to improved health outcomes. To prevent environmental degradation from excessive appropriation of natural resources will require the development of health promotion strategies that are de-coupled from ever-increasing and unsustainable resource use. Efforts to promote population health should focus on health benefits achieved from a lifestyle based on significantly reduced consumption of natural resources. PMID:23531492

  16. THE PROBLEM OF FINDING THE APPROPRIATE DEFINITION WHILE TRANSLATING ENGLISH VOCABULARY DEALING WITH PROFESSIONS

    OpenAIRE

    KUZMIN ARTEM ALEKSANDROVICH

    2015-01-01

    In the original article the search problem of the proper equivalents regarding english vocabulary with the meaning “profession” is examined. Authors have scrutinized semantic differences between “profession”, “occupation”, “job”, “position”. The idea about necessity of using the more appropriate Russian equivalent is grounded. This view would be useful for professionals in translating and teaching spheres.

  17. A qualitative study of psychological, social and behavioral barriers to appropriate food portion size control

    OpenAIRE

    Spence, Michelle; Livingstone, M. Barbara E.; Hollywood, Lynsey E; Gibney, Eileen R; O'Brien, Sinéad A; Pourshahidi, L Kirsty; Dean, Moira

    2013-01-01

    Background: Given the worldwide prevalence of overweight and obesity, there is a clear need for meaningful practical healthy eating advice - not only in relation to food choice, but also on appropriate food portion sizes. As the majority of portion size research to date has been overwhelmingly quantitative in design, there is a clear need to qualitatively explore consumers’ views in order to fully understand how food portion size decisions are made. Using qualitative methodology this present ...

  18. The impact of priming on new technology appropriation: An extension of adaptive structuration theory

    OpenAIRE

    Comi, Alice; Eppler, Martin J.; Herrmann, Andreas

    2012-01-01

    In this paper we present a theoretical and methodological extension of Adaptive Structuration Theory (AST), as applicable to information systems (IS), by showing how technology appropriation can be influenced and measured. We address the questions of how people react to novel user interfaces – specifically, an interactive online product configurator – and if that reaction can be influenced through two priming mechanisms. To answer these questions, we experimentally assess if priming use...

  19. Pregnancy Outcomes and Appropriate Timing of Pregnancy in 183 pregnancies in Korean Patients with SLE

    OpenAIRE

    Ko, Hyun Sun; Ahn, Hyun Young; Jang, Dong Gyu; Choi, Sae-Kyung; Park, Yong-Gyu; Park, In Yang; Lee, Guisera; Park, Sung-Hwan; Shin, Jong Chul

    2011-01-01

    This study was undertaken to investigate the pregnancy outcomes in patients with systemic lupus erythematosus (SLE) and the appropriate timing of pregnancy. We performed a retrospective evaluation of 183 pregnancies with SLE at Catholic University Medical Center during the 13-year period from 1998 to 2010. Pregnancy outcomes were compared according to SLE characteristics. The predictive value of the different cut-off points of the stable period before conception on adverse pregnancy outcomes ...

  20. Appropriateness and cost-effectiveness in the treatment of invasive candidiasis in Internal Medicine Wards

    OpenAIRE

    Enrico Tagliaferri; Francesco Menichetti

    2014-01-01

    Invasive candidiasis (IC), including candidemia, is a major cause of morbidity and mortality among patients and the majority of cases of candidemia are documented in Medical Wards. Early identification of patients at risk, knowledge of local epidemiology and prompt efforts to define etiologic diagnosis are pivotal to ensure appropriateness. Start with an echinocandin and switch to fluconazole when possible, seems to represent a useful strategy for the management of IC. The choice between the ...

  1. L'agriculture familiale et ses réappropriations locales par le mouvement paysan colombien

    OpenAIRE

    Mathilde Allain; Alice Beuf

    2014-01-01

    This article aims at analyzing the local appropriation mechanisms of the international concept of family farming based on the claims of the Colombian peasant movement and two farmers’ organizations in particular. Behind the conflict around the meaning of the concept, there is a real sociopolitical conflict through which the Colombian peasant movement has attempted to politicize family farming to position its claims at the national level. Beyond an agronomic and technical vision of rural devel...

  2. Students' opinion on sexuality education in schools and appropriateness of different approaches

    OpenAIRE

    Lo, Siu-lun.; 盧兆麟.

    2011-01-01

    With the ever increasing pregnancy rate of students, people have begun to doubt the effectiveness of the sexuality education in Hong Kong. Some argued that a more comprehensive approach should be adopted while others argue that the more traditional approach is better. However, the voices of students are almost neglected. The aim of this study is to fill this gap and illuminates students’ views on sexuality education in schools and appropriateness of different approaches. In general, students...

  3. Caries risks and appropriate intervals between bitewing x-ray examinations in schoolchildren

    OpenAIRE

    Steiner, M; Bühlmann, S; Menghini, G.; Imfeld, C.; Imfeld, T

    2011-01-01

    Short intervals between bitewing examinations favor the timely detection of lesions on approximal surfaces. Long intervals reduce the exposure to radiation. Thus, the question arises which intervals between bite-wing examinations are appropriate. The length of intervals between bitewing examinations should be adapted to the caries risk on approximal surfaces of molars and premolars. In order to estimate the caries risk in the Swiss school population, longitudinal data of 591 schoolchildren fr...

  4. Perceptions of the appropriateness of care in California adult intensive care units

    OpenAIRE

    Anstey, Matthew H; Adams, John L.; McGlynn, Elizabeth A

    2015-01-01

    Introduction Increased demand for expensive intensive care unit (ICU) services may contribute to rising health-care costs. A focus on appropriate use may offer a clinically meaningful way of finding the balance. We aimed to determine the extent and characteristics of perceived inappropriate treatment among ICU doctors and nurses, defined as an imbalance between the amount or intensity of treatments being provided and the patient’s expected prognosis or wishes. Methods This was a cross-section...

  5. Appropriateness of antibiotic prescribing for upper respiratory tract infections in general practice

    DEFF Research Database (Denmark)

    Sigurðardóttir, Nanna Rún; Nielsen, Anni Brit Sternhagen; Munck, Anders;

    2015-01-01

    Objective: To compare the appropriateness of antibiotic prescribing for upper respiratory tract infections (URTIs) in two countries with different prevalence of antimicrobial resistance: Denmark and Iceland. Design: A cross-sectional study. Settings and subjects. General practitioners (GPs...... and Iceland could not fully be explained by different symptoms and signs among patients. Conclusion: Icelandic GPs have a higher antibiotic prescribing rate compared with Danish GPs, but the percentage of inappropriate antibiotic prescribing is highest in Denmark for sinusitis, and in Iceland...

  6. Effect of Appropriate Marketing Mix Strategies on Iranian Protein Products Export Performance

    OpenAIRE

    Hossein Rezaie Dolatabadi; Mohammad Hossein Forghani; Seyed Mehdi Tabatabaee; Fatemeh Faghani

    2013-01-01

    The purpose of the present paper is to examine effect of effect of appropriate marketing mix strategies on Iranian protein products export performance. 4P (Price, Product, Place, Promotion) were selected as marketing strategies. The data used to test the hypotheses were collected through an online standard questionnaire. The respondents were asked to rate on the scale between strongly agree and strongly Disagree. Reliability of questionnaire was measured using Cronbach Coefficient Alpha. The ...

  7. A Study to Analyze the Most Appropriate Pharmaceutical Product Marketing to Mix to Drive Customer Loyalty

    OpenAIRE

    Lilley, Matthew

    2012-01-01

    This study examines the most appropriate pharmaceutical product marketing mix to drive customer loyalty. It’s findings relate more specifically to Janssen, a pharmaceutical company, part of Johnson & Johnson. It’s main aims are to understand the validity of Net Promoter Scores (a method to measure loyalty), understand more deeply what may drive customer loyalty in the pharmaceutical industry, and finally to establish the most effective marketing mix in order to achieve that. During the study ...

  8. The use and appropriation of the mobile telephony technologies by the rural Bangladeshi farmers

    OpenAIRE

    Bidit L. Dey

    2009-01-01

    This paper is based on the initial understandings gained from the first half of my doctoral research, that investigates how the mobile telephony technologies can be used and appropriated by the rural Bangladeshi farmers and what could be the potential impacts of such interaction. The research tries to find a relation between the issues raised by the ICT for development literatures and the theoretical underpinnings gained from information systems and marketing. This paper has been developed af...

  9. Tenure Security and Land Appropriation under Changing Environmental Governance in Lowland Bolivia and Pará

    OpenAIRE

    Pablo Pacheco; José Heder Benatti

    2015-01-01

    Appropriation of public lands associated with agricultural frontier expansion is a longstanding occurrence in the Amazon that has resulted in a highly skewed land-tenure structure in spite of recent state efforts to recognize tenure rights of indigenous people and smallholders living in or nearby forests. Growing concerns to reduce environmental impacts from agricultural development have motivated state governments to place greater attention on sustainable land management and forest conservat...

  10. Using scenarios to test the appropriateness of pharmacist prescribing in asthma management

    OpenAIRE

    Hanna T; Bajorek B; LeMay K; Armour CL

    2014-01-01

    Objective: To explore the potential for community pharmacist prescribing in terms of usefulness, pharmacists’ confidence, and appropriateness, in the context of asthma management. Methods: Twenty community pharmacists were recruited using convenience sampling from a group of trained practitioners who had already delivered asthma services. These pharmacists were asked to complete a scenario-based questionnaire (9 scenarios) modelled on information from real patients. Pharmacist interventio...

  11. Projects from Federal Region IX: Department of Energy Appropriate Energy Technology Program. Part II

    Energy Technology Data Exchange (ETDEWEB)

    Case, C.W.; Clark, H.R.; Kay, J.; Lucarelli, F.B.; Rizer, S.

    1980-01-01

    Details and progress of appropriate energy technology programs in Region IX are presented. In Arizona, the projects are Solar Hot Water for the Prescott Adult Center and Solar Prototype House for a Residential Community. In California, the projects are Solar AquaDome Demonstration Project; Solar Powered Liquid Circulating Pump; Appropriate Energy Technology Resource Center; Digester for Wastewater Grown Aquatic Plants; Performance Characteristics of an Anaerobic Wastewater Lagoon Primary Treatment System; Appropriate Energy/Energy Conservation Demonstration Project; Solar Energy for Composting Toilets; Dry Creek Rancheria Solar Demonstration Projects; Demonstration for Energy Retrofit Analysis and Implementation; and Active Solar Space Heating System for the Integral Urban House. In Hawaii, the projects are: Java Plum Electric; Low-Cost Pond Digesters for Hawaiian Pig Farm Energy Needs; Solar Beeswax Melter; Methane Gas Plant for Operating Boilers and Generating Steam; and Solar Water Heating in Sugarcane Seed-Treatment Plants. A Wind-Powered Lighted Navigation Buoys Project for Guam is also described. A revised description of the Biogas Energy for Hawaiian Small Farms and Homesteads is given in an appendix.

  12. On the Appropriateness of Incident Management Systems in Developing Countries: A Case from the UAE

    Directory of Open Access Journals (Sweden)

    Faouzi Kamoun

    2010-12-01

    Full Text Available Road traffic incidents are eliciting growing public concerns due to their devastating social, economical, and environmental impacts. The severity of these random events is particularly alarming in developing countries, where the situation is just worsening. Recently, Incident Management Systems (IMSs have been proposed as powerful tools to enhance the coordination and management of rescue operations during traffic accidents. However, most of the available commercial IMS solutions are designed for large metropolitan cities and within the contexts of developed nations. This paper explores the issues of appropriateness and customization of IMS solutions in developing countries through an exploratory inquiry consisting of a case study from the United Arab Emirates (UAE. The paper also explores the important issues related to managing the organizational changes that an IMS introduces to the operations of the command and control room. This contribution calls for the development of more comprehensive theoretical frameworks that can guide towards the implementation of appropriate IMS solutions in developing countries. Our research highlights the need for developing countries to acquire appropriate IMS solutions that are tailored to the local organizational work context in which these systems will be used. The experience reported herein can also inspire other public safety agencies in developing countries to consider the option of developing customized IMS solutions that best suit their needs.

  13. Appropriate welding conditions of temper bead weld repair for SQV2A pressure vessel steel

    International Nuclear Information System (INIS)

    Temper bead welding technique is one of the most important repair welding methods for large structures for which it is difficult to perform the specified post weld heat treatment. In this study, appropriate temper bead welding conditions to improve the characteristics of heat affected zone (HAZ) are studied using pressure vessel steel SQV2A corresponding to ASTM A533 Type B Class 1. Thermal/mechanical simulator is employed to give specimens welding thermal cycles from single to quadruple cycle. Charpy absorbed energy and hardness of simulated CGHAZ by first cycle were degraded as compared with base metal. Improvability of these degradations by subsequent cycles is discussed and appropriate temper bead thermal cycles are clarified. When the peak temperature lower than Ac1 and near Ac1 in the second thermal cycle is applied to CGAHZ by first thermal cycle, the characteristics of CGHAZ improve enough. When the other peak temperatures (that is, higher than Ac1) in the second thermal cycle are applied to the CGHAZ, third or more thermal cycle temper bead process should be applied to improve the properties. Appropriate weld condition ranges are selected based on the above results. The validity of the selected ranges is verified by the temper bead welding test. (orig.)

