WorldWideScience

Sample records for appropriations

  1. Conceptualization and Appropriation

    DEFF Research Database (Denmark)

    Bossen, Claus; Dalsgård, Peter

    2005-01-01

    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...

  2. 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

  3. 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...

  4. 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

  5. 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 paper...

  6. Value Appropriation in Business Exchange

    DEFF Research Database (Denmark)

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

    2014-01-01

    value creation. Originality/value – To the authors’ knowledge, this paper represents the first attempt at reviewing the management literature on value appropriation in business exchange. The authors provide overview, details, comparisons, and frame a research agenda as a first step towards establishing......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...... diverse understandings of the value appropriation process and emphasize different mechanisms and outcomes of value appropriation. Research limitations/implications – Based on the literature comparison and discussion, in combination with inspiration from alternative business exchange literature...

  7. 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

  8. 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.

  9. 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

  10. Appropriateness of Percutaneous Coronary Intervention

    Science.gov (United States)

    Chan, Paul S.; Patel, Manesh R.; Klein, Lloyd W.; Krone, Ronald J.; Dehmer, Gregory J.; Kennedy, Kevin; Nallamothu, Brahmajee K.; Douglas Weaver, W.; Masoudi, Frederick A.; Rumsfeld, John S.; Brindis, Ralph G.; Spertus, John A.

    2012-01-01

    Context Despite the widespread use of percutaneous coronary intervention (PCI), the appropriateness of these procedures in contemporary practice is unknown. Objective To assess the appropriateness of PCI in the United States. Design, Setting, and Patients Multicenter, prospective study of patients within the National Cardiovascular Data Registry undergoing PCI between July 1, 2009, and September 30, 2010, at 1091 US hospitals. The appropriateness of PCI was adjudicated using the appropriate use criteria for coronary revascularization. Results were stratified by whether the procedure was performed for an acute (ST-segment elevation myocardial infarction, non–ST-segment elevation myocardial infarction, or unstable angina with high-risk features) or nonacute indication. Main Outcome Measures Proportion of acute and nonacute PCIs classified as appropriate, uncertain, or inappropriate; extent of hospital-level variation in inappropriate procedures. Results Of 500 154 PCIs, 355 417 (71.1%) were for acute indications (ST-segment elevation myocardial infarction, 103 245 [20.6%]; non–ST-segment elevation myocardial infarction, 105 708 [21.1%]; high-risk unstable angina, 146 464 [29.3%]), and 144 737 (28.9%) for nonacute indications. For acute indications, 350 469 PCIs (98.6%) were classified as appropriate, 1055 (0.3%) as uncertain, and 3893 (1.1%) as inappropriate. For nonacute indications, 72 911 PCIs (50.4%) were classified as appropriate, 54 988 (38.0%) as uncertain, and 16 838 (11.6%) as inappropriate. The majority of inappropriate PCIs for nonacute indications were performed in patients with no angina (53.8%), low-risk ischemia on noninvasive stress testing (71.6%), or suboptimal (≤1 medication) antianginal therapy (95.8%). Furthermore, although variation in the proportion of inappropriate PCI across hospitals was minimal for acute procedures, there was substantial hospital variation for nonacute procedures (median hospital rate for inappropriate PCI, 10

  11. 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

  12. 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.

  13. Test Anxiety: Age Appropriate Interventions

    Science.gov (United States)

    Ross, David B.; Driscoll, Richard

    2006-01-01

    The presentation covers information on test anxiety reduction strategies from over thirty years of experience with clients of a variety of ages. Dr. Ross is from the College of Lake County. Dr. Driscoll is a private practitioner and Director of the American Test Anxieties Association. The purpose is to address age appropriate test anxiety…

  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. 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

  16. 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

  17. 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.

  18. Ghost-Story Telling: Keeping It Appropriate.

    Science.gov (United States)

    Weintraub, Jeff

    1996-01-01

    Guidelines for telling ghost stories at camp involve considering children's fears at different ages, telling age appropriate stories, determining appropriate times for telling ghost stories, and minimizing fear when a child becomes frightened by a ghost story. Includes tips on the selection, preparation, and presentation of ghost stories. (LP)

  19. 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.

  20. 22 CFR 223.11 - Appropriate action.

    Science.gov (United States)

    2010-04-01

    ... influence, any oral or written communication to, the Agency on any matter of business for a period not to... such appearance or to accept any such communication; and (b) Taking other appropriate...

  1. 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.

  2. 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).

  3. 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.

  4. 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)

  5. ICT APPROPRIATION: A KNOWLEDGE CREATION PERSPECTIVE

    DEFF Research Database (Denmark)

    Akther, Farzana

    . The theoretical basis of my research is Activity Theory, as developed by the Finnish psychologist Engeström on the basis of the Russian development psychologists Vygotsky’s and Leontjev’s research. This learning approach I have combined with Nonaka and Takeuchi's theory of the dynamics of knowledge creation...... a learning theory-based model for ICT appropriation. The aim of this research is to understand the conditions of ICT appropriation as a collective knowledge creation process within rural community development projects—and, thus, to provide tools for perceiving and constructing local ICT development...

  6. 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 .

  7. Becoming Maya? Appropriation of the White Shaman.

    Science.gov (United States)

    Montejo, Victor D.

    1999-01-01

    The history of anthropology among the Maya consists of both the literal exploitation of archaeological finds and the appropriation of Maya culture and history by the Western academic world to construct distorted theories of the Maya past. In the ultimate disgrace, some Mayan priests are training White anthropologists to become shamans themselves…

  8. 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 Agriculture Regulations of the Department of Agriculture (Continued) COOPERATIVE STATE RESEARCH, EDUCATION... other electronic payment system by the awardee or disbursed through any other system or method by...

  9. 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…

  10. 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…

  11. 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.

  12. [Appropriate medication prescribing in older people].

    Science.gov (United States)

    Blain, H; Rambourg, P; Le Quellec, A; Ayach, L; Biboulet, P; Bismuth, M; Blain, A; Boulenger, J-P; Celton, B; Combe, B; Dauvilliers, Y; Davy, J-M; Geny, C; Hemmi, P; Hillaire-Buys, D; Jalabert, A; Jung, B; Leclercq, F; Léglise, M-S; Morel, J; Mourad, G; Ponrouch, M-P; Puisieux, F; Quantin, X; Quéré, I; Renard, E; Ribstein, J; Roch-Torreilles, I; Rolland, Y; Rosant, D; Terminet, A; Thuret, R; Villiet, M; Deshormières, N; Bourret, R; Bousquet, J; Jonquet, O; Millat, B

    2015-10-01

    Drug-induced adverse effects are one of the main avoidable causes of hospitalization in older people. Numerous lists of potentially inappropriate medications for older people have been published, as national and international guidelines for appropriate prescribing in numerous diseases and for different age categories. The present review describes the general rules for an appropriate prescribing in older people and summarizes, for the main conditions encountered in older people, medications that are too often under-prescribed, the precautions of use of the main drugs that induce adverse effects, and drugs for which the benefit to risk ratio is unfavourable in older people. All these data are assembled in educational tables designed to be printed in a practical pocket format and used in daily practice by prescribers, whether physicians, surgeons or pharmacists.

  13. 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.

  14. Appropriate Use Criteria for Amyloid PET

    Science.gov (United States)

    Johnson, Keith A.; Minoshima, Satoshi; Bohnen, Nicolaas I.; Donohoe, Kevin J.; Foster, Norman L.; Herscovitch, Peter; Karlawish, Jason H.; Rowe, Christopher C.; Carrillo, Maria C.; Hartley, Dean M.; Hedrick, Saima; Mitchell, Kristi; Pappas, Virginia; Thies, William H.

    2013-01-01

    Positron Emission Tomography (PET) of brain amyloid-beta is a technology that is becoming more available, but its clinical utility in medical practice requires careful definition. In order to provide guidance to dementia care practitioners, patients and caregivers, the Alzheimer Association and the Society of Nuclear Medicine and Molecular Imaging convened the Amyloid Imaging Taskforce (AIT). The AIT considered a broad range of specific clinical scenarios in which amyloid PET could potentially be appropriately used. Peer-reviewed, published literature was searched to ascertain available evidence relevant to these scenarios, and the AIT developed a consensus of expert opinion. While empirical evidence of impact on clinical outcomes is not yet available, a set of specific Appropriate Use Criteria (AUC) were agreed upon that define the types of patients and clinical circumstances in which amyloid PET could be used. Both appropriate and inappropriate uses were considered and formulated, and are reported and discussed here. Because both dementia care and amyloid PET technology are in active development, these AUC will require periodic reassessment. Future research directions are also outlined, including diagnostic utility and patient-centered outcomes. PMID:23360977

  15. 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)

  16. 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...

  17. 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.

  18. 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.

  19. 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

  20. Is the 80% leak criterion always appropriate?

    Energy Technology Data Exchange (ETDEWEB)

    Haines, Harvey [Kiefner and Associates, Inc., Vienna, VA (United States); McNealy, Rick [Applus-RTD, Houston, TX (United States); Rosenfeld, M.J. [Kiefner and Associates, Inc., Worthington, OH (United States)

    2010-07-01

    For evaluating metal loss depth by corrosion, ASME B31G recommends 80% of the wall thickness as an upper limit. A pipeline can still be safe with deeper corrosion, but the main question is whether conservative criteria are necessary because of errors in corrosion depth measurement. Corrosion depths over 80% might be acceptable if the measurement error was well understood and if errors could be treated in a routine and practical manner. Measurement errors are well understood when published values exist for commercial ILI tools and errors can be reassessed during remediation using in-the-ditch measurements. In the case of low-pressure pipelines, the 80% recommendation seems to be overly conservative and restricts re-inspection intervals unnecessarily. Otherwise, 80% seems appropriate in view of the current ILI and manual pit gauge depth measurement technology, but if the accuracy of ILI inspections was improved, fewer immediate digs could be possible. Corrosion deeper than 80% seems to cause leaks by perforation rather than mechanical failure.

  1. 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)

  2. 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

  3. 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... Extension Education § 15b.22 Free appropriate public education. (a) General. A recipient that operates a public elementary or secondary education program or activity shall provide a free appropriate...

  4. 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...

  5. 24 CFR 100.143 - Appropriate corrective action.

    Science.gov (United States)

    2010-04-01

    ... violation, and adopting new policies as appropriate; (3) Identifying, and then training and/or disciplining the employees involved; (4) Developing outreach programs, marketing strategies, or loan products...

  6. Quality indicators to measure appropriate antibiotic use in hospitalized adults

    NARCIS (Netherlands)

    Bosch, C.M.A. van den; Geerlings, S.E.; Natsch, S.S.; Prins, J.M.; Hulscher, M.

    2015-01-01

    BACKGROUND: An important requirement for an effective antibiotic stewardship program is the ability to measure appropriateness of antibiotic use. The aim of this study was to develop quality indicators (QIs) that can be used to measure appropriateness of antibiotic use in the treatment of all bacter

  7. Wastes to Resources: Appropriate Technologies for Sewage Treatment and Conversion.

    Science.gov (United States)

    Anderson, Stephen P.

    Appropriate technology options for sewage management systems are explained in this four-chapter report. The use of appropriate technologies is advocated for its health, environmental, and economic benefits. Chapter 1 presents background information on sewage treatment in the United States and the key issues facing municipal sewage managers.…

  8. 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)...

  9. 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...

  10. 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.

  11. 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..., Elementary, and Secondary Education § 84.33 Free appropriate public education. (a) General. A recipient that operates a public elementary or secondary education program or activity shall provide a free...

  12. 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...

  13. 45 CFR 605.33 - Free appropriate public education.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 3 2010-10-01 2010-10-01 false Free appropriate public education. 605.33 Section... 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...

  14. 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...

  15. Faculty Perceptions Concerning the Frequency and Appropriateness of Student Behaviors

    Science.gov (United States)

    Landrum, R. Eric

    2011-01-01

    A national sample of psychology instructors (N = 134) rated the appropriateness and frequency of 104 potential student behaviors, replicating and extending Parr and Valerius. The top 10 ratings for appropriateness and frequency differed from previous work. The author discusses the importance of clear communication of instructor expectations of…

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

    Directory of Open Access Journals (Sweden)

    R. Lyle Skains

    2016-03-01

    Full Text Available 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 appropriation results in “implicit collaboration” between the digital creative writer and those whose work is appropriated, an arguable form of shared authorship. Questions regarding the ethics of this practice, including copyright concerns and authorship, are discussed.

  17. 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

  18. 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.

  19. 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...

  20. 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.

  1. 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...

  2. 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

  3. Seven Pillars of Survivability: Appropriate Technology with a Human Face

    Directory of Open Access Journals (Sweden)

    Corinthias Pamatang Morgana Sianipar

    2013-04-01

    Full Text Available There were evidence for the inappropriateness of just three pillars of sustainability whenengineers have attempted to construct appropriate technology for underdevelopedcommunities. Engineers from developed countries have tended to conduct technologicaladaptations by treating communities as objects, rather than engaging them as subjects ofdevelopment. As objects, communities could not decide what they wanted to be and wereeven forced into systematic development that was more likely to benefit the developedcountries. However, as subjects, communities can determine their own sustainability andachieve survivability. In this study, seven pillars of survivability are outlined: technical,economic, environmental, social, cultural, judicial, and political. The first three aretangible aspects, and the last three are intangible. The social aspect is the intermediary, thebridge to emerging technological appropriateness. Tangible aspects can be measurednumerically, whereas the intangible ones cannot. The tangible and intermediate aspectsare what engineers must address, and both the intermediate and the intangible ones arewhat they must address specifically to diffuse appropriate technology into local dailyroutines. Tiers of technological appropriateness are also provided to understand theposition of a designed appropriate technology in terms of survivability levels. A holisticapproach that takes these pillars into account will empower communities to reach self-survivability beyond sustainability.

  4. 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.

  5. 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

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

    Directory of Open Access Journals (Sweden)

    Anderson de Oliveira

    2014-11-01

    Full Text Available Background: 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. Objective: 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. Methods: 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. Results: 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. Conclusions: We observed a high rate of adequacy of medical indications for MPS. Compared to the 2005 version, 2009 did not change the results.

  7. 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…

  8. 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.

  9. 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…

  10. 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

  11. 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…

  12. 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

  13. 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.

  14. 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…

  15. Antibiotic prescribing in dutch nursing homes: how appropriate is it?

    NARCIS (Netherlands)

    Buul, L.W. van; Veenhuizen, R.B.; Achterberg, W.P.; Schellevis, F.G.; Essink, R.T.; Greeff, S.C. de; Natsch, S.S.; Steen, J.T. van der; Hertogh, C.M.P.M.

    2015-01-01

    OBJECTIVE: To investigate the appropriateness of decisions to prescribe or withhold antibiotics for nursing home (NH) residents with infections of the urinary tract (UTI), respiratory tract (RTI), and skin (SI). DESIGN: Prospective study. SETTING: Ten NHs in the central-west region of the Netherland

  16. Antibiotic prescribing in Dutch nursing homes: how appropriate is it?

    NARCIS (Netherlands)

    Buul, L.W. van; Veenhuizen, R.B.; Achterberg, W.P.; Schellevis, F.G.; Essink, R.T.G.M.; Greeff, S.C. de; Natsch, S.; Steen, J.T. van der; Hertogh, C.M.P.M.

    2015-01-01

    Objective: To investigate the appropriateness of decisions to prescribe or withhold antibiotics for nursing home (NH) residents with infections of the urinary tract (UTI), respiratory tract (RTI), and skin (SI). Design: Prospective study. Setting: Ten NHs in the central-west region of the Netherland

  17. Reading Disability: The Genetics Connection and Appropriate Action.

    Science.gov (United States)

    Fielding-Barnsley, Ruth

    This paper presents an overview of recent findings relating to the influence of genetics on reading disability. The paper questions the appropriateness of the etiology of reading disability and its possible relevance to remediation. It finds that early identification of children who are at risk of reading failure due to a genetic cause could help…

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

    Science.gov (United States)

    de Oliveira, Anderson; Rezende, Maria Fernanda; Corrêa, Renato; Mousinho, Rodrigo; Azevedo, Jader Cunha; Miranda, Sandra Marina; Oliveira, Aline Ribeiro; Gutterres, Ricardo Fraga; Mesquita, Evandro Tinoco; Mesquita, Cláudio Tinoco

    2014-01-01

    Background 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. Objective 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. Methods 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. Results 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. Conclusions We observed a high rate of adequacy of medical indications for MPS. Compared to the 2005 version, 2009 did not change the results. PMID:25252163

  19. 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...

  20. 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

  1. Improving appropriate medication use for older people in primary care

    NARCIS (Netherlands)

    Kwint, H.F.

    2013-01-01

    Clinical pharmacy interventions for older people with polypharmacy can be divided in dispensing services (aimed at support of medication management), e.g. multidose dispensing systems, and medication reviews (aimed at appropriateness of the pharmacotherapy. The objective of this thesis is to describ

  2. Nurse telephone triage: good quality associated with appropriate decisions.

    NARCIS (Netherlands)

    Huibers, A.M.J.; Keizer, E.; Giesen, P.H.J.; Grol, R.P.T.M.; Wensing, M.J.P.

    2012-01-01

    Background Triage at out-of-hours GP cooperatives (GPCs) is aimed at determining medical urgency and guiding decisions. Both medical knowledge and communication skills are required for this complex task. Objective To explore the impact of quality of consultation and estimated urgency on the appropri

  3. 34 CFR 104.33 - Free appropriate public education.

    Science.gov (United States)

    2010-07-01

    ... 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 RIGHTS, DEPARTMENT OF EDUCATION NONDISCRIMINATION ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES...

  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. 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...

  6. 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…

  7. 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

  8. GUIDELINES FOR APPROPRIATELY USING Scripture at the Bedside.

    Science.gov (United States)

    Schoenbeck, Susan L

    2016-01-01

    The losses patients experience are spiritual, as well as physical, events. Christian nurses are ideally situated to integrate calming biblical truths into dialogue with patients and family members when appropriate. This article discusses how Scripture can be used at the bedside with patients or families who want this type of spiritual care. Examples are presented from the author's nursing practice. PMID:27119807

  9. 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…

  10. 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…

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

    Directory of Open Access Journals (Sweden)

    Michael P Thomas

    Full Text Available 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.The number of PCI procedures in each HRR was obtained from the 2010 100% Medicare limited data set. HRRs were divided into quintiles of PCI utilization with increasing rates of utilization progressing to quintile 5. NCDR CathPCI Registry® data were used to evaluate patient characteristics, appropriate use criteria (AUC, and outcomes across the HRR quintiles defined by PCI utilization with the study population restricted to HRRs where ≥ 80% of the PCIs were performed at institutions participating in the registry. PCI appropriateness was defined using 2012 AUC by the American College of Cardiology (ACC/American Heart Association (AHA/The Society for Cardiovascular Angiography and Interventions (SCAI.Our study cohort comprised of 380,981 patients treated at 178 HRRs. Mean PCI rates per 1,000 increased from 4.6 in Quintile 1 to 10.8 in Quintile 5. The proportion of non-acute PCIs was 27.7% in Quintile 1 increasing to 30.7% in Quintile 5. Significant variation (p < 0.001 existed across the quintiles in the categorization of appropriateness across HRRs of utilization with more appropriate PCI in lower utilization areas (Appropriate: Q1, 76.53%, Q2, 75.326%, Q3, 75.23%, Q4, 73.95%, Q5, 72.768%; Inappropriate: Q1 3.92%, Q2 4.23%, Q3 4.32%, Q4 4.35%, Q5 4.05%; Uncertain: Q1 8.29%, Q2 8.84%, Q3 8.08%, Q4 9.01%, Q5 8.93%; Not Mappable: Q1 11.26%, Q2 11.67%, Q3 12.37%, Q4 12.69%, Q5 14.34%. There was no difference in risk-adjusted mortality across quintiles of PCI utilization.Geographic regions with lower PCI rates have a higher proportion of PCIs performed

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

    Science.gov (United States)

    Thomas, Michael P.; Parzynski, Craig S.; Curtis, Jeptha P.; Seth, Milan; 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% Medicare limited data set. HRRs were divided into quintiles of PCI utilization with increasing rates of utilization progressing to quintile 5. NCDR CathPCI Registry® data were used to evaluate patient characteristics, appropriate use criteria (AUC), and outcomes across the HRR quintiles defined by PCI utilization with the study population restricted to HRRs where ≥ 80% of the PCIs were performed at institutions participating in the registry. PCI appropriateness was defined using 2012 AUC by the American College of Cardiology (ACC)/American Heart Association (AHA)/The Society for Cardiovascular Angiography and Interventions (SCAI). Results Our study cohort comprised of 380,981 patients treated at 178 HRRs. Mean PCI rates per 1,000 increased from 4.6 in Quintile 1 to 10.8 in Quintile 5. The proportion of non-acute PCIs was 27.7% in Quintile 1 increasing to 30.7% in Quintile 5. Significant variation (p < 0.001) existed across the quintiles in the categorization of appropriateness across HRRs of utilization with more appropriate PCI in lower utilization areas (Appropriate: Q1, 76.53%, Q2, 75.326%, Q3, 75.23%, Q4, 73.95%, Q5, 72.768%; Inappropriate: Q1 3.92%, Q2 4.23%, Q3 4.32%, Q4 4.35%, Q5 4.05%; Uncertain: Q1 8.29%, Q2 8.84%, Q3 8.08%, Q4 9.01%, Q5 8.93%; Not Mappable: Q1 11.26%, Q2 11.67%, Q3 12.37%, Q4 12.69%, Q5 14.34%). There was no difference in risk-adjusted mortality across quintiles of PCI utilization. Conclusions Geographic regions with lower PCI rates have a higher

  13. The Energy Forum of Sri Lanka: Working toward appropriate expertise

    Science.gov (United States)

    Nieusma, Dean

    Taking my cue from the knowledge base and practices comprising appropriate technology development, and building on politics of expertise scholarship, this dissertation develops the concept of appropriate expertise: the combination of social and technical competences required to address marginalization through technological interventions. The dissertation asks what appropriate expertise looks like "on the ground" in the context of development as practiced by an exceptional group of technology designers from the Energy Forum of Sri Lanka: What design goals did they strive toward? What challenges did they face? What strategies did they employ? In an effort to answer these questions, the dissertation looks at how these designers interacted across a range of contexts with a broad spectrum of people and institutions, each with its own expertise to draw upon. In particular, it looks at how they situated their work in a highly contoured field of social power, where different types of expertise were used as resources for reinforcing or resisting existing power relations. I use the concept relations of expertise to denote the structure of expert interactions across multiple contexts of activity. Although this concept links to broad political-economic conditions that order varied expert practices, my analytic focus is at a different level: the situated experiences of expert practitioners. By starting with ground-level practices and understandings, I argue that creating new relations of expertise---that is, changing the nature of the interactions among experts and between experts and those they work with---is the key way my informants worked to legitimate marginalized perspectives and thereby empower marginalized social groups around technology-development practices. Appropriate expertise enables the creation of appropriate technologies, but it does more. It enables the creation of new relations of expertise, both through inspiring new forms of interpersonal interaction

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

    Directory of Open Access Journals (Sweden)

    Anna Stegh Camati

    2008-04-01

    Full Text Available 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 assumptions of the centre has altered traditional values: “the Shakespearean text is no longer sacrosanct: instead it is invaded by heteroglossia, or multiplicity of styles and forms in the Bakhtinian sense, that disrupt the cultural authority of the official English Shakespeare” (Kerr et alii 39. 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 assumptions of the centre has altered traditional values: “the Shakespearean text is no longer sacrosanct: instead it is invaded by heteroglossia, or multiplicity of styles and forms in the Bakhtinian sense, that disrupt the cultural authority of the official English Shakespeare” (Kerr et alii 39.

  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. On the Brazilian ground-rent appropriated by landowners

    Directory of Open Access Journals (Sweden)

    NICOLAS GRINBERG

    2015-12-01

    Full Text Available ABSTRACTThis paper presents a measurement of the portion of the Brazilian ground-rent appropriated by agrarian landowners during 1955-2005 and assesses its importance relative to other forms of surplus value appropriated in the Brazilian economy. In pursuing this task, the paper also puts forward original estimations of several time-series that are crucial for the study of Brazilian long-term growth and development. Finally, the paper combines the measurements obtained here with those advanced in (Grinberg, 2008, 2013b to present an approximation to the evolution of the total Brazilian ground-rent during 1955-2005. The appendix presents the sources and methodology used for the estimations.

  17. 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.

  18. 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.

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

    DEFF Research Database (Denmark)

    Martins, Bruno Oliveira

    2015-01-01

    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...... institutions such as the European Parliament or the Court of Justice of the EU. In this chapter it is argued that the constitutional foundations of the EU play a decisive role in granting legitimacy to EU counter-terrorism law and policy and to ensuring its social acceptability. Combining sociological...... 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....

  20. 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.

  1. Stakeholder perspectives on appropriate forest management in the Pacific Northwest

    Energy Technology Data Exchange (ETDEWEB)

    Kearney, A.R.; Bradley, G. (Univ. of Washington, Seattle, WA (United States). Coll. of Forest Resources); Kaplan, R.; Kaplan, S. (Univ. of Michigan, Ann Arbor, MI (United States))

    1999-02-01

    One potential source of the controversy over forest management in the Pacific Northwest is differences in stakeholders' conceptualizations, or perspectives, on appropriate forest management. This study explores the nature of stakeholders' perspectives and identifies some of the differences and commonalities among them. Study participants included 23 individuals from 3 forest stakeholder groups: the USDA Forest Service, timber industry, and environmentalists. Participants' perspectives on appropriate forest management were assessed using a conceptual content cognitive map (3CM) task. Results indicate the existence of a wide range of concerns including issues related to the focus, setting, and process of management. The pattern of differences and similarities among stakeholder groups with respect to these concerns was found to be complex and to deviate substantially from common stereotypes. In addition, participants' perceptions of the other stakeholder groups were found to be highly stereotypical and were not supported by the data.

  2. A database of age-appropriate average MRI templates.

    Science.gov (United States)

    Richards, John E; Sanchez, Carmen; Phillips-Meek, Michelle; Xie, Wanze

    2016-01-01

    This article summarizes a life-span neurodevelopmental MRI database. The study of neurostructural development or neurofunctional development has been hampered by the lack of age-appropriate MRI reference volumes. This causes misspecification of segmented data, irregular registrations, and the absence of appropriate stereotaxic volumes. We have created the "Neurodevelopmental MRI Database" that provides age-specific reference data from 2 weeks through 89 years of age. The data are presented in fine-grained ages (e.g., 3 months intervals through 1 year; 6 months intervals through 19.5 years; 5 year intervals from 20 through 89 years). The base component of the database at each age is an age-specific average MRI template. The average MRI templates are accompanied by segmented partial volume estimates for segmenting priors, and a common stereotaxic atlas for infant, pediatric, and adult participants. The database is available online (http://jerlab.psych.sc.edu/NeurodevelopmentalMRIDatabase/).

  3. 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 ...

  4. 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

  5. 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 ...

  6. 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...

  7. 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...

