WorldWideScience

Sample records for bad honnef germany

  1. Comparisons in good and bad: criminality in Japan and Germany.

    Science.gov (United States)

    Kühne, H H

    1994-12-16

    In the field of criminological comparison, Japan and Germany are very suitable subjects. A nearly identical penal law and a social structure of highly developed industrial societies after a complete destruction at the end of World War War II give a good match. At first sight, Japan's crime rate is less than 1/4 of that in Germany. The impact of organised crime on the reduction of general crime is discussed.

  2. Report on the Audit of the Morale, Welfare, and Recreation Fund, Bad Aibling Station, West Germany

    Science.gov (United States)

    1990-06-29

    This is our final report on the Audit of the Morale, Welfare, and Recreation Fund (the Fund), Bad Aibling Station (the Station), West Germany. The...objectives of the audit were to determine whether the financial statements presented fairly the financial condition and results of operations of the

  3. The asymetric recognition of good and bad news in France, Germany and the UK.

    NARCIS (Netherlands)

    Giner, B.; Rees, W.P.

    2001-01-01

    We investigate whether accounting systems recognise bad news more promptly in earnings than good news, where news is proxied by changes in share price. The analysis is based on a sample of firm/years drawn from France, Germany, and the UK during 1990 to 1998. These three countries are the

  4. Breaking bad news-what patients want and what they get: evaluating the SPIKES protocol in Germany.

    Science.gov (United States)

    Seifart, C; Hofmann, M; Bär, T; Riera Knorrenschild, J; Seifart, U; Rief, W

    2014-03-01

    Evaluation of the SPIKES protocol, a recommended guideline for breaking bad news, is sparse, and information about patients' preferences for bad-news delivery in Germany is lacking. Being the first actual-theoretical comparison of a 'breaking bad news' guideline, the present study evaluates the recommended steps of the SPIKES protocol. Moreover, emotional consequences and quality of bad-news delivery are investigated. A total of 350 cancer patients answered the MABBAN (Marburg Breaking Bad News Scale), a questionnaire representing the six SPIKES subscales, asking for the procedure, perception and satisfaction of the first cancer disclosure and patient's assign to these items. Only 46.2% of the asked cancer patients are completely satisfied with how bad news had been broken to them. The overall quality is significantly related to the emotional state after receiving bad news (r = -0.261, P bad news were delivered, and the resulting rang list of patients' preferences indicates that the SPIKES protocol do not fully meet the priorities of cancer patients in Germany. It could be postulated that the low satisfaction of patients observed in this study reflects the highly significant difference between patients' preferences and bad-news delivery. Therefore, some adjunctions to the SPIKES protocol should be considered, including a frequent reassurance of listeners' understanding, the perpetual possibility to ask question, respect for prearrangement needs and the conception of bad-news delivery in a two-step procedure.

  5. Time-lapse gravity and levelling in the sinkhole-endangered urban area of Bad Frankenhausen, Germany

    Science.gov (United States)

    Kobe, Martin; Gabriel, Gerald; Weise, Adelheid; Krawczyk, Charlotte; Vogel, Detlef

    2017-04-01

    Sinkholes, resulting from subrosion in the subsurface, can reach diameters of several hundred meters and thus pose a severe hazard for infrastructure and inhabitants in urban areas. Subrosion is the leaching of readily-soluble rocks, such as rock salt, gypsum, anhydrite and limestone by ground or meteoric water and leads to mass transport and relocation. Two scenarios of sinkhole evolution are conceivable: First, the surface subsides continuously in order to compensate for the mass loss. Second, the mass relocation leads to development of subsurface cavities. If they reach a critical size and the cover layers are not supported anymore, the surface collapses abruptly. To improve the understanding of subrosion processes and the related surface deformation a case study is conducted in Bad Frankenhausen, Germany, where subrosion leaches the Zechstein evaporates of the Permian. One part of the study is to analyse the spatiotemporal development of sinkholes by applying time-lapse observations. Therefore, we established a monitoring network consisting of 15 gravity and additional levelling points covering the main sinkhole areas in the city centre. In March 2014, the baseline survey was carried out. Since then, quarterly measurement campaigns are performed. In each campaign four different gravity meters are used to collect a statistical significant amount of data and to control the plausibility of our data. The gravity measurements are complemented by levelling surveys. The rectification of the time-lapse gravity data comprises the correction for jumps and systematic errors, as well as for well calculable influences, such as earth tides and air pressure changes. Furthermore, special interest was applied to seasonal changes of hydrological parameters such as soil moisture or groundwater level. We found the hydrological influence to be in the single digit up to the lower two-digit µGal range, depending on the season and the station. The standard deviations of the adjusted

