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Sample records for assertive community treatment

  1. Cognitive adaptation training combined with assertive community treatment

    DEFF Research Database (Denmark)

    Hansen, Jens Peter; Ostergaard, Birte; Nordentoft, Merete;

    2012-01-01

    Cognitive adaptation training (CAT) targets the adaptive behaviour of patients with schizophrenia and has shown promising results regarding the social aspects of psychosocial treatment. As yet, no reports have appeared on the use of CAT in combination with assertive community treatment (ACT). Our...

  2. Function assertive community treatment (FACT) and psychiatric service use in patients diagnosed with severe mental illness

    NARCIS (Netherlands)

    Drukker, M.; van Os, J.; Sytema, S.; Driessen, G.; Visser, E.; Delespaul, Ph.

    2011-01-01

    Aim. Previous work suggests that the Dutch variant of assertive community treatment (ACT), known as Function ACT (FACT), may be effective in increasing symptomatic remission rates when replacing a system of hospital-based care and separate community-based facilities. FACT guidelines propose a differ

  3. Cognitive Adaptation Training combined with assertive community treatment: A Randomised Longitudinal Trial

    DEFF Research Database (Denmark)

    Hounsgaard, Lise; Hansen, J. P.; Østergaard, B.;

    2012-01-01

    BACKGROUND: Cognitive adaptation training (CAT) targets the adaptive behaviour of patients with schizophrenia and has shown promising results regarding the social aspects of psychosocial treatment. As yet, no reports have appeared on the use of CAT in combination with assertive community treatment...

  4. Early detection and assertive community treatment of young psychotics

    DEFF Research Database (Denmark)

    Jørgensen, P; Nordentoft, M; Abel, M B;

    2000-01-01

    Recent research indicates that early detection of young persons suffering from psychosis and subsequent intensive intervention enhances treatment response and prognosis, but the data are only preliminary and suggestive....

  5. Moral Decision-Making among Assertive Community Treatment (ACT) Case Managers: A Focus Group Study

    DEFF Research Database (Denmark)

    Lerbæk, Birgitte; Aagaard, Jørgen; Andersen, Mette;

    2015-01-01

    The context of care in assertive community treatment (ACT) can be precarious and generate ethical issues involving the principles of autonomy and paternalism. This focus group study examined case managers’ situated accounts of moral reasoning. Our findings show how they expressed strong moral...... obligation towards helping the clients. Their moral reasoning reflected a paternalistic position where, on different occasions, the potential benefits of their interventions would be prioritised at the expense of protecting the clients’ personal autonomy. The case managers’ reasoning emphasised situational...

  6. Moral Decision-Making among Assertive Community Treatment (ACT) Case Managers

    DEFF Research Database (Denmark)

    Lerbæk, Birgitte; Aagaard, Jørgen; Andersen, Mette Braendstrup;

    2015-01-01

    The context of care in assertive community treatment (ACT) can be precarious and generate ethical issues involving the principles of autonomy and paternalism. This focus group study examined case managers' situated accounts of moral reasoning. Our findings show how they expressed strong moral...... obligation towards helping the clients. Their moral reasoning reflected a paternalistic position where, on different occasions, the potential benefits of their interventions would be prioritised at the expense of protecting the clients' personal autonomy. The case managers' reasoning emphasised situational...

  7. Prevalence and characteristics of parenting among people served by Assertive Community Treatment.

    Science.gov (United States)

    Gewurtz, Rebecca; Krupa, Terry; Eastabrook, Shirley; Horgan, Salinda

    2004-01-01

    This study examines the prevalence and the characteristics of parenting among people served by Assertive Community Treatment (ACT). Four semi-rural ACT teams in southeastern Ontario were surveyed. The findings suggest that a significant minority (38%) of persons receiving ACT services are parents, although most (84%) do not live with their children and many rarely see their children. These findings are surprising considering the lack of discussion in the literature about parenting among recipients of ACT services. The results are discussed in terms of the meaning for ACT services. PMID:15468638

  8. Costs and outcome of assertive community treatment (ACT) in a rural area in Denmark

    DEFF Research Database (Denmark)

    Hastrup, Lene Halling; Aagaard, Jørgen

    2015-01-01

    Purpose: Health economic evidence of assertive community treatment (ACT) in Denmark is limited. The aim of the study was to assess the costs and outcome of ACT among 174 patients with severe and persistent mental illness in a rural area of Denmark. Methods: The study was based on a quasi......-experimental design with a control group from the neighbouring region. Costs and retention in mental health services were analysed by using register data 1 year before and 4 years after inclusion in the study. Data on the use of supportive housing were available for the year before baseline and the subsequent 2 years...... only. Results: Seventy eight percent of the patients receiving ACT were in contact with psychiatric services at the 4-year follow-up, while 69% of the patients in the control group had contact with psychiatric services (P Days in supportive housing were lower for the ACT group before baseline...

  9. Patient experiences of autonomy and coercion while receiving legal leverage in forensic assertive community treatment.

    Science.gov (United States)

    Lamberti, J Steven; Russ, Ann; Cerulli, Catherine; Weisman, Robert L; Jacobowitz, David; Williams, Geoffrey C

    2014-01-01

    Legal leverage is broadly defined as the use of legal authority to promote treatment adherence. It is widely utilized within mental health courts, drug courts, mandated outpatient treatment programs, and other intervention strategies for individuals with mental illness or chemical dependency who have contact with the criminal justice system. Nonetheless, the ethics of using legal authority to promote treatment adherence remains a hotly debated issue within public and professional circles alike. While critics characterize legal leverage as a coercive form of social control that undermines personal autonomy, advocates contend that it supports autonomy because treatment strategies using legal leverage are designed to promote health and independence. Despite the controversy, there is little evidence regarding the impact of legal leverage on patient autonomy as experienced and expressed by patients themselves. This report presents findings from a qualitative study involving six focus groups with severely mentally ill outpatients who received legal leverage through three forensic assertive community treatment (FACT) programs in Northeastern, Midwestern, and West Coast cities. Findings are discussed in the context of the self-determination theory of human motivation, and practical implications for the use of legal leverage are considered. PMID:24914490

  10. An Exploratory Study of Assertive Community Treatment for People with Intellectual Disability and Psychiatric Disorders: Conceptual, Clinical, and Service Issues

    Science.gov (United States)

    Martin, G.; Costello, H.; Leese, M.; Slade, M.; Bouras, N.; Higgins, S.; Holt, G.

    2005-01-01

    Assertive community treatment (ACT) has been applied to a number of disorders in the adult population, such as schizophrenia, with some degree of success; its use in the treatment of people with intellectual disability (ID) and mental illness has received little attention. Despite the high costs of ID in health and social care, there has been very…

  11. Identifying barriers to mental health system improvements: an examination of community participation in assertive community treatment programs

    Directory of Open Access Journals (Sweden)

    Wakefield Patricia A

    2011-11-01

    Full Text Available Abstract Background Integrating the best available evidence into program standards is essential if system-wide improvements in the delivery of community-based mental health services are to be achieved. Since the beginning of the Assertive Community Treatment (ACT program movement, program standards have included a role for the community. In particular, ACT program standards have sought to ensure that members of the local community are involved in governance and that former clients participate in service delivery as "Peer Support Specialists". This paper reports on the extent to which ACT program standards related to community participation have been implemented and identifies barriers to full compliance. Methods Qualitative and quantitative data were collected through a telephone survey of ACT Program Coordinators in Ontario, Canada, using a census sample of the existing 66 ACT programs. A thematic approach to content analysis was used to analyze respondents' qualitative comments. Quantitative data were analyzed using SPSS 16.0 and included means, frequencies, independent t-tests and Pearson Correlations. Results An 85% response rate was achieved. Of the 33 program standards, the two that received the lowest perceived compliance ratings were the two standards directly concerning community participation. Specifically, the standard to have a functioning Community Advisory Body and the standard requiring the inclusion of a Peer Support Specialist. The three major themes that emerged from the survey data with respect to the barriers to fully implementing the Community Advisory Body were: external issues; standard related issues; and, organizational/structural related issues. The three major themes concerning barriers to implementing the Peer Support Specialist role were: human resource related issues; organizational/structural related issues; and, standard related issues. Conclusions The reasons for low compliance of ACT programs with community

  12. Development of a Medication Monitoring System for an Integrated Multidisciplinary Program of Assertive Community Treatment (IMPACT Team

    Directory of Open Access Journals (Sweden)

    Nicole B. Washington, DO, Assistant Professor

    2012-01-01

    Full Text Available Purpose: The primary goal was to improve medication management oversight for a severely mentally ill (SMI community-based population by developing a medication monitoring system based on current guidelines to optimize pharmacotherapy and minimize potential medication-related adverse effects. The secondary goal was improvement in coordination of care between healthcare providers. Methods: Guidelines for medication used for psychiatric indications were reviewed. A database of medication for psychiatric indications with monitoring recommendation was developed. Results: Medication regimens for 68 members of the Integrated Multidisciplinary Program of Assertive Community Treatment (IMPACT program qualified for review. Fourteen medications, carbamazepine, chlorpromazine, clozapine, fluphenazine and fluphenazine long-acting injections (LAI, haloperidol and haloperidol LAI, lithium, lurasidone, olanzapine, paliperidone and paliperidone LAI, perphenazine, quetiapine, risperidone and risperidone LAI, valproic acid/divalproex, and ziprasidone, were identified. In total, 111 medications are used on a monthly basis. Each member receives more than one medication qualifying for review. Additional monitoring parameters that were evaluated included changes in laboratory orders for members with insulin-dependent diabetes. Annual lipid panels were changed to every 6 months, if applicable. Conclusions and Future Directions: This medication monitoring program was developed to help ensure IMPACT members receive the most effective care and minimize potential medication-related adverse effects. The secondary goal was to improve coordination of care. Medication monitoring will be added as a continuous quality assurance measure. Lab results will be reviewed at least monthly. The medication monitoring program will be evaluated annually.

  13. [Assertive community treatment: promoting engagement with care of people suffering severe addiction].

    Science.gov (United States)

    Morandi, Stéphane; Silva, Benedetta; Monnat, Martine; Bonsack, Charles

    2016-06-01

    Despite the increasing number of specialized addiction services and the constant deployment of health care resources, a coordinated needs-based treatment is not always available for people with severe drugs and/or alcohol problems. Too often the involved health care professionals feel helpless and overwhelmed by the complexity of the situation. In order to promote the treatment engagement of the hard-to-reach substance users, a multidisciplinary mobile team project for addiction (SIMA) was developed in Lausanne, Switzerland, in 20174. This paper describes the model of intervention, the profile of the population followed during the first year of intervention and illustrates, through two clinical cases, the advantages of this approach. PMID:27451516

  14. Assertive Community Treatment (ACT)

    Science.gov (United States)

    ... services—including both ER visits and inpatient hospitalizations—ACT team members are also well-connected with local hospitals and have the ability to work with hospital and emergency room staff. ACT teams ...

  15. Perceptions of coercion in the community: a qualitative study of patients in a Danish assertive community treatment team

    DEFF Research Database (Denmark)

    Thøgersen, Marie Høgh; Morthorst, Britt; Nordentoft, Merete

    2010-01-01

    conducted with six purposefully selected patients and analysed using thematic analysis. Patients reported lack of influence on treatment process and a poor alliance with case-mangers, not being recognised as an autonomous person, and experiences of staff crossing the line and intruding privacy, as most...... central to perceptions of coercion. A collaborative and mutually trusting relationship, commitment, persistence and availability of staff, and recognition of the need for social support and help with everyday activities, were most important for counteracting such experiences. Perceptions of coercion were...... not emphasised in patients' account of their engagement with ACT, and generally only related to patients' initial contact with ACT staff. The study suggests that developing mental health practices that enhance the formation of a therapeutic relationship with patients will minimize circumstances that induce...

  16. Perceptions of coercion in the community: a qualitative study of patients in a Danish assertive community treatment team

    DEFF Research Database (Denmark)

    Thøgersen, Marie Høgh; Morthorst, Britt; Nordentoft, Merete

    2010-01-01

    conducted with six purposefully selected patients and analysed using thematic analysis. Patients reported lack of influence on treatment process and a poor alliance with case-mangers, not being recognised as an autonomous person, and experiences of staff crossing the line and intruding privacy, as most...... central to perceptions of coercion. A collaborative and mutually trusting relationship, commitment, persistence and availability of staff, and recognition of the need for social support and help with everyday activities, were most important for counteracting such experiences. Perceptions of coercion were...... perceptions of coercion. ACT, with its engaged and committed staff with sufficient time, focusing on social and practical issues, is successful in facilitating such a contact, as experienced by patients....

  17. The quality of life among persons with severe mental illness enrolled in an assertive community treatment program in Japan: 1-year follow-up and analyses

    Directory of Open Access Journals (Sweden)

    Matsuoka Hiroo

    2006-07-01

    Full Text Available Abstract Background Toward effective community care for persons with severe mental illness and deinstitutionalization in Japan, we assessed the impact of the first trial of an assertive community treatment program on the lives and subjective perceptions of persons with mental illness without closing hospitals. Methods Forty-three subjects were enrolled from the newly admitted patients of a hospital, who met our criteria of problematic hospital use, severity of psychiatric disorders, and behavioral problems. The intervention team aimed to intensively support them in various life domains in their communities to decrease clients' admissions. The Quality of Life Interview was administered at baseline and after 12 months. Data were analyzed to assess the pre-post changes in their QOL, and were explained in association with other descriptive variables. Results The objective changes included increase in persons whose longest residence in a year were in communities, increase in income, and decrease in family contacts. Most subjective items were not changed except the decrease in satisfaction with family relationships. Satisfaction with family relationships was negatively correlated with hospital days at 1 year follow-up after controlling for symptoms, but was not so at baseline. Also, correlation between satisfaction with family relationships and global well-being was attenuated. A change in the positioning of family by clients and the autonomy of clients were suggested. However, previous studies showed that dissatisfaction with family relationships predicted rehospitalizations independently from symptoms, and our findings suggest our subjects' characteristics and a possible improvement in community-based care. Conclusion Our program predominantly fulfilled the primary goal, but it must be further refined to reflect the detailed characteristics of the target population and resource distribution. Assessing subjective perceptions, or the QOL of clients is

  18. Can the Health of the Nation Outcome Scales for Children and Adolescents predict the necessity of inpatient stay during assertive community treatment?

    Science.gov (United States)

    Urben, Sébastien; Mantzouranis, Gregory; Baier, Vanessa; Halfon, Olivier; Villard, Eva; Holzer, Laurent

    2016-08-30

    Understanding the trajectories of youths within Child and Adolescents Mental Health Service (CAMHS) is of primary importance. Our objective is to assess the usefulness of the Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) to predict inpatient (IP) stay for youths followed by assertive community treatment (ACT) teams. 82 youths followed exclusively by ACT and 42 who needed IP were assessed with the HoNOSCA at admission to the program. The HoNOSCA allowed the computing of three scores: a total score, an externalizing symptoms (Ext) score and an emotional problems (Emo) score. Logistic regressions revealed that the three HoNOSCA scores at admission of ACT predicted later need for hospitalization. Using ROC curve analyses, we set up cut off scores with appropriate sensitivity and specificity for the HoNOSCA Total and Ext to optimally predict the need for hospitalization. This study revealed that the HoNOSCA may be a useful tool to predict the need for later IP during ACT. Such knowledge is important to set up the best therapeutic strategies. PMID:27341331

  19. Assertiveness training: Effects of treatment, maintenance of change and therapists' contribution in therapy outcome

    Directory of Open Access Journals (Sweden)

    Tovilović Snežana

    2005-01-01

    Full Text Available In this research is shown part of results concerning evaluation study of group assertiveness training. Treatment, which has been organized as structured program of assertiveness training, has been applied on 18 groups of subjects during 9 group sessions. This treatment has been adjusted to non-psychiatric clients from our country. Groups were lead by two therapists. During 20 months of our research 215 voluntary participants of full age have joined training groups. Final sample consisted of 158 subjects who had finished treatment and who had fulfilled criteria for taking repeated measurement. Subjects had taken battery of questionnaires before the treatment and eight weeks after they had completed treatment. Subsample, which included 35 subjects from one therapist’s groups, took retest after twice longer time period. Results of conducted research have confirmed the hypothesis concerning the potentiality of assertiveness training to produce expected and significant improvements of treated subjects. Therapy effect is found on symptomatic level through reduction of symptoms of non-assertive behaviors, which were target of the treatment. Contrary to expectation interactive effect of treatment and therapist to reduction of symptoms of non-assertive behavior has been found, which implies need for further investigation of variables that are related to therapists. Through the medium of treatment therapeutic changes in structural level, in domain of general assertiveness, social anxiety and treated subjects' self-concept are produced. The effect of therapy we might consider stabled and maintained after 16 weeks of finishing the treatment.

  20. Assertiveness training: Effects of treatment, maintenance of change and therapists' contribution in therapy outcome

    OpenAIRE

    Tovilović Snežana

    2005-01-01

    In this research is shown part of results concerning evaluation study of group assertiveness training. Treatment, which has been organized as structured program of assertiveness training, has been applied on 18 groups of subjects during 9 group sessions. This treatment has been adjusted to non-psychiatric clients from our country. Groups were lead by two therapists. During 20 months of our research 215 voluntary participants of full age have joined training groups. Final sample consisted of 1...

  1. Astute, Assertive, and Alpha-1: Quantifying Empowerment in a Rare Genetic Community

    Science.gov (United States)

    Finn, Symma

    2008-01-01

    We investigated empowerment in the Alpha-1 Antitrypsin Deficiency (Alpha-1) community, a rare, genetic disease network in the United States. The research was motivated by nine years of observations in the community. After observing what seemed to be a heightened amount of activism among Alpha-1 community members, I had hypothesized that this…

  2. Individual Assertiveness and Health

    Directory of Open Access Journals (Sweden)

    Sheinov V. P.

    2014-01-01

    Full Text Available An analytical overview of researches carried out abroad, where the relationship between individual’s assertiveness and their psychological health, depression and dangerous addictions were studied, is given in the article. It is stated that assertiveness supports psychological health, psychological maturity, adequate self-esteem; it helps to get rid of low self-reliance; decreases anxiety level and fears; boosts self-esteem and self-respect; protects from emotional problems; helps to overcome stress, to give up smoking and generally to be more successful and less prone to depression. For medical workers, it helps to improve treatment of their patients.

  3. The implications for the clinician of adopting a recovery model: the role of choice in assertive treatment.

    Science.gov (United States)

    Lunt, Alan

    2004-01-01

    Theory is something rarely referred to in psychiatric rehabilitation. But the following, though opinion at this point, is meant to be seen as part of a pursuit of theory in psychiatric rehabilitation and in social science. The ideas behind the writing here draw heavily from the work of Patricia Deegan, yet truly are as old as the Declaration of Independence. They are strongly tied to the values of freedom, liberty, and the pursuit of happiness, as choice was expressed as a value in the Bill of Rights, and the Declaration of Independence. The social sciences and the physical sciences are seen as differing, in the same way as the social sciences at root draw from personal experiences while the physical sciences are more objectively determined. Thus, the author believes it not possible to put forward social theory without going beyond the purely objective, and including implicit, non-removable aspects of subjectivity. The author is herein proposing that the implications for the clinician of adopting a recovery model impact the issue of client choice. The Western tradition is now tied to the personal freedom of individual choice and opportunity. This paper explores the benefits of offering people with mental illnesses tangible choices in those areas of life, which impact upon the individual's consequences. The goal is to place the client in maximal control of his/her consequences, to the degree that the individual is capable of comprehending the nature of the choices involved; for the alternative of professionals choosing for their clients will inevitably result in learned helplessness. Although all of case management involves assertive treatment, this paper refers to cases in any modality of treatment in which professionals strongly advocate within the lives of and with the cooperation of clients, with special focus on the clients who encounter the greatest obstacles to successful treatment. The term "client" is employed here as the author is clearly referring to the

  4. A social work contribution to suicide prevention through assertive brief psychotherapy and community linkage: use of the Manchester Short Assessment of Quality of Life (MANSA).

    Science.gov (United States)

    Petrakis, Melissa; Joubert, Lynette

    2013-01-01

    There is a striking absence of literature articulating and evaluating clinical social work contributions to suicide prevention, despite considerable practice in this important field. This article reports on a model of assertive brief psychotherapeutic intervention and facilitated linkage to community services utilized in a prospective cohort study of emergency department suicide attempt aftercare. A key outcome measure, the Manchester Short Assessment of Quality of Life (MANSA), was used with 65 patients to assess psychosocial domains at initial presentation, 4-weeks, 3-months, and 6-months. There were significant improvements in the domains of work, finance, leisure, social life, living situation, personal safety and health by 3 months. There were highly significant correlations between psychosocial improvements and improved depression scores.

  5. Assertive Discipline and Research.

    Science.gov (United States)

    Barrett, Elden R.

    Assertive Discipline is an outgrowth of Canter and Associates' professional efforts in both working directly with children with behavior problems and consulting with teachers on how to deal effectively with such children. Assertive Discipline is an in-depth approach to classroom and school discipline. Lee and Marlene Canter first published…

  6. Assertiveness through Semantics.

    Science.gov (United States)

    Zuercher, Nancy T.

    1983-01-01

    Suggests that connotations of assertiveness do not convey all of its meanings, particularly the components of positive feelings, communication, and cooperation. The application of semantics can help restore the balance. Presents a model for differentiating assertive behavior and clarifying the definition. (JAC)

  7. Assertiveness and Physical Attractiveness.

    Science.gov (United States)

    Kleim, David M.; And Others

    Earlier research investigating the relationship between physical attractiveness and assertiveness found that physically attractive females were more assertive than other females. To investigate this relationship further and to broaden the scope of the study, 69 students were videotaped in groups of five to ten while responding to open-ended…

  8. Assertiveness Training and the Mentally Retarded.

    Science.gov (United States)

    Granat, Jay P.

    1978-01-01

    This article reviews some of the basic principles of assertiveness training and explains the application of this treatment to the habilitation of mentally retarded adults. It presents qualitative data regarding the value of assertiveness training in a counseling group of mentally retarded persons and proposes several guidelines for counselors.…

  9. Staff's perceptions of voluntary assertiveness skills training.

    Science.gov (United States)

    McVanel, Sarah; Morris, Beth

    2010-01-01

    Clinicians' ability to be assertive when unsure or concerned about procedures, treatment modalities, or patients' symptoms is key in reducing risk and preventing sentinel events. In this article, the authors provide a framework for generic, voluntary assertiveness communication skills workshops that any educator can implement. PMID:21119378

  10. ASSERT-4 user's manual

    International Nuclear Information System (INIS)

    ASSERT-4 is an advanced subchannel code being developed primarily to model single- and two-phase flow and heat transfer in horizontal rod bundles. This manual is intended to facilitate the application of this code to the analysis of flow in reactor fuel channels. It contains a brief description of the thermalhydraulic model and ASSERT-4 solution scheme, and other information required by users. This other information includes a detailed discussion of input data requirements, a sample problem and solution, and information describing how to access and run ASSERT-4 on the Chalk River computers

  11. Vision, knowledge, and assertion.

    Science.gov (United States)

    Turri, John

    2016-04-01

    I report two experiments studying the relationship among explicit judgments about what people see, know, and should assert. When an object of interest was surrounded by visibly similar items, it diminished people's willingness to judge that an agent sees, knows, and should tell others that it is present. This supports the claim, made by many philosophers, that inhabiting a misleading environment intuitively decreases our willingness to attribute perception and knowledge. However, contrary to stronger claims made by some philosophers, inhabiting a misleading environment does not lead to the opposite pattern whereby people deny perception and knowledge. Causal modeling suggests a specific psychological model of how explicit judgments about perception, knowledge, and assertability are made: knowledge attributions cause perception attributions, which in turn cause assertability attributions. These findings advance understanding of how these three important judgments are made, provide new evidence that knowledge is the norm of assertion, and highlight some important subtleties in folk epistemology.

  12. Using assertions with trace

    Science.gov (United States)

    Nazimek, Piotr

    2015-09-01

    Algorithms for dynamic detection of assertions are designed to find different types of dependences in programs based only on information collected during their execution without static analysis. Specificity of those algorithms and limited quantity of data to analyze needs to investigate the usage principle of discovered assertions for software dependability increase. This article introduces techniques for increasing usage efficiency of detected assertions through using program execution trace. Concept of trace and of an assertion with trace were defined. The work describes algorithms for reducing the number of traces, shortening traces lengths and reducing the number of observation points identifiers in traces. For several applications fault injection based experiments were conducted in order to check the effectiveness of the proposed approach.

  13. Use of routine outcome monitoring data for evaluating assertive community treatment

    NARCIS (Netherlands)

    H.E. Kortrijk (Hans Erik)

    2013-01-01

    textabstractThis thesis presents data on outcomes in patients with a severe mental illness (SMI) treated in ACT-teams, and is organized into five successive parts. Part I states our underlying contention and sets out our theoretical orientation. For readability purposes, Part I starts with discussin

  14. The Reciprocal Relationship Between Sexual Victimization and Sexual Assertiveness

    OpenAIRE

    Livingston, Jennifer A.; Testa, Maria; VanZILE-TAMSEN, CAROL

    2007-01-01

    Low sexual assertiveness has been proposed as a possible mechanism through which sexual revictimization occurs, yet evidence for this has been mixed. In this study, prospective path analysis was used to examine the relationship between sexual refusal assertiveness and sexual victimization over time among a community sample of women. Results provide support for a reciprocal relationship, with historical victimization predicting low sexual assertiveness and low sexual assertiveness predicting s...

  15. Individual Assertiveness and Health

    OpenAIRE

    Sheinov V. P.

    2014-01-01

    An analytical overview of researches carried out abroad, where the relationship between individual’s assertiveness and their psychological health, depression and dangerous addictions were studied, is given in the article. It is stated that assertiveness supports psychological health, psychological maturity, adequate self-esteem; it helps to get rid of low self-reliance; decreases anxiety level and fears; boosts self-esteem and self-respect; protects from emotional problems; helps to overcome ...

  16. ASSERTIVE COMMUNICATION SKILLS

    OpenAIRE

    Maria Daniela Pipas; Mohammad Jaradat2

    2010-01-01

    Assertive communication is the ability to speak and interact in a manner thatconsiders and respects the rights and opinions of others while also standing up for your own rights,needs and personal boundaries. Assertive communication skills create opportunities for opendiscussion with a variety of opinions, needs and choices to be respectfully heard and considered inorder to achieve a win-win solution to certain problems. It can strengthen your relationships,reducing stress from conflict and pr...

  17. Community treatment orders: Bioethical basis

    Directory of Open Access Journals (Sweden)

    José Manuel Bertolín Guillén

    2011-09-01

    Full Text Available Background and Objectives: Numerous opinions and medico-legal controversies have arisen up to the date from community treatment orders in Western countries, but underlying bioethical questions have not been specifically studied. The aim of this work is to contribute to further clarify the bioethical conflicts arising from community treatment orders. Methods: The bioethical deliberation of the author is principally based on what can be considered the deontologist-principlist dominant paradigm. These principles, as first described by Beauchamp and Childress in 1979, will be applied in this work to the actual situation of involuntary outpatient treatment. Results: The author's deliberation considers that community treatment orders are consistent first with the deontologist-principlist dominant paradigm of practical reason, respecting its four general categories of basic principles. It also respects the principles of the medical ethics of virtue, subsumed in the personalism of ontological matrix, in the same way as its ethos affects the intrinsic purpose which is the dignity of the person; and with the consequentialist utilitarianism because it seeks the proportionality of the common good. A community treatment order prescription must ultimately be based on a bioethical exercise of responsibility by the clinician, judiciously weighing up the classic principal prima facie duties which must necessarily be translated into a real duty referring to a specific patient and context. Conclusions: Community treatment orders are seen as a method of therapeutic intervention with a bioethical basis resistant to criticism.

  18. Assertive Training in Groups

    Science.gov (United States)

    Sansbury, David L.

    1974-01-01

    This article describes a group approach to helping the nonassertive client. After describing the group composition and goals, he presents a session by session description for conducting the assertive training group. In addition, he presents suggestions based on experiences in leading the group. (Author)

  19. Assertive Training for Professional Women

    Science.gov (United States)

    Brockway, Barbara Stephens

    1976-01-01

    Many women have undergone assertive training to prepare themselves for the demands of a professional career or independent life style. In the case of professional women, this article suggests that assertive training should focus more on altering certain socialization processes than on increasing overt assertiveness skills. (Author)

  20. Therapeutic Issues in Assertiveness Training.

    Science.gov (United States)

    Rotheram, Mary Jane

    1984-01-01

    Examines the application of systems analyses to assertive/unassertive communications. Contends that (1) the definition of assertiveness varies depending on one's frame of reference, (2) interpersonal networks must be considered in designing assertion programs, and (3) the trainee's initial communication style influences the effectiveness of the…

  1. The effect of five years versus two years of specialised assertive intervention for first episode psychosis - OPUS II

    DEFF Research Database (Denmark)

    Melau, Marianne; Jeppesen, Pia; Thorup, Anne;

    2011-01-01

    . Based on our sample size estimation, 400 patients treated in OPUS for two years will be randomized to further three years of OPUS treatment versus standard treatment. The specialized assertive OPUS treatment consists of three core elements: assertive community treatment, psycho-educational family...... treatment, and social skills training. Discussion It has been hypothesized that there is a critical period from onset up to five years, which represents a window of opportunity where a long-term course can be influenced. Extending the specialized assertive OPUS treatment up to five years may allow...... the beneficial effects to continue beyond the high-risk period, through consolidation of improved social and functional outcome. Trial registration Clinical Trial.gov NCT00914238...

  2. A Perspective for Assertiveness Training for Blacks

    Science.gov (United States)

    Minor, Billy Joe

    1978-01-01

    This article discussess assertiveness in the Black-White encounter. The author delineates the assertive options available to Blacks, distortions in interpretation of assertive messages, and strategies for more effective and efficient assertions. (Author)

  3. Deinstitutionalization revisited: a 5-year follow-up of a randomized clinical trial of hospital-based rehabilitation versus specialized assertive intervention (OPUS) versus standard treatment for patients with first-episode schizophrenia spectrum disorders

    DEFF Research Database (Denmark)

    Nordentoft, Merete; Øhlenschlæger, Johan; Thorup, Anne Amalie Elgaard;

    2010-01-01

    in a special part of the Copenhagen OPUS trial and randomized to either the specialized assertive intervention program (OPUS), standard treatment or hospital-based rehabilitation. RESULTS: It was a stable pattern that patients randomized to hospital-based rehabilitation spent more days in psychiatric wards......BACKGROUND: The effects of hospital-based rehabilitation including weekly supportive psychodynamic therapy compared with specialized assertive intervention and standard treatment has not previously been investigated in first-episode psychosis. The aim of the study was to examine long-term effect...... and in supported housing throughout the 5-year follow-up period compared with the two other groups. Patients in OPUS treatment spent significantly fewer days in psychiatric wards and supported housing in the first 3 years compared with patients in hospital-based rehabilitation. Due to attrition and small sample...

  4. Effect of assertive outreach after suicide attempt in the AID (assertive intervention for deliberate self harm) trial

    DEFF Research Database (Denmark)

    Morthorst, Britt; Krogh, Jesper; Erlangsen, Annette;

    2012-01-01

    To assess whether an assertive outreach intervention after suicide attempt could reduce the frequency of subsequent suicidal acts, compared with standard treatment.......To assess whether an assertive outreach intervention after suicide attempt could reduce the frequency of subsequent suicidal acts, compared with standard treatment....

  5. Assertive behavior: advantages and perception

    Directory of Open Access Journals (Sweden)

    Sheinov V.

    2015-03-01

    Full Text Available In this information-analytical paper analyzes and summarizes the results of all available international research and assertiveness assertive behavior relating to the identification of their strengths and the perception of these phenomena in society. Are some suggestions for overcoming the problems detected.

  6. A Historical Approach to Assertiveness

    Directory of Open Access Journals (Sweden)

    Ivelina Peneva

    2013-04-01

    Full Text Available A very important personal quality is to be able to advocate for yourself - your own positions, to achieve your objectives, to overcome difficulties,to be determined, but without harming the rights of others and to be able to control the aggressive impulses. The concept, which expressesthese personal characteristics, is called "assertiveness". Assertiveness is a part of the personal potential. It is a prerequisite for self-actualization.The goal we set in this historical-psychological paper is to explore the genesis, development and stabilization of the term "assertiveness". Inthis context, we will examine, compare and analyze the positions of the leading authors on this issue.

  7. A Historical Approach to Assertiveness

    OpenAIRE

    Ivelina Peneva; Stoil Mavrodiev

    2013-01-01

    A very important personal quality is to be able to advocate for yourself - your own positions, to achieve your objectives, to overcome difficulties,to be determined, but without harming the rights of others and to be able to control the aggressive impulses. The concept, which expressesthese personal characteristics, is called "assertiveness". Assertiveness is a part of the personal potential. It is a prerequisite for self-actualization.The goal we set in this historical-psychological paper is...

  8. Revisiting Methanotrophic Communities in Sewage Treatment Plants

    OpenAIRE

    Ho, Adrian; Vlaeminck, Siegfried E.; Ettwig, Katharina F.; Schneider, Bellinda; Frenzel, Peter; Boon, Nico

    2013-01-01

    The methanotrophic potential in sewage treatment sludge was investigated. We detected a diverse aerobic methanotrophic community that potentially plays a significant role in mitigating methane emission in this environment. The results suggest that community structure was determined by conditions specific to the processes in a sewage treatment plant.

  9. Middle School PE--Assertiveness Training.

    Science.gov (United States)

    Banks, William H., Jr.; Smith-Fee, Cindy

    1989-01-01

    This article describes a promising approach to the implementation of psycho-social goals in middle school physical education: assertiveness training. Assertiveness is distinguished from aggressiveness, and several assertiveness activities for the curriculum are suggested. (IAH)

  10. Asertivnost in zdravstvo: Assertiveness and health care:

    OpenAIRE

    Černelič Bizjak, Maša

    2009-01-01

    The paper investigates the construct of assertiveness, the definitions, conceptions, components of assertiveness and measurements of assertive behavior. The results of various studies analyzing the relation between relevant correlates are presented. Special attention is focused on the importance of patient assertiveness and the assertiveness among professional nurses. It has been confirmed that nurses need to develop and use adequate assertiveness skills in order to protect themselves from em...

  11. Effect of assertive outreach after suicide attempt in the AID (assertive intervention for deliberate self harm) trial

    DEFF Research Database (Denmark)

    Morthorst, Britt; Krogh, Jesper; Erlangsen, Annette;

    2012-01-01

    OBJECTIVE: To assess whether an assertive outreach intervention after suicide attempt could reduce the frequency of subsequent suicidal acts, compared with standard treatment. DESIGN: Randomised, parallel group, superiority trial with blinded outcome assessment. SETTING: Outpatient intervention a...

  12. Motivation Change in Therapeutic Community Residential Treatment

    Science.gov (United States)

    Morgen, Keith; Kressel, David

    2010-01-01

    Latent growth curve analysis was used to assess motivation change across 3 time points for 120 therapeutic community residents. Models included the time-invariant predictor of readiness for treatment, which significantly predicted initial treatment motivation but not the rate of motivation change over time. (Contains 1 figure and 2 tables.)

  13. Deinstitutionalization revisited: a 5-year follow-up of a randomized clinical trial of hospital-based rehabilitation versus specialized assertive intervention (OPUS) versus standard treatment for patients with first-episode schizophrenia spectrum disorders

    DEFF Research Database (Denmark)

    Nordentoft, Merete; Øhlenschlæger, Johan; Thorup, Anne Amalie Elgaard;

    2010-01-01

    in a special part of the Copenhagen OPUS trial and randomized to either the specialized assertive intervention program (OPUS), standard treatment or hospital-based rehabilitation. RESULTS: It was a stable pattern that patients randomized to hospital-based rehabilitation spent more days in psychiatric wards...... and in supported housing throughout the 5-year follow-up period compared with the two other groups. Patients in OPUS treatment spent significantly fewer days in psychiatric wards and supported housing in the first 3 years compared with patients in hospital-based rehabilitation. Due to attrition and small sample...... size, differences in level of psychotic and negative symptoms at 5-year follow-up could not be evaluated. CONCLUSIONS: The study indicates that hospital-based rehabilitation together with weekly supportive psychodynamic therapy was associated with a continued increased use of psychiatric bed days...

  14. Re-assessing community-directed treatment

    DEFF Research Database (Denmark)

    Halwindi, H.; Magnussen, Pascal; Siziya, S.;

    2015-01-01

    as having significant health importance, (2) the community-based decision to launch and subsequently implement ComDT, (3) the use of the door-to-door method of drug distribution, (4) CDDs being visited by a supervisor, (5) CDDs receiving assistance in mobilizing community members for treatment, (6) CDDs...... having access to a bicycle and (7) CDDs having received assistance in collecting drugs from the health centre. Despite the effectiveness of ComDT in raising treatment coverage there are factors in the implementation process that will still affect whether children and their carers utilize the Com...

  15. The Pointer Assertion Logic Engine

    DEFF Research Database (Denmark)

    Møller, Anders; Schwartzbach, Michael Ignatieff

    2001-01-01

    We present a new framework for verifying partial specifications of programs in order to catch type and memory errors and check data structure invariants. Our technique can verify a large class of data structures, namely all those that can be expressed as graph types. Earlier versions were...... restricted to simple special cases such as lists or trees. Even so, our current implementation is as fast as the previous specialized tools. Programs are annotated with partial specifications expressed in Pointer Assertion Logic, a new notation for expressing properties of the program store. We work...... in the logical tradition by encoding the programs and partial specifications as formulas in monadic second-order logic. Validity of these formulas is checked by the MONA tool, which also can provide explicit counterexamples to invalid formulas. To make verification decidable, the technique requires explicit loop...

  16. Assertiveness and problem solving in midwives

    OpenAIRE

    Yurtsal, Zeliha Burcu; Özdemir, Levent

    2015-01-01

    Background: Midwifery profession is required to bring solutions to problems and a midwife is expected to be an assertive person and to develop midwifery care. This study was planned to examine the relationship between assertiveness and problem-solving skills of midwives. Materials and Methods: This cross-sectional study was conducted with 201 midwives between July 2008 and February 2009 in the city center of Sivas. The Rathus Assertiveness Schedule (RAS) and Problem Solving Inventory (PSI) we...

  17. The structure of assertiveness: a confirmatory approach

    OpenAIRE

    ARRINDELL, WA; Sanderman, R; VANDERMOLEN, H; Vanderende, J.; MERSCH, PP

    1988-01-01

    By using confirmatory factor analysis, distress and performance factors of assertion identified previously in a sample of predomi- nantly agoraphobic club members (N = 703) employing the Scale for Interpersonal Behavior (SlB) - the factors being (I) Display of negative feelings; (II) Expression of and dealing with personal limitations; (III) Initiating assertiveness; and (IV) Praising others and the abili to deal with compliments/praise of others (positive assertion) - were shown to be reprod...

  18. THE ASSERTIVENESS OF PEOPLE WHO PRACTICE KARATE

    OpenAIRE

    Szark-Eckardt Miroslawa.; Golebiewski Piotr; Cieslicka Miroslawa.; Stankiewicz Blazej.

    2012-01-01

    Assertiveness is the ability to express your thoughts, beliefs and opinions without the feeling of internal tension, that is why it is a desired trait of character. One of the examples of sports disciplines in which assertiveness can play a desired role is karate. One of the aims of this paper was to answer the question, whether the act of doing karate influences the level of assertiveness among people who practice it and to compare the results with the level of assertiveness declared by peop...

  19. Using Assertive Training to Develop Positive Job Interviewing Skills.

    Science.gov (United States)

    Zelenak, Bonnie McKnight

    1978-01-01

    This article reviews the differences between two types of workshops and a control group on the development of positive interviewing skills. An assertiveness training group, combined with the presentation of interviewing skills and a didactic group, were the two treatments. (Author)

  20. 42 CFR 412.92 - Special treatment: Sole community hospitals.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Special treatment: Sole community hospitals. 412.92... SERVICES MEDICARE PROGRAM PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES Special Treatment of... treatment: Sole community hospitals. (a) Criteria for classification as a sole community hospital....

  1. 积极式个案管理对社区精神分裂症复发及卫生经济学影响%The effect of assertive case management on relapse and health economic evaluation in schizophrenics living in communities

    Institute of Scientific and Technical Information of China (English)

    赵静; 谢红涛; 易正辉; 吕钦谕; 郭向晴; 胡国芹; 汪作为; 姜雅琴; 陈健; 路聚保; 伍毅

    2014-01-01

    Objective To evaluate the effect of assertive case management on relapse and health economic evalua⁃tion in schizophrenics living in communities. Methods Two hundred outpatients were randomly divided into the study group (107 enrolled, 107 completed) which received assertive case management and the control group (93 enrolled, 91 completed) which received normal management treatment for 12 months. Clinical global impression scale (CGI) and the cost of treatment were assessed every three months. Medication adherence and family burden were evaluated before treat⁃ment and 3, 6 and 12 months after the treatment using Medication Adherence Rating Scale (MARS) and Family Burden Instructing, respectively. Results The study group was less likely to relapse compared with the control group over the 12-month follow-up and the relapse rates were 1.9%and 11.0%in study and control groups, respectively (P<0.01). The repeated-measures analysis of variance indicated that time main effect was significant in severity of illness factor score of CGI (P<0.01). The time main effect and group main effect in factor 1 and factor 3 scores of MARS were significant (all P<0.05) and there was an interaction effect in factor1 score of MARS (P<0.01). In the study group, time effect were signifi⁃cant in factor 1 score of MARS (P<0.01). The time main effects in indirect cost and total cost were significant and so were interaction effects in direct cost and total cost (P<0.05). In the study group, time effects were significant in direct cost and total cost (P<0.01). Comparison of FBI dimensions before and after the intervention showed that family relation⁃ship was much more decreased in the study group than in the control group (P<0.01). Conclusions Assertive Case Man⁃agement can reduce the recurrence of schizophrenia living in communities, improve compliance medication and family re⁃lationship as well as reduce the cost of treatment.%目的:积极式个案管理模式(assertive case

  2. A Peer Assertiveness-Training Program.

    Science.gov (United States)

    Sandmeyer, Louise E.; And Others

    1979-01-01

    This program extends the availability of assertiveness training to students through the use of paraprofessionals as group leaders. This article describes a format for developing a peer assertiveness-training program and is based on the authors' experience conducting this program during the 1977-78 academic year at Pennsylvania State University.…

  3. 32 CFR 537.9 - Assertion.

    Science.gov (United States)

    2010-07-01

    ... STATES § 537.9 Assertion. (a) Asserting demands. If a prima facie claim exists under state law, a written...) Lost pay will be obtained from the leave or earnings statement or the active duty pay chart for the... did not receive either due to the length of time off assigned duty. The time off duty will be based...

  4. Assertiveness Training for Job-Seeking Skills

    Science.gov (United States)

    Ball, Patricia G.; McLoughlin, Mary Ellen

    1977-01-01

    Assertiveness Training for Job-Seeking Skills includes skill development in initiating the job search; arranging actual interviews; preparing a resume; articulating strengths, weaknesses, and career objectives; responding assertively in interviews; asking appropriate questions; accepting or rejecting job offers; confronting discrimination;…

  5. [Cognitive and emotional approach to assertiveness].

    Science.gov (United States)

    Azaïs, F; Granger, B; Debray, Q; Ducroix, C

    1999-01-01

    Assertiveness is an individual function which allows adaptation to social interaction. It needs an heterogeneous psychological processus using behavioral, cognitive and emotional components in its expression. Dysfunction in assertiveness contributes to anxious, depressive and personality disorders, representing a frequent impairment for patients. Assertiveness was measured in a population of patients with anxious disorders (n = 33) without concomitant major depression. Rathus Assertiveness Schedule was used for the clinical evaluation, Beck Depression Inventory, Spielberger State-Trait Anxiety Inventory and Coopersmith Inventory was also used for clinical measure of depression, anxiety and self-esteem. Global score to Rathus Assertiveness, correlated no specifically with all the others emotional factors. This multidimensional function would benefit to a more discriminant approach, measuring first behavioral and cognitive skills employed in social adaptation and secondly the emotional component of the processus. PMID:10546092

  6. THE ASSERTIVENESS OF PEOPLE WHO PRACTICE KARATE

    Directory of Open Access Journals (Sweden)

    Szark-Eckardt Miroslawa

    2012-04-01

    Full Text Available Assertiveness is the ability to express your thoughts, beliefs and opinions without the feeling of internal tension, that is why it is a desired trait of character. One of the examples of sports disciplines in which assertiveness can play a desired role is karate. One of the aims of this paper was to answer the question, whether the act of doing karate influences the level of assertiveness among people who practice it and to compare the results with the level of assertiveness declared by people who do other sports. The method applied in this paper was the diagnostics survey, while the tool was the questionnaire form based on the Rathus Assertiveness Scale. 50 students who practice karate on regular basis and 50 students who do other sports participated in the research. It is undeniable that the level of assertiveness among people who practice karate is higher in comparison to people who do other sports. Karate doers, both men and women obtained better results compared to the second group of sportsmen/women. This regularity can be observed among men, but it is more perceptible among women. As the research presents, people who attend karate trainings at least three times a week are characterized by a higher level of assertiveness in comparison to those who attend the training once a week.

  7. ASSERT development and validation recent progress

    International Nuclear Information System (INIS)

    At the time of the conference, the ASSERT code was being developed to address the three-dimensional computation of flow and phase distribution and fuel-element surface temperatures on a local or subchannel basis within CANDU PHWR fuel channels, and to provide a detailed prediction of critical heat flux (CHF) throughout the fuel channel. This paper briefly describes the ASSERT code and its CHF assessment methodology, and several recent validation exercises concerning applications of the code to simulations relevant to CANDU-PHWR fuel channel conditions. Results are presented of a preliminary ASSERT analysis of the Stern Laboratory full-scale water critical heat flux tests. The initial data from the nominal (uncrept) pressure tube tests for steady-state onset-of dryout conditions was applied to ASSERT. An advanced (pre-experiment) prediction of the Stern Laboratory tests in a crept pressure tube was completed using ASSERT. The purpose of the study was to give the relative reduction in initial fuel channel dryout power for a crept pressure tube compared to the nominal pressure tube for the same boundary conditions. This paper discusses recent ASSERT code validation of two CHF experiments with full-scale vertical flow bundles with Freon coolant; these experiments discussed the effect of fuel bundle radial heat flux distribution (RFD) on CHF. The purpose of the study was to confirm the ability of the ASSERT code to predict the correct parametric trends in dryout power for various RFD profiles. Some past ASSERT validation studies relevant to CANDU-PHWR fuel channel modelling are briefly reviewed. The status of, and future directions for, ASSERT code development are summarized. 40 refs., 9 figs., 1 tab

  8. Developing Processes of Voltan Acar Assertiveness Scale

    OpenAIRE

    Voltan Acar, Nilüfer; ÖĞRETMEN, Tuncay

    2007-01-01

    In order to measure assertiveness the Voltan-Acar Assertiveness Inventory is developed. The scale has 28 items. Test-retest coefficient is 0.89 and Cronbach Alpha is 0.87. According the confirmatory factor analysis of the scale, the internal concistancy coefficent for the passiveness factor is 0.83 (17 items), for the assertiveness factor is 0.78. Reliability coefficient of the whole test is 0.87. Later, second order confirmatory factor model is formulated and the goodness of fit is interpret...

  9. Assertive Skills Training for the Blind.

    Science.gov (United States)

    Everhart, Gary; And Others

    1980-01-01

    The article describes how a rehabilitation center for the blind, aware that many clients were inept in dealing with society at large, instituted an assertive skills training program to improve client skills in this area. (Author/SBH)

  10. Trial and Evaluation of Assertion Training Involving Nursing Students

    OpenAIRE

    Nishina, Yuko; Tanigaki, Shizuko

    2013-01-01

    Background The concept of assertion and conceptual/practical methods of assertion (assertiveness) training were originally developed in the United States and Europe. These principles were embraced and adapted in Japan in 1970’s. However, only a few studies relating to assertion (assertiveness) have been undertaken thus far in Japan, especially so in the domain of nursing students in comparison with other countries. The purpose of this study was to design and implement assertion training with ...

  11. A community-driven hypertension treatment group in rural Honduras

    OpenAIRE

    Sheridan Reiger; Harris, Jeffrey R; Kwun Chuen Gary Chan; Hector Lopez Oqueli; Marlana Kohn

    2015-01-01

    Background: We formed a self-funded hypertension treatment group in a resource-poor community in rural Honduras. After training community health workers and creating protocols for standardized treatment, we used group membership fees to maintain the group, purchase generic medications in bulk on the local market, and hire a physician to manage treatment. We then assessed whether participation in the group improved treatment, medication adherence, and hypertension control. Design: This is a pr...

  12. A community-driven hypertension treatment group in rural Honduras

    OpenAIRE

    Reiger, Sheridan; Harris, Jeffrey R; Chan, Kwun Cheun Gary; Lopez Oqueli, Hector; Kohn, Marlana

    2015-01-01

    Background: We formed a self-funded hypertension treatment group in a resource-poor community in rural Honduras. After training community health workers and creating protocols for standardized treatment, we used group membership fees to maintain the group, purchase generic medications in bulk on the local market, and hire a physician to manage treatment. We then assessed whether participation in the group improved treatment, medication adherence, and hypertension control.Design: This is a pro...

  13. Assertive Training: Teaching Women Not to Discriminate Against Themselves.

    Science.gov (United States)

    Butler, Pamela E.

    The process of assertive training is described with emphasis placed on its applicability to problems in female assertiveness. Male and female members of four assertive training groups were compared on the Wolpe-Lazarus assertive inventory. Male members obtained a significantly lower score than female members i.e., men reported themselves as…

  14. Assertiveness And Conflictive Thoughts Of Students”

    OpenAIRE

    K. N. Chattopadhyay And Papiya Upadhyay

    2012-01-01

    Aim of the study is to investigate that level of assertiveness can affect conflictive thoughts of students. For this investigation 160 college going students belonging to the age group of 17 to 23 years, out of which 80 students were higher assertiveness and 80 students were lower assertiveness from Beed District. To assess level of Assertive Inventory: - Assertive inventory developed by Dr. Tasneem Naqvi were used, and to assess the Conflictive Thoughts the Conflictive Thoughts Analysis Inve...

  15. The structure of assertiveness : a confirmatory approach

    NARCIS (Netherlands)

    ARRINDELL, WA; SANDERMAN, R; VANDERMOLEN, H; VANDERENDE, J; MERSCH, PP

    1988-01-01

    By using confirmatory factor analysis, distress and performance factors of assertion identified previously in a sample of predomi- nantly agoraphobic club members (N = 703) employing the Scale for Interpersonal Behavior (SlB) - the factors being (I) Display of negative feelings; (II) Expression of a

  16. A Proposal for Evaluating Cognition in Assertiveness

    Science.gov (United States)

    Vagos, Paula; Pereira, Anabela

    2010-01-01

    This article presents the development process and initial psychometric features of an instrument for evaluating cognition in assertiveness. This is an essential social skill for adolescent development and seems to encompass emotional, behavioral, and cognitive aspects. The instrument was created by combining both empirical and theoretical methods…

  17. Enhancing assertiveness in district nurse specialist practice.

    Science.gov (United States)

    Green, Julie

    2016-08-01

    District nurse (DN) care delivery has undergone substantial change in recent years due to changing demographics and service delivery demands that have called for a move of care delivery from secondary to primary care. The title District Nurse is recorded with the Nursing and Midwifery Council (NMC) on completion of the Specialist Practice Qualification in District Nursing (SPQ DN), which purports to be a 'transformational' course that prepares future caseload holders to manage their team and prioritise care delivery effectively. This article explores the need for assertiveness skills in this role in response to Australian research, and outlines the pedagogic interventions implemented during the SPQ DN course to enhance this skill. Assertiveness scores were monitored for the duration of the course and demonstrated a significant increase-a topic that is now the subject of a future, funded study. PMID:27479854

  18. Heidegger on Assertion, Method, and Metaphysics

    OpenAIRE

    Golob, Sacha

    2013-01-01

    In Sein und Zeit Heidegger makes several claims about the nature of ‘assertion’ [Aussage]. These claims are of particular philosophical interest: they illustrate, for example, important points of contact and divergence between Heidegger’s work and philosophical movements including Kantianism, the early Analytic tradition, and contemporary pragmatism. This article provides a new assessment of one of these claims: the claim that assertion is connected to a ‘present-at-hand’ ontology. I also ind...

  19. Approximate Assertional Reasoning Over Expressive Ontologies

    OpenAIRE

    Tserendorj, Tuvshintur

    2010-01-01

    In this thesis, approximate reasoning methods for scalable assertional reasoning are provided whose computational properties can be established in a well-understood way, namely in terms of soundness and completeness, and whose quality can be analyzed in terms of statistical measurements, namely recall and precision. The basic idea of these approximate reasoning methods is to speed up reasoning by trading off the quality of reasoning results against increased speed.

  20. Microbial Communities in Danish Wastewater Treatment Plants with Nutrient Removal

    DEFF Research Database (Denmark)

    Mielczarek, Artur Tomasz

    -term investigations of the microbial community in full-scale wastewater treatment plants, where conventional identification, molecular identification by quantitative Fluorescent In Situ Hybridization and extensive process information related to treatment plant design and process performance have been compiled......Activated sludge treatment plants are the most used wastewater treatment systems worldwide for biological nutrient removal from wastewater. Nevertheless, the treatment systems have been for many years operated as so called “black-box”, where specific process parameters were adjusted without...... was devoted into detailed analysis of almost fifty full-scale treatment plants (Microbial Database over Danish Wastewater Treatment Plants.) in order to learn more about the activated sludge communities and the rules that govern their presence and growth. This is one of the first such comprehensive long...

  1. [Relationship of perception conflict and assertiveness in nurses].

    Science.gov (United States)

    Stojčić, Živko; Perković, Lada; Stašević, Ina; Stojčić, Nevena; Ropac, Darko

    2014-06-01

    At their workplace, nurses are exposed to a number of conflict situations. On dealing with such situations, a significant role is played by assertiveness skills. Assertiveness is the necessity of efficient communication between nurses and patients. Thus, development of these skills can enhance patient confidence in the nursing profession. The aim of the study was to determine whether there are differences in assertiveness with respect to age and sex, and whether there is and what is the connection between assertiveness, potential sources of conflict at work, conflicts due to the behavior of associates, resolving conflicts and self-assessment in resolving conflicts. The survey included 87 hospital nurses. The questionnaire included assessment of assertiveness. On processing the results, we calculated the indicators of descriptive statistics, carried out the variance analysis and t-test, and calculated Pearson's correlation coefficients. It was found that the majority of subjects expressed a medium level of assertiveness, i.e. they could be considered as relatively assertive persons. There were significant differences in assertiveness according to age of the subjects and length of service, where the oldest age group was significantly less assertive. More assertive subjects frequently observed behaviors that may be a source of conflict and problems in the organization of work. At the same time, they often had conflicts because of such behavior, which indicated that more assertive subjects were bolder and more secure. More assertive subjects believed that they were more successful in resolving conflicts than non-assertive subjects.

  2. [Relationship of perception conflict and assertiveness in nurses].

    Science.gov (United States)

    Stojčić, Živko; Perković, Lada; Stašević, Ina; Stojčić, Nevena; Ropac, Darko

    2014-06-01

    At their workplace, nurses are exposed to a number of conflict situations. On dealing with such situations, a significant role is played by assertiveness skills. Assertiveness is the necessity of efficient communication between nurses and patients. Thus, development of these skills can enhance patient confidence in the nursing profession. The aim of the study was to determine whether there are differences in assertiveness with respect to age and sex, and whether there is and what is the connection between assertiveness, potential sources of conflict at work, conflicts due to the behavior of associates, resolving conflicts and self-assessment in resolving conflicts. The survey included 87 hospital nurses. The questionnaire included assessment of assertiveness. On processing the results, we calculated the indicators of descriptive statistics, carried out the variance analysis and t-test, and calculated Pearson's correlation coefficients. It was found that the majority of subjects expressed a medium level of assertiveness, i.e. they could be considered as relatively assertive persons. There were significant differences in assertiveness according to age of the subjects and length of service, where the oldest age group was significantly less assertive. More assertive subjects frequently observed behaviors that may be a source of conflict and problems in the organization of work. At the same time, they often had conflicts because of such behavior, which indicated that more assertive subjects were bolder and more secure. More assertive subjects believed that they were more successful in resolving conflicts than non-assertive subjects. PMID:26016217

  3. Antibiotic Treatment Strategies for Community-Acquired Pneumonia in Adults

    NARCIS (Netherlands)

    Postma, Douwe F.; Van Werkhoven, Cornelis H.; Van Elden, Leontine J R; Thijsen, Steven F T; Hoepelman, Andy I M; Kluytmans, Jan A J W; Boersma, Wim G.; Compaijen, Clara J.; Van Der Wall, Eva; Prins, Jan M.; Oosterheert, Jan J.; Bonten, Marc J M

    2015-01-01

    BACKGROUND The choice of empirical antibiotic treatment for patients with clinically suspected community-acquired pneumonia (CAP) who are admitted to non-intensive care unit (ICU) hospital wards is complicated by the limited availability of evidence. We compared strategies of empirical treatment (al

  4. Components of Assertive Behavior: Are There Black-White Differences?

    Science.gov (United States)

    Lineberger, Marilyn Hazzard; Beezley, Dana

    Most definitions and training of assertive behavior fail to consider cultural diversity in social skills. Verbal, nonverbal and cognitive components of assertive behavior were investigated to determine cultural variations in assertiveness. Black (N=30) and white (N=30) male and female college students enacted 16 role-play scenes with 4 role…

  5. ASSERT and COBRA predictions of flow distribution in vertical bundles

    International Nuclear Information System (INIS)

    COBRA and ASSERT are subchannel codes which compute flow and enthalpy distributions in rod bundles. COBRA is a well known code, ASSERT is under development at CRNL. This paper gives a comparison of the two codes with boiling experiments in vertical seven rod bundles. ASSERT predictions of the void distribution are shown to be in good agreement with reported experimental results, while COBRA predictions are unsatisfactory. The mixing models in both COBRA and ASSERT are briefly discussed. The reasons for the failure of COBRA-IV and the success of ASSERT in simulating the experiments are highlighted

  6. Mental health service users' and practitioners' experiences of engagement in assertive outreach: a qualitative study.

    Science.gov (United States)

    Wright, N; Callaghan, P; Bartlett, P

    2011-11-01

    Assertive outreach services have been central to community mental health policy within the UK. These multidisciplinary teams were established to engage with service users who have severe and enduring mental health problems and have found traditional community services unable to meet their needs. Mental health nurses have a pivotal role in these multidisciplinary teams, yet the nature of these relationships from the perspective of those who work in and receive care is poorly understood. This study set out to explore the nature and meaning of engagement for practitioners and service users within assertive outreach services. A qualitative approach, informed by philosophical hermeneutics, underpinned the study. Participants were recruited from a single assertive outreach team in the UK. To be eligible for the study, mental health practitioners needed to be employed within the assertive outreach team. All service users residing in the community and receiving care from the team were also eligible for inclusion. In total 14 interviews were conducted with mental health practitioners and 13 with service users. Data analysis was informed by Turner's method. Four themes emerged from the data; contact, dialogue, transformation and shared understanding. Meaningful engagement was found to manifest itself through experiences such as providing and receiving practical assistance, having a genuine two-way conversation and valuing the experiences and personal attributes of the other person. The findings indicate that engagement is an active, dynamic and skilled process, which leads practitioners and service users to transform together to create a new relationship. PMID:21985685

  7. A community-driven hypertension treatment group in rural Honduras

    Directory of Open Access Journals (Sweden)

    Sheridan Reiger

    2015-09-01

    Full Text Available Background: We formed a self-funded hypertension treatment group in a resource-poor community in rural Honduras. After training community health workers and creating protocols for standardized treatment, we used group membership fees to maintain the group, purchase generic medications in bulk on the local market, and hire a physician to manage treatment. We then assessed whether participation in the group improved treatment, medication adherence, and hypertension control. Design: This is a program evaluation using quasi-experimental design and no control group. Using data from the 86 members of the hypertension treatment group, we analyzed baseline and follow-up surveys of members, along with 30 months of clinical records of treatment, medication adherence, and blood pressure readings. Results: Our initial hypertension needs assessment revealed that at baseline, community hypertensives relied on the local Ministry of Health clinic as their source of anti-hypertensive medications and reported that irregular supply interfered with medication adherence. At baseline, hypertension group members were mainly female, overweight or obese, physically active, non-smoking, and non-drinking. After 30 months of managing the treatment group, we found a significant increase in medication adherence, from 54.8 to 76.2% (p<0.01, and hypertension control (<140/90 mmHg, from 31.4 to 54.7% (p<0.01. We also found a mean monthly decrease of 0.39 mmHg in systolic blood pressure (p<0.01. At the end of the 30-month observation period, the local Ministry of Health system had increased provision of low-cost anti-hypertensive medications and adopted the hypertension treatment group's treatment protocols. Conclusions: Formation of a self-funded, community-based hypertension treatment group in a rural, resource-poor community is feasible, and group participation may improve treatment, medication adherence, and hypertension control and can serve as a political driver for

  8. Family MDT: Vs. Treatment as Usual in a Community Setting

    Science.gov (United States)

    Apsche, Jack A.; Bass, Christopher K.; Houston, Marsha-Ann

    2007-01-01

    This article examines the effectiveness of Mode Deactivation Family Therapy, (MDT) in a community setting as compared to Treatment as Usual, (TAU). MDT is an evidenced based psychotherapy and has been shown to be effective treating adolescents with physical and sexual behaviors, as well as, problems with conduct and personality. In this study, MDT…

  9. The Level of Depression and Assertiveness among Nursing Students

    OpenAIRE

    Rezayat, Fatemeh; Dehghan Nayeri, Nahid

    2014-01-01

    Background: Nursing students are susceptible to a higher risk of depression. Recognition of depression, assertiveness and the relationship between them is important since if a relationship exists, probably enhancing the level of assertiveness can reduce depression in this high risk group. We aimed to investigate depression and assertiveness levels and the relationship between them in nursing students of Tehran University of Medical Sciences. Methods: The target population of this cross-sectio...