  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. 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...

  12. 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, ...

  13. 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...

  14. Appropriateness of Internal Communication Channels : A Stakeholder Approach

    OpenAIRE

    Safarova, Julia; Holmin, Jenny

    2015-01-01

    Internal communication is pivotal for the effectiveness of company procedures and ultimately the success of the company. Understanding more about the communicative needs of different employee groups is therefore important in order to convey a message in a satisfying manner to those employees. This explorative study is investigating communication preferences from a stakeholder perspective to find out what influences the appropriateness of using different communication channels when transmittin...

  15. 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% ...

  16. 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...

  17. 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.

  18. 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.

  19. 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.

  20. Guideline for appropriate use of cardiac CT in heart disease

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Young Jin; Hong, Yoo 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, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul (Korea, Republic of); Kim, Jeong A [Dept. of Radiology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang (Korea, Republic of); Yang, Dong Hyun [Dept. of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul (Korea, Republic of)

    2014-02-15

    Heart disease is one of the leading causes of deaths in Korea, along with malignant neoplasms and cerebrovascular diseases. The proper diagnosis and management for patients with suspected heart diseases should be warranted for the public health care. Advances in CT technology have allowed detailed images of the heart to be obtained, which enable evaluations not only of the coronary arteries but also of other cardiac structures. Currently, the latest multi-detector CT machines are widespread around Korea. The appropriate use of cardiac CT may lead to improvements of the physicians' medical performances and to reduce medical costs which eventually contribute to promotions of public health. However, until now, there has been no guidelines 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 the clinicians and other health professionals when using cardiac CT for diagnosis and treatments of heart diseases.

  1. 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.

  2. 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.

  3. 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.

  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. 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

  6. 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.

  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. A Pan-sharpening method appropriate to vegetation applications

    Institute of Scientific and Technical Information of China (English)

    Ying Zhang; Binbin He; Xiaowen Li

    2009-01-01

    An improved Pan-sharpening algorithm appropriate to vegetation applications is proposed to fuse a set of IKONOS panchromatic(PAN)and multispeetral image(MSI)data.The normalized difference vegetation index(NDVI)is introduced to evaluate the quality of fusion products.Compared with other methods such as principal component analysis(PCA),wavelet transform(WT),and curvelet transform(CT),this algorithm has a better trade-off between keeping the spatial and spectral information.The NDVI performances indicate that the fusion product of this method is more suitable for vegetation applications than the other methods.

  9. 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...

  10. 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 ...

  11. 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.

  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. HOW TO SELECT APPROPRIATE STATISTICAL TEST IN SCIENTIFIC ARTICLES

    Directory of Open Access Journals (Sweden)

    Vladimir TRAJKOVSKI

    2016-09-01

    Full Text Available Statistics is mathematical science dealing with the collection, analysis, interpretation, and presentation of masses of numerical data in order to draw relevant conclusions. Statistics is a form of mathematical analysis that uses quantified models, representations and synopses for a given set of experimental data or real-life studies. The students and young researchers in biomedical sciences and in special education and rehabilitation often declare that they have chosen to enroll that study program because they have lack of knowledge or interest in mathematics. This is a sad statement, but there is much truth in it. The aim of this editorial is to help young researchers to select statistics or statistical techniques and statistical software appropriate for the purposes and conditions of a particular analysis. The most important statistical tests are reviewed in the article. Knowing how to choose right statistical test is an important asset and decision in the research data processing and in the writing of scientific papers. Young researchers and authors should know how to choose and how to use statistical methods. The competent researcher will need knowledge in statistical procedures. That might include an introductory statistics course, and it most certainly includes using a good statistics textbook. For this purpose, there is need to return of Statistics mandatory subject in the curriculum of the Institute of Special Education and Rehabilitation at Faculty of Philosophy in Skopje. Young researchers have a need of additional courses in statistics. They need to train themselves to use statistical software on appropriate way.

  14. 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.

  15. Appropriating religion: understanding religion as an object of science

    Directory of Open Access Journals (Sweden)

    Donald Wiebe

    1999-01-01

    Full Text Available In this paper, the author focuses on the study of religion as a scientific project, for it is the scientific interest in religion which has constituted the grounds for admitting the study of religion into the curriculum of the modern Western university. Despite that academic legitimation, however, the study of religion in the setting of the modern research university is not held in high esteem relative to the other sciences. It if the scientific study of religion is to be legitimately ensconced in the modern research university, the notion of religion will have to be wholly appropriated by science; only then will we be able to establish a conceptual foundation from which to make valid knowledge claims about religion on a level commensurate with the pronouncements of the natural and social sciences. Indeed, to go one step further, given the hold on the concept of religion by those committed to the humanistic study of religion, we might need to talk here not of the appropriation but of expropriation of religion by science—that is, of wresting ownership of the concept from the humanists by using it solely as a taxonomic device to differentiate and explain a peculiar range of human behaviour demonstrated in religious practices.

  16. A FRAMEWORK FOR CHOOSING APPROPRIATE OPEN SOURCE LEARNING MANAGEMENT SYSTEM

    Directory of Open Access Journals (Sweden)

    Ahmad Zamzuri MOHAMAD ALI

    2011-04-01

    Full Text Available Fast evolving of e-learning technology has inspired teachers to adopt Learning Management System (LMS as a platform for distance learning activities. LMS is a system used to plan, create, implements and assesses certain learning objective and majority of LMSes are web-based. Dozens of LMS product existence, either commercial or open source has provide wide choices for teachers in selecting the best LMS that suits their need. Since commercial LMSes are costly and not many teachers are willing to spend to have it, open source LMSes has become the credible substitutes to these commercial LMSes. However, based on the observation, whenever open source LMS is mentioned MOODLE will appear in most of the teachers mind. Implication of this, teachers often find themselves altering their needs to suit the LMS, not because it is the right thing to do, but because it is the only choice preferred by them. Selecting the appropriate LMS should starts with identifying the learning objectives and strategies in order to find the suitable open source LMS that will suit initial and subsequent requirements. Therefore, this paper intends to propose a framework or guideline in selecting appropriate open source products. The framework was developed based on experience, research and literature review done. This paper will also introduce some potential open source LMSes and its features that might be helpful in identifying the potential open source LMS that suits our learning objectives requirement. The features are identified by exploring the respective LMS’s test site.

  17. 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

  18. HOW TO SELECT APPROPRIATE HUMAN RESOURCE CONTROLLING INDICATORS

    Directory of Open Access Journals (Sweden)

    Monika Dugelova

    2015-09-01

    Full Text Available 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 tools is the most important part of implementation. This article deals with the problem of human resource indicators selection as the most frequently used human resource controlling tool. Many international authors have solved the problem of performance appraisal measurement, and there are numerous demonstrations on how to choose key performance indicators. Our motivation to draft the complex methodology of human resource indicators selection is based on non-existing solution among the authors. To solve the problem and find appropriate methodology, we use the methods comparison, abstraction, and concretization. The result is a creation of the right human resource indicators selection in line with human resource controlling aim. We use the Balanced Scorecard, Deloitte human resource strategy framework, and partial solution of Kleinhempel (2010. These results constitute the basis for our future research and for drafting the whole methodology of human resource controlling implementation in information technology companies.

  19. 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.

  20. 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

  1. 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

  2. AN EFFECTIVE ENGLISH CLASS WITH APPROPRIATE TECHNIQUES AND STRATEGIES

    Directory of Open Access Journals (Sweden)

    Vahidije Kadiu

    2016-09-01

    Full Text Available Teaching is considered to be one of the most important aspects for the future of the human beings. The fact that teaching is an art based on techniques and strategies is very important. The aim of this paper is to study the appropriate techniques and strategies for an effective English class. To achieve this, a survey was conducted at “Asim Vokshi secondary school. The main instrument used was a questionnaire. It was conducted on 70 students and 70 teachers. According to the results of the survey, many teachers believe that during an English class, different techniques and strategies should be included such as: cooperation, control of the class, and motivation. They also stressed the fact that four skills should be co-related for an effective class.  The most important finding was related to the students. According to them, the best way to learn the English language was by writing.

  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 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.

  5. The appropriateness of a proton pump inhibitor prescription.

    Science.gov (United States)

    Moran, N; Jones, E; O'Toole, A; Murray, F

    2014-01-01

    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. PMID:25551900

  6. 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.

  7. 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.

  8. 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.

  9. Selecting Appropriate Requirements Management Tool for Developing Secure Enterprises Software

    Directory of Open Access Journals (Sweden)

    Daniyal M Alghazzawi

    2014-03-01

    Full Text Available This paper discusses about the significance of selecting right requirements management tools. It’s no secret that poorly understood user requirements and uncontrolled scope creep to many software project failures. Many of the application development professionals buy wrong tools for the wrong reasons. To avoid purchasing the more complex and expensive tool, the organization needs to be realistic about the particular problem for which they opt. Software development organizations are improving the methods, they use to gather, analyze, trace, document, prioritize and manage their requirements. This paper considers four leading Requirements Management tools; Analyst Pro, CORE, Cradle and Caliber RM, the focus is to select the appropriate tool according to their capabilities and customers need.

  10. 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).

  11. 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.

  12. 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.

  13. Choosing an Appropriate Method for Sustained Release Flurbiprofen Pellet Production

    Directory of Open Access Journals (Sweden)

    S. Zenginer

    2015-07-01

    Full Text Available Flurbiprofen is a slightly water soluble, nonsteroidal anti-inflammatory active ingredient with analgesic and antipyretic activity. The purpose of this study was to develop an appropriate pellet production method for pH independent sustained release pellet formulation of flurbiprofen. Flurbiprofen pellets were produced by three different production methods; Suspension Layering, Extrusion Spherization, Rotagranulation. Although the simple and fast processing properties of Extrusion Spheronization and Rotagranulation methods, according to visual control and comparative dissolution profiles, Suspension Layering method was found more suitable for Flurbiprofen SR (Sustained Release having high drug load for each single dose. Beginning with the spherical core has brought great advantage to Suspension Layering method, since ideal sphericity could not be reached at Extrusion Spheronization and Rotagranulation methods due to limited microcrystalline cellulose amount.

  14. 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.

  15. (On)line dancing: choosing an appropriate distance education partner.

    Science.gov (United States)

    Menn, Mindy; Don Chaney, J

    2014-05-01

    Online-delivered distance education is a burgeoning component of professional development and continuing education. Distance education programs allow individuals to learn in a different location and/or at a different time from fellow learners, thereby increasing the flexibility and number of learning options. Selecting the "right" program for personal development from the ever-growing body of online-delivered education is an individualized decision that can become an overwhelming and challenging process. This Tool presents four important definitions for navigating distance education program description materials and outlines a five-step process to assist in identifying an appropriate program for personal development. The five-step process includes key questions and points to consider while conducting a candid self-assessment, identifying and investigating distance education programs, and then compiling information, comparing programs, and prioritizing a list of programs suitable for application. Furthermore, this Tool highlights important websites for distance education degree program reviews, accreditation information, and open educational resources.

  16. 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

  17. ACR Appropriateness Criteria®  Resectable Rectal Cancer

    Directory of Open Access Journals (Sweden)

    Jones William E

    2012-09-01

    Full Text Available Abstract 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

  18. 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

  19. 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

  20. 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.

  1. 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

  2. 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

  3. 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.

  4. 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.

  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. 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

  7. 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.

  8. 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.

  9. 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.

  10. 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.

  11. 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)

  12. 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

  13. 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

  14. 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.

  15. [Behavioral approach to facilitate appropriate use of antibiotics].

    Science.gov (United States)

    Matsushita, Osamu; Higuchi, Kazuko; Ishii, Noriko; Negayama, Kiyoshi; Taminato, Tomohiko

    2008-11-01

    Many hospitals have infection control education programs to facilitate the appropriate use of antimicrobial agents. Even with these efforts, however, it is not rare to encounter irregular prescriptions. In order to solve this discrepancy between knowledge and actual behavior, we chose an alternative approach to improve the decision making process. Recent advances in information technology have made it possible to not only instantly integrate various bacterial examination results using a computer, but to simultaneously carry out the statistical analyses at a much lower cost. We employed a client-server system to accomplish these tasks in Kagawa University Hospital. By connecting CCD camera-equipped microscopes to the system directly, image uploading has become a single-clicking job. Various microbial examination data were automatically transferred to the system once they became available in analytical devices such as BacT/ALERT 3D, VITEK, and an MIC analyzer. These data were presented to hospital doctors in well-designed web windows without delay. By removing psychological barriers to access laboratory examination data, statistics, and relevant information, more doctors seemed to independently follow scientific processes to choose antimicrobial agents. The daily behavior of hospital doctors has also been influenced by the system, e. g., pasting the microscopic images onto clinical records, or starting Gram staining in their own wards. These subtle but fundamental changes will eventually alter the way they make prescription decisions. The computer system was also useful for the infection control team to monitor and detect nosocomial infections, which has become essential to carry out its daily activities.

  16. Appropriateness of cardiovascular care in elderly adult cancer survivors.

    Science.gov (United States)

    Cheung, Winson Y; Levin, Raisa; Setoguchi, Soko

    2013-01-01

    Research suggests that the quality of non-cancer-related care among cancer survivors (CS) is suboptimal. Secondary disease prevention is an important component of survivorship care that has not been previously evaluated. Our aims were (1) to assess the utilization of and adherence to medications and treatments for the secondary prevention of myocardial infarction (MI) in CS versus non-cancer patients (NCP) and (2) to compare temporal trends in cardiovascular care between these two patient cohorts. Linking data from Medicare, pharmacy assistance programs, and cancer registries, we calculated the percentage of individuals receiving preventive medications (statins, β-blockers, angiotensin-converting enzyme inhibitors) and revascularization interventions (angioplasty, stent, bypass surgery) within 90 days after acute MI in CS and propensity score-matched NCP. We assessed trends over time and determined predictors of appropriate preventive care using modified Poisson regression. We identified 1,119 CS and 7,886 NCP. Compared to NCP, more survivors received statins (38 vs. 31 %) and β-blockers (67 vs. 59 %), but fewer underwent bypass surgery (1.5 vs. 2.8 %) after MI. From 1997 to 2004, both survivors and NCP were increasingly prescribed medications to prevent future coronary events. Over the same time period, receipt of bypass surgery was significantly lower among survivors. Co-morbidities, such as depression and lung disease, and demographic factors, such as advanced age and female, were associated with underuse of preventive care among survivors when compared to NCP. Use of preventive medications and procedures has generally improved, but uptake of bypass surgery among CS still lags behind NCP.

  17. 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.

  18. 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

  19. 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.

  20. 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...

  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... Appropriate Bargaining Units § 103.30 Appropriate bargaining units in the health care industry. (a) This... such by either Joint Committee on Accreditation of Healthcare Organizations or by Commission...

  2. 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...

  3. 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...

  4. 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

  5. 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);...

  6. Constrained Appropriations

    DEFF Research Database (Denmark)

    Wildermuth, Norbert

    2008-01-01

    their practices of meaning making and consumption are realised ‘under conditions which are not of their own choosing', but constrained by the wider relations of economic and political power which shape their lives. Based, primarily, on the results of my qualitative empirical field research in Recife, I will show...

  7. 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...

  8. 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...

  9. 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...

  10. Multi-Criteria Decision Making Based in Choosing an Appropriate Tractor

    OpenAIRE

    M.B. Lak; A.M Borghaee

    2016-01-01

    Agricultural mechanization goal is to maximize the utility. Establishment of subsidies systemization and Iran incorporation with World Target Organization (WTO), choosing an appropriate technology will be more important. Agricultural development is due to correct mechanization and choosing an appropriate tractor is one of mechanization implementation bases. In the paper, criteria involved in choosing an appropriate tractor were considered according to Hamedan province conditions and the best ...

  11. A BASIC THOUGHT ON THE APPROPRIATE LEVEL AND THE APPROPRIATE WAY OF DISCRETIONAL RAISING FUND FOR PUBLIC WORKS THAT ACCOUNTS FOR MACRO ECONOMIC INFLUENCES

    Science.gov (United States)

    Fujii, Satoshi; Nakano, Tsuyoshi

    In this paper, we tried to discuss about the appropriate level of national fund for public works and the appropriate way of raising fund for them that accounts for their macro economic influences. It was then discussed that we have to adopt "austere fiscal policy" during inflation period in order to mitigate the inflation and have to raise fund through tax rather than public bond, and we have to adopt "positive fiscal policy" during deflation period in order to mitigate deflation, and have to raise fund through inland public bond rather than tax increase.

  12. A Conceptual Analysis of State Support for Higher Education: Appropriations versus Need-Based Financial Aid

    Science.gov (United States)

    Toutkoushian, Robert K.; Shafiq, M. Najeeb

    2010-01-01

    In this paper, we use economic concepts to examine the choice that states make between giving appropriations to public colleges or need-based financial aid to students. We begin by reviewing the economic justification for state support for higher education. Next, we introduce a simple economic model for comparing and contrasting appropriations and…

  13. A reliable and valid index was developed to measure appropriate psychotropic drug use in dementia

    NARCIS (Netherlands)

    van der Spek, Klaas; Gerritsen, Debby L.; Smalbrugge, Martin; Nelissen-Vrancken, Marjorie H. J. M. G.; Wetzels, Roland B.; Smeets, Claudia H. W.; Zuidema, Sytse U.; Koopmans, Raymond T. C. M.

    2015-01-01

    Objectives: The aim of this study was to develop an index derived from the Medication Appropriateness Index (MAT) items that is suited for clinical studies evaluating appropriateness of psychotropic drug use (PDU) for neuropsychiatric symptoms (NPS) in patients with dementia in nursing homes and to

  14. Developmentally Appropriate Practice in Early Elementary Grade Schools in Bangkok, Thailand

    Science.gov (United States)

    Saifah, Yotsawee

    2012-01-01

    The purposes of this study were (a) to examine early elementary grade teachers' developmentally appropriate beliefs and their teaching practices in public schools in Bangkok, (b) to explore the functioning of developmentally appropriate practice in the two chosen early elementary schools, and (c) to determine the factors that influence the…

  15. 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…

  16. 78 FR 32474 - Request for Comments: LSC Appropriations Request for FY 2015

    Science.gov (United States)

    2013-05-30

    ... Request for Comments: LSC Appropriations Request for FY 2015 AGENCY: Legal Services Corporation. ACTION: Request for Comments: LSC Appropriations Request for FY 2015. SUMMARY: The Legal Services Corporation (LSC... on June 11, 2013 should be sent to David Richardson, by email at david.richardson@lsc.gov or by...

  17. 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…

  18. Instrumental Appropriation of a Collaborative, Dynamic-Geometry Environment and Geometrical Understanding

    Science.gov (United States)

    Alqahtani, Muteb M.; Powell, Arthur B.

    2016-01-01

    To understand learners' appropriation of technological tools and geometrical understanding, we draw on the theory of instrumental genesis (Lonchamp, 2012; Rabardel & Beguin, 2005), which seeks to explain how learners accomplish tasks interacting with tools. To appropriate a tool, learners develop their own knowledge of how to use it, which…

  19. Rater Behaviour When Judging Language Learners' Pragmatic Appropriateness in Extended Discourse

    Science.gov (United States)

    Sydorenko, Tetyana; Maynard, Carson; Guntly, Erin

    2014-01-01

    The criteria by which raters judge pragmatic appropriateness of language learners' speech acts are underexamined, especially when raters evaluate extended discourse. To shed more light on this process, the present study investigated what factors are salient to raters when scoring pragmatic appropriateness of extended request sequences, and which…

  20. 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

  1. "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…

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

    DEFF Research Database (Denmark)

    Arditi, C; Peytremann-Bridevaux, I; Burnand, B;

    2009-01-01

    BACKGROUND AND STUDY AIMS: To summarize the published literature on assessment of appropriateness of colonoscopy for screening for colorectal cancer (CRC) in asymptomatic individuals without personal history of CRC or polyps, and report appropriateness criteria developed by an expert panel......, the 2008 European Panel on the Appropriateness of Gastrointestinal Endoscopy, EPAGE II. METHODS: A systematic search of guidelines, systematic reviews, and primary studies regarding colonoscopy for screening for colorectal cancer was performed. The RAND/UCLA Appropriateness Method was applied to develop...... 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...

  3. 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...

  4. A STUDY ON EVALUATION OF APPROPRIATE USAGE OF FRESH FROZEN PLASMA (FFP

    Directory of Open Access Journals (Sweden)

    Geeta

    2012-07-01

    Full Text Available ABSTRACT: The term FFP refers to the fluid portion of 1 unit of human blood that has been centrifuged, separated & frozen solid at -18°C or colder within 8hrs of collection. The indications for transfusin g FFP are very limited, as it can cause unpredictable adverse reactions. A retrospective study of FFP transfusion was carried out at the blood bank-Gandh i Medical College for a period of 6 months; i.e January 2011–July 2011 for various indications. We evaluated 840 patients who received 1534 units of FFP and classified them as appropriate, cl inically appropriate and inappropriate. In our study appropriate and clinically appropriate transf usions of FFP were about 61%- a good proportion of FFP transfusions were justified but 3 9% were of without any appropriate indication.

  5. 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…

  6. 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

  7. 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.

  8. Appropriateness of textbooks used in elementary schools in terms of students' levels

    Directory of Open Access Journals (Sweden)

    Mehmet Yapıcı

    2006-12-01

    Full Text Available In this study, students in the Subject Area Textbook Examination Course I was teaching in the Department of Elementary Education. Usak Collage of Education, reviewed textbooks, using hcrmcncutic and content analysis technique. Prc-scrvice teachers' views on textbooks were"researched by examining their review reports.In the research study, answers of the following questions were determined: Whether first level elementary textbooks arc appropriate for students' cognitive and affective level, and whether those textbooks have appropriate format.Pie-service teachers did not think that textbooks had appropriate format, and they found that there were problems in die cognitive and affective levels of textbooks.

  9. Midwives' views on appropriate antenatal counselling for congenital anomaly tests: Do they match clients' preferences?

    NARCIS (Netherlands)

    Martin, L.; Hutton, E.K.; Spelten, E.R.; Gitsels-van der Wal, J.T.; Dulmen, S. van

    2014-01-01

    OBJECTIVE: this study aims to provide insight into: (a) midwives' views on appropriate antenatal counselling for congenital anomaly tests, and (b) whether these views match clients' preferences regarding antenatal counselling. DESIGN: a comparative (midwives versus clients) questionnaire survey. Cog

  10. Midwives' views on of appropriate antenatal counselling for congenital anomaly tests: do they match clients' preferences?

    NARCIS (Netherlands)

    Martin, L.; Hutton, E.K.; Spelten, E.R.; Gitsels-van der Wal, J.T.; Dulmen, S. van

    2014-01-01

    Objective: this study aims to provide insight into: (a) midwives' views on appropriate antenatal counselling for congenital anomaly tests, and (b) whether these views match clients' preferences regarding antenatal counselling. Design: a comparative (midwives versus clients) questionnaire survey. Cog

  11. 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.

  12. Multi-Criteria Decision Making Based in Choosing an Appropriate Tractor

    Directory of Open Access Journals (Sweden)

    M.B Lak

    2016-04-01

    Full Text Available Agricultural mechanization goal is to maximize the utility. Establishment of subsidies systemization and Iran incorporation with World Target Organization (WTO, choosing an appropriate technology will be more important. Agricultural development is due to correct mechanization and choosing an appropriate tractor is one of mechanization implementation bases. In the paper, criteria involved in choosing an appropriate tractor were considered according to Hamedan province conditions and the best choice between 11 tractor models was selected regarding to 9 criteria which were analyzed by Technique for Order-Preference by Similarity to Ideal Solution (TOPSIS. The criteria are: drawbar power, hydraulic power, power take off (PTO power, PTO shaft, specific fuel consumption (SFC, speed range, engine standard round per minute, gearbox, and manufacturer. Between the choices, U453 was preferred and recommended as appropriate tractor.

  13. 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.

  14. 27 CFR 70.42 - Returns prepared or executed by appropriate TTB officers.

    Science.gov (United States)

    2010-04-01

    ...) of this section and subscribed by the appropriate TTB officer is prima facie good and sufficient for... PROCEDURE AND ADMINISTRATION Discovery of Liability and Enforcement of Laws General Powers and Duties §...

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

    NARCIS (Netherlands)

    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.

  16. 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

  17. 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.

  18. 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...

  19. 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...

  20. 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...

  1. Educational appropriation of the blog-tool in project-based learning

    OpenAIRE

    K.-Thapliyal, Carmenne

    2014-01-01

    This case study focuses on the appropriation of blogs by first year undergraduate students specialising in the English language and introduced to the profession of teaching English as a foreign language in primary school. As part of a project evaluated in the second semester, participants of this study were expected to use group blogs as reflective diaries. For the purposes of this study, we are interested in observing how participants appropriate blogs within their given setting. Qualitative...

  2. 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...

  3. 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...

  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. 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...

  6. 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.

  7. 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.

  8. 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.

  9. ACR Appropriateness Criteria® Adjuvant Management of Early-Stage Endometrial Cancer.

    Science.gov (United States)

    Wahl, Andrew O; Gaffney, David K; Jhingran, Anuja; Yashar, Catheryn M; Biagioli, Matthew; Elshaikh, Mohamed A; Jolly, Shruti; Kidd, Elizabeth; Lee, Larissa J; Li, Linna; Moore, David H; Rao, Gautam G; Williams, Ned L; Small, William

    2016-09-15

    These consensus guidelines on adjuvant radiotherapy for early-stage endometrial cancer were developed from an expert panel convened by the American College of Radiology. 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 treatment. After a review of the published literature, the panel voted on three variants to establish best practices for the utilization of imaging, radiotherapy, and chemotherapy after primary surgery for early-stage endometrial cancer. PMID:27633412

  10. Allocating shortage amongst riparian and appropriative water right holders in California's drought

    Science.gov (United States)

    Lord, B.; Lund, J. R.

    2014-12-01

    Within California's water rights system, water users have different priorities to available water during drought. Higher priority users are less likely to face shortage due to the demands of other users, but may be limited by reduced availability of water. An integrated set of water right allocation models was developed to determine optimal allocation of shortage for riparian and appropriative water right holders, which also allows for including required flows for the environment and public health and safety, and operational reliability for senior water right-holders. Riparian water right holders have equal priority, with water shortage allocated as an equal proportion of normal diversions for all riparian users within each sub-basin. These proportions are determined by water availability, with downstream users likely to receive higher proportions due to downstream accumulations of streamflow. Appropriative users as a class have a lower priority than riparian users. Shortages allocated among appropriative water right holders are made strictly by water right seniority.

