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Sample records for aspiration present situation

  1. Present health situation in Tanzania.

    Science.gov (United States)

    Dominicus, D A; Todoriki, H; Akamatsu, T; Gunshin, H

    1990-02-01

    This article discusses the present health situation in Tanzania, however, health system before independence, the colonial health system, has been the foundation on which the present health services in Tanzania are built upon. The population growth in Tanzania is high (3.2% in 1986), and projected to be 3.7% by the year 2,000. This high growth explains why it is difficult to achieve health objectives on the long term basis. Compounded to this is the economical crisis in the country. Child population in Tanzania account for about 47% of the total population in 1986. Maternal and Child Health Care services (MCHC) are discussed, with much emphasis on the child health care problems, and different programmes involved in improving child health care in the country. Problems of poor environmental sanitation are discussed including possible solutions for Tanzania. Tanzania, in this article, is urged to strengthen the existing health services in terms of staff, drugs, other supplies and equipment in order to give adequate health care to its people. Tanzania should also balance the distribution of resources between urban and rural so as to comply with the objective of the national health policy of comprehensive basic health services equitably to all within the limited available resources and to be able to reach the ultimate goal of health for all the people in the country by the year 2,000.

  2. The present situation of nuclear wastes

    International Nuclear Information System (INIS)

    Courtois, Charles

    2012-01-01

    This Power Point presentation contains graphs, tables and comments on different aspects of nuclear wastes: origin in France (fuel composition, long-life and short life wastes), definition of the different types of wastes (with respect to their life and their activity level), fuel cycle (processing of the different wastes, actors in France, waste management), waste characterization (controls, tests), laws on wastes published in 1991 (objectives with respect to separation and transmutation technologies, to storage possibilities, to conditioning and long term storage) and in 2006 (which defines a national plan for radioactive material and waste management, and a research program), the French national inventory, low activity wastes (production and storage), the transmutation technology (notably the Astrid project), the geological storage (the Cigeo project for a geological storage), and the situation in other countries

  3. The present situation of echinococcoses in Mongolia.

    Science.gov (United States)

    Ito, A; Budke, C M

    2015-11-01

    This review presents the historical and current situation of echinococcoses in Mongolia. Since the collapse of the Soviet Union in 1991, Mongolia's health surveillance infrastructure has been very poor, especially as it pertains to chronic diseases, including neglected zoonotic diseases (NZDs). Although there is anecdotal evidence of people dying from hepatic disease due to infection with the larval stage of Echinococcus spp., there are very few published reports. All confirmed cases of echinococcoses in Mongolia are from hospitals located in the capital city of Ulaanbaatar. Cases of cystic echinococcosis (CE), caused by either Echinococcus granulosus sensu stricto or Echinococcus canadensis are believed to be relatively common throughout Mongolia. In contrast, cases of alveolar echinococcosis (AE), caused by Echinococcus multilocularis, are believed to be rare. Recent wild-animal surveys have revealed that wolves (Canis lupus) are the major definitive hosts of E. canadensis, whereas both wolves and red foxes (Vulpes vulpes) are the primary definitive hosts of E. multilocularis. Although wild-animal surveys have begun to elucidate the transmission of Echinococcus spp. in Mongolia, there have yet to be large-scale studies conducted in domestic dogs and livestock. Therefore, further epidemiological studies, in addition to education-based control campaigns, are needed to help combat this NZD.

  4. Rabies and its present situation in Iran

    Directory of Open Access Journals (Sweden)

    M.Gh Nadalian

    2009-02-01

    Full Text Available Rabies is a dangerous infections disease which is highly fatal and zoonotic. The disease occurs in many countries of the world and in Iran, rabies is endemic and a major public health Problem. Most warm blooded animals are susceptible to rabies. It is transmitted by the bite of an infected animal to humans and other animals. The saliva of the sufferers is a rich source of rabies virus. Rabies is not seen in countries such as Scandinavia, Britain, Ireland, Scotland, Australia and New Zealand which is related to their geographical situation and being surrounded by water. But in countries like the United States of America, Canada, Europe and Iran the rabies is endemic. Dogs, wild carnivores especially wolves and foxes are the main transmitters of the disease. Rabies has been known approximately from the year 2300 BC with the dog considered as the main vector. Scientists like Avicenna and Sayyed Esmail Jorjani have described rabies. Louis Pasteur presented antirabies treatment and vaccinations in 1885. The Pasteur institute of Iran opened in 1920 and today there are more than 300 antirabies treatment centers in the country involved with the treatment rabies. More than 100000 persons each year in Iran are treated for rabies due to being bitten by animals especially dogs suspected of having rabies. According to the report of the Pasteur institute of Iran, 421 Positive cases of rabies of which 3 were human cases where recorded in the year 2001. These figures for 2002 to 2004 were 356 positive cases with 6 human cases, 314 positive cares with 10 human cases and 325 positive cases with 5 human cases respectively. On average, 6 human cases of rabies were recorded each year with all leading to death. Considering the increasing trend of animal bites and the number of animals and humans affected by rabies the responsible authorities including the National Veterinary Organization, Ministry of health, municipalities, Ministry of Interior and … must present

  5. Present situation and prospects of China's population.

    Science.gov (United States)

    Zha, R

    1989-06-01

    For a very long time China has been the most populous country in the world. Throughout the last 15-16 years China has achieved great success in checking the excessively rapid growth of its population. However, due to historical reasons as well as current changes, China is still facing a serious situation. As a result of historical evolution, a great number of contradictions exist in China between population on the 1 hand and arable land, food, natural resources, the environment, employment, education, and support of the aged on the other hand. Per capita arable land is now only about .1 hectare. Restricted by the area of arable land, the food supply in China has always been a source of tension. People are reclaiming land on hills and from lakes in ways that are not good for the environment. With rapid population growth, large numbers of young people are reaching working age every year. The ultimate goal of modernization is to promote the well-being of the people. Although the achievements of economic development have been remarkable, the level of goods per person remains low. This has made people realize that population growth must be controlled. The main causes of the rapid fertility decline are 1) socioeconomic development, 2) state guidance, and 3) a strong government policy. Beginning in 1979 in China, the focal point of work has been shifted to economic construction. China's strategic goal of population control is to attain the stationary state through rapid fertility decline. Prospects for the 21st century include 1) an aging population, 2) a more abundant labor force, 3) the further development of cultural and educational undertakings, 4) rapid urbanization, and 5) environmental pollution and resource shortages.

  6. The present situation of irradiation services

    International Nuclear Information System (INIS)

    Hironiwa, Takayuki

    2014-01-01

    The present state of food irradiation in Japan is presented from a point of view of a trustee for irradiation business. Radiation sprout inhibition of potatoes, only approved by Government, and spice treatment, now being applied for, are explained. Existing establishments capable of entrusting irradiation services as business in Japan are outlined including Co-60 gamma ray and X-ray irradiation and electron beam irradiation. Principles of irradiation-induced physical and chemical effects in irradiated materials specifically organic polymers and brief explanation of facilities together with safety devices are also explained. (S. Ohno)

  7. Medical exposures requirements, present situation and prospects

    International Nuclear Information System (INIS)

    Cardenas Herrera, Juan

    2012-01-01

    Scope of medical exposures is studied, these include: exposure to patients as part of their diagnosis or treatment, exposures to persons who knowingly have assisted patients, exposures volunteers included in biomedical research programs. Medical exposures have contributed their benefits for human health improvement: possess a necessary character that people have to be exposed to radiation doses to achieve their goals, convergence of risk and benefit in the same individual is presented, variability is implicated in dose given to patients in terms of size and distribution, have contributed significantly to the doses received by the world population. Despite the above attributes and generally contribute to the direct benefit of the patient, long has been given less attention than other forms of exposure, there still potential for dose reduction to patients as a result of the applications of ionizing radiation. Currently have used for nuclear medicine diagnostic x-ray procedures, exams MN, radiotherapy, tomography, both medical and dental radiology. (author) [es

  8. Bubbler condenser related research work. Present situation

    International Nuclear Information System (INIS)

    2001-02-01

    Intensive discussions within the OECD Support Group on 'VVER-440 Bubbler Condenser Containment Research Work' between 1991 and 1994 demonstrated the need for supplementary research work to achieve an adequate level of basic knowledge. In 1994, the European Commission (EC) asked for a specific 'VVER-440/213 Bubble Condenser Qualification Feasibility Study', which was finished early in 1996, confirming the need for additional research in this field. The Feasibility study formed the basis for the Bubble Condenser Experimental Qualification Project (BCEQ) with two separate experimental activities to be executed within the frame of the PHARE/TACIS 2.13/95 project of the European Commission. A first activity served to study the thermal-hydraulic phenomena and the associated structure dynamic interactions. This part of the project was performed at EREC, in Elektrogorsk, Russia. The design of the test facility was based on the prototypical bubbler condenser configuration for the Hungarian Paks nuclear power plant. A second activity addressed the structural integrity of certain components of the bubbler condenser steel structures under DBA-typical conditions. This part of the project was performed at VUEZ, in Levice, Slovak Republic. The design of the components of this facility was based on the structural properties of the Dukovany and/or Bohunice nuclear power plants. A third component of the BCEQ project was specified later asking for analytical studies, which should be supported by a number of small-scale separate effects tests to be performed at SVUSS, in Bechovice, Czech Republic. The main experimental and analytical results of the BCEQ test campaigns have been presented and discussed within the frame of the 4. meeting of the Technical Advisory Committee to the BCEQ (Bubble Condenser Experimental Qualification) Project in Brussels in December 1999 and on occasion of the 11. OECD Support Group Meeting in Berlin in April 2000. The discussions had evidenced several

  9. Obturator Hernia in an Elderly Woman Presenting with Aspiration Pneumonia and Respiratory Failure

    Directory of Open Access Journals (Sweden)

    Jia-Ming Wang

    2011-09-01

    Full Text Available Obturator hernia is a rare but important cause of intestinal obstruction. The mortality rate is high if the diagnosis is not made early and surgical intervention is delayed. We report an 88-year-old female patient who presented with aspiration pneumonia and respiratory failure. She did not have nausea/vomiting and physical examination was unremarkable. She was fed through a nasogastric tube, but no gastric emptying was noted. An abdominal/pelvic computed tomograpy (CT scan performed 5 days after the presentation revealed a left incarcerated obturator hernia. Emergency laparotomy was performed and the patient eventually recovered. This case reminds us that aspiration pneumonia may be the presenting feature of obturator hernia and a clue to its early diagnosis.

  10. Early Intervention Practices in China: Present Situation and Future Directions

    Science.gov (United States)

    Hu, Xiaoyi; Yang, Xijie

    2013-01-01

    Early intervention services to young children with developmental delays in China have experienced significant growth since 1978, the beginning of the period of Reform and Opening. This article described the present situation of early intervention practices in mainland China, framed around the key components and guiding principles of Guralnick's…

  11. Everything that wheezes… Late presentation of an aspirated foreign body as a cause of near fatal respiratory distress

    Directory of Open Access Journals (Sweden)

    L. Hindle*

    2013-12-01

    Discussion: This case illustrates the difficulty doctors may have when there is delayed presentation or unwitnessed aspiration of a foreign body. History, clinical symptoms and the X-ray findings may provide clues but are not diagnostic. In cases where a FB aspiration is suspected, bronchoscopy is both diagnostic and potentially curative.

  12. Development and Present Situation Analysis of Power Transformer State Maintenance

    Science.gov (United States)

    Lv, Sen; Li, Biao; Li, Huan

    2018-02-01

    The pivotal status of power transformer in the power system is one of the most important equipment. The safety and reliability of its operation is directly related to the safety and stability of power system. Based on the analysis of the present situation of power transformer state maintenance in home and abroad. The paper points out the deficiency of the current method and provides a theoretical basis for further research, which has a certain guiding significance.

  13. Part 1: The influence of personal and situational predictors on nurses' aspirations to management roles: preliminary findings of a national survey of Canadian nurses.

    Science.gov (United States)

    Laschinger, Heather K Spence; Wong, Carol A; MacDonald-Rencz, Sandra; Burkoski, Vanessa; Cummings, Greta; D'Amour, Danielle; Grinspun, Doris; Gurnham, Mary-Ellen; Huckstep, Sherri; Leiter, Michael; Perkin, Karen; MacPhee, Maura; Matthews, Sue; O'Brien-Pallas, Linda; Ritchie, Judith; Ruffolo, Maurio; Vincent, Leslie; Wilk, Piotr; Almost, Joan; Purdy, Nancy; Daniels, Frieda; Grau, Ashley

    2013-03-01

    To examine the influence of personal and situational factors on direct-care nurses' interests in pursuing nursing management roles. Nursing managers are ageing and nurses do not appear to be interested in nursing management roles, raising concerns about a nursing leadership shortage in the next decade. Little research has focused on factors influencing nurses' career aspirations to nursing management roles. A national survey of nurses from nine Canadian provinces was conducted (n = 1241). Multiple regression was used to test a model of personal and situational predictors of nurses' career aspirations to management roles. Twenty-four per cent of nurses expressed interest in pursuing nursing management roles. Personal and situational factors explained 60.2% of nurses' aspirations to management roles. Age, educational preparation, feasibility of further education, leadership self-efficacy, career motivation, and opportunity to motivate others were the strongest predictors of aspirations for management roles. Personal factors were more strongly associated with career aspirations than situational factors. There is a steady decline in interest in management roles with increasing age. Nursing leadership training to develop leadership self-efficacy (particularly for younger nurses) and organizational support for pursuing advanced education may encourage nurses to pursue nursing management roles. © 2012 Blackwell Publishing Ltd.

  14. Paraganglioma with unusual presentation in parotid gland: A diagnostic dilemma in fine needle aspiration

    Directory of Open Access Journals (Sweden)

    Anagh A Vora

    2012-01-01

    Full Text Available Paragangliomas (PGLs are uncommon tumors. Although PGLs are known to occur in the head and neck region, especially the carotid body, middle ear, and larynx, involvement of the parotid glands has not been reported. In this article, we report the fine needle aspiration features of tumor in an unusual location, presenting as a parotid gland mass, submitted to pathology for initial diagnosis. The clinical presentation, cytomorphology, and the immunohistochemical features for the diagnosis are described. To our knowledge, this is the first case of paraganglioma of the parotid gland reported in the literature.

  15. Overview of research committees status in Egypt: challenges aspirations and current situation.

    Science.gov (United States)

    Younis, Inas M

    2015-01-01

    We analyze the current situation of clinical research regulatory overview in Egypt to acknowledge the strengths and define the frailties, thus inciting relevant stakeholders to find solutions and bring about change. Uniquely, Egypt possesses favorable factors ideal for a dynamic clinical research market: accessible subjects, a mosaic panel of research areas, and incomparably low cost. Yet, with a majority of participant population needy and illiterate, and in absence of robust legislative constraints, concerns are increasingly being raised, whether ethical pitfalls of clinical research are adequately addressed, and whether the safety and the rights of subjects are constantly prioritized and maintained. In a descriptive explicit literature review, we identify, review, and interpret findings from recent publications backed up by existing data derived from current declared regulations and personal experience in the field. Inferences were made that despite an affiliation to international referential guidelines, real settings implementations are far from being consistent or adherently conforming. Focal attempts at reform are observed, but without joint stakeholders' support, those attempts are doomed never to get off the ground.

  16. Notes on the present situation of Anastrepha fraterculus in Argentina

    International Nuclear Information System (INIS)

    Manso, F.; Basso, A.

    1999-01-01

    Behavioural and karyotypical results from Anastrepha fraterculus samples received in our laboratory during the period 92-94 are discussed. The work represents the partial situation of this pest in Argentina. Data from guava fruits indicate 1) that the oviposition behaviour does not agree with the autocontrol mechanism via ODP previously described, 2) that a selection mechanism associated to fruit size and quality exists, allowing the female to choose the oviposition site, 3) if different varieties of fruits are available, then the fly shows preference for one of them. The oviposition behaviour in samples of peaches is different from that observed on guava samples and agrees with the ODP mechanism. In some localities, A. fraterculus and C. capitata share the same substrate or fruit (same unit). Samples from commercial oranges do not show evidence of Anastrepha attack. A more frequent karyotype fArg 1 (wild type karyotype) as well as high karyotypic variation, mainly measured through the polymorphism of sexual chromosomes, are present within different geographic populations sharing the same host species. To date, we do not have enough information to associate a particular behaviour to a karyotype. The chromosomal analysis is merely descriptive. (author)

  17. Analysis on present radon ventilation situation of Chinese uranium mines

    International Nuclear Information System (INIS)

    Li Xianjie; Hu Penghua

    2010-01-01

    Mine Ventilation is the most important way in lowering radon of uranium mines. At present, radon and radon daughter concentration of underground air is 3∼5 times higher than any other air concentration of foreign uranium mines, as the same input for Protective Ventilation between Chinese uranium mines with compaction methodology and international advanced uranium mines. In this passage, through the analysis of Ventilation Radon Reduction status in Chinese uranium mines and the comparison of advantages and shortcomings between variety of ventilation and radon reduction, it illuminated the reasons of higher radon and radon daughter concentration in Chinese uranium mines and put forward some problems in three aspects, which are Ventilation Radon Reduction Theory, Ventilation Radon Reduction Measures and Ventilation Management. And to above problems, this passage put forward some proposals and measures about some aspects, such as strengthen examination and verification and monitoring practical situation, making clear ventilation plan, in according to mining sequence strictly, training Ventilation technician forcefully, enhance Ventilation System management, development of Ventilation Radon Reduction technology research in uranium mines and carrying out ventilation equipments as soon as possible in further and so on. (authors)

  18. Taeniases and cysticercosis in Indonesia: past and present situations.

    Science.gov (United States)

    Wandra, Toni; Ito, Akira; Swastika, Kadek; Dharmawan, Nyoman S; Sako, Yasuhito; Okamoto, Munehiro

    2013-11-01

    The main aim of this study is to overview the past and present situations of human taeniases and cysticercosis in Indonesia and including future perspectives. Through joint projects from 1996, we have confirmed the occurrence of Taenia saginata (beef tapeworm) in Bali, of Taenia solium (pork tapeworm) mainly in Papua and sporadically in Bali, and of Taenia asiatica in North Sumatra. These taeniases were caused through eating uncooked pork and pig viscera for T. solium and T. asiatica, respectively, and beef for T. saginata. The distribution of these tapeworms in Indonesia is basically highly restricted by the traditional cultural and religious backgrounds in each island. T. saginata is relatively common in Bali although people consume pork 'lawar' more than beef 'lawar'. Taeniases due to T. saginata or T. asiatica and T. solium and cysticercosis due to T. solium have also been sporadically reported in some other islands. Among these species, T. solium is exceptional since humans can be infected not only by larval stages (cysticerci) in pork but also by eggs released from human tapeworm carriers. Cysticercosis has been confirmed in Indonesia in humans, pigs and even dogs.

  19. Radioactive contamination in Arctic - present situation and future challenges

    Energy Technology Data Exchange (ETDEWEB)

    Strand, Per [Norwegian Radiation Protection Authority, Oesteraes (Norway)

    2002-04-01

    There is currently a focus on radioactivity and the Arctic region. The reason for this is probably the high number of nuclear sources in parts of the Arctic and the vulnerability of Arctic systems to radioactive contamination. The Arctic environment is also perceived as a wilderness and the need for the protection of this wilderness against contamination is great. In the last decade information has also been released concerning the nuclear situation which has caused concern in many countries. Due to such concerns, the International Arctic Environmental Protection Strategy (IAEPS) was launched in 1991 and the Arctic Monitoring and Assessment Programme (AMAP) was established. AMAP is undertaking an assessment of the radioactive contamination of the Arctic and its radiological consequences. In 1996 IAEPS became part of the Arctic Council. AMAP presented one main report in 1997 and another in 1998. There are also several other national, bilateral and international programmes in existence which deal with this issue. This paper summarises some of current knowledge about sources of radioactive contamination, vulnerability, exposure of man, and potential sources for radioactive contamination within Arctic and some views on the future needs for work concerning radioactivity in Arctic. (au)

  20. Present situation of occupational radiation exposure in nuclear power plants

    International Nuclear Information System (INIS)

    Imabori, Akira

    1979-01-01

    The present situation of the radiation exposure of workers, including both employes and subcontractors, in the nuclear power plants in Japan, is presented. Twenty seven nuclear power reactors in operation and under construction are tabulated with the name, the owner, the electric output and the commissioning year of each plant. The results of exposure of the workers in these plants are shown, classifying the dose rate into less than 0.5 rem, 0.5 - 1.5 rem, 1.5 - 2.5 rem, 2.5 - 5 rem and more than 5 rem, and the workers into employes and subcontractors. It is noted that the exposure dose of the subcontractors occupies about 88% of all exposure dose, and the exposure is concentrated during regular inspection period. The exposure dose of about 80% of the workers is less than 0.5 rem, and no one was irradiated more than 5 rem in a year. The total exposure dose, which has especially the tendency of increasing with extended maintenance period and decreasing during plant operation period, shows also the trend of increasing with the lapse of operation years. As for the point of view of whole exposure dose, the value is 0.06 -- 0.43 man-rem/10 6 kWh in 1976 FY. It is considered to be necessary to grasp the total exposure dose of each worker wandering from one plant to another, and the central registration center for the workers in radioactive environment was established in 1978. The whole exposure dose data of each worker are stored in the central computer in this center. This system is highly appreciated in radiation exposure management. The total exposure dose is related to the rate of utilization of nuclear plants, and it is expected to decrease with the decrease of plant outage. (Nakai, Y.)

  1. Swiss teleradiology survey: present situation and future trends

    International Nuclear Information System (INIS)

    Lienemann, Bernhard; Hodler, Juerg; Pfirrmann, Christian W.A.; Luetolf, Marcus

    2005-01-01

    The purpose of this study was to obtain a survey about the present situation including the usage pattern, technical characteristics and the anticipated future of teleradiology in Switzerland. An internet-based questionnaire was made available to all members of the Swiss Society of Radiology. Questions concerning current teleradiology usage, the type of transmitted modalities, the technology employed, security, billing issues and the anticipated future of teleradiology were addressed. One hundred and two (22.67%) of 450 radiologists responded to the survey. Of the total, 41.2% (42) were teleradiology users, 35.3% (36) planned to use teleradiology in the near future and 24.5% (25) did not use or plan to use teleradiology. The mean number of examinations transmitted per month was 198 (range 1-2,000) and the mean distance was 33 km (range 1,250 km). An emergency service was considered the most important purpose (mean score 6.90; minimum 1, maximum 10) for the use of teleradiology, followed by image distribution (mean 6.74) and expert consultation (mean 6.61). The most commonly transmitted modality was computed tomography (mean 8.80), followed by conventional X-rays (8.40) and magnetic resonance imaging (8.32). The most commonly transmitted format was Digital Imaging and Communications in Medicine (DICOM) (66.7%), followed by bitmap/Joint Photographic Experts Group (jpg) (38.1%), using the DICOM send/receive protocol (52.4%), followed by the hypertext transfer protocol (26.2%) and e-mail (21.4%). For security a secure connection (54.8%) followed by encryption (14.3%) and anonymization (9.5%) was used. For the future, image distribution was rated the most important aspect of teleradiology (7.88), followed by emergency (7.22) and expert consultation (6.53). Development of legal regulations is considered most important (8.17), followed by data security guidelines (8.15). Most radiologists believe that insurance companies should pay for the costs of teleradiology (37

  2. Geoheritage protection of Serbia: Present situation and perspectives

    Directory of Open Access Journals (Sweden)

    Jojić-Glavonjić Tamara

    2010-01-01

    Full Text Available Neglected for decades in relation to the biodiversity and cultural heritage protection, the geoheritage protection has become a new concept, having more and more supporters in the world. The middle of the 1990s marked the beginning of the systematic geoheritage protection in Serbia. The basic components of that process are represented in the paper with the aim of evaluating the situation and noticing the key problems.

  3. Everything that wheezes… Late presentation of an aspirated foreign body as a cause of near fatal respiratory distress

    OpenAIRE

    L. Hindle*

    2013-01-01

    Aspirated foreign bodies are a common cause of mortality in children. They can be difficult to diagnose if the aspiration is not witnessed or if the object is not radiopaque, as this case illustrates. Case report: A 4 year old boy with a history of previous TB presented with respiratory distress after a week of fever and cough. No history of choking or foreign body was elicited. On examination the child was distressed, hypoxic and febrile. On auscultation bilateral coarse crackles and an e...

  4. Nine pulmonary aspiration syndrome cases of atypical clinical presentation, in which the final diagnosis was obtained by histological examinations.

    Science.gov (United States)

    Shimada, Masahiro; Teramoto, Shinji; Matsui, Hirotoshi; Tamura, Atsuhisa; Akagawa, Shinobu; Ohta, Ken; Hebisawa, Akira

    2014-01-01

    While pulmonary aspiration syndrome (PAS) is primarily clinically diagnosed, atypical PAS cases can be misdiagnosed clinically and are more accurately diagnosed histologically. To elucidate clinicopathological features of these rare cases, we examined PAS cases determined by histological examination of transbronchial lung biopsy (TBLB) specimens. Of 6105 TBLB cases investigated from 1990 to 2007, 11 were diagnosed as PAS based on histology. Of these, we examined 9 records in detail, as the medical records for 2 cases were unavailable. Histopathological findings indicated 8 patients with aspiration pneumonia and 1 with diffuse aspiration bronchiolitis. However, the pre-bronchoscopy diagnoses included lung cancer, mycobacteriosis, organizing pneumonia, repetitive pneumonia, fungal infection, and interstitial pneumonia. PAS was not considered before TBLB. Only 4 of the 9 patients developed subjective symptoms including fever and cough with sputum production. Laboratory findings demonstrated elevation of white blood cell (WBC) count in only 1 patient and elevation of C reactive protein (CRP) level in 4 patients. Radiographic examination revealed abnormal findings in the dorsal right lower lobes, which was the most vulnerable site for aspiration pneumonia, and also in the upper and ventral portions of the lung. Although the characteristic findings of PAS were scarce, all patients had conditions predisposing to aspiration; i.e., gastrectomy, excessive alcohol drinking, post-cerebral infarction, and sinobronchial syndrome. We diagnosed 9 PAS patients on the basis of histological findings that were distinct from clinical findings. Despite presenting with variable symptoms and laboratory and radiographic findings, they all exhibited predisposing factors to aspiration. Copyright © 2013 The Japanese Respiratory Society. Published by Elsevier B.V. All rights reserved.

  5. The solar neutrino puzzle present situation and future scenarios

    CERN Document Server

    Aliani, P.; Ferrari, R.; Picariello, M.; Torrente-Lujan, E.

    2002-01-01

    We present a short review of the existing evidence in favor of neutrino mass and neutrino oscillations which come from different kinds of experiments. We focus our attention in particular on solar neutrinos, presenting a global updated phenomenological analysis of all the available data and we comment on different possible future scenarios.

  6. Compensatory Self-Presentation in Upward Comparison Situations

    Science.gov (United States)

    Tyler, James M.

    2009-01-01

    This article focuses on the communication of compensatory self-presentations (CSP) (i.e., self-presentations that people engage in after publicly receiving unfavorable feedback), with prior work showing that people prudently constrain CSP to areas unrelated (vs. related) to the initial feedback. With the current project we examine the influence…

  7. Present situation and future prospect of hydropower in China

    Energy Technology Data Exchange (ETDEWEB)

    Huang, Hailun; Yan, Zheng [Department of Electrical Engineering, Shanghai Jiaotong University, Shanghai 200240 (China)

    2009-08-15

    Hydropower is a clean and renewable energy source. Considering the economic, technical and environmental benefits of hydropower, most countries give priority to its development. China has the richest hydro resources on the planet with a total theoretical hydropower potential of 694 GW. Developing hydropower is of great importance to alleviate the energy crisis and environmental pollution resulting from the rapid economic growth of China in the 21st century. This paper provides a survey of hydropower development in China. Over the last five decades, China's hydropower has developed quickly. The installed capacity of hydropower is 145.26 GW presently. Some large hydropower plants have been in operation and many are still under construction, including the Three Gorges Project (TGP) and pumped-storage power stations. Small hydropower development accelerates rural electrification of this country. (author)

  8. THE ASSESSMENT OF CYBERBULLYING: THE PRESENT SITUATION AND FUTURE CHALLENGE

    Directory of Open Access Journals (Sweden)

    Beatriz Lucas-Molina

    2016-01-01

    Full Text Available In the last decade there has been a significant increase in the interest of the educational and scientific community on cyberbullying, a new form of peer abuse and intimidation. Despite the widespread proliferation of studies and assessment tools on the phenomenon, there are still major conceptual and methodological gaps. This paper offers a comprehensive and updated review of the results of research on the definition of the construct, its prevalence and its impact on the people involved. Finally, it focuses specifically on the assessment of the construct and provides a brief review of the general and psychometric characteristics of the instruments used in some of the most relevant national and international studies conducted on the subject. This work places special emphasis on the present and future challenges and concludes with a number of general recommendations intended to guide the correct selection and/or construction of assessment instruments in this field of study.

  9. Present situation of professional culture in university teachers.

    Directory of Open Access Journals (Sweden)

    Yamirka García Pérez

    2012-06-01

    Full Text Available The teaching professional culture is expressed in the daily work of professors, principals and students who deals with the established principles and its concretion in practice. It is set as priority the preparation and pedagogical scientific-technical training of teachers to convert the country into a great university, conceiving it as a continuous and permanent process, where teachers training are understood as a professional development and it focuses the attention in the teacher as a subject of its personal and professional development. This research paper presents an analysis of the category: teaching professional culture from a history-logical perspective and intend to socialize with the scientific community the obtained results from the project Pedagogical Strategy to the promotion of teaching professional culture in professors and academics structures. It was used the empiric and theoretical methods.

  10. Present Global Situation of Amino Acids in Industry.

    Science.gov (United States)

    Tonouchi, Naoto; Ito, Hisao

    At present, amino acids are widely produced and utilized industrially. Initially, monosodium glutamate (MSG) was produced by extraction from a gluten hydrolysate. The amino acid industry started using the residual of the lysate. The discovery of the functions of amino acids has led to the expansion of their field of use. In addition to seasoning and other food use, amino acids are used in many fields such as animal nutrients, pharmaceuticals, and cosmetics. On the other hand, the invention of the glutamate fermentation process, followed by the development of fermentation methods for many other amino acids, is no less important. The supply of these amino acids at a low price is very essential for their industrial use. Most amino acids are now produced by fermentation. The consumption of many amino acids such as MSG or feed-use amino acids is still rapidly increasing.

  11. Past and present situation of nuclear research at Forschungszentrum Karlsruhe

    International Nuclear Information System (INIS)

    Scholtyssek, W.

    2001-01-01

    The case of Forschungszentrum Karlsruhe is presented which had to transform from a centre devoted to nuclear power R and D to one in which this activity is allocated only 20% of the resources. A large number of operating nuclear power reactors coupled with the Government decision to phase out nuclear power is causing serious concerns regarding the availability of human resources for meeting the long term needs of nuclear facilities. The Energy Division of the research centre currently focuses mainly on safety research and on nuclear fusion. Another Division of the centre has nuclear facility decommissioning as one of the programmes. Independent research in areas of essential need for nuclear facilities must be carried out to maintain know how. (author)

  12. Photovoltaics in Switzerland - Present situation and prospects for further development

    International Nuclear Information System (INIS)

    Nowak, S.; Gutschner, M.

    2009-01-01

    This article takes a look at the contributions made by Switzerland in the areas of research, innovation and production technologies for photovoltaics. The intensive developments that can be noted in the Swiss photovoltaics area are commented on. Growth rates in the photovoltaics industry are quoted and commented on. The state-of-the-art and present trends are discussed, including organic and inorganic solar cells and concentrating systems. The author comments on the many technologies currently being worked on, with newer technologies catching up with the more traditional crystalline silicon systems. Balance-of-system products, such as inverters, cabling systems and controllers are briefly discussed. Also, increased interest and developments in monitoring systems for the power produced by the solar installations is noted. Swiss research and production facilities are commented on. Price-parity for solar power and its future effect on the European and Swiss solar markets is discussed

  13. Actualidad de las quinolonas Present situation of quinolones

    Directory of Open Access Journals (Sweden)

    Manuel Cué Brugueras

    2005-04-01

    Full Text Available Las quinolonas son los antimicrobianos que han tenido un mayor desarrollo en los últimos años. Después de obtenerse el ácido nalidíxico, en 1962, se desarrollaron varios compuestos con características muy similares, que solo se establecieron como antisépticos urinarios, y que constituyeron la primera generación de quinolonas, hasta que en 1978, mediante la adición de un grupo piperacinil en posición 7 y un átomo de flúor en posición 6 comenzó a desarrollarse un conjunto de agentes antibacterianos llamados piperacinil fluoroquinolonas o simplemente fluoroquinolonas. El primero de ellos fue el norfloxacino, con el cual se logró una mayor actividad antimicrobiana del grupo y su uso sistémico. Durante años las fluroquinolonas fueron consideradas como un grupo homogéneo de antibióticos, con propiedades semejantes y, por tanto, como la segunda y última posibilidad de generación de quinolonas, pero las posibilidades de transformación de su estructura química ha producido un desarrollo vertiginoso de este grupo, que lo ha convertido en el más acelerado dentro de los antibióticos, con compuestos de mayor espectro antibacteriano, penetración tisular y seguridad, y con menor manifestación de resistencia antimicrobiana, demostrada hasta el presente, lo cual ha hecho que actualmente existan 4 generaciones de quinolonas, que se haya ampliado su uso y que continúe su desarrollo. Por tal motivo, se presenta una revisión que incluye espectro y mecanismo de acción, resistencia bacteriana, farmacodinamia y farmacocinética, interacciones medicamentosas, efectos adversos, indicaciones y dosificación de las más usadas.The quinolones are antimicrobial agents that have attained their highest development in the last years. After obtaining nalidixic acid, in 1962, several compounds were developed with similar characteristics that were only established as urinary antiseptics and that were the first generation of quinolones until 1978, when

  14. Energy situation in India. Present situation, future outlook and outlook for nuclear power

    International Nuclear Information System (INIS)

    Prasad, Y.S.

    1996-01-01

    India, with its population of approx. 900 million in 1994, is one of the most populous countries in the earth. Its population is estimated to rise to 1.888 billion by 2030. Immense economic efforts are required to supply this population; they can be made only on the basis of an ambitious program in energy policy and power economy. In the period between 1950 and 1994, the installed generating capacity was increased from 2.3 to 86.9 GW, and the generation of electricity rose from 6.6 to 355.6 TWh. Nine nuclear generating units with an installed power of 2035 MWe are in operation in India; in 1994, they converted an aggregate 4968 GWh of nuclear power into electric power. The installed power of nuclear generating units is to be increased to 60,000 MWe by 2020. At present, five units are under construction with 1175 MWe; of these, Kakrapar-2 is in its commissioning phase. So far, mainly heavy water moderated pressure tube reactors of the Canadian Candu type with an installed power of 235 MWe have been operated. Tarapur has two boiling water reactors of 210 MWe each. Twelve Candu units of 500 MWe power each and two pressurized water reactors of the Russian VVER-1000 type are in the planning stage. (orig.) [de

  15. The present shortage situation on the maintenance service market. A hopeless situation?; Marktengpaesse bei der Beschaffung von Instandhaltungsleistungen. Eine ausweglose Situation?

    Energy Technology Data Exchange (ETDEWEB)

    Benzel, F. [RWE Power AG, Grevenbroich (Germany). Technische Vergabe; Hopstein, H. [RWE Power AG, Grevenbroich (Germany). Einkauf Verfahrenstechnik FKW

    2008-07-01

    The market for new power plants is presently being dominated by dramatic price rises and fully booked manufacturing capacities over the next few years. This situation also causes severe problems in the procurement of maintenance services and spares. In many cases the suppliers of new power plants and maintenance services are identical and access the same human and production resources. The paper provides an insight into the measures taken by RWE Power to assure a reliable procurement of services. (orig.)

  16. Aspiration pneumonia

    Science.gov (United States)

    Anaerobic pneumonia; Aspiration of vomitus; Necrotizing pneumonia; Aspiration pneumonitis ... The type of bacteria that caused the pneumonia depends on: Your ... facility, for example) Whether you were recently hospitalized ...

  17. A Rare Presentation of a Morel-Lavallee Lesion of the Lower Leg Successfully Treated With Ultrasound-Guided Aspiration.

    Science.gov (United States)

    Falconi, Audrey; Crellin, Holly; Tagawa, Chelsea

    2017-07-21

    A Morel-Lavallee lesion (MLL) is a relatively rare condition that is caused by a traumatic shearing force. This force leads to a closed degloving injury of the subcutaneous tissue and fascia that creates a potential space that can fill with lymph, blood, and necrotic fat. The MLLs are traditionally seen after high impact trauma and typically located at the greater trochanter and pelvis, although recent reports have found them to be located at the knee, thigh, and lower leg. The MLLs typically present as swelling at the site of injury, which can be difficult to differentiate from several other diagnoses. This case report discusses an MLL in the lower extremity that occurred during a rugby game. A lack of familiarity with MLLs often leads to delayed diagnosis and treatment. The diagnosis was eventually made with an magnetic resonance imaging, and the lesion was successfully treated with ultrasound-guided aspiration and compression. The athlete was able to return to play without recurrence of the lesion.

  18. Bone marrow aspiration

    Science.gov (United States)

    Iliac crest tap; Sternal tap; Leukemia - bone marrow aspiration; Aplastic anemia - bone marrow aspiration; Myelodysplastic syndrome - bone marrow aspiration; Thrombocytopenia - bone marrow aspiration; Myelofibrosis - bone marrow aspiration

  19. THE PRESENT-DAY SITUATION OF THE PRESENT TENSE AND AORIST IN THE TURKISH DIALECTS IN MACEDONIA

    Directory of Open Access Journals (Sweden)

    Oktay AHMED

    2014-11-01

    Full Text Available This paper discusses the present-day situation of the present tense and aorist in the Turkish dialects in the Republic of Macedonia. The country is separated by the Vardar river. The characteristics of the Turkish dialects, roughly, also shows differences inside these boundaries. On the left bank morphological present tense and on the right bank morphological aorist predominates. Present tense suffixes in the northern dialects are /-i/, /-Ay/, /-y/ and in some eastern dialects /-iy/. These suffixes are used both as semantic present tense and as semantic aorist markers. In these dialects morphological aorist marker is almost never used. In the southern dialects, morphological aorist marker covers both semantic present tens and semantic aorist. In these dialects, definitely there is no morphological present tense marker. Compared to standard Turkish, there is a shortage of the present tense and aorist marker variants. In the negative forms of the morphological present tense always is used the /-y/ and in the negative forms of the morphological aorist, as it is in standard Turkish, always is used the /-z/ marker.

  20. Present situation and countermeasures for managing expenses of safety in production in enterprise

    International Nuclear Information System (INIS)

    Pang Liefen

    2012-01-01

    The paper introduces the evolutions concerning accountant accounting for the capital of safety in production over the recent years, and analyses the present situation and reasons for the problems existed in enterprise as for gathering expenses of safety in production, and propose the countermeasures to reinforce the management of enterprise expenses of safety in production, in order to improve the management of enterprise expenses of safety in production and to enhance the level of the management in safety for the enterprise. (author)

  1. Analysis on Present Situation and Countermeasures of Rural Ecotourism in Jiangsu Province

    OpenAIRE

    WANG, Haiqin; GUAN, Yongxiang; WANG, Zichen

    2013-01-01

    This article briefly outlines the concept, present situation and form of rural ecotourism. It also preliminarily analyses the existing problems of rural ecotourism. Then countermeasures and suggestions related to the further development of rural ecotourism and the promotion of new countryside construction are put forward, which can be summarized as follows: carrying out multichannel financing, in order to strengthen the development dynamics of rural ecotourism; focusing on cultivation of ecol...

  2. THE PICNIC GAME: PRESENTATION OF A SITUATION OF OBSERVATION TO ASSESS FAMILY INTERACTIONS.

    Science.gov (United States)

    Favez, Nicolas; Frascarolo, France; Grimard, Nathalie

    2016-05-01

    The aim of this article is to present a situation of observation designed for the assessment of family interactions: The PicNic Game (PNG). In this situation, families are invited to play at having a picnic together. This can be done with any number of children, aged from a few weeks to adolescence. A companion assessment tool, the Revised-Picnic Assessment Scale (Re-PAS), allows evaluation of interactions in the family on several dimensions. This article presents the PNG and a preliminary study of the validation of the Re-PAS dimensions in a sample of families (N = 67) with 18-month-old infants and their siblings. The PNG was well-received by the families. Construct validity of the Re-PAS was tested, first against self-reported data by mothers and fathers regarding marital satisfaction, coparenting behavior, and division of household tasks, and then against observed maternal and paternal sensitivity and controlling behaviors assessed during free-play. Results show satisfactory preliminary reliability and validity. Two contrasting cases are presented to illustrate the different interactions highlighted in the PNG. This situation is useful for researchers and clinicians, particularly as a basis for video-feedback work with the family. © 2016 Michigan Association for Infant Mental Health.

  3. Strategic Aspirations

    DEFF Research Database (Denmark)

    Christensen, Lars Thøger; Morsing, Mette; Thyssen, Ole

    2016-01-01

    aspirations, in other words, have exploratory and inspirational potential—two features that are highly essential in complex areas such as sustainability and CSR. This entry takes a communicative focus on strategic aspirations, highlighting the value of aspirational talk, understood as ideals and intentions...

  4. How factors present during the immediate interrogation situation produce short-sighted confession decisions.

    Science.gov (United States)

    Madon, Stephanie; Yang, Yueran; Smalarz, Laura; Guyll, Max; Scherr, Kyle C

    2013-02-01

    Suspects have a preexisting vulnerability to make short-sighted confession decisions, giving disproportionate weight to proximal, rather than distal, consequences. The findings of the current research provided evidence that this preexisting vulnerability is exacerbated by factors that are associated with the immediate interrogation situation. In Experiment 1 (N = 118), a lengthy interview exacerbated participants' tendency to temporally discount a distal consequence when deciding whether or not to admit to criminal and unethical behaviors. This effect was especially pronounced among less serious behaviors. In Experiment 2 (N = 177), participants' tendency to temporally discount a distal consequence when making admission decisions was exacerbated by the expectation of a lengthy interview; an effect that became stronger the longer the interview continued. These findings suggest that conditions of the immediate interrogation situation may capitalize on an already-present vulnerability among suspects to make short-sighted confession decisions, thereby increasing the chances that even innocent suspects might confess.

  5. Further Questions: A Way Out of the Present Philosophical Situation (via Foucault

    Directory of Open Access Journals (Sweden)

    Leonard Lawlor

    2011-06-01

    Full Text Available Let us begin by assembling some signs of the present philosophical situation. On the one hand, the most important living French philosopher, Alain Badiou, calls for a “return to Plato,” despite the movement of anti-Platonism that dominated French and German thought in the 20th century. On the other hand, the present moment sees a resurgence of naturalism in philosophy in general (including and especially Anglophone analytic philosophy, despite the criticisms of naturalism that have appeared throughout the 20th century. Phenomenology seems to be at the center of both of these movements. On the one hand, it is the idea of a mathematized ontology that requires the return to Plato, a mathematized ontology constructed without a reflection on its transcendental grounds. On the other, the resurgence of naturalism is so strong that a book could be imagined and published with the bastard name of Naturalizing Phenomenology, as if the transcendental moment of phenomenology did not transform the very meaning of nature. These signs seem to indicate that we have entered into a phase of regression or even decline in philosophical thinking. If this interpretation of the signs is correct, if we have indeed entered into a phase of regression -- a twofold regression toward Platonism and toward naturalism -- we must ask the following question: is it possible for us to define something like a project or even a research agenda that would allow us to define a way of thinking that might lead us out of the present situation, a situation, it must be said, that seems dire for philosophy in general? If we can determine such a research agenda, perhaps we can also begin to understand what the tradition of “continental philosophy” has stood for.

  6. The present situation about the teaching of Rorschach and other proyective tests in Peru

    OpenAIRE

    Ráez de Ramírez, Matilde

    2013-01-01

    This papee presents a brief history about the origin and development of the proyecrive techniques in Peru. A questionnaire was administercd ro universitiy professors and members of the Peruvian Rorschach and Proyecrive Merhods Sociery in order ro collect data concerning the test rraining situation. Results indicare that there is a broad vicw towards scientific thought that stresses research and rhe use of standardized tests. lt is also pointed out, rhat the conceptual frame work is based on c...

  7. Computing in ST evaluation of the present situation and plans for the future

    CERN Document Server

    Sánchez-Corral, E

    1998-01-01

    A general overview of the current situation will help to define plans for the future in order to obtain maximum profit of the resources we have and to better plan future investments. The main computing issues for 1998 are presented and their effects evaluated: Migration of QuickMail towards the CERN central mail server, in parallel with a migration of MAC to PC when needed; -rationalization of the ST desktop inventory and analysis of needs for the near future; migration from RAPIER (the Computerized Maintenance system) to its latest version R5, and re-organization of the different databases concerned; extensive use of the WWW as common communication system. Also, a divisional strategy for computing is presented: standardization, choice of solutions considering that the convenient solution is not always the best technical one, importance of training in general organization and in specific domains in order to increase efficiency in daily work.

  8. Korean medicine coverage in the National Health Insurance in Korea: present situation and critical issues

    Directory of Open Access Journals (Sweden)

    Byungmook Lim

    2013-09-01

    Full Text Available National Health Insurance (NHI in Korea has covered Korean medicine (KM services including acupuncture, moxibustion, cupping, and herbal preparations since 1987, which represents the first time that an entire traditional medicine system was insured by an NHI scheme anywhere in the world. This nationwide insurance coverage led to a rapid increase in the use of KM, and the KM community became one of the main interest groups in the Korean healthcare system. However, due to the public's safety concern of and the stagnancy in demand for KM services, KM has been facing new challenges. This paper presents a brief history and the current structure of KM health insurance, and describes the critical issues related to KM insurance for in-depth understanding of the present situation.

  9. Present situation and the role of the radiation control education for health personnel before leaving school

    International Nuclear Information System (INIS)

    Orito, T.; Koga, S.; Suzuki, S.; Nakamura, M.

    1992-01-01

    For purpose of investigating the present situation of radiological technologist education for radiation protection and control before leaving school, questionnaires were sent out to 28 school for radiological technologist in Japan. For purpose of characterizing each school, it is permitted by the 'Designation rules for schools and training schools for radiological technologist' to use 500 school hours for any of the subject, mainly special subjects that are selected by the school. In investigating the 500 school hours which are left to the discretion of each school for characterization, some of those hours are used for radiation control-related subjects in 20 schools from which answers to questionnaires were obtained. Briefly, 15 to as many as 210 hours are spent for lessons regarding such subjects. (author)

  10. Present situation and future prospects of electricity generation in Aegean Archipelago islands

    International Nuclear Information System (INIS)

    Kaldellis, J.K.; Zafirakis, D.

    2007-01-01

    The Aegean Archipelago is a remote Hellenic area, including several hundreds of scattered islands of various sizes. In these islands more than 600,000 people are living mainly in small remote communities. The main economical activities of the islanders are apart from tourism, seafaring, fishery, agriculture and stock farming. One of the major problems of the area is the insufficient infrastructure, strongly related with the absence of an integrated and cost-effective electrification plan. In this context, the present work is concentrated on analyzing the present situation and demonstrating the future prospects of electricity generation in the Aegean Archipelago islands. For this purpose, one should first investigate the time evolution of the corresponding electricity generation parameters (i.e. annual electricity consumption, peak power demand, capacity factor, specific fuel consumption) for the last 30 years. Subsequently, the corresponding diesel and heavy-oil consumption along with the electricity production cost for every specific autonomous power station of the area are investigated. Special attention is paid in order to estimate the contribution of renewable energy sources (RES) in the energy balance of each island. Finally, an attempt is made to describe in brief the most realistic electricity production solutions available, including the operation of hybrid RES-based power plants in collaboration with appropriate energy storage facilities. Additionally, the idea of connecting the islands of the area with the mainland and interconnecting them is also taken into consideration

  11. Religious orientation and life aspirations.

    Science.gov (United States)

    Steffen, Patrick R; Clayton, Spencer; Swinyard, William

    2015-04-01

    The effects of religiosity on well-being appear to depend on religious orientation, with intrinsic orientation being related to positive outcomes and extrinsic orientation being related to neutral or negative outcomes. It is not clear, however, why intrinsic and extrinsic religiosity has the relationships they do. Self-determination theory may provide a useful framework of intrinsic and extrinsic aspirations that may help to answer this question. The purpose of the present study was to examine whether intrinsic and extrinsic religiosity would be related to intrinsic and extrinsic life aspirations. We hypothesized that intrinsic religiosity would be positively related to intrinsic life aspirations and negatively related with extrinsic life aspirations, and that extrinsic religiosity would be positively related to extrinsic life aspirations and negatively related to intrinsic aspirations, and that life aspirations would partially mediate the relationships between religious orientation and outcome. To study these hypotheses, a random national sample (total number of 425, average age of 52, 59 % female) completed the measures of religious orientation, life aspirations, affect, and life satisfaction. It was found that intrinsic religiosity was positively related to positive affect, life satisfaction, and intrinsic life aspirations and was negatively related to negative affect and extrinsic life aspirations. Extrinsic religiosity was positively related to extrinsic life aspirations and was not related to the intrinsic life aspirations. When both religious orientation and life aspiration variables were included together in the model predicting outcome, both remained significant indicating that religious orientation and life aspirations are independent predictors of outcome. In conclusion, although religious orientation and life aspirations are significantly related to each other and to outcome, life aspirations did not mediate the effects of religious orientation

  12. Present Situation and Problems of Cysticercosis in Animal in Bali and Papua

    Directory of Open Access Journals (Sweden)

    Nyoman Sadra Dharmawan

    2014-08-01

    Full Text Available Cysticercosis zoonotic parasitic disesase caused by Taenia solium larva, is a major public healthproblem. Cysticercosis results from the development of larval tapeworms in humans harboring adult T.solium or from ingesting soil containing eggs shed in the feces of humans, in areas where there are nolatrines. Humans are accidental intermediate hosts and pigs are the normal intermediate hosts. Clinicallythey are most serious when located in the central nervous system or in the eye where they persist formonths to years. Cysticercosis occurs worldwide primarily in developing country where pigs are raised,pork consumed and poor sanitation allows pigs’ access to human faeces. The occurance of the diseases isexpected to increase in relation to the growing demand for pork in those countries. In Indonesia cyticercosisis still a very important health problem, especially in Bali and Papua. The majority of the populations inBali and Papua are Hindus and Protestants/Catholics, respectively, so pork widely consumed in thoseislands. This brief review summarizes the present situation and problems of cysticercosis in animal inBali and Papua. Epidemiological data of the diseases were obtained from several sources.

  13. Present situation of radioactive contamination in and around the former Soviet Union's Semipalatinsk nuclear test site

    International Nuclear Information System (INIS)

    Yamamoto, M.; Hoshi, M.; Takada, J.; Tsukatani, T.; Oikawa, S.; Yoshikawa, I.; Takatsuji, T.; Sekerbaev, A. Kh.; Gusev, B.I.

    2001-01-01

    Field missions were sent to the Semipalatinsk regions to investigate the present radioecological situation as a result of the radioactive fallout from nuclear test explosions carried out at the former Soviet Union's Semipalatinsk nuclear test site (SNTS). For this purpose, surface and core soil samples were collected at more than 60 sites, including several settlements such as Dolon, Chagan and Sarzhal, within and outside the SNTS territory. The radioactivities of long-lived radionuclides, 137 Cs, 238 Pu and 239,240 Pu, and the atomic ratio of 240 Pu/ 239 Pu were determined in combination with non-destructive g-ray spectrometric method and radiochemical separation followed by a-particle spectrometric and/or ICP-MS methods. The results showed a distinction of 137 Cs and 239,240 Pu inventories in soil depending on a sampling sites. Although 137 Cs was within typical environmental levels except for the area near the first nuclear test site and Balapan, 239,240 Pu was at elevated levels in all areas we visited. This high Pu contamination was recognized to be due to the weapons-grade Pu from the SNTS by the measurement of 240 Pu/ 239P u atomic ratio in soil samples. (author)

  14. Animal production in the Mediterranean region: Present situation, problems and future trends

    International Nuclear Information System (INIS)

    Auriol, P.

    1988-01-01

    Mediterranean countries as a whole suffer from a chronic shortage of livestock products, the main reason being the acceleration in demand observed since World War II. This acceleration has been caused by the combination of high rates of population growth and rapid increases in per capita incomes which have gone hand-in-hand with rapid urbanization. The particularly high income elasticity for livestock products has aggravated the situation. The most important constraints on livestock development are the limited amount of feed resources and their seasonality. The introduction of already known techniques and the active search for new ones leave room for substantial development. However, their adoption by the mass of producers will depend on the supply by governments of support services and on a general increase in producer prices for livestock versus plant products. Considering the diminishing political influence of farmers, such an increase can be envisaged only within the context of healthy and expanding national economies and where governments favour indigenous livestock production. In other words, livestock sectors will expand only if national economies recover rapidly from the present world crisis and if governments are able to create a socio-economic environment stimulating livestock producers. (author). 5 refs, 6 tabs

  15. Present situation of Japan's public acceptance of nuclear energy - JAERO's activities

    International Nuclear Information System (INIS)

    Akama, Kozo

    1993-01-01

    Electricity demand in Japan is expected to keep increasing without doubt, reflecting her constant economic growth and the rising living standard of the people. The target figure is 20.5% or a capacity of 52 million kW, and 11 nuclear power plants with a capacity of 12 million kW are under construction. Whether such a target is achievable depends on whether or not information activities will succeed in obtaining public consensus to the siting of the new nuclear power plants. According to the result of public opinion poll by the Science and Technology Agency in 1992, 73 % people recognize the necessity of nuclear energy, however, 10% feel uneasy as well. It seems that the scale of damage caused by severe accidents and the distrust against nuclear promoters are major factors to create uneasiness among the people. This presentation describes public information activities by JAERO, the Japan Atomic Energy Relations Organization (JAERO), a non-profit organization established in 1969. There is no secret strategy or specific remedy to obtain public consensus on the nuclear issues, and an immediate effect is in no way expected, either. It is all the more imperative to enhance the safety of nuclear power plants, pursue further the operational safety, and to gain the trust from the general public. We must investigate more effective means for public information activities to gain public consent, and implement them positively and continuously with beliefs. We are prepared to do so. Activities for public acceptance of nuclear energy may vary in line with the situation in each country. It is therefore very meaningful to have the experts' gatherings like this workshop to exchange, views on the public acceptance

  16. Biogas. Present situation and future potential; Biogas. Nulaege och framtida potential

    Energy Technology Data Exchange (ETDEWEB)

    Nordberg, Ulf [Swedish Inst. of Agricultural and Environmental Engineering, Uppsala (Sweden)

    2006-12-15

    The report contains a general overview of present technology concerning production of biogas through anaerobic breakdown of easily recycled organic material as well as implementation areas for biogas. The work has been done in three parts: description of present situation, technical limitations and development efforts, synthesis. In Sweden there are more than 220 biogas plants for handling crops, sludge and organic residue material. Production of biogas occurs primarily at sewage treatment plants and landfills. Total capacity in 2004 was approx. 300,000 m{sup 3} anaerobic chamber volume, of which approx. 73% was utilised. Planned increase in capacity was approx. 125,000 m{sup 3} or approx. 42%.The substrate brought to the plants was comprised of approx. 45% manure, 30% offal, 10% biowaste from households and 15% other substrates. Calculations based on the energy content of input substrate indicate that approx. 10% of the gas was from manure, 65% from offal, 25% from household waste and 5% from other substrates. In 2005 a total of 1,5 TWh of biogas was produced in Sweden. Biogas is used primarily for heating purposes followed by use as vehicle fuel and in electricity production. More than 55 GWh is torched away. Sewage treatment plants are not included. Interest in using biogas as fuel has increased. The theoretical biogas potential in Sweden has been calculated to be 14-17 TWh per year, of which approx. 80% is found in agriculturally related biomass. Approximately 3 TWh originates from various types of household and industrial waste. Generally it can be said that there is a large potential for improvement and increased efficiency within the whole chain of substrate collection, preparatory treatment of substrates, operational control of biogas plants, upgrade/treatment and use of gas as well as spreading and use of biofertilizer. The greatest increase in substrate will come from the amount of crops from the agricultural sector. The contacts between farmers and plant

  17. Role of Transbronchial Needle Aspiration (Conventional and EBUS Guided) in the Diagnosis of Histoplasmosis in Patients Presenting with Mediastinal Lymphadenopathy.

    Science.gov (United States)

    Sodhi, Amik; Supakul, Rodjawan; Williams, George W; Tolley, Elizabeth A; Headley, Arthur S; Murillo, Luis C; Kadaria, Dipen

    2017-01-01

    The superior performance of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) in the diagnosis and staging of malignancy has been demonstrated, with some investigators suggesting the same for sarcoidosis. The role of EBUS-TBNA in the diagnosis of histoplasmosis is not clear, however. In this study we estimate the diagnostic yield of conventional TBNA (cTBNA) and EBUS-TBNA for the diagnosis of histoplasmosis in patients with mediastinal lymphadenopathy. Retrospective chart review was conducted on 452 consecutive patients who underwent cTBNA or EBUS-TBNA for mediastinal lymphadenopathy from January 1, 2005 to December 31, 2014 at Methodist Le Bonheur Healthcare-affiliated hospitals in Memphis, Tennessee. Data collection included demographic information, reason for the procedure, size of the lymph nodes, procedures performed, and the final diagnosis. Among 452 cases reviewed, 146 underwent cTBNA and 306 underwent EBUS-TBNA. Final diagnoses include malignancy (41.5%), sarcoidosis (11.2%), and histoplasmosis (8.1%). Among 146 patients who underwent cTBNA, a final diagnosis was obtained by this modality in 58 patients (39.7%). The diagnostic rate for cTBNA for malignancy was 68% (40/59), 30% (4/13) for sarcoidosis, and 43% (6/14) for histoplasmosis. In 306 patients who underwent EBUS-TBNA, 188 had a final diagnosis (61.4%) obtained by this modality. For EBUS-TBNA, the diagnostic rates were 79.5% (101/127) for malignancy, 74% (28/38) for sarcoidosis, and 78% (18/23) for histoplasmosis. EBUS-TBNA had a higher yield than cTBNA for the diagnosis of histoplasmosis. Clinicians practicing in areas with a high prevalence of histoplasmosis and sarcoidosis should use EBUS-TBNA, whenever available, for this reason.