  10. The drift flux model in the ASSERT subchannel code

    International Nuclear Information System (INIS)

    The ASSERT subchannel code has been developed specifically to model flow and phase distributions within CANDU fuel bundles. ASSERT uses a drift-flux model which permits the phases to have unequal velocities, and can thus model phase separation tendencies which may occur in horizontal flow. The basic principles of ASSERT are outlined, and computed results are compared against data from various experiments for validation purposes. The paper concludes with an example of the code to predict critical heat flux in CANDU geometries

  11. Separation-individuation and assertiveness in late adolescents

    OpenAIRE

    Aslan, Sevda

    2013-01-01

    An adolescent can experience some problems regarding assertiveness during the course of separation-individuation from their caregivers. The purpose of this study is to describe the relationship between separation-individuation and assertiveness, which was examined in terms of how assertiveness predicts the separation-individuation of Turkish late adolescents. The sampling group consisted of 283 university students. The data gathered were analyzed by involving several simple regression analysi...

  12. Enjoy! Hedonic Consumption and Compliance with Assertive Messages

    OpenAIRE

    Kronrod, A.; Grinstein, A.; Wathieu, L.

    2012-01-01

    This paper examines the persuasiveness of assertive language (as in Nike's slogan "Just do it") as compared to nonassertive language (as in Microsoft's slogan "Where do you want to go today?"). Previous research implies that assertive language should reduce consumer compliance. Two experiments show that assertiveness is more effective in communications involving hedonic products, as well as hedonically advertised utilitarian products. This prediction builds on sociolinguistic research address...

  13. SVA the power of assertions in SystemVerilog

    CERN Document Server

    Cerny, Eduard; Havlicek, John; Korchemny, Dmitry

    2015-01-01

    This book is a comprehensive guide to assertion-based verification of hardware designs using System Verilog Assertions (SVA). It enables readers to minimize the cost of verification by using assertion-based techniques in simulation testing, coverage collection and formal analysis. The book provides detailed descriptions of all the language features of SVA, accompanied by step-by-step examples of how to employ them to construct powerful and reusable sets of properties.?The book also shows how SVA fits into the broader System Verilog language, demonstrating the ways that assertions can interact

  14. The status of the knowledge account of assertion

    NARCIS (Netherlands)

    Hindriks, Frank

    2007-01-01

    According to the increasingly popular knowledge account, assertion is governed by the rule that speech acts of that kind require knowledge of their content. Timothy Williamson has argued that this knowledge rule is the constitutive rule of assertion. It is argued here that it is not the constitutive

  15. Enhancement of Self-Regulation, Assertiveness, and Empathy.

    Science.gov (United States)

    Sanz de Acedo Lizarraga, M. Luisa; Ugarte, M. Dolores; Cardelle-Elawar, Maria; Iriarte, M. Dolores; Sanz de Acedo Baquedano, M. Teresa

    2003-01-01

    Examined the effects of teaching self-regulation strategies and social skills to 40 middle school students who presented difficulties in self-reflection, self-inquiry, assertiveness, and empathy. Significant gains were observed in the experimental group in self-regulation of learning, self-control of behavior, assertiveness, empathy, and…

  16. Separation-individuation and assertiveness in late adolescents

    Directory of Open Access Journals (Sweden)

    Aslan, Sevda

    2013-07-01

    Full Text Available An adolescent can experience some problems regarding assertiveness during the course of separation-individuation from their caregivers. The purpose of this study is to describe the relationship between separation-individuation and assertiveness, which was examined in terms of how assertiveness predicts the separation-individuation of Turkish late adolescents. The sampling group consisted of 283 university students. The data gathered were analyzed by involving several simple regression analysis method. The findings revealed that aassertiveness predicts separation anxiety in a meaningful way. Furthermore, the assertiveness predicts engulfment anxiety, peer enmeshment, need denial, practicing-mirroring, rejection expectancy, and healthy separation. These findings suggest that psycho-educational studies improving assertiveness can be carried out for the late adolescents who experience separation-individuation problems.

  17. Developing Community Reinforcement and Family Training (CRAFT) for Parents of Treatment-Resistant Adolescents

    Science.gov (United States)

    Kirby, Kimberly C.; Versek, Brian; Kerwin, MaryLouise E.; Meyers, Kathleen; Benishek, Lois A.; Bresani, Elena; Washio, Yukiko; Arria, Amelia; Meyers, Robert J.

    2015-01-01

    We describe a project focused on training parents to facilitate their treatment-resistant adolescent's treatment entry and to manage their child after entry into community-based treatment. Controlled studies show that Community Reinforcement and Family Training (CRAFT) is a unilateral treatment that fosters treatment entry of adults; however,…

  18. Effect of the Creative Drama-Based Assertiveness Program on the Assertiveness Skill of Psychological Counsellor Candidates

    Science.gov (United States)

    Gundogdu, Rezzan

    2012-01-01

    The purpose of this quasi-experimental research is to study the effects of the creative drama-based assertiveness program (CDBAP) on the assertiveness skill of Psychological Counselling and Guidance (PCG) department students. The opinions of experimental group students on the program were obtained through the CDBAP evaluation form. The sample of…

  19. Failure of levofloxacin treatment in community-acquired pneumococcal pneumonia

    Directory of Open Access Journals (Sweden)

    Grossi Paolo

    2005-11-01

    Full Text Available Abstract Background Streptococcus pneumoniae is the leading cause of community-acquired pneumonia (CAP. High global incidence of macrolide and penicillin resistance has been reported, whereas fluoroquinolone resistance is uncommon. Current guidelines for suspected CAP in patients with co-morbidity factors and recent antibiotic therapy recommend initial empiric therapy using one fluoroquinolone or one macrolide associated to other drugs (amoxicillin, amoxicillin/clavulanate, broad-spectrum cephalosporins. Resistance to fluoroquinolones is determined by efflux mechanisms and/or mutations in the parC and parE genes coding for topoisomerase IV and/or gyrA and gyrB genes coding for DNA gyrase. No clinical cases due to fluoroquinolone-resistant S. pneumoniae strains have been yet reported from Italy. Case presentation A 72-year-old patient with long history of chronic obstructive pulmonary disease and multiple fluoroquinolone treatments for recurrent lower respiratory tract infections developed fever, increased sputum production, and dyspnea. He was treated with oral levofloxacin (500 mg bid. Three days later, because of acute respiratory insufficiency, the patient was hospitalized. Levofloxacin treatment was supplemented with piperacillin/tazobactam. Microbiological tests detected a S. pneumoniae strain intermediate to penicillin (MIC, 1 mg/L and resistant to macrolides (MIC >256 mg/L and fluoroquinolones (MIC >32 mg/L. Point mutations were detected in gyrA (Ser81-Phe, parE (Ile460-Val, and parC gene (Ser79-Phe; Lys137-Asn. Complete clinical response followed treatment with piperacillin/tazobactam. Conclusion This is the first Italian case of community-acquired pneumonia due to a fluoroquinolone-resistant S. pneumoniae isolate where treatment failure of levofloxacin was documented. Molecular analysis showed a group of mutations that have not yet been reported from Italy and has been detected only twice in Europe. Treatment with piperacillin

  20. The drift flux model in the ASSERT subchannel code

    International Nuclear Information System (INIS)

    The ASSERT subchannel code has been developed specifically to model flow and phase distributions within CANDU fuel bundles. ASSERT uses a drift-flux model that permits the phases to have unequal velocities, and can thus model phase separation tendencies that may occur in horizontal flow. The basic principles of ASSERT are outlined, and computed results are compared against data from various experiments for validation purposes. The paper concludes with an example of the use of the code to predict critical heat flux in CANDU geometries

  1. Recent developments in ASSERT-PV code for subchannel thermalhydraulics

    International Nuclear Information System (INIS)

    This paper summarises recent development of ASSERT-PV, and provides examples of applications to CANDU fuel bundles in predicting flow, heat transfer and sheath temperatures. The development work is intended to improve computational and phenomenological modelling capabilities of ASSERT-PV in simulating various flow scenarios in CANDU fuel bundles. The latest version of ASSERT-PV can be used for simulations of steady state or transient, subchannel thermalhydraulics in CANDU bundles under conditions up to and including post-dryout heat transfer. (author)

  2. On the Comparison of Interpersonal Sensitivity and Assertiveness between Drug-Dependent Persons and Ordinary People

    Directory of Open Access Journals (Sweden)

    Babak Vojudi

    2015-02-01

    Full Text Available Objective: The present study was aimed at comparing interpersonal sensitivity and assertiveness between drug-dependent persons and ordinary people. Method: The research method was causal-comparative. The statistical population of the study consisted of all narcotic addicts of Tabriz City who referred to Addiction Treatment Centers while the research was being conducted. The number of 30 addicted persons was selected through cluster sampling and 30 ordinary persons as control group through convenience sampling method. Gmbryl & Ritchie’s assertiveness questionnaire (1975 and Boyce & Parker’s Interpersonal Sensitivity Measure (IPSM 1989 were used for data collection purposes. Results: The results showed that there was a statistically significant difference between two groups in terms of interpersonal sensitivity and assertiveness. The addicts showed less assertiveness and more interpersonal sensitivity in comparison with their healthy counterparts. Conclusion: The findings show that people who are unable to express themselves and exert sensitivity in interpersonal relationships are more likely at high risk of substance dependence. However, it is possible to prevent these persons from turning to addiction by teaching them these skills.

  3. Comparing Locus of Control, Assertiveness and General Health among Young Drug Addicts in Iran

    Directory of Open Access Journals (Sweden)

    Shahriar Shahidi

    2009-04-01

    Full Text Available "n "nObjective:The aim of this research was to compare the characteristics of assertiveness, locus of control and general health among young drug dependent patients in Iran. "n "nMethods: Three groups of Iranians: were choosed. The first group included drug dependent patients who had volunteered for treatment and had registered in the local Welfare Organization; the second group included dependent patients who were in the prison; and the third group held nondependent patients. All the participants were male and were matched for age and educational level . The following instruments were used in the present study: locus of control  uestionnaire , Assertiveness Scale and the General Health Questionnaire, GHQ. "n "nResults: The results of the present research showed that there were significant differences among the three groups in ssertiveness, locus of control and GHQ scores. It was found that participants in the non addictive group were more assertive and more internal in their locus of control and had higher GHQ scores than the other two groups. The participants in the prison group reported less assertiveness and lower GHQ scores than the non addictive group ; and their locus of control was more external. Conclusion: "n The results this study may be useful in terms of possible strategies for changing an attributive style in young adults in the framework of psychotherapy

  4. MOTIVATIONAL AND VALUE-SEMANTIC DETERMINANTS OF INDIVIDUAL ASSERTIVENESS

    Directory of Open Access Journals (Sweden)

    Lebedeva Inga Viktorovna

    2013-04-01

    Full Text Available The paper attempts to reveal the concept of "determinants of assertiveness" of a personality, which are determined by motivational characteristics and life value and meaning orientations of the individual. The immediate driving force of human action is the motive or the system of motives. The system of motives of human behavior in different situations of activities, communication and cognition is determined by the personal world view (set of ideas, interests, and beliefs. The value orientation, influencing the direction of human activity, determines a person's behavior and is a personality determinant in the manifestations of assertive behavior and assertiveness. Therefore, the significant psychological factors that contribute to the development of assertiveness are high motivation to success, positive attitudes, and such values as compassion, tolerance, mutual understanding, sympathy, concern that oppose to violence, domination, suppression and submission. The article also presents the results of an empirical study of motivational and value-semantic characteristics of the individual.

  5. Assertion: A Technique for Handling Troublesome Library Patrons.

    Science.gov (United States)

    Groark, James J.

    1979-01-01

    Encourages the use of assertion training for librarians to aid them in providing reference service, interviewing for employment, and handling difficult patrons. A list of references and a selection of readers' comments on the article is included. (FM)

  6. Cognitive Mediation of Aggressive, Assertive, and Submissive Behavior in Children.

    Science.gov (United States)

    Deluty, Robert H.

    1985-01-01

    Examines three critical components of interpersonal cognitive problem solving (alternative-thinking ability, evaluative judgments of response alternatives, and consequential thinking) among 188 elementary school students with differing levels of aggressiveness, assertiveness, and submissiveness. Findings indicate interrelatedness of the cognitive…

  7. THE EFFECT OF ASSERTIVENESS ON CONFLICT HANDLING STYLES

    OpenAIRE

    ERGENELİ, Azize; KARAPINAR, Pınar BAYHAN; CAMGÖZ, Selin METİN

    2011-01-01

     The purpose of this study was determine the effect of assertiveness in predicting the preference of conflict handling style in the light of the authority position of the other party. We first explored assertiveness as determinant of preferred conflict handling styles and second; examined whether the status of the other party as a situational factor alters this relationship. Data were gathered using self-administered survey to 206 employees working at a textile manufacturing company.  In conf...

  8. Levels of Assertiveness and Peer Pressure of Nursing Students

    OpenAIRE

    Esin Arslan; Nazan Kiliç Akça; Mürüvvet Baser

    2013-01-01

    Background: The research was conducted in order to determine levels of assertiveness and peer pressure of the nursing students.Methodology: This descriptive research has been performed with 154 nursing students in Bozok University, The data were collected with Questionnaire Form, Rathus Assertiveness Inventory and Peer Pressure Scale. We used the data one way Anova, two samples t test, the relationship between several independent variables and scales were evaluated by Pearson correlation tech...

  9. Assertiveness and problem-solving training for mildly mentally retarded persons with dual diagnoses.

    Science.gov (United States)

    Nezu, C M; Nezu, A M; Arean, P

    1991-01-01

    This study investigated the differential effectiveness of assertiveness and problem-solving training on dually diagnosed patients' adaptive social behavior, distress and psychiatric symptoms, anger control, and problem-solving coping skills using a counterbalanced design. Assessments were conducted at pretreatment, midphase, posttreatment, and a 3-month follow-up examination. A combined assertiveness and problem-solving training package was effective for treatment of individuals with mild mental retardation with dual psychiatric diagnoses. Specifically, improvements occurred regarding both self-report measures of distress and caregiver ratings of adaptive functioning; however, no essential differences were found between these two treatment protocols. The importance of using self-regulatory models of therapy with this population is highlighted, and recommendations were made for future research.

  10. On the Comparison of Interpersonal Sensitivity and Assertiveness between Drug-Dependent Persons and Ordinary People

    OpenAIRE

    Babak Vojudi; Nastaran Otared; Hamid poursharifi

    2015-01-01

    Objective: The present study was aimed at comparing interpersonal sensitivity and assertiveness between drug-dependent persons and ordinary people. Method: The research method was causal-comparative. The statistical population of the study consisted of all narcotic addicts of Tabriz City who referred to Addiction Treatment Centers while the research was being conducted. The number of 30 addicted persons was selected through cluster sampling and 30 ordinary persons as control group through con...

  11. Attachment, Sexual Assertiveness, and Sexual Outcomes in Women with Provoked Vestibulodynia and Their Partners: A Mediation Model.

    Science.gov (United States)

    Leclerc, Bianca; Bergeron, Sophie; Brassard, Audrey; Bélanger, Claude; Steben, Marc; Lambert, Bernard

    2015-08-01

    Provoked vestibulodynia (PVD) is a prevalent women's sexual pain disorder, which is associated with sexual function difficulties. Attachment theory has been used to understand adult sexual outcomes, providing a useful framework for examining sexual adaptation in couples confronted with PVD. Research to date indicates that anxious and avoidant attachment dimensions correlate with worse sexual outcomes in community and clinical samples. The present study examined the association between attachment, pain, sexual function, and sexual satisfaction in a sample of 101 couples in which the women presented with PVD. The actor-partner interdependence model was used in order to investigate both actor and partner effects. This study also examined the role of sexual assertiveness as a mediator of these associations via structural equation modeling. Women completed measures of pain intensity and both members of the couple completed measures of romantic attachment, sexual assertiveness, sexual function, and satisfaction. Results indicated that attachment dimensions did not predict pain intensity. Both anxious and avoidant attachment were associated with lower sexual satisfaction. Only attachment avoidance predicted lower sexual function in women. Partner effects indicated that higher sexual assertiveness in women predicted higher sexual satisfaction in men. Finally, women's sexual assertiveness was found to be a significant mediator of the relationship between their attachment dimensions, sexual function, and satisfaction. Findings highlight the importance of examining how anxious and avoidant attachment may lead to difficulties in sexual assertiveness and to less satisfying sexual interactions in couples where women suffer from PVD. PMID:24777439

  12. Automated Synthesis of Assertion Monitors using Visual Specifications

    CERN Document Server

    Gadkari, Ambar A

    2011-01-01

    Automated synthesis of monitors from high-level properties plays a significant role in assertion-based verification. We present here a methodology to synthesize assertion monitors from visual specifications given in CESC (Clocked Event Sequence Chart). CESC is a visual language designed for specifying system level interactions involving single and multiple clock domains. It has well-defined graphical and textual syntax and formal semantics based on synchronous language paradigm enabling formal analysis of specifications. In this paper we provide an overview of CESC language with few illustrative examples. The algorithm for automated synthesis of assertion monitors from CESC specifications is described. A few examples from standard bus protocols (OCP-IP and AMBA) are presented to demonstrate the application of monitor synthesis algorithm.

  13. Optimal Decomposition of Service Level Objectives into Policy Assertions.

    Science.gov (United States)

    Rastegari, Yousef; Shams, Fereidoon

    2015-01-01

    WS-agreement specifies quality objectives that each partner is obligated to provide. To meet quality objectives, the corresponding partner should apply appropriate policy assertions to its web services and adjust their parameters accordingly. Transformation of WS-CDL to WSBPEL is addressed in some related works, but neither of them considers quality aspects of transformation nor run-time adaptation. Here, in conformance with web services standards, we propose an optimal decomposition method to make a set of WS-policy assertions. Assertions can be applied to WSBPEL elements and affect their run-time behaviors. The decomposition method achieves the best outcome for a performance indicator. It also guarantees the lowest adaptation overhead by reducing the number of service reselections. We considered securities settlement case study to prototype and evaluate the decomposition method. The results show an acceptable threshold between customer satisfaction-the targeted performance indicator in our case study-and adaptation overhead. PMID:26962544

  14. Social competence: evaluation of assertiveness in Spanish adolescents.

    Science.gov (United States)

    Castedo, Antonio López; Juste, Margarita Pino; Alonso, José Domínguez

    2015-02-01

    Relations between assertiveness in adolescents' social behavior and demographic variables were assessed in 4,943 Spanish adolescents, ages 12 to 17 years, enrolled in 32 schools for Compulsory Secondary Education. Province of residence, school size, age, grade, and academic focus were statistically significant sources of variance in assertiveness scores. All effects were small. Patterns in responses indicate the items should be reviewed to improve the measure for adolescents, and as a tool for addressing teens' social competence in real life situations. PMID:25621673

  15. Eczema: causes, symptoms and treatment in the community.

    Science.gov (United States)

    Peate, Ian

    2011-07-01

    The most common diseases encountered by health professionals are those associated with skin disorders. There are thousands of skin diseases, accurate diagnosis of which is critical to appropriate management and patient outcomes. Diseases of the skin are the most common group of occupational health problems that lead to absence from work in the general population. Eczema describes a variety of inflammatory skin disorders; it is a chronic, widespread, non-infective inflammatory condition that causes severe pruritus, erythema and scaling. The condition can impact at any age; generally it occurs during infancy or early childhood. The cause of atopic eczema is complex and not fully understood. This article describes the pathophysiology associated with eczema focusing upon atopic eczema. Signs and symptoms are described; methods of diagnosis and treatment options are outlined. The most up-to-date clinical evidence is used to inform the community nurse. The active involvement of the informed patient in their therapy is critical to success and this is advocated. The role of the nurse is central to enhancing health and wellbeing of people with atopic eczema. PMID:21727789

  16. Run-time assertion checking of JML annotations in multithreaded applications with e-OpenJML

    NARCIS (Netherlands)

    Kandziora, Jorne; Huisman, Marieke; Bockisch, Christoph; Zaharieva-Stojanovski, Marina; Monahan, R.

    2015-01-01

    Run-time assertion checking of multithreaded programs is challenging, as assertion evaluation should not interfere with the execution of other threads. This paper describes the prototype implementation of a run-time assertion checker that achieves this by evaluating assertions over snapshots of the

  17. 28 CFR 550.56 - Community Transitional Drug Abuse Treatment Program (TDAT).

    Science.gov (United States)

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Community Transitional Drug Abuse... JUSTICE INSTITUTIONAL MANAGEMENT DRUG PROGRAMS Drug Abuse Treatment Program § 550.56 Community Transitional Drug Abuse Treatment Program (TDAT). (a) For inmates to successfully complete all components...

  18. Competency-Based Approach to Discipline--It's Assertive.

    Science.gov (United States)

    Canter, Lee

    1979-01-01

    Assertive Discipline (AD) advocates a systematic approach which enables teachers to set firm, consistent limits for students while remaining cognizant of students' need for warmth and positive support. This article describes effective and ineffective teacher disciplinary behaviors, AD competencies, and the implementation of AD at Rice Elementary…

  19. Assertion checking environment (ACE) for formal verification of C programs

    International Nuclear Information System (INIS)

    In this paper we describe an Assertion Checking Environment (ACE) for compositional verification of programs, which are written in an industrially sponsored safe subset of C programming language called MISRA C [Guidelines for the Use of the C Language in Vehicle Based Software, 1998]. The theory is based on Hoare logic [Commun. ACM 12 (1969) 576] and the C programs are verified using static assertion checking technique. First the functional specifications of the program, captured in the form of pre- and post-conditions for each C function, are derived from the specifications. These pre- and post-conditions are then introduced as assertions (also called annotations or formal comments) in the program code. The assertions are then proved formally using ACE and theorem proving tool called Stanford Temporal Prover [The Stanford Temporal Prover User's Manual, 1998]. ACE has been developed by us and consists mainly of a translator c2spl, a GUI and some utility programs. The technique and tools developed are targeted towards verification of real-time embedded software

  20. Peer Teaching Assertive Communication Strategies for the Workplace.

    Science.gov (United States)

    Cangelosi, Barbara R.; Peterson, M. Larry

    A unit in assertive communication strategies for the workplace was developed and tested with approximately 45 juniors and seniors at a Utah high school. For 4 weeks of a 6-week grading period, the students were exposed to basic information on verbal and nonverbal communication and administered a survey designed to tap their individual value system…

  1. Secure bindings of SAML assertions to TLS sessions

    DEFF Research Database (Denmark)

    Kohlar, Florian; Schwenk, Jörg; Jensen, Meiko;

    2010-01-01

    is to strengthen the Same Origin Policy of the browser by taking into account the security guarantees TLS gives. In this paper, we present a third approach which is of further interest beyond IDM protocols: we bind the SAML assertion to the TLS session that has been agreed upon between client and the service...

  2. Assessing Assertion: An Investigation of Construct Validity and Reliability.

    Science.gov (United States)

    Kern, Jeffrey M.; MacDonald, Marian L.

    The reliability and meaning of assertiveness tests were explored using 120 female undergraduates. Several self-report inventories (the College Self-Expression Scale, Conflict Resolution Inventory, and a global rating from one to seven) were administered, as were three anxiety measures (Timed Behavior Checklist, response latency, and response…

  3. MOTIVATIONAL AND VALUE-SEMANTIC DETERMINANTS OF INDIVIDUAL ASSERTIVENESS

    Directory of Open Access Journals (Sweden)

    Инга Викторовна Лебедева

    2013-04-01

    Full Text Available The paper attempts to reveal the concept of "determinants of assertiveness" of a personality, which are determined by motivational characteristics and life value and meaning orientations of the individual. The immediate driving force of human action is the motive or the system of motives. The system of motives of human behavior in different situations of activities, communication and cognition is determined by the personal world view (set of ideas, interests, and beliefs. The value orientation, influencing the direction of human activity, determines a person's behavior and is a personality determinant in the manifestations of assertive behavior and assertiveness. Therefore, the significant psychological factors that contribute to the development of assertiveness are high motivation to success, positive attitudes, and such values as compassion, tolerance, mutual understanding, sympathy, concern that oppose to violence, domination, suppression and submission.The article also presents the results of an empirical study of motivational and value-semantic characteristics of the individual.DOI: http://dx.doi.org/10.12731/2218-7405-2013-4-15

  4. Assertiveness Among Young Rural Adolescents: Relationship to Alcohol Use

    Science.gov (United States)

    Goldberg-Lillehoj, Catherine J.; Spoth, Richard; Trudeau, Linda

    2005-01-01

    There is evidence of higher prevalence rates for alcohol use among rural adolescents relative to urban adolescents. Strategies aimed at preventing adolescent alcohol use typically include the development of social skills to resist peer pressure; among the social skills frequently targeted is assertiveness. Self-report data were collected from a…

  5. Assertiveness by Older Adults with Visual Impairment: Context Matters

    Science.gov (United States)

    Ryan, Ellen Bouchard; Anas, Ann P.; Mays, Heather

    2008-01-01

    Within a communication predicament of aging and disability framework, this study examined the impact of two types of contextual variation on perceptions of older adult assertiveness within problematic service encounters. Young (N = 66) and older (N = 66) participants evaluated conversational scenarios in which a visually-impaired older woman…

  6. Teaching Social Skills and Assertiveness to Students with Disabilities

    Science.gov (United States)

    Moffett, Aaron; Alexander, Melissa G. F.; Dummer, Gail M.

    2006-01-01

    This article discusses teaching social skills and assertiveness to students with disabilities. The National Association for Sport and Physical Education (NASPE) content standards for physical education emphasize teaching responsible personal and social behaviors to students of all abilities, to help them develop an understanding of and respect for…

  7. Alexithymia, emotion perception, and social assertiveness in adult women with Noonan and Turner syndromes.

    Science.gov (United States)

    Roelofs, Renée L; Wingbermühle, Ellen; Freriks, Kim; Verhaak, Chris M; Kessels, Roy P C; Egger, Jos I M

    2015-04-01

    Noonan syndrome (NS) and Turner syndrome (TS) are associated with cognitive problems and difficulties in affective information processing. While both phenotypes include short stature, facial dysmorphisms, and a webbed neck, genetic etiology and neuropsychological phenotype differ significantly. The present study examines putative differences in affective information processing and social assertiveness between adult women with NS and TS. Twenty-six women with NS, 40 women with TS, and 40 female controls were matched on age and intelligence, and subsequently compared on (1) alexithymia, measured by the Bermond-Vorst Alexithymia Questionnaire, (2) emotion perception, evaluated by the Emotion Recognition Task, and (3) social assertiveness and social discomfort, assessed by the Scale for Interpersonal Behavior. Women with TS showed higher levels of alexithymia than women with NS and controls (P-values assertiveness and the level of social discomfort. Women with NS and TS demonstrated different patterns of impairment in affective information processing, in terms of alexithymia and emotion perception. The present findings suggest neuropsychological phenotyping to be helpful for the diagnosis of specific cognitive-affective deficits in genetic syndromes, for the enhancement of genetic counseling, and for the development of personalized treatment plans. PMID:25711203

  8. TAX TREATMENT SPECIFIC TO INTRA COMMUNITY COMMERCIAL BUSINESS TRANSACTIONS - ACQUISITION AND INTRA-COMMUNITY SUPPLY OF GOODS

    Directory of Open Access Journals (Sweden)

    Paliu -Popa Lucia

    2009-11-01

    Full Text Available Romania's accession to the European Union has imposed harmonize national legislation with Community law, registering significant changes in the tax area, particularly on value added tax. In order to determine the person liable to pay value added tax, related to intra-community commercial transactions, must to clarify tax matters for those operations. Given the complexity of intra-community commercial transactions and their taxation, in the following issues we will address the intra-community trade in goods, with reference to specific tax treatment of supplies and intra-community acquisitions of goods. To do this we will consider more specific situations that arise in trade relationship between EU Member States, examples that will allow us to draw some conclusions on tax matters arising in intracommunity commercial relationship

  9. Departments of corrections as purchasers of community-based treatment: a national study.

    Science.gov (United States)

    Kubiak, Sheryl Pimlott; Arfken, Cynthia L; Gibson, Erica Shifflet

    2009-06-01

    Community-based substance abuse treatment for offenders has been shown to reduce both substance use and recidivism. One strategy to ensure treatment availability for offenders is to have each state's Department of Corrections (DOC) fund treatment directly. Purchasing treatment implies regulation, but DOC as both a purchaser and regulator of community-based services has been underexamined. This national survey of administrators from the Single State Authority (SSA) and DOC in each state found DOCs purchase treatment in 35 states, with most states purchasing it directly from community-based providers utilizing a variety of funding sources. Fewer states reported DOCs purchased ancillary services than SSAs (68% vs. 81%). Although both DOCs and SSAs had workforce and program requirements, there were differences within and between states. Most (41/42) SSA administrators reported a strong relationship with DOC. This report represents the first step in describing the availability, mechanisms, and regulations of these two publicly funded community-based treatment systems.

  10. A village treatment center for malaria: community response in Sri Lanka

    DEFF Research Database (Denmark)

    Konradsen, F; Amerasinghe, P H; Perera, D;

    2000-01-01

    by the degree of initial support from key individuals in the communities, the selection procedure and training of assistants, and the history of the relationships between different villages to be served by the center. The government health services and communities across the dry zone of Sri Lanka could benefit...... communities, it is important to know the rationale for people's malaria treatment-seeking behavior. The present study provides insights into the reasons for people's preferences for different types of healthcare facilities and describes variation of these preferences within a rural community in Sri Lanka...... the locally recruited staff of the village treatment center. The treatment center significantly reduced the stress and discomfort experienced by the elderly and handicapped segment of the community. The study indicated that the effective catchment area of a village treatment center will be influenced...

  11. Effect of integrated treatment on the use of coercive measures in first-episode schizophrenia-spectrum disorder. A randomized clinical trial

    DEFF Research Database (Denmark)

    Ohlenschlæger, Johan; Nordentoft, Merete; Thorup, Anne;

    2008-01-01

    assertive community treatment, psycho-educational multi-family groups, and social skills training. Data on coercion were extracted from the register from the National Board of Health, and data on continuity from medical records. Even though the level of continuity seemed higher in integrated treatment, this...

  12. Effect of integrated treatment on the use of coercive measures in first-episode schizophrenia-spectrum disorder. A randomized clinical trial

    DEFF Research Database (Denmark)

    Ohlenschlaeger, Johan; Nordentoft, Merete; Thorup, Anne;

    2008-01-01

    of assertive community treatment, psycho-educational multi-family groups, and social skills training. Data on coercion were extracted from the register from the National Board of Health, and data on continuity from medical records. Even though the level of continuity seemed higher in integrated treatment...

  13. COSTS AND BENEFITS OF HOSPITAL AND DAY TREATMENT WITH COMMUNITY CARE OF AFFECTIVE AND SCHIZOPHRENIC DISORDERS

    NARCIS (Netherlands)

    WIERSMA, D; KLUITER, H; NIENHUIS, FJ; RUPHAN, M; GIEL, R

    1995-01-01

    Background. A randomised controlled trial of day treatment with community care for patients with schizophrenic and affective disorders, referred for in-patient psychiatric treatment, was conducted to evaluate patterns of treatment and the course of illness with its psychosocial consequences over a p

  14. Between compassionateness and assertiveness: a trust matrix for leaders

    OpenAIRE

    Victor Manuel Monteiro Seco; Miguel Pereira Lopes

    2014-01-01

    Purpose: Construct the structure of trust-building perceived by principals in Portuguese public schools.Design/methodology/approach: A grounded theory approach applied to a survey of open questions answered by school’s principals.Findings: (1) self-trust is the single trait common to all respondents; (2) compassion is a striking antecedent in the process of other-trust; compassionateness and assertiveness must combine with one another to achieve leadership based on smart trust, what is outlin...

  15. Environmental marketing - element for asserting the management of sustainable development

    OpenAIRE

    Funaru, M.; Baranov, A.

    2012-01-01

    This paper presents a theoretical approach where the concept of sustainable development is integrated in terms of environmental marketing and sustainable development management. All these concepts are defined by showing the links between them, how they relate, finally leading to the objectives of firms in terms of sustainable development. The paper also presents the role of environmental marketing, asserting its importance as a tool for sustainable development management. Given the developmen...

  16. The Relevance of Wrestlers’ Assertiveness with Their Individual Success

    Directory of Open Access Journals (Sweden)

    Erdoğan Yılmaz

    Full Text Available Subjects has been chosen from wrestlers, have the right to take part in Turkey Wrestling Championship in 2006-2007 season, deal with the wrestling sport in various cities and clubs in Turkey. Subjects consist of total 213 wrestlers whose age range from 17 to 40 and participated in Turkey Wrestling championship, and these wrestlers include 169 free-styles and Greco-Roman style male wrestlers and 44 free-style female wrestlers. It has been aimed in this study to analyze assertiveness level of elite male and female wrestlers’ effect on their individual success. Firstly, information related to the aim of the survey has been given systematically by scanning literature. Thus, a theoretical framework about the topic has been established. Secondly, personal identification form created by the researcher, results ruler of athlete and assertiveness inventory developed by Rathus, adapted into Turkish by Voltan, applied on the male and female wrestlers randomly in order to achieve the object of this study. In the statistical analysis of data obtained from the research was used descriptive statistics One Way ANOVA and test t, besides Tukey test was used to determine the differences between the groups. As a result of statistical analyzes, Level of Assertiveness has been observed at a higher level in those wrestlers, who wrestles in greko-romen style, who are female, and have liberal families, than those wrestlers who wrestles in free-style, who are male, and have protective parents. As a result, it has been determined that high levels of assertiveness sports have been more successful than the others.

  17. Assertiveness in boys : evaluating the construct using template matching procedures

    OpenAIRE

    Weist, Mark D.

    1988-01-01

    The present investigation expanded on the template matching approach (Cone, 1980) to empirically evaluate whether assertiveness is associated with interpersonal success among a group of fourth grade boys. Using popular sociometric status as an index of success in interaction, the performances of 15 popular boys were compared with those of 15 rejected boys in a role-play measure of social behavior. An observation code containing behaviors traditionally associated with a...

  18. Assertiveness and anxiety effects in traditional and online Interactions

    OpenAIRE

    Baker, Amy E.; Jeske, Debora

    2015-01-01

    The present study explored the extent to which self-esteem is a significant predictor of social network use and the level of anxiety and assertiveness participants feel during traditional and online interactions. Using a survey design (N=184), it was found that lower self esteem was not associated with more intensive social network use, in contrast to the social compensationn theory. Self-esteem was a significant negative predictor of social anxiety as well as a positive predictor of assertiv...

  19. MOTIVATIONAL AND VALUE-SEMANTIC DETERMINANTS OF INDIVIDUAL ASSERTIVENESS

    OpenAIRE

    Инга Викторовна Лебедева

    2013-01-01

    The paper attempts to reveal the concept of "determinants of assertiveness" of a personality, which are determined by motivational characteristics and life value and meaning orientations of the individual. The immediate driving force of human action is the motive or the system of motives. The system of motives of human behavior in different situations of activities, communication and cognition is determined by the personal world view (set of ideas, interests, and beliefs). The value orientati...

  20. Literature Assertions of John Dryden Reflected in Mac Flecknoe

    Institute of Scientific and Technical Information of China (English)

    JING Yun

    2015-01-01

    John Dryden’s poem Mac Flecknoe satirizes his literary enemy Thomas Shadwell by the aid of the image of Flecknoe while it reveals some of his literature assertions. This paper tries to expound them from the following three perspectives:the atti⁃tudes towards Ben Johnson, the proposals for drama language and the selection, and the attitudes towards French classicism for the purpose of a further understanding about John Dryden.

  1. Smart Dialogue for Smart Citizens: Assertive Approaches for Strategic Planning

    Directory of Open Access Journals (Sweden)

    Isidoro Fasolino

    2014-05-01

    Full Text Available It is very important to know how to communicate, but even more important is knowing how to listen. There is no dialogue without listening. Listening and speaking can generate a virtuous cycle that, enriching the field of information, allows the introduction of essential elements of innovation. It is relevant in this context the assertive ability of who manages and coordinates the decision-making processes. The potential of new approaches based on assertiveness are the new frontier of research discipline that is able to meet future challenges aiming to contribute to the construction of places and forms of living together in the growing interest of fairness and justice. Assertive facilitator knows how to guide difficult people and handle very hard situations without adopting manipulative behaviors. He is able to detect the potential conflict and to bring to light the reasons for disagreement , softening the tone and avoiding any possible uncontrolled escalation. He encourages debates and open discussions; he has to build links too, fueling reports profits, collaborating with others toward common goals; speaking and discussing in groups and among groups; seeking solutions in which, both parties, come out winning. So the view expressed is argument of discussion in the development of the tools of urban structure, with the aim of implementing a participatory methodology in the development of planning tools. We propose an application in the series of meetings of initial preparatory participation to the formation of a Preliminary Plan for a medium size town.

  2. The Community Abundance and Diversity of Arable Soil Insect Community Following Different Fertilizer Treatments in Xinjiang,China

    Institute of Scientific and Technical Information of China (English)

    LIN Ying-hua; LIU Hua; ZHANG Shu-qing; ZHANG Fu-dao

    2008-01-01

    The soil insect community was studied in grey desert soil district in September 2004.90 soil samples and 100 pitfalls were collected from 10 treatments,i.e.,abandonment(Aband.),CK,N,NP,NK,PK,NPK,MNPK(fertilizer N:organic N=3:7),1.5MNPK,and SNPK.4 915 soil insects(128 unknown),as individuals belonging to 9 orders and 33 families,were obtained by pitfall traps and modified Tullgren methods.The results showed that,based on the number of individuals and groups,the macro fauna in total reached their peaks in abandonment,whereas meso and micro fauna in N and PK,respectively.Of the 10 treatments,the most dominant of soil insect composition was in MNPK and most evenness was N.The result by Kruskal-Wallis test indicated that the distribution of the arable soil insect was significantly impacted by different fertilizer treatments(X0.05(9)= 23.38,P <0.005),and soil insect group of the abandonment was significantly different from that of other fertilizer treatments.The soil insect community was divided into five groups by non-metricMDS analysis:(1)NPK,MNPK,1.5MNPK,CK,(2)NP and PK,(3)NK and N,(4)SNPK,and(5)abandonment,which indicated that distribution of soil insect was related to the character of the fertilizer.In the principal component analysis,two factors explained 98.51% of the total variation among the 10 treatments,and the factor one explained that N and SNPK positively affected soil insect community,whereas factor two explained that 1.5MNPK positively affected soil insect community,which showed that the diversified fertilizer did not evenly affect the soil insect community.

  3. Integrated omics for the identification of key functionalities in biological wastewater treatment microbial communities

    OpenAIRE

    Narayanasamy, Shaman; Muller, Emilie; Sheik, Abdul; Wilmes, Paul

    2015-01-01

    Biological wastewater treatment plants harbour diverse and complex microbial communities which prominently serve as models for microbial ecology and mixed culture biotechnological processes. Integrated omic analyses (combined metagenomics, metatranscriptomics, metaproteomics and metabolomics) are currently gaining momentum towards providing enhanced understanding of community structure, function and dynamics in situ as well as offering the potential to discover novel biological functionalitie...

  4. Therapeutic Engagement as a Predictor of Retention in Adolescent Therapeutic Community Treatment

    Science.gov (United States)

    Abdel-Salam, Sami; Gunter, Whitney D.

    2014-01-01

    The adolescent drug problem places a huge toll on society and a heavy burden on the criminal justice system. Research regarding the benefits of therapeutic community (TC) treatment for adolescents has shown it to be effective. Despite the ability of therapeutic communities to lower drug relapse and reduce criminality, a great deal remains unknown…

  5. Implementation Fidelity of Packaged Teen Smoking Cessation Treatments Delivered in Community-Based Settings

    Science.gov (United States)

    Sterling, Kymberle; Curry, Susan; Sporer, Amy; Emery, Sherry; Mermelstein, Robin

    2009-01-01

    Efficacious "packaged" teen smoking cessation treatment programs, those developed by national organizations, are widely disseminated to local communities to help teens quit smoking. The implementation fidelity of these programs in community settings has not been documented. The efficacy of these programs could be lessened if they are not…

  6. Correlates of substance abuse treatment completion among disadvantaged communities in Cape Town, South Africa

    Directory of Open Access Journals (Sweden)

    Pasche Sonja

    2010-03-01

    Full Text Available Abstract Background Completion of substance abuse treatment is a proximal indicator of positive treatment outcomes. To design interventions to improve outcomes, it is therefore important to unpack the factors contributing to treatment completion. To date, substance abuse research has not examined the factors associated with treatment completion among poor, disadvantaged communities in developing countries. This study aimed to address this gap by exploring client-level factors associated with treatment completion among poor communities in South Africa. Methods Secondary data analysis was conducted on cross-sectional survey data collected from 434 persons residing in poor communities in Cape Town, South Africa who had accessed substance abuse treatment in 2006. Results Multiple regression analyses revealed that therapeutic alliance, treatment perceptions, abstinence-specific social support, and depression were significant partial predictors of treatment completion. Conclusions Findings suggest that treatment completion rates of individuals from poor South African communities can be enhanced by i improving perceptions of substance abuse treatment through introducing quality improvement initiatives into substance abuse services, ii strengthening clients' abstinence-oriented social networks and, iii strengthening the counselor-client therapeutic alliance.

  7. Community-integrated brain injury rehabilitation: Treatment models and challenges for civilian, military, and veteran populations.

    Science.gov (United States)

    Trudel, Tina M; Nidiffer, F Don; Barth, Jeffrey T

    2007-01-01

    Traumatic brain injury (TBI) is a major health problem in civilian, military, and veteran populations. Individuals experiencing moderate to severe TBI require a continuum of care involving acute hospitalization and postacute rehabilitation, including community reintegration and, one would hope, a return home to function as a productive member of the community. In the military, the goal is to help individuals with TBI return to active duty or make an optimal return to civilian life if the extent of their injuries necessitates a "medical board" discharge. Whether civilian, military, or veteran with TBI, individuals who move beyond the need to live in a facility must be reintegrated back into the community. This article discusses four treatment models for community reintegration, reviews treatment standardization and outcome issues, and describes a manualized rehabilitation pilot program designed to provide community reintegration and return to duty/work for civilians, veterans, and military personnel with TBI.

  8. "I'll Repeat Myself, "Again?!"" Empowering Students through Assertive Communication Strategies

    Science.gov (United States)

    Kolb, Sharon M.; Griffith, Amy C. Stevens

    2009-01-01

    One goal parents and educators should have is to help children become assertive and emotionally intelligent individuals. In furthering this goal, it helps to have an understanding of the three basic communication styles: (1) passive; (2) aggressive; and (3) assertive. Because communication is most effective when a message is delivered assertively,…

  9. The Effects of Assertiveness Training on Enhancing the Social Skills of Adolescents with Visual Impairments.

    Science.gov (United States)

    Kim, Young-il

    2003-01-01

    A study of the effects of assertiveness training to enhance the social/assertiveness skills of 36 adolescents with visual impairments found that parents, the students, teachers, and observers judged the adolescents' social skills differently. However, the training did have some specific effect on increasing assertiveness. (Contains references.)…

  10. Inter-Group and Intra-Group Assertiveness: Adolescents' Social Skills Following Cultural Transition

    Science.gov (United States)

    Korem, Anat; Horenczyk, Gabriel; Tatar, Moshe

    2012-01-01

    The goals of this study were to examine intra-group and inter-group assertiveness among adolescents, and to compare these two domains of assertiveness between cultural groups in Israel. Measures of intra-group and inter-group assertiveness were developed, and questionnaires were administrated to 441 immigrants from the Former Soviet Union (FSU),…

  11. Using Simulations in the Middle School: Does Assertiveness of Dyad Partners Influence Conceptual Change?

    Science.gov (United States)

    Windschitl, Mark

    2001-01-01

    Examines how academic assertiveness in junior high school students was related to conceptual change and the degree to which their assertiveness affected conceptual change in the partners paired with them for a series of activities using a simulation of the human cardiovascular system. Indicates that the assertiveness ratings of the individuals'…

  12. Bacterial communities in full-scale wastewater treatment systems

    OpenAIRE

    Cydzik-Kwiatkowska, Agnieszka; Zielińska, Magdalena

    2016-01-01

    Bacterial metabolism determines the effectiveness of biological treatment of wastewater. Therefore, it is important to define the relations between the species structure and the performance of full-scale installations. Although there is much laboratory data on microbial consortia, our understanding of dependencies between the microbial structure and operational parameters of full-scale wastewater treatment plants (WWTP) is limited. This mini-review presents the types of microbial consortia in...

  13. Effect of assertiveness training on homesickness in girls students

    Directory of Open Access Journals (Sweden)

    Fariba Tabe bordbar

    2009-01-01

    Full Text Available (Received 24 August, 2009 ; Accepted 13 January, 2010AbstractBackground and purpose: Homesickness is a complex cognitive, exciting and stimulating condition that comes into existence because of the individual’s transition into a new environment and it seems to present the reduction of coping strategies. This research aims to study the effectiveness of the method of assertiveness training on homesickness of female university students.Materials and methods: This was an interventional study pre and post test study. Among 249 female freshmen, 96 students were found to be suffering from homesickness among which 60 students were randomly selected and put in the intervention and control group. The information was gathered by Archer et al., homesickness questionnaire which involves 30 expressions, from 1 to 5 likert scale, and also by the researcher’s own questionnaire which involves demographic information. The pre test data were gathered within the first 2 weeks of their arrival to the dormitory. The experimental group took part in 12 90-minute training sessions followed by evaluation 3 weeks after the initial testing. The data were analyzed according to Mann-Whihtney test.Results: The pre- test data from the two groups showed no significant difference, however, with the presentation assertiveness training, the experimental group grades were significantly higher than control the group. Also, two factors of homesickness i.e., not-likening the university and strong attachment to their home did not show a difference in pre test, however, differences in post test were shown to be significant.Conclusion: The results of the study show that assertiveness training can be effective in alleviating problems that come up after the transition of the individual into the university and their new environment. J Mazand Univ Med Sci 2009; 19(73: 28-33 (Persian.

  14. Avoiding Treatment Interruptions: What Role Do Australian Community Pharmacists Play?

    Directory of Open Access Journals (Sweden)

    Salem Hasn Abukres

    Full Text Available To explore the reported practice of Australian community pharmacists when dealing with medication supply requests in absence of a valid prescription.Self-administered questionnaire was posted to 1490 randomly selected community pharmacies across all Australian states and territories. This sample was estimated to be a 20% of all Australian community pharmacies.Three hundred eighty five pharmacists participated in the study (response rate achieved was 27.9% (there were 111 undelivered questionnaires. Respondents indicated that they were more likely to provide medications to regular customers without a valid prescription compared to non-regular customers (p<0.0001. However, supply was also influenced by the type of prescription and the medication requested. In the case of type of prescription (Standard, Authority or Private this relates to the complexity/probability of obtaining a valid prescription from the prescriber at a later date (i.e. supply with an anticipated prescription. Decisions to supply and/or not supply related to medication type were more complex. For some cases, including medication with potential for abuse, the practice and/or the method of supply varied significantly according to age and gender of the pharmacist, and pharmacy location (p<0.05.Although being a regular customer does not guarantee a supply, results of this study reinforce the importance for patients having a regular pharmacy, where pharmacists were more likely to continue medication supply in cases of patients presenting without a valid prescription. We would suggest, more flexible legislation should be implemented to allow pharmacists to continue supplying of medication when obtaining a prescription is not practical.

  15. Comparison of ASSERT subchannel code with Marviken bundle data

    International Nuclear Information System (INIS)

    In this paper ASSERT predictions are compared with the Marviken 6-rod bundle and 36+1 rod bundle. The predictions are presented for two experiments in the 6-rod bundle and four experiments in the 36+1 rod bundle. For low inlet subcooling, the void predictions are in good agreement with the experimental data. For high inlet subcooling, however, the agreement is not as good. This is attributed to the fact that in the high inlet subcooling experiments, single phase turbulent mixing plays a more important role in determining flow conditions in the bundle

  16. Verification of Mixed-Signal Systems with Affine Arithmetic Assertions

    Directory of Open Access Journals (Sweden)

    Carna Radojicic

    2013-01-01

    Full Text Available Embedded systems include an increasing share of analog/mixed-signal components that are tightly interwoven with functionality of digital HW/SW systems. A challenge for verification is that even small deviations in analog components can lead to significant changes in system properties. In this paper we propose the combination of range-based, semisymbolic simulation with assertion checking. We show that this approach combines advantages, but as well some limitations, of multirun simulations with formal techniques. The efficiency of the proposed method is demonstrated by several examples.

  17. Consistency of assertive, aggressive, and submissive behavior for children.

    Science.gov (United States)

    Deluty, R H

    1985-10-01

    The interpersonal behavior of 50 third- through fifth-grade children was assessed over an 8-month period in a wide variety of naturally occurring school activities. The consistency of the children's behavior was found to vary as a function of the child's sex, the class of behavior examined, and the similarity/dissimilarity of the contexts in which the behaviors occurred. Boys demonstrated remarkable consistency in their aggressive expression; 46 of 105 intercorrelations for the aggressiveness dimensions were statistically significant. In general, the consistency of assertive behavior for both boys and girls was unexpectedly high.

  18. Phospholipid fatty acid patterns of microbial communities in paddy soil under different fertilizer treatments

    Institute of Scientific and Technical Information of China (English)

    ZHANG Qi-chun; WANG Guang-huo; YAO Huai-ying

    2007-01-01

    The microbial communities under irrigated rice cropping with different fertilizer treatments, including control (CK), PK, NK, NP, NPK fertilization, were investigated using phospholipid fatty acid (PLFA) profile method. The results of this study revealed that the fertilizer practice had an impact on the community structure of specific microbial groups. The principal components analysis (PCA) showed that proportion of the actinomycete PLFAs (10Me 18:0 and 10Me 16:0) were the lowest in the PK treatment and the highest in the NPK treatment, which means that soil nitrogen status affected the diversity of actinomycetes, whereas nitrogen cycling was related to the actinomycets. Under CK treatment, the ratio of Gram-positive to Gram-negative bacteria was lower compared with that in fertilizer addition treatments, indicating that fertilizer application stimulated Gram-positive bacterial population in paddy soil. The fatty acid 18:2ω6, 9, which is considered to be predominantly of fungal origin, was at low level in all the treatments. The ratio of cy19:0 to 18:1ω7, which has been proposed as an indicator of stress conditions, decreased in PK treatment. Changes of soil microbial community under different fertilizer treatments of paddy soil were detected in this study; however, the causes that lead to changes in the microbial community still needs further study.

  19. Changes in Personality Disorder Traits Following 2 Years of Treatment in a Secure Therapeutic Community Milieu

    Science.gov (United States)

    Morrissey, Catrin; Taylor, Jon

    2014-01-01

    Therapeutic community treatment models have not previously been applied to forensic patients with mild intellectual disabilities (IDs) with a comorbid diagnosis of personality disorder. Thirteen patients with mild IDs were allocated to a unit within a high secure psychiatric service operating a model of treatment based on the principles and…

  20. How Outpatient Substance Abuse Treatment Unit Director Activities May Affect Provision of Community Outreach Services

    Science.gov (United States)

    Chuang, Emmeline; Wells, Rebecca; Alexander, Jeffrey; Green, Sherri

    2013-01-01

    Aims: Community outreach services play an important role in infectious disease prevention and engaging drug users not currently in treatment. However, fewer than half of US substance abuse treatment units provide these services and many have little financial incentive to do so. Unit directors generally have latitude about scope of services,…

  1. Examining China’s Assertiveness through the Eyes of Chinese IR Scholars

    DEFF Research Database (Denmark)

    Feng, Huiyun; He, Kai

    China’s assertive diplomacy in recent years has ignited intense debates among International Relations (IR) scholars. Some argue that China’s assertive behavior is rooted in its perception of increasing power and capabilities. Others suggest that it is U.S. policies that triggered China’s assertive...... for an assertive Chinese foreign policy. We find that both the power perception and policy reaction arguments make sense in accounting for Chinese IR scholars’ attitude regarding China’s assertive diplomacy. However, our research suggests that a more pessimistic view on Chinese power is more likely...

  2. Biomass, Leaf Area, and Resource Availability of Kudzu Dominated Plant Communities Following Herbicide Treatment

    Energy Technology Data Exchange (ETDEWEB)

    L.T. Rader

    2001-10-01

    Kudzu is an exotic vine that threatens the forests of the southern U.S. Five herbicides were tested with regard to their efficacy in controlling kudzu, community recover was monitored, and interactions with planted pines were studied. The sites selected were old farm sites dominated by kudzu.These were burned following herbicide treatment. The herbicides included triclopyr, clopyralid, metsulfuron, tebuthiuron, and picloram plus 2,4-D. Pine seedlings were planted the following year. Regression equations were developed for predicting biomass and leaf area. Four distinct plant communities resulted from the treatments. The untreated check continued to be kudzu dominated. Blackberry dominated the clopyradid treatment. Metsulfron, trychlopyr and picloram treated sites resulted in herbaceous dominated communities. The tebuthiuron treatment maintained all vegetation low.

  3. Process Design Manual: Wastewater Treatment Facilities for Sewered Small Communities.

    Science.gov (United States)

    Leffel, R. E.; And Others

    This manual attempts to describe new treatment methods, and discuss the application of new techniques for more effectively removing a broad spectrum of contaminants from wastewater. Topics covered include: fundamental design considerations, flow equalization, headworks components, clarification of raw wastewater, activated sludge, package plants,…

  4. Achieving Security Assurance with Assertion-based Application Construction

    Directory of Open Access Journals (Sweden)

    Carlos E. Rubio-Medrano

    2015-12-01

    Full Text Available Modern software applications are commonly built by leveraging pre-fabricated modules, e.g. application programming interfaces (APIs, which are essential to implement the desired functionalities of software applications, helping reduce the overall development costs and time. When APIs deal with security-related functionality, it is critical to ensure they comply with their design requirements since otherwise unexpected flaws and vulnerabilities may consequently occur. Often, such APIs may lack sufficient specification details, or may implement a semantically-different version of a desired security model to enforce, thus possibly complicating the runtime enforcement of security properties and making it harder to minimize the existence of serious vulnerabilities. This paper proposes a novel approach to address such a critical challenge by leveraging the notion of software assertions. We focus on security requirements in role-based access control models and show how proper verification at the source-code level can be performed with our proposed approach as well as with automated state-of-the-art assertion-based techniques.

  5. Teacher's asserting premises and possibilities of efficient managerial styles

    Directory of Open Access Journals (Sweden)

    Claudiu Marian Bunaiasu

    2014-12-01

    Full Text Available The issue of teacher's managerial styles is unitary approached along with educational styles issue and institutional management styles issue, and is part of the class' managerial dimension. Comparative, educational and managerial styles (of the school manager have a theoretical history and benefit from validated techniques and tools, whereas teacher's managerial styles issue are about to gain consistency as part of the pedagogical literature, and present researches emphasize their roles in efficientizing didactic activity. The article Teacher's asserting premises and possibilities of efficient managerial styles is based on multiple specific sub- themes: a analysis of the key-concepts outlining theme's theoretical framework; b teacher's managerial styles typology; c conditions and modalities in order to efficientize managerial styles. Premises of the topic speech consist in: situationally approach the educational process, the relation between teacher's educational and managerial styles, references to a personal research regarding the outline of the constructive teacher's managerial styles. Based on these key-concepts and in accordance with the multidimensional approach (conditions, factors, modalities in order to outline and assert styles, possibilities and modalities are being analyzed in order to efficientize teacher's managerial styles.

  6. Treatment-based Markov chain models clarify mechanisms of invasion in an invaded grassland community.

    Science.gov (United States)

    Nelis, Lisa Castillo; Wootton, J Timothy

    2010-02-22

    What are the relative roles of mechanisms underlying plant responses in grassland communities invaded by both plants and mammals? What type of community can we expect in the future given current or novel conditions? We address these questions by comparing Markov chain community models among treatments from a field experiment on invasive species on Robinson Crusoe Island, Chile. Because of seed dispersal, grazing and disturbance, we predicted that the exotic European rabbit (Oryctolagus cuniculus) facilitates epizoochorous exotic plants (plants with seeds that stick to the skin an animal) at the expense of native plants. To test our hypothesis, we crossed rabbit exclosure treatments with disturbance treatments, and sampled the plant community in permanent plots over 3 years. We then estimated Markov chain model transition probabilities and found significant differences among treatments. As hypothesized, this modelling revealed that exotic plants survive better in disturbed areas, while natives prefer no rabbits or disturbance. Surprisingly, rabbits negatively affect epizoochorous plants. Markov chain dynamics indicate that an overall replacement of native plants by exotic plants is underway. Using a treatment-based approach to multi-species Markov chain models allowed us to examine the changes in the importance of mechanisms in response to experimental impacts on communities.