  14. Establishing the Appropriate Attributes in Current Human Reliability Assessment Techniques for Nuclear Safety

    International Nuclear Information System (INIS)

    This report presents the results of a joint task of the Working Groups on Risk Assessment (WGRISK) and on Human and Organisational Factors (WGHOF) of the OECD/NEA CSNI, to identify desirable attributes of Human Reliability Assessment (HRA) methods, and to evaluate a range of HRA methods used in OECD member countries against those attributes. The purpose of this project is to provide information that will support regulators and operators of nuclear facilities when making judgements about the appropriateness of HRA methods for conducting assessments in support of Probabilistic Safety Assessments (PSA). The task was performed by an international team of Human Factors, HRA and PSA experts from a broad range of OECD member countries. As in other reviews of HRA methods, the study did not set out to recommend or promote the use of any particular HRA method. Rather the study aims to identify the strengths and limitations of commonly used and developing methods to aid those responsible for production of HRAs in selecting appropriate tools for specific HRA applications. The study also aims to assist regulators when making judgements on the appropriateness of the application of an HRA technique within nuclear-related probabilistic safety assessments. The report is aimed at practitioners in the field of human reliability assessment, human factors, and risk assessment more generally

  15. Examination of the Rast Maqam's Appropriateness to the Violin From the Point of Range and Tessitura

    Directory of Open Access Journals (Sweden)

    Meltem Erol Düzbastılar

    2013-01-01

    Full Text Available Tessitura, the density of the notes in the voice field, has a great importance for both playing and teaching music. During recent years, due to the spreading of computer usage in musical researches, the number of analysis increased and the importance of tessitura has been understood better. This study aims to determine the appropriateness of Rast maqam for the violin by comparing the voice ranges and the tessituras of Rast and violin. In this study 50 compositions in Rast maqam and 200 violin etudes consist of 100 major and 100 minor etudes which have been chosen randomly are used. The tessituras and the voice ranges of Rast maqam and violin are shown in the tables, the similarities and the differences are defined and the appropriateness of Rast maqam to the violin instrument is researched. To define the appropriateness between them, Pearson corelation, r, which, is a frequently used technique in measuring the musical similarities. As the result of the study, some differencies caused of belonging to different cultures are determined while some similarities can also be seen. This study is important because of using the statistical analysis methods and including both Traditional Turkish Classic musical maqams from the different point of views with different methods.

  16. Unveiling common responses of Medicago truncatula to appropriate and inappropriate rust species

    Directory of Open Access Journals (Sweden)

    Maria Carlota eVaz Patto

    2014-11-01

    Full Text Available Little is known about the nature of effective defense mechanisms in legumes to pathogens of remotely related plant species. Some rust species are among pathogens with broad host range causing dramatic losses in various crop plants. To understand and compare the different host and nonhost resistance responses of legume species against rusts, we characterized the reaction of the model legume Medicago truncatula to one appropriate (Uromyces striatus and two inappropriate (U. viciae-fabae and U. lupinicolus rusts. We found that similar pre and post-haustorial mechanisms of resistance appear to be operative in M. truncatula against appropriate and inappropriate rust fungus. The appropriate U. striatus germinated better on M. truncatula accessions then the inappropriate U. viciae-fabae and U. lupinicolus, but once germinated, germ tubes of the three rusts had a similar level of success in finding stomata and forming an appressoria over a stoma. However responses to different inappropriate rust species also showed some specificity, suggesting a combination of non specific and specific responses underlying this legume nonhost resistance to rust fungi. Further genetic and expression analysis studies will contribute to the development of the necessary molecular tools to use the present information on host and nonhost resistance mechanisms to breed for broad-spectrum resistance to rust in legume species.

  17. Motivation and mobile devices: exploring the role of appropriation and coping strategies

    Directory of Open Access Journals (Sweden)

    Ann Jones

    2007-12-01

    Full Text Available There has been interest recently in how mobile devices may be motivating forces in the right contexts: for example, one of the themes for the IADIS International Conference on Mobile Learning in 2007 was ‘Affective Factors in Learning with Mobile Devices' (http://www.mlearningconf.org. The authors have previously proposed six aspects of learning with mobile devices in informal contexts that might be motivating: control over learners' goals, ownership, fun, communication, learning-in-context and continuity between contexts. How do these motivational features relate to theoretical accounts of what motivates people to use mobile devices and learn in technology- rich contexts? In this exploratory paper we consider two different candidates for such theoretical approaches. One is technology appropriation–the process by which technology or particular technological artefacts are adopted and shaped in use. Two different approaches to technology appropriation are discussed in order to explore the relationship between the different aspects of appropriation and motivation; that of Carroll et al. and that of Waycott. Both appropriation frameworks have been developed in the context of using mobile devices, but neither has a specific focus on learning. By contrast, the second theoretical approach is Järvelä et al.'s model of coping strategies, which is specifically concerned with learning with technologies, although not with mobile technologies in particular. The paper draws on case-study data in order to illustrate and discuss the extent to which these two approaches are helpful in informing our understanding of the motivating features of using mobile devices for informal learning.

  18. A TOTAL MANUFACTURING SOLUTIONS TECHNIQUE TO SELECT APPROPRIATE IMPROVEMENT STRATEGY: CASE STUDY OF A FOOTWEAR FACTORY

    Directory of Open Access Journals (Sweden)

    Gezahegn Tesfaye

    2014-09-01

    Full Text Available The Government of Ethiopia is promoting the manufacturing sector to join the global market in a large scale. Due to its comparative advantages, the Ethiopian leather and leather products industry have been given due attention. To fully utilize such advantages, the country shifted its export items from hides/skins to footwear products. Nevertheless, the performance of the leather sector in general and footwear sub-sector in particular is far below the desired standards. The improvement strategies applied hitherto were mainly to tackle a small portion of their total problems. If the Ethiopian footwear companies have to become globally competitive, their entire business spectrum has to be assessed and appropriate improvement strategies must be selected. In this research, we used a Total manufacturing solutions (TMS technique to identify areas of improvement and improvement strategy of one of Ethiopian footwear companies. For this purpose, we conducted two surveys using structured questionnaire. The first survey was to test the TMS technique against the context of footwear industry. The result proved that the original TMS model can be used to measure the performance of footwear companies. The second survey was done to identify company's total problems, map its current position and select appropriate improvement strategy. The result revealed that the company has company-wide problems and its current position is a plodder. For plodders which have company-wide problems, the improvement strategy must include aggressive application of BPR; and the implementation of best practices to develop workers skills that encourages networking and promotion, a market-led manufacturing strategy, employee involvement and team work cultures. According to the findings of this research, we suggested that a BPR technique followed by a continuous improvement programme could be an appropriate improvement strategy for this company. The company requires long-term improvement

  19. On Employing the Appropriate Error Correction Strategies to Promote Students' English learning in TEFL

    Institute of Scientific and Technical Information of China (English)

    王雪珍

    2009-01-01

    Learning English as a foreign language is a step-by-step process,during which Chinese students will inevitably make some errors.It is important for teachers to know when and how to correct students' errors.By employing error conection skillfully and appropriately,we can develop the students' self-confidence and self-esteem.This paper mainly discusses the interaction and collaboration learning in task-based learning,which has been proved to be scientific and effective,is advocated in English learning and teaching.Accordingly,the self-correction with teacher's help and the peer correction arethemost effective waysfor students' error correction.

  20. Cost-appropriateness of whole body vs limited bone imaging for suspected focal sports injuries

    International Nuclear Information System (INIS)

    Bone imaging has been recognized as a useful diagnostic tool in detecting the presence of focal musculoskeletal injury when radiographs are normal. A retrospective review of bone images in a small number of amateur athletes indicates that secondary injuries were commonly detected at sites different from the site of musculoskeletal pain being evaluated for injury. While a larger study will be necessary to confirm the data, this review suggests that it is medically justified and cost-appropriate to perform imaging of the entire skeleton as opposed to imaging limited to the anatomic site of pain and suspected injury

  1. Logiciel libre en documentation : quelles compétences pour quelle appropriation ?

    OpenAIRE

    Van Den Abeele, Catherine

    2009-01-01

    Les logiciels libres sont devenus une alternative crédible aux logiciels propriétaires. Tout en exigeant rigueur et compétences dans la gestion de projet, ils permettent aux documentalistes de se réapproprier leur système d'information et de mieux répondre aux besoins des usagers et à l'évolution rapide des technologies. Ils ouvrent d'intéressantes perspectives de changement des pratiques professionnelles en permettant mutualisation, travail collaboratif et formation continue.

  2. PERTINENCE DE L'ETUDE DU HORS SCOLAIRE POUR ANALYSER L'APPROPRIATION DES OUTILS INFORMATIQUES

    OpenAIRE

    Fluckiger, Cédric

    2009-01-01

    L'étude didactique du processus d'appropriation des ordinateurs soulève les problèmes de la pluralité des univers sociaux d'apprentissage, scolaires et extrascolaires, et de la nature du rapport des élèves aux outils informatiques. Si la didactique professionnelle s'est penchée sur les élaborations instrumentales dans les situations de travail, le rôle joué par les outils informatiques dans les processus de construction de soi, d'individualisation et de construction d'une sociabilité et des p...

  3. A neutron time of flight spectrometer appropriate for D-T plasma diagnostics

    International Nuclear Information System (INIS)

    A neutron time-of-flight spectrometer with 2 m flight path for diagnostics of deuterium plasmas in JET is presently under construction. An upgrade of this spectrometer to make it appropriate for 14-MeV neutron spectroscopy is presented here. It is suggested to use backscattering in a deuterium based scintillator. The flight path length is 1-2 m and the efficiency is of the order of 2.10-5 cm-5 . Results from test of principle are presented with estimates for neutron and gamma backgrounds

  4. The Nuclear Waste Policy Act, as amended with appropriations acts appended

    Energy Technology Data Exchange (ETDEWEB)

    1994-03-01

    The Nuclear Waste Policy Act of 1982 provides for the development of repositories for the disposal of high-level radioactive waste and spent nuclear fuel, to establish a program of research, development and demonstration regarding the disposal of high-level radioactive waste and spent nuclear fuel. Titles 1 and 2 cover these subjects. Also included in this Act are: Title 3: Other provisions relating to radioactive waste; Title 4: Nuclear waste negotiation; Title 5: Nuclear waste technical review board; and Title 6: High-level radioactive waste. An appendix contains excerpts from appropriations acts from fiscal year 1984--1994.

  5. Features for culturally appropriate avatars for behavior-change promotion in at-risk populations

    Directory of Open Access Journals (Sweden)

    Lisetti C

    2009-09-01

    Full Text Available We explore how avatars can be used as social orthotics defined as therapeutic computer-based social companions aimed at promoting healthy behaviors. We review some of the health interventions deployed in helping at-risk populations along with some of the unique advantages that computer-based interventions can add to face-to-face interventions. We posit that artificial intelligence has rendered possible the creation of culturally appropriate dialog-agents for interventions and we identify specific features for social avatars that are important - if not necessary - when applied to the domain of social orthotic systems for health promotion.

  6. De l'appropriation des connaissances vers l'acquisition des compétences

    OpenAIRE

    Castillo, Oswaldo; Matta, Nada; Ermine, Jean-Louis

    2004-01-01

    La gestion explicite des savoirs et savoir-faire occupe une place de plus en plus importante dans les organisations. La construction de mémoires d'entreprise dans un but de préservation et de partage est devenu une pratique assez courante. Cependant, on oublie trop souvent que l'efficacité de ces activités est étroitement liée aux capacités d'appropriation et d'apprentissage des acteurs de l'organisation. C'est à travers cet apprentissage que de nouvelles compétences peuvent être acquises. Da...