  18. Clinical Presentation Of The Abuse Of Insulin: Hypoglycaemic Coma And Aspiration Pneumonia In Non-Professional Bodybuilders

    Directory of Open Access Journals (Sweden)

    Petrovic Ivica

    2015-12-01

    Full Text Available The use of medications that improve the physical performance of an individual represents a very serious worldwide health problem. The abuse of these medications is increasing. Herein, we describe a patient, at the age of 20, who was hospitalized due to loss of consciousness and difficulty breathing. At admission, the patient was unconsciousness, tahi-dyspnoic, and had a pale complexion and an athletic build. In gas analyses, extremely low saturation was observed, followed by acidosis, heavy hypoxia with normocapnia, higher lactates, hypocalcaemia and severe hypoglycaemia. The patient was treated with a hypertonic solution of glucose and intubated, with the aspiration of sanious content from the respiratory tract. After treatment, the patient woke from coma but was very confused. In the first 6 hours of hospitalization, severe hypoglycaemia occurred several times, despite the continuous administration of glucose. Due to the growth of inflammatory syndrome since the first day of hospitalization, the patient was kept in the hospital for treatment along with the administration of antibiotic treatment. On the fourth day of hospitalization, the patient stated that for the last year, he had been taking testosterone at a dose of 1 g a week, as well as tamoxifen pills and 15 i.j. of fast-acting human insulin (Actrapid® daily for their combined anabolic effect. Hypoglycaemic coma, caused by the abuse of insulin, represents a severe complication in patients, which can be followed by confusion, a slowed thinking process, the weakening of cognitive functions and even death. It is necessary to invest great efforts into the prevention of the purchase of these medications via the Internet or on the black market for purposes of abuse in order to prevent such serious and life-threatening complications.

  19. ZONING OF COASTAL AREA FOR MARINE AQUACULTURE Š PRESENT SITUATIONS AND PROBLEMS

    Directory of Open Access Journals (Sweden)

    Lav Bavčević

    2001-12-01

    Full Text Available We already acepted that Croatian economical and geopolitical possition can bee improved only with better utilization of coastal area. Under these conditions mariculture also makes a part od sea master plan because demands for mariculture are focused on clean environmental conditions to obtain economic benefits. Increased pressure to the coastal area is global trend and if not planed and organized can provoke conflicts and can affect further development. Under these condition, marine aquaculture is frequent subject of many discussion focused on the environmental impact. Conflict of different interest in coastal area with no argumentation is putting marine aquaculture in worst position related with tourism and industry. Hard argumentations is laying in noneadequate frame of work in some facilities and to take advantake competitors are preasenting marine aquaculture in worst picture. Marine aquaculture product has to be health product, which can be completely damaged because of non-responsible approach of other activity. Mariculture also can suffer from self-pollution as for example tourism and must be well planed and managed. Fecal pollution from towns, pollution from bad controlled tourists activity, industry, influence of intensive and non controlled agriculture in coast line, are also potential danger for quality of all sea products and also cultured products from marine aquaculture. High quality of marine products can be obtained by zoning of coastal area, and in concept of these zoning it is necessary to define the zones for marine aquaculture. Procedure of zoning has to be divided in three steps: deetrmination of present status of area, definition of shore land for making mariculture related shore infrastructure and definitions of areas suitable for mariculture with limits of production. These can make positive situations with avoiding conflicts in exploitation of common resources in future. Zone for marine aquaculture has to be controlled

  20. Deep-well injection of liquid radioactive waste in Russia. Present situation

    International Nuclear Information System (INIS)

    Rybalchenko, A.

    1998-01-01

    At present there are 3 facilities (polygons) for the deep-well injection of liquid radioactive waste in Russia, all of which were constructed in the mid60's. These facilities are operating successfully, and activities have started in preparation for decommissioning. Liquid radioactive waste is injected into deep porous horizons which act as 'collector-layers', isolated from the surface and from groundwaters by a relatively thick sequence of rock of low permeability. The collector-layers (also collector-horizons) contain salt waters or fresh waters of no practical application, lying beneath the main horizons containing potable waters. Construction of facilities for the deep-well injection of liquid radioactive waste was preceded by geological surveys and investigations which were able to substantiate the feasibility and safety of radioactive waste injection, and to obtain initial data for facility design. Operation of the facilities was accompanied by monitoring which confirmed that the main safety requirement was satisfied i.e. localisation of radioactive waste within specified boundaries of the geologic medium. The opinion of most specialists in the atomic power industry in Russia favours deep-well injection as a solution to the problem of liquid radioactive waste management; during the period of active operation of defence facilities (atomic power industry of the former U.S.S.R.), this disposal method prevented the impact of radioactive waste on man and the environment. The experience accumulated concerning the injection of liquid radioactive waste in Russia is of interest to scientists and engineers engaged in problems of protection and remediation of the environment in the vicinity of nuclear industry facilities; an example of the utilisation of the deep subsurface for solidified radioactive waste and the disposal of different types of nuclear materials. Information on the scientific principles and background for the development of facilities for the injection

  1. Accounting Research: a Critical View of the Present Situation and Prospects

    Directory of Open Access Journals (Sweden)

    Josep Garcia-Blandon

    2011-12-01

    Full Text Available In this study we critically review the internal procedures of the accounting community for generating and disseminating knowledge. We contend that academic journals on accounting research are scarce, publish few articles and apply high rejection rates, and the review process is lengthy and expensive. Additionally, an academic elite has unparalleled predominance in comparison to other business disciplines, reflected in an unusual share of published articles with authors affiliated to a small number of academic institutions, and the predominance of certain topics and methodologies. The discipline does not allow the collaborative, iterative and flexible features of innovative knowledge communities. The discipline’s internal procedures favour restriction, control, slowness, and expiration, rather than participation, speed and renewal. They are ill suited for advancing knowledge and bode badly for successful research. As a result, accounting academics present low research performance and the discipline is facing steady decline. More importantly, the discipline is handicapped in producing innovative knowledge able to contribute to critical research and long term social well-being.We also focus on the Spanish institutional situation, arguing that Spanish requirements for reaching tenured positions are difficult for accountants to meet.We highlight the need to raise awareness of the problem and change the procedures.En este estudio hacemos una revisión crítica de los procedimientos vigentes en la comunidad académica contable para la generación de conocimiento y su publicación. Exponemos que hay pocas revistas académicas para publicar la investigación contable, que éstas publican pocos artículos, aplican elevadas tasas de rechazo y el proceso de revisión es lento y costoso. Además, hay un predominio de una elite académica sin precedentes en otras disciplinas de empresa, lo cual se refleja en un mayor porcentaje de artículos pertenecientes

  2. The Present Situation and Trend of Wearable Equipment in Electric Field Application

    Directory of Open Access Journals (Sweden)

    Guangwei Shao

    2017-01-01

    Full Text Available With the innovation of mobile internet technology and intelligent terminal technology, the wearable equipment has been gradually applied in various industries. Through the typical application of wearable equipment, the characteristics of wearable equipment technology and application are summarized. Based on the analysis of power field business application and technology, combined with the demand of electric field management, the design situation of the wearable equipment in electric field service is designed, and the future development direction of electric field wear can be forecasted.

  3. Implementation of systematic training approach in Kozloduy Training Centre - Current situation. Presentation of Bulgaria

    International Nuclear Information System (INIS)

    Kosturkov, L.

    1993-01-01

    To identify the needs in implementation of the systematic training approach, a relation between the number of trainees, duration of the training and the type of training should be made. In other hand, as it was stated in the TWG-T(93) Status Report, in order to be better identified outstanding training needs, the existing capabilities and other related projects should be taken into account. This report is pointed to give more details for the current situation in Bulgaria and to clarify the needs of international assistance. 3 refs, 3 tabs

  4. The present situation of prophylactic vaccination in Japan for travel abroad.

    Science.gov (United States)

    Nakano, Takashi

    2008-11-01

    The current situation of vaccination in Japan is reviewed from a viewpoint of overseas travelers. Vaccinations before travel to developing countries, where the risk of infection is high, are recommended for two reasons: "individual protection" and "prevention of communicable disease importation". However, there are problems in Japan; some vaccines available commonly in foreign nations are not approved in Japan and the vaccination schedule is not convenient for travelers. Vaccination is sometimes needed also for travel to Europe and North America. This is because certain vaccinations are required for entering school or studying abroad. In Japan, there is no regulation which recommends vaccination as an entrance requirement. Compared with other nations, Japanese children receive fewer vaccines routinely. On the other hand, there are different features from other industrialized nations, such as routine childhood BCG vaccination and immunization against Japanese encephalitis in Japan. Compared with foreign nations, awareness as regards "travel medicine" is lower in Japan. Recognizing this situation will lead to improvement of vaccination of travelers.

  5. Present situation, problems and solutions of China's biomass power generation industry

    International Nuclear Information System (INIS)

    Liu, Jicheng; Wang, Sijia; Wei, Qiushuang; Yan, Suli

    2014-01-01

    With the reduction of global oil reserves, developing renewable energy has become an important issue for each country. Biomass power is an important kind of clean energy, as it has abundant resource and is environmental friendly. In the past few years, China biomass power industry has developed rapidly accompanied with some problems. This paper analyzes the current situation of China biomass power generation from several aspects such as power structure, resource distribution, investment strength, and policy environment, etc. We focus on the problems existed in practical operation and analyze the outstanding problems. At last, this paper offers several suggestions for future development on the relevant fields, such as cost, strategic planning and policy. - Highlights: • Review and analyze the internal and external environment of biomass power in China. • Summarize and classify policies of China biomass power according to time sequence. • Describe the distribution of biomass resources in China accurately on the map. • Use data to draw a picture for grasping current situation. • Provide valuable suggestions for practitioners to improve their business strategies

  6. Present situation and trends in application of isotopes and ionizing radiations in the USSR

    International Nuclear Information System (INIS)

    Shtan, A.S.

    1980-01-01

    New trends of nuclear science and engineering - radiation engineering and radiation technology - have emerged because of the large scale industrial production of artificial radioactive isotopes as well as of the manufacture of electrophysical sources of ionizing radiation. Over 3,500 isotope articles consumed by more than 15,000 enterprises are now manufactured in the USSR. The new trends have subsequently converted into individual branches of the nuclear science and engineering, without which the future technical progress in various fields of industry, medicine, agriculture and scientific research is impossible. Reviewing the situation and trends in the USSR, the following matters are described: tracer method, radiation instrumentation, radiation flaw detection, radiation technology, radiation sterilization, radiation polymerization, radiation modification, radiation and chemical synthesis, food preservation, radiation therapy, radioisotope power engineering. (J.P.N.)

  7. Protection of Reservoir Water Quality Combining with Rocky Desertification Present Situation

    Directory of Open Access Journals (Sweden)

    Chu Weirui

    2017-01-01

    Full Text Available Middle Route Project of S-N water diversion will be completed this year, and by that moment, the dream of a “stream of clear spring sent to Jingjin” will be come true. The water source of Middle Route Project of S-N water diversion-Danjiangkou water reservoir’s more than half area is in Xichuan town’s Nanyang City. To investingate and protect the environment situation around water source, we have gone deep into many mountains, soil sampling, stone sampling and make chemical laboratory analysis after plenty of preparation work in early stage. We come up with feasible plan about Xichuan area’s rocky desertification, to plant plants with higher survival life in the barren mountain with advanced ways, which can achieve water conservancy on one hand, and on the other hand, to prevent from water and soil loss so as to protect water quality of Dan Jiangkou reservoir.

  8. Fine needle aspiration cytology as an aid to diagnosis, categorization and treatment when pure neuritic leprosy presents as nerve abscess

    Directory of Open Access Journals (Sweden)

    C M Kiran

    2013-01-01

    Conclusions: The simple and minimally invasive FNAC procedure allows diagnosis and a reasonably accurate categorization of PNL presenting as nerve abscess and therefore, highly useful in its clinical management.

  9. [Present situation and influencing factors on classroom mobile phone dependence syndrome in college students].

    Science.gov (United States)

    Hu, X B; Yang, Y N; Zhang, M Y; Miao, M; Bai, Y N; Zheng, S; Wang, M Z

    2017-10-10

    Objective: To explore the current situation and influencing factors on Classroom Mobile Phone Dependence Syndrome (CMPDS) among college students, and to provide scientific basis for guiding college students to use mobile phones reasonably and healthily. Methods: Stratified cluster sampling method was used. Students from different majors and different grades in Lanzhou University were included as the research objects. Classes were recognized as a unit in receiving basic field investigation in this questionnaire related study. Informed consent principles were followed and process of survey was anonymously carried out. Results: The overall rate of CMPDS in college students was 8.7 % , including 'mild rate' as 6.6 % and 'seriously mild rate' as 2.1 % . No significant differences were found on genders or grades. Factors as shopping in the classroom shopping ( OR =3.720), being bored on courses ( OR =1.740), WiFi coverage ( OR =1.787), time of practice in the classrooms ( OR =1.514), and the total time of daily mobile phone use ( OR =1.513) etc, appeared as risk factors related to CMPDS among the college students. However. shooting courseware ( OR =0.579) appeared as a protective factor. Conclusions: Rate of CMPDS was high in college students and we suggested to form a joint task force among the college authority, teachers and students to work on the related problems. Hopefully, the serious CMPDS condition will be minimized and both physical and mental health of the college students be improved.

  10. 1944 Water Treaty Between Mexico and the United States: Present Situation and Future Potential

    Directory of Open Access Journals (Sweden)

    Anabel Sánchez

    2006-01-01

    Full Text Available Historically and culturally, water has always been considered to be a critical issue in Mexico- USA agenda. Along the 3 140-km border between Mexico and the United States, there is intense competition over the adequate availability of water. Water uses in urban border areas have continued to increase exponentially due to steadily increasing levels of population growth. Rapid industrialisation and urbanisation have resulted in more intensive patterns of water consumption and use. Agricultural water demands continue to be high. Mexico and the United States have established institutions and agreements to manage and protect rivers in the border region. The Treaty between Mexico and the United States for the Utilisation of Waters of the Colorado and Tijuana Rivers and of the Rio Grande was signed in 1944. With the turn of the century, the growing urban centers along the Rio Grande (Rio Bravo, where the river becomes the international boundary, started increasingly to depend on groundwater. This situation was not specifically addressed in the 1944 Treaty, especially as groundwater use at that time was not so significant.

  11. Presentation of the 2003 activity situation and radiation protection action plan

    International Nuclear Information System (INIS)

    2004-07-01

    The mission of I.R.S.N. concerns the metrology of ionizing radiation, the characterisation of exposure and the biological radiation effects, epidemiology, the management of data base, the means in emergency situation, the scientific networks for collaboration. The three directions of effort are: to improve the understanding of effects on man and ecosystems of chronic exposure of low level irradiation, prevention of risks linked to spiteful action, and the ability to answer in the case of radiological emergency, to contribute to evolution of practices in order to give the best possible expertise to workers at their occupational post or to patients in a medical frame. Three stakes emerge, the first one concerns the workers exposed to internal risks (inhalation of alpha emitters) and heterogenous external irradiation (doses at extremities), the second stake is the training of radiation protection actors, the third one is the knowledge of the history of doses received by workers and public because of ionizing radiations. (N.C.)

  12. The Present Situation and the Future Perspectives of Foreign Direct Investment in Balkan Region

    Directory of Open Access Journals (Sweden)

    Arjan Qefalia

    2009-10-01

    Full Text Available The past decade has witnessed increased globalization of the world economy as result of technological changes, trade liberalization and privatization policies. Balkan countries as developing nations are in the realization process of the globalization changes of the world economy. Being in the process for entry into the EU, many changes are being done to integrate with the global economic trends. The research has shown that after the fall of communism in the 1990s the Balkan Region brought significant political and economic changes. The change in attitude led to a removal of direct blockage for FDI. As a result, continued deregulation and privatization has been widespread. However, history of FDI is relatively short for Balkan Region in comparison with other countries. The economy opened up capital inflows only at the beginning of 1990s, and is still showing low shares in the total of Central and Eastern European flow. Despite Balkans competitive advantage due to its geographical location and its resources, it is still far from other Central European countries in achieving the same level of FDI. This situation came as a result of: political instability, low intraregional trade, the small size of national markets, huge institutional corruption and weak judiciary system. Among the more successful Balkan recipients of FDI has been Bulgaria and Romania, while Greece has been a major source of FDI for the transition economies of the Balkan region. Greek investment is driven in part by the availability of low cost labor in the nearby transition economies. The focus of this article is to analyze and evaluate the current performance of FDI in Balkan Region and how the governments can improve this performance.

  13. The evolution and present situation of nuclear energy legislation in Brazil

    International Nuclear Information System (INIS)

    Silveira, P.R.N. da; Solito, J.; Goes Fischer, M.D. de; Oliveira, S.C.C. de

    1980-06-01

    The present status of nuclear legislation in Brazil is presented. The principal legislative acts are analysed, regarding the evolution of nuclear activities. Special reference is made to the Brazilian policy on the peaceful uses of nuclear energy. (A.L.) [pt

  14. Neutron scattering facilities at China Institute of Atomic Energy. Present and future situations

    Energy Technology Data Exchange (ETDEWEB)

    Ye, C.T.; Gou, C.; Yang, T.H. [China Institute of Atomic Energy, Beijing (China)

    2001-03-01

    The 15 MW Heavy Water Research Reactor (HWRR) at CIAE in Beijing is the only neutron source available for neutron scattering experiments in China at present. So far totally 5 neutron scattering spectrometers are installed at 4 beam tubes. A 60 MW new research reactor, China Advanced Research Reactor (CARR), now is being built at CIAE to meet the increasing demand of neutron scattering research in China. A brief description of HWRR, the presently existing neutron scattering equipments at HWRP, CARR, and the neutron scattering facilities to be installed at CARR are presented. (J.P.N.)

  15. 25 years of the Rossendorf Research Reactor (RFR) - review, present situation and future plans

    International Nuclear Information System (INIS)

    Hieronymus, W.

    1990-07-01

    Taking as a starting point a review of the most important stages of the history of RFR, the further work to be undertaken is presented predominantly from the aspect of the continued service of the reactor form the year 1987 onwards. A report is given of the level of possibilities for use achieved as at present and also about the organisation of the operational service. (author)

  16. Development present situation analysis of nuclear power industry in China and South Korea

    International Nuclear Information System (INIS)

    Huang Gang

    2011-01-01

    This paper introduces the present state and primary development experiences of South Korean nuclear power industry and the present state of Chinese nuclear power industry development, and comparatively analyzes and researches the differences between China and South Korea in nuclear power industry. At last, we come up with some suggestions and ideas to refer the follow-up development of Chinese nuclear power industry. (author)

  17. Present day situation and perspectives of the nuclear sector in the USA; La situation actuelle et les perspectives du secteur nucleaire aux Etats-Unis

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2008-07-01

    With the restart-up of Browns Ferry NPP on May 22, 2007, the US nuclear park comprises now 104 reactors in operation: 35 BWR-type and 69 PWR-type. NPPs are present in only 31 states and mainly in the eastern half of the country. Nuclear energy represents 20% of the US energy mix (coal: 50%, gas: 19%, hydro-power: 6%, petroleum: 3% and other renewable energies: 2%). The highest average availability rate in power generation is reached by nuclear energy (89.9%). The nuclear power generation reached 787.2 TWh in 2006, i.e. the second best result after the 2004 record (788.5 TWh). This document presents also some nuclear safety and radioprotection indicators (number of unplanned outages, failures, injury frequency rate), the programme of licenses extension, the permissions for power increase, the demands for design certification, for early site permit, and for combined construction permit and operating license. The regulation may be different from one state to the other and sometimes not favorable to a re-launch of nuclear energy. The situation of each state in this domain is presented in appendix. (J.S.)

  18. Energy resources and use: The present situation and possible paths to the future

    International Nuclear Information System (INIS)

    Lior, Noam

    2008-01-01

    Recent estimates and forecasts of the oil, gas, coal resources and their reserve/production ratio, nuclear and renewable energy potential, and energy uses are surveyed. The impact of the rapidly growing economies of the highly populated countries, as well as of the concern about global warming, are presented and assessed. A brief discussion of the status and prospects of fossil, nuclear and renewable energy use, and of power generation (including hydrogen, fuel cells, micro power systems, and the futuristic concept of generating power in space for terrestrial use, is given. A brief summary of the energy research effort and budgets in the US, and EU are presented, and ways to resolve the problem of the availability, cost, and sustainability of energy resources alongside the rapidly rising demand are discussed. The author's view of the promising energy research and development (R and D) areas, their potential, foreseen improvements and their time scale, and last year's trends in government funding are presented

  19. Tibial bone metastasis as an initial presentation of endometrial carcinoma diagnosed by fine-needle aspiration cytology: A case report and review of the literature

    Directory of Open Access Journals (Sweden)

    Sarag Aboujafar Boukhar

    2015-01-01

    Full Text Available Endometrial cancer is the most common gynecologic malignancy in the United States. However, bony metastasis is infrequent and exceptionally rare as the initial presentation. We report a case of a 77-year-old female with a clinically silent endometrial carcinoma who presented with a left tibial metastasis as the first manifestation of her disease. Ours is only the third case diagnosed by fine-needle aspiration (FNA cytology, and the first to detail the cytomorphologic features of metastatic endometrial cancer to bone. These microscopic findings, including three-dimensional cohesive clusters with cellular overlapping and cuboidal to columnar cells exhibiting low nuclear: cytoplasmic ratios and partially vacuolated cytoplasm, differ significantly from those of endometrial carcinoma on a Papanicolaou test. The tumor bore similarity to the more commonly encountered metastatic colon cancer, but immunohistochemical staining enabled reliable distinction between these entities. A review of osseous metastases of endometrial cancer demonstrates a predilection for bones of the lower extremity and pelvis with a predominance of the endometrioid histologic subtype. In about a quarter of the cases, the bony metastasis was the first manifestation of the cancer. FNA was an effective diagnostic modality for this unusual presentation of a common malignancy. Awareness of this entity and its differential diagnosis is essential for accurate and timely diagnosis.

  20. Audit Committee Practice in the Polish Listed Stock Companies. Present Situation and Development Perspectives

    Directory of Open Access Journals (Sweden)

    Piotr Szczepankowski

    2012-06-01

    Full Text Available The audit committee is one of the parts of corporate governance mechanism, which is understood as the relationship between corporate managers, directors and the providers of equity, people and institutions who save and invest their capital to earn the return. This study presents survey research results of audit committee activity in Polish public stock companies quoted on the Warsaw Stock Exchange (WSE. The purpose of this paper is to present the audit committee practice in Poland after 2009. The paper shows that the audit committee practice is still the most problematic issue of transitional Polish corporate governance rules. The survey has shown that the corporate needs and its implementation, and communication with listed companies leave a lot of room for improvement. The paper is based on the documents prepared in 2010 by PricewaterhouseCoopers, the Polish Association of Listed Companies and the Polish Institute of Directors.

  1. The Present Situation in Quantum Theory and its Merging with General Relativity

    Science.gov (United States)

    Khrennikov, Andrei

    2017-08-01

    We discuss the problems of quantum theory (QT) complicating its merging with general relativity (GR). QT is treated as a general theory of micro-phenomena—a bunch of models. Quantum mechanics (QM) and quantum field theory (QFT) are the most widely known (but, e.g., Bohmian mechanics is also a part of QT). The basic problems of QM and QFT are considered in interrelation. For QM, we stress its nonrelativistic character and the presence of spooky action at a distance. For QFT, we highlight the old problem of infinities. And this is the main point of the paper: it is meaningless to try to unify QFT so heavily suffering of infinities with GR. We also highlight difficulties of the QFT-treatment of entanglement. We compare the QFT and QM based measurement theories by presenting both theoretical and experimental viewpoints. Then we discuss two basic mathematical constraints of both QM and QFT, namely, the use of real (and, hence, complex) numbers and the Hilbert state space. We briefly present non-archimedean and non-hilbertian approaches to QT and their consequences. Finally, we claim that, in spite of the Bell theorem, it is still possible to treat quantum phenomena on the basis of a classical-like causal theory. We present a random field model generating the QM and QFT formalisms. This emergence viewpoint can serve as the basis for unification of novel QT (may be totally different from presently powerful QM and QFT) and GR. (It may happen that the latter would also be revolutionary modified.)

  2. Land subsidence of coastal areas of Jiangsu Province, China: historical review and present situation

    Directory of Open Access Journals (Sweden)

    J. Q. Zhu

    2015-11-01

    Full Text Available Surface faults related to land subsidence have been observed in coastal cities, such as Nantong, Yancheng, and Lian Yungang, in Jiangsu Province (CAJS since the early 1970s. Nowadays, increases flooding and rising sea levels are attributed to subsidence caused by groundwater pumping. In this work we present a brief description of land subsidence in CAJS, we examine the mechanisms of land subsidence induced mainly by groundwater pumping and its evolution and economic implications as well as the implemented measures by the local government to prevent new damage.

  3. Land subsidence of coastal areas of Jiangsu Province, China: historical review and present situation

    Science.gov (United States)

    Zhu, J. Q.; Yang, Y.; Yu, J.; Gong, X. L.

    2015-11-01

    Surface faults related to land subsidence have been observed in coastal cities, such as Nantong, Yancheng, and Lian Yungang, in Jiangsu Province (CAJS) since the early 1970s. Nowadays, increases flooding and rising sea levels are attributed to subsidence caused by groundwater pumping. In this work we present a brief description of land subsidence in CAJS, we examine the mechanisms of land subsidence induced mainly by groundwater pumping and its evolution and economic implications as well as the implemented measures by the local government to prevent new damage.

  4. NATURE CONSERVATION MOVEMENT IN THE WORLD: ITS HISTORICAL DEVELOPMENT AND PRESENT SITUATION

    Directory of Open Access Journals (Sweden)

    Oğuz Kurdoğlu

    2007-04-01

    Full Text Available Although nature conservation is a well recognized topic at present, it is not a new phenomenon. Throughout history, there are numerous examples of efforts made by governments, rulers, or individual land owners to protect certain land areas that possessed unique natural values. While many of these areas were actually isolated as game preserves for hunting, they were also designed to conserve wildlife. The establishment of Yellowstone National Park in 1972 marks the modern concept of a national park as it was designed on a very large protected natural area. Presently, one of the most efficient ways for nature protection is “area conservation approach” that many organizations have been developing various systems and categories about. Unfortunately, in spite of such improvements and the extension of the protected area network, many of these areas are not properly protected and/or managed in some countries. This study summarizes the historical evolution of nature conservation systems and strategies in the world with the related international legislative aspects as well. As it stated in this paper, USA and Europa have a well known history on nature conservation and show great concern in respect to participating to the international convention and arrangements.

  5. Simplified life-cycle analysis of PV systems in buildings: present situation and future trends

    International Nuclear Information System (INIS)

    Frankl, P.; Masini, A.; Gamberale, M.; Toccaceli, D.

    1998-01-01

    The integration of photovoltaic (PV) systems in buildings shows several advantages compared to conventional PV power plants. The main objectives of the present study are the quantitative evaluation of the benefits of building-integrated PV systems over their entire life-cycle and the identification of best solutions to maximise their energy efficiency and CO 2 mitigation potential. In order to achieve these objectives, a simplified life-cycle analysis (LCA) has been carried out. Firstly, a number of existing applications have been studied. Secondly, a parametric analysis of possible improvements in the balance-of-system (BOS) has been developed. Finally, the two steps have been combined with the analysis of crystalline silicon technologies. Results are reported in terms of several indicators: energy pay-back time, CO 2 yield and specific CO 2 emissions. The Indicators show that the integration of PV systems in buildings clearly increases the environmental benefits of present PV technology. These benefits will further increase with future PV technologies. Future optimised PV roof-integrated systems are expected to have an energy pay-back time of around 1-5 years (1 year with heat recovery) and to save during their lifetime more than 20 times the amount of CO 2 emitted during their manufacturing (34 times with heat recovery). (Author)

  6. THE RISE OF ISLAMIC RELIGIOUS-POLITICAL MOVEMENTS IN INDONESIA: The Background, Present Situation and Future

    Directory of Open Access Journals (Sweden)

    Hamid Fahmy Zarkasyi

    2008-12-01

    Full Text Available This paper traces the roots of the emergence of Islamic religious and political movements in Indonesia especially during and after their depoliticization during the New Order regime. There were two important impacts of the depoliticization, first, the emergence of various study groups and student organizations in university campuses. Second, the emergence of Islamic political parties after the fall of Suharto. In addition, political freedom after long oppression also helped create religious groups both radical on the one hand and liberal on the other. These radical and liberal groups were not only intellectual movements but also social and political in nature. Although the present confrontation between liberal and moderate Muslims could lead to serious conflict in the future, and would put the democratic atmosphere at risk, the role of the majority of the moderates remains decisive in determining the course of Islam and politics in Indonesia.

  7. Do power lines and protected areas present a catch-22 situation for Cape vultures (Gyps coprotheres)?

    Science.gov (United States)

    Phipps, W Louis; Wolter, Kerri; Michael, Michael D; MacTavish, Lynne M; Yarnell, Richard W

    2013-01-01

    Cape vulture Gyps coprotheres populations have declined across their range due to multiple anthropogenic threats. Their susceptibility to fatal collisions with the expanding power line network and the prevalence of carcasses contaminated with illegal poisons and other threats outside protected areas are thought to be the primary drivers of declines in southern Africa. We used GPS-GSM units to track the movements and delineate the home ranges of five adult (mean ±SD minimum convex polygon area = 121,655±90,845 km(2)) and four immature (mean ±SD minimum convex polygon area = 492,300±259,427 km(2)) Cape vultures to investigate the influence of power lines and their use of protected areas. The vultures travelled more than 1,000 km from the capture site and collectively entered five different countries in southern Africa. Their movement patterns and core foraging ranges were closely associated with the spatial distribution of transmission power lines and we present evidence that the construction of power lines has allowed the species to extend its range to areas previously devoid of suitable perches. The distribution of locations of known Cape vulture mortalities caused by interactions with power lines corresponded to the core ranges of the tracked vultures. Although some of the vultures regularly roosted at breeding colonies located inside protected areas the majority of foraging activity took place on unprotected farmland. Their ability to travel vast distances very quickly and the high proportion of time they spend in the vicinity of power lines and outside protected areas make Cape vultures especially vulnerable to negative interactions with the expanding power line network and the full range of threats across the region. Co-ordinated cross-border conservation strategies beyond the protected area network will therefore be necessary to ensure the future survival of threatened vultures in Africa.

  8. Neonatal aspiration syndrome due to vernix caseosa

    International Nuclear Information System (INIS)

    Ohlsson, A.; Najjar, H.; Cumming, W.A.

    1985-01-01

    Fetal aspiration of meconium in amniotic fluid is a well-known cause of respiratory distress in newborn infants. It causes an irregular, coarse, nodular pattern on chest radiographs. Less known is that aspiration of vernix caseoasa causes a similar syncrome. We present a post-mature infant in whom aspiration of vernix caseosa caused respiratory distress, ventilatory difficulty, and radiographic changes essentially the same as aspiration of meconium. (orig.)

  9. Neonatal aspiration syndrome due to vernix caseosa

    Energy Technology Data Exchange (ETDEWEB)

    Ohlsson, A.; Najjar, H.; Cumming, W.A.

    1985-02-01

    Fetal aspiration of meconium in amniotic fluid is a well-known cause of respiratory distress in newborn infants. It causes an irregular, coarse, nodular pattern on chest radiographs. Less known is that aspiration of vernix caseoasa causes a similar syncrome. We present a post-mature infant in whom aspiration of vernix caseosa caused respiratory distress, ventilatory difficulty, and radiographic changes essentially the same as aspiration of meconium.

  10. VHS virus - present situation

    DEFF Research Database (Denmark)

    Skall, Helle Frank; Olesen, Niels Jørgen

    2015-01-01

    of the worldwide distribution of the disease will be given. Virus evolution: Recent studies indicate that only a few amino acid changes in the structural proteins of VHSV can change the virulence patterns significantly, thereby coming closer to assessing the risk of none to low virulent viruses becoming high...... virulent. Virulence factors both depend on the ability of VHSV to enter a cell and on the speed and efficiencyof virus replication in the cells. Apparently the viral nucleocapsid protein plays a very important role for the later and seems to be the target for determination of a virulence marker....

  11. VHS virus - present situation

    DEFF Research Database (Denmark)

    Olesen, Niels Jørgen; Skall, Helle Frank

    of the worldwide distribution of the disease will be given. Virus evolution: Recent studies indicate that only a few amino acid changes in the structural proteins of VHSV can change the virulence patterns significantly, thereby coming closer to assessing the risk of none to low virulent viruses becoming high......Geographic distribution: VHSV can be divided into 4 genotypes and at least 8 subtypes and there is a close linkage between genotypes, geographic range and affected fish species. VHS is still only reported from the Northern hemisphere- and while countries like Denmark, Norway and England have freed...... themselves for VHS, several countries are still struggling with the disease. An update on the recent VHS outbreaks in rainbow trout in Iran, in olive flounder in Korea, in wrasse in Scotland, in turbot in Turkey, in a number of fish species in the great lakes in USA and Canada, and a general overview...

  12. Estimation of the Net Present Value of the Investment Project in the Situation of Fuzzy Initial Data

    Directory of Open Access Journals (Sweden)

    Kotsyuba Oleksiy S.

    2017-03-01

    Full Text Available The article investigates the problem of estimating the net present value of the investment project using a methodology based on the theory of fuzzy sets in the situation when the initial data are described by fuzzy estimates. In the general case the fuzzy-multiple estimation of the specified indicator at a discrete-interval representation of the initial parameters is reduced to a set of homogeneous optimization problems. Often, depending on the characteristics of fuzzy estimates of cash flows of the investment project under consideration, the solutions to these problems can be found directly on the basis of relevant analytical expressions, while other problems require using special optimization methods. In the work there made an attempt to develop the analytical component of the fuzzy-multiple modeling of the net present value indicator. First, we examined the general search and optimization approach, which allows providing a predetermined degree of accuracy, as well as the method for approximate determination of the fuzzy estimate of the net present value on the basis of analytical relationships developed by Сhui-Yu Chiu and Chan S. Park. After that, the situation was analyzed, and the corresponding calculation model was proposed, when fuzzy estimates of the cash flows of the investment project can be interpreted from the perspective of the concept of the money-generating operation formulated by O. B. Lozhkin. Among other things, it allowed to develop a general scheme for determining the fuzzy estimate of the net present value, supplementing it with the situation of this concept. As the main direction of the further development of the problems discussed in the publication there determined the formation of a holistic methodology for evaluating the effectiveness of real investments, which would cover different in their nature and structural characteristics types of uncertainty from unified theoretical positions.

  13. INTEGRATED ON-BOARD COMPUTING SYSTEMS: PRESENT SITUATION REVIEW AND DEVELOPMENT PROSPECTS ANALYSIS IN THE AVIATION INSTRUMENT-MAKING INDUSTRY

    Directory of Open Access Journals (Sweden)

    P. P. Paramonov

    2013-03-01

    Full Text Available The article deals with present situation review and analysis of development prospects for integrated on-board computing systems, used in the aviation instrument-making industry. The main attention is paid to the projects carried out in the framework of an integrated modular avionics. Hierarchical levels of module design, crates (onboard systems and aviation complexes are considered in detail. Examples of the existing products of our country and from abroad and their brief technical characteristics are given and voluminous bibliography on the subject matter as well.

  14. Production of renewable energies in the Mulhouse region. Present situation and production perspectives - Study report June 2015

    International Nuclear Information System (INIS)

    Horodyski, Catherine

    2015-06-01

    After having briefly defined renewable energies, and outlined the benefits of their development, this report first proposes an overview of the present situation of renewable energy production in the Mulhouse region. Thus, it distinguishes hydraulic, photovoltaic, biomass, biogas, solar thermal, geothermal, aero-thermal, aqua-thermal, and fatal energies, and energy recovery from waste waters. It also addresses other resources to be exploited such as wind energy, deep geothermal energy, methanization, and electric production for direct usage. The next part proposes a brief assessment of the development potential with quantitative objectives and perspectives of development for renewable energies. The third part briefly addresses the influence of such a development on land planning

  15. Aspiration of Barium Contrast

    OpenAIRE

    Fuentes Santos, Cristina; Steen, Bárbara

    2014-01-01

    The aspiration of barium contrast is a rare complication that may occur during studies of the digestive tract. Barium is an inert material that can cause anywhere from an asymptomatic mechanical obstruction to serious symptoms of respiratory distress that can result in patient death. We present the case of a 79-year-old male patient in whom we observed the presence of contrast medium residue in the lung parenchyma as an incidental finding during hospitalization. When the patient’s medical fil...

  16. Aspiration of Barium Contrast

    Directory of Open Access Journals (Sweden)

    Cristina Fuentes Santos

    2014-01-01

    Full Text Available The aspiration of barium contrast is a rare complication that may occur during studies of the digestive tract. Barium is an inert material that can cause anywhere from an asymptomatic mechanical obstruction to serious symptoms of respiratory distress that can result in patient death. We present the case of a 79-year-old male patient in whom we observed the presence of contrast medium residue in the lung parenchyma as an incidental finding during hospitalization. When the patient’s medical file was reviewed, images were found of a barium swallow study that the patient had undergone months earlier, and we were able to observe the exact moment of the aspiration of the contrast material. The patient had been asymptomatic since the test.

  17. Present situation of the technology used for preparation of nuclear-grade zirconium (hafnium) and study on a new process

    International Nuclear Information System (INIS)

    Huang Daifu; Zhou Mi; Li Chunxiang; Kong Dongcheng; Yang Lifeng; Xiao Shaohua

    2010-01-01

    This paper introduces the situation of natural resource, separation and processing methods of zirconium and hafnium, as well as their application in our country and their position in national economy. The paper also analyzes the present status of the technology and techniques used for Zr-Hf separation both at home and abroad, with the emphasis on elaborating the new solvent extraction technology for preparing nuclear-grade ZrO 2 -HfO 2 in a TBP-HNO 3 -X system from ZrOCl 2 ·8H 2 O used as raw material. Its principal advantages include no emulsion, high extraction efficiency, good separation, steady and reliable nuclear-grade quality of both zirconium and hafnium products, easy operation and control. In addition, the problems, such as equipment corrosion and waste water treatment, can be easily solved. Being advanced and practical, the new technology can save resource and energy, and is favorable for the environment protection. (authors)

  18. Present situation of the development of petroleum substitution energy (The UK); Sekiyu daitai energy kaihatsu no genjo (Eikoku)

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-03-01

    With relation to the petroleum substitution energy in the U.K., the paper states measures taken for the development and introduction and the state of spread. Introduced were the U.K., energy policy described by energy field, petroleum and natural gas, coal, nuclear power, electric power, renewable energy (petroleum substitution energy), and the policy on energy conservation and the recent trend. Further, the paper took up the environmental policy relating to global warming which is an environmental problem in close connection with the energy industry and described the present status of exhaust gas such as acid rain gas and ozonospherial destruction gas, target for reduction of exhaust gas, and the present situation of exhaust gas at power plant. Explained were the positioning of and the measures for the petroleum substitution energy which was incorporated into a part of the energy policy in the U.K., especially the recent trend of obligation to use non-fossil fuel. First, the order of priority of the governmental policies was introduced, and then the NFFO order was described which was to give reliable fund base to the development toward the practical use of petroleum substitution energy. The paper also commented on recent topics on the state of the practical use of petroleum substitution energy. 2 figs., 7 tabs.

  19. Can You Tell Me Something about Yourself?: Self-Presentation in Children and Adolescents with High Functioning Autism Spectrum Disorder in Hypothetical and Real Life Situations

    Science.gov (United States)

    Scheeren, Anke M.; Begeer, Sander; Banerjee, Robin; Terwogt, Mark Meerum; Koot, Hans M.

    2010-01-01

    The self-presentation skills of children and adolescents with high-functioning autistic spectrum disorder (HFASD) and typically developing (TD) controls were compared, in response to both hypothetical and real life situations. In both situations, 26 HFASD and 26 TD participants were prompted to describe themselves twice, first in a baseline…

  20. Joint Aspiration (Arthrocentesis)

    Science.gov (United States)

    ... aspiration is diagnostic but it also can be therapeutic, helping to relieve pain and swelling caused by ... syringe. Sometimes, imaging with an X-ray or ultrasound is required to guide the aspiration needle to ...

  1. Meconium aspiration syndrome

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/001596.htm Meconium aspiration syndrome To use the sharing features on this page, please enable JavaScript. Meconium aspiration syndrome (MAS) refers to breathing problems that a newborn ...

  2. Poverty and aspirations failure

    NARCIS (Netherlands)

    Dalton, P.S.; Ghosal, S.; Mani, A.

    We develop a theoretical framework to study the psychology of poverty and ‘aspirations failure’, defined as the failure to aspire to one’s own potential. In our framework, rich and the poor persons share the same preferences and same behavioral bias in setting aspirations. We show that poverty can

  3. Tracheobronchial Foreign Body Aspiration: Dental Prosthesis

    Directory of Open Access Journals (Sweden)

    Ataman Köse

    2014-01-01

    Full Text Available It is important to extract foreign bodies for avoiding life-threatening complications. They can lead to death if they are not treated. Different signs and symptoms could occur according to the complete or partial airway obstruction. Foreign body aspiration is a rare incident in adults. The organic foreign materials such as foods are found to be aspirated more commonly and are usually settled in the right bronchial system. However, dental prosthesis and teeth aspirations are rare in literature. In our study, a 52-year-old male patient who had aspirated the front part of his lower dental prosthesis accidentally is presented and the foreign body is extracted by using rigid bronchoscopy. There are many causes of aspiration but dental prosthetic aspirations should be kept in mind during sleep. For this reason, dental apparatus must be taken out while asleep.

  4. Present situation of the development of petroleum substitution energy (East Europe); Sekiyu daitai energy kaihatsu no genjo (Too)

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-03-01

    In East European countries (Albania, Bulgaria, Czech, Slovakia, Hungary, Poland, Rumania and former Yugoslavia), energy prices were raised as part of the general price reform in the initial stage of the economic reform. Trade regulations on energy products were relaxed, and prices of tradable energy products were made free. Even in countries such as Rumania and Bulgaria where there still remain controls, the governments aim at perfect liberalization. Thus, this paper first considered the energy situation of East European countries where economy and society are now changing. Described were the overall economy situation and energy supply/demand in East European countries. Next, the paper detailed the energy situation in Hungary and Poland. In conclusion, the paper considered energy and international cooperation, and Pan-european Energy Charter which are important future issues in the energy sector of East European countries. 10 refs., 36 figs., 26 tabs.

  5. Study on assessing the present situation of the markets for electronic information services in Greece : MSSTUDY/Greece

    OpenAIRE

    Tsimpoglou, Filippos; Petropoulos, Costas

    1995-01-01

    This report is the Greek contribution to the “Study for assessing the situation of the markets of electronic information services for professional purposes in the member states of the European Economic Area” which was prepared under the project MSSTUDY in the frame of the IMPACT 2 Programme, for the Commission of the European Union DG XIII/E – IMO (Information Market Observatory). Questionnaires, Interviews, articles, inventories, statistics as well as personal knowledge of the author were us...

  6. Lifelong Learning: Capabilities and Aspirations

    Science.gov (United States)

    Ilieva-Trichkova, Petya

    2016-01-01

    The present paper discusses the potential of the capability approach in conceptualizing and understanding lifelong learning as an agency process, and explores its capacity to guide empirical studies on lifelong learning. It uses data for 20 countries from the Adult Education Survey (2007; 2011) and focuses on aspirations for lifelong learning. The…

  7. Identity talk of aspirational ethical leaders

    NARCIS (Netherlands)

    Koning, J.B.M.; Waistell, J.

    2012-01-01

    This study investigates how business leaders dynamically narrate their aspirational ethical leadership identities. In doing so, it furthers understanding of ethical leadership as a process situated in time and place. The analysis focuses on the discursive strategies used to narrate identity and

  8. Endometrial aspiration cytology in gynecological disorders

    Directory of Open Access Journals (Sweden)

    Meenal V Jadhav

    2016-01-01

    Full Text Available Context: Endometrial aspiration is not a popular modality for the study of the endometrium despite its simplicity and potential utility. Aim: The present study was aimed at evaluating the utility of endometrial aspiration in various gynecological disorders. Materials and Methods: In this diagnostic accuracy study, 55 prospectively registered women with various gynecological disorders were evaluated clinically and subjected to endometrial aspiration cytology and study of endometrial histology. Endometrial aspiration was performed by infant feeding tube in 10 cases and intra cath cannula in 45 cases. The slides were stained with rapid Papanicolaou (PAP stain and Leishman stain. Results: Endometrial aspiration cytology showed 90% and 94.6% sampling adequacy with infant feeding tube and intra cath cannula, respectively. Intra cath cannula was very convenient to handle and superior to infant feeding tube in aspirating the endometrium. Of the two stains used, rapid PAP stain was less time-consuming and superior to Leishman stain in studying the nuclear details. Leishman stain was helpful in detecting cytoplasmic vacuoles of secretory endometrium. Overall diagnostic accuracy of endometrial cytology was 90.4% while that for morphological hormonal evaluation was 97.6%. It enjoyed a sensitivity of 91.66%, a specificity of 88.23%, positive predictive value of 94.28%, and negative predictive value of 83.33%. Conclusion: Intra cath cannula emerged as an inexpensive, effective, and convenient device for endometrial aspiration. Endometrial aspiration proved to be a fairly effective, simple, and informative diagnostic modality.

  9. Situated University, Situated Writing

    Science.gov (United States)

    Feldman, Ann M.

    2009-01-01

    This article argues that teaching as a situated, civic activity must be a core intellectual activity in the engaged metropolitan university. Situated writing provides the key pedagogy for the Chicago Civic Leadership Certificate Program at the University of Illinois at Chicago, an engaged public research university. The role of writing, or…

  10. Aspiration and leadership

    NARCIS (Netherlands)

    Jagersma, P.K.

    2007-01-01

    Purpose - Management needs an aspiration as to how the company will work in the future. It needs a guide for corporate priorities. Any company - local or global - must be driven by an aspiration that energizes and motivates the company from top to bottom. Yet very few managers and executives know

  11. Aspiration and leadership

    NARCIS (Netherlands)

    Jagersma, P.K.

    2007-01-01

    Management needs an aspiration as to how the company will work in the future. It needs a guide for corporate priorities. Any company - local or global - must be driven by an aspiration that energizes and motivates the company from top to bottom. Yet very few managers and executives know how a

  12. Poverty and Aspirations Failure

    NARCIS (Netherlands)

    Dalton, P.S.; Ghosal, S.; Mani, A.

    2011-01-01

    We develop a theoretical framework to study the psychology of poverty and 'aspirations failure'. In our framework, the rich and the poor share the same preferences - and also a behavioral bias in setting aspirations. Greater downside risks imposed by poverty exacerbates the effects of this

  13. Microphytobenthos and phytoplankton in the Severn estuary, UK: present situation and possible consequences of a tidal energy barrage.

    Science.gov (United States)

    Underwood, Graham J C

    2010-01-01

    Information on the distribution of microphytobenthos (micro-algae forming biofilms on sediment surfaces) and phytoplankton in the Severn estuary is reviewed. Microphytobenthos (MPB) are widely distributed in salt marsh and mudflat environments, with biomass levels lower than in other estuaries (average 53 mg chl am(-2) on mud, 12 mg chl am(-2) on sand). Seasonal and spatial patterns occur in the species composition of biofilms. Large areas of the Severn have not been surveyed, but it is likely that MPB are abundant in these regions. Dissolved inorganic N, P and Si concentrations are high in the upper estuary (>400 microM nitrate, >10 microM phosphate, >140 microM silicate) and decrease seaward. Phytoplanktonic chl a concentrations are low in the main estuary (2.2 microg chl aL(-1)), but increase in the Bristol Channel and at the head of the estuary (>10 microg chl aL(-1)). High turbidity is the likely cause for low phytoplankton activity. Annual production of MPB was estimated at 33 g Cm(-2) of inter-tidal area y(-1) in the Severn estuary. This estimated benthic primary production would utilise 3.9% and 4.9% of the annual estuarine N and P loads. Construction of tidal energy barrages is estimated to significantly reduce annual estuarine MPB production (by 77% for the Cardiff-Weston barrage). It is unlikely that any potential increases in MPB biomass on remaining inter-tidal areas will be sufficient to compensate for these losses. In general, the data coverage for benthic and planktonic distribution, production and related nutrient cycles is extremely limited and significant new research work is needed to enable more definite predictions of the post-barrage situation to be made. (c) 2010 Elsevier Ltd. All rights reserved.

  14. Present situation and prospect of medical knowledge based systems in German-speaking countries: results of an online survey.

    Science.gov (United States)

    Spreckelsen, Cord; Spitzer, K; Honekamp, W

    2012-01-01

    After a decrease of interest in classical medical expert systems, the publication activity concerning the medical application of Artificial Intelligence and the interest in medical decision support have markedly increased. Nonetheless, no systematic exploratory study has yet been carried out, which directly considers the actual fields of applications, exemplary approaches, obstacles, challenges, and future prospect as seen by pioneering users and developers in a given region. This paper reports the results of an online survey designed to fill this gap with the "Knowledge Based Systems" working group of the German Society for Medical Informatics, Biometry and Epidemiology (GMDS) in 2010. The survey was based on an online questionnaire (5 single and multiple choice questions, 8 Likert-scaled items, 7 free text questions) consented to by the working group. The answers were analyzed by descriptive statistics and a qualitative analysis (bottom-up coding). All academic institutions of Medical Informatics in the German-speaking countries and contributors reporting KBS-related projects at the relevant scientific conferences and in a journal specialized in the field were invited to participate. The survey reached a response rate of 33.4%. The results show a gap between the reported obstacles of medical KBS (mainly low acceptance and rare use in clinical practice) and their future prospect as stated by the participants. Problems previously discussed in the literature like low acceptance, integration, and sustainability of KBS projects were confirmed. The current situation was characterized by naming exemplary existing systems and specifying promising fields of application. The field of KBS in medicine is more diversified and has evolved beyond expectations in the German-speaking countries.

  15. Aspiration of a cockroach

    Directory of Open Access Journals (Sweden)

    Albert Bousso

    2008-12-01

    Full Text Available It is described a five-month-old infant admitted to our pediatricintensive care unit who aspirated a cockroach. The cockroach wasremoved through bronchoscopy. The child arrived at the emergencyroom in cardiopulmonary arrest and despite full respiratory andcardiovascular support was discharged with evidence of severeneurological sequelae. It is known that this is the first case of acockroach aspiration in a five-month-old infant and reinforces thataspiration of an insect must be considered a possibility in patientswith an unidentified organic foreign body aspiration.

  16. The Effect of Mobile Phone Use in Co-present Situations on Impression Formation and Relationship Quality

    NARCIS (Netherlands)

    Vanden Abeele, M.M.P.; Schouten, A.P.; Antheunis, M.L.

    2015-01-01

    Recently, public concerns have risen over the impact of mobile communication technology use during offline conversations (also known as ‘phubbing’) on relational outcomes. This paper presents two experimental studies that address these concerns. In a first study we examined the impact of phubbing on

  17. [Foreign body aspiration in children].

    Science.gov (United States)

    Ibarz, J A Esteban; Samitier, A Sáinz; Alvira, R Delgado; Prades, P Burgués; Martínez-Pardo, N González; Pollina, J Elías

    2007-01-01

    The aim to this study is evaluate the history, symptoms, radiographic and endoscopic findings in 420 children who were admitted for suspected foreign body aspiration in our hospital between 1972 and 2005. In 13 children we didn't find foreign body and in 16 children the foreign bodies were lodged in larynx. The mean age was 33 months. The medical history, phisical exploration, auscultation and radiological findings were positive in 91,4%, 78,3%, 91,6% and 81%. The frecuency or foreign body aspiration is undervaluate and sometimes is excluded as diagnosis. Only 218 (51,9%) patients went to the hospital in the first 24 hours, although 87,8% of patients presented symptoms and 75,4% presented severe symptoms. Moreover the removed foreign bodies and suspected foreign bodies are the same in 82,95%. We think that bronchoscopy should by performed in all children who have had a choking episode.

  18. Decommissioning of NPPs with spent nuclear fuel present - efforts to amend the German regulatory framework to cope with this situation

    International Nuclear Information System (INIS)

    Brendebach, Boris; Rehs, Bernd

    2016-01-01

    The authorization to operate an installation for the fission of nuclear fuel for the commercial production of electricity was withdrawn for the seven oldest NPPs and NPP Kruemmel in Germany on August 6, 2011 after the events at Japanese Nuclear Power Plant (NPP) Fukushima Daiichi in March 2011. In the meantime, all these NPPs applied for decommissioning. One aspect reflected in the applications for these NPPs is the possibility that spent nuclear fuel elements or fuel rods will still be present in the cooling ponds at least during the first stage of decommissioning, i.a. due to limited availability of spent fuel casks. Although considerable decommissioning experiences are available in Germany, the approach 'decommissioning with fuel elements present' has been the exceptional case so far. The paper highlights the efforts undertaken to strengthen the regulatory framework with respect to decommissioning in Germany taking into account this changed approach. The paper presents a short introduction to the legal and regulatory requirements for decommissioning in Germany. Afterwards, the updates to the Decommissioning Guide, which includes proposals for an appropriate procedure for the decommissioning, safe enclosure and dismantling of facilities or parts thereof as defined in item 7 of the German Atomic Energy Act in respect of the application of the technical rules for planning and preparation of decommissioning measures as well as for licensing and supervision, are highlighted. In addition, the amendments to the Guidelines for the Decommissioning of Nuclear Facilities of the Nuclear Waste Management Commission (ESK), which is complementary to the Decommissioning Guide in a technical sense, are reported as well. (authors)

  19. The present and future situation of "model project for investigation and analysis of medical practice associated deaths" in Osaka, Japan.

    Science.gov (United States)

    Kuroki, Hisanaga; Sugimoto, Kana; Nakama, Kentaro; Yamamoto, Takuma; Takeuchi, Dan; Ochi, Hiroshi; Kataoka, Mayumi; Tamura, Yoshihide; Tsujino, Masaki; Mitsukuni, Yoichi; Matoba, Ryoji

    2009-04-01

    To enhance the quality and safety of medical care, the Ministry of Health, Labor and Welfare (MHLW) launched a model project in September 2005 for investigation and analysis of medical practice associated deaths in an attempt to move the existing system in a different direction. The project, initiated in Tokyo, Osaka, Nagoya, and Kobe, has now been implemented in nine prefectures. In the hope that the model project will lead to the nationwide development of medical safety investigating committees, the MHLW has submitted a provisional third plan. Based on our practical experience of the model project in Osaka, we present and discuss practical problems and legal issues involving surgeons' criminal punishment.

  20. Reorganization and the present situation of the department of nuclear engineering of the national universities in Japan

    International Nuclear Information System (INIS)

    Kiyanagi, Yoshiaki; Tanaka, Satoru; Imanishi, Nobutsugu; Takeda, Toshikazu; Kudo, Kazuhiko

    2000-01-01

    On July 1999, the 36th Conference on Isotopes in Physics and Engineering was held, where a panel discussion titled on 'new development on nuclear energy and radiation education at universities' was carried out. In the discussion, reports from every universities were stated and some opinion exchanges were carried out. Every representatives of faculty mentioned not only on how nuclear energy and radiation education became, but also on general problems on recent engineering education (for example, what education is aimed under maintenance of what cooperation with the other faculties and specialties). Here were introduced on five cases of typical universities in Japan (Hokkaido, Tokyo, Kyoto, Osaka, and Kyushu Universities), where present states and future scopes in the Nuclear Engineering Faculty and its graduate school were described at a standpoint of their educational researches on nuclear energy. (G.K.)

  1. Report on the present situation of the FY 1998 technical literature database; 1998 nendo gijutsu bunken database nado genjo chosa

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-03-01

    To study database which contributes to the future scientific technology information distribution, survey/analysis were conducted of the present status of the service supply side. In the survey on the database trend, the trend of relations between DB producers and distributors was investigated. As a result, there were seen the increase in DB producers, expansion of internet/distribution/service, etc., and there were no changes in the U.S.-centered structure. Further, it was recognized that the DB service in the internet age now faces the time of change as seen in existing producers' response to internet, on-line service of primary information source, creation of new on-line service, etc. By the internet impact, the following are predicted for the future DB service: slump of producers without strong points and gateway type distributors, appearance of new types of DB service, etc. (NEDO)

  2. Prevention measures against radiation exposure to radon in well waters: analysis of the present situation in Finland.

    Science.gov (United States)

    Turtiainen, Tuukka; Salonen, Laina

    2010-09-01

    Naturally occurring radioactive elements are found in all groundwaters, especially in bedrock waters. Exposure to these radioactive elements increases the risk of cancer. The most significant of these elements is radon which, as a gas, is mobile and dissolves in groundwater. In Finland, water supply plants are obliged to carry out statutory monitoring of the water quality, including radon. Monitoring of private wells, however, is often neglected. In this paper, we outline the problem by reviewing the outcomes of the studies conducted in Finland since the 1960s. We also summarise the development of legislation, regulations and political decisions made so far that have affected the amount of public exposure to radon in drinking water. A review of the studies on radon removal techniques is provided, together with newly obtained results. New data on the transfer of radon from water into indoor air are presented. The new assessments also take into account the expanding use of domestic radionuclide removal units by Finnish households.