  7. The ARC organizational and community intervention strategy for implementing evidence-based children's mental health treatments.

    Science.gov (United States)

    Glisson, Charles; Schoenwald, Sonja K

    2005-12-01

    This paper reviews the implications of organizational and community intervention research for the implementation of effective mental health treatments in usual community practice settings. The paper describes an organizational and community intervention model named ARC for Availability, Responsiveness and Continuity, that was designed to support the improvement of social and mental health services for children. The ARC model incorporates intervention components from organizational development, interorganizational domain development, the diffusion of innovation, and technology transfer that target social, strategic, and technological factors in effective children's services. This paper also describes a current NIMH-funded study that is using the ARC intervention model to support the implementation of an evidence-based treatment, Multisystemic Therapy (MST), for delinquent youth in extremely rural, impoverished communities in the Appalachian Mountains of East Tennessee. PMID:16320107

  8. The Cascade of Care for an Australian Community-Based Hepatitis C Treatment Service.

    Directory of Open Access Journals (Sweden)

    Amanda J Wade

    Full Text Available Hepatitis C treatment uptake in Australia is low. To increase access to hepatitis C virus treatment for people who inject drugs, we developed a community-based, nurse-led service that linked a viral hepatitis service in a tertiary hospital to primary care clinics, and resulted in hepatitis C treatment provision in the community.A retrospective cohort study of patients referred to the community hepatitis service was undertaken to determine the cascade of care. Logistic regression analyses were used to identify predictors of hepatitis C treatment uptake.Four hundred and sixty-two patients were referred to the community hepatitis service; 344 attended. Among the 279 attendees with confirmed chronic hepatitis C, 257 (99% reported ever injecting drugs, and 124 (48% injected in the last month. Of 201 (72% patients who had their fibrosis staged, 63 (31% had F3-F4 fibrosis. Fifty-five patients commenced hepatitis C treatment; 26 (47% were current injectors and 25 (45% had F3-F4 fibrosis. Nineteen of the 27 (70% genotype 1 patients and 14 of the 26 (54% genotype 3 patients eligible for assessment achieved a sustained virologic response. Advanced fibrosis was a significant predictor of treatment uptake in adjusted analysis (AOR 2.56, CI 1.30-5.00, p = 0.006.Our community hepatitis service produced relatively high rates of fibrosis assessment, hepatitis C treatment uptake and cure, among people who inject drugs. These findings highlight the potential benefits of providing community-based hepatitis C care to people who inject drugs in Australia-benefits that should be realised as direct-acting antiviral agents become available.

  9. Metagenomic analysis of an ecological wastewater treatment plant's microbial communities and their potential to metabolize pharmaceuticals.

    Science.gov (United States)

    Balcom, Ian N; Driscoll, Heather; Vincent, James; Leduc, Meagan

    2016-01-01

    Pharmaceuticals and other micropollutants have been detected in drinking water, groundwater, surface water, and soil around the world. Even in locations where wastewater treatment is required, they can be found in drinking water wells, municipal water supplies, and agricultural soils. It is clear conventional wastewater treatment technologies are not meeting the challenge of the mounting pressures on global freshwater supplies. Cost-effective ecological wastewater treatment technologies have been developed in response. To determine whether the removal of micropollutants in ecological wastewater treatment plants (WWTPs) is promoted by the plant-microbe interactions, as has been reported for other recalcitrant xenobiotics, biofilm microbial communities growing on the surfaces of plant roots were profiled by whole metagenome sequencing and compared to the microbial communities residing in the wastewater. In this study, the concentrations of pharmaceuticals and personal care products (PPCPs) were quantified in each treatment tank of the ecological WWTP treating human wastewater at a highway rest stop and visitor center in Vermont. The concentrations of detected PPCPs were substantially greater than values reported for conventional WWTPs likely due to onsite recirculation of wastewater. The greatest reductions in PPCPs concentrations were observed in the anoxic treatment tank where Bacilli dominated the biofilm community. Benzoate degradation was the most abundant xenobiotic metabolic category identified throughout the system. Collectively, the microbial communities residing in the wastewater were taxonomically and metabolically more diverse than the immersed plant root biofilm. However, greater heterogeneity and higher relative abundances of xenobiotic metabolism genes was observed for the root biofilm. PMID:27610223

  10. Bacterial community composition of a wastewater treatment system reliant on N{sub 2} fixation

    Energy Technology Data Exchange (ETDEWEB)

    Reid, N.M.; Bowers, T.H.; Lloyd-Jones, G. [Scion, Rotorua (New Zealand)

    2008-05-15

    The temporal stability and change of the dominant phylogenetic groups of the domain bacteria were studied in a model plant-based industrial wastewater treatment system showing high levels of organic carbon removal supported by high levels of N{sub 2} fixation. Community profiles were obtained through terminal restriction fragment length polymorphism analysis and cloning of 16S rRNA amplicons followed by sequencing. Bacterial community profiles showed that ten common terminal restriction fragments made up approximately 50% of the measured bacterial community. As much as 42% of the measured bacterial community could be monitored by using quantitative PCR and primers that targeted three dominant operational taxonomic units. Despite changes in wastewater composition and dissolved oxygen levels, the bacterial community composition appeared stable and was dominated by {alpha}-Proteobacteria and {beta}-Proteobacteria, with a lesser amount of the highly diverse bacterial phylum Bacteroidetes. A short period of considerable change in the bacterial community composition did not appear to affect treatment performance indicating functional redundancy in this treatment system. (orig.)

  11. Targeted therapy for cytokine-refractory metastatic renal cell carcinoma, and treatment in the community.

    Science.gov (United States)

    Bukowski, Ronald M

    2006-05-01

    This report of a case of cytokine-refractory metastatic, clear-cell renal cell carcinoma (RCC) presents some current issues related to use of targeted therapy in the community. Due to the different mechanisms of cytostatic vs. cytotoxic agents, traditional response assessments may not always apply in deciding when to either continue or stop treatment. While community physicians may increasingly focus more on duration of response, symptom relief, and how well patients tolerate treatment, there is a clear need for validated surrogate markers of biologic activity and response, as well as randomized trials that directly compare some of the targeted therapies being applied in advanced RCC.

  12. Between compassionateness and assertiveness: A trust matrix for leaders

    Directory of Open Access Journals (Sweden)

    Victor Manuel Monteiro Seco

    2014-06-01

    Full Text Available Purpose: Construct the structure of trust-building perceived by principals in Portuguese public schools.Design/methodology/approach: A grounded theory approach applied to a survey of open questions answered by school’s principals.Findings: (1 self-trust is the single trait common to all respondents; (2 compassion is a striking antecedent in the process of other-trust; compassionateness and assertiveness must combine with one another to achieve leadership based on smart trust, what is outlined in a matrix model built from the data.Research limitations/implications: The major limitation of this study was the impossibility to conduct face-to-face interviews given the limitation of free time alleged by the principals. In order to solve that limitation we decide to use the grounded theory approach.Practical implications: The consideration of a symbiosis category of the behaviors of principals can trigger positive expectations among the players who until now did not understand how it is possible to bring together the best of the worlds of management and leadership in a balanced way, with efficiency in authenticity.Social implications: The aforementioned dyadic model reflects a psychological state based on the belief that others do not take advantage of us, showing that trust is an essential element in positive human relations and becomes a strategic issue.Originality/value: The present study found that “pure” positive behaviors, as being compassionate, might need to be tempered or complemented with other behaviors such as assertiveness, to become really effective.

  13. Efficacy of Community Treatments for Schizophrenia and Other Psychotic Disorders: A Literature Review

    Science.gov (United States)

    Armijo, Julio; Méndez, Emmanuel; Morales, Ricardo; Schilling, Sara; Castro, Ariel; Alvarado, Rubén; Rojas, Graciela

    2013-01-01

    Background: In Chile, the clinical guidelines “for the treatment of people from first episode of schizophrenia” aim to support individuals with schizophrenia to live independently, establishment occupational goals, and gain an adequate quality of life and social interaction. This requires the implementation of a treatment model that integrates psychosocial and pharmacological dimensions. Community intervention strategies ensure the achievement of these goals. Objectives: This study compiles and synthesizes available scientific evidence from the last 14 years on the effectiveness of community intervention strategies for schizophrenia and related psychotic disorders. Methodology: An electronic search was carried out using PUBMED, LILACS, and Science Direct as databases. Criteria of inclusion: (i) randomized clinical trials, (ii) Community-based interventions, (iii) diagnosis of schizophrenia or related psychotic disorder (section F2 of ICD-10). Exclusion Criteria: (i) treatments exclusively pharmacological, (ii) interventions carried out in inpatient settings, (iii) bipolar affective disorder or substance-induced psychosis (greater than 50% of sample). Results: Sixty-six articles were reviewed. Community strategies for integrated treatment from the first outbreak of schizophrenia significantly reduced negative and psychotic symptoms, days of hospitalization, and comorbidity with substance abuse and improved global functioning and adherence to treatment. In other stages, there were improved outcomes in negative and positive symptoms and general psychopathology. Psychoeducation for patients and families reduced the levels of self-stigma and domestic abuse, as well as improved knowledge of the disease and treatment adherence. Training focused on cognitive, social, and labor skills has been shown to improve yields in social functioning and employment status. Conclusion: Community-based intervention strategies are widely supported in the treatment of patients with

  14. Effects of habitat management treatments on plant community composition and biomass in a Montane wetland

    Science.gov (United States)

    Austin, J.E.; Keough, J.R.; Pyle, W.H.

    2007-01-01

    Grazing and burning are commonly applied practices that can impact the diversity and biomass of wetland plant communities. We evaluated the vegetative response of wetlands and adjacent upland grasslands to four treatment regimes (continuous idle, fall prescribed burning followed by idle, annual fall cattle grazing, and rotation of summer grazing and idle) commonly used by the U.S. Fish and Wildlife Service. Our study area was Grays Lake, a large, montane wetland in southeastern Idaho that is bordered by extensive wet meadows. We identified seven plant cover types, representing the transition from dry meadow to deep wetland habitats: mixed deep marsh, spikerush slough, Baltic rush (Juncus balticus), moist meadow, alkali, mesic meadow, and dry meadow. We compared changes in community composition and total aboveground biomass of each plant cover type between 1998, when all units had been idled for three years, and 1999 (1 yr post-treatment) and 2000 (2 yr post-treatment). Analysis using non-metric multidimensional scaling indicated that compositional changes varied among cover types, treatments, and years following treatment. Treatment-related changes in community composition were greatest in mixed deep marsh, Baltic rush, and mesic meadow. In mixed deep marsh and Baltic rush, grazing and associated trampling contributed to changes in the plant community toward more open water and aquatic species and lower dominance of Baltic rush; grazing and trampling also seemed to contribute to increased cover in mesic meadow. Changing hydrological conditions, from multiple years of high water to increasing drought, was an important factor influencing community composition and may have interacted with management treatments. Biomass differed among treatments and between years within cover types. In the wettest cover types, fall burning and grazing rotation treatments had greater negative impact on biomass than the idle treatment, but in drier cover types, summer grazing stimulated

  15. Intensive treatment models and coercion

    DEFF Research Database (Denmark)

    Ohlenschlaeger, Johan; Thorup, Anne; Petersen, Lone;

    2007-01-01

    Little evidence exists concerning the optimal treatment for patients with first-episode schizophrenia-spectrum disorders and the effect on traditional outcomes. The aim was to investigate whether optimal treatment models have an effect on the level of use of coercion and on traditional outcomes. ...... treatment. A higher number of bed-days in Hospital-based Rehabilitation did not influence the effect on the outcomes measured........ Hospital-based Rehabilitation, an intensified inpatient treatment model, Integrated Treatment, an intensified model of Assertive Community Treatment, and standard treatment were compared for patients with first-episode schizophrenia-spectrum disorders. Ninety-four patients with first-episode schizophrenia......-spectrum disorders estimated to benefit from long-term hospitalization were included consecutively from the Copenhagen OPUS-trial and randomized to the three treatment models. At 1-year follow-up, Hospital-based Rehabilitation and Integrated Treatment had better scores on symptoms in the negative dimension...

  16. Parent–Child Interaction Therapy in a Community Setting: Examining Outcomes, Attrition, and Treatment Setting

    Science.gov (United States)

    Lanier, Paul; Kohl, Patrica L.; Benz, Joan; Swinger, Dawn; Moussette, Pam; Drake, Brett

    2014-01-01

    Objectives The purpose of this study was to evaluate Parent-Child Interaction Therapy (PCIT) deployed in a community setting comparing in-home with the standard office-based intervention. Child behavior, parent stress, parent functioning, and attrition were examined. Methods Using a quasi-experimental design, standardized measures at three time points were collected from parent-child dyads (n=120) with thirty-seven families completing treatment. Results Growth modeling analyses indicate significant improvements in child and parent outcomes in both treatment settings with more rapid improvements in parent outcomes within office-based treatment. Attrition was predicted by income and parent functioning. Conclusion PCIT delivered in the community can produce measureable improvements. In-home PCIT is a feasible option but future research should consider benefits and costs. Treatment completion remains a challenge. PMID:24839378

  17. Seasonal variations of microbial community in a full scale oil field produced water treatment plant

    Directory of Open Access Journals (Sweden)

    Q. Xie

    2016-01-01

    Full Text Available This study investigated the microbial community in a full scale anaerobic baffled reactor and sequencing batch reactor system for oil-produced water treatment in summer and winter. The community structures of fungi and bacteria were analyzed through polymerase chain reaction–denaturing gradient gel electrophoresis and Illumina high-throughput sequencing, respectively. Chemical oxygen demand effluent concentration achieved lower than 50 mg/L level after the system in both summer and winter, however, chemical oxygen demand removal rates after anaerobic baffled reactor treatment system were significant higher in summer than that in winter, which conformed to the microbial community diversity. Saccharomycotina, Fusarium, and Aspergillus were detected in both anaerobic baffled reactor and sequencing batch reactor during summer and winter. The fungal communities in anaerobic baffled reactor and sequencing batch reactor were shaped by seasons and treatment units, while there was no correlation between abundance of fungi and chemical oxygen demand removal rates. Compared to summer, the total amount of the dominant hydrocarbon degrading bacteria decreased by 10.2% in anaerobic baffled reactor, resulting in only around 23% of chemical oxygen demand was removed in winter. Although microbial community significantly varied in the three parallel sulfide reducing bacteria, the performance of these bioreactors had no significant difference between summer and winter.

  18. Continuous fungal treatment of non-sterile veterinary hospital effluent: pharmaceuticals removal and microbial community assessment

    OpenAIRE

    Badia-Fabregat, Marina; Lucas, Daniel; M. A. PEREIRA; Alves, M. M.; Pennanen, Taina; Fritze, Hannu; Rodríguez-Mozaz, Sara; Barceló, Damià; Vicent, Teresa; Caminal, Glòria

    2016-01-01

    Source point treatment of effluents with a high load of pharmaceutical active compounds (PhACs), such as hospital wastewater, is a matter of discussion among the scientific community. Fungal treatments have been reported to be successful in degrading this type of pollutants and, therefore, the white-rot fungus Trametes versicolor was applied for the removal of PhACs from veterinary hospital wastewater. Sixty-six percent removal was achieved in a non-sterile batch bioreactor inoculated with T....

  19. Race differences in psychopathology and disparities in treatment seeking: Community and jail-based treatment seeking patterns

    OpenAIRE

    Youman, Kerstin; Drapalski, Amy; Stuewig, Jeff; Bagley, Karen; Tangney, June

    2010-01-01

    Whites in community samples utilize mental health services at a much higher rate than African Americans (Kessler, et al., 2005). Is this also the case among those in jails? In this study of jail inmates (229 African American, 185 White) there were no race difference in the overall need for mental health treatment (63% of participants had significant symptoms on the Personality Assessment Inventory) but race differences in the level and types of symptoms were evident. Additionally, while White...

  20. HIGH SCHOOL STUDENTS' PROBLEM SOLVING AND ASSERTIVENESS SKILLS AND THEIR RELATIONSHIPS WITH SOME VARIABLES

    OpenAIRE

    ÖZBULAK, Berrin (EMRAN); Ayşe AYPAY; Ahmet AYPAY

    2011-01-01

    This study investigated the relationship between assertiveness and problem solving skills of 200 9th grade high school students from İzmir high schools. In addition to descriptive statistics, t-tests, Anovas, and a multiple regression were used to analyze the data. Findings indicated that assertiveness and general problem solving skills did not differ based on gender, school type. Assertiveness differed based on mother's and father's educational level. General problem solving skill differed ...

  1. The assertive profile of the Bulgarian students in computer science and computer engineering

    OpenAIRE

    Peneva, Ivelina; Yordzhev, Krasimir

    2014-01-01

    Different points of view on the nature and content of the assertiveness are followed in this paper. The main purpose is to study the assertive profile of Bulgarian students in computer science and computer engineering by analyzing the components of assertiveness. Research was performed using testing methods. It was found that the level of expressivity of this personal quality among subjects were above-average level.

  2. Testing the independent species’ arrangement assertion made by theories of stochastic geometry of biodiversity

    OpenAIRE

    Wiegand, Thorsten; Huth, Andreas; Getzin, Stephan; Wang, Xugao; Hao, Zhanqing; Gunatilleke, C. V. Savitri; Gunatilleke, I. A. U. Nimal

    2012-01-01

    The assertion that the spatial location of different species is independent of each other is fundamental in major ecological theories such as neutral theory that describes a stochastic geometry of biodiversity. However, this assertion has rarely been tested. Here we use techniques of spatial point pattern analysis to conduct a comprehensive test of the independence assertion by analysing data from three large forest plots with different species richness: a species-rich tropical forest at Barr...

  3. COSTS AND BENEFITS OF DAY TREATMENT WITH COMMUNITY CARE FOR SCHIZOPHRENIC-PATIENTS

    NARCIS (Netherlands)

    WIERSMA, D; KLUITER, H; NIENHUIS, FJ; RUPHAN, M; GIEL, R

    1991-01-01

    The feasibility of day treatment with community care for schizophrenic patients was tested by means of a longitudinal randomized experiment with 34 experimentals and 16 controls: 38 percent could be treated satisfactorily in a day program that included a very active ambulatory service. The new appro

  4. 42 CFR 412.109 - Special treatment: Essential access community hospitals (EACHs).

    Science.gov (United States)

    2010-10-01

    ... hospitals (EACHs). 412.109 Section 412.109 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICARE PROGRAM PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL... Operating Costs § 412.109 Special treatment: Essential access community hospitals (EACHs). (a) General...

  5. Modified Therapeutic Community Treatment for Offenders with Co-Occurring Disorders: Mental Health Outcomes

    Science.gov (United States)

    Sullivan, Christopher J.; Sacks, Stanley; McKendrick, Karen; Banks, Steven; Sacks, Joann Y.; Stommel, Joseph

    2007-01-01

    This paper examines outcomes 12 months post-prison release for offenders with co-occurring disorders (n = 185) randomly assigned to either a mental health control treatment (C) or a modified therapeutic community (E). Significant between-group differences were not found for mental health measures, although improvements were observed for each…

  6. 26 CFR 1.66-2 - Treatment of community income where spouses live apart.

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 2 2010-04-01 2010-04-01 false Treatment of community income where spouses live apart. 1.66-2 Section 1.66-2 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) INCOME TAX (CONTINUED) INCOME TAXES (CONTINUED) Definition of Gross Income, Adjusted Gross...

  7. Capacity Enhancement of Hepatitis C Virus Treatment through Integrated, Community-Based Care

    Directory of Open Access Journals (Sweden)

    Warren D Hill

    2008-01-01

    Full Text Available BACKGROUND: An estimated 250,000 Canadians are infected with the hepatitis C virus (HCV. The present study describes a cohort of individuals with HCV referred to community-based, integrated prevention and care projects developed in British Columbia. Treatment outcomes are reported for a subset of individuals undergoing antiviral therapy at four project sites.

  8. Integration of treatment wetlands as sustainable wastewater management systems for small communities

    International Nuclear Information System (INIS)

    This paper discuses the applicability as well as the integration of the constructed wetlands technology within the environmental infrastructure in small communities. To that end, a case study involving the use of Constructed wetlands (CW) for waste management in the Nebraska plains is presented. CW systems have been shown to be effective treatment alternatives in resource-limited small communities; and hence, can contribute to improving the economic well-being and the sustainability of many small communities. The paper specifically discusses the performance of subsurface-flow constructed wetlands systems used as the wastewater treatment process for a small community in eastern Nebraska and outlines operational experience gained through five years of plant operation. The results show that effective and sufficient CW seasonal removals of TSS, VSS, CBOD5, COD, and fecal coliform were achieved. Wastewater temperatures seemed to affect CBOD5 and COD removal rates. Nitrogen and phosphorus reductions were not as effective and varied seasonally, as well as with wastewater temperature. The addition of a sand filter, to aid in further nitrification and disinfection following CW treatment, markedly improved the performance of the wetlands system. After a few years of operation, the performance of the system was dampened by apparent clogging and subsequent eruption of wastewater at the head-end of the treatment cells. While clogging was partially caused by biomass build-up in the wetlands substrate, visual observations suggest that excessive vegetation and relaxed maintenance may also be responsible. (author)

  9. Assessment of bacterial and archaeal community structure in Swine wastewater treatment processes.

    Science.gov (United States)

    Da Silva, Marcio Luis Busi; Cantão, Mauricio Egídio; Mezzari, Melissa Paola; Ma, Jie; Nossa, Carlos Wolfgang

    2015-07-01

    Microbial communities from two field-scale swine wastewater treatment plants (WWTPs) were assessed by pyrosequencing analyses of bacterial and archaeal 16S ribosomal DNA (rDNA) fragments. Effluent samples from secondary (anaerobic covered lagoons and upflow anaerobic sludge blanket [UASB]) and tertiary treatment systems (open-pond natural attenuation lagoon and air-sparged nitrification-denitrification tank followed by alkaline phosphorus precipitation process) were analyzed. A total of 56,807 and 48,859 high-quality reads were obtained from bacterial and archaeal libraries, respectively. Dominant bacterial communities were associated with the phylum Firmicutes, Bacteroidetes, Proteobacteria, or Actinobacteria. Bacteria and archaea diversity were highest in UASB effluent sample. Escherichia, Lactobacillus, Bacteroides, and/or Prevotella were used as indicators of putative pathogen reduction throughout the WWTPs. Satisfactory pathogen reduction was observed after the open-pond natural attenuation lagoon but not after the air-sparged nitrification/denitrification followed by alkaline phosphorus precipitation treatment processes. Among the archaeal communities, 80% of the reads was related to hydrogeno-trophic methanogens Methanospirillum. Enrichment of hydrogenotrophic methanogens detected in effluent samples from the anaerobic covered lagoons and UASB suggested that CO2 reduction with H2 was the dominant methanogenic pathway in these systems. Overall, the results served to improve our current understanding of major microbial communities' changes downgradient from the pen and throughout swine WWTP as a result of different treatment processes. PMID:25432577

  10. Analysis of factors that contribute to treatment failure in patients with community-acquired pneumonia.

    Science.gov (United States)

    Genné, D; Sommer, R; Kaiser, L; Saaïdia, A; Pasche, A; Unger, P F; Lew, D

    2006-03-01

    To determine the causes of treatment failure and to evaluate the prognostic factors in patients hospitalized for community-acquired pneumonia, a prospective, observational study of 228 adult patients hospitalized for a community-acquired pneumonia in the University Hospital of Geneva and the La Chaux-de-Fonds Community Hospital, Switzerland, was conducted. The percentage of patients who failed to improve (as defined by guidelines of the Infectious Disease Society of America) and the causes of treatment failure were assessed, and patients who failed to improve under antimicrobial therapy were compared with those who did improve. In the 54 (24%) patients who failed to improve, a mean increase in length of hospitalization of 4 days was observed. Most causes of treatment failure could be attributed to host factors (61%) rather than to the pathogen (16%) or to an inappropriate antibiotic regimen (3%). After adjusting for potentially confounding variables, concomitant neoplasia (OR 3.25; 95%CI 1.11-9.56), neurological disease (OR 2.34; 95%CI 1.07-5.13), and aspiration pneumonia (OR 2.97; 95%CI 29-6.86]) were associated with failure to improve, whereas monocytosis improved prognosis (OR 0.40; 95%CI 0.20-0.80). Almost one out of four patients hospitalized for community-acquired pneumonia failed to respond to empirical antibiotic treatment. Aspiration pneumonia, concomitant neoplasia, and neurological disease were factors positively associated with failure to improve, whereas monocytosis was linked to a better prognosis. PMID:16528540

  11. Do Treatment Manuals Undermine Youth-Therapist Alliance in Community Clinical Practice?

    Science.gov (United States)

    Langer, David A.; McLeod, Bryce D.; Weisz, John R.

    2011-01-01

    Objective: Some critics of treatment manuals have argued that their use may undermine the quality of the client-therapist alliance. This notion was tested in the context of youth psychotherapy delivered by therapists in community clinics. Method: Seventy-six clinically referred youths (57% female, age 8-15 years, 34% Caucasian) were randomly…

  12. Child Abuse and Neglect Prevention and Treatment in Rural Communities: Two Approaches.

    Science.gov (United States)

    National Center for Child Advocacy (DHEW/OHD), Washington, DC.

    The two reports reprinted here address prevention and treatment of child abuse and neglect in rural areas through self-help programs. The larger report, that of the Appalachian Citizens for Children's Rights (ACCR) Project, describes project purposes: to develop a community development model for child abuse/neglect using resources already existing…

  13. Using Fuzzy Logic in Test Case Prioritization for Regression Testing Programs with Assertions

    Directory of Open Access Journals (Sweden)

    Ali M. Alakeel

    2014-01-01

    Full Text Available Program assertions have been recognized as a supporting tool during software development, testing, and maintenance. Therefore, software developers place assertions within their code in positions that are considered to be error prone or that have the potential to lead to a software crash or failure. Similar to any other software, programs with assertions must be maintained. Depending on the type of modification applied to the modified program, assertions also might have to undergo some modifications. New assertions may also be introduced in the new version of the program, while some assertions can be kept the same. This paper presents a novel approach for test case prioritization during regression testing of programs that have assertions using fuzzy logic. The main objective of this approach is to prioritize the test cases according to their estimated potential in violating a given program assertion. To develop the proposed approach, we utilize fuzzy logic techniques to estimate the effectiveness of a given test case in violating an assertion based on the history of the test cases in previous testing operations. We have conducted a case study in which the proposed approach is applied to various programs, and the results are promising compared to untreated and randomly ordered test cases.

  14. Using fuzzy logic in test case prioritization for regression testing programs with assertions.

    Science.gov (United States)

    Alakeel, Ali M

    2014-01-01

    Program assertions have been recognized as a supporting tool during software development, testing, and maintenance. Therefore, software developers place assertions within their code in positions that are considered to be error prone or that have the potential to lead to a software crash or failure. Similar to any other software, programs with assertions must be maintained. Depending on the type of modification applied to the modified program, assertions also might have to undergo some modifications. New assertions may also be introduced in the new version of the program, while some assertions can be kept the same. This paper presents a novel approach for test case prioritization during regression testing of programs that have assertions using fuzzy logic. The main objective of this approach is to prioritize the test cases according to their estimated potential in violating a given program assertion. To develop the proposed approach, we utilize fuzzy logic techniques to estimate the effectiveness of a given test case in violating an assertion based on the history of the test cases in previous testing operations. We have conducted a case study in which the proposed approach is applied to various programs, and the results are promising compared to untreated and randomly ordered test cases.

  15. Health care seeking and treatment cost in a rural community of West Bengal, India

    Directory of Open Access Journals (Sweden)

    Raykarmakar P, Mondal TK, Sarkar TK, Chakrabarty A

    2012-01-01

    Full Text Available Background: Availability and accessibility of health care is important for overall health status of any community. Both physical and financial accessibility is equally important. Present study was undertaken to find out the health care seeking, treatment cost and financing option in a rural community of Burdwan district, West Bengal, India.Methods: Community based descriptive observational study was conducted in four villages of Bhatar block of Burdwan district, West Bengal in September-November 2011by interviewing the head of the household with the help of a pre-designed and pre-tested questionnaire.Results: In acute condition and injury most frequently sought health care institution was Primary health centre or government hospital, followed by private practitioners, quack and medicine shop and in chronic illnesses almost equal percentages sought treatment from government and private facilities. In both condition majorities sought treatment from practitioners of modern medicine and very few sought treatment from Ayurveda and Homoeopathic practitioners. They spent about 15% of their family income for treatment. Cost of treatment was more in private facilities. Medicine accounted for 70% of treatment cost followed by investigation and consultation cost. Out of pocket expenditure was the most common financing option (93.6% and in 5.6% cases they borrowed money or sale assets and in 0.8% cases government health insurance were the financing option.Conclusions: Organization of community based health insurance or government insurance with contribution from public is urgently needed to protect the poor from slipping into poverty and indebtedness.

  16. Intensive treatment models and coercion

    DEFF Research Database (Denmark)

    Ohlenschlaeger, Johan; Thorup, Anne; Petersen, Lone;

    2007-01-01

    Little evidence exists concerning the optimal treatment for patients with first-episode schizophrenia-spectrum disorders and the effect on traditional outcomes. The aim was to investigate whether optimal treatment models have an effect on the level of use of coercion and on traditional outcomes....... Hospital-based Rehabilitation, an intensified inpatient treatment model, Integrated Treatment, an intensified model of Assertive Community Treatment, and standard treatment were compared for patients with first-episode schizophrenia-spectrum disorders. Ninety-four patients with first-episode schizophrenia......-spectrum disorders estimated to benefit from long-term hospitalization were included consecutively from the Copenhagen OPUS-trial and randomized to the three treatment models. At 1-year follow-up, Hospital-based Rehabilitation and Integrated Treatment had better scores on symptoms in the negative dimension...

  17. Differential effectiveness of residential versus outpatient aftercare for parolees from prison-based therapeutic community treatment programs

    OpenAIRE

    Messina Nena P; Prendergast Michael L; Dang Jeff; Burdon William M; Farabee David

    2007-01-01

    Abstract Background Research has indicated that more intense treatment is associated with better outcomes among clients who are appropriately matched to treatment intensity level based on the severity of their drug/alcohol problem. This study examined the differential effectiveness of community-based residential and outpatient treatment attended by male and female drug-involved parolees from prison-based therapeutic community substance abuse treatment programs based on the severity of their d...

  18. Effectiveness of very low-cost contingency management in a community adolescent treatment program.

    Science.gov (United States)

    Lott, David C; Jencius, Simon

    2009-06-01

    Controlled studies have shown that motivational incentives reduce drug use, but community implementation has been limited. This observational study examines the effect of a contingency management (CM) program on urine, attendance, and cost measures in a community substance abuse treatment program for adolescents. Treatment included elements of 12-step facilitation, cognitive behavioral therapy, and motivational enhancement. All urine tests included cannabinoids, opioids, benzodiazepines, cocaine, and amphetamines. Patients with negative urines or perfect attendance earned chances to draw weekly from a bag for prizes of varying value, and the number of draws increased with each consecutive negative urine test. Data were collected for those patients (age 12-18) treated immediately before (n=83) and after (n=264) the CM program was introduced to the treatment center, and positive urine rates were compared using chi-square tests. Patients treated with the CM program had lower rates of urines positive for opioids (pcocaine (p<0.05), and non-significantly but consistently lower rates of urines positive for all other drug classes. Altogether, the proportion of urines positive for any drug decreased from 33.3% to 23.4% (p<0.01). Pre- and post-CM comparisons of attendance reveal lower daily attendance rates but longer retention in treatment. Expenses were minimal at $0.39 per patient per day. These data yield additional evidence for the feasibility and effectiveness of CM methods in community adolescent treatment programs. PMID:19250774

  19. Assessment of MLA assertiveness training for librarians: students' behavior changes after taking C.E. 669, Assertiveness and Human Relations Skills.

    OpenAIRE

    Caputo, J S

    1985-01-01

    C.E. 669, offered for three years, was MLA's first personal development continuing education course. Participants were asked to respond to a follow-up survey about their current assertive philosophy, awareness, and behavioral repertoire. They were also assessed by the Librarian's Assertiveness Inventory, a tool that indicates patterns of behavioral responses, for which some normative data were available from librarians who had not taken the class. Class participants were found to be more like...

  20. Virtual world for helping teens practice assertiveness skills

    Science.gov (United States)

    Nemire, Kenneth; Beil, Joshua; Swan, Ronald W.

    1999-05-01

    Smoking is on the rise among adolescents. This pilot project combined the well-documented benefits of Life Skills Training (LST) with the unique multisensory, 3D qualities of virtual environment (VE) technology to address some of the disadvantages of traditional prevention programs by engaging teens better, presenting information more persuasively, and making prevention programs continuously available in computer labs. In an eight-week pilot study, 45 seventh- grade students were randomly assigned to LST, VE, or non- intervention control groups. The VE system included goggles, synthesized speech, head and hand trackers, hand-held controller, and speech recognition. Questionnaires measured participants' smoking knowledge and behavior,a participants' reports on the usability of the VE system, and reports of simulator sickness symptoms. Structured interviews with randomly selected participants from each group revealed more detailed information. Data indicated the VE group retained more information and had more positive experiences learning about dangers of smoking and assertiveness skills than did the LST group. Usability data showed ease of use and learning of the VE system, with no significant symptoms of simulator sickness. These data indicated that this VE application is a promising tool for keeping teens healthy.

  1. Bill (declared urgency) asserting the national commitment for the environment

    International Nuclear Information System (INIS)

    The bill asserting the French national commitment for the environment (also named 'Grenelle 2') is considered as the juridical tool-box of the French environmental policy. It confirms, strengthens, and concretizes the objectives defined by the Grenelle 1 law. The main dispositions of the bill concern the following domains: settlement and urbanism with the improvement of the energy efficiency, energy conservation and life-cycle of buildings; transports with the development of sustainable transportation systems; energy with the creation of regional climate, air and energy schemes with the aim of developing renewable energies (with some restrictions concerning wind power) and reducing CO2 emissions; biodiversity with the creation of ecological pathways between protected areas for the migration of flora and fauna species; environment and waste management with the reinforcement of measures for the abatement of environmental pollutant effects. Among the numerous dispositions involving more than 20 codes (urbanism, environment, buildings etc..) one concerns the progressive implementation of a 'carbon price' index taking into account the greenhouse gas emission costs during the whole life cycle of a product, another one concerns the monitoring of indoor air quality in public buildings. This document is made of three parts. Part 1 is the exposition of the intentions of each article of the bill, part 2 is the bill itself and part 3 is the impact study of the bill in terms of economical, social and environmental impact. (J.S.)

  2. Results from a Community-Based Smoking Cessation Treatment Program for LGBT Smokers

    Directory of Open Access Journals (Sweden)

    Alicia K. Matthews

    2013-01-01

    Full Text Available Introduction. Little is known about lesbian, gay, bisexual, and transgender (LGBT people’s response to smoking cessation interventions. This descriptive study examined the benefits of a community-based, culturally tailored smoking cessation treatment program for LGBT smokers. Methods. A total of N=198 LGBT individuals recruited from clinical practice and community outreach participated in group-based treatment. Sessions were based on the American Lung Association’s “Freedom from Smoking Program” (ALA-FFS and were tailored to LGBT smokers’ needs. Seven-day smoking point prevalence abstinence served as the primary outcome. Results. Participants (M age = 40.5 were mostly White (70.4% and male (60.5% and had at least a college degree (58.4%. Forty-four percent scored in the moderate range on the Fagerström Test for Nicotine Dependence pretreatment, and 42.4% completed treatment (≥75% sessions. Higher educational attainment and use of nicotine replacement therapy (NRT were associated with treatment completion. Self-reported quit rates were 32.3% at posttreatment assessment. Treatment attendance (OR = 2.45, use of NRT (OR = 4.24, and lower nicotine dependency (OR = 0.73 were positively associated with quitting smoking. Conclusions. Results suggest the benefits of offering LGBT smokers culturally tailored smoking cessation treatments. Future research could improve outcomes by encouraging treatment attendance and promoting NRT uptake.

  3. Taking Severe Acute Malnutrition Treatment Back to the Community: Practical Experiences from Nutrition Coverage Surveys.

    Science.gov (United States)

    Blanárová, Lenka; Rogers, Eleanor; Magen, Carine; Woodhead, Sophie

    2016-01-01

    The community-based management of acute malnutrition treatment model was introduced to respond to the limited coverage of the inpatient model. Yet until the introduction of quick and low-cost approaches to measuring coverage, its reach was unknown. Once the Coverage Monitoring Network (CMN) had been created to roll out the routine measurement of direct coverage estimates to implementers, they found that programs were reaching only a third of cases. The barriers found to be limiting coverage were the result of the limited perceived value, and therefore focus, on the community. Therefore, the Network used the coverage assessment methodology as a way to encourage implementers to engage more fully with the community. By introducing small changes to the project cycle, specifically a participatory approach to assessments, program design and implementation, the CMN has changed the way implementers engage with the community. Instead of viewing them as passive receivers of services, they have shifted their perspective to view them as service delivery partners. The process provides implementers with a deeper understanding of the context while allowing the community to better understand the program, its challenges, and the identification of solutions. The Network observed implementers from Ministries of Health, and non-governmental organizations, adjusted their understanding and approach to service provision, which is critical if we are to see sustainable increases in program coverage. These experiences show that there is an appetite from implementers in multiple contexts for these practical and simple tools for re-engaging the community. PMID:27679795

  4. A Large-scale Dissemination and Implementation Model for Evidence-based Treatment and Continuing Care

    OpenAIRE

    Godley, Susan H.; Garner, Bryan R.; Smith, Jane Ellen; Meyers, Robert J.; Godley, Mark D.

    2011-01-01

    Multiple evidence-based treatments for adolescents with substance use disorders are available; however, the diffusion of these treatments in practice remains minimal. A dissemination and implementation model incorporating research-based training components for simultaneous implementation across 33 dispersed sites and over 200 clinical staff is described. Key elements for the diffusion of the Adolescent Community Reinforcement Approach and Assertive Continuing Care were: (a) three years of fun...

  5. Supportive-Expressive Dynamic Psychotherapy in the Community Mental Health System: A Pilot Effectiveness Trial for the Treatment of Depression

    OpenAIRE

    Connolly Gibbons, Mary Beth; Thompson, Sarah M.; Scott, Kelli; Schauble, Lindsay A.; Mooney, Tessa; Thompson, Donald; Green, Patricia; MacArthur, Mary Jo; Crits-Christoph, Paul

    2012-01-01

    The goal of the current article is to present the results of a randomized pilot investigation of a brief dynamic psychotherapy compared with treatment-as-usual (TAU) in the treatment of moderate-to-severe depression in the community mental health system. Forty patients seeking services for moderate-to-severe depression in the community mental health system were randomized to 12 weeks of psychotherapy, with either a community therapist trained in brief dynamic psychotherapy or a TAU therapist....

  6. Evaluation of Assertive Training and Homosexual Guidance Service Groups Designed to Improve Homosexual Functioning

    Science.gov (United States)

    Russell, A.; Winkler, R.

    1977-01-01

    It is proposed that clinicians should develop research-based assertiveness training procedures for homosexuals that are designed to facilitate homosexual functioning. Subjects (N=27) were assigned to a behaviorally oriented assertive training group or a non-directive group run by a homosexual guidance service. Self-report measures indicated…

  7. The Use of Stimulus/Modeling Videotapes in Assertive Training for Homosexuals

    Science.gov (United States)

    Duehn, Wayne D.; Mayadas, Nazneen, S.

    1976-01-01

    The purpose of this study was to develop and apply an experimental approach for teaching assertive behaviors in selective problematic interpersonal situations encountered by homosexuals. Results of a single-subject interrupted time-series analysis suggest that the client displayed significantly more assertive behaviors on four of the six criterion…

  8. The Relationship between the Assertive Behavior of Parents and the Behavior of Their Children.

    Science.gov (United States)

    Shilling, Catherine S.

    1979-01-01

    Results indicate that, contrary to most literature on the family, assertiveness relates to affection rather than control; that assertiveness training should be subordinated to interpersonal skills training; that Fundamental Interpersonal Relations Orientation-Behavior (FIRO-B) instruments provide more effective assessment of family interaction…

  9. Adolescents' Self-Assertion in the Process of Upbringing and Instruction

    Science.gov (United States)

    Islamova, Z. B.

    2010-01-01

    Self-assertion involves an individual's search for and realization of his own special path in the world, his values and purpose in life in every given moment. It is a process that accompanies a person throughout his life. Self-assertion becomes exceptionally important in adolescence as it marks a turning point in one's attitude toward oneself; one…

  10. Counteracting the Effects of Sex-role Stereotyping Using Assertive Training

    Science.gov (United States)

    Poland, Elizabeth Young

    1977-01-01

    The article discussed the relationship between sex-role behaviors and assertiveness. It was concluded that assertive training is potentially valuable to students and educators alike in helping to modify some of the extreme behaviors associated with sex-role stereotypes and as such is beneficial in bringing about more adaptive forms of behavior in…

  11. Longitudinal Study of Assertion Training as a Drug Abuse Prevention Strategy.

    Science.gov (United States)

    Horan, John J.; Williams, John M.

    1982-01-01

    Nonassertive junior high school students were assigned randomly to assertion training involving drug-use peer pressure. At posttest and at a three-year follow-up point, students continued to display high levels of assertiveness and less willingness to use alcohol and marijuana. (Author/PN)

  12. Correlates of Adolescent Assertiveness with HIV Avoidance in a Four-Nation Sample

    Science.gov (United States)

    Onuoha, Francis N.; Munakata, Tsunetsugu

    2005-01-01

    Adolescents are frequently admonished to be socially assertive in order to confront negative interpersonal peer influences. Since the advent of HIV/AIDS in human social chemistry, the admonition has become more critical than ever. But the warning is often proffered in the misguided presumption that social assertiveness is the all-required…

  13. Effects of Gender, Age, and Education on Assertiveness in a Nigerian Sample

    Science.gov (United States)

    Onyeizugbo, Eucharia U.

    2003-01-01

    Two hundred fourteen (214) married persons, 101 men and 113 women aged 20-60, with at least high school education, participated in the study which investigated the effects of gender, age, and educational attainment on assertiveness among married persons in Nigeria. The Assertive Behavior Assessment scale (ABAS; Onyeizugbo, 1998) was used to…

  14. Relation between Assertiveness, Academic Self-Efficacy, and Psychosocial Adjustment among International Graduate Students.

    Science.gov (United States)

    Poyrazli, Senel; Arbona, Consuelo; Nora, Amaury; McPherson, Robert; Pisecco, Stewart

    2002-01-01

    Rathus Assertiveness Schedule, Academic Self-Efficacy Scale, The Inventory for Student Adjustment Strain, and UCLA Loneliness Scale were used to examine a total of 122 graduate international students. Findings indicate that English proficiency, assertiveness, and academic self-efficacy contributed uniquely to the variance in students' general…

  15. An Investigation of High School Seniors' Assertiveness Levels Based on Their Demographic Characteristics

    Science.gov (United States)

    Çam, Ibrahim

    2015-01-01

    High school students who are in the development age or in the last class and have chance to win the university exams or disposal stage of the business life must also have a high level of assertiveness. In this context, the purpose of this research is to compare the assertiveness levels of high school seniors. The study group consists of 312 high…

  16. Assertive Skills and Academic Performance in Primary and Secondary Education, Giftedness, and Conflictive Students

    Science.gov (United States)

    Marugan de Miguelsanz, Montserrat; Carbonero Martin, Miguel Angel; Palazuelo Martinez, Ma Marcela

    2012-01-01

    Introduction: This study explores the level of assertiveness in various samples of students from Primary and Secondary Education. With the data obtained, on the one hand, we analyzed the relation between assertiveness and academic performance and, on the other, we verified whether students who are excluded from the norm, either because of their…

  17. Relationships of Assertiveness, Depression, and Social Support Among Older Nursing Home Residents

    Science.gov (United States)

    Segal, Daniel

    2005-01-01

    This study assessed the relationships of assertiveness, depression, and social support among nursing home residents. The sample included 50 older nursing home residents (mean age=75 years; 75% female; 92% Caucasian). There was a significant correlation between assertiveness and depression (r=-.33), but the correlations between social support and…

  18. Sexual Assertiveness Mediates the Effect of Social Interaction Anxiety on Sexual Victimization Risk among College Women

    Science.gov (United States)

    Schry, Amie R.; White, Susan W.

    2013-01-01

    Sexual victimization is prevalent among college women and is associated with adverse psychological consequences. Social anxiety, particularly related to interpersonal interaction, may increase risk of sexual victimization among college women by decreasing sexual assertiveness and decreasing the likelihood of using assertive resistance techniques.…

  19. Community Entrepreneurship in Deprived Neighbourhoods: Comparing UK Community Enterprises with US Community Development Corporations (discussion paper)

    NARCIS (Netherlands)

    Varady, D.P.; Kleinhans, R.J.; Van Ham, M.

    2015-01-01

    Through a review of the recent American community development literature, this paper tests the assertion that British community enterprises (CEs) are fundamentally similar to American community development corporations (CDCs), and therefore, that CEs can learn from CDCs. In the context of the curren

  20. Community treatment orders: ethical practice in an era of magical thinking.

    Science.gov (United States)

    Everett, B

    2001-01-01

    With the passage of legislation in June 2000, coercive measures in the form of community treatment orders (CTOs) have become part of the community mental health landscape in Ontario. Given that community practitioners place a high value upon their ability to create voluntary and egalitarian partnerships with clients, the question of whether ethical practice is possible under conditions of legislated coercion is relevant. Based upon a review of the pro and con arguments that preceded CTO legislation, followed by an examination of available research on effectiveness, this paper suggests that forms of magical thinking have been at work on both sides of the CTO debate. A broader definition of coercion is proposed--one that envelopes both overt and covert forms. Finally, the author offers an approach to ethical practice which is based on the use of transformative power rather than coercive power, and which includes a 3-step strategy (using liberation tactics, proactive contracting, and procedural justice). PMID:11599136

  1. Smoking cessation treatment in community-based substance abuse rehabilitation programs.

    Science.gov (United States)

    Reid, Malcolm S; Fallon, Bryan; Sonne, Susan; Flammino, Frank; Nunes, Edward V; Jiang, Huiping; Kourniotis, Eva; Lima, Jennifer; Brady, Ron; Burgess, Cynthia; Arfken, Cynthia; Pihlgren, Eric; Giordano, Louis; Starosta, Aron; Robinson, James; Rotrosen, John

    2008-07-01

    Nicotine dependence is highly prevalent among drug- and alcohol-dependent patients. A multisite clinical trial of smoking cessation (SC) treatment was performed at outpatient community-based substance abuse rehabilitation programs affiliated with the National Drug Abuse Treatment, Clinical Trials Network. Cigarette smokers (N=225) from five methadone maintenance programs and two drug and alcohol dependence treatment programs were randomly assigned in a 2:1 ratio to receive either (1) SC treatment as an adjunct to substance abuse treatment-as-usual (TAU) or (2) substance abuse TAU. Smoking cessation treatment consisted of 1 week of group counseling before the target quit date and 8 weeks of group counseling plus transdermal nicotine patch treatment (21 mg/day for Weeks 1-6 and 14 mg/day for Weeks 7 and 8) after the target quit date. Smoking abstinence rates in SC, 10%-11% during treatment and 5%-6% at the 13- and 26-week follow-up visits, were significantly better than those in TAU during treatment (p< .01). In addition, SC was associated with significantly greater reductions as compared with TAU in cigarettes smoked per day (75% reduction, p< .001), exhaled carbon monoxide levels (p< .001), cigarette craving (p< .05), and nicotine withdrawal (p< .05). Smoking cessation did not differ from TAU on rates of retention in substance abuse treatment, abstinence from primary substance of abuse, and craving for primary substance of abuse. Compliance with SC treatment, moderate at best, was positively associated with smoking abstinence rates. Smoking cessation treatment resulted in significant reductions in daily smoking and modest smoking abstinence rates without having an adverse impact on substance abuse rehabilitation when given concurrently with outpatient substance abuse treatment. Substance abuse treatment programs should not hesitate to implement SC for established patients.

  2. Associations of Sexual Victimization, Depression, and Sexual Assertiveness with Unprotected Sex: A Test of the Multifaceted Model of HIV Risk Across Gender

    OpenAIRE

    Morokoff, Patricia J.; Colleen A. Redding; Harlow, Lisa L.; Cho, Sookhyun; Rossi, Joseph S.; Meier, Kathryn S; Mayer, Kenneth H.; Koblin, Beryl; Brown-Peterside, Pamela

    2009-01-01

    This study examined whether the Multifaceted Model of HIV Risk (MMOHR) would predict unprotected sex based on predictors including gender, childhood sexual abuse (CSA), sexual victimization (SV), depression, and sexual assertiveness for condom use. A community-based sample of 473 heterosexually active men and women, aged 18–46 years completed survey measures of model variables. Gender predicted several variables significantly. A separate model for women demonstrated excellent fit, while the m...

  3. Prediction of Addiction Potential on the Basis of Aggression and Assertiveness in University Students

    Directory of Open Access Journals (Sweden)

    Mehrdad Hajihasani

    2012-02-01

    Full Text Available Introduction: The aim of present research was the prediction of addiction potential on the basis of aggression and assertiveness in Allameh Tabbatabaei girl students. Method: The research method was correlational design and population of research was girl students of Allameh Tabatabaei university. By available sampling 150 girls were selected and Ahvaz Aggression Questionnaire, Gambril & Rigy Assertiveness questionnaire and Zargari Addiction Potential Questionnaire administered among selected sample. Findings: the results of the Pearson correlation showed that the relationship between aggression, assertiveness, and addiction potential was significant. Also, the results of multivariate regression analysis showed that aggression, assertiveness and depression can predict the Addiction Potential. Conclusion: Addiction potential can be predicted by aggression and assertiveness.

  4. Self-stigma, personality traits, and willingness to seek treatment in a community sample.

    Science.gov (United States)

    Ingram, Paul B; Lichtenberg, James W; Clarke, Erik

    2016-08-01

    Stigma has received attention as a major barrier toward effective mental health service delivery, and previous research has demonstrated that the Five-Factor Model (FFM) domain of Openness to Experience is negatively correlated with stigmatized views of mental health. However, a lack of established relationships between personality and self-stigma, as well as how these concepts affect an individual's treatment-seeking intentions, has left a gap in the literature. To address this, our study recruited a low-income community sample and tested (a) the relationship between self-stigma of mental health treatment and the FFM, (b) the relationship between self-stigma and treatment-seeking intentions, and (c) the incremental validity of FFM personality beyond stigma in the prediction of treatment seeking. Results suggest that there is some incongruence with previous research on personality's relationship to stigma, personality does not act as an additive component in the prediction of the relationship between stigma and treatment seeking, and stigma is related only to the perceived need for mental health treatment but not to an individual's openness to seek that treatment. The discussion concludes with implications for the contextualization and treatment of stigma as a barrier for mental health treatment and a general synthesis of the personality trait profiles for those holding stigmatizing views of mental health. (PsycINFO Database Record PMID:27253319

  5. Microbial community functional structures in wastewater treatment plants as characterized by GeoChip.

    Directory of Open Access Journals (Sweden)

    Xiaohui Wang

    Full Text Available BACKGROUND: Biological WWTPs must be functionally stable to continuously and steadily remove contaminants which rely upon the activity of complex microbial communities. However, knowledge is still lacking in regard to microbial community functional structures and their linkages to environmental variables. AIMS: To investigate microbial community functional structures of activated sludge in wastewater treatment plants (WWTPs and to understand the effects of environmental factors on their structure. METHODS: 12 activated sludge samples were collected from four WWTPs in Beijing. A comprehensive functional gene array named GeoChip 4.2 was used to determine the microbial functional genes involved in a variety of biogeochemical processes such as carbon, nitrogen, phosphorous and sulfur cycles, metal resistance, antibiotic resistance and organic contaminant degradation. RESULTS: High similarities of the microbial community functional structures were found among activated sludge samples from the four WWTPs, as shown by both diversity indices and the overlapped genes. For individual gene category, such as egl, amyA, lip, nirS, nirK, nosZ, ureC, ppx, ppk, aprA, dsrA, sox and benAB, there were a number of microorganisms shared by all 12 samples. Canonical correspondence analysis (CCA showed that the microbial functional patterns were highly correlated with water temperature, dissolved oxygen (DO, ammonia concentrations and loading rate of chemical oxygen demand (COD. Based on the variance partitioning analyses (VPA, a total of 53% of microbial community variation from GeoChip data can be explained by wastewater characteristics (25% and operational parameters (23%, respectively. CONCLUSIONS: This study provided an overall picture of microbial community functional structures of activated sludge in WWTPs and discerned the linkages between microbial communities and environmental variables in WWTPs.

  6. Influence Of Wastewater On Zooplankton Community Of The Daugava River After Daugavpils Wastewater Treatment Plant Modernization

    OpenAIRE

    Deksne, Rasma

    2015-01-01

    During seasonal studies 2010 (May-October, once/ thrice a month), samples of zooplankton were collected at the Daugava River section from 10 km upstream to 10 km downstream from the Daugavpils treatment plant wastewater discharge into the Daugava River. Changes in the quantitative and qualitative characteristics, saprobity index and species diversity (Shannon-Wiener index) were employed for the analysis of zooplankton community structure in the Daugava River. The Daugava River is polluted by ...

  7. Capacity Enhancement of Hepatitis C Virus Treatment through Integrated, Community-Based Care

    OpenAIRE

    Hill, Warren D; Butt, Gail; Alvarez, Maria; Krajden, Mel

    2008-01-01

    BACKGROUND: An estimated 250,000 Canadians are infected with the hepatitis C virus (HCV). The present study describes a cohort of individuals with HCV referred to community-based, integrated prevention and care projects developed in British Columbia. Treatment outcomes are reported for a subset of individuals undergoing antiviral therapy at four project sites.METHODS: Four demonstration projects based on a public health nurse and physician partnership were established in rural and small urban...

  8. Relationship Power and Sexual Risk among Women in Community-Based Substance Abuse Treatment

    OpenAIRE

    Campbell, Aimee N. C.; Tross, Susan; Dworkin, Shari L.; Hu, Mei-Chen; Manuel, Jennifer; Pavlicova, Martina; Nunes, Edward V.

    2009-01-01

    Relationship power has been highlighted as a major factor influencing women’s safer sex practices. Little research, however, has specifically examined relationship power in drug-involved women, a population with increased risk for HIV transmission. Using baseline data from a National Institute on Drug Abuse Clinical Trials Network multisite trial of a women’s HIV prevention intervention in community-based drug treatment programs, this paper examined the association between sexual relationship...

  9. PSYCOSOCIAL FACTORS EVALUATION ON PREVENTION AND TREATMENT OF DIARRHEIC DISEASES IN YAQUI COMMUNITIES

    OpenAIRE

    Guadalupe Valenzuela Avendaño y Jesús Francisco Laborín Álvarez

    2007-01-01

    To analyze knowledge and some psychosocial factors influence on prevention and treatment of diarrheic diseases in Yaqui communities. By a non-probabilistic sampling, 209 mothers were selected from Yaqui families having at least one six years old child or younger, and that they had attended at least one diarrhoea episode within 72 hours previous the interview. A non-experimental, correlational and cross-sectional design was used to analyse data. The knowledge level that mothers show about caus...

  10. Anthelmintic treatment alters the parasite community in a wild mouse host

    OpenAIRE

    Pedersen, Amy B.; Antonovics, Janis

    2013-01-01

    Individuals are often co-infected with several parasite species, yet the consequences of drug treatment on the dynamics of parasite communities in wild populations have rarely been measured. Here, we experimentally reduced nematode infection in a wild mouse population and measured the effects on other non-target parasites. A single oral dose of the anthelmintic, ivermectin, significantly reduced nematode infection, but resulted in a reciprocal increase in other gastrointestinal parasites, spe...

  11. Practice setting and physician influences on judgments of colon cancer treatment by community physicians.

    OpenAIRE

    McFall, S L; Warnecke, R B; Kaluzny, A D; Ford, L

    1996-01-01

    OBJECTIVE. This article compares judgments about the treatment of Dukes' B2 and C colon cancer made by general surgeons to those of internists and family practitioners. Physician and practice variables were specialty, affiliation with a Community Clinical Oncology Program (CCOP) hospital, time in practice, professional centrality (level of participation in cancer information networks), solo practice, and number of colon cancer patients. DATA COLLECTION METHODS. Data are combined from national...

  12. Biofield and Fungicide Seed Treatment Influences on Soybean Productivity,Seed Quality and Weed Community

    OpenAIRE

    Trivedi, Mahendra Kumar

    2015-01-01

    Soybean production in Iowa USA is among the most productive for raínfed regions in the world. Despite generally having excellent soils, growing season temperatures and rainfall, soybean yields are decreased by weed interference and inadequate available soil water at key stages of crop development. A field study was conducted at two locations in lowa in 2012 to determine if seed-applied fungicide or biofield treatments influenced weed community, soil volumetric water concentration and s...

  13. Bacterial Community Structure Shifted by Geosmin in Granular Activated Carbon System of Water Treatment Plants.

    Science.gov (United States)

    Pham, Ngoc Dung; Lee, Eun-Hee; Chae, Seon-Ha; Cho, Yongdeok; Shin, Hyejin; Son, Ahjeong

    2016-01-01

    We investigated the relation between the presence of geosmin in water and the bacterial community structure within the granular activated carbon (GAC) system of water treatment plants in South Korea. GAC samples were collected in May and August of 2014 at three water treatment plants (Sungnam, Koyang, and Yeoncho in Korea). Dissolved organic carbon and geosmin were analyzed before and after GAC treatment. Geosmin was found in raw water from Sungnam and Koyang water treatment plants but not in that from Yeoncho water treatment plant. Interestingly, but not surprisingly, the 16S rRNA clone library indicated that the bacterial communities from the Sungnam and Koyang GAC systems were closely related to geosmin-degrading bacteria. Based on the phylogenetic tree and multidimensional scaling plot, bacterial clones from GAC under the influence of geosmin were clustered with Variovorax paradoxus strain DB 9b and Comamonas sp. DB mg. In other words, the presence of geosmin in water might have inevitably contributed to the growth of geosmin degraders within the respective GAC system.