  7. Evaluation of the appropriate use of commonly prescribed fluoroquinolones and the risk of dysglycemia

    Directory of Open Access Journals (Sweden)

    Kabbara WK

    2015-04-01

    Full Text Available Wissam K Kabbara,1 Wijdan H Ramadan,1 Peggy Rahbany,2 Souhaila Al-Natour3 1Department of Pharmacy Practice, School of Pharmacy, Lebanese American University, Byblos, Lebanon; 2Children’s National Medical Center, Washington, DC, USA; 3Medex Pharmaceutical Company, Beirut, Lebanon Background: Fluoroquinolones are among the most widely prescribed antibiotics. However, concerns about increasing resistant microorganisms and the risk of dysglycemia associated with the use of these agents have emerged.Objective: The primary objective of the study was to evaluate the appropriate use of commonly prescribed fluoroquinolones, including appropriate indication, dose, dose adjustment in renal impairment, and duration of treatment. The secondary objective was to investigate the dysglycemic effect of fluoroquinolone use (hypoglycemia and/or hyperglycemia in diabetic and nondiabetic patients.Methods: A prospective observational study at a teaching hospital in Lebanon was conducted over a 6-month period. A total of 118 patients receiving broad-spectrum fluoroquinolones (levofloxacin, ciprofloxacin, and moxifloxacin were identified. Patients were mainly recruited from internal medicine floors and intensive care units.Results: The final percentage for the appropriate indication, dose, and duration of fluoroquinolone therapy was 93.2%, 74.6%, and 57.6%, respectively. A total of 57.1% of the patients did not receive the appropriate dose adjustment according to their level of renal impairment. In addition, dysglycemia occurred in both diabetic and nondiabetic patients. Dysglycemia was more frequently encountered with ciprofloxacin (50.0%, followed by levofloxacin (42.4% and moxifloxacin (7.6%. Hyperglycemia was more common than hypoglycemia in all groups. The highest incidence of hyperglycemia occurred with levofloxacin (70.0%, followed by ciprofloxacin (39.0% and moxifloxacin (33.3%. In contrast, hypoglycemia did not occur in the ciprofloxacin group, but it was

  8. Determining level of care appropriateness in the patient journey from acute care to rehabilitation

    Directory of Open Access Journals (Sweden)

    Bashford Guy

    2011-10-01

    Full Text Available Abstract Background The selection of patients for rehabilitation, and the timing of transfer from acute care, are important clinical decisions that impact on care quality and patient flow. This paper reports utilization review data on inpatients in acute care with stroke, hip fracture or elective joint replacement, and other inpatients referred for rehabilitation. It examines reasons why acute level of care criteria are not met and explores differences in decision making between acute care and rehabilitation teams around patient appropriateness and readiness for transfer. Methods Cohort study of patients in a large acute referral hospital in Australia followed with the InterQual utilization review tool, modified to also include reasons why utilization criteria are not met. Additional data on team decision making about appropriateness for rehabilitation, and readiness for transfer, were collected on a subset of patients. Results There were 696 episodes of care (7189 bed days. Days meeting acute level of care criteria were 56% (stroke, hip fracture and joint replacement patients and 33% (other patients, from the time of referral. Most inappropriate days in acute care were due to delays in processes/scheduling (45% or being more appropriate for rehabilitation or lower level of care (30%. On the subset of patients, the acute care team and the utilization review tool deemed patients ready for rehabilitation transfer earlier than the rehabilitation team (means of 1.4, 1.3 and 4.0 days from the date of referral, respectively. From when deemed medically stable for transfer by the acute care team, 28% of patients became unstable. From when deemed stable by the rehabilitation team or utilization review, 9% and 11%, respectively, became unstable. Conclusions A high proportion of patient days did not meet acute level of care criteria, due predominantly to inefficiencies in care processes, or to patients being more appropriate for an alternative level of

  9. Recurring dreams and moving images: The cinematic appropriation of Schumann's Op. 15, No. 7

    OpenAIRE

    Barham, J

    2011-01-01

    Schumann's music took its place alongside that of many other nineteenth-century composers in the lexicon of silent-film accompaniment. Evidence of early-twentieth-century scoring practices indicates that “Träumerei” quickly proved to be an especially popular choice for scenes of pathos and romance. This appropriation is viewed in the context of the piece's general reception history and the tradition of its concert performance in isolation from the rest of op. 15 (and in any number of instrume...

  10. Statistics corner: A guide to appropriate use of correlation coefficient in medical research.

    Science.gov (United States)

    Mukaka, M M

    2012-09-01

    Correlation is a statistical method used to assess a possible linear association between two continuous variables. It is simple both to calculate and to interpret. However, misuse of correlation is so common among researchers that some statisticians have wished that the method had never been devised at all. The aim of this article is to provide a guide to appropriate use of correlation in medical research and to highlight some misuse. Examples of the applications of the correlation coefficient have been provided using data from statistical simulations as well as real data. Rule of thumb for interpreting size of a correlation coefficient has been provided. PMID:23638278

  11. The Nuclear Waste Policy Act, as amended with appropriations acts appended

    International Nuclear Information System (INIS)

    The Nuclear Waste Policy Act of 1982 provides for the development of repositories for the disposal of high-level radioactive waste and spent nuclear fuel, to establish a program of research, development and demonstration regarding the disposal of high-level radioactive waste and spent nuclear fuel. Titles 1 and 2 cover these subjects. Also included in this Act are: Title 3: Other provisions relating to radioactive waste; Title 4: Nuclear waste negotiation; Title 5: Nuclear waste technical review board; and Title 6: High-level radioactive waste. An appendix contains excerpts from appropriations acts from fiscal year 1984--1994

  12. Appropriateness and cost-effectiveness in the treatment of invasive candidiasis in Internal Medicine Wards

    Directory of Open Access Journals (Sweden)

    Enrico Tagliaferri

    2014-12-01

    Full Text Available Invasive candidiasis (IC, including candidemia, is a major cause of morbidity and mortality among patients and the majority of cases of candidemia are documented in Medical Wards. Early identification of patients at risk, knowledge of local epidemiology and prompt efforts to define etiologic diagnosis are pivotal to ensure appropriateness. Start with an echinocandin and switch to fluconazole when possible, seems to represent a useful strategy for the management of IC. The choice between the three echinocandins should be based on the specific indications, pharmacokinetic/pharmacodynamic profile, clinical experience and cost.

  13. PROMA-A Decision Support System to Determine Appropriate Procurement Method

    Directory of Open Access Journals (Sweden)

    O.J.O. Stephen Okunlola

    2012-02-01

    Full Text Available The aim of this study was to develop computer application software using the weighted sum model equation to assist construction industry practitioners in making analytical decision about building procurement options. A survey of construction industry practitioners in Nigeria was conducted to prioritize the selection criteria and determine the utility factors for the procurement options against selection criteria. The results were used to populate the software. The program uses clients’ consultants’, contractors’ or the combined utility factors for cost categories to recommend an appropriate procurement method for a particular type of building. This makes the program better than earlier works which ignored the effect of cost categories on procurement options’ performance.

  14. L’appropriation du mot sud par les militants Sud-PTT

    OpenAIRE

    Pernot, Hélène

    2008-01-01

    Le cas du syndicat Sud-PTT constitue un terrain d’enquête fertile pour développer une analyse du mot sud et de son potentiel politisant, défini comme sa capacité à traduire de la conflictualité sociale et à exprimer un positionnement. C’est une contribution à cette analyse que je propose de conduire ici, en interrogeant cet usage d’un mot appartenant au vocabulaire de l’espace pour désigner une organisation syndicale et en étudiant l’appropriation du mot sud par les militants Sud-PTT. La noti...

  15. Water and the human culture of appropriation: the Vaal River up to 1956

    OpenAIRE

    J.W.N. Tempelhoff

    2006-01-01

    There is discernable evidence of the human presence having historically appropriated the 1300 kilometer long Vaal River of South Africa as it extends itself from the Drakensberg Plateau into the arid Karoo region. This hard-working tributary of the Orange River, which was instrumental as a supply of water to the Witwatersrand, in the era of the region’s gold mines, has been used by humans in a variety of ways. First it was used as a route of communications, then as a borderline...

  16. When does an interest path "look good"? Criteria for an appropriate future interest rate path

    OpenAIRE

    Qvigstad, Jan F.

    2006-01-01

    Svensson (2004) suggested that a monetary policy committee of a central bank (MPC) should “find an instrument-rate path such that projections of inflation and output gap ‘look good’.” Academic literature on monetary policy gives guidance as to what the words “look good” means. However, there is a need for a translation of the theoretical framework into concrete criteria when an MPC shall evaluate interest rate paths in practice. Six criteria for an appropriate interest rate ...

  17. The snow vole (Chionomys nivalis) as an appropriate environmental bioindicator in alpine ecosystems

    Energy Technology Data Exchange (ETDEWEB)

    Metcheva, Roumiana [Institute of Zoology, Bulgarian Academy of Science, 1, Tzar Osvoboditel blvd., Sofia, 1000 Bulgaria (Bulgaria)], E-mail: rummech@yahoo.com; Beltcheva, Michaela; Chassovnikarova, Tsenka [Institute of Zoology, Bulgarian Academy of Science, 1, Tzar Osvoboditel blvd., Sofia, 1000 Bulgaria (Bulgaria)

    2008-03-01

    The snow vole (Chionomys nivalis, Martins, 1842) is a common species in the Bulgarian high mountains. Its populations are distributed in different altitudes, regions, and keep stable population density. This is the reason the species has been tested as a bioindicator for environmental quality in alpine ecosystems. The cumulative environmental impact in snow vole populations was evaluated using cytogenetical, hematological, ecotoxicological, radiometrical, ecophysiological, and morphophysiological indices. Standard karyotype, chromosomal aberrations, and other diversions have been observed. These investigations reveal that the snow vole is one of the most appropriate species that can be used as a biomonitor for environmental assessment in mountain areas.

  18. Human Dignity and the Commercial Appropriation of Personality: Towards a Cosmopolitan Consensus in Publicity Rights?

    Directory of Open Access Journals (Sweden)

    Olaf Weber

    2004-03-01

    Full Text Available This article is concerned with the commercial appropriation of human personality and its regulation in different legal systems. Where accepted, so called “publicity rights” allow for the exclusive commercial exercise of a persona’s publicity values. A tradable worth can be found in many personal characteristics such as voice, signature or pseudonym. Predominantly, however, it accrues to one’s name and likeness. It is argued that such potential rights are inherent in every human being.

  19. A new model for enabling innovation in appropriate technology for sustainable development

    Directory of Open Access Journals (Sweden)

    Joshua Pearce

    2012-08-01

    Full Text Available The task of providing for basic human necessities such as food, water, shelter, and employment is growing as the world’s population continues to expand amid climate destabilization. One of the greatest challenges to development and innovation is access to relevant knowledge for quick technological dissemination. However, with the rise and application of advanced information technologies there is a great opportunity for knowledge building, community interaction, innovation, and collaboration using various online platforms. This article examines the potential of a novel model to enable innovation for collaborative enterprise, learning, and appropriate technology development on a global scale.

  20. Reducing appropriable quasi rents to combat the hold-up problem in contract agriculture

    DEFF Research Database (Denmark)

    Karantininis, Kostas; Graversen, Jesper Tranbjerg

    2005-01-01

    This paper examines the problem of hold-up in the agri-food sector. Production contracts offered to future Danish Broiler producers give rise to specific investments and appropriable quasi rents. Farmers are vulnerable to opportunistic behaviour by poultry processors which materializes in lower...... prices and results in lower investments. One obvious alternative to producing broilers is to produce pigs; since the pork industry is very well developed with the pork slaughter and processing being mainly (more than 90 %) run by two producer-owned cooperatives. Then it might be possible for the farmer...

  1. Adoption and appropriation: toward a new theoretical framework.An exploratory research on mobile technologies in french companies

    OpenAIRE

    Isaac, Henri; Besseyre Des Horts, Charles-Henri; Leclercq, Aurélie

    2006-01-01

    The objective of this research is to propose an alternative theoretical model that goes beyond the well-accepted separation between adoption and appropriation. The theoretical analysis of appropriation ignores the question of adoption of the technology. As mobile technologies can be used for private or business purposes, and because employees have often a prior experience with mobile technologies before joining a company, the linkage between adoption and appropriation of mobile technologies s...

  2. "I have nothing to say, only to show": appropriation in the poetries of Trevor Joyce, Alan Halsey, and Susan Howe

    OpenAIRE

    O'Mahony, Niamh Marie

    2015-01-01

    This thesis studies contemporary poetry’s innovations in textual borrowing and the range and scope of its appropriative practices. The restrictions of the inherited definitions of appropriation include a limited capacity for expression and meaningfulness, a partial concept of appropriation’s critical capacity, and an inadequate sense of the poet’s individual and unique practice of appropriation. This thesis resolves the problematic constraints limiting contemporary definitions of appropriatio...

  3. The Physics of Bodily Tides in Terrestrial Planets, and the Appropriate Scales of Dynamical Evolution

    CERN Document Server

    Efroimsky, Michael

    2007-01-01

    Any model of tides is based on a specific hypothesis of how lagging depends on the tidal-flexure frequency. For example, Gerstenkorn (1955), MacDonald (1964), and Kaula (1964) assumed constancy of the geometric lag angle, while Singer (1968) and Mignard (1979, 1980) asserted constancy of the time lag. Thus, each of these two models was based on a certain law of scaling of the geometric lag. The actual dependence of the geometric lag on the frequency is more complicated and is determined by the rheology of the planet. Besides, each particular functional form of this dependence will unambiguously fix the appropriate form of the frequency dependence of the tidal quality factor, Q. Since at present we know the shape of the dependence of Q upon the frequency, we can reverse our line of reasoning and single out the appropriate actual frequency-dependence of the angular lag. This dependence turns out to be different from those employed hitherto, and it entails considerable alterations in the time scales of the tide-...