  3. Industrial applications of neutron diffraction and outline of J-PARC(2). Outline of J-PARC and present situation of industrial application in neutron scattering

    International Nuclear Information System (INIS)

    Hayashi, Makoto

    2008-01-01

    Neutron diffraction method is very much effective for measurement of residual stress and texture in the engineering materials. Now a new neutron science facility named as Japan Proton Accelerator Research Complex (J-PARC) is under constructing in Nuclear Science Research Institute of JAEA. In this paper, an outline of J-PARC and Ibaraki Prefecture's Materials Design Diffractometer to be installed in J-PARC are introduced. In addition, present situations of industrial application of neutron scattering are reviewed. (author)

  4. Presentation and diagnostic accuracy of fine-needle aspiration cytology and ultrasonography in detecting breast cancer in tribal females of rural West Bengal

    Directory of Open Access Journals (Sweden)

    Sanhita Mukherjee

    2015-09-01

    Conclusion: The study observed a late presentation of breast lump in tribal rural women of Bankura, West Bengal. Nev- ertheless, the accuracy of the screening procedures like USG and FNAC are comparable with that of the Western World. [Arch Clin Exp Surg 2015; 4(3.000: 142-147

  5. Bone marrow aspiration

    Science.gov (United States)

    Bain, B

    2001-01-01

    Bone marrow aspiration biopsies are carried out principally to permit cytological assessment but also for immunophenotypic, cytogenetic, molecular genetic, and other specialised investigations. Often, a trephine biopsy is carried out as part of the same procedure. Bone marrow aspirations should be carried out by trained individuals who are aware of the indications, contraindications, and hazards of the procedure. They should follow a standard operating procedure. The operator should have made an adequate assessment of clinical and haematological features to ensure both that appropriate indications exist and that all relevant tests are performed. For the patient's comfort and safety, the posterior iliac crest is generally the preferred site of aspiration. Films of aspirated marrow and, when appropriate, films of crushed particles should be made and labelled. Once thoroughly dry, films should be fixed and stained. As a minimum, a Romanowsky stain and a Perls' stain are required. A cover slip should be applied. The bone marrow films should be assessed and reported in a systematic manner so that nothing of importance is overlooked, using a low power, then intermediate, then high power objective. A differential count should be performed. An interpretation of the findings, in the light of the clinical and haematological features, should be given. The report should be signed or computer authorised, using a secure password, and issued in a timely manner. Key Words: bone marrow aspirate • haematological diagnosis PMID:11533068

  6. Small intestine aspirate and culture

    Science.gov (United States)

    ... ency/article/003731.htm Small intestine aspirate and culture To use the sharing features on this page, please enable JavaScript. Small intestine aspirate and culture is a lab test to check for infection ...

  7. Rising Aspirations Dampen Satisfaction

    Science.gov (United States)

    Clark, Andrew E.; Kamesaka, Akiko; Tamura, Teruyuki

    2015-01-01

    It is commonly believed that education is a good thing for individuals. Yet, its correlation with subjective well-being is most often only weakly positive, or even negative, despite the many associated better individual-level outcomes. We here square the circle using novel Japanese data on happiness aspirations. If reported happiness comes from a…

  8. Meconium aspiration syndrome

    Directory of Open Access Journals (Sweden)

    I.O. Bushtyreva

    2010-06-01

    Full Text Available Pathophysiological aspects of formation and development of meconium aspiration syndrome, as well as peculiaritues of its development based on data from native and foreign literature are studied. Special emphasis is pointed out to possible diagnostic techniques and prevention of syndrome

  9. Supersymmetry: aspirations and prospects

    International Nuclear Information System (INIS)

    Tata, Xerxes

    2015-01-01

    The realization in the early 1980s that weak scale supersymmetry stabilizes the Higgs sector of the spectacularly successful Standard Model (SM) led several authors to explore whether low energy supersymmetry could play a role in particle physics. Among these were Richard Arnowitt, Ali Chamseddine and Pran Nath who constructed a viable locally supersymmetric grand unified theory (GUT), laying down the foundation for supergravity GUT models of particle physics. Supergravity models continue to be explored as one of the most promising extensions of the SM. After a quick overview of some of the issues and aspirations of early researchers working to bring supersymmetry into the mainstream of particle physics, we re-examine early arguments that seemed to imply that superpartners would be revealed in experiments at LEP2 or at the Tevatron. Our purpose is to assess whether the absence of any superpartners in searches at LHC8 presents a crisis for supersymmetry. Toward this end, we re-evaluate fine-tuning arguments that lead to upper bounds on (some) superpartner masses. We conclude that phenomenologically viable superpartner spectra that could arise within a high scale model tuned no worse than a few percent are perfectly possible. While no viable underlying model of particle physics that leads to such spectra has yet emerged, we show that the (supergravity-based) radiatively driven natural supersymmetry framework serves as a surrogate for a phenomenological analysis of an underlying theory with modest fine-tuning. We outline the phenomenological implications of this framework, with emphasis on those LHC and electron–positron collider signatures that might point to the underlying natural origin of gauge and Higgs boson masses. We conclude that the supergravity GUT paradigm laid down in 1982 by Arnowitt, Chamseddine and Nath, and others, remains a vibrant possibility. (invited comment)

  10. Risk Factors for Aspiration Pneumonia in Older Adults

    OpenAIRE

    Manabe, Toshie; Teramoto, Shinji; Tamiya, Nanako; Okochi, Jiro; Hizawa, Nobuyuki

    2015-01-01

    Backgrounds Aspiration pneumonia is a dominant form of community-acquired and healthcare-associated pneumonia, and a leading cause of death among ageing populations. However, the risk factors for developing aspiration pneumonia in older adults have not been fully evaluated. The purpose of the present study was to determine the risk factors for aspiration pneumonia among the elderly. Methodology and Principal Findings We conducted an observational study using data from a nationwide survey of g...

  11. Presentations

    International Nuclear Information System (INIS)

    2007-01-01

    The presented materials consist of presentations of international workshop which held in Warsaw from 4 to 5 October 2007. Main subject of the meeting was progress in manufacturing as well as research program development for neutron detector which is planned to be placed at GANIL laboratory and will be used in nuclear spectroscopy research

  12. Technology’s present situation and the development prospects of energy efficiency monitoring as well as performance testing & analysis for process flow compressors

    Science.gov (United States)

    Li, L.; Zhao, Y.; Wang, L.; Yang, Q.; Liu, G.; Tang, B.; Xiao, J.

    2017-08-01

    In this paper, the background of performance testing of in-service process flow compressors set in user field are introduced, the main technique barriers faced in the field test are summarized, and the factors that result in real efficiencies of most process flow compressors being lower than the guaranteed by manufacturer are analysed. The authors investigated the present operational situation of process flow compressors in China and found that low efficiency operation of flow compressors is because the compressed gas is generally forced to flow back into the inlet pipe for adapting to the process parameters variety. For example, the anti-surge valve is always opened for centrifugal compressor. To improve the operation efficiency of process compressors the energy efficiency monitoring technology was overviewed and some suggestions are proposed in the paper, which is the basis of research on energy efficiency evaluation and/or labelling of process compressors.

  13. CSR as Aspirational Talk

    DEFF Research Database (Denmark)

    Christensen, Lars Thøger; Morsing, Mette; Thyssen, Ole

    2013-01-01

    Most writings on corporate social responsibility (CSR) treat lack of consistency between organizational CSR talk and action as a serious problem that needs to be eliminated. In this article, we argue that differences between words and action are not necessarily a bad thing and that such discrepan......Most writings on corporate social responsibility (CSR) treat lack of consistency between organizational CSR talk and action as a serious problem that needs to be eliminated. In this article, we argue that differences between words and action are not necessarily a bad thing...... and that such discrepancies have the potential to stimulate CSR improvements. We draw on a research tradition that regards communication as performative to challenge the conventional assumption that CSR communication is essentially superficial, as opposed to CSR action. In addition, we extend notions of organizational...... hypocrisy to argue that aspirational CSR talk may be an important resource for social change, even when organizations do not fully live up to their aspirations....

  14. Presentations

    International Nuclear Information System (INIS)

    2007-01-01

    The PARIS meeting held in Cracow, Poland from 14 to 15 May 2007. The main subjects discussed during this meeting were the status of international project dedicated to gamma spectroscopy research. The scientific research program includes investigations of giant dipole resonance, probe of hot nuclei induced in heavy reactions, Jacobi shape transitions, isospin mixing and nuclear multifragmentation. The mentioned programme needs Rand D development such as new scintillations materials as lanthanum chlorides and bromides as well as new photo detection sensors as avalanche photodiodes - such subjects are also subjects of discussion. Additionally results of computerized simulations of scintillation detectors properties by means of GEANT- 4 code are presented

  15. Presentation

    Directory of Open Access Journals (Sweden)

    Eduardo Vicente

    2013-06-01

    Full Text Available In the present edition of Significação – Scientific Journal for Audiovisual Culture and in the others to follow something new is brought: the presence of thematic dossiers which are to be organized by invited scholars. The appointed subject for the very first one of them was Radio and the invited scholar, Eduardo Vicente, professor at the Graduate Course in Audiovisual and at the Postgraduate Program in Audiovisual Media and Processes of the School of Communication and Arts of the University of São Paulo (ECA-USP. Entitled Radio Beyond Borders the dossier gathers six articles and the intention of reuniting works on the perspectives of usage of such media as much as on the new possibilities of aesthetical experimenting being build up for it, especially considering the new digital technologies and technological convergences. It also intends to present works with original theoretical approach and original reflections able to reset the way we look at what is today already a centennial media. Having broadened the meaning of “beyond borders”, four foreign authors were invited to join the dossier. This is the first time they are being published in this country and so, in all cases, the articles where either written or translated into Portuguese.The dossier begins with “Radio is dead…Long live to the sound”, which is the transcription of a thought provoking lecture given by Armand Balsebre (Autonomous University of Barcelona – one of the most influential authors in the world on the Radio study field. It addresses the challenges such media is to face so that it can become “a new sound media, in the context of a new soundscape or sound-sphere, for the new listeners”. Andrew Dubber (Birmingham City University regarding the challenges posed by a Digital Era argues for a theoretical approach in radio studies which can consider a Media Ecology. The author understands the form and discourse of radio as a negotiation of affordances and

  16. The sweet lung: Chewing gummi bear aspiration.

    Science.gov (United States)

    Tavladaki, Theonimfi; Fitrolaki, Michaela-Diana; Spanaki, Anna-Maria; Ilia, Staurula; Geromarkaki, Elissabet; Briassoulis, George

    2012-07-01

    Inhalation of foreign bodies, a leading cause of accidental death, is most common in preschool children. In this article we report our experience with a 5-year-old Greek girl who presented with a 24-hour history of sore throat, chest pain, and shortness of breath. Emergency bronchoscopy was performed and multiple small chewing gummi bear (HARIBO) particles impacted in the orifices of the right main bronchus and right lobar and segmentalinic bronchi were successfully removed and aspirated. Aspiration of gummi bears, which is for the first time reported, may cause a silent choking episode leading to life-threatening bronchi obstruction at multiple sites, even in children older than 4 years.

  17. Sequential voluntary cough and aspiration or aspiration risk in Parkinson's disease.

    Science.gov (United States)

    Hegland, Karen Wheeler; Okun, Michael S; Troche, Michelle S

    2014-08-01

    Disordered swallowing, or dysphagia, is almost always present to some degree in people with Parkinson's disease (PD), either causing aspiration or greatly increasing the risk for aspiration during swallowing. This likely contributes to aspiration pneumonia, a leading cause of death in this patient population. Effective airway protection is dependent upon multiple behaviors, including cough and swallowing. Single voluntary cough function is disordered in people with PD and dysphagia. However, the appropriate response to aspirate material is more than one cough, or sequential cough. The goal of this study was to examine voluntary sequential coughing in people with PD, with and without dysphagia. Forty adults diagnosed with idiopathic PD produced two trials of sequential voluntary cough. The cough airflows were obtained using pneumotachograph and facemask and subsequently digitized and recorded. All participants received a modified barium swallow study as part of their clinical care, and the worst penetration-aspiration score observed was used to determine whether the patient had dysphagia. There were significant differences in the compression phase duration, peak expiratory flow rates, and amount of air expired of the sequential cough produced by participants with and without dysphagia. The presence of dysphagia in people with PD is associated with disordered cough function. Sequential cough, which is important in removing aspirate material from large- and smaller-diameter airways, is also impaired in people with PD and dysphagia compared with those without dysphagia. There may be common neuroanatomical substrates for cough and swallowing impairment in PD leading to the co-occurrence of these dysfunctions.

  18. Aspiration Deaths Among Adults in Istanbul

    Directory of Open Access Journals (Sweden)

    Haşim Asil

    2014-06-01

    Full Text Available Massive aspiration of food is rare, but most common in people under the influence of alcohol or a drug and comatose patients who have impaired functioning of the central nervous system. The finding of small amounts of food material in the airway at autopsy does not indicate the true vital aspiration because of agonal or even early post-mortem overspills. Occlusion of the small airways, mainly the membranous and respiratory bronchioles, partial or total filling of bronchiolar lumen and the alveolar spaces with food or gastric content were typical morphologic findings. In our 10 year retrospective study we presented the data of 21 male and 4 female cases with a final diagnosis of fatal aspiration in age from 23 to 78 years (45.43±14.61 from the records of Morgue Specialization Department of the Council of Forensic Medicine. 13 cases found death at the scene without an eyewitness. All deaths were accidental in manner except one homicide. Toxicological analysis revealed blood alcohol concentration levels between 161 and 339 mg/dL in 7 cases. Morphine metabolites, benzodiazepine and barbituric acid derivatives, toluene and acetone were detected in 5 subjects. Aspirated materials were food in 14 cases, chewing gum in 3 cases, gastric content in 7 cases and a fabric gag in one case. The history, other evidence of external vomit on the clothing or immediate surroundings and toxicological analysis are by no means as significant as autopsy findings especially in cases of aspiration. Key words : adult; aspiration; death; autopsy

  19. Meconium aspiration syndrome: identifying obstetric and neonatal risk situations

    Directory of Open Access Journals (Sweden)

    Sheila Duarte Mendonça

    2015-07-01

    Full Text Available Objetivo: identificar as situações de risco obstétricas e neonatais que favoreceram a síndrome da aspiração meconial, bem como as complicações na evolução clínica apresentadas por esses neonatos. Métodos: Estudo quantitativo, retrospectivo e de análise documental, realizado entre janeiro de 2009 a dezembro de 2010. Os dados dos 40 prontuários consultados foram registrados em banco de dados e analisados por meio de software para análise estatística descritiva. Resultados: Quanto às genitoras, 67,5% tiveram menos que seis consultas de pré-natal e 42,5% intercorrências na gestação. Predominou o parto cesáreo em 75%, indicados por sofrimento fetal. Dos neonatos, 90% apresentaram idade gestacional de 37 semanas ou mais; 82,5% tiveram Apgar abaixo de 7, necessitando de reanimação ao nascer e suporte ventilatório. Conclusão: O acompanhamento adequado da gestante em todo ciclo grávido e no trabalho de parto bem como o atendimento preciso do neonato na sala de parto podem reduzir a incidência da síndrome.

  20. Report on the present day situation and technical perspectives of renewable energies; Rapport sur l'etat actuel et les perspectives techniques des energies renouvelables

    Energy Technology Data Exchange (ETDEWEB)

    Birraux, C.; Le Deaut, J.Y.

    2001-11-01

    This work, carried out by the parliamentary office for the evaluation of scientific and technological choices on request of the French National Assembly and Senate, takes stock of the present day situation and technical perspectives of development of renewable energy sources and of research needs of the French industry in this domain: 1 - renewable energies: key-technologies for the energy supply of developing countries and for a rational consumption in transportation systems and accommodations of developed countries (energies technically different from fossil or nuclear energies; fundamental energy sources for a developing world; different national goals in Europe depending on the available natural resources and on the political realities; a minor interest in France for the domestic power generation but a major interest for transports, residential and tertiary sectors and export); 2 - priority choices given to the French renewable energy resources: renewable electricity (photovoltaic, wind, biomass), thermal technologies (solar, geothermal, biomass); 3 - future policy: sustain of renewable electricity production with the revival of research, industry and technical cooperation. (J.S.)

  1. [The shutdown point and the output volume limit (OVL) in the present situation of healthcare in Hungary (or a little economics for practicing physicians)].

    Science.gov (United States)

    Gresz, Miklós

    2008-09-07

    In the present situation of health care, financing has become so complicated that the treating doctor has to know not only his profession but also has to consider the different regulations, laws and book of rules. The work of the physician cannot be carried out only through the fact that he is a master of his art, that is healing. All healing practice, diagnostic abilities, intuition, empathy and other things are in vain: if he is not familiar with the basics of financing he can lead his institution to insolvency. This article tries to give a view of a small part of financing, the output volume limit (OVL) from another aspect. According to the basics of economy and general rules of leadership it tries to show up the practical difficulties of the output volume limit. The study enlightens that by defining the output volume limit one has to consider the shutdown point of the hospital and knowing this, the actual output volume limit should be defined in the way that it does not make the proper activity of the hospital completely impossible.

  2. The ENET WAN of ENEA`S geographical network: Present situation and optimization; La rete geografica ENET dell`ENEA: Situazione attuale e proposte di ottimizzazione

    Energy Technology Data Exchange (ETDEWEB)

    Bongiovanni, Giancarlo [Rome, Univ. La Sapienza (Italy); Di Marco, Roberto Antonio [ENEA, Rome (Italy). Funzione Centrale Informatica; Marocco, Glaudio

    1997-10-01

    The wide area networks for data transmission are submitting to evolution process by technological progress and unrelated process to the network. The evolution process can be originated by the bottom up integration of different networks that were born to solve specific problems (i.e.: scientific calculations and business administration). The ENET WAN of ENEA had been submitted to the same evolution progress. In this thesis the author analyze all the problems about WAN with emphasis in ENET WAN. The purpose of this research is the analysis of the present situation in particularly links, efficiency, expenses and throughput. The goal is to suggest alternative solutions to optimized the network and to amplify the throughput by new technology. The research suggests in particularly two new wide area networks: ENET{sub C}-LAN95 e ENET{sub S}ERV96. The first one is a mix interconnection solution, that is basis on the public network C-LAN, with the transportation protocol Frame Relay, and on the private links Numerical Direct Channels (CDN). The second one is also a mix interconnection solution, but it is based on two new network services that are supplied by two new public networks just introduce in Italian telecommunications market since `96. Frame Relay and ATM are the transportation protocol employed.

  3. Exploring Possibilities for Transforming Established Subscription-based Scientific Journals into Open Access Journals. Present Situation, Transformation Criteria, and Exemplary Implementation within Trans-O-MIM.

    Science.gov (United States)

    Haux, Reinhold; Kuballa, Stefanie; Schulze, Mareike; Böhm, Claudia; Gefeller, Olaf; Haaf, Jan; Henning, Peter; Mielke, Corinna; Niggemann, Florian; Schürg, Andrea; Bergemann, Dieter

    2016-12-07

    Based on today's information and communication technologies the open access paradigm has become an important approach for adequately communicating new scientific knowledge. Summarizing the present situation for journal transformation. Presenting criteria for adequate transformation as well as a specific approach for it. Describing our exemplary implementation of such a journal transformation. Studying the respective literature as well as discussing this topic in various discussion groups and meetings (primarily of editors and publishers, but also of authors and readers), with long term experience as editors and /or publishers of scientific publications as prerequisite. There is a clear will, particularly of political and funding organizations, towards open access publishing. In spite of this, there is still a large amount of scientific knowledge, being communicated through subscription-based journals. For successfully transforming such journals into open access, sixteen criteria for a goal-oriented, stepwise, sustainable, and fair transformation are suggested. The Tandem Model as transformation approach is introduced. Our exemplary implementation is done in the Trans-O-MIM project. It is exploring strategies, models and evaluation metrics for journal transformation. As instance the journal Methods of Information in Medicine will apply the Tandem Model from 2017 onwards. Within Trans-O-MIM we will reach at least nine of the sixteen criteria for adequate transformation. It was positive to implement Trans-O-MIM as international research project. After first steps for transforming Methods have successfully been made, challenges will remain, among others, in identifying appropriate incentives for open access publishing in order to support its transformation.

  4. Interfacing an aspiration ion mobility spectrometer to a triple quadrupole mass spectrometer

    International Nuclear Information System (INIS)

    Adamov, Alexey; Viidanoja, Jyrki; Kaerpaenoja, Esko; Paakkanen, Heikki; Ketola, Raimo A.; Kostiainen, Risto; Sysoev, Alexey; Kotiaho, Tapio

    2007-01-01

    This article presents the combination of an aspiration-type ion mobility spectrometer with a mass spectrometer. The interface between the aspiration ion mobility spectrometer and the mass spectrometer was designed to allow for quick mounting of the aspiration ion mobility spectrometer onto a Sciex API-300 triple quadrupole mass spectrometer. The developed instrumentation is used for gathering fundamental information on aspiration ion mobility spectrometry. Performance of the instrument is demonstrated using 2,6-di-tert-butyl pyridine and dimethyl methylphosphonate

  5. Migration aspirations in Ukraine: Human rights violations as migration drivers

    OpenAIRE

    Borshchevska, Yuliya

    2014-01-01

    Ukraine is ranked highly among emigration countries and in particular among countries supplying labor migrants to the EU and Russia. The slumping economy and deteriorating political situation with an increasing number of authoritarian traits logically evoke the question of how non-economic motivation factors impact migration aspirations in Ukraine. The worsening human rights situation in the country is, in a way, seen as a separate matter and is not always associated with migration. This arti...

  6. Recurrent Aspiration Pneumonia due to Anterior Cervical Osteophyte

    Directory of Open Access Journals (Sweden)

    Jae Jun Lee

    2017-02-01

    Full Text Available A 74-year-old man presented with recurrent vomiting and aspiration pneumonia in the left lower lobe. He entered the intensive care unit to manage the pneumonia and septic shock. Although a percutaneous endoscopic gastrostomy tube was implanted for recurrent vomiting, vomiting and aspiration recurred frequently during admission. Subsequently, he complained of neck pain when in an upright position. A videofluoroscopic swallowing study showed compression of the esophagus by cervical osteophytes and tracheal aspiration caused by an abnormality at the laryngeal inlet. Cervical spine X-rays and computed tomography showed anterior cervical osteophytes at the C3-6 levels. Surgical decompression was scheduled, but was cancelled due to his frailty. Unfortunately, further recurrent vomiting and aspiration resulted in respiratory arrest leading to hypoxic brain damage and death. Physicians should consider cervical spine disease, such as diffuse skeletal hyperostosis as an uncommon cause of recurrent aspiration pneumonia.

  7. The Astrophysics Project Integrating Research and Education (ASPIRE)

    Science.gov (United States)

    Callahan, J.

    The Astrophysics Science Project Integrating Research and Education (ASPIRE) is funded by the National Science Foundation as the public education and outreach (EPO) component the High Resolution Fly's Eye Cosmic Ray Research Group. Since 1997, ASPIRE has been creating some of the most engaging and interactive science lessons and lab activities on the World Wide Web. In this poster, we will present an overview of the ASPIRE project, and report on the the most recent usage statistics. In addition to creating and maintaining lessons and the website, ASPIRE provides direct outreach to local teachers and students. These contacts include, in particular, local groups that are under-represented in the scientific and technical fields. Continuing as the EPO arm of the new Telescope Array (TA/TALE) project, ASPIRE will also be conducting summer workshops for students and teachers in Millard County, where the new experiment is under construction.

  8. ASPIRE: Added-value Sensing

    DEFF Research Database (Denmark)

    Anggorojati, Bayu; Cetin, Kamil; Mihovska, Albena D.

    2010-01-01

    FP7 ICT project ASPIRE is one of the coordinated European efforts to further the advancement of this technology, in the areas of enabling technology development for RFID. The focus of ASPIRE is on the design, development and adoption of an innovative, programmable, royalty-free, lightweight...

  9. Workload, Aspiration, and Fun

    DEFF Research Database (Denmark)

    Muhr, Sara Louise; Pedersen, Michael; Alvesson, Mats

    2012-01-01

    Contemporary working life highlights the challenge between exploitation and exploration both on a general and a more individual level. Here, we focus on the latter, and connect the critical debate regarding selfmanagement to March’s exploitation/exploration trade-off, as this forms a useful...... theoretical frame to understand how employees make sense of their self-management efforts. The employee is subjected to an individual responsibility to understand and manage an exploration of the self while handling the norms of self-exploitation that a self-management culture creates. Through an empirical...... study of a large group of management consultants, we explore how they perform and make sense of selfexploitation and self-exploration through three specific discourses: the discourse of workload, the discourse of aspiration, and the discourse of fun. Through these, the consultants try to identify...

  10. Risk Factors for Aspiration Pneumonia in Older Adults.

    Science.gov (United States)

    Manabe, Toshie; Teramoto, Shinji; Tamiya, Nanako; Okochi, Jiro; Hizawa, Nobuyuki

    2015-01-01

    Aspiration pneumonia is a dominant form of community-acquired and healthcare-associated pneumonia, and a leading cause of death among ageing populations. However, the risk factors for developing aspiration pneumonia in older adults have not been fully evaluated. The purpose of the present study was to determine the risk factors for aspiration pneumonia among the elderly. We conducted an observational study using data from a nationwide survey of geriatric medical and nursing center in Japan. The study subjects included 9930 patients (median age: 86 years, women: 76%) who were divided into two groups: those who had experienced an episode of aspiration pneumonia in the previous 3 months and those who had not. Data on demographics, clinical status, activities of daily living (ADL), and major illnesses were compared between subjects with and without aspiration pneumonia. Two hundred and fifty-nine subjects (2.6% of the total sample) were in the aspiration pneumonia group. In the univariate analysis, older age was not found to be a risk factor for aspiration pneumonia, but the following were: sputum suctioning (odds ratio [OR] = 17.25, 95% confidence interval [CI]: 13.16-22.62, p risk factors associated with aspiration pneumonia after propensity-adjustment (258 subjects each) were sputum suctioning (OR = 3.276, 95% CI: 1.910-5.619), deterioration of swallowing function in the past 3 months (OR = 3.584, 95% CI: 1.948-6.952), dehydration (OR = 8.019, 95% CI: 2.720-23.643), and dementia (OR = 1.618, 95% CI: 1.031-2.539). The risk factors for aspiration pneumonia were sputum suctioning, deterioration of swallowing function, dehydration, and dementia. These results could help improve clinical management for preventing repetitive aspiration pneumonia.

  11. High Resolution Computed Tomography Appearences of late sequelae of Barium Aspiration in an asymptomatic young child

    International Nuclear Information System (INIS)

    Venkatraman, Bhat; Rahman, Hatim A.; Abdul-Wahab, Atiqa

    2005-01-01

    Barium aspiration is a well-known complication of upper gastro-intestinal studies. Consequences of aspiration are generally insignificant and leave no permanent changes in the lung parenchyma. However, large quantities of high density barium, if aspirated, lead to silent interstitial changes and fibrosis. High-resolution computed tomography HRCT appearances of lung changes have been demonstrated in adults; few such reports are available in the pediatric literature. We report a case of a child who aspirated barium 3 months before this presentation. The HRCT appearances of barium aspiration are presented with a review of the literature. (author)

  12. Emergency situations

    International Nuclear Information System (INIS)

    2007-01-01

    The nuclear activities are exercised so as to prevent the accidents. They are subjected to a rule whom application is controlled by the Asn. The risk of grave accident is so limited to a very low level of probability. He cannot be however completely pushed aside. The expression ' radiological emergency situation ' indicates a situation which ensues from an incident or of an accident risking to lead to an emission of radioactive materials or a level of radioactivity susceptible to strike a blow at the public health. The term ' nuclear crisis ' is used for the events which can lead to a radiological emergency situation on a nuclear basic installation or during a transport of radioactive materials. The preparation and the management of emergency situations, that they are of natural, accidental or terrorist origin, became a major concern of our society. We propose you of to know more about it in this file. (N.C.)

  13. Situated Transgressiveness

    DEFF Research Database (Denmark)

    Muhr, Sara Louise; Sullivan, Katie Rose; Rich, Craig

    2016-01-01

    This study investigates the lived experience of one transwoman, Claire, a public advocate and a manager with client services responsibilities. We examine Claire's story in order to discuss how situated contexts, such as different roles, locales and interactions, shape the way she experiences...... and perceives her trans body and gender identity. In particular, our analysis centres on how Claire's lived experience of personal and professional life shift across three different situated contexts, each enabling and constraining opportunities for political transgression. Our findings contribute to existing...... conversations within queer theory, transgender and organization studies by highlighting how situated contexts mediate the political potential of queer bodies at work. By developing the concept ‘situated transgressiveness’, this article challenges notions of transgender as a stable, ideal disruptive category...

  14. Situating Engagement

    DEFF Research Database (Denmark)

    Korn, Matthias

    Our mobile phone is with us at all times. Habitually, we pick it up in the morning and carry it around on our daily routes and routines. Increasingly, we use it to locate ourselves and the things and people around us. With ubiquitous computing, technology is moving into the very fabric of our...... through design’ approach is applied across four participatory design experiments to explore how to design for situated engagement in land use planning. A notion of a situated engagement infrastructure made up of mobile, stationary, ubiquitous, and remote systems frames the design experiments suggesting....... First, situationally appropriate forms of engagement that align well with citizens’ own conceptions are necessary in order to provide relevance and meaning of issues in the moment. Second, situated engagement requires a technological setup which facilitates the co-location of people, place...

  15. Situational Leadership

    OpenAIRE

    Süttö, Marián

    2016-01-01

    This thesis is focused on field of leadership, particularly situational leadership model by Hersey and Blanchard. Thesis is mostly theoretical framework aimed to offer the possibility for reader to get overview in leadership issues. Theoretical framework of the thesis is focused on leadership definition, the most important leadership theories in the past, and especially to situational leadership approach. The focus of this thesis is to get detailed insight in this model and therefore offer in...

  16. [A survey of present situation of general intensive care unit in second grade hospitals and construction of intensive care network in Guangdong province].

    Science.gov (United States)

    Guo, Qi; Li, Yi-min; Qin, Tie-he; Wu, Heng-yi; Guan, Xiang-dong; Xu, Yuan-da; Jiang, Mei; Xiao, Zheng-lun

    2007-10-01

    To investigate the present situation of general intensive care unit (ICU) in second grade hospitals, and to establish intensive care network for the Department of Public Health of Guangdong province in Guangdong province. Data from ICU of 26 hospitals in Guangdong were collected through questionnaire concerning different aspects of critical care medicine. (1) ICU size was (10.12+/-3.82) beds per unit, ratios of doctors to beds and nurses to beds were 0.73+/-0.25 and 1.80+/-0.57 respectively, and proportions of closed model or semi-closed model of ICU management were 69.2% and 26.9% respectively. (2) Area occupied by per bed was (17.57+/-7.58) m2, ratio of basins with infrared control facet to beds was 0.47+/-0.33, proportions of ICU equipped with room equipped with positive or negative air pressure, laminar flow, or with room for preparing nutrition support were 15.4%, 30.8%, and 23.1% respectively. (3) All the ICU were capable of institution and management of artificial airway, mechanical ventilation, placement of deep vein line, cardioversion and defibrillation, parenteral nutrition, and sedation. Ninety-six point two percent of the ICU could accomplish trachea intubation independently. Fifty-three point eight percent of the ICU could perform hemodynamic monitoring. Continuous blood purification could be done in 73.1 % of the ICU. (4) Ninety-six point two percent of the ICU were equipped with continuous bedside multifunctional electrocardiogram monitor and ratio of the monitors to beds was 0.89+/-0.29. Ratios of resuscitation air bags to beds and ventilators to beds were 0.71+/-0.34 and 0.71+/-0.24 respectively. Portable ventilator was equipped in 34.6 % of the ICU. Forty percent of the ICU could not perform non-invasive ventilation, 65.4 % of the ICU were equipped with fiberoptic bronchoscope, blood gas analysis could be done during 24 hours round in 92.3 % of the ICU. (5) Twenty-six ICU investigated were found to be distributed over the district of Zhujiang

  17. A Situational Maintenance Model

    DEFF Research Database (Denmark)

    Luxhoj, James T.; Thorsteinsson, Uffe; Riis, Jens Ove

    1997-01-01

    An overview of trend in maintenance management and presentation of a situational model and an analytical tools for identification of managerial efforts in maintenance.......An overview of trend in maintenance management and presentation of a situational model and an analytical tools for identification of managerial efforts in maintenance....

  18. Crohn's disease-associated silent aspiration in the outpatient setting: Anesthesiologists beware.

    Science.gov (United States)

    Snell, Christopher; Coleman, Scott; Van Hal, Michele; Rashidian, Farshad; Okum, Gary; Green, Michael Stuart

    2018-01-01

    Every anesthesia provider fears aspiration of gastric contents during an anesthetic, and it may occur even in the absence of overt signs such as coughing or choking. Whether the aspiration is frank or silent, catastrophic and deleterious consequences may ensue. Therefore, familiarity with risk factors for silent aspiration is essential. Crohn's disease reportedly delays gastric emptying making these patients more susceptible to silent aspiration during surgery. Anesthesia providers must be cognizant of this risk and vigilant in the recognition to formulate a specific treatment plan preoperatively. We present a case of an ambulatory surgical patient with suspected silent aspiration undiagnosed by the anesthesia care team before induction of anesthesia.

  19. The social contagion of aspirations

    DEFF Research Database (Denmark)

    Folmann, Birgitte

    2017-01-01

    succeed, making some progress along this path seems important and fuels their ongoing aspiration for the good life. Having a ‘life style’ means being able to choose and consume, and getting a ‘life style’ reflects an aspiration for social mobility. Taking the emic approach helps to explain how social......Discussions of health-related behaviors and lifestyle often become theoretical and morally laden owing to their individualistic view on risk factors and life choices. This article uses the analytical concepts of contagion and configuration to explore the spread of aspirations for the good life...... among young men in Northern Uganda. The potential social contagion of aspirations is unfolded to provide a deeper understanding of social processes not only as dynamics between people but also as processes between people and their surroundings in a society which is subject to rapid change...

  20. Habits, aspirations and endogenous fertility

    OpenAIRE

    Luciano Fanti

    2012-01-01

    Motivated by the increasing literature on endogenous preferences as well as on endogenous fertility, this paper investigates the implications of the interaction of the endogenous determination of the number of children with habit and aspiration formation in an OLG model. In contrast with the previous literature, we show that greater aspirations may lead to higher savings, and more interestingly, always increase the neoclassical economic growth.

  1. Doenças da mandioquinha-salsa e sua situação atual no Brasil Present situation of arracacha (Arracacia xanthorrhiza diseases in Brazil

    Directory of Open Access Journals (Sweden)

    Gilmar P. Henz

    2002-06-01

    been recorded are described and their current situation in Brazil is discussed. Since its introduction in 1900-1910, arracacha has been considered a non-demanding crop, presenting some minor disease problems, especially when compared to other vegetable crops. Many of the recorded arracacha diseases in Brazil and other Latin American countries are poorly described, for there is hardly any information about pathogenicity tests, pathogen identity, crop losses and environmental conditions affecting diseases. Worldwide, 27 genera of fungi, three of bacteria, nine of nematodes and five species of viruses have been recorded. Of these, thirteen fungi and all bacteria and nematodes were recorded in Brazil. So far, no virus has been recorded, although virus-like symptoms have been observed. The most important diseases are the root knot, caused by Meloidogyne spp., and the postharvest soft rot caused by Erwinia spp. Commonly occurring diseases are leaf spots caused by Septoria spp., Cercospora spp. and Xanthomonas campestris pv. arracaciae, as well as plant rots caused by Sclerotium rolfsii and Sclerotinia sclerotiorum. Viruses could become of great importance since this crop is vegetatively propagated, and part of the plantlets are now being produced in nurseries by a new technique (pre-rooting and then disseminated to different areas throughout Brazil. As there is no pesticide officially registered for this crop in Brazil, preventive measures of control must be used, such as crop rotation, suitable fertilization and irrigation, and removal and destruction of diseased plants. Arracacha seems to be suitable for organic cropping systems, since few diseases are considered limitant.

  2. Cryoextraction: A novel approach to remove aspirated chewing gum

    Directory of Open Access Journals (Sweden)

    Edmundo Rubio

    2013-01-01

    Full Text Available The extraction of aspirated foreign bodies can prove challenging at times, requiring even rigid bronchoscopy. Cryotherapy probes have been reported to help with extraction of foreign bodies. We present a case where successful "cryoextraction" was performed on an aspirated chewing gum. The case highlights the fact that this technique is useful to extract all materials that have water content. This technique can be performed through flexible bronchoscopy and can save patients from more aggressive approaches.

  3. Fine needle aspiration cytology of cellular hemangioma of infancy. A case report.

    Science.gov (United States)

    Erhardt, C A; Vesoulis, Z; Kashkari, S

    2000-01-01

    Cellular hemangioma is a common benign vascular neoplasm of infants and children. The lesion typically occurs within the superficial dermis, where it is recognized as a strawberry nevus. Occasionally, this neoplasm is situated within deep soft tissues of the head or neck, with a particular predilection for the parotid gland region. Fine needle aspiration cytology (FNAC) of cellular hemangioma involving the parotid gland has been reported previously, but never confirmed by cytologic findings alone. We report the first case of infantile cellular hemangioma with sufficient characteristic cytologic features to be diagnosed by FNAC. A 3-month-old male presented with a rapidly enlarging, sensitive, solid, supraparotid mass. Ultrasound and computed tomography were performed but were nondiagnostic. Subsequent FNAC of the mass demonstrated a highly cellular specimen composed predominantly of elongated spindled cells arranged in three-dimensional coils and arcades. Immunohistochemistry demonstrated the endothelial origin of the spindled cells and confirmed the diagnosis of cellular hemangioma. Deeply situated cellular hemangiomas may pose a difficult diagnostic challenge to the clinician as well as to the radiologist. The infantile variant of this tumor enlarges rapidly, simulating an aggressive malignant tumor, and is occasionally accompanied by substantial compressive symptoms. Radiographic presentation of the lesion may be that of a solid tumor mass, unlike most other hemangiomas. Precise cytologic diagnosis of infantile cellular hemangioma can be rendered on aspirated material and is crucial in planning conservative medical treatment.

  4. Laterally situated sinus pericranii

    International Nuclear Information System (INIS)

    Koshu, K.; Takahashi, S.

    1981-01-01

    Sinus pericranii has been reported to be situated usually along the midline. Two cases of laterally situated sinus pericranii are presented. Venous blood was obtained by puncturing the tumors directly. Injection of contrast medium into the tumors demonstrated a communication between the tumors and the intracranial venous sinuses through marked diploic veins. (orig.)

  5. Measurement of membrane elasticity by micro-pipette aspiration

    DEFF Research Database (Denmark)

    Henriksen, Jonas Rosager; Ipsen, John H.

    2004-01-01

    The classical micro-pipette aspiration technique, applied for measuring the membrane bending elasticity, is in the present work reviewed and extended to span the range of pipette aspiration pressures going through the °accid (low pressures) to tense (high pressures) membrane regime. The quality...... of the conventional methods for analysing data is evaluated using numerically generated data and a new method for data analysis, based on thermodynamic analysis and detailed statistical mechanical modelling, is introduced. The analysis of the classical method, where the membrane bending modulus is obtained from micro......-pipette aspiration data acquired in the low-pressure regime, reveals a signi¯cant correction from membrane stretching elasticity. The new description, which includes the full vesicle geometry and both the membrane bending and stretching elasticity, is used for the interpretation of micro-pipette aspiration...

  6. Situation Songs

    DEFF Research Database (Denmark)

    Kolar-Borsky, Agnes; Holck, Ulla

    2014-01-01

    The aim of this study was to survey the various therapeutic intentions behind the use of one particular improvisation method applied in pediatric music therapy, called the situation song (from the German term “Situationslied”- Plahl & Koch-Temming, 2008, p. 180). According to Plahl & Koch...... the therapeutic relationship; to enhance experience and development in the fields of emotion, behavior, expression and social skills; to express messages in language and to give structure to the child. The overall aim behind the use of situation songs is to offer essential experiences to the child in order...... to support his or her development. This study attempts to give an impulse to more international exchange of clinical terms applied in music therapy. The study was submitted as the first author’s master thesis in Music Therapy at the Aalborg University in Denmark. The second author supervised the process...

  7. Meconium aspiration syndrome: challenges and solutions

    Directory of Open Access Journals (Sweden)

    Goel A

    2017-08-01

    Full Text Available Ankita Goel, Sushma Nangia Department of Neonatology, Lady Hardinge Medical College and Kalawati Saran Children Hospital, Shaheed Bhagat Singh Marg, New Delhi, India Abstract: Meconium aspiration syndrome (MAS is an important cause of morbidity and mortality among term newborns. A result of antepartum or postpartum aspiration of meconium stained amniotic fluid (MSAF, MAS causes respiratory distress of varying severity, often complicated by air leaks or persistent pulmonary hypertension (PPHN. There has been a tremendous change in the concepts of pathophysiology and management of MAS over the last few decades. Routine endotracheal suctioning is no longer recommended in both vigorous and nonvigorous neonates with MSAF. Supportive management, along with newer therapies such as surfactant, inhaled nitric oxide, and high-frequency ventilation, has resulted in marked improvement in the overall outcome of MAS. The present review highlights the challenges in understanding the complex pathophysiology and optimal management approach to MAS. Potential future therapies and drugs in trial are also discussed briefly. Keywords: meconium aspiration syndrome, endotracheal suction, surfactant, inhaled nitric oxide, high-frequency ventilation, persistent pulmonary hypertension

  8. Risk Factors for Aspiration Pneumonia After Endoscopic Hemostasis.

    Science.gov (United States)

    Kawanishi, Koki; Kato, Jun; Toda, Nobuo; Yamagami, Mari; Yamada, Tomoharu; Kojima, Kentaro; Ohki, Takamasa; Seki, Michiharu; Tagawa, Kazumi

    2016-03-01

    Although all types of endoscopic procedures harbor risk of aspiration, little is understood about risk factors for aspiration pneumonia developing after endoscopic hemostasis. The present study aimed to identify risk factors for aspiration pneumonia after endoscopic hemostasis. Charts from consecutive patients with upper gastrointestinal bleeding that had been treated by endoscopic hemostasis at a single center between January 2004 and January 2015 were retrospectively reviewed. Patient information and clinical characteristics including cause of hemorrhage, established prognostic scales, laboratory data, comorbidities, medications, duration of endoscopic hemostasis, vital signs, sedative use, and the main operator during the procedure were compared between patients who developed aspiration pneumonia and those who did not. Aspiration pneumonia developed in 24 (4.8%) of 504 patients after endoscopic hemostasis. Endotracheal intubation was required for three of them, and one died of the complication. Multivariate analysis revealed that age >75 years (odds ratio (OR) 4.4; 95% confidence interval (CI) 1.5-13.6; p = 0.0073), procedural duration >30 min (OR 5.6; 95% CI 1.9-18.2; p = 0.0023), hemodialysis (OR 3.6; 95% CI 1.2-11; p = 0.024), and a history of stroke (OR 3.8; 95% CI 1-14; p = 0.041) were independent risk factors for developing aspiration pneumonia. Specific risk factors for aspiration pneumonia after endoscopic hemostasis were identified. Endoscopists should carefully consider aspiration pneumonia when managing older patients who are on hemodialysis, have a history of stroke, and undergo a longer procedure.

  9. Assessing Operational Situations

    DEFF Research Database (Denmark)

    Zhang, Xinxin

    In spite of the high level of automation commonly applied to today’s engineering system, humans’ skill and knowledge still plays a central role in the systems’ daily operation, critical decision making, and accident management. The complexity of the engineered system poses great challenge for human...... operators to perceive and understand the operational situation. The research domain of situation awareness approaches the operational challenges from the human cognition perspective while the presented thesis aims at supporting situation assessment from the system perspective. The thesis has reviewed...... different perspectives on situation awareness in the human factor studies and uses the knowledge reflectively for system representation and analysis. The human cognitive activities during complex plant operation and how they perceive a situation and what kind of knowledge has to be established in the human...

  10. Studying and developing main nuclear analytical techniques for assessment of the present situation of marine environmental radioactivity in some typical regions of Vietnam

    International Nuclear Information System (INIS)

    Nguyen Trong Ngo; Nguyen Thanh Binh; Phan Son Hai; Mai Thi Huong; Nguyen Thi Linh; Nguyen Van Phuc; Le Nhu Sieu; Nguyen Mong Sinh, Truong Y; Le Ngoc Chung

    2003-01-01

    Typical output of the study is presented, including: 1/ establishing standard procedures for the determination of 238 U and 230 Th radionuclide concentration in marine environmental samples; 2/ acquiring baseline data for the main radionuclide concentration in marine environmental materials (water, sediment and biota) collected from suitable key coastal locations of Vietnam. (NTN)

  11. Meconium aspiration in South Africa

    African Journals Online (AJOL)

    This retrospective study of 569 cases of meconium aspiration from 11 institutions in South Africa reveals a high incidence varying from 4 to 11/1 000 and a mortality rate of. 12%. Mortality was significantly related to the degree of asphyxia at birth. Twenty-five per cent of the babies. (136/569) required intensive care and 36% ...

  12. Aspirations of Latina Adolescent Suicide Attempters

    Science.gov (United States)

    Hausmann-Stabile, Carolina; Gulbas, Lauren; Zayas, Luis H.

    2013-01-01

    Parents' aspirations and expectations are communicated to their offspring. Children internalize their parents' aspirations and accept some of the expectations while rejecting others, all part of the developmental process and identity-consolidation. When the aspirations and expectations of youth and parents are incongruent, the outcomes…

  13. Aspiration pneumonia: a review of modern trends.

    Science.gov (United States)

    DiBardino, David M; Wunderink, Richard G

    2015-02-01

    The purpose was to describe aspiration pneumonia in the context of other lung infections and aspiration syndromes and to distinguish between the main scenarios commonly implied when the terms aspiration or aspiration pneumonia are used. Finally, we aim to summarize current evidence surrounding the diagnosis, microbiology, treatment, risks, and prevention of aspiration pneumonia. Medline was searched from inception to November 2013. All descriptive or experimental studies that added to the understanding of aspiration pneumonia were reviewed. All studies that provided insight into the clinical aspiration syndromes, historical context, diagnosis, microbiology, risk factors, prevention, and treatment were summarized within the text. Despite the original teaching, aspiration pneumonia is difficult to distinguish from other pneumonia syndromes. The microbiology of pneumonia after a macroaspiration has changed over the last 60 years from an anaerobic infection to one of aerobic and nosocomial bacteria. Successful antibiotic therapy has been achieved with several antibiotics. Various risks for aspiration have been described leading to several proposed preventative measures. Aspiration pneumonia is a disease with a distinct pathophysiology. In the modern era, aspiration pneumonia is rarely solely an anaerobic infection. Antibiotic treatment is largely dependent on the clinical scenario. Several measures may help prevent aspiration pneumonia. Copyright © 2014 Elsevier Inc. All rights reserved.

  14. Colloborative Situation Awareness

    OpenAIRE

    Szczerbak , Michal

    2013-01-01

    Situation awareness and collective intelligence are two technologies used in smart systems. The former renders those systems able to reason upon their abstract knowledge of what is going on. The latter enables them learning and deriving new information from a composition of experiences of their users. In this dissertation we present a doctoral research on an attempt to combine the two in order to obtain, in a collaborative fashion, situation-based rules that the whole community of entities wo...

  15. A study on environmental pollution caused by radioactive substances and its countermeasure techniques. Part 2. Present situation of radioactive pollution and decontamination

    International Nuclear Information System (INIS)

    Nozaki, Atsuo; Kakuma, Takayuki; Narita, Yasunori; Yoshino, Hiroshi

    2012-01-01

    In present research, in order to clarify the actual condition of contamination, the radioactive concentration of the soil and the plant in Koriyama city was measured. It turned out that the radioactive concentration of soil or plants were heavily polluted by caesium-134 and 137, and iodine-131 was already disappeared by its lifetime. Especially, cesium-134 + 137 was ranged 3400 Bq/kg at the surface of soil in garden, however, it was remarkably decreased in the deeper point at 10 cm and ranged 23 Bq/kg, and we cannot detect the cesium at 15 cm. It is necessary for people in Fukushima to decontaminate for reducing radioactivity level. And it turned out that the evergreen plants have been polluted at high radioactive concentration and decontamination by cutting down the plant was decreased by 14% average. Most of radioactive material is removed by removing soils. (author)

  16. Imaging of sciatica; A short historical review and the present situation. Bildediagnostikk ved isjas; En kort historisk oversikt og status presens

    Energy Technology Data Exchange (ETDEWEB)

    Anda, S. (Trondheim Regional Hospital (Norway))

    1993-02-01

    Cotugno described the clinical entity of sciatica in 1764. However, the association between sciatica and compression of lumbar nerve roots was not realized until the 1920s. Back surgery for herniated nucleus pulposus then became fashionable, and plain radiography and myelography enabled preoperative mapping. Recently other imaging techniques have emerged, such as computerized tomography and magnetic resonance imaging. This has increased the knowledge of the etiology of lumbar root compressions, and invasive therapies for sciatica have become more diversified. It is easy to lose perspective among the available imaging procedures and therapeutic techniques. The aim of this paper is to present the current status from a historical point of view, with special emphasis on the most common imaging methods for the investigation of lumbosacral radiculopathies. 48 refs., 4 figs.

  17. [Present situation and future prospects of the certification system for medical technologists--from the viewpoint of the Japanese Society of Clinical Cytology].

    Science.gov (United States)

    Hatakeyama, Shigeharu; Hirooka, Yasuaki

    2012-06-01

    The circumstances surrounding the certification examination for cytotechnologists in Japan are closely related with the history of the Japanese Society of Clinical Cytology. The examination for cytotechnologists is open only to medical technologists. The examination has two parts: primary and secondary. Qualification for candidacy for the secondary examination requires candidates to have passed the primary examination. The rate of successful applicants in the past 10 years was approximately 25-40%. Certified cytotechnologists are required to renew their qualifications every 4 years for their study and job history. I will present the purpose of the qualification update system, future themes, the reporting system for cytodiagnosis, and the possibility that the certification examination for cytotechnologists will become a national examination.

  18. Diagnosis of district potential in terms of renewable energies. Report 1 - Present situation: Assessment of renewable energy production, Identification and quantification of territory's potentialities in terms of renewable energies

    International Nuclear Information System (INIS)

    2010-10-01

    After a presentation of the Gers district context (geography, administrative organisation, demography, housing, economy, expertise), the report presents the energy situation, an overview of the solar thermal sector (installations and installers), of the solar photovoltaic sector (existing and projected installations, installers), of hydroelectricity, of wood-energy (individual heating, industrial heating plants, planned installations), of wind energy, of biogas, and of geothermal energy (existing and planned installations). It proposes an assessment of these energies as a whole. Then, after an overview of the district situation with respect to national objectives and to other districts of the region, the study reports an identification and quantification of potentialities in terms of theoretical resources for different energy sources (solar, wind, hydraulic, wood, methanization, valorizable biomass, geothermal, and agri-fuels). Avoided CO 2 emissions are assessed

  19. Texas situation

    International Nuclear Information System (INIS)

    Avant, R.V. Jr.; Bowmer, W.J.

    1986-01-01

    The Texas Low-Level Radioactive Waste Disposal Authority was formed in 1981 to address the Texas low-level radioactive waste problem consistent with the direction of P.L. 96-573. The Authority has completed technical tasks, including source term evaluations, preliminary conceptual designs, economic assessments, and long-range planning, and has work in progress on facility design, site selection, operating procedures, and licensing. Site selection has been the major technical activity and will be completed in 1987 after on-site evaluations of potential sites. The Authority expects to have its site licensed and operating in 1992. Texas has been the leader in site selection. Political concerns and the uncertainty of the national agenda led Texas policy makers to slow down the state's progress. The lessons learned through the Texas situation should be instructive to other states and compacts and may well be a prediction of events for these other groups. This paper discusses the background and status of Texas development activities, future plans, and lessons learned

  20. Risk Factors for Aspiration Pneumonia in Older Adults.

    Directory of Open Access Journals (Sweden)

    Toshie Manabe

    Full Text Available Aspiration pneumonia is a dominant form of community-acquired and healthcare-associated pneumonia, and a leading cause of death among ageing populations. However, the risk factors for developing aspiration pneumonia in older adults have not been fully evaluated. The purpose of the present study was to determine the risk factors for aspiration pneumonia among the elderly.We conducted an observational study using data from a nationwide survey of geriatric medical and nursing center in Japan. The study subjects included 9930 patients (median age: 86 years, women: 76% who were divided into two groups: those who had experienced an episode of aspiration pneumonia in the previous 3 months and those who had not. Data on demographics, clinical status, activities of daily living (ADL, and major illnesses were compared between subjects with and without aspiration pneumonia. Two hundred and fifty-nine subjects (2.6% of the total sample were in the aspiration pneumonia group. In the univariate analysis, older age was not found to be a risk factor for aspiration pneumonia, but the following were: sputum suctioning (odds ratio [OR] = 17.25, 95% confidence interval [CI]: 13.16-22.62, p < 0.001, daily oxygen therapy (OR = 8.29, 95% CI: 4.39-15.65, feeding support dependency (OR = 8.10, 95% CI: 6.27-10.48, p < 0.001, and urinary catheterization (OR = 4.08, 95% CI: 2.81-5.91, p < 0.001. In the multiple logistic regression analysis, the risk factors associated with aspiration pneumonia after propensity-adjustment (258 subjects each were sputum suctioning (OR = 3.276, 95% CI: 1.910-5.619, deterioration of swallowing function in the past 3 months (OR = 3.584, 95% CI: 1.948-6.952, dehydration (OR = 8.019, 95% CI: 2.720-23.643, and dementia (OR = 1.618, 95% CI: 1.031-2.539.The risk factors for aspiration pneumonia were sputum suctioning, deterioration of swallowing function, dehydration, and dementia. These results could help improve clinical management for preventing

  1. Present situation of the control of the transmissions of thermal power plants in Colombia; Situacion actual del control de las emisiones de centrales termoelectricas en Colombia

    Energy Technology Data Exchange (ETDEWEB)

    Garcia Lozada, Hector [Consultor Ambiental, Bogota (Colombia)

    1996-12-31

    This paper presents, departing from a historical recollection, the evolution analysis of the Colombian Electric Sector, with emphasis in the electric component performance. Also, a general view is offered on the characteristics of the thermal electric resource in terms of energy production level, type of fuels used and annual amount of air pollutants originated in the combustion process. In the second part of the paper the normative scheme and the regulation for emissions control, particularly coming from power plants; and the tendencies in the policies that for the management of the atmospheric resource are being implemented in the country are identified. [Espanol] En este articulo se presenta, a partir de un breve recuento historico, el analisis de la evolucion del Sector Electrico Colombiano con enfasis en el comportamiento del componente termoelectrico. Asi mismo se ofrece una vision general sobre las caracteristicas del parque termico, en terminos de los niveles de produccion de energia, los tipos de combustibles utilizados y las cantidades anuales de contaminantes atmosfericos que se generan en el proceso de combustion. En la segunda parte del trabajo se comenta el esquema normativo y la regulacion para el control de las emisiones, en particular de las procedentes de plantas termoelectricas; y se identifican las tendencias de las politicas que para la administracion del recurso atmosferico se estan implantando en el pais.

  2. Initial and present situation of food contamination in Japan after the accident at the Fukushima Dai-Ichi Nuclear Power Plant

    International Nuclear Information System (INIS)

    Aono, Tatsuo; Yoshida, Satoshi; Akashi, Makoto

    2016-01-01

    The accident at the Fukushima Dai-ichi Nuclear Power Plant (NPP) in March 2011 affected not only the terrestrial environment of Fukushima prefecture and the surrounding area, but also the marine area facing the NPP. Our present study is focused on the concentrations of radionuclides in agricultural products of Fukushima and sea-foods collected off Fukushima after the accident. The regulation value for radiocesium in vegetables, meat and fish was revised from 500 Bq/kg-wet to 100 Bq/kg-wet on 1 April 2012. The overall activity of radiocesium in these products was found to be within the limit of tolerance in respect to Japanese and also international regulations, but there is still radiocesium found at activities greater than this level in edible wild plants, wild mushrooms and game such as boar meat. Although the activities of radionuclides exceeding the regulatory limits were not detected in marine products collected off Fukushima after April 2015, the commercial marine fishery has not received approval in the affected areas except for certain species. We learned from the Fukushima accident that long-term kinetic studies of radionuclides in terrestrial and marine environments is extremely important for prevention of internal contamination, since contamination with radionuclides occurs via the food chain in the environment. (authors)

  3. La catalyse d'épuration des gaz d'échappement automobiles. Situation actuelle et nouvelles orientations Catalytic Automotive Exhaust Gas Depollution. Present Status and New Trends

    Directory of Open Access Journals (Sweden)

    Prigent M.

    2006-11-01

    Full Text Available Cet article passe en revue les différents systèmes catalytiques de post-traitement utilisés actuellement sur la plupart des automobiles pour limiter leurs rejets de polluants. Les systèmes sont différenciés par leur mode de fonctionnement, le type de moteur à dépolluer (deux-temps, quatre-temps, diesel ou essence ou par leur mode de réalisation. Les nouvelles orientations, prévues pour respecter les futures réglementations antipollution, sont également décrites. On montre que certains véhicules prototypes, équipés de moteurs à combustion interne, sont capables d'avoir des émissions très proches de zéro tout comme les véhicules électriques. A review is made of the various types of exhaust gas aftertreatment systems presently used on most vehicles to reduce pollutant emissions. The systems are differentiated by their mode of action, according to the engine type to be depolluted (two-stroke, four-stroke, diesel or spark-ignition, and by their type of make-up. The major developments foreseen in the future, in view of compliance with the new legislations, are described. It is shown that some prototype vehicles with internal combustion engines are able to emit pollutant quantities really close to zero, such as electric cars.

  4. INITIAL AND PRESENT SITUATION OF FOOD CONTAMINATION IN JAPAN AFTER THE ACCIDENT AT THE FUKUSHIMA DAI-ICHI NUCLEAR POWER PLANT.