  11. Use, appropriateness, and diagnostic yield of screening colonoscopy: an international observational study (EPAGE)

    DEFF Research Database (Denmark)

    Burnand, B; JK, Harris; Wietlisbach, V;

    2006-01-01

    BACKGROUND: Screening for colorectal cancer (CRC) has been shown to decrease mortality. OBJECTIVE: To examine determinants associated with having (1) a screening colonoscopy, (2) an appropriate indication for screening, and (3) a significant diagnosis at screening. DESIGN: Prospective observational...... study. SETTING: Twenty-one endoscopy centers from 11 countries. PATIENTS: Asymptomatic patients who underwent a colonoscopy for the purpose of detecting CRC and who did not have a history of polyps or CRC, a lesion observed at a recent barium enema or sigmoidoscopy, or a recent positive fecal occult...... blood test. INTERVENTION: Screening colonoscopy. MAIN OUTCOME MEASUREMENTS: Appropriateness according to the European Panel on the Appropriateness of Gastrointestinal Endoscopy (EPAGE) criteria and significant diagnoses (cancer, adenomatous polyps, new diagnoses of inflammatory bowel disease...

  12. 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......-rate cut-off (arm B) and delayed VT therapy ICD programming (arm C) compared with conventional (arm A) ICD programming were associated with a significant risk reduction of first inappropriate and appropriate ICD therapy in patients with ischemic and nonischemic cardiomyopathy (HR range 0.11-0.34, P

  13. 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

  14. 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

  15. 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

  16. 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

  17. 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

  18. 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.

  19. Exploring Elementary Teachers' Perceptions about the Developmental Appropriateness and Importance of Nature of Science Aspects

    Science.gov (United States)

    Sahin, Elif Adibelli; Deniz, Hasan

    2016-01-01

    This study explored how four elementary teachers assessed the developmental appropriateness and importance of nine nature of science (NOS) aspects after participating in a yearlong professional development program. A multiple-embedded case study design was employed. The primary data sources included (a) Views of Nature of Science Elementary School…

  20. Mathematics achievement in the Netherlands and appropriateness of the TIMSS mathematics test

    NARCIS (Netherlands)

    Kuiper, Wilmad; Bos, Klaas; Plomp, Tjeerd

    1999-01-01

    Dutch students performed relatively well on the TIMSS mathematics test for population 2, although influential mathematics educators heavily criticised the appropriateness and fairness of the test in terms of the new, application- and inquiry-oriented mathematics curriculum which was implemented begi

  1. 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)

  2. 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,…

  3. 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…

  4. An algebraic approach to detect logical inconsistencies in medical appropriateness criteria.

    Science.gov (United States)

    García-Remesal, Miguel; Maojo, Victor; Laita, Luis; Roanes-Lozano, Eugenio; Crespo, José

    2007-01-01

    In this paper, we present a computerized approach to detect inconsistencies in medical knowledge bases. The method has been applied to a set of medical appropriateness criteria developed for the review of coronary artery disease management. One of the main problems associated to medical appropriateness criteria is to detect logical inconsistencies in the criteria set, a process often manually carried out by health services specialists. In our approach, appropriateness criteria are automatically translated to rules containing propositional variables, using three-valued Łukasiewicz's logic augmented with modal operators to manage uncertainty. The method assigns a polynomial to each of the rules, integrity constraints, and facts from the rule-based set. This rule set is then checked for inconsistencies. The problem of determining if a formula is a tautological consequence of a set of formulae is reduced by our method into an ideal membership problem in computer algebra. Finally, the set of medical appropriateness criteria is represented in a flowchart format that can be disseminated and remotely accessed over Internet, and can be prospectively used for patient care and management. The method reported in this paper can be applied to other knowledge bases represented by means of IF-THEN rules. PMID:18003165

  5. Perceptions and Beliefs about Textual Appropriation and Source Use in Second Language Writing

    Science.gov (United States)

    Polio, Charlene; Shi, Ling

    2012-01-01

    Perceptions and judgments on plagiarism or acceptable use of source texts are contingent on one's interpretations and experiences in reading and writing academic texts in a specific disciplinary context. The lack of consensus on what is acceptable textual appropriation in student writing has led to the scholarship on perceptions of textual…

  6. 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…

  7. 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...

  8. The 'appropriate technology' explanation of productivity growth differentials : An empirical approach

    NARCIS (Netherlands)

    Los, B.; Timmer, M.P.

    2005-01-01

    This paper aims at giving empirical content to the Basu and Weil (1998) [Basu, S., Weil, D.N., 1998. Appropriate technology and growth. Quarterly Journal of Economics 113, 1025-1054] theory of growth, in which localized innovation, assimilation of spillovers and differences in speeds of capital inte

  9. 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…

  10. 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.

  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. Developmentally Appropriate Practice in Early Childhood Programs Serving Children from Birth through Age 8. Third Edition

    Science.gov (United States)

    Copple, Carol, Ed.; Bredekamp, Sue, Ed.

    2009-01-01

    Since the first edition in 1987, National Association for the Education of Young Children's book "Developmentally Appropriate Practice in Early Childhood Programs" has been an essential resource for the early child care field. Now fully revised and expanded, the 2009 version comes with a supplementary CD containing readings on key topics, plus…

  13. Ella Evolving: Cinderella Stories and the Construction of Gender-Appropriate Behavior

    Science.gov (United States)

    Parsons, Linda T.

    2004-01-01

    This article considers the cultural messages embedded in the patriarchal canon of fairy tales and their implications for the construction of gender-appropriate behavior. The characteristics of feminist re-visions of fairy tales are discussed, and studies that explore the importance of access to alternative discourses in order for children to…

  14. 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…

  15. 78 FR 49690 - Amendment to Standards and Practices for All Appropriate Inquiries

    Science.gov (United States)

    2013-08-15

    ... Address Environmental Justice in Minority Populations and Low-Income Populations (59 FR 7629, February 16... Real Estate 531 Insurance 52412 Banking/Real Estate Credit........ 52292 Environmental Consulting... practices for all appropriate inquiries on November 1, 2005 (70 FR 66070). In the final regulation,...

  16. 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...

  17. 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…

  18. 7 CFR 1940.579 - Multiple Family Housing appropriations not allocated by State.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 13 2010-01-01 2009-01-01 true Multiple Family Housing appropriations not allocated... (Continued) RURAL HOUSING SERVICE, RURAL BUSINESS-COOPERATIVE SERVICE, RURAL UTILITIES SERVICE, AND FARM... and Formulas for Allocation of Loan and Grant Program Funds § 1940.579 Multiple Family...

  19. 7 CFR 1940.568 - Single Family Housing programs appropriations not allocated by State.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 13 2010-01-01 2009-01-01 true Single Family Housing programs appropriations not... (Continued) RURAL HOUSING SERVICE, RURAL BUSINESS-COOPERATIVE SERVICE, RURAL UTILITIES SERVICE, AND FARM... and Formulas for Allocation of Loan and Grant Program Funds § 1940.568 Single Family Housing...

  20. Teaching Appropriate Play to Replace Stereotypy Using a Treatment Package with Students Having Autism

    Science.gov (United States)

    Greenberg, Jeremy H.; Lau, Wendy; Lau, Sandy

    2016-01-01

    Students with special education needs such as autism tend to have difficulty with appropriate play skills and leisure time skills. A lack of play may lead to inappropriate behaviors such as stereotypy or passivity. When students have a limited community of reinforcers it may be difficult for educators to find motivators that can be used to teach…

  1. 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

    -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...... techniques, and 3) representation of hydrologic and biogeochemical phenomena in model development and practical application for natural resource management....

  2. 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…

  3. Catching Fish and Avoiding Sharks: Investigating Factors That Influence Developmentally Appropriate Measurement of Preschoolers' Inhibitory Control

    Science.gov (United States)

    Howard, Steven J.; Okely, Anthony D.

    2015-01-01

    Although researchers agree that the first 5 years of life are critical for children's developing executive functions (EFs), further advances are hindered by a lack of consensus on the design and selection of developmentally appropriate EF tasks for young children. Given this debate, well-established adult measures of EF routinely have been adapted…

  4. 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...

  5. Appropriate care for shelter-based abused women: concept mapping with Dutch clients and professionals

    NARCIS (Netherlands)

    Jonker, I.E.; Jansen, C.C.M.; Christians, M.G.M.; Wolf, J.R.L.M.

    2014-01-01

    We conducted a concept mapping exercise to gain insight into the perspectives held by abused women and professionals with regard to appropriate care in Dutch women's shelters. Three brainstorming sessions generated 92 statements that were then rated by 56 clients and 51 professionals. A total of 11

  6. 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…

  7. Development of an appropriate resource information system to support agricultural management at farm enterprise level (ARIS).

    NARCIS (Netherlands)

    Sharifi, M.A.

    1992-01-01

    This thesis describes development of and experimentation with a prototype of an appropriate resource information system that improves decision making processes in farm management The system includes a geographic information system with a powerful process model that forms a decision support system fo

  8. 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…

  9. An appropriate tool for appetite testing and evaluation in young children in Benin

    NARCIS (Netherlands)

    Dossa, R.A.; Ategbo, E.A.; Raaij, van J.M.; Graaf, de C.; Hautvast, J.G.A.J.

    2002-01-01

    Appetite measurements were performed in 109 Beninese children aged 18–30 months to develop a tool for appetite evaluation in young children in nutritional intervention programmes. Two test foods were identified as appropriate for these children: a maize porridge (aklui) and rice (riz-au-gras). Ad li

  10. 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…

  11. Appropriation from a Script Theory of Guidance Perspective: A Response to Pierre Tchounikine

    Science.gov (United States)

    Stegmann, Karsten; Kollar, Ingo; Weinberger, Armin; Fischer, Frank

    2016-01-01

    In a recent paper, Pierre Tchounikine has suggested to advance the Script Theory of Guidance (SToG) by addressing the question how learners appropriate collaboration scripts presented to them in learning environments. Tchounikine's main criticism addresses SToG's "internal script configuration principle." This principle states that in…

  12. 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…

  13. Effects of Punishment and Response-Independent Attention on Severe Problem Behavior and Appropriate Toy Play

    Science.gov (United States)

    Doughty, Shannon S.; Poe, Susannah G.; Anderson, Cynthia M.

    2005-01-01

    Problem behavior can interfere with learning, the development of appropriate skills, and socialization in persons with developmental disabilities. In severe cases, problem behavior could result in life-threatening injury. For one 21-month-old participant diagnosed with autism engaging in severe problem behavior for whom reinforcement-based…

  14. The Effects of Verbal Operant Training and Response Interruption and Redirection on Appropriate and Inappropriate Vocalizations

    Science.gov (United States)

    Colon, Candice L.; Ahearn, William H.; Clark, Kathleen M.; Masalsky, Jessica

    2012-01-01

    Past research has shown that response interruption and redirection (RIRD) can effectively decrease automatically reinforced motor behavior (Hagopian & Adelinis, 2001). Ahearn, Clark, MacDonald, and Chung (2007) found that a procedural adaptation of RIRD reduced vocal stereotypy and increased appropriate vocalizations for some children, although…

  15. Improving appropriateness of antibiotic prescribing for lower respiratory tract infections. The physician's decision

    NARCIS (Netherlands)

    Engel, M.F.

    2013-01-01

    Stud­ies suggest that increasing appropriate use of antimicrobials leads to a reduced pressure on the development of antimicrobial resistance. In this thesis we evaluated several different strategies with the aim to improve the quality of antibiotic prescribing for community-acquired pneumonia (CAP)

  16. Appropriation and Commodification of Cultural Heritage: Ethical and Intellectual Property Issues to Consider- Fact Sheet

    OpenAIRE

    Marina La Salle; Commodifications of Cultural Heritage Working Group

    2014-01-01

    This fact sheet introduces the issues raised by the appropriation and commodification of cultural heritage, outlining risks and benefits and how also to avoid the pitfalls of misappropriation. While these issues are faced by all cultural groups, there is a long history of Indigenous cultural heritage being used by non-Indigenous people for commercial and other purposes.  

  17. 40 CFR Table 10 to Part 455 - List of Appropriate Pollution Control Technologies

    Science.gov (United States)

    2010-07-01

    .... Boron sodium oxide (B4Na2O7) (1330-43-4) 11112 Inorganic Pollution Prevention. Polybutene 11402 Polymer...-polymer 72701 Polymer Activated Carbon. Sodium chlorate 73301 Inorganic Pollution Prevention. Calcium... 40 Protection of Environment 29 2010-07-01 2010-07-01 false List of Appropriate Pollution...

  18. 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…

  19. 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.

  20. 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

  1. 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

  2. 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…

  3. 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

  4. 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.

  5. 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.

  6. 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...

  7. 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...

  8. 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

  9. 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

  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. 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

  12. 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)

  13. 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

  14. 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...... to social and economic factors, and the consequent subversive or illegal tactics used to gain access to such technology. Moreover, these tactics are embedded in and exemplars of the cyclic power relationships between high-and low-income populations that constitute the unique use of mobile technologies...... in these Brazilian slums. The article concludes by suggesting that future research on technology in low-income communities focus instead on the relationship of people to technology rather than a dichotomization of their access or lack thereof....

  15. 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

  16. 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.

  17. 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.

  18. Compatible fungi, suitable medium, and appropriate developmental stage essential for stable association of Dendrobium chrysanthum.

    Science.gov (United States)

    Hajong, Subarna; Kumaria, Suman; Tandon, Pramod

    2013-12-01

    Establishment of symbiotic association at the appropriate developmental stage helped maintain continued growth which is vital for the long-term ex vitro survival of the orchid. In the present study, symbiotic association was carried out using different developmental stages of Dendrobium chrysanthum and pathogenic Rhizoctonia isolates (obtained from orchids and non-orchid hosts) in different culture media. Isolate 2162 supported highest symbiotic germination on OMA-S (oat meal agar medium without nutrients + sucrose), whereas, stable symbiotic association with plantlets was obtained with isolate 4634 on OMA-NC (oat meal agar medium + cellulose). Isolate Dc-2S2 obtained from the host plant did not promote seed germination nor did it form association with protocorms or plantlets. This study, for the first time identifies a combination of compatible fungal isolate, suitable culture medium, and appropriate developmental stage at which symbiotic association in vitro can be deemed successful for the medicinally important orchid, D. chrysanthum.

  19. "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.

  20. 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.

  1. 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.

  2. 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 ...

  3. 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 ...

  4. 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...

  5. 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...

  6. 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...

  7. 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 ...

  8. 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...

  9. 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...

  10. Performance Appraisal Trade Associations (Goods and Passengers) and Offer Appropriate Solution for Improving their Capabilities

    OpenAIRE

    Iraj Soltani; Zahra Aslani

    2013-01-01

    Trade associations of transportation always had been an appropriate option for accepting transportation activities but, there no specified criteria and procedure that these associations do their tenure duties bused on it or if there are, they are not toward compiled goals in the vision of 20 years horizon. These associations have been established through the support of road and transportation organization, but so far they have not been able to promote the level of their member's capability. O...

  11. 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 ...

  12. 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.

  13. 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...

  14. 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

  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. 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.

  17. 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.

  18. 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 ...

  19. 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...

  20. Pediatric Biopharmaceutical Classification System: Using Age-Appropriate Initial Gastric Volume.

    Science.gov (United States)

    Shawahna, Ramzi

    2016-05-01

    Development of optimized pediatric formulations for oral administration can be challenging, time consuming, and financially intensive process. Since its inception, the biopharmaceutical classification system (BCS) has facilitated the development of oral drug formulations destined for adults. At least theoretically, the BCS principles are applied also to pediatrics. A comprehensive age-appropriate BCS has not been fully developed. The objective of this work was to provisionally classify oral drugs listed on the latest World Health Organization's Essential Medicines List for Children into an age-appropriate BCS. A total of 38 orally administered drugs were included in this classification. Dose numbers were calculated using age-appropriate initial gastric volume for neonates, 6-month-old infants, and children aging 1 year through adulthood. Using age-appropriate initial gastric volume and British National Formulary age-specific dosing recommendations in the calculation of dose numbers, the solubility classes shifted from low to high in pediatric subpopulations of 12 years and older for amoxicillin, 5 years, 12 years and older for cephalexin, 9 years and older for chloramphenicol, 3-4 years, 9-11 and 15 years and older for diazepam, 18 years and older (adult) for doxycycline and erythromycin, 8 years and older for phenobarbital, 10 years and older for prednisolone, and 15 years and older for trimethoprim. Pediatric biopharmaceutics are not fully understood where several knowledge gaps have been recently emphasized. The current biowaiver criteria are not suitable for safe application in all pediatric populations. PMID:26935428

  1. 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...

  2. 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...

  3. 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...

  4. 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.

  5. 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 ...

  6. 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 ...

  7. 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 ...

  8. 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...

  9. 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.

  10. 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.

  11. Accommodating the Mess: The Politics of Appropriation in It for Others (2013

    Directory of Open Access Journals (Sweden)

    Blair Paula

    2016-09-01

    Full Text Available In response to Chris Marker and Alain Resnais’s collaborative meditation on art and colonialism in Statues Also Die (1953, Duncan Campbell’s video installation It for Others (2013 takes a complex approach to presenting a Marxist criticism of the commoditization of art and culture. This article considers the intermedial and intertextual properties of It for Others as an example of convergence culture that transcends postmodern quotation and pastiche. While the film is apparently a bricolage of visual artefacts, it is in fact an intricately woven audiovisual essay concerned with the appropriation of not only colonized objects as its narration makes clear, but also of still images, moving images, written texts, sound samples, and the labour that produced them. The article examines how the film troubles notions of documentary realism and truth through its acts of appropriation that reflexively criticize the commercial appropriation and commoditization of artworks and histories. It also reflects on the film’s Marxist approach to related issues around authorship, ownership and access to artworks, particularly in the light of the film’s acknowledgement in prize culture.

  12. Appropriateness of carotid plaque and intima-media thickness assessment in routine clinical practice

    Directory of Open Access Journals (Sweden)

    Alessi Alexandre

    2008-10-01

    Full Text Available Abstract Objectives To describe the findings and evaluate appropriateness of a carotid artery study including the measurement of IMT, the presence of atherosclerotic plaque, and their correlation with cardiovascular risk factors. Methods 555 patients (220 men; 67.06 ± 12.44 years were included in the study. 120 patients (21.62% presented carotid plaque: 108 (19.45% in patients with at least one risk factor and 12 (2.1% in patients without risk factors. With respect to appropriateness of the present studies: 65% were appropriate, 22% were uncertain and 13% were inappropriate. The IMT medians were higher in males (0.0280; 95% CI, 00.82 to 0.478; p = 0.0057 and in hypertensive patients (0.391; 95% CI, 0.0190 to 0.0592; p = 0,001. There was a linear increase in mean IMT for each year increased in age (0.0059; 95% CI; 0.0050 to 0.0067. Carotid plaque was more frequent in patients with CAD (p = 0.0002, diabetes (p = 0.024 and hypertension (p = 0.036. Conclusion Assessment of carotid arteries identified increased incidence of plaque in patients with CAD, diabetes and hypertension. IMT was increased in older patients, hypertensive patients and males. Forty-five percent of the patients were studied based on uncertain and inappropriate reasons.

  13. 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.

  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. Patient Selection for Diagnostic Coronary Angiography and Hospital-Level PCI Appropriateness: Insights from the NCDR®

    Science.gov (United States)

    Bradley, Steven M.; Spertus, John A.; Kennedy, Kevin F.; Nallamothu, Brahmajee K.; Chan, Paul S.; Patel, Manesh R.; Bryson, Chris L.; Malenka, David J.; Rumsfeld, John S.

    2014-01-01

    Importance Diagnostic coronary angiography in asymptomatic patients may lead to inappropriate percutaneous coronary intervention (PCI) due to a diagnostic to therapeutic cascade. Understanding the relationship between patient selection for coronary angiography and PCI appropriateness may inform strategies to minimize inappropriate procedures. Objective To determine if hospitals that frequently perform coronary angiography in asymptomatic patients, a clinical scenario wherein the benefit of angiography is less clear, are more likely to perform inappropriate PCI. Design, Setting and Participants Multicenter observational study of 544 hospitals participating in the CathPCI Registry® between July 2009 and September 2013. Measures Hospital proportion of asymptomatic patients at diagnostic coronary angiography and a hospital's rate of inappropriate PCI, as defined by 2012 Appropriate Use Criteria for coronary revascularization. Results Of 1,225,562 patients who underwent elective coronary angiography, 308,083 (25.1%) were asymptomatic. The hospital proportion of angiograms in asymptomatic patients ranged from 1.0% to 73.6% (median 24.7%, interquartile range 15.9% to 35.9%). By hospital quartiles of asymptomatic patients at angiography, hospitals with higher rates of asymptomatic patients at angiography had higher median rates of inappropriate PCI (14.8% vs. 20.2% vs. 24.0 vs. 29.4% from lowest to highest quartile, P<.001 for trend). This was attributable to more frequent use of PCI in asymptomatic patients at hospitals with higher rates of angiography in asymptomatic patients (inappropriate and asymptomatic PCI; 5.4% vs. 9.9% vs. 14.7% vs. 21.6% from lowest to highest quartile, P<.001 for trend). Hospitals with higher rates of asymptomatic patients at angiography also had lower rates of appropriate PCI (38.6% vs. 33.0% vs. 32.3% vs. 32.9%% from lowest to highest quartile, P<.001 for trend). Conclusions and Relevance In a national sample of hospitals, performing coronary

  16. 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.

  17. 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

  18. 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

  19. 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.

  20. 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.

  1. A Systematic Review and Meta-Analysis of the Clinical Appropriateness of Blood Transfusion in China.

    Science.gov (United States)

    Zhu, Changtai; Gao, Yulu; Li, Zhiqiang; Li, Qinyun; Gao, Zongshuai; Liao, Yanqiu; Deng, Zhifeng

    2015-12-01

    The issue of the clinical appropriateness of blood transfusion has become a focus of transfusion medicine worldwide. In China, irrational uses of blood have often been reported in recent years. However, to date there lacks a systematic review of the rational uses of blood. This study aimed to determine the clinical appropriateness of blood transfusion in China. We searched PubMed, Web of Science, the Cochrane Library, China National Knowledge Infrastructure (CNKI), China Science and Technology Journal Database, WanFang Database, and Chinese BioMedical Literature Database, and the retrieval cut-off date was June 31, 2015. SPSS 17.0 and MetaAnalyst 3.13 were employed as the statistics tools in this review. A pooled rate of clinical inappropriateness of transfusion was analyzed by DerSimonian-Laird method. In this study, a total of 39 observational studies were included, which related to 75,132 cases of blood transfusion. According to the meta-analysis results, the overall incidence of clinical inappropriateness of transfusion in China was estimated to be 37.3% (95% confidence interval [CI] [32.1, 42.8]). The subgroup analyses revealed that the pooled rates of clinical inappropriateness of transfusion of plasma, red blood cells (RBCs), cryoprecipitate, and platelets were 56.3% (95% CI [45.8, 66.2]), 30.9% (95% CI [27.1, 35.0]), 25.2% (95% CI [13.2, 42.7]), and 14.1% (95% CI [8.8, 21.9]), respectively. However, the pooled incidence of inappropriateness of transfusion in operative departments was 47.5% (95% CI [36.8, 58.3]), which was significantly higher than that in nonoperative departments, 25.8% (95% CI [18.7, 34.4], P  0.05). In conclusion, China has suffered from a disadvantage in the clinical appropriateness of blood transfusion, especially in plasma and RBC use. In future, comprehensive measures should be implemented in order to improve the clinical appropriateness of blood transfusion.

  2. 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.

  3. 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

  4. Inferring the drivers of discarding practices from observer data to identify appropriate fishery‐specific solutions

    DEFF Research Database (Denmark)

    Catchpole, Tom; Rochet, Marie‐Joëlle; Madsen, Niels;

    2012-01-01

    restrictions. These are: (i) fish below the legal minimum landing size (MLS); (ii) fish with no associated legal MLS that are below the minimum length landed (includes protected species and non‐commercial species; (iii) fish with no associated quota that are above the MLS or minimum length landed; (iv) fish...... and areas established as well as any changes over time. The results are used to assess the most appropriate discard mitigation reduction strategies in each case, such as selectivity improvements, markets developments, and aligning fishing opportunities with quota availability....

  5. 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.

  6. 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...

  7. 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.

  8. The Cost of Social Relations Oversight in the Adaptive Appropriation of Japanese Management Practices

    DEFF Research Database (Denmark)

    Tackney, Charles T.

    2006-01-01

    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...... 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 strikes evidence...

  9. 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

  10. 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 ...

  11. 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......, when building the broiler house, to prepare a viable future change in production from broilers to pigs. This will increase the bargaining power to farmers and may result in higher producer prices. Based on the general model of the hold-up problem with co-specific investments (Koss & Eaton, 1997...

  12. Hospital PCI Appropriateness and In-Hospital Procedural Outcomes: Insights from the NCDR®

    Science.gov (United States)

    Bradley, Steven M.; Chan, Paul S.; Spertus, John A.; Kennedy, Kevin F.; Douglas, Pamela S.; Patel, Manesh R.; Anderson, H. Vernon; Ting, Henry H.; Rumsfeld, John S.; Nallamothu, Brahmajee K.

    2012-01-01

    Background Measurement of hospital quality has traditionally focused on processes of care and post-procedure outcomes. Appropriateness measures for percutaneous coronary intervention (PCI) assess quality as it relates to patient selection in the context of anticipated benefits relative to potential harm. The association, if any, between patient selection for PCI and processes of care and post-procedural outcomes is unknown. Defining whether these measures are redundant or complementary can inform the optimal range of metrics for monitoring quality. Methods We included patients undergoing non-acute (elective) PCI within the NCDR CathPCI Registry® between July 2009 and April 2011. We examined the association between a hospital’s proportion of non-acute PCIs categorized as inappropriate by the 2009 Appropriate Use Criteria (AUC) for Coronary Revascularization and in-hospital mortality, bleeding complications, and use of optimal guideline-directed medical therapy at discharge (i.e. aspirin, thienopyridines, and statins). Results A total of 203,531 non-acute PCIs from 779 hospitals were classified by the AUC. Of these, 101,779 (50.0%) were classified as appropriate, 77,220 (35.5%) as uncertain, and 24,532 (12.1%) as inappropriate. When categorized as hospital tertiles, the range of inappropriate PCI was 0.0 to 8.1% in the lowest-tertile, 8.1 to 15.2% in the middle-tertile, and 15.2 to 58.6% in the highest-tertile. Compared with lowest-tertile hospitals, mortality was not significantly different at middle-tertile (adjusted odds ratio [OR] 0.93; 95% confidence interval [CI] 0.73 to 1.19) or highest-tertile hospitals (OR 1.12; 95% CI 0.88 to 1.43; p=0.35 for differences between any tertile). Similarly, risk-adjusted bleeding did not vary significantly (middle-tertile OR 1.13; 95% CI 1.02 to 1.16; highest-tertile OR 1.02; 95% CI 0.91 to 1.16; p=0.07 for differences between any tertile) nor did use of optimal therapy at discharge after PCI (85.3% vs. 85.7% vs. 85.2%; P=0

  13. 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.

  14. 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.

  15. 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-...