  14. Resilience of soil microbial and nematode communities after biofumigant treatment with defatted seed meals

    Science.gov (United States)

    Mocali, Stefano; Landi, Silvia; Curto, Giovanna; Elisabetta, Dallavalle; Infantino, Alessandro; Colzi, Claudia; d'Errico, Giada; Roversi, Pio Federico; D'Avino, Lorenzo; Lazzeri, Luca

    2015-04-01

    The use of alternative biocidal compounds to replace chemical pesticides after the Directive 2009/128/EC has raised renewed interest in the biofumigation technique. In particular, the defatted seed meals (DSM) derived from brassicaceae plant tissues with high glucosinolate content represent an efficient practice to control soil-born plant pathogens and pests that can be applied in synergy to catch crop green manures. For a wider and safer application of this technique, the impacts on non-target soil microorganisms and free-living nematodes have to be investigated in more depth. In this pot-scale experiment a naturally nematode-infected soil was amended with a glucosinolate-containing DSM from Brassica carinata (CAR), a non-glucosinolate-containing DSM from sunflower (SUN) and the metham-sodium fumigant (VAP). Tomato plants were transplanted and checked for the presence of pests and/or pathogens and plant vigour. The response of soil microbial communities was assessed through 454-pyrosequencing analysis of bacterial 16S rRNA and fungal 18S rRNA genes, whereas nematode indices were applied to assess their community structure 0, 10, 32 and 62 days after the treatments. Significant shifts were observed among both bacterial and fungal communities, whereas various changes of nematode communities occurred depending on the nematode family. Similar changes initially occurred in both bacterial and fungal community structure in response to DSM and VAP amendments, but after 62 days fungal communities were more strongly shaped by VAP fumigation than bacteria. The non-biofumigant SUN treatment added organic matter into the soil inducing significant changes in microbial communities, but it was not effective against M. incognita root infestation. Although the free-living nematode structure was negatively influenced by all treatments, B. carinata DMS proved the best compromise between efficiency to control M. incognita and environmental impact. These results confirmed the

  15. Exploring provider and community responses to the new malaria diagnostic and treatment regime in Solomon Islands

    Directory of Open Access Journals (Sweden)

    Wini Lyndes

    2011-01-01

    Full Text Available Abstract Background Improvements in availability and accessibility of artemisinin-based combination therapy (ACT for malaria treatment and the emergence of multi-drug-resistant parasites have prompted many countries to adopt ACT as the first-line drug. In 2009, Solomon Islands (SI likewise implemented new national treatment guidelines for malaria. The ACT, Coartem® (artemether-lumefantrine is now the primary pharmacotherapy in SI for Plasmodium falciparum malaria, Plasmodium vivax malaria or mixed infections. Targeted treatment is also recommended in the new treatment regime through maintenance of quality microscopy services and the introduction of Rapid Diagnostic Tests (RDTs. Ascertaining the factors that influence community and provider acceptance of and adherence to the new treatment regime will be vital to improving the effectiveness of this intervention and reducing the risk of development of drug resistance. Methods In order to understand community and prescriber perceptions and acceptability of the new diagnostic and treatment interventions, 12 focus group discussions (FGDs and 12 key informant interviews (KII were carried out in rural and urban villages of Malaita Province, Solomon Islands four months subsequent to roll out of these interventions. Results Lack of access to microscopy or distrust in the accuracy of diagnostic tools were reported by some participants as reasons for the ongoing practice of presumptive treatment of malaria. Lack of confidence in RDT accuracy has negatively impacted its acceptability. Coartem® had good acceptability among most participants, however, some rural participants questioned its effectiveness due to lack of side effects and the larger quantity of tablets required to be taken. Storing of left over medication for subsequent fever episodes was reported as common. Conclusion To address these issues, further training and supportive supervision of healthcare workers will be essential, as will the

  16. Self-Assertion in the Public Sphere: The Jewish Press on the Eve of Legal Emancipation

    Directory of Open Access Journals (Sweden)

    Dieter J. Hecht

    2016-08-01

    Full Text Available Jews like Adolf Fischhof and Ludwig August Frankl were prominent participants in the revolution of 1848. Their speeches, poems, and portraits circulated in Vienna and throughout the Empire. With the suppression of the revolution, most of these prominent Jews had to either leave Vienna or retreat to the private sphere. Only in the late 1850s did Jews regain their public presence, starting with the opening of the Leopoldstaedter Tempel in 1858 and the building of the Ringstrasse from 1860 onwards. Many Jews hoped that the new liberal era would grant them civil rights and legal emancipation. Jewish intellectuals and journalists supported this struggle from within and outside the growing Jewish community. An important weapon in their struggle were Jewish newspapers. These newspapers not only provided information, but also served as mouthpieces for different Jewish movements. They featured biographies with portraits (in words and images of distinguished Jewish leaders (mostly men and a few women, which were supposed to present the social achievements of a certain group within Jewish society to a broader audience. In fact, these portraits served as a form of self-assertion for the publisher as well as for the audience. It projected the message that Jews not only merited emancipation, but also struggled for it on various levels. The paper therefore addresses questions of biography and the (Jewish identity these portraits at once reflected and shaped.

  17. [Involuntary treatment of mental patients in the community: legal and ethical dilemmas].

    Science.gov (United States)

    Mitrossili, M

    2014-01-01

    This article focuses on the measure of involuntary treatment of mental patients in the community, not only with regard to human rights and more specifically those of persons with mental disorders, but also with regard to ethics and deontology in mental healthcare delivery service. In this light, the important role of informed consent in psychiatry with regard to the psychiatric act is examined. Informed consent of mental patients in treatment when they are in need of voluntary or involuntary hospitalization is further examined, while emphasis is being put on the case of involuntary treatment. The Convention for Human Rights and Biomedicine (Convention of Οviedo), the European Convention of Human Rights, other documents of International Organizations (UN) and specialized national legislation (A. 2071/1992, Chapter vi, Greek law) constitute basic reference and interpretation points. The examination of consent and the demarcation of the exceptions are important issues that need to be approached. More particularly, our interest lies with the article 7 of the Convention for Human Rights and Biomedicine, which specifically refers to the protection of person who suffers from a mental disorder. The opinion that informed consent in psychiatric treatment and involuntary treatment are concepts and processes which are distinct but not always mutually exclusive is enhanced. In any case, involuntary treatment causes major dilemmas as far as informed consent in the psychiatric act is concerned, as it raises issues that affect the autonomy of the person. Today, however, there are many factors which influence public politics towards the adoption of the measure of involuntary treatment within the community. How is it that this paradoxical link is legitimized and justified: involuntary treatment and community? The enactment of the above mentioned measure in many European and North American countries has created new paths in the practice of contemporary psychiatry. Nonetheless, it

  18. The Effect of Assertiveness Training on the Mobbing That Nurses Experience.

    Science.gov (United States)

    Karakaş, Sibel Asi; Okanli, Ayşe

    2015-10-01

    This research was designed to determine the impact of assertiveness training on the mobbing experience of nurses. This study was conducted in two phases. In the first phase, 218 nurses completed the mobbing scale; the education group consisted of 38 nurses who received a score at or above 204 points. A total of 180 nurses were excluded from the education group because they received less than 204 points. The study was conducted with 30 nurses because 8 nurses did not agree to participate in the study. The 30 nurses received the assertiveness training program. Six months after training, the nurses completed the mobbing scale and Rathus Assertiveness Inventory (RAI) again. The assertiveness training positively affected the assertiveness and mobbing scores (p = .000). After the training, the assertiveness scores increased and the mobbing condition score decreased (p Assertiveness training is an effective method for decreasing mobbing. In line with these results, training programs, which support nurses' personal development by providing counseling and support to nurse victims of mobbing, are recommended. PMID:26242741

  19. Therapeutic community drug treatment success in Peru: a follow-up outcome study

    Directory of Open Access Journals (Sweden)

    Browne Thom

    2008-12-01

    Full Text Available Abstract Background The purpose of this study was to assess the impact of drug abuse treatment in Peru that used the therapeutic community (TC model. Program directors and several staff members from all study treatment facilities received two to eight weeks of in-country training on how to implement the TC treatment model prior to the follow-up study. Methods This outcome study involved 33 TC treatment facilities and 509 former clients in Lima and other cities in five providences across Peru. A retrospective pre-test (RPT follow-up design was employed in which 30-day use of illegal drugs and alcohol to intoxication was measured at baseline retrospectively, at the same time of the six-month follow-up. In-person interview data were collected from directors of 73 percent of the eligible TC organizations in January and February 2003 and from former 58 percent of the eligible TC former clients between October 2003 and October 2004. Drug testing was conducted on a small sample of former clients to increase the accuracy of the self-reported drug use data. Results Medium to large positive treatment effects were found when comparing 30-day illegal drug and alcohol use to intoxication before and six months after receiving treatment. As a supplemental analysis, we assumed the 42 percent of the former clients who were not interviewed at the six month assessment had returned to drugs. These results showed medium treatment effects as well. Hierarchical Generalized Linear Modeling (HGLM results showed higher implementation fidelity, less stigma after leaving treatment, and older clients, singly or in combination are key predictors of treatment success. Conclusion This study found that former clients of drug and alcohol treatment in facilities using the TC model reported substantial positive change in use of illegal drugs and alcohol to intoxication at a six-month follow-up. The unique contribution of this study is that the results also suggest attention should

  20. Low temperature treatment of domestic wastewater by purple phototrophic bacteria: Performance, activity, and community.

    Science.gov (United States)

    Hülsen, Tim; Barry, Edward M; Lu, Yang; Puyol, Daniel; Batstone, Damien J

    2016-09-01

    Low wastewater temperatures affect microbial growth rates and microbial populations, as well as physical chemical characteristics of the wastewater. Wastewater treatment plant design needs to accommodate changing temperatures, and somewhat limited capacity is a key criticism of low strength anaerobic treatment such as Anaerobic Membrane Bioreactors (AnMBR). This study evaluates the applicability of an alternative platform utilizing purple phototrophic bacteria for low temperature domestic wastewater treatment. Two photo-anaerobic membrane bioreactors (PAnMBR) at ambient (22 °C) and low temperatures (10 °C) were compared to fully evaluate temperature response of critical processes. The results show good functionality at 10 °C in comparison with ambient operation. This enabled operation at 10 °C to discharge limits (TCOD < 100 mg L(-1); TN < 10 mg L(-1) and TP < 1 mg L(-1)) at a HRT < 1 d. While capacity of the system was not limited, microbial community showed a strong shift to a far narrower diversity, almost complete dominance by PPB, and of a single Rhodobacter spp. compared to a more diverse community in the ambient reactor. The outcomes of the current work enable applicability of PPB for domestic wastewater treatment to a broad range of regions. PMID:27235774

  1. Computation of two phase flow distribution and CHF in horizontal bundles using the assert subchannel code

    International Nuclear Information System (INIS)

    The ASSERT subchannel code has been developed specifically to model flow and phase distributions within CANDU fuel bundles. ASSERT uses a drift-flux model which permits the phases to have unequal velocities, and can thus model phase separation tendencies which may occur in horizontal flow. The basic principles of ASSERT are outlined, and computed results are compared against data from various experiments for validation purposes. The paper concludes with an example of the use of the code to predict critical heat flux in CANDU geometries

  2. ASSERT-PV simulations of two-phase flow in horizontal and vertical subchannels

    International Nuclear Information System (INIS)

    This is a part of the effort to assess the ASSERT-PV code which is supposedly capable of quantifying the effect of small flow boundary changes in the fuel channel of CANDU reactors. Two independently performed subchannel experiments are simulated by the ASSERT-PV code. The result includes the pressure and the void fraction distributions in each subchannel. It is found that the ASSERT-PV predicts both experimental data quite well by selecting the void diffusion constant properly for the adiabatic two-phase flows. (author)

  3. Mexican use of lead in the treatment of empacho: community, clinic, and longitudinal patterns.

    Science.gov (United States)

    Baer, R D; Garcia de Alba, J; Leal, R M; Plascencia Campos, A R; Goslin, N

    1998-11-01

    This paper discusses research designed to investigate community, clinic, and longitudinal patterns in use of lead as a treatment for empacho, a folk illness manifest by gastrointestinal symptoms. The same questionnaire used in a clinic-based study seven years previously in Guadalajara, Mexico, was used to interview a randomly selected community sample: in addition, the study was repeated at the same clinic sites that had been studied previously. The goals were to investigate: (1) What are community wide prevalences of empacho and use of lead based remedies? (2) To what extent are current patterns of use of lead for treatment of empacho in clinic-based samples similar to those seven years ago. The attributable risk to the population as a whole from use of lead based remedies was found to be 11% of the households of Guadalajara. Essentially this same estimate was seen for the 1987 and 1994 clinic populations. Interestingly, while percentages of lead users have declined since 1987, twice as great a percentage of informants reported treating empacho. Other patterns originally identified in 1987 persisted in 1994; lead use continues to be associated with lower levels of parental education and income.

  4. Musculoskeletal disorders: Epidemiology and treatment seeking behavior of secondary school students in a Nigerian community

    Directory of Open Access Journals (Sweden)

    Adegbehingbe Olayinka

    2009-01-01

    Full Text Available Background: Epidemiological information paucity exists on musculoskeletal disorders (MSD among secondary school students in Nigeria. We aimed to determine the prevalence, pattern, and treatment seeking behaviors (TSB of MSD in Southwest, Nigeria. Materials and Methods: A school-based cross-sectional study was conducted in four randomly selected secondary schools in Ile-Ife in 2007. All the students were screened for MSD using an interviewer-administered questionnaire and physical examination, which involved the use of a scoliometer and a goniometer. Affected children were recommended for follow-up treatment and a plain radiography taken. Results: A total of 133 students had 204 MSD representing a 3.0% prevalence among the 4,441students screened. Eighty-one (60.9% students had congenital disorders and 52 (39.1% were acquired. The lower limbs (93.1% were most commonly affected and 87 (65.4% students presented with a knee deformity. Other abnormalities were limb length discrepancy 6.8%, scoliosis 4.4%, Pes planus 3.9%, and poliomyelitis 2.9%. A total of 100 students (75.2% had no form of treatment, 18.8% receive treatment in the hospital, 3.7% received treatment in a traditional healing home and 2.3% received treatment in a church. Age, family, and school type were significant factors ( P < 0.05 in health-seeking behavior. The factors affecting treatment outcome were the place of treatment, hospital specific treatment, and reasons for stopping treatment. Conclusion: Treatable cases constitute a large proportion of MSD among secondary school students, but TSB was generally poor. Parental socio-economic and health services factors were related to the health-seeking behavior. Strengthening of school health services and improved linkage with orthopedic services, community education on MSD, and education of all cadres of health professionals are recommended.

  5. Contextualizing trauma: using evidence-based treatments in a multicultural community after 9/11.

    Science.gov (United States)

    Marshall, Randall D; Suh, Eun Jung

    2003-01-01

    The mental health community was caught unaware after 9/11 with respect to treatment of survivors of terrorist attacks. Because this form of trauma was quite rare in the U.S., few trauma specialists had extensive experience, or taught regularly on this subject. Since the primary objective of terrorism is the creation of demoralization, fear, and uncertainty in the general population, a focus on mental health from therapeutic and public health perspectives is critically important to successful resolution of the crisis. Surveys after 9/11 showed unequivocally that symptomatology related to the attacks were found in hundreds of thousands of people, most of whom were not escapees or the families of the deceased. Soon after 9/11, our center formed a collaboration with other academic sites in Manhattan to rapidly increase capacity for providing state-of-the-art training and treatment for trauma-related psychiatric problems. Our experience suggests that evidence-based treatments such as Prolonged Exposure Therapy have proven successful in treating 9/11-related PTSD. However, special clinical issues have arisen, such as the influence of culture on clinical presentation and treatment expectations in a multiethnic community; the need to focus on more subtle aspects of relative risk appraisal in examining trauma-related avoidance; the range of changes in daily life that constitute adaptation to ongoing threat; the difficulties in working as a therapist who is also a member of the traumatized community; and grappling with multiple secondary consequences of 9/11 such as unemployment, work relocation, grief, and apocalyptic fears leading to a dramatically foreshortened vision of the future. PMID:14686462

  6. Treatment delay among pulmonary tuberculosis patients in pastoralist communities in Bale Zone, Southeast Ethiopia

    Directory of Open Access Journals (Sweden)

    Hussen Awol

    2012-06-01

    Full Text Available Abstract Background Tuberculosis (TB is a major public health problem in Africa with Ethiopia being the most affected. Treatment delay is an important indicator of access to TB diagnosis and treatment. However, little is known about factors associated with treatment delay of pulmonary TB among pastoralists. Health facility based cross sectional study was conducted on 129 pulmonary TB patients in pastoralist community. The study was conducted in three health centers and a hospital. Time between onset of TB symptoms and first visit to a professional health care provider (patient delay, and the time between first visits to the professional health care provider to the date of diagnosis (provider's delay were analyzed using SPSS 16.0 statistical software. Findings A total of 129 new smear positive pulmonary TB patients participated in the study. The median total delay was 97 days. The median patient and health provider delays were 63 and 34 days, respectively. Ninety six percent of the patients were delayed for more than the twenty one days cutoff point. Patient delay was positively associated with first visit to traditional healer/private clinic/drug shop, rural residence, being illiterate, living in more than 10 kilometers from health facility; severity of illness at first presentation to health facility. Provider delay was positively associated with rural residence, being illiterate, patient with good functional status, patients in contact with more than two health providers, and place of first visit being traditional healer/private clinic/drug shop. Conclusions This study showed that majority of smear positive patients delayed either for diagnosis or treatment, thus continue to serve as reservoirs of infection. This indicates that there is a need for intervention to decrease patient and provider delays. Effort to reduce delays in pastoralist communities should focus on improving access to services in rural communities, engaging traditional and

  7. PSYCOSOCIAL FACTORS EVALUATION ON PREVENTION AND TREATMENT OF DIARRHEIC DISEASES IN YAQUI COMMUNITIES

    Directory of Open Access Journals (Sweden)

    Guadalupe Valenzuela Avendaño y Jesús Francisco Laborín Álvarez

    2007-04-01

    Full Text Available To analyze knowledge and some psychosocial factors influence on prevention and treatment of diarrheic diseases in Yaqui communities. By a non-probabilistic sampling, 209 mothers were selected from Yaqui families having at least one six years old child or younger, and that they had attended at least one diarrhoea episode within 72 hours previous the interview. A non-experimental, correlational and cross-sectional design was used to analyse data. The knowledge level that mothers show about causes, symptoms and care during the diarrhoea is medium. Data also demonstrate a low to moderate level of correlation among the factors of the reasoned action model. The theory of reasoned action was not 100% suitable for Yaqui communities, because this model was originally proposed for urban areas and studied populations, therefore we recommend combine it quantitative and qualitative techniques with the purpose of collecting more reliable data, as include in the evaluation referring aspects to the culture and idiosyncrasy.

  8. Factors associated with compliance with community directed treatment with ivermectin for onchocerciasis control in Southwestern Ethiopia

    Directory of Open Access Journals (Sweden)

    Wondafrash Mekite

    2010-06-01

    Full Text Available Abstract Background Although ivermectin is distributed free of charge through the African Programme for Onchocerciasis Control (APOC, not all eligible individuals within communities receive the annual treatment. This poses a serious threat to efforts aimed to control onchocerciasis. This study attempts to determine factors associated with compliance to Community Directed Treatment with Ivermectin (CDTI and provides a basis for trying to understand how best to sustain long-term compliance in order to achieve success in the control of onchocerciasis. Methods An unmatched case-control study was conducted in Bebeka coffee plantation southwest Ethiopia. Cases were, compliant i.e., those individuals who had been registered on the relevant treatment registers and had taken all the five annual doses of Ivermectin. Controls were non-compliant, i.e. those individuals who had been recorded in the relevant treatment registers during the first treatment round(2003, and did not take at least two doses of which one being in the last treatment round (2007. Data were collected using a pre-tested interviewer administered structured questionnaire. Data were edited, cleaned, coded and analyzed using SPSS version 12.0.1 for Microsoft Windows. Multiple logistic regression models was used to identify factors associated with compliance to ivermectin. Results From the total of 456 individuals selected for administration of the survey questionnaire, 450(225 cases and 225 controls were contacted and completed the study 2 refused and 4 were unavailable. Five factors associated with compliance were identified: high risk perception [Adjusted Odds Ratio(AOR = 1.98, 95% Confidence Interval (CI, 1.32-2.95], one's family support [AOR = 1.86, 95% CI, 1.22-2.84], perceiving that the Community Drug Distributors (CDDs are doing their work well [AOR = 2.84, 95% CI, 1.50-5.37] and perceiving measuring height is the best way to determine a person's treatment dose [AOR = 6.37, 95% CI, 2

  9. Individual Community-Based Treatment of Offenders With Mental Illness: Relationship to Recidivism.

    Science.gov (United States)

    Abracen, Jeffrey; Gallo, Alessandra; Looman, Jan; Goodwill, Alasdair

    2016-06-01

    This study explores the effectiveness of psychological intervention at reducing the risk of recidivism among a group of high-risk, high-need offenders housed in a Community Correctional Centre (CCC) operated by the Correctional Service of Canada (CSC). File reviews on 136 male federal offenders living in a CCC in a large metropolitan area were included in the present investigation. Previous research on this sample by our team indicated that the majority of this sample met diagnostic criteria for a variety of psychiatric conditions. Data on the number of individual counseling sessions received and progress in treatment were collected from official file information for the purpose of the present investigation. After accounting for actuarially assessed risk, moderate doses of treatment were found to be associated with 7.7 times less likelihood of recidivism, and high doses of treatment were found to be associated with 11.6 times less likelihood of recidivism, when compared with offenders who received no treatment or were only assessed for treatment. These results are discussed in the context of correctional models of offender risk assessment and rehabilitation. It is notable that a very simple measure of global mental health treatment attendance, with no consideration of such factors as responsiveness, added considerable incremental predictive validity to the results after having statistically accounted for actuarially assessed risk of recidivism. PMID:25731931

  10. Toxicity and aquatic community impacts of membrane and ion exchange water treatment effluents in coastal North Carolina

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This document summarizes a study titled "Assessment of Potential Toxicity and Aquatic Community Impacts Associated with Membrane and Ion Exchange Water Treatment...

  11. A novel approach for harnessing biofilm communities in moving bed biofilm reactors for industrial wastewater treatment

    Directory of Open Access Journals (Sweden)

    Joe A. Lemire

    2015-10-01

    Full Text Available Moving bed biofilm reactors (MBBRs are an effective biotechnology for treating industrial wastewater. Biomass retention on moving bed biofilm reactor (MBBR carriers (biofilm support materials, allows for the ease-of-operation and high treatment capacity of MBBR systems. Optimization of MBBR systems has largely focused on aspects of carrier design, while little attention has been paid to enhancing strategies for harnessing microbial biomass. Previously, our research group demonstrated that mixed-species biofilms can be harvested from an industrial wastewater inoculum [oil sands process water (OSPW] using the Calgary Biofilm Device (CBD. Moreover, the resultant biofilm communities had the capacity to degrade organic toxins (naphthenic acids—NAs that are found in OSPW. Therefore, we hypothesized that harnessing microbial communities from industrial wastewater, as biofilms, on MBBR carriers may be an effective method to bioremediate industrial wastewater.Here, we detail our methodology adapting the workflow employed for using the CBD, to generate inoculant carriers to seed an MBBR.In this study, OSPW-derived biofilm communities were successfully grown, and their efficacy evaluated, on commercially available MBBR carriers affixed within a modified CBD system. The resultant biofilms demonstrated the capacity to transfer biomass to recipient carriers within a scaled MBBR. Moreover, MBBR systems inoculated in this manner were fully active 2 days post-inoculation, and readily degraded a select population of NAs. Together, these findings suggest that harnessing microbial communities on carriers affixed within a modified CBD system may represent a facile and rapid method for obtaining functional inoculants for use in wastewater MBBR treatment systems.

  12. Toward Treatment Integrity: Developing an Approach to Measure the Treatment Integrity of a Dialectical Behavior Therapy Intervention With Homeless Youth in the Community.

    Science.gov (United States)

    McCay, Elizabeth; Carter, Celina; Aiello, Andria; Quesnel, Susan; Howes, Carol; Johansson, Bjorn

    2016-10-01

    The current paper discusses an approach to measuring treatment integrity of dialectical behavioral therapy (DBT) when implemented within two programs providing services to street-involved youth in the community. Measuring treatment integrity is a critical component of effective implementation of evidence-based interventions in clinical practice, since sound treatment integrity increases confidence in client outcomes and intervention replicability. Despite being an essential part of implementation science, few studies report on treatment integrity, with limited research addressing either measurement tools or maintenance of treatment integrity. To address the lack of available treatment integrity measures, researchers in the current study developed and piloted a treatment integrity measure which pertain to the individual and group components of DBT. A total of 20 recordings were assessed using the treatment integrity measure. Results indicate that the community agency staff (e.g. youth workers, social workers & nurses) implemented the intervention as intended; increasing confidence in the outcome variables, the staffs' training and the replicability of the intervention. This article offers one approach to addressing treatment integrity when implementing evidence-based interventions, such as DBT in a community setting, and discusses the need for effective and feasible integrity measures that can be adopted in order to strengthen mental health practice in community settings. PMID:27654239

  13. Effect of streptomycin treatment on bacterial community structure in the apple phyllosphere.

    Directory of Open Access Journals (Sweden)

    Erika Yashiro

    Full Text Available We studied the effect of many years of streptomycin use in apple orchards on the proportion of phyllosphere bacteria resistant to streptomycin and bacterial community structure. Leaf samples were collected during early July through early September from four orchards that had been sprayed with streptomycin during spring of most years for at least 10 years and four orchards that had not been sprayed. The percentage of cultured phyllosphere bacteria resistant to streptomycin at non-sprayed orchards (mean of 65% was greater than at sprayed orchards (mean of 50% (P = 0.0271. For each orchard, a 16S rRNA gene clone library was constructed from leaf samples. Proteobacteria dominated the bacterial communities at all orchards, accounting for 71 of 104 OTUs (determined at 97% sequence similarity and 93% of all sequences. The genera Massilia, Methylobacterium, Pantoea, Pseudomonas, and Sphingomonas were shared across all sites. Shannon and Simpson's diversity indices and Pielou's evenness index were similar among orchards regardless of streptomycin use. Analysis of Similarity (ANOSIM indicated that long-term streptomycin treatment did not account for the observed variability in community structure among orchards (R = -0.104, P = 0.655. Other variables, including time of summer, temperature and time at sampling, and relative distance of the orchards from each other, also had no significant effect on bacterial community structure. We conclude that factors other than streptomycin exposure drive both the proportion of streptomycin-resistant bacteria and phylogenetic makeup of bacterial communities in the apple phyllosphere in middle to late summer.

  14. Comparison of ASSERT-4 CHF predictions with measurements in 28-element simulated fuel string

    International Nuclear Information System (INIS)

    The subchannel analysis code ASSERT-4 was used to model CHF experiments with a 28-element simulated fuel string carried out by Ontario Hydro at Columbia University. ASSERT was run with eleven CHF test conditions to determine dryout power using each of the five CHF models available in the code. The location of first dryout and the spreading of dryout with increasing power were also investigated. The five CHF models used in ASSERT are the Whalley mechanistic model; W-3, Bowring and Biasi correlations; and table lookup. Of these, implementation in ASSERT-4 of the Biasi correlation gives the most accurate dryout power predictions. Predictions using the table lookup method and the Whalley model are almost equally good, while those using the W-3 correlation and, especially, the Bowring correlation are inferior. In predicting dryout spreading patterns, use of the Whalley model comes the closest to adequately identifying the actual dryout location

  15. [Causal relationship between assertiveness and adjustment in children: A short-term longitudinal study].

    Science.gov (United States)

    Eguchi, Megumi; Hamaguchi, Yoshikazu

    2015-08-01

    This study examined the causal relationships between assertiveness and both internal and external adjustment in children. Elementary school children in grades four through six (N = 284) participated in the study, which used a short-term longitudinal design. The children completed questionnaires twice during a 6-months period. They responded to assertiveness questionnaires that included two components: "self-expression" and "consideration of others". They also completed a self-esteem scale as an index of internal adjustment, and the Class Life Satisfaction scale as an index of external adjustment. There was a positive causative relationship between "self-expression" and internal adjustment and between "consideration for others" and external adjustment. In addition, the effects on adjustment varied according to the type of assertiveness. Cluster analysis and MANOVA indicated that the group with high "self-expression" and "consideration for others" had high internal and external adjustment, while the children with poor assertiveness showed the lowest degree of adaptivity. PMID:26402950

  16. Risk Taking Behaviour And Assertiveness Behaviour Of D.T.ED., Teacher Trainees – A Study

    OpenAIRE

    A.C. LAL KUMAR; R.Muthumanickam

    2012-01-01

    The aim of the study is to investigate the risk taking behaviour and assertiveness behaviour of D.T.Ed., Teacher Trainees. The sample of the study consisted of 400 D.T.Ed., Teacher Trainees (129 male and 271 female). The tools used in the study were the Risk Taking Behaviour Scale by Answer Yousuf and Assertiveness Inventory by Tasneem Naqvi (1988).After framing necessary objectives and hypotheses, appropriate analysis was carried out on the collected data .From this analysis ...

  17. The Impact of Exploring Feelings Training on The Assertiveness of University Students

    OpenAIRE

    Yücel ÖKSÜZ

    2004-01-01

    This study examines the effects of exploring feelings training on the assertiveness of university students. The research was carried out with students of class teacher department of the Educational Faculty of Ondokuz Mayıs University for the 2003-2004 academic year. The research was designed pre-test, post-test control group design and both, the experimantel group and the control group included 22 students each.The students’ loneliness level was measured by using the RAE, Rathus Assertiveness...

  18. Prediction of Addiction Potential on the Basis of Aggression and Assertiveness in University Students

    OpenAIRE

    Mehrdad Hajihasani; Abdoolah Shafiabadi; Fahmideh Pirsaghi; Mehrab Bashirpour

    2012-01-01

    Introduction: The aim of present research was the prediction of addiction potential on the basis of aggression and assertiveness in Allameh Tabbatabaei girl students. Method: The research method was correlational design and population of research was girl students of Allameh Tabatabaei university. By available sampling 150 girls were selected and Ahvaz Aggression Questionnaire, Gambril & Rigy Assertiveness questionnaire and Zargari Addiction Potential Questionnaire administered among selected...

  19. Effect of Meta-Cognitive Therapy on Self Assertiveness Skill in Patients with

    OpenAIRE

    Mohammad Hossein Bahadori; Marziyeh Jahanbakhsh; Fatemeh Mohammad Hosseinpour; Salar Faramarzi

    2014-01-01

    Background: Self assertiveness can be considered as hearth of interpersonal behavior and weakness in this area is one of the obvious characteristic in the patients with social phobia disorder. This study aimed to determine the effect of meta-cognitive therapy on the rate of self assertiveness skill in patients with social phobia disorder. Materials and Methods: This experimental study was conducted with pretest-posttest and follow-up design, using control group. From all social...

  20. PSYCHOLOGICAL SEX AND ASSERTIVE BEHAVIOUR AMONG STUDENTS OF UNIVERSITY SCHOOL OF PHYSICAL EDUCATION IN WROCLAW

    OpenAIRE

    Romanowska-tolloczko, Anna; Bartusiak, Irena; Nowak, Agata

    2009-01-01

    Psychological sex and assertiveness belong to human characteristics and abilities prone to social influence. These properties to a large extent determine the individuals' behaviour and their perception of themselves as well as of the surrounding world. The aim of the research was to establish the type of psychological sex and the level of assertive behaviour abilities among students of University School of Physical Education in Wrocław. The correlation between the two properties was also meas...

  1. The Use of Financial Reporting Assertions at the Various Stages of Audit

    OpenAIRE

    Alla Aleksandrovna Vasilenko

    2015-01-01

    In the context of unsustainable economic development, the requirements that apply to reliability of financial reporting are growing steadily. From the auditor’s perspective it means actualization of the audit methodology problems which can be solved both at the level of financial reporting and the level of its assertions. The article examines the correlation between the audit stages and the usage of financial reporting assertions by auditor in the context of progressive audit. The author prov...

  2. Chinese assertiveness in the South China Sea and Southeast Asian responses

    OpenAIRE

    Thayer, Carlyle A.

    2011-01-01

    This article reviews Chinese assertive behaviour towards the Philippines and Vietnam over South China Sea issues in 2011. The article compares and contrasts Chinese diplomatic behaviour in the period before and after the adoption by ASEAN member states and China of Guidelines for the Implementation the Declaration on Conduct of Parties in the South China Sea in July. In the first period China aggressively asserted its claims to sovereignty by interfering with commercial fishing and oil explor...

  3. Essential elements of treatment: a comparative study between European and American therapeutic communities for addiction.

    Science.gov (United States)

    Goethals, Ilse; Soyez, Veerle; Melnick, Gerald; De Leon, George; Broekaert, Eric

    2011-01-01

    The purpose of this study was to investigate whether European and American therapeutic communities (TCs) for addiction, both traditional and modified, share a common perspective on what is essential in treatment using the Survey of Essential Elements Questionnaire (SEEQ). The European sample (N = 19) was gathered in 2009. For the American sample (N = 19), we used previously published research data. Despite comparable perspectives, European traditional TCs (N = 11) scored significantly higher than their American predecessors (N = 11) on four SEEQ domains. Cluster differences were more pronounced in Europe than in America. PMID:21235341

  4. Microbes in biological processes for municipal landfill leachate treatment: Community, function and interaction

    DEFF Research Database (Denmark)

    Zhang, Duoying; Vahala, Riku; Wang, Yu;

    2016-01-01

    Landfill leachate (LFL) contains high strength of ammonium and complex organic substances including biodegradable volatile fatty acids (VFAs), refractory aquatic humic substances (AHS) and micro-scale xenobiotic organic chemicals (XOCs), which promotes the diverse microbial community in LFL....... High ammonium loading, low DO (bacteria (AnAOB). In anaerobic LFL treatment bioreactors, Methanosaeta...... and Methanosarcina can outcompete sulfur reducing bacteria and homoacetogens to be the dominant Archaea. Nitrite oxidizing bacteria (NOB), heterotrophic denitrifying bacteria and AnAOB compete nitrite and influenced each other. How to manage NOB, heterotrophic denitrifying bacteria and AnAOB in good cooperation...

  5. Validation of the ASSERT subchannel code for MAPLE-X10 reactor conditions

    International Nuclear Information System (INIS)

    The ASSERT subchannel analysis code has been developed specifically to model flow and phase distributions within CANDU fuel channels. Recently, ASSERT has been adapted for use in simulating the MAPLE-X10 reactor. ASSERT uses an advanced drift-flux model, which permits the phases to have unequal velocities and unequal temperatures (UVUT), and thus can model non-equilibrium effects such as phase separation tendencies and subcooled boiling. Modelling subcooled boiling accurately is particularly important for MAPLE-X10. This paper briefly summarizes the non-equilibrium model used in the ASSERT code, the equations used to represent these models, and the algorithms used to solve the equations numerically. Very few modifications to the ASSERT models were needed to address MAPLE conditions. These centered on the manner in which finned fuel rods are treated, and they are discussed in the paper. The paper also gives results from validation exercises, in which the ASSERT code predictions of subcooled boiling void-fraction and critical heat flux were compared to experiments using MAPLE-X10 finned fuel elements in annuli and various bundles. 18 refs., 13 figs., 3 tabs

  6. Community-Based Addiction Treatment Staff Attitudes about the Usefulness of Evidence-Based Addiction Treatment and CBO Organizational Linkages to Research Institutions

    Science.gov (United States)

    Lundgren, Lena; Krull, Ivy; Zerden, Lisa de Saxe; McCarty, Dennis

    2011-01-01

    This national study of community-based addiction-treatment organizations' (CBOs) implementation of evidence-based practices explored CBO Program Directors' (n = 296) and clinical staff (n = 518) attitudes about the usefulness of science-based addiction treatment. Through multivariable regression modeling, the study identified that identical…

  7. Training and supervision of residential staff in Community-based Treatment Facilities

    Directory of Open Access Journals (Sweden)

    Axer, Andrzej

    2013-09-01

    Full Text Available Oregon’s Public Mental Health System employs a large number of unlicensed personnel with limited formal mental health training, both in state hospitals and in residential treatment programs. These mentalhealth paraprofessionals often have the most frequent and direct contact with seriously mentally ill individuals, and therefore have significant impact on their lives. The authors describe organization as well as clinical and administrative supervision of a mostly paraprofessional team working with severely and persistently mentally ill (SPMI criminal offenders. The purpose of this article is to delineate the most important factors allowing for effective and safe utilization of the fairy unsophisticated personnel in the community based-secure treatment facility for individuals under criminal commitment, conditionally released from Oregon State Hospital.

  8. Hydrogen production by anaerobic microbial communities exposed to repeated heat treatments.

    Science.gov (United States)

    Duangmanee, T; Padmasiri, S I; Simmons, J J; Raskin, L; Sung, S

    2007-09-01

    Biological hydrogen production by anaerobic mixed communities was studied in laboratory-scale bioreactors using sucrose as the substrate. A bioreactor in which a fraction of the return sludge was exposed to repeated heat treatments performed better than a control bioreactor without repeated heat treatment of return sludge and produced a yield of 2.15 moles of hydrogen per mole of sucrose, with 50% hydrogen in the biogas. Terminal restriction fragment length polymorphism analysis showed that two different Clostridium groups (comprised of one or more species) were dominant during hydrogen production. The relative abundance of two other non-Clostridium groups increased during periods of decreased hydrogen production. The first group consisted of Bifidobacterium thermophilum, and the second group included one or more of Bacillus, Melissococcus, Spirochaeta, and Spiroplasma spp.

  9. [Analysis of Microbial Community in the Membrane Bio-Reactor (MBR) Rural Sewage Treatment System].

    Science.gov (United States)

    Kong, Xiao; Cui, Bing-jian; Jin, De-cai; Wu, Shang-hua; Yang, Bo; Deng, Ye; Zhuang, Guo-qiang; Zhuang, Xu-liang

    2015-09-01

    Uncontrolled release and arbitrary irrigation reuse of rural wastewater may lead to water pollution, and the microbial pathogens could threaten the safety of freshwater resources and public health. To understand the microbial community structure of rural wastewater and provide the theory for microbial risk assessment of wastewater irrigation, microbial community diversities in the Membrane Bio-Reactor (MBR) process for rural wastewater treatment was studied by terminal restriction fragment length polymorphism (T-RFLP) and 16S rDNA gene clone library. Meanwhile, changes of Arcobacter spp. and total bacteria before and after treatment were detected through real-time quantitative PCR. The clone library results showed that there were 73 positive clones included Proteobacteria (91. 80%), Firmicutes (2. 70%), Bacteroidetes (1. 40%), and uncultured bacteria (4. 10%) in the untreated wastewater. The typical pathogenic genus Arcobacter belonging to e-Proteobacteria was the dominant component of the library, accounting for 68. 5% of all clones. The main groups and their abundance in different treatments were significantly distinct. The highest values of species abundance (S), Shannon-Wiener (H) and Evenness (E) were observed in the adjusting tank, which were 43. 0, 3. 56 and 0. 95, respectively. The real-time quantitative PCR results showed that the copy number of Arcobacter spp. was (1. 09 ± 0. 064 0) x 10(11) copies.L-1 in the untreated sewage, which was consistent with the result of 16S rDNA gene clone library. Compared to untreated wastewater, bacterial copy number in the treated effluent decreased 100 to 1 000 times, respectively, suggesting that MBR treatment system could remove the microbial quantity in such scale. In the recycled water, the physicochemical parameters and indicator bacteria met the water quality standard of farmland irrigation. However, further research is needed to estimate the potential health risks caused by residual pathogenic microorganisms in

  10. [Analysis of Microbial Community in the Membrane Bio-Reactor (MBR) Rural Sewage Treatment System].

    Science.gov (United States)

    Kong, Xiao; Cui, Bing-jian; Jin, De-cai; Wu, Shang-hua; Yang, Bo; Deng, Ye; Zhuang, Guo-qiang; Zhuang, Xu-liang

    2015-09-01

    Uncontrolled release and arbitrary irrigation reuse of rural wastewater may lead to water pollution, and the microbial pathogens could threaten the safety of freshwater resources and public health. To understand the microbial community structure of rural wastewater and provide the theory for microbial risk assessment of wastewater irrigation, microbial community diversities in the Membrane Bio-Reactor (MBR) process for rural wastewater treatment was studied by terminal restriction fragment length polymorphism (T-RFLP) and 16S rDNA gene clone library. Meanwhile, changes of Arcobacter spp. and total bacteria before and after treatment were detected through real-time quantitative PCR. The clone library results showed that there were 73 positive clones included Proteobacteria (91. 80%), Firmicutes (2. 70%), Bacteroidetes (1. 40%), and uncultured bacteria (4. 10%) in the untreated wastewater. The typical pathogenic genus Arcobacter belonging to e-Proteobacteria was the dominant component of the library, accounting for 68. 5% of all clones. The main groups and their abundance in different treatments were significantly distinct. The highest values of species abundance (S), Shannon-Wiener (H) and Evenness (E) were observed in the adjusting tank, which were 43. 0, 3. 56 and 0. 95, respectively. The real-time quantitative PCR results showed that the copy number of Arcobacter spp. was (1. 09 ± 0. 064 0) x 10(11) copies.L-1 in the untreated sewage, which was consistent with the result of 16S rDNA gene clone library. Compared to untreated wastewater, bacterial copy number in the treated effluent decreased 100 to 1 000 times, respectively, suggesting that MBR treatment system could remove the microbial quantity in such scale. In the recycled water, the physicochemical parameters and indicator bacteria met the water quality standard of farmland irrigation. However, further research is needed to estimate the potential health risks caused by residual pathogenic microorganisms in

  11. Microbial community structure of activated sludge in treatment plants with different wastewater compositions

    Directory of Open Access Journals (Sweden)

    Nataliya M. Shchegolkova

    2016-02-01

    Full Text Available Activated sludge (AS plays a crucial role in the treatment of domestic and industrial wastewater. AS is a biocenosis of microorganisms capable of degrading various pollutants, including organic compounds, toxicants and xenobiotics. We performed 16S rRNA gene sequencing of AS and incoming sewage in three wastewater treatment plants (WWTPs responsible for processing sewage with different origins: municipal wastewater, slaughterhouse wastewater, and refinery sewage. In contrast to incoming wastewater, the taxonomic structure of AS biocenosis was found to become stable in time, and each WWTP demonstrated a unique taxonomic pattern. Most pathogenic microorganisms (Streptococcus, Trichococcus, etc. and inductors of AS bulking and flocculation (Comamonadaceae, Flavobacteriaceae, etc., which are abundantly represented in incoming sewage, were significantly decreased in AS of all WWTPs, except for the slaughterhouse wastewater, which was rich in organic matter. Here we present a novel approach enabling the prediction of the metabolic potential of bacterial communities based on their taxonomic structures and MetaCyc database data. We developed a software application, XeDetect, to implement this approach. Using XeDetect, we found that the metabolic potential of the three bacterial communities clearly reflected the substrate composition. We revealed that the microorganisms responsible for AS flocculation and bulking (abundant in AS of slaughterhouse wastewater played a leading role in the degradation of substrates such as fatty acids, amino acids, and other bioorganic compounds. Moreover, we discovered that the chemical, rather than the bacterial composition of the incoming wastewater was the main factor in AS structure formation. XeDetect (freely available: https://sourceforge.net/projects/xedetect represents a novel powerful tool for the analysis of the metabolic capacity of bacterial communities. The tool will help to optimize bioreactor performance and

  12. Microbial Community Structure of Activated Sludge in Treatment Plants with Different Wastewater Compositions.

    Science.gov (United States)

    Shchegolkova, Nataliya M; Krasnov, George S; Belova, Anastasia A; Dmitriev, Alexey A; Kharitonov, Sergey L; Klimina, Kseniya M; Melnikova, Nataliya V; Kudryavtseva, Anna V

    2016-01-01

    Activated sludge (AS) plays a crucial role in the treatment of domestic and industrial wastewater. AS is a biocenosis of microorganisms capable of degrading various pollutants, including organic compounds, toxicants, and xenobiotics. We performed 16S rRNA gene sequencing of AS and incoming sewage in three wastewater treatment plants (WWTPs) responsible for processing sewage with different origins: municipal wastewater, slaughterhouse wastewater, and refinery sewage. In contrast to incoming wastewater, the taxonomic structure of AS biocenosis was found to become stable in time, and each WWTP demonstrated a unique taxonomic pattern. Most pathogenic microorganisms (Streptococcus, Trichococcus, etc.), which are abundantly represented in incoming sewage, were significantly decreased in AS of all WWTPs, except for the slaughterhouse wastewater. Additional load of bioreactors with influent rich in petroleum products and organic matter was associated with the increase of bacteria responsible for AS bulking and foaming. Here, we present a novel approach enabling the prediction of the metabolic potential of bacterial communities based on their taxonomic structures and MetaCyc database data. We developed a software application, XeDetect, to implement this approach. Using XeDetect, we found that the metabolic potential of the three bacterial communities clearly reflected the substrate composition. We revealed that the microorganisms responsible for AS bulking and foaming (most abundant in AS of slaughterhouse wastewater) played a leading role in the degradation of substrates such as fatty acids, amino acids, and other bioorganic compounds. Moreover, we discovered that the chemical, rather than the bacterial composition of the incoming wastewater was the main factor in AS structure formation. XeDetect (freely available: https://sourceforge.net/projects/xedetect) represents a novel powerful tool for the analysis of the metabolic capacity of bacterial communities. The tool will

  13. Asserting "Needs" and Claiming "Rights": The Cultural Politics of Community Language Education in England.

    Science.gov (United States)

    Hall, Kathleen

    2002-01-01

    Discusses the paradox involved in constructing a language policy: language is invoked as a reified object associated with essentialist constructs of identity to stand for much more complex and changing patterns of language use. Considers this paradox from the perspective of a campaign led by Sikh parents to have Punjabi introduced into curriculum…

  14. Molecular analysis of bacterial isolates and total community DNA from kraft pulp mill effluent treatment systems.

    Science.gov (United States)

    Fortin, N; Fulthorpe, R R; Allen, D G; Greer, C W

    1998-06-01

    Chloroaliphatics are major components of bleached kraft mill effluents. Gene probes and oligonucleotide primers were developed to monitor kraft pulp mill effluent treatment systems for the presence of key genes (dehalogenases) responsible for the dehalogenation of chloroaliphatic organics. The primers were used for polymerase chain reaction (PCR) analysis of genomic DNA extracted from dehalogenating bacterial isolates and from total community DNA extracted from water and sediments of mill effluent treatment system. PCR amplification with oligonucleotide primers designed from dhlB, encoding the haloacid dehalogenase from Xanthobacter autotrophicus, revealed the presence of dehalogenase genes in both aerated lagoons and stabilization basins. Similarly, positive results were obtained with mmoX primers designed from the soluble methane monooxygenase gene of Methylococcus capsulatus Bath. The haloacetate dehalogenase encoding gene (dehH2) from Moraxella sp. was typically not detected in mill effluent treatment systems unless the biomass was selectively enriched. DNA sequence analysis of several PCR fragaments revealed significant similarity to known dehalogenase amd methane monooxygenase genes. The results indicated a broad distribution of known dehalogenation genes and bacteria with chloroorganic-degrading potential in the mill effluent treatment systems. PMID:9734304

  15. Not a Hearing Loss, a Deaf Gain: Power, Self-Naming, and the Deaf Community

    Science.gov (United States)

    Thomas, David James

    2013-01-01

    Self-naming has long stood as the primary assertion of power for disenfranchised communities in the western world. While person first language (e.g. "person who is deaf") has been the preferred language of disability and disability services for the last 20 years, members of the Deaf community have asserted their cultural capital, and…

  16. Why Community Works: The Use of Alfred Adler's Individual Psychology as a Foundational Theory.

    Science.gov (United States)

    Glenn, Robert K.; Keith, Edwin M.

    2002-01-01

    Asserts that the Individual Psychology of Alfred Adler should be used as a foundational theory for student affairs work. The success of community building programs is explained and the concepts of Individual Psychology are summarized. Also asserts that the current drive to develop programs to develop community on college campuses is firmly rooted…

  17. A STUDY ON THE ASSERTIVENESS LEVEL OF PHYSICAL EDUCATION AND SPORTS COLLEGE STUDENTS

    Directory of Open Access Journals (Sweden)

    Erdogan B.S.

    2015-08-01

    Full Text Available The purpose of this study is to examine some of the variables in the level of students’ boldness who study at Physical education and sports colleges and to compare the findings with the other studies in the literature. The Research Group contains 92 male and 64 female (/age = 21,612 + 1,921, in total 156 students from Selcuk University physical education and sports college. In order to reach the purpose of the study “Rathus Assertiveness Schedule” has been used as the methodology which is developed by Rathus [12,13], and adopted to Turkish by Voltan [18]. For the interpretation of the data, the Kolmogorov-Smirnov test, one way anova test have been applied and to determine the difference between the groups Turkey test has been applied too. The significance was P <0.05. According to the level of sports; the difference between the average levels of scores of the assertiveness is meaningful [t value = 4,327 P = 0,000 < 0.05]. Looking at average values; average levels of the assertiveness of students doing some sports is ( =86,5614, average levels of the assertiveness of students doing some sports is ( =80,7857. As a result of this study; According to the level of sports observations, the difference between the average levels of scores of the assertiveness is meaningful [t value = 4,327 P = 0,000 < 0.05]. Looking at average values we see that students, who engaged in sports, has been obtained more level of average score of assertiveness than students engaged in no sports. From the point of assertiveness, participation in sport from the perspective of individuals there is a difference in favor of those engaged in sports.

  18. Motivation for treatment among women offenders in prison-based treatment and longitudinal outcomes among those who participate in community aftercare.

    Science.gov (United States)

    Grella, Christine E; Rodriguez, Luz

    2011-09-01

    Participation in aftercare may reduce risk of recidivism among women offenders with substance use problems following their release to the community. This study examines motivation to participate in aftercare among women offenders and whether their participation in both in-custody and aftercare treatment reduces their risk of recidivism. Surveys were conducted with women (N = 1,158) in prison-based substance abuse treatment programs. Return-to-prison was examined among participants in community-based aftercare (N = 1,182) over 12 months following treatment discharge. Higher treatment motivation was associated with child welfare involvement, prior treatment, and use of "harder" drugs; ethnic minority women had lower treatment motivation compared with White women. Participants who completed the aftercare program, or who had longer treatment duration, and those who had participated in an in-prison program prior to parole had reduced risk of recidivism. Study findings suggest the value of community aftercare for women offenders, particularly when combined with prior in-prison treatment. PMID:22185040

  19. Assessment of subchannel code ASSERT-PV for flow-distribution predictions

    International Nuclear Information System (INIS)

    Highlights: • Assessment of the subchannel code ASSERT-PV 3.2 for the prediction of flow distribution. • Open literature and in-house experimental data to quantify ASSERT-PV predictions. • Model changes assessed against vertical and horizontal flow experiments. • Improvement of flow-distribution predictions under CANDU-relevant conditions. - Abstract: This paper reports an assessment of the recently released subchannel code ASSERT-PV 3.2 for the prediction of flow-distribution in fuel bundles, including subchannel void fraction, quality and mass fluxes. Experimental data from open literature and from in-house tests are used to assess the flow-distribution models in ASSERT-PV 3.2. The prediction statistics using the recommended model set of ASSERT-PV 3.2 are compared to those from previous code versions. Separate-effects sensitivity studies are performed to quantify the contribution of each flow-distribution model change or enhancement to the improvement in flow-distribution prediction. The assessment demonstrates significant improvement in the prediction of flow-distribution in horizontal fuel channels containing CANDU bundles

  20. Input modelling of ASSERT-PV V2R8M1 for RUFIC fuel bundle

    International Nuclear Information System (INIS)

    This report describes the input modelling for subchannel analysis of CANFLEX-RU (RUFIC) fuel bundle which has been developed for an advanced fuel bundle of CANDU-6 reactor, using ASSERT-PV V2R8M1 code. Execution file of ASSERT-PV V2R8M1 code was recently transferred from AECL under JRDC agreement between KAERI and AECL. SSERT-PV V2R8M1 which is quite different from COBRA-IV-i code has been developed for thermalhydraulic analysis of CANDU-6 fuel channel by subchannel analysis method and updated so that 43-element CANDU fuel geometry can be applied. Hence, ASSERT code can be applied to the subchannel analysis of RUFIC fuel bundle. The present report was prepared for ASSERT input modelling of RUFIC fuel bundle. Since the ASSERT results highly depend on user's input modelling, the calculation results may be quite different among the user's input models. The objective of the present report is the preparation of detail description of the background information for input data and gives credibility of the calculation results

  1. Assessment of subchannel code ASSERT-PV for flow-distribution predictions

    Energy Technology Data Exchange (ETDEWEB)

    Nava-Dominguez, A., E-mail: navadoma@aecl.ca; Rao, Y.F., E-mail: raoy@aecl.ca; Waddington, G.M., E-mail: waddingg@aecl.ca

    2014-08-15

    Highlights: • Assessment of the subchannel code ASSERT-PV 3.2 for the prediction of flow distribution. • Open literature and in-house experimental data to quantify ASSERT-PV predictions. • Model changes assessed against vertical and horizontal flow experiments. • Improvement of flow-distribution predictions under CANDU-relevant conditions. - Abstract: This paper reports an assessment of the recently released subchannel code ASSERT-PV 3.2 for the prediction of flow-distribution in fuel bundles, including subchannel void fraction, quality and mass fluxes. Experimental data from open literature and from in-house tests are used to assess the flow-distribution models in ASSERT-PV 3.2. The prediction statistics using the recommended model set of ASSERT-PV 3.2 are compared to those from previous code versions. Separate-effects sensitivity studies are performed to quantify the contribution of each flow-distribution model change or enhancement to the improvement in flow-distribution prediction. The assessment demonstrates significant improvement in the prediction of flow-distribution in horizontal fuel channels containing CANDU bundles.

  2. LEVEL OF SELF-RESPECT AND ASSERTIVENESS SKILLS AND TEACHERS’ EDUCATIONAL COMPETENCES

    Directory of Open Access Journals (Sweden)

    Romanowska-Tolloczko Anna

    2015-04-01

    Full Text Available Purpose: determining of self-respect level and assertiveness of teachers. Verification of whether there is a relationship between the measured trait and the correlation of educational competence. Material and methods: the study used three tools: Polish adaptation of SES M.Rosenberg's Self Esteem Scale, a questionnaire to determine the levels of assertiveness - P.Majewicz's Scale "I and others" and a questionnaire to examine the professional competence of teachers by A.Romanowska-Tołłoczko. The study examined 275 primary school teachers of different subjects. Results: after the statement of the research’s results in the field of self-respect and assertiveness, it turns out that there is some regularity in relation to the level of the studied traits. People with high self-respect also receive higher scores assertive skills compared with those of average and low self-respect. This pattern is seen in all groups of teachers. Conclusions: although the observed differences are not great and statistically significant, they show some evidence of the occurrence trend of interdependence in a range of predispositions. Moreover, a positive correlation between the level of self-respect and assertiveness and parental perception of their competence was noted.

  3. Microbial community structure in different wastewater treatment processes characterized by single-strand conformation polymorphism (SSCP) technique

    Institute of Scientific and Technical Information of China (English)

    Yangguo ZHAO; Aijie WANG; Nanqi REN; Yan ZHAO

    2008-01-01

    In order to investigate microbial community structures in different wastewater treatment processes and understand the relationship between the structures and the status of processes, the microbial community diversity, variety and distribution in five wastewater treatment processes were studied by a culture-independent genetic fingerprinting technique single-strand conformation poly-morphism (SSCP). The five processes included denitrifying and phosphate-removal system (diminished N), Chinese traditional medicine wastewater treatment system (P), beer wastewater treatment system (W), fermentative biohydrogen-producing system (H), and sulfate-reduction system (S). The results indicated that the microbial community profiles in the wastewater bioreactors with the uniform status were very similar. The diversity of microbial populations was correlated with the complexity of organic contaminants in wastewater. Chinese traditional medicine wastewater contained more complex organic components; hence, the population diversity was higher than that of simple nutrient bioreactors fed with molasses wastewater. Compared with the strain bands in a simulated community, the relative proportion of some functional microbial populations in bioreactors was not dom-inant. Fermentative biohydrogen producer Ethanoligenens harbinense in the better condition bioreactor had only a 5% band density, and the Desulfovibrio sp. in the sulfate-reducing bioreactor had less than 1.5% band density. The SSCP profiles could identify the difference in microbial community structures in wastewater treatment processes, monitor some of the functional microbes in these processes, and consequently provide useful guidance for improving their efficiency.

  4. Life cycle assessment of wastewater treatment options for small and decentralized communities.

    Science.gov (United States)

    Machado, A P; Urbano, L; Brito, A G; Janknecht, P; Salas, J J; Nogueira, R

    2007-01-01

    Sustainability has strong implications on the practice of engineering. Life cycle assessment (LCA) is an appropriate methodology for assessing the sustainability of a wastewater treatment plant design. The present study used a LCA approach for comparing alternative wastewater treatment processes for small and decentralised rural communities. The assessment was focused on two energy-saving systems (constructed wetland and slow rate infiltration) and a conventional one (activated sludge process). The low environmental impact of the energy-saving wastewater treatment plants was demonstrated, the most relevant being the global warming indicator. Options for reduction of life cycle impacts were assessed including materials used in construction and operational lifetime of the systems. A 10% extension of operation lifetime of constructed wetland and slow rate infiltration systems led to a 1% decrease in CO2 emissions, in both systems. The decrease in the abiotic depletion was 5 and 7%, respectively. Also, replacing steel with HDPE in the activated sludge tank resulted in a 1% reduction in CO2 emission and 1% in the abiotic depletion indicator. In the case of the Imhoff tank a 1% reduction in CO2 emissions and 5% in the abiotic depletion indicator were observed when concrete was replaced by HDPE. PMID:17802833

  5. Evidence based approach to the treatment of community-associated methicillin-resistant Staphylococcus aureus.

    Science.gov (United States)

    Peppard, William J; Daniels, Anne; Fehrenbacher, Lynne; Winner, Jamie

    2009-01-01

    Community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) infections have increased dramatically over the last two decades. The types of infections can range from complicated skin and skin structure infections (cSSSI) to pneumonia and endocarditis. Oral antimicrobial therapy, such as trimethoprim-sulfamethoxazole, clindamycin, long-acting tetracyclines, or linezolid may provide enhanced benefit to those with uncomplicated cutaneous lesions when used in conjunction with incision and drainage in an outpatient setting. However, resistance, susceptibilities, patient-specific circumstances, and adverse effects can impact a healthcare professional's choice of antibiotics. In patients with complicated infections requiring hospitalization or parenteral treatment, vancomycin remains the drug of choice, even though increased resistance and decreased efficacy have crept into clinical practice. Linezolid, quinupristin/dalfopristin, daptomycin, and tigecycline are alternative intravenous agents for the treatment of CA-MRSA. Investigational agents such as dalbavancin, telavancin, oritivancin, iclaprim, ceftobiprole, ceftaroline, and others may expand our therapeutic armamentarium for the treatment of infections caused by CA-MRSA in the future. PMID:21694885

  6. High organic loading treatment for industrial molasses wastewater and microbial community shifts corresponding to system development.