    Science.gov (United States)

    Aono, Tatsuo; Yoshida, Satoshi; Akashi, Makoto

    2016-09-01

    The accident at the Fukushima Dai-ichi Nuclear Power Plant (NPP) in March 2011 affected not only the terrestrial environment of Fukushima prefecture and the surrounding area, but also the marine area facing the NPP. Our present study is focused on the concentrations of radionuclides in agricultural products of Fukushima and sea-foods collected off Fukushima after the accident. The regulation value for radiocesium in vegetables, meat and fish was revised from 500 Bq/kg-wet to 100 Bq/kg-wet on 1 April 2012. The overall activity of radiocesium in these products was found to be within the limit of tolerance in respect to Japanese and also international regulations, but there is still radiocesium found at activities greater than this level in edible wild plants, wild mushrooms and game such as boar meat. Although the activities of radionuclides exceeding the regulatory limits were not detected in marine products collected off Fukushima after April 2015, the commercial marine fishery has not received approval in the affected areas except for certain species. We learned from the Fukushima accident that long-term kinetic studies of radionuclides in terrestrial and marine environments is extremely important for prevention of internal contamination, since contamination with radionuclides occurs via the food chain in the environment. © World Health Organisation 2016. All rights reserved. The World Health Organization has granted Oxford University Press permission for the reproduction of this article.

  5. Metabolitos secundários como fontes de bioherbicidas: situação actual e perspectivas Secondary metabolites as sources of bioherbicides: present situation and perspectives

    Directory of Open Access Journals (Sweden)

    L.S. Dias

    2007-01-01

    Full Text Available Metabolitos secundários produzidos e libertados por plantas, bactérias e fungos estão envolvidos numa variedade de processos ecológicos, nomeadamente como semioquímicos e alelopatinos. Adicionalmente, e para além das suas possíveis funções ecológicas, muitos dos metabolitos secundários são fitotóxicos, constituindo uma fonte relativamente inexplorada de novos herbicidas. Solanum nigrum (erva-moira é uma infestante importante e muito bem sucedida num grande número de culturas, nomeadamente hortícolas e será usada como exemplo principal das utilizações actuais de aleloquímicos vegetais bem como das perspectivas de utilização deste tipo de compostos como bioherbicidas. Nesse âmbito revêem-se as principais estratégias de pesquisa de bioherbicidas e apresenta-se o estado da arte dos modos de acção de aleloquímicos já comercializados como herbicidas (Bialaphos e PPT, patenteados (AAL-toxina e em investigação, quer produzidos por plantas superiores (sorgoleona e derivados do cineol quer de origem bacteriana (hidantocidina e fúngica (fumonisinas, coletotriquina.Secondary metabolites produced and released by plants, bacteria, and fungi are involved in a number of ecological processes, namely as semiochemicals and allelopathins. In addition, and beside their possible ecological roles, a greater number of secondary metabolites are phytotoxic and represent a relatively unexplored source of new herbicides. Solanum nigrum (black nightshade is an important and successful weed in many crops, namely in horticulture, and will be used as a major example of actual and prospective uses of phytoallelochemicals as bioherbicides. Therefore, the main strategies for bioherbicides search are reviewed and the state of art of the modes of action of allelochemicals is presented, including those already in use as herbicides (Bialaphos and PPT, patented (AAL-toxin, and under investigation, whether produced by plants (sorgoleone and cineol

  6. The present situation of photo-electric plants in the Sahel zone: Possibilities and limits of a marketing strategy using the example of the Niger. Zur gegenwaertigen Situation photovoltaischer Anlagen in der Sahelzone: Moeglichkeiten und Grenzen einer Vermarktungsstrategie am Beispiel des Niger

    Energy Technology Data Exchange (ETDEWEB)

    Hempel, C. (GTZ - Sonderenergieprogramm Niger, Niamey (Niger))

    1993-01-01

    The report is aimed at three targets: First one deals with the meteorological data as the basis for the technical design of photo-electric plants, secondly there is a short survey of the present situation of photo-electrics in Nigeria (referring also to other Sahel countries), and thirdly, the possibilities and limits of a marketing strategy for photo-electric plants are sketched out for this region. (orig.)

  7. Inflammatory myofibroblastic tumor appendix with concomitant mucosal dysplasia, simulating pseudomyxoma on preoperative aspiration cytology

    Directory of Open Access Journals (Sweden)

    Kaushik Majumdar

    2012-01-01

    Full Text Available Inflammatory myofibroblastic tumor (IMT has been described as a pseudosarcomatous proliferation of spindled myofibroblasts admixed with lymphoplasmacytic cells. The various terminologies like inflammatory pseudotumor, plasma cell granuloma, and inflammatory myofibrohistiocytic proliferation, used to describe this entity, highlight the controversial etiopathogenesis of this relatively indolent neoplasm. IMT has now been described in different anatomic locations. However, cases occurring in the gastrointestinal tract are rare with very few cases described in the appendix. We present a case of inflammatory myofibroblastic tumor appendix with mucosal dysplasia in a 41-year-old male, presenting with abdominal pain and lump in the right iliac fossa. Aspiration cytology yielded few atypical epithelial cells and spindle cells in a mucinous background, suggesting the possibility of pseudomyxoma peritonei. Awareness of IMT appendix with rare presence of mucosal dysplasia may help in preventing overzealous resection, especially in situations that on preoperative evaluation may suggest malignancy.

  8. Situating learning

    DEFF Research Database (Denmark)

    Ribeiro, Gustavo; Georg, Susse; Finchman, Rob

    2004-01-01

    supervisor, local supervisorand evaluator. It describes teaching experiences through DUCED's Traineeship and Field Studies programme (TFS), whereby the environment, stakeholders and the relationships between them are not presented as discrete, tect book entities, but are explored in practice...

  9. Energy situation August 2016

    International Nuclear Information System (INIS)

    2016-08-01

    This publication presents a monthly report of the French energy situation: primary energy consumption, energy independence and CO 2 emissions, national production, imports, exports, energy costs, average and spot prices. Data are presented separately for solid mineral fuels, petroleum products, natural gas and electricity in the form of tables and graphs

  10. Energy situation July 2016

    International Nuclear Information System (INIS)

    2016-07-01

    This publication presents a monthly report of the French energy situation: primary energy consumption, energy independence and CO 2 emissions, national production, imports, exports, energy costs, average and spot prices. Data are presented separately for solid mineral fuels, petroleum products, natural gas and electricity in the form of tables and graphs

  11. PRESENT-DAY SITUATION IN THE FORMATION OF TEACHERS FOR JUNIOR EDUCATION IN TABASCO / ESTADO SITUACIONAL DE LA FORMACIÓN DE PROFESORES DE EDUCACIÓN BÁSICA EN TABASCO

    Directory of Open Access Journals (Sweden)

    Josefina Campos Cruz

    2011-04-01

    Full Text Available The educative policies in Tabasco during the last 20 years have paid special emphasis on the formation of teachers for junior education. Nevertheless, the results obtained are not positive. This state occupies 29º. This place has been gotten in the last evaluations done by the country in the fact of junior education. This situation provoked a need to ask oneself a set of questions, seeking for the cause, and of course, a question centered on the work of teachers and their results. This caused the necessity to carry out an investigation about: “Present-day situation in the formation of teachers for junior education in Tabasco, Mexico.” It is supported by the mixed funds “ONACYT” and Juárez University autonomous from Tabasco, whose user is the secretary of state education.

  12. Planning as situated design

    DEFF Research Database (Denmark)

    Axel, Erik

    and situated, too. In this presentation it will be argued that the investigation of systematic planning as conflictual cooperation will help us see that situated activity is not only based on the present conditions, but also relates them to events spread out in time and space, thereby opening up for another......It is common to associate situated activity with concrete, craftlike or manual activity here and now and to reserve theoretical and abstract thinking for activities like theoretical experimentation and systematic planning. Much work has gone into demonstrating that these activities are concrete...... understanding of theoretical thinking. Some material from the empirical research project developed with Klaus Nielsen on the design and engineering of a house will be presented. On this basis a conception of planning will be unfolded. It will be understood differently from the way it is understood...

  13. Rabies and its present situation in Iran

    OpenAIRE

    M.Gh Nadalian; H Tadjbakhsh; M.R Mokhber Dezfuli; Ali Rezakhani; S Simani; M Bolourchi

    2009-01-01

    Rabies is a dangerous infections disease which is highly fatal and zoonotic. The disease occurs in many countries of the world and in Iran, rabies is endemic and a major public health Problem. Most warm blooded animals are susceptible to rabies. It is transmitted by the bite of an infected animal to humans and other animals. The saliva of the sufferers is a rich source of rabies virus. Rabies is not seen in countries such as Scandinavia, Britain, Ireland, Scotland, Australia and New Zealand w...

  14. Situating South Africa's Past, Present and Future

    African Journals Online (AJOL)

    1997-02-04

    Feb 4, 1997 ... 2008: Education, Employment and Skills in South Africa. publishers Human Science. Research council {HSRC} ... facilitating the involvement of communities and associated organisations in local governance .... fused his natural talent for oratory and story-telling with his literary training to produce the first ...

  15. Present Situation of Graduate Studies, Brazil - 75.

    Science.gov (United States)

    Ministry of Education and Culture, Brasilia (Brazil).

    Graduate programs in Brazil in July 1975 were surveyed to obtain information about supply/demand and productivity. The tabular and graphic data cover institutions of higher education; number of courses, teaching staff, and student body. A minimum of narrative information is included. (LBH)

  16. Present situation in the Dunkerque area

    International Nuclear Information System (INIS)

    Dairin, G.

    2000-01-01

    In the Dunkerque area there is a biggest nuclear power station in Europe functioning for a number of years. Together with the Electicite de France (EDF), the municipal authorities were dealing with the impacts of NPPs on public acceptance, economic effects including tax from the power station of more than 300 million francs and more than 1000 people employed at the site. EDF in terms of its own prestige has established cooperation with local authorities in promoting the whole area, in terms of economic development and environmental problems and they have achieved a lot due to transparency of their activities

  17. The echinococcoses in Asia: The present situation.

    Science.gov (United States)

    Ito, Akira; Budke, Christine M

    2017-12-01

    Human alveolar and cystic echinococcosis, caused by the accidental ingestion of eggs of the tapeworms Echinococcus multilocularis and Echinococcus granulosus sensu lato, respectively, are endemic in Asia. Various Echinococcus species are maintained in domesticated and/or wild mammals through predator-prey interactions. Molecular analysis is used to help differentiate infecting parasite species and genotypes, with the goal of better understanding parasite life cycles in order to aid in the planning and implementation of control programs. This paper discusses the various echinococcoses in Asia, with limited reference to neighboring areas, including parts of Central Asia, Russia, Europe and North America. Copyright © 2017 Elsevier B.V. All rights reserved.

  18. Research in radiology. Present situation and perspective

    International Nuclear Information System (INIS)

    Ros, L. H.

    2003-01-01

    After having had defined the concept of research and stages of scientific method in the health field, there has been an attempt to deal with the characteristics of radiological research in the last years, as well as current and future guidelines of such. Among those items considered are the concept of teams which would be interdisciplinary and multi-centered (molecular imaging, imaging-guided therapy, early detection of illness using imaging techniques), as well as the need for certain changes in mentality. As such, there would appear a new generation of scientists (with training in molecular biology, bioengineering, physiopathology and pharmacology) who would bring to fruition an integral use of computers to complement research and imaging techniques. Finally, the concept of evidence-based radiology is analyzed, along with its principles and associated repercussions in health care and research. (Author) 15 refs

  19. Present situation of heating enterpreneurship in Finland

    International Nuclear Information System (INIS)

    Solmio, H.

    1997-01-01

    Heating entrepreneurs are farmers, who usually have a wood-lot of their own, or entrepreneurs, who have undertaken to look after the supply of fuel to real estates and their heating. The TTS- Institute conducted an analysis of the scope of heating enterpreneurship in connection with the project belonging to the national Bioenergy Research Programme. According to the responses obtained in a mail questionnaire study conducted in autumns 1996, and other data obtained on the subject, there were 36 active heating entrepreneur sites in Finland in December 1996. Heating enterpreneurship, usually involving the supply of chipped wood, has become more common during the past few years. In 1994, it was started at ten places, in 1995 at eight places, and in 1996 at twelve places. The majority, nearly three quarters, of the heating enterpreneurship sites at the end of 1996 were school buildings and one fifth were district heating plants. The solid fuel boiler capacity of all the plants in the study was 11.5 MW. The district heating plants were 0.3-2.5 MW in capacity, the school buildings were in the 60-500 kW range, old peoples'' homes had capacities of 300-370 kW. Except for one school building using sod peat as primary fuel, wood chips was the primary fuel used by institutional buildings. The enterprise form was that of an entrepreneur or a pool formed by entrepreneurs in the case of 27 entrepreneurs, a company in the case of 6, and a co-operative society in the case of three. There were 56 heating-enterpreneurship sites at the implementation or planning stage. Four fifths of them involved heat generation capacity of less than 500 kW and one fifth a capacity of 0.5-2.0 Mw Tyoetehoseuran Metsaetiedote. 13 refs., 3 figs

  20. Youth self-formation and the 'capacity to aspire': The itinerant ...

    African Journals Online (AJOL)

    The article employs the lenses of 'aspiration', 'space', and 'technologies of self' to present the argument that his 'capacity to aspire' has to be understood on the basis of his active self-formation and disciplining, accumulated across the itinerant spaces of his life. The aim of this article is to open a window onto how young ...

  1. Aspiring Principals' Perception of the Challenges of Beginning Principals and the Support That They Need

    Science.gov (United States)

    Ng, Pak Tee

    2015-01-01

    This paper presents the results of an exploratory research project about the perception of aspiring principals regarding the challenges of beginning principals and the support that they need. These aspiring principals are participants on the Leaders in Education Programme (LEP) in Singapore. According to the research findings, the LEP participants…

  2. African American Career Aspirations: Examining the Relative Influence of Internalized Racism

    Science.gov (United States)

    Brown, Danice L.; Segrist, Daniel

    2016-01-01

    The present study examined the relative influence of aspects of internalized racism on the career aspirations of a sample of African American adults. Participants (N = 315), ranging in age from 18 to 62 years, completed measures of internalized racism and career aspirations online. A hierarchical multiple regression analysis was conducted to…

  3. Aspiration pneumonia of mineral oil: a case report

    International Nuclear Information System (INIS)

    Malheiros, Noemia Reis; Costa Praxedes, Marcia da; Machado, Dianne Mello; Marchiori, Edson

    1995-01-01

    The authors report a case of 14 month-old boy with clinical features of dyspnea, cough and acrocyanosis following aspiration of mineral oil used in the treatment of partial small bowel obstruction by Ascaris lumbricoides. A chest roentgenogram was reported as extensive bilateral confluent consolidation that showed progressive improvement and the presence of a bilateral infiltration. The diagnosis of aspiration pneumonia of mineral oil was confirmed by lung biopsy. Radiological and anatomo pathological aspects are presented as well as a review of the medical literature about the case. (author). 6 refs., 3 figs

  4. Migration and Social Aspirations: Chinese Cosmopolitanism in Wenzhou Region (China

    Directory of Open Access Journals (Sweden)

    Irene Rodrigues

    2018-04-01

    Full Text Available This article explores what motivates the movements of Chinese migrants from China to Portugal. It presents an ethnographic account of social aspirations in Wenzhou, a port city located in South Zhejiang (Southeast China, where post-Mao economic prosperity, allied to the existence of networks of trade and migration, resulted in social and economic inequalities and great social pressure to become rich and successful. Based on ethnographic fieldwork conducted in Wenzhou and in Lisbon (Portugal between 2008 and 2010, this paper argues that Wenzhou migratory projects are a result of modernity aspirations and desires for material modernization articulated with core Chinese values such as filial piety.

  5. Energy situation August 2002

    International Nuclear Information System (INIS)

    2002-09-01

    The monthly situation analysis in France is presented. Statistics are given for energy consumption, demand, import and export. A special attention is given to the primary energy, the solid fuels, the petroleum products, the natural gas and the electric power. (A.L.B.)

  6. Dealing with Problematic Situations

    DEFF Research Database (Denmark)

    Vidal, Rene Victor Valqui

    2004-01-01

    The main purpose of this paper is to outline a holistic answer to the following question: How to deal with problematic situations? A framework of a modern approach, a new meta-discipline, based on knowledge and experience from several other disciplines will be presented. We are focusing in those...

  7. Weblogs as learning tools for aspirant reflective practitioners

    NARCIS (Netherlands)

    Wopereis, Iwan; Sloep, Peter

    2013-01-01

    Wopereis, I., & Sloep, P. B. (2013, January-February). Weblogs as learning tools for aspirant reflective practitioners. Position paper presented at the Workshop on Technology support for reflecting on experiences and sharing them across learning contexts at the Alpine Rendez-Vous 2013,

  8. Educational and Occupational Aspirations and Expectations of Rural Youth.

    Science.gov (United States)

    Slocum, Walter L.; Garrett, Gerald R.

    Some of the more significant responses to a questionnaire on educational and occupational aspirations and expectations which was administered to a statewide sample of sophomores, juniors, and seniors in 30 rural high schools by the Department of Rural Sociology at Washington State University were presented in this report. A principal objective of…

  9. Fournier's gangrene - a rare complication of hydrocele aspiration

    International Nuclear Information System (INIS)

    Ali, M.Z.

    2004-01-01

    A case of Fournier's gangrene of scrotum with systemic inflammatory response syndrome resulting from hydrocele aspiration in young male patient is presented. He was treated with antibiotics, wide local debridement of scrotal skin with evacuation of pus and gas; followed by serial debridements and dressings. Secondary suturing of scrotal defect was done after 02 weeks. (author)

  10. Meconium aspiration syndrome: historical aspects.

    Science.gov (United States)

    Fanaroff, A A

    2008-12-01

    The meconium aspiration syndrome (MAS) is a common problem that continues to concern perinatologists and neonatologists. MAS is defined as respiratory distress in an infant born through meconium-stained amniotic fluid (MSAF) whose symptoms cannot be otherwise explained. This disorder may be life threatening, complicated by respiratory failure, pulmonary air leaks and persistent pulmonary hypertension. Approaches to the prevention of MAS have changed over time with collaboration between obstetricians and pediatricians forming the foundations for care. This report details the management of babies delivered with associated MSAF before the accumulation of evidence for best practice through appropriately powered, prospective randomized controlled trials.

  11. Detection of blood aspiration in deadly head gunshots comparing postmortem computed tomography (PMCT) and autopsy.

    Science.gov (United States)

    Scaparra, E; Peschel, O; Kirchhoff, C; Reiser, M; Kirchhoff, S M

    2016-11-01

    The aim of our study was to analyze the reliability of postmortem computed tomography (PMCT) versus autopsy in detecting signs of blood aspiration in a distinct group of patients following deadly head, mouth or floor of mouth gunshot injuries. In this study, in 41 cases PMCT was compared to autopsy reports, the gold standard of postmortem exams, regarding detection of blood aspiration. PMCT was evaluated for the presence and level of typical signs of blood aspiration in the major airways and lung using a semi-quantitative scale ranging from level 0 (no aspiration) to 3 (significant aspiration) also taking density values of the described potential aspiratory changes into account. Overall, in 29 (70.7%) of 41 enrolled cases PMCT and autopsy revealed the same level of aspiration. A difference of one level between PMCT and autopsy resulted for 5 (12.2%) of the remaining 12 cases. More than one level difference between both methods resulted for 7 cases (17.2%). Autopsy described no signs of aspiration in 10 cases, compared to 31 cases with reported blood aspiration. In contrast, PMCT revealed no signs of blood aspiration in 15 cases whereas 26 cases were rated as positive for signs of aspiration in the major airways. In 18 of these 26 cases considered positive for blood aspiration by autopsy and PMCT, clear signs of aspiration signs were also described bilaterally by both methods. The presented study provides evidence for the assumption that PMCT seems to be helpful in the detection of blood aspiration in cases of deadly head gunshots. In conclusion, it seems reasonable to suggest performing PMCT additionally to traditional postmortem exams in cases of suspected aspiration to rule out false-negative cases and to possibly allow for a more detailed and rather evidence based examination reconnoitering the cause of death. However, the adequate use of PMCT in this context needs further evaluation and the definition of an objective scale for aspiration detection on PMCT needs

  12. Meconium Aspiration Syndrome: An Insight.

    Science.gov (United States)

    Raju, U; Sondhi, V; Patnaik, S K

    2010-04-01

    Meconium aspiration syndrome (MAS) is respiratory distress in a newborn baby caused by the presence of meconium in the tracheobronchial airways. The aspiration of meconium stained amniotic fluid by the fetus can happen during antepartum or intrapartum periods and can result in airway obstruction, interference with alveolar gas exchange, chemical pneumonitis as well as surfactant dysfunction. These pulmonary effects cause gross ventilation-perfusion mismatching. To complicate matters further, many infants with MAS have primary or secondary persistent pulmonary hypertension of the newborn as a result of chronic in utero stress and thickening of the pulmonary vessels. Although meconium is sterile, its presence in the air passages can predispose the infant to pulmonary infection. MAS is essentially a clinical diagnosis and should always be suspected in a child with respiratory distress and meconium-stained amniotic fluid at delivery. Though a known entity for a long time, its management still remains contentious. Intubation and direct tracheal suction is performed when meconium is observed in the amniotic fluid and the infant is not vigorous. Subsequent management involves ventilation, surfactant instillation and lavage, inhaled nitric oxide and high frequency ventilation. The role of steroids continues to be controversial.

  13. Aspirations, education and inequality in England: insights from the Effective Provision of Pre-school, Primary and Secondary Education Project

    OpenAIRE

    Baker, William; Sammons, Pam; Siraj, Iram; Sylva, Kathy; Melhuish, Edward; Taggart, Brenda

    2014-01-01

    Educational and occupational aspirations have become an important reference point in policy debates about educational inequality. Low aspirations are presented as a major barrier to closing educational attainment gaps and increasing levels of social mobility. Our paper contributes to this on-going debate by presenting data on the educational aspirations of students from the Effective Provision of Pre-School, Primary and Secondary Education Project in England. We analyse factors that help pred...

  14. Destroyed lung due to aspiration of phenolphthalein.

    Science.gov (United States)

    De Wulf, M; Ceuppens, H; Gheysens, B; Inderadjaja, N

    2005-01-01

    A 76-year-old female, presented with a recurrent cough and haemoptysis after an aspiration of a 'grain de Valls'. Chest radiography and computed tomography demonstrated an atelectasis of the medial segment of the right middle pulmonary lobe. Bronchoscopy was negative for any malignancy but the onco-PET-scan showed a pathologic hypermetabolic lesion in the right middle lobe. A lobectomy was performed and pathology revealed a 'destroyed lung' with images of foreign body reactions and microabscesses without any sign of malignancy. Postoperatively, clinical improvement with complete resolution of the symptoms was observed. With this case report we demonstrate the irritative and clastogenic characteristics of phenolphtalein, the main active ingredient of the 'grain de Valls'. This case also illustrates an example of a false positive PET-scan.

  15. Situational Ethics and the Professionalization of Social Education

    Science.gov (United States)

    Campillo, Margarita; Sáez, Juan; Sánchez, Mariano

    2014-01-01

    Most ethical considerations related to the activities of the professions, including that of social education, have been put forward using a set of professional ethics that are frequently associated with principles and imperatives that aspire to be universal but have little connection to real and specific situations. In this paper, we offer an…

  16. Situation of the radiation protection in the Burkina Faso

    International Nuclear Information System (INIS)

    Dayamba, M.

    1999-01-01

    The Burkina Faso is a french-speaking country, it represents a population of eight millions of inhabitants, it is situated in the west of Africa. The difference between the situation of practice, equipment, organization in radiation protection and international standards is increasing. The fear of radiations is become excessive. A study about the situation of radiation protection is necessary. An inquiry has been realized, in march 1999, the results reveal a situation very difficult and far from the standards. The last part of the work gathers the aspirations and recommendations of the radiology actors: a proposition of solutions does the conclusion. (N.C.)

  17. Choosing VET: Aspirations, Intentions and Choice

    Science.gov (United States)

    Hargreaves, Jo; Osborne, Kristen

    2017-01-01

    This summary brings together the findings from two research projects: "Choosing VET: Investigating the VET Aspirations of School Students" and "In Their Words: Student Choice in Training Markets--Victorian Examples." The research investigated school students' post-school aspirations for vocational education and training (VET),…

  18. Aspiration Curettage and its Outpatient Usage

    African Journals Online (AJOL)

    Aspiration Curettage and its Outpatient Usage. D. A. G. BARFORD, M, NOTELOVITZ. SUMMARY ... its use on a number of outpatients without anaesthesia is discussed. S. Afr. Med. l., 48, 22 (1974). In order to ... plastic aspiration chamber and suction is applied centrally at the base of the chamber, a cylindrical filter within the.

  19. Entrepreneurial aspirations, motivations, and their drivers

    NARCIS (Netherlands)

    S.J.A. Hessels (Jolanda); A.M. van Gelderen (Marco); A.R. Thurik (Roy)

    2008-01-01

    textabstractSeveral drivers of entrepreneurial aspirations and entrepreneurial motivations are investigated using country-level data from the Global Entrepreneurship Monitor (GEM) for the years 2005 and 2006. We estimate a two-equation model explaining aspirations using motivations and socioeconomic

  20. Entrepreneurial aspirations, motivations, and their drivers

    NARCIS (Netherlands)

    Hessels, J.; van Gelderen, M.W.; Thurik, A.R.

    2008-01-01

    Several drivers of entrepreneurial aspirations and entrepreneurial motivations are investigated using country-level data from the Global Entrepreneurship Monitor (GEM) for the years 2005 and 2006. We estimate a two-equation model explaining aspirations using motivations and socioeconomic variables,

  1. Shareholders’ expectations, aspiration levels, and mergers

    NARCIS (Netherlands)

    Diecidue, E.; van de Ven, J.; Weitzel, U.

    This paper offers a new explanation of value-reducing mergers and stock market driven takeovers by introducing recent research on aspiration levels and individual decision making under risk. If market valuation constitutes an aspiration level for managers, we show that managers may be tempted to

  2. An Aspirational Community Theory of the Firm

    DEFF Research Database (Denmark)

    Li, Xin

    contractual labor and aspirational labor, the former being defined as services provided by a laborer in fulfillment of a contract while the latter as services provided by a laborer in pursuit of an aspiration; and argue that firms exist because while the market may be effective and efficient for allocating...

  3. Epidemiology of Anaemia Necesitating Bone Marrow Aspiration ...

    African Journals Online (AJOL)

    Objective: The study aims at investigating, identifying and classifying the various causes of anaemia necessitating bone marrow aspiration cytology in our environment. Methodology: A retrospective review of all bone marrow aspiration cytology reports of patients referred to Haematology and Blood Transfusion department ...

  4. Ultrasound-Guided Fine Needle Aspiration Biopsy of the Thyroid

    Science.gov (United States)

    ... Physician Resources Professions Site Index A-Z Ultrasound-Guided Fine Needle Aspiration Biopsy of the Thyroid An ... Aspiration Biopsy of the Thyroid? What is Ultrasound-Guided Fine Needle Aspiration Biopsy of the Thyroid? During ...

  5. Nuclear situation in Japan

    International Nuclear Information System (INIS)

    2006-01-01

    This analysis takes stock on the nuclear situation in Japan. It discusses the ambitious equipment program in collaboration with the France, the destabilization of the japanese nuclear industry following the accidents and the energy policy evolutions. It presents the projects of the japanese nuclear industry: the Monju reactor restart, the Pluthermal project, the reprocessing power plant of Rokkasho Mura, the new reactors, the russian weapons dismantling, the ITER site selection and the buy out of Westinghouse by Toshiba. (A.L.B.)

  6. The internet, adolescent males, and homemade blowgun darts: a recipe for foreign body aspiration.

    Science.gov (United States)

    Walz, Patrick C; Scholes, Melissa A; Merz, Meredith N; Elmaraghy, Charles A; Jatana, Kris R

    2013-08-01

    We describe our experience with blowgun dart aspiration via an illustrative case series and review the resources available to teach children how to construct these objects. A 15-year-old boy presented with cough, wheeze, and eventually admitted to aspiration of a homemade blowgun dart. This instance heightened the awareness of our experience with blowgun dart aspiration as 3 cases presented within a 3-month period. Patients uniformly presented with cough and reported aspiration, and wheezing was noted in 2 of the 3. Although all ultimately admitted their behavior, 2 were initially reluctant to admit aspirating the blowgun dart. Radiographic findings of a needle-shaped metallic airway foreign body were consistent in all patients. Each admitted to finding instructions for blowgun dart construction on the Internet. Emergent rigid bronchoscopy with blowgun dart removal resulted in symptom resolution in all without complication. This represents the largest series of blowgun dart aspiration to date. During deep inhalation, when preparing to propel a blowgun dart, the vocal folds maximally abduct, leading to increased risk for aspiration. Twenty websites were identified providing instructions for the construction of homemade blowgun darts. With the accessibility of the Internet and number of instructional websites, this clinical entity may become more common in the future. Unfortunately, only a few of the websites provide any safety warnings. Certainly, prompt treatment can result in good outcomes; however, serious potential complications, including death, could occur especially given the hesitance our patients showed in divulging the truth of the inciting event.

  7. Aspirated Compressors for High Altitude Engines, Phase I

    Data.gov (United States)

    National Aeronautics and Space Administration — Aurora Flight Sciences proposes to incorporate aspirated compressor technology into a high altitude, long endurance (HALE) concept engine. Aspiration has been proven...

  8. Aspiration pneumonia in patients with cleft palate

    International Nuclear Information System (INIS)

    Lee, Seung Hun; Choi, Yo Won; Jeon, Seok Chol; Park, Choong Ki; Uhm, Ki Il

    2003-01-01

    To assess the incidence of aspiration pneumonia in infants with cleft palate and to compare the incidence between complete and incomplete types of cleft palate. A review of medical records revealed 100 infants who had undergone initial surgery to repair cleft palate in our hospital during a recent three-year period. Aspiration pneumonia was defined as the coexistence of pneumonia at chest radiography with a history of frequent choking during feeding. The anatomic distribution of aspiration pneumonia was analyzed, and the incidences of aspiration pneumonia in infants with complete and incomplete cleft palate were compared. Among 100 children, aspiration pneumonia was found in 35 (35%). Those with complete and incomplete cleft palate showed similar incidences of the condition (27 of 70 [39%] vs 8 of 30 [27%], p=0.36). Pneumonia was most commonly seen in the left lower lobe (11 of 35), followed by the right upper and lower lobes. Aspiration pneumonia is frequently associated with infants with cleft palate. There is no statistical difference in the incidence of aspiration pneumonia between the complete and the incomplete cleft palate group

  9. Aspiration pneumonia in patients with cleft palate

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Seung Hun; Choi, Yo Won; Jeon, Seok Chol; Park, Choong Ki; Uhm, Ki Il [Hanyang University College of Medicine, Seoul (Korea, Republic of)

    2003-03-01

    To assess the incidence of aspiration pneumonia in infants with cleft palate and to compare the incidence between complete and incomplete types of cleft palate. A review of medical records revealed 100 infants who had undergone initial surgery to repair cleft palate in our hospital during a recent three-year period. Aspiration pneumonia was defined as the coexistence of pneumonia at chest radiography with a history of frequent choking during feeding. The anatomic distribution of aspiration pneumonia was analyzed, and the incidences of aspiration pneumonia in infants with complete and incomplete cleft palate were compared. Among 100 children, aspiration pneumonia was found in 35 (35%). Those with complete and incomplete cleft palate showed similar incidences of the condition (27 of 70 [39%] vs 8 of 30 [27%], p=0.36). Pneumonia was most commonly seen in the left lower lobe (11 of 35), followed by the right upper and lower lobes. Aspiration pneumonia is frequently associated with infants with cleft palate. There is no statistical difference in the incidence of aspiration pneumonia between the complete and the incomplete cleft palate group.

  10. Housing aspiration in an informal urban settlement: A case study

    Directory of Open Access Journals (Sweden)

    Akunnaya P. OPOKO

    2015-11-01

    Full Text Available Housing aspiration is an important aspect of housing market analysis. However, there is a paucity of empirical research on housing aspiration among residents in informal settlements in developing countries. This study therefore investigated housing aspiration among the residents of Ayobo, Lagos, Nigeria. A cross-sectional survey of 1,151 households in Ayobo was conducted using a structured questionnaire as the data-collection instrument. The data were analysed using descriptive statistical and categorical regression analyses. The results show that a majority of the respondents were low-income earners living in rented and rooming-house types of accommodation. Around 73% of them expressed an intention to move to another residence, and 56% of this category of respondents intend to move into self-contained flats. The reasons for the planned relocation include poor condition of their present dwellings, changes in tenure status and household size, and the desire for exclusive use of facilities in their homes. In addition to these reasons, the waste-disposal method, sharing facilities, employment, and age and marital status of the residents emerged as the strongest predictors of housing aspiration among the respondents in the survey. This implies that, in order to meet the housing preferences and aspirations of residents in informal urban settlements in Nigeria, housing developers need to give adequate attention to the marital, age, employment and tenure status of the residents and place emphasis on developing affordable single-family houses and block of flats, as well as strategies for improving access to basic social amenities and services.

  11. Aspirant candidate behaviour and progressive political ambition

    Directory of Open Access Journals (Sweden)

    Peter Allen

    2017-02-01

    Full Text Available In this paper we take account of the role of aspirant candidate behaviour in progressive political ambition, specifically how some individuals signal their political ambition to political actors by approaching them to discuss running for office. We examine how the effect of this behaviour compares to the more prominently studied effect of elite recruitment. We conclude that signalling behaviour by an aspirant candidate has a substantial effect, particularly with regard to actually acting on initial considerations of whether to stand, and that elite recruitment makes a difference but only in conjunction with the aspirant candidate themselves signalling their ambition to political actors.

  12. Clinical profile of children with kerosene aspiration.

    Science.gov (United States)

    Venkatesh, C; Sriram, P; Adhisivam, B; Mahadevan, S

    2011-07-01

    Accidental aspiration of kerosene is a common problem among children in developing countries. This descriptive study involved the retrospective analysis of children admitted with kerosene aspiration in a tertiary care hospital in South India for a year. Kerosene aspiration contributed to 60.4% of poisoning cases. Boys aged less than three years and from a rural background formed a significant proportion. Tachypnoea, cough and crepitations were the predominant clinical findings. Male gender and malnutrition (weight for age <80%) were significantly associated with prolonged hospital stay.

  13. Energetic infrastructure and sustainable development: present situation and alternatives for the state of Roraima, Brazil; Infraestrutura energetica e desenvolvimento sustentavel: situacao atual e alternativas para o estado de Roraima, Brasil

    Energy Technology Data Exchange (ETDEWEB)

    Marques, Antonio de Oliveira

    2009-07-01

    This study aims to analyze the current situation of energy structure available of Roraima state, as well as viable alternatives to enlarge the base of the structure and minimize the impact to the environment, thus providing the support necessary for sustainable development of the state. In the theoretical framework, sought to present the main links between natural resources, economy and environment, and between infrastructure and economic development, where it is present energy infrastructure. Examined the capacity of generating electricity in Roraima and the existent limitations of the current structure available. Verifying the available options for energy production from renewable source in the state, analyzing their potential and viability. Were also proposed for energy planning strategies with the goal of providing the essential foundation for the sustainable development of Roraima. As a result of the search is highlighted the source of energy with the greatest potential in the state is water. The biomass and solar energy can be alternatives to attend isolated communities. The study also found that the current structure of energy Roraima does not provide the support necessary for a reliable and sustainable development. (author)

  14. Situational Analysis and Engineering Work Practices

    DEFF Research Database (Denmark)

    Buch, Anders; Andersen, Vibeke

    2013-01-01

    groups of engineers and other experts negotiate their professionalism and expertise in work situations. We set out to demonstrate how ideals about engineering professionalism play an important role in setting standards for the work practices but we also observe how rising demands for ‘efficiency......’, ‘profitability’, ‘individual performance’, etc. tend to compromise traditional professional ideals and aspirations. Focusing on the mediation of actions and collaborative practices within the organizational settings we witness how ideals about ‘teamwork’ are rhetorically and discursively enacted but moulded...

  15. Forma rara de apresentação de corpo estranho traqueobrônquico simulando asma grave: Caso clínico Tracheobronchial foreign body aspiration simulating asthma attack: A case report

    Directory of Open Access Journals (Sweden)

    Miguel Guimarães

    2007-03-01

    Full Text Available O broncoespasmo é um dos sintomas clássicos de asma que pode ocorrer também em outras patologias. A aspiração de corpos estranhos traqueobrônquicos no adulto é uma dessas situações, que embora rara pode permanecer oculta por períodos de tempo prolongados. Os autores apresentam o caso clínico de um jovem asmático vítima de acidente de trabalho do qual resultou aspiração de corpo estranho pouco usual e só posteriormente reconhecido.Wheezing is a major symptom of asthma although it may be present in other pathologies. Foreign body aspiration a situation that often remains hidden for long periods of time. The authors present a case report of an asthmatic victim of workplace accident with aspiration of foreign body that was only suspected after some time.

  16. Combined assessment (aspiration cytology and mammography) of ...

    African Journals Online (AJOL)

    Combined assessment (aspiration cytology and mammography) of clinically suspicious breast masses. W.F. van Wyk, D Dent, E Anne Hacking, Genevieve Learmonth, R.E. Kottler, C Anne Gudgeon, A Tiltman ...

  17. Ultrasound guided percutaneous fine needle aspiration biopsy ...

    African Journals Online (AJOL)

    2011-06-15

    )-guided percutaneous fine needle aspiration biopsy (PFNAB)/US-guided percutaneous needle core biopsy (PNCB) of abdominal lesions is efficacious in diagnosis, is helpful in treatment choice, to evaluate whether various ...

  18. Ultrasound guided percutaneous fine needle aspiration biopsy ...

    African Journals Online (AJOL)

    )-guided percutaneous fine needle aspiration biopsy (PFNAB)/US-guided percutaneous needle core biopsy (PNCB) of abdominal lesions is efficacious in diagnosis, is helpful in treatment choice, to evaluate whether various other investigations ...

  19. MECONIUM ASPIRATION SYNDROME : A CLINICAL STUDY

    OpenAIRE

    BEHERA, MK; KULKARNI, SD; GUPTA, RK

    1998-01-01

    Forty two babies with Meconium aspiration syndrome managed in neonatal intensive care unit of a service hospital were analysed. Incidence was 1.7 per cent. Twelve babies were delivered by caserean section and 30 babies by vaginal route. Seventeen deliveries were conducted by team of gynaecologists, pediatrician and nursing staff whereas 25 deliveries were conducted by nursing staff alone. Out of total babies with meconium aspiration syndrome, thin meconium detected in 9 and thick meconium det...

  20. Meconium aspiration syndrome: challenges and solutions

    OpenAIRE

    Goel,Ankita; Nangia,Sushma

    2017-01-01

    Ankita Goel, Sushma Nangia Department of Neonatology, Lady Hardinge Medical College and Kalawati Saran Children Hospital, Shaheed Bhagat Singh Marg, New Delhi, India Abstract: Meconium aspiration syndrome (MAS) is an important cause of morbidity and mortality among term newborns. A result of antepartum or postpartum aspiration of meconium stained amniotic fluid (MSAF), MAS causes respiratory distress of varying severity, often complicated by air leaks or persistent pulmonary...

  1. Recurrent aspiration pneumonia associated with giant aortic aneurysm

    OpenAIRE

    Hoff, Leonardo Santos; Schestatsky, Pedro

    2014-01-01

    A 83-year-old woman presented to the emergency department with fever, productive cough and dyspnea. She was previously diagnosed with dementia and systemic hypertension, and was heavy smoker for nearly 50 years. Her relatives reported that in the past four months she was admitted two times for aspiration pneumonia. Chest radiography showed right lower lobe consolidation and a large mediastinal mass (Panel A). A computed tomography angiography revealed a 10,2 cm descending aortic aneurysm comp...

  2. Present situation and tasks of the mortorization in China. Future trend of the petroleum consumption for automotive use; Chugoku no motorization no genjo to kadai. Jidoshayo sekiyu shohi no shorai doko

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-03-01

    The paper analyzed the actual status of spread of automobiles in China, and especially what factors contribute to the rapidly increasing automobile holders in the recent years. Then, it clarified what a key is to the future advance of mortorization in China, and verified how much the petroleum consumption for road freight will increase. Described were peculiarities of transportation to China, the maximum ability of railroad and water transportation, and problems in service. An analysis was also made of the causes of the increasing automobile transportation, and the background was elucidated of automobiles becoming so much necessary to cope with the advance of the market economy, mainly from an aspect of material flow viewing changes in social economy and those in transportation. At the same time, the paper explained the present situation of the passenger transportation by car and a possibility of its expansion. The number of the cars owned to be expected to increase was reported. A plan for producing cars in China was also discussed. Last, the energy consumption for road freight was estimated. 51 figs., 20 tabs.

  3. Postgrado en Enfermería en Chile Nursing Postgrade in Chile, it’s historical evolution and present situation: Su evolución histórica y situación actual

    Directory of Open Access Journals (Sweden)

    Viviane Jofré-Aravena

    2007-06-01

    Full Text Available Este artículo muestra la situación de los programas de postgrado en Enfermería en Chile en strictus sensus (magíster y doctorado, incluyendo, una panorámica general de los postgrados en el país. Se hace una revisión de los principales hechos que han motivado la creación de los postgrados en enfermería en el país y las dificultades que se presentan en los distintos niveles en la creación y desarrollo de estos programas. La evolución histórica de estos programas se asemeja al de los demás programas de postgrado de enfermería en América Latina.This article shows the situation of the nursing postgrade in Chile in strictus sensus (magíster and doctorate, including, a general panoramic of the graduate degrees in the country. A revision of the main facts that have motivated the creation of the graduate degrees in infirmary in the country and the difficulties that are presented in the different levels in the creation and development of these programs is made. This programs resembles the historical evolution of the other programs of graduate degree of nursing in Latin America.

  4. Aspiration-related organizing pneumonia complicating laparoscopic adjustable gastric banding: A lung cancer mimicker

    Directory of Open Access Journals (Sweden)

    Ahmed A Aljohaney

    2016-01-01

    Full Text Available There are several described pulmonary complications due to laparoscopic adjustable gastric banding. We report a rare case of a 32-year-old male who presented with pulmonary symptoms and a solitary lung mass 12 years after laparoscopic adjustable gastric banding. A bronchoscopic lung biopsy showed organizing pneumonia that was induced by aspiration pneumonia. The atypical radiological appearance of the aspiration pneumonia may pose a diagnostic challenge, and clinicians' awareness regarding such an entity is needed to avoid unnecessary intervention.

  5. Aspiration for acute pilonidal abscess-a cohort study.

    Science.gov (United States)

    Lasithiotakis, Konstantinos; Aghahoseini, Assad; Volanaki, Dimitra; Peter, Mark; Alexander, David

    2018-03-01

    The traditional open incision and drainage of a pilonidal abscess is associated with slow healing and delayed return to normal daily activities. The aim of this study is to assess safety, effectiveness, and patient satisfaction of aspiration followed by antibiotics for a pilonidal abscess. All patients presenting with an acute pilonidal abscess during the period December 2010 and December 2014 in York Hospital, UK, were treated with bedside aspiration under local anesthetic, followed by oral cefalexin and metronidazole for 7 days. Patients with immunosuppression, diabetes, overlying skin necrosis, and perforation were excluded. Complications of the procedure were prospectively recorded. Long-term outcomes and overall patients' satisfaction were assessed with the use of mailed questionnaires and Visual Analogue Scales (VAS) (0 = not satisfied at all, 10 = very satisfied). One hundred sixty-nine patients presented with an acute pilonidal abscess and a total of 100 patients were treated with aspiration and antibiotics. There were 50 women (50%) and the median (interquartile range [IQR]) age of the cohort was 24 (14) years. Eleven patients had a history of a previous pilonidal procedure. Seven patients were treated successfully with a reaspiration. Overall, 10 patients required incision and drainage after a median (IQR) follow-up time of 29 (47) months. Fifty-six patients returned completed questionnaires. The median (IQR) of the VAS for the overall satisfaction of the procedure was 9 (5). Aspiration of a pilonidal abscess in selected patients is effective in 83%, and it is associated with high overall satisfaction rates. Copyright © 2017 Elsevier Inc. All rights reserved.

  6. Aspiring and Aspiration Shaming: Primary Schooling, English, and Enduring Inequalities in Liberalizing Kerala (India)

    Science.gov (United States)

    Mathew, Leya

    2018-01-01

    This paper analyzes narratives about the radical socio-economic changes accompanying liberalization in India to consider how English-medium schooling is becoming an aspirational resource for non-elite parents. I suggest that aspiring is a practice of ethics that marginalized mothers mobilize to negotiate memories of deprivation and yearnings for…

  7. Predicting violent behavior: The role of violence exposure and future educational aspirations during adolescence.

    Science.gov (United States)

    Stoddard, Sarah A; Heinze, Justin E; Choe, Daniel Ewon; Zimmerman, Marc A

    2015-10-01

    Few researchers have explored future educational aspirations as a promotive factor against exposure to community violence in relation to adolescents' violent behavior over time. The present study examined the direct and indirect effect of exposure to community violence prior to 9th grade on attitudes about violence and violent behavior in 12th grade, and violent behavior at age 22 via 9th grade future educational aspirations in a sample of urban African American youth (n = 681; 49% male). Multi-group SEM was used to test the moderating effect of gender. Exposure to violence was associated with lower future educational aspirations. For boys, attitudes about violence directly predicted violent behavior at age 22. For boys, future educational aspirations indirectly predicted less violent behavior at age 22. Implications of the findings and suggestions for future research are discussed. Copyright © 2015 The Foundation for Professionals in Services for Adolescents. Published by Elsevier Ltd. All rights reserved.

  8. Placental Lesions in Meconium Aspiration Syndrome

    Directory of Open Access Journals (Sweden)

    Binnari Kim

    2017-09-01

    Full Text Available Background Meconium aspiration syndrome (MAS is defined by respiratory distress requiring supplemental oxygen in a meconium-stained neonate. MAS is clinically subclassified as mild, moderate, and severe according to the oxygen requirement. The aims of this study were to compare the histological findings in the placentas of MAS neonates with those of meconium-stained but non-MAS neonates and to analyze the correlation between the severity of MAS and the grade of its histological parameters. Methods We collected 160 singleton term placentas from neonates with meconium staining at birth from a tertiary medical center, Seoul, Republic of Korea. We reviewed hematoxylin and eosin sections of tissue samples (full-thickness placental disc, chorioamniotic membranes, and umbilical cord. Results Funisitis was present more frequently in MAS than in non-MAS (p < .01, of which the stage was correlated with the severity of MAS (p < .001. The histological findings consistent with maternal underperfusion and chronic deciduitis were more frequent in MAS than in non-MAS (p < .05. There was a correlation between the degree of chorionic vascular muscle necrosis and the severity of MAS (p < .05. Conclusions Our results suggest that fetal inflammatory response evidenced by funisitis occurs prenatally in MAS and that the stage of funisitis and of chorionic vascular muscle necrosis may be a predictive marker of the severity of MAS.

  9. Placental Lesions in Meconium Aspiration Syndrome.

    Science.gov (United States)

    Kim, Binnari; Oh, Soo-Young; Kim, Jung-Sun

    2017-09-01

    Meconium aspiration syndrome (MAS) is defined by respiratory distress requiring supplemental oxygen in a meconium-stained neonate. MAS is clinically subclassified as mild, moderate, and severe according to the oxygen requirement. The aims of this study were to compare the histological findings in the placentas of MAS neonates with those of meconium-stained but non-MAS neonates and to analyze the correlation between the severity of MAS and the grade of its histological parameters. We collected 160 singleton term placentas from neonates with meconium staining at birth from a tertiary medical center, Seoul, Republic of Korea. We reviewed hematoxylin and eosin sections of tissue samples (full-thickness placental disc, chorioamniotic membranes, and umbilical cord). Funisitis was present more frequently in MAS than in non-MAS (p < .01), of which the stage was correlated with the severity of MAS (p < .001). The histological findings consistent with maternal underperfusion and chronic deciduitis were more frequent in MAS than in non-MAS (p < .05). There was a correlation between the degree of chorionic vascular muscle necrosis and the severity of MAS (p < .05). Our results suggest that fetal inflammatory response evidenced by funisitis occurs prenatally in MAS and that the stage of funisitis and of chorionic vascular muscle necrosis may be a predictive marker of the severity of MAS.

  10. ROMANIA’S UNEMPLOYMENT SITUATION

    OpenAIRE

    CARMEN MARIA GUT

    2007-01-01

    The present paper aims to analyze the situation of Romania’s unemployment, beginning with 1990, when our country began its transition from a centralized economy towards a market economy. Romanian’s unemployment major problems are: youth unemployment, respectively long-term unemployment. The author intends to analyze the reasons of this situation and to identify the necessary directions of action for the purpose of the improvement of efficient usage of human capital in Romania

  11. Envisioning trust: Metaphors and situations

    OpenAIRE

    Johansen, Svein Tvedt; Espedal, Bjarne; Grønhaug, Kjell; Selart, Marcus

    2013-01-01

    Paper presented at the FINT workshop on trust within and between organizations, Singapore, November 2013 In this article we argue that the experience and effects of trust are influenced by how people construe trust in specific situations – people are not merely passive receptacles of information but bring their own understanding of trust to social situations (Bandura, 1989). Drawing on the literature on conceptual metaphors we describe these as three trust-metaphors. These trust-metaphors ...

  12. The Eating Assessment Tool-10 Predicts Aspiration in Adults with Stable Chronic Obstructive Pulmonary Disease.

    Science.gov (United States)

    Regan, Julie; Lawson, Susan; De Aguiar, Vânia

    2017-10-01

    Adults with COPD frequently present with dysphagia, which often leads to clinical complications and hospital admissions. This study investigates the ability of the Eating Assessment Tool (EAT-10) to predict aspiration during objective dysphagia evaluation in adults with stable COPD. Thirty adults (20 male, 10 female; mean age = 69.07 ± 16.82) with stable COPD attended an outpatient dysphagia clinic for a fiberoptic endoscopic evaluation of swallowing (FEES) in an acute teaching hospital (January 2015-November 2016). During evaluations, individuals completed an EAT-10 rating scale followed immediately by a standardised FEES exam. Aspiration status during FEES was rated using the penetration-aspiration scale by clinicians blinded to EAT-10 scores. Data were retrospectively analysed. Significant differences in mean EAT-10 scores were found between aspirators (16.3; SEM = 2.165) and non-aspirators (7.3; SEM = 1.009) (p = 0.000). The EAT-10 predicted aspiration with a high level of accuracy (AUC = 0.88). An EAT-10 cut-off value of >9 presented a sensitivity of 91.67, specificity of 77.78 with positive and negative likelihood ratios of 4.12 and 0.11, respectively. Positive and negative predictive values were 73.30 and 93.30, respectively. Diagnostic odds ratio was 38.50 (p EAT-10 is a quick, easy to administer tool, which can accurately predict the presence of aspiration in adults with COPD. The scale can also very accurately exclude the absence of aspiration, helping clinicians to determine the need for onward referral for a comprehensive dysphagia evaluation. This may ultimately reduce clinical complications and hospital admissions resulting from dysphagia in this clinical population.

  13. Dynamics of Situation Definition

    Science.gov (United States)

    Park, Dongseop; Moro, Yuji

    2006-01-01

    Situation definition is the process and product of actors' interpretive activities toward a given situation. By reviewing a number of psychological studies conducted in experimental settings, we found that the studies have only explicated a part of the situation definition process and have neglected its dynamic aspects. We need to focus on the…

  14. Serendipidade e situação psicanalítica de pesquisa no contexto da apresentação psicanalítica de pacientes Serendipity and psychoanalytical research situation in the context of psychoanalytical presentation of patients

    Directory of Open Access Journals (Sweden)

    José Luiz Caon

    1997-01-01

    Full Text Available O autor distingue e confronta a escuta clínica psicanalítica e a escuta cotidiana social. Toma, como modelo, a noção de "azimute" e a expressão "em todos os azimutes" para ilustrar que, em psicanálise, a observação clínica do pesquisador psicanalítico se realiza a partir de uma escuta eqüiflutuante, em todos os azimutes, isto é, em todos os sentidos e em todas as direções. Recorre, também, à noção freudiana de "Nachträglichkeit", traduzida pelos psicanalistas franceses por "après-coup" e pelos psicanalistas lusófonos brasileiros por "só-depois" (Magno, 1983 e "no relance", (Caon, 1996. Em consonância com o método - psicanalítico de observação, o autor resgata inequivocamente uma noção do termo inglês "serendipity", serendipidade, apresentada insuficientemente em alguns manuais de metodologia da pesquisa psicológica. (Bachrach, 1974, p. 5-6 e 8-14; McGuigan, 1976, p. 56 O autor propõe a serendipidade como atitude e dispositivo fundamentais para a sltuação psicanalítica de pesquisa e reafirma a cientificidade do método psicanalítico.The author characterizes and opposes psychoanalytic clinical listening and everyday socia listening. He takes, as a model, the notion of "azimuth" and the expression "in every azimuth" in order to illustrate that, in the field of psychoanalysis, the clinical observation of the researcher is carried out through an evenly suspended listening, "in every azimuth", i. e., in every means and in every direction. The author also utilizes the Freudian notion of "Nachträglichkeit", translated by French psychoanalysts by "aprèscoup" and by Brazilian as "só-depois" (Magno, 1983 and "no relance" (Caon, 1996. In accordance to the psychoanalytic method of observation, the author rescues unequivocally a notion from the word "serendipity", presented timidly in several handbooks of methodology of psychological research. (Bachrach, 1974, p.5-6 e 8-14 and McGuigan, 1976, p. 56 The author proposes

  15. Erythropoietin Pretreatment Attenuates Seawater Aspiration-Induced Acute Lung Injury in Rats.

    Science.gov (United States)

    Ji, Mu-Huo; Tong, Jian-Hua; Tan, Yuan-Hui; Cao, Zhen-Yu; Ou, Cong-Yang; Li, Wei-Yan; Yang, Jian-Jun; Peng, Y G; Zhu, Si-Hai

    2016-02-01

    Seawater drowning-induced acute lung injury (ALI) is a serious clinical condition characterized by increased alveolar-capillary permeability, excessive inflammatory responses, and refractory hypoxemia. However, current therapeutic options are largely supportive; thus, it is of great interest to search for alternative agents to treat seawater aspiration-induced ALI. Erythropoietin (EPO) is a multifunctional agent with antiinflammatory, antioxidative, and antiapoptotic properties. However, the effects of EPO on seawater aspiration-induced ALI remain unclear. In the present study, male rats were randomly assigned to the naive group, normal saline group, seawater group, or seawater + EPO group. EPO was administered intraperitoneally at 48 and 24 h before seawater aspiration. Arterial blood gas analysis was performed with a gas analyzer at baseline, 30 min, 1 h, 4 h, and 24 h after seawater aspiration, respectively. Histological scores, computed tomography scan, nuclear factor kappa B p65, inducible nitric oxide synthase, caspase-3, tumor necrosis factor-alpha, interleukin (IL)-1β, IL-6, IL-10, wet-to-dry weight ratio, myeloperoxidase activity, malondialdehyde, and superoxide dismutase in the lung were determined 30 min after seawater aspiration. Our results showed that EPO pretreatment alleviated seawater aspiration-induced ALI, as indicated by increased arterial partial oxygen tension and decreased lung histological scores. Furthermore, EPO pretreatment attenuated seawater aspiration-induced increase in the expressions of pulmonary nuclear factor kappa B p65, inducible nitric oxide synthase, caspase-3, tumor necrosis factor-alpha, IL-1β, myeloperoxidase activity, and malondialdehyde when compared with the seawater group. Collectively, our study suggested that EPO pretreatment attenuates seawater aspiration-induced ALI by down-regulation of pulmonary pro-inflammatory cytokines, oxidative stress, and apoptosis.

  16. Surfactant therapy for maternal blood aspiration: an unusual cause of neonatal respiratory distress syndrome.

    Science.gov (United States)

    Celik, Istemi Han; Demirel, Gamze; Canpolat, Fuat Emre; Erdeve, Omer; Dilmen, Ugur

    2012-10-01

    Surfactant replacement therapy is the main treatment of neonatal respiratory distress syndrome. However, surfactant therapy has been shown to be effective in the treatment of other diseases causing neonatal respiratory diseases such as pulmonary hemorrhage, meconium aspiration syndrome, pneumonia/sepsis, pulmonary edema or acute lung injury resulting a secondary surfactant deficiency (SSD). Rarely, as like as in the present patient, exogenous blood aspiration such as breast milk or formula aspiration may lead to SSD. Blood in alveolus leads to a significant biochemical and functional disturbance of the surfactant system and inhibits surfactant production. Here, the authors report a preterm infant of 33 wk gestational age with secondary surfactant deficiency due to maternal blood aspiration because of abruptio placentae. She was received two courses of beractant, a natural bovine surfactant, therapy in 24 h. She was extubated on second day and did not require oxygen on 4(th) day. To the authors' knowledge, this is the first reported case of SSD due to maternal blood aspiration treated with surfactant. In conditions such as abruptio placentae, infant should be protected from blood aspiration and if respiratory distress occurs, surfactant inhibition and need for surfactant administration should be considered.