  16. Appropriate empirical antibiotic use and 30-d mortality in cirrhotic patients with bacteremia

    Science.gov (United States)

    Park, Hyun; Jang, Ki Jun; Jang, Won; Park, Sang Hoon; Park, Ji Young; Jeon, Tae Joo; Oh, Tae Hoon; Shin, Won Chang; Choi, Won-Choong; Sinn, Dong Hyun

    2015-01-01

    AIM: To analyze whether prompt and appropriate empirical antibiotic (AEA) use is associated with mortality in cirrhotic patients with bacteremia. METHODS: A total of 102 episodes of bacteremia in 72 patients with cirrhosis were analyzed. AEA was defined as a using or starting an antibiotic appropriate to the isolated pathogen at the time of bacteremia. The primary endpoint was 30-d mortality. RESULTS: The mortality rate at 30 d was 30.4% (31/102 episodes). Use of AEA was associated with better survival at 30 d (76.5% vs 46.9%, P = 0.05), and inappropriate empirical antibiotic (IEA) use was an independent factor associated with increased mortality (OR = 3.24; 95%CI: 1.50-7.00; P = 0.003, adjusted for age, sex, Child-Pugh Class, gastrointestinal bleeding, presence of septic shock). IEA use was more frequent when the isolated pathogen was a multiresistant pathogen, and when infection was healthcare-related or hospital-acquired. CONCLUSION: AEA use was associated with increased survival of cirrhotic patients who developed bacteremia. Strategies for AEA use, tailored according to the local epidemiological patterns, are needed to improve survival of cirrhotic patients with bacteremia. PMID:25834324

  17. 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.

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

    Directory of Open Access Journals (Sweden)

    Joy Nkeiruka Onyeka

    2013-08-01

    Full Text Available 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 study spanned five years (ie 2000-2004. Nine experts in measurement and Evaluation with Mathematics bias were used to appraise the items randomly selected by the researcher to ascertain the proportion of items that belong to the different cognitive levels. Percentages were used to answer the two research questions and t-test statistics was used to test the two hypotheses of the study. The findings disclosed that both WAEC and NECO items were more of Lower Level Cognitive Skills (LLCS than Higher Level Cognitive Skills (HLCS, thus, students and counsellors were all working with flawed information leading to the rejection of the hypotheses. Recommendations were made including the need for the Counsellor to apply a variety of techniques in order to assist their clients, whether in school or at work.

  19. [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

  20. Mainstream time-capnography: an aid to select an appropriate uncuffed endotracheal tube in small children.

    Science.gov (United States)

    Neema, Praveen Kumar; Jayant, Aveek; Sethuraman, Manikandan; Rathod, Ramesh C

    2008-12-01

    Uncuffed endotracheal tubes are commonly used in children in an attempt to decrease the potential for pressure induced tracheal injury. However, uncuffed endotracheal tube may increase the risk of aspiration and lead to erratic delivery of preset tidal volume during mechanical ventilation. Therefore, it is desirable to intubate trachea with an appropriate but not an oversized endotracheal tube. In children, for selecting an endotracheal tube, a variety of formulas and techniques are used to find the endotracheal tube size that minimizes both pressure induced tracheal injury and aspiration potential or variable ventilation. Air-leak following tracheal intubation can be recognized by the presence of audible leak, by auscultation over the trachea, by palpation over the trachea and by observing effects of positive end-expiratory pressure on inspiratory expiratory tidal volume difference during mechanical ventilation. We describe mainstream time-capnograph as an aid to recognize leak around the endotracheal tube and its utility to determine appropriate endotracheal tube size in small children. PMID:19083104

  1. 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

  2. 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.

  3. 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?

  4. 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

  5. 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

  6. Social Media in Urology: opportunities, applications, appropriate use and new horizons

    Science.gov (United States)

    Socarrás, Moises Rodríguez; Blanco, Leonardo Tortolero

    2016-01-01

    Introduction Social Media (SoMe) includes a broad spectrum of public use platforms like Twitter, YouTube or Facebook that have changed the way humans interact and communicate. Considering the high usage rates for various SoMe platforms among urologists, we aimed to perform a review regarding opportunities, applications, appropriate use and new horizons of SoMe in urology. Material and methods Literature review. Results We are currently experiencing an explosion in the use of SoMe in healthcare and urology due to the clear offer of advantages in communication, information sharing, enhanced experience of meetings and conferences, as well as, for networking. However, SoMe is an open environment and recommendations should be implemented on the appropriate use in order to respect ethical considerations and not break the harmony of the doctor-patient relationship. SoMe activity has become an important part of our participation in scientific meetings. Conclusions SoMe represents a vibrant area of opportunities for the communication of knowledge in health care and so their potential applications today are unquestionable; however, its development in the urological community is still in its infancy. At present the benefits include communication between associations, urologists, residents, other health care professionals and patients. Further efforts are focusing on standardizing the language used through SoMe and finding out how we can objectively quantify the impact of the information published in SoMe. PMID:27729998

  7. 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.

  8. 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.

  9. 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 

  10. 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

  11. 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.

  12. 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.

  13. 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

  14. 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

  15. Exact and conceptual repetition dissociate conceptual memory tests: problems for transfer appropriate processing theory.

    Science.gov (United States)

    McDermott, K B; Roediger, H L

    1996-03-01

    Three experiments examined whether a conceptual implicit memory test (specifically, category instance generation) would exhibit repetition effects similar to those found in free recall. The transfer appropriate processing account of dissociations among memory tests led us to predict that the tests would show parallel effects; this prediction was based upon the theory's assumption that conceptual tests will behave similarly as a function of various independent variables. In Experiment 1, conceptual repetition (i.e., following a target word [e.g., puzzles] with an associate [e.g., jigsaw]) did not enhance priming on the instance generation test relative to the condition of simply presenting the target word once, although this manipulation did affect free recall. In Experiment 2, conceptual repetition was achieved by following a picture with its corresponding word (or vice versa). In this case, there was an effect of conceptual repetition on free recall but no reliable effect on category instance generation or category cued recall. In addition, we obtained a picture superiority effect in free recall but not in category instance generation. In the third experiment, when the same study sequence was used as in Experiment 1, but with instructions that encouraged relational processing, priming on the category instance generation task was enhanced by conceptual repetition. Results demonstrate that conceptual memory tests can be dissociated and present problems for Roediger's (1990) transfer appropriate processing account of dissociations between explicit and implicit tests. PMID:8653098

  16. 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.

  17. 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.

  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. H.R. 2605: Energy and Water Development Appropriations Act, 2000

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-07-01

    Appropriations are made for the following purposes: (1) Corps of Engineers for general investigations, construction, flood control, operation and maintenance, regulatory program, general expenses, revolving fund, and administrative provision; (2) Dept. of the Interior for the central Utah project, Bureau of Reclamation, water and related resources, Central Valley project restoration fund, California Bay-Delta restoration, and administrative provisions; (3) Dept. of Energy for energy supply, non-defense environmental management, uranium enrichment decontamination and decommissioning fund, science, nuclear waste disposal, and departmental administration; (4) Atomic Energy Defense activities for weapon activities, defense environmental restoration and waste management, defense environmental management privatization, and defense nuclear waste disposal; (5) Power marketing administrations for Bonneville Power Administration fund, operation and maintenance of the Southeastern Power Administration, the Southwestern Power Administration, the Western Area Power Administration, Falcon and Amistad operating and maintenance fund, and salaries and expenses for FERC; (6) Independent agencies including Appalachian Regional Commission, Denali Commission, Defense Nuclear Facilities Safety Board, Nuclear Regulatory Commission, Office of Inspector General, Nuclear Waste Technical Review Board, and the Tennessee Valley Authority fund. Certain appropriations are also rescinded.

  20. 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

  1. 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

  2. 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

  3. Appropriateness of diagnosis of streptococcal pharyngitis among Thai community pharmacists according to the Centor criteria.

    Science.gov (United States)

    Saengcharoen, Woranuch; Jaisawang, Pornchanok; Udomcharoensab, Palita; Buathong, Kittika; Lerkiatbundit, Sanguan

    2016-10-01

    Background Inappropriate use of antibiotic treatment for pharyngitis by community pharmacists is prevalent in developing countries. Little is known about how the pharmacists identify patients with bacterial pharyngitis. Objective To ascertain the appropriateness of diagnosis of streptococcal pharyngitis among Thai community pharmacists according to the Centor criteria and to identify factors related to antibiotic dispensing. Setting 1040 Thai community pharmacists. Method A cross-sectional survey of community pharmacists was conducted in November 2012 to March 2013. The self-administered questionnaires were mailed to 57 % of community pharmacists in the south of Thailand (n = 1040). The survey included questions on diagnosis of streptococcal pharyngitis, knowledge on pharyngitis, and attitudes and control beliefs regarding antibiotic dispensing. Main outcome measure The appropriateness of diagnosis of streptococcal pharyngitis according to the original and modified Centor criteria and determinants of antibiotic dispensing including demographic characteristics of pharmacists, knowledge on pharyngitis, and attitudes and control beliefs on antibiotic dispensing. Results Approximately 68 % completed the questionnaires (n = 703). Compared to the pharmacists who reported not dispensing antibiotics in the hypothetical case with common cold, those reported dispensing antibiotics were more likely to consider the following conditions-presence of cough, mild sore throat and patients with age >60 years as cues for diagnosis of streptococcal pharyngitis (p 5 years) [odds ratio (OR) 1.52; 95 % confidence interval (CI) 1.03-2.23], belief that antibiotics could shorten duration of pharyngitis (OR 1.48; 95 % CI 1.11-1.99), belief that antibiotics could prevent the complications (OR 1.44; 95 % CI 1.09-1.91) and belief that dispensing antibiotics could satisfy the patients (OR 1.31; 95 % CI 1.01-1.71). Nonetheless, antibiotic dispensing was negatively associated with

  4. 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

  5. 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

  6. Age appropriate screening for cancer: Evidence-based practice in the United States of America

    Directory of Open Access Journals (Sweden)

    T S Pandey

    2014-01-01

    Full Text Available Cancer screening is a well established and integral part of routine care in the Western world including United States. Men and women are recommended to get age-specific screening for common cancers like breast, cervical, prostate, and colon. The goal of screening is primary and secondary prevention. Cancer prevention and early detection of cancers has been shown to improve survival rates and decrease mortality by prompt appropriate treatment. This article serves to outline the current guidelines in the United States for cancer screening and the evidence for them as well as discusses the possibility of a similar model of care in India as well as barriers to such a screening program for cancer. The evidence was mostly obtained from systematic reviews done by the United States Preventive Services Task Force guidelines and other peer institutions like American Cancer Society and Agency for Healthcare Research and Quality.

  7. Exploring Appropriate Evaluation Tasks for a Mixed Ability EFL Writing Class in Taiwan

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    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.

  8. The importance of task appropriateness in computer-supported collaborative learning

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    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.

  9. 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

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

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    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.

  11. Appropriate Biomarkers For Oxidative Stress In Patients With End Stage Renal Disease

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    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.

  12. Trust, Respect, and Reciprocity: Informing Culturally Appropriate Data-Sharing Practice in Vietnam.

    Science.gov (United States)

    Merson, Laura; Phong, Tran Viet; Nhan, Le Nguyen Thanh; Dung, Nguyen Thanh; Ngan, Ta Thi Dieu; Kinh, Nguyen Van; Parker, Michael; Bull, Susan

    2015-07-01

    International science funders and publishers are driving a growing trend in data sharing. There is mounting pressure on researchers in low- and middle-income settings to conform to new sharing policies, despite minimal empirically grounded accounts of the ethical challenges of implementing the policies in these settings. This study used in-depth interviews and focus group discussions with 48 stakeholders in Vietnam to explore the experiences, attitudes, and expectations that inform ethical and effective approaches to sharing clinical research data. Distinct views on the role of trust, respect, and reciprocity were among those that emerged to inform culturally appropriate best practices. We conclude by discussing the challenges that authors of data-sharing policies should consider in this unique context.

  13. Teaching Appropriate Play to Replace Stereotypy Using a Treatment Package with Students Having Autism

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    Jeremy H. Greenberg

    2016-09-01

    Full Text Available Students with special education needs such as autism tend to have difficulty with appropriate play skills and leisure time skills. A lack of play may lead to inappropriate behaviors such as stereotypy or passivity. When students have a limited community of reinforcers it may be difficult for educators to find motivators that can be used to teach language, social, academics, and other skills. The present study tested a treatment package in a small group format on the on task painting behavior and stereotypy of four boys between 5 and 12 years old having autism. Using a delayed multiple baseline across students experimental design, a functional relationship was demonstrated between an observed increase in on task painting behavior and decrease in stereotypy of all four students as a function of their participation. Limitations of the present study were also discussed.

  14. 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.

  15. [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.

  16. Immunization Milestones: A More Comprehensive Picture of Age-Appropriate Vaccination

    Directory of Open Access Journals (Sweden)

    Steve G. Robison

    2010-01-01

    Full Text Available A challenge facing immunization registries is developing measures of childhood immunization coverage that contain more information for setting policy than present vaccine series up-to-date (UTD rates. This study combined milestone analysis with provider encounter data to determine when children either do not receive indicated immunizations during medical encounters or fail to visit providers. Milestone analysis measures immunization status at key times between birth and age 2, when recommended immunizations first become late. The immunization status of a large population of children in the Oregon ALERT immunization registry and in the Oregon Health Plan was tracked across milestone ages. Findings indicate that the majority of children went back and forth with regard to having complete age-appropriate immunizations over time. We also found that immunization UTD rates when used alone are biased towards relating non-UTD status to a lack of visits to providers, instead of to provider visits on which recommended immunizations are not given.

  17. Hyponatremia hypo-osmolarity in neurosurgical patients. "Appropriate secretion of ADH" and "cerebral salt wasting syndrome".

    Science.gov (United States)

    Vingerhoets, F; de Tribolet, N

    1988-01-01

    This prospective study is based on 256 patients with severe brain injury. Six patients (2.3%) developed the clinical picture of inappropriate secretion of antidiuretic hormone (SIADH): 3 in the first 3 days following the injury, 3 after more than a week. Their ADH plasmatic level were measured by radio-immunoassay. In the former, many factors, largely iatrogenic, can explain the increased secretion of ADH we found and which is then definitely "appropriate". It should be prevented by fluid restriction. In the latter, we found adequately low ADH levels, when the hypo-osmolarity is taken into account. Here, the aetiology seems to be a renal salt loss, eventually in relation to a natriuric factor (e.g. atrial natriuretic factor), justifying the term: "Cerebral salt wasting syndrome". With the resistance to fluid restriction, the treatment still remains a problem.

  18. 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

  19. The importance of having an appropriate relational data segmentation in ATLAS

    CERN Document Server

    Dimitrov, G

    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...

  20. Ethics Camp: The Appropriate Management Model for Northeastern Region Youth, Ecclesiastical Region 9

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    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

  1. The Applying ISM/FANP Approach for Appropriate Location Selection of Health Centers

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    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.

  2. Increasing the Understanding and Demonstration of Appropriate Affection in Children with Asperger Syndrome: A Pilot Trial

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    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.

  3. Prophetic witness: An appropriate mode of public discourse in the democratic South Africa?

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    Etienne de Villiers

    2010-02-01

    Full Text Available The question asked in the heading was answered in this article in four steps. In the first step, an attempt was made to find an accurate account of biblical prophecy by means of a critical discussion of certain influential interpretations of it. In the second step, the extent to which biblical prophecy could serve as a model for contemporary Christians was discussed and an acceptable Christian model of prophetic witness was formulated by drawing on the views of different authors. In the third step, the impact of democracy on the prophetic witness of the church was discussed. The Dutch theologian, Gerrit de Kruijf’s view that the public prophetic witness of the church is not appropriate in democratic societies was criticised and the legitimacy of certain forms of prophetic witness in such societies defended. In the final step, a number of examples of the prophetic witness that is needed in the present democratic South Africa were provided.

  4. Conservation of Our Planetary Home. The “Sabbath” as an appropriate paradigm for total sustainability

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    Joshtrom Isaac Kureethadam

    2015-12-01

    Full Text Available In the context of the contemporary ecological crisis, we stand in need of a more comprehensive understanding of sustainability, weaving together the cosmic, the human, and the divine dimensions of the real. The path towards the conservation of our planetary home through total sustainability requires, first of all that we regain a profound sense of harmony with the rest of creation. Secondly, it calls for a real sense of solidarity with our fellow-humans, especially the poor and weak among us. Finally, true sustainability can ultimately be founded on peace with the Creator, the very ground of our being, who holds all things together and sustains them in His infinite love. Such a holistic perspective of sustainability is essential if we are to succeed in conserving our planetary home for ourselves and for future generations. The author concludes by presenting the biblical institution of ‘Sabbath’ as an appropriate paradigm for a holistic understanding of sustainability.

  5. Estimation of the Appropriate Output of Diesel Generator for Microgrid System in Chuja Island

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    Lee Seungmin

    2016-01-01

    Full Text Available This paper proposes a method to estimate the appropriate minimum output of diesel generator in the microgrid system that composed of renewable energy, diesel generator and energy storage systems. While maximizing the output of the renewable energy in the microgrid, to maintain the power system stability is very important. To analyze the effectiveness of the proposed method, simulation is carried out by using the PSCAD/EMTDC program with past weather and power load data in Chuja Island located in the south area of Korean peninsula, respectively. In the simulation result, power quality of Chuja Island power system under variable renewable energy generation is stable. The proposed method is useful for operating the isolated microgrid system.

  6. Lung cancer management in limited resource settings: guidelines for appropriate good care.

    Science.gov (United States)

    Macbeth, Fergus R; Abratt, Raymond P; Cho, Kwan H; Stephens, Richard J; Jeremic, Branislav

    2007-02-01

    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.

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

    DEFF Research Database (Denmark)

    Ampudia-Blasco, F Javier; Benhamou, Pierre Yves; Charpentier, Guillaume;

    2014-01-01

    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...... and a systematic analysis of expert opinion has been developed to help healthcare professionals to individualize glucose-lowering therapy in daily clinical situations....

  8. 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.).

  9. 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

  10. 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.

  11. Agility, Adaptability + Appropriateness: Conceiving, Crafting & Constructing an Architecture of the 21st Century

    Directory of Open Access Journals (Sweden)

    Brian R. Sinclair,

    2012-12-01

    Full Text Available Architectural design in our current times has tended to generate buildings which, despite their aesthetic qualities, frequently prove static, rigid and intractable. The intense and significant production of architecture around the planet has created a situation whereby modification of the existing building stock is costly, difficult and at times implausible. Beginning in the mid-twentieth century architects began to more seriously question narrow design approaches and in response explored more open, mutable and responsive ways of building. Architects such as Kisho Kurokawa and Cedric Price, in an effort to envision more resilient & robust solutions, explored methods of design and construction which afforded greater user control, modification and customization of environments. As opposed to buildings in which users needed to adapt to environmental constraints, these progressive designers imagined spaces that adjusted to user needs. A significant challenge to these visionaries was a lag between thinking and technology – quite simply construction proved unable to fully address concept. Today the world has changed in dramatic ways, with advancements in technology, expectations of society, and a quest for greater sustainability all driving a push for more agile, adaptable and appropriate Architecture. The present paper critically contemplates the condition of contemporary building design, examines emerging trends, and postulates an innovative model & philosophy for realizing a more responsive, responsible and fitting Architecture for the 21st Century. While considering historical initiatives, theories and practices, the paper also examines contemporary applications and future possibilities, arguing that many forces hold promise to align in ways before unimaginable. Advancing from the established foundation of Open Building (OB research and practice, and building upon a holistic and inter-connected strategy (Sinclair 2009 for environmental design

  12. Estimation of appropriate background concentrations for assessing mercury contamination in fish

    International Nuclear Information System (INIS)

    One goal of environmental restoration at contaminated industrial or hazardous waste sites is the prevention of any further release of contaminants. As a consequence of successful remediation, it is hoped that elevated contaminant concentrations in biota will return to levels characteristic of environments uncontaminated by point sources. To evaluate the efficacy of such an environmental cleanup, it is necessary to know what background contaminant concentrations would typify uncontaminated conditions in the systems of interest. An accurate estimate of an appropriate background mercury concentration in fish is needed to determine the extent to which industrial mercury discharges produce elevated mercury concentration in fish in receiving waters, and to determine the concentration in fish that would represent restoration to uncontaminated status. Losses of large quantities of mercury in the 1950s at the U.S. Department of Energy (DOE) facilities in Oak Ridge, Tennessee resulted in continued chronic contamination of several small streams and the downstream river/reservoir system. mercury concentrations in axial muscle of fish exceed 1 μg/g wet wt. near the source, and decline to much lower concentrations 20 km downstream in Watts Bar Reservoir. Although remedial efforts are underway, the facility remains a continuing source of mercury contamination to the downstream waters. This study measures mercury concentration in bluegill and redbreast sunfish from streams and reservoirs near Oak Ridge, TN that are presumed to be relatively unimpacted by anthropogenic point sources of mercury to determine appropriate background levels in fish to apply in evaluating local contaminated streams and reservoirs. 16 refs., 1 fig., 1 tab

  13. Study on risk indicator for appropriate plant maintenance considering aging effect

    International Nuclear Information System (INIS)

    Since, nuclear power plants run for a long term and plant component may deteriorate due to aging, plant safety must be maintained through maintenance activities of components. The maintenance will become more important as the number of aged plant increases. In the planning of maintenance, one must select appropriate components and interval. In general, Fussell-Vesely importance (FV) and Risk Achievement Worth (RAW) are used as a risk indicator for the maintenance. A priority order of each component can be evaluated using those risk indicators at a certain condition. However, the influence of aging (time history) on the order cannot be estimated directly. In the paper, a change of conditional core damage probability (ΔCCDP) and a change of conditional containment failure probability (ΔCCFP) are proposed as additional indicators in which the aging effect is evaluated directly so as to determine the priority order. A simplified level one probabilistic risk assessment (PRA) has been carried out in order to investigate the change of the risk indicators by considering the change of a component failure probability due to aging. In the analyses, three conditions are assumed; base (original) state, aging state and further aging state without maintenance activities. It is demonstrated that the proposed indicator (ΔCCDP and ΔCCFP) reveals the aging effect of each component, while the change of the FV and RAW represent unrealistic behavior through the states. As a result, it is found that the ΔCCDP and ΔCCFP are superior to the others in terms of the ability to evaluate components appropriately in deteriorated (aging) states and take account of differences of deterioration behavior. It is also found that the priority order of the multiple-components maintenance at the same time can also be evaluated using the ΔCCDP and ΔCCFP. Additionally, a risk informed decision making based on the risk acceptance criteria can be discussed for the maintenance procedure using the

  14. Performance Appraisal Trade Associations (Goods and Passengers and Offer Appropriate Solution for Improving their Capabilities

    Directory of Open Access Journals (Sweden)

    Iraj Soltani

    2013-05-01

    Full Text Available Trade associations of transportation always had been an appropriate option for accepting transportation activities but, there no specified criteria and procedure that these associations do their tenure duties bused on it or if there are, they are not toward compiled goals in the vision of 20 years horizon. These associations have been established through the support of road and transportation organization, but so far they have not been able to promote the level of their member's capability. One of the reasons in regression of transportation system in Iran has been poor and unbalanced evaluation has particular importance. This research aims to evaluate performance of trade association (goods and passengers and offer appropriate solutions for improving their capabilities (using balanced score card approach in 2012, in which four trade associations entitled trade association of Esfahan truckers with 170 members over diploma, trade association of companies and establishments of Esfahan's' passenger transportation with 48 members and trade association of Esfahan bus drivers with 290 members were selected through cluster method as statistical population and among them 427 individuals were selected as sample based on Morgan table. A questionnaire was used to gather date and its validity was determined by scientific texts and its reliability was 0.979 using cronbach coefficient, data were analyzed through Spss , minitab, kolmogrov , smirnov normality test , t-test Anova – test , Tukey- test , pearson correlation coefficient, Friedman test and linear regression. Results show that performance extent in trade association of Esfahan goods transportation was 48.52% , in trade association of Esfahan passenger transportation was 02.7% in trade association of Esfahan truckers was 67.18% in trade association of Esfahan bus drivers was 57.76% and totally in trade associations of Esfahan transportation was 59.06%.

  15. Application of appropriate use criteria for percutaneous coronary intervention in Japan

    Science.gov (United States)

    Inohara, Taku; Kohsaka, Shun; Ueda, Ikuko; Yagi, Takashi; Numasawa, Yohei; Suzuki, Masahiro; Maekawa, Yuichiro; Fukuda, Keiichi

    2016-01-01

    The aim of this review was to summarize the concept of appropriate use criteria (AUC) regarding percutaneous coronary intervention (PCI) and document AUC use and impact on clinical practice in Japan, in comparison with its application in the United States. AUC were originally developed to subjectively evaluate the indications and performance of various diagnostic and therapeutic modalities, including revascularization techniques. Over the years, application of AUC has significantly impacted patient selection for PCI in the United States, particularly in non-acute settings. After the broad implementation of AUC in 2009, the rate of inappropriate PCI decreased by half by 2014. The effect was further accentuated by incorporation of financial incentives (e.g., restriction of reimbursement for inappropriate procedures). On the other hand, when the United States-derived AUC were applied to Japanese patients undergoing elective PCI from 2008 to 2013, about one-third were classified as inappropriate, largely due to the perception gap between American and Japanese experts. For example, PCI for low-risk non-left atrial ascending artery lesion was more likely to be classified as appropriate by Japanese standards, and anatomical imaging with coronary computed tomography angiography was used relatively frequently in Japan, but no scenario within the current AUC includes this modality. To extrapolate the current AUC to Japan or any other region outside of the United States, these local discrepancies must be taken into consideration, and scenarios should be revised to reflect contemporary practice. Understanding the concept of AUC as well as its perception gap between different counties will result in the broader implementation of AUC, and lead to the quality improvement of patients’ care in the field of coronary intervention. PMID:27621773

  16. Current approaches for assessing insulin sensitivity and resistance in vivo: advantages, limitations, and appropriate usage.