  4. Put on that colour, it fits your emotion: Colour appropriateness as a function of expressed emotion.

    Science.gov (United States)

    Dael, Nele; Perseguers, Marie-Noëlle; Marchand, Cynthia; Antonietti, Jean-Philippe; Mohr, Christine

    2016-08-01

    People associate affective meaning with colour, and this may influence decisions about colours. Hue is traditionally considered the most salient descriptor of colour and colour-affect associations, although colour brightness and saturation seem to have particularly strong affective connotations. To test whether colour choices can be driven by emotion, we investigated whether and how colour hue, brightness, and saturation are systematically associated with bodily expressions of positive (joy) and negative (fear) emotions. Twenty-five non-colour-blind participants viewed videos of these expressions and selected for each video the most appropriate colour using colour sliders providing values for hue, brightness, and saturation. The overall colour choices were congruent with the expressed emotion-that is, participants selected brighter and more saturated colours for joy expressions than for fear expressions. Also, colours along the red-yellow spectrum were deemed more appropriate for joy expressions and cyan-bluish hues for fear expressions. The current study adds further support to the role of emotion in colour choices by (a) showing that emotional information is spontaneously used in an unconstrained choice setting, (b) extending to ecologically valid stimuli occurring in everyday encounters (dressed bodies), and PMID:26339950

  5. Factors Affecting Appropriate Management of Patients with Sexually Transmitted Infections in Japan

    Directory of Open Access Journals (Sweden)

    Kodama,Tomoe

    2010-06-01

    Full Text Available Physicians should educate patients with sexually transmitted infections (STIs on measures to prevent reinfection and should also undertake human immunodeficiency virus (HIV testing after diagnosis of STIs. These preventive measures are important, but it is not known to what extent these procedures are followed in Japan. We conducted a cross-sectional study to investigate the proportion of patients with STIs who received appropriate management from physicians, namely recommendation of HIV testing, encouragement of condom use and examination and/or treatment of sexual partners, to elucidate the factors affecting institution of each measure. From a mailshot of 566 physicians, 409 (72.3% responded, with 176 diagnosing an STI in 967 patients. The proportions applying the 3 measures were low (recommendation of HIV testing:27.0;encouragement of condom use:64.8%;examination of sexual partners:17.5%, and were related to the sex of the patients and numbers of patients diagnosed by the physicians. Female patients received better care than male patients, particularly with respect to recommendation of HIV testing (odds ratio:2.82. Physicians who diagnosed more than 20 STI patients tended not to provide appropriate management. These findings suggest the necessity for better physician management of patients for effective prevention of STIs.

  6. Is Ceftizoxime an Appropriate Surrogate for Amikacin in Neonatal Sepsis Treatment? A Randomized Clinical Trial

    Directory of Open Access Journals (Sweden)

    Peyman Salamati

    2011-08-01

    Full Text Available Neonatal sepsis, a life-threatening condition, presents with non-specific clinical manifestations and needs immediate empirical antimicrobial therapy. Choosing an appropriate antibiotic regimen covering the most probable pathogens is an important issue. In this study we compared the effectiveness of ceftizoxime and amikacin in the treatment of neonatal sepsis both in combination with ampicillin. In a randomized clinical trial, all term neonates with suspected sepsis referred to Bahrami hospital during March 2008 to March 2010 were evaluated. Patients were randomly recruited into two groups; one group receiving ampicillin and amikacin and the other ampicillin and ceftizoxime. Blood, urine and cerebrospinal fluid cultures, leukocyte count and C-reactive protein level were measured in all neonates. A total of 135 neonates were evaluated, 65 in amikacin group and 70 in ceftizoxime group. 60 neonates (85.7% in ceftizoxime group and 54 neonates (83.1% in amikacin group responded to the treatment (P= 0.673 and χ2 = 0.178. Only 24 (18% blood samples had a report of positive blood culture. The most frequent pathogen was coagulase negative staphylococcus with the frequency of 58.32% of all positive blood samples. Ceftizoxime in combination with ampicillin is an appropriate antimicrobial regimen for surrogating the combination of ampicillin and amikacin to prevent bacterial resistance against them.

  7. Appropriate technology in environmental sanitation; Kaihatsu tojokoku ni okeru kankyo eisei bunya no tekisei gijutsu

    Energy Technology Data Exchange (ETDEWEB)

    Kitawaki, H. [Toyo Univ., Gunma (Japan)

    1997-10-05

    For solving the problems of environmental sanitation in developing countries, assistance projects in respect of the supply of safe water and the maintenance of urine/waste water treating facility are developed by the aid organizations and civilian organizations of Japan. However, the funds, technology, capable persons, materials, etc. in developing countries are restricted in various ways, so there are a lot of cases that can not be approached by the methods in developed countries. In this paper, the appropriate technology in the environmental sanitation field in developing countries is described with practical cases. For example, there is a case that, regarding the wastewater treatment, a stabilizing pool is a safer treatment than the activated sludge process. Since the retention time in the stabilizing pool is longer than 10 days, parasitic worms in feces is settled and germs die out considerably. On the other hand, although the activated sludge process has a good removal rate of BOD, it is not an appropriate technology in developing countries because the removal rate of parasitic worms and germs are not good thus a disinfection is necessary, and additionally the electric power is rather consumed in operation. 2 refs., 4 figs., 1 tab.

  8. Catalog of CERCLA applicable or relevant and appropriate requirements (ARARs) - fact sheets

    Energy Technology Data Exchange (ETDEWEB)

    1990-07-01

    Section 121(d) of the Comprehensive Environmental Response Compensation and Liability Act (CERCLA) as amended by the Superfund Amendments and Reauthorization Act of 1986 (SARA), requires attainment of federal and state applicable or relevant and appropriate requirements (ARARs). Subpart E, Section 300.400(g) {open_quotes}Identification of applicable or relevant and appropriate requirements{close_quotes} of the National Oil and Hazardous Substances Pollution Contingency Plan (NCP)(55 FR 8666, March 8, 1990) describes the process for attaining ARARs. The purpose of this catalog is to provide DOE Program Offices and Field Organizations with all of the {open_quotes}Quick Reference Fact Sheets{close_quotes} on attaining ARARS. These fact sheets provide overviews of ARARs for CERCLA cleanup actions pertinent to DOE environmental restoration activities. All of the fact sheets in this catalog were prepared by the Environmental Protection Agency`s Office of Solid Waste and Emergency Response. Fact sheets 1-7 discuss land disposal restrictions (LDRs) and their applicability. LDRs may pertain to a number of CERCLA response actions at DOE facilities. Fact Sheets 8-13 are based on the CERCLA Compliance with Other Laws Manual: Parts I and II and provide an overview of many other CERCLA ARARs. Overview of ARARs-Focus on ARAR Waivers (fact sheet 11), provides a good introduction to ARARS. The last two fact sheets, 14 and 15, are periodic reports that describe additional fact sheets and clarify issues.

  9. TECHNO – ECONOMIC ACCEPTABILITY ANALISYS OF WASTE DISPOSAL BY INJECTION INTO APPROPRIATE FORMATION

    Directory of Open Access Journals (Sweden)

    Vladislav Brkić

    2013-12-01

    Full Text Available During exploration and production of oil and natural gas, various types of waste must be disposed in a permanent and safe way. There is a range of methods for processing and disposal of waste, such as disposal into landfills, solidification, namely chemical stabilization, thermal processing, appropriate formation injections uncovered by a deep well, disposal into salt domes and bioremediation. The method of waste disposal into appropriate formations is a method where strict geological and technical criteria must be satisfied when applied. A fundamental scientific hypothesis has been formulated whereby economic acceptability of the waste injection method, as a main method for waste disposal, is to be shown by an economic evaluation. The results of this research are relevant since there has been an intention in Croatia and worldwide to abandon wells permanently due to oil and gas reservoirs depletion and therefore it is essential to estimate economic impacts of the waste injection method application. In that way, profitability of using existing wells for waste disposal in oil industry has been increased, leading to the improvement of petroleum company’s business activities (the paper is published in Croatian.

  10. The disconnect in the appropriation of new technologies into students’ everyday lives. A three country comparison.

    Directory of Open Access Journals (Sweden)

    André H. Caron

    2011-12-01

    Full Text Available There is little doubt that students eagerly appropriate new technologies into their lives.  However, the authors wanted to explore what steps would be needed to ensure a proper appropriation of new technologies when applied to academic settings.  This paper presents a 3-country comparison of students reporting on their academic activities and technology use in everyday life. Though the numbers vary slightly within each country, the final results show an overall disconnect between the amount of time students allot to technology use and academic activities. Overall, the findings shed some much needed statistical light on the current reality of students’ technological and academic habits. The authors propose possible next steps to take in order to better understand this phenomenon. Ultimately, this study urges educators and students alike to gather more information about the role social media plays in students’ lives. A better understanding of the situation could eventually lead to the successful integration of new technologies in academia.

  11. APPROPRIATE FEEDBACK:AN IMPORTANT ASPECT OF IMPROVING STUDENTS’WRITING SKILLS

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    There have been numerous studies on the effectiveness ofwriting feedback in recent years,but so far we have found verylittle evidence of improvement in the overall quality of students’writing.So,this article tries to investigate the most effectiveforms of feedback.First,the importance of feedback is stated.Then,three questions are put forward to see whether teachers’feedback really matches students’preferences or not.On thesequestions,two case studies are carried out among the second-yearstudents in Huazhong University of Science and Technology(HUST).We have made an equivalent time-sample design.Thefirst design is made at the middle of the semester,in which thefirst questionnaire is administered to inquire about the types offeedback the students prefer to receive,and the first sampling ofthe teacher’s feedback is made to show any discrepancy betweenteacher’s feedback and the learners’interest.Then,the ways ongiving appropriate feedback are given to teachers.The seconddesign is made at the end of the semester,in which anotherquestionnaire is constructed to obtain what students havebenefited from teachers’feedback,and another sampling is doneto see the changes in teachers’feedback and students’improvements.Finally,this article tries to explore effectiveways on giving appropriate feedback.

  12. Implementing the evidence for language-appropriate health care systems: The Welsh context.

    Science.gov (United States)

    Roberts, Gwerfyl W; Burton, Christopher R

    2013-01-01

    Like Canada, Wales, UK is a bilingual nation: the Welsh language is an important part of its national identity and legislative framework. This has implications for the delivery of public sector services, particularly in the context of health and social care, where responding to the language needs of service users is fundamental to quality health care provision. Nevertheless, despite the strengthening policy commitment for a whole-system approach towards enhancing Welsh language services, there is a paucity of evidence to guide best practice in organizational planning in health care settings. This commentary outlines the context and significance of bilingual health care provision in Wales and the implications for building and embedding the evidence base. It calls for further work to translate our knowledge and understanding of language-appropriate practice to provide more effective and sensitive health care services; and to close the implementation gap between evidence and practice. Given the relevance of this challenge for health care providers in Canada who plan and deliver services for French-language minorities, this approach has resonance across our research communities. Thus, in our common pursuit to establish integrated knowledge translation research for language-appropriate health care systems, this commentary offers a focus for reflection, discussion and collaborative action. PMID:24300330

  13. Stimulant medication use in college students: comparison of appropriate users, misusers, and nonusers.

    Science.gov (United States)

    Hartung, Cynthia M; Canu, Will H; Cleveland, Carolyn S; Lefler, Elizabeth K; Mignogna, Melissa J; Fedele, David A; Correia, Christopher J; Leffingwell, Thad R; Clapp, Joshua D

    2013-09-01

    While stimulant medication is commonly prescribed to treat Attention-Deficit/Hyperactivity Disorder in children and adolescents (Merikangas, He, Rapoport, Vitiello, & Olfson, 2013; Zuvekas & Vitiello, 2012) and is considered an empirically supported intervention for those groups (Barkley, Murphy, & Fischer, 2008; Pelham & Fabiano, 2008; Safren et al., 2005) surprisingly little is known about the efficacy of stimulants in the slightly older emerging adult population. A focus has emerged, however, on illicit stimulant use among undergraduates, with studies suggesting such behavior is not uncommon (e.g., Arria et al., 2013). Unfortunately, details are lacking regarding outcomes and personal characteristics associated with different patterns of stimulant misuse. The current study compares the characteristics of four groups of college students, including those with stimulant prescriptions who use them appropriately (i.e., appropriate users), those who misuse their prescription stimulants (i.e., medical misusers), those who obtain and use stimulants without a prescription (i.e., nonmedical misusers), and those who do not use stimulant medications at all (i.e., nonusers). Undergraduates (N = 1,153) from the Southeastern, Midwest, and Rocky Mountain regions completed online measures evaluating patterns of use, associated motives, side effects, ADHD symptomatology, and other substance use. Both types of misusers (i.e., students who abused their prescriptions and those who obtained stimulants illegally) reported concerning patterns of other and combined substance use, as well as higher prevalence of debilitating side effects such as insomnia and restlessness. Research and practical implications are discussed. PMID:24059834

  14. Fingolimod for multiple sclerosis and emerging indications: appropriate patient selection, safety precautions, and special considerations

    Directory of Open Access Journals (Sweden)

    Ayzenberg I

    2016-02-01

    Full Text Available Ilya Ayzenberg, Robert Hoepner, Ingo Kleiter Department of Neurology, St Josef Hospital, Ruhr University Bochum, Bochum, Germany Abstract: Fingolimod (FTY720, an immunotherapeutic drug targeting the sphingosine-1-phosphate receptor, is a widely used medication for relapsing-remitting multiple sclerosis (MS. Apart from the pivotal Phase III trials demonstrating efficacy against placebo and interferon-β-1a once weekly, sufficient clinical data are now available to assess its real-world efficacy and safety profile. Approved indications of fingolimod differ between countries. This discrepancy, to some extent, reflects the intermediate position of fingolimod in the expanding lineup of MS medications. With individualization of therapy, appropriate patient selection gets more important. We discuss various scenarios for fingolimod use in relapsing-remitting MS and their pitfalls: as first-line therapy, as escalation therapy after failure of previous immunotherapies, and as de-escalation therapy following highly potent immunotherapies. Potential side effects such as bradycardia, infections, macular edema, teratogenicity, and progressive multifocal leukoencephalopathy as well as appropriate safety precautions are outlined. Disease reactivation has been described upon fingolimod cessation; therefore, patients should be closely monitored for MS activity for several months after stopping fingolimod. Finally, we discuss preclinical and clinical data indicating neuroprotective effects of fingolimod, which might open the way to future indications such as stroke, Alzheimer’s disease, and other neurodegenerative disorders. Keywords: immunotherapy, bradycardia, progressive multifocal leukoencephalopathy, neuroprotection, stroke, Alzheimer’s disease 

  15. Fingolimod for multiple sclerosis and emerging indications: appropriate patient selection, safety precautions, and special considerations.