  17. Energy situation - Forth quarter 2016. Energy situation October 2016; Energy situation November 2016; Energy situation December 2016

    International Nuclear Information System (INIS)

    Guggemos, Fabien; Misak, Evelyne; Mombel, David; Moreau, Sylvain

    2017-02-01

    This publication presents, first, a quarterly report of the French energy situation: primary energy consumption, energy independence and CO 2 emissions, national production, imports, exports, energy costs, average and spot prices. Data are presented separately for solid mineral fuels, petroleum products, natural gas and electricity. Month-to-month details are summarized in a second part, in the form of tables and graphs

  18. Energy situation - First quarter 2017. Energy situation January 2017; Energy situation February 2017; Energy situation March 2017

    International Nuclear Information System (INIS)

    Guggemos, Fabien; Misak, Evelyne; Mombel, David; Moreau, Sylvain

    2017-05-01

    This publication presents, first, a quarterly report of the French energy situation: primary energy consumption, energy independence and CO 2 emissions, national production, imports, exports, energy costs, average and spot prices. Data are presented separately for solid mineral fuels, petroleum products, natural gas and electricity. Month-to-month details are summarized in a second part, in the form of tables and graphs

  19. School students' attitudes and aspirations in science - (Symposium SBBq Brazil

    Directory of Open Access Journals (Sweden)

    J. Dillon

    2013-05-01

    Full Text Available Low participation rates in science are a matter of  international concern and existing evidence suggests that children’s science  aspirations are largely formed within the critical 10-14 age period. This presentation explores how families can shape young children’s science aspirations, using Bourdieu’s concept of  habitusto map family resources and practices. This paper  draws on two research projects: ASPIRES and Interests andRecruitment in Science (IRIS. Findings from the ASPIRES project draw on qualitative data from 160 semi-structured interviews (92 school children age 10 and 78 parents, collected as part of an ongoing 5-year longitudinal study in theUK. Findings are contextualised with reference to a survey of over 9,000 elementary school children in England (age 10 collected as part of the wider study. A typology of eight key family ‘habituses’ is developed, ranging  from families in which science is strongly embedded, through to ambivalentcontexts and those in which science is weakly or peripherally embedded. It discusses the implications of each for promoting, or deterring, children’s science aspirations. The IRIS project was aimed to develop knowledge andrecommendations informed by evidence on how young people, and womenin particular, may be attracted to, and retained in, STEM higher education. Specifically, the project addresses the following questions: 1. What are the  priorities, values and experiences on which young people base their educational choice? 2. What are the success factors for interventions aimed at  recruiting more young people (women in particular to higher STEM education? and 3. How do STEM students who drop out/opt out before graduation, explain their choice? The main instrument is a questionnaire (IRIS Q that was completed by almost 6,000 first-year STEM students in the five IRIS consortium countries in 2010. A range of smaller-scale, qualitative and quantitative modules

  20. Situational method engineering

    CERN Document Server

    Henderson-Sellers, Brian; Ågerfalk, Pär J; Rossi, Matti

    2014-01-01

    While previously available methodologies for software ? like those published in the early days of object technology ? claimed to be appropriate for every conceivable project, situational method engineering (SME) acknowledges that most projects typically have individual characteristics and situations. Thus, finding the most effective methodology for a particular project needs specific tailoring to that situation. Such a tailored software development methodology needs to take into account all the bits and pieces needed for an organization to develop software, including the software process, the

  1. Aspirations and occupational achievements of Dutch fathers and mothers

    NARCIS (Netherlands)

    van der Horst, Mariska; van der Lippe, Tanja; Kluwer, Esther

    2014-01-01

    Purpose - To investigate how work and family aspirations relate to occupational achievements and gender differences herein. Design/methodology/approach - Using data from 2009 we examined the relationship between career and childrearing aspirations and occupational achievements of Dutch parents.

  2. Combined assessment (aspiration cytology and mammography) of ...

    African Journals Online (AJOL)

    We examined the safety and utility of the combined assessment of aspiration cytology and mammography in. 705 women who had clinically suspicious or malignant palpable breast masses. Histological assessment confirmed 176 benign and 529 malignant lesions. There were no incorrect (false positive) diagnoses made ...

  3. Gender Differences, Career Aspirations and Career Development ...

    African Journals Online (AJOL)

    The purpose of this study therefore is to explore gender differences in adolescents' career aspirations and career development barriers among secondary school students in Kisumu municipality, Kenya. The study was conducted on 348 form four secondary school students. The major findings of this study show that there ...

  4. Educational Aspirations, What Matters? A Literature Review.

    Science.gov (United States)

    Deosaran, Ramesh

    The literature review attempted to identify: 1) what we know and don't know about post-secondary aspirations, expectations, and access; and 2) where and how it is possible for us to embark on solutions or further investigation. The research in this area has been heavily sociological. Socio-economic background, family size, community origins,…

  5. EDUCATIONAL ASPIRATIONS OF FARM BOYS AND GIRLS.

    Science.gov (United States)

    SLOCUM, WALTER L.

    THE EDUCATIONAL AND OCCUPATIONAL ASPIRATIONS OF RURAL HIGH SCHOOL STUDENTS WERE STUDIED IN RELATION TO SOCIAL, CULTURAL, AND ECONOMIC FACTORS. QUESTIONNAIRES WERE ADMINISTERED TO AND COMPLETED BY 3,535 RURAL HIGH SCHOOL STUDENTS. SUPPLEMENTAL INFORMATION WAS GATHERED BY PERSONAL INTERVIEWS WITH 992 STUDENTS. COUNSELORS, ADMINISTRATORS, AND…

  6. Income Aspirations and Cooperation : Experimental Evidence

    NARCIS (Netherlands)

    Dalton, P.S.

    2010-01-01

    This article is the first attempt to study the empirical link between income aspirations and cooperation in a one shot public good game. By combining experimental with survey data, we find evidence that the more frustrated people are with their income, the lower is their propensity to cooperate with

  7. Educational Aspirations: Individual Freedom or Social Injustice?

    Science.gov (United States)

    Deosaran, Ramesh A.

    1977-01-01

    The author examines the concepts of aspiration level (what a student would like to do) and expectation level (more "realistic" choices of action or goal) and the gap that exists between them, a gap primarily due to social class and gender. (MJB)

  8. Extrapulmonary tuberculosis: Fine needle aspiration cytology ...

    African Journals Online (AJOL)

    Background: The increasing prevalence of extrapulmonary manifestation of tuberculosis with the HIV scourge is a cause for concern. Objective: To determine the role of fine needle aspiration cytology (FNAC) in the diagnosis of extrapulmonary tuberculosis. Patients and Methods: This is a consecutive 9-year analysis of ...

  9. FOREIGN BODY ASPIRATION: A CASE REPORT

    Directory of Open Access Journals (Sweden)

    Nafia Ozlem Kazanci

    2013-03-01

    Full Text Available Foreign body aspiration (FBA is common under 3 years of age. FBA can cause sudden respiratory failure. Furthermore, it leads to many respiratory system complications. Therefore, FBA is an important cause of mortality and morbidity for this age group. FBA cases are usually followed by diagnoses like pneumonia, bronchitis or bronchial asthma in the late period that history, clinical and laboratory findings suggesting foreign body aspiration can not be detected. We reported a 2-year-old male patient with pneumonia, who were administered various treatments. In thorax CT of this case, an image compatible with foreign body was seen in the right middle lobe-upper lobe separation area. Granulation tissue was detected in the entrance of the right main bronchus by rigid bronchoscopy and marked improvement occured in lung aeration after bronchoscopy. This case was reported to emphasize the importance of early diagnosis of foreign body aspiration because of high mortality and morbidity and the necessity of considering the foreign body aspiration in children with recurrent pulmonary infections. [J Contemp Med 2013; 3(1.000: 58-61

  10. Dysphagia, dystussia, and aspiration pneumonia in elderly people

    OpenAIRE

    Ebihara, Satoru; Sekiya, Hideki; Miyagi, Midori; Ebihara, Takae; Okazaki, Tatsuma

    2016-01-01

    Despite the development and wide distribution of guidelines for pneumonia, death from pneumonia is increasing due to population aging. Conventionally, aspiration pneumonia was mainly thought to be one of the infectious diseases. However, we have proven that chronic repeated aspiration of a small amount of sterile material can cause the usual type of aspiration pneumonia in mouse lung. Moreover, chronic repeated aspiration of small amounts induced chronic inflammation in both frail elderly peo...

  11. Blood lactate level and meconium aspiration syndrome.

    Science.gov (United States)

    Karabayir, Nalan; Demirel, Ali; Bayramoglu, Elvan

    2015-04-01

    Approximately 5% of infants born with a meconium-stained amniotic fluid (MSAF) develop meconium aspiration syndrome (MAS). Early recognition of infants at highest risk for the development of MAS and the prediction of disease severity are important for optimizing the clinical strategies for prevention and treatment. The aim of the present study was to identify the risk factors for MAS and to investigate the effect of blood lactate level on the development of MAS. Between January 2011 and January 2012, data were recorded with regard to gender, mode of delivery, gestational week, birth weight, 5-min Apgar score, and need for resuscitation of the meconium-stained depressed infants who underwent tracheal aspiration. Moreover, the number of cases developing MAS, blood pH value, and lactate level in capillary blood gases obtained during the first hour after delivery, duration of oxygen supplementation, the number of cases receiving mechanical ventilation and surfactant therapy, duration of hospital stay, and outcomes of the infants were recorded. The number of live births during the study period was 17,202, and of them, 1,341 (7.8%) infants were born through MSAF. Of 195 infants who were meconium-stained depressed, 90 were girls and 105 were boys. Their mean gestational week was 39.37 ± 0.89 weeks and mean birth weight was 3,426 ± 634 g. Eighty-four of them were born through cesarean section (C/S), and 111 were born via normal spontaneous labor. For 40 infants, Apgar score at fifth minute was less than 6. In total, resuscitation was performed on 43 (22.9%) infants. Of the infants, 141 did not develop MAS and 54 developed MAS. While there were no significant differences between infants with and without MAS with regard to gender, delivery route, gestational week, and birth weight, a significant difference was observed regarding the Apgar score (p = 0.0001). The blood pH value in capillary blood gas analysis was less than 7.25 in 18 (28.5%) cases with MAS and four (3

  12. Meconium aspiration syndrome: do we know?

    Science.gov (United States)

    Yurdakök, Murat

    2011-01-01

    Meconium is a common finding in amniotic fluid and placental specimens, particularly in the term or post-term pregnancy. The most important consequence of meconium-stained amniotic fluid (MSAF) is meconium aspiration syndrome (MAS), and at least 5% of infants born through MSAF develop MAS. MAS continues to be a threat to many newborns throughout the world, with a case fatality rate of 5% (as much as 40%), in addition to short- and long-term pulmonary and neurodevelopmental sequelae. The exact pathophysiology of meconium passage into the amniotic fluid and consequences of meconium aspiration are unknown. There are three prevailing and possibly compatible theories for mechanisms of meconium release. Firstly, meconium passage is probably related with the maturation of the gastrointestinal tract, because meconium passage in the preterm third trimester fetus has been reported to be a rare event, as typically it occurs near or post-term. Secondly, an alternate hypothesis for in utero meconium passage is that pathologic processes, such as stress via hypoxia or infection, can trigger meconium passage. However, the predictive values of MSAF for fetal distress and acidosis at birth are poor and controversial. Thirdly, an alternative route for the presence of MSAF in the presence of fetal hypoxia is reduced clearance of defecated meconium due to impaired fetal swallowing or unidentified placental dysfunction in addition to or instead of an increase in its passage. The pathophysiology of MAS is multifactorial and extremely complex. Meconium causes mechanical obstruction and pulmonary air leak, induces surfactant inactivation, causes pulmonary inflammation, and induces apoptosis. Preventing prolonged pregnancy by labor induction might reduce the risk of MSAF. Labor induction with prostaglandins appears to be associated with the occurrence of MSAF. Amnioinfusion for suspected umbilical cord compression has no clear effect on the occurrence of MSAF. Intrapartum suctioning of the

  13. Gender and Leadership Aspiration : The Impact of the Organizational Environment

    NARCIS (Netherlands)

    C. Fritz (Claudia)

    2016-01-01

    markdownabstractSummary The aim of this dissertation is to examine gender differences in leadership aspiration. Although some important work regarding gender-specific aspiration has been done already, conditions fostering leadership aspiration – particularly among women – are not completely

  14. Risk of aspiration in care home residents and associated factors

    NARCIS (Netherlands)

    Maarel-Wierink, C.D. van der; Putten, G.J. van der; Visschere, L.M. De; Bronkhorst, E.M.; Baat, C. de; Schols, J.M.

    2015-01-01

    Pneumonia is a prevalent cause of death in care home residents. Dysphagia is a significant risk factor of aspiration pneumonia. The purpose of the current study was to screen for risk of aspiration in care home residents in the Netherlands and assess potential risk factors of aspiration. Five

  15. Autoaspiration versus manual aspiration in transbronchial needle aspiration in diagnosis of intrathoracic lymphadenopathy.

    Science.gov (United States)

    Boonsarngsuk, Viboon; Pongtippan, Atcharaporn; Juthakarn, Sabaitip; Boonsarngsuk, Wison; Kurimoto, Noriaki

    2009-10-01

    Traditionally, aspiration with high negative pressure is recommended to obtain a specimen in transbronchial needle aspiration (TBNA). Undeniably, however, the assistant experiences difficulty in the generation of the negative pressure and precise control of the syringe while performing the procedure. To evaluate the effectiveness of the autoaspiration method created by our plunger lock in comparison with the conventional manual aspiration in the diagnosis of intrathoracic lymphadenopathy by TBNA. A prospective study was conducted on all patients referred for diagnostic TBNA of enlarged intrathoracic lymph nodes. Both automatic and manual aspiration techniques were performed after the needle had been completely inserted into the nodes. The diagnostic yield and the numbers of diagnostic cells or benign lymphoid cells obtained by each technique were compared in the same node. A total of 31 intrathoracic lymph nodes in 24 patients were prospectively studied. Twenty-four nodes (77.4%) were malignancies whereas 7 nodes (22.6%) were benign disease. Adequate lymph node samples were obtained in 30 targets (96.8%), and TBNA revealed definite diagnosis for 25 nodes (80.6%). Both aspiration techniques showed exactly the same diagnostic yield. However, the autoaspiration technique provided significantly more adequate samples than manual aspiration techniques did (P=0.003). The autoaspiration method using our plunger lock was superior to the manual method in obtaining the numbers of adequate samples in TBNA procedures.

  16. Aspiration of tracheoesophageal prosthesis in a laryngectomized patient

    Directory of Open Access Journals (Sweden)

    Conte Sergio C

    2012-08-01

    Full Text Available Abstract Background The voice prosthesis inserted into a tracheoesophageal fistula has become the most widely used device for voice rehabilitation in patients with total laryngectomy. Case presentation We describe a case of tracheoesophageal prosthesis’ (TEP aspiration in a laryngectomized patient, with permanent tracheal stoma, that appeared during standard cleaning procedure, despite a programme of training for the safe management of patients with voice prosthesis. Conclusions The definitive diagnosis and treatment were performed by flexible bronchoscopy, that may be considered the procedure of choice in these cases, also on the basis of the literature.

  17. Fine-needle aspiration cytology in the diagnosis of cervicofacial actinomycosis: report of 15 cases.

    Science.gov (United States)

    Custal-Teixidor, Montserrat; Trull-Gimbernat, Josep María; Garijo-López, Gloria; Valldosera-Rosello, Miquel

    2004-01-01

    Actinomycosis is quite an infrequent bacterial infection nowadays. However it can be considered in cases with a persistent cervicofacial disease. Although it is a bacterial infection, microbiologic cultures are frequently not diagnoses, therefore histopathologic studies and image studies are essential. Our interest is to explain our experience with cervicofacial actinomycosis; the clinical behaviour, evolution and treatment, always assisted by their elected diagnostic technique: the FNAC. In the last 16 years, 15 patients have been diagnosed with cervicofacial actinomycosis by FNAC, treated by Maxillofacial, Internal Medicine and Paediatrics units. Clinical course, evolution, anatomical space situation, antibiotic treatment, and surgical treatment have been studied. The fine-needle aspiration cytology (FNAC) is an easy, safe and rapid method, with a high effect, that has made the final diagnosis in 15 cases in our Hospital. All the patients have had a good clinical evolution, only in one case did we need a new treatment for recidive. In all the cases treatment has been definitive. Our interest is to explain our experience in the treatment of cervicofacial actinomycosis, its clinical presentation and evolution, together with its elected method of diagnosis, FNAC.

  18. Air Force Space Situational Awareness

    Science.gov (United States)

    2018-03-13

    future technology in meaningful ways. We look to transfer, license , and share promising prototypes, solutions, and knowledge with our partners to...time sensitivity and CyberWorx capacity. One method, which maximizes solution agility and the educational benefit to warfighters and industry... Benefits The proposal presented in this report corrects many underlying issues the AF faces when ingesting space situational awareness data

  19. Extreme situations due to gender violence

    Directory of Open Access Journals (Sweden)

    Stela Meneghel

    2012-11-01

    Full Text Available This paper presents a synthesis of the third Critical Paths Seminar, held in Porto Alegre/Brazil in 2011, whose focus was extreme situations of gender violence. The extreme situations are human rights violations that include femicide or murder motivated by the situation of gender; LGBT murders, human rights violations of ethnic and racial minorities, sexual exploitation, violence to women in vulnerable situations and other violence caused by gender. The meeting objective was given space to share experiences, reflect critically and build strategies for facing violence and extreme situations resulting from gender systems.

  20. Cyber defense and situational awareness

    CERN Document Server

    Kott, Alexander; Erbacher, Robert F

    2015-01-01

    This book is the first publication to give a comprehensive, structured treatment to the important topic of situational awareness in cyber defense. It presents the subject in a logical, consistent, continuous discourse, covering key topics such as formation of cyber situational awareness, visualization and human factors, automated learning and inference, use of ontologies and metrics, predicting and assessing impact of cyber attacks, and achieving resilience of cyber and physical mission. Chapters include case studies, recent research results and practical insights described specifically for th

  1. Aspiration in injections: should we continue or abandon the practice? [version 3; referees: 2 approved

    Directory of Open Access Journals (Sweden)

    Yasir Sepah

    2017-03-01

    Full Text Available Aspiration during any kind of injection is meant to ensure that the needle tip is at the desired location during this blind procedure. While aspiration appears to be a simple procedure, it has generated a lot of controversy concerning the perceived benefits and indications. Advocates and opponents of aspiration both make logically sound claims. However, due to scarcity of available data, there is no evidence that this procedure is truly beneficial or unwarranted. Keeping in view the huge number of injections given worldwide, it is important that we draw attention to key questions regarding aspiration that, up till now, remain unanswered. In this review, we have attempted to gather and present literature on aspiration both from published and non-published sources in order to provide not only an exhaustive review of the subject, but also a starting point for further studies on more specific areas requiring clarification. A literature review was conducted using the US National Institute of Health’s PubMed service (including Medline, Google Scholar and Scopus. Guidelines provided by the World Health Organization, Safe Injection Global Network, International Council of Nursing, Center for Disease Control, US Federal Drug Agency, UK National Health Services, British Medical Association, Europe Nursing and Midwifery Council, Public Health Agency Canada, Pakistan Medical Association and International Organization of Standardization recommendations 7886 parts 1-4 for sterile hypodermics were reviewed for relevant information. In addition, curricula of several medical/nursing schools from India, Nigeria and Pakistan, the US pharmacopeia Data from the WHO Program for International Drug Monitoring network in regard to adverse events as a result of not aspirating prior to injection delivery were reviewed. Curricula of selected major medical/nursing schools in India, Nigeria and Pakistan, national therapeutic formularies, product inserts of most commonly

  2. Secondary Voice Restoration After Laryngotracheal Separation (LTS) for Dysphagia with Intractable Aspiration.

    Science.gov (United States)

    Bonte, Katrien; Huvenne, Wouter; De Loof, Marie; Deron, Philippe; Viaene, Annick; Duprez, Fréderic; Vermeersch, Hubert

    2015-12-01

    Intractable aspiration is a serious, often life-threatening condition due to its potential impact on pulmonary function. Aspiration requires therapeutic measures, starting with conservative management but often necessitating surgical treatment. The basic surgical principle is to separate the alimentary and respiratory tracts through a variety of procedures which, unfortunately, nearly all result in the loss of phonation, with the exception of total laryngectomy (TL) which includes the placement of an indwelling voice prosthesis. In this study, we present a modified laryngotracheal separation (LTS) technique that, we believe, offers multiple advantages compared to standard TL. After reviewing the medical records of 35 patients with intractable aspiration who have undergone LTS, we describe the surgical technique and present the postoperative result. In a second surgical procedure about two months following LTS, we aimed to achieve voice restoration by placement of an indwelling voice prosthesis. Intractable aspiration was successfully treated in all patients. Placement of an indwelling voice prosthesis during a second operation was successful in 15 patients, representing the largest reported cohort thus far. LTS is a reliable surgical technique to treat intractable aspiration, with restoration of oral intake, thereby improving the general condition and quality of life of these unfortunate patients. Furthermore, voice restoration can be achieved in selected patients, by placement of a voice prosthesis.

  3. Orang Asli Women of Malaysia: Perceptions, Situations and Aspirations, Adela Baer et al.

    OpenAIRE

    Sim, Hew Cheng

    2013-01-01

    This book makes an important contribution to the growing corpus of work on Malaysian women. Although the Orang Asli are well studied, little has been written of the women in particular. This book complements an earlier one on Semai women, as this volume attends to the various groups of Orang Asli women. The contributors have conducted scholarly work amongst the Orang Asli, spanning several decades collectively. The groups covered in this volume are the Jahai, Batek, Chewong, Semelai, and Btsi...

  4. Orang Asli Women of Malaysia: Perceptions, Situations and Aspirations, Adela Baer et al.

    Directory of Open Access Journals (Sweden)

    Hew Cheng Sim

    2012-11-01

    Full Text Available This book makes an important contribution to the growing corpus of work on Malaysian women. Although the Orang Asli are well studied, little has been written of the women in particular. This book complements an earlier one on Semai women, as this volume attends to the various groups of Orang Asli women. The contributors have conducted scholarly work amongst the Orang Asli, spanning several decades collectively. The groups covered in this volume are the Jahai, Batek, Chewong, Semelai, and Btsi...

  5. Missing Aspirated Impacted Denture Requiring Tracheotomy for Removal

    Directory of Open Access Journals (Sweden)

    Sampan-Singh Bist

    2017-11-01

    Full Text Available Introduction:                                                     Aspirated foreign bodies continue to present challenges to otorhinolaryngologists. Removal of impacted airway foreign bodies via conventional methods can at times pose difficulty. This may berelated to the location and type of foreign body, experience of the surgeon and anesthetist, and the availability of appropriate instruments. In adults, especially in edentulous patients, a swallowed denture usually gets lodged in the esophagus and entrance into the airway is uncommon.   Case Report:  We report a case of an uncommon foreign body (3-toothed artificial denture plate impacted in the trachea of a 40-year-old male following an acute episode of an epileptic attack in which conventional methods of foreign body removal had failed. It was eventually removed via a direct laryngoscopy and tracheotomy technique.   Conclusion: This type of impaction of a large denture in the trachea is uncommon and late presentation after aspiration is even more rare. This unusual case of a foreign body in the airway is interesting due to its rarity, mode of entry, site of impaction, variable clinical presentation, and method of removal; and hence, prompted the authors to report this case.

  6. Dysphagia, dystussia, and aspiration pneumonia in elderly people.

    Science.gov (United States)

    Ebihara, Satoru; Sekiya, Hideki; Miyagi, Midori; Ebihara, Takae; Okazaki, Tatsuma

    2016-03-01

    Despite the development and wide distribution of guidelines for pneumonia, death from pneumonia is increasing due to population aging. Conventionally, aspiration pneumonia was mainly thought to be one of the infectious diseases. However, we have proven that chronic repeated aspiration of a small amount of sterile material can cause the usual type of aspiration pneumonia in mouse lung. Moreover, chronic repeated aspiration of small amounts induced chronic inflammation in both frail elderly people and mouse lung. These observations suggest the need for a paradigm shift of the treatment for pneumonia in the elderly. Since aspiration pneumonia is fundamentally based on dysphagia, we should shift the therapy for aspiration pneumonia from pathogen-oriented therapy to function-oriented therapy. Function-oriented therapy in aspiration pneumonia means therapy focusing on slowing or reversing the functional decline that occurs as part of the aging process, such as "dementia → dysphagia → dystussia → atussia → silent aspiration". Atussia is ultimate dysfunction of cough physiology, and aspiration with atussia is called silent aspiration, which leads to the development of life-threatening aspiration pneumonia. Research pursuing effective strategies to restore function in the elderly is warranted in order to decrease pneumonia deaths in elderly people.

  7. Sound Art Situations

    DEFF Research Database (Denmark)

    Krogh Groth, Sanne; Samson, Kristine

    2017-01-01

    This article is an analysis of two sound art performances that took place June 2015 in outdoor public spaces in the social housing area Urbanplanen in Copenhagen, Denmark. The two performances were On the production of a poor acoustics by Brandon LaBelle and Green Interactive Biofeedback Environm......This article is an analysis of two sound art performances that took place June 2015 in outdoor public spaces in the social housing area Urbanplanen in Copenhagen, Denmark. The two performances were On the production of a poor acoustics by Brandon LaBelle and Green Interactive Biofeedback...... Environments (GIBE) by Jeremy Woodruff. In order to investigate the complex situation that arises when sound art is staged in such contexts, the authors of this article suggest exploring the events through approaching them as ‘situations’ (Doherty 2009). With this approach it becomes possible to engage...... and combine theories from several fields. Aspects of sound art studies, performance studies and contemporary art studies are presented in order to theoretically explore the very diverse dimensions of the two sound art pieces: Visual, auditory, performative, social, spatial and durational dimensions become...

  8. Liver CT-guided aspirative biopsies

    International Nuclear Information System (INIS)

    Santos, Gilda da Cunha; Carvalho, Leda Viegas de; Chojniak, Rubens; Morini, Sandra Regina

    1996-01-01

    Sixty-eight CT-guided aspirative biopsies of hepatic nodules were performed at A.C. Camargo Hospital, Sao Paulo, Brazil, from 1992 to 1995. The cases were distributed as follow: 44(64.7%) with a positive diagnosis for neoplastic cells, 6(8.8%) with a negative diagnosis, and 14 (20.5%) with insufficient material. Of the positive cases (primary neoplasias and metastases), the cytological diagnosis was achieved in 39 cases. There were 36 cases of carcinoma (7 hepato carcinomas, 18 adenocarcinomas, 1 small cell carcinoma and 10 cases of unspecified differentiation), 2 cases of melanoma and 1 case of melanoma and 1 case of sarcoma. The correlation with histopathological exams showed no false positive cases and concordance between cytological and histopathological diagnosis. The results demonstrate that CT-guided aspirative biopsy of hepatic nodules permits a rapid diagnosis of neoplastic lesions, especially for the evaluation of metastases. (author)

  9. Air Bag Momentum Force Including Aspiration

    Directory of Open Access Journals (Sweden)

    Guy Nusholtz

    1995-01-01

    Full Text Available A gas-jet momentum force drives the air bag into position during a crash. The magnitude of this force can change as a result of aspiration. To determine the potential magnitude of the effect on the momentum force and mass flow rate in an aspirated system, a series of experiments and simulations of those experiments was conducted. The simulation consists of a two-dimensional unsteady isentropic CFD model with special “infinite boundaries”. One of the difficulties in simulating the gas-jet behavior is determining the mass flow rate. To improve the reliability of the mass flow rate input to the simulation, a sampling procedure involving multiple tests was used, and an average of the tests was adopted.

  10. Foreign Body Aspiration in Pregnancy

    Directory of Open Access Journals (Sweden)

    Andrew L. Atkinson

    2012-01-01

    Full Text Available A 24-year-old morbidly obese African American gravida 1, with a history of severe asthma complicated by multiple inpatient admissions, presents at 30 weeks gestation with a foreign body in her left main stem bronchus. After a failed bronchoscopy postpartum, the patient slipped into respiratory failure and was subsequently intubated, spending two weeks in the intensive care unit. After two more attempts of trying to retrieve the foreign object from her lung via bronchoscopy, she eventually contracted a postobstructive pneumonia and underwent a left lower lung lobectomy for curative treatment.

  11. Unique Family Living Situations

    Science.gov (United States)

    ... of neglect, or because the parents are in prison. Others live with their grandparents (and one or ... Injury Prevention Crisis Situations Pets and Animals myhealthfinder Food and Nutrition Healthy Food Choices Weight Loss and ...

  12. A radial basis classifier for the automatic detection of aspiration in children with dysphagia

    Science.gov (United States)

    Lee, Joon; Blain, Stefanie; Casas, Mike; Kenny, Dave; Berall, Glenn; Chau, Tom

    2006-01-01

    Background Silent aspiration or the inhalation of foodstuffs without overt physiological signs presents a serious health issue for children with dysphagia. To date, there are no reliable means of detecting aspiration in the home or community. An assistive technology that performs in these environments could inform caregivers of adverse events and potentially reduce the morbidity and anxiety of the feeding experience for the child and caregiver, respectively. This paper proposes a classifier for automatic classification of aspiration and swallow vibration signals non-invasively recorded on the neck of children with dysphagia. Methods Vibration signals associated with safe swallows and aspirations, both identified via videofluoroscopy, were collected from over 100 children with neurologically-based dysphagia using a single-axis accelerometer. Five potentially discriminatory mathematical features were extracted from the accelerometry signals. All possible combinations of the five features were investigated in the design of radial basis function classifiers. Performance of different classifiers was compared and the best feature sets were identified. Results Optimal feature combinations for two, three and four features resulted in statistically comparable adjusted accuracies with a radial basis classifier. In particular, the feature pairing of dispersion ratio and normality achieved an adjusted accuracy of 79.8 ± 7.3%, a sensitivity of 79.4 ± 11.7% and specificity of 80.3 ± 12.8% for aspiration detection. Addition of a third feature, namely energy, increased adjusted accuracy to 81.3 ± 8.5% but the change was not statistically significant. A closer look at normality and dispersion ratio features suggest leptokurticity and the frequency and magnitude of atypical values as distinguishing characteristics between swallows and aspirations. The achieved accuracies are 30% higher than those reported for bedside cervical auscultation. Conclusion The proposed aspiration

  13. A radial basis classifier for the automatic detection of aspiration in children with dysphagia

    Directory of Open Access Journals (Sweden)

    Blain Stefanie

    2006-07-01

    Full Text Available Abstract Background Silent aspiration or the inhalation of foodstuffs without overt physiological signs presents a serious health issue for children with dysphagia. To date, there are no reliable means of detecting aspiration in the home or community. An assistive technology that performs in these environments could inform caregivers of adverse events and potentially reduce the morbidity and anxiety of the feeding experience for the child and caregiver, respectively. This paper proposes a classifier for automatic classification of aspiration and swallow vibration signals non-invasively recorded on the neck of children with dysphagia. Methods Vibration signals associated with safe swallows and aspirations, both identified via videofluoroscopy, were collected from over 100 children with neurologically-based dysphagia using a single-axis accelerometer. Five potentially discriminatory mathematical features were extracted from the accelerometry signals. All possible combinations of the five features were investigated in the design of radial basis function classifiers. Performance of different classifiers was compared and the best feature sets were identified. Results Optimal feature combinations for two, three and four features resulted in statistically comparable adjusted accuracies with a radial basis classifier. In particular, the feature pairing of dispersion ratio and normality achieved an adjusted accuracy of 79.8 ± 7.3%, a sensitivity of 79.4 ± 11.7% and specificity of 80.3 ± 12.8% for aspiration detection. Addition of a third feature, namely energy, increased adjusted accuracy to 81.3 ± 8.5% but the change was not statistically significant. A closer look at normality and dispersion ratio features suggest leptokurticity and the frequency and magnitude of atypical values as distinguishing characteristics between swallows and aspirations. The achieved accuracies are 30% higher than those reported for bedside cervical auscultation. Conclusion

  14. Risk factors for the development of aspiration pneumonia after unilateral arytenoid lateralization in dogs with laryngeal paralysis: 232 cases (1987-2012).

    Science.gov (United States)

    Wilson, David; Monnet, Eric

    2016-01-15

    To identify risk factors for the development of aspiration pneumonia after unilateral arytenoid lateralization in dogs with laryngeal paralysis. Retrospective case series. 232 client-owned dogs with a diagnosis of laryngeal paralysis treated with left-sided unilateral arytenoid lateralization. Medical records were reviewed. Signalment, medical history, surgical complications, and outcome data were collected. Follow-up was performed via review of medical records and by telephone interview with the owner, referring veterinarian, or both. At the 1-, 3-, and 4-year follow-up periods, aspiration pneumonia occurred in 18.6%, 31.8%, and 31.8% of dogs, respectively. The 1-, 3-, and 4-year survival rates for dogs with postoperative aspiration pneumonia were 83.1%, 51.5%, and 25.8%, respectively. None of the dogs with aspiration pneumonia before surgery developed clinical signs of aspiration pneumonia after surgery. Postoperative megaesophagus (hazard ratio [HR], 2.58; 95% confidence interval [CI], 1.56 to 3.93) and postoperative administration of opioid analgesics prior to discharge (HR, 1.69; 95% CI, 1.12 to 2.80) were significant risk factors for the long-term development of aspiration pneumonia in this study. Perioperative metoclopramide administration did not significantly decrease the risk for development of aspiration pneumonia (HR, 0.94; 95% CI, 0.67 to 1.37). In the present study, aspiration pneumonia was the most commonly reported postoperative complication of unilateral lateralization in dogs treated for laryngeal paralysis; however, preexisting aspiration pneumonia was not associated with an increased risk for development of aspiration pneumonia after surgery. Megaesophagus was identified as an important risk factor for eventual development of aspiration pneumonia. Administration of an opioid analgesic may increase the risk of aspiration pneumonia in dogs treated surgically for laryngeal paralysis.

  15. Aspiration, atelektasis, emphysema with special regard to children and adolescents

    International Nuclear Information System (INIS)

    Reither, M.; Giessen Univ.

    1982-01-01

    The most important factors of acute respiratory diseases in childhood are reported. Above all the characteristic features of airway obstructions in chest films are presented: In newborn suffering from aspiration we find diffuse patchy and illdefined densities combined with atelectasis. In patients with aspiration of foreign bodies a unilaterally localized complete or partial emphysema of the lung in in- and particulary in exspiration followed by mediastinal shifting is pathognomonic. Chest films in in- and exspiration are therefore mandatory. Atelectases are not uncommon in ventilated and operated patients. Emphysemata arise also in such patients; a particular emphysema is the so-called congenital lobar emphysema due to an upper lobe obstruction in most patients. Finally children suffering from spastic bronchitis and asthma present pulmonary emphysema. Generally chest films in different projections and not only in inspiration but also in exspiration allow to establish the correct diagnosis of the most important airway obstructions in children and to give rapid and sure informations for treatment. (orig.) [de

  16. Recurrent aspiration pneumonia associated with giant aortic aneurysm

    Directory of Open Access Journals (Sweden)

    Leonardo Santos Hoff

    2014-04-01

    Full Text Available A 83-year-old woman presented to the emergency department with fever, productive cough and dyspnea. She was previously diagnosed with dementia and systemic hypertension, and was heavy smoker for nearly 50 years. Her relatives reported that in the past four months she was admitted two times for aspiration pneumonia. Chest radiography showed right lower lobe consolidation and a large mediastinal mass (Panel A. A computed tomography angiography revealed a 10,2 cm descending aortic aneurysm compressing the esophagus (Panel B and C. Serologic VDRL test was negative. Esophageal clearance was moderately diminished above the level of the aortic arch, with antiperistaltic contractions, according to videofluoroscopic swallowing study; oropharyngeal dysphagia was also present. The patient was treated for aspiration pneumonia and assessed by cardiovascular surgeons, who decided for a conservative treatment due to the characteristics of the aneurysm and her clinical condition. She was discharged with an optimized treatment for systemic hypertension including beta-blockers, and appropriate diet for dysphagia.

  17. Improved microscopical detection of acid-fast bacilli by the modified bleach method in lymphnode aspirates

    Directory of Open Access Journals (Sweden)

    Annam Vamseedhar

    2009-07-01

    Full Text Available Objectives: To improve the smear microscopy for detection of acid-fast bacilli (AFB in fine needle aspiration cytology (FNAC of lymph node using the bleach method and also to compare this with cytological diagnosis and the conventional Ziehl-Neelsen (ZN method. Study Design: In 99 consecutive patients with clinical suspicion of tuberculosis (TB presenting with lymphadenopathy, FNACs were performed. Smears from the aspirates were processed for routine cytology and the conventional ZN method. The remaining material in the needle hub and/or the syringe was used for the bleach method. The significance of the bleach method over the conventional ZN method and cytology was analyzed using the χ2 test. Results: Of 99 aspirates, 93 were studied and the remaining six were excluded from the study due to diagnosis of malignancy in 4.04% (4/6 and inadequate aspiration in 2.02% (2/6. Among the 93 aspirates, 33.33% (31/93 were positive for AFB on conventional ZN method, 41.94% (39/93 were indicative of TB on cytology and the smear positivity increased to 63.44% (59/93 on bleach method. Conclusion: The bleach method is simple, inexpensive and potent disinfectant, also limiting the risk of laboratory-acquired infections. The implementation of the bleach method clearly improves microscopic detection and can be a useful contribution to routine cytology.

  18. Association between pathogens from tracheal aspirate and oral biofilm of patients on mechanical ventilation

    Directory of Open Access Journals (Sweden)

    Luana Carneiro Diniz SOUZA

    2017-06-01

    Full Text Available Abstract The aim of this study was to detect possible associations between respiratory pathogens from tracheal aspirate and oral biofilm samples in intubated patients in an intensive care unit (ICU, and to identify the most common respiratory pathogens in oral biofilm, particularly in patients that developed ventilator-associated pneumonia (VAP. Two oral biofilm samples were collected from the tongue of intubated patients (at admission and after 48 hours and analyzed by culture with the Antibiotic Sensitivity Test. The results from the tongue biofilm samples were compared with the tracheal secretions samples. A total of 59.37% of patients exhibited the same species of pathogens in their tracheal aspirate and oral biofilm, of which 8 (42.1% developed VAP, 10 (52.63% did not develop pneumonia and one (5.26% had aspiration pneumonia. There was a statistically significant association between presence of microorganisms in the tracheal and mouth samples for the following pathogens: Klebsiella pneumoniae, Candida albicans, Pseudomonas aeruginosa, Enterobacter gergoviae, Streptococcus spp and Serratia marcescens (p < 0.05. Pathogens that are present in tracheal aspirates of intubated patients can be detected in their oral cavity, especially in those who developed VAP or aspiration pneumonia. Thus, the results indicate that an improved oral care in these patients could decrease ICU pneumonia rates.

  19. Aspiration in head and neck cancer patients: a single centre experience of clinical profile, bacterial isolates and antibiotic sensitivity pattern.

    Science.gov (United States)

    Lakshmaiah, K C; Sirsath, Nagesh T; Subramanyam, Jayshree R; Govind, Babu K; Lokanatha, D; Shenoy, Ashok M

    2013-07-01

    Most patients with head and neck cancer have dysphagia and are at increased risk of having aspiration and subsequent pneumonia. It can cause prolonged hospitalization, treatment delay and/or interruption and mortality in cancer patients. The treatment of these infections often relies on empirical antibiotics based on local microbiology and antibiotic sensitivity patterns. The aim of present study is to analyse respiratory tract pathogens isolated by sputum culture in head and neck cancer patients undergoing treatment at a tertiary cancer centre in South India who presented with features of aspiration. The study is carried out to establish empirical antibiotic policy for head and neck cancer patients who present with features of aspiration. This was a retrospective study. The study included sputum samples sent for culture and sensitivity from January 2011 to December 2012. Analysis of microbiologic species isolated in sputum specimen and the antibiotic sensitivity pattern of the bacterial isolates was performed. A detailed study of case files of all patients was done to find out which is the most common site prone for producing aspiration. There were 47 (31.54 %) gram positive isolates and 102 (68.45 %) gram negative isolates. The most common bacterial isolates were Klebsiella pneumoniae (25.50 %), Pseudomonas aeruginosa (16.77 %) and Haemophilus influenzae (15.43 %). Levofloxacin was the most effective antibiotic with excellent activity against both gram positive and gram negative isolates. Most patients with aspiration had laryngeal cancer (34.89 %). Aspiration pneumonia was present in 14 (9.39 %) patients. Gram negative bacteria are common etiologic agents in head and neck cancer patients presenting with features of aspiration. Levofloxacin should be started as empirical antibiotic in these patients while awaiting sputum culture sensitivity report. As aspiration in head and neck cancer is an underreported event such institutional antibiotic sensitivity

  20. Defining characteristics and risk indicators for diagnosing nursing home-acquired pneumonia and aspiration pneumonia in nursing home residents, using the electronically-modified Delphi Method.

    NARCIS (Netherlands)

    Hollaar, V.; Maarel-Wierink, C. van der; Putten, G.J. van der; Sanden, W. van der; Swart, B.J. de; Baat, C. de

    2016-01-01

    BACKGROUND: In nursing home residents, it is not possible to distinguish pneumonia and aspiration pneumonia clinically. International literature reveals no consensus on which and how many characteristics and risk indicators must be present to diagnose (nursing home-acquired) pneumonia and aspiration

  1. The Ellsberg psychoanalytic situation.

    Science.gov (United States)

    Bernal, V

    1976-01-01

    The author proposes to explore an event that received nationwide publicity through the Watergate investigation: the burglary of the office of a Los Angeles psychoanalyst believed to be treating Dr. Daniel Ellsberg. A brief questionnaire, with an accompanying letter, was mailed to all members of the American Psychoanalytic Association. It requested voluntary information on the reaction of their patients to the aforesaid particular event. The results of the study was then evaluated as serving hopefully an indirect inquiry into psychoanalytic practice. This paper is based on an adjusted sample of 861 respondent psychoanalysts, who reported on a total of 5,074 analysands. The resultant figures indicate that a high percentage of the analysand sample was silent concerning the office break-in during the eight-week period following the national publicity given the event. Of the small percentage of analysands that did present material concerning the event, the survey found that they were the patients of only 84 analysts of the entire sample of 861. The absence of reference to the Ellsberg Affair in so many patients may have been due to (1) the fact that analysts create an analytic situation which has a basic quality of interference such that events of this kind do not get communicated, and (2), more important, the fact that analysts through some defensive need failed to take cognizance of references to the Ellsberg Affair in dreams or in the latent content of the associations of their patients. A "natural" psychoanalytic experiment has been studied, and the results are offered for consideration.

  2. Diagnosis of multiple myeloma on based the material obtained by fine needle aspiration biopsy of the lungs

    Directory of Open Access Journals (Sweden)

    Bokun Radojka

    2004-01-01

    Full Text Available The patient presented in this paper was admitted to the hospital for the evaluation of radiologically revealed shadow in both lungs. In the course of diagnostic procedures, fine needle aspiration biopsy of the intrathoracic mass was performed. Cytologic analysis of the smear was performed because of clinical suspicion of plasma cell proliferative disease that was confirmed by bone marrow aspiration. Thus, the cytologic finding of intrathoracic lesion preceded the diagnosis of multiple myeloma.

  3. Nuclear situation in Japan; La situation du nucleaire au Japon

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-07-01

    This analysis takes stock on the nuclear situation in Japan. It discusses the ambitious equipment program in collaboration with the France, the destabilization of the japanese nuclear industry following the accidents and the energy policy evolutions. It presents the projects of the japanese nuclear industry: the Monju reactor restart, the Pluthermal project, the reprocessing power plant of Rokkasho Mura, the new reactors, the russian weapons dismantling, the ITER site selection and the buy out of Westinghouse by Toshiba. (A.L.B.)

  4. A Rare Cause of Dyspnea in Elderly Patients: Foreign Body Aspiration

    Directory of Open Access Journals (Sweden)

    Sevdegül Karadas

    2012-10-01

    Full Text Available Foreign body aspiration is frequently seen at childhood age group whereas various facilitator factors can be observed in adults particularly in the elderly group. In this study a 78 year-old male case who swallowed his dental prothesis and had a foreign substance detected in his chest X-ray was presented. In the cases that have nonspesific complaints such as incipient chest pain and difficulty in breathing and have no known underlying lung disease, foreign body aspiration must be suspected.

  5. Design of a new air flow velocity sensor for aspirating high sensitivity smoke detectors

    OpenAIRE

    Córdoba Galera, Andrés

    2015-01-01

    Aspirating detectors use the high sensitivity sensing given by laser technology to detect smoke in the early stages of a fire ignition. To do this, the air is aspirated through pipe conducts to be sampled and analyzed. This air is inserted into a smoke sensor cavity, where a laser emitter and photoreceptor quantify smoke particles present in the air sampled. To assure that the system is working according to the initial conditions during all its life, it is required to have an accurate air-flo...

  6. Personalizing situation awareness

    Energy Technology Data Exchange (ETDEWEB)

    Collins, Linn Marks [Los Alamos National Laboratory; Powell, James E [Los Alamos National Laboratory; Roman, Jorge R [Los Alamos National Laboratory; Martinez, Mark L B [Los Alamos National Laboratory; Mane, Ketan K [RENCI

    2009-01-01

    Emergency responders need access to information but what counts as actionable information depends on their role, task, location, and other variables. For example, experts who have unique knowledge and experience and are called on to serve as scientific and teclmical responders, require correspondingly unique situation awareness in order to do their work. In our research-in-progress we leverage emerging and evolving web and digital library technologies to create personalized situation awareness tools that address the needs of these scientific and technical responders in real time, through focused information collection, extraction, integration, representation, and dissemination. We describe three personalized situation awareness tools in this paper: the Theme Awareness Tool (THEMAT), Social Awareness Tool (SAT), and Expertise Awareness Tool (EXPAT). The concepts and technologies we are developing in collaboration with experts apply to those who use the Web, in general, and offer an approach to the general issue of HCI design for emergencies.

  7. Short-cut diagnostic tool in cystinosis: Bone marrow aspiration.

    Science.gov (United States)

    Sürmeli Döven, Serra; Delibaş, Ali; Kayacan, Uğur Raşit; Ünal, Selma

    2017-11-01

    Cystinosis is a rare metabolic genetic disorder caused by a mutation in cystinosin lysosomal cystine transporter (CTNS). The diagnosis of nephropathic cystinosis (NC) is made by observing corneal cystine crystals and/or measuring the cystine content of leukocytes. CTNS mutation analysis confirms the diagnosis of cystinosis, but leukocyte cystine measurement and CTNS analysis have not been widely available, and cystine crystals in the cornea may not be apparent in the first months of life. Cystine crystal deposition can be seen in the bone marrow earlier than corneal deposition, in patients with NC. Ten patients with cystinosis diagnosis were enrolled in the study. Medical records were reviewed retrospectively to collect demographic and clinical data such as age at diagnosis, disease presentation, parental consanguinity, family history, corneal cystine deposition, leukocyte cystine level, bone marrow cystine deposition, presence of renal failure, follow-up time and prognosis. Cystine crystals were seen in all of the patients' fresh bone marrow aspiration samples. Eight patients had corneal cystine deposition. Leukocyte cystine measurement could have been performed in four patients who had come from another center. Complications such as pulmonary hypertension and idiopathic intracranial hypertension (IIH) were observed in two patients. Bone marrow aspiration might be an easy and short-cut diagnostic tool for NC especially when it is not possible to measure fibroblast cystine content. Additionally some rare complications such as pulmonary hypertension and IIH can be encountered during the course of NC. © 2017 Japan Pediatric Society.

  8. Meconium aspiration syndrome (MAS) - Where do we go? Research perspectives.

    Science.gov (United States)

    Kääpä, Pekka O

    2009-10-01

    The pathogenetic cascade of meconium aspiration syndrome (MAS) in newborn infants is complex and still incompletely studied. The variable clinical presentation of MAS is basically connected with variation of the amount and consistency of aspirated meconium and also its distribution within the affected lungs. The contributing role of other factors, like intrauterine fetal compromises, lung maturity at the time of insult as well as direct and indirect effects of meconium and its components on the lung alveolar and vascular integrity and development, remains to be studied in further detail. Better understanding of the lung injury processes in MAS, specifically inflammatory injury and non-inflammatory apoptosis and their interplay, may offer new possibilities to treat the severely affected infants, and needs therefore to be explored. Systemic dispersion of intrapulmonary meconium and its components may further induce inflammatory circulatory changes and injurious effects in distant organs, but the mechanisms and clinical significance of these systemic complications are still poorly known. It is thus evident that lung injury processes and potent long-term consequences in various extrapulmonary organs, specifically the brain, as well as development of new approaches to their treatment and prevention form great challenges for future research of MAS.

  9. Situational theory of leadership.

    Science.gov (United States)

    Waller, D J; Smith, S R; Warnock, J T

    1989-11-01

    The situational theory of leadership and the LEAD instruments for determining leadership style are explained, and the application of the situational leadership theory to the process of planning for and implementing organizational change is described. Early studies of leadership style identified two basic leadership styles: the task-oriented autocratic style and the relationship-oriented democratic style. Subsequent research found that most leaders exhibited one of four combinations of task and relationship behaviors. The situational leadership theory holds that the difference between the effectiveness and ineffectiveness of the four leadership styles is the appropriateness of the leader's behavior to the particular situation in which it is used. The task maturity of the individual or group being led must also be accounted for; follower readiness is defined in terms of the capacity to set high but attainable goals, willingness or ability to accept responsibility, and possession of the necessary education or experience for a specific task. A person's leadership style, range, and adaptability can be determined from the LEADSelf and LEADOther questionnaires. By applying the principles of the situational leadership theory and adapting their managerial styles to specific tasks and levels of follower maturity, the authors were successful in implementing 24-hour pharmacokinetic dosing services provided by staff pharmacists with little previous experience in clinical services. The situational leadership model enables a leader to identify a task, set goals, determine the task maturity of the individual or group, select an appropriate leadership style, and modify the style as change occurs. Pharmacy managers can use this model when implementing clinical pharmacy services.

  10. CT-guided aspiration cytology of advanced silicosis and confirmation of the deposited zeolite nano particles through X ray diffraction: A novel approach.

    Science.gov (United States)

    Bandyopadhyay, Arghya; Majumdar, Kaushik; Chakraborty, Abhijit; Mitra, Partha; Nag, Subhomoy

    2016-03-01

    Silicosis is a common occupational lung disease, resulting in fibrotic nodular lesions in the upper lobes of the lung parenchyma. Most of the pneumoconioses are diagnosed on the basis of relevant history and clinico-radiological correlation. Image-guided aspiration cytology appears to be poorly yielding and is not usually considered as a diagnostic modality. However, silicosis may sometimes offer a diagnostic challenge because of its radiological resemblance and clinical overlap with pulmonary tuberculosis and neoplastic lesions. We present a unique situation where image-guided fine needle aspiration cytology (FNAC) has been advised on the basis of nodular upper lobe opacities. The cytology smears revealed hypocellular granular material, while phase contrast and polarized light microscopy highlighted crystalline particles. History of silica dust exposure long back was available after the cytological evaluation, suggesting the diagnosis of pulmonary silicosis. X ray diffraction (XRD) crystallography was also possible on cytology smears, confirming zeolite nano particles of size as small as 40 - 50 nm as the concerned agent for the first time. Cytological evaluation by phase contrast and polarized light microscopy may be useful for the confirmation of silicosis, supplemented by clinical history and radiological evaluation. XRD on smears may help in determination of chemical nature and particle size. © 2015 Wiley Periodicals, Inc.

  11. CT guided puncture aspiration and sclerosing treatment of ovary cyst

    International Nuclear Information System (INIS)

    Peng Yongjun; Du Xiumei; Yuan Jinrong; Chen Chanqing

    2007-01-01

    Objective: To analyze the method and the curative effect with CT guided percutaneous puncture aspiration and sclerosing treatment of ovary cyst. Method: 22 ovary cysts in 22 patients were treated with percutaneous puncture aspiration and underwent repeated sclerotherapy with 99.7% ethanol injection. Among the 22 patients, 18 patients had solitary ovary cyst and was aspirated with an 18-22G gauge aspiration needle. The amount of aspirated fluid varied from 30ml-500ml and 25%-30% cyst volume was replaced by appropriate ethanol Post treatment follow-up were achieved every 3 months. Results All the Punctures were successfully completed. During the 3 months to one year follow-up, 16 ovary cyst disappeared, 6 cysts were small over 50%, without main complication. Conclusion CT guided percutaneous puncture aspiration and sclerosing treatment of ovary cyst is a treatment of choice because of its safety, low complication, and high curative effect. (authors)

  12. When Aspirations Exceed Expectations: Quixotic Hope Increases Depression among Students.

    Directory of Open Access Journals (Sweden)

    Katharine H Greenaway

    Full Text Available A paradox exists in modern schooling: students are simultaneously more positive about the future and more depressed than ever. We suggest that these two phenomena may be linked. Two studies demonstrated that students are more likely to be depressed when educational aspirations exceed expectations. In Study 1 (N = 85 aspiring to a thesis grade higher than one expected predicted greater depression at the beginning and end of the academic year. In Study 2 (N = 2820 aspiring to a level of education (e.g., attending college higher than one expected to achieve predicted greater depression cross-sectionally and five years later. In both cases the negative effects of aspiring high while expecting low persisted even after controlling for whether or not students achieved their educational aspirations. These findings highlight the danger of teaching students to aspire higher without also investing time and money to ensure that students can reasonably expect to achieve their educational goals.

  13. When Aspirations Exceed Expectations: Quixotic Hope Increases Depression among Students.

    Science.gov (United States)

    Greenaway, Katharine H; Frye, Margaret; Cruwys, Tegan

    2015-01-01

    A paradox exists in modern schooling: students are simultaneously more positive about the future and more depressed than ever. We suggest that these two phenomena may be linked. Two studies demonstrated that students are more likely to be depressed when educational aspirations exceed expectations. In Study 1 (N = 85) aspiring to a thesis grade higher than one expected predicted greater depression at the beginning and end of the academic year. In Study 2 (N = 2820) aspiring to a level of education (e.g., attending college) higher than one expected to achieve predicted greater depression cross-sectionally and five years later. In both cases the negative effects of aspiring high while expecting low persisted even after controlling for whether or not students achieved their educational aspirations. These findings highlight the danger of teaching students to aspire higher without also investing time and money to ensure that students can reasonably expect to achieve their educational goals.

  14. Correlation of gastroesophageal reflex with aspiration pneumonia after surgery

    International Nuclear Information System (INIS)

    Hirashima, Tokuji; Hashimoto, Hajime; Noro, Toshio; Takahashi, Tadao; Hino, Yasunori; Kuroiwa, Kouzirou

    1996-01-01

    In order to elucidate the correlation of gastroesophageal reflex (GER) with aspiration pneumonia after surgery, 48 patients (mean, 75.6 years) with gastric cancer treated at the hospital from March, 1994 to December, 1994 were subjected to this prospective study. The pharyngeal stimulation test, nutritional assessment, radionuclide esophageal scintigraphy (34 cases) were performed before surgery and relationship between those results and aspiration pneumonia were studied. Aspiration pneumonia occurred in 3 cases, and all of them were in, significantly, poor nutritional status, compared with other. A significant increase in the frequency of GER was observed when a naso-gastric tube (NGT) was placed, but surprisingly, all the patients with aspiration pneumonia were 3 out of 4 patients who had continuous GER without NGT. It is noteworthy, continuous GER without NGT was significantly (p<0.001) affected postoperative aspiration pneumonia and impaired phalyngeal reflex was frequently correlated with development of aspiration pneumonia, when malnutritional status existed. (author)

  15. Effect of Distraction Technique and Hypnosis in Pain of Bone Marrow Aspiration in Children: a Narrative Review

    Directory of Open Access Journals (Sweden)

    Alimorad Heidari Gorji

    2017-03-01

    Full Text Available BackgroundThe present review study provides specific evidence to assess the impact of distraction techniques and hypnosis on the pain of bone marrow aspiration in children.Materials and MethodsThis review study aimed to determine the effects of distraction techniques and hypnosis on the controlling pain of bone marrow aspiration in children. Internal databases (SID, Magiran, IranMedex and Irandoc, and international databases (Google-Scholar, Medline, PubMed, Elsevier, ProQuest, Springer and Web of Science, were searched by using the Mesh key words including "cancer", "bone marrow", "aspiration", "distraction", "hypnosis", "pain", "children" and "pediatric", with no time limit since the foundation of these databases until December 2016.ResultsIn overall review of the articles, based on the issues expressed, the effect of most of various distraction interventions and hypnosis on the pain severity of children under the bone marrow aspiration procedure was significant and positive (P

  16. Factors Affecting the Occupational and Educational Aspirations of Children and Adolescents.

    Science.gov (United States)

    Wahl, Kay Herting; Blackhurst, Anne

    2000-01-01

    Reviews the research literature on factors affecting the educational and occupational aspirations of children and adolescents. Discusses the implications for school counselors along with specific recommendations for addressing the career development needs of elementary, middle school, and high school students. Presents recommendations for future…

  17. Do Gender-Science Stereotypes Predict Science Identification and Science Career Aspirations among Undergraduate Science Majors?

    Science.gov (United States)

    Cundiff, Jessica L.; Vescio, Theresa K.; Loken, Eric; Lo, Lawrence

    2013-01-01

    The present research examined whether gender-science stereotypes were associated with science identification and, in turn, science career aspirations among women and men undergraduate science majors. More than 1,700 students enrolled in introductory science courses completed measures of gender-science stereotypes (implicit associations and…

  18. Aspirating and Nonaspirating Swallow Sounds in Children: A Pilot Study.

    Science.gov (United States)

    Frakking, Thuy; Chang, Anne; O'Grady, Kerry; David, Michael; Weir, Kelly

    2016-12-01

    Cervical auscultation (CA) may be used to complement feeding/swallowing evaluations when assessing for aspiration. There are no published pediatric studies that compare the properties of sounds between aspirating and nonaspirating swallows. To establish acoustic and perceptual profiles of aspirating and nonaspirating swallow sounds and determine if a difference exists between these 2 swallowing types. Aspiration sound clips were obtained from recordings using CA simultaneously undertaken with videofluoroscopic swallow study. Aspiration was determined using the Penetration-Aspiration Scale. The presence of perceptual swallow/breath parameters was rated by 2 speech pathologists who were blinded to the type of swallow. Acoustic data between groups were compared using Mann Whitney U-tests, while perceptual differences were determined by a test of 2 proportions. Combinations of perceptual parameters of 50 swallows (27 aspiration, 23 no aspiration) from 47 children (57% male) were statistically analyzed using area under a receiver operating characteristic (aROC), sensitivity, specificity, and positive and negative predictive values to determine predictors of aspirating swallows. The combination of post-swallow presence of wet breathing and wheeze and absence of GRS and normal breathing was the best predictor of aspiration (aROC = 0.82, 95% CI, 0.70-0.94). There were no significant differences between these 2 swallow types for peak frequency, duration, and peak amplitude. Our pilot study has shown that certain characteristics of swallow obtained using CA may be useful in the prediction of aspiration. However, further research comparing the acoustic swallowing sound profiles of normal children to children with dysphagia (who are aspirating) on a larger scale is required. © The Author(s) 2016.