    Science.gov (United States)

    Kuroda, Kyohei; Chosei, Tomoaki; Nakahara, Nozomi; Hatamoto, Masashi; Wakabayashi, Takashi; Kawai, Toshikazu; Araki, Nobuo; Syutsubo, Kazuaki; Yamaguchi, Takashi

    2015-11-01

    Molasses wastewater contains high levels of organic compounds, cations, and anions, causing operational problems for anaerobic biological treatment. To establish a high organic loading treatment system for industrial molasses wastewater, this study designed a combined system comprising an acidification tank, a thermophilic multi-stage (MS)-upflow anaerobic sludge blanket (UASB) reactor, mesophilic UASB reactor, and down-flow hanging sponge reactor. The average total chemical oxygen demand (COD) and biochemical oxygen demand removal rates were 85%±3% and 95%±2%, respectively, at an organic loading rate of 42kgCODcrm(-3)d(-1) in the MS-UASB reactor. By installation of the acidification tank, the MS-UASB reactor achieved low H2-partial pressure. The abundance of syntrophs such as fatty acid-degrading bacteria increased in the MS-UASB and 2nd-UASB reactors. Thus, the acidification tank contributed to maintaining a favorable environment for syntrophic associations. This study provides new information regarding microbial community composition in a molasses wastewater treatment system. PMID:26241842

  7. Value of rapid aetiological diagnosis in optimization of antimicrobial treatment in bacterial community acquired pneumonia.

    Science.gov (United States)

    Mareković, Ivana; Plecko, Vanda; Boras, Zagorka; Pavlović, Ladislav; Budimir, Ana; Bosnjak, Zrinka; Puretić, Hrvoje; Zele-Starcević, Lidija; Kalenić, Smilja

    2012-06-01

    In 80 adult patients with community acquired pneumonia (CAP) conventional microbiological methods, polymerase chain reaction (PCR) and serum C-reactive protein (CRP) levels were performed and the appropriateness of the empirical antimicrobial treatment was evaluated according to bacterial pathogen detected. The aetiology was determined in 42 (52.5%) patients, with Streptococcus pneumoniae as the most common pathogen. PCR applied to bronchoalveolar lavage (BAL) provided 2 and PCR on sputum samples 1 additional aetiological diagnosis of CAP The mean CRP values in the S. pneumoniae group were not significantly higher than in the group with other aetiological diagnoses (166.89 mg/L vs. 160.11 mg/L, p = 0.457). In 23.8% (10/42) of patients with determined aetiology, the empirical antimicrobial treatment was inappropriate. PCR tests need further investigation, particularly those for the atypical pathogens, as they are predominant in inappropriately treated patients. Our results do not support the use of CRP as a rapid test to guide the antimicrobial treatment in patients with CAP. PMID:22856222

  8. Abstinence and Use of Community-Based Cessation Treatment After a Motivational Intervention Among smokers with Severe Mental Illness.

    Science.gov (United States)

    Ferron, Joelle C; Devitt, Timothy; McHugo, Gregory J; A Jonikas, Jessica; Cook, Judith A; Brunette, Mary F

    2016-05-01

    Motivational interventions help people with mental illness try to quit smoking, but few studies have evaluated factors associated with this groups' cessation with community treatment. We examined predictors of abstinence after a brief motivational intervention among smokers with severe mental illness. Education, stage of change post intervention, and use of cessation treatment predicted any 1-week period of self-reported abstinence over 6 months (29%). Cessation treatment mediated the relationship between stage of change and abstinence. Because treatment was the key modifiable predictor of abstinence, future research should establish strategies that improve motivation for, access to, and retention in cessation treatment. Clinical Trials Identifier NCT01412866.

  9. Metagenomic analysis of bacterial community composition and antibiotic resistance genes in a wastewater treatment plant and its receiving surface water.

    Science.gov (United States)

    Tang, Junying; Bu, Yuanqing; Zhang, Xu-Xiang; Huang, Kailong; He, Xiwei; Ye, Lin; Shan, Zhengjun; Ren, Hongqiang

    2016-10-01

    The presence of pathogenic bacteria and the dissemination of antibiotic resistance genes (ARGs) may pose big risks to the rivers that receive the effluent from municipal wastewater treatment plants (WWTPs). In this study, we investigated the changes of bacterial community and ARGs along treatment processes of one WWTP, and examined the effects of the effluent discharge on the bacterial community and ARGs in the receiving river. Pyrosequencing was applied to reveal bacterial community composition including potential bacterial pathogen, and Illumina high-throughput sequencing was used for profiling ARGs. The results showed that the WWTP had good removal efficiency on potential pathogenic bacteria (especially Arcobacter butzleri) and ARGs. Moreover, the bacterial communities of downstream and upstream of the river showed no significant difference. However, the increase in the abundance of potential pathogens and ARGs at effluent outfall was observed, indicating that WWTP effluent might contribute to the dissemination of potential pathogenic bacteria and ARGs in the receiving river.

  10. Measuring depression and stigma towards depression and mental health treatment among adolescents in an Arab-American community

    OpenAIRE

    Jaber, R.M.; Farroukh, M.; Ismail, M; Najda, J.; Sobh, H.; Hammad, A; Dalack, G.W.

    2014-01-01

    There has been limited research that has examined the prevalence of depression and attitudes towards depression and mental health treatment in Arab-American adolescents; we sought to assess these in a predominantly Arab-American community in metro Detroit. A health survey of adolescents aged 12–17 years was conducted (n=98). Participants were recruited from two local community organizations in Dearborn, MI. Depression was assessed by the Patient Health Questionnaire-9 (PHQ-9) Depression Scale...

  11. Examining the use of metaphors to understand the experience of community treatment orders for patients and mental health workers

    OpenAIRE

    Lawn, Sharon; Delany, Toni; Pulvirenti, Mariastella; Smith, Ann; McMillan, John

    2016-01-01

    Background Community Treatment Orders (CTOs) are often complex because of the ethical tensions created by an intervention that aims at promoting the patient’s good through an inherently coercive process. There is limited research that examines the complexity of CTOs and how patients on CTOs and workers administering CTOs make sense of their experiences. Methods The study involved in-depth interviews with 8 patients on CTOs and 10 community mental health workers in South Australia, to explore ...

  12. Annual glyphosate treatments alter growth of unaffected bentgrass (Agrostis) weeds and plant community composition.

    Science.gov (United States)

    Ahrens, Collin W; Auer, Carol A

    2012-01-01

    Herbicide resistance is becoming more common in weed ecotypes and crop species including turfgrasses, but current gaps in knowledge limit predictive ecological risk assessments and risk management plans. This project examined the effect of annual glyphosate applications on the vegetative growth and reproductive potential of two weedy bentgrasses, creeping bentgrass (CB) and redtop (RT), where the glyphosate resistance (GR) trait was mimicked by covering the bentgrass plants during glyphosate application. Five field plots were studied in habitats commonly inhabited by weedy bentgrasses including an agricultural hayfield, natural meadow, and wasteland. Results showed that annual glyphosate treatment improved bentgrass survivorship, vegetative growth, and reproductive potential compared with bentgrass in unsprayed subplots. In the second year of growth, RT plants had an 86-fold increase in flower number in glyphosate-treated subplots versus controls, while CB plants had a 20-fold increase. At the end of the three year study, plant community composition had changed in glyphosate-treated subplots in hayfield and meadow plots compared to controls. Soils in subplots receiving glyphosate had higher nitrate concentrations than controls. This is the first study to mimic the GR trait in bentgrass plants with the goal of quantifying bentgrass response to glyphosate selection pressure and understanding the impacts on surrounding plant communities.

  13. Leaf Treatments with a Protein-Based Resistance Inducer Partially Modify Phyllosphere Microbial Communities of Grapevine.

    Science.gov (United States)

    Cappelletti, Martina; Perazzolli, Michele; Antonielli, Livio; Nesler, Andrea; Torboli, Esmeralda; Bianchedi, Pier L; Pindo, Massimo; Puopolo, Gerardo; Pertot, Ilaria

    2016-01-01

    Protein derivatives and carbohydrates can stimulate plant growth, increase stress tolerance, and activate plant defense mechanisms. However, these molecules can also act as a nutritional substrate for microbial communities living on the plant phyllosphere and possibly affect their biocontrol activity against pathogens. We investigated the mechanisms of action of a protein derivative (nutrient broth, NB) against grapevine downy mildew, specifically focusing on the effects of foliar treatments on plant defense stimulation and on the composition and biocontrol features of the phyllosphere microbial populations. NB reduced downy mildew symptoms and induced the expression of defense-related genes in greenhouse- and in vitro-grown plants, indicating the activation of grapevine resistance mechanisms. Furthermore, NB increased the number of culturable phyllosphere bacteria and altered the composition of bacterial and fungal populations on leaves of greenhouse-grown plants. Although, NB-induced changes on microbial populations were affected by the structure of indigenous communities originally residing on grapevine leaves, degrees of disease reduction and defense gene modulation were consistent among the experiments. Thus, modifications in the structure of phyllosphere populations caused by NB application could partially contribute to downy mildew control by competition for space or other biocontrol strategies. Particularly, changes in the abundance of phyllosphere microorganisms may provide a contribution to resistance induction, partially affecting the hormone-mediated signaling pathways involved. Modifying phyllosphere populations by increasing natural biocontrol agents with the application of selected nutritional factors can open new opportunities in terms of sustainable plant protection strategies. PMID:27486468

  14. Annual glyphosate treatments alter growth of unaffected bentgrass (Agrostis weeds and plant community composition.

    Directory of Open Access Journals (Sweden)

    Collin W Ahrens

    Full Text Available Herbicide resistance is becoming more common in weed ecotypes and crop species including turfgrasses, but current gaps in knowledge limit predictive ecological risk assessments and risk management plans. This project examined the effect of annual glyphosate applications on the vegetative growth and reproductive potential of two weedy bentgrasses, creeping bentgrass (CB and redtop (RT, where the glyphosate resistance (GR trait was mimicked by covering the bentgrass plants during glyphosate application. Five field plots were studied in habitats commonly inhabited by weedy bentgrasses including an agricultural hayfield, natural meadow, and wasteland. Results showed that annual glyphosate treatment improved bentgrass survivorship, vegetative growth, and reproductive potential compared with bentgrass in unsprayed subplots. In the second year of growth, RT plants had an 86-fold increase in flower number in glyphosate-treated subplots versus controls, while CB plants had a 20-fold increase. At the end of the three year study, plant community composition had changed in glyphosate-treated subplots in hayfield and meadow plots compared to controls. Soils in subplots receiving glyphosate had higher nitrate concentrations than controls. This is the first study to mimic the GR trait in bentgrass plants with the goal of quantifying bentgrass response to glyphosate selection pressure and understanding the impacts on surrounding plant communities.

  15. [Capability and microbial community analysis of a membrane bioreactor for acrylic fiber wastewater treatment].

    Science.gov (United States)

    Wei, Jian; Song, Yong-Huil; Zhao, Le

    2014-12-01

    Sequencing batch membrane bioreactor (SBMBR) was used for the treatment of acrylic fiber polymerization wastewater and acrylonitrile wastewater. The operation efficiencies of SBMBR under different wastewater ratios and operation conditions were investigated, and the microbial community structure of the SBMBR system was analyzed by using PCR-DGGE technology. The results showed that SBMBR had a high removal efficiency on pollutants in acrylic fiber wastewater, and the lacking of carbon source and alkalinity were the main limiting factors for nitrogen removal. Under the designed operation conditions of 90 min anoxic/150 min aerobic cyclic operation and HRT of 24 h, the average COD, NH4(+) -N and TN removal efficiencies were 82.5%, 98.7% and 74.6%, respectively. The effluent of the SBMBR could steadily meet the Grade I standards of the Wastewater Comprehensive Discharge Standard of China (GB 8978-1996). The PCR-DGGE analyses showed that the microbial communities in SBMBR had a significant shift with the changes of influent characteristics and operation conditions. By cloning and sequencing analyses of selected dominant bacteria, 22 16S rDNA sequence were successfully identified from 9 sludge samples, from which 7 dominant functional microorganisms for the degradation of organic pollutants in acrylic fiber wastewater were screened out. PMID:25826932

  16. Leaf Treatments with a Protein-Based Resistance Inducer Partially Modify Phyllosphere Microbial Communities of Grapevine

    Science.gov (United States)

    Cappelletti, Martina; Perazzolli, Michele; Antonielli, Livio; Nesler, Andrea; Torboli, Esmeralda; Bianchedi, Pier L.; Pindo, Massimo; Puopolo, Gerardo; Pertot, Ilaria

    2016-01-01

    Protein derivatives and carbohydrates can stimulate plant growth, increase stress tolerance, and activate plant defense mechanisms. However, these molecules can also act as a nutritional substrate for microbial communities living on the plant phyllosphere and possibly affect their biocontrol activity against pathogens. We investigated the mechanisms of action of a protein derivative (nutrient broth, NB) against grapevine downy mildew, specifically focusing on the effects of foliar treatments on plant defense stimulation and on the composition and biocontrol features of the phyllosphere microbial populations. NB reduced downy mildew symptoms and induced the expression of defense-related genes in greenhouse- and in vitro-grown plants, indicating the activation of grapevine resistance mechanisms. Furthermore, NB increased the number of culturable phyllosphere bacteria and altered the composition of bacterial and fungal populations on leaves of greenhouse-grown plants. Although, NB-induced changes on microbial populations were affected by the structure of indigenous communities originally residing on grapevine leaves, degrees of disease reduction and defense gene modulation were consistent among the experiments. Thus, modifications in the structure of phyllosphere populations caused by NB application could partially contribute to downy mildew control by competition for space or other biocontrol strategies. Particularly, changes in the abundance of phyllosphere microorganisms may provide a contribution to resistance induction, partially affecting the hormone-mediated signaling pathways involved. Modifying phyllosphere populations by increasing natural biocontrol agents with the application of selected nutritional factors can open new opportunities in terms of sustainable plant protection strategies. PMID:27486468

  17. Community response to intermittent preventive treatment of malaria in infants (IPTi in Papua New Guinea

    Directory of Open Access Journals (Sweden)

    Senn Nicolas

    2010-12-01

    Full Text Available Abstract Background Building on previous acceptability research undertaken in sub-Saharan Africa this article aims to investigate the acceptability of intermittent preventive treatment of malaria in infants (IPTi in Papua New Guinea (PNG. Methods A questionnaire was administered to mothers whose infants participated in the randomised placebo controlled trial of IPTi. Mothers whose infants participated and who refused to participate in the trial, health workers, community reporters and opinion leaders were interviewed. Men and women from the local community also participated in focus group discussions. Results Respondents viewed IPTi as acceptable in light of wider concern for infant health and the advantages of trial participation. Mothers reported complying with at-home administration of IPTi due to perceived benefits of IPTi and pressure from health workers. In spite of patchy knowledge, respondents also demonstrated a demand for infant vaccinations and considered non-vaccination to be neglect. There is little evidence that IPTi has negative impacts on attitudes to EPI, EPI adherence or existing malaria prevention practices. Conclusion The degree of similarity between findings from the acceptability studies undertaken in sub-Saharan Africa and PNG allows some generalization relating to the implementation of IPTi outside of Africa: IPTi fits well with local health cultures, appears to be accepted easily and has little impact on attitudes towards EPI or malaria prevention. The study adds to the evidence indicating that IPTi could be rolled out in a range of social and cultural contexts.

  18. Pyrosequencing demonstrated complex microbial communities in a membrane filtration system for a drinking water treatment plant.

    Science.gov (United States)

    Kwon, Soondong; Moon, Eunjeong; Kim, Taek-Seung; Hong, Seungkwan; Park, Hee-Deung

    2011-01-01

    Microbial community composition in a pilot-scale microfiltration plant for drinking water treatment was investigated using high-throughput pyrosequencing technology. Sequences of 16S rRNA gene fragments were recovered from raw water, membrane tank particulate matter, and membrane biofilm, and used for taxonomic assignments, estimations of diversity, and the identification of potential pathogens. Greater bacterial diversity was observed in each sample (1,133-1,731 operational taxonomic units) than studies using conventional methods, primarily due to the large number (8,164-22,275) of sequences available for analysis and the identification of rare species. Betaproteobacteria predominated in the raw water (61.1%), while Alphaproteobacteria were predominant in the membrane tank particulate matter (42.4%) and membrane biofilm (32.8%). The bacterial community structure clearly differed for each sample at both the genus and species levels, suggesting that different environmental and growth conditions were generated during membrane filtration. Moreover, signatures of potential pathogens including Legionella, Pseudomonas, Aeromonas, and Chromobacterium were identified, and the proportions of Legionella and Chromobacterium were elevated in the membrane tank particulate matter, suggesting a potential threat to drinking water treated by membrane filtration.

  19. Membrane bioreactor wastewater treatment plants reveal diverse yeast and protist communities of potential significance in biofouling.

    Science.gov (United States)

    Liébana, Raquel; Arregui, Lucía; Belda, Ignacio; Gamella, Luis; Santos, Antonio; Marquina, Domingo; Serrano, Susana

    2015-01-01

    The yeast community was studied in a municipal full-scale membrane bioreactor wastewater treatment plant (MBR-WWTP). The unexpectedly high diversity of yeasts indicated that the activated sludge formed a suitable environment for them to proliferate, with cellular concentrations of 2.2 ± 0.8 × 10(3) CFU ml(-1). Sixteen species of seven genera were present in the biological reactor, with Ascomycetes being the most prevalent group (93%). Most isolates were able to grow in a synthetic wastewater medium, adhere to polyethylene surfaces, and develop biofilms of variable complexity. The relationship between yeast populations and the protists in the MBR-WWTP was also studied, revealing that some protist species preyed on and ingested yeasts. These results suggest that yeast populations may play a role in the food web of a WWTP and, to some extent, contribute to membrane biofouling in MBR systems.

  20. Anthelmintic treatment alters the parasite community in a wild mouse host.

    Science.gov (United States)

    Pedersen, Amy B; Antonovics, Janis

    2013-08-23

    Individuals are often co-infected with several parasite species, yet the consequences of drug treatment on the dynamics of parasite communities in wild populations have rarely been measured. Here, we experimentally reduced nematode infection in a wild mouse population and measured the effects on other non-target parasites. A single oral dose of the anthelmintic, ivermectin, significantly reduced nematode infection, but resulted in a reciprocal increase in other gastrointestinal parasites, specifically coccidial protozoans and cestodes. These results highlight the possibility that drug therapy may have unintended consequences for non-target parasites and that host-parasite dynamics cannot always be fully understood in the framework of single host-parasite interactions.

  1. Biological Treatment of Ammonia-Rich Wastewaters by Natural Microbial Communities in the ATOXIC/ASSET Purification System

    Energy Technology Data Exchange (ETDEWEB)

    Vishnivetskaya, Tatiana A [ORNL; Fisher, L. Suzanne [Tennessee Valley Authority (TVA); Brodie, Greg A [Tennessee Valley Authority (TVA); Phelps, Tommy Joe [ORNL

    2013-01-01

    Analyses of bacterial and archaeal 16S rRNA genes along with high throughput 454 pyrosequencing technology were used to identify microbial communities present at a novel passive wastewater treatment system designed to remove ammonium, nitrate, and heavy metals from fossil plant effluents. Seasonal changes in microbial community composition were observed, however significant (p=0.001) changes were detected in bacterial and archaeal communities consistent with ammonium removal throughout the treatment systems. Phylogenetic analysis of 16S rRNA gene sequences revealed presence of potential ammonium-oxidizing bacteria (AOB), Nitrosomonas, Nitrosococcus, Planctomycetes, and OD1. Other bacteria, such as Nitrospira, Nitrococcus, Nitrobacter, Thiobacillus, -Proteobacteria, Firmicutes, Acidobacteria, which play roles in nitrification and denitrification, were also detected. The relative abundance of the potential ammonium-oxidizing archaea (AOA) (Thermoprotei within the phylum Crenarchaeota) increased with ammonium availability at the splitter box and zero-valent iron extraction trenches even though AOB removed half of the ammonium in the trickling filters at the beginning of the treatment system. The microbial community removed the ammonium from the wastewater within both pilot-scale treatment systems, thus the treatment system components provided an effective environment for the treatment of ammonium enriched wastewater from coal burning power plants equipped with selective catalytic reducers for nitrogen oxide removal.

  2. Metagenomic analysis of an ecological wastewater treatment plant’s microbial communities and their potential to metabolize pharmaceuticals

    Science.gov (United States)

    Balcom, Ian N.; Driscoll, Heather; Vincent, James; Leduc, Meagan

    2016-01-01

    Pharmaceuticals and other micropollutants have been detected in drinking water, groundwater, surface water, and soil around the world. Even in locations where wastewater treatment is required, they can be found in drinking water wells, municipal water supplies, and agricultural soils. It is clear conventional wastewater treatment technologies are not meeting the challenge of the mounting pressures on global freshwater supplies. Cost-effective ecological wastewater treatment technologies have been developed in response. To determine whether the removal of micropollutants in ecological wastewater treatment plants (WWTPs) is promoted by the plant-microbe interactions, as has been reported for other recalcitrant xenobiotics, biofilm microbial communities growing on the surfaces of plant roots were profiled by whole metagenome sequencing and compared to the microbial communities residing in the wastewater. In this study, the concentrations of pharmaceuticals and personal care products (PPCPs) were quantified in each treatment tank of the ecological WWTP treating human wastewater at a highway rest stop and visitor center in Vermont. The concentrations of detected PPCPs were substantially greater than values reported for conventional WWTPs likely due to onsite recirculation of wastewater. The greatest reductions in PPCPs concentrations were observed in the anoxic treatment tank where Bacilli dominated the biofilm community. Benzoate degradation was the most abundant xenobiotic metabolic category identified throughout the system. Collectively, the microbial communities residing in the wastewater were taxonomically and metabolically more diverse than the immersed plant root biofilm. However, greater heterogeneity and higher relative abundances of xenobiotic metabolism genes was observed for the root biofilm. PMID:27610223

  3. Body Type, Self-Esteem and Assertiveness among High School Students in Ghana

    Directory of Open Access Journals (Sweden)

    Daniel Bruce

    2016-08-01

    Full Text Available The aim of this study was to examine the relationship between body type, self-esteem and assertiveness among adolescents of ages between 13 and 19 years. To achieve this aim, the study sampled 56 male and 94 female adolescents of the Senior High School in Accra, Ghana. Results showed that, higher self-esteem leads to assertiveness. Results also showed that body type perception affects self-esteem. It is, therefore, recommended that Guidance and Counselling officers in our schools should educate adolescent students on the three body types and the advantages associated with being one of these body types. This may help prevent developing body dysmorphic disorder, low self-esteem and non-assertiveness among students with negative perceptions of their body types and the possible effects on their personal relationships with peers, general academic performance and in- school and out-of- school life.

  4. A Man's (Precarious) Place: Men's Experienced Threat and Self-Assertive Reactions to Female Superiors.

    Science.gov (United States)

    Netchaeva, Ekaterina; Kouchaki, Maryam; Sheppard, Leah D

    2015-09-01

    Across three studies, we investigate men's reactions to women in superior roles. Drawing from precarious manhood theory, we hypothesize that when a woman occupies a superior organizational role, men in subordinate positions experience threat, which leads them to behave more assertively toward her and advocate for themselves. In Studies 1 and 2, we demonstrate that men feel more threatened (relative to women) by women in superior roles (relative to men in superior roles) and, as a result, engage in more assertive behaviors toward these women. In Study 3, we investigate a boundary condition to this effect and demonstrate that a woman in a superior role who displays qualities associated with administrative agency (e.g., directness, proactivity) rather than ambitious agency (e.g., self-promotion, power-seeking) elicits less assertive behavior from men. We conclude by discussing implications as well as directions for future research. PMID:26162611

  5. Treatment of Diarrhoea in Rural African Communities: An Overview of Measures to Maximise the Medicinal Potentials of Indigenous Plants

    Directory of Open Access Journals (Sweden)

    Collise Njume

    2012-10-01

    Full Text Available Diarrhoea is a major cause of morbidity and mortality in rural communities in Africa, particularly in children under the age of five. This calls for the development of cost effective alternative strategies such as the use of herbal drugs in the treatment of diarrhoea in these communities. Expenses associated with the use of orthodox medicines have generated renewed interest and reliance on indigenous medicinal plants in the treatment and management of diarrhoeal infections in rural communities. The properties of many phenolic constituents of medicinal plants such as their ability to inhibit enteropooling and delay gastrointestinal transit are very useful in the control of diarrhoea, but problems such as scarcity of valuable medicinal plants, lack of standardization of methods of preparation, poor storage conditions and incertitude in some traditional health practitioners are issues that affect the efficacy and the practice of traditional medicine in rural African communities. This review appraises the current strategies used in the treatment of diarrhoea according to the Western orthodox and indigenous African health-care systems and points out major areas that could be targeted by health-promotion efforts as a means to improve management and alleviate suffering associated with diarrhoea in rural areas of the developing world. Community education and research with indigenous knowledge holders on ways to maximise the medicinal potentials in indigenous plants could improve diarrhoea management in African rural communities.

  6. Effect of Copper Treatment on the Composition and Function of the Bacterial Community in the Sponge Haliclona cymaeformis

    KAUST Repository

    Tian, R.-M.

    2014-11-04

    Marine sponges are the most primitive metazoan and host symbiotic microorganisms. They are crucial components of the marine ecological system and play an essential role in pelagic processes. Copper pollution is currently a widespread problem and poses a threat to marine organisms. Here, we examined the effects of copper treatment on the composition of the sponge-associated bacterial community and the genetic features that facilitate the survival of enriched bacteria under copper stress. The 16S rRNA gene sequencing results showed that the sponge Haliclona cymaeformis harbored symbiotic sulfur-oxidizing Ectothiorhodospiraceae and photosynthetic Cyanobacteria as dominant species. However, these autotrophic bacteria decreased substantially after treatment with a high copper concentration, which enriched for a heterotrophic-bacterium-dominated community. Metagenomic comparison revealed a varied profile of functional genes and enriched functions, including bacterial motility and chemotaxis, extracellular polysaccharide and capsule synthesis, virulence-associated genes, and genes involved in cell signaling and regulation, suggesting short-period mechanisms of the enriched bacterial community for surviving copper stress in the microenvironment of the sponge. Microscopic observation and comparison revealed dynamic bacterial aggregation within the matrix and lysis of sponge cells. The bacteriophage community was also enriched, and the complete genome of a dominant phage was determined, implying that a lytic phage cycle was stimulated by the high copper concentration. This study demonstrated a copper-induced shift in the composition of functional genes of the sponge-associated bacterial community, revealing the selective effect of copper treatment on the functions of the bacterial community in the microenvironment of the sponge. IMPORTANCE This study determined the bacterial community structure of the common sponge Haliclona cymaeformis and examined the effect of copper

  7. Perceptions of a literate community regarding causation, presentation and treatment practices of intestinal worms among children

    International Nuclear Information System (INIS)

    To find out the perceived common causes of intestinal worms, their presentations and treatment options taken by the respondents, among children. A total of 2000 families responded to a self-administered questionnaire that was designed to obtain the study objectives. A single adult individual from each family was asked to respond to the questionnaire. Families having health care workers or health professionals were excluded. Medical students were properly trained to ensure competence in collecting a reliable data. The majority of the total respondents were females (66.3%) and were between 15-25 years of age (mean age = 25.4 years) with 100% literacy rate. A noticeable number of respondents (31%) revealed that overeating of sugar causes intestinal worms and that they mainly presented as altered eating habits / appetite (51.8%), abdominal pain (40.8%) and generalized weakness (26.3%). Regarding perceptions of drug treatment, nearly 2/3 of the respondents felt that the de-worming agent should be given to suspected child only (p < 0.001), whereas 65% of the participants expected to observe worms after de-worming treatment (p < 0.001). Contrary to the common use of self-medication in most other illnesses, self-treatment of worms on suspicion was declared by only 21.5% of the respondents (p < 0.0001). This study confirms that misconceptions about intestinal worms in children were prevalent within the community. In addition to the issue of environmental sanitation, removal of the mistaken beliefs is a prerequisite for an effective and long-lasting parasitic control among children. (author)

  8. Assessment of ASSERT-PV for prediction of post-dryout heat transfer in CANDU bundles

    International Nuclear Information System (INIS)

    Highlights: • Assessment of the new Canadian subchannel code ASSERT-PV 3.2 for PDO sheath temperature prediction. • CANDU 28-, 37- and 43-element bundle PDO experiments. • Prediction improvement of ASSERT-PV 3.2 over previous code versions. • Sensitivity study of the effect of PDO model options. - Abstract: Atomic Energy of Canada Limited (AECL) has developed the subchannel thermalhydraulics code ASSERT-PV for the Canadian nuclear industry. The recently released ASSERT-PV 3.2 provides enhanced models for improved predictions of subchannel flow distribution, critical heat flux (CHF), and post-dryout (PDO) heat transfer in horizontal CANDU fuel channels. This paper presents results of an assessment of the new code version against PDO tests performed during five full-size CANDU bundle experiments conducted between 1992 and 2009 by Stern Laboratories (SL), using 28-, 37- and 43-element bundles. A total of 10 PDO test series with varying pressure-tube creep and/or bearing-pad height were analyzed. The SL experiments encompassed the bundle geometries and range of flow conditions for the intended ASSERT-PV applications for existing CANDU reactors. Code predictions of maximum PDO fuel-sheath temperature were compared against measurements from the SL PDO tests to quantify the code's prediction accuracy. The prediction statistics using the recommended model set of ASSERT-PV 3.2 were compared to those from previous code versions. Furthermore, separate-effects sensitivity studies quantified the contribution of each PDO model change or enhancement to the improvement in PDO heat transfer prediction. Overall, the assessment demonstrated significant improvement in prediction of PDO sheath temperature in horizontal fuel channels containing CANDU bundles

  9. Assessment of ASSERT-PV for prediction of critical heat flux in CANDU bundles

    International Nuclear Information System (INIS)

    Highlights: • Assessment of the new Canadian subchannel code ASSERT-PV 3.2 for CHF prediction. • CANDU 28-, 37- and 43-element bundle CHF experiments. • Prediction improvement of ASSERT-PV 3.2 over previous code versions. • Sensitivity study of the effect of CHF model options. - Abstract: Atomic Energy of Canada Limited (AECL) has developed the subchannel thermalhydraulics code ASSERT-PV for the Canadian nuclear industry. The recently released ASSERT-PV 3.2 provides enhanced models for improved predictions of flow distribution, critical heat flux (CHF), and post-dryout (PDO) heat transfer in horizontal CANDU fuel channels. This paper presents results of an assessment of the new code version against five full-scale CANDU bundle experiments conducted in 1990s and in 2009 by Stern Laboratories (SL), using 28-, 37- and 43-element (CANFLEX) bundles. A total of 15 CHF test series with varying pressure-tube creep and/or bearing-pad height were analyzed. The SL experiments encompassed the bundle geometries and range of flow conditions for the intended ASSERT-PV applications for CANDU reactors. Code predictions of channel dryout power and axial and radial CHF locations were compared against measurements from the SL CHF tests to quantify the code prediction accuracy. The prediction statistics using the recommended model set of ASSERT-PV 3.2 were compared to those from previous code versions. Furthermore, the sensitivity studies evaluated the contribution of each CHF model change or enhancement to the improvement in CHF prediction. Overall, the assessment demonstrated significant improvement in prediction of channel dryout power and axial and radial CHF locations in horizontal fuel channels containing CANDU bundles

  10. ASSERT/NUCIRC commissioning for CANDU 6 fuel channel CCP analysis

    International Nuclear Information System (INIS)

    CANDU PHWR fuel channel pressure tubes will expand or creep under long-term (aging process) influence of temperature, pressure, and neutron flux. This diametral pressure tube creep will influence the critical channel power (CCP), or conditions that lead to dryout. In order to provide safety analysis models to quantify the effect of diametral pressure tube creep on CCP, a COG (AECL/NBP/HQ) project is underway to commission the ASSERT and NUCIRC codes to establish reliable production tools for the assessment of CANDU6 CCP in nominal (uncrept) and crept pressure tube fuel channels. This paper gives an overview of the background and objectives of the project along with a brief introduction into the subchannel analysis code ASSERT and the 1-D thermalhydraulics code NUCIRC. This project is a multistage endeavour, for which the first stage results are presented. A detailed cross-comparison of the 1-D (NUCIRC) and subchannel (ASSERT) models of pressure drop (ΔP) and critical heat flux (CHF) has been undertaken and has led to several enhancements and refinements to the respective models. These results are presented in addition to results of ASSERT commissioning against NUCIRC for a matrix of ΔP and dryout cases in a nominal pressure tube, which are based upon Gentilly 2 and Point Lepreau site area. Additionally, the initial results of an assessment, using ASSERT, of the effects of creep on ΔP are presented. In concluding, the status and future directions for ASSERT/NUCIRC CANDU 6 CCP analysis project are summarized. (author). 2 refs., 12 figs

  11. Assessment of ASSERT-PV for prediction of critical heat flux in CANDU bundles

    Energy Technology Data Exchange (ETDEWEB)

    Rao, Y.F., E-mail: raoy@aecl.ca; Cheng, Z., E-mail: chengz@aecl.ca; Waddington, G.M., E-mail: waddingg@aecl.ca

    2014-09-15

    Highlights: • Assessment of the new Canadian subchannel code ASSERT-PV 3.2 for CHF prediction. • CANDU 28-, 37- and 43-element bundle CHF experiments. • Prediction improvement of ASSERT-PV 3.2 over previous code versions. • Sensitivity study of the effect of CHF model options. - Abstract: Atomic Energy of Canada Limited (AECL) has developed the subchannel thermalhydraulics code ASSERT-PV for the Canadian nuclear industry. The recently released ASSERT-PV 3.2 provides enhanced models for improved predictions of flow distribution, critical heat flux (CHF), and post-dryout (PDO) heat transfer in horizontal CANDU fuel channels. This paper presents results of an assessment of the new code version against five full-scale CANDU bundle experiments conducted in 1990s and in 2009 by Stern Laboratories (SL), using 28-, 37- and 43-element (CANFLEX) bundles. A total of 15 CHF test series with varying pressure-tube creep and/or bearing-pad height were analyzed. The SL experiments encompassed the bundle geometries and range of flow conditions for the intended ASSERT-PV applications for CANDU reactors. Code predictions of channel dryout power and axial and radial CHF locations were compared against measurements from the SL CHF tests to quantify the code prediction accuracy. The prediction statistics using the recommended model set of ASSERT-PV 3.2 were compared to those from previous code versions. Furthermore, the sensitivity studies evaluated the contribution of each CHF model change or enhancement to the improvement in CHF prediction. Overall, the assessment demonstrated significant improvement in prediction of channel dryout power and axial and radial CHF locations in horizontal fuel channels containing CANDU bundles.

  12. Assessment of ASSERT-PV for prediction of post-dryout heat transfer in CANDU bundles

    Energy Technology Data Exchange (ETDEWEB)

    Cheng, Z., E-mail: chengz@aecl.ca; Rao, Y.F., E-mail: raoy@aecl.ca; Waddington, G.M., E-mail: waddingg@aecl.ca

    2014-10-15

    Highlights: • Assessment of the new Canadian subchannel code ASSERT-PV 3.2 for PDO sheath temperature prediction. • CANDU 28-, 37- and 43-element bundle PDO experiments. • Prediction improvement of ASSERT-PV 3.2 over previous code versions. • Sensitivity study of the effect of PDO model options. - Abstract: Atomic Energy of Canada Limited (AECL) has developed the subchannel thermalhydraulics code ASSERT-PV for the Canadian nuclear industry. The recently released ASSERT-PV 3.2 provides enhanced models for improved predictions of subchannel flow distribution, critical heat flux (CHF), and post-dryout (PDO) heat transfer in horizontal CANDU fuel channels. This paper presents results of an assessment of the new code version against PDO tests performed during five full-size CANDU bundle experiments conducted between 1992 and 2009 by Stern Laboratories (SL), using 28-, 37- and 43-element bundles. A total of 10 PDO test series with varying pressure-tube creep and/or bearing-pad height were analyzed. The SL experiments encompassed the bundle geometries and range of flow conditions for the intended ASSERT-PV applications for existing CANDU reactors. Code predictions of maximum PDO fuel-sheath temperature were compared against measurements from the SL PDO tests to quantify the code's prediction accuracy. The prediction statistics using the recommended model set of ASSERT-PV 3.2 were compared to those from previous code versions. Furthermore, separate-effects sensitivity studies quantified the contribution of each PDO model change or enhancement to the improvement in PDO heat transfer prediction. Overall, the assessment demonstrated significant improvement in prediction of PDO sheath temperature in horizontal fuel channels containing CANDU bundles.

  13. Effect of Meta-Cognitive Therapy on Self Assertiveness Skill in Patients with

    Directory of Open Access Journals (Sweden)

    Mohammad Hossein Bahadori

    2014-05-01

    Full Text Available Background: Self assertiveness can be considered as hearth of interpersonal behavior and weakness in this area is one of the obvious characteristic in the patients with social phobia disorder. This study aimed to determine the effect of meta-cognitive therapy on the rate of self assertiveness skill in patients with social phobia disorder. Materials and Methods: This experimental study was conducted with pretest-posttest and follow-up design, using control group. From all social phobia disorder patients visited in psychology clinics in Shiraz, south western part of Iran in 2012, 22 patients were selected through the objective sampling method and randomly divided into two experimental (11 persons and control (11 persons groups. The instruments of this study were social phobia symptoms assessment questioner (SPSAQ and self assertiveness scale (SAS. The experimental group received 8 weeks of Wells’ meta-cognitive therapy sessions. Data were analyzed through covariance analysis method. Results: The results showed that the mean of the self assertiveness scores in post-test and follow up in the experimental group is significantly higher than that of the control group (p<0.05. The results of analysis of multivariate covariance showed that MCT had a significant effect on increscent of the self assertiveness skill scores of posttest (0.39 and follow up (0.38 in patients with social phobia disorder (p<0.001. Conclusion: This intervention is believed to improve self assertiveness skill in SPD patients by facilitating transmission from the object mode to the meta-cognitive mode and enhancing the efficient and flexible coping skills.

  14. Contrasting microbial community composition and function perspective in sections of a full-scale coking wastewater treatment system.

    Science.gov (United States)

    Zhu, Shuang; Wu, Haizhen; Wei, Chaohai; Zhou, Lin; Xie, Junting

    2016-01-01

    To characterize the microbial community of the coking wastewater (CWW) treatment system and to study the effects of CWW characteristics and operational parameters on microbial communities, active sludge samples were collected from a full-scale CWW treatment plant using three-phase fluidized bed biological reactors. High-throughput MiSeq sequencing was used to examine the 16S rRNA genes of microbiology, revealing a distinct microbial composition among the active sludge samples of three sequential bioreactors. Pseudomonas, Comamonas, and Thiobacillus-related sequences dominated in the anaerobic bioreactor A, aerobic bioreactor O1, and aerobic bioreactor O2 active sludge with relative abundance of 72.59, 56.75, and 27.82 %, respectively. The physico-chemical characteristics of CWW were analyzed by standard methods and operational parameters were recorded to examine their effects on the microbial communities. The redundancy analysis (RDA) results showed that the bacterial communities of bioreactors A, O1, and O2 correlated strongly with cyanides, phenols, and ammonia, respectively. These results expand the knowledge about the biodiversity and population dynamics of microorganisms and discerned the relationships between bacterial communities and environmental variables in the biological treatment processes in the full-scale CWW treatment system.

  15. Equivalence and standard scores of the Hurlbert Index of Sexual Assertiveness across Spanish men and women

    OpenAIRE

    Pablo Santos-Iglesias; Pablo Vallejo-Medina; Juan C. Sierra

    2014-01-01

    El objetivo de este estudio fue analizar la presencia de invarianza de medida y funcionamiento diferencial del ??tem de la versi??n espa??ola del Hurlbert Index of Sexual Assertiveness en funci??n del sexo. La muestra estuvo compuesta por 1.600 mujeres y 1.598 hombres de Espa??a, con edades comprendidas entre los 18 y 84 a??os. El Hurlbert Index of Sexual Assertiveness solo mostr?? invarianza d??bil entre hombres y mujeres. El an??lisis de funcionamiento diferencial del ??tem mostr?? que ??ni...

  16. SystemVerilog assertions and functional coverage guide to language, methodology and applications

    CERN Document Server

    Mehta, Ashok B

    2013-01-01

    This book provides a hands-on, application-oriented guide to the language and methodology of both SystemVerilog Assertions and SytemVerilog Functional Coverage.  Readers will benefit from the step-by-step approach to functional hardware verification, which will enable them to uncover hidden and hard to find bugs, point directly to the source of the bug, provide for a clean and easy way to model complex timing checks and objectively answer the question 'have we functionally verified everything'.  Written by a professional end-user of both SystemVerilog Assertions and SystemVerilog Functional Co

  17. Motivation for Treatment Among Women Offenders in Prison-Based Treatment and Longitudinal Outcomes Among Those Who Participate in Community Aftercare

    OpenAIRE

    GRELLA, CHRISTINE E.; Rodriguez, Luz

    2011-01-01

    Participation in aftercare may reduce risk of recidivism among women offenders with substance use problems following their release to the community. This study examines motivation to participate in aftercare among women offenders and whether their participation in both in-custody and aftercare treatment reduces their risk of recidivism. Surveys were conducted with women (N = 1,158) in prison-based substance abuse treatment programs. Return-to-prison was examined among participants in communit...

  18. Treatment seeking behaviour of rural adolescent girls-a community based cross-sectional study

    Directory of Open Access Journals (Sweden)

    Baliga Sulakshana

    2012-04-01

    Full Text Available Background and Objectives: The transition from childhood to adulthood occurs during adolescence period which is characterized by major biological changes like physical growth, sexual maturation and psycho-social development. During this phase of growth the girls first experience menstruation and related problems which is marked by feelings of anxiety and eagerness to know about this natural phenomenon. Present study was undertaken to determine health status of adolescent girls by studying morbidity patterns amongst them and to know treatment seeking behaviour of adolescent girls. Methods: This one year community based cross-sectional study was done at village Peeranwadi, PHC Kinaye, Belgaum. Four Hundred (400 adolescent girls were selected randomly from each block. Study was approved by Institutional Ethics Committee, Jawaharlal Nehru Medical College, Belgaum. Written informed consent was obtained from all participants. Information on socio-demographic variables, history regarding illness one month prior and treatment seeking behavior were recorded. Haemoglobin estimation was done by cyanmethaemoglobin method. Results: Majority (82.25% had age between 10 to 14 years and mean age of study population was 12.9±2.06 years and 98.5% were literates. Of 400 adolescent girls, 51% had attained menarche. The mean height, weight and BMI was less among 10 to 14 years compared to 15 to 19 years (p=0.000. In this study 15 (3.75% were married and of them 60% were pregnant and all had registered for antenatal care. Most common morbidity reported in last one month was GI infections (14.75%, fever (12.75% and dysmenorrhoea (12%. Prevalence of anaemia was 75% and 49.75% had mild, 20.75% had moderate and 4.5% had severe anaemia. 61.25% had taken treatment of which 74.69% visited health facility for treatment, 19.21% took home remedy and 6.12% did not take any treatment. The place of treatment was decided by themselves in 20.81% whereas 78.78% family members were

  19. Reasons for schizophrenia patients remaining out of treatment: results from a prospective study in a rural south indian community

    Directory of Open Access Journals (Sweden)

    Channaveerachari Naveen Kumar

    2016-01-01

    Full Text Available Background: A few studies have examined the factors associated with schizophrenia patients remaining untreated in India. Materials and Methods: We identified 184 schizophrenia patients in a rural community, offered the treatment with antipsychotics and followed them up in their Primary Health Centers for 1-year. Twenty-nine (15.8% patients remained untreated at both the baseline and 1-year follow-up despite our best attempts to keep them under the treatment umbrella. They were interviewed in detail regarding the reasons for remaining untreated. This group was compared with another group of patients (n = 69 who had stopped the treatment at baseline but were successfully brought under the treatment umbrella throughout the 1-year follow-up period. Results: The reasons for remaining untreated were (n; %: (a Unsatisfactory improvement with previous treatment attempts (19; 65.5%, (b poor bond between the patients and the families (6; 20.7%, (c active symptoms not allowing any treatment efforts from the family members (6; 20.7%, (d magico-religious beliefs about the illness and its treatment (4; 13.8%, (e poor social support (3; 10.3%, (f adverse effects of the medications (2; 6.9%, and (g perception of recovery and cure (1; 3.4%. For many patients, a constellation of these reasons was responsible for them remaining untreated. In contrast, the common reasons for those who restarted medications to have stopped the treatment at some time were the lack of awareness, the need to continue medications (47; 68.1%, and the financial constraints (28; 40.6%. Conclusion: The predominant reason for schizophrenia patients not remaining on the treatment in this rural community was the families′ lack of faith in antipsychotic treatment. Provision of comprehensive treatment package including medical, psychosocial and rehabilitative services, and sensitizing the community about benefits of the treatment may help in ensuring that all patients with psychosis receive

  20. Who seeks treatment where? Suicidal behaviors and health care: evidence from a community survey.

    Science.gov (United States)

    Milner, Allison; De Leo, Diego

    2010-06-01

    The reason why some persons seek help following a suicide attempt while others do not is still insufficiently clarified. Using data from the World Health Organization/SUicide PREvention-Multisite Intervention Study on Suicidal Behavior community survey, this study tried to shed more light on this problem by investigating the type and number of treatments sought by suicide attempters in 2 major cities of Queensland, Australia. Compared with those who did not attend services (n = 142), help-seekers (n = 257) had significantly greater odds of overdosing with medications and communicating suicidal thoughts. They also had greater odds of reporting a history of psychological problems, previous attempts, and help-seeking behavior. Those who sought multiple services were more likely to be female and suffer also from physical illness. Non help-seekers were more frequently males, with no history of having previously sought help or communicated intent. They also appeared at greater risk of using more lethal methods (hanging) and less likely to express mental health concerns at the time of the attempt. These findings underline the need to further understand the relationship between lethality, suicide intent, and help-seeking behavior. Improving motivation to seek treatment after a suicide attempt could substantially impact on suicide prevention success efforts.

  1. Hepatitis A among workers from a waste water treatment plant during a small community outbreak.

    Science.gov (United States)

    De Serres, G; Laliberté, D

    1997-01-01

    OBJECTIVE: This is a case report describing the occurrence of hepatitis A in three workers at a waste water treatment plant during a small community outbreak involving 16 cases. CASE REPORT: The first case was a 26 year old operator who had worked in the plant for two years, the second was a 23 year old employee hired to add new biolite in the secondary treatment area. These two cases never worked together and only met two or three times before the onset of disease in the second case. The third case occurred three months later in a 34 year old ventilation mechanic. All three cases were confirmed by IgM serology and virus was recovered by polymerase chain reaction in the stools of the last two cases. Despite an extensive search for other risk factors for hepatitis A in these workers none was found. CONCLUSION: This report confirms that hepatitis A is an occupational hazard for sewage workers. The numerous potential sources of contamination associated with that occupation support the use of vaccine to provide effective prevention. PMID:9072036

  2. Long term impact of large scale community-directed delivery of doxycycline for the treatment of onchocerciasis

    Directory of Open Access Journals (Sweden)

    Tamarozzi Francesca

    2012-03-01

    Full Text Available Abstract Background Anti-Wolbachia treatment with doxycycline is effective in sterilising and killing adult Onchocerca volvulus nematodes, proving superior to ivermectin and of great potential as an alternative approach for the treatment and control of onchocerciasis, particularly in areas of Loa loa co-endemicity. Nevertheless, the length of the required treatment poses potential logistical problems and risk of poor compliance, raising a barrier to the use of doxycycline in Mass Drug Administration (MDA strategies. In 2007 and 2008 a feasibility trial of community-directed treatment with doxycycline was carried out in two health districts in Cameroon, co-endemic for O. volvulus and L. loa. With 17,519 eligible subjects, the therapeutic coverage was 73.8% with 97.5% compliance, encouraging the feasibility of using doxycycline community-directed delivery in restricted populations of this size. The current study evaluated the effectiveness of this community-directed delivery of doxycycline four years after delivery. Findings Infection with O. volvulus was evaluated by skin biopsy and nodule palpation. Of the 507 subjects recruited, 375 had completed the treatment with doxycycline followed by one or two rounds of annual ivermectin MDA and 132 received one or two rounds of annual ivermectin MDA alone. Statistically significant lower microfilarial prevalence (17.0% [doxycycline plus ivermectin group], 27.0% [ivermectin only group], p = 0.014 and load (p = 0.012 were found in people that had received doxycycline followed by ivermectin compared to those who received ivermectin only. Conclusions This study demonstrates the long-term effectiveness of doxycycline treatment delivered with a community-directed strategy even when evaluated four years after delivery in an area of ongoing transmission. This finding shows that a multi-week course of treatment is not a barrier to community-delivery of MDA in restricted populations of this size and supports its

  3. Effects of wastewater treatment plant effluent inputs on planktonic metabolic rates and microbial community composition in the Baltic Sea

    Science.gov (United States)

    Vaquer-Sunyer, Raquel; Reader, Heather E.; Muthusamy, Saraladevi; Lindh, Markus V.; Pinhassi, Jarone; Conley, Daniel J.; Kritzberg, Emma S.

    2016-08-01

    The Baltic Sea is the world's largest area suffering from eutrophication-driven hypoxia. Low oxygen levels are threatening its biodiversity and ecosystem functioning. The main causes for eutrophication-driven hypoxia are high nutrient loadings and global warming. Wastewater treatment plants (WWTP) contribute to eutrophication as they are important sources of nitrogen to coastal areas. Here, we evaluated the effects of wastewater treatment plant effluent inputs on Baltic Sea planktonic communities in four experiments. We tested for effects of effluent inputs on chlorophyll a content, bacterial community composition, and metabolic rates: gross primary production (GPP), net community production (NCP), community respiration (CR) and bacterial production (BP). Nitrogen-rich dissolved organic matter (DOM) inputs from effluents increased bacterial production and decreased primary production and community respiration. Nutrient amendments and seasonally variable environmental conditions lead to lower alpha-diversity and shifts in bacterial community composition (e.g. increased abundance of a few cyanobacterial populations in the summer experiment), concomitant with changes in metabolic rates. An increase in BP and decrease in CR could be caused by high lability of the DOM that can support secondary bacterial production, without an increase in respiration. Increases in bacterial production and simultaneous decreases of primary production lead to more carbon being consumed in the microbial loop, and may shift the ecosystem towards heterotrophy.

  4. Evidence for the Treatment of Osteoporosis with Vitamin D in Residential Care and in the Community Dwelling Elderly

    Directory of Open Access Journals (Sweden)

    John A. A. Geddes

    2013-01-01

    Full Text Available Introduction. Vitamin D is common treatment for osteoporosis. Both age >70 years and living in residential care are associated with increased fracture risk. Community dwelling elderly are a heterogeneous group who may have more similatiry with residential care groups than younger community dwelling counterparts. Aims. To review the evidence for cholecalciferol or ergocalciferol tretment of osteoporosis in either community dwelling patients aged ≥70 years of age, or redidential care patients. Secondly endpoints were changes in bone mineral denisty, and in bone turnover markers. Methods. We performed a literature search using search terms for osteoporosis and vitamin D. Treatment for at least one year was required. Results. Only one residential care study using cholecalciferol, showed non-vertebral and hip fracture reduction in vitamin D deficient subjects. In the community setting one quasi randomised study using ergocalciferol showed reduction in total but not hip or non-vertebral fracture, and a second randomised study showed increased hip fracture risk. Three studies reported increases in hip bone mineral denisty. Discussion. A minority of studies demonstrated a fracture benefit form vitamin D and one suggested possible harm in a community setting. Current practice should be to only offer this treatment to subjects identified as deficient.

  5. Characterization of Microbial Communities in Coal Mine Drainage Treatment Systems With Elevated Manganese

    Science.gov (United States)

    Tan, H.; Zhang, G.; Burgos, W.

    2007-12-01

    Sediment samples were collected from two coal mine drainage treatment sites in western Pennsylvania. Both of the sites use constructed limestone beds to passively treat acidic coal mine drainage containing elevated manganese (Mn). Site #1 has influent manganese of 150 mg/L and effluent manganese between 40-100 mg/L. Site #2 has influent manganese of 20 mg/L and effluent manganese of less than 0.5 mg/L. Large quantities of black crusts were deposited throughout the beds at both sites. X-ray diffraction showed these crusts constituted of buserite, which is a layered structure manganese oxide mineral. Both culture-dependent and nucleic acid- based techniques were used to characterize the bacterial and fungal communities in these beds. 16S rRNA gene analysis showed that bacterial communities were very diverse and included Cyanobacter, Proteobacteria, Bacteroidete, Planctomyceta, Acidobacter, Actinobacter and Gemmatimonade taxa. The archaeal diversity was lower and most sequences were related to uncultivated species. Two Mn-oxidizing fungi strains were isolated from one of the sites. One of the fungi is capable of oxidizing Mn(II) at both low and netural pH (3-7) while the other fungi can only oxidze Mn(II) at circumneutral pH. 18S rRNA gene analysis showed the low pH Mn-oxidizing fungus was closely related to Menispora tortuosa, Chaetosphaeria curvispora and Kionochaeta spissa, and the circumneutral Mn-oxidizing fungus was closely related to Myrothecium verrucaria, Didymostilbe echinofibrosa and Myrothecium roridum.

  6. Improving the Physical Health Monitoring of City & Hackney Assertive Outreach Service Patients.

    Science.gov (United States)

    Akyuz, Elvan; Jain, Amit; Phelan, Declan; Gupta, Susham

    2016-01-01

    Improving physical healthcare to reduce premature mortality in people with SMI (Serious Mental Illness) is a priority for ELFT (East London NHS Foundation Trust) and NHS England. It is well know that people with schizophrenia have a life expectancy which is approximately 20% shorter than that of the general population and a substantial mortality difference exists between people with schizophrenia and the general community.[1-2] Among other risk factors, such as poor diet, physical inactivity, and high rates of smoking, the iatrogenic effects of anti-psychotic medications have been found to increase the risk of metabolic syndrome. This can easily be detected through regular monitoring. Through this project, it was our aim to improve the physical health monitoring of City & Hackney Assertive Outreach Service (AOS) patients with a view to decrease mortality rate, increase life expectancy, increase the quality of life, and reduce harm from medication. This was done using quality improvement methods, including several change ideas, each of which started sequentially over the course of a nine month period from November 2014. Following QI methodology, this utilised cycles of iterative learning using PDSA methods and was supported by the Trust's extensive programme of quality improvement, including training provided by the Institute for Healthcare Improvement. The project involved setting a specific aim which was improving the physical health monitoring of AOS patients to 80% by July 2015 and for our patients to have physical health checks (blood tests, weight, ECG, BP) as a minimum annually. From baseline measurements of between 50-75%, we reached our target of 80% for weight, BP and blood tests monitoring, with 89%, 91%, and 84% achieved respectively by July 2015. Further progress still needs to be made on ECGs, with 77% achieved by July 2015, although the monitoring of ECG nearly doubled from 39% in November 2014 to 77% in July 2015. This project demonstrated that

  7. Improving the Physical Health Monitoring of City & Hackney Assertive Outreach Service Patients.

    Science.gov (United States)

    Akyuz, Elvan; Jain, Amit; Phelan, Declan; Gupta, Susham

    2016-01-01

    Improving physical healthcare to reduce premature mortality in people with SMI (Serious Mental Illness) is a priority for ELFT (East London NHS Foundation Trust) and NHS England. It is well know that people with schizophrenia have a life expectancy which is approximately 20% shorter than that of the general population and a substantial mortality difference exists between people with schizophrenia and the general community.[1-2] Among other risk factors, such as poor diet, physical inactivity, and high rates of smoking, the iatrogenic effects of anti-psychotic medications have been found to increase the risk of metabolic syndrome. This can easily be detected through regular monitoring. Through this project, it was our aim to improve the physical health monitoring of City & Hackney Assertive Outreach Service (AOS) patients with a view to decrease mortality rate, increase life expectancy, increase the quality of life, and reduce harm from medication. This was done using quality improvement methods, including several change ideas, each of which started sequentially over the course of a nine month period from November 2014. Following QI methodology, this utilised cycles of iterative learning using PDSA methods and was supported by the Trust's extensive programme of quality improvement, including training provided by the Institute for Healthcare Improvement. The project involved setting a specific aim which was improving the physical health monitoring of AOS patients to 80% by July 2015 and for our patients to have physical health checks (blood tests, weight, ECG, BP) as a minimum annually. From baseline measurements of between 50-75%, we reached our target of 80% for weight, BP and blood tests monitoring, with 89%, 91%, and 84% achieved respectively by July 2015. Further progress still needs to be made on ECGs, with 77% achieved by July 2015, although the monitoring of ECG nearly doubled from 39% in November 2014 to 77% in July 2015. This project demonstrated that

  8. Differential effectiveness of residential versus outpatient aftercare for parolees from prison-based therapeutic community treatment programs

    Directory of Open Access Journals (Sweden)

    Messina Nena P

    2007-05-01

    Full Text Available Abstract Background Research has indicated that more intense treatment is associated with better outcomes among clients who are appropriately matched to treatment intensity level based on the severity of their drug/alcohol problem. This study examined the differential effectiveness of community-based residential and outpatient treatment attended by male and female drug-involved parolees from prison-based therapeutic community substance abuse treatment programs based on the severity of their drug/alcohol problem. Methods Subjects were 4,165 male and female parolees who received prison-based therapeutic community substance abuse treatment and who subsequently participated in only outpatient or only residential treatment following release from prison. The dependent variable of interest was return to prison within 12 months. The primary independent variables of interest were alcohol/drug problem severity (low, high and type of aftercare (residential, outpatient. Chi-square analyses were conducted to examine the differences in 12-month RTP rates between and within the two groups of parolees (residential and outpatient parolees based on alcohol/drug problem severity (low severity, high severity. Logistic regression analyses were performed to determine if aftercare modality (outpatient only vs. residential only was a significant predictor of 12-month RTP rates for subjects who were classified as low severity versus those who were classified as high severity. Results Subjects benefited equally from outpatient and residential aftercare, regardless of the severity of their drug/alcohol problem. Conclusion As states and the federal prison system further expand prison-based treatment services, the demand and supply of aftercare treatment services will also increase. As this occurs, systems and policies governing the transitioning of individuals from prison- to community-based treatment should include a systematic and validated assessment of post

  9. The Effects of a Sport Education Season on Empathy and Assertiveness

    Science.gov (United States)

    García-López, L. M.; Gutiérrez, D.

    2015-01-01

    Background: One of the objectives of the new Spanish Education Act is for students to develop a series of social skills, largely derived from the ability variables of assertiveness and empathy. Sport Education is an instructional model that is deemed useful in the development of personal and social responsibility and social values. It requires…

  10. 40 CFR 68.151 - Assertion of claims of confidential business information.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 15 2010-07-01 2010-07-01 false Assertion of claims of confidential business information. 68.151 Section 68.151 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) CHEMICAL ACCIDENT PREVENTION PROVISIONS Risk Management Plan §...