    Science.gov (United States)

    Ayzenberg, Ilya; Hoepner, Robert; Kleiter, Ingo

    2016-01-01

    Fingolimod (FTY720), an immunotherapeutic drug targeting the sphingosine-1-phosphate receptor, is a widely used medication for relapsing-remitting multiple sclerosis (MS). Apart from the pivotal Phase III trials demonstrating efficacy against placebo and interferon-β-1a once weekly, sufficient clinical data are now available to assess its real-world efficacy and safety profile. Approved indications of fingolimod differ between countries. This discrepancy, to some extent, reflects the intermediate position of fingolimod in the expanding lineup of MS medications. With individualization of therapy, appropriate patient selection gets more important. We discuss various scenarios for fingolimod use in relapsing-remitting MS and their pitfalls: as first-line therapy, as escalation therapy after failure of previous immunotherapies, and as de-escalation therapy following highly potent immunotherapies. Potential side effects such as bradycardia, infections, macular edema, teratogenicity, and progressive multifocal leukoencephalopathy as well as appropriate safety precautions are outlined. Disease reactivation has been described upon fingolimod cessation; therefore, patients should be closely monitored for MS activity for several months after stopping fingolimod. Finally, we discuss preclinical and clinical data indicating neuroprotective effects of fingolimod, which might open the way to future indications such as stroke, Alzheimer's disease, and other neurodegenerative disorders. PMID:26929636

  16. ACR Appropriateness Criteria® Acute Pelvic Pain in the Reproductive Age Group.

    Science.gov (United States)

    Bhosale, Priyadarshani R; Javitt, Marcia C; Atri, Mostafa; Harris, Robert D; Kang, Stella K; Meyer, Benjamin J; Pandharipande, Pari V; Reinhold, Caroline; Salazar, Gloria M; Shipp, Thomas D; Simpson, Lynn; Sussman, Betsy L; Uyeda, Jennifer; Wall, Darci J; Zelop, Carolyn M; Glanc, Phyllis

    2016-06-01

    Acute pelvic pain in premenopausal women frequently poses a diagnostic dilemma. These patients may exhibit nonspecific signs and symptoms such as nausea, vomiting and leukocytosis. The cause of pelvic pain includes a myriad of diagnostic possibilities such as obstetric, gynecologic, urologic, gastrointestinal, and vascular etiologies. The choice of the imaging modality is usually determined by a suspected clinical differential diagnosis. Thus the patient should undergo careful evaluation and the suspected differential diagnosis should be narrowed before an optimal imaging modality is chosen. Transvaginal and transabdominal pelvic sonography is the modality of choice, to assess for pelvic pain, when an obstetric or gynecologic etiology is suspected and computed tomography is often more useful when gastrointestinal or genitourinary pathology is thought to be more likely. Magnetic resonance imaging, when available in the acute setting, is favored over computed tomography for assessing pregnant patients for nongynecologic etiologies owing to its lack of ionizing radiation.The American College of Radiology Appropriateness Criteria® are evidence-based guidelines for specific clinical conditions that are reviewed every three years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances where evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment. PMID:26588104

  17. Book Review: American libraries and the Internet: The social construction of Web appropriation and use

    Directory of Open Access Journals (Sweden)

    Hamid R. Jamali

    2008-06-01

    Full Text Available One can hardly find any aspect of human life that has not been affected one way or another by the Internet. Most of the Internet’s impact is because of the changes it has brought about in the areas of communication and availability of information. Facilitating information availability and information communication are among core activities of libraries. Since the advent of the Internet, libraries have tried to adopt this technology and make the best of it for their services. The Internet has been considered by librarians both as a source of concern and as a gate to fascinating opportunities. It is of much interest to see how librarians have reacted to this technology in its early days and how they have perceived it and made effort to apply it in their libraries. The book ‘American Libraries and the Internet’ by Bin Li, a research-based book, aims to answer questions such as: how do librarians define their roles in the changing environment? How do they understand and appropriate the Web in their profession and workplace? How have they perceived the World Wide Web from its early period of its implementation? And finally how the Web is appropriated and used in libraries?

  18. The ANA-reflex test as a model for improving clinical appropriateness in autoimmune diagnostics.

    Science.gov (United States)

    Tonutti, Elio; Bizzaro, Nicola; Morozzi, Gabriella; Radice, Antonella; Cinquanta, Luigi; Villalta, Danilo; Tozzoli, Renato; Tampoia, Marilina; Porcelli, Brunetta; Fabris, Martina; Brusca, Ignazio; Alessio, Maria Grazia; Barberio, Giuseppina; Sorrentino, Maria Concetta; Antico, Antonio; Bassetti, Danila; Fontana, Desré Ethel; Imbastaro, Tiziana; Visentini, Daniela; Pesce, Giampaola; Bagnasco, Marcello

    2016-12-01

    Reflex tests are widely used in clinical laboratories, for example, to diagnose thyroid disorders or in the follow-up of prostate cancer. Reflex tests for antinuclear antibodies (ANA) have recently gained attention as a way to improve appropriateness in the immunological diagnosis of autoimmune rheumatic diseases and avoid waste of resources. However, the ANA-reflex test is not as simple as other consolidated reflex tests (the TSH-reflex tests or the PSA-reflex tests) because of the intrinsic complexity of the ANA test performed by the indirect immunofluorescence method on cellular substrates. The wide heterogeneity of the ANA patterns, which need correct interpretation, and the subsequent choice of the most appropriate confirmatory test (ANA subserology), which depend on the pattern feature and on clinical information, hinder any informatics automation, and require the pathologist's intervention. In this review, the Study Group on Autoimmune Diseases of the Italian Society of Clinical Pathology and Laboratory Medicine provides some indications on the configuration of the ANA-reflex test, using two different approaches depending on whether clinical information is available or not. We further give some suggestions on how to report results of the ANA-reflex test. PMID:27423928

  19. Developing Criteria for Lumbar Spine Magnetic Resonance Imaging (MRI) Using RAND Appropriateness Method (RAM)

    International Nuclear Information System (INIS)

    Studies show that a large proportion of healthcare offered may be inappropriate or unnecessary. Magnetic resonance imaging (MRI) is a new and expensive diagnostic technology which has been increasingly used all over the world. Moreover, this trend has been more rapidly increasing in Iran. Low back pain is a common disorder all over the world and MRI technique is one of the several ways to assess its cause. The present study aims to develop scenarios for lumbar spine MRI. In the present study, the RAND Appropriateness Method (RAM) was used in order to reach consensus regarding developing scenarios for lumbar spine MRI. We generated scenarios from valid clinical guidelines as well as the experts’ opinion. The panel members included nine specialists from various medical specialties that had scored scenarios in two rounds, the first of which was without interaction, while the second one was with interaction. We extracted 97 scenarios for the lumbar spine MRI in the scenario extracting phase of the study and the panel members added 18 scenarios. After implementation of two rounds, the scenarios were categorized into three ranges. Sixty seven (58%) of the scenarios were considered as appropriate, 45 (39%) as uncertain, and three (2.6%) as inappropriate. RAM is useful for identifying stakeholder views in settings with limited resources. Since RAM has precise instructions for consensus developing, a large number of scenarios were considered as uncertain. Therefore, more research has to be conducted on the issue

  20. Mods, Nay! Tournaments, Yay! - The Appropriation of Contemporary Game Culture by the U.S. Military

    Directory of Open Access Journals (Sweden)

    David B. Nieborg

    2006-01-01

    Full Text Available This paper analyses the official U.S. Army PC-game, America's Army, against the backdrop of the ongoing war on terror and the military-entertainment complex. It considers the dual role of the game as a recruiting tool and a propaganda instrument. The expansion of the military-entertainment complex has significant consequences for the militarisation of the domestic sphere and youth popular culture. Whereas commercial game developers and publishers are eager to tap into First Person Shooter mod communities in order to institutionalise both cultural and economic value-exchanges, it is impossible to modify the official U.S. Army Game in any way. Yet, a closer look at America' s Army and its community shows the appropriation of various other elements of contemporary game culture: for instance, clan culture, LAN-parties and various forms of fan production. The analysis of America's Army and its community demonstrates that the appropriation of game culture has serious political-ideological implications

  1. [The measurement of pain in patients with dementia: a review of the most appropriate tools].

    Science.gov (United States)

    Storti, Matteo; Bertozzo, Elena; Dal Santo, Pierluigi; Mari, Marcello; Dal Cengio, Luisa; Forni, Cristiana; Giantin, Valter; Zucchi, Alberto

    2014-04-01

    Pain is one of the most frequent symptom in elderly people with dementia and despite of this, it is still under-acknowledged and under-treated. The best approach to pain assessment is to evaluate it with the most appropriate scale. While in the elderly suffering mild-moderate cognitive impairment, it's possible to use self-report scales, in the elderly with severe cognitive impairment the use of observational scales is recommended. The objective of this review is to analyze the various types of pain assessment tools used in patients with cognitive impairment. Literature review was carried out through consultation of the most important bio-medical databases: Medline (PubMed), KT+, Trip Database, Cinahl, Cochrane Library, Embase. The keywords used were: "pain measurement", "pain assessment", "dementia", "validation study", "aged". All keywords were linked using AND and OR boolean operators. Altogether 5 self-report scales and 17 observational scales were retrieved, 7 of which available in Italian validated versions. The review analyzes potential and limitations of each assessment tool, in order to assist the clinician to make the most appropriate choice when using it in health care contexts. PMID:24770543

  2. ACR Appropriateness Criteria chronic chest pain-low to intermediate probability of coronary artery disease.

    Science.gov (United States)

    Woodard, Pamela K; White, Richard D; Abbara, Suhny; Araoz, Philip A; Cury, Ricardo C; Dorbala, Sharmila; Earls, James P; Hoffmann, Udo; Hsu, Joe Y; Jacobs, Jill E; Javidan-Nejad, Cylen; Krishnamurthy, Rajesh; Mammen, Leena; Martin, Edward T; Ryan, Thomas; Shah, Amar B; Steiner, Robert M; Vogel-Claussen, Jens; White, Charles S

    2013-05-01

    Chronic chest pain can arise from a variety of etiologies. However, of those potential causes, the most life-threatening include cardiac disease. Chronic cardiac chest pain may be caused either by ischemia or atherosclerotic coronary artery disease or by other cardiac-related etiologies, such as pericardial disease. To consider in patients, especially those who are at low risk for coronary artery disease, are etiologies of chronic noncardiac chest pain. Noncardiac chest pain is most commonly related to gastroesophageal reflux disease or other esophageal diseases. Alternatively, it may be related to costochondritis, arthritic or degenerative diseases, old trauma, primary or metastatic tumors, or pleural disease. Rarely, noncardiac chest pain may be referred pain from organ systems below the diaphragm, such as the gallbladder. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every 2 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment. PMID:23542027

  3. ACR appropriateness criteria asymptomatic patient at risk for coronary artery disease.

    Science.gov (United States)

    Earls, James P; Woodard, Pamela K; Abbara, Suhny; Akers, Scott R; Araoz, Philip A; Cummings, Kristopher; Cury, Ricardo C; Dorbala, Sharmila; Hoffmann, Udo; Hsu, Joe Y; Jacobs, Jill E; Min, James K

    2014-01-01

    Atherosclerotic cardiovascular disease is the leading cause of death for both men and women in the United States. Coronary artery disease has a long asymptomatic latent period and early targeted preventive measures can reduce mortality and morbidity. It is important to accurately classify individuals at elevated risk in order to identify those who might benefit from early intervention. Imaging advances have made it possible to detect subclinical coronary atherosclerosis. Coronary artery calcium score correlates closely with overall atherosclerotic burden and provides useful prognostic information for patient management. Our purpose is to discuss use of diagnostic imaging in asymptomatic patients at elevated risk for future cardiovascular events. The goal for these patients is to further refine targeted preventative efforts based on risk. The following imaging modalities are available for evaluating asymptomatic patients at elevated risk: radiography, fluoroscopy, multidetector CT, ultrasound, MRI, cardiac perfusion scintigraphy, echocardiography, and PET. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every 2 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances where evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment. PMID:24316232

  4. ACR Appropriateness Criteria Retreatment of Recurrent Head and Neck Cancer After Prior Definitive Radiation

    International Nuclear Information System (INIS)

    Recurrent and second primary head-and-neck squamous cell carcinomas arising within or in close proximity to previously irradiated fields are a common clinical challenge. Whereas surgical salvage therapy is recommended for resectable disease, randomized data support the role of postoperative reirradiation in high-risk patients. Definitive reirradiation is an established approach for patients with recurrent disease who are medically or technically inoperable or decline radical surgery. The American College of Radiology Expert Panel on Head and Neck Cancer reviewed the relevant literature addressing re-treatment after prior definitive radiation and developed appropriateness criteria for representative clinical scenarios. Examples of unresectable recurrent disease and microscopic residual disease after salvage surgery were addressed. The panel evaluated the appropriateness of reirradiation, the integration of concurrent chemotherapy, radiation technique, treatment volume, dose, and fractionation. The panel emphasized the importance of patient selection and recommended evaluation and treatment at tertiary-care centers with a head-and-neck oncology team equipped with the resources and experience to manage the complexities and toxicities of re-treatment.