  19. Gender and Leadership Aspiration: The Impact of the Organizational Environment

    OpenAIRE

    Fritz, Claudia

    2016-01-01

    markdownabstractSummary The aim of this dissertation is to examine gender differences in leadership aspiration. Although some important work regarding gender-specific aspiration has been done already, conditions fostering leadership aspiration – particularly among women – are not completely understood. Therefore, the focus of this dissertation is on assessing the potential impact of the organizational environment, including formal and informal elements, as well as relevant actors and their re...

  20. Situational Behavior Modeling

    Science.gov (United States)

    2009-06-30

    dealt with a notion of ``context’’, which, according to Akman and Surav [9], stands for the same concept as ``situation’’. This line of AI research...Networks of Plausible Inference. Morgan Kaufmann, 1988. 9 V. Akman and M. Surav. Steps toward formalizing context. AI Magazine, 17(3):55– 72, 1996. 10

  1. The France energy situation

    International Nuclear Information System (INIS)

    2006-01-01

    This analysis of the french energy situation provides information and key data on some key facts about the energy in France, the France energy supply and demand, the major principles of energy policy, the challenges of french energy policy and the DGEMP (general directorate for energy and raw materials). (A.L.B.)

  2. Tracheobronchial foreign body aspiration in children: A continuing diagnostic challenge

    Directory of Open Access Journals (Sweden)

    Mohammad Saquib Mallick

    2014-01-01

    Full Text Available Background: Foreign body aspiration (FBA is a common cause of respiratory compromise in early childhood. The objective of this study was to describe the features and outcomes of children with FBA in early and late presentations and to examine the reasons for the delay in diagnosis. Patients and Methods: This is a retrospective review of all children who were admitted with suspected FBA between July 2001 and June 2010. Patient′s characteristics, history, clinical, radiographic, bronchoscopic findings, reason for delay presentation, and complications were noted. Results: A total of 158 children admitted to the hospital with suspected FBA were included in this study. The average age was 3.28 years. Forty-eight (30.3% children were presented late (more than 14 days after FBA and 110 (69.7% children were presented early (0-14 days. The common clinical manifestations of FBA were persistent cough (100% and choking (72%. The most frequent radiological finding observed was air trapping (40% followed by atelectasis (14%. Chest radiographs were normal in 32.2% patients. Ten children in early diagnosis group and 29 children in late diagnosis group presented with complications. The diagnosis delay was mainly attributed to physician misdiagnosis (41.6%. Rigid bronchoscopy was performed in all patients. Foreign body was found in all of the cases except six. Watermelon seeds and peanuts accounted for 80% of the aspiration. Conclusion: FBA is difficult to diagnose in children. Delay in diagnosis appears to result from a failure to give serious consideration to the diagnosis. Early diagnosis and removal of foreign bodies must be achieved to avoid complications.

  3. Situated Cognition and Strategies for Meaningful Learning

    Directory of Open Access Journals (Sweden)

    Frida Díaz Barriga Arceo

    2003-11-01

    Full Text Available The paper describes the principles underlying situated cognition linked to the Vygotskian sociocultural perspective, which state that situated cognition is both a part and the result of activity, context and culture. It highlights the importance of mediation, the joint construction of meaning and the mechanism of adapted assistance. There are examples of instructional approaches which vary in cultural relevance and the type of social activity they elicit. It also presents a number of meaningful learning strategies based on situated experiential teaching (authentic problem solving, learning while in service, case studies, projects, situated simulation, among others. Finally, the paper deals with the potentiality of empowerment.

  4. Surgery for Pyogenic Brain Abscess over 30 Years: Evaluation of the Roles of Aspiration and Craniotomy.

    Science.gov (United States)

    Aras, Yavuz; Sabanci, Pulat Akın; Izgi, Nail; Boyali, Osman; Ozturk, Onur; Aydoseli, Aydin; Ali, Achmet; Sencer, Altay; Hepgul, Kemal; Unal, Faruk; Barlas, Orhan

    2016-01-01

    To evaluate the roles of craniotomy and aspiration in the treatment of pyogenic brain abscess throughout 30 years of computerized tomography. A retrospective study of 224 patients who were surgically treated at Istanbul Medical Faculty, Department of Neurosurgery between 1982 and 2012 was undertaken. The records were analyzed for demographic, clinical and radiological findings, surgical interventions (resection, free-hand aspiration and image-guided aspiration), data regarding abscesses (etiological factors, site, size, number, localization and identified microorganism), corticosteroid and antibiotic usage and complications, and the outcomes were reviewed. The male-to-female ratio was 2.2, and the mean age was 26.2±1.25 years. The most common presenting symptom was headache (56.7%), followed by nausea and vomiting (28.5%). Otitis media and mastoiditis were the most common causes of abscess (41.9%), and 44 patients had multiple abscesses. Aerobic gram-positive microorganisms were the most frequently isolated pathogens in culture (51.5%). Primary surgical interventions were as follows: craniotomy and resection (38.8%), free-hand aspiration (49.1%) and image-guided aspiration (12.1%). The aspiration-to-resection ratio was 1.36 (64/47) in the first decade, 2.94 (50/17) in the second decade and 1 (23/23) in the last decade. Age, level of consciousness at the time of admission and potent corticosteroid usage were found to be significantly associated with mortality (p=0.001, p≤0.001 and p=0,038, respectively). The total morbidity and mortality ratios were 4.9% and 9.8%, respectively. Seizures were more common in patients of craniotomy group (p=0.023). Treatment of pyogenic brain abscess remains challenging, despite advances in surgical and imaging technology, and craniotomy retains a significant role in surgical treatment.

  5. [Value of aspiration biopsy of subcutaneous fat in amyloidosis].

    Science.gov (United States)

    Ponce, P; Carvalho, F; Coelho, A

    1986-01-01

    Fine-needle aspiration of subcutaneous fat (FNAF) was performed in 24 patients, 12 with previously diagnosed amyloidosis presenting with proteinuria or nephrotic syndrome, and 12 presenting a nephrotic syndrome without amyloidosis on renal biopsy. FNAF was positive in 10 of 12 patients with amyloidosis (sensitivity: 83%) and negative in 12 of 12 patients with non-amyloid nephrotic syndrome (specificity: 100%). Considering a 2.5 to 10% prevalence of amyloidosis in adult patients with proteinuria or nephrotic syndrome, a positive FNAF is diagnostic of amyloidosis, and a negative FNAF rules out the diagnosis with a probability of 98 to 99%. FNAF is a simple and safe method which can be useful in patients who cannot undergo a renal biopsy.

  6. Primary umbilical endometriosis - Diagnosis by fine needle aspiration

    Directory of Open Access Journals (Sweden)

    Hilda Fernandes

    2011-01-01

    Full Text Available Primary (spontaneous umbilical endometriosis is very rare with an estimated incidence of 0.5-1% of all patients with endometrial ectopia. Endometriosis is a common gynecological condition, the pelvis being the most common site of the disease. Extrapelvic site is less common and even more difficult to diagnose due to the extreme variability in presentation. A 38-year-old woman presented with a blackish nodule over the umbilicus of 3 years duration. Fine needle aspiration cytology of the lesion showed cells in clusters and sheets with background of scant stromal fragment, hemosiderin laden macrophages and RBCs, leading to a suggestion of umbilical endometriosis. Histopathological examination of the excised lesion confirmed the same.

  7. Silent aspiration: results of 2,000 video fluoroscopic evaluations.

    Science.gov (United States)

    Garon, Bernard R; Sierzant, Tess; Ormiston, Charles

    2009-08-01

    The purpose of this retrospective study of aspiration and the lack of a protective cough reflex at the vocal folds (silent aspiration) was to increase the awareness of nursing staffs of the diagnostic pathology groups associated with silent aspiration. Of the 2,000 patients evaluated in this study, 51% aspirated on the video fluoroscopic evaluation. Of the patients who aspirated, 55% had no protective cough reflex (silent aspiration). The diagnostic pathology groups with the highest rates of silent aspiration were brain cancer, brainstem stroke, head-neck cancer, pneumonia, dementia/Alzheimer, chronic obstructive lung disease, seizures, myocardial infarcts, neurodegenerative pathologies, right hemisphere stroke, closed head injury, and left hemisphere stroke. It is of high concern that the diagnostic groups identified in this research as having the highest risk of silent aspiration be viewed as "red-flag" patients by the nursing staff caring for them. Early nursing dysphagia screens, with close attention to the clinical symptoms associated with silent aspiration, and early referral for formal dysphagia evaluation are stressed.

  8. Leukocytes Mediate Acid Aspiration Induced Multi-Organ Injury

    National Research Council Canada - National Science Library

    Goldman, Gideon

    1991-01-01

    .... This study investigates whether localized acid aspiration triggers both local and remote PMN sequestration and whether these cells are responsible for pulmonary edema and systemic organ injury...

  9. Reconsideration of the simulated work task situation

    DEFF Research Database (Denmark)

    Borlund, Pia; Schneider, Jesper Wiborg

    2010-01-01

    The present paper reports on the initial study and the preliminary findings of how the concept of simulated work task situation is reported used in the research literature. The overall objective of the study is in a systematic manner to learn how and for what types of evaluations the concept...... is applied. In particular we are interested to learn whether the recommendations for how to apply simulated work task situations are followed. The preliminary findings indicate a need for clarifications of the recommendations of how to use simulated work task situations. Particularly with respect to ‘realism......’ of the simulated work task situations, which is emphasised through the need for tailoring of the simulated work task situations towards the group of study participant to ensure the depicted situations are realistic and interesting from the participants’ point of view. Likewise it seems that the recommendation...

  10. Administration of bleomycin via the oropharyngeal aspiration route leads to sustained lung fibrosis in mice and rats as quantified by UTE-MRI and histology.

    Directory of Open Access Journals (Sweden)

    Christine Egger

    Full Text Available Pulmonary fibrosis can be experimentally induced in small rodents by bleomycin. The antibiotic is usually administered via the intratracheal or intranasal routes. In the present study, we investigated the oropharyngeal aspiration of bleomycin as an alternative route for the induction of lung fibrosis in rats and mice. The development of lung injury was followed in vivo by ultrashort echo time magnetic resonance imaging (UTE-MRI and by post-mortem analyses (histology of collagen, hydroxyproline determination, and qRT-PCR. In C57BL/6 mice, oropharyngeal aspiration of bleomycin led to more prominent lung fibrosis as compared to intranasal administration. Consequently, the oropharyngeal aspiration route allowed a dose reduction of bleomycin and, therewith, a model refinement. Moreover, the distribution of collagen after oropharyngeal aspiration of bleomycin was more homogenous than after intranasal administration: for the oropharyngeal aspiration route, fibrotic areas appeared all over the lung lobes, while for the intranasal route fibrotic lesions appeared mainly around the largest superior airways. Thus, oropharyngeal aspiration of bleomycin induced morphological changes that were more comparable to the human disease than the intranasal administration route did. Oropharyngeal aspiration of bleomycin led to a homogeneous fibrotic injury also in rat lungs. The present data suggest oropharyngeal aspiration of bleomycin as a less invasive means to induce homogeneous and sustained fibrosis in the lungs of mice and rats.

  11. Administration of Bleomycin via the Oropharyngeal Aspiration Route Leads to Sustained Lung Fibrosis in Mice and Rats as Quantified by UTE-MRI and Histology

    Science.gov (United States)

    Egger, Christine; Cannet, Catherine; Gérard, Christelle; Jarman, Elizabeth; Jarai, Gabor; Feige, Agnès; Suply, Thomas; Micard, Arthur; Dunbar, Andrew; Tigani, Bruno; Beckmann, Nicolau

    2013-01-01

    Pulmonary fibrosis can be experimentally induced in small rodents by bleomycin. The antibiotic is usually administered via the intratracheal or intranasal routes. In the present study, we investigated the oropharyngeal aspiration of bleomycin as an alternative route for the induction of lung fibrosis in rats and mice. The development of lung injury was followed in vivo by ultrashort echo time magnetic resonance imaging (UTE-MRI) and by post-mortem analyses (histology of collagen, hydroxyproline determination, and qRT-PCR). In C57BL/6 mice, oropharyngeal aspiration of bleomycin led to more prominent lung fibrosis as compared to intranasal administration. Consequently, the oropharyngeal aspiration route allowed a dose reduction of bleomycin and, therewith, a model refinement. Moreover, the distribution of collagen after oropharyngeal aspiration of bleomycin was more homogenous than after intranasal administration: for the oropharyngeal aspiration route, fibrotic areas appeared all over the lung lobes, while for the intranasal route fibrotic lesions appeared mainly around the largest superior airways. Thus, oropharyngeal aspiration of bleomycin induced morphological changes that were more comparable to the human disease than the intranasal administration route did. Oropharyngeal aspiration of bleomycin led to a homogeneous fibrotic injury also in rat lungs. The present data suggest oropharyngeal aspiration of bleomycin as a less invasive means to induce homogeneous and sustained fibrosis in the lungs of mice and rats. PMID:23667616

  12. Cryptococcal meningitis presenting as uveitis.

    OpenAIRE

    Stone, S P; Bendig, J; Hakim, J; Kinnear, P E; Azadian, B S; Clifford-Rose, F

    1988-01-01

    A patient presented with a posterior uveitis. An inferior plaque of retinal exudation was seen. Full investigation failed to establish a cause until six weeks later, when cryptococcal meningitis developed. The patient was immunocompetent. Exudation in relation to retinal vessels is unusual in idiopathic posterior uveitis, and cryptococcosis should be considered in the differential. Diagnosis is by lumbar puncture or vitreous aspiration.

  13. Presentation Technique

    International Nuclear Information System (INIS)

    Froejmark, M.

    1992-10-01

    The report presents a wide, easily understandable description of presentation technique and man-machine communication. General fundamentals for the man-machine interface are illustrated, and the factors that affect the interface are described. A model is presented for describing the operators work situation, based on three different levels in the operators behaviour. The operator reacts routinely in the face of simple, known problems, and reacts in accordance with predetermined plans in the face of more complex, recognizable problems. Deep fundamental knowledge is necessary for truly complex questions. Today's technical status and future development have been studied. In the future, the operator interface will be based on standard software. Functions such as zooming, integration of video pictures, and sound reproduction will become common. Video walls may be expected to come into use in situations in which several persons simultaneously need access to the same information. A summary of the fundamental rules for the design of good picture ergonomics and design requirements for control rooms are included in the report. In conclusion, the report describes a presentation technique within the Distribution Automation and Demand Side Management area and analyses the know-how requirements within Vattenfall. If different systems are integrated, such as geographical information systems and operation monitoring systems, strict demands are made on the expertise of the users for achieving a user-friendly technique which is matched to the needs of the human being. (3 figs.)

  14. Mental health: the current situation and trends

    OpenAIRE

    Prieto Rodríguez, Adriana

    2010-01-01

    Information regarding the mental health situation, both at global and national levels, is updated. In the first place, the basic concepts and problems regarding mental health are presented. The burden of disease is also presented, bearing in mind that in developed countries deeper depression occupies second place and in developing countries comes fourth. On the other hand, depressive disorders represent 17% of DALYs. The mental health situation in Colombia is also presented, including its epi...

  15. Application of the Virtual Bronchoscopy in Children with Suspected Aspiration of the Foreign Body - Case Report

    Directory of Open Access Journals (Sweden)

    Kostic Gordana

    2016-12-01

    Full Text Available In diagnosing the aspiration of the foreign body (AFB in children most important are: medical history, clinical signs and positive radiography of the lungs. Common dilemmas in the diff erential diagnosis are life-threatening asthma attacks or difficult pneumonia. Conventional rigid bronchoscopy (RB is not recommended as a routine method. Virtual bronchoscopy (VB can be a diagnostic tool for solving dilemmas. Fiber-optic bronchoscopy (FOB has a therapeutic stake in severe cases. Herein, we describe a girl, at the age of 6, who was hospitalized due to rapid bronchoconstriction and based on the anamnesis, clinical symptoms and physical fi ndings the suspicion was that she aspirated the foreign body. Due to the poor general condition and possible sequel, the idea of RB was dropped out. Multidetector computed tomography of the chest and VB was performed and AFB was not found. Due to positive epidemiological situation, virus H1N1 was excluded. FOB established that the foreign body does not exist in the airways. During bronchoscopy numerous castings are aspirated from the peripheral airways which lead to faster final recovery. With additional procedures, the diagnosis of asthma was confirmed and for girl that was the first attack. Along with inhaled corticosteroids as prevention she feels well.

  16. Learning through Situated Innovation

    DEFF Research Database (Denmark)

    Dittrich, Yvonne; Eriksén, Sara; Wessels, Bridgette

    2014-01-01

    and in which ways the specificity and situatedness of PD practices are crucial for PD research. We do so by developing the notion of PD as situated innovation based on a pragmatic epistemology. PD research aims at devel oping and continuously unfolding what PD can, might and should be. We show implications......Specific, situated participatory design (PD) practices have always been at the heart of Participatory Design research. The role of the very situatedness and specificity of PD practice for theory-building within PD research is, however, seldom discussed explicitly. In this article, we explore why...... of such a pragmatic epistemology of PD on understanding and arguing for PD research approaches. These concepts are illustrated referring to PD practices as experienced in PD research projects. Our epistemological argumentation supports the emphasis on exploring new PD practices and learning and theorizing about PD...

  17. Situations of dwelling

    DEFF Research Database (Denmark)

    Welling, Helen; Duelund Mortensen, Peder; Wiell Nordberg, Lene

    2006-01-01

    This article explores changeable dwellings that offer the possibility of satisfying spontaneous activities and needs arising from today's changing family patterns. It deals with dwellings that provide people with room for development and flexibility - an open framework, which can be adapted to new...... values and needs in differnet situations, lifestyles and stages. The study is based on information from users in new housing schemes in and around Copenhagen - 'open building' dwellings that reveal a variety of approaches to these problems? The analysis of the dwellings show that the architecture...... of the 'open dwelling' is dependent on three basic conditions: the static condition, the suitable condition and the situational condition. Each condition has its own powerful way of articulation. Our aim is to translate the observations of the projects in concepts and models that are applicable in new projects....

  18. STUDY OF TIME LAPSE IN FOREIGN BODY ASPIRATION IN RELATION TO CHEST X - RAY AND TYPE OF FOREIGN BODY

    Directory of Open Access Journals (Sweden)

    Salma

    2015-10-01

    foreign body 40.74% (n= 22/54, Arecanut in 24.07% (n=13/54, tamarind seed in 11.11% (n=6/54, Bengal gram 9.2% (n=5/54, corn seed in 5.5% (n=3/54 , rest other organic foreign bodies accounting to 5.5% (n=3/54. Inorganic foreign body like pen cap and safety pin accounting for 3.7% (n=2/54. Chest X - ray taken prior to bronchoscopy showed U/L Obstructive emphysema in 53.7% cases (n=29/54, U/L Collapse 20.37% cases (n=11/54 Consolidation in 18.54% cases (n=10/54, collapse + consolidation 3.7% cases (2/54, Chest X - Ray was normal in 3.7% cases % (n=2/54. When analyzing time lapse in aspiration it was seen 81.81%cases (n=18/54 of aspirated ground nut presented within 1 - 7 days . 72.92% cases (n=10/13, 66.66% cases ( n=4/6 of arecanut and tamarind seed aspirations presented >30days post aspiration. Radio opaque foreign body like safety pin, large foreign body a pen cap, and other nuts and pulses presented either 30days post aspiration. CONCLUSION: Groundnut is most common foreign body. Right main bronchus and left main bronchus are equally susceptible sites of foreign body lodgment in pediatrics. U/L Emphysema and collapse are most common X - ray signs with 1 - 7 days time lapse. Consolidation in chest X - ray is a sign taking >30 days time lapse. Nearly two third of foreign body cases presented within 7 days of aspiration

  19. Designing for Safety: Implications of a Fifteen Year Review of Swallowed and Aspirated Dentures.

    Science.gov (United States)

    Kent, Samuel J W; Mackie, James; Macfarlane, Tatiana V

    2016-01-01

    Dentures are worn by around 20% of the population, yet if they become displaced they may enter the gastrointestinal or respiratory system, sometimes with grave consequences. The aim of this study was to review recent published literature in order to identify the epidemiology of patients and characteristics of swallowed and aspirated dental prostheses, and propose strategies to minimise these risks. A fifteen year retrospective of published case series and case reports was carried out. Photographs, radiographs and descriptions of the dental prostheses were gathered, as well as the patient's presenting complaint, the anatomical site where the denture was caught and the procedure required to remove the denture. Ninety one separate events of swallowed or aspirated dentures were identified from 83 case reports and series from 28 countries. Average age was 55 years, and these were 74% male. Photographs were retrieved for 49 of these dentures. Clasps were present in 25 of the dentures. There was no significant difference between clasped and unclasped dentures for perforation rates, need for open surgery and spontaneously passed dentures. We discuss the implications of this study regarding denture designs, specifically the importance of using a radiopaque acrylic, using clasps when required even if there is a risk of aspiration, advising patients to return if a denture is loose or damaged, and finally that all patients who wear a denture are at risk of aspiration and swallowing events, and associated morbidity and mortality.

  20. Designing for Safety: Implications of a Fifteen Year Review of Swallowed and Aspirated Dentures

    Directory of Open Access Journals (Sweden)

    Samuel J. W. Kent

    2016-06-01

    Full Text Available Objectives: Dentures are worn by around 20% of the population, yet if they become displaced they may enter the gastrointestinal or respiratory system, sometimes with grave consequences. The aim of this study was to review recent published literature in order to identify the epidemiology of patients and characteristics of swallowed and aspirated dental prostheses, and propose strategies to minimise these risks. Material and Methods: A fifteen year retrospective of published case series and case reports was carried out. Photographs, radiographs and descriptions of the dental prostheses were gathered, as well as the patient’s presenting complaint, the anatomical site where the denture was caught and the procedure required to remove the denture. Results: Ninety one separate events of swallowed or aspirated dentures were identified from 83 case reports and series from 28 countries. Average age was 55 years, and these were 74% male. Photographs were retrieved for 49 of these dentures. Clasps were present in 25 of the dentures. There was no significant difference between clasped and unclasped dentures for perforation rates, need for open surgery and spontaneously passed dentures. Conclusions: We discuss the implications of this study regarding denture designs, specifically the importance of using a radiopaque acrylic, using clasps when required even if there is a risk of aspiration, advising patients to return if a denture is loose or damaged, and finally that all patients who wear a denture are at risk of aspiration and swallowing events, and associated morbidity and mortality.

  1. Subcutaneous Emphysema in a Healthy Child: An Unusual Clue for the Diagnosis of Foreign Body Aspiration

    Directory of Open Access Journals (Sweden)

    Seied Mohsen Emami

    2017-09-01

    Full Text Available Background: Spontaneous pneumomediastinum (SPM and subcutaneous emphysema are rare findings in children. Various etiologies have been reported for SPM, such as foreign body aspiration in infants, especially in those aged less than three years. In addition to the complications associated with foreign body aspiration, SPM may also become a life-threatening condition if left untreated. In the present report, we discussed a case of subcutaneous emphysema, pneumothorax, and pneumomediastinum in a 13-month-old infant previously treated for pneumonia.Case report: The infant was initially presented with subcutaneous emphysema of the neck, without respiratory distress following pneumonia. In the chest radiography, mediastinal shift and possible pneumothorax were reported, and a chest tube was inserted as the respiratory condition deteriorated. Emergency bronchoscopy showed a foreign body logged in the left respiratory tract, which was removed. Three days later, the chest tube was detached, and the patient was discharged in healthy conditions within the next two days.Conclusion: Pediatricians constantly need to consider the risk of foreign body aspiration, particularly in the presence of respiratory complications, such as SPM, even in the infants with an unreliable history of foreign body aspiration

  2. ASPIRE - Cloud Chambers as an Introduction to Cosmic Ray Observation

    Science.gov (United States)

    Callahan, Julie; Matthews, John; Jui, Charles

    2012-03-01

    ASPIRE is the K12 - Education & Public Outreach program for the Telescope Array ultra-high energy cosmic ray research project in Utah. The Telescope Array experiment studies ultra-high energy cosmic rays with an array of ˜500 surface scintillator detectors and three fluorescence telescope stations observing over 300 square miles in the West Desert of Utah. Telescope Array is a collaboration of international institutions from the United States, Japan, Korea, Russia and Belgium. Cloud chambers are an inexpensive and easy demonstration to visually observe evidence of charged particles and cosmic ray activity both for informal events as well as for K12 classroom activities. Join us in building a cloud chamber and observe cosmic rays with these table-top demonstrations. A brief overview of the Telescope Array project in Millard County, Utah will also be presented.

  3. Incisional endometriosis: Diagnosed by fine needle aspiration cytology

    Directory of Open Access Journals (Sweden)

    P Veda

    2010-01-01

    Full Text Available Incisional endometriosis (IE is a rare entity reported in 0.03-1.08% of women following obstetric or gynecologic surgeries. Most cases reported in literature have appeared after cesarean sections and were often clinically mistaken for hernia, abscess, suture granuloma or lipoma. We hereby report a case of IE following a second trimester hysterotomy, which was diagnosed by fine needle aspiration cytology (FNAC. Our patient was 26 years old, presenting with a mass over anterior abdominal wall, associated with incapacitating pain during each menstrual cycle. FNAC showed epithelial cells, stromal cells and hemosiderin laden macrophages. Based on the typical history, clinical and cytological features, the diagnosis of IE was established. Wide surgical excision was done and the resulting rectus sheath defect was repaired. Patient was followed for 6 months during which time she was symptom free. This article also reviews the spectrum of cytological features and the rare possibility of malignant transformation that can occur in IE.

  4. Study of Educational Aspirations of Preparatory School Students in Yemen.

    Science.gov (United States)

    Edington, Everett D.

    To identify causes for low enrollment in secondary agricultural schools in Yemen, the United States Agency for International Development and the Yemen Ministry of Education surveyed 990 preparatory (junior high) students, examining their educational aspirations, differences between rural and urban youth, major influences on student aspirations,…

  5. Aspirations and occupational achievements of Dutch fathers and mothers

    NARCIS (Netherlands)

    Horst, M.F.J. van der; Lippe, A.G. van der; Kluwer, E.S.

    2014-01-01

    Purpose: The purpose of this paper is to investigate how work and family aspirations relate to occupational achievements and gender differences herein. Design/methodology/approach: Using data from 2009 the authors examined the relationship between career and childrearing aspirations and occupational

  6. Relationships of Teenage Smoking to Educational Aspirations and Parents' Education.

    Science.gov (United States)

    Waldron, Ingrid; Lye, Diane

    Past research has shown that teenagers with less educated parents and teenagers with lower academic aspirations are more likely than their peers to smoke. This study was conducted to provide additional descriptive data concerning the relationships of smoking to parents' education and students' educational aspirations and to provide preliminary…

  7. Total bilirubin in nasogastric aspirates: A potential new indicator of ...

    African Journals Online (AJOL)

    Background: The aim of our study was to investigate if total bilirubin (T-bil), amylase (Amy), and sodium (Na) in nasogastric (NG) aspirates can refl ect gastrointestinal motility reliably. Materials and Methods: NG aspirates from all laparotomies lasting more than 150 min in children less than 12 months old were studied for 3 ...

  8. Diagnosis Of Thyroid Enlargement: Use Of Fine Needle Aspiration ...

    African Journals Online (AJOL)

    One hundred and ten Fine Needle Aspiration Biopsies (FNAC) obtained from 87 patients with thyroid enlargement or nodules were retrospectively reviewed. Aspiration biopsy was accomplished using 21-gauge needle attached with 20-ml plastic syringe. There were 14 males and 73 females involved in the study. Sixty- four ...

  9. Rural Aspirations, Rural Futures: From "Problem" to Possibility

    Science.gov (United States)

    Tieken, Mara Casey; San Antonio, Donna M.

    2016-01-01

    Young people aspire, make choices, and develop within a particular place and historical context. Recently, federal and state governments, policy and research institutes, and advocacy organizations have shown a growing interest in the aspirations and transitions of rural youth--and, in particular, the role that schools play in shaping and…

  10. The role of information and aspiration in bargaining behaviour ...

    African Journals Online (AJOL)

    The dependent variable was bargaining behavior and was considered as aspiration, opening bids and bargaining outcomes. Data obtained revealed that participants with incomplete information had higher aspiration level and higher opening bid than those with complete information. Those with complete information and ...

  11. 21 CFR 886.4150 - Vitreous aspiration and cutting instrument.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Vitreous aspiration and cutting instrument. 886.4150 Section 886.4150 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN... cutting instrument. (a) Identification. A vitreous aspiration and cutting instrument is an electrically...

  12. Cold Antimatter Plasmas, and Aspirations for Cold Antihydrogen

    Science.gov (United States)

    2002-06-24

    UNCLASSIFIED Defense Technical Information Center Compilation Part Notice ADP012494 TITLE: Cold Antimatter Plasmas, and Aspirations for Cold...part numbers comprise the compilation report: ADP012489 thru ADP012577 UNCLASSIFIED Cold Antimatter Plasmas, and Aspirations for Cold Antihydrogen G...and positrons. The antiprotons come initially from the new Antiproton Decel- erator facility at CERN. Good control of such cold antimatter plasmas is

  13. Discordance Rate between Thyroid Fine Needle Aspiration Cytology ...

    African Journals Online (AJOL)

    Discordance Rate between Thyroid Fine Needle Aspiration Cytology and Histopathologic Diagnosis. Wondwossen Ergete, Daniel Abebe. Abstract. Fine Needle Aspiration (FNA) of the thyroid is a low cost procedure, which can give an accurate diagnosis promptly. The objective of this study was to assess the diagnostic ...

  14. Aspiration Pneumonia in Acute Stroke | SALAMI | Sahel Medical ...

    African Journals Online (AJOL)

    Abstract. This was a prospective study that was conducted between July 2000 and September 2001. It was designed to determine the incidence and the risk factor(s) of aspiration pneumonia in patients with acute cerebrovascular accident. Aspiration pneumonia was recorded in 23.5% of the 68 patients that were recruited.

  15. Aspirations and occupational achievements of Dutch fathers and mothers

    NARCIS (Netherlands)

    van der Horst, Mariska; van der Lippe, Tanja; Kluwer, Esther

    2014-01-01

    Purpose – The purpose of this paper is to investigate how work and family aspirations relate to occupational achievements and gender differences herein. Design/methodology/approach – Using data from 2009 the authors examined the relationship between career and childrearing aspirations and

  16. TABU SEARCH WITH ASPIRATION CRITERION FOR THE TIMETABLING PROBLEM

    Directory of Open Access Journals (Sweden)

    Oscar Chávez-Bosquez

    2015-01-01

    Full Text Available The aspiration criterion is an imperative element in the Tabu Search, with aspiration-by-default and the aspiration-by-objective the mainly used criteria in the literature. In this paper a new aspiration criterion is proposed in order to implement a probabilistic function when evaluating an element classified as tabu which improves the current solution, the proposal is called Tabu Search with Probabilistic Aspiration Criterion (BT- CAP. The test case used to evaluate the performance of the Probabilistic Aspiration Criterion proposed consists on the 20 instances of the problem described in the First International Timetabling Competition. The results are compared with 2 additional variants of the Tabu Search Algorithm: Tabu Search with Default Aspiration Criterion (BT-CAD and Tabu Search with Objective Aspiration Criterion (BT-CAO. Wilcoxon test was applied to the generated results, and it was proved with 99 % confidence that BT-CAP algorithm gets better solutions than the two other variants of the Tabu Search algorithm.

  17. Videofluoroscopic Predictors of Penetration-Aspiration in Parkinson's Disease Patients.

    Science.gov (United States)

    Argolo, Natalie; Sampaio, Marília; Pinho, Patrícia; Melo, Ailton; Nóbrega, Ana Caline

    2015-12-01

    Parkinson's disease (PD) patients show a high prevalence of swallowing disorders and tracheal aspiration of food. The videofluoroscopic study of swallowing (VFSS) allows clinicians to visualize the visuoperceptual and temporal parameters associated with swallowing disorders in an attempt to predict aspiration risk. However, this subject remains understudied in PD populations. Our aim was to identify the predictors of penetration-aspiration in PD patients using the VFSS. Consecutive patients were evaluated using VFSS with different consistencies and volumes of food. A speech-language pathologist measured the type of intra-oral bolus organization, loss of bolus control, bolus location at the initiation of the pharyngeal swallow, the presence of multiple swallows, piecemeal deglutition, bolus residue in the pharyngeal recesses and temporal measures. Scores ≥3 on the penetration-aspiration scale (PAS) indicated the occurrence of penetration-aspiration. Using logistic marginal regression, we found that residue in the vallecula, residue in the upper esophageal sphincter and piecemeal deglutition were associated with penetration-aspiration (odds ratio (OR) = 4.09, 2.87 and 3.83; P = 0.0040, 0.0071 and 0.0009, respectively). Penetration/aspiration occurred only with fluids (both of thin and thick consistency), and no significant differences were observed between fluid types or food volumes. The mechanisms underlying dysphagia and penetration/aspiration in PD patients and indications for further studies are discussed.

  18. Importance of Fine Needle Aspiration in Evaluation of Single ...

    African Journals Online (AJOL)

    Background: Improvements in the sensitivity and specificity of biochemical thyroid tests, as well as the development of fine needle aspiration biopsy (FNA) and improved cytological techniques, have dramatically impacted clinical strategies for detecting and treating thyroid disorders. Fine needle aspiration is a safe and ...

  19. Aspiration lung disorders in bovines: A case report and review

    Directory of Open Access Journals (Sweden)

    Anthony S. Shakespeare

    2012-04-01

    Full Text Available Lung aspiration disorders in bovines are invariably diagnosed as infectious aspiration pneumonias. There is a distinct differentiation between aspiration pneumonia and aspiration pneumonitis in humans that can be applied to bovines. The nature and quantity of the aspirate can result in differing pathogeneses which can require differing therapeutic approaches. Whilst blood gases were important in detecting and prognosticating lung problems, changes in barometric pressure with altitude have to be considered when interpreting partial pressures of oxygen. Anatomical differences in the lungs of bovines can explain why this species is more prone to certain pneumonic problems. Pulmonary physiotherapy is important in treating lung disorders in humans and should be considered as an adjunct therapy in bovine respiratory conditions. A case work-up was used to highlight some of the points discussed in this article.

  20. Situated Formative Feedback

    DEFF Research Database (Denmark)

    Lukassen, Niels Bech; Wahl, Christian; Sorensen, Elsebeth Korsgaard

    This study addresses the conceptual challenge of providing students with good quality feedback to enhance student learning in an online community of practice (COP). The aim of the study is to identify feedback mechanisms in a virtual learning environment (VLE) and to create a full formative...... refer to this type of feedback as, Situated Formative Feedback (SFF). As a basis for exploring, identifying and discussing relevant aspects of SFF the paper analyses qualitative data from a Moodle dialogue. Data are embedded in the qualitative analytic program Nvivo and are analysed with a system...

  1. Situations of dwelling

    DEFF Research Database (Denmark)

    Welling, Helen; Duelund Mortensen, Peder; Wiell Nordberg, Lene

    2006-01-01

    This article explores changeable dwellings that offer the possibility of satisfying spontaneous activities and needs arising from today's changing family patterns. It deals with dwellings that provide people with room for development and flexibility - an open framework, which can be adapted to new...... of the 'open dwelling' is dependent on three basic conditions: the static condition, the suitable condition and the situational condition. Each condition has its own powerful way of articulation. Our aim is to translate the observations of the projects in concepts and models that are applicable in new projects....

  2. Situation based housing

    DEFF Research Database (Denmark)

    Duelund Mortensen, Peder; Welling, Helen; Wiell Nordberg, Lene

    2007-01-01

    of approaches to these goals. This working paper reviews not only a selection of new housing types, but also dwellings from the past, which each contain an aspect of changeability. Our study is based on information from users in the selected housing schemes, gathered from questionnaires, information about...... for living. The suitable condition consists of the dwelling's ability for physical displacement, spatial changes that can suit changing life styles. The situational condition is the not defined, the unfinished and the transitory, which continuously challenges the imagination and calls for the experiment. Our...

  3. Transbronchial needle aspiration "by the books"

    Directory of Open Access Journals (Sweden)

    Kupeli Elif

    2011-01-01

    Full Text Available Background : Training for advanced bronchoscopic procedures is acquired during the interventional pulmonology (IP Fellowship. Unfortunately a number of such programs are small, limiting dissemination of formal training. Objective : We studied success of conventional transbronchial needle aspiration (C-TBNA in the hands of physicians without formal IP training. Methods : A technique of C-TBNA was learned solely from the literature, videos and practicing on inanimate models at "Hands-On" courses. Conventional TBNA with 21 and/or 19 gauge Smooth Shot Needles (Olympus® , Japan was performed on consecutive patients with undiagnosed mediastinal lymphadenopathy. Results : Thirty-four patients (male 23, mean age 54.9 ± 11.8 years underwent C-TBNA. Twenty-two patients had nodes larger than 20 mms. Suspected diagnoses were malignancy in 20 and nonmalignant conditions in 14. Final diagnoses were malignancy 17, sarcoidosis 4, reactive lymph nodes 12, and tuberculosis 1. Final diagnosis was established by C-TBNA in 14 (11 malignancy, 3 sarcoidosis; yield 41.1%, mediastinoscopy in 14, transthoracic needle aspiration in 3, peripheral lymph node biopsies in 2 and by endobronchial biopsy in 1. Nodal size had an impact on outcome (P = 0.000 while location did not (P = 0.33. C-TBNA was positive in 11/20 when malignancy was suspected (yield 55%, while 3/14 when benign diagnosis was suspected (yield 21.4% (P = 0.05. Sensitivity, specificity, PPV, NPV, and diagnostic accuracy were 66.6%, 100%, 100%, 65%, and 79.4%, respectively. There were no complications or scope damage. Conclusion : Conventional-TBNA can be learned by the books and by practicing on inanimate models without formal training and results similar to those published in the literature could be achieved.

  4. Aspiration Risk and Respiratory Complications in Patients with Esophageal Atresia.

    Science.gov (United States)

    Kovesi, Thomas

    2017-01-01

    Chronic, long-term respiratory morbidity (CRM) is common in patients with a history of repaired congenital esophageal atresia, typically associated with tracheoesophageal fistula (EA/TEF). EA/TEF patients are at high risk of having aspiration, and retrospective studies have associated CRM with both recurrent aspiration and atopy. However, studies evaluating the association between CRM in this population and either aspiration or atopy have reported conflicting results. Furthermore, CRM in this population may be due to other related conditions as well, such as tracheomalacia and/or recurrent infections. Aspiration is difficult to confirm, short of lung biopsy. Moreover, even within the largest evidence base assessing the association between CRM and aspiration, which has evaluated the potential relationship between gastroesophageal reflux and asthma, findings are contradictory. Studies attempting to relate CRM to prior aspiration events may inadequately estimate the frequency and severity of previous aspiration episodes. There is convincing evidence documenting that chronic, massive aspiration in patients with repaired EA/TEF is associated with the development of bronchiectasis. While chronic aspiration is likely associated with other CRM in patients with repaired EA/TEF, this does not appear to have been confirmed by the data currently available. Prospective studies that systematically evaluate aspiration risk and allergic disease in patients with repaired EA/TEF and document subsequent CRM will be needed to clarify the causes of CRM in this population. Given the prevalence of CRM, patients with repaired EA/TEF should ideally receive regular follow-up by multidisciplinary teams with expertise in this condition, throughout both childhood and adulthood.

  5. Report on TENORM. National and international situation

    International Nuclear Information System (INIS)

    Canoba, Analia C.; Gnoni, Gabriela

    2005-01-01

    In the present report, the situation of TENORM materials around the world is analyzed in order to plan future steps regarding this subject in our country. The different regulatory criteria adopted are presented and the national situation is analyzed from the legal point of view. The report is fundamentally focused on petroleum and gas industry, due to, as it was exposed in a preliminary report, this industry would have the most important TENORM content. (author) [es

  6. METHODOLOGICAL ELEMENTS OF SITUATIONAL ANALYSIS

    OpenAIRE

    Tetyana KOVALCHUK

    2016-01-01

    The article deals with the investigation of theoretical and methodological principles of situational analysis. The necessity of situational analysis is proved in modern conditions. The notion “situational analysis” is determined. We have concluded that situational analysis is a continuous system study which purpose is to identify dangerous situation signs, to evaluate comprehensively such signs influenced by a system of objective and subjective factors, to search for motivated targeted action...

  7. Local and Indigenous Knowledge Regarding the Land Use and Use of Other Natural Resources in the Aspiring Rio Coco Geopark

    Science.gov (United States)

    Pásková, Martina

    2017-12-01

    There is a limited number of studies describing the situation and importance of current or potential usage of the local and indigenous traditional environmental knowledge in the region of Northern Nicaragua. To fill this gap, the author supported by a local team conducted the participative research in this rather neglected Central American region, concretely in the northern area of the aspiring Rio Coco Geopark. The purpose of this research was to identify the local and indigenous knowledge regarding the present and traditional use of natural resources including land use and to analyse the contribution and potential of the usage of this knowledge for the local development sustainability. The practical long-term impact of this research is expected mainly in the form of enhancement of the local geotourism sustainability. The research process itself was of the same importance as its results, especially the involvement of the local and indigenous people. In this participative research, young local and indigenous people obtained training and served as co-investigators who later interviewed representatives of the local households. The other field methods included life history of elders, discussions in the focal groups involving common people from local communities as well as the mapping and photo-documentation of the identified local and indigenous traditional environmental knowledge. The participative character of the research process not only facilitated the data collection and validation but also supported the revival of the community memory and revitalization of its cultural and natural identity. The research findings point out that the more distant and more dispersed are the local settlements the better conserved local and indigenous knowledge regarding the traditional land use and other use of natural resources is. Among the best-conserved local and indigenous traditional environmental knowledge in the northern area of the aspiring Rio Coco Geopark was the usage of

  8. Lipid aspiration pneumonia due to gastroesophageal reflux. An unusual radiographic appearance

    Energy Technology Data Exchange (ETDEWEB)

    Wolfson, B.J.; Allen, J.L.; Panitch, H.B.; Karmazin, N.

    1989-08-01

    The development of lipid aspiration pneumonia after chronic nasopharyngeal installation of mineral oil was first described in 1925 by Laughlin. Since that time this entity has been well recognized and numerous substances have been identified or implicated as the aspirated material. The classic radiographic appearance of severe chronic lipid aspiration pneumonia has been described as consisting of intense perihilar infiltrates. However, the radiographic findings are more often non-specific and usually consist of varying degrees of diffuse interstitial infiltrates that tend to be more prominent in the perihilar regions and the right lung. We are reporting a case of biopsy-proven lipid aspiration pneumonia in an infant with known gastro-esophageal reflux (GER) who had medium-chain triglyceride oil administered via nasogastric tube. Serial roentgenograms demonstrated a changing pulmonary pattern from diffuse bilateral interstitial infiltrates initially to a diffuse alveolar pattern at the time of the lung biopsy. Modern medicine has developed new methods for providing nourishment to sick newborns and infants to improve their nutritional status and help them to grow. One such method involves the administration of medium-chain triglycerides (MCT oil) into the GI tract via a nasogastric or nasoenteral tube. The purpose of this report is to describe a significant complication of this method of providing nutrition to an infant with gastroesophageal reflux (GER) and the diagnostic dilemma it presented. (orig.).

  9. Cross-Modal Correspondence between Brightness and Chinese Speech Sound with Aspiration

    Directory of Open Access Journals (Sweden)

    Sachiko Hirata

    2011-10-01

    Full Text Available Phonetic symbolism is the phenomenon of speech sounds evoking images based on sensory experiences; it is often discussed with cross-modal correspondence. By using Garner's task, Hirata, Kita, and Ukita (2009 showed the cross-modal congruence between brightness and voiced/voiceless consonants in Japanese speech sound, which is known as phonetic symbolism. In the present study, we examined the effect of the meaning of mimetics (lexical words whose sound reflects its meaning, like “ding-dong” in Japanese language on the cross-modal correspondence. We conducted an experiment with Chinese speech sounds with or without aspiration using Chinese people. Chinese vocabulary also contains mimetics but the existence of aspiration doesn't relate to the meaning of Chinese mimetics. As a result, Chinese speech sounds with aspiration, which resemble voiceless consonants, were matched with white color, whereas those without aspiration were matched with black. This result is identical to its pattern in Japanese people and consequently suggests that cross-modal correspondence occurs without the effect of the meaning of mimetics. The problem that whether these cross-modal correspondences are purely based on physical properties of speech sound or affected from phonetic properties remains for further study.

  10. MEGAKARYOCYTIC ALTERATION IN CASES OF THROMBOCYTOPENIA- A BONE MARROW ASPIRATION STUDY

    Directory of Open Access Journals (Sweden)

    Pulok Kutum

    2017-09-01

    Full Text Available BACKGROUND Thrombocytopenia defined as platelet counts less than 1,50,000/μL is commonly found in many haematological practices. The various disorders ranges from benign to malignant conditions. MATERIALS AND METHODS All the bone marrow aspiration smears who presented with thrombocytopenia were retrospectively studied during the period May 2015 to April 2017. The study was conducted in the Department of Pathology, Regional Institute of Medical Sciences, Imphal. All the Leishman stained bone marrow aspirate smears were taken from the archives and studied again with special reference to the megakaryocyte number and the various morphology. The clinical details and the diagnosis were also noted. RESULTS A total of 258 bone marrow aspiration smears were included in the study. The most common cause of thrombocytopenia in the study was AML (53 cases, followed by nutritional anaemia (42 cases and hypoplastic anaemia (38 cases. Various other causes like aplastic anaemia, infective cause and malignant infiltration of the bone marrow were also encountered. In cases of myelodysplasia, dysplastic forms, bare megakaryocytic nuclei, hypogranular forms and micromegakaryocytes were seen. CONCLUSION Giving an undue importance to the morphology and number of megakaryocytes, while reporting bone marrow aspiration smears can help in enabling the diagnostic accuracy of various haematological conditions.

  11. Burr hole aspiration of brain abscess in children with cyanotic heart disease

    International Nuclear Information System (INIS)

    Ashraf, M.; Ahmed, S; Hussain, M.

    2017-01-01

    To determine the efficacy of burr hole aspiration of brain abscess in children with cyanotic heart disease in terms of number of aspirations and residual abscess. Study Design: Experimental study. Place and Duration of Study: Department of Pediatric Neurosurgery at The Children's Hospital and The Institute of Child Health, Multan, from July 2010 to June 2014. Methodology: Pediatric patients of cyanotic heart disease with brain abscess were admitted. After taking history, clinical examination and necessary investigation, spiration of abscess through a burr hole was performed. Data was collected through pre-designed proforma. Analysis of results was performed and comparison was made through statistical package for social sciences (SPSS-20). Results: Total number of patients were 50 with 31 (62%) male and 19 (38%) female children. Patients' age ranged from 5-10 years with mean age of 7.44 +-1.11 years. Single abscess in supra tentorial was commonly found in 44 (88%) patients. Multiple abscesses were present in 4 (8%) patients. Cerebellum was involved in 2 (4%) patients. Abscess was completely aspirated in single attempt in 37 (74%) patients, two attempts in 9 (18%) patients, and three attempts in 4 (8%) patients. No bacterial growth on culture was reported in 32 (64%) patients. Culture was positive in 18 (36%) patients. Postoperative hematoma developed in 2 (4%) patients. No mortality was reported in early postoperative period. Conclusion: Aspiration of brain abscess in children with cyanotic heart disease through a burr hole is safe and successful. (author)

  12. ASPIRE: Teachers and researchers working together to enhance student learning

    Science.gov (United States)

    Yager, P. L.; Garay, D. L.; Warburton, J.

    2016-02-01

    Given the impact of human activities on the ocean, involving teachers, students, and their families in scientific inquiry has never been more important. Science, Technology, Engineering, and Math (STEM) disciplines have become key focus areas in the education community of the United States. Newly adopted across the nation, Next Generation Science Standards require that educators embrace innovative approaches to teaching. Transforming classrooms to actively engage students through a combination of knowledge and practice develops conceptual understanding and application skills. The partnerships between researchers and educators during the Amundsen Sea Polynya International Research Expedition (ASPIRE) offer an example of how academic research can enhance K-12 student learning. In this presentation, we illustrate how ASPIRE teacher-scientist partnerships helped engage students with actual and virtual authentic scientific investigations. Scientists benefit from teacher/researcher collaborations as well, as funding for scientific research also depends on effective communication between scientists and the public. While contributing to broader impacts needed to justify federal funding, scientists also benefit by having their research explained in ways that the broader public can understand: collaborations with teachers produce classroom lessons and published work that generate interest in the scientists' research specifically and in marine science in general. Researchers can also learn from their education partners about more effective teaching strategies that can be transferred to the college level. Researchers who work with teachers in turn gain perspectives on the constraints that teachers and students face in the pre-college classroom. Crosscutting concepts of research in polar marine science can serve as intellectual tools to connect important ideas about ocean and climate science for the public good.

  13. The Forest Indians in the Present Political Situation of Peru.

    Science.gov (United States)

    Varese, Stefano

    The article focuses on tribal minorities (American Indians) of the Peruvian tropical forest from the point of view of the political circumstances and the general administrative conditions of the country. In 1968 the revolutionary military government initiated a series of structural reforms which aimed at transforming Peru. This article poses and…

  14. Education: Its Policies and Administration, Present Situation and Future Perspectives.

    Science.gov (United States)

    Sander, Benno

    The Inter-American Congress on Educational Administration, which held its first meeting in Brasilia, Brazil, in December 1979, is a privately created international organization sponsored by several national educational organizations. The congress is intended as a forum for the cooperative study of educational administration by professionals…

  15. Gasification and combined cycles: Present situation and future prospects

    International Nuclear Information System (INIS)

    Brustia, G.F.; Bressan, L.; Domenichini, R.

    1992-01-01

    The gasification of coal and/or residual fuels from refineries together with the use of combined cycle power generation systems represents a technically and economically feasible method for the conversion of poor quality fossil fuels into electric power. The conversion is accomplished with maximum respect for the severest environmental normatives. In addition, foreseen technical improvements for components and plant systems are expected to heighten the marketing potential of gasification/combined cycle power plants. After Italy's moratorium on nuclear energy, the passing eras of conventional fossil fuel and then combined cycle power plants, the need for highly competitive industrial production technologies and the urgency of nation-wide energy conservation appear to be ushering in the new era of gasification with combined cycles

  16. Renewable energy projects in Croatia: Present situation and future activities

    Directory of Open Access Journals (Sweden)

    Granić Goran

    2007-01-01

    Full Text Available Renewable energy sources should play an important role in the promotion of numerous Croatian energy goals. The development of a successful sector of renewable could in the long run contribute to energy efficiency improvement, diversification of production and supply safety, domestic production and lesser imports of energy sources and significant reduction of the environmental influences. Targets and strategy of the implementation for every renewable energy resource depends on the specifics of the particular one, with general trends in the European Union of renewable resource ratio increase in the energy balance.

  17. Radioactive contamination in the Arctic - Present situation and future challenges

    International Nuclear Information System (INIS)

    Strand, P.

    2002-01-01

    There is currently a focus on radioactivity and the Arctic region. The reason for this is the high number of nuclear sources in parts of the Arctic and the vulnerability of Arctic systems to radioactive contamination. The Arctic environment is also perceived as a wilderness and the need for the protection of this wilderness against contamination is great. In 1991, the International Arctic Environmental Protection Strategy (IAEPS) was launched and the Arctic Monitoring and Assessment Programme (AMAP) established. AMAP is undertaking an assessment of the radioactive contamination of the Arctic and its radiological consequences. This paper summarises some of current knowledge about sources of radioactive contamination, vulnerability, exposure of man, and potential sources for radioactive contamination within Arctic and some views on the future needs for work concerning radioactivity in Arctic. (author)

  18. PRESENT AND FUTURE SITUATION OF SHEEP PRODUCTION IN ...

    African Journals Online (AJOL)

    . 27,7. Others. 17,0. Crossbreds. 37,4. France as an example of European sheep production. As in the case of all branches of animal produc- tion in countries which are widely spread and very varied, French sheep production has the ...

  19. [Present situation and development of acupuncture and moxibustion in Singapore].

    Science.gov (United States)

    Meng, Xian-Jun; Zhu, An-Ning; Liao, Xiu-Lian; Ouyang, Qiang-Bo

    2013-10-01

    The development history, education, legislation, charge and institutes of acupuncture and moxibustion in Singapore are introduced in this article. Acupuncture and moxibustion has been developed in Singapore since 1840. Nowadays there are three universities that set up standard Chinese medicine courses and two acupuncture-moxibustion associations. Legislation of acupuncture and moxibustion is published in 2000. The acupuncture and moxibustion is applied for approximately 50 kinds of diseases. The acupuncture and moxibustion is at one's own expense in public or private institutions, but cheap or completely free in charity.

  20. Present situation of regulatory control of radiation sources in Cuba

    International Nuclear Information System (INIS)

    Fernandez Gomez, U.

    2001-01-01

    The report explains the basis for an effective regulatory control and in particular refers to the system established in Cuba for such purposes. Reference is made to the new Decree-Law No. 207 'On the Use of Nuclear Energy' and the main topics it covers and to the 'Rules for Authorization of Practices Involving the use of Radiation Sources' which have been in force since 1998. Following it, the report illustrates the existing Cuban system of notification, registration and licensing, and of inspection and enforcement, including information of the established classification of radiation practices in the country. (author)

  1. High-Altitude Platforms - Present Situation and Technology Trends

    Directory of Open Access Journals (Sweden)

    Flavio Araripe D'Oliveira

    2016-07-01

    Full Text Available High-altitude platforms (HAPs are aircraft, usually unmanned airships or airplanes positioned above 20 km, in the stratosphere, in order to compose a telecommunications network or perform remote sensing. In the 1990 and 2000 decades, several projects were launched, but very few had continued. In 2014, 2 major Internet companies (Google and Facebook announced investments in new HAP projects to provide Internet access in regions without communication infrastructure (terrestrial or satellite, bringing back attention to the development of HAP. This article aims to survey the history of HAPs, the current state-of-the-art (April 2016, technology trends and challenges. The main focus of this review will be on technologies directly related to the aerial platform, inserted in the aeronautical engineering field of knowledge, not detailing aspects of the telecommunications area.

  2. Lifelong Education (Learning) in China: Present Situation and Development Trends

    Science.gov (United States)

    Zhang, Zhupeng

    2009-01-01

    Based on the historic background and development of lifelong education (learning) in China, this paper introduces major developments of lifelong education (learning) that have been achieved through adopting a series of measures under policies issued by the Chinese government since the 1990s. Throughout the decades, efforts have been made to…

  3. Radiation processing. Present situation of the applications in Europe

    International Nuclear Information System (INIS)

    Laizier, J.

    1977-01-01

    A review is given of radiation processings in Europe: sterilization, food irradiation, sewage treatment, cross-linking of polyethylenes, vinyl polychlorides, rubbers and polymers, electron beam drying of coatings on wood, plastics and paper, production of wood-plastic composites, polymerization of ethylene and vinyl monomers [fr

  4. [Nanomaterials in cosmetics--present situation and future].

    Science.gov (United States)

    Masunaga, Takuji

    2014-01-01

    Cosmetics are consumer products intended to contribute to increasing quality of life and designed for long-term daily use. Due to such features of cosmetics, they are required to ensure quality and safety at a high level, as well as to perform well, in response to consumers' demands. Recently, the technology associated with nanomaterials has progressed rapidly and has been applied to various products, including cosmetics. For example, nano-sized titanium dioxide has been formulated in sunscreen products in pursuit of improving its performance. As some researchers and media have expressed concerns about the safety of nanomaterials, a vague feeling of anxiety has been raised in society. In response to this concern, the Japan Cosmetic Industry Association (JCIA) has begun original research related to the safety assurance of nanomaterials formulated in cosmetics, to allow consumers to use cosmetics without such concerns. This paper describes the activities of the JCIA regarding safety research on nanomaterials, including a survey of the actual usage of nanomaterials in cosmetics, analysis of the existence of nanomaterials on the skin, and assessment of skin carcinogenicity of nano-sized titanium dioxide. It also describes the international status of safety assurance and regulation regarding nanomaterials in cosmetics.

  5. Present Situation and Future Development Trend of Smart Clothing

    Directory of Open Access Journals (Sweden)

    Ju Fengfan

    2017-09-01

    Full Text Available With the rapid development of science and technology, our daily clothes are changing quietly. Wearable smart clothing has gradually the leading role in the clothing market. This article first explains the concept of wearable intelligent clothing in china, and then I analyze the various types of wearable smart clothing that is currently facing problems, and summarized about the key points and future directions of wearable intelligent clothing design. From the beginning of 2013, smart watches, bracelets, glasses have entered the public vision, become a "trendsetter who sought the object", this year the industry was identified as "the first year of wearable equipment". In simple terms, a wearable device is a portable device that can be worn directly on the body, or integrated into the user's clothing or accessories. However, with the development of wireless sensor technology, kinds of wearable smart clothing gradually appeared in people's life, the smart clothing is made up of small chip, electronic components, power equipment, embedded into clothing, can achieve a specific function, in order to facilitate people's life.