  6. The Transition in East Germany: When Is a Ten-Point Fall in the Gender Wage Gap Bad News?

    OpenAIRE

    Jennifer Hunt

    2002-01-01

    Since monetary union with western Germany on 1 July 1990, eastern female monthly wages have risen by 10 percentage points relative to male wages, but female employment has fallen 5 percentage points more than male employment. Using the German Socio-Economic Panel to study the years 1990-1994, I show that along with age, the wage of a worker in 1990 is the most important determinant of the hazard rate from employment. Differences in mean 1990 wages explain more than half of the gender gap in t...

  7. The good, the bad, and the ambivalent: A qualitative study of public perceptions towards energy technologies and portfolios in Germany

    International Nuclear Information System (INIS)

    Scheer, Dirk; Konrad, Wilfried; Wassermann, Sandra

    2017-01-01

    This paper investigates informed public preferences about electricity technologies and portfolios in Germany, qualitatively analyzing opinions, reasoning patterns and judgments of perceived risks and benefits among lay people. The authors developed and applied a ‘mixed-method’ focus group approach involving 130 participants in 15 focus groups throughout Germany. This research aimed to specify participants’ attitudes and preferences regarding electricity technologies and portfolios (evaluation categories); comparatively assess these preferences (technology/portfolio acceptance profiles); and identify participants’ decision-making strategies and processes (decision rule typology). The evaluation basis of people's preferences comprises nine evaluation categories including, among others, trust, national and household economics, and environmental and health impacts. When assessing preferences regarding electricity technologies and portfolios, two overriding results need to be emphasized: first, that selective evaluation patterns produce unique acceptance profiles, and second, that a shift occurs from heterogeneous towards homogeneous evaluation patterns. In relation to decision rules guiding people's preference-making, the research reveals multiple mechanisms are at work when people express preferences about electricity portfolios. Five decision rules were identified regarding how participants dealt with complex portfolio information processing and preference building. - Highlights: • The evaluation basis of people's preferences comprises nine evaluation categories. • Evaluation patterns produce unique technology and portfolio acceptance profiles. • Five generic decision rules guide people's preference-making. • People make decisions in multiple ways using a variety of evaluation strategies. • No ‘one-size-fits-all’ approach for creating insights into the public's approval or rejection of technologies.

  8. Bad Breath

    Science.gov (United States)

    ... cabbage. And of course smoking causes its own bad smell. Some diseases and medicines can cause a specific breath odor. Having good dental habits, like brushing and flossing regularly, help fight bad ...

  9. Recycling of Badger/Fox Burrows in Late Pleistocene Loess by Hyenas at the Den Site Bad Wildungen-Biedensteg (NW, Germany): Woolly Rhinoceros Killers and Scavengers in a Mammoth Steppe Environment of Europe

    OpenAIRE

    Diedrich, Cajus

    2013-01-01

    The Late Pleistocene (MIS 5c-d) Ice Age spotted hyena open air den and bone accumulation site Bad Wildungen-Biedensteg (Hesse, NW, Germany) represents the first open air loess fox/badger den site in Europe, which must have been recycled by Crocuta crocuta spelaea (Goldfuss, 1823) as a birthing den. Badger and fox remains, plus remains of their prey (mainly hare), have been found within the loess. Hyena remains from that site include parts of cub skeletons which represent 10% of the megafauna ...

  10. Bad Breath

    Science.gov (United States)

    ... garlic, onions, cheese, orange