  11. Differentiating between Confrontive and Coercive Kinds of Parental Power-Assertive Disciplinary Practices

    Science.gov (United States)

    Baumrind, Diana

    2012-01-01

    In this essay, I differentiate between coercive and confrontive kinds of power assertion to elucidate the significantly different effects on children's well-being of authoritarian and authoritative styles of parental authority. Although both parenting styles (in contrast to the permissive style) are equally demanding, forceful, and…

  12. ASSERT-PV 3.2: Advanced subchannel thermalhydraulics code for CANDU fuel bundles

    International Nuclear Information System (INIS)

    Highlights: • Introduction to a new version of the Canadian subchannel code, ASSERT-PV 3.2. • Enhanced models for flow-distribution, CHF and post-dryout heat transfer prediction. • Model changes focused on unique features of horizontal CANDU bundles. • Detailed description of model changes for all major thermalhydraulics models. • Discussion on rationale and limitation of the model changes. - Abstract: Atomic Energy of Canada Limited (AECL) has developed the subchannel thermalhydraulics code ASSERT-PV for the Canadian nuclear industry. The most recent release version, ASSERT-PV 3.2 has enhanced phenomenon models for improved predictions of flow distribution, dryout power and CHF location, and post-dryout (PDO) sheath temperature in horizontal CANDU fuel bundles. The focus of the improvements is mainly on modeling considerations for the unique features of CANDU bundles such as horizontal flows, small pitch to diameter ratios, high mass fluxes, and mixed and irregular subchannel geometries, compared to PWR/BWR fuel assemblies. This paper provides a general introduction to ASSERT-PV 3.2, and describes the model changes or additions in the new version to improve predictions of flow distribution, dryout power and CHF location, and PDO sheath temperatures in CANDU fuel bundles

  13. An Assertiveness Training Program for Indecisive Students Attending an Italian University.

    Science.gov (United States)

    Nota, Laura; Soresi, Salvatore

    2003-01-01

    Indecisive students often present with social skills problems, which may make academic and vocational decision-making tasks difficult and complex for them. This article presents a training program devised to augment assertive competencies in indecisive students choosing a university course of study. Intended aims and the analyses to assess the…

  14. Investigation of flow blockage in a fuel channel with the ASSERT subchannel code

    International Nuclear Information System (INIS)

    On behalf of New Brunswick Power, a study was undertaken to determine if safe operation of a CANDU-6 reactor can be maintained at low reactor powers with the presence of debris in the fuel channels. In particular, the concern was to address if a small blockage due to the presence of debris would cause a significant reduction in dryout powers, and hence, to determine the safe operation power level to maintain dryout margins. In this work the NUCIRC(1,2), ASSERT-IV(3), and ASSERT-PV(3) computer codes are used in conjunction with a pool boiling model to determine the safe operation power level which maintains dryout safety margins. NUCIRC is used to provide channel boundary conditions for the ASSERTcodes and to select a representative channel for analysis. This pool boiling model is provided as a limiting lower bound analysis. As expected, the ASSERT results predict higher CHF ratios than the pool boiling model. In general, the ASSERT results show that as the model comes closer to modelling a complete blockage it reduces toward, but does not reach the pool boiling model. (author)

  15. Women are Warmer but No Less Assertive than Men: Gender and Language on Facebook

    Science.gov (United States)

    Park, Gregory; Schwartz, H. Andrew; Kern, Margaret L.; Eichstaedt, Johannes C.; Kosinski, Michael; Stillwell, David; Ungar, Lyle H.; Seligman, Martin E. P.

    2016-01-01

    Using a large social media dataset and open-vocabulary methods from computational linguistics, we explored differences in language use across gender, affiliation, and assertiveness. In Study 1, we analyzed topics (groups of semantically similar words) across 10 million messages from over 52,000 Facebook users. Most language differed little across gender. However, topics most associated with self-identified female participants included friends, family, and social life, whereas topics most associated with self-identified male participants included swearing, anger, discussion of objects instead of people, and the use of argumentative language. In Study 2, we plotted male- and female-linked language topics along two interpersonal dimensions prevalent in gender research: affiliation and assertiveness. In a sample of over 15,000 Facebook users, we found substantial gender differences in the use of affiliative language and slight differences in assertive language. Language used more by self-identified females was interpersonally warmer, more compassionate, polite, and—contrary to previous findings—slightly more assertive in their language use, whereas language used more by self-identified males was colder, more hostile, and impersonal. Computational linguistic analysis combined with methods to automatically label topics offer means for testing psychological theories unobtrusively at large scale. PMID:27223607

  16. ASSERT-PV 3.2: Advanced subchannel thermalhydraulics code for CANDU fuel bundles

    Energy Technology Data Exchange (ETDEWEB)

    Rao, Y.F., E-mail: raoy@aecl.ca; Cheng, Z., E-mail: chengz@aecl.ca; Waddington, G.M., E-mail: waddingg@aecl.ca; Nava-Dominguez, A., E-mail: navadoma@aecl.ca

    2014-08-15

    Highlights: • Introduction to a new version of the Canadian subchannel code, ASSERT-PV 3.2. • Enhanced models for flow-distribution, CHF and post-dryout heat transfer prediction. • Model changes focused on unique features of horizontal CANDU bundles. • Detailed description of model changes for all major thermalhydraulics models. • Discussion on rationale and limitation of the model changes. - Abstract: Atomic Energy of Canada Limited (AECL) has developed the subchannel thermalhydraulics code ASSERT-PV for the Canadian nuclear industry. The most recent release version, ASSERT-PV 3.2 has enhanced phenomenon models for improved predictions of flow distribution, dryout power and CHF location, and post-dryout (PDO) sheath temperature in horizontal CANDU fuel bundles. The focus of the improvements is mainly on modeling considerations for the unique features of CANDU bundles such as horizontal flows, small pitch to diameter ratios, high mass fluxes, and mixed and irregular subchannel geometries, compared to PWR/BWR fuel assemblies. This paper provides a general introduction to ASSERT-PV 3.2, and describes the model changes or additions in the new version to improve predictions of flow distribution, dryout power and CHF location, and PDO sheath temperatures in CANDU fuel bundles.

  17. 48 CFR 252.227-7019 - Validation of asserted restrictions-Computer software.

    Science.gov (United States)

    2010-10-01

    ... restrictions-Computer software. 252.227-7019 Section 252.227-7019 Federal Acquisition Regulations System...—Computer software. As prescribed in 227.7104(e)(3) or 227.7203-6(c), use the following clause: Validation of Asserted Restrictions—Computer Software (JUN 1995) (a) Definitions. (1) As used in this...

  18. 77 FR 25475 - Inquiry To Learn Whether Businesses Assert Business Confidentiality Claims Regarding Waste Import...

    Science.gov (United States)

    2012-04-30

    ... AGENCY Inquiry To Learn Whether Businesses Assert Business Confidentiality Claims Regarding Waste Import... notices similar to this one in the Federal Register, the latest one being at 76 FR 362, January 4, 2011... information at issue: the preliminary inquiry and the notice of opportunity to comment. a. Inquiry To...

  19. 75 FR 4812 - Inquiry To Learn Whether Businesses Assert Business Confidentiality Claims

    Science.gov (United States)

    2010-01-29

    ... AGENCY Inquiry To Learn Whether Businesses Assert Business Confidentiality Claims AGENCY: Environmental... Information EPA has previously published notices similar to this one in the Federal Register, at 74 FR 20293, May 1, 2009, and 72 FR 21006, April 27, 2007 that address issues similar to those raised by...

  20. 76 FR 362 - Inquiry To Learn Whether Businesses Assert Business Confidentiality Claims

    Science.gov (United States)

    2011-01-04

    ... AGENCY Inquiry To Learn Whether Businesses Assert Business Confidentiality Claims AGENCY: Environmental... previously published notices similar to this one in the Federal Register, the latest one being at 75 FR 4812... issue: The preliminary inquiry and the notice of opportunity to comment. a. Inquiry To Learn...

  1. 77 FR 109 - Inquiry To Learn Whether Businesses Assert Business Confidentiality Claims Regarding Waste Import...

    Science.gov (United States)

    2012-01-03

    ... AGENCY Inquiry To Learn Whether Businesses Assert Business Confidentiality Claims Regarding Waste Import... published notices similar to this one in the Federal Register, the latest one being at 76 FR 362, January 4... and the notice of opportunity to comment. a. Inquiry To Learn Whether Affected Businesses (Other...

  2. 75 FR 44951 - Inquiry To Learn Whether Businesses Assert Business Confidentiality Claims

    Science.gov (United States)

    2010-07-30

    ... AGENCY Inquiry To Learn Whether Businesses Assert Business Confidentiality Claims AGENCY: Environmental... previously published notices similar to this one in the Federal Register, the latest one being at 75 FR 4812... issue: The preliminary inquiry and the notice of opportunity to comment. a. Inquiry To Learn...

  3. "Who You Dissin', Dude?" At-Risk Students Learn Assertive Communication Skills.

    Science.gov (United States)

    Cangelosi, Barbara R.

    2000-01-01

    Describes a four-week unit developed by the author to teach her at-risk high school students assertive communication as a means of empowerment, a way of taking control of situations. Describes organizing the content and implementing the curriculum, and notes students' positive and enthusiastic feedback. (SR)

  4. Associations between assertiveness, psychological well-being, and self-esteem in adolescents

    NARCIS (Netherlands)

    Sarkova, Maria; Bacikova-Sleskova, Maria; Orosova, Olga; Geckova, Andrea Madarasova; Katreniakova, Zuzana; Klein, Daniel; van den Heuvel, Wim; van Dijk, Jitse P.

    2013-01-01

    This study explored the associations between adolescents assertive behavior, psychological well-being, and self-esteem. The sample consisted of 1,023 students (14.9 +/-.51; 47.6% boys). Two dimensions of the Scale for Interpersonal Behavior (distress and performance), 2 factors of the General Health

  5. Women are Warmer but No Less Assertive than Men: Gender and Language on Facebook.

    Directory of Open Access Journals (Sweden)

    Gregory Park

    Full Text Available Using a large social media dataset and open-vocabulary methods from computational linguistics, we explored differences in language use across gender, affiliation, and assertiveness. In Study 1, we analyzed topics (groups of semantically similar words across 10 million messages from over 52,000 Facebook users. Most language differed little across gender. However, topics most associated with self-identified female participants included friends, family, and social life, whereas topics most associated with self-identified male participants included swearing, anger, discussion of objects instead of people, and the use of argumentative language. In Study 2, we plotted male- and female-linked language topics along two interpersonal dimensions prevalent in gender research: affiliation and assertiveness. In a sample of over 15,000 Facebook users, we found substantial gender differences in the use of affiliative language and slight differences in assertive language. Language used more by self-identified females was interpersonally warmer, more compassionate, polite, and-contrary to previous findings-slightly more assertive in their language use, whereas language used more by self-identified males was colder, more hostile, and impersonal. Computational linguistic analysis combined with methods to automatically label topics offer means for testing psychological theories unobtrusively at large scale.

  6. 78 FR 2669 - Waste Import and Export; Inquiry To Learn Whether Businesses Assert Business Confidentiality Claims

    Science.gov (United States)

    2013-01-14

    ... responses to this notice must be in the English language. 5. The Effect of Failure To Respond to This Notice... AGENCY Waste Import and Export; Inquiry To Learn Whether Businesses Assert Business Confidentiality... comments, identified by Docket ID No. EPA-HQ- OECA-2012-0957, by one of the following methods:...

  7. 29 CFR 825.220 - Protection for employees who request leave or otherwise assert FMLA rights.

    Science.gov (United States)

    2010-07-01

    ... otherwise assert FMLA rights. (a) The FMLA prohibits interference with an employee's rights under the law, and with legal proceedings or inquiries relating to an employee's rights. More specifically, the law... with” the exercise of an employee's rights would include, for example, not only refusing to...

  8. Perceived Social Support and Assertiveness as a Predictor of Candidates Psychological Counselors' Psychological Well-Being

    Science.gov (United States)

    Ates, Bünyamin

    2016-01-01

    In this research, to what extent the variables of perceived social support (family, friends and special people) and assertiveness predicted the psychological well-being levels of candidate psychological counselors. The research group of this study included totally randomly selected 308 candidate psychological counselors including 174 females…

  9. Effects of Assertiveness Training and Expressive Writing on Acculturative Stress in International Students: A Randomized Trial

    Science.gov (United States)

    Tavakoli, Shedeh; Lumley, Mark A.; Hijazi, Alaa M.; Slavin-Spenny, Olga M.; Parris, George P.

    2009-01-01

    International university students often experience acculturative stress, and culturally appropriate techniques to manage stress are needed. This randomized trial tested the effects of group assertiveness training, private expressive writing, their combination, and a wait-list control on the acculturative stress, affect, and health of 118…

  10. The effect of recreational physical exercise on depression and assertiveness levels of university students

    Directory of Open Access Journals (Sweden)

    Gülcan Tekin

    2009-07-01

    Full Text Available The aim of this study was to investigate the effects of the recreational physical exercise on depression and assertiveness levels of the university students who had never participated in regular physical exercise before. There were 15 male and 15 female totally 30 students in control group and 15 male and 15 female students in exercise group of research. The students in control group carried on their usual life during the research while the students in exercise group participated in a 8 week exercise program including folk dances and step for an hour 3 times a week. The data collecting materials were the Beck Depression Inventory (BDI for depression scores, and the Rathus Assertiveness Inventory (RAI for the scores of assertiveness. Both Inventories were applied to the control group for 2 times as first and last measurement (at first week before exercise and last week after exercise and to the exercise group for 3 times as first, mid and last measurement (at first week before exercise, at eighth week after exercise, and last week after exercise. Mean, frequency, percent, standart deviation, t-test, ANOVA, and Tukey HSD Post Hoc tests scores were given in texts, figures, and tables. The results showed that participation in physical exercise in leisure affects the depression and assertiveness levels of students in both sex positively.

  11. The effect of recreational physical exercise on depression and assertiveness levels of university students

    Directory of Open Access Journals (Sweden)

    Gülcan Tekin

    2009-07-01

    Full Text Available  The aim of this study was to investigate the effects of the recreational physical exercise on depression and assertiveness levels of the university students who had never participated in regular physical exercise before. There were 15 male and 15 female totally 30 students in control group and 15 male and 15 female students in exercise group of research. The students in control group carried on their usual life during the research while the students in exercise group participated in a 8 week exercise program including folk dances and step for an hour 3 times a week. The data collecting materials were the Beck Depression Inventory (BDI for depression scores, and the Rathus Assertiveness Inventory (RAI for the scores of assertiveness. Both Inventories were applied to the control group for 2 times as first and last measurement (at first week before exercise and last week after exercise and to the exercise group for 3 times as first, mid and last measurement (at first week before exercise, at eighth week after exercise, and last week after exercise. Mean, frequency, percent, standart deviation, t-test, ANOVA, and Tukey HSD Post Hoc tests scores were given in texts, figures, and tables. The results showed that participation in physical exercise in leisure affects the depression and assertiveness levels of students in both sex positively

  12. Assertive Classroom Management Strategies and Students' Performance: The Case of EFL Classroom

    Science.gov (United States)

    Aliakbari, Mohammad; Bozorgmanesh, Bafrin

    2015-01-01

    Ample research findings support the effective role that classroom management strategies play in enhancing students' learning. Drawing upon Iranian high school teachers' classroom management strategies, this article is intended to examine the extent to which these teachers follow assertive classroom management strategies and if these strategies…

  13. Women are Warmer but No Less Assertive than Men: Gender and Language on Facebook.

    Science.gov (United States)

    Park, Gregory; Yaden, David Bryce; Schwartz, H Andrew; Kern, Margaret L; Eichstaedt, Johannes C; Kosinski, Michael; Stillwell, David; Ungar, Lyle H; Seligman, Martin E P

    2016-01-01

    Using a large social media dataset and open-vocabulary methods from computational linguistics, we explored differences in language use across gender, affiliation, and assertiveness. In Study 1, we analyzed topics (groups of semantically similar words) across 10 million messages from over 52,000 Facebook users. Most language differed little across gender. However, topics most associated with self-identified female participants included friends, family, and social life, whereas topics most associated with self-identified male participants included swearing, anger, discussion of objects instead of people, and the use of argumentative language. In Study 2, we plotted male- and female-linked language topics along two interpersonal dimensions prevalent in gender research: affiliation and assertiveness. In a sample of over 15,000 Facebook users, we found substantial gender differences in the use of affiliative language and slight differences in assertive language. Language used more by self-identified females was interpersonally warmer, more compassionate, polite, and-contrary to previous findings-slightly more assertive in their language use, whereas language used more by self-identified males was colder, more hostile, and impersonal. Computational linguistic analysis combined with methods to automatically label topics offer means for testing psychological theories unobtrusively at large scale. PMID:27223607

  14. A Study of the Relationship between Assertive Parenting Styles and Career Indecision in College Students

    Science.gov (United States)

    Cullen, Keith C.

    2013-01-01

    For a variety of reasons, higher levels of parental assertiveness have begun to impact even the basic conflicts college students encounter while in attendance. Called "helicopter parenting" within the popular press, these parents are described as involving themselves in the minutia of their child's college experience, engaging with…

  15. Gender roles in relation to assertiveness and Eysenckian personality dimensions : Replication with a Spanish population sample

    NARCIS (Netherlands)

    Arrindell, W.A.; Vergara, A.I.; Torres, B.; Caballo, V.E.; Sanderman, R.; Calvo, M G; Vanderende, J.; Oosterhof, L.; Castro, J

    1997-01-01

    The objective of the present study was to evaluate the cross-national replicability of the usual pattern of associations observed in Anglo-Saxon samples between masculinity and femininity on the one hand and difficulty and distress in assertiveness and the major Eysenckian dimensions of personality

  16. Ivermectin Treatment and Sanitation Effectively Reduce Strongyloides stercoralis Infection Risk in Rural Communities in Cambodia

    Science.gov (United States)

    Forrer, Armelle; Khieu, Virak; Schindler, Christian; Schär, Fabian; Marti, Hanspeter; Char, Meng Chuor; Muth, Sinuon; Odermatt, Peter

    2016-01-01

    Background Strongyloides stercoralis is the only soil-transmitted helminth with the ability to replicate within its host, leading to long-lasting and potentially fatal infections. It is ubiquitous and its worldwide prevalence has recently been estimated to be at least half that of hookworm. Information on the epidemiology of S. stercoralis remains scarce and modalities for its large-scale control are yet to be determined. Methodology/Principal Findings A community-based two-year cohort study was conducted among the general population in a rural province in North Cambodia. At each survey, participants infected with S. stercoralis were treated with a single oral dose of ivermectin (200μg/kg BW). Diagnosis was performed using a combination of the Baermann method and Koga agar plate culture on two stool samples. The cohort included participants from eight villages who were either positive or negative for S. stercoralis at baseline. Mixed logistic regression models were employed to assess risk factors for S. stercoralis infection at baseline and re-infection at follow-up. A total of 3,096 participants were examined at baseline, revealing a S. stercoralis prevalence of 33.1%. Of these participants, 1,269 were followed-up over two years. Re-infection and infection rates among positive and negative participants at baseline were 14.4% and 9.6% at the first and 11.0% and 11.5% at the second follow-up, respectively. At follow-up, all age groups were at similar risk of acquiring an infection, while infection risk significantly decreased with increasing village sanitation coverage. Conclusions/Significance Chemotherapy-based control of S. stercoralis is feasible and highly beneficial, particularly in combination with improved sanitation. The impact of community-based ivermectin treatment on S. stercoralis was high, with over 85% of villagers remaining negative one year after treatment. The integration of S. stercoralis into existing STH control programs should be considered

  17. Community-based promotional campaign to improve uptake of intermittent preventive antimalarial treatment in pregnancy in Burkina Faso

    NARCIS (Netherlands)

    S. Gies; S.O. Coulibaly; C. Ky; F.T. Ouattara; B.J. Brabin; U. D'Alessandro

    2009-01-01

    Malaria preventive strategies in pregnancy were assessed in a health center randomized trial comparing intermittent preventive treatment with sulfadoxine-pyrimethamine (IPTp-SP) with and without community based promotional activities in rural Burkina Faso. The study involved 2,240 secundigravidae an

  18. Population dynamics of iron-oxidizing communities in pilot plants for the treatment of acid mine waters

    Energy Technology Data Exchange (ETDEWEB)

    Elke Heinzel; Eberhard Janneck; Franz Glombitza; Michael Schlmann; Jana Seifert [TU Bergakademie Freiberg, Freiberg (Germany). Interdisciplinary Ecological Center

    2009-08-15

    The iron-oxidizing microbial community in two pilot plants for the treatment of acid mine water was monitored to investigate the influence of different process parameters such as pH, iron concentration, and retention time on the stability of the system to evaluate the applicability of this treatment technology on an industrial scale. The dynamics of the microbial populations were followed using T-RFLP (terminal restriction fragment length polymorphism) over a period of several months. For a more precise quantification, two TaqMan assays specific for the two prominent groups were developed and the relative abundance of these taxa in the iron-oxidizing community was verified by real-time PCR. The investigations revealed that the iron-oxidizing community was clearly dominated by two groups of Betaproteobacteria affiliated with the poorly known and not yet recognized species 'Ferrovum myxofaciens' and with strains related to Gallionella ferruginea, respectively. These taxa dominated the microbial community during the whole investigation period and accelerated the oxidation of ferrous iron despite the changing characteristics of mine waters flowing into the plants. Thus, it is assumed that the treatment technology can also be applied to other mine sites and that these organisms play a crucial role in such treatment systems. 32 refs., 4 figs. 1 tab.

  19. Self-Stigma and Quality of Life among People with Mental Illness Who Receive Compulsory Community Treatment Services

    Science.gov (United States)

    Livingston, James

    2012-01-01

    The present study was designed to examine the relationship between self-stigma and quality of life over a one year time period for 71 people with mental illness who were receiving compulsory community mental health treatment. It was hypothesized that, over time, self-stigma would have the direct effect of eroding quality of life among people with…

  20. Individualized treatment strategies in community-acquired pneumonia : from initial inflammatory response to long-term prognosis

    NARCIS (Netherlands)

    Bruns, A.H.W.

    2010-01-01

    Community-acquired pneumonia (CAP) is one of the most important causes of hospital admissions and together with influenza the third leading cause of death worldwide. Moreover, treatment of CAP largely contributes to the global burden of antibiotic resistance. In present thesis, we explored options f

  1. Implementation of a Smoking Cessation Treatment Study at Substance Abuse Rehabilitation Programs: Smoking Behavior and Treatment Feasibility Across Varied Community-based Outpatient Programs.

    Science.gov (United States)

    Reid, Malcolm S; Fallon, Bryan; Sonne, Susan; Nunes, Edward V; Lima, Jennifer; Jiang, Huiping; Tyson, Clare; Hiott, Robert; Arfken, Cynthia; Bohs, Rhonda; Orr, Deborah; Muir, Joan; Pihlgren, Eric; Loree, Amy; Fuller, Brett E; Giordano, Louis; Robinson, James; Rotrosen, John

    2007-09-01

    Cigarette smoking is widely prevalent among individuals in treatment for drug or alcohol dependence; however, the treatment of nicotine addiction in this population has numerous obstacles at both programmatic and patient levels. Despite these difficulties, recent studies have demonstrated moderate success in implementing smoking cessation treatment in drug rehabilitation programs. The National Drug Abuse Treatment Clinical Trials Network sponsored a smoking cessation study in 13 community-based outpatient substance abuse rehabilitation programs across the country. The study evaluated the effectiveness of smoking cessation treatment provided as an adjunct to substance abuse treatment-as-usual. This report summarizes the practical and clinical experiences encountered at each of the study sites with regard to implementing the smoking cessation treatment intervention. Smoking behavior of the treatment clientele was assessed by anonymous survey at each site. In addition, sites were systematically characterized by using program review and assessment tools completed by the respective staff and program directors at the site. Survey and recruitment data indicated that cigarette smoking is more prevalent and that smoking cessation treatment is more feasible, in methadone maintenance treatment programs. Other factors associated with smoking behavior and with the recruitment of drug- and alcohol-dependent individuals into the smoking cessation treatment study are described.

  2. A QUANTIFIER-ELIMINATION BASED HEURISTIC FOR AUTOMATICALLY GENERATING INDUCTIVE ASSERTIONS FOR PROGRAMS

    Institute of Scientific and Technical Information of China (English)

    Deepak KAPUR

    2006-01-01

    A method using quantifier-elimination is proposed for automatically generating program invariants/inductive assertions. Given a program, inductive assertions, hypothesized as parameterized formulas in a theory, are associated with program locations. Parameters in inductive assertions are discovered by generating constraints on parameters by ensuring that an inductive assertion is indeed preserved by all execution paths leading to the associated location of the program. The method can be used to discover loop invariants-properties of variables that remain invariant at the entry of a loop. The parameterized formula can be successively refined by considering execution paths one by one; heuristics can be developed for determining the order in which the paths are considered. Initialization of program variables as well as the precondition and postcondition, if available, can also be used to further refine the hypothesized invariant. The method does not depend on the availability of the precondition and postcondition of a program. Constraints on parameters generated in this way are solved for possible values of parameters. If no solution is possible, this means that an invariant of the hypothesized form is not likely to exist for the loop under the assumptions/approximations made to generate the associated verification condition. Otherwise, if the parametric constraints are solvable, then under certain conditions on methods for generating these constraints, the strongest possible invariant of the hypothesized form can be generated from most general solutions of the parametric constraints. The approach is illustrated using the logical languages of conjunction of polynomial equations as well as Presburger arithmetic for expressing assertions.

  3. Community participation for malaria elimination in tafea province, vanuatu: part ii. social and cultural aspects of treatment-seeking behaviour

    Directory of Open Access Journals (Sweden)

    Riley Ian

    2011-07-01

    Full Text Available Abstract Background Early diagnosis and prompt effective case management are important components of any malaria elimination strategy. Tafea Province, Vanuatu has a rich history of traditional practices and beliefs, which have been integrated with missionary efforts and the introduction of modern constructions of health. Gaining a detailed knowledge of community perceptions of malarial symptomatology and treatment-seeking behaviours is essential in guiding effective community participation strategies for malaria control and elimination. Method An ethnographic study involving nine focus group discussions (FGD, 12 key informant interviews (KII and seven participatory workshops were carried out on Tanna Island, Vanuatu. Villages in areas of high and low malaria transmission risk were selected. Four ni-Vanuatu research officers, including two from Tanna, were trained and employed to conduct the research. Data underwent thematic analysis to examine treatment-seeking behaviour and community perceptions of malaria. Results Malaria was perceived to be a serious, but relatively new condition, and in most communities, identified as being apparent only after independence in 1980. Severe fever in the presence of other key symptoms triggered a diagnosis of malaria by individuals. Use of traditional or home practices was common: perceived vulnerability of patient and previous experience with malaria impacted on the time taken to seek treatment at a health facility. Barriers to health care access and reasons for delay in care-seeking included the availability of health worker and poor community infrastructure. Conclusion Due to programme success of achieving low malaria transmission, Tafea province has been identified for elimination of malaria by 2012 in the Government of Vanuatu Malaria Action Plans (MAP. An effective malaria elimination programme requires interactions between the community and its leaders, malaria workers and health providers for success in

  4. Different options for metal recovery after sludge decontamination at the Montreal Urban Community wastewater treatment plant.

    Science.gov (United States)

    Meunier, N; Blais, J F; Lounès, M; Tyagi, R D; Sasseville, J L

    2002-01-01

    The MUG (Montreal Urban Community) treatment plant produces approximately 270 tons of dry sludge daily (270 tds/day) during the physico-chemical treatment of wastewater. Recently, this treatment plant endowed a system of drying and granulation of sludge for valorization as an agricultural fertilizer having a capacity of 70 tds/day (25% of the daily sludge production). However, the metal content (mainly Cu and Cd) of the sludge surpasses the norms for biosolids valorization. In order to solve this problem, a demonstration project, from the lab scale to the industrial pilot plant, was carried out to test the Metix-AC technology for the removal of metals. A strongly metal-loaded filtrate was generated during the sludge decontamination. Tests concerned the study of the metal recovery by total precipitation and selective precipitation, as well as the use of alternative products for the metal precipitation. Other works consisted to simulate the acid filtrate recirculation from the decontaminated sludge (25% of the total volume) in the untreated sludge (75% of the total volume) intended for the incineration. The total precipitation with hydrated limeappearedeffectivefortherecoveryof metals (87% Cd, 96% Cr, 97% Cu, 98% Fe, 71% Ni, 100% Pb, 98% Zn). However, this option entails the production of an important quantity of metallic residue, which should be disposed of expensively as dangerous material. The selective iron precipitation does not appear to bean interesting option because the iron in solution within the leached sludge was principally present in the form of ferrous iron, which cannot be precipitated at pH lower than five. On the other hand, the use of commercial precipitating agents (TMT-15, CP-33Z, CP-NB and CPX) without pH adjustment of filtrate gave good results for the recovery of Cu and, to a lesser degree for the recovery of Pb. However, the efficiency for the other metals' (Cd, Cr, Fe, Ni and Zn) recovery was weaker (< 25%). Finally, the acid filtrate

  5. Obstacles to prompt and effective malaria treatment lead to low community-coverage in two rural districts of Tanzania

    Directory of Open Access Journals (Sweden)

    Dillip Angel

    2008-09-01

    Full Text Available Abstract Background Malaria is still a leading child killer in sub-Saharan Africa. Yet, access to prompt and effective malaria treatment, a mainstay of any malaria control strategy, is sub-optimal in many settings. Little is known about obstacles to treatment and community-effectiveness of case-management strategies. This research quantified treatment seeking behaviour and access to treatment in a highly endemic rural Tanzanian community. The aim was to provide a better understanding of obstacles to treatment access in order to develop practical and cost-effective interventions. Methods We conducted community-based treatment-seeking surveys including 226 recent fever episodes in 2004 and 2005. The local Demographic Surveillance System provided additional household information. A census of drug retailers and health facilities provided data on availability and location of treatment sources. Results After intensive health education, the biomedical concept of malaria has largely been adopted by the community. 87.5% (78.2–93.8 of the fever cases in children and 80.7% (68.1–90.0 in adults were treated with one of the recommended antimalarials (at the time SP, amodiaquine or quinine. However, only 22.5% (13.9–33.2 of the children and 10.5% (4.0–21.5 of the adults received prompt and appropriate antimalarial treatment. Health facility attendance increased the odds of receiving an antimalarial (OR = 7.7 but did not have an influence on correct dosage. The exemption system for under-fives in public health facilities was not functioning and drug expenditures for children were as high in health facilities as with private retailers. Conclusion A clear preference for modern medicine was reflected in the frequent use of antimalarials. Yet, quality of case-management was far from satisfactory as was the functioning of the exemption mechanism for the main risk group. Private drug retailers played a central role by complementing existing formal health

  6. Monitoring impact of mefenacet treatment on soil microbial communities by PCR-DGGE fingerprinting and conventional testing procedures

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    The effect of acetanilide herbicide mefenacet on soil microbial communities was studied using paddy soil samples with different short-term treatments. The culturable bacteria (plate counts), dehydrogenase activity and changes in community structure(denaturing gradient gel electrophoresis (DGGE) analysis) were used for biological community assessments. Mefenacet was a significant stimulus to cultural aerobic bacteria and dehydrogenase activity while Sphingobacterium multivorum Y1, a bacterium efficiently degrading the mefenacet, only induced the increasing colony-forming unit (CFU) of bacteria but little effect on dehydrogenase activity during the whole experiment. The degree of similarity between the 16S rDNA profiles of the communities was quantified by numerically analyzing the DGGE band patterns. Similarity dendrograms showed that the microbial community structures of the mefenacet-treated and non-treated soils were not significantly different. But supplement ofS. multivorum Y1 could increase the diversity of the microbial community in the mefenacet-polluted paddy soil. This work is a new attempt to apply the S. multivorum Y1for remediation of the mefenacet-polluted environments.

  7. The Feasibility of Cognitive Adaptation Training for Outpatients with Schizophrenia in Integrated Treatment

    DEFF Research Database (Denmark)

    Hansen, Jens Peter; Ostergaard, Birte; Nordentoft, Merete;

    2012-01-01

    Cognitive adaptation training (CAT) has been tested as a psychosocial treatment, showing promising results. To date there are no reported tests of CAT treatment outside the United States. Thus, we decided to adjust CAT treatment and apply it to an Integrated Treatment setting in Denmark. In this ......Cognitive adaptation training (CAT) has been tested as a psychosocial treatment, showing promising results. To date there are no reported tests of CAT treatment outside the United States. Thus, we decided to adjust CAT treatment and apply it to an Integrated Treatment setting in Denmark...... and quality of life were assessed using instruments validated in a Danish context. It was judged that, after some adjustments to fit the Danish assertive community treatment, CAT treatment was feasible in a Danish setting....

  8. The Feasibility of Cognitive Adaption Training for Outpatients with Schizophrenia in Integrated Treatment

    DEFF Research Database (Denmark)

    Hounsgaard, Lise; Hansen, J. P.; Østergaard, B.;

    2012-01-01

    Cognitive adaptation training (CAT) has been tested as a psychosocial treatment, showing promising results. To date there are no reported tests of CAT treatment outside the United States. Thus, we decided to adjust CAT treatment and apply it to an Integrated Treatment setting in Denmark. In this ......Cognitive adaptation training (CAT) has been tested as a psychosocial treatment, showing promising results. To date there are no reported tests of CAT treatment outside the United States. Thus, we decided to adjust CAT treatment and apply it to an Integrated Treatment setting in Denmark...... and quality of life were assessed using instruments validated in a Danish context. It was judged that, after some adjustments to fit the Danish assertive community treatment, CAT treatment was feasible in a Danish setting....

  9. Sewerage Treatment Plants, Community Facility- wastewater treatment, Published in 2010, 1:24000 (1in=2000ft) scale, Georgia Department of Community Affairs.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Sewerage Treatment Plants dataset, published at 1:24000 (1in=2000ft) scale, was produced all or in part from Other information as of 2010. It is described as...

  10. Rapid suppression of Onchocerca volvulus transmission in two communities of the Southern Chiapas focus, Mexico, achieved by quarterly treatments with Mectizan.

    Science.gov (United States)

    Rodríguez-Pérez, Mario A; Lutzow-Steiner, Miguel A; Segura-Cabrera, Aldo; Lizarazo-Ortega, Cristian; Domínguez-Vázquez, Alfredo; Sauerbrey, Mauricio; Richards, Frank; Unnasch, Thomas R; Hassan, Hassan K; Hernández-Hernández, Raymundo

    2008-08-01

    The impact of quarterly Mectizan (ivermectin) treatments on transmission, microfiladermia, and ocular lesions was evaluated in two formerly hyperendemic communities (Las Golondrinas and Las Nubes II) located in the main endemic focus for onchocerciasis in Southern Chiapas, Mexico. The data suggest that Onchocerca volvulus transmission has been suppressed after elimination of microfiladermia in these two communities. Increasing the frequency of Mectizan treatment to four times per year appears to have resulted in the rapid suppression of transmission in communities with residual transmission.

  11. Personality Pathology and Mental Health Treatment Seeking in a Community Sample of Older Adults

    OpenAIRE

    Lawton, Erin M.; Oltmanns, Thomas F.

    2012-01-01

    Sampling issues are extremely important in studies of psychopathology, especially with regard to the investigation of personality disorders (PDs). Many studies rely on clinical samples while others have focused on representative samples of community residents. Do people who qualify for a PD diagnosis seek and receive mental health services with greater (or possibly reduced) frequency compared to others in the community? Do community-based studies of PDs include people who have been treated? A...

  12. Effect of a community-based delivery of intermittent preventive treatment of malaria in pregnancy on treatment seeking for malaria at health units in Uganda

    DEFF Research Database (Denmark)

    Mbonye, Anthony; Hansen, Kristian Schultz; Bygbjerg, Ib;

    2008-01-01

    Background: The impact of intermittent preventive treatment (IPTp) on malaria in pregnancy is well known. However, in countries where this policy is implemented, poor access and low compliance have been widely reported. Novel approaches are needed to deliver this intervention. Objective: To assess...... whether traditional birth attendants, drug-shop vendors, community reproductive health workers and adolescent peer mobilizers can administer IPTp with sulphadoxine-pyrimethamine (SP) to pregnant women, reach those at greatest risk of malaria, and increase access and compliance with IPTp. Study design...... of the intervention on access to malaria treatment, antenatal care, other services and related costs. Results: More women (67.5%) received two doses of SP through the community approach compared with health units (39.9%; P

  13. Effect of a community-based delivery of intermittent preventive treatment of malaria in pregnancy on treatment seeking for malaria at health units in Uganda

    DEFF Research Database (Denmark)

    Mbonye, A K; Schultz Hansen, K; Bygbjerg, I C;

    2008-01-01

    BACKGROUND: The impact of intermittent preventive treatment (IPTp) on malaria in pregnancy is well known. However, in countries where this policy is implemented, poor access and low compliance have been widely reported. Novel approaches are needed to deliver this intervention. OBJECTIVE: To assess...... whether traditional birth attendants, drug-shop vendors, community reproductive health workers and adolescent peer mobilizers can administer IPTp with sulphadoxine-pyrimethamine (SP) to pregnant women, reach those at greatest risk of malaria, and increase access and compliance with IPTp. STUDY DESIGN...... of the intervention on access to malaria treatment, antenatal care, other services and related costs. RESULTS: More women (67.5%) received two doses of SP through the community approach compared with health units (39.9%; P

  14. Genotypic analysis of β-tubulin in Onchocerca volvulus from communities and individuals showing poor parasitological response to ivermectin treatment.

    Science.gov (United States)

    Osei-Atweneboana, Mike Y; Boakye, Daniel A; Awadzi, Kwablah; Gyapong, John O; Prichard, Roger K

    2012-12-01

    Ivermectin (IVM) has been in operational use for the control of onchocerciasis for two decades and remains the only drug of choice. To investigate the parasitological responses and genetic profile of Onchocerca volvulus, we carried out a 21 month epidemiological study to determine the response of the parasite to IVM in 10 Ghanaian endemic communities. Onchocerca nodules were surgically removed from patients in three IVM response categories (good, intermediate and poor) and one IVM naïve community. DNA from adult worms was analyzed to determine any association between genotype and IVM response phenotypic. Embryogramme analysis showed significantly higher reproductive activity in worms from poor response communities, which had up to 41% of females with live stretched microfilaria (mf) in utero, despite IVM treatment, compared with good response communities, which had no intra-uterine stretched mf. β-tubulin isotype 1 gene has been shown to be linked to IVM selection in O. volvulus and also known to be associated with IVM resistance in veterinary nematodes. We have genotyped the full length genomic DNA sequence of the β-tubulin gene from 127 adult worms obtained from the four community categories. We found SNPs at 24 sites over the entire 3696 bp. Eight of the SNPs occurred at significantly higher (p < 0.05) frequencies in the poor response communities compared with the good response communities and the IVM naïve community. Phenotypic and genotypic analyses show that IVM resistance has been selected and the genotype (1183GG/1188CC/1308TT/1545GG) was strongly associated with the resistance phenotype. Since the region in the β-tubulin gene where these four SNPs occur is within 362 bp, it is feasible to develop a genetic marker for the early detection of IVM resistance. PMID:24533268

  15. Putting Corporate Social Responsibility to Work in Mining Communities: Exploring Community Needs for Central Appalachian Wastewater Treatment

    Directory of Open Access Journals (Sweden)

    Nicholas Cook

    2015-04-01

    Full Text Available Due to the finite nature of non-renewable mineral and energy resources such as coal, resource extraction is inherently unsustainable; however, mining and related activities can contribute to sustainable development. Indeed, the principles of corporate social responsibility (CSR require that mine operators design and conduct their activities in ways that provide for net positive impacts on surrounding communities and environments. In Central Appalachia, there appears to be a particularly ripe opportunity for the coal industry to put CSR to work: participation in sustainable solutions to the long-standing problem of inadequately treated wastewater discharges—which not only represent a potential human health hazard, but also contribute to the relatively high incidence of bacterial impairments in surface waters in the region. In this paper, we outline the underlying factors of this problem and the advantages of industry-aided solutions in a region where limited economic and technical resources are not always aligned with social and environmental needs. We also suggest a framework for problem-solving, which necessarily involves all interested stakeholders, and identify the primary challenges that must be overcome in pursuit of sustainable solutions.

  16. Assertive classroom management strategies and students’ performance: The case of EFL classroom

    Directory of Open Access Journals (Sweden)

    Mohammad Aliakbari

    2015-12-01

    Full Text Available Ample research findings support the effective role that classroom management strategies play in enhancing students’ learning. Drawing upon Iranian high school teachers’ classroom management strategies, this article is intended to examine the extent to which these teachers follow assertive classroom management strategies and if these strategies affect students’ performance. Conducting a survey including 123 female students, it was found out that Iranian teachers apply classroom management strategies of organization, teaching management, teacher–student relationship, and teacher punishment–rewards (consequences with varying degrees. In the results section, Pearson correlation is applied between students’ achievement and each part of teacher management strategies. Finally, a positive relationship between teachers’ assertiveness and students’ performance was approved. The findings led to implications for in-service training programs for EFL teachers.

  17. Assertion-Based Design Exploration of DVS in Network Processor Architectures

    CERN Document Server

    Yu, Jia; Chen, Xi; Hsieh, Harry; Yang, Jun; Balarin, Felice

    2011-01-01

    With the scaling of technology and higher requirements on performance and functionality, power dissipation is becoming one of the major design considerations in the development of network processors. In this paper, we use an assertion-based methodology for system-level power/performance analysis to study two dynamic voltage scaling (DVS) techniques, traffic-based DVS and execution-based DVS, in a network processor model. Using the automatically generated distribution analyzers, we analyze the power and performance distributions and study their trade-offs for the two DVS policies with different parameter settings such as threshold values and window sizes. We discuss the optimal configurations of the two DVS policies under different design requirements. By a set of experiments, we show that the assertion-based trace analysis methodology is an efficient tool that can help a designer easily compare and study optimal architectural configurations in a large design space.

  18. Equivalence and standard scores of the Hurlbert Index of Sexual Assertiveness across Spanish men and women

    Directory of Open Access Journals (Sweden)

    Pablo Santos-Iglesias

    2014-01-01

    Full Text Available The purpose of the present study was to analyze the measurement invariance and differential item functioning of the Spanish version of the Hurlbert Index of Sexual Assertiveness across gender. The sample was composed of 1,600 women and 1,598 men from Spain, with ages ranging from 18 to 84 years old. The Hurlbert Index of Sexual Assertiveness only showed weak invariance for men and women. The differential item functioning analysis showed that only item 2 ("I feel that I am shy when it comes to sex" flagged moderate uniform differential item functioning. More specifically, women tended to respond "Always" to this item more frequently than did men. Results strongly suggested eliminating item 2, resulting in a final version with 18 items clustered into two dimensions with good reliability values for men and women. Standard scores for both Initiation and No Shyness/Refusal reflected traditional sexual scripts for men and women.

  19. The psychometric development and initial validation of the DCI-A short form for adolescent therapeutic community treatment process.

    Science.gov (United States)

    Stucky, Brian D; Edelen, Maria Orlando; Vaughan, Christine A; Tucker, Joan S; Butler, Jennifer

    2014-04-01

    The 5-factor client-report Dimensions of Change in Therapeutic Communities Treatment Instrument-Adolescent (DCI-A) was developed to assess adolescent substance abuse treatment process in the therapeutic community (TC). The goal of this study was to use bifactor modeling to derive a unidimensional DCI-A short-form (DCI-A-SF) that would represent content from the original DCI-A factors. Data are from 442 adolescents receiving treatment at one of seven residential TC programs. Bifactor analyses suggested selection of seven DCI-A items to comprise the short form. Three items are from the treatment motivation factor, and one item was selected from each of the remaining four factors. Confirmatory factor analysis suggested that the 7-item DCI-A-SF is strongly unidimensional, and unidimensional IRT analysis of the items indicated good internal consistency. A structural equation model that demonstrates the mediating relationship of DCI-A-SF with other measures, including demographic and pre-treatment characteristics, and subsequent treatment completion, provides preliminary evidence of internal validity.

  20. Anemia Screening and Treatment Outcomes of Children in a Low-resource Community in the Dominican Republic.

    Science.gov (United States)

    McLennan, John D; Steele, MacGregor

    2016-04-01

    Iron is often initiated for children with low hemoglobin values in the absence of other indicators of iron deficiency in low-resource settings. Unfortunately, there are few reports describing outcomes from such an approach outside of clinical trials. This study examined outcomes of an anemia screening and treatment service in a low-resource community in the Dominican Republic. Complete blood counts (CBC) and receipt of iron supplementation were extracted from health records of young children participating in a well-baby clinic in the targeted community. Of the 265 children screened, 68.7% had hemoglobin values iron supplements, only 21.4% had a follow-up hemoglobin ≥11.0 g/dl. Amount of iron given was not related to change in hemoglobin at follow-up. More follow-up monitoring of quality and impact of community care is required with associated evidence-informed benchmark targets. PMID:26637824

  1. Acclimatization of communities of ammonia oxidizing bacteria to seasonal changes in optimal conditions in a coke wastewater treatment plant.

    Science.gov (United States)

    Kim, Young Mo

    2013-11-01

    The goal of this study was to investigate the correlation between optimal conditions of ammonia oxidation rates (AORs) and communities of ammonia oxidizing bacteria (AOB) adapting to seasonal changes in a full-scale wastewater treatment plant (WWTP). The optimal temperature and pH of specific AORs reflected seasonal variation patterns, showing the lowest values during the cold season, while the highest values in the warm season. Throughout the study period, Nitrosomonas europaea/eutropha and Nitrosomonas nitrosa remained the dominant AOB, indicating resistance to the influences of a changing environment. These results show that the optimal conditions for AOR can be adjusted to accommodate changing environmental conditions, relying on the acclimatization of a stable AOB community to given conditions, without any visible shift in the AOB community. PMID:24001689

  2. Assessment of periodontal status in dental fluorosis subjects using community periodontal index of treatment needs

    Directory of Open Access Journals (Sweden)

    Vandana K

    2007-01-01

    Full Text Available Background: Periodontitis is multifactorial in nature. The various determinants of periodontal disease are age, sex, race, socioeconomic status, and risk factors including tobacco usage and oral hygiene status. However, there is inconsistent epidemiological data on the periodontal status of subjects living in high-fluoride areas. The aim of the study was to investigate the effect of dental fluorosis on the periodontal status using community periodontal index of treatment needs (CPITN, as a clinical study. The purpose of this study is to determine the periodontal status using CPITN index in a population aged between 15 and 74 years residing in the high-fluoride areas of Davangere district. The possible reasons for the susceptibility of this population to periodontal disease are discussed. Materials and Methods: 1029 subjects, aged between 15 and 74 years suffering from dental fluorosis were assessed for their periodontal status. Clinical parameters recorded were OHI-S to assess the oral hygiene status, Jackson′s fluorosis index to assess the degree of fluorosis and CPITN index to assess the periodontal status where treatment need was excluded. Results: Gingivitis and periodontitis were more common in females (65.9% and 32.8%, respectively than in males (75.1% and 24.2%, respectively. Periodontitis was significantly more common in females. As the age advanced from 15 to 55 years and above, gingivitis reduced from 81.0 to 42.9% and periodontitis increased steadily from 18.0 to 57.1%, which was significant. Periodontitis was high in subjects with poor oral hygiene (81.3%, compared to those with good oral hygiene (14.5%, which was significant. As the degree of fluorosis increased, severity of gingivitis reduced and periodontitis increased, i.e., with A degree fluorosis, gingivitis was 89.4% and periodontitis 8.5%, but with F degree fluorosis the former was 64% and the latter 35.8%, which was statistically significant. Conclusion: The results

  3. The therapeutic community for addicts : intimacy, perent involvment and treatment outcome

    NARCIS (Netherlands)

    M. Kooyman (Martien)

    1992-01-01

    textabstractTherapeutic communities for addicts developed since the Sixties without a clear theory on what made them therapeutic. There have also been some doubts on their long term outcome results. Part I of this book describes how therapeutic communities for addicts have roots in the self-help mov

  4. A Randomized Trial of a Multimodal Community-Based Prisoner Reentry Program Emphasizing Substance Abuse Treatment

    Science.gov (United States)

    Grommon, Eric; Davidson, William S., II; Bynum, Timothy S.

    2013-01-01

    Prisoner reentry programs continue to be developed and implemented to ease the process of transition into the community and to curtail fiscal pressures. This study describes and provides relapse and recidivism outcome findings related to a randomized trial evaluating a multimodal, community-based reentry program that prioritized substance abuse…

  5. Senior Outreach Services: A Treatment-Oriented Outreach Team in Community Mental Health.

    Science.gov (United States)

    Knight, Bob; And Others

    1982-01-01

    Describes the development of a mobile geriatric outreach team. The importance of thorough, interdisciplinary assessment and the offering of active, brief psychotherapy are stressed. Community education programs and consultations to the aging network reach the senior community and other referral sources. Preliminary program evaluation data are…

  6. Assertive classroom management strategies and students’ performance: The case of EFL classroom

    OpenAIRE

    Mohammad Aliakbari; Bafrin Bozorgmanesh

    2015-01-01

    Ample research findings support the effective role that classroom management strategies play in enhancing students’ learning. Drawing upon Iranian high school teachers’ classroom management strategies, this article is intended to examine the extent to which these teachers follow assertive classroom management strategies and if these strategies affect students’ performance. Conducting a survey including 123 female students, it was found out that Iranian teachers apply classroom management stra...

  7. An Assertional Proof System for Multithreaded Java - Theory and Tool Support

    OpenAIRE

    Abraham, E

    2005-01-01

    Besides the features of a class-based object-oriented language, Java integrates concurrency via its thread classes, allowing for a multithreaded flow of control. The concurrency model includes shared-variable concurrency via instance variables, coordination via reentrant synchronization monitors, synchronous message passing, and dynamic thread creation. To reason about safety properties of multithreaded Java programs, we introduce a tool-supported assertional proof method for JavaMT ("Multi-T...

  8. Assertiveness Skills Training Efficiency on College Students’ Persuasive Subjective Norms against Substance Abuse

    OpenAIRE

    M Barati; H. Allahverdipour; B. Moeini; A. Farhadi Nasab; H. Mahjub; F. Jalilian

    2011-01-01

    Introduction & Objective: The prevalence of substance abuse among college students is increasing drastically and requires immediate skill-based substance abuse intervention such as assertive skills. The purpose of this study was to develope the healthy behavior to change the subjective norms of students in order to decrease their tendency towards substance abuse. Materials & Methods: A pre and post nonequivalent control group design study carried out on college students. A total number of 140...

  9. Effects of Assertiveness Training and Expressive Writing on Acculturative Stress in International Students: A Randomized Trial

    OpenAIRE

    Tavakoli, Shedeh; Lumley, Mark A.; Hijazi, Alaa M.; Slavin-Spenny, Olga M.; Parris, George P.

    2009-01-01

    International university students often experience acculturative stress, and culturally appropriate techniques to manage stress are needed. This randomized trial tested the effects of group assertiveness training, private expressive writing, their combination, and a wait-list control on the acculturative stress, affect, and health of 118 international students at an urban, American university. Interventions were conducted at the start of a semester, and assessments were conducted at baseline ...

  10. The effects of a sport education season on empathy and assertiveness

    OpenAIRE

    García López, Luis Miguel; Gutiérrez Díaz del Campo, David

    2013-01-01

    Background: One of the objectives of the new Spanish Education Act is for students to develop a series of social skills, largely derived from the ability variables of assertiveness and empathy. Sport Education is an instructional model that is deemed useful in the development of personal and social responsibility and social values. It requires interaction among students during group activities as there are many roles and responsibilities involved. Previous research on Sport Education reveals ...

  11. Women are Warmer but No Less Assertive than Men: Gender and Language on Facebook

    OpenAIRE

    Gregory Park; David Bryce Yaden; H Andrew Schwartz; Kern, Margaret L.; Eichstaedt, Johannes C.; Michael Kosinski; David Stillwell; Ungar, Lyle H.; Seligman, Martin E.P.

    2016-01-01

    Using a large social media dataset and open-vocabulary methods from computational linguistics, we explored differences in language use across gender, affiliation, and assertiveness. In Study 1, we analyzed topics (groups of semantically similar words) across 10 million messages from over 52,000 Facebook users. Most language differed little across gender. However, topics most associated with self-identified female participants included friends, family, and social life, whereas topics most asso...

  12. Efektifitas pelatihan SAT (self regulation, assertiveness and time management) untuk meningkatkan kedisiplinan remaja di SMA

    OpenAIRE

    Khairiah, Ummi

    2016-01-01

    Discipline adolescent is younger behavior to implement the role with self regulation, self motivation and time management. Self regulation, self motivation and time management to implement the rule reason of comprehension someboby. Missunderstanding making lose the capability self regulation, self motivation, and time management, and than maked behavior of desciplin. Cause of that need intervention psychologi with cognitive-behavior. The training is SAT (self regulation, assertiveness and tim...

  13. The Use of Financial Reporting Assertions at the Various Stages of Audit

    Directory of Open Access Journals (Sweden)

    Alla Aleksandrovna Vasilenko

    2015-12-01

    Full Text Available In the context of unsustainable economic development, the requirements that apply to reliability of financial reporting are growing steadily. From the auditor’s perspective it means actualization of the audit methodology problems which can be solved both at the level of financial reporting and the level of its assertions. The article examines the correlation between the audit stages and the usage of financial reporting assertions by auditor in the context of progressive audit. The author provides the results of the synthesis approaches of researchers to allocation and justification of the audit stages. The audit process consists of two directions: achieving the overall audit objectives and achieving the objectives at the level of individual segments. It is proposed to consider the four audit stages in accordance with International Standards on Auditing: 1 planning an audit; 2 audit procedures and audit evidence; 3 evaluation of misstatements identified during the audit; 4 forming an opinion in the audit report. It is established that financial reporting assertions are applied at the three of four audit stages. The analysis of standards on auditing has revealed strong relationship between the audit procedures and the financial reporting assertions. The links which are described in the article are implemented in the practice of auditing organizations by the development of audit documentation set for the various stages of audit. It allows to structure process of planning and performing audit procedures basing on the requirements of the international standards on auditing. As a result, the optimal conditions are created for expressing the opinion by auditor in his report regarding the reliability of the financial statements.

  14. Self-Esteem and Assertiveness Levels of Nursing and Midwifery Students

    OpenAIRE

    DİNÇER, Uz. Hem.Feray; ÖZTUNÇ, Doç. Dr. Gürsel

    2009-01-01

    Nursing and midwifery education is a difficult and stressful process. In this process, nursing and midwifery students are expected to have a high self-confidence, to express themselves, to communicate effectively, and to be able to defend his/her herself. The population of our descriptive study, which was conducted to determine self-esteem and assertiveness levels of nursing and midwifery students, consisted of the students of Çukurova University Adana Health College. Data is collected by que...

  15. Diasporic Authenticity Assertions: Analysis of Amy Tan’s The Bonesetter’s Daughter

    Directory of Open Access Journals (Sweden)

    Naeimeh Tabatabaei Lotfi

    2015-07-01

    Full Text Available This essay is an attempt to examine the active interaction of history and memory, in formulation of a diasporic authentic picture of past, in Amy Tan’s The Bonesetter’s Daughter (2001. Amongst discursive disciplines, memory and history perform vitally, in picturing past; both attempt to reproduce events, by emblematic narrative acts. However, their erratic quality endorses the existence of counter- stories that endangers displaying a homogeneous past. Among miscellaneous categories of memories, autobiographical memory asserts to obtain an authentic presentation, but as any other forms of accounts, it exhibits an imprecise fictional image. This psychological alleviation ensures the future mental integrity of trauma victims. In memory narratives, the contingent temperament of power network and continual formulation of resisting frameworks might be explored. Tan’s diasporic assertion of authenticity, as a migrant writer, amalgamated with employment of fantasy is to obtain a shared diasporic identity, among her characters, although personal accounts of characters undergo an extensive amount of contingency. The newly forged identity is collective in nature and defies the geographical and temporal borders and grants a humane picture rather than a diasporic one; an identity that is established to venerate the cardinal role of personal memory, in endowing legitimate truth. Keywords: Amy Tan- Authenticity Assertion- Memory- History- Diasporic Narrative

  16. ASSERT validation against the Stern Laboratories' single-phase pressure drop tests

    International Nuclear Information System (INIS)

    This paper describes the preliminary validation of ASSERT-IV against the single-phase pressure drop tests from the 37-element CHF (critical heat flux) experiments conducted at Stern Laboratories, and shows how this study fits into the overall ASSERT validation plan. The effects on the pressure drop of several friction and form loss models are evaluated, including the geometry-based K-factor model. The choice of friction factor has a small effect on the predicted channel pressure drop, compared to the form loss model choice. Using the uniform K-factors of Hameed, the computed pressure drops are in excellent agreement with the experimental results from the nominal pressure tube tests. For future ASSERT applications, either Hameed's uniform K-factors or the geometry-based model using Idelchik's thick-edged orifice equation are recommended, as are the friction factor correlations of Colebrook-White, Selander, and Aly and Groeneveld. More analysis of the geometry-based K-factor model is required. (author). 23 refs., 4 tabs., 9 figs

  17. Formal verification of reactor process control software using assertion checking environment

    International Nuclear Information System (INIS)

    Assertion Checking Environment (ACE) was developed in-house for carrying out formal (rigorous/ mathematical) functional verification of embedded software written in MISRA C. MISRA C is an industrially sponsored safe sub-set of C programming language and is well accepted in the automotive and aerospace industries. ACE uses static assertion checking technique for verification of MISRA C programs. First the functional specifications of the program are derived from the specifications in the form of pre- and post-conditions for each C function. These pre- and post-conditions are then introduced as assertions (formal comments) in the program code. The annotated C code is then formally verified using ACE. In this paper we present our experience of using ACE for the formal verification of process control software of a nuclear reactor. The Software Requirements Document (SRD) contained textual specifications of the process control software. The SRD was used by the designers to draw logic diagrams which were given as input to a code generator. The verification of the generated C code was done at 2 levels viz. (i) verification against specifications derived from logic diagrams, and (ii) verification against specifications derived from SRD. In this work we checked approximately 600 functional specifications of the software having roughly 15000 lines of code. (author)

  18. Chinese Assertiveness in the South China Sea and Southeast Asian Responses

    Directory of Open Access Journals (Sweden)

    Carlyle A. Thayer

    2011-01-01

    Full Text Available This article reviews Chinese assertive behaviour towards the Philippines and Vietnam over South China Sea issues in 2011. The article compares and contrasts Chinese diplomatic behaviour in the period before and after the adoption by ASEAN member states and China of Guidelines for the Implementation the Declaration on Conduct of Parties in the South China Sea in July. In the first period China aggressively asserted its claims to sovereignty by interfering with commercial fishing and oil exploration activities of vessels operating in the Exclusive Economic Zones of Vietnam and the Philippines. Both states resisted Chinese actions. The Philippines allocated increased funding for defence modernization, lobbied ASEAN states and shored up its alliance with the United States. Vietnam too protested Chinese action and undertook symbolic steps to defend national sovereignty. In the second period all states moved to contain South China Sea tensions from affecting their larger bilateral relations. It remains to be seen, however, if proposed confidence building measures will ameliorate Chinese assertiveness.