  6. Ukrainian-Canadian relations: present situation and prospects

    Directory of Open Access Journals (Sweden)

    Nataliya E. Konon

    2016-01-01

    Full Text Available Relations between Ukraine and Canada have a long history and cover a large range of areas. The peculiarity of Ukrainian-Canadian cooperation due to the presence of 1.2 million Ukrainian diaspora, representing a non-economic pressure groups actively involved in the formation of the Ukrainian-Canadian relations. Canada today is our main partner and state support in the international arena. This is evidenced by the active position of Canada on the international stage in the Ukrainian crisis. After the illegal annexation of Crimea by Russia and the conflict in Donbas Canada has consistently supported Ukraine within the framework of international organizations (UN, OSCE, NATO, G7 and at the bilateral level. In addition, Canada has implemented economic and political sanctions against a number of Russian individuals and companies as well as representatives of the so-called «DNR» and «LNR» and separatist leaders. Relations with Canada is a promising destination for foreign policy strategy of Ukraine. Canada supports our country and contribute to its development, and helps to overcome the Ukrainian crisis. The question of Ukraine in Canada is always on the agenda, and, given the recent elections, we can say that Canada’s position on the international scene will always be on the user ID Ukraine and Canada support will only increase.

  7. What is the present situation of the ecology movement

    International Nuclear Information System (INIS)

    Timbal-Duclaux, Louis

    1978-01-01

    The author comments of the large and 'nebulous' nature of the ecology movements in France, the conditions which gave rise to them and their structuralization into different trends. He then wonders whether, in the light of events in 1978, the ecology movement is not losing part of its audience due to increasing differences arising within it, and to a certain evolution of public opinion, especially in the nuclear field [fr

  8. Pre-hospital aspiration is associated with increased pulmonary complications.

    Science.gov (United States)

    Fawcett, Vanessa J; Warner, Keir J; Cuschieri, Joseph; Copass, Michael; Grabinsky, Andreas; Kwok, Heemun; Rea, Thomas; Evans, Heather L

    2015-04-01

    Rates of ventilator-associated pneumonia (VAP) are highest among patients intubated on an emergency basis following trauma. We reported previously a retrospective analysis demonstrating an association between subjective aspiration and VAP after pre-hospital intubation. We hypothesize that by directing paramedics to note features of aspiration at intubation, we will confirm prospectively the association between pre-hospital aspiration and subsequent pneumonia in trauma patients. Paramedics collected data regarding aspiration at the time of intubation. All intubated patients admitted to a level 1 trauma center intensive care unit (ICU) were included. Data comprised a clinical impression of pre-hospital aspiration, as well as the presence and timing of blood and emesis in the airway. Injury severity, co-morbidities, and outcomes were collected from the trauma registry. Healthcare-associated pneumonia (HAP) was identified by medical record review of both bronchoalveolar lavage culture results and discharge diagnosis. Descriptive statistics and univariate analysis of outcomes by aspiration status, as well as covariable adjustment using propensity scores, were performed. Of the 228 patients, 89 (39%) were determined by paramedics to have aspirated. The majority of those who aspirated (84 [94%]) did so prior to intubation. Patients who aspirated had higher Injury Severity Scores than those who did not aspirate (25.0 ± 1.7 vs. 21.9 ± 1.5 points; p=0.04) and lower preintubation Glasgow Coma Scale scores (8.2 ± 0.50 vs. 9.6 ± 0.40; p=0.02). Of the 89 patients who aspirated around the time of intubation, 14 (16%) developed HAP vs. five (3.6%) of those who did not aspirate (paspiration (deaths: 21 [23.6%] vs. 23 [16.6%]; p=0.19; ICU LOS: 5.3 ± 0.9 vs. 4.1 ± 0.5 days; p=0.13; duration of mechanical ventilation: 5.3 ± 1.2 vs. 3.2 ± 0.5 days; p=0.10). Aspiration prior to intubation was reported commonly by paramedics and was associated with a higher risk of HAP.

  9. Situation criticality and basketball officials' stress levels.

    Science.gov (United States)

    Ritchie, Jason; Basevitch, Itay; Rodenberg, Ryan; Tenenbaum, Gershon

    2017-11-01

    Officials are expected to perform impeccably despite the wide range of stressors they experience. A stressor that officials frequently report is situation criticality. Situation criticality is comprised of score differential (i.e., more pressure in close games) and time remaining in a game (i.e., more pressure as time expires), which affects athletes' stress levels. The present study explored the effect of situation criticality on officials' stress levels. High school basketball officials (n = 108) with an average of 18.1 (SD = 11.2) years of officiating experience were given a survey packet containing game situations that varied in criticality. For each game situation (n = 9) officials completed the overall stress and appraisal portions of the Stress Appraisal Measure (SAM). Results revealed that situation criticality has an effect on officials' perceived stress levels. Both threat and challenge appraisals were positively correlated with perceived stress. Overall, these findings indicate that officials' stress levels fluctuate within games depending on score differential and time of game. The findings encourage officials to recognise and manage their stress, possibly through their appraisals. Additionally, the findings can affect the training of officials in the management of stress, as well as prompt the consideration of potential rule changes that reflect the increased situational demands on officials in critical situations (e.g., expanded instant replay).

  10. Situational judgment tests : from measures of situational judgment to measures of general domain Knowledge

    OpenAIRE

    Lievens, Filip; Motowidlo, Stephan J

    2016-01-01

    Situational judgment tests (SJTs) are typically conceptualized as contextualized selection procedures that capture candidate responses to a set of relevant job situations as a basis for prediction. SJTs share their sample-based and contextualized approach with work samples and assessment center exercises, although they differ from these other simulations by presenting the situations in a low-fidelity (e.g., written) format. In addition, SJTs do not require candidates to respond through actual...

  11. Management Re-situated

    DEFF Research Database (Denmark)

    Lystbæk, Christian Tang

    The purpose of this paper is to examine ways to situate management within philosophy, that is, ways to analyze the philosophical assumptions in management history, theory and practice. Since Burrell and Morgan suggested the idea that “all theories of organization are based upon philosophy...... of science“ (Burrell & Morgan, 1979:1), philosophical reflections in terms of a series of “isms” informed by different schools or paradigms (such as positivism, structuralism, phenomenology, critical theory, and so on and so forth) have been a central part of management studies. Thus, today, it has become...... common sense to categorize different approaches to management according to their assumptions of ontology, epistemology and methodology. My paper will argue first (1) that, although sometimes very abstract and obtuse writing that seems to owe more to competition among academics than to illumination...

  12. The satellite situation center

    International Nuclear Information System (INIS)

    Teague, M.J.; Sawyer, D.M.; Vette, J.I.

    1982-01-01

    Considerations related to the early planning for the International Magnetospheric Study (IMS) took into account the desirability of an establishment of specific entities for generating and disseminating coordination information for both retrospective and predictive periods. The organizations established include the IMS/Satellite Situation Center (IMS/SSC) operated by NASA. The activities of the SSC are related to the preparation of reports on predicted and actually achieved satellite positions, the response to inquiries, the compilation of information on satellite experiments, and the issue of periodic status summaries. Attention is given to high-altitude satellite services, other correlative satellite services, non-IMS activities of the SSC, a summary of the SSC request activity, and post-IMS and future activities

  13. The Colonial Situation: Complicities and Distinctions from the Surrealist Image

    Directory of Open Access Journals (Sweden)

    Pedro Pablo Gómez

    2011-05-01

    Full Text Available In this work, taking as baseline the thought of Aimé Césaire and Franz Fanon —keeping in mind the closeness of the Negritude movement with surrealism—, we propose to approach the modernity/coloniality problem, appealing to the denominated surrealist image of beauty. In the first part the colonial situation is approached, in the second the colonial situation from the logic of surrealist image, and in the third the possibility of a decolonial universal or pluriversal is raised. In general terms, exploring the existent link between the “surrealist image” and the colonial structure of modernity —that generates the denominated colonial situation—, we aspire to approach what could be a decolonial aesthetic that, as general problem, will be tackled in later works.

  14. Does cytokine profiling of aspirate from jaw cysts and tumors have a role in diagnosis?

    Science.gov (United States)

    Kolokythas, Antonia; Karas, Maria; Sarna, Thomas; Flick, William; Miloro, Michael

    2012-05-01

    The objective of the present study was twofold: first, to assess aspirates for use in cytokine profiling and second, to initiate pilot analyses to determine whether the cytokine profiling can serve as an aid in the diagnosis of jaw lesions. The aspirates from 12 benign odontogenic cysts and tumors of the jaw were collected and randomized, and a formal incisional biopsy was performed to establish the tissue diagnosis. The biopsies revealed keratocystic odontogenic tumor, ameloblastoma, and dentigerous cyst. The cystic aspirate was analyzed using the Q-Plex Human Cytokine Screen to detect cytokine expression and determine the level of expression for each pathologic entity. An array of 16 cytokines was investigated, including interleukin (IL)-1α, IL-1β, IL-2, IL-4, IL-5, IL-6, IL-8, IL-10, IL-12, IL-13, IL-15, IL-17, IL-23, interferon-γ, tumor necrosis factor (TNF)-α, and TNF-β. Tables were developed to determine the ratio of expression for the candidate cytokine pairs that were differentially expressed among the 3 pathologic entities encountered. One-way analysis of variance was used to search for significant differences in the ratio of expression of the candidate pairs among the 3 entities. Cytokines expressed by the 3 distinct jaw lesions were detected in the aspirate without the need for tissue biopsy. Cytokine profiling of these entities is possible owing to differential expression of the various cytokines studied. The ratio of expression was significant (P lesion type for the 15 cytokine pairs. Cytokines, expressed by the 3 groups of jaw lesions, can be detected in the cystic aspirate, and a comparison of the ratio of the expression of the aspirates demonstrated a differential expression pattern of cytokines among the 3 groups. These ratios could assist in establishing a prompt and accurate diagnosis of lesions that might be difficult to discern clinically and radiographically. The use of a simple, minimally invasive aspiration procedure can help to

  15. Safety of primary percutaneous coronary intervention with and without (selective) thrombus aspiration

    International Nuclear Information System (INIS)

    Farman, M. T.; Saghir, T.; Rizvi, N. H.; Khan, N.; Zaman, K. S.; Sial, J. A.; Malik, A.

    2014-01-01

    Objective: To determine the safety and efficacy of selective thrombus aspiration during Primary Percutaneous Coronary Intervention (PCI). Methods: This observational prospective study was conducted in the catheterization laboratory of a tertiary care cardiovascular centre. A total of 150 consecutive patients who underwent primary PCI were enrolled. Aspiration was done only when thrombus burden was considered significant. After completion of procedure angiographic and electrocardiographic signs were recorded and clinical follow up was documented up to 1 year. Results: No significant difference among the groups was found in age, height, weight and other risk factors like Hypertension, Diabetes Mellitus and Smoking. In general, left anterior descending artery was culprit in 65 % of patients and more than 90 % of culprit vessels had visible thrombus. Multivessel disease was present in 38 % of patients and 22.7% had past history of myocardial infarction. Out of 150 patients 117 (78%) underwent thrombus aspiration. No significant difference was found in ST resolution within 60 minutes (72.6 vs 81.8 %; P<0.285) and myocardial blush grade II and III (41.9 vs 27.3 %; P<0.128). No difference in event free survival was observed among the two groups (80.3 vs 84.8 %; P<0.708) at one year. Conclusion: Selective thrombus aspiration in definite thrombus laden arteries and no aspiration in low or negligible thrombus burden vessels may be a safe and effective strategy in patients undergoing primary PCI. Overall poor risk profile of our patients as compared to western population necessitates further evaluation of this matter in randomized studies. (author)

  16. Effusion-based lymphoma with morphological regression but with clonal genetic features after aspiration.

    Science.gov (United States)

    Tsai, Meng-Chen; Kuo, Chun-Chi; Su, Ying-Zhen; Hsieh, Yen-Chuan; Chuang, Shih-Sung

    2018-03-08

    Effusion-based lymphoma (EBL) is a rare but distinct entity of large B-cell lymphoma in effusion without association with human herpes virus-8 (HHV-8). Spontaneous regression after pleurocentesis has been observed; but to our knowledge, there are no reports on the morphological and molecular features of subsequent aspirations in regressing cases. Here, we report the case of a 92-year-old male with chronic obstructive pulmonary disease, who presented with right pleural effusion. He had no human immunodeficiency virus, hepatitis B virus, or hepatitis C virus infection, and CT scans revealed no mass lesion. The first pleural effusion aspiration cytology revealed large lymphoma cells with vesicular nuclei, irregular nuclear contours, and prominent nucleoli, consistent with EBL. The second aspiration cytology showed a few slightly enlarged lymphocytes in a background of small lymphocytes. Immunohistochemical study on cell block of the second aspiration revealed equal amounts of CD3-positive and CD20-positive cells. All these cells on the section tested negative for HHV-8 through immunohistochemistry and Epstein-Barr virus by in situ hybridization. Our initial impression was EBL in regression. However, flow cytometric immunophenotyping showed monotypic light chain expression of the gated B-cells. B-cell receptor gene rearrangement study showed a clonal result. Furthermore, fluorescence in situ hybridization revealed rearrangement of IGH gene. The diagnosis of the second aspiration was EBL with morphological regression but retained clonal genetic features. The patient passed away one month after diagnosis without chemotherapy. This case illustrated the importance of ancillary studies in confirming the clonal nature of a morphologically regressing EBL. © 2018 Wiley Periodicals, Inc.

  17. Effects of directly autotransplanted tibial bone marrow aspirates on bone regeneration and osseointegration of dental implants.

    Science.gov (United States)

    Payer, Michael; Lohberger, Birgit; Strunk, Dirk; Reich, Karoline M; Acham, Stephan; Jakse, Norbert

    2014-04-01

    Aim of the pilot trial was to evaluate applicability and effects of directly autotransplanted tibial bone marrow (BM) aspirates on the incorporation of porous bovine bone mineral in a sinus lift model and on the osseointegration of dental implants. Six edentulous patients with bilaterally severely resorbed maxillae requiring sinus augmentation and implant treatment were included. During surgery, tibial BM was harvested and added to bone substitute material (Bio-Oss(®) ) at the randomly selected test site. At control sites, augmentation was performed with Bio-Oss(®) alone. The cellular content of each BM aspirate was checked for multipotency and surface antigen expression as quality control. Histomorphometric analysis of biopsies from the augmented sites after 3 and 6 months (during implantation) was used to evaluate effects on bone regeneration. Osseointegration of implants was evaluated with Periotest(®) and radiographic means. Multipotent cellular content in tibial BM aspirates was comparable to that in punctures from the iliac crest. No significant difference in amount of new bone formation and the integration of bone substitute particles was detected histomorphometrically. Periotest(®) values and radiographs showed successful osseointegration of inserted implants at all sites. Directly autotransplanted tibial BM aspirates did not show beneficial regenerative effects in the small study population (N = 6) of the present pilot trial. However, the proximal tibia proved to be a potential donor site for small quantities of BM. Future trials should clarify whether concentration of tibial BM aspirates could effect higher regenerative potency. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  18. Eso's Situation in Chile

    Science.gov (United States)

    1995-02-01

    constructed at that site. It was only seven years later, in 1984, that ESO initiated the search for a future VLT site that ultimately led to the recommendation in favour of Paranal, the subsequent donation by the Chilean Government and the beginning of the construction, as described above. ESO has never had any doubt on the legality of this donation by the Chilean Government. The Organisation started the work at Paranal in full confidence that this generous act was correct and respected its condition, i.e. to start construction of the VLT observatory within a given time frame. However, in April 1993, when the work at Paranal was already quite advanced, a Chilean family brought a lawsuit against the Chilean State and ESO, claiming that a small part of the land (about 22 sq. km, including the very peak of Paranal) that was inscribed by the state in 1977, had been property of this family. The lawsuit is presently pending with the competent Chilean courts and it is not known when a final judgement will be given. In keeping with its status as an International Organisation and conforming to the international practice of such organisations, ESO decided not to become a party in this lawsuit. The Organisation, therefore, has restricted its involvement to merely invoking the immunity from lawsuit and jurisdiction to which it is entitled (see below). ESO believes that the issue of past ownership is an internal Chilean matter. Nevertheless, it has been widely reported that on January 30, 1995, in response to an appeal by the claimants, a Chambre of the Chilean Supreme Court issued a preliminary decision that may be interpreted as ordering to stop the construction of the VLT during an undetermined period of time. This would seriously delay the entire project and necessarily entail additional, substantial costs. ESO'S IMMUNITIES ESO's relations with its host state, the Republic of Chile, is governed by an international Convention ("Convenio"), signed in 1963 and ratified by the Chilean

  19. Predictors of mortality in neonates with meconium aspiration syndrome.

    Science.gov (United States)

    Louis, Deepak; Sundaram, Venkataseshan; Mukhopadhyay, Kanya; Dutta, Sourabh; Kumar, Praveen

    2014-08-01

    To identify risk factors for mortality in neonates with meconium aspiration syndrome. All neonates (2004-2010) with meconium aspiration syndrome, irrespective of gestation were included. Risk factors were compared between those who died and survived. Out of 172 included neonates, 44 (26%) died. Mean (SD) gestation and birth weight were 37.9 (2.3) weeks and 2545 (646g), respectively. Myocardial dysfunction [aOR 28.4; 95% CI (8.0-101); PMeconium aspiration syndrome is associated with significant mortality. Myocardial dysfunction, birth weight, and initial oxygen requirement are independent predictors of mortality.

  20. Not all forms of dialect contact are the same: Effects of regional media, travel, and social contacts on the perception of Spanish aspirated-/s/

    Directory of Open Access Journals (Sweden)

    Lauren B. Schmidt

    2015-05-01

    Full Text Available Previous work has found that speakers who move to a new dialect region may come to adopt features of the second dialect. This study investigates whether other types of dialect exposure – those present without ever leaving one’s home dialectal region – similarly result in differences in language use. An identification task and a dialect contact questionnaire were administered to two Spanish-speaking dialect groups in Latin America to determine the effect of different types of dialect contact on the perceptual categorization of the regionally and socially variable feature of syllable-final /s/-aspiration (e.g., fresco [fɾeh.ko], ‘fresh’. Short-term travel and exposure to Media from /s/-weakening regions were not found to play a role in identification of aspirated-/s/. However, the regional background of reported social contacts (i.e., the social network was a significant factor in how the regional variant was identified. Findings highlight the importance of live social interaction in language contact and change.

  1. A Stochastic Sprint in the Vague Direction of Data Science: Perspectives from a Graduate Student and Aspiring Data Scientist.

    Science.gov (United States)

    Barberie, S. R.

    2015-12-01

    Since data science does not exist as a stand-alone discipline within major universities, learning data science, or even learning that data science exists is, for an aspiring researcher at the graduate or undergraduate level, something that only happens by accident. Here I present my own series of accidents that transformed me from a somewhat aimless graduate student into an aspiring data scientist and the challenges that that aspiration has created in fitting into traditional academic programs and finding a coherent path forward. I also present my current conundrum: with the clear intention of pursuing data science but an academic background in other subjects, where do I go from here? Do I start my education over, pursue professional certification courses and bootcamp programs, or engage in not-very-marketable self study? This career chasm creates a strange environment for aspiring data scientists where we have a destination, but not a clear road to get there. I also discuss how joining a data focused interest group called The Federation of Earth Science Information Partners (ESIP) bridged some of the gap left by Academia in allowing me to network and collaborate with real data scientists from a variety of backgrounds. Organizations like this may someday play an important role in helping aspiring data scientists find their place, although for the moment many gaps and obstacles still remain, and the path forward is far from clear.

  2. Situational simulations in interactive video

    International Nuclear Information System (INIS)

    Smith, L.J.

    1991-07-01

    The Westinghouse Hanford Company Advanced Training Technologies section is using situational simulations in several Interactive Video training courses. Two applications of situational simulations will be discussed. In the first, used in the Hanford General Employee Training course, the student evaluates employee's actions in simulations of possible workplace situations. In the second, used in the Criticality Safety course, students must follow well-defined procedures to complete tasks. Design and incorporation of situational simulations will be discussed. 3 refs

  3. SELF-DEFENCE IN SPECIAL SITUATIONS (I

    Directory of Open Access Journals (Sweden)

    Lamya-Diana HĂRĂTĂU

    2015-07-01

    Full Text Available In the reality of practical cases and in certain special situations, self-defence may present some complex forms consisting either in accidental amplification of the issue in fact when self-defence is claimed, or in the correlation in fact of self-defence to other cases which remove the criminal nature of act1. For these reasons, we decided to analyse few of such special situations.

  4. Dislocated Dental Prothesis Sitting at the Larynx in an Aphasic Patient: Potentially Fatal Situation.

    Science.gov (United States)

    Türk, Bilge; Ünsal, Özlem; Kaya, Kerem Sami; Coşkun, Berna Uslu

    2017-10-01

    Foreign body in respiration tract is a life-threatening emergency and requires urgent treatment. The diagnosis and treatment requires awareness and suspicion of signs and symptoms of foreign body aspiration. A unique case of total dental prothesis aspiration of a 44-year-old aphasic patient is presented. The prothesis is completely removed from the larynx. Foreign-body aspiration is frequently suspected in children, it is rarely thought about in adults with subacute or chronic respiratory symptoms unless an evident history of an aspiration event is obtained. Facial trauma, dental procedures, central nervous system dysfunction due to stroke, mental retardation, metabolic encephalopathy, seizures, and alcoholism are precipitating factors in adults. Careful clinical history and physical examination is mandatory. Foreign bodies located in the laryngeal region are almost always treated with surgery. Loose dentures must be avoided especially in mental retarded, aphasic patients, and patients with central nervous system dysfunction.

  5. Problem situations in management activity

    OpenAIRE

    N.A. DUBINKO

    2009-01-01

    This article reviews contemporary methodological and theoretical approaches to the problem situations in management activity. Revealed and analyzed the types of problem situations managers dealing with in their activity. Rank correlation of problem situations shows distinctions depending on management work experience. Revealed gender distinctions in the managers' ideas of management problems.

  6. Carsharing situation in Croatia

    Directory of Open Access Journals (Sweden)

    Aleksandar Erceg

    2014-10-01

    Full Text Available Carsharing is becoming very popular in the western world as an effective method to contain rising prices of fuel and vehicles. It was brought about as a possible solution to the changing condition of growing economies and population where there is an increased need for travel but there is also a need for expense economizing. Due to its role in reducing fuel consumption, controlling pollution and traffic congestion, there is an increased usage of carsharing services as an alternative transportation option in big cities. Today, worldwide several different carsharing methods are being used. This paper examines the current situation of carsharing in the world and two initiatives for starting carsharing programs in Croatia. The main goal of this paper is to define what carsharing is, how successful it is in the world and if there is potential for it in Croatia. The most developed carsharing regions in the world are Western Europe and North America. In the last several years Asia, Australia and South America have started carsharing projects and have the biggest growth in members and vehicles. Carsharing is still not recognized in Croatia. There were a few initiatives for starting the program but they failed. In order to determine the possibility and potential of carsharing in Croatia it is necessary to conduct further market research.

  7. DEBATING ABOUT SITUATIONAL LEADERSHIP

    Directory of Open Access Journals (Sweden)

    Carmen CÎRSTEA

    2012-01-01

    Full Text Available In this paper we analyzed the cirumstances of every day life which requires the need to adapt the leadership style. Leadership needs a lot of abilities and skills, including the capability to communicate. The paper deals with leader’s need of changing the style of leading as organizational circumstances change. The process is efficient only when the leaders and the followers have the right climate. The importance of this process is reflected in the productivity of the organization. As the economic climate changes the leadership style needs to be changed and also the style of communication throughout the leader coaches, coordinates, evaluates and supervises. Leadership is about organizing a group of people to achieve a goal. The leader may or may not have any formal authority. Students of leadership have produced theories involving traits, situational interaction, function, behavior, power, vision and values, charisma, and intelligence, among others. This paper describes the styles of leadership which the leaders must use and switch when is needed in comparison with what leadership is about.

  8. Lung ultrasound findings in meconium aspiration syndrome.

    Science.gov (United States)

    Piastra, Marco; Yousef, Nadya; Brat, Roselyne; Manzoni, Paolo; Mokhtari, Mostafa; De Luca, Daniele

    2014-09-01

    Meconium aspiration syndrome (MAS) is a rare and life-threatening neonatal lung injury induced by meconium in the lung and airways. Lung ultrasound (LUS) is a quick, easy and cheap imaging technique that is increasingly being used in critical care settings, also for newborns. In this paper we describe ultrasound findings in MAS. Six patients with MAS of variable severity were examined by LUS during the first hours of life. Chest X-rays were used as reference. The following dynamic LUS signs were seen in all patients: (1) B-pattern (interstitial) coalescent or sparse; (2) consolidations; (3) atelectasis; (4) bronchograms. No pattern was observed for the distribution of signs in lung areas, although the signs varied with time, probably due to the changing localisation of meconium in the lungs. LUS images corresponded well with X-ray findings. In conclusion, we provide the first formal description of LUS findings in neonates with MAS. LUS is a useful and promising tool in the diagnosis and management of MAS, providing real-time bedside imaging, with the additional potential benefit of limiting radiation exposure in sick neonates. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  9. Academic programme satisfaction and doctorate aspiration among ...

    African Journals Online (AJOL)

    The number of doctorates in Nigerian universities is grossly below the bench mark. Among the obvious reasons for this unhealthy situation in the universities is about holders of the apex degree. They are in short supply. This study fundamentally examined mentoring experience as antecedent of academic programme ...

  10. Career Aspirations and Emotional Adjustment of Chinese International Graduate Students

    Directory of Open Access Journals (Sweden)

    Deanna L. Cozart

    2015-12-01

    Full Text Available There are more Chinese student-scholars than any other group of international students studying in the United States. Despite this, there are relatively few studies that have focused on specific educational needs and required career support services for Chinese international students. This exploratory study was conducted to determine the relationship between career aspirations and emotional adjustment of Chinese international students. Results from Chinese students were compared with those of students from the United States. Relationships between the career aspirations and emotional adjustment of Chinese and U.S. students did not reveal statistically significant differences. However, regression analysis indicated that social stress was a statistically significant predictor of career aspirations for U.S. students. Chinese and U.S. students were more alike than different on career aspirations and emotional adjustment, and observed educational similarities appeared to outweigh any cultural differences that existed when determining these outcomes.

  11. Micronuclei in breast aspirates. Is scoring them helpful?

    Directory of Open Access Journals (Sweden)

    A Hemalatha

    2014-01-01

    Conclusion: An increase in micronuclei values was seen from fibroadenoma to infiltrating ductal carcinoma. Micronuclei scoring can be used as a biomarker on fine needle aspiration cytology smears of breast carcinoma.

  12. An analysis of students' aspirations, expectations and gains in ...

    African Journals Online (AJOL)

    Assessment Questionnaire that examined students' expectations, aspirations, perceived and envisaged needs or gains using Eisner's (1985) five orientations, namely: the development of cognitive processes; academic rationalism; personal relevance; social adaptation or reconstruction; and curriculum as technology,

  13. Aspirations of young people living in disadvantaged areas in Denmark

    DEFF Research Database (Denmark)

    Frørup, Anna Kathrine; Jensen, Niels Rosendal

    2017-01-01

    how young people's (living in a socially disadvantaged area) possibilities, aspirations and demands are raised, strengthened, transformed or put aside and in what way they feel participating within different local programmes....

  14. Comparison of manual vacuum aspiration and misoprostol in the ...

    African Journals Online (AJOL)

    Comparison of manual vacuum aspiration and misoprostol in the management of inc omplete abortion. Gabkika Bray Madoue, Dangar Daniel, Adoum Tchari, Mahamat Chene, Khadidja Mahayedine Salah, Zakaria Brahim, Constant Naîm, Ndilbe Steve ...

  15. Farm practical training and job aspiration of undergraduates of ...

    African Journals Online (AJOL)

    Farm practical training and job aspiration of undergraduates of agriculture in universities in Kwara State, Nigeria. Olayinka Jelili Yusuf, Ibrahim Folorunsho Ayanda, Felicia Motunrayo Olooto, Latifat Ololade Salawu, Stephen Kayode Subair ...

  16. Current Concepts in the Management of Meconium Aspiration Syndrome.

    Science.gov (United States)

    Chettri, Subhash; Bhat, B Vishnu; Adhisivam, B

    2016-10-01

    In developing countries, meconium aspiration syndrome (MAS) is an important cause of morbidity and mortality among neonates. The concepts of pathophysiology and management of meconium stained amniotic fluid (MSAF) and meconium aspiration syndrome have undergone tremendous change in recent years. Routine intranatal and postnatal endotracheal suctioning of meconium in vigorous infants is no longer recommended. Recent studies have challenged its role even in non-vigorous infants. Supportive therapy like oxygen supplementation, mechanical ventilation and intravenous fluids are the cornerstone in the management of meconium aspiration syndrome. Availability of surfactant, inhaled nitric oxide, high frequency ventilators and extracorporeal membrane oxygenation has made it possible to salvage more infants with meconium aspiration syndrome. In this review the authors have discussed the current concepts in the pathophysiology and management of MAS. Drugs in trials and future therapeutic targets are also discussed briefly.

  17. Transvaginal Ultrasound-Guided Aspiration of Pelvic Abscesses

    Directory of Open Access Journals (Sweden)

    P. J. Corsi

    1999-01-01

    Full Text Available Objective: To assess the utility of a less invasive approach to the care of women with a pelvic abscess, we retrospectively reviewed the outcome of women with pelvic abscesses managed by transvaginal ultrasound-guided aspiration.

  18. Syphilitic lymphadenitis diagnosed via fine needle aspiration biopsy.

    Science.gov (United States)

    Jang, David W; Khan, Alifia; Genden, Eric M; Wu, Maoxin

    2011-08-01

    Syphilis is coming back in the recent a few decades especially in the gay and HIV populations. Since syphilis can be "the great mimic" clinically and pathologically, a case report with updated review can be helpful to the medical community. We report, a case of syphilitic lymphadenitis diagnosed via fine needle aspiration biopsy (FNAB). The pitfalls associated with the diagnosis of syphilitic lymphadenitis will be discussed. The patient's medical records were reviewed. The pertinent history, clinical course, and ancillary studies including FNAB cytology with special stains are presented. In addition to the case report, we discuss the diagnosis of syphilitic lymphadenitis and the role of FNAB cytology. This was a 37-year-old man presenting with a two-month history of a growing neck mass, night sweats, and a ten pound weight loss. The patient had been treated one month earlier for primary syphilis. Examination of the head and neck revealed a 3 cm right level II mass. FNAB cytology showed heterogeneous population of lymphocytes and plasma cells suggesting reactive changes. Modified silver staining of the cell block slide was performed and revealed spirochetes, consistent with syphilis. The patient's lymphadenitis resolved with a course of antibiotic treatment. Although lymphadenopathy is a rare presentation of syphilis, it should be included in the differential diagnosis for patients who offer a suspect history. FNAB with silver staining is an effective, minimally invasive way to confirm the diagnosis. Copyright © 2010 Wiley-Liss, Inc.

  19. A Case of Bipolar Affective Disorder and Aspiration Pneumonia

    Directory of Open Access Journals (Sweden)

    Alessandro Gerada

    2013-01-01

    Full Text Available Adults with mental illness are at a higher risk of aspiration pneumonia than the general population. We describe the case of a patient with bipolar affective disorder and two separate episodes of aspiration pneumonia associated with acute mania. We propose that he had multiple predisposing factors, including hyperverbosity, sedative medications, polydipsia (psychogenic and secondary to a comorbidity of diabetes insipidus, and neuroleptic side effects.

  20. Aspiration dynamics of multi-player games in finite populations

    Science.gov (United States)

    Du, Jinming; Wu, Bin; Altrock, Philipp M.; Wang, Long

    2014-01-01

    On studying strategy update rules in the framework of evolutionary game theory, one can differentiate between imitation processes and aspiration-driven dynamics. In the former case, individuals imitate the strategy of a more successful peer. In the latter case, individuals adjust their strategies based on a comparison of their pay-offs from the evolutionary game to a value they aspire, called the level of aspiration. Unlike imitation processes of pairwise comparison, aspiration-driven updates do not require additional information about the strategic environment and can thus be interpreted as being more spontaneous. Recent work has mainly focused on understanding how aspiration dynamics alter the evolutionary outcome in structured populations. However, the baseline case for understanding strategy selection is the well-mixed population case, which is still lacking sufficient understanding. We explore how aspiration-driven strategy-update dynamics under imperfect rationality influence the average abundance of a strategy in multi-player evolutionary games with two strategies. We analytically derive a condition under which a strategy is more abundant than the other in the weak selection limiting case. This approach has a long-standing history in evolutionary games and is mostly applied for its mathematical approachability. Hence, we also explore strong selection numerically, which shows that our weak selection condition is a robust predictor of the average abundance of a strategy. The condition turns out to differ from that of a wide class of imitation dynamics, as long as the game is not dyadic. Therefore, a strategy favoured under imitation dynamics can be disfavoured under aspiration dynamics. This does not require any population structure, and thus highlights the intrinsic difference between imitation and aspiration dynamics. PMID:24598208

  1. Advances in the Management of Meconium Aspiration Syndrome

    OpenAIRE

    Swarnam, Kamala; Soraisham, Amuchou S.; Sivanandan, Sindhu

    2011-01-01

    Meconium aspiration syndrome (MAS) is a common cause of severe respiratory distress in term infants, with an associated highly variable morbidity and mortality. MAS results from aspiration of meconium during intrauterine gasping or during the first few breaths. The pathophysiology of MAS is multifactorial and includes acute airway obstruction, surfactant dysfunction or inactivation, chemical pneumonitis with release of vasoconstrictive and inflammatory mediators, and persistent pulmonary hype...

  2. The impact of homelessness on children's level of aspiration.

    Science.gov (United States)

    Donahue, P J; Tuber, S B

    1995-01-01

    In a sample of 39 school-age homeless children, their length of stay in shelters for the homeless was significantly correlated with an index of their level of aspiration. This correlation remained significant even when the effects of the children's intelligence and their performance on a related cognitive task were partialed out. Stories given in response to two Thematic Apperception Test cards by a small sample of these children illustrate the potentially traumatic consequences of homelessness on children's hopes and aspirations.

  3. METHODOLOGICAL ELEMENTS OF SITUATIONAL ANALYSIS

    Directory of Open Access Journals (Sweden)

    Tetyana KOVALCHUK

    2016-07-01

    Full Text Available The article deals with the investigation of theoretical and methodological principles of situational analysis. The necessity of situational analysis is proved in modern conditions. The notion “situational analysis” is determined. We have concluded that situational analysis is a continuous system study which purpose is to identify dangerous situation signs, to evaluate comprehensively such signs influenced by a system of objective and subjective factors, to search for motivated targeted actions used to eliminate adverse effects of the exposure of the system to the situation now and in the future and to develop the managerial actions needed to bring the system back to norm. It is developed a methodological approach to the situational analysis, its goal is substantiated, proved the expediency of diagnostic, evaluative and searching functions in the process of situational analysis. The basic methodological elements of the situational analysis are grounded. The substantiation of the principal methodological elements of system analysis will enable the analyst to develop adaptive methods able to take into account the peculiar features of a unique object which is a situation that has emerged in a complex system, to diagnose such situation and subject it to system and in-depth analysis, to identify risks opportunities, to make timely management decisions as required by a particular period.

  4. [Gastric aspiration therapy is a possible alternative to treatment of obesity

    DEFF Research Database (Denmark)

    Christensen, Marie Møller; Jorsal, Tina; Naver, Lars Peter Skat

    2017-01-01

    Aspiration therapy with AspireAssist is a novel endoscopic obesity treatment. Patients aspirate approximately 30% of an ingested meal through a draining system connected to a percutanous endoscopic gastrostomy tube. AspireAssist was recently approved by the US Food and Drug Administration...

  5. Cytomorphology of nipple discharge and fine needle aspiration of duct papilloma

    Directory of Open Access Journals (Sweden)

    H B Bannur

    2012-01-01

    Full Text Available The primary role of fine needle aspiration (FNA of the breast is the distinction between benign and malignant lesions; but in many cases, additional information may be obtained. The major breast lesions that yield papillary fragments on FNA are papillary carcinoma, papilloma, fibroadenoma, and invasive ductal carcinoma that have a papillary component. We present cytomorphological features of nipple discharge and FNA of breast lump in a 32-year female.

  6. Generalized status epilepticus associated with massive pulmonary aspiration and transient central diabetes insipidus: case report

    Directory of Open Access Journals (Sweden)

    CARVALHO MAURICIO

    2000-01-01

    Full Text Available Status epilepticus causes significant morbidity and mortality. A case of generalized status epilepticus followed by massive pulmonary aspiration, acute respiratory failure and transient central diabetes insipidus is presented. Seizures were promptly controlled, but the patient required mechanical ventilation and correction of polyuria with desmopressin acetate. During hospitalization mental status improved, diabetes insipidus spontaneously remitted and he was discharged without neurologic sequelae. The clinical and pathophysiological features of this case are discussed.

  7. Metastatic Renal Cell Cancer to Thyroid Diagnosed by Endoscopic Ultrasound Guided Fine Needle Aspiration Technique

    OpenAIRE

    Abdel-Aziz, Yousef; Hammad, Tariq; Nawras, Mohamad; Abdulwahid, Hayder; Nawras, Ali

    2017-01-01

    Medical literature about the role of endoscopic ultrasound (EUS) in identifying thyroid lesions is limited. We present a case of secondary thyroid cancer from renal cell carcinoma (RCC) metastasis, diagnosed by thyroid EUS-fine needle aspiration (FNA) approach that was done for staging of esophageal adenocarcinoma, in a patient with 11-year history of complete right nephrectomy for RCC. An 81-year-old female patient underwent EUS for the evaluation of a newly discovered distal esophageal canc...

  8. Sonographic Finding of Scrotal Cystic Lymphangioma with Hemorrhage Caused by Percutaneous Needle Aspiration: A Case Report

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jae Woon; Cho, Jae Ho [Yonsei University College of Medicine, Seoul (Korea, Republic of)

    2011-03-15

    Lymphangioma is a hamartoma, which is a benign tumor caused by congenital malformation of the lymphatic system. These tumors usually occur in the neck and axilla, and occasionally in the mediastinum, mesenterium, retroperitoneum and thigh, The scrotum and perineum are the least frequent sites. We report here on an uncommon case of cystic lymphangioma that presented as focal hemorrhage caused by percutaneous needle aspiration, and we briefly review the radiologic finding and the relevant literature

  9. Constructing catalogue of temporal situations

    Directory of Open Access Journals (Sweden)

    Violetta Koseska-Toszewa

    2015-11-01

    absent and not understandable in the other. It leads to assign meanings to situations, rather than to linguistic forms used for their expression. The second principle is limit the discussed issues to such a piece of reality that can be possible for precise description. The third is to avoid introducing such information to the described reality that is not explicitly mentioned by linguistic means. The authors try to following these principles in the present paper. The paper is organized as follows. First, some samples of situations related to present tense are given together with examples of their expressions in four languages: English, (as a reference language and three Slavic languages, representing South slavonic languages (Bulgarian, West slavonic languages (Polish, and East slavonic languages (Russian. Within the same framework the next parts of the paper are constructed, supplying samples of using Past tenses and, finally, future tenses and modalities. The formal tools for description purposes are introduced stepwise, according to needs caused be the described reality. There are mainly Petri nets, equipped additionally with inscriptions or labeling in order to keep proper assignations of description units to described objects.

  10. Therapeutic bronchoscopy in a child with sand aspiration and respiratory failure from near drowning--case report and literature review.

    Science.gov (United States)

    Kapur, N; Slater, A; McEniery, J; Greer, M L; Masters, I B; Chang, A B

    2009-10-01

    Foreign matter aspiration occurs relatively commonly in drowning and near-drowning events. In most cases, stomach contents are aspirated. Sand aspiration rarely occurs and there are no reported cases in children with near drowning. Limited data are available on clinical presentation and management of sand aspiration with accidental burial. We report a 3-year-old boy who nearly drowned while swimming in brackish waters and was found face down in sand. Sand aspiration was suspected when the child continued to have persistent wheezing and high ventilatory requirement despite intensive bronchodilator and corticosteroids therapy with an inability to wean after 4 days post-near-drowning event. Radiology was non-specific in the absence of sand bronchogram. Presence of sand in the airways was confirmed when a bronchoscopy was undertaken and sand seen in the bronchoalveolar lavage fluid. Sequential lung washing followed by exogenous surfactant administration (3 ml/kg) was undertaken and lead to significant improvement such that within 12 hr post-therapeutic lavage, his ventilatory requirements reduced substantially. The child was extubated 4 days post-lavage and on review 2 months post-event, was clinically well with airway resistance within normal predicted values measured on forced oscillatory spirometry (IOS).

  11. Comparative cyto-histological study of needle tip aspirates and entry sites after intravitreal injection using different needle types.

    Directory of Open Access Journals (Sweden)

    Lyubomyr Lytvynchuk

    Full Text Available A comparison of the cellular content of needle tip aspirates and entry sites after transconjunctival intravitreal injection (IVI using different needle types was performed. White outbred rats and human cadaver eyes were used for IVI by hypodermic 27 gauge (G and 30G needles, and spinal anesthesia Pencan 27G needles. Aspiration of vitreous for quantitative morphological and cell cultivation analysis, as well as cyto-histological analysis of aspirates and entry sites were carried out. The most common cells in the aspirates from all needle types were conjunctival epithelial-, ciliary body non-pigmented epithelial- and sclerocyte-like cells and granular proteins. Crystallized vitreous specimens were present in each aspirate. The entry sites of hypodermic needles showed marked trauma in all wall layers of rat and human eyes accompanied by cellular destruction and hemorrhages. Pencan 27G needle caused less tissue trauma with partial reposition of sclerocytes. Transconjunctival IVIs with hypodermic 27G and 30G, and Pencan 27G needles result in trauma of all layers of the eyeball. The possible consequences of cellular content being cut and injected into the eye, as well as the entry site wound shape deserve future consideration and improvements.

  12. Surgical Evacuation of Spontaneous Supratentorial Lobar Intracerebral Hemorrhage: Comparison of Safety and Efficacy of Stereotactic Aspiration, Endoscopic Surgery, and Craniotomy.

    Science.gov (United States)

    Li, Yuqian; Yang, Ruixin; Li, Zhihong; Yang, Yanping; Tian, Bo; Zhang, Xingye; Wang, Bao; Lu, Dan; Guo, Shaochun; Man, Minghao; Yang, Yang; Luo, Tao; Gao, Guodong; Li, Lihong

    2017-09-01

    The safety and efficacy of craniotomy, endoscopic surgery, and stereotactic aspiration for surgical evacuation of spontaneous supratentorial lobar intracerebral hemorrhage (ICH) is yet uncertain. The present study analyzed the clinical and radiographic data from 99 patients with spontaneous supratentorial lobar ICH, retrospectively, to address this issue. Patients who underwent craniotomy, endoscopy surgery, or stereotactic aspiration were assigned to the craniotomy group (n = 31), endoscopy surgery group (n = 32), or stereotactic aspiration group (n = 36), respectively. The characteristics of all the enrolled patients at the time of admission were assimilated. Also, the therapeutic effects of the three surgical procedures were evaluated based on short-term outcomes within 30 days and long-term outcomes at 6 months after the ictus. The results showed that stereotactic aspiration and endoscopic surgery were associated with a superior clinical therapeutic effect in both short-term and long-term outcomes than craniotomy for the treatment of spontaneous supratentorial lobar ICH. Notably, severely affected patients with hematoma volume > 60 mL or Glasgow Coma Scale score 4-8 may benefit more from endoscopic surgery than the two other surgical procedures. The current findings demonstrate that both stereotactic aspiration and endoscopic surgery possess an apparent advantage over craniotomy for the evacuation of spontaneous supratentorial lobar ICH. The endoscopic surgery might be more safe and effective with higher evacuation rate, better functional neurological outcomes, and lower complication and mortality rates. Copyright © 2017 Elsevier Inc. All rights reserved.

  13. Microbiological profile of anterior chamber aspirates following uncomplicated cataract surgery

    Directory of Open Access Journals (Sweden)

    Prajna N

    1998-01-01

    Full Text Available Anterior chamber aspirate cultures were done for 66 patients who underwent either an uncomplicated intracapsular cataract extraction, extracapsular cataract extraction with posterior-chamber intraocular lens implantation, or phacoemulsification with posterior-chamber intraocular lens implantation. The aspirate was obtained at the time of wound closure. The aspirates were immediately transferred to the microbiology laboratory where one drop of the aspirate was placed on a glass slide for gram stain, and the remainder was unequally divided and inoculated into blood agar, chocolate agar and thioglycolate broth. The cultures were incubated at 37° C with 5% CO2 and held for 5 days. Of 66 patients 4 (6%, had smear-positive anterior chamber aspirates. None of the aspirates showed any growth on any of the 3 culture media used. None of the eyes in the study developed endophthalmitis. This study concludes that there is no contamination of the anterior chamber by viable bacteria after cataract surgery, irrespective of the mode of intervention.

  14. Quality of canine spermatozoa retrieved by percutaneous epididymal sperm aspiration.

    Science.gov (United States)

    Varesi, S; Vernocchi, V; Faustini, M; Luvoni, G C

    2013-02-01

    To investigate the feasibility of percutaneous epididymal sperm aspiration in dogs and whether it might provide a population of epididymal spermatozoa similar to the population that can be obtained by processing isolated epididymis caudae. Concentration and total sperm number, motility, morphology and acrosomal integrity of spermatozoa retrieved by percutaneous epididymal sperm aspiration, in vitro aspiration and mincing of the cauda of the epididymis were compared. Percutaneous epididymal sperm aspiration is a feasible procedure to retrieve a population of spermatozoa in dogs. Quality is similar to that of spermatozoa collected in vitro, although a wide variation amongst animals was observed. In case of ejaculation failure due to pathological conditions in dogs, the collection of spermatozoa from the cauda of the epididymis could be an option for providing gametes for assisted reproductive technologies. Percutaneous epididymal sperm aspiration can be used in dogs with compromised reproductive performance, in which orchiectomy cannot be performed for medical or owner reasons. Further studies aimed to investigate whether the percutaneous epididymal sperm aspiration technique might be feasible for repeated semen collection and to accurately evaluate side effects are required. © 2013 British Small Animal Veterinary Association.

  15. CONSIDERATIONS REGARDING THE AUDIT OF FINANCIAL SITUATIONS

    Directory of Open Access Journals (Sweden)

    Maria-Madalina, Salomia

    2012-01-01

    Full Text Available In a business world situated on a market that is becoming more and more active both on an international and national level, the audit of financial situations embodies a veritable varied research domain and with favorable advantages for the Romanian business society, as well as for the interest of the business society located outside the Romanian space.From the result of the auditing of financial situations of a entity, various information may be obtained which is used by different groups that present opinions, knowledge and divergent interests such as:managers, investors, financial creditors, commercial creditors, clients, suppliers, employees, the government and its institutions, bankers, financial analysts, the public, the business community and other entities who base themselves on the objectivity and integrity of the financial situations audited.

  16. Impact of the number of aspiration risk factors on mortality and recurrence in community-onset pneumonia.

    Science.gov (United States)

    Noguchi, Shingo; Yatera, Kazuhiro; Kato, Tatsuji; Chojin, Yasuo; Fujino, Yoshihisa; Akata, Kentaro; Kawanami, Toshinori; Sakamoto, Noriho; Mukae, Hiroshi

    2017-01-01

    The clinical significance of the number of aspiration risk factors in patients with pneumonia is unknown as yet. In the present study, we clarify the significance of the number of aspiration risk factors for mortality and recurrence in pneumonia patients. This study included 322 patients hospitalized with pneumonia between December 2014 and June 2016. We investigated associations between the number of aspiration risk factors present (orientation disturbance, bedridden, chronic cerebrovascular disease, dementia, sleeping medications and gastroesophageal disease) and 30-day and 6-month mortality, and pneumonia recurrence within 30 days. Patients were categorized by number of risk factors present into groups of 0-1, 2, 3, and 4 or more. Of a total of 322 patients, 93 (28.9%) had 0-1 risk factors, 112 (34.8%) had 2, 88 (27.3%) had 3, and 29 (9.0%) had 4 or more risk factors. The percentages of patients with recurrence of pneumonia were 13.0%, 33.0%, 43.2%, and 54.2% in the 0-1, 2, 3, and 4 or more risk factor groups, respectively. The percentages of patients with 30-day mortality were 2.2%, 5.4%, 11.4%, and 24.1%, and those of patients with 6-month mortality were 6.6%, 24.5%, 30.7%, and 50.0%, in the 0-1, 2, 3, and 4 or more risk factor groups, respectively. The number of aspiration risk factors was associated with increases in both mortality and recurrence in pneumonia patients. Therefore, in clinical practice, physicians should consider not only the presence of aspiration risks but also the number of aspiration risk factors in these patients.

  17. Impact of the number of aspiration risk factors on mortality and recurrence in community-onset pneumonia

    Science.gov (United States)

    Noguchi, Shingo; Yatera, Kazuhiro; Kato, Tatsuji; Chojin, Yasuo; Fujino, Yoshihisa; Akata, Kentaro; Kawanami, Toshinori; Sakamoto, Noriho; Mukae, Hiroshi

    2017-01-01

    Introduction The clinical significance of the number of aspiration risk factors in patients with pneumonia is unknown as yet. In the present study, we clarify the significance of the number of aspiration risk factors for mortality and recurrence in pneumonia patients. Methods This study included 322 patients hospitalized with pneumonia between December 2014 and June 2016. We investigated associations between the number of aspiration risk factors present (orientation disturbance, bedridden, chronic cerebrovascular disease, dementia, sleeping medications and gastroesophageal disease) and 30-day and 6-month mortality, and pneumonia recurrence within 30 days. Results Patients were categorized by number of risk factors present into groups of 0–1, 2, 3, and 4 or more. Of a total of 322 patients, 93 (28.9%) had 0–1 risk factors, 112 (34.8%) had 2, 88 (27.3%) had 3, and 29 (9.0%) had 4 or more risk factors. The percentages of patients with recurrence of pneumonia were 13.0%, 33.0%, 43.2%, and 54.2% in the 0–1, 2, 3, and 4 or more risk factor groups, respectively. The percentages of patients with 30-day mortality were 2.2%, 5.4%, 11.4%, and 24.1%, and those of patients with 6-month mortality were 6.6%, 24.5%, 30.7%, and 50.0%, in the 0–1, 2, 3, and 4 or more risk factor groups, respectively. Conclusions The number of aspiration risk factors was associated with increases in both mortality and recurrence in pneumonia patients. Therefore, in clinical practice, physicians should consider not only the presence of aspiration risks but also the number of aspiration risk factors in these patients. PMID:29263657

  18. Behavioral Treatment for Veterans with Obesity: 24-Month Weight Outcomes from the ASPIRE-VA Small Changes Randomized Trial.

    Science.gov (United States)

    Lutes, Lesley D; Damschroder, Laura J; Masheb, Robin; Kim, Hyungjin Myra; Gillon, Leah; Holleman, Robert G; Goodrich, David E; Lowery, Julie C; Janney, Carol; Kirsh, Susan; Richardson, Caroline R

    2017-04-01

    Small Changes (SC) is a weight management approach that demonstrated superior 12-month outcomes compared to the existing MOVE! ® Weight Management Program at two Veterans Affairs (VA) sites. However, approaches are needed to help graduates of treatment continue to lose or maintain their weight over the longer term. The purpose of the present study was to examine the effectiveness of a second year of low-intensity SC support compared to support offered by the usual care MOVE! programs. Following participation in the year-long Aspiring to Lifelong Health in VA (ASPIRE-VA) randomized controlled trial, participants were invited to extend their participation in their assigned program for another year. Three programs were extended to include six SC sessions delivered via telephone (ASPIRE-Phone) or an in-person group (ASPIRE-Group), or 12 sessions offered by the MOVE! programs. Three hundred thirty-two overweight/obese veterans who consented to extend their participation in the ASPIRE-VA trial by an additional year. Twenty-four-month weight change (kg). Twenty-four months after baseline, participants in all three groups had modest weight loss (-1.40 kg [-2.61 to -0.18] in the ASPIRE-Group, -2.13 kg [-3.43 to -0.83] in ASPIRE-Phone, and -1.78 kg [-3.07 to -0.49] in MOVE!), with no significant differences among the three groups. Exploratory post hoc analyses revealed that participants diagnosed with diabetes initially benefited from the ASPIRE-Group program (-2.6 kg [-4.37 to 0.83]), but experienced significant weight regain during the second year (+2.8 kg [0.92-4.69]) compared to those without diabetes. Participants in all three programs lost weight and maintained a statistically significant, though clinically modest, amount of weight loss over a 24-month period. Although participants in the ASPIRE-Group initially had greater weight loss, treatment was not sufficient to sustain weight loss through the second year, particularly in veterans with diabetes. Consistent

  19. Inflammatory indices in meconium aspiration syndrome.

    Science.gov (United States)

    Hofer, Nora; Jank, Katharina; Strenger, Volker; Pansy, Jasmin; Resch, Bernhard

    2016-06-01

    Meconium aspiration syndrome (MAS) is linked to inflammation, but data on the patterns of hematological indices and C-reactive protein (CRP) in MAS are lacking. The aim of the study was to evaluate CRP, white blood cell count (WBC), absolute neutrophil count (ANC), and immature-to-total neutrophil ratio (IT-ratio) in MAS and to assess their association with disease severity. Retrospective cross-sectional study including 239 consecutively admitted neonates with MAS to a level III NICU. Neonates with early onset sepsis were excluded. Results Neonates with severe MAS (invasive mechanical ventilation for <7 days) and very severe MAS (invasive mechanical ventilation for ≥7 days or high frequency ventilation or ECMO) had higher CRP and IT-ratio compared to neonates with non-severe MAS (no invasive mechanical ventilation) during the first 2 days of life (CRP: 13.0 and 40.9 vs. 9.5 mg/L, P = 0.039 and <0.001, respectively) and neonates with very severe MAS had lower WBC and ANC. All four inflammatory indices correlated significantly with duration of invasive mechanical ventilation, duration of respiratory support and with length of hospital stay, arterial hypotension, and persistent pulmonary hypertension. Neonates with all four inflammatory indices beyond the normal range had a more than 20-fold increase in risk for very severe MAS. High CRP and IT-ratio and low WBC and ANC values were closely linked to a more severe course of MAS during the early phases of the disease. These findings reflect the role of inflammation in the pathogenesis of MAS. Pediatr Pulmonol. 2016;51:601-606. 2015 Wiley Periodicals, Inc. © 2015 Wiley Periodicals, Inc.

  20. FINE NEEDLE ASPIRATION CYTOLOGY OF OSTEOBLASTOMA: A CASE REPORT

    Directory of Open Access Journals (Sweden)

    Rekha Patil

    2015-02-01

    Full Text Available Osteoblastoma (OB is a rare benign osteogenic bone neoplasm. It accounts for approximately 1% of all the primary bone tumors. OB shows a notable male predominance with male to female ratio of 2:1. It usually occurs in young adults with a mean age of 20 years. The most common sites are the posterior processes of vertebrae. It can also be seen in the long bones, small bones of hands and feet , facial bones , sacrum, however any bone can be affected. The clinical symptoms are non - specific, but pain local tenderness and swelling are usually reported. There is dull progressive pain which is more generalized than that of osteoid osteoma and is less likely to be relieved by aspirin or other analgesic. Sometimes systemic symptoms like weight loss and fever can be present. (1,2,,3,4,5,6,7,8 ,9 Fine needle aspiration cytology (FNAC is a minimally invasive procedure and is used world - wide for the diagnosis of various pathological lesions. Application of FNAC in osseous neoplasm is limited due to possibility of inadequate samples. (10 Diagnosis of OB by FNAC is rare. (3 In the present case OB was diagnosed on FNA based on combined evaluation of clinical data, radiological and microscopic findings . It was later confirmed by histopathology

  1. Fine needle aspiration cytology: sensitivity and specificity in thyroid lesions

    International Nuclear Information System (INIS)

    Musani, M.A.; Khan, F.A.; Malik, S.; Khambaty, Y.

    2011-01-01

    Background: Thyroid enlargement is one of the common problems in patients presenting at outpatients department of ENT particularly in females. Thyroid nodules are common, thyroid cancer is uncommon and the most common way for it to present is as a solitary thyroid nodule. This study was conducted to evaluate the sensitivity and specificity of Fine Needle Aspiration Cytology (FNAC) in thyroid diseases. Method: This prospective analytic study was conducted at ENT Department of Karachi Medical and Dental College/Abbasi Shaheed Hospital during year 2004-8. One hundred and five cases were enrolled who underwent thyroid surgery after complete evaluation by history, clinical examination, Thyroid profile, Thyroid Scintigraphy, Ultrasound neck and FNAC. In cases which were revealed malignant by FNAC, CT scan were done to see the extent of disease and neck node status. Surgery was done in all cases and specimens sent for histopathology. Results: Male to female ratio of the patients was 1:8.5. Most common lesion was benign nodule (96). Malignant lesions were 9 in FNAC. In histopathology, the benign nodules were 92, and malignant cases were 13. Sensitivity of FNAC was 61.53% and specificity was 98.9%. Conclusion: FNAC in Thyroid has high sensitivity and specificity. (author)

  2. The effect of abortion on having and achieving aspirational one-year plans.

    Science.gov (United States)

    Upadhyay, Ushma D; Biggs, M Antonia; Foster, Diana Greene

    2015-11-11

    Women commonly report seeking abortion in order to achieve personal life goals. Few studies have investigated whether an abortion enables women to achieve such goals. Data are from the Turnaway Study, a prospective cohort study of women recruited from 30 abortion facilities across the US. The sample included women in one of four groups: Women who presented for abortion just over the facility's gestational limit, were denied an abortion and went on to parent the child (Parenting Turnaways, n = 146) or did not parent (Non-Parenting Turnaways, n = 64), those who presented just under the facility's gestational limit and received an abortion (Near-Limits, n = 413) and those who presented in the first trimester and received an abortion (First Trimesters, n = 254). Participants were interviewed by telephone one week, six months and one year after they sought an abortion. We used mixed effects logistic regression to assess the relationship between receiving versus being denied abortion and having an aspirational one year goal and achieving it. The 757 participants in this analysis reported a total of 1,304 one-year plans. The most common one-year plans were related to education (21.3 %), employment (18.9 %), other (16.3 %), and change in residence (10.4 %). Most goals (80 %) were aspirational, defined as a positive plan for the next year. First Trimesters and Near-Limits were over 6 times as likely as Parenting Turnaways to report aspirational one-year plans [Adjusted Odds Ratio (AOR) = 6.37 and 6.56 respectively, p abortion enables them to maintain a positive future outlook and achieve their aspirational life plans.