  5. Tenure Security and Land Appropriation under Changing Environmental Governance in Lowland Bolivia and Pará

    Directory of Open Access Journals (Sweden)

    Pablo Pacheco

    2015-02-01

    Full Text Available Appropriation of public lands associated with agricultural frontier expansion is a longstanding occurrence in the Amazon that has resulted in a highly skewed land-tenure structure in spite of recent state efforts to recognize tenure rights of indigenous people and smallholders living in or nearby forests. Growing concerns to reduce environmental impacts from agricultural development have motivated state governments to place greater attention on sustainable land management and forest conservation. This paper assesses the political and institutional conditions shaping tenure security and land appropriation in lowland Bolivia and the State of Pará in Brazil, and their links with environmental governance. The two cases show that clarifying and securing tenure rights is considered as the cornerstone for improving environmental governance. Thus, much attention has been given to the recognition of indigenous people and smallholder rights and to legalization of large-scale estates in agricultural frontiers, which have in turn influenced emerging conservation and environmental governance approaches. While policy frameworks share similar goals in the two cases, contrasting implementation approaches have been adopted: more agrarian in lowland Bolivia and more conservationist in the State of Pará.

  6. Appropriate timing for complementary feeding of the breast-fed infant. A review.

    Science.gov (United States)

    Underwood, B A; Hofvander, Y

    1982-01-01

    The initiative for this review of appropriate timing for complementary feeding of the breastfed infant came from the Consultative Group on Maternal and Young Child Nutrition, an expert supportive group to the UN/ACC Subcommittee on Nutrition. Evidence assessing the duration of breastfeeding adequacy and the advantages and disadvantages of early versus later introduction of complementary foods is reviewed. Several years ago the Protein Advisory Group (PAG) recommended that complementary foods be provided between 4-6 months of age. In later studies, the variability of circumstances in different ecologies were reported to have a significant impact on the ability and desire of a woman to breastfeed and for how long. Hence the appropriate time to provide a breast milk complement is again under examination. Nutritionists, health professionals, and the baby food industry (their pro and antagonists) have renewed their interest in this issue, but differences in opinion and distorted claims among the interested groups have left many people confused. The appropriate time for the introduction of complementary feeding varies considerably in different sociocultural settings and among different socioeconomic groups. In developed countries very early complementation is usual not because of nutritional need, but because of social pressures, availability of convenient alternatives, and other considerations. In developing countries, early complementation may be needed in circumstances with a high prevalence of maternal malnutrition that may contribute to low milk output. Hazards accompany both too early and too late complementation. If a complement is introduced too early, there is the danger of diarrheal disease and food allergies. There is also an economic burden on poor families to purchase complementary food. In some underprivileged areas, cultural patterns in which the introduction of complementary food is too much delayed is the primary cause of faltering growth and

  7. Validation of simultaneous deregression of cow and bull breeding values and derivation of appropriate weights.

    Science.gov (United States)

    Calus, M P L; Vandenplas, J; Ten Napel, J; Veerkamp, R F

    2016-08-01

    Training of genomic prediction in dairy cattle may use deregressed proofs (DRP) as phenotypes. In this case, DRP should be estimated breeding values (EBV) corrected for information of relatives included in the data used for genomic prediction, and adjusted for regression to the mean (i.e., their reliability). Deregression is especially important when combining animals with EBV with low reliability, as commonly the case for cows, and high reliability. The objective of this paper, therefore, was to compare the performance of different deregression procedures for data that include both cow and bull EBV, and to develop and test procedures to obtain the appropriate deregressed weights for the DRP. Considered DRP were EBV: without any adjustment, adjusted for information of parents and regression to the mean, or adjusted for information of all relatives and regression to the mean. Considered deregressed weights were weights of initial EBV: without any adjustment, adjusted for information of parents, or adjusted for information of all relatives. The procedures were compared using simulated data based on an existing pedigree with 1,532 bulls and 13,720 cows that were considered to be included in the data used for genomic prediction. For each cow, 1 to 5 records were simulated. For each bull, an additional 50 to 200 daughters with 1 record each were simulated to generate a source of data that was not used for genomic prediction. The simulated trait had either a heritability of 0.05 or 0.3. The validation involved 3 steps: (1) computation of initial EBV and weights, (2) deregression of those EBV and weights, (3) using deregressed EBV and weights to compute final EBV, (4) comparison of the initial and final EBV and weights. The methods developed to compute appropriate weights for the DRP were either very precise and computationally somewhat demanding for larger data sets, or were less precise but computationally trivial due their approximate nature. Adjusting DRP for all

  8. Appropriate and safe utilization of helicopter emergency medical services: a joint position statement with resource document.

    Science.gov (United States)

    Floccare, Douglas J; Stuhlmiller, David F E; Braithwaite, Sabina A; Thomas, Stephen H; Madden, John F; Hankins, Daniel G; Dhindsa, Harinder; Millin, Michael G

    2013-01-01

    This position statement with accompanying resource document is the result of a collaborative effort of a writing group comprised of members of the Air Medical Physician Association (AMPA), the American College of Emergency Physicians (ACEP), the National Association of EMS Physicians (NAEMSP), and the American Academy of Emergency Medicine (AAEM). This document has been jointly approved by the boards of all four organizations. Patients benefit from the appropriate utilization of helicopter emergency medical services (HEMS). EMS and regional health care systems must have and follow guidelines for HEMS utilization to facilitate proper patient selection and ensure clinical benefit. Clinical benefit can be provided by Meaningfully shortening the time to delivery of definitive care to patients with time-sensitive medical conditions Providing necessary specialized medical expertise or equipment to patients before and/or during transport Providing transport to patients inaccessible by other means of transport The decision to use HEMS is a medical decision, separate from the aviation determination whether a transport can be completed safely. Physicians with specialized training and experience in EMS and air medical transport must be integral to HEMS utilization decisions, including guideline development and quality improvement activities. Safety management systems must be developed, adopted, and adhered to by air medical operators when making decisions to accept and continue every HEMS transport. HEMS must be fully integrated within the local, regional, and state emergency health care systems. HEMS programs cannot operate independently of the surrounding health care environment. The EMS and health care systems must be involved in the determination of the number of HEMS assets necessary to provide appropriate coverage for their region. Excessive resources may lead to competitive practices that can affect utilization and negatively impact safety. Inadequate resources will

  9. Evaluation of Dabigatran for Appropriateness of Use and Bleeding Events in a Community Hospital Setting

    Science.gov (United States)

    Armbruster, Anastasia L.; Buehler, Katie S.; Min, Sun H.; Riley, Margaret; Daly, Michael W.

    2014-01-01

    Background Warfarin has been the predominant anticoagulant for the prevention of stroke and systemic embolism in patients with nonvalvular atrial fibrillation (NVAF). Its disadvantages are well-known and include a narrow therapeutic index, drug interactions, and the need for frequent monitoring. Dabigatran etexilate, a direct thrombin inhibitor, presents less complexity in prescribing and has emerged as an alternate therapy to warfarin. Although dabigatran does not require routine monitoring, concerns associated with its use include the lack of a reversal agent, complex dose adjustments, and limited guidance to the management of drug interactions. Objectives The goals of this study are to describe and to evaluate the use of dabigatran at a community hospital to identify areas for improvement in its prescribing. Methods This retrospective chart review of patients at a community hospital in St Louis, MO, included patients who received at least 1 dose of dabigatran between December 2010 and June 2012. The appropriateness of dabigatran was evaluated based on recommendations approved by the US Food and Drug Administration for stroke prophylaxis in the setting of NVAF. The composite end point of bleeding included hospital readmission within 1 year of receiving at least 1 dose of dabigatran at the study institution secondary to bleeding, bleeding associated with a decrease in hemoglobin level by ≥2 g/dL or transfusion of ≥2 units of blood, or a notation of bleeding in the patient's medical record. Results Of the 458 patients included in the evaluation, 76 (16.6%) patients receiving dabigatran were using an inappropriate regimen of this drug, based on dose and frequency on the first day of therapy of dabigatran or the presence of valvular disease. Many patients (42.3%) received at least 1 dose of a concomitant parenteral anticoagulant. The composite end point for bleeding was reported in 66 (14.4%) patients, including 23 (5%) with confirmed gastrointestinal bleeding

  10. What is an appropriate radiotherapy technology? A Pretoria Academic Hospital perspective

    International Nuclear Information System (INIS)

    Full text: The opportunity to design a new radiation oncology facility only presents itself once in a professional lifetime (if you're lucky). The new Pretoria Academic Hospital evolved over a period of more than ten years of planning. Since there were no clear guidelines or budget presented during the acquisition of equipment we posed the question: what is appropriate? The factors determining appropriateness will be discussed and the various options tested against these. The recent experience of our facility with new equipment will be used as the basis for the arguments. Although there were national and regional plans available for oncology services, we were left in limbo with regard to budgets, expected service levels and time frames. Our department drew up a plan loosely based on the replacement of current technology with the equivalent new technology and rough estimates of expected patient numbers. We opted for a high tech approach. The next hurdle was to work within the tender system to draw up appropriate specifications and to manage the acquisition process. A sophisticated evaluation was done based on cost of ownership over a seven year period. The lessons learned from this experience will be shared. Commissioning of equipment and new techniques presented a huge challenge since it had to be performed with available resources while normal patient treatment had to be maintained. The whole philosophy of the department changed and we dragged a number of personnel kicking and screaming into the 21st century. As of today IMRT and SRS have become a routine part of life and IGRT capabilities are being developed. The experience in our department has shown how a high tech approach can be implemented successfully in a developing world setting to improve productivity and personnel morale. However, the needs and expectations vary between centres and our findings will be extrapolated to different scenarios. The answer to this question is neither clear cut nor static and

  11. Appropriateness of antibiotic treatment in intravenous drug users, a retrospective analysis

    Directory of Open Access Journals (Sweden)

    Fluckiger Ursula

    2008-04-01

    Full Text Available Abstract Background Infectious disease is often the reason for intravenous drug users being seen in a clinical setting. The objective of this study was to evaluate the appropriateness of treatment and outcomes for this patient population in a hospital setting. Methods Retrospective study of all intravenous drug users hospitalized for treatment of infectious diseases and seen by infectious diseases specialists 1/2001–12/2006 at a university hospital. Treatment was administered according to guidelines when possible or to alternative treatment program in case of patients for whom adherence to standard protocols was not possible. Outcomes were defined with respect to appropriateness of treatment, hospital readmission, relapse and mortality rates. For statistical analysis adjustment for multiple hospitalizations of individual patients was made by using a generalized estimating equation. Results The total number of hospitalizations for infectious diseases was 344 among 216 intravenous drug users. Skin and soft tissue infections (n = 129, 37.5% of hospitalizations, pneumonia (n = 75, 21.8% and endocarditis (n = 54, 15.7% were most prevalent. Multiple infections were present in 25%. Treatment was according to standard guidelines for 78.5%, according to an alternative recommended program for 11.3%, and not according to guidelines or by the infectious diseases specialist advice for 10.2% of hospitalizations. Psychiatric disorders had a significant negative impact on compliance (compliance problems in 19.8% of hospitalizations in multiple logistic regression analysis (OR = 2.4, CI 1.1–5.1, p = 0.03. The overall readmission rate and relapse rate within 30 days was 13.7% and 3.8%, respectively. Both non-compliant patient behavior (OR = 3.7, CI 1.3–10.8, p = 0.02 and non-adherence to treatment guidelines (OR = 3.3, CI 1.1–9.7, p = 0.03 were associated with a significant increase in the relapse rate in univariate analysis. In 590 person-years of follow

  12. Appropriate 'housekeeping' genes for use in expression profiling the effects of environmental estrogens in fish

    Directory of Open Access Journals (Sweden)

    Tyler Charles R

    2007-02-01

    Full Text Available Abstract Background Attempts to develop a mechanistic understanding of the effects of environmental estrogens on fish are increasingly conducted at the level of gene expression. Appropriate application of real-time PCR in such studies requires the use of a stably expressed 'housekeeping' gene as an internal control to normalize for differences in the amount of starting template between samples. Results We sought to identify appropriate genes for use as internal controls in experimental treatments with estrogen by analyzing the expression of eight functionally distinct 'housekeeping' genes (18S ribosomal RNA [18S rRNA], ribosomal protein l8 [rpl8], elongation factor 1 alpha [ef1a], glucose-6-phosphate dehydrogenase [g6pd], beta actin [bactin], glyceraldehyde-3-phosphate dehydrogenase [gapdh], hypoxanthine phosphoribosyltransferase 1 [hprt1], and tata box binding protein [tbp] following exposure to the environmental estrogen, 17α-ethinylestradiol (EE2, in the fathead minnow (Pimephales promelas. Exposure to 10 ng/L EE2 for 21 days down-regulated the expression of ef1a, g6pd, bactin and gapdh in the liver, and bactin and gapdh in the gonad. Some of these effects were gender-specific, with bactin in the liver and gapdh in the gonad down-regulated by EE2 in males only. Furthermore, when ef1a, g6pd, bactin or gapdh were used for normalization, the hepatic expression of two genes of interest, vitellogenin (vtg and cytochrome P450 1A (cyp1a following exposure to EE2 was overestimated. Conclusion Based on the data presented, we recommend 18S rRNA, rpl8, hprt1 and/or tbp, but not ef1a, g6pd, bactin and/or gapdh, as likely appropriate internal controls in real-time PCR studies of estrogens effects in fish. Our studies show that pre-validation of control genes considering the scope and nature of the experiments to be performed, including both gender and tissue type, is critical for accurate assessments of the effects of environmental estrogens on gene

  13. Selection of the appropriate method for the assessment of insulin resistance

    Directory of Open Access Journals (Sweden)

    Borai Anwar

    2011-11-01

    Full Text Available Abstract Insulin resistance is one of the major aggravating factors for metabolic syndrome. There are many methods available for estimation of insulin resistance which range from complex techniques down to simple indices. For all methods of assessing insulin resistance it is essential that their validity and reliability is established before using them as investigations. The reference techniques of hyperinsulinaemic euglycaemic clamp and its alternative the frequently sampled intravenous glucose tolerance test are the most reliable methods available for estimating insulin resistance. However, many simple methods, from which indices can be derived, have been assessed and validated e.g. homeostasis model assessment (HOMA, quantitative insulin sensitivity check index (QUICKI. Given the increasing number of simple indices of IR it may be difficult for clinicians and researchers to select the most appropriate index for their studies. This review therefore provides guidelines and advices which must be considered before proceeding with a study.