  19. Assertiveness Skills Training Efficiency on College Students’ Persuasive Subjective Norms against Substance Abuse

    Directory of Open Access Journals (Sweden)

    M. Barati

    2011-10-01

    Full Text Available Introduction & Objective: The prevalence of substance abuse among college students is increasing drastically and requires immediate skill-based substance abuse intervention such as assertive skills. The purpose of this study was to develope the healthy behavior to change the subjective norms of students in order to decrease their tendency towards substance abuse. Materials & Methods: A pre and post nonequivalent control group design study carried out on college students. A total number of 140 students were selected through randomized cluster sampling and randomly assigned to the intervention (n=70 and the control (n=70 groups. The data-gathering tool consisted of a self-report questionnaire assessing the variables of moral , descriptive , and injunctive norms. After the diagnostic evaluation, assertive skills promoting program was applied to persuade the participants against substances abuse. Respondents in the control and experimental groups completed questionnaires at baseline and 2 months after the intervention. Results: The result showed that educational manipulation had significant effect on intervention group’s average response for moral norms (t= -3.36, P<0.001, descriptive norms (t= -3.07, P<0.003, and injunctive norms for persuading substance abuse (t=-3.79, P<0.000.Conclusion: These findings suggest that assertive skills training would be an efficient tool in drug abuse prevention programs among adolescents that should also be included in the comprehensive school health programs. (Sci J Hamadan Univ Med Sci 2011;18(3:40-49

  20. Analysis of bacterial community structures in two sewage treatment plants with different sludge properties and treatment performance by nested PCR-DGGE method

    Institute of Scientific and Technical Information of China (English)

    LIU Xin-chun; ZHANG Yu; YANG Min; WANG Zhen-yu; LV Wen-zhou

    2007-01-01

    The bacterial community structures in two sewage treatment plants with different processes and performance were investigated by denaturing gradient gel electrophoresis (DGGE) of nested polymerase chain reaction (nested PCR) amplified 16S rRNA gene fragments with group-specific primers. Samples of raw sewage and treated effluents were amplified using the whole-cell PCR method, and the activated sludge samples were amplified using the extracted genomic DNA before the PCR products were loaded on the same DGGE gel for bacterial community analysis. Ammonia-oxidizing bacterial and actinomycetic community analysis were also carried out to investigate the relationship between specific population structures and system or sludge performance. The two plants demonstrated a similarity in bacterial community structures of raw sewage and activated sludge, but they had different effluent populations. Many dominant bacterial populations of raw sewage did not appear in the activated sludge samples, suggesting that the dominant bacterial populations in raw sewage might not play an important role during wastewater treatment. Although the two plants had different sludge properties in terms of settleability and foam forming ability, they demonstrated similar actinomycetic community structures. For activated sludge with bad settling performance, the treated water presented a similar DGGE pattern with that of activated sludge, indicating the nonselective washout of bacteria from the system. The plant with better ammonium removal efficiency showed higher ammonia-oxidizing bacteria (AOB) species richness. Analysis of sequencing results showed that the major populations in raw sewage were uncultured bacterium, while in activated sludge the predominant populations were beta proteobacteria.

  1. Community-based physical activity interventions for treatment of type 2 diabetes: A systematic review with meta-analysis

    Directory of Open Access Journals (Sweden)

    Ronald C Plotnikoff

    2013-01-01

    Full Text Available Evidence suggests engaging in regular physical activity (PA can have beneficial outcomes for adults with type 2 diabetes (TD2, including weight loss, reduction of medication usage and improvements in hemoglobin A1c (HbA1c/fasting glucose. While a number of clinical-based physical activity interventions exist, community-based approaches are limited. The objective of this study is to conduct a systematic review with meta-analysis to assess the effectiveness of community-based PA interventions for the treatment of TD2 in adult populations. A search of peer-reviewed publications from 2002 to June 2012 was conducted across several electronic databases to identify interventions evaluated in community settings. Twenty-two studies were identified, and 11 studies reporting HbA1c as an outcome measure were pooled in the meta-analysis. Risk of bias assessment was also conducted. The findings demonstrate community-based PA interventions can be effective in producing increases in PA. Meta-analysis revealed a lowering of HbA1c levels by -0.32% [95% CI -0.65, 0.01], which approached statistical significance (p < 0.06. Our findings can guide future PA community based interventions in adult populations diagnosed with TD2.

  2. Association of Biodiversity with the Rates of Micropollutant Biotransformations among Full-Scale Wastewater Treatment Plant Communities

    Science.gov (United States)

    Helbling, Damian E.; Lee, Tae Kwon; Park, Joonhong; Fenner, Kathrin; Kohler, Hans-Peter E.; Ackermann, Martin

    2014-01-01

    Biodiversities can differ substantially among different wastewater treatment plant (WWTP) communities. Whether differences in biodiversity translate into differences in the provision of particular ecosystem services, however, is under active debate. Theoretical considerations predict that WWTP communities with more biodiversity are more likely to contain strains that have positive effects on the rates of particular ecosystem functions, thus resulting in positive associations between those two variables. However, if WWTP communities were sufficiently biodiverse to nearly saturate the set of possible positive effects, then positive associations would not occur between biodiversity and the rates of particular ecosystem functions. To test these expectations, we measured the taxonomic biodiversity, functional biodiversity, and rates of 10 different micropollutant biotransformations for 10 full-scale WWTP communities. We have demonstrated that biodiversity is positively associated with the rates of specific, but not all, micropollutant biotransformations. Thus, one cannot assume whether or how biodiversity will associate with the rate of any particular micropollutant biotransformation. We have further demonstrated that the strongest positive association is between biodiversity and the collective rate of multiple micropollutant biotransformations. Thus, more biodiversity is likely required to maximize the collective rates of multiple micropollutant biotransformations than is required to maximize the rate of any individual micropollutant biotransformation. We finally provide evidence that the positive associations are stronger for rare micropollutant biotransformations than for common micropollutant biotransformations. Together, our results are consistent with the hypothesis that differences in biodiversity can indeed translate into differences in the provision of particular ecosystem services by full-scale WWTP communities. PMID:25398862

  3. Association of biodiversity with the rates of micropollutant biotransformations among full-scale wastewater treatment plant communities.

    Science.gov (United States)

    Johnson, David R; Helbling, Damian E; Lee, Tae Kwon; Park, Joonhong; Fenner, Kathrin; Kohler, Hans-Peter E; Ackermann, Martin

    2015-01-01

    Biodiversities can differ substantially among different wastewater treatment plant (WWTP) communities. Whether differences in biodiversity translate into differences in the provision of particular ecosystem services, however, is under active debate. Theoretical considerations predict that WWTP communities with more biodiversity are more likely to contain strains that have positive effects on the rates of particular ecosystem functions, thus resulting in positive associations between those two variables. However, if WWTP communities were sufficiently biodiverse to nearly saturate the set of possible positive effects, then positive associations would not occur between biodiversity and the rates of particular ecosystem functions. To test these expectations, we measured the taxonomic biodiversity, functional biodiversity, and rates of 10 different micropollutant biotransformations for 10 full-scale WWTP communities. We have demonstrated that biodiversity is positively associated with the rates of specific, but not all, micropollutant biotransformations. Thus, one cannot assume whether or how biodiversity will associate with the rate of any particular micropollutant biotransformation. We have further demonstrated that the strongest positive association is between biodiversity and the collective rate of multiple micropollutant biotransformations. Thus, more biodiversity is likely required to maximize the collective rates of multiple micropollutant biotransformations than is required to maximize the rate of any individual micropollutant biotransformation. We finally provide evidence that the positive associations are stronger for rare micropollutant biotransformations than for common micropollutant biotransformations. Together, our results are consistent with the hypothesis that differences in biodiversity can indeed translate into differences in the provision of particular ecosystem services by full-scale WWTP communities.

  4. Changes and recovery of soil bacterial communities influenced by biological soil disinfestation as compared with chloropicrin-treatment

    OpenAIRE

    Mowlick, Subrata; Inoue, Takashi; Takehara, Toshiaki; Kaku, Nobuo; Ueki, Katsuji; Ueki, Atsuko

    2013-01-01

    Soil bacterial composition, as influenced by biological soil disinfestation (BSD) associated with biomass incorporation was investigated to observe the effects of the treatment on the changes and recovery of the microbial community in a commercial greenhouse setting. Chloropicrin (CP) was also used for soil disinfestation to compare with the effects of BSD. The fusarium wilt disease incidence of spinach cultivated in the BSD- and CP-treated plots was reduced as compared with that in the untre...

  5. Nitrifying Community Analysis in a Single Submerged Attached-Growth Bioreactor for Treatment of High-Ammonia Waste Stream

    DEFF Research Database (Denmark)

    Gu, April Z.; Pedros, Philip B; Kristiansen, Anja;

    2007-01-01

    This study investigated the nitrifying community structure in a single-stage submerged attached-growth bioreactor (SAGB) that successfully achieved stable nitrogen removal over nitrite of a high-strength ammonia wastewater. The reactor was operated with intermittent aeration and external carbon a...... in this study is applicable for high-ammonia-strength wastewater treatment, such as centrate or industrial wastes. Udgivelsesdato: December 2007...

  6. Inoculum pre-treatment affects the fermentative activity of hydrogen-producing communities in the presence of 5-hydroxymethylfurfural.

    Science.gov (United States)

    Bellucci, Micol; Botticella, Giuseppe; Francavilla, Matteo; Beneduce, Luciano

    2016-01-01

    To enhance the productivity of mixed microbial cultures for fermentative bio-hydrogen production, chemical-physical pre-treatments of the original seed are needed to suppress the activity of hydrogen (H2)-consuming microbes. This approach might influence negatively the composition and diversity of the hydrogen-producing community with consequences on the functional stability of the H2-producing systems in case of perturbations. In this study, we aimed at investigating the effect of different types of pre-treatment on the performance of hydrogen production systems in the presence of an inhibitor, such as 5-hydroxymethylfurfural (HMF). The efficiency and the microbial community structure of batch reactors amended with HMF and inoculated with non-pretreated and pretreated (acid, heat shock, and aeration) anaerobic sludge were evaluated and compared with control systems. The type of pre-treatments influenced the microbial community assembly and activity in inhibited systems, with significant effect on the performance. Cumulative H2 production tests showed that the pre-aerated systems (control and HMF inhibited) were the most efficient, while the difference of the lag phase of the pre-acidified control and HMF-added test was negligible. Analyses of the structure of the enriched microbial community in the systems through PCR-denaturing gradient gel electrophoresis (DGGE) followed by band sequencing revealed that the differences in performance were mostly related to shifts in the metabolic pathways rather than in the predominant species. In conclusion, the findings suggest that the use of specific inoculum pre-treatment could contribute to regulate the metabolic activity of the fermentative H2-producing bacteria in order to enhance the bio-energy production. PMID:26428244

  7. Inoculum pre-treatment affects the fermentative activity of hydrogen-producing communities in the presence of 5-hydroxymethylfurfural.

    Science.gov (United States)

    Bellucci, Micol; Botticella, Giuseppe; Francavilla, Matteo; Beneduce, Luciano

    2016-01-01

    To enhance the productivity of mixed microbial cultures for fermentative bio-hydrogen production, chemical-physical pre-treatments of the original seed are needed to suppress the activity of hydrogen (H2)-consuming microbes. This approach might influence negatively the composition and diversity of the hydrogen-producing community with consequences on the functional stability of the H2-producing systems in case of perturbations. In this study, we aimed at investigating the effect of different types of pre-treatment on the performance of hydrogen production systems in the presence of an inhibitor, such as 5-hydroxymethylfurfural (HMF). The efficiency and the microbial community structure of batch reactors amended with HMF and inoculated with non-pretreated and pretreated (acid, heat shock, and aeration) anaerobic sludge were evaluated and compared with control systems. The type of pre-treatments influenced the microbial community assembly and activity in inhibited systems, with significant effect on the performance. Cumulative H2 production tests showed that the pre-aerated systems (control and HMF inhibited) were the most efficient, while the difference of the lag phase of the pre-acidified control and HMF-added test was negligible. Analyses of the structure of the enriched microbial community in the systems through PCR-denaturing gradient gel electrophoresis (DGGE) followed by band sequencing revealed that the differences in performance were mostly related to shifts in the metabolic pathways rather than in the predominant species. In conclusion, the findings suggest that the use of specific inoculum pre-treatment could contribute to regulate the metabolic activity of the fermentative H2-producing bacteria in order to enhance the bio-energy production.

  8. Effect of cerium dioxide, titanium dioxide, silver, and gold nanoparticles on the activity of microbial communities intended in wastewater treatment

    Energy Technology Data Exchange (ETDEWEB)

    Garcia, Ana; Delgado, Lucia; Tora, Josep A. [Department of Chemical Engineering, Escola d' Enginyeria, Universitat Autonoma de Barcelona, 08193 Bellaterra (Spain); Casals, Eudald; Gonzalez, Edgar [Institut Catala de Nanotecnologia, Campus de la Universitat Autonoma de Barcelona, 08193 Bellaterra (Spain); Puntes, Victor [Institut Catala de Nanotecnologia, Campus de la Universitat Autonoma de Barcelona, 08193 Bellaterra (Spain); Institut Catala de Recerca i Estudis Avancats, Passeig Lluis Companys, 23, 08010 Barcelona (Spain); Font, Xavier; Carrera, Julian [Department of Chemical Engineering, Escola d' Enginyeria, Universitat Autonoma de Barcelona, 08193 Bellaterra (Spain); Sanchez, Antoni, E-mail: antoni.sanchez@uab.cat [Department of Chemical Engineering, Escola d' Enginyeria, Universitat Autonoma de Barcelona, 08193 Bellaterra (Spain)

    2012-01-15

    Highlights: Black-Right-Pointing-Pointer Toxicity of TiO{sub 2}, CeO{sub 2}, Ag and Au nanoparticles (NP) has been studied. Black-Right-Pointing-Pointer NP were synthesized in the lab and stabilized to prevent agglomeration. Black-Right-Pointing-Pointer Toxicity was studied in all the communities used for the wastewater treatment. Black-Right-Pointing-Pointer Heterotrophic, nitrifying and anaerobic organisms were studied for nanotoxicology. Black-Right-Pointing-Pointer Au and TiO{sub 2} NP were not toxic, but Ag and CeO{sub 2} NP were inhibitory. - Abstract: Growth in production and use of nanoparticles (NPs) will result increased concentrations of these in industrial and urban wastewaters and, consequently, in wastewater-treatment facilities. The effect of this increase on the performance of the wastewater-treatment process has not been studied systematically and including all the microbial communities involved in wastewater treatment. The present work investigates, by using respiration tests and biogas-production analysis, the inhibitory effect of four different commonly used metal oxide (CeO{sub 2} and TiO{sub 2}) and zero-valent metal (Ag and Au) nanoparticles on the activity of the most important microbial communities present in a modern wastewater-treatment plant. Specifically, the actions of ordinary heterotrophic organisms, ammonia oxidizing bacteria, and thermophilic and mesophilic anaerobic bacteria were tested in the presence and absence of the nanoparticles. In general, CeO{sub 2} nanoparticles caused the greatest inhibition in biogas production (nearly 100%) and a strong inhibitory action of other biomasses; Ag nanoparticles caused an intermediate inhibition in biogas production (within 33-50%) and a slight inhibition in the action of other biomasses, and Au and TiO{sub 2} nanoparticles caused only slight or no inhibition for all tested biomasses.

  9. Community dynamics of coagulase-negative staphylococci during spontaneous artisan-type meat fermentations differ between smoking and moulding treatments.

    Science.gov (United States)

    Janssens, M; Myter, N; De Vuyst, L; Leroy, F

    2013-08-16

    Coagulase-negative staphylococci (CNS) that are naturally present in the raw meat batter of fermented sausages or that originate from the addition of a starter culture play a role in flavour development. A wide species diversity of CNS can be present in fermented meats, but it is not fully clear yet how specific process parameters select for specific CNS by affecting their community dynamics. Therefore, the influence of smoking and moulding treatments on the CNS community dynamics in spontaneously fermented, artisan-type sausages was investigated. During the fermentation stage, the meat batter was in all cases dominated by Staphylococcus saprophyticus, in addition to Lactobacillus sakei as governing lactic acid bacterium. Following fermentation, the bacterial communities were not perturbed by the smoking treatment, since both L. sakei and S. saprophyticus remained dominant throughout the ripening stage and prevailed in the end-products. Yet, when fermentation was followed by a moulding step with Penicillium nalgiovense, a shift of the CNS communities towards dominance by Staphyloccocus equorum was seen, despite a similar evolution of L. sakei. This effect was possibly due to a pH rise caused by the mould, a hypothesis which was reinforced by the finding that the isolated strain S. equorum DBX-S-17 was more sensitive to low pH than the isolated strain S. saprophyticus DFL-S-12 during growth experiments in brain heart infusion (BHI). Differences in CNS communities may affect sausage flavour, due to intraspecies variations in metabolic conversions of, for instance, amino acids. The fact that 3-methyl-butanal was only found in the moulded sausage, which was dominated by S. equorum, may be related to the finding that the isolated strain of this species was able to produce this compound in BHI medium, whereas the isolated strain of S. saprophyticus was not.

  10. The Effectiveness of Social Skills Training by Cognitive-Behavioral Group in the Increase of Girls’ Self-Esteem and Assertiveness with Addicted Parents

    OpenAIRE

    Maryam Esmaeili

    2011-01-01

    Objective: The aim of the study was the survey of social skills training by cognitive behavioral group in the increase of girls’ self-esteem and assertiveness with addicted parents in Isfahan. Method: 20 students with addicted parents who had the lowest rate of assertiveness were selected by semi-experimental method in third to fifth grades. Randomly research projects pre-test-post-test control group. Questionnaire to measure assertiveness and assertiveness Gmbryl and Richie Esteem Questionna...

  11. Ethnopharmacological studies on the uses of Euphorbia hirta in the treatment of dengue in selected indigenous communities in Pangasinan (Philippines)

    Science.gov (United States)

    de Guzman, Gerard Quinto; Dacanay, Aleth Therese Lora; Andaya, Benjel Andaya; Alejandro, Grecebio Jonathan Duran

    2016-01-01

    Aim: Euphorbia hirta is the most widely used plant in the folkloric treatment of dengue in the Philippines. This study documents the anecdotal uses of E. hirta in the treatment of dengue in 3 indigenous communities in Pangasinan from April to June of 2015. Materials and Methods: The number of use reports pertaining to symptoms of dengue and other diseases were tallied from 82 informants living in Anda Island, Mt. Colisao and Mt. Balungao. The demographics of the informants as well as the corrected major use agreements (cMUAs) and fidelity levels (FLs) of each reported symptom of dengue were calculated. The major dosage forms used during treatment were also tallied. Results: Respondents, dominated by the age group 60-80 and mostly females with at least primary and secondary education, provided information on the use reports of E. hirta. High FL values and cMUA of at least 35% were obtained for cardinal symptoms of dengue-related to bleeding episodes while low cMUAs (i.e. 2-4%) were obtained for symptoms during the recovery phase. High FL values were obtained for symptoms observed during the febrile phase. The most widely used dosage forms are decoctions of the leaves and barks of E. hirta. Conclusion: This study was able to qualify the uses of E. hirta in the treatment of dengue in the 3 communities surveyed. PMID:27366349

  12. Bacterial community analysis of an industrial wastewater treatment plant in Colombia with screening for lipid-degrading microorganisms.

    Science.gov (United States)

    Silva-Bedoya, Lina Marcela; Sánchez-Pinzón, María Solange; Cadavid-Restrepo, Gloria Ester; Moreno-Herrera, Claudia Ximena

    2016-11-01

    The operation of wastewater treatment technologies depends on a combination of physical, chemical and biological factors. Microorganisms present in wastewater treatment plants play essential roles in the degradation and removal of organic waste and xenobiotic pollutants. Several microorganisms have been used in complementary treatments to process effluents rich in fats and oils. Microbial lipases have received significant industrial attention because of their stability, broad substrate specificity, high yields, and regular supply, as well as the fact that the microorganisms producing them grow rapidly on inexpensive media. In Colombia, bacterial community studies have focused on populations of cultivable nitrifying, heterotrophic and nitrogen-fixing bacteria present in constructed wetlands. In this study, culture-dependent methods, culture-independent methods (TTGE, RISA) and enzymatic methods were used to estimate bacterial diversity, to monitor temporal and spatial changes in bacterial communities, and to screen microorganisms that presented lipolytic activity. The dominant microorganisms in the Wastewater Treatment Plant (WWTP) examined in this study belonged to the phyla Firmicutes, Proteobacteria and Bacteroidetes. The enzymatic studies performed indicated that five bacterial isolates and three fungal isolates possessed the ability to degrade lipids; additionally, the Serratia, Kosakonia and Mucor genera presented lipase-mediated transesterification activity. The implications of these findings in regard to possible applications are discussed later in this paper. Our results indicate that there is a wide diversity of aerobic Gram-negative bacteria inhabiting the different sections of the WWTP, which could indicate its ecological condition, functioning and general efficiency.

  13. Bacterial community analysis of an industrial wastewater treatment plant in Colombia with screening for lipid-degrading microorganisms.

    Science.gov (United States)

    Silva-Bedoya, Lina Marcela; Sánchez-Pinzón, María Solange; Cadavid-Restrepo, Gloria Ester; Moreno-Herrera, Claudia Ximena

    2016-11-01

    The operation of wastewater treatment technologies depends on a combination of physical, chemical and biological factors. Microorganisms present in wastewater treatment plants play essential roles in the degradation and removal of organic waste and xenobiotic pollutants. Several microorganisms have been used in complementary treatments to process effluents rich in fats and oils. Microbial lipases have received significant industrial attention because of their stability, broad substrate specificity, high yields, and regular supply, as well as the fact that the microorganisms producing them grow rapidly on inexpensive media. In Colombia, bacterial community studies have focused on populations of cultivable nitrifying, heterotrophic and nitrogen-fixing bacteria present in constructed wetlands. In this study, culture-dependent methods, culture-independent methods (TTGE, RISA) and enzymatic methods were used to estimate bacterial diversity, to monitor temporal and spatial changes in bacterial communities, and to screen microorganisms that presented lipolytic activity. The dominant microorganisms in the Wastewater Treatment Plant (WWTP) examined in this study belonged to the phyla Firmicutes, Proteobacteria and Bacteroidetes. The enzymatic studies performed indicated that five bacterial isolates and three fungal isolates possessed the ability to degrade lipids; additionally, the Serratia, Kosakonia and Mucor genera presented lipase-mediated transesterification activity. The implications of these findings in regard to possible applications are discussed later in this paper. Our results indicate that there is a wide diversity of aerobic Gram-negative bacteria inhabiting the different sections of the WWTP, which could indicate its ecological condition, functioning and general efficiency. PMID:27664750

  14. Sustainability of a successful malaria surveillance and treatment program in a Runggus community in Sabah, east Malaysia.

    Science.gov (United States)

    Hii, J L; Chee, K C; Vun, Y S; Awang, J; Chin, K H; Kan, S K

    1996-09-01

    The district of Kudat has one of the highest and most persistent malaria transmission levels in Sabah, Malaysia, with annual parasite incidence of 102 per 1,000 inhabitants per year. Due to this situation and the failure of DDT spraying to control malaria, a community participation health program (Sukarelawan Penjagaan Kesihatan Primer or SPKP) was developed as an adjunct to current anti-malarial measures during 1987-1991. SPKP is made up of unpaid community workers known as village health volunteers (VHVs). VHVs are selected by a village development and security committees training and supervision a member of the Vector-Borne Diseases Control Program (VBDCP). The beneficiaries of SPKP consisted primarily of Runggus people and other remote, and mobile populations who visit the home of a VHV for diagnosis and treatment. This group of febrile patients and their children who attend a participating school submit finger prick blood and personal details to the VHV. and receive a presumptive treatment for malaria. Thick and thin blood smears are examined by a VBDCP microscopist who then prepare and forward a radical or curative treatment to the VHV so that it can be administered to the microscopically-positive patient free of charge. Between June 1987 to June 1991, VHVs from 32 kampungs (villages) and 22 schools collected 56,245 slides representing 24.7% of total slide collection compared to 74.9% collected by passive case detection (PCD) posts in health centers and district hospital. The average volunteer treated 11.8 (range 10.4-13.4) and 31.4 (range 26-49) patients per month in kampungs and schools respectively. In contrast, non-SPKP posts in a district hospital, health centers and flying doctor service treated an average of 616.3 patients per month (range 134.8-1032.8). The slide positivity rate of blood smears taken by VHVs was 8.43% compared with 7.37% for non-SPKP posts. Average slide collection and slide positivity rates varied considerably from one community to

  15. Analysis on the Level of Assertiveness of the Athletes Took Part in Eliminations for Adults Taekwondo National Team

    Directory of Open Access Journals (Sweden)

    Taner YILMAZ

    2015-07-01

    Full Text Available Several elements may affect assertiveness. Woman's traditional sister or caretaker role causes her sometimes to become aggressive by behaving in a stiff, authoritarian way and sometimes passive. The aim of this study is to research the level of as sertiveness of the athletes took part in the Turkey Taekwondo National Team eliminations in 2014. 106 males at the average age of 21, 12 and 56 females at the average age of 20,39 took part in the research. RAE (Rathus Assertiveness Schedule developed by Rathus in 1977 and adapted to Turkish by Nilüfer Voltan Acar (1980 was used to determine the level of assertiveness. In conclusion, no significant difference was found between males and females in terms of assertiveness level scores.

  16. Impact of Community-Based DOT on Tuberculosis Treatment Outcomes: A Systematic Review and Meta-Analysis.

    Directory of Open Access Journals (Sweden)

    HaiYang Zhang

    Full Text Available Poor adherence to tuberculosis (TB treatment can lead to prolonged infectivity and poor treatment outcomes. Directly observed treatment (DOT seeks to improve adherence to TB treatment by observing patients while they take their anti-TB medication. Although community-based DOT (CB-DOT programs have been widely studied and promoted, their effectiveness has been inconsistent. The aim of this study was to critical appraise and summarize evidence of the effects of CB-DOT on TB treatment outcomes.Studies published up to the end of February 2015 were identified from three major international literature databases: Medline/PubMed, EBSCO, and EMBASE. Unpublished data from the grey literature were identified through Google and Google Scholar searches.Seventeen studies involving 12,839 pulmonary TB patients (PTB in eight randomized controlled trials (RCTs and nine cohort studies from 12 countries met the criteria for inclusion in this review and 14 studies were included in meta-analysis. Compared with clinic-based DOT, pooled results of RCTs for all PTB cases (including smear-negative or -positive, new or retreated TB cases and smear-positive PTB cases indicated that CB-DOT promoted successful treatment [pooled RRs (95%CIs: 1.11 (1.02-1.19 for all PTB cases and 1.11 (1.02-1.19 for smear-positive PTB cases], and completed treatment [pooled RRs (95%CIs: 1.74(1.05, 2.90 for all PTB cases and 2.22(1.16, 4.23 for smear-positive PTB cases], reduced death [pooled RRs (95%CIs: 0.44 (0.26-0.72 for all PTB cases and 0.39 (0.23-0.66 for smear-positive PTB cases], and transfer out [pooled RRs (95%CIs: 0.37 (0.23-0.61 for all PTB cases and 0.42 (0.25-0.70 for smear-positive PTB cases]. Pooled results of all studies (RCTs and cohort studies with all PTB cases demonstrated that CB-DOT promoted successful treatment [pooled RR (95%CI: 1.13 (1.03-1.24] and curative treatment [pooled RR (95%CI: 1.24 (1.04-1.48] compared with self-administered treatment.CB-DOT did improved TB

  17. Prevalence of antibiotic resistance genes and bacterial community composition in a river influenced by a wastewater treatment plant.

    Directory of Open Access Journals (Sweden)

    Elisabet Marti

    Full Text Available Antibiotic resistance represents a global health problem, requiring better understanding of the ecology of antibiotic resistance genes (ARGs, their selection and their spread in the environment. Antibiotics are constantly released to the environment through wastewater treatment plant (WWTP effluents. We investigated, therefore, the effect of these discharges on the prevalence of ARGs and bacterial community composition in biofilm and sediment samples of a receiving river. We used culture-independent approaches such as quantitative PCR to determine the prevalence of eleven ARGs and 16S rRNA gene-based pyrosequencing to examine the composition of bacterial communities. Concentration of antibiotics in WWTP influent and effluent were also determined. ARGs such as qnrS, bla TEM, bla CTX-M, bla SHV, erm(B, sul(I, sul(II, tet(O and tet(W were detected in all biofilm and sediment samples analyzed. Moreover, we observed a significant increase in the relative abundance of ARGs in biofilm samples collected downstream of the WWTP discharge. We also found significant differences with respect to community structure and composition between upstream and downstream samples. Therefore, our results indicate that WWTP discharges may contribute to the spread of ARGs into the environment and may also impact on the bacterial communities of the receiving river.

  18. Microbial communities from different types of natural wastewater treatment systems: vertical and horizontal flow constructed wetlands and biofilters.

    Science.gov (United States)

    Adrados, B; Sánchez, O; Arias, C A; Becares, E; Garrido, L; Mas, J; Brix, H; Morató, J

    2014-05-15

    The prokaryotic microbial communities (Bacteria and Archaea) of three different systems operating in Denmark for the treatment of domestic wastewater (horizontal flow constructed wetlands (HFCW), vertical flow constructed wetlands (VFCW) and biofilters (BF)) was analysed using endpoint PCR followed by Denaturing Gradient Gel Electrophoresis (DGGE). Further sequencing of the most representative bacterial bands revealed that diverse and distinct bacterial communities were found in each system unit, being γ-Proteobacteria and Bacteroidetes present mainly in all of them, while Firmicutes was observed in HFCW and BF. Members of the Actinobacteria group, although found in HFCW and VFCW, seemed to be more abundant in BF units. Finally, some representatives of α, β and δ-Proteobacteria, Acidobacteria and Chloroflexi were also retrieved from some samples. On the other hand, a lower archaeal diversity was found in comparison with the bacterial population. Cluster analysis of the DGGE bacterial band patterns showed that community structure was related to the design of the treatment system and the organic matter load, while no clear relation was established between the microbial assemblage and the wastewater influent.

  19. Impact of titanium dioxide nanoparticles on the bacterial communities of biological activated carbon filter intended for drinking water treatment.

    Science.gov (United States)

    Zhiyuan, Liu; Shuili, Yu; Heedeung, Park; Qingbin, Yuan; Guicai, Liu; Qi, Li

    2016-08-01

    Titanium dioxide nanoparticles (TiO2 NPs) are inevitably present in the aquatic environment owing to their increasing production and use. However, knowledge of the potential effects of TiO2 NPs on the treatment of drinking water is scarce. Herein, the effects of two types of anatase TiO2 NPs (TP1, 25 nm; TP2, 100 nm) on the bacterial community in a biological activated carbon (BAC) filter were investigated via quantitative polymerase chain reaction (Q-PCR) analysis, ATP quantification, and 454 pyrosequencing analysis. Both TP1 and TP2 significantly inhibited the bacterial ATP level (p < 0.01) and induced a decrease in the abundance of bacterial 16S rDNA gene copies at doses of 0.1 and 100 mg L(-1). Simultaneously, the diversity and evenness of the bacterial communities were considerably reduced. The relative abundances of bacteria annotated to OTUs from Nitrospira class and Betaproteobacteria class decreased upon TiO2 NP treatment, whereas those of Bacilli class and Gammaproteobacteria class increased. TiO2 NP size showed a greater effect on the bacterial composition than did the dose based on Bray-Curtis distances. These findings identified negative effects of TiO2 NPs on the bacterial community in the BAC filter. Given the fact that BAC filters are used widely in drinking water treatment plants, these results suggested a potential threat by TiO2 NP to drinking water treatment system.

  20. Utility of repeated praziquantel dosing in the treatment of schistosomiasis in high-risk communities in Africa: a systematic review.

    Directory of Open Access Journals (Sweden)

    Charles H King

    2011-09-01

    Full Text Available BACKGROUND: Controversy persists about the optimal approach to drug-based control of schistosomiasis in high-risk communities. In a systematic review of published studies, we examined evidence for incremental benefits from repeated praziquantel dosing, given 2 to 8 weeks after an initial dose, in Schistosoma-endemic areas of Africa. METHODOLOGY/PRINCIPAL FINDINGS: We performed systematic searches of electronic databases PubMed and EMBASE for relevant data using search terms 'schistosomiasis', 'dosing' and 'praziquantel' and hand searches of personal collections and bibliographies of recovered articles. In 10 reports meeting study criteria, improvements in parasitological treatment outcomes after two doses of praziquantel were greater for S. mansoni infection than for S. haematobium infection. Observed cure rates (positive to negative conversion in egg detection assays were, for S. mansoni, 69-91% cure after two doses vs. 42-79% after one dose and, for S. haematobium, 46-99% cure after two doses vs. 37-93% after a single dose. Treatment benefits in terms of reduction in intensity (mean egg count were also different for the two species-for S. mansoni, the 2-dose regimen yielded an weighted average 89% reduction in standardized egg counts compared to a 83% reduction after one dose; for S. haematobium, two doses gave a 93% reduction compared to a 94% reduction with a single dose. Cost-effectiveness analysis was performed based on Markov life path modeling. CONCLUSIONS/SIGNIFICANCE: Although schedules for repeated treatment with praziquantel require greater inputs in terms of direct costs and community participation, there are incremental benefits to this approach at an estimated cost of $153 (S. mansoni-$211 (S. haematobium per additional lifetime QALY gained by double treatment in school-based programs. More rapid reduction of infection-related disease may improve program adherence, and if, as an externality of the program, transmission can be

  1. Effectiveness of Provider and Community Interventions to Improve Treatment of Uncomplicated Malaria in Nigeria: A Cluster Randomized Controlled Trial.

    Directory of Open Access Journals (Sweden)

    Obinna Onwujekwe

    Full Text Available The World Health Organization recommends that malaria be confirmed by parasitological diagnosis before treatment using Artemisinin-based Combination Therapy (ACT. Despite this, many health workers in malaria endemic countries continue to diagnose malaria based on symptoms alone. This study evaluates interventions to help bridge this gap between guidelines and provider practice. A stratified cluster-randomized trial in 42 communities in Enugu state compared 3 scenarios: Rapid Diagnostic Tests (RDTs with basic instruction (control; RDTs with provider training (provider arm; and RDTs with provider training plus a school-based community intervention (provider-school arm. The primary outcome was the proportion of patients treated according to guidelines, a composite indicator requiring patients to be tested for malaria and given treatment consistent with the test result. The primary outcome was evaluated among 4946 (93% of the 5311 patients invited to participate. A total of 40 communities (12 in control, 14 per intervention arm were included in the analysis. There was no evidence of differences between the three arms in terms of our composite indicator (p = 0.36: stratified risk difference was 14% (95% CI -8.3%, 35.8%; p = 0.26 in the provider arm and 1% (95% CI -21.1%, 22.9%; p = 0.19 in the provider-school arm, compared with control. The level of testing was low across all arms (34% in control; 48% provider arm; 37% provider-school arm; p = 0.47. Presumptive treatment of uncomplicated malaria remains an ingrained behaviour that is difficult to change. With or without extensive supporting interventions, levels of testing in this study remained critically low. Governments and researchers must continue to explore alternative ways of encouraging providers to deliver appropriate treatment and avoid the misuse of valuable medicines.ClinicalTrials.gov NCT01350752.

  2. Impact of titanium dioxide nanoparticles on the bacterial communities of biological activated carbon filter intended for drinking water treatment.

    Science.gov (United States)

    Zhiyuan, Liu; Shuili, Yu; Heedeung, Park; Qingbin, Yuan; Guicai, Liu; Qi, Li

    2016-08-01

    Titanium dioxide nanoparticles (TiO2 NPs) are inevitably present in the aquatic environment owing to their increasing production and use. However, knowledge of the potential effects of TiO2 NPs on the treatment of drinking water is scarce. Herein, the effects of two types of anatase TiO2 NPs (TP1, 25 nm; TP2, 100 nm) on the bacterial community in a biological activated carbon (BAC) filter were investigated via quantitative polymerase chain reaction (Q-PCR) analysis, ATP quantification, and 454 pyrosequencing analysis. Both TP1 and TP2 significantly inhibited the bacterial ATP level (p < 0.01) and induced a decrease in the abundance of bacterial 16S rDNA gene copies at doses of 0.1 and 100 mg L(-1). Simultaneously, the diversity and evenness of the bacterial communities were considerably reduced. The relative abundances of bacteria annotated to OTUs from Nitrospira class and Betaproteobacteria class decreased upon TiO2 NP treatment, whereas those of Bacilli class and Gammaproteobacteria class increased. TiO2 NP size showed a greater effect on the bacterial composition than did the dose based on Bray-Curtis distances. These findings identified negative effects of TiO2 NPs on the bacterial community in the BAC filter. Given the fact that BAC filters are used widely in drinking water treatment plants, these results suggested a potential threat by TiO2 NP to drinking water treatment system. PMID:27126871

  3. Pilot Experimentation with Complete Mixing Anoxic Reactors to Improve Sewage Denitrification in Treatment Plants in Small Communities

    Directory of Open Access Journals (Sweden)

    Massimo Raboni

    2013-12-01

    Full Text Available This paper reports the results of two sewage treatment tests in a community of 15,000 inhabitants. The sewage treatment plant is subject to strong fluctuations in load (BOD5, COD, TKN, and in particular in the BOD5/TKN ratio. These fluctuations adversely affect the biological denitrification, as demonstrated by many pilot and real-scale plants. The plants we tested were subjected to two treatment types: anoxic-aerobic and simultaneous denitrification. Both processes are designed for complete mixing conditions in the reactors in order to level the fluctuations in the load and thus improve the denitrification efficiency. The results prove that an average denitrification efficiency of up to 80% can be achieved with the sludge loading close to 0.1 kg BOD5 (d∙kgMLVSS−1. The effect of the sludge loading and dissolved oxygen on the denitrification efficiency is highlighted.

  4. The Investigation of relation between elementary school second grade students’ self-esteem, different skills and assertiveness levels

    OpenAIRE

    Hakan Sarıçam; Elifcan Yılmaz; Arzu Gülbahçe; Öner Gülbahçe; Mehmet Çardak

    2013-01-01

    This study aims to examine the relation among the self esteem, different abilility levels and assertiveness levels of second grade primary education. An investigation has been done on over 180 students, chosen randomly, from the primary education schools of Erzurum MEB in accordance with the purpose of this study. Information Form, Rosenberg Self-Esteem Inventory, Basic Aptitude Test 6-8 and Rathus Assertiveness Inventory were used. SPSS 15.0/WINDOWS programme was used for data analysis. ‘t ...

  5. Women’s Condom Use Assertiveness and Sexual Risk-Taking: Effects of Alcohol Intoxication and Adult Victimization

    OpenAIRE

    Stoner, Susan A.; Norris, Jeanette; George, William H.; Morrison, Diane M.; Zawacki, Tina; DAVIS, KELLY CUE; Hessler, Danielle M

    2008-01-01

    This experiment examined relationships among adulthood victimization, sexual assertiveness, alcohol intoxication, and sexual risk-taking in female social drinkers (N = 161). Women completed measures of sexual assault and intimate partner violence history and sexual assertiveness before random assignment to 1 of 4 beverage conditions: control, placebo, low dose (.04%), or high dose (.08%). After drinking, women read a second-person story involving a sexual encounter with a new partner. As prot...

  6. The Relationship with Self Esteem Between Assertiveness Levels of Sub-Elite In-Door Soccer Players

    OpenAIRE

    Serdar SUCAN; TURAN, Mehmet Behzat; Osman PEPE; Doğan DOĞAN

    2015-01-01

    The aim of this study was investigated the relationship with self esteem between assertiveness levels of sub-elite in-door soccer players. For this aim, 18–28 aged, 86 male and 91 female athletes studying 7 universities which joined in-door soccer championship of Turkish University Sport Federation was participated to study volunteerly.Participants were performed socio- demographic data formi Rathus Assertiveness Schedule and Coopersmith Self-Esteem Inventory. Data were analyzed by using IBM ...

  7. The effect of recreational physical exercise on depression and assertiveness levels of university students

    OpenAIRE

    Gülcan Tekin; M. Tayfun Amman; Ali Tekin

    2009-01-01

     The aim of this study was to investigate the effects of the recreational physical exercise on depression and assertiveness levels of the university students who had never participated in regular physical exercise before. There were 15 male and 15 female totally 30 students in control group and 15 male and 15 female students in exercise group of research. The students in control group carried on their usual life during the research while the students in exercise group participated in a 8 week...

  8. Associations between assertiveness, psychological well-being, and self-esteem in adolescents

    OpenAIRE

    Sarkova, Maria; Bacikova-Sleskova, Maria; Orosova, Olga; Geckova, Andrea Madarasova; Katreniakova, Zuzana; Klein, Daniel; van den Heuvel, Wim; van Dijk, Jitse P.

    2013-01-01

    This study explored the associations between adolescents assertive behavior, psychological well-being, and self-esteem. The sample consisted of 1,023 students (14.9 +/-.51; 47.6% boys). Two dimensions of the Scale for Interpersonal Behavior (distress and performance), 2 factors of the General Health Questionnaire-12 (depression/anxiety and social dysfunction), and 2 factors of the Rosenberg Self-Esteem Scale (positive self-esteem and negative self-esteem) were used; data were analyzed using h...

  9. Comment on the Kundracute at-Lokajacute icek assertion about the applicability of the Martin formula

    International Nuclear Information System (INIS)

    Contrary to the assertion of Kundracute at and Lokajacute icek that the Martin formula, which relates the real part of the elastic hadron-hadron scattering amplitude with its imaginary part, can be used only at small momentum transfers |t|approx-lt 0.15(GeV/c)2 in the CERN ISR and Sp bar pS region, the formula can be used consistently at high energies for the observed experimental data in the whole region of the momentum transfer of the experiments. Their errors are due to an inappropriate numerical approach for solving the problem. copyright 1997 The American Physical Society

  10. A STUDY ON THE ASSERTIVENESS LEVEL OF PHYSICAL EDUCATION AND SPORTS COLLEGE STUDENTS

    OpenAIRE

    Erdogan B.S.; Erbasi F.Y.; Aldemir G.Y.; Eraslan M.; Kaya E.; Şahan, H; Yıldız, M.

    2015-01-01

    The purpose of this study is to examine some of the variables in the level of students’ boldness who study at Physical education and sports colleges and to compare the findings with the other studies in the literature. The Research Group contains 92 male and 64 female (/age = 21,612 + 1,921), in total 156 students from Selcuk University physical education and sports college. In order to reach the purpose of the study “Rathus Assertiveness Schedule” has been used as the methodology which ...

  11. Relationship of Depression and Assertiveness in Normal Population and Depressed Individuals

    OpenAIRE

    Ms. Maryam Khurshid; Ms. Bushra Mueen; Dr. Ishtiaq Hassan

    2006-01-01

    The present study is aimed at exploring the relationship between depression and self-assertiveness. Sample of the study consisted of 100 people (men = 50, women = 50), who were taken from different offices, houses, and hospitals. Their age ranged between 18 to 50 years, and education level was at least middle standard and above. Their marital status was of both types i.e. married and unmarried. They belonged to lower and middle socio-economic status. For the measurement of depression and self...

  12. Thermal-hydraulics performance optimization of Candu fuel using Assert subchannel code

    International Nuclear Information System (INIS)

    An optimization of fuel bundle geometry using the subchannel code ASSERT is performed in support of Candu fuel design to enhance the thermohydraulics performance. The new bundle design is based on a reference CANFLEX bundle with changes to the centre and inner-ring element diameters and pitch-circle diameters (PCDs) of various element rings. Different methods of varying the PCDs for reaching the optimized geometry are considered in an attempt to minimize the optimization effort. The optimized geometry in the present analysis is the one that maximizes the dryout power and that has simultaneous CHF (critical heat flux) initiation involving more than one subchannel rings. (authors)

  13. An exploratory study of sexual assertiveness and characteristics of African American women in negotiating condom use at an HBCU.

    Science.gov (United States)

    Jenkins, Chalice C; Kennedy, Bernice Roberts

    2013-01-01

    The transmission of HIV/AIDS among African American women through heterosexual sex is an epidemic. Critical themes extracted from the HIV/AIDS sexual assertiveness literature revealed that: (a) sexual assertiveness is related to HIV risk, (b) sexual assertiveness is related to communication, and (c) women with low sexual assertiveness are at risk for HIV. This descriptive study sought to answer the following research question: What do young adult college attending African American women self-report about asking information about their partner's sexual history? The multifaceted model of HIV risk is the theoretical framework which guided this descriptive study. A basic tenet of the multifaceted model of HIV risk is that there is no single predictor of women's HIV risk behavior. Results revealed that 104 young adult college attending African American women who volunteered to attend a one day HIV prevention training overall scored high on a Sexual Assertive Scale on subscales of Information Communication, Refusal, and Pregnancy/STD Prevention Subscale, and scored in the medium range on the Initiation Subscales. The Information Communication and Pregnancy/ STD Prevention Subscale received the highest scores. More research is needed targeting diverse African American females with different socioeconomic status, various locations, and educated to determine their sexual assertiveness with partners which are essential in developing specific programs for diverse groups of African American females. PMID:24279130

  14. Promoting African American women and sexual assertiveness in reducing HIV/AIDS: an analytical review of the research literature.

    Science.gov (United States)

    Kennedy, Bernice Roberts; Jenkins, Chalice C

    2011-01-01

    African American women, including adolescents and adults, are disproportionately affected by the transmission of Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS). HIV/AID is a health disparity issue for African American females in comparison to other ethnic groups. According to data acquired from 33 states in 2005, 64% of women who have HIV/ AIDS are African American women. It is estimated that during 2001-2004, 61% of African Americans under the age of 25 had been living with HIV/AIDS. This article is an analytical review of the literature emphasizing sexual assertiveness of African American women and the gap that exists in research literature on this population. The multifaceted model of HIV risk posits that an interpersonal predictor of risky sexual behavior is sexual assertiveness. The critical themes extracted from a review of the literature reveal the following: (a) sexual assertiveness is related to HIV risk in women, (b) sexual assertiveness and sexual communication are related, and (c) women with low sexual assertiveness are at increased risk of HIV As a result of this comprehensive literature, future research studies need to use models in validating sexual assertiveness interventions in reducing the risk of HIV/AIDS in African American women. HIV/AIDs prevention interventions or future studies need to target reducing the risk factors of HIV/AIDS of African Americans focusing on gender and culture-specific strategies.

  15. The Relations h ip with Self Esteem Between Assertiveness Levels of Sub - Elite In - Door Soccer Players

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    Serdar SUCAN

    2015-07-01

    Full Text Available The aim of this study was investigated the relationship with self esteem between assertiveness levels of sub - elite in - door soccer players. For this aim, 18 – 28 aged, 86 male and 91 female athletes studying 7 universities which joined in - door soccer champio nship of Turkish University Sport Federation was participated to study volunteerly. Participants were performed socio - demographic data formi Rathus Assertiveness Schedule and Coopersmith Self - Esteem Inventory. Data were analyzed by using IBM SPSS (versi on 20.0. Spearman Correlation parameter calculated in order to comment the relationship with data, Multiple regretion analysis was performed for the predictive power of self - esteem for assertiveness levels of participants. According to analysis, a positi ve relationship was found between self esteem and assertivenes levels and it was found that self - esteem levels predictived assertiveness levels substantially. As a result of this study, high self - eseteemed athletes could transfer their feelings to others a nd could increase their assertiveness levels. It was known that highly self - esteemed athletes could increase their performance. Therefore, we could say that necessary studies about athletes’ gaining assertiveness behaviors, should take part of primary stud ies of trainers.

  16. Post-treatment follow-up study of abdominal cystic echinococcosis in tibetan communities of northwest Sichuan Province, China.

    Directory of Open Access Journals (Sweden)

    Tiaoying Li

    2011-10-01

    Full Text Available BACKGROUND: Human cystic echinococcosis (CE, caused by the larval stage of Echinococcus granulosus, with the liver as the most frequently affected organ, is known to be highly endemic in Tibetan communities of northwest Sichuan Province. Antiparasitic treatment with albendazole remains the primary choice for the great majority of patients in this resource-poor remote area, though surgery is the most common approach for CE therapy that has the potential to remove cysts and lead to complete cure. The current prospective study aimed to assess the effectiveness of community based use of cyclic albendazole treatment in Tibetan CE cases, and concurrently monitor the changes of serum specific antibody levels during treatment. METHODOLOGY/PRINCIPAL FINDINGS: Ultrasonography was applied for diagnosis and follow-up of CE cases after cyclic albendazole treatment in Tibetan communities of Sichuan Province during 2006 to 2008, and serum specific IgG antibody levels against Echinococcus granulosus recombinant antigen B in ELISA was concurrently monitored in these cases. A total of 196 CE cases were identified by ultrasound, of which 37 (18.9% showed evidence of spontaneous healing/involution of hepatic cyst(s with CE4 or CE5 presentations. Of 49 enrolled CE cases for treatment follow-up, 32.7% (16 were considered to be cured based on B-ultrasound after 6 months to 30 months regular albendazole treatment, 49.0% (24 were improved, 14.3% (7 remained unchanged, and 4.1% (2 became aggravated. In general, patients with CE2 type cysts (daughter cysts present needed a longer treatment course for cure (26.4 months, compared to cases with CE1 (univesicular cysts (20.4 months or CE3 type (detached cyst membrane or partial degeneration of daughter cysts (9 months. In addition, the curative duration was longer in patients with large (>10 cm cysts (22.3 months, compared to cases with medium (5-10 cm cysts (17.3 months or patients with small (<5 cm cysts (6 months. At

  17. Analysis of denitrifier community in a bioaugmented sequencing batch reactor for the treatment of coking wastewater containing pyridine and quinoline

    Energy Technology Data Exchange (ETDEWEB)

    Bai, Yaohui; Xing, Rui; Wen, Donghui; Tang, Xiaoyan [Peking Univ., Beijing (CN). Key Lab. of Water and Sediment Sciences (Ministry of Education); Sun, Qinghua [Peking Univ., Beijing (CN). Key Lab. of Water and Sediment Sciences (Ministry of Education); Chinese Center for Disease Control and Prevention, Beijing (China). Inst. of Environmental Health and Related Product Safety

    2011-05-15

    The denitrifier community and associated nitrate and nitrite reduction in the bioaugmented and general sequencing batch reactors (SBRs) during the treatment of coking wastewater containing pyridine and quinoline were investigated. The efficiency and stability of nitrate and nitrite reduction in SBR was considerably improved after inoculation with four pyridine- or quinoline-degrading bacterial strains (including three denitrifying strains). Terminal restriction fragment length polymorphism (T-RFLP) based on the nosZ gene revealed that the structures of the denitrifier communities in bioaugmented and non-bioaugmented reactors were distinct and varied during the course of the experiment. Bioaugmentation protected indigenous denitrifiers from disruptions caused by pyridine and quinoline. Clone library analysis showed that one of the added denitrifiers comprised approximately 6% of the denitrifier population in the bioaugmented sludge. (orig.)

  18. SOLAR PHOTOVOLTAIC AND WASTEWATER TREATMENT SYSTEMS DESIGN FOR COMMUNITIES IN PANAM&AACUTE;

    Science.gov (United States)

    In collaboration with the Panamanian non-governmental organization Centro de Estudios y Acción Social Panameño (CEASPA), the Northwestern University chapter of Engineers for a Sustainable World (ESW-NU) has been working with the rural ranching community of San...

  19. Is forced migration a barrier to treatment success? Similar HIV treatment outcomes among refugees and a surrounding host community in Kuala Lumpur, Malaysia.

    Science.gov (United States)

    Mendelsohn, Joshua B; Schilperoord, Marian; Spiegel, Paul; Balasundaram, Susheela; Radhakrishnan, Anuradha; Lee, Christopher K C; Larke, Natasha; Grant, Alison D; Sondorp, Egbert; Ross, David A

    2014-02-01

    In response to an absence of studies among refugees and host communities accessing highly active antiretroviral therapy (HAART) in urban settings, our objective was to compare adherence and virological outcomes among clients attending a public clinic in Kuala Lumpur, Malaysia. A cross-sectional survey was conducted among adult clients (≥18 years). Data sources included a structured questionnaire that measured self-reported adherence, a pharmacy-based measure of HAART prescription refills over the previous 24 months, and HIV viral loads. The primary outcome was unsuppressed viral load (≥40 copies/mL). Among a sample of 153 refugees and 148 host community clients, refugees were younger (median age 35 [interquartile range, IQR 31, 39] vs 40 years [IQR 35, 48], p refugee and host clients were refugees vs 16 % of host clients, p = 0.54). Refugee status was not independently associated with the outcome (adjusted odds ratio, aOR = 1.28, 95 % CI 0.52, 3.14). Overall, the proportions of refugee and host community clients with unsuppressed viral loads and sub-optimal adherence were similar, supporting the idea that refugees in protracted asylum situations are able to sustain good treatment outcomes and should explicitly be included in the HIV strategic plans of host countries with a view to expanding access in accordance with national guidelines for HAART. PMID:23748862

  20. Performance Assessment of Full-Scale Wastewater Treatment Plants Based on Seasonal Variability of Microbial Communities via High-Throughput Sequencing

    OpenAIRE

    Liu, Tang; LIU, SHUFENG; Zheng, Maosheng; CHEN, Qian; Ni, Jinren

    2016-01-01

    Microbial communities of activated sludge (AS) play a key role in the performance of wastewater treatment processes. However, seasonal variability of microbial population in varying AS-based processes has been poorly correlated with operation of full-scale wastewater treatment systems (WWTSs). In this paper, significant seasonal variability of AS microbial communities in eight WWTSs located in the city of Guangzhou were revealed in terms of 16S rRNA-based Miseq sequencing. Furthermore, variat...

  1. Effect of Different Fertilizer Treatments on Quantity of Soil Microbes and Structure of Ammonium Oxidizing Bacterial Community in a Calcareous Purple Paddy Soil

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    The quantity of soil microbes and the structure of ammonium oxidizing bacterial (AOB) community were analyzed using the dilution plate counting and most probable number method (MPN), and denaturing gradient gel electrophoresis (DGGE), respectively. Fertilizer application tended to increase the number of soil microbes and alter the AOB community compared to the control with no fertilizer application (CK). Among the eight fertilizer treatments, soil samples from the treatments of mineral fertilizers (e.g., N, P, K) in combination with farmyard manure (M) had greater numbers of soil microbes and more complex structure of AOB community than those receiving mineral fertilizers alone. The principal component analyses (PCA) for ammonium oxidizing bacterial community structure showed that the eight fertilizer treatments could be divided into two PCA groups (PCA1 and PCA2). For the soil sampled after rice harvest, PCA1 included NP, NM, NPM and NPKM fertilizer treatments, while PCA2 was consisted of CK, N, M and NPK fertilizer treatments. For soil samples collected after wheat harvest, PCA1 was consisted of M, NM, NPM and NPKM fertilizer treatments, while PCA2 was composed of CK, N, NP and NPK fertilizer treatments. For a given rotation, the richness of AOB community in PCA1 was greater than that in PCA2. In addition, AOB community structure was more complex in the soil after rice harvest than that after wheat harvest. The results indicated that different fertilizer treatments resulted in substantial changes of soil microbe number and AOB community. Furthermore, mineral fertilizers (N, NP, NPK) combined with farmyard manure were effective for increasing the quantity of soil microbes, enriching AOB community, and improving the soil biofertility.

  2. BEHAVIORAL ASPECTS IN COMMUNITY ORAL HEALTH PROBLEMS: A STUDY ON DENTAL TREATMENT DISCONTINUATION

    Directory of Open Access Journals (Sweden)

    Felix Aryadi Joelimar

    2015-08-01

    Full Text Available The low value of F/DMF-T ration on Performed Treatment Index in Indoneisa gives an indication of great problems in dental treatment utilization. Dental treatment utilization is affected by several obstacles, the greatest among which is psychosocial obstacles. In this study the psychosocial obstacles were detected through Intrinsic Obstacles, Obstacles in Transportation, and Obstacles in Dental Clinic related to their effects on their discontinuation of dental treatments at Balkesmas Kiara, Kecamatan Senen, Jakarta Pusat. The discontinuation of dental treatments was mostly affected by Intrinsic Obstacles, through its components as Types of Cases, Dental Anxiety Scale, and Intrinsic Motivation. Generally Obstacles in Transportation had no effects, excpet its components of Travel Time and Tiredness. Obstacles in Dental Clinic had a significant effect on the discontinuation of dental treatments through the unpleasant manner of the druggist, the hot waiting room, and the high expense on drugs.

  3. ART adherence changes among patients in community substance use treatment: a preliminary analysis from MACH14

    Directory of Open Access Journals (Sweden)

    Rosen Marc I

    2012-10-01

    Full Text Available Abstract Background Opiate substitution treatment has been associated with better adherence to lifesaving antiretroviral medications, but the impact of other substance abuse treatment on adherence is unknown. Findings In this study, 215 patients who had been in adherence-focused research studies provided electronically-measured adherence data and a measure of whether the patient had recently been in substance abuse treatment. Recent engagement in substance abuse treatment was independently associated with significantly higher adherence, after covarying for recent substance use and other factors potentially affecting adherence. Conclusions The findings suggest that substance abuse treatment is associated with better adherence. Potential mechanisms by which substance abuse treatment improves adherence, such as more stability or more future-orientation, require further study.

  4. Community risk factors for ocular Chlamydia infection in Niger: pre-treatment results from a cluster-randomized trachoma trial.

    Directory of Open Access Journals (Sweden)

    Abdou Amza

    Full Text Available BACKGROUND: Trachoma control programs utilize mass azithromycin distributions to treat ocular Chlamydia trachomatis as part of an effort to eliminate this disease world-wide. But it remains unclear what the community-level risk factors are for infection. METHODS: This cluster-randomized, controlled trial entered 48 randomly selected communities in a 2×2 factorial design evaluating the effect of different treatment frequencies and treatment coverage levels. A pretreatment census and examination established the prevalence of risk factors for clinical trachoma and ocular chlamydia infection including years of education of household head, distance to primary water source, presence of household latrine, and facial cleanliness (ocular discharge, nasal discharge, and presence of facial flies. Univariate and multivariate associations were tested using linear regression and Bayes model averaging. FINDINGS: There were a total of 24,536 participants (4,484 children aged 0-5 years in 6,235 households in the study. Before treatment in May to July 2010, the community-level prevalence of active trachoma (TF or TI utilizing the World Health Organization [WHO] grading system was 26.0% (95% CI: 21.9% to 30.0% and the mean community-level prevalence of chlamydia infection by Amplicor PCR was 20.7% (95% CI: 16.5% to 24.9% in children aged 0-5 years. Univariate analysis showed that nasal discharge (0.29, 95% CI: 0.04 to 0.54; P = 0.03, presence of flies on the face (0.40, 95% CI: 0.17 to 0.64; P = 0.001, and years of formal education completed by the head of household (0.07, 95% CI: 0.07 to 0.13; P = 0.03 were independent risk factors for chlamydia infection. In multivariate analysis, facial flies (0.26, 95% CI: 0.02 to 0.49; P = 0.03 and years of formal education completed by the head of household (0.06, 95% CI: 0.008 to 0.11; P = 0.02 were associated risk factors for ocular chlamydial infection. INTERPRETATION: We have found that the presence

  5. Adaptation of the Patient Feedback Survey at a Community Treatment Setting

    OpenAIRE

    Kolodziej, Monika E.; Muchowski, Patrice M.; Hamdi, Nayla R.; Morrissette, Paula; Psy.D.,; McGowan, Alicen J.; Weiss, Roger D.

    2011-01-01

    The Patient Feedback Survey is a performance improvement measure designed to assess the quality of outpatient substance abuse treatment. We modified and administered this measure to 500 individuals at a multi-site treatment provider. Although the feedback scores were high in general, analyses of variance showed score variability in relation to type and length of treatment. Moreover, respondents who reported any use of marijuana, cravings for substances, or mutual-support group attendance (i.e...