  3. AngioVac Aspiration for Paradoxical Emboli Protection through a Fenestrated Fontan During Central Venous Thrombus Manipulation

    International Nuclear Information System (INIS)

    Al-Hakim, Ramsey; Patel, Komal; Moriarty, John M.

    2015-01-01

    This case reports describes a 39-year-old female with a history of surgically repaired hypoplastic left heart syndrome who presented with a left peripherally inserted central catheter (PICC) with associated large volume subclavian and brachiocephalic vein thrombus. Due to the presence of a right-to-left shunt via a fenestrated Fontan, there was clinical concern for a paradoxical embolism during removal of the PICC. The AngioVac aspiration system was successfully utilized to aspirate thromboemboli from the level of the proximal Glenn shunt during manipulation and removal of the PICC. This is the first reported case to demonstrate the safe and effective use of the AngioVac aspiration system for protection of paradoxical emboli through a cardiac right-to-left shunt during a procedure at high risk for thromboembolism

  4. AngioVac Aspiration for Paradoxical Emboli Protection through a Fenestrated Fontan During Central Venous Thrombus Manipulation

    Energy Technology Data Exchange (ETDEWEB)

    Al-Hakim, Ramsey, E-mail: ralhakim@mednet.ucla.edu [University of California, Department of Radiology, Division of Interventional Radiology (United States); Patel, Komal, E-mail: kdpatel@mednet.ucla.edu [University of California, Department of Anesthesiology, Division of Cardiothoracic Anesthesiology (United States); Moriarty, John M., E-mail: jmoriarty@mednet.ucla.edu [University of California, Department of Radiology, Division of Interventional Radiology (United States)

    2015-06-15

    This case reports describes a 39-year-old female with a history of surgically repaired hypoplastic left heart syndrome who presented with a left peripherally inserted central catheter (PICC) with associated large volume subclavian and brachiocephalic vein thrombus. Due to the presence of a right-to-left shunt via a fenestrated Fontan, there was clinical concern for a paradoxical embolism during removal of the PICC. The AngioVac aspiration system was successfully utilized to aspirate thromboemboli from the level of the proximal Glenn shunt during manipulation and removal of the PICC. This is the first reported case to demonstrate the safe and effective use of the AngioVac aspiration system for protection of paradoxical emboli through a cardiac right-to-left shunt during a procedure at high risk for thromboembolism.

  5. A social work study on relationship between parenting styles and career aspirations as well as psychological well-being

    Directory of Open Access Journals (Sweden)

    Atefeh Arab

    2013-07-01

    Full Text Available We present a social work study on relationship between parenting styles and career aspirations as well as psychological well-being among third year high school female students in city of Khomeinishahr, Iran during the year of 2012. The study selects a sample of 300 students from 1260 female students who were enrolled in third year high school education, randomly. The study uses the Baumrind’s questionnaire on parenting style, which consists of 30 questions which equally measure three parenting styles including authoritarian, indulgent and authoritative in Likert scale. The survey also uses Gottfredson’s questionnaire to examine occupational aspirations. The study examines whether there is any relationship between parenting style from one side and three personal characteristics including gender, career aspiration and wishes type on the other side. Using Chi-Square technique, the survey examines three hypotheses and the results confirm all three hypotheses of the survey.

  6. Aspiration pneumonia of mineral oil: a case report; Pneumonia por aspiracao de oleo mineral: relato de um caso

    Energy Technology Data Exchange (ETDEWEB)

    Malheiros, Noemia Reis; Costa Praxedes, Marcia da; Machado, Dianne Mello; Marchiori, Edson [Universidade Federal Fluminense, Niteroi, RJ (Brazil). Hospital Universitario Antonio Pedro. Dept. de Radiologia; Morandi, Jose Laerte J.B. [Universidade Federal Fluminense, Niteroi, RJ (Brazil). Hospital Universitario Antonio Pedro. Dept. Materno-Infantil; Teixeira, Graca Helena M.C. [Universidade Federal Fluminense, Niteroi, RJ (Brazil)

    1995-07-01

    The authors report a case of 14 month-old boy with clinical features of dyspnea, cough and acrocyanosis following aspiration of mineral oil used in the treatment of partial small bowel obstruction by Ascaris lumbricoides. A chest roentgenogram was reported as extensive bilateral confluent consolidation that showed progressive improvement and the presence of a bilateral infiltration. The diagnosis of aspiration pneumonia of mineral oil was confirmed by lung biopsy. Radiological and anatomo pathological aspects are presented as well as a review of the medical literature about the case. (author). 6 refs., 3 figs.

  7. Scan-guided fine needle aspiration biopsy in malignant hepatic disease

    Energy Technology Data Exchange (ETDEWEB)

    Johansen, P.; Svendsen, K.N.

    1978-09-01

    The method of scan-guided fine needle aspiration biopsy of the liver is described, and the diagnostic value of this combined method in the diagnosis of malignant hepatic disease is evaluated in 83 confirmed cases, showing a specificity of 100% and a sensitivity of 94%. The combined method is compared to liver scanning alone and to Menghini biopsy. Different methods for the diagnosis of malignant hepatic disease are discussed, and it is concluded that scan-guided fine needle aspiration biopsy has a diagnostic value only obtainable otherwise by a combination of liver scanning and biopsy during laparoscopy. Cytologic features in the two most common tumor types in this study, i.e., metastatic colonic adenocarcinoma and hepatocarcinoma, are presented along with a brief discussion of the specificity of the cytologic diagnosis of hepatocarcinoma.

  8. Diagnostic Value of Processing Cytologic Aspirates of Renal Tumors in Agar Cell (Tissue) Blocks

    DEFF Research Database (Denmark)

    Smedts, F.; Schrik, M.; Horn, T.

    2010-01-01

    smears were prepared after each aspiration for conventional cytology and the remaining aspirate was processed for the improved agar microbiopsy (AM) method. Conventional cytology slides, AM slides and surgical specimens were diagnosed separately, after which the diagnoses were compared....... Immunohistochemistry was performed as required on the AM sections. Surgical specimens served as the gold standard. Results In 53% of conventional cytologic smears, the cellular yield was sufficient to render a correct diagnosis. In 12% the diagnosis was incorrect, in 21% only a differential diagnosis could be fin......-initiated, and in 14% too few diagnostic cells were present in the conventional smears for cytologic diagnosis. It was, however, possible to correctly diagnose histologic sections from 97% of AM tissue blocks. In 11 cases this was facilitated with immunochemistry. In only 1 case did the AM tissue block contain too few...

  9. Situation-Based Housing

    DEFF Research Database (Denmark)

    Duelund Mortensen, Peder

    2011-01-01

    Presentation of urban housing research on flexible housing types in the Copenhagen Region: Theoretical background, methodology, analyse of spatial organization, interviews and results. Cases: Pærehaven in Ølby, Køge and M-house in Ørestad, Copenhagen......Presentation of urban housing research on flexible housing types in the Copenhagen Region: Theoretical background, methodology, analyse of spatial organization, interviews and results. Cases: Pærehaven in Ølby, Køge and M-house in Ørestad, Copenhagen...

  10. An Adult Patient with Pneumonia Due to Aspiration of Dental Prosthesis

    Directory of Open Access Journals (Sweden)

    Samil Gunay

    2014-03-01

    Full Text Available In patients with a new and suddenly beginning of bronchial asthma and repetitive respiratory infection, one should consider the possibility of obstruction by a foreign body. In this case we present a male patient with pneumonia due to aspiration of dental prosthesis. A 32-year-old man presented with a 4-month history of dyspnea, chest pain and new    compliants of diaphoresis and fever persistend despite of antibiotic treatment. Then the patient consultated to our chest surgery department. After the physical examination of patient we made the fiberoptic  flexible bronchoscopy according to the uncertain opasity seen in the chest radiography. Later in the operating room, with the patient under general anesthesia, we extracted the aspirated foreign body, dental prosthesis, by rigid bronchoscopy. We should think about the possibility of foreign body aspiration for the patients with suddenly beginning of the complaints such as, bronchial asthma, repetitive respiratory infection, diaphoresis, chest pain and fever. Sometimes people hides the true anamnesis because of be ashamed or amnesia.

  11. Correlation between the severity of critically ill patients and clinical predictors of bronchial aspiration

    Science.gov (United States)

    de Medeiros, Gisele Chagas; Sassi, Fernanda Chiarion; Zambom, Lucas Santos; de Andrade, Claudia Regina Furquim

    2016-01-01

    Objective: To determine whether the severity of non-neurological critically ill patients correlates with clinical predictors of bronchial aspiration. Methods: We evaluated adults undergoing prolonged orotracheal intubation (> 48 h) and bedside swallowing assessment within the first 48 h after extubation. We collected data regarding the risk of bronchial aspiration performed by a speech-language pathologist, whereas data regarding the functional level of swallowing were collected with the American Speech-Language-Hearing Association National Outcome Measurement System (ASHA NOMS) scale and those regarding health status were collected with the Sequential Organ Failure Assessment (SOFA). Results: The study sample comprised 150 patients. For statistical analyses, the patients were grouped by ASHA NOMS score: ASHA1 (levels 1 and 2), ASHA2 (levels 3 to 5); and ASHA3 (levels 6 and 7). In comparison with the other patients, those in the ASHA3 group were significantly younger, remained intubated for fewer days, and less severe overall clinical health status (SOFA score). The clinical predictors of bronchial aspiration that best characterized the groups were abnormal cervical auscultation findings and cough after swallowing. None of the patients in the ASHA 3 group presented with either of those signs. Conclusions: Critically ill patients 55 years of age or older who undergo prolonged orotracheal intubation (≥ 6 days), have a SOFA score ≥ 5, have a Glasgow Coma Scale score ≤ 14, and present with abnormal cervical auscultation findings or cough after swallowing should be prioritized for a full speech pathology assessment. PMID:27167432

  12. Energy situation - April 2015

    International Nuclear Information System (INIS)

    Cadin, Didier; Louati, Sami; Misak, Evelyne

    2015-06-01

    This report presents a review of the French energy expenses, prices, production, consumption, demand, import and export during the recent years and up to April 2015. Details are given separately for primary energy, solid mineral fuels, petroleum products, natural gas and electricity

  13. Aspiration requirements for the transportation of retrievably stored waste in the TRUPACT-2 package

    International Nuclear Information System (INIS)

    Djordjevic, S.; Drez, P.; Murthy, D.; Temus, C.

    1990-01-01

    The Transuranic Package Transporter-II (TRUPACT-II) is the shipping package to be used for the transportation of contact-handled transuranic (CH TRU) waste between the various US Department of Energy (DOE) sites, and to the Waste Isolation Pilot Plant (WIPP) located near Carlsbad, New Mexico. Waste (payload) containers to be transported in the TRUPACT-II package are required to be vented prior to being shipped. ''Venting'' refers to the installation of one or more carbon composite filters in the lid of the container, and the puncturing of a rigid liner (if present). This ensures that there is no buildup of pressure or potentially flammable gas concentrations in the container prior to transport. Payload containers in retrievable storage that have been stored in an unvented condition at the DOE sites, may have generated and accumulated potentially flammable concentrations of gases (primarily due to generation of hydrogen by radiolysis) during the unvented storage period. Such payload containers need to be aspirated for a sufficient period of time until safe pre-transport conditions (acceptably low hydrogen concentrations) are achieved. The period of time for which a payload container needs to be in a vented condition before qualifying for transport in a TRUPACT-II package is defined as the ''aspiration time.'' This paper presents the basis for evaluating the minimum aspiration time for a payload container that has been in unvented storage. Three different options available to the DOE sites for meeting the aspiration requirements are described in this paper. 4 refs., 2 figs

  14. Situational Awareness and Logistics Division

    Data.gov (United States)

    Federal Laboratory Consortium — Volpe's Situational Awareness and Logistics Division researches, develops, implements, and analyzes advanced systems to protect, enhance, and ensure resilienceof the...

  15. An Activist Approach to Sport Meets Youth From Socially Vulnerable Backgrounds: Possible Learning Aspirations.

    Science.gov (United States)

    Luguetti, Carla; Oliver, Kimberly L; Dantas, Luiz Eduardo Pinto Basto Tourinho; Kirk, David

    2017-03-01

    This study was a 2-phase activist research project aimed at co-creating a prototype pedagogical model for working with youth from socially vulnerable backgrounds in a sport context. This article addresses the learning aspirations (learning outcomes) that emerged when we created spaces for youth to develop strategies to manage the risks they face in their community. This study took place in a socially and economically disadvantaged neighborhood in a Brazilian city where we worked with a group of 17 boys aged 13 to 15 years old, 4 coaches, a pedagogic coordinator, and a social worker. During a 6-month period, we collected multiple sources of data including field journal entries/observations (38) and audio records of youth work sessions (18), coaches' work sessions (16), combined coaches and youth work sessions (3), and meetings between the lead and the 2nd author for debriefing and planning sessions (36). By using an activist approach, 4 learning aspirations emerged: becoming responsible/committed, learning from mistakes, valuing each other's knowledge, and communicating with others. Findings suggest there is a need for more sports programs that start from young people's concrete needs and life situations and look to create places for youth to see alternative possibilities and take action.

  16. Activation of Toll-like receptors in meconium aspiration syndrome.

    Science.gov (United States)

    Anand, V; Basu, S; Yadav, S S; Narayan, G; Bhatia, B D; Kumar, A

    2018-02-01

    Meconium aspiration syndrome (MAS) is a common cause of neonatal morbidity and mortality. Incomplete understanding of the pathogenesis of MAS has hindered the development of specific therapies. We hypothesized that activation of Toll-like receptors (TLRs) might play a role in the pathogenesis of MAS. The present study evaluated the expression of TLR 1, 4, 7, 8 and 9 in neonates with MAS. The study included 39 neonates with MAS and 17 healthy gestational age-matched neonates as controls. Neonates with maternal chorioamnionitis, perinatal asphyxia, sepsis and congenital malformations were excluded. Good-quality total RNA from umbilical cord blood was reverse transcribed to prepare cDNA using Bio-Rad reverse transcription kit. This cDNA was used to study the expression status of TLR 1, 4, 7, 8 and 9 by real-time quantitative polymerase chain reaction. Compared with controls, TLR1 and TLR4 were highly expressed, TLR9 was moderately expressed, TLR7 was weakly expressed and TLR8 expression was neutral in neonates with MAS. Within the MAS group, no difference in TLR expression was observed with respect to consistency of meconium, severity of the disease, oxygenation index and outcome. There is activation of TLRs in neonates with MAS. We speculate that these TLRs probably act as endogenous ligands for various components of meconium that initiate the inflammatory cascade of MAS and contribute to its pathogenesis.

  17. Influence of Perceived Parenting Styles: Goal Orientations and Career Aspirations of High School Science Students in Thailand

    Science.gov (United States)

    Koul, Ravinder; Lerdpornkulrat, Thanita; Poondej, Chanut

    2016-01-01

    There has been considerable research interest into the relationship between the parenting styles of Asians, and student motivation and achievement. The investigation presented in this paper contributes to the literature in this area by examining the influence of perceived parenting style on goal orientations and career aspirations of a sample of…

  18. Effects of Science Interest and Environmental Responsibility on Science Aspiration and Achievement: Gender Differences and Cultural Supports

    Science.gov (United States)

    Chiu, Mei-Shiu

    2010-01-01

    The aim of the present study is twofold: (1) to investigate gender differences in the effects of science interest and environmental responsibility on science aspiration and achievement and (2) to explore the relations between cultural supports (macroeconomic and gender equality) and both boys' and girls' tendencies to integrate the aforementioned…

  19. Evaluation of the natural history of patients who aspirate.

    Science.gov (United States)

    Bock, Jonathan M; Varadarajan, Varun; Brawley, Mary C; Blumin, Joel H

    2017-12-01

    The natural clinical progression of aspiration to eventual pulmonary compromise is not well understood. We hypothesized that dietary modification recommendations, Penetration-Aspiration Scale (PAS) score, and dysphagia etiology would be associated with changes in time to first pulmonary event and overall survival for patients with documented aspiration on radiologic testing. This study identified a cohort of patients with detectable unsensed penetration or aspiration on videofluoroscopic swallowing study (VFSS), and followed this cohort over time for development of pulmonary events and death. We then evaluated the association of aspiration severity and dietary modification recommendations on incidence of these endpoints. Retrospective chart review. A total of 2,616 VFSS exam reports were reviewed from our institution performed between January 1, 2009 and December 31, 2010. Aspiration or unsensed penetration (PAS of 5 or greater) was detected in 564 (21.5%) of these patients, who were then included in the study cohort. Medical records were reviewed retrospectively for development of pulmonary events (pneumonia, pneumonitis, or other life-threatening pulmonary illness) and all-cause mortality for up to 54 months after initial VFSS. Univariate Kaplan-Meier analysis and multivariate Cox regression were performed for time to first pulmonary event and survival predicted by recommended diet, PAS score, and dysphagia etiology. Dysphagia etiology was highly associated with increased development of pulmonary events for some patients, especially those with generalized nonspecific dysphagia due to deconditioning or frailty (hazard ratio [HZ] vs. stroke 2.95, 95% confidence interval [CI]: 1.53-5.69, P = .001) and esophageal dysphagia (HZ: 2.66, 95% CI: 1.17-6.02, P = .019). Dysphagia etiology was also associated with increased mortality for patients with generalized nonspecific dysphagia due to deconditioning or frailty (HZ: 3.32, 95% CI: 2.0-5.52, P penetration or aspiration

  20. RUSSIAN INDUSTRY INVESTMENT SITUATION

    Directory of Open Access Journals (Sweden)

    O. V. Pochukaeva

    2011-01-01

    Full Text Available The actual deficiency of investment into Russian industry innovative development increases its technological drag from industries of countries with developed markets. Although the rate of investment into real sectors of Russian economics mid 2000 was higher compared to the previous period, annual investment amounts were much lower than in 1990. At present, highest investment amounts are directed to industry extractive branches and to the commerce. Amounts invested to various economy branches do not correspond to their contribution to the country’sGross Added Product; particularly underinvested are manufacturing industry branches. At present, foreign share in the country economy total investment makes 15–18%. Recently, most interesting for foreigners was investment to machine-building branches with overwhelming part (for example, 90% in 2007–2008 of foreign investment into the machine-building industry being directed to creation of new automobile plants. Today, first place in the list of foreign investors’ preferences in Russia is taken by the machine-tool construction sector.

  1. [Pulmonary function in children after neonatal meconium aspiration syndrome].

    Science.gov (United States)

    Djemal, N; Ben Ammar, H; Masmoudi, K; Rguaieg, R; Trigui, L; Ben Hmad, A; Kannou, M; Hmida, N; Gargouri, A; Zouari, N; Rekik, A

    2008-02-01

    Meconium aspiration syndrome is a disease of the newborn mature or post mature. The acute pulmonary consequences can be extremely severe. In the few studies of the long-term pulmonary sequelae, it seems that certain children surviving meconium aspiration syndrome keep an obstructive syndrome. The aim of our study was to assess long term respiratory residual damage from meconium aspiration syndrome. During a seven-year period going from 1994 to 2000, we reviewed the files of children hospitalized in neonatology department of Sfax for meconium aspiration syndrome. The children who were convoked (group M: n=27), underwent spirometry, followed by an exercise stress. An age matched control group (group C: n=23) of healthy children was investigated in the same way. The group M comprised 15 boys and 12 girls aged four to 11, an average of 7+/-1.9 years. With the study of the respiratory function, we did not find an obstructive syndrome. Spirometry revealed a total pulmonary capacity in an average of 133+/-55.65% of theoretical (group M) versus 105.5+/-27.96% of theoretical (group C) (Pmeconium aspiration syndrome tend to develop alveolar hyperinflation and airway hyperreactivity to exercise.

  2. Identification of distinct genes associated with seawater aspiration-induced acute lung injury by gene expression profile analysis

    Science.gov (United States)

    Liu, Wei; Pan, Lei; Zhang, Minlong; Bo, Liyan; Li, Congcong; Liu, Qingqing; Wang, Li; Jin, Faguang

    2016-01-01

    Seawater aspiration-induced acute lung injury (ALI) is a syndrome associated with a high mortality rate, which is characterized by severe hypoxemia, pulmonary edema and inflammation. The present study is the first, to the best of our knowledge, to analyze gene expression profiles from a rat model of seawater aspiration-induced ALI. Adult male Sprague-Dawley rats were instilled with seawater (4 ml/kg) in the seawater aspiration-induced ALI group (S group) or with distilled water (4 ml/kg) in the distilled water negative control group (D group). In the blank control group (C group) the rats' tracheae were exposed without instillation. Subsequently, lung samples were examined by histopathology; total protein concentration was detected in bronchoalveolar lavage fluid (BALF); lung wet/dry weight ratios were determined; and transcript expression was detected by gene sequencing analysis. The results demonstrated that histopathological alterations, pulmonary edema and total protein concentrations in BALF were increased in the S group compared with in the D group. Analysis of differential gene expression identified up and downregulated genes in the S group compared with in the D and C groups. A gene ontology analysis of the differential gene expression revealed enrichment of genes in the functional pathways associated with neutrophil chemotaxis, immune and defense responses, and cytokine activity. Kyoto Encyclopedia of Genes and Genomes analysis revealed that the cytokine-cytokine receptor interaction pathway was one of the most important pathways involved in seawater aspiration-induced ALI. In conclusion, activation of the cytokine-cytokine receptor interaction pathway may have an essential role in the progression of seawater aspiration-induced ALI, and the downregulation of tumor necrosis factor superfamily member 10 may enhance inflammation. Furthermore, IL-6 may be considered a biomarker in seawater aspiration-induced ALI. PMID:27509884

  3. How to lead complex situations

    DEFF Research Database (Denmark)

    Hansen, Michael Pingel

    2013-01-01

    The military leader is experiencing increasingly more complex situations, whether it is as leader in a foreign combat environment or in the home-based public administration. Complex situations like these call for a special set of managerial responses and a special way of leading organisations...

  4. Soft, Embodied, Situated & Connected

    DEFF Research Database (Denmark)

    Tomico, Oscar; Wilde, Danielle

    2015-01-01

    of situatedness and personal meaning-making to understand and posit values in relation to outcomes. We present three design cases focusing respectively on body, material, and context; and reflect on how the different design approaches might impact use. Finally, we reflect on how embodied and collocated...... capabilities and meanings of the body; as well as the qualities and capabilities afforded by smart and programmable elements. Textiles behave in particular ways. They are part of culture. No matter a person’s views on fashion or dress, they will have an intimate relationship with textiles, as they are one...... of the few products worn much of the time, close to the body. When designing wearables a designer must consider a range of requirements that do not typically demand focus when designing products that are not worn, including: a particular sensitivity for material details; an eye for fit and comfort on bodies...

  5. Soft, Embodied, Situated & Connected

    DEFF Research Database (Denmark)

    Tomico, Oscar; Wilde, Danielle

    2016-01-01

    to material detail; an eye for fit and comfort on bodies with diverse shapes and movement capabilities; openness to a diversity of meanings that may be generated; as well as consideration of wearers’ intimate relations with technology. Soft wearables allow for greater scope within these requirements....... In this article, we discuss the opportunities and challenges of designing soft wearables, applying notions of situatedness and personal meaning-making to understand and posit values in relation to outcomes. We present three design cases that focus on body, material, and context; and reflect on how the different......; diverse capabilities and meanings of the body; as well as the qualities and capabilities afforded by smart and programmable elements. Textiles behave in particular ways. They are part of culture. No matter a person’s views on fashion, dress, their own or others’ body, they will have an intimate...

  6. Stereotactic aspiration versus craniotomy for primary intracerebral hemorrhage: a meta-analysis of randomized controlled trials.

    Directory of Open Access Journals (Sweden)

    Jia-Wei Wang

    Full Text Available BACKGROUND: A wealth of evidence based on the randomized controlled trials (RCTs has indicated that surgery may be a better choice in the management of primary intracerebral hemorrhage (ICH compared to conservative treatment. However, there is considerable controversy over selecting appropriate surgical procedures for ICH. Thus, this meta-analysis was performed to assess the effects of stereotactic aspiration compared to craniotomy in patients with ICH. METHODS: According to the study strategy, we searched PUBMED, EMBASE and Cochrane Central Register of Controlled Trials. Other sources such as the internet-based clinical trial registries, relevant journals and the lists of references were also searched. After literature searching, two investigators independently performed literature screening, assessment of quality of the included trials and data extraction. The outcome measures included death or dependence, total risk of complication, and the risk of rebleeding, gastrointestinal hemorrhage and systematic infection. RESULTS: Four RCTs with 2996 participants were included. The quality of the included trials was acceptable. Stereotactic aspiration significantly decreased the odds of death or dependence at the final follow-up (odds ratio (OR: 0.80, 95% confidence interval (CI: 0.69-0.93; P = 0.004 and the risk of intracerebral rebleeding (OR: 0.44, 95% CI: 0.26-0.74; P = 0.002 compared to craniotomy with no significant heterogeneity among the study results. CONCLUSIONS: The present meta-analysis provides evidence that the stereotactic aspiration may be associated with a reduction in the odds of being dead or dependent in primary ICH, which should be interpreted with caution. Further trials are needed to identify those patients most likely to benefit from the stereotactic aspiration.

  7. Stereotactic Aspiration versus Craniotomy for Primary Intracerebral Hemorrhage: A Meta-Analysis of Randomized Controlled Trials

    Science.gov (United States)

    Wang, Jia-Wei; Li, Jin-Ping; Song, Ying-Lun; Tan, Ke; Wang, Yu; Li, Tao; Guo, Peng; Li, Xiong; Wang, Yan; Zhao, Qi-Huang

    2014-01-01

    Background A wealth of evidence based on the randomized controlled trials (RCTs) has indicated that surgery may be a better choice in the management of primary intracerebral hemorrhage (ICH) compared to conservative treatment. However, there is considerable controversy over selecting appropriate surgical procedures for ICH. Thus, this meta-analysis was performed to assess the effects of stereotactic aspiration compared to craniotomy in patients with ICH. Methods According to the study strategy, we searched PUBMED, EMBASE and Cochrane Central Register of Controlled Trials. Other sources such as the internet-based clinical trial registries, relevant journals and the lists of references were also searched. After literature searching, two investigators independently performed literature screening, assessment of quality of the included trials and data extraction. The outcome measures included death or dependence, total risk of complication, and the risk of rebleeding, gastrointestinal hemorrhage and systematic infection. Results Four RCTs with 2996 participants were included. The quality of the included trials was acceptable. Stereotactic aspiration significantly decreased the odds of death or dependence at the final follow-up (odds ratio (OR): 0.80, 95% confidence interval (CI): 0.69–0.93; P = 0.004) and the risk of intracerebral rebleeding (OR: 0.44, 95% CI: 0.26–0.74; P = 0.002) compared to craniotomy with no significant heterogeneity among the study results. Conclusions The present meta-analysis provides evidence that the stereotactic aspiration may be associated with a reduction in the odds of being dead or dependent in primary ICH, which should be interpreted with caution. Further trials are needed to identify those patients most likely to benefit from the stereotactic aspiration. PMID:25237813

  8. Testicular fine-needle aspiration for the assessment of intratesticular hormone concentrations

    Directory of Open Access Journals (Sweden)

    Ada P Lee

    2016-01-01

    Full Text Available Measurement of intratesticular sex steroid concentrations in men informs both the development of male hormonal contraceptives and the understanding of male infertility. Given the challenges of using invasive techniques to measure testicular hormone physiology, our group has used a minimally-invasive fine-needle aspiration technique to measure intratesticular hormones in normal healthy men. Herein, we present a post-hoc analysis of the safety and efficacy of testicular fine-needle aspiration (FNA completed as part of six clinical trials. From 2001 through 2011, a total of 404 procedures were conducted among 163 research volunteers, 85.9% of which were successful in obtaining sufficient fluid for the measurement of intratesticular steroid concentrations. Pain was the most common side effect, with 36.8% of procedures associated with moderate procedural pain and 4.7% with severe procedural pain. Postprocedural pain was uncommon and abated within a few days. Mild local bruising occurred with 14.9% of procedures. Two serious adverse events (0.5% required surgical intervention. The risk of an adverse event was not associated with age, body mass index, testicular size, or the volume of fluid aspirated. Testicular FNA to obtain fluid for measurement of intratesticular steroid concentrations frequently causes mild to moderate procedural pain, but serious adverse events occur rarely. Testicular FNA has been instrumental for defining human intratesticular hormone physiology and is a minimally-invasive, safe, effective method for obtaining fluid for research on testicular physiology and pathology.

  9. Fine needle aspiration diagnosis of a spontaneously infarcted fibroadenoma mimicking carcinoma: a case report.

    Science.gov (United States)

    Arora, Rajan; Abou-Bakr, Amany; Al Taleb, Ahmed

    2013-02-01

    Spontaneous infarction of fibroadenoma is an extremely rare complication in a nonpregnant/nonlactating female undergoing first-time aspiration. It can be misdiagnosed as carcinoma in all aspects of triple approach used for evaluation of patients with breast lesions. A 37-year-old woman presented to the outpatient surgical clinic with a 6-month history of a breast lump that was slowly increasing in size and had become painful during the past month. There was no history of any trauma or fine needle aspiration, and she was not pregnant or lactating. Mammogram and ultrasound revealed a 2.9-cm heterogenous hypoechoic suspicious lesion. No lymph nodes were detected in the axilla. Fine needle aspiration cytology was performed, and a diagnosis of benign breast lesion with features of infarction was rendered on cytology. The lump was excised surgically, and a histological diagnosis of infarcted fibroadenoma was made. Careful and diligent search for preserved benign epithelial cells on smears is the key to recognize this entity and avoid serious therapeutic implications.

  10. Effect of dysphagia rehabilitation on oral intake in elderly patients with aspiration pneumonia.

    Science.gov (United States)

    Momosaki, Ryo; Yasunaga, Hideo; Matsui, Hiroki; Horiguchi, Hiromasa; Fushimi, Kiyohide; Abo, Masahiro

    2015-06-01

    To clarify the effects of dysphagia rehabilitation on oral intake after aspiration pneumonia in older adults. The present retrospective observational study used data from the Japanese Diagnosis Procedure Combination inpatient database. We identified patients who were admitted to acute care hospitals with aspiration pneumonia. Patients were subdivided into those with and without dysphagia rehabilitation. The main outcome variable was total oral intake on discharge. We carried out multivariate logistic regression analysis to assess the effect of dysphagia rehabilitation on the outcome, with adjustment for patient backgrounds. We also carried out analyses based on pneumonia severity, and the timing and duration of dysphagia rehabilitation. We identified 22,819 patients with dysphagia rehabilitation and 75,555 patients without dysphagia rehabilitation. The rates of total oral intake on discharge were 78.0 and 75.2%, respectively. The multivariate regression model showed that the dysphagia rehabilitation group had a significantly higher proportion of total oral intake on discharge (odds ratio 1.32; P dysphagia rehabilitation than patients with moderate and severe pneumonia (odds ratio 2.27; P dysphagia rehabilitation, those with early rehabilitation were more likely to achieve total oral intake at discharge than those with late rehabilitation. The data suggest that dysphagia rehabilitation had a positive effect on total oral intake in elderly patients with aspiration pneumonia. Dysphagia rehabilitation showed greater benefit in patients with mild pneumonia than with more severe pneumonia. © 2014 Japan Geriatrics Society.

  11. COLLEGE ASPIRATIONS AND EXPECTATIONS AMONG NEW AFRICAN AMERICAN MOTHERS IN LATE ADOLESCENCE

    Science.gov (United States)

    Barr, Ashley B.; Simons, Ronald L.

    2012-01-01

    It is a generally accepted finding in the sociological literature as well as in public discourse that adolescent mothers are less likely than their non-parenting counterparts to graduate high school and to attend college. For several decades, however, researchers have pointed out that the implied causal process from teen motherhood to academic failure has been largely unsupported by empirical research. In fact, scholars have recently argued that motherhood may actually serve as a positive turning point in the lives of young women. Using a sample of young African American women, the present study assesses the degree to which teen motherhood not only affects college aspirations but also expectations. Further, it tests the ability of these effects to explain the well-known educational attainment gap between teen mothers and their non-childbearing peers. Results indicate that, in general, young mothers’ college aspirations are similar to those of non-mothers, but that their generally high aspirations for academic success appear to be effectively countered by their decreased educational expectations. PMID:23226923

  12. Trapping of massive thrombus in an inferior vena cava filter: treatment with additional filter placement and aspiration thrombectomy

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Jin Soo; Kim, Young Whan; Cho, Won Hyun; Kim, Hyong Tae; Koo, Ja Hyun; Woo, Seong Ku [Keimyung University School of Medicine, Daegu (Korea, Republic of)

    2006-08-15

    For the patients suffering from extensive deep vein thrombosis (DVT), the placement of an inferior vena cava (IVC) filter in conjunction with anticoagulant therapy has been used to prevent pulmonary embolisms. However, for the patients who anticoagulant is contraindicated or if this is complicated, the use of an IVC filter without concurrent anticoagulation may become the sole treatment for pulmonary embolisms. In this situation, the thrombi trapped in the IVC filter may cause significant clinical problems. We report here on a case of IVC filter thrombosis that was successfully treated by aspiration thrombectomy after placing another filter proximal to the previous filter.

  13. Presentation skills for nurses.

    Science.gov (United States)

    Foulkes, Mark

    2015-02-20

    This article emphasises the importance of effective presentation skills. Such skills allow nurses to share knowledge and expertise and to communicate clearly in a range of workplace scenarios. Nurses are increasingly being asked to present in formal and informal situations, such as conferences, poster presentations, job interviews, case reports and ward-based teaching. This article explores the principles underpinning the development of these skills, discusses the situations in which they could be applied and demonstrates how nurses might improve and develop as presenters.

  14. Aspiration biopsy of testis: another method for histologic examination

    International Nuclear Information System (INIS)

    Nseyo, U.O.; Englander, L.S.; Huben, R.P.; Pontes, J.E.

    1984-01-01

    The most important method for evaluating the pathogenesis of male infertility is open testicular biopsy. Herein the authors describe a method of aspiration biopsy of testis for histologic examination. Sexually mature dogs and rats treated with chemotherapeutic agents and ionizing radiation were followed with periodic testicular aspiration biopsy during and after treatment. The histologic findings from the aspiration biopsy compare with the results of routine histologic examination in assessing spermatogenetic activity and delineating pathologic changes. The puncture in the experimental animals was performed under general anesthesia. In human patients testicular biopsy could be done under local anesthesia in an outpatient clinic. The procedure would be less painful, minimally invasive, and more cost-effective

  15. Squalene aspiration pneumonia : thin-section CT and histopathologic findings

    International Nuclear Information System (INIS)

    Lee, Jin Seong; Gong, Gyung Yub; Lim, Tae Hwan

    1998-01-01

    The purpose of this study was to describe the thin-section computed tomography (CT) findings and histopathologic findings of squalene aspiration pneumonia. Thin-section CT scans were obtained from nine patients with proven exogenous lipoid pneumonia resulting from aspiration of squalene (derived from shark liver oil). The condition was diagnosed by biopsy (n=3), bronchoalveolar lavage(n=4), or sputum cytology and clinical history (n=2) of squalene use was confirmed in all patients. Specimens of transbronchial lung biopsy were also reviewed and compared with thin-section CT findings. On the basis of these results, we concluded that squalene aspiration pneumonia can be reliably diagnosed by thin-section CT findings particularly when the appropriate history is known. (author). 19 refs., 3 figs

  16. [Recommendations for the prevention of foreign body aspiration].

    Science.gov (United States)

    Lluna, Javier; Olabarri, Mikel; Domènech, Anna; Rubio, Bárbara; Yagüe, Francisca; Benítez, María T; Esparza, María J; Mintegi, Santiago

    2017-01-01

    The aspiration of a foreign body remains a common paediatric problem, with serious consequences that can produce both acute and chronic disease. Aspiration usually causes a medical emergency that requires a prompt diagnosis and an urgent therapeutic approach as it may result in the death of the child or severe brain injury. It typically involves organic foreign bodies (mainly food or nuts) aspirated by children under 5 years old, and usually at home. In this statement, the Committee on Safety and Prevention of Non-Intentional Injury in Childhood of the Spanish Paediatrics Association provides a series of recommendations, both educational (while eating and playing), as well as legal, to prevent such episodes. Copyright © 2016 Asociación Española de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.

  17. Regional and individual determinants of entrepreneurial growth aspirations

    Directory of Open Access Journals (Sweden)

    Joan-Lluís Capelleras

    2018-01-01

    Full Text Available This paper investigates the unique and joint effects of population density and early-stage entrepreneurs’ human capital endowments (higher education, entrepreneurship training and owner-manager experience on entrepreneurial growth aspirations. We test a number of hypotheses using data that combine individual and province level information in Spain over the period 2008-2010. We argue that growth aspirations of early-stage entrepreneurs are higher in more densely populated regions, but that such environmental influence is stronger for individuals with greater human capital. This is because they will be more aware that denser regions offer more favorable conditions for new businesses and also requires greater firm growth to compensate for a higher risk of business failure. Consistent with our view, we find that the growth aspirations of entrepreneurs with higher education are higher in densely populated provinces.

  18. Burkina Faso situation analysis.

    Science.gov (United States)

    1992-03-01

    This article presents some of the major findings of a study investigating Burkina Faso's national family planning program, the results of which will be used to improve and expand the program. Burkina Faso established a family planning program in 1985. Administered by the Ministere de la Sante et de l'Action Sociale (MSAS), family planning services are currently available in 90 clinical service delivery points. MSAS and Africa OR/TA jointly examined the national family planning program. Researchers created an inventory of the administrative subsystems and service statistics, observed the interactions between clients and family planning providers, and conducted interviews with clients and staff. Some of the major findings include: 1) On the whole, the clinics' infrastructure was adequate, although disparities in terms of equipment were noted between urban and rural clinics (1/3 of provincial clinics lacked examination tables and 3/4 lacked sterilizers). 2) Most family planning providers were midwives, 15% of whom had not received formal training. 3) IEC materials were available in less than 1/2 the clinics. 4) Nearly 1/2 of the clinics had not received supervisory visits in the 6 months prior to the study. 5) Inconsistency marred clinic record-keeping, making it difficult to accurately analyze clinic performance. Finally, researchers examined the quality of care. Due to the lack of reliable records, quality measurements were based on observations and interviews. Clinics generally offered 4 contraceptive methods (pill, IUD, condom, and spermicide). But less than 1/2 of clients were instructed about the possible side-effects. Only in 1/2 of all consultations were the clients' reproductive intentions discussed. No follow-up mechanism existed.

  19. Compromise Solutions for Bankruptcy Situations with References

    NARCIS (Netherlands)

    Pulido, M.; Borm, P.E.M.; Hendrickx, R.L.P.; Llorca, N.; Sánchez-Soriano, J.

    2003-01-01

    This paper deals with bankruptcy situations in which in addition to the claims, an exogenously given reference point for the allocation of the estate is present.We introduce and analyse two types of compromise solutions and show that they coincide with the T value of two corresponding TU games.We

  20. Intergroup Anxiety: A Person X Situation Approach.

    Science.gov (United States)

    Britt, Thomas W.; And Others

    1996-01-01

    Offers a person X situation approach to the study of intergroup anxiety in which anxiety in intergroup encounters is viewed as a transaction between the individual and the environment. An individual difference measure of intergroup anxiety toward African Americans is developed. Presents studies assessing the scale's reliability and validity.…

  1. Modelling remediation options for urban contamination situations

    DEFF Research Database (Denmark)

    Thiessen, K.M.; Andersson, Kasper Grann; Charnock, T.W.

    2009-01-01

    and remedial options enables the evaluation of a variety of situations or alternative recovery strategies in contexts of preparedness or decision-making. At present a number of models and modelling approaches are available for different purposes. This paper summarizes the available modelling approaches...

  2. Radiation situation in the Republic of Kazakhstan

    International Nuclear Information System (INIS)

    Kudebekov, D.K.; Murtazin, E.Zh.; Bultekov, N.U.

    2005-01-01

    The article presents results of environmental monitoring at the Republic of Kazakhstan for 2000-2004 that was executed by RSE 'Kazgidromet' personnel. Radiation situation is monitored via sampling of atmospheric fallout for total beta-activity and measurements of gamma-dose rate. (author)

  3. Emergency situations; Les situations d'urgence

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2007-07-01

    The nuclear activities are exercised so as to prevent the accidents. They are subjected to a rule whom application is controlled by the Asn. The risk of grave accident is so limited to a very low level of probability. He cannot be however completely pushed aside. The expression ' radiological emergency situation ' indicates a situation which ensues from an incident or of an accident risking to lead to an emission of radioactive materials or a level of radioactivity susceptible to strike a blow at the public health. The term ' nuclear crisis ' is used for the events which can lead to a radiological emergency situation on a nuclear basic installation or during a transport of radioactive materials. The preparation and the management of emergency situations, that they are of natural, accidental or terrorist origin, became a major concern of our society. We propose you of to know more about it in this file. (N.C.)

  4. Rabies situation in Cambodia.

    Directory of Open Access Journals (Sweden)

    Sowath Ly

    Full Text Available BACKGROUND: Rabies, a fatal but preventable zoonosis, is a major public health problem in developing countries. In Cambodia the disease burden is largely underestimated because patients with encephalitis following dog bites are rarely hospitalized and die at home. Since 1998 Institut Pasteur in Cambodia (IPC, Phnom Penh has been the only source of free post-exposure prophylaxis (PEP and post-mortem diagnosis. METHODS: The 1998-2007 data compiled by IPC was analyzed to describe all treated patients for PEP, results of human testing and confirmed rabies cases, and results of animal testing. From dog bites' characteristics, we defined a suspected rabid dog bite injury (SRDBI in humans as a bite that was unprovoked, from a dog that died spontaneously, or from a dog that was reported sick. We applied a deterministic probability model to estimate 2007 rabies human mortality nationwide from the estimated incidence of rabid dog bites, the body distribution of bite wounds, and the probability of PEP access. RESULTS: During 1998-2007, 124,749 patients received PEP at IPC (average 12,470; range 8,907-14,475, and 63 fatal human cases presenting with encephalitis following a dog bite were reported, in which 73% were confirmed positive for rabies by direct immunofluorescence assay or by reverse-transcriptase polymerase chain reaction. During 1998-2007, IPC tested 1,255 animal brain samples; 1,214 (97% were from dogs including 610 (49% positive samples. In 2007, 14,475 patients received PEP (100 PEP/100,000 people in Cambodia including 95% who resided in Phnom Penh (615 PEP/100,000 or five neighboring provinces. The predictive model estimated 810 human rabies deaths would occur in 2007 (95%confidence interval [CI] 394-1,607, an incidence of 5.8/100,000 (95% CI 2.8-11.5. CONCLUSIONS: Access to PEP is only sufficient for Phnom Penh residents. In 2007, the estimated rabies related mortality exceeded that of malaria and that of dengue. A national rabies control

  5. Pyomyositis of Obturator Muscles: Unusual Late Presentation

    Directory of Open Access Journals (Sweden)

    Prasad Channappa Soraganvi

    2013-04-01

    Full Text Available Introduction: Pyomyositis of obturator muscles is rare condition. Late presentation with deformities of hip misleads the clinician. Late presentation (6 weeks of this condition has not been reported earlier. This report highlights this unusual presentation of Pyomyositis of the obturator muscles. Case Report: We are reporting a 14year old female patient presented with limp and pain in hip since 6 weeks. Her hip radiographs were unremarkable. Patient was admitted and MRI done. MRI findings were consistent with obturator pyomyositis. Diagnosis of pyomyositis confirmed by MRI and we performed percutaneous aspiration and drained about 25ml of purulent material mixed with blood. The culture grew Staphylococcus aureus. Patient received intravenous antibiotic for 1week and oral antibiotic for 2weeks. Patient was immobilized in fixed skin traction in Thomas splint for 5days, later gentle mobilization was started. Her condition improved dramatically after aspiration. A follow up MRI done at 3 weeks following aspiration revealed a significant reduction in intramuscular collection of obturator internus and obturator externus. Three weeks following aspiration patient was relieved of the pain and was able to walk normally. At 6 months follow up visit patient was asymptomatic. Conclusion: Late presentation of obturator pyomyositis is rare. We emphasise on careful examination and need for early imaging for diagnosis. Percutaneous drainage results in successful treatment. Keywords: Pyomyositis, septic arthritis, infection, obturator muscle.

  6. Promoting shared decision-making in rehabilitation: development of a framework for situations when patients with Dysphagia refuse diet modification recommended by the treating team.

    Science.gov (United States)

    Kaizer, Franceen; Spiridigliozzi, Anna-Maria; Hunt, Matthew R

    2012-03-01

    To address the risks of aspiration pneumonia, patients with dysphagia may be prescribed a modified diet. The goal of diet modification is to decrease the risk of patients aspirating food due to their diminished swallowing reflex. Some patients may not accept diet modification or may not adhere to the treatments identified by the interdisciplinary team. Such scenarios may result in important moral uncertainty and concern for clinicians. As a result of several ethics consultations related to this issue, a working group of the Clinical Ethics Committee at the Jewish Rehabilitation Hospital in Laval, Quebec, Canada, developed a framework for responding to situations when patients do not adhere to recommended diet modification. The goal of this tool is to facilitate discussion and collaboration between clinicians and patients, to clarify assumed versus real risk, and to promote shared decision-making in dysphagia care. In this article we examine the clinical context of diet modification for patients with dysphagia in rehabilitation hospitals, explore ethical aspects of this topic, present the clinical algorithm, and discuss our experience with developing and piloting this tool.

  7. AstroBiology Explorer Mission Concepts (ABE/ASPIRE)

    Science.gov (United States)

    Sandford, Scott; Ennico, Kimberly A.

    2006-01-01

    The AstroBiology Explorer (ABE) and the Astrobiology Space InfraRed Explorer (ASPIRE) Mission Concepts are two missions designed to address the questions (1) Where do we come from? and (2) Are we alone? as outlined in NASA s Origins Program using infrared spectroscopy to explore the identity, abundance, and distribution of molecules of astrobiological importance throughout the Universe. The ABE mission s observational program is focused on six tasks to: (1) Investigate the evolution of ice and organics in dense clouds and star formation regions, and the young stellar/planetary systems that form in them; (2) Measure the evolution of complex organic molecules in stellar outflows; (3) Study the organic composition of a wide variety of solar system objects including asteroids, comets, and the planets and their satellites; (4) Identify organic compounds in the diffuse interstellar medium and determine their distribution , abundance, and change with environment; (5) Detect and identify organic compounds in other galaxies and determine their dependence on galactic type; and (6) Measure deuterium enrichments in interstellar organics and use them as tracers of chemical processes. The ASPIRE mission s observational program expands upon ABE's core mission and adds tasks that (7) Address the role of silicates in interstellar organic chemistry; and (8) Use different resolution spectra to assess the relative roles and abundances of gas- and solid-state materials. ABE (ASPIRE) achieves these goals using a highly sensitive, cryogenically-cooled telescope in an Earth drift-away heliocentric orbit, armed with a suite of infrared spectrometers that cover the 2.5-20(40) micron spectral region at moderate spectral resolution (R>2000). ASPIRE's spectrometer complement also includes a high-resolution (R>25,000) module over the 4-8 micron spectral region. Both missions target lists are chosen to observe a statistically significant sample of a large number of objects of varied types in

  8. Selective fine needle aspiration of parotid masses. FNA should be performed in all patients older than 60 years.

    LENUS (Irish Health Repository)

    Kieran, S M

    2012-02-01

    OBJECTIVES: The exact role of fine needle aspiration in the pre-operative assessment of patients presenting with parotid masses is controversial. Some surgeons propose that fine needle aspiration be performed only selectively in those patients with likely malignant disease, whilst others recommend it for all patients presenting with such a mass. Intuitively, one would expect older patients to be more likely to suffer from primary malignant parotid tumours and secondary deposits of malignant skin tumours. Therefore, we hypothesised that older patients with a parotid mass should undergo fine needle aspiration regardless of their medical history. DESIGN: We retrospectively reviewed 197 consecutive parotidectomies to test this hypothesis. RESULTS: One hundred and twenty-one patients (61.4 per cent) were diagnosed with benign disease, whilst 76 (38.6 per cent) were diagnosed with malignant disease. Eighty-three per cent of patients aged 60 years or younger had benign disease, as opposed to 35.6 per cent of patients aged more than 60 years. Malignant disease occurred more commonly in patients older than 60 years (odds ratio 8.962, 95 per cent confidence interval 4.607-17.434). CONCLUSION: In patients with a parotid mass, fine needle aspiration should be performed on all those aged 60 years or older.

  9. A Randomized Trial Among Compression Plus Nonsteroidal Antiinflammatory Drugs, Aspiration, and Aspiration With Steroid Injection for Nonseptic Olecranon Bursitis.

    Science.gov (United States)

    Kim, Joon Yub; Chung, Seok Won; Kim, Joo Hak; Jung, Jae Hong; Sung, Gwang Young; Oh, Kyung-Soo; Lee, Jong Soo

    2016-03-01

    Olecranon bursitis might be a minor problem in the outpatient clinic but relatively be common to occur. However, there are few well-designed studies comparing approaches to treatment. (1) Which treatment (compression bandaging with nonsteroidal antiinflammatory drugs [NSAIDs], aspiration, or aspiration with steroid injections) is associated with the highest likelihood of resolution of nonseptic olecranon bursitis? (2) Which treatment is associated with earliest resolution of symptoms? (3) What factors are associated with treatment failure by 4 weeks? We enrolled 133 patients from two centers; after applying prespecified exclusions (septic bursitis or concomitant inflammatory arthritis, intraarticular elbow pathology, recent aspiration or steroid injection done elsewhere, and refusal to participate), 90 patients were randomly allocated to receive compression bandaging with NSAIDs (C), aspiration (A), or aspiration with steroid injection (AS) groups (30 patients in each). The groups were similar at baseline in terms of age and gender. Seven patients (four from Group A and three from Group AS) were lost to followup. All patients were followed up weekly for 4 weeks, and the same treatment procedure was repeated if the bursitis recurred with any substantial fluid collection. At 4 weeks, the state of resolution and pain visual analog scale (VAS) were evaluated. Failed resolution was defined as presence of persistent olecranon bursal fluid collection at Week 4 after the initiation of the treatment; on the contrary, if bursal fluid collection was clinically reduced or completely disappeared by the end of Week 4, the treatment was considered successful. We compared the proportion of resolution by Week 4 and the median times to resolution among the treatment groups. In addition, we evaluated whether the resolution affected pain VAS and what factors were associated with the resolution. There were no differences in the proportion of patients whose bursitis resolved by Week 4

  10. Scalp Melanoma Diagnosed by Fine Needle Aspiration Cytology in a Tertiary Health Center

    Directory of Open Access Journals (Sweden)

    A. B. Zarami

    2015-01-01

    Full Text Available Melanoma is one of the most aggressive malignant skin neoplasms worldwide with more than 20% of world melanoma seen in black Africa and Asia. Late presentation due to ignorance, poverty, and lack of adequate health facility in Nigeria is always the norms. We present this case report because of precision in diagnosis, using fine needle aspiration cytology (FNAC to reemphasize that the technique is cheap, cost effective, and quick that can reduce the burden of incisional biopsy before definitive surgery and improve early detection of the disease especially in developing countries.

  11. Diagnosis of sinus histiocytosis with massive lymphadenopathy (Rosai-Dorfman Disease by fine needle aspiration cytology

    Directory of Open Access Journals (Sweden)

    Kushwaha Rashmi

    2009-01-01

    Full Text Available Sinus histiocytosis with massive lymphadenopathy (Rosai-Dorfman disease is a rare benign disease of unknown etiology presenting with massive lymphadenopathy. These cases can often be misdiagnosed as lymphoma. Hence, it is important to distinguish Rosai-Dorfman disease from lymphoma and other causes of histiocytosis because of the different treatment modalities. We report here a case of Rosai-Dorfman presenting with massive bilateral cervical lymphadenopathy. We conclude that fine needle aspiration cytology is a useful and reliable tool for the diagnosis of Rosai-Dorfman disease due to which biopsy can be avoided in these patients, thus, reducing inconvenience to patients.

  12. On viewing culture as situation

    DEFF Research Database (Denmark)

    Kampf, Constance

    alphabet can be used across languages, and emic tools which are specific to context of a single culture as phonemic rules can explain the sound system in a given language. In linguistics, phonetics describe articulation behaviours of a single sound-a micro unit which is then combined with other phonetic......, I propose that we focus on culture as situation. Using a situational frame, we can then approach culture as a series of observable behaviours in the interaction between audiences and communicators-behaviours which crystallize in genres, yet change dynamically as communicators and their audiences...... participate in social action (Bazerman 1988 & Miller 1984, 1994). To begin to define culture as situation, I will engage the cultural systems perspective (Kampf & Kastberg 2005). This perspective is based on the interaction between norms of behaviour and context in which Hofstede situated his dimensions...

  13. Adaptive Synthetic Forces: Situation Awareness

    National Research Council Canada - National Science Library

    Hill, Randall

    2001-01-01

    ...: perception, comprehension, and prediction. Building on these ideas, we developed techniques for improving the situation awareness in synthetic helicopter pilots for the ModSAF military simulation by giving them more human-like perception...

  14. Plan for radiological emergencies situations

    International Nuclear Information System (INIS)

    Estrada Figueroa, E.R.

    1998-01-01

    The objective for the Emergencies plan it is to reestablish the stock that they should be executed by the regulatory Entity in Guatemala during a real potential radiological emergency situation in the national territory

  15. Trabajo en líneas energizadas en la Empresa Eléctrica CENTROSUR de Ecuador: Un ensayo crítico sobre su situación actual; Live-line Work in the Electric Enterprises CENTROSUR of Ecuador: Critical Analysis at Present Situation

    Directory of Open Access Journals (Sweden)

    Pablo D Robles Lobato

    2011-02-01

    Full Text Available En la actual Empresa Eléctrica CENTROSUR, la ejecución del mantenimiento en líneas energizadas seinicia en 1980 con la llegada de la primera canastilla aislada para trabajos hasta 69 kV,  junto con unequipo de pértigas aisladas para el nivel de 25 kV. Dichos trabajos se suspendieron definitivamente en losaños 1990, por los continuos accidentes del personal debido a la excesiva confianza o por la inexperienciadel nuevo personal,  además de que ya no se contaba con un centro de capacitación que asegurara lapreparación de los linieros y supervisores de la actividad.En la actualidad, la empresa realiza actividadesde mantenimiento en líneas energizadas por el método de contacto, utilizando la técnica de guantes, peroel hecho de no contar con un manual de procedimientos y una adecuada capacitación hace que cadagrupo de trabajo desempeñe sus tareas de acuerdo con un criterio propio, lo que hace muy complejodeterminar la falla en el proceso en caso de algún accidente. El presente trabajo expone un análisiscrítico del estado actual y las consideraciones de los peligros a los que se está exponiendo el personalque realiza estas actividades en la actual Empresa CENTROSUR.  The line -live work in the Electric Enterprise CENTROSUR begun in 1980 when one isolated crew workarrived to do Works up to 69 kV,  including a group of hotstick to 25 kV. This works finished on 90´s yearsbecause many accidents occurred by inexperience or excessive confidence of workers. Not TrainingCenter is working in that moment.  At present the EECS Enterprise is doing line-live activities by contactmethods using rubber techniques but in the enterprise there not are manuals or procedures to do thesesactivities. For this reasons each group do the live - line works in different forms and this situation if verydifficult to analyze fault on the maintenance process when accident was happened.The dangers andcritical analysis created by this situation is presented in

  16. The layperson in emergency situations

    OpenAIRE

    Pergola, AM; Araujo, IEM

    2008-01-01

    The layperson's qualification to provide early care in emergency situations and basic life support (BLS) is fundamental to save lives and prevent sequels. The objective was to identify the level of knowledge of lay people about approaching an emergency victim. Structured interviews in non-technical language were used with a 385-subject sample, average age 35.4 (+/- 14.55) years, with more than 50% having a high school or university education. Over 55% of these observed situations with loss of...

  17. The Effect of Maternal Employment on Schoolchildren's Educational Aspirations in Korea.

    Science.gov (United States)

    Ju, Dong-Beom; Chung, Il-Hwan

    2000-01-01

    Examined the relationships between maternal employment and schoolchildren's educational aspirations in Korea. Found that children whose mothers were working full-time had lower educational aspirations, although maternal involvement and parents' educational expectations mitigated these effects. (JPB)

  18. Clinical audit of ultrasound guided fine needle aspiration in a general cytopathology service

    Directory of Open Access Journals (Sweden)

    Gunjan Mangla

    2015-01-01

    Conclusions: Reporting practices varied and did not conform to a uniform structure. The inadequacy rates of breast and thyroid aspirates were comparable to the rates in the literature. Comparable studies were not available for intra-abdominal aspirates.

  19. Clinical audit of repeat fine needle aspiration in a general cytopathology service

    Directory of Open Access Journals (Sweden)

    Rachna Goyal

    2014-01-01

    Conclusions: Inadequate aspirates, non-diagnostic descriptive reports, and FNAC/FNAB from thyroid, lymph nodes, and breast contribute to repeats. We suggest steps to reduce the number of repeat aspirates to eliminate extra work.

  20. Understanding Graduate School Aspirations: The Effect of Good Teaching Practices

    Science.gov (United States)

    Hanson, Jana M.; Paulsen, Michael B.; Pascarella, Ernest T.

    2016-01-01

    This study examined the effects of good teaching practices on post-baccalaureate degree aspirations using logistic regression techniques on a multi-institutional, longitudinal sample of students at 4-year colleges and universities in the USA. We examined whether eight good teaching practices (non-classroom interactions with faculty, prompt…