    Science.gov (United States)

    Muniyappa, Ranganath; Lee, Sihoon; Chen, Hui; Quon, Michael J

    2008-01-01

    Insulin resistance contributes to the pathophysiology of diabetes and is a hallmark of obesity, metabolic syndrome, and many cardiovascular diseases. Therefore, quantifying insulin sensitivity/resistance in humans and animal models is of great importance for epidemiological studies, clinical and basic science investigations, and eventual use in clinical practice. Direct and indirect methods of varying complexity are currently employed for these purposes. Some methods rely on steady-state analysis of glucose and insulin, whereas others rely on dynamic testing. Each of these methods has distinct advantages and limitations. Thus, optimal choice and employment of a specific method depends on the nature of the studies being performed. Established direct methods for measuring insulin sensitivity in vivo are relatively complex. The hyperinsulinemic euglycemic glucose clamp and the insulin suppression test directly assess insulin-mediated glucose utilization under steady-state conditions that are both labor and time intensive. A slightly less complex indirect method relies on minimal model analysis of a frequently sampled intravenous glucose tolerance test. Finally, simple surrogate indexes for insulin sensitivity/resistance are available (e.g., QUICKI, HOMA, 1/insulin, Matusda index) that are derived from blood insulin and glucose concentrations under fasting conditions (steady state) or after an oral glucose load (dynamic). In particular, the quantitative insulin sensitivity check index (QUICKI) has been validated extensively against the reference standard glucose clamp method. QUICKI is a simple, robust, accurate, reproducible method that appropriately predicts changes in insulin sensitivity after therapeutic interventions as well as the onset of diabetes. In this Frontiers article, we highlight merits, limitations, and appropriate use of current in vivo measures of insulin sensitivity/resistance. PMID:17957034

  17. Ecological limitations and appropriation of ecosystem support by shrimp farming in Colombia

    Science.gov (United States)

    Larsson, Jonas; Folke, Carl; Kautsky, Nils

    1994-09-01

    Shrimp farming in mangrove areas has grown dramatically in Asia and Latin America over the past decade. As a result, demand for resources required for farming, such as feed, seed, and clean water, has increased substantially. This study focuses on semiintensive shrimp culture as practiced on the Caribbean coast of Colombia. We estimated the spatial ecosystem support that is required to produce the food inputs, nursery areas, and clean water to the shrimp farms, as well as to process wastes. We also made an estimate of the natural and human-made resources necessary to run a typical semiintensive shrimp farm. The results show that a semiintensive shrimp farm needs a spatial ecosystem support—the ecological footprint—that is 35-190 times larger than the surface area of the farm. A typical such shrimp farm appropriates about 295 J of ecological work for each joule of edible shrimp protein produced. The corresponding figure for industrial energy is 40:1. More than 80% of the ecological primary production required to feed the shrimps is derived from external ecosystems. In 1990 an area of 874-2300 km2 of mangrove was required to supply shrimp postlarvae to the farms in Colombia, corresponding to a total area equivalent to about 20-50% of the country’s total mangrove area. The results were compared with similar estimates for other food production systems, particularly aquacultural ones. The comparison indicates that shrimp farming ranks as one of the most resource-intensive food production systems, characterizing it as an ecologically unsustainable throughput system. Based on the results, we discuss local, national, and regional appropriation of ecological support by the semiintensive shrimp farms. Suggestions are made for how shrimp farming could be transformed into a food production system that is less environmentally degrading and less dependent on external support areas.

  18. Management of chronic obstructive pulmonary disease: criteria for an appropriate hospital discharge

    Directory of Open Access Journals (Sweden)

    Marco Candela

    2013-09-01

    Full Text Available Low adherence with prescribed treatments is very common in chronic diseases and represents a significant barrier to optimal management, with both clinical and economic consequences. In chronic obstructive pulmonary disease (COPD, poor adherence, also in terms of premature discontinuation of therapy or improper use of inhaler devices, leads to increased risk of clinical deterioration. By contrast, adherence to appropriate long-term maintenance therapy is associated with improved quality of life and significantly lower risks of hospitalization and re-hospitalization, resulting in important health benefits for the individual patient and a reduction in costs for the national health services. In considering strategies to improve adherence, three main aspects should be addressed: i patient education; ii pharmacological alternatives and correct use of inhalers; and iii adherence to COPD guidelines for appropriate therapy. In this field, healthcare providers play a critical role in helping patients understand the nature of their disease and its management, explaining the potential benefits and adverse effects of treatment, and teaching or checking the correct inhalation technique. These are important issues for patient management, particularly in the immediate aftermath of hospital discharge, because the high risk of re-admission is mainly due to inadequate treatment. Thus, discharge procedure should be considered a key element in the healthcare continuum from the hospital to primary care. This implies an integrated model of care delivery by all relevant health providers. In this context, we developed a structured COPD discharge form that we hope will improve the management of COPD patients, particularly in the aftermath of hospital discharge.

  19. Congruence of appropriation and provision in collective water provision in Central Namibia

    Directory of Open Access Journals (Sweden)

    Thomas Falk

    2016-02-01

    Full Text Available Achieving cooperation in natural resource management is always a challenge when incentives exist for an individual to maximise her short term benefits at the cost of a group. We study a public good social dilemma in water infrastructure provision on land reform farms in Namibia. In the context of the Namibian land reform, arbitrarily mixed groups of livestock farmers have to share the operation and maintenance of water infrastructure. Typically, water is mainly used for livestock production, and livestock numbers are subject to high fluctuations due to the given environmental conditions. Our paper assesses how alternative payment systems with differing congruence of provision and appropriation support the cooperation in the group given the ever-changing equilibria. In a first step, we conducted an exploratory overview of the social-ecological system of central Namibian land reform projects. The Social Ecological System (SES Framework served as a guideline for this assessment (Ostrom 2009. Taking the complexity of the cooperation situation into account, in the second step we designed a role-play that is based on a social-ecological simulation model. The role-play simulates the real-life decision situations of land reform beneficiaries wherein equilibria are permanently changing. This approach helped us to not only better understand the cooperation challenges of Namibian land reform beneficiaries, but also supported stakeholders in their decision making and institution building. Our study provides evidence to support that land reform beneficiaries increase their contributions as they own more livestock and as other group members increase their payments. Nevertheless, only groups with relatively homogeneous livestock endowments manage to agree on payment rules. Interestingly, the dominant rule is an “equal payment per farmer” and not a “payment per head of livestock”, though the latter would imply a higher congruence of provision and

  20. Application of appropriate use criteria for percutaneous coronary intervention in Japan

    Science.gov (United States)

    Inohara, Taku; Kohsaka, Shun; Ueda, Ikuko; Yagi, Takashi; Numasawa, Yohei; Suzuki, Masahiro; Maekawa, Yuichiro; Fukuda, Keiichi

    2016-01-01

    The aim of this review was to summarize the concept of appropriate use criteria (AUC) regarding percutaneous coronary intervention (PCI) and document AUC use and impact on clinical practice in Japan, in comparison with its application in the United States. AUC were originally developed to subjectively evaluate the indications and performance of various diagnostic and therapeutic modalities, including revascularization techniques. Over the years, application of AUC has significantly impacted patient selection for PCI in the United States, particularly in non-acute settings. After the broad implementation of AUC in 2009, the rate of inappropriate PCI decreased by half by 2014. The effect was further accentuated by incorporation of financial incentives (e.g., restriction of reimbursement for inappropriate procedures). On the other hand, when the United States-derived AUC were applied to Japanese patients undergoing elective PCI from 2008 to 2013, about one-third were classified as inappropriate, largely due to the perception gap between American and Japanese experts. For example, PCI for low-risk non-left atrial ascending artery lesion was more likely to be classified as appropriate by Japanese standards, and anatomical imaging with coronary computed tomography angiography was used relatively frequently in Japan, but no scenario within the current AUC includes this modality. To extrapolate the current AUC to Japan or any other region outside of the United States, these local discrepancies must be taken into consideration, and scenarios should be revised to reflect contemporary practice. Understanding the concept of AUC as well as its perception gap between different counties will result in the broader implementation of AUC, and lead to the quality improvement of patients’ care in the field of coronary intervention.

  1. 75 FR 55393 - Determination Under Section 1010(a) of the Supplemental Appropriations Act, 2010 (Pub. L. 111-212)

    Science.gov (United States)

    2010-09-10

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF STATE Determination Under Section 1010(a) of the Supplemental Appropriations Act, 2010 (Pub. L. 111-212) Pursuant to section 1010(a) of the Supplemental Appropriations Act, 2010 (Pub. L. 111-212) and the authority vested...

  2. 41 CFR 102-80.50 - Are Federal agencies responsible for identifying/estimating risks and for appropriate risk...

    Science.gov (United States)

    2010-07-01

    ... Environmental Management Risks and Risk Reduction Strategies § 102-80.50 Are Federal agencies responsible for... identify and estimate safety and environmental management risks and appropriate risk reduction strategies... environmental management risks and report or correct the situation, as appropriate. Federal......

  3. High-Level Football and Appropriations to Universities: Are Sports-Crazed Representatives Responsive to NCAA Divisional Affiliation?

    Science.gov (United States)

    Jones, Willis A.

    2015-01-01

    Does fielding a Football Bowl Subdivision (FBS) program help an institution of higher education obtain aid in the form of state appropriations? Two published studies have found some evidence of a positive correlation between having an FBS-level football program and the amount of appropriations received by public universities. This study looked to…

  4. Discussing Gender and Sexuality in a Context-Appropriate Way: Queer Narratives in an EFL College Classroom in Japan

    Science.gov (United States)

    O'Mochain, Robert

    2006-01-01

    This article recounts my search for a context-appropriate way of exploring gender and sexuality issues in an English as a Foreign Language (EFL) classroom. The first half of the article explains why and how I sought a pedagogic strategy that would be educationally effective, institutionally viable, and culturally appropriate-in my case, for EFL…

  5. Territory management an appropriate approach for taking into account dynamic risks

    Science.gov (United States)

    Fernandez, M.; Ruegg, J.

    2012-04-01

    The territorial approach in risk analysis is well established in scientific communications in recent years, especially in the francophone literature. It is an especially appropriate approach for exploring a large number of criteria and factors influencing, on the territory, the composition of the vulnerabilities and risks. In these sense, this approach is appropriate to identify not only risks due to natural hazards but also social and environmental risks. Our case study explores the catastrophic landslide, a collapse of 6 millions cubic meters of rock in Los Chorros, in the municipality of San Cristobal Verapaz-Guatemala, in January 2009. We demonstrate that the same natural hazard has different consequences within this territory and may also increase or even create new vulnerabilities and risks for the population. The analysis shows that the same event can endanger various aspects of the territory: resources, functions (agriculture, or houses uses for example) and allocations and highlights the different types of vulnerabilities that land users (i.e., farmers, merchants transport drivers) face. To resolve a post-disaster situation, the actors choose one vulnerability among a set of vulnerabilities (in a multi-vulnerability context) and with this choice they define their own acceptable risk limits. To give an example, the transport driver choose to reduce the economic vulnerability when going to the local market and crossing the landslide (physical vulnerability). In the context of a developing country with weak development and limited resources, land users that become the Risk managers after the disaster are compelled to prioritize between different actions for reducing risks This study provides a novel approach to risk management by adding a political science and geography dimension through the territory approach for improving our understanding of multi-hazard and multi-risk management. Based on findings from this case study, this work asserts that risk is not

  6. Appropriate complexity for the prediction of coastal and estuarine geomorphic behaviour at decadal to centennial scales

    Science.gov (United States)

    French, Jon; Payo, Andres; Murray, Brad; Orford, Julian; Eliot, Matt; Cowell, Peter

    2016-03-01

    Coastal and estuarine landforms provide a physical template that not only accommodates diverse ecosystem functions and human activities, but also mediates flood and erosion risks that are expected to increase with climate change. In this paper, we explore some of the issues associated with the conceptualisation and modelling of coastal morphological change at time and space scales relevant to managers and policy makers. Firstly, we revisit the question of how to define the most appropriate scales at which to seek quantitative predictions of landform change within an age defined by human interference with natural sediment systems and by the prospect of significant changes in climate and ocean forcing. Secondly, we consider the theoretical bases and conceptual frameworks for determining which processes are most important at a given scale of interest and the related problem of how to translate this understanding into models that are computationally feasible, retain a sound physical basis and demonstrate useful predictive skill. In particular, we explore the limitations of a primary scale approach and the extent to which these can be resolved with reference to the concept of the coastal tract and application of systems theory. Thirdly, we consider the importance of different styles of landform change and the need to resolve not only incremental evolution of morphology but also changes in the qualitative dynamics of a system and/or its gross morphological configuration. The extreme complexity and spatially distributed nature of landform systems means that quantitative prediction of future changes must necessarily be approached through mechanistic modelling of some form or another. Geomorphology has increasingly embraced so-called 'reduced complexity' models as a means of moving from an essentially reductionist focus on the mechanics of sediment transport towards a more synthesist view of landform evolution. However, there is little consensus on exactly what constitutes

  7. Effect of community mobilization on appropriate care seeking for pneumonia in Haripur, Pakistan

    Directory of Open Access Journals (Sweden)

    Salim Sadruddin

    2015-07-01

    Full Text Available Background: Appropriate and timely care seeking reduces mortality for childhood illnesses including pneumonia. Despite over 90 000 Lady Health Workers (LHWs deployed in Pakistan, whose tasks included management of pneumonia, only 16% of care takers sought care from them for respiratory infections. As part of a community case management trial for childhood pneumonia, community mobilization interventions were implemented to improve care seeking from LHWs in Haripur district, Pakistan. The objective of the study was to increase the number of children receiving treatment for pneumonia and severe pneumonia by Lady Health Workers (LHWs through community mobilization approaches for prompt recognition and care seeking in 2 to 59 month–old children. Methods: To assess pneumonia care seeking practices, pre and post– intervention household surveys were conducted in 28 target Union Councils. Formative research to improve existing LHW training materials, job aids and other materials was carried out. Advocacy events were organized, LHWs and male health promoters were trained in community mobilization, non–functional women and male health committees were revitalized and LHWs and male health promoters conducted community awareness sessions. Results: The community mobilization interventions were implemented from April 2008 – December 2009. Project and LHW program staff organized 113 sensitization meetings for opinion leaders, which were attended by 2262 males and 3288 females. The 511 trained LHWs organized 6132 community awareness sessions attended by 50 056 women and 511 male promoters conducted 523 sessions attended by 7845 males. In one year period, the number of LHWs treating pneumonia increased from 11 in April 2008 to 505 in March 2009. The care seeking from LHWs for suspected pneumonia increased from 0.7% in pre–intervention survey to 49.2% in post–intervention survey. Conclusion: The increase in care seeking from LHWs benefited the community

  8. Evidence-based estimate of appropriate radiotherapy utilization rate for prostate cancer

    International Nuclear Information System (INIS)

    Purpose: Current estimates of the proportion of cancer patients who will require radiotherapy (RT) are based almost entirely on expert opinion. The objective of this study was to use an evidence-based approach to estimate the proportion of incident cases of prostate cancer that should receive RT at any point in the evolution of the illness. Methods and Materials: A systematic review of the literature was undertaken to identify indications for RT for prostate cancer and to ascertain the level of evidence that supported each indication. An epidemiologic approach was then used to estimate the incidence of each indication for RT in a typical North American population of prostate cancer patients. The effect of sampling error on the estimated appropriate rate of RT was calculated mathematically, and the effect of systematic error using alternative sources of information was estimated by sensitivity analysis. Results: It was estimated that 61.2% ±5.6% of prostate cancer cases develop one or more indications for RT at some point in the course of the illness. The plausible range for this rate was 57.3%-69.8% on sensitivity analysis. Of all prostate cancer patients, 32.2%±3.8% should receive RT in their initial treatment and 29.0% ± 4.1% later for recurrence or progression. The proportion of cases that ever require RT is risk grouping dependent; 43.9%±2.2% in low-risk disease, 68.7%± .5% in intermediate-risk disease; and 79.0% ± 3.8% in high-risk locoregional disease. For metastatic disease, the predicted rate was 66.4%±0.3%. Conclusion: This method provides a rational starting point for the long-term planning of radiation services and for the audit of access to RT at the population level. By completing such evaluations in major cancer sites, it will be possible to estimate the appropriate RT rate for the cancer population as a whole

  9. An evidence-based estimate of appropriate radiotherapy utilization rate for breast cancer

    International Nuclear Information System (INIS)

    Purpose: Current estimates of the proportion of cancer patients who will require radiotherapy (RT) are based almost entirely on expert opinion. We sought to use an evidence-based approach to estimate the proportion of incident cases of breast cancer that will require RT at any point in the evolution of the illness. Methods and Materials: We undertook a systematic review of the literature to identify indications for RT for breast cancer and to ascertain the level of evidence that supported each indication. An epidemiologic approach was then used to estimate the incidence of each indication for RT in a typical North American population of breast cancer patients. The effect of sampling error on the estimated appropriate rate of RT was calculated mathematically, and the effect of systematic error was estimated by sensitivity analysis. Results: It was estimated that 66.4% ± 4.8% of breast cancer patients develop one or more indications for RT at some point in the course of the illness. The plausible range for this rate was 56.3%-72.4% on sensitivity analysis. Of all breast cancer patients, 57.3% ± 4.7% require RT in their initial treatment and 9.1% ± 1.0% do so later for recurrence or progression. The proportion of patients who ever require RT is stage dependent: 39.8% ± 1.1% in ductal carcinoma in situ; 68.6% ± 4.1% in Stage I invasive carcinoma; 81.5% ± 2.3% in Stage II; 95.3% ± 0.3% in Stage III; and 63.7% ± 0.3% in Stage IV. Conclusion: This method provides a rational starting point for the long-term planning of RT services and for the audit of access to RT at the population level. By completing such evaluations in the major cancer sites, it will be possible to estimate the appropriate RT treatment rate for the cancer population as a whole

  10. Investigation and Determination of Corn Combine Harvester Losses to Introduce Appropriate Methods to Reduce Losses

    Directory of Open Access Journals (Sweden)

    M.R Mostofi Sarkari

    Full Text Available Corn harvesting involves some losses. These losses result in decreased benefits. It is almost impossible to lower losses to zero percent but it can be controlled in an acceptable level. As a result of this research, appropriate methods are introduced to decrease losses and reduce waste. In this project, losses in different part of combine were measured and evaluated according to the available standard method (ASAE S396.2 & S343.3. Harvesting losses include preharvest and during harvest losses comprising ear loss and kernal loss in the header, cylinder and cleaning losses. This project was conducted on farmers’ lands in Gazvin province. Some assessments related to yield factors were evaluated in different parts of farm with specified area, e.g. Plant height, ear number, stem diameter, ear diameter, cob diameter, row/ear and seed/row. All losses evaluated in three treatments which they were: seed moisture content (w.b. in three levels of 19%, 23% and 27%, ground speed in three levels of 0.8, 1.2 and 1.6 ms-1 and cylinder speed of 400, 600 and 800 rpm. The split plot experimental design based on the randomised complete block design (RCBD was used to evaluate treatments. Measured losses compared with standard values to introduce the proper methods to decrease losses and proper adjustments. The results show that appropriate seed moisture content, cylinder and ground speed were 23%, 400 rpm and 1.2 ms-1, respectively. They had minimum total loss which WAS 1.55%, 2.65% and 2.34%, respectivily. The results also show that there was an ear loss in preharvest loss (because of bad weather condition that was 0.95-5.42%, also kernal loss on the header and cylinder loss which all related to improper adjustment of combine but total loss was in an acceptable level and standard. It was variable from 1.55% to 4.02%. Other parameters such as using inexperienced driver, improper combine adjustment, and also nonuniformity of field and ear moisture content in

  11. Global river flood hazard maps: hydraulic modelling methods and appropriate uses

    Science.gov (United States)

    Townend, Samuel; Smith, Helen; Molloy, James

    2014-05-01

    Flood hazard is not well understood or documented in many parts of the world. Consequently, the (re-)insurance sector now needs to better understand where the potential for considerable river flooding aligns with significant exposure. For example, international manufacturing companies are often attracted to countries with emerging economies, meaning that events such as the 2011 Thailand floods have resulted in many multinational businesses with assets in these regions incurring large, unexpected losses. This contribution addresses and critically evaluates the hydraulic methods employed to develop a consistent global scale set of river flood hazard maps, used to fill the knowledge gap outlined above. The basis of the modelling approach is an innovative, bespoke 1D/2D hydraulic model (RFlow) which has been used to model a global river network of over 5.3 million kilometres. Estimated flood peaks at each of these model nodes are determined using an empirically based rainfall-runoff approach linking design rainfall to design river flood magnitudes. The hydraulic model is used to determine extents and depths of floodplain inundation following river bank overflow. From this, deterministic flood hazard maps are calculated for several design return periods between 20-years and 1,500-years. Firstly, we will discuss the rationale behind the appropriate hydraulic modelling methods and inputs chosen to produce a consistent global scaled river flood hazard map. This will highlight how a model designed to work with global datasets can be more favourable for hydraulic modelling at the global scale and why using innovative techniques customised for broad scale use are preferable to modifying existing hydraulic models. Similarly, the advantages and disadvantages of both 1D and 2D modelling will be explored and balanced against the time, computer and human resources available, particularly when using a Digital Surface Model at 30m resolution. Finally, we will suggest some

  12. SME’s Appropriability Regime for Sustainable Development-the Role of Absorptive Capacity and Inventive Capacity

    Directory of Open Access Journals (Sweden)

    HanGyeol Seo

    2016-07-01

    Full Text Available SMEs need to protect their innovation outcomes and increase profits from their innovations in order to make their growth sustainable. The appropriability regime enables SMEs to secure financial returns on their R&D investment so that SMEs can continuously invest in innovation and obtain financial gains. However, the appropriability regime can change the effects of protecting innovation outcomes depending on the capacity of knowledge exploration, especially for SMEs, and previous studies have not discussed these issues. Thus, the main objective of this paper is to explore how the knowledge exploration capacity affects the relationship between different types of appropriability regimes and innovation performance. Multivariate regression is used to analyze the manufacturing SMEs sampled from the Korea Innovation Survey 2007 (KIS 2007. Our results demonstrate that both formal and informal appropriability regimes can improve firm’s innovation performance. Furthermore, although both inventive and absorptive capacity have positive moderating effects on the relationship between the informal appropriability regime and innovation performance, the inventive capacity moderates negatively the relationship between the formal appropriability regime and innovation performance. As a whole, the significance of this paper lies in providing further understanding of the different types of appropriability regimes and knowledge exploration capacity in SMEs.

  13. Appropriateness of laboratory tests: requests for atypical pneumonia serology in a teaching hospital.

    LENUS (Irish Health Repository)

    Jackson, L M

    2012-02-03

    The cost of providing medical care is ever-increasing but the resources available are at best static. Major savings can be made by reducing inappropriate investigations. Using serological testing for organisms causing atypical pneumonia as an example, we examined the appropriateness of requests and also physicians\\' understanding of the test. Of 119 patients tested, only 3 had titres indicative of acute infection. Most patients were tested within 2 days of hospital admission, before receipt of results excluding more likely diagnoses. Forty-five patients had no current or recent respiratory symptoms, in whom infection was highly unlikely. Titres were most often requested by the least experienced members of the clinical team. Of 70 patients with an acute illness in whom a definitive diagnosis, bacteriological or otherwise, was not made, in only 9 was a convalescent specimen sent for follow-up titres. Most requests for serology for organisms causing atypical pneumonia were inappropriate. Furthermore, in the majority of cases the test was incorrectly used.

  14. Appropriate posture of cancer patients treated with PICC to prevent internal jugular vein ectopic

    Institute of Scientific and Technical Information of China (English)

    Zhaoyan Liu

    2014-01-01

    Objective: We aimed to study the appropriate posture of peripheraly inserted central catheter (PICC) patients, to reduce the incidence of internal jugular vein heterotopia.Methods:From 2009 to 2013, a total of 290 cases with PICC were enroled in our study. They were divided into two groups. The patients in control group took regular position, which mean pros-tration, upper limb of tube side was abduction 90°, head moved to puncture side in order to block the internal jugular vein. On the basis of conventional body position putting, posture of patients in observation group was improved, the head remain neu-tral, and had 180° angle with trunk longitudinal axis, not favor any side. After ensuring the upper limb abduction, had 90° angle with the trunk, then catheter was inserted slowly. The jugular venous catheter heterotopia rate was judged by X-ray results. Results: The jugular venous catheter heterotopia rate of control group and observation was 12.8% and 0.68%, respectively. The diference between two groups was statisticaly significant (P < 0.01).Conclusion: The body posture improvement can prevent discomfort of patients and reduce the jugular venous catheter heterotopia rate of PICC.

  15. Technological solution for vulnerable communities: Questioning the sustainability of Appropriate Technology

    Science.gov (United States)

    Sianipar, C. P. M.; Dowaki, K.; Yudoko, G.

    2015-01-01

    Vulnerability eradication has become an emerging concern in today's society following the increasing uncertainties in achieving societal resilience, particularly in vulnerable communities. Furthermore, incorporating technological solution, especially appropriate technology (AT), into such concern requires interdisciplinary understandings to achieve a holistic eradication based on the particularities of each community. This study aims to briefly reveal existing scholarly discourses and investigate potential gap(s) between previous researches. Literatures, particularly consisting meta-analysis on previous scholarly discussions, are surveyed. The findings reveal three progress among scientific discourses. The first one is the paradigm shift of developmental purposes from typical development to empowerment. Next, concerns in technology development indicate the parallel movement toward empowerment. Then, previous methodological developments, including approach in sustaining AT, indicate the needs to assess the future based on sustainability. Therefore, a new research is proposed to develop an assessment framework on AT for vulnerability eradication on the basis of empowerment paradigm, extended focuses in technology development, and extended coverage of future changes in dynamic matter. The framework needs to be developed based on the combination of positivist-deductive-qualitative research paradigms. This is intended to generalize the framework for being used in different cases, to build an applicative framework as an integral part of existing body of knowledge, and to develop an enriched and flexible construction of framework. Looking at existing researches, this brief study proposes insights to move scientific progress toward a more holistic vulnerability eradication using AT solution both in conceptual and practical levels.

  16. Application and Development of Appropriate Tools and Technologies for Cost-Effective Carbon Sequestration

    Energy Technology Data Exchange (ETDEWEB)

    Bill Stanley; Patrick Gonzalez; Sandra Brown; Jenny Henman; Zoe Kant; Sarah Woodhouse Murdock; Neil Sampson; Gilberto Tiepolo; Tim Pearson; Sarah Walker; Miguel Calmon

    2006-01-01

    The Nature Conservancy is participating in a Cooperative Agreement with the Department of Energy (DOE) National Energy Technology Laboratory (NETL) to explore the compatibility of carbon sequestration in terrestrial ecosystems and the conservation of biodiversity. The title of the research project is ''Application and Development of Appropriate Tools and Technologies for Cost-Effective Carbon Sequestration''. The objectives of the project are to: (1) improve carbon offset estimates produced in both the planning and implementation phases of projects; (2) build valid and standardized approaches to estimate project carbon benefits at a reasonable cost; and (3) lay the groundwork for implementing cost-effective projects, providing new testing ground for biodiversity protection and restoration projects that store additional atmospheric carbon. This Technical Progress Report discusses preliminary results of the six specific tasks that The Nature Conservancy is undertaking to answer research needs while facilitating the development of real projects with measurable greenhouse gas reductions. The research described in this report occurred between April 1st , 2005 and June 30th, 2005. The specific tasks discussed include: Task 1: carbon inventory advancements; Task 2: emerging technologies for remote sensing of terrestrial carbon; Task 3: baseline method development; Task 4: third-party technical advisory panel meetings; Task 5: new project feasibility studies; and Task 6: development of new project software screening tool.