  14. Ethics Camp: The Appropriate Management Model for Northeastern Region Youth, Ecclesiastical Region 9

    Directory of Open Access Journals (Sweden)

    Wongsathit Wisupee

    2011-01-01

    Full Text Available Problem statement: Youth’s ethics tended to be a continuous increased problem and they were in their age without judgment. Youths were very important for national development in future, if their problems were not urgently solved it would overall effect to way of live in their families, communities, socials and Thailand. Approach: This research aimed to study backgrounds, current conditions, problems on management and the appropriate management model of Ethics Camp for the Northeastern Region Youth, Ecclesiastical Region 9. The study was a qualitative research conducted in 4 provinces 1 place of the Northeastern Region Youth, Ecclesiastical Region 9 and Thailand. Observation form, survey form, interview form, focus group discussion and study shop were used as research tools. Triangulation was used to test all data and data was analyzed by descriptive research. Results: The result founded that the background in overall of 4 places were began by making study trips of directors or lecturing monks at famous camp and they, later, brought those models back to establish ethics camps in their own provinces. For current conditions and problems, it was found that; in aspect of personnel-there was lacking of competent personnel, in aspect of budget-there was lacking of budget for expenses, in aspect of material-some place had old and damaged equipments, in aspect of management-there was not enough budget for long-term training and also lacking of lecturing monks, in aspect of marketing-there was lacking of public relation and distinct documents of courses and in aspect of technological innovation-lecturing monks had no knowledge to produce modern technological media. For appropriate management model, it was found that; in aspect of personnel-camp directors should have wide and long vision, intelligence, perseverance, honesty and human relation while lecturing monks must be professional; in aspect of budget-charges for any expenses should be depended on

  15. RESULTS OF TWO DECADES OF RESEARCH WORK ON STABILISATION AND AGRICULTURAL REVALUATION OF AN APPROPRIATED LANDSLIDE

    Directory of Open Access Journals (Sweden)

    V BUDIU

    2002-12-01

    Full Text Available Starting with 1976, a totally unproductive piece of land located in the Chinteni Valley, Cluj County, severely degraded by landslides, was used as an experimental field in order to study the actual possibilities of agricultural reinstatement of these lands. Out of a large range of problems studied since then, the present paper shows the most important experimental results concerning the gradual stabilisation and agricultural revaluation of landslides by means of hydro- and agroappropriative works applied. The presented results emphasise the fact that as a consequence of appropriation works applied to this landslide (drainage and levellment as well as by using crop technologies specific for slopes, the horizontal and vertical displacements of ground have been significantly reduced. Gradually, there has been noted an obvious tendency of a long term land stabilisation followed by a natural incorporation of this land into the equilibrium condition of the slope to which it belongs.

  16. Appropriation d’un nouveau protocole antipaludéen au Sénégal

    OpenAIRE

    Sidy Ba; Ndiaye, Jean L; Sylvain Landry Faye; Omar Gaye

    2014-01-01

    Cet article documente le processus de mise en œuvre du Traitement préventif intermittent TPI), une stratégie de prévention du paludisme dont l’administration est couplée au Programme élargi de vaccination (PEV) dans les services de santé, les réactions des prestataires, des populations et leurs facteurs explicatifs. Les résultats montrent que l’absence de connaissances adéquates à propos du TPI n’a pas empêché son appropriation par les communautés, dans la mesure où les perceptions lui accord...

  17. The Cost of Social Relations Oversight in the Adaptive Appropriation of Japanese Management Practices

    DEFF Research Database (Denmark)

    Tackney, Charles T.

    2006-01-01

    a comparative legal ecology model of the modern enterprise to gain theoretical and empirical insight into the economic and societal costs of combining Japanese manufacturing techniques with managerial prerogative pursued "the American way." I begin by introducing the comparative legal ecology of the......In 1998, a late July settlement of the Flint, Michigan United Auto Workers strikes at General Motors narrowly averted or postponed a labor-management confrontation fully capable of precipitating an economic meltdown with far reaching consequences for our increasingly global economy. This paper uses...... workplace as a theoretical concept to compare and contrast national differences in the modern industrial enterprise. This provides a standard to evaluate the extent to which General Motors had appropriately adapted the Japanese modes of social relations within the firm. The events associated with the Flint...

  18. The Applying ISM/FANP Approach for Appropriate Location Selection of Health Centers

    Directory of Open Access Journals (Sweden)

    Hamid Shahbandarzadeh

    2011-09-01

    Full Text Available The main purpose of this paper is to present a fuzzy multi-criteria decision making (FMADM model for appropriate location selection of a health center. Therefore, we identify sixteen criteria and sub-criteria for selecting a health center location. These criteria and sub-criteria have been obtained from literature reviews and practical interviews. This paper proposes a method which combines the methods of the interpretive structural modeling (ISM and the fuzzy analytic network process (FANP procedures to deal with the problem of the sub-systems interdependence and feedback. Also the methods of fuzzy set theory, fuzzy analytic hierarchy process and fuzzy analytical network process are used to combine decision-makers‟ assessments about criteria weightings. Finally, an empirical study for the location selection of a health center in Ramsar is conducted to demonstrate the computational process and effectiveness of FMADM proposed by this paper.

  19. Determining an Appropriate Weight attribute in Fraud Call Rate Data Using Case Based Reasoning

    Directory of Open Access Journals (Sweden)

    Musa Bala Shuaibu

    2014-03-01

    Full Text Available Fraud cases are significantly causing huge revenue losses in telecommunication companies around the world. Although previous cases are very important data in dealing with fraud patterns, there are variations in the dataset of different fraud case scenarios which in turns need specific detection system without necessarily involving the domain expert directly. This paper investigates the appropriate weight values for attributes using fraud Call Rate Data that is based on Artificial Intelligence technique (Case Based Reasoning with a meaningful confidence in telecommunication data. The experimental result on the fraud data reports that the weight for all attribute used in this study needs to be set at 0.9 in order to get the best performance of 98.33%.

  20. The importance of having an appropriate relational data segmentation in ATLAS

    CERN Document Server

    Dimitrov, Gancho; The ATLAS collaboration

    2015-01-01

    In this paper we describe specific technical solutions put in place in various database applications of the ATLAS experiment at LHC where we make use of several partitioning techniques available in Oracle 11g. With the broadly used range partitioning and its option of automatic interval partitioning we add our own logic in PLSQL procedures and scheduler jobs to sustain data sliding windows in order to enforce various data retention policies. We also make use of the new Oracle 11g reference partitioning in the Nightly Build System to achieve uniform data segmentation. However the most challenging issue was to segment the data of the new ATLAS Distributed Data Management system (Rucio), which resulted in tens of thousands list type partitions and sub-partitions. Partition and sub-partition management, index strategy, statistics gathering and queries execution plan stability are important factors when choosing an appropriate physical model for the application data management. The so-far accumulated knowledge and...

  1. [Bioethics of Sigmund Freud´s death: euthanasia or appropriation?].

    Science.gov (United States)

    Figueroa, Gustavo

    2011-04-01

    The death of Freud raises the ethical dilemma about euthanasia. It can be characterized as indirect active euthanasia according to the rule of double effect, or terminal sedation, or palliated death. The primacy of the principle of autonomy over non maleficence, conditioned the physician's attitude toward his patient Freud. The physician assisted death was and remains punishable in western medicine. Therefore, a fundamental tradition was infringed. In contrast, the present study attempts to characterize the final position of Freud himself to his death and called it appropriation of his finitude; he assumes his being-unto-death, that is, he now projects his being not as a being-at-his-end but as a being-unto-end, indicating thereby that he understood that the end always penetrated his whole existence. PMID:21879194

  2. Parameterization of X-ray spectra appropriate for microCT scanners

    International Nuclear Information System (INIS)

    Non-filtered X-ray spectra from three tubes (Oxford Instruments Ultrabright microfocus W anode, Apogee Series 5000 with W and Mo anodes) appropriate for microCT scanners have been measured using a CdTe solid-state detector. The normalized and efficiency-corrected spectra have been parameterized using Boone et al. third-order polynomial expression, obtaining good agreement with the data (typical mean ratio between parameterization and measurement equals 1.02, with standard deviation 0.10). Attenuation of the computed spectra by external filters was analytically simulated, obtaining results that agree well with direct measurements. The air kerma angular distribution of the X-ray beams was measured and the magnitude of the heel effect was evaluated. Tungsten collimators provided by the detector manufacturer had to be used to reduce dead time and it was found that their apertures do not necessarily agree with the nominal values.

  3. Distance Education in Another Register: Uses and Appropriation of Technologies in Teacher Education

    Directory of Open Access Journals (Sweden)

    BELMIRA OLIVEIRA-BUENO

    2008-12-01

    Full Text Available The article explores the relationships between distance education, information and communication technologies and teacher education. Its focus is on the interactive media and its uses in an in-service teacher education program, in Brazil, and on the ways the teachers used the technologies doing their own appropriateness. It departs from the presuppositions of the society of knowledge, that is, the close relationships between new technologies, continuing professional development and social inclusion, arguing that thisparadigm is an ideological discourse. The article shows how the teachers have used the technologies in creative ways, calling the attention to the importance of this teachers’ abilities as a basic skill to facing the challenges of the society of knowledge itself.

  4. Appropriate Biomarkers For Oxidative Stress In Patients With End Stage Renal Disease

    Directory of Open Access Journals (Sweden)

    Dejanov Petar

    2015-12-01

    Full Text Available The appropriate biomarkers for oxidative stress (OS in patients with end stage renal disease (ESRD are important in renal pathology. Patients (56 with ESRD were investigated (35 men and 21 women. Patients, with mean age of 45±17 years, defined education, specific HD duration and calculated body mass index (BMI, were exposed to a polysulphone type HD membrane for approximately 4 hours per HD session, 3 times per week. The control group was composed of 31 healthy volunteers. The total antioxidative capacity (TAC and the antioxidative (AO enzymes superoxide dismutase (SOD and glutathione peroxidase (GPx, were assessed. Analyses included Randox Crumlin GB; lipid peroxidation (LP using its end product, malonyldialdehyde (MDA (fluorimetric; and a LDL-ox immunoassay (Biomedica gruppe, Vienna, Austria. The TAS was higher in ESRD patients before HD (1.63±0.1 mmol/L compared to the control group (1.23±0.03 mmol/L.

  5. Exploring Appropriate Evaluation Tasks for a Mixed Ability EFL Writing Class in Taiwan

    Directory of Open Access Journals (Sweden)

    Ai-Hwa Chen

    2015-11-01

    Full Text Available Many English as a Foreign Language (EFL college students usually do not have sufficient language skills to generate satisfactory performance on their essay compositions. It is also hard for teachers to assess their progress on writing performance. This study attempted to investigate appropriate assessment criteria employed in a mixed ability EFL writing classroom. The participants were English major students from a private technological university, Taiwan. Based on students’ performance at each learning stage and negotiated evaluation tasks agreed by students and the teacher, the assessment items would be revised to correspond to students’ language skill levels. In addition, the students were asked to provide their opinions after conducting writing activities. The findings indicated that many students had their writing skills improved when they followed the guidelines and the use of reasonable assessment criteria. This implies a need for the teacher and student writers to collaboratively develop structured writing activities relating to assessing writing work.