  6. Differential effects of biocide treatments on saxicolous communities: Case study of the Segovia cathedral cloister (Spain)

    OpenAIRE

    Ríos, Asunción de los; Pérez Ortega, Sergio; Wierzchos, Jacek; Ascaso, Carmen

    2012-01-01

    This paper reports on the differential elimination of surface lichen thalli and their penetrating hyphae and epilithic and endolithic cyanobacteria by two biocide treatments applied on a small scale to the cloister of the Segovia cathedral. Both chemical treatments were followed by mechanical cleaning, and their effects were determined by scanning electron microscopy with backscattered electron imaging (SEM–BSE). Both treatments were effective at killing epilithic lichens and cyanobacteria, a...

  7. Investigating Impacts of Incorporating an Adjuvant Mind–Body Intervention Method Into Treatment as Usual at a Community-Based Substance Abuse Treatment Facility

    Directory of Open Access Journals (Sweden)

    Yoshio Nakamura

    2015-02-01

    Full Text Available Treatment of substance use/misuse (SUM continues to pose a difficult challenge. This exploratory pilot study evaluated whether a novel mind–body intervention program called “Mind–Body Bridging” (MBB could be an effective short-term adjuvant intervention for managing SUM and coexisting symptoms in women undergoing residential and outpatient substance use treatment in a community setting. Thirty-eight women attending a local substance abuse (SA facility were recruited and randomly assigned to either (a treatment as usual (TAU or (b MBB and TAU. The MBB program consisted of 20 sessions and lasted for 10 weeks. Participants were asked to complete a set of self-report questionnaires designed to assess drug/alcohol cravings, impact of past trauma, depression, sleep disturbance, mindfulness, self-compassion, and well-being. They completed the questionnaires at three time points: preintervention, midintervention (after the fifth week, and postintervention. MBB + TAU significantly reduced drug/alcohol cravings, trauma-related thinking, and disturbed sleep in comparison with TAU. Furthermore, MBB + TAU significantly increased mindfulness, self-compassion, and well-being in comparison with TAU. MBB for SUM appears promising as a complementary adjuvant intervention, warranting future larger scale randomized controlled trials of MBB for SUM populations. SUM is a difficult condition to treat and manage clinically, especially given the multiple comorbid conditions that frequently affect those with SUM. In the search to develop effective adjuvant interventions for SUM, the present pilot study suggested that adding MBB to standard SUM treatment in community-based settings could enhance therapeutic efficacy and quality of care.

  8. Treatment of adults with community-acquired respiratory tract infections: results of a multicentric clinical trial with gatifloxacin

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    Medeiros Eduardo Alexandrino Servolo

    2002-01-01

    Full Text Available Respiratory tract infections have an important clinical and economic impact and they are the most common indication for antibiotic use in outpatient practice. This prospective, multicenter non-controlled trial assessed the efficacy and safety of gatifloxacin in the treatment of community-acquired respiratory tract infections. Patients were treated with a daily oral dose of gatifloxacin 400 mg for 7-14 days. The diagnosis of respiratory infection was made based on the clinical condition and/or radiologic findings. A total of 5,044 adult patients with community-acquired respiratory infections was treated with gatifloxacin in different centers in Brazil between March 1, 2001, and October 31, 2001. Among the 5,044 patients treated, 1,501 patients (29.76% had community-acquired pneumonia, 756 (14.99% had acute exacerbation of chronic bronchitis and 2,787 (55.25% had acute sinusitis. Of the total of patients treated, 3,607 (71.51% were considered cured, 1,261 (25% progressed with some clinical improvement, 28 (0.56% presented a relapse, 56 (1.11% failed to treatment and 92 (1.82% were unable to be evaluated. Adverse events were described in 634 (12.57% patients. The most common adverse events were: nausea (2.24%; dyspepsia (1.86%; diarrhea (0.79%; change in taste (0.46%; insomnia and irritability (0.22%; dizziness (0.77%; headache (0.42%; allergic reaction (0.18%; Central Nervous System alterations - insomnia, agitation, anxiety - (0.46%. This study showed that the treatment of respiratory tract infections with gatifloxacin was safe and efficient and had a low incidence of adverse events.

  9. Community perceptions of malaria and malaria treatment behaviour in a rural district of Ghana: implications for artemisinin combination therapy

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    Boahen Owusu

    2010-07-01

    Full Text Available Abstract Background Artesunate-amodiaquine (AS-AQ was introduced in Ghana as the first line drug for treatment of uncomplicated malaria in 2004. We report the perceptions of malaria and malaria treatment behaviour, the community awareness of and perceptions about AS-AQ two years after the introduction of this ACT treatment for malaria. Methods Two surveys were conducted; a cross-sectional survey of 729 randomly selected household heads (urban-362, rural-367 and 282 women with children Results Majority of respondents ( > 75% in the sampled survey mentioned mosquito bites as the cause of malaria. Other causes mentioned include environmental factors (e.g. dirty surroundings and standing in the sun. Close to 60% of the household heads and 40% of the care-givers interviewed did not know about AS-AQ. The community respondents who knew about and had ever taken AS-AQ perceived it to be a good drug; although they mentioned they had experienced some side effects including headaches and body weakness. Co-blistered AS-AQ was available in all the government health facilities in the study area. Different formulations of ACTs were however found in urban chemical shops but not in rural chemical stores where monotherapy antimalarials were predominant. Conclusion The knowledge of fever as a symptom of malaria is high among the study population. The awareness of AS-AQ therapy and its side-effect was low in the study area. Community education and sensitization, targeting all categories of the population, has to be intensified to ensure an efficient implementation process.

  10. Barcroft's bold assertion: All dwellers at high altitudes are persons of impaired physical and mental powers.

    Science.gov (United States)

    West, John B

    2016-03-01

    Barcroft's bold assertion that everyone at high altitude has physical and mental impairment compared with sea level was very provocative. It was a result of the expedition that he led to Cerro de Pasco in Peru, altitude 4300 m. Although it is clear that newcomers to high altitude have reduced physical powers, some people believe that this does not apply to permanent residents who have been at high altitude for generations. The best evidence supports Barcroft's contention, although permanent residents often perform better than acclimatized lowlanders. Turning to neuropsychological function, newcomers to high altitude certainly have some impairment, and there is evidence that the same applies to highlanders. However the notion that permanent residents are impaired is anathema to many people. For example the eminent Peruvian physician Carlos Monge took great exception to Barcroft's remark and even attributed it to the fact that Barcroft was suffering from acute mountain sickness when he made it! Monge referred to 'climatic aggression', by which he meant the negative consequences of the inevitable hypoxia of high altitude. Recent technological advances such as oxygen enrichment of room air can overcome this 'aggression'. This might be useful in some settings at high altitude such as a nursery where newborn babies are cared for, and possibly operating rooms where the surgeon's dexterity may be enhanced. Other situations might be dormitories, conference rooms, and perhaps some school rooms. These constitute possible ways by which the effects of Barcroft's assertion might be countered. PMID:25962370

  11. Barcroft's bold assertion: All dwellers at high altitudes are persons of impaired physical and mental powers.

    Science.gov (United States)

    West, John B

    2016-03-01

    Barcroft's bold assertion that everyone at high altitude has physical and mental impairment compared with sea level was very provocative. It was a result of the expedition that he led to Cerro de Pasco in Peru, altitude 4300 m. Although it is clear that newcomers to high altitude have reduced physical powers, some people believe that this does not apply to permanent residents who have been at high altitude for generations. The best evidence supports Barcroft's contention, although permanent residents often perform better than acclimatized lowlanders. Turning to neuropsychological function, newcomers to high altitude certainly have some impairment, and there is evidence that the same applies to highlanders. However the notion that permanent residents are impaired is anathema to many people. For example the eminent Peruvian physician Carlos Monge took great exception to Barcroft's remark and even attributed it to the fact that Barcroft was suffering from acute mountain sickness when he made it! Monge referred to 'climatic aggression', by which he meant the negative consequences of the inevitable hypoxia of high altitude. Recent technological advances such as oxygen enrichment of room air can overcome this 'aggression'. This might be useful in some settings at high altitude such as a nursery where newborn babies are cared for, and possibly operating rooms where the surgeon's dexterity may be enhanced. Other situations might be dormitories, conference rooms, and perhaps some school rooms. These constitute possible ways by which the effects of Barcroft's assertion might be countered.

  12. Seropositive individuals willingness to communicate, self-efficacy, and assertiveness prior to HIV infection.

    Science.gov (United States)

    Crowell, Tara L

    2004-01-01

    The purpose of this study was to examine possible communication similarities between human immunodeficiency virus (HIV) positive and HIV negative individuals. Forty HIV positive heterosexuals, who were infected through heterosexual sex, completed an on-line questionnaire to assess their safer sexual communication, willingness to communicate, condom self-efficacy, and assertiveness prior to HIV infection. Results indicate that prior to infection, HIV positive heterosexuals reported having similar safer sexual communication behaviors to those not infected with the virus. Participants in this study reported high levels of willingness to engage in safer sex communication, but low levels of actual communication. Further, results reveal that participants who engaged more often in safer sex communication were more likely to use condoms. Additionally, participants reported high levels of condom self-efficacy and moderate levels of assertiveness; both variables positively correlated with condom use. Finally, participants reported that they believed they did not need to discuss using condoms because they were not at risk. Previous safer sexual communication research reveals HIV negative individuals reported engaging in the same behaviors and holding the same beliefs reported by seropositive individuals. Hence, discussion of the importance of safer sexual communication and the utility of personalization to increase the communication of HIV negative individuals is explored.

  13. Alexithymia, Assertiveness and Psychosocial Functioning in HIV: Implications for Medication Adherence and Disease Severity.

    Science.gov (United States)

    McIntosh, Roger C; Ironson, Gail; Antoni, Michael; Fletcher, Mary Ann; Schneiderman, Neil

    2016-02-01

    Psychosocial function and adherence to antiretroviral regimen are key factors in human immunodeficiency virus (HIV) disease management. Alexithymia (AL) is a trait deficit in the ability to identify and describe feelings, emotions and bodily sensations. A structural equation model was used to test whether high levels of AL indirectly relate to greater non-adherent behavior and HIV disease severity via psychosocial dysfunction. Blood draws for HIV-1 viral load and CD4 T-lymphocyte, along with psychosocial surveys were collected from 439 HIV positive adults aged 18-73 years. The structural model supports significant paths from: (1) AL to non-active patient involvement, psychological distress, and lower social support, (2) psychological distress and non-active involvement to non-adherent behavior, and (3) non-adherence to greater HIV disease severity (CFI = .97, RMSEA = .04, SRMR = .05). A second model confirmed the intermediary effect of greater patient assertiveness on the path from AL to social support and non-active patient involvement (CFI = .94, RMSEA = .04, SRMR = .05). Altogether, AL is indirectly linked with HIV disease management through it's association with poor psychosocial function, however greater patient assertiveness buffers the negative impact of AL on relationship quality with healthcare providers and members of one's social support network.

  14. SystemVerilog assertions and functional coverage guide to language, methodology and applications

    CERN Document Server

    Mehta, Ashok B

    2016-01-01

    This book provides a hands-on, application-oriented guide to the language and methodology of both SystemVerilog Assertions and SystemVerilog Functional Coverage. Readers will benefit from the step-by-step approach to functional hardware verification using SystemVerilog Assertions and Functional Coverage, which will enable them to uncover hidden and hard to find bugs, point directly to the source of the bug, provide for a clean and easy way to model complex timing checks and objectively answer the question ‘have we functionally verified everything’. Written by a professional end-user of ASIC/SoC/CPU and FPGA design and Verification, this book explains each concept with easy to understand examples, simulation logs and applications derived from real projects. Readers will be empowered to tackle the modeling of complex checkers for functional verification, thereby drastically reducing their time to design and debug. This updated second edition addresses the latest functional set released in IEEE-1800 (2012) L...

  15. Assertive Communication and Teamwork: Results of an Intervention Program to the Supervisors of a Company

    Directory of Open Access Journals (Sweden)

    Jesús H. Montes de Oca

    2014-11-01

    Full Text Available The study aimed to determine the effect of the implementation of the program "Manage your Talent" in competence assertive communication skills and teamwork. A quasi-experimental research design was used with pre-test - intervention - post-test with control group. The sample included 28 supervisors of a private company, 13 in the experimental group and 15 in the control group. A type of purposive sample was used. The results suggest a positive impact of the program to significantly increase competition achievement assertive communication (U = 3.5, Z = 4.58, *** P <.000, just as in effective dialogue dimensions (U = 8.0, feedback (U = 10.0, conflict resolution (U= 7.0 and non-verbal communication (U = 4.0, the skills of this competence in the highest increase was recorded were effective dialogue and nonverbal communication. In the other, the increase was lower. Regarding competition teamwork (U = 0.00, Z = 4.837, *** P <.000, just as in the dimensions (U = 9.0, Goal Achievement (U = 15.0, democratic environment (U= 12.0 and decision making (U = 7.0. The skills of this competence in the highest increase was recorded were the subject property, democratic environment and goal achievement. Minor increase in decision-making for managing consensus.

  16. Alexithymia, Assertiveness and Psychosocial Functioning in HIV: Implications for Medication Adherence and Disease Severity.

    Science.gov (United States)

    McIntosh, Roger C; Ironson, Gail; Antoni, Michael; Fletcher, Mary Ann; Schneiderman, Neil

    2016-02-01

    Psychosocial function and adherence to antiretroviral regimen are key factors in human immunodeficiency virus (HIV) disease management. Alexithymia (AL) is a trait deficit in the ability to identify and describe feelings, emotions and bodily sensations. A structural equation model was used to test whether high levels of AL indirectly relate to greater non-adherent behavior and HIV disease severity via psychosocial dysfunction. Blood draws for HIV-1 viral load and CD4 T-lymphocyte, along with psychosocial surveys were collected from 439 HIV positive adults aged 18-73 years. The structural model supports significant paths from: (1) AL to non-active patient involvement, psychological distress, and lower social support, (2) psychological distress and non-active involvement to non-adherent behavior, and (3) non-adherence to greater HIV disease severity (CFI = .97, RMSEA = .04, SRMR = .05). A second model confirmed the intermediary effect of greater patient assertiveness on the path from AL to social support and non-active patient involvement (CFI = .94, RMSEA = .04, SRMR = .05). Altogether, AL is indirectly linked with HIV disease management through it's association with poor psychosocial function, however greater patient assertiveness buffers the negative impact of AL on relationship quality with healthcare providers and members of one's social support network. PMID:26143246

  17. Efficacy and Safety of Intravenous Moxifloxacin Versus Cefoperazone with Azithromycin in the Treatment of Community Acquired Pneumonia

    Institute of Scientific and Technical Information of China (English)

    XU Shuyun; XIONG Shengdao; XU Yongjian; LIU Jin; LIU Huiguo; ZHAO Jianping; XIONG Weining

    2006-01-01

    To compare the efficacy, safety, and tolerability of intravenous moxifloxacin with those of a commonly used empirical antibiotic regimen, cefoperazone and azithromycin in the treatment of community acquired pneumonia (CAP) in adult patients requiring initial parenteral therapy, 40 patients with CAP were divided into two groups, a moxifloxacin group (n=20) and a control group(n=20), which were treated for 7 to 14 days. The patients in the moxifloxacin group were intravenously given 400 mg of moxifloxacin (AveloxR) once a day. Patients in the control group were administered 2.0 g of cefoperazone twice a day and azithromycin 0.5 g once a day. Clinical, bacteriological, and laboratory examinations were performed before the treatment, and at the end of the treatment. Our results showed that there was no significant difference in the clinical efficacy rate between two treatment groups at end of therapy (90 % for moxifloxacin, 95 % for cefoperazone plus azithromycin) (P>0.05). The bacteriologic eradication rate at the end of treatment was 90 % in the moxifloxacin group and 80 % in the cefoperazone-plus-azithromycin group, whereas there was no significant difference between the two groups (P>0.05). In addition, both drugs were well-tolerated in this trial, with the number of drug-related adverse events being comparable. It is concluded that moxifloxacin is an effective and well-tolerated treatment for CAP and was equivalent to the commonly used empirical treatment of cefoperazone plus azithromycin. Moxifloxacin is likely to offer clinicians an alternative for reliable empirical CAP treatment in the face of increasing antibiotic resistance.

  18. Test Anxiety: Theory, Assessment, and Treatment. The Series in Clinical and Community Psychology.

    Science.gov (United States)

    Spielberger, Charles D., Ed.; Vagg, Peter R., Ed.

    It is not surprising that a broad array of treatment programs have been developed to reduce test anxiety, since the consequences can be serious. The contributions in this volume review and evaluate the theory of test anxiety, its measurement, its manifestations, and possible treatments and their outcomes. The following chapters are included: (1)…

  19. A Treatment Study of Mode Deactivation Therapy in an Out Patient Community Setting

    Science.gov (United States)

    Apsche, Jack A.; Bass, Christopher K.; Siv, Alexander

    2006-01-01

    This paper is a review of the outpatient data and recidivism for an 18 month post treatment follow-up of Mode Deactivation Therapy (MDT). The follow up data suggests that effects of MDT generalized for over one-year post treatment in these adolescent conduct disordered males in an inpatient therapeutic setting. This research compared the…

  20. Acute stroke treatment in the community: improving our performance and expanding our options.

    Science.gov (United States)

    Russman, Andrew N; Katzan, Irene L

    2005-12-01

    Three-quarters of all strokes are managed outside of academic medical centers, making optimization of stroke care in the community setting a central part of minimizing the disability from stroke. In addition, the care of stroke patients crosses multiple different components of the health care system and requires a multifaceted and coordinated approach. This article reviews the current status of stroke care across the care continuum and reviews methods found to be effective in educating the public and organizing regional delivery of hyperacute stroke care. Successful community-based stroke care models and current national initiatives in improving hospital management are discussed. Local implementation of these strategies provides an exciting opportunity to improve outcomes after stroke. PMID:16341990

  1. Impact of organizational change on the intake, referral and treatment of outpatients at a community mental health center.

    Science.gov (United States)

    Salta, L; Buick, W P

    1989-01-01

    The authors evaluated two indices of services for 349 outpatients who requested an initial appointment for screening and evaluation at a community mental health center over a one-month period in April of 1981, 1984, and 1988. Intake waiting time after initial screening and evaluation was 15.2 treatment days in 1981, 15.4 treatment days in 1984 and reduced to 2.7 treatment days in 1988. For patients who were referred for continued outpatient treatment, the dropout rates were reduced from 54.3 percent in 1981, to 28.51 percent in 1984 and further reduced to 19.19 percent in 1988. A divisional structure was designed with the purpose of reducing organizational barriers in order to provide greater access to services and to enhance continuity of care to patients. These results suggest that systematic organizational changes and the implementation of clearly defined clinical and administrative policies and procedures can impact favorably upon the intake, referral and treatment of outpatients.

  2. Impact of organizational change on the intake, referral and treatment of outpatients at a community mental health center.

    Science.gov (United States)

    Salta, L; Buick, W P

    1989-01-01

    The authors evaluated two indices of services for 349 outpatients who requested an initial appointment for screening and evaluation at a community mental health center over a one-month period in April of 1981, 1984, and 1988. Intake waiting time after initial screening and evaluation was 15.2 treatment days in 1981, 15.4 treatment days in 1984 and reduced to 2.7 treatment days in 1988. For patients who were referred for continued outpatient treatment, the dropout rates were reduced from 54.3 percent in 1981, to 28.51 percent in 1984 and further reduced to 19.19 percent in 1988. A divisional structure was designed with the purpose of reducing organizational barriers in order to provide greater access to services and to enhance continuity of care to patients. These results suggest that systematic organizational changes and the implementation of clearly defined clinical and administrative policies and procedures can impact favorably upon the intake, referral and treatment of outpatients. PMID:10295614

  3. Evaluating Community Inclusion: A Novel Treatment Program for Children with Autism Spectrum Disorders

    Directory of Open Access Journals (Sweden)

    Natalie J. Webb

    2015-11-01

    Full Text Available A state-funded, non-profit organization developed an innovative inclusion program for children with Autism spectrum disorders and developmental delays, Including Special Kids, which offers activities for children with developmental delays alongside typically developing children in collaboration with well-established local youth programs. This case study examines the ISK intervention program at the original community host sites to determine if the evidence supports a measurable and demonstrable change in behaviors in a real-world setting that may lead to increased quality of life and greater inclusion in the community. Using evidence-based data, we measured the progress of 30 children over 6-24 months. Children participating in the program showed average improvement in all but two function areas and improvement in all composite scores. While these results do not prove program success, they offer an indication that the program helps children learn skills and behaviors to successfully navigate and become part of community-based, after-school recreational programs.

  4. The information and support needs of patients discharged after a short hospital stay for treatment of low-risk Community Acquired Pneumonia: implications for treatment without admission

    Directory of Open Access Journals (Sweden)

    Entwistle Vikki A

    2008-07-01

    Full Text Available Abstract Background There is increasing evidence that patients with low-risk community acquired pneumonia (CAP can be effectively treated as outpatients. This study aimed to explore patients' experiences of having pneumonia and seeking health care; their perceptions of the information provided by health professionals; how they self managed at home; their information and support needs; and their beliefs and preferences regarding site of care. Methods We conducted qualitative, semi-structured interviews with 15 patients who had a confirmed diagnosis of low-risk CAP and had received fewer than 3 days hospital care. Interviews were audio recorded and transcribed, and data were analysed thematically. Results Most patients left hospital with no clear understanding of pneumonia, its treatment or follow-up and most identified additional-other specific information needs when they got home. Some were unable to independently address their activities of daily living in their first days at home. Main concerns after discharge related to the cause and implications of pneumonia, symptom trajectory and prevention of transmission. Most sought advice from their GP in their first days at home, and indicated they would have appreciated a follow-up phone call or visit to discuss their concerns. Patients' preferences for site of care varied and appeared to be influenced by beliefs about safety (fear of rapid deterioration at home or acquiring an infection in hospital, family burden, access to support, or confidence in home-care services. Those who received intravenous (IV medication were more likely to state a preference for hospital care. Conclusion Trends to support community-based treatment of CAP should be accompanied by increased attention to the information and support needs of patients who go home to self-manage. Although some information needs can be anticipated and addressed on diagnosis, specific needs often do not become apparent until patients return home

  5. [Team-based community psychiatry: importance of context factors and transferability of evidence from studies].

    Science.gov (United States)

    Weinmann, S; Gühne, U; Kösters, M; Gaebel, W; Becker, T

    2012-07-01

    The German Society for Psychiatry, Psychotherapy and Neurology (DGPPN) guidelines on psychosocial interventions for people with severe mental illness appraise the transferability of results of trials evaluating community-based mental health services to the German situation. This assessment has to draw on research results on factors determining effectiveness. This must be seen against the background of a lack of high-quality trials in Germany. The article discusses system, context and setting factors related to the transfer of evidence on community-based service models from other countries. These issues are discussed on the basis of evidence concerning the models of case management, assertive community treatment and community mental health teams. International differences in study findings are highlighted and the importance of treatment-as-usual in influencing study results is emphasized. The more control services including elements of community-based care there are and the less the pressure to reduce inpatient treatment (threshold to inpatient care admission), the smaller the relative effect sizes of innovative care models will be.In the absence of direct evidence, careful examination of transferability is required before introducing health care models. Research has revealed solid evidence for several factors influencing the effects of innovative community mental health care. Among key factors in the care of people with severe mental illness, home visits and joint team responsibility for both psychiatric and social care were identified. This evidence can facilitate the adaptation of successful mental health care models in Germany. PMID:22688090

  6. Effect of polybrominated diphenyl ether (PBDE) treatment on the composition and function of the bacterial community in the sponge Haliclona cymaeformis.

    KAUST Repository

    Tian, Ren-Mao

    2014-01-01

    Marine sponges play important roles in benthic environments and are sensitive to environmental stresses. Polybrominated diphenyl ethers (PBDEs) have been widely used as flame retardants since the 1970s and are cytotoxic and genotoxic to organisms. In the present study, we studied the short-period effect of PBDE-47 (2,2\\',4,4\\'-tetrabromodiphenyl ether) treatment on the community structure and functional gene composition of the bacterial community inhabiting the marine sponge Haliclona cymaeformis. Our results showed that the bacterial community shifted from an autotrophic bacteria-dominated community to a heterotrophic bacteria-dominated community in response to PBDE-47 in a time- and concentration-dependent manner. A potentially symbiotic sulfur-oxidizing bacterium (SOB) was dominant (>80% in abundance) in the untreated sponge. However, exposure to a high concentration (1 μg/L) of PBDE-47 caused a substantial decrease in the potential symbiont and an enrichment of heterotrophic bacteria like Clostridium. A metagenomic analysis showed a selective effect of the high concentration treatment on the functional gene composition of the enriched heterotrophic bacteria, revealing an enrichment for the functions responsible for DNA repair, multidrug efflux pumping, and bacterial chemotaxis and motility. This study demonstrated that PBDE-47 induced a shift in the composition of the community and functional genes in the sponge-associated bacterial community, revealing the selective effect of PBDE-47 treatment on the functions of the bacterial community in the microenvironment of the sponge.

  7. Effect of polybrominated diphenyl ether (PBDE treatment on the composition and function of the bacterial community in the sponge Haliclona cymaeformis

    Directory of Open Access Journals (Sweden)

    Renmao eTian

    2015-01-01

    Full Text Available Marine sponges play important roles in benthic environments and are sensitive to environmental stresses. Polybrominated diphenyl ethers (PBDEs have been widely used as flame retardants since the 1970s and are cytotoxic and genotoxic to organisms. In the present study, we studied the short-period effect of PBDE-47 (2,2',4,4'-tetrabromodiphenyl ether treatment on the community structure and functional gene composition of the bacterial community inhabiting the marine sponge Haliclona cymaeformis. Our results showed that the bacterial community shifted from an autotrophic bacteria-dominated community to a heterotrophic bacteria-dominated community in response to PBDE-47 in a time- and concentration-dependent manner. A potentially symbiotic sulfur-oxidizing bacterium (SOB was dominant (>80% in abundance in the untreated sponge. However, exposure to a high concentration (1 µg/L of PBDE-47 caused a substantial decrease in the potential symbiont and an enrichment of heterotrophic bacteria like Clostridium. A metagenomic analysis showed a selective effect of the high concentration treatment on the functional gene composition of the enriched heterotrophic bacteria, revealing an enrichment for the functions responsible for DNA repair, multidrug efflux pumping, and bacterial chemotaxis and motility. This study demonstrated that PBDE-47 induced a shift in the composition of the community and functional genes in the sponge-associated bacterial community, revealing the selective effect of PBDE-47 treatment on the functions of the bacterial community in the microenvironment of the sponge.

  8. Expanding the role of primary care in the prevention and treatment of childhood obesity: a review of clinic- and community-based recommendations and interventions.

    Science.gov (United States)

    Vine, Michaela; Hargreaves, Margaret B; Briefel, Ronette R; Orfield, Cara

    2013-01-01

    Although pediatric providers have traditionally assessed and treated childhood obesity and associated health-related conditions in the clinic setting, there is a recognized need to expand the provider role. We reviewed the literature published from 2005 to 2012 to (1) provide examples of the spectrum of roles that primary care providers can play in the successful treatment and prevention of childhood obesity in both clinic and community settings and (2) synthesize the evidence of important characteristics, factors, or strategies in successful community-based models. The review identified 96 articles that provide evidence of how primary care providers can successfully prevent and treat childhood obesity by coordinating efforts within the primary care setting and through linkages to obesity prevention and treatment resources within the community. By aligning the most promising interventions with recommendations published over the past decade by the Institute of Medicine, the American Academy of Pediatrics, and other health organizations, we present nine areas in which providers can promote the prevention and treatment of childhood obesity through efforts in clinical and community settings: weight status assessment and monitoring, healthy lifestyle promotion, treatment, clinician skill development, clinic infrastructure development, community program referrals, community health education, multisector community initiatives, and policy advocacy. PMID:23710345

  9. Expanding the Role of Primary Care in the Prevention and Treatment of Childhood Obesity: A Review of Clinic- and Community-Based Recommendations and Interventions

    Directory of Open Access Journals (Sweden)

    Michaela Vine

    2013-01-01

    Full Text Available Although pediatric providers have traditionally assessed and treated childhood obesity and associated health-related conditions in the clinic setting, there is a recognized need to expand the provider role. We reviewed the literature published from 2005 to 2012 to (1 provide examples of the spectrum of roles that primary care providers can play in the successful treatment and prevention of childhood obesity in both clinic and community settings and (2 synthesize the evidence of important characteristics, factors, or strategies in successful community-based models. The review identified 96 articles that provide evidence of how primary care providers can successfully prevent and treat childhood obesity by coordinating efforts within the primary care setting and through linkages to obesity prevention and treatment resources within the community. By aligning the most promising interventions with recommendations published over the past decade by the Institute of Medicine, the American Academy of Pediatrics, and other health organizations, we present nine areas in which providers can promote the prevention and treatment of childhood obesity through efforts in clinical and community settings: weight status assessment and monitoring, healthy lifestyle promotion, treatment, clinician skill development, clinic infrastructure development, community program referrals, community health education, multisector community initiatives, and policy advocacy.

  10. Sequential sludge digestion after diverse pre-treatment conditions: sludge removal, methane production and microbial community changes.

    Science.gov (United States)

    Park, Sang Kyu; Jang, Hyun Min; Ha, Jeong Hyub; Park, Jong Moon

    2014-06-01

    A lab-scale sequential sludge digestion process which consists of a mesophilic anaerobic digester (MAD) and a thermophilic aerobic digester (TAD) was developed. Thermal, thermal-alkaline and long-term alkaline pre-treatments were applied to the feed sludge to examine their effects on sludge removal and methane production. Especially after thermal-alkaline pre-treatment, high COD removal was maintained; methane production rate was also drastically increased by improving the hydrolysis step of sludge degradation. Polymerase chain reaction-denaturing gel gradient electrophoresis indicated that bacterial communities were represented by three phyla (Firmicutes, Proteobacteria, Actinobacteria) and that Clostridium straminisolvens was the major bacterial species in MAD. Quantitative real-time PCR results indicated that Methanosaeta concilli was the major archaeal species in MAD, and that Ureibacillus sp. was the most abundant bacterial species in TAD.

  11. Treatment of complex dissociative disorders: a comparison of interventions reported by community therapists versus those recommended by experts.

    Science.gov (United States)

    Myrick, Amie C; Chasson, Gregory S; Lanius, Ruth A; Leventhal, Barry; Brand, Bethany L

    2015-01-01

    There is a paucity of empirical data to assist clinicians in choosing interventions to use with patients with complex dissociative disorder (DD; i.e., dissociative identity disorder and dissociative disorder not otherwise specified) at different stages in treatment. This study compared interventions used by a sample of international outpatient therapists treating DD clients in the 1st 2 stages of treatment with those recommended by expert DD therapists. There were many similarities between therapists' and experts' interventions, including the use of several emotion regulation and dissociation-focused interventions. However, community therapists reported significantly less focus on relationally oriented interventions, teaching and using grounding and containment skills, and stabilizing patients after revictimization by alleged perpetrators. This study has important implications for the development and implementation of training opportunities for DD therapists. PMID:25365637

  12. Comparison of bacterial community structures in two systems of a sewage treatment plant using PCR-DGGE analysis

    Institute of Scientific and Technical Information of China (English)

    Abd El-Latif Hesham; Rong Qi; MinYang

    2011-01-01

    The combination of PCR amplification of 16S rRNA genes with denaturing gradient gel electrophoresis (DGGE) analysis was used to reveal the compositions and dynamics of bacterial communities in a sewage treatment plant with two systems,i.e.,an anoxicanaerobic-aerobic system (inverted A2O) and an anaerobic-anoxic-aerobic one (conventional A2O) over a period from February to July 2009,during which both systems experienced serious sludge bulking problems.The DGGE patterns showed that there were many common bands in both systems,suggesting the high similarity of bacterial communities of the two systems.Meanwhile,the moving window correlation analysis showed that the two systems experienced different microbial community structure changes during the period,which might be related with the different situations of the occurrence and disappearance of sludge bulking,as being reflected by sludge volume index (SVI) values.Major bands of DGGE patterns of sludge samples were further sequenced.Phylogenetic affiliation indicated that the majority of the sequences obtained were affiliated with Actinobacteria,Firmicutes,Bacteroidetes/Chlorobi group and α- and β-Proteobacteria.Two sequences showed high similarities to typical filamentous bacteria Microthrix parvicella and Nostocoida limicola I,indicating that these bacterial species have been involved in the sludge bulking problems.

  13. Performance Assessment of Full-Scale Wastewater Treatment Plants Based on Seasonal Variability of Microbial Communities via High-Throughput Sequencing

    Science.gov (United States)

    Liu, Tang; Liu, Shufeng; Zheng, Maosheng; Chen, Qian; Ni, Jinren

    2016-01-01

    Microbial communities of activated sludge (AS) play a key role in the performance of wastewater treatment processes. However, seasonal variability of microbial population in varying AS-based processes has been poorly correlated with operation of full-scale wastewater treatment systems (WWTSs). In this paper, significant seasonal variability of AS microbial communities in eight WWTSs located in the city of Guangzhou were revealed in terms of 16S rRNA-based Miseq sequencing. Furthermore, variation redundancy analysis (RDA) demonstrated that the microbial community compositions closely correlated with WWTS operation parameters such as temperature, BOD, NH4+-N and TN. Consequently, support vector regression models which reasonably predicted effluent BOD, SS and TN in WWTSs were established based on microbial community compositions. This work provided an alternative tool for rapid assessment on performance of full-scale wastewater treatment plants. PMID:27049964

  14. Availability of substance abuse treatment services in Spanish: A GIS analysis of Latino communities in Los Angeles County, California

    Directory of Open Access Journals (Sweden)

    Curtis Andrew

    2011-08-01

    Full Text Available Abstract Background The percentage of Latino clients entering outpatient substance abuse treatment (OSAT in the United States has increased significantly in the past 10 years. Evidence suggests that a lack of services in Spanish is a significant barrier to treatment access among Latinos. Methods Using a geographic information system (GIS approach, data from the U.S. Census Bureau and the National Survey of Substance Abuse Treatment Services (N-SSATS were analyzed to determine the geographic distance between OSAT facilities with services in Spanish and Latino communities throughout Los Angeles County, CA. Data from N-SSATS were also analyzed using logistic regression models to examine organizational characteristics and their association with offering services in Spanish. Our GIS methods are tested in their ability to provide baseline measures to inform future analysis comparing changes in demography and service infrastructure. Results GIS analysis revealed cold spots representing high-density Latino communities with extensive travel distance to facilities offering services in Spanish. The average linear distance between Latino communities and facilities offering Spanish-language services ranged from 2 to 6 miles, while the location of the cold spots pointed to a need for services in Spanish in a particular subregion of the county. Further, secondary data analysis revealed that, on average, being privately owned (OR = .23, 95% CI = 0.06-0.90 was associated with a lower likelihood of providing services in Spanish compared to public facilities. Additionally, a facility with a state license (OR = 2.08, 95% CI = 1.12-3.88 or a higher number of Medicaid recipients (OR = 2.98, 95% CI = 1.76-5.05 was twice as likely to offer services in Spanish. Conclusion Despite the significant presence of Latinos in L.A. County in 2000, low capacity was found in discrete Latino communities in terms of offering OSAT services in Spanish. Funding and regulation play a

  15. Microbial community structure of activated sludge in treatment plants with different wastewater compositions

    OpenAIRE

    Shchegolkova, Nataliya M.; George S Krasnov; Belova, Anastasia A.; Alexey A Dmitriev; Sergey eKharitonov; Klimina, Kseniya M.; Nataliya V. Melnikova; Anna V Kudryavtseva

    2016-01-01

    Activated sludge (AS) plays a crucial role in the treatment of domestic and industrial wastewater. AS is a biocenosis of microorganisms capable of degrading various pollutants, including organic compounds, toxicants and xenobiotics. We performed 16S rRNA gene sequencing of AS and incoming sewage in three wastewater treatment plants (WWTPs) responsible for processing sewage with different origins: municipal wastewater, slaughterhouse wastewater, and refinery sewage. In contrast to incoming was...

  16. Microbial Community Structure of Activated Sludge in Treatment Plants with Different Wastewater Compositions

    OpenAIRE

    Shchegolkova, Nataliya M.; George S Krasnov; Belova, Anastasia A.; Alexey A Dmitriev; Kharitonov, Sergey L.; Klimina, Kseniya M.; Nataliya V. Melnikova; Anna V Kudryavtseva

    2016-01-01

    Activated sludge (AS) plays a crucial role in the treatment of domestic and industrial wastewater. AS is a biocenosis of microorganisms capable of degrading various pollutants, including organic compounds, toxicants, and xenobiotics. We performed 16S rRNA gene sequencing of AS and incoming sewage in three wastewater treatment plants (WWTPs) responsible for processing sewage with different origins: municipal wastewater, slaughterhouse wastewater, and refinery sewage. In contrast to incoming wa...

  17. Predicting Frequency of Treatment Visits in Community-Based Youth Psychotherapy

    OpenAIRE

    Brookman-Frazee, Lauren; Haine, Rachel A.; Gabayan, Elaine N.; Garland, Ann F

    2008-01-01

    The current study examines factors associated with the number of treatment visits attended by a youth and/or family, including sociodemographic variables, youth clinical characteristics and parent/family characteristics at intake, therapist characteristics, and treatment entry characteristics. A total of 57 therapists in two publicly-funded youth mental health clinics and 169 youths and parents from the therapists’ combined caseloads were included in the study. Negative binomial regression wa...

  18. Supporting Mothers’ Engagement in a Community-Based Methadone Treatment Program

    OpenAIRE

    Nicole Letourneau; Mary Ann Campbell; Jennifer Woodland; Jennifer Colpitts

    2013-01-01

    Unmanaged maternal opioid addiction poses health and social risks to both mothers and children in their care. Methadone maintenance treatment (MMT) is a targeted public health service to which nurses and other allied health professionals may refer these high risk families for support. Mothers participating in MMT to manage their addiction and their service providers were interviewed to identify resources to maximize mothers’ engagement in treatment and enhance mothers’ parenting capacity. Twe...

  19. Community perceptions of repeat HIV-testing: experiences of the ANRS 12249 Treatment as Prevention trial in rural South Africa.

    Science.gov (United States)

    Orne-Gliemann, Joanna; Zuma, Thembelihle; Chikovore, Jeremiah; Gillespie, Natasha; Grant, Merridy; Iwuji, Collins; Larmarange, Joseph; McGrath, Nuala; Lert, France; Imrie, John

    2016-01-01

    In the context of the ANRS 12249 Treatment as Prevention (TasP) trial, we investigated perceptions of regular and repeat HIV-testing in rural KwaZulu-Natal (South Africa), an area of very high HIV prevalence and incidence. We conducted two qualitative studies, before (2010) and during the early implementation stages of the trial (2013-2014), to appreciate the evolution in community perceptions of repeat HIV-testing over this period of rapid changes in HIV-testing and treatment approaches. Repeated focus group discussions were organized with young adults, older adults and mixed groups. Repeat and regular HIV-testing was overall well perceived before, and well received during, trial implementation. Yet community members were not able to articulate reasons why people might want to test regularly or repeatedly, apart from individual sexual risk-taking. Repeat home-based HIV-testing was considered as feasible and convenient, and described as more acceptable than clinic-based HIV-testing, mostly because of privacy and confidentiality. However, socially regulated discourses around appropriate sexual behaviour and perceptions of stigma and prejudice regarding HIV and sexual risk-taking were consistently reported. This study suggests several avenues to improve HIV-testing acceptability, including implementing diverse and personalised approaches to HIV-testing and care, and providing opportunities for antiretroviral therapy initiation and care at home. PMID:27421048

  20. Changes and recovery of soil bacterial communities influenced by biological soil disinfestation as compared with chloropicrin-treatment.

    Science.gov (United States)

    Mowlick, Subrata; Inoue, Takashi; Takehara, Toshiaki; Kaku, Nobuo; Ueki, Katsuji; Ueki, Atsuko

    2013-01-01

    Soil bacterial composition, as influenced by biological soil disinfestation (BSD) associated with biomass incorporation was investigated to observe the effects of the treatment on the changes and recovery of the microbial community in a commercial greenhouse setting. Chloropicrin (CP) was also used for soil disinfestation to compare with the effects of BSD. The fusarium wilt disease incidence of spinach cultivated in the BSD- and CP-treated plots was reduced as compared with that in the untreated control plots, showing effectiveness of both methods to suppress the disease. The clone library analyses based on 16S rRNA gene sequences showed that members of the Firmicutes became dominant in the soil bacterial community after the BSD-treatment. Clone groups related to the species in the class Clostridia, such as Clostridium saccharobutylicum, Clostridium tetanomorphum, Clostridium cylindrosporum, Oxobacter pfennigii, etc., as well as Bacillus niacini in the class Bacilli were recognized as the most dominant members in the community. For the CP-treated soil, clones affiliated with the Bacilli related to acid-tolerant or thermophilic bacteria such as Tuberibacillus calidus, Sporolactobacillus laevolacticus, Pullulanibacillus naganoensis, Alicyclobacillus pomorum, etc. were detected as the major groups. The clone library analysis for the soil samples collected after spinach cultivation revealed that most of bacterial groups present in the original soil belonging to the phyla Proteobacteria, Acidobacteria, Bacteroidetes, Gemmatimonadetes, Planctomycetes, TM7, etc. were recovered in the BSD-treated soil. For the CP-treated soil, the recovery of the bacterial groups belonging to the above phyla was also noted, but some major clone groups recognized in the original soil did not recover fully. PMID:23958081

  1. Community-directed delivery of doxycycline for the treatment of onchocerciasis in areas of co-endemicity with loiasis in Cameroon

    Directory of Open Access Journals (Sweden)

    Wanji Samuel

    2009-08-01

    Full Text Available Abstract Background Severe side effects following ivermectin treatment of onchocerciasis in areas of co-endemicity with loaisis have been an impediment for the work of the African Programme for Onchocerciasis Control (APOC in forested regions of several countries. Doxycycline has been shown to be effective in the treatment of onchocerciasis and has the added advantages of killing adult Onchocerca volvulus but neither adult Loa loa nor their microfilariae. This drug therefore offers great potential for the treatment of onchocerciasis in areas of co-endemicity with loiasis. The limitation of use of this drug is the duration of treatment that may pose a potential problem with therapeutic coverage and compliance with treatment. To benefit from the advantages that doxycycline offers in the treatment of onchocerciasis, it will be necessary to establish an effective distribution system that can access remote communities. This study assessed the feasibility of a large-scale distribution of doxycycline for the treatment of onchocerciasis in areas of co-endemicity with loiasis using a community-directed approach. Methods The study was carried out in 5 health areas co-endemic for Onchocerca volvulus and Loa loa which had no prior experience of the Community Directed Treatment with Ivermectin (CDTI. The community-directed delivery process was introduced using a cascade mechanism from the central health system that passed through the regional health delegation, health district and the health areas. Community health implementers (CHIs were trained to deliver doxycycline to community members and, under the supervision of the health system, to monitor and document drug intake and side effects. Results The community members adhered massively to the process. Of the 21355 individuals counted, 17519 were eligible for treatment and 12936 were treated with doxycycline; giving a therapeutic coverage of eligible population of 73.8%. Of the 12936 who started the

  2. Correlation between microbial community and granule conductivity in anaerobic bioreactors for brewery wastewater treatment

    DEFF Research Database (Denmark)

    Shrestha, Pravin; Malvankar, Nikhil S.; Werner, Jeffrey;

    2014-01-01

    Prior investigation of an upflow anaerobic sludge blanket (UASB) reactor treating brewery wastes suggested that direct interspecies electron transfer (DIET) significantly contributed to interspecies electron transfer to methanogens. To investigate DIET in granules further, the electrical...... conductivity and bacterial community composition of granules in fourteen samples from four different UASB reactors treating brewery wastes were investigated. All of the UASB granules were electrically conductive whereas control granules from ANAMMOX (ANaerobic AMMonium OXidation) reactors and microbial...... with previous studies, which have demonstrated that Geobacter species can donate electrons to methanogens that are typically predominant in anaerobic digesters, suggest that DIET may be a widespread phenomenon in UASB reactors treating brewery wastes....

  3. Consumers stated and revealed preferences for community health workers and other strategies for the provision of timely and appropriate treatment of malaria in southeast Nigeria

    Directory of Open Access Journals (Sweden)

    Shu Elvis

    2006-12-01

    Full Text Available Abstract Background The African Heads of State meeting in Abuja, Nigeria on Roll Back Malaria adopted effective treatment of malaria nearer the home as one of the strategies for malaria control in Africa. A potentially effective strategy for bringing early, appropriate and low cost treatment of malaria closer to the home is through the use of community health workers (CHWs. There is paucity of information about people's actual preferences for CHWs and how stated preferences relates to revealed preferences for both the CHW strategy and other strategies for improving the timeliness of malaria treatment in not only Nigeria but in many malaria endemic countries. Objectives To determine peoples' stated and actual preferences for different strategies for improving the timeliness and appropriateness of treatment of malaria before and after the implementation of a community health workers (CHW strategy in their community. Methods A prospective study was undertaken in a rural malaria holo-endemic Nigerian community. A questionnaire was used to collect information on health-seeking from householders before (first survey and after (second survey implementation of a CHW malaria treatement strategy. Results The consumers mostly preferred the CHW strategy over self-treatment in the homes and other strategies of treatment. The use of community health workers (CHWs increased from 0% to 26.1% (p Conclusion Community health workers can be used to improve and ensure timely and appropriate treatment of malaria. The CHW strategy could also be sustained since it was preferred and used by consumers over self-treatment in the homes as well as other strategies for improving treatment. Hence, the CHW strategy is a feasible and promising method of improving home-management of uncomplicated malaria.

  4. Evaluating the effect of self-awareness and communication techniques on nurses' assertiveness and self-esteem.

    Science.gov (United States)

    Unal, Sati

    2012-12-01

    The effect of a course on self-awareness and communication techniques on nursing students' assertiveness and self-esteem was examined. The Rathus Assertiveness Schedule and Coopersmith Self-Esteem Inventory were used to measure assertiveness and self-esteem in second-year students in an undergraduate nursing school. Seventy-nine students completed the course. The study was designed as a pre-test and post-test study. A significant difference between assertiveness and self-esteem scores of students in pre-test and post-test measurements was found. There was a positive relationship between assertiveness and self-esteem. The course lasted 14 weeks for a total of 3 h per week. The teaching methods focused mostly on active student participation, demonstration, role play, experience and experience sharing, homework, constructive feedback, and watching films. These educational approaches should be evaluated in future studies and adopted in the curriculum. This study provides a basis for the development of learner-centred teaching methods. PMID:23343237

  5. Clinical Decision-Making in Community Children's Mental Health: Using Innovative Methods to Compare Clinicians with and without Training in Evidence-Based Treatment

    Science.gov (United States)

    Baker-Ericzén, Mary J.; Jenkins, Melissa M.; Park, Soojin; Garland, Ann F.

    2015-01-01

    Background: Mental health professionals' decision-making practice is an area of increasing interest and importance, especially in the pediatric research and clinical communities. Objective: The present study explored the role of prior training in evidence-based treatments (EBTs) on clinicians' assessment and treatment formulations using…

  6. Interpersonal Community Psychiatric Treatment for non-psychotic chronic patients and nurses in outpatient mental health care: A controlled pilot study on feasibility and effects

    NARCIS (Netherlands)

    Koekkoek, B.; Meijel, B. van; Schene, A.; Smit, A.; Kaasenbrood, A.; Hutschemaekers, G.

    2011-01-01

    In psychiatric care professionals perceive some patients as 'difficult', especially patients with long-term non-psychotic disorders. For these patients few evidence-based treatments exist. An intervention program, Interpersonal Community Psychiatric Treatment (ICPT), was developed by the authors. It

  7. Posttraumatic Child Therapy (P-TCT): Assessment and Treatment Factors in Clinical Work with Inner-City Children Exposed to Catastrophic Community Violence.

    Science.gov (United States)

    Parson, Erwin Randolph

    1997-01-01

    Discusses the psychological influence and adverse health effects of political terror and community violence on the minds and bodies of children. Claims that a posttraumatic assessment of these children is a critical dimension of clinical treatment. Proposes a treatment approach to alter the child's cognitive theories of self, trauma, and world.…

  8. Removal of plutonium from drinking water by community water treatment facilities

    International Nuclear Information System (INIS)

    Plutonium removal factors (RF) averaged 14 +- 10 during a study of the effectiveness of three drinking-water treatment plants for removing Pu from Savannah River water. Plutonium concentrations between 0.1 and 3.5 femtocurie/l were measured in raw and finished water samples. From 50 to 10,000 liter samples of water were concentrated by ion exchange techniques and processed to determine the concentrations of 239Pu and 240Pu and to derive Pu RF's. The similarity between RF's observed for both Pu and suspended solids suggests a colloidal behavior for Pu. Plutonium RF's may be limited by low-level buildup on the treatment facility filters and subsequent bleeding into finished water, and thus may be higher during abnormal Pu releases to the environment. Flocculation and filtration appear to be the primary factors in the water treatment process contributing to Pu removal. The similarity between the plutonium contents of finished water from treatment facilities upstream and downstream of the Savannah River Plant (SRP) indicates that there is no measurable dose-to-man from SRP Pu releases in the water. The 70-year bone dose commitment to an individual from consumption for one year of 1.65 liters per day of treated Savannah River water, based on the Pu concentrations of finished waters from the three treatment facilities, is 5 x 10-5 em

  9. Predictors of Cholesterol Treatment Discussions and Statin Prescribing for Primary Cardiovascular Disease Prevention in Community Health Centers

    Science.gov (United States)

    Karmali, Kunal N.; Lee, Ji-Young; Brown, Tiffany; Persell, Stephen D.

    2016-01-01

    Background Although cholesterol guidelines emphasize cardiovascular disease (CVD) risk to guide primary prevention, predictors of statin use in practice are unknown. We aimed to identify factors associated with a cholesterol treatment discussion and statin prescribing in a high-risk population. Methods We used data from a trial conducted among participants in community health centers without CVD or diabetes and a 10-year coronary heart disease (CHD) risk ≥10%. Cholesterol treatment discussion was assessed at 6 months and statin prescription at 1 year. We used logistic regressions to identify factors associated with each outcome. Results We analyzed 646 participants (89% male, mean age 60 ± 9.5 years). Cholesterol treatment discussion occurred in 19% and statin prescription in 12% of participants. Ten-year CHD risk was not associated with treatment discussion (OR 1.11 per 1 SD increase, 95% CI 0.91-1.33) but was associated with statin prescription (OR 1.41 per 1 SD increase, 95% CI 1.13-1.75) in unadjusted models. After adjusting for traditional CVD risk factors that contribute to CHD risk, low-density lipoprotein cholesterol (LDL-C) was independently associated with statin prescription (OR 1.82 per 1 SD increase, 95% CI 1.66-1.99). Antihypertensive medication use was independently associated with both cholesterol treatment discussion (OR 3.68, 95% CI 2.35-5.75) and statin prescription (OR 3.98, 95% CI 3.30-4.81). Other drivers of CVD risk (age, smoking, and systolic blood pressure) were not associated with statin use. Conclusions Single risk factor management strongly influences cholesterol treatment discussions and statin prescribing patterns. Interventions that promote risk-based statin utilization are needed. PMID:27090436

  10. Lamb Buddha’s Migrant Workers: Self-Assertion on China’s Urban Fringe

    Directory of Open Access Journals (Sweden)

    Michael Brian Griffiths

    2010-01-01

    Full Text Available This paper presents an analysis of the everyday practices of individuality among the migrant workers with whom I worked at “Lamb Buddha”, a hotpot restaurant in Anshan City, Liaoning Province, during the summer of 2007. The majority of the data comes from four young men, meaning that the analysis complements extant studies of Chinese female migrant workers by allowing male-gendered inflections of discourse prominence. The paper examines the internal structure of “symbolic boundaries” drawn and managed in judgements, positioning statements, and so forth, attempting to regress the modalities by which these migrants assert themselves, thus showing how individuality arises from a discursive environment structured by relation to similar peers and distinctly different others.

  11. An analysis of the lateral void transfer mechanisms in the ASSERT subchannel code

    International Nuclear Information System (INIS)

    The current aim of this research is to conduct the verification of the hydraulic aspect of subchannel codes. The experiments were conducted on two laterally interconnected horizontal bundle type subchannels under adiabatic two-phase flow conditions. The two phase flow was a mixture of air and water initially having a different void fraction in each subchannel. The main parameters measured in the channels were: void fraction; liquid and gas mass flow rates; and, pressures. Since, in horizontal two-phase flow the mass exchanges between interconnected subchannels are greatly influenced by the relative position of the high void channel (denoted LV) with respect to the low void channel (denoted LV), the former channel has been rotated to different positions about the latter one. The experimental results are compared with the predictions of the ASSERT-4 (Version 1.5) subchannel code to ascertain how well they can be predicted. (8 refs., 8 figs.)

  12. Using Assertion Capabilities of an OWL-Based Ontology for Query Formulation

    CERN Document Server

    Munir, Kamran; Bloodsworth, Peter; McClatchey, Richard

    2008-01-01

    This paper reports on the development of a framework to assist users in formulating relational queries without requiring a complete knowledge of the information structure and access mechanisms to underlying data sources. The emphasis here is on exploiting the semantic relationships and assertion capabilities of OWL ontologies to assist clinicians in writing complex queries. This has been achieved using both a bottom-up and top-down approaches to build an ontology model to be the repository for complex end user queries. Relational database schemas are mapped into the newly generated ontology schema to reinforce the current domain ontology being developed. One of the key merits of this approach is that it does not require storing data interpretation, with the added advantage of even not storing database instances as part of the domain ontology, especially for systems with huge volume of data.

  13. Ontology Assisted Query Reformulation Using Semantic and Assertion Capabilities of OWL-DL Ontologies

    CERN Document Server

    Munir, Kamran; McClatchey, Richard

    2008-01-01

    End users of recent biomedical information systems are often unaware of the storage structure and access mechanisms of the underlying data sources and can require simplified mechanisms for writing domain specific complex queries. This research aims to assist users and their applications in formulating queries without requiring complete knowledge of the information structure of underlying data sources. To achieve this, query reformulation techniques and algorithms have been developed that can interpret ontology-based search criteria and associated domain knowledge in order to reformulate a relational query. These query reformulation algorithms exploit the semantic relationships and assertion capabilities of OWL-DL based domain ontologies for query reformulation. In this paper, this approach is applied to the integrated database schema of the EU funded Health-e-Child (HeC) project with the aim of providing ontology assisted query reformulation techniques to simplify the global access that is needed to millions ...

  14. Community Pharmacists role in obesity treatment in Kuwait: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Awad Abdelmoneim

    2012-10-01

    Full Text Available Abstract Background Obesity is a growing health concern in Kuwait. Obesity has been identified as a key risk factor for many chronic diseases including hypertension, dyslipidemia and type 2 diabetes mellitus. It has been shown that community pharmacists' involvement is associated with successful weight management in developed countries. This study was conducted to investigate the role of community pharmacists in obesity counseling, and to identify the barriers to counseling in Kuwait. Methods A descriptive cross-sectional study involved 220 community pharmacies that were selected via stratified and systematic random sampling. A pretested self-administered questionnaire collected information on frequency and comfort level with obesity counseling, and the perceived effectiveness of four aspects of obesity management (diet and exercise, prescribed antiobesity medications, diet foods, and nonprescription products and dietary supplements. Information on perceived confidence in achieving positive outcomes as a result of counseling and barriers to counseling was also collected. Descriptive and Spearman’ r analysis were conducted using SPSS version 17. Responses with Likert scale rating 1(low score to 5 (high score and binary choices (yes/no were presented as mean (SD and (95% CI, respectively. Results The response rate was 93.6%. The overall mean (SD responses indicated that pharmacists counseled obese patients sometimes to most of the time, 3.67 (1.19 and were neutral to comfortable with counseling about aspects of obesity management, 3.77 (1.19. Respondents perceived obesity management aspects to be somewhat effective, 3.80 (1.05. Of the four aspects of obesity management, diet and exercise, and diet foods were the highest ranked in terms of frequency of counseling, comfort level and perceived effectiveness. Pharmacists were neutral to confident in achieving positive outcomes as a result of obesity counseling, 3.44 (1.09. Overall mean responses of

  15. Striving for Effectiveness in the Treatment of Adolescent Depression: Cognitive Behavior Therapy for Multisite Community Intervention

    Science.gov (United States)

    Curry, John F.; Wells, Karen C.

    2005-01-01

    The Treatment for Adolescents With Depression Study (TADS) was designed to compare the relative and combined effectiveness of cognitive behavior therapy (CBT) and fluoxetine, each of which had demonstrated efficacy in carefully controlled single-site studies. Models of CBT from these efficacy studies served as the foundation for the TADS…

  16. Community response to intermittent preventive treatment of malaria in infants (IPTi) in Papua New Guinea

    NARCIS (Netherlands)

    C. Pell; L. Straus; S. Phuanukoonnon; S. Lupiwa; I. Mueller; N. Senn; P. Siba; M.H. Gysels; R. Pool

    2010-01-01

    Background Building on previous acceptability research undertaken in sub-Saharan Africa this article aims to investigate the acceptability of intermittent preventive treatment of malaria in infants (IPTi) in Papua New Guinea (PNG). Methods A questionnaire was administered to mothers whose infants pa

  17. A Community-Based Multilevel Approach to Drug Treatment and Rehabilitation.

    Science.gov (United States)

    Dell Orto, Arthur E.

    The failure of incarcerative approaches in the alleviation of drug abuse combined with the advent of more liberal public opinion toward drugs has resulted in the development of various rehabilitation treatment methods. The complexity and heterogeneity of the problem, however, indicate the desirability of a multidimensional approach which…

  18. Retrospective analysis towards diagnosis and treatment status of acute myocardial infarction patients in Binhai Community

    Directory of Open Access Journals (Sweden)

    Ying Lu

    2013-01-01

    Conclusions: Low post infarction angina rate and low death rate have the positive correlation with drugs by recommendation and traditional Chinese medicine intervention. AMI patients under emergency thrombolytic therapy can improve the treatment effect, improve the prognosis of patients effectively and accelerate the rehabilitation. hs-cTn detecting techniques will classify the patients rapidly and bring a brilliant future to them.

  19. Treatment and rehabilitation on a stroke unit improves 5-year survival. A community-based study

    DEFF Research Database (Denmark)

    Jørgensen, H S; Kammersgaard, L P; Nakayama, H;

    1999-01-01

    We have previously reported a marked reduction in mortality up to 1 year after treatment and rehabilitation on a stroke unit versus on general neurological and medical wards in unselected stroke patients. In the present study we wanted to test the hypothesis that this mortality-reducing effect...

  20. Diagnosis and treatment of community-acquired lower respiratory tract infections : Strategies for efficient management

    NARCIS (Netherlands)

    Oosterheert, J.J.

    2005-01-01

    Lower respiratory tract infections are an important cause for morbidity and mortality and associated with considerable costs and antibiotic consumption, especially in patients needing hospitalization. The aim of this thesis was to evaluate diagnostic and treatment strategies to decrease costs and co