  17. Application and Development of Appropriate Tools and Technologies for Cost-Effective Carbon Sequestration

    Energy Technology Data Exchange (ETDEWEB)

    Bill Stanley; Patrick Gonzalez; Sandra Brown; Sarah Woodhouse Murdock; Jenny Henman; Zoe Kant; Gilberto Tiepolo; Tim Pearson; Neil Sampson; Miguel Calmon

    2005-10-01

    The Nature Conservancy is participating in a Cooperative Agreement with the Department of Energy (DOE) National Energy Technology Laboratory (NETL) to explore the compatibility of carbon sequestration in terrestrial ecosystems and the conservation of biodiversity. The title of the research project is ''Application and Development of Appropriate Tools and Technologies for Cost-Effective Carbon Sequestration''. The objectives of the project are to: (1) improve carbon offset estimates produced in both the planning and implementation phases of projects; (2) build valid and standardized approaches to estimate project carbon benefits at a reasonable cost; and (3) lay the groundwork for implementing cost-effective projects, providing new testing ground for biodiversity protection and restoration projects that store additional atmospheric carbon. This Technical Progress Report discusses preliminary results of the six specific tasks that The Nature Conservancy is undertaking to answer research needs while facilitating the development of real projects with measurable greenhouse gas reductions. The research described in this report occurred between April 1st , 2005 and June 30th, 2005. The specific tasks discussed include: Task 1: carbon inventory advancements; Task 2: emerging technologies for remote sensing of terrestrial carbon; Task 3: baseline method development; Task 4: third-party technical advisory panel meetings; Task 5: new project feasibility studies; and Task 6: development of new project software screening tool.

  18. ‘Machinic Trajectories’: Appropriated Devices as Post-Digital Drawing Machines

    Directory of Open Access Journals (Sweden)

    Andres Wanner

    2014-12-01

    Full Text Available This article presents a series of works called Machinic Trajectories, consisting of domestic devices appropriated as mechanical drawing machines. These are contextualized within the post-digital discourse, which integrates messy analog conditions into the digital realm. The role of eliciting and examining glitches for investigating a technology is pointed out. Glitches are defined as short-lived, unpremeditated aesthetic results of a failure; they are mostly known as digital phenomena, but I argue that the concept is equally applicable to the output of mechanical machines. Three drawing machines will be presented: The Opener, The Mixer and The Ventilator. In analyzing their drawings, emergent patterns consisting of unpremeditated visual artifacts will be identified and connected to irregularities of the specific technologies. Several other artists who work with mechanical and robotic drawing machines are introduced, to situate the presented works and reflections in a larger context of practice and to investigate how glitch concepts are applicable to such mechanical systems. 

  19. Appropriate antivenom doses for six types of envenomations caused by snakes in taiwan

    Directory of Open Access Journals (Sweden)

    C Chieh-Fan

    2009-01-01

    Full Text Available Six of the 15 species of venomous snakes found in Taiwan are responsible for most of the clinically significant envenomations in the country. These species are: Trimeresurus mucrosquamatus, Trimeresurus stejnegeri, Naja atra, Bungarus multicinctus, Deinagkistrodon acutus and Daboia russelii siamensis, which together can be subdivided into three groups based on their venom effects. Primary treatment consists of rapid administration of appropriate antivenoms. The present study aimed to identify a proper dose of antivenom for each snake group as well as to describe hemorrhagic, neurotoxic, and mixed effects of their venoms. A retrospective chart review identified 72 snakebite cases referred to an emergency department. Data on epidemiology, examination findings, snake identification, treatment, antivenom dose and complications were collected. After excluding 14 patients, data from 58 victims were analyzed. Most studied cases were male (86%. Significantly higher doses of antivenom were administered against neurotoxic envenomations (mean dose: three vials compared with the other two (p < 0.05. Moreover, patients affected by neurotoxic bites were more likely to develop blurred vision and other complications (p < 0.05. Multivariate logistic regression analysis indicated that neurotoxic envenomation was a risk factor for complications (OR: 8.84, 95% CI: 1.06-73.73. Neurotoxic envenomations and complication occurrence were positively correlated with antivenom dosage. In conclusion, patients affected by neurotoxic envenomations received higher doses of antivenom than others whereas incidence of complications was associated with higher antivenom doses.

  20. The importance of having an appropriate relational data segmentation in ATLAS

    Science.gov (United States)

    Dimitrov, G.

    2015-12-01

    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 analysis on the new Oracle 12c version features that could be beneficial will be shared with the audience.

  1. Towards determining appropriate hydrodynamic conditions for in vitro in vivo correlations using computational fluid dynamics.

    Science.gov (United States)

    D'Arcy, Deirdre M; Healy, Anne Marie; Corrigan, Owen I

    2009-06-28

    One of the earliest level A in vitro dissolution in vivo absorption correlations (IVIVCs) was established by Levy and co-workers in 1965 using a beaker dissolution apparatus Levy et al., 1965. In the current work, the computational fluid dynamics (CFD) package, Fluent((R)), was used to simulate the hydrodynamics within the Levy beaker apparatus and compare them to those within the paddle and basket apparatuses. In vitro velocity values relevant to in vivo dissolution, presented as apparent gastrointestinal fluid velocity (AGV) values, were calculated. The AGV values were estimated from IVIVCs of immediate release (IR) dosage forms in each apparatus and CFD simulations. The simulations from the Levy apparatus revealed complex hydrodynamics in the region of the stirrer blades, and radial inflow at the centre of the beaker base. The calculated AGV values ranged from 0.001 to 0.026ms(-1). In vitro fluid velocities should reflect in vivo dissolution rates affected by natural convection and gastrointestinal motility, in addition to local fluid velocity. The maximum CFD generated velocity at the base of the paddle apparatus at 20rpm was similar to the average maximum AGV value determined, suggesting use of agitation rates which are lower than those commonly used (e.g. 50rpm in the paddle apparatus) may be appropriate when attempting an IVIVC for IR dosage forms.

  2. Selection of appropriate polyoxymethylene based binder for feedstock material used in powder injection moulding

    Science.gov (United States)

    Gonzalez-Gutierrez, J.; Stringari, G. B.; Megen, Z. M.; Oblak, P.; von Bernstorff, B. S.; Emri, I.

    2015-04-01

    Polyoxymethylene (POM) has found applications as a binder material in Powder Injection Moulding (PIM) due to its ability to depolymerize rapidly under acidic conditions. Such ability represents an advantage during the binder removal step of PIM. However, currently available POM has high viscosity that can complicate the injection moulding process of parts with complex geometry. For this reason it is necessary to investigate methods of lowering the viscosity of POM-based binders, but without affecting their solid mechanical properties (i.e. creep compliance). In this investigation, the addition of a low molecular weight polymer, and the reduction of the average molecular weight of POM were investigated as possible ways of decreasing the viscosity of PIM binders. The addition of the low molecular weight additive (WAX) caused a small decrease in the viscosity of the POM-based binder and a small increase in its solid creep compliance. On the other hand, lowering the average molecular weight of POM caused a large decrease in viscosity, but also an acceptable increase in creep compliance. Therefore, by selecting an appropriate molecular weight of POM, it is possible to improve the performance of POM-based binders for PIM.

  3. Appropriate Head Position for Nasotracheal Intubation by Using Lightwand Device (Trachlight)

    Science.gov (United States)

    Manabe, Yozo; Iwamoto, Shigeru; Seto, Mika; Sugiyama, Kazuna

    2014-01-01

    The purpose of this study was to determine the relationship between the head position and the subsequent ease of nasotracheal intubation by using the lightwand device Trachlight (TL). Patients requiring nasotracheal intubation were subdivided into 3 groups according to the intubated head position (group S: sniffing position; group E: extension position; and group N: neutral position). The number of attempts, the total intubation time, and the failures of the TL intubation were recorded. Intubation difficulty by means of TL was assessed by the ordinal 6-point scale. Of the 300 patients enrolled in the study, TL intubation was successful in 91.3% of them. There was no significant difference in the success rate of the first attempt between the groups. No correlation between the ordinal scale and the head position was observed. The total intubation time and the ratio of “unsuccessful” cases were not significantly different among the 3 groups. TL is an effective alternative for patients who require nasotracheal intubation. Our study did not determine the most favorable head position for nasotracheal intubation with the TL, so we recommend that nasotracheal intubation with TL be started with the head in the neutral position and then changed to a more appropriate position, if necessary, on an individual basis. PMID:24932977

  4. An RF energy harvesting power management circuit for appropriate duty-cycled operation

    Science.gov (United States)

    Shirane, Atsushi; Ito, Hiroyuki; Ishihara, Noboru; Masu, Kazuya

    2015-04-01

    In this study, we present an RF energy harvesting power management unit (PMU) for battery-less wireless sensor devices (WSDs). The proposed PMU realizes a duty-cycled operation that is divided into the energy charging time and discharging time. The proposed PMU detects two types of timing, thus, the appropriate timing for the activation can be recognized. The activation of WSDs at the proper timing leads to energy efficient operation and stable wireless communication. The proposed PMU includes a hysteresis comparator (H-CMP) and an RF signal detector (RF-SD) to detect the timings. The proposed RF-SD can operate without the degradation of charge efficiency by reusing the RF energy harvester (RF-EH) and H-CMP. The PMU fabricated in a 180 nm Si CMOS demonstrated the charge operation using the RF signal at 915 MHz and the two types of timing detection with less than 124 nW in the charge phase. Furthermore, in the active phase, the PMU generates a 0.5 V regulated power supply from the charged energy.

  5. Application and Development of Appropriate Tools and Technologies for Cost-Effective Carbon Sequestration

    Energy Technology Data Exchange (ETDEWEB)

    Bill Stanley; Sandra Brown; Patrick Gonzalez; Brent Sohngen; Neil Sampson; Mark Anderson; Miguel Calmon; Sean Grimland; Ellen Hawes; Zoe Kant; Dan Morse; Sarah Woodhouse Murdock; Arlene Olivero; Tim Pearson; Sarah Walker; Jon Winsten; Chris Zganjar

    2006-09-30

    The Nature Conservancy is participating in a Cooperative Agreement with the Department of Energy (DOE) National Energy Technology Laboratory (NETL) to explore the compatibility of carbon sequestration in terrestrial ecosystems and the conservation of biodiversity. The title of the research project is ''Application and Development of Appropriate Tools and Technologies for Cost-Effective Carbon Sequestration''. The objectives of the project are to: (1) improve carbon offset estimates produced in both the planning and implementation phases of projects; (2) build valid and standardized approaches to estimate project carbon benefits at a reasonable cost; and (3) lay the groundwork for implementing cost-effective projects, providing new testing ground for biodiversity protection and restoration projects that store additional atmospheric carbon. This Technical Progress Report discusses preliminary results of the six specific tasks that The Nature Conservancy is undertaking to answer research needs while facilitating the development of real projects with measurable greenhouse gas reductions. The research described in this report occurred between April 1st and July 30th 2006. The specific tasks discussed include: Task 1: carbon inventory advancements; Task 2: emerging technologies for remote sensing of terrestrial carbon; Task 3: baseline method development; Task 4: third-party technical advisory panel meetings; Task 5: new project feasibility studies; and Task 6: development of new project software screening tool.

  6. Application and Development of Appropriate Tools and Technologies for Cost-Effective Carbon Sequestration

    Energy Technology Data Exchange (ETDEWEB)

    Bill Stanley; Sandra Brown; Patrick Gonzalez; Brent Sohngen; Neil Sampson; Mark Anderson; Miguel Calmon; Sean Grimland; Zoe Kant; Dan Morse; Sarah Woodhouse Murdock; Arlene Olivero; Tim Pearson; Sarah Walker; Jon Winsten; Chris Zganjar

    2007-03-31

    The Nature Conservancy is participating in a Cooperative Agreement with the Department of Energy (DOE) National Energy Technology Laboratory (NETL) to explore the compatibility of carbon sequestration in terrestrial ecosystems and the conservation of biodiversity. The title of the research project is ''Application and Development of Appropriate Tools and Technologies for Cost-Effective Carbon Sequestration''. The objectives of the project are to: (1) improve carbon offset estimates produced in both the planning and implementation phases of projects; (2) build valid and standardized approaches to estimate project carbon benefits at a reasonable cost; and (3) lay the groundwork for implementing cost-effective projects, providing new testing ground for biodiversity protection and restoration projects that store additional atmospheric carbon. This Technical Progress Report discusses preliminary results of the six specific tasks that The Nature Conservancy is undertaking to answer research needs while facilitating the development of real projects with measurable greenhouse gas reductions. The research described in this report occurred between January 1st and March 31st 2007. The specific tasks discussed include: Task 1--carbon inventory advancements; Task 2--emerging technologies for remote sensing of terrestrial carbon; Task 3--baseline method development; Task 4--third-party technical advisory panel meetings; Task 5--new project feasibility studies; and Task 6--development of new project software screening tool.

  7. Application and Development of Appropriate Tools and Technologies for Cost-Effective Carbon Sequestration

    Energy Technology Data Exchange (ETDEWEB)

    Bill Stanley; Sandra Brown; Patrick Gonzalez; Brent Sohngen; Neil Sampson; Mark Anderson; Miguel Calmon; Sean Grimland; Zoe Kant; Dan Morse; Sarah Woodhouse Murdock; Arlene Olivero; Tim Pearson; Sarah Walker; Jon Winsten; Chris Zganjar

    2006-12-31

    The Nature Conservancy is participating in a Cooperative Agreement with the Department of Energy (DOE) National Energy Technology Laboratory (NETL) to explore the compatibility of carbon sequestration in terrestrial ecosystems and the conservation of biodiversity. The title of the research project is ''Application and Development of Appropriate Tools and Technologies for Cost-Effective Carbon Sequestration''. The objectives of the project are to: (1) improve carbon offset estimates produced in both the planning and implementation phases of projects; (2) build valid and standardized approaches to estimate project carbon benefits at a reasonable cost; and (3) lay the groundwork for implementing cost-effective projects, providing new testing ground for biodiversity protection and restoration projects that store additional atmospheric carbon. This Technical Progress Report discusses preliminary results of the six specific tasks that The Nature Conservancy is undertaking to answer research needs while facilitating the development of real projects with measurable greenhouse gas reductions. The research described in this report occurred between October 1st and December 31st 2006. The specific tasks discussed include: Task 1: carbon inventory advancements; Task 2: emerging technologies for remote sensing of terrestrial carbon; Task 3: baseline method development; Task 4: third-party technical advisory panel meetings; Task 5: new project feasibility studies; and Task 6: development of new project software screening tool.

  8. NEOINSTITUTIONALISM AND THE APPROPRIATION OF BOURDIEU’S WORK: A CRITICAL ASSESSMENT

    Directory of Open Access Journals (Sweden)

    Luis Claudio Mangi

    2009-07-01

    Full Text Available Despite the still present hegemony of the structural-functionalist orthodoxy, the mid 1980’s witnesses the insurgence of new philosophical approaches. This body of work had become a vital intellectual and ideological resource for those who wanted to confront the functionalist dominance in organization studies, such as structuration theory, labour process theory and neoinstitutionalist theory. The purpose of this paper is to review the incorporation of Bourdieu’s work into neoinstitutionalism. I argue that this appropriation has resulted in a significant loss of theoretical strength. By giving place to the cognitivist metaphors of mental models, “scripts” and “schemas”, instead of adopting thenotion of habitus, neoinstitutionalism reinforces some of the ever-present dichotomies in social sciences, especially those of agency/structure and individual/society. While neoinstitutionalism was refining the cognitive approach in the 1990’s, Bourdieu was moving towards psychoanalysis. Some indications for future research are provided in the concluding notes.

  9. What is the appropriate coordinate system for magnetometer data when analyzing ionospheric currents?

    CERN Document Server

    Laundal, K M

    2016-01-01

    In this paper we investigate which coordinate representation is most appropriate when analyzing ground magnetometer data in terms of ionospheric currents, in particular the westward electrojet. The $\\textit{AL}$ and the recently introduced $\\textit{SML}$ index are frequently used as monitors of the westward electrojet. Both indices are based on ground magnetometers at auroral latitudes. From these magnetometers, the largest perturbation in the southward direction is selected as the $\\textit{ AL/SML }$ index at 1 min cadence. The southward component is defined as antiparallel to the orientation of the horizontal part of the Earths' main field, $\\textbf{B}_{0, \\textit{H}}$. The implicit assumption when using these indices as a monitor of the westward electrojet is that the electrojet flows perpendicular to $\\textbf{B}_{0, \\textit{H}}$. However, $\\textbf{B}_{0, \\textit{H}}$ is, in general, not perpendicular to the westward direction in coordinate systems that take nondipole terms of the Earth's magnetic field in...

  10. On a definition of the appropriate timing for surgical intervention in orthognathic surgery.

    Science.gov (United States)

    Hernández-Alfaro, F; Guijarro-Martínez, R

    2014-07-01

    Together with the introduction of new orthodontic techniques and minimally invasive surgery protocols, the emergence of modern patient prototypes has given way to novel timing schemes for the handling of dento-maxillofacial deformities. The aim of this study was to define, justify, and systematize the appropriate timing for orthognathic surgery. A retrospective analysis of orthognathic surgery procedures carried out over a 3-year period was performed. Six timing schemes were defined: 'surgery first', 'surgery early', 'surgery late', 'surgery last', 'surgery only', and 'surgery never'. Gender, age at surgery, main motivation for treatment, orthodontic treatment length, and number of orthodontic appointments were evaluated. A total of 362 orthognathic procedures were evaluated. The most common approach was 'surgery late'. While aesthetic improvement was the leading treatment motivation in 'surgery first', 'surgery early', and 'surgery last' cases, occlusal optimization was the chief aim of 'surgery late'. Sleep-disordered breathing was the main indication for treatment in 'surgery only'. Compared to 'surgery late', orthodontic treatment was substantially shorter in 'surgery early' and 'surgery first' cases, but the number of orthodontic appointments was similar. In conclusion, the skilful management of dento-maxillofacial deformities requires a comprehensive analysis of patient-, orthodontist-, and surgeon-specific variables. Each timing approach has well-defined indications, treatment planning considerations, and orthodontic and surgical peculiarities.

  11. Analysis and Selection of Appropriate Aggregation Function for Calculating of Leachate Pollution Index of Landfill Lysimeter

    Directory of Open Access Journals (Sweden)

    Islam M. Rafizul

    2012-01-01

    Full Text Available A technique to quantify the leachate pollution potential of solid waste landfills on a comparative scale using an index known as the leachate pollution index (LPI developed. The LPI is a quantitative tool by which the leachate pollution data of the landfill sites can be reported uniformly. It is an increasing scale index and has been formulated based on Delphi technique. The formulation process involved selecting variables, deriving weights for the selected pollutant variables, formulating their sub-indices curves and finally representing the pollutant variables to arrive at LPI. The aggregation function is one of the most important steps in calculating any environmental index. If aggregation function is ambiguous, the result will raise an unnecessary alarm, indicating a comparatively less polluted environmental situation as mere contaminated. Similarly, if the aggregation function is eclipsed a false sense of security may be created, indicating a highly polluted environmental situation as less polluted. In this paper, the concept of LPI is briefly described. In order to select the most appropriate aggregation function, various possible aggregation functions are described and used to calculate LPI values for pilot scale landfill lysimeter at KUET campus, Khulna, Bangladesh. Based on obtained results, it is concluded that the weighted linear sum aggregation function is the best possible aggregation function for calculating LPI. Sensitivity analysis of the six short-listed aggregation functions is performed to substantiate this conclusion.

  12. The Evolution of Coronary Revascularization Appropriateness Use Criteria: From Mandatory to Forgotten.

    Science.gov (United States)

    Sattur, Sudhakar; Brener, Sorin J

    2015-01-01

    The appropriateness use criteria (AUC) for coronary revascularization have been formulated through the joint efforts of several professional societies. The goals of AUC were to aid in physician decision making and to objectively define the need and context for revascularization. These criteria, developed using a standardized approach, were widely promoted and adopted in many practices. Rigorous use in daily practice and public reporting of adherence to these criteria has exposed some of their deficiencies. Revisions to the original version were made to accommodate public and physician sentiments. Not surprisingly, the recent percutaneous coronary intervention performance measures developed by the same professional societies that have proposed AUC, have suggested that AUC should be used for internal quality improvement only at this time. Therefore, the present role and future application of AUC to cardiology practice is uncertain. The goals of this review are to describe methodology and development of the coronary revascularization AUC, to focus on the strengths and limitations of AUC, and to identify challenges related to application of these criteria in daily practice. PMID:26827745

  13. Chronic obstructive pulmonary disease pathways as a tool to improve appropriateness in Internal Medicine Departments

    Directory of Open Access Journals (Sweden)

    Francesco Ventrella

    2014-09-01

    Full Text Available In recent decades, in the medical field, criteria and methods of decision-making have radically changed, going from an environment dominated by opinions and knowledge transmitted from experts to a context of evidence-based medicine, that finds its practical realization in the drafting of guidelines (GL. However, GL have a poor implementation in the real world for several factors. In the field of chronic obstructive pulmonary disease (COPD, there are already many GL, international, national, regional and by specific scientific societies. This multiplicity, while it responds to the legitimate needs to respect the diversity of interpretation of the available scientific data, on the other hand, however, can be an element of confusion for physicians. In this varied scenery we have tried to create some new tools, easy and quick to use, in order to improve the local application of existing GL on COPD, by planning a limited number of pathways in the management of acute exacerbation of COPD, which focus on the fundamental diagnostic and therapeutic aspects, as a tool to improve appropriateness in Internal Medicine Departments. These pathways, reported on individual sheets, which can be distributed to medical personnel of wards/units involved in the care of patients with COPD (First Aid, Internal Medicine, Geriatrics, Pulmonology, Intensive Respiratory Care Unit, Resuscitation, are useful to support the physician in the decision-making process and help you to resolve any disputes.

  14. Are self-report measures of adaptive functioning appropriate for those high in psychopathic traits?

    Science.gov (United States)

    Young-Lundquist, Bethany A; Boccaccini, Marcus T; Simpler, Amber

    2012-01-01

    There is ongoing debate about the methods that evaluators should use to assess the adaptive functioning of an individual in an Atkins claim, including the appropriateness of using self-report measures and extent to which adaptive functioning measures are valid for persons with a history of violent offending. This study examined whether offenders' self-report adaptive functioning scores tended to decrease as their level of psychopathic traits increased. Eighty-five male felony probationers completed the self-report version of the Adaptive Behavior Assessment System - II (ABAS-II: Harrison & Oakland, 2003), the Psychopathic Personality Inventory - Revised (PPI-R: Lilienfeld & Widows, 2005), and a brief intelligence screening measure. ABAS-II composite scores were negatively correlated with PPI-R Self-Centered Impulsivity and Coldheartedness scores, but positively correlated with Fearless Dominance scores. These relationships appeared to be due, in part, to over-reporting symptoms of impairment across measures, suggesting that scores on self-report adaptive functioning measures may be especially susceptible to feigning.

  15. Bridging the Gap of Standardized Animals Models for Blast Neurotrauma: Methodology for Appropriate Experimental Testing.

    Science.gov (United States)

    VandeVord, Pamela J; Leonardi, Alessandra Dal Cengio; Ritzel, David

    2016-01-01

    Recent military combat has heightened awareness to the complexity of blast-related traumatic brain injuries (bTBI). Experiments using animal, cadaver, or biofidelic physical models remain the primary measures to investigate injury biomechanics as well as validate computational simulations, medical diagnostics and therapies, or protection technologies. However, blast injury research has seen a range of irregular and inconsistent experimental methods for simulating blast insults generating results which may be misleading, cannot be cross-correlated between laboratories, or referenced to any standard for exposure. Both the US Army Medical Research and Materiel Command and the National Institutes of Health have noted that there is a lack of standardized preclinical models of TBI. It is recommended that the blast injury research community converge on a consistent set of experimental procedures and reporting of blast test conditions. This chapter describes the blast conditions which can be recreated within a laboratory setting and methodology for testing in vivo models within the appropriate environment. PMID:27604715

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

    Directory of Open Access Journals (Sweden)

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

    2011-01-01

    Full Text Available 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 was calculated by ROC (Receiver operating characteristics curve analysis. In multivariate analysis, the presence of antiphospholipid antibodies (aPLs increased the risk of pregnancy loss (p<0.0001 and premature birth (p=0.0040. Active disease at conception increased the risk of premature birth (p< 0.0001 and complications (IUGR, PIH, or both (p= 0.0078. The other predictor of complications was found to be lupus flare (p=0.0252. At a cut-off level of stable period of 4 months before conception, sensitivity and specificity were 70.8% and 53.2%, 71.4% and 61.5%, and 63.6 % and 59.8 %, respectively on reducing pregnancy loss, premature birth, and complications. Pregnancies with aPLs, active disease at conception and SLE flares are at a higher risk of adverse outcomes. It is essential that disease activity remains stable at least 4 months before conception, for favorable pregnancy outcomes.

  17. A Study on Appropriate Measures Against In-and-out Nuclear Environmental Changes

    Energy Technology Data Exchange (ETDEWEB)

    Lim, Young Kyu; Kim, Jae Rok; Hwang, Kyung Ho; Choi, Yoon Seok [KANS, Seoul (Korea, Republic of); Ro, Seung Gi [UMI Co., Seoul (Korea, Republic of); Kim, Shi Hwan [Ulsan University, Ulsan (Korea, Republic of); Nam, Jang Soo [Korean Nuclear Socierty, Daejeon (Korea, Republic of)

    2009-12-15

    To derive appropriate measures against current issues in Korea nuclear community, nuclear senior's forum meetings have been held several times during the study year 2009. Some key issues have been discussed among nuclear seniors including persons in charge of many nuclear organizations, and opinion leaders. Followings are discussed issues and the relevant measures: - To pre-occupy the world market of nuclear power generation following arrangements are essential: diversifying trade commodities, developing export business models, privatising the nuclear industrial organization, simplifying nuclear export window, and putting the retired nuclear scientists to practical use. - To develop future nuclear systems the following arrangements are required: Setting-up detailed milestones, amending the ROK-US nuclear cooperation agreement so as to enable R and D company relations between the two countries, and securing R and D fund as well as a site available for verification of the future nuclear system technology. - To rectify the future nuclear cooperation agreement viable between ROK and US, it would be essential to some basic achievements in pyro-processing technology, and on such a firm ground a strategic cooperation proposal might be effective in line with negotiation between the programmatic prior-consent and the joint determination. - For the effective way of attaining public acceptance, development of creative communication model reflecting the nation's cultural characteristics is required as well as procurement of reliability in communication. These derived policy related measures would be useful for the future nuclear policy development in this country

  18. The cultural appropriateness and diagnostic usefulness of standardized language assessments for Indigenous Australian children.

    Science.gov (United States)

    Pearce, Wendy M; Williams, Cori

    2013-08-01

    Speech-language pathologists experience uncertainty about how to interpret standardized assessment results for Indigenous Australian children. There are risks for inappropriate diagnosis: both over- and under-diagnosis of language impairment may occur due to a convergence of linguistic features which causes difficulty in distinguishing between impairment and difference. While the literature suggests that standardized assessments are inappropriate for Indigenous Australian children, there is an absence of empirical documentation to show how Indigenous children perform on standardized tests of language ability. This study examined the performance of 19 Indigenous Australian children, aged 8;01-13;08, from one school on the Clinical Evaluation of Language Fundamentals, Fourth Edition, Australian Standardized Edition. Standardized scores were compared with teacher ratings of children's oral language skills. Analysis showed poor alignment between teacher ratings and language assessment, and assessment scores were negatively influenced by features of Aboriginal English. Children rated with above average language skills presented with different linguistic profiles from the children rated with average and below average language abilities. The inappropriateness of current standardized language assessments for Indigenous children and the need for further research to guide appropriate assessment are discussed.