  6. Zinc fortification decreases ZIP1 gene expression of some adolescent females with appropriate plasma zinc levels.

    Science.gov (United States)

    Méndez, Rosa O; Santiago, Alejandra; Yepiz-Plascencia, Gloria; Peregrino-Uriarte, Alma B; de la Barca, Ana M Calderón; García, Hugo S

    2014-06-01

    Zinc homeostasis is achieved after intake variation by changes in the expression levels of zinc transporters. The aim of this study was to evaluate dietary intake (by 24-h recall), absorption, plasma zinc (by absorption spectrophotometry) and the expression levels (by quantitative PCR), of the transporters ZIP1 (zinc importer) and ZnT1 (zinc exporter) in peripheral white blood cells from 24 adolescent girls before and after drinking zinc-fortified milk for 27 day. Zinc intake increased (p 0.05) near 150 µg/dL, but increased by 31 µg/dL (p 0.05) the plasma level of adolescent girls but for 6/24 participants from group A in spite of the formerly appropriation, which cellular zinc uptake decreased as assessed by reduction of the expression of ZIP1. PMID:24922175

  7. Appropriation de la stratégie par les middle managers : une étude exploratoire

    OpenAIRE

    Torset, Christophe; Tixier, Julie

    2002-01-01

    La place des middle managers dans la démarche stratégique a souvent été soulignée par la littérature stratégique (Bower, 1970 ; Burgelman 1983 ; Mintzberg 1994, Laroche 1999). Cependant, rares sont les études ayant tenté d’approfondir les caractéristiques et les déterminants de leur rôle stratégique (Floyd & Wooldridge 1990, 1992 ; Quy Nguyen 2001). Cet article cherche à évaluer le degré d’appropriation de la stratégie par les middle managers dans le contexte particulier d’une multinationale ...

  8. R and D appropriability, opportunity, and market structure: new evidence on some Schumpeterian hypotheses

    Energy Technology Data Exchange (ETDEWEB)

    Levin, R.C.; Cohen, W.M.; Mowery, D.C.

    1985-05-01

    One of the largest bodies of literature in the field of industrial organization is devoted to the interpretation and testing of several hypotheses advanced by Joseph Schumpeter (1950) concerning innovation and industrial market structure. One set of hypotheses focuses on the role of firm size as a determinant of R and D spending and the rate of technological advance. Another set focuses on the effect of market concentration on R and D and technological advance. In this paper, the latter set of hypotheses is reexamined at the industry level, using new data on R and D appropriability and technological opportunity collected by Leven et al. (1984) in a survey of R and D executives in 130 industries. 6 references.

  9. High performance solution processed zirconium oxide gate dielectric appropriate for low temperature device application

    International Nuclear Information System (INIS)

    This paper reports a solution processed electrical device with zirconium oxide gate dielectric that was fabricated at a low enough temperature appropriate for flexible electronics. Both inorganic dielectric and channel materials were synthesized in the same organic solvent. The dielectric constant achieved was 13 at 250 °C with a reasonably low leakage current. The bottom gate transistor devices showed the highest mobility of 75 cm2/V s. The device is operated at low voltage with high-k dielectric with excellent transconductance and low threshold voltage. Overall, the results highlight the potential of low temperature solution based deposition in fabricating more complicated circuits for a range of applications. - Highlights: • We develop a low temperature inorganic dielectric deposition process. • We fabricate oxide semiconductor channel devices using all-solution processes. • Same solvent is used for dielectric and oxide semiconductor deposition

  10. Increasing the Understanding and Demonstration of Appropriate Affection in Children with Asperger Syndrome: A Pilot Trial

    Directory of Open Access Journals (Sweden)

    Kate Sofronoff

    2011-01-01

    Full Text Available The study was conducted to examine relationships between affectionate behavior in children with Asperger syndrome and variables likely to influence its expression (e.g., tactile sensitivity, social ability. It also evaluated the impact of a cognitive behavioral intervention that aimed to improve a child's understanding and expression of affection. Twenty-one children, aged 7 to 12 years, participated in the trial. The results showed significant correlations between measures of affection and tactile sensitivity and social ability. After attending the 5-week program, parents identified significant increases in the appropriateness of children's affectionate behavior both towards immediate family and people outside the immediate family, despite reporting no significant changes in their child's general difficulties with affectionate behavior. There was a significant improvement in children's understanding of the purpose of affection. The findings are discussed as well as the limitations of the study.

  11. Research integrity and rights of indigenous peoples: appropriating Foucault's critique of knowledge/power.

    Science.gov (United States)

    Swazo, Norman K

    2005-09-01

    In this paper I appropriate the philosophical critique of Michel Foucault as it applies to the engagement of Western science and indigenous peoples in the context of biomedical research. The science of population genetics, specifically as pursued in the Human Genome Diversity Project, is the obvious example to illustrate (a) the contraposition of modern science and 'indigenous science', (b) the tendency to depreciate and marginalize indigenous knowledge systems, and (c) the subsumption of indigenous moral preferences in the juridical armature of international human rights law. I suggest that international bioethicists may learn from Foucault's critique, specifically of the need for vigilance about the knowledge/power relation expressed by the contraposition of modern science and 'indigeneity'. PMID:16137604

  12. Computed tomography measurements of the acetabulum in adult dysplastic hips: Which level is appropriate

    Energy Technology Data Exchange (ETDEWEB)

    Anda, S.; Kvistad, K.A. (Dept. of Radiology, Trondheim Univ. (Norway)); Terjesen, T. (Dept. of Orthopedic Surgery, Trondheim Univ. (Norway))

    1991-05-01

    A study has been performed to evaluate whether one or several levels are needed with comuted tomography (CT) study to provide sufficient information regarding anteversion and acetabular support to the femoral head. A total of 23 hips in 14 adults with uni- or bilateral congenital hip dysplasia (center-edge angle less than 20deg) were assessed by obtaining 5-mm contiguous CT slices and performing acetabular measurements at four levels. Both anterior and posterior acetabular supports as quantified by the anterior and posterior acetabular sector angles were significantly lower than normal at all levels. The sector angles increased in the proximal cuts, whereas the acetabular anteversin increased caudally. Because no important additional information was gained by measuring at different levels, we conclude that CT study at one level is sufficient for acetabular measurements and suggest that the slice through the center of the femoral head is the most appropriate one. (orig.).

  13. Appropriation and educational uses of cell phones by students and university teachers

    Directory of Open Access Journals (Sweden)

    Javier Organista Sandoval

    2013-12-01

    Full Text Available Abstract This article presents a study on appropriation and educational uses of cell phones. For the research, a random sample of 954 students and 246 teachers was selected, representing respectively 12% and 24% of the total population in two facilities of UABC in Ensenada, Mexico. Our survey showed that 97% of teachers or students have some kind of cell phone or smartphone. However, we observed that one of every four interactions with the mobile device had a concrete educational purpose. We also found that in general the educational use of the cell phone is mainly aimed to establish communication between the students and to access information via Internet. However, in spite of its limitations, our results show that the cell phone is a technological tool with great pedagogical potential. We suggest that institutional policies are necessary in order to tap that the cell phone potential to adequately support the teaching-learning process.

  14. Appropriate uses and considerations for online surveying in human dimensions research

    Science.gov (United States)

    Sexton, Natalie R.; Miller, Holly M.; Dietsch, Alia M.

    2011-01-01

    Online surveying has gained attention in recent years for its applicability to human dimensions research as an efficient and inexpensive data-collection method; however, online surveying is not a panacea. In this article, we provide some guidelines for alleviating or avoiding the criticisms and pitfalls suggested of online survey methods and explore two case studies demonstrating different approaches to online surveying. The first was a mixed-mode study of visitors to 52 participating National Wildlife Refuges. The response rate was 72%, with over half of respondents completing the survey online, resulting in cost-savings and efficiencies that would not have otherwise been realized. The second highlighted an online-only approach targeting specialized users of satellite imagery. Through branching and skipping, the online mode allowed flexibilities in administration impractical in a mail survey. The response rate of 53% was higher than typical for online surveys. Both case studies provide examples of appropriate uses of online surveying.

  15. Lung cancer management in limited resource settings: Guidelines for appropriate good care

    International Nuclear Information System (INIS)

    Lung cancer is a major cause of cancer death worldwide and is becoming an increasing problem in developing countries. It is important that, in countries where health care resources are limited, these resources are used most effectively and cost-effectively. The authors, with the support of the International Atomic Energy Agency, drew on existing evidence-based clinical guidelines, published systematic reviews and meta-analyses, as well as recent research publications, to summarise the current evidence and to make broad recommendations on the non-surgical treatment of patients with lung cancer. Tables were constructed which summarise the different treatment options for specific groups of patients, the increase in resource use for and the likely additional clinical benefit from each option. These tables can be used to assess the cost-effectiveness and appropriateness of different interventions in a particular health care system and to develop local clinical guidelines

  16. High performance solution processed zirconium oxide gate dielectric appropriate for low temperature device application

    Energy Technology Data Exchange (ETDEWEB)

    Hasan, Musarrat; Nguyen, Manh-Cuong; Kim, Hyojin; You, Seung-Won; Jeon, Yoon-Seok; Tong, Duc-Tai; Lee, Dong-Hwi; Jeong, Jae Kyeong; Choi, Rino, E-mail: rino.choi@inha.ac.kr

    2015-08-31

    This paper reports a solution processed electrical device with zirconium oxide gate dielectric that was fabricated at a low enough temperature appropriate for flexible electronics. Both inorganic dielectric and channel materials were synthesized in the same organic solvent. The dielectric constant achieved was 13 at 250 °C with a reasonably low leakage current. The bottom gate transistor devices showed the highest mobility of 75 cm{sup 2}/V s. The device is operated at low voltage with high-k dielectric with excellent transconductance and low threshold voltage. Overall, the results highlight the potential of low temperature solution based deposition in fabricating more complicated circuits for a range of applications. - Highlights: • We develop a low temperature inorganic dielectric deposition process. • We fabricate oxide semiconductor channel devices using all-solution processes. • Same solvent is used for dielectric and oxide semiconductor deposition.

  17. THE APPROPRIATENESS OF THE FACTUAL DENSITY AS AN INFORMATIVENESS MEASURE FOR ONLINE NEWS

    Directory of Open Access Journals (Sweden)

    Filipo Sharevski

    2015-05-01

    Full Text Available In circumstances where the receptivity of the online news is affected by the media bias in covering public attention events, the quality of the textual component is of pervasive importance for a reliable perception of their informativeness. Aware of this threat, several natural language processing techniques have been developed for the purpose of capturing the quality of the web content based on the concepts of objectivity classification and stylometric features, knowledge maturing, factual density, or simple word count. This paper explores the appropriateness of the factual density as an adequate quality measure of the information reported on the missing Malaysia Airliners Flight 370 as a public attention event. The results suggest that the factual density needs to be applied under strict conditions in terms of increased confidence level of the textual news content, if its substance is a subject of capitalization as a referent source of information.

  18. Partial improvements in the flavor quality of soybean seeds using intercropping systems with appropriate shading.

    Science.gov (United States)

    Liu, Jiang; Yang, Cai-Qiong; Zhang, Qing; Lou, Ying; Wu, Hai-Jun; Deng, Jun-Cai; Yang, Feng; Yang, Wen-Yu

    2016-09-15

    The profiles of isoflavone and fatty acids constitute important quality traits in soybean seeds, for making soy-based functional food products, due to their important contributions to the flavor and nutritional value of these products. In general, the composition of these constituents in raw soybeans is affected by cultivation factors, such as sunlight; however, the relationship of the isoflavone and fatty acid profiles with cultivation factors is not well understood. This study evaluated the isoflavone and fatty acid profiles in soybeans grown under a maize-soybean relay strip intercropping system with different row spacings, and with changes in the photosynthetic active radiation (PAR) transmittance. The effects of PAR on the isoflavone and fatty acid contents were found to be quadratic. Appropriate intercropping shading may reduce the bitterness of soybeans caused by soy aglycone and could improve their fatty acid composition. PMID:27080886

  19. The importance of task appropriateness in computer-supported collaborative learning

    Directory of Open Access Journals (Sweden)

    Kathy Buckner

    1999-12-01

    Full Text Available The study of learning in collaborative electronic environments is becoming established as Computer Supported Collaborative Learning (CSCL - an emergent sub-discipline of the more established Computer Supported Co-operative Work (CSCW discipline (Webb, 1995. Using computers for the development of shared understanding through collaboration has been explored by Crook who suggests that success may depend partly on having a clearly specified purpose or goal (Crook, 1994. It is our view that the appropriateness of the task given to the student is central to the success or otherwise of the learning experience. However, the tasks that are given to facilitate collaborative learning in face-toface situations are not always suitable for direct transfer to the electronic medium. It may be necessary to consider redesigning these tasks in relation to the medium in which they are to be undertaken and the functionality of the electronic conferencing software used.

  20. Placing memories in context: Hippocampal representations promote retrieval of appropriate memories.

    Science.gov (United States)

    Bulkin, David A; Law, L Matthew; Smith, David M

    2016-07-01

    Returning to a familiar context triggers retrieval of relevant memories, making memories from other contexts less likely to intrude and cause interference. We investigated the physiology that underlies the use of context to prevent interference by recording hippocampal neurons while rats learned two conflicting sets of discrimination problems, either in the same context or in two distinct contexts. Rats that learned the conflicting problem sets in the same context maintained similar neural representations, and performed poorly because conflicting memories interfered with new learning. In contrast, rats that learned in different contexts formed distinct ensemble representations and performed significantly better. We also measured trial-to-trial variation in representations and found that hippocampal activity was directly linked with performance: on trials where an old representation was active, rats were far more likely to make errors. These results show that the formation of distinct hippocampal representations is critical for contextually appropriate memory retrieval. © 2016 Wiley Periodicals, Inc. PMID:26934366