  19. Appropriate solid-body models as initial conditions for SPH-based numerical collision experiments

    Science.gov (United States)

    Burger, C.; Maindl, T. I.; Dvorak, R.; Schäfer, C.; Speith, R.

    2016-02-01

    Providing the simulation algorithm with suitable initial conditions is a crucial first step in almost all numerical computations, except for the most trivial cases. Even the most sophisticated simulation program will not produce meaningful results if not started with an appropriate initial configuration, satisfying demands like isotropy, a low level of noise and physical accuracy. Some of these requirements are unique to Smoothed Particle Hydrodynamics (SPH) - the numerical method considered here - others are of fundamental relevance, independent of the chosen numerical technique. The main focus of this work lies on considerations concerning initial conditions for subsequent SPH simulation runs. The geometrical arrangement of an initial SPH particle setup is discussed, particularly w.r.t. regular lattice configurations and associated symmetry effects. In order to avoid unphysical behavior the initial particle configuration has to be in a relaxed (i.e. equilibrated) state where necessary. This is of particular importance for simulations of giant collisions, where the involved bodies naturally exhibit a hydrostatic internal structure. Beyond the common numerical procedure, a semi-analytical approach for relaxation is introduced and validated, practically eliminating the need for spending significant amounts of valuable computing time solely for the production of a relaxed initial state in a lot of situations. Finally the basic relevance of relaxation itself is studied, focusing on collision simulations in different mass ranges important in the context of planet formation and the transport of water.

  20. Appropriate Use of Antithrombotic Medication in Canadian Patients With Nonvalvular Atrial Fibrillation.

    Science.gov (United States)

    Bell, Alan D; Gross, Peter; Heffernan, Michael; Deschaintre, Yan; Roux, Jean-Francois; Purdham, Daniel M; Shuaib, Ashfaq

    2016-04-01

    This national chart audit of 7,019 patients with nonvalvular atrial fibrillation (AF) from 735 primary care physician practices sought to examine the management of Canadian patients with AF through an evidence-based, guideline-recommended approach. The appropriate use of oral anticoagulants (OACs) in this patient population and the potential factors guiding OAC choice were examined. Suboptimal dosing was seen. In patients on warfarin, 30.9% had not achieved a time in therapeutic range (TTR) in excess of 65% and, despite current Canadian guideline recommendations, were continued on warfarin rather than one of the novel OACs. In patients who received no antithrombotic therapy, 65.5% met criteria for treatment with an OAC. In addition, 62.8% of patients who were treated with acetylsalicylic acid monotherapy met guideline criteria for the use of an OAC. In those patients treated with an OAC, 24.8% were not on the recommended dose based on the product monograph or, if on warfarin, had a TTR compliance concerns, and lack of provincial reimbursement. In conclusion, significant correctable gaps remain in optimal treatment for stroke prevention in AF. PMID:26879070

  1. PLOT SIZE AND APPROPRIATE SAMPLE SIZE TO STUDY NATURAL REGENERATION IN AMAZONIAN FLOODPLAIN FOREST

    Directory of Open Access Journals (Sweden)

    João Ricardo Vasconcellos Gama

    2001-01-01

    Full Text Available ABSTRACT: The aim of this study was to determine the optimum plot size as well as the appropriate sample size in order to provide an accurate sampling of natural regeneration surveys in high floodplain forests, low floodplain forests and in floodplain forests without stratification in the Amazonian estuary. Data were obtained at Exportadora de Madeira do Pará Ltda. – EMAPA forestlands, located in Afuá County, State of Pará. Based on the results, the following plot sizes were recommended: 70m2 - SC1 (0,3m ≤ h < 1,5m, 80m2 - SC2 (h ≥ 1,50m to DAP < 5,0cm, 90m2 - SC3 (5,0cm ≤ DAP < 15,0 cm and 70m2 – ASP (h ≥ 0,3m to DAP < 15,0cm. Considering these optimumplot sizes, it is possible to obtain a representative sampling of the floristic composition when using 19sub-plots in high floodplain, 14 sub-plots in low floodplain, and 19 sub-plots in the forest without stratification to survey the species of SC1 and the species of all sampled population (ASP, while 39 sub-plots are needed for sampling the natural regeneration species in SC2 and SC3.

  2. Which is the appropriate arrhythmia burden to offer RF ablation for RVOT tachycardias?

    Directory of Open Access Journals (Sweden)

    Andreas Rillig; Tina Lin; Feifan Ouyang; Karl-Heinz Kuck; Roland Richard Tilz

    2014-12-01

    Full Text Available Premature ventricular complexes (PVCs and ventricular tachycardia (VT in patients with structurally normal hearts originate from the right ventricular outflow tract (RVOT in the majority of cases. In the last few decades catheter ablation of these arrhythmias has been proven to be effective. RVOT VT/PVCs may cause disabling symptoms or arrhythmia induced cardiomyopathy. However, the PVC burden at which catheter ablation should be recommended is still controversial. What adds to the controversy is why some patients with only a low number of PVCs can be highly symptomatic and may even develop arrhythmia induced cardiomyopathy, whilst others may have a higher PVC/VT burden and remain asymptomatic and do not develop cardiomyopathy for a long period of time. Therefore, although catheter ablation of RVOT PVCs has high success and low complication rates, the time point of when ablation should be recommended is currently still under debate. This review discusses the treatment strategies and prognosis for RVOT tachycardias and focuses on the question of which arrhythmia burden is appropriate to offer RF ablation.

  3. Application and Development of Appropriate Tools and Technologies for Cost-Effective Carbon Sequestration

    Energy Technology Data Exchange (ETDEWEB)

    Bill Stanley; Patrick Gonzalez; Sandra Brown; Jenny Henman; Sarah Woodhouse Murdock; Neil Sampson; Tim Pearson; Sarah Walker; Zoe Kant; Miguel Calmon

    2006-04-01

    The Nature Conservancy is participating in a Cooperative Agreement with the Department of Energy (DOE) National Energy Technology Laboratory (NETL) to explore the compatibility of carbon sequestration in terrestrial ecosystems and the conservation of biodiversity. The title of the research project is ''Application and Development of Appropriate Tools and Technologies for Cost-Effective Carbon Sequestration''. The objectives of the project are to: (1) improve carbon offset estimates produced in both the planning and implementation phases of projects; (2) build valid and standardized approaches to estimate project carbon benefits at a reasonable cost; and (3) lay the groundwork for implementing cost-effective projects, providing new testing ground for biodiversity protection and restoration projects that store additional atmospheric carbon. This Technical Progress Report discusses preliminary results of the six specific tasks that The Nature Conservancy is undertaking to answer research needs while facilitating the development of real projects with measurable greenhouse gas reductions. The research described in this report occurred between January 1st and March 31st 2006. The specific tasks discussed include: Task 1: carbon inventory advancements; Task 2: emerging technologies for remote sensing of terrestrial carbon; Task 3: baseline method development; Task 4: third-party technical advisory panel meetings; Task 5: new project feasibility studies; and Task 6: development of new project software screening tool.

  4. Selecting appropriate energy efficiency indicators for the Thai Energy Conservation Promotion Programme. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Eichhammer, W.; Gruber, E.; Cremer, C.

    2000-06-01

    In 1992 the Thai Government passed the Energy Conservation Promotion (ECP) Act to improve energy efficiency in Thai industry and commerce. The Thai-German Energy Efficiency Promotion Project (ENEP) is supporting the Department of Energy Development and Promotion (DEDP) in its effort to implement the Energy Conservation Program for large buildings and designated factories. About 4000 buildings and factories under the Compulsory Program, have to report every 6 months their energy consumption data to DEDP. Every 3 years energy audits have to be conducted by registered energy consultants, to identify energy saving opportunities, to set saving targets and to recommend energy conservation measures. Investments in energy efficient technologies are subsidized from an Energy Conservation Fund. Data from the energy consumption reports and the energy audit reports are collected in DEDP's database for further processing. The database is structured according to the Thai Standard Industrial Classification. In order to exploit the wealth of information provided by the auditing procedure the objective of the present work carried out by the consultant FhG-ISI for DEDP/BERC on behalf of the German Gesellschaft fuer Technische Zusammenarbeit (GTZ) was to recommend an appropriate set of energy efficiency indicators. This indicator set should allow DEDP to extract from the energy consumption reports, energy audit reports and other sources, useful statistical information to monitor and improve energy efficiency in Thailand. (orig.)

  5. THE APPLICATION AND DEVELOPMENT OF APPROPRIATE TOOLS AND TECHNOLOGIES FOR COST-EFFECTIVE CARBON SEQUESTRATION

    Energy Technology Data Exchange (ETDEWEB)

    Bill Stanley; Sandra Brown; Ellen Hawes; Zoe Kant; Miguel Calmon; Gilberto Tiepolo

    2002-09-01

    The Nature Conservancy is participating in a Cooperative Agreement with the Department of Energy (DOE) National Energy Technology Laboratory (NETL) to explore the compatibility of carbon sequestration in terrestrial ecosystems and the conservation of biodiversity. The title of the research projects is ''Application and Development of Appropriate Tools and Technologies for Cost-Effective Carbon Sequestration''. The objectives of the project are to: (1) improve carbon offset estimates produced in both the planning and implementation phases of projects; (2) build valid and standardized approaches to estimate project carbon benefits at a reasonable cost; and (3) lay the groundwork for implementing cost-effective projects, providing new testing ground for biodiversity protection and restoration projects that store additional atmospheric carbon. This Technical Progress Report discusses preliminary results of the six specific tasks that The Nature Conservancy is undertaking to answer research needs while facilitating the development of real projects with measurable greenhouse gas impacts. The specific tasks discussed include: Task 1: carbon inventory advancements; Task 2: advanced videography testing; Task 3: baseline method development; Task 4: third-party technical advisory panel meetings; Task 5: new project feasibility studies; and Task 6: development of new project software screening tool.

  6. SEARCHING FOR AN APPROPRIATE EFL CURRICULUM DESIGN FOR THE INDONESIAN PLURALISTIC SOCIETY

    Directory of Open Access Journals (Sweden)

    Suwarsih Madya

    2007-01-01

    Full Text Available The context of the teaching of English in Indonesia is indeed unique, leading to differences in the ease with which children have access to education. Those with great difficulty in accessing education have been and will be left behind by those without any or with little difficulty. Technology will certainly help in easing those in remote areas. The limited financial capacity, however, has made it impossible to have equity in educational access; the equity problem remains unsolved. Under such a complex environment, a more appropriate curriculum design should be sought. So far the same national standard has to be achieved by children. This paper explores possibilities of having a multi-standards English curriculum design aimed at providing every child to learn according to their abilities and rates of learning. A three-level standard curriculum is then proposed: the instrumental standard for highly advantaged children, the functional standard for those who are fairly advantaged, and the appreciative standard for those who are disadvantaged.

  7. Providing hope in terminal cancer: when is it appropriate and when is it not?

    Science.gov (United States)

    Toh, Han Chong

    2011-01-01

    Hope is essential in the face of terminal cancer. Generally in Western societies, patients and their families prefer their doctor to engage them in transparent, realistic, authoritative, empathic and open communication about the diagnosis and prognosis of cancer but this topic is not well studied in the Asian context. With the exponential increase in information about cancer and the many permutations in cancer treatment, rational and otherwise, the doctor-patient relationship is even more critical in planning the best treatment strategy and also in rendering both particular and general hope in the patient's war against cancer. Overall, the majority of drugs tested against cancer have failed to reach the market, and those that have, only provide modest benefits, several major therapeutic breakthroughs notwithstanding. Commoditised medicalisation of the dying process ingrained into the contemporary consciousness can potentially create unrealistic or false hope, therapeutic nihilism and a drain on the resources of both the patient and society. These factors can also detract from the dignity of dying as an acceptable natural process. Hope cannot be confined only to focusing merely on the existential dimension of improving survival through technological intervention. Psychosocial and, where appropriate, spiritual interventions and support also play major roles in relieving suffering and providing hope to the patient. Hope cannot be a victim of misinformation from self-interested external parties, nor be an obsession with just buying promises of extending survival time without sufficient regard for quality of life and achieving a good death. PMID:21369633

  8. Discrimination of functionally appropriate and inappropriate throwing tools by captive tufted capuchins (Cebus apella).

    Science.gov (United States)

    Evans, Theodore Avery; Westergaard, Gregory Charles

    2004-10-01

    A tool-throwing task was used to test whether capuchin monkeys understand the difference between functionally appropriate and functionally inappropriate tools. A group of monkeys was trained to obtain a sticky treat from a container outside their enclosure using a projectile attached to one end of an anchored line. Subsequently, these monkeys were given choice tests between functional and nonfunctional versions of tools used in training. A different feature of the tool was varied between alternatives in each choice test. The monkeys chose to use functional tools significantly more often than nonfunctional tools in early exposures to each choice test. A second experiment tested whether these subjects, as well as a second group of minimally trained participants, could distinguish between functional and nonfunctional tools that appeared different from those used in training. A new set of design features was varied between tools in these choice tests. All participants continued to choose functional tools significantly more often than nonfunctional tools, regardless of their tool-throwing experience or the novel appearance of the tools. These results suggest that capuchin monkeys, like chimpanzees studied in similar experiments, are sensitive to a variety of functionally relevant tool features.

  9. Medicare beneficiaries more likely to receive appropriate ambulatory services in HMOs than in traditional medicare.

    Science.gov (United States)

    Ayanian, John Z; Landon, Bruce E; Zaslavsky, Alan M; Saunders, Robert C; Pawlson, L Gregory; Newhouse, Joseph P

    2013-07-01

    With quality-of-care bonus payments now available for Medicare Advantage health maintenance organizations (HMOs) and for accountable care organizations in traditional Medicare, the need to understand the relative quality of care delivered to Medicare enrollees has increased. We compared the quality of ambulatory care from 2003 through 2009 between beneficiaries enrolled in Medicare Advantage HMOs and those enrolled in traditional Medicare, and we assessed how the performance of various types of Medicare HMOs differed from that of traditional Medicare for these same measures. We found that beneficiaries in Medicare HMOs were consistently more likely than those in traditional Medicare to receive appropriate breast cancer screening, diabetes care, and cholesterol testing for cardiovascular disease. We also found that Medicare HMO physicians were rated less favorably by their patients than were physicians in traditional Medicare in 2003; however, by 2009 the opposite was true. Not-for-profit, larger, and older Medicare HMOs performed consistently more favorably on clinical measures and ratings of care than for-profit, smaller, and newer HMOs. Our results suggest that the positive effects of more-integrated delivery systems on the quality of ambulatory care in Medicare HMOs may outweigh the potential incentives to restrict care under capitated payments.

  10. Identifying an appropriate measurement modeling approach for the Mini-Mental State Examination.

    Science.gov (United States)

    Rubright, Jonathan D; Nandakumar, Ratna; Karlawish, Jason

    2016-02-01

    The Mini-Mental State Examination (MMSE) is a 30-item, dichotomously scored test of general cognition. A number of benefits could be gained by modeling the MMSE in an item response theory (IRT) framework, as opposed to the currently used classical additive approach. However, the test, which is built from groups of items related to separate cognitive subdomains, may violate a key assumption of IRT: local item independence. This study aimed to identify the most appropriate measurement model for the MMSE: a unidimensional IRT model, a testlet response theory model, or a bifactor model. Local dependence analysis using nationally representative data showed a meaningful violation of the local item independence assumption, indicating multidimensionality. In addition, the testlet and bifactor models displayed superior fit indices over a unidimensional IRT model. Statistical comparisons showed that the bifactor model fit MMSE respondent data significantly better than the other models considered. These results suggest that application of a traditional unidimensional IRT model is inappropriate in this context. Instead, a bifactor model is suggested for future modeling of MMSE data as it more accurately represents the multidimensional nature of the scale. (PsycINFO Database Record

  11. Improved Synthesis Strategy for Peptide Nucleic Acids (PNA) appropriate for Cell-specific Fluorescence Imaging

    Science.gov (United States)

    Pipkorn, Rüdiger; Wiessler, Manfred; Waldeck, Waldemar; Hennrich, Ute; Nokihara, Kiyoshi; Beining, Marcel; Braun, Klaus

    2012-01-01

    Progress in genomics and proteomics attended to the door for better understanding the recent rapid expanding complex research field of metabolomics. This trend in biomedical research increasingly focuses to the development of patient-specific therapeutic approaches with higher efficiency and sustainability. Simultaneously undesired adverse reactions are avoided. In parallel, the development of molecules for molecular imaging is required not only for the imaging of morphological structures but also for the imaging of metabolic processes like the aberrant expression of the cysteine protease cathepsin B (CtsB) gene and the activity of the resulting product associated with metastasis and invasiveness of malign tumors. Finally the objective is to merge imaging and therapy at the same level. The design of molecules which fulfil these responsibilities is pivotal and requires proper chemical methodologies. In this context our modified solid phase peptide chemistry using temperature shifts during synthesis is considered as an appropriate technology. We generated highly variable conjugates which consist of molecules useful as diagnostically and therapeutically active molecules. As an example the modular PNA products with the complementary sequence to the CtsB mRNA and additionally with a cathepsin B cleavage site had been prepared as functional modules for distinction of cell lines with different CtsB gene expression. After ligation to the modular peptide-based BioShuttle carrier, which was utilized to facilitate the delivery of the functional modules into the cells' cytoplasm, the modules were scrutinized. PMID:22211082

  12. INVESTIGATION OF AN APPROPRIATE TECHNOLOGY FORECASTING PROCESS FOR SASOL FOR THE NEW ENERGY ERA

    Directory of Open Access Journals (Sweden)

    L. Ma

    2012-01-01

    Full Text Available

    ENGLISH ABSTRACT: Sasol is predominantly an energy-based company. The energy industry is undergoing a fundamental transformation that may have a profound impact on Sasol’s overall business. This study has been carried out to investigate the need to establish an appropriate technology forecasting process for the new energy era. Although there exist some evidence of technology forecasting within Sasol, they are scattered and unsophisticated. Technology forecasting as a tool enables managers to make better decisions and encourages networking and knowledge sharing within the organization, an important trait of a ‘Learning Organization’. A theoretical framework of technology forecasting for Sasol is thereby formulated.

    AFRIKAANSE OPSOMMING: Sasol is hoofsaaklik 'n energie-gebaseerde maatskappy. Die energie-industrie ondergaan tans 'n diepgaande transformasie wat 'n wesenlike impak kan hê op Sasol se totale besigheid. Hierdie studie is uitgevoer om die behoefte vir 'n toepaslike tegnologie-vooruitskattingsproses vir die nuwe energie-era te bepaal. Alhoewel daar bewyse bestaan vir tegnologie-vooruitskatting binne Sasol, is dit verspreid en ongesofistikeerd. Tegnologie-vooruitskatting is 'n gereedskapstuk wat bestuurders in staat stel om beter besluite te neem en bevorder die gebruik van netwerke en kennis-uitruiling binne die organisasie, 'n belangrike eienskap van 'n 'Lerende Organisasie'. 'n Teoretiese raamwerk vir tegnologie-vooruitskatting vir Sasol word sodoende geformuleer.

  13. When is a bone scan study appropriate in asymptomatic men diagnosed with prostate cancer?

    Institute of Scientific and Technical Information of China (English)

    Raj P.Pal; Thivyaan Thiruudaian; Masood A.Khan

    2008-01-01

    Aims: To determine when a bone scan investigation is appropriate in asymptomatic men diagnosed with prostate cancer. Methods: Between November 2005 and July 2006, 317 men with prostate cancer underwent a bone scan study; 176 men fulfilled the inclusion criteria. Prostate-specific antigen (PSA) cut-offs as well as univariate and multivariate logistic regression analyses using digital rectal examination finding, biopsy Gleason scores and age were performed to determine when a bone scan study is likely to be of value. Results: Only 1/61 men (1.6%) with a serum PSA ≤ 20 ng/mL had a positive bone scan. However, 2/38 men (4.7%) with a serum PSA 20.1-40.0 ng/mL, 3/20 men (15%) with a serum PSA 40.1-60.0 ng/mL, 7/19 men (36.8%) with a serum PSA 60.1-100.0 ng/mL and 19/38 men (50%) with a serum PSA > 100.0 ng/mL had positive bone scans. Univariate and multivariate logistic regression analyses were uninformative in these groups. Conclusion: Based on our findings, a bone scan is of limited value in asymptomatic prostate cancer patients presenting PSA ≤ 20 ng/mL. Therefore, this investigation can be eliminated unless a curative treatment is contemplated. Furthermore, digital rectal examination finding, biopsy Gleason score and age are unhelpful in predicting those who might harbor bone metastasis.

  14. Optimization of DNA extraction of physic nut (Jatropha curcas by selecting the appropriate leaf

    Directory of Open Access Journals (Sweden)

    EINSTIVINA NURYANDANI

    2011-03-01

    Full Text Available Prayitno E, Nuryandani E. 2011. Optimization of DNA extraction of physic nut (Jatropha curcas by selecting the appropriate leaf. Nusantara Bioscience 3: 1-6. Jatropha curcas L. has important roles as renewable source of bioenergy. The problem occurs on difficult of DNA extraction for its molecular breeding programs. The objectives of this research were to study which leaf best as source of DNA extraction. Four accession were used, namely J1 and J2 (Jawa Tengah, S1 (South Sumatra, and S2 (Bengkulu. First, third, fifth, seventh, and yellow leaves for each accession were extracted using modification of Doyle and Doyle (1987 method. Visualization and comparation with Lambda DNA, Spectrophotometer UV-Vis and cutting DNA with EcoRI enzyme were show quality and quantity of DNA. The result showed that third leaves have sufficient quality and quantity as source of DNA. Third leaves DNA quantity for J1 (19.33 µg/mL, J2 (26.21 µg/mL, S1 (31.20 µg/mL, dan S2 (61.03 µg/mL, and quality for each accession were 1.9063 (J1, 2.0162 (J2, 2.0116 (S1, and 2.0856 (S2.

  15. On a definition of the appropriate timing for surgical intervention in orthognathic surgery.

    Science.gov (United States)

    Hernández-Alfaro, F; Guijarro-Martínez, R

    2014-07-01

    Together with the introduction of new orthodontic techniques and minimally invasive surgery protocols, the emergence of modern patient prototypes has given way to novel timing schemes for the handling of dento-maxillofacial deformities. The aim of this study was to define, justify, and systematize the appropriate timing for orthognathic surgery. A retrospective analysis of orthognathic surgery procedures carried out over a 3-year period was performed. Six timing schemes were defined: 'surgery first', 'surgery early', 'surgery late', 'surgery last', 'surgery only', and 'surgery never'. Gender, age at surgery, main motivation for treatment, orthodontic treatment length, and number of orthodontic appointments were evaluated. A total of 362 orthognathic procedures were evaluated. The most common approach was 'surgery late'. While aesthetic improvement was the leading treatment motivation in 'surgery first', 'surgery early', and 'surgery last' cases, occlusal optimization was the chief aim of 'surgery late'. Sleep-disordered breathing was the main indication for treatment in 'surgery only'. Compared to 'surgery late', orthodontic treatment was substantially shorter in 'surgery early' and 'surgery first' cases, but the number of orthodontic appointments was similar. In conclusion, the skilful management of dento-maxillofacial deformities requires a comprehensive analysis of patient-, orthodontist-, and surgeon-specific variables. Each timing approach has well-defined indications, treatment planning considerations, and orthodontic and surgical peculiarities. PMID:24631424

  16. Effective appropriate use of dental remains and forensic DNA testing for personal identity confirmation.

    Science.gov (United States)

    Ohira, Hiroshi; Yamamuro, Yoshio; Kitagawa, Yuka; Nakagawa, Kimiko; Yamamoto, Isao; Yamada, Yoshihiro

    2009-04-01

    Two severely burned human male bodies, possibly those of a parent and child, were recovered from the scene of a house fire and positive identification of the bodies was accomplished. This report describes the appropriate use of effective identification methods that made this possible. Identification of a body involves comparison of antemortem and postmortem X-ray films or dental records. In cases of poorly preserved dental remains, or in the absence of antemortem dental records, forensic DNA testing can be done. In the present case the male thought to be the son was identified from an antemortem panoramic X-ray film provided by the family dentist, which matched every significant detail in the body. On the other hand, forensic DNA testing of a sample obtained from the father's burned body was done in comparison with a swab obtained from his older brother, as the victim had no dental records for the 5 years before his death. This was able to confirm his identity. Thus positive identification was established through a combination of these methods. Although positive identification from dental records is rapid and certain, it requires antemortem dental records. If these are not available, forensic DNA testing should be attempted. In laboratories of forensic odontology, facilities for identity confirmation from both dental characteristics and forensic DNA testing should be made available. PMID:19269216

  17. Matching the Clinical Question to the Appropriate Imaging Procedure: What a Cardiologist Wants from Cardiac Imaging

    Directory of Open Access Journals (Sweden)

    S. Wann

    2007-05-01

    Full Text Available In modern medicine, we too often become enamored with technology and lose focus on the reason for per-forming a diagnostic study. Cardiac imaging may have advanced to point of replacing the physical ex-amination, but there is still no substitute for thought-ful planning of a diagnostic approach based on a hier-archy of clinical data, an appreciation of the pre-test likelihood of disease, realistic expectation from vari-ous imaging procedures, and a rational plan for utiliz-ing the information gained. Team work is required to effectively utilize all the capabilities of the modern medical environment. Communication is essential if patients are to receive the best care. As the power and complexity of imag-ing has increase, so has its over-utilization. This lec-ture will focus on maximizing useful diagnostic yield, while minimizing redundancy and excessive costs. While evidence based medical practice is ideally based on controlled randomized trials to show im-proved patient outcomes. Medical imaging has his-torically developed by improving the quality of im-ages, comparing new to existing technologist. Exam-ples will be given of applications of various imaging techniques to common clinical problems, pointing out areas where true evidence is lacking. Appropriate imaging in these situations must be defined by con-sensus of expert opinion. A variety of clinical vi-gnettes will be presented.

  18. Lean body mass in small for gestational age and appropriate for gestational age infants

    Energy Technology Data Exchange (ETDEWEB)

    Petersen, S.; Gotfredsen, A.; Knudsen, F.U.

    1988-11-01

    Dual photon absorptiometry using /sup 153/Gd in a whole-body scanner was used to measure lean body mass (LBM) in 51 newborn infants. LBM% decreased exponentially with increasing gestational age in both small for gestational age (SGA) and appropriate for gestational age (AGA) infants. In preterm SGA and AGA infants LBM was 104% and 103%, respectively, indicating that no fat was detectable. In term SGA infants LBM was 98%, which corresponded to 48 gm fat on average, and in term AGA infants LBM was 87%, which corresponded to 452 gm fat on average. The LBM%, ponderal index, and skinfold thickness were significantly different between AGA and SGA infants. Infants with clinical signs of intrauterine wastage had significantly higher LBM% than did infants without signs of weight loss. Our results on LBM% by dual photon absorptiometry agree with earlier dissection data; the clinically applicable methods of (1) height combined with weight (i.e., ponderal index), (2) skinfold thickness, and (3) scoring by clinical observations are useful for the estimation of lack of fat as an indicator of intrauterine growth retardation.

  19. Neu-Laxova syndrome in an appropriate for gestational age newborn

    Directory of Open Access Journals (Sweden)

    Dilli Dilek

    2008-01-01

    Full Text Available Neu-Laxova syndrome is a rare lethal congenital disorder involving multiple systems. Intrauterine growth retardation, ichthyosis, microcephaly, abnormal facial findings, and limb contractures are its key features. We present a case of Neu-Laxova syndrome in a male appropriate for gestational age (AGA newborn with characteristic features including ichthyosis, microcephaly, severe ectropion, rudimentary ears, eclabion, limb contractures, and hypoplastic genitalia. The patient was born at 38 weeks of gestation to consanguinous Turkish parents. The mother was a 20-year-old primi gravida with lack of prenatal follow-up. Therefore, the case was diagnosed postnatally, and he died 5 days later. Because of the autosomal recessive inheritance of Neu-Laxova syndrome, in countries with high rates of consanguineous marriage, such as Turkey, physicians have to know this syndrome, and serial prenatal ultrasound examinations with genetic counseling should be performed on pregnant women at high risk. To the best of our knowledge, this is the first case described in an AGA newborn.

  20. The appropriate or optimal tempo for music: a comparison between non-musicians and musicians.

    Science.gov (United States)

    Quinn, Sandra; Watt, Roger

    2013-01-01

    Musicians have enhanced skills that result from intensive training. Whilst musicians show enhanced auditory capabilities (Kraus and Chandrasekaran, 2010 Nature Reviews Neuroscience 11 599-605), non-musicians demonstrate an ability to perform musical tasks (eg listening, dancing, and singing). Non-musicians can also undertake tasks that would normally be reserved for musicians. For example, non-musicians can perceive optimal tempi (ie an appropriate speed) for music (Quinn and Watt, 2006 Perception 35 267-280; Quinn and Watt, 2012 Perception 41 236-238; Quinn et al, 2012 Journal of the Acoustical Society of America 131 3595-3598). This suggests that formalised musical training is not a prerequisite for developing a sense of the tempo that sounds right for a melody. The current studies examine this issue and compare the tempo that musicians choose to perform unfamiliar melodies with the tempo that non-musicians perceive to be optimal for the same melodies. The results demonstrate that the perceived optimal tempo is similar to the performed tempo. PMID:24422251

  1. Appropriate information systems in underdeveloped countries: The case of the Sudan

    International Nuclear Information System (INIS)

    Considers the application of new technology to information systems in underdeveloped countries taking the case of the National Documentation Centre (NDC) in Khartoum, Sudan as an example. Describes the implementation of a project there to improve information collection and dissemination using microcomputers and micrographics. The scope of the project is to collect conventional and non-conventional documents produced in and about Sudan in the areas of science, technology and the social sciences, and to maintain databases containing bibliographic, research project, institutional and personnel data. Examines the advantages of microcomputers for underdeveloped countries and other technological developments such as CD-ROM, desktop publishing, expert systems and factors such as exchange of data, repackaging of information, and cooperation, all of which are likely to have an impact on scientific and technological information provision in the 1990s. Considers constraints to introducing new technology (hardware/software procurement and maintenance, operating conditions, existing document delivery systems, absence of information sharing culture) but argues that a longer term development strategy which allows for training, long term funding, cooperation and appropriate computer applications will result in sustainable information systems development in underdeveloped countries. (author). 11 refs

  2. APPLICATION AND DEVELOPMENT OF APPROPRIATE TOOLS AND TECHNOLOGIES FOR COST-EFFECTIVE CARBON

    Energy Technology Data Exchange (ETDEWEB)

    Bill Stanley; Sandra Brown; Ellen Hawes; Zoe Kant; Miguel Calmon; Patrick Gonzalez; Brad Kreps; Gilberto Tiepolo

    2003-09-01

    The Nature Conservancy is participating in a Cooperative Agreement with the Department of Energy (DOE) National Energy Technology Laboratory (NETL) to explore the compatibility of carbon sequestration in terrestrial ecosystems and the conservation of biodiversity. The title of the research project is ''Application and Development of Appropriate Tools and Technologies for Cost-Effective Carbon Sequestration''. The objectives of the project are to: (1) improve carbon offset estimates produced in both the planning and implementation phases of projects; (2) build valid and standardized approaches to estimate project carbon benefits at a reasonable cost; and (3) lay the groundwork for implementing cost-effective projects, providing new testing ground for biodiversity protection and restoration projects that store additional atmospheric carbon. This Technical Progress Report discusses preliminary results of the six specific tasks that The Nature Conservancy is undertaking to answer research needs while facilitating the development of real projects with measurable greenhouse gas impacts. The research described in this report occurred between July 1, 2002 and June 30, 2003. The specific tasks discussed include: Task 1: carbon inventory advancements; Task 2: advanced videography testing; Task 3: baseline method development; Task 4: third-party technical advisory panel meetings; Task 5: new project feasibility studies; and Task 6: development of new project software screening tool.

  3. Appropriate use of serum troponin testing in general practice: a narrative review.

    Science.gov (United States)

    Aroney, Constantine N; Cullen, Louise

    2016-07-18

    The troponin assay was designed to assist in diagnosis and improve risk stratification for people presenting to the emergency setting with symptoms suggestive of an acute coronary syndrome. Newly developed high sensitivity assays provide reliable detection of very low concentrations of troponin and offer earlier risk stratification of patients with possible acute coronary syndrome. Cardiac troponin testing in general practice should be limited to patients presenting with ischaemic symptoms that occurred more than 24 hours previously. If these patients have no high risk clinical features and a normal electrocardiogram (ECG), they may be assessed with a single troponin assay but should be referred urgently to hospital if the result is elevated. In patients presenting with symptoms of possible acute coronary syndrome within the preceding 24 hours, or if they otherwise have symptoms consistent with unstable angina, high risk clinical features or ECG abnormalities, a serum troponin test should not be ordered and patients should be referred immediately to an emergency department. When a single troponin assay is appropriate, the test should be labelled as urgent and systems must be in place to ensure the result is conveyed immediately to the medical practitioner, as it has prognostic implications and may require an urgent action plan. PMID:27456451

  4. Questioning Appropriation: Agency and Complicity in a Transnational Feminist Location Politics

    Directory of Open Access Journals (Sweden)

    Joe Parker

    2012-12-01

    Full Text Available In feminist circles agency is often opposed to complicity and associated with resistance to sexism and patriarchy, yet such binary oppositions make the political stakes of their presumed boundaries difficult to interrogate. By bringing location politics into dialogue with agency theory, boundaries of same/Other and location categories may move from a naturalized ground for political work to the contested center of a politics of resistance. I follow a Foucauldian interpretation of agency to reconsider the ethico-politics of established divisions of self and Other both individually and in terms of social movements. By following Gayatri Spivak, Meyda Yeğenoğlu, and Chandra Mohanty's transnational feminist politics, I argue for the refusal of totalizing binaries and for careful attention to unavoidable complicities. This makes possible practices of agency that can critique the political and ethical limits and effects of its epistemology and take as its central project the intervention into appropriations of the Others into modern notions of the "real." The resulting reconstitution of self-Other relations in their work opens up important new avenues for building social movements that acknowledge difference within the subject or the movement rather than deny and expel their Others.

  5. Turbofolk reconsidered. Some thoughts on migration and the appropriation of music in early 1990s Berlin

    Directory of Open Access Journals (Sweden)

    Thaden, Matthias

    2014-08-01

    Full Text Available This paper’s aim is to shed a light on the emergence, meanings and contexts of early 1990s turbofolk. While this music-style has been exhaustively investigated with regard to Yugoslavia and Serbia, its appropriation by Yugoslav labour migrants has hitherto been no subject of particular interest. Departing from this research gap this paper focuses on “Ex-Yugoslav” evening entertainment and music venues in Berlin and the role turbofolk possessed. We hope to contribute to the ongoing research on this music relying on insights we gained from our fieldwork and the interviews conducted in early and mid-2013. After criticizing some suggestions that have been made regarding the construction of group belongings by applying a dichotomous logic with turbofolk representing the supposedly “inferior”, this approach could serve to investigate the interplay between music and the making of everyday social boundaries. Drawing on the gathered interview material we, beyond merely confirming ethnic and national segmentations, suggest the emergence of new actors and the increase of private initiatives and regional solidarity to be of major importance for negotiating belongings. In that regard, turbofolk events – far from being an unambiguous signifier of group loyalty – were indeed capable to serve as a context that bridged both national as well as social cleavages.

  6. Students as subjects in food advertising studies. An appraisal of appropriateness.

    Science.gov (United States)

    Choi, Hojoon; Reid, Leonard N

    2014-10-01

    Considerable knowledge on food advertising has been generated by research on consumers' psychological reactions to food advertising messaging using either students or nonstudents as subjects. Building on past research, this article investigates the methodological question of whether students are appropriate surrogates for nonstudents in food advertising studies. Following exposure to print advertisements featuring healthy and unhealthy foods with two different nutrient attribute-based message appeals, student and nonstudent subjects were asked to complete five standard evaluative response measures to the food ads: claim believability, attitude-toward-the ad, attitude-toward-the-product, attitude-toward-the-brand, and purchase intention. Among the findings, students were found to react differently and more negatively to identical food advertisements than nonstudents. Overall, the message sent to health communication researchers, policy officials, and practicing professionals is - unless certain criteria are satisfied - students should be considered inadequate subjects to represent all age groups of the general population in food advertising research. Thus, conclusions drawn from student-based research about advertising processing and effects should be questioned and broad generalizations avoided. PMID:24975643

  7. Technological solution for vulnerable communities: Questioning the sustainability of Appropriate Technology

    International Nuclear Information System (INIS)

    Vulnerability eradication has become an emerging concern in today's society following the increasing uncertainties in achieving societal resilience, particularly in vulnerable communities. Furthermore, incorporating technological solution, especially appropriate technology (AT), into such concern requires interdisciplinary understandings to achieve a holistic eradication based on the particularities of each community. This study aims to briefly reveal existing scholarly discourses and investigate potential gap(s) between previous researches. Literatures, particularly consisting meta-analysis on previous scholarly discussions, are surveyed. The findings reveal three progress among scientific discourses. The first one is the paradigm shift of developmental purposes from typical development to empowerment. Next, concerns in technology development indicate the parallel movement toward empowerment. Then, previous methodological developments, including approach in sustaining AT, indicate the needs to assess the future based on sustainability. Therefore, a new research is proposed to develop an assessment framework on AT for vulnerability eradication on the basis of empowerment paradigm, extended focuses in technology development, and extended coverage of future changes in dynamic matter. The framework needs to be developed based on the combination of positivist-deductive-qualitative research paradigms. This is intended to generalize the framework for being used in different cases, to build an applicative framework as an integral part of existing body of knowledge, and to develop an enriched and flexible construction of framework. Looking at existing researches, this brief study proposes insights to move scientific progress toward a more holistic vulnerability eradication using AT solution both in conceptual and practical levels

  8. Ability of community-based prostate cancer screening to target an appropriate and underserved population

    Science.gov (United States)

    Moss, Jared; Heidel, Eric; Johnson, Jason; Powell, Chase; Dittrich, Erin; Rawn, Susan; Terry, Paul D; Goldman, Mitchell; Waters, W Bedford; White, Wesley M

    2015-01-01

    Screening is not universally beneficial due to over- and under-diagnosis, and false positives that beget additional testing and associated adverse events and expense. We examined data from all men who participated in a mass community prostate cancer screening between May 2009 and September 2010. The data contained information regarding patient demographics, family history of prostate cancer, lower urinary tract symptoms, prior history of prostate cancer, most recent digital rectal examination, and the presence of an established relationship with a physician. Current American Urological Association screening recommendations were then applied to determine the appropriateness of our outreach effort. A total of 438 men (mean age 66.5 years) underwent screening. A total of 106 (24.2%) patients in our study met contemporary criteria for screening. Of these men, the vast majority was well educated, well insured, and well informed about the need for prostate cancer screening. Based on these data, mass community-based prostate cancer screening does not appear to identify and screen at-risk men. Future efforts at mass screening should more carefully target men most likely to benefit. PMID:26140266

  9. Appropriate Mathematical Model of DC Servo Motors Applied in SCARA Robots

    Directory of Open Access Journals (Sweden)

    Attila L. Bencsik

    2004-11-01

    Full Text Available In the first part of the presentation detailed description of the modular technical system built up of electric components and end-effectors is given. Each of these components was developed at different industrial companies separately. The particular mechatronic unit under consideration was constructed by the use of the appropriate mathematical model of these units. The aim of this presentation is to publish the results achieved by the use of a mathematical modeling technique invented and applied in the development of different mechatronic units as drives and actuators. The unified model describing the whole system was developed with the integration of the models valid to the particular components. In the phase of testing the models a program approximating typical realistic situations in terms of work-loads and physical state of the system during operation was developed and applied. The main innovation here presented consists in integrating the conclusions of professional experiences the developers gained during their former R&D activity in different professional environments. The control system is constructed on the basis of classical methods, therefore the results of the model investigations can immediately be utilized by the developer of the whole complex system, which for instance may be an industrial robot.

  10. Resolving the Phylogenetic Position of Coelacanth: The Closest Relative Is Not Always the Most Appropriate Outgroup.

    Science.gov (United States)

    Takezaki, Naoko; Nishihara, Hidenori

    2016-04-25

    Determining the phylogenetic relationship of two extant lineages of lobe-finned fish, coelacanths and lungfishes, and tetrapods is important for understanding the origin of tetrapods. We analyzed data sets from two previous studies along with a newly collected data set, each of which had varying numbers of species and genes and varying extent of missing sites. We found that in all the data sets the sister relationship of lungfish and tetrapods was constructed with the use of cartilaginous fish as the outgroup with a high degree of statistical support. In contrast, when ray-finned fish were used as the outgroup, which is taxonomically an immediate outgroup of lobe-finned fish and tetrapods, the sister relationship of coelacanth and tetrapods was supported most strongly, although the statistical support was weaker. Even though it is generally accepted that the closest relative is an appropriate outgroup, our analysis suggested that the large divergence of the ray-finned fish as indicated by their long branch lengths and different amino acid frequencies made them less suitable as an outgroup than cartilaginous fish.

  11. Shortening of Wallstent RP during carotid artery stenting requires appropriate stent placement.

    Science.gov (United States)

    Aikawa, Hiroshi; Nagata, Shun-ichi; Onizuka, Masanari; Tsutsumi, Masanori; Iko, Minoru; Kodama, Tomonobu; Nii, Kouhei; Matsubara, Shuko; Etou, Hosei; Go, Yoshinori; Kazekawa, Kiyoshi

    2008-06-01

    Changes in the location and length of the Wallstent RP during carotid artery stenting (CAS) were evaluated using intraoperative videos of 28 patients with carotid artery stenosis who underwent CAS with a 10/20 mm Wallstent RP to determine the appropriate stent placement. The stent was deployed after its midpoint was positioned over a virtual center line, the perpendicular line which crossed the most stenotic point of the lesion on the road mapping image. The length of the stenotic lesion, the changes in the locations of the distal and proximal ends of the stent, and the changes in stent length were examined. The distal end of the stent moved a maximum of 6.1 mm toward the proximal side to a point 19.9 mm from the virtual center line. The proximal end moved a maximum of 11.3 mm toward the distal side to a point 14.7 mm from the virtual center line. The stent length ranged from 37.7 to 44.5 mm (mean 41.2 mm). The 10/20 mm Wallstent RP placed by our technique covers the entire lesion with no less than 5.7 mm of margin over the segment distal to the lesion in patients with stenotic segments shorter than 29.4 mm.

  12. Public or private economies of knowledge: The economics of diffusion and appropriation of bioinformatics tools

    Directory of Open Access Journals (Sweden)

    Mark Harvey

    2009-12-01

    Full Text Available The past three decades have witnessed a period of great turbulence in the economies of biological knowledge, during which there has been great uncertainty as to how and where boundaries could be drawn between public or private knowledge especially with regard to the explosive growth in biological databases and their related bioinformatic tools. This paper will focus on some of the key software tools developed in relation to bio-databases. It will argue that bioinformatic tools are particularly economically unstable, and that there is a continuing tension and competition between their public and private modes of production, appropriation, distribution, and use. The paper adopts an ‘instituted economic process’ approach, and in this paper will elaborate on processes of making knowledge public in the creation of ‘public goods’. The question is one of continuously creating and sustaining new institutions of the commons. We believe this critical to an understanding of the division and interdependency between public and private economies of knowledge.

  13. An Experimental Approach for Selecting Appropriate Rodent Diets for Research Studies on Metabolic Disorders

    Directory of Open Access Journals (Sweden)

    Suja Rani Sasidharan

    2013-01-01

    Full Text Available Diverse high energy diets have been utilized to precipitate obesity and related metabolic disorders in rodent models, though the dietary intervention has not absolutely been standardized. The present study established usage of a customized semipurified normal control diet (NCD and high fat diet (HFD, for research studies on diet-induced metabolic disorders in albino rats. Male Wistar rats were fed with normal pellet diet (NPD or customized NCDs I, II, III or HFDs I, II, III for 12 weeks and parameters, namely, body weight, visceral adiposity, serum triglycerides, cholesterol, and glucose were evaluated to select an appropriate NCD and HFD. The selected HFD was further evaluated for induction of fatty liver, whilst type 2 diabetes (T2D induction was confirmed in HFD and streptozotocin (STZ induced diabetes model in Wistar rats. Amongst different diets tested, NCD-I and HFD-I were selected, since NCD-I exhibited close resemblance to NPD, whereas HFD-I induced metabolic alterations, particularly obesity and dyslipidemia consistently. Moreover, HFD-I elevated terminal hepatic lipids, while HFD-I/STZ treatment augmented insulin resistance index and serum glucose levels significantly indicating effective induction of fatty liver and T2D, respectively. Therefore, customized semipurified NCD-I and HFD-I can be recommended for research studies on diet-induced metabolic disorders in albino Wistar rats.

  14. Improved Synthesis Strategy for Peptide Nucleic Acids (PNA appropriate for Cell-specific Fluorescence Imaging

    Directory of Open Access Journals (Sweden)

    Rüdiger Pipkorn, Manfred Wiessler, Waldemar Waldeck, Ute Hennrich, Kiyoshi Nokihara, Marcel Beining, Klaus Braun

    2012-01-01

    Full Text Available Progress in genomics and proteomics attended to the door for better understanding the recent rapid expanding complex research field of metabolomics. This trend in biomedical research increasingly focuses to the development of patient-specific therapeutic approaches with higher efficiency and sustainability. Simultaneously undesired adverse reactions are avoided. In parallel, the development of molecules for molecular imaging is required not only for the imaging of morphological structures but also for the imaging of metabolic processes like the aberrant expression of the cysteine protease cathepsin B (CtsB gene and the activity of the resulting product associated with metastasis and invasiveness of malign tumors. Finally the objective is to merge imaging and therapy at the same level. The design of molecules which fulfil these responsibilities is pivotal and requires proper chemical methodologies. In this context our modified solid phase peptide chemistry using temperature shifts during synthesis is considered as an appropriate technology. We generated highly variable conjugates which consist of molecules useful as diagnostically and therapeutically active molecules. As an example the modular PNA products with the complementary sequence to the CtsB mRNA and additionally with a cathepsin B cleavage site had been prepared as functional modules for distinction of cell lines with different CtsB gene expression. After ligation to the modular peptide-based BioShuttle carrier, which was utilized to facilitate the delivery of the functional modules into the cells' cytoplasm, the modules were scrutinized.

  15. The acceptability of waiting times for elective general surgery and the appropriateness of prioritising patients

    Directory of Open Access Journals (Sweden)

    Knol Dirk L

    2007-02-01

    Full Text Available Abstract Background Problematic waiting lists in public health care threaten the equity and timeliness of care provision in several countries. This study assesses different stakeholders' views on the acceptability of waiting lists in health care, their preferences for priority care of patients, and their judgements on acceptable waiting times for surgical patients. Methods A questionnaire survey was conducted among 257 former patients (82 with varicose veins, 86 with inguinal hernia, and 89 with gallstones, 101 surgeons, 95 occupational physicians, and 65 GPs. Judgements on acceptable waiting times were assessed using vignettes of patients with varicose veins, inguinal hernia, and gallstones. Results Participants endorsed the prioritisation of patients based on clinical need, but not on ability to benefit. The groups had significantly different opinions (p Acceptable waiting times ranged between 2 and 25 weeks depending on the type of disorder (p Conclusion The explicit prioritisation of patients seems an accepted means for reducing the overall burden from waiting lists. The disagreement about appropriate prioritisation criteria and the need for uniformity, however, raises concern about equity when implementing prioritisation in daily practice. Single factor waiting time thresholds seem insufficient for securing timely care provision in the presence of long waiting lists as they do not account for the different consequences of waiting between patients.

  16. The challenge of developmentally appropriate care: predictive genetic testing in young people for familial adenomatous polyposis.

    Science.gov (United States)

    Duncan, Rony E; Gillam, Lynn; Savulescu, Julian; Williamson, Robert; Rogers, John G; Delatycki, Martin B

    2010-03-01

    Predictive genetic tests for familial adenomatous polyposis (FAP) are routinely offered to young people during early adolescence. While this is not controversial, due to the medical benefit conferred by the test, it is nonetheless challenging as a consequence of the stage of life of the young people, and the simultaneous involvement of multiple family members. Despite these challenges, it is possible to ensure that the test is offered in such a way that it actively acknowledges and facilitates young people's developing autonomy and psychosocial well-being. In this paper we present findings from ten in-depth interviews with young people who have undergone predictive genetic testing for FAP (four male, six female; five gene-positive, five gene-negative; aged 10-17 years at the time of their predictive test; aged 12-25 years at the time of their research interview). We present five themes that emerged from the interviews which highlight key ethical challenges associated with such testing. These are: (1) the significance of the test; (2) young people's lack of involvement in the decision to be tested; (3) young people's limited understanding; (4) provision of the blood test at the first visit; and (5) group testing of family members. We draw on these themes to make eight recommendations for future practice. Together, these recommendations highlight the importance of providing developmentally appropriate care to young people undergoing predictive genetic testing for FAP. PMID:19760114

  17. Application and Development of Appropriate Tools and Technologies for Cost-Effective Carbon Sequestration

    Energy Technology Data Exchange (ETDEWEB)

    Bill Stanley; Sandra Brown; Patrick Gonzalez; Zoe Kant; Gilberto Tiepolo; Wilber Sabido; Ellen Hawes; Jenny Henman; Miguel Calmon; Michael Ebinger

    2004-07-10

    The Nature Conservancy is participating in a Cooperative Agreement with the Department of Energy (DOE) National Energy Technology Laboratory (NETL) to explore the compatibility of carbon sequestration in terrestrial ecosystems and the conservation of biodiversity. The title of the research project is ''Application and Development of Appropriate Tools and Technologies for Cost-Effective Carbon Sequestration''. The objectives of the project are to: (1) improve carbon offset estimates produced in both the planning and implementation phases of projects; (2) build valid and standardized approaches to estimate project carbon benefits at a reasonable cost; and (3) lay the groundwork for implementing cost-effective projects, providing new testing ground for biodiversity protection and restoration projects that store additional atmospheric carbon. This Technical Progress Report discusses preliminary results of the six specific tasks that The Nature Conservancy is undertaking to answer research needs while facilitating the development of real projects with measurable greenhouse gas impacts. The research described in this report occurred between July 1, 2002 and June 30, 2003. The specific tasks discussed include: Task 1: carbon inventory advancements; Task 2: remote sensing for carbon analysis; Task 3: baseline method development; Task 4: third-party technical advisory panel meetings; Task 5: new project feasibility studies; and Task 6: development of new project software screening tool.

  18. Studying fitness cost of Plasmodium falciparum infection in malaria vectors: validation of an appropriate negative control

    Directory of Open Access Journals (Sweden)

    Sangare Ibrahim

    2013-01-01

    Full Text Available Abstract Background The question whether Plasmodium falciparum infection affects the fitness of mosquito vectors remains open. A hurdle for resolving this question is the lack of appropriate control, non-infected mosquitoes that can be compared to the infected ones. It was shown recently that heating P. falciparum gametocyte-infected blood before feeding by malaria vectors inhibits the infection. Therefore, the same source of gametocyte-infected blood could be divided in two parts, one heated, serving as the control, the other unheated, allowing the comparison of infected and uninfected mosquitoes which fed on exactly the same blood otherwise. However, before using this method for characterizing the cost of infection to mosquitoes, it is necessary to establish whether feeding on previously heated blood affects the survival and fecundity of mosquito females. Methods Anopheles gambiae M molecular form females were exposed to heated versus non-heated, parasite-free human blood to mimic blood meal on non-infectious versus infectious gametocyte-containing blood. Life history traits of mosquito females fed on blood that was heat-treated or not were then compared. Results The results reveal that heat treatment of the blood did not affect the survival and fecundity of mosquito females. Consistently, blood heat treatment did not affect the quantity of blood ingested. Conclusions The study indicates that heat inactivation of gametocyte-infected blood will only inhibit mosquito infection and that this method is suitable for quantifying the fitness cost incurred by mosquitoes upon infection by P. falciparum.

  19. Appropriate electrode placement site of electric pulp tester for the premolars: A clinical study

    Directory of Open Access Journals (Sweden)

    Seema Dinesh Bargale

    2015-01-01

    Full Text Available Context: Electric pulp testers (EPTs are widely used as diagnostic aid in dentistry for dental pulp. This delivers enough current to overcome enamel and dentin resistance and to stimulate the myelinated sensory fibers at the junction of pulp and dentin. Such testing requires the electrode to be in contact with the surface of the tooth, with optimal positions identified for anterior teeth, premolars, and molars. Aims: To determine the best site position of EPT on premolars. The objective of electric pulp testing was to determine the sensibility of each premolar at the lowest sensory response threshold. Settings and Design: Clinical study Materials and Methods: The premolars of 20 patients between 13 and 15 years accompanied with parents, free of restorations, and caries were selected. Five sites on the crown were tested with EPT for minimum of four times. Statistical analysis used: One-way analysis of variance test and the Tukey′s honestly significant difference test. Results: The lowest threshold response was noted at the incisal edge of the tooth; the middle third had a higher threshold among all the different placement of electrode. Statistically significant difference was observed for occlusal surface in terms of region of placement of electrode. Conclusions: This experiment found the best electrode site for pulp testing in premolars. The appropriate EPT site was on the occlusal surface of maxillary and mandibular premolars.

  20. Distribution (State Allotment) of Drinking Water State Revolving Fund Appropriation from the American Recovery and Reinvestment Act of 2009 (ARRA)

    Data.gov (United States)

    U.S. Environmental Protection Agency — The ARRA appropriation for the DWSRF program is $2,000,000,000. DWSRF allotments are based on percentages derived from the 2003 Drinking Water Infrastructure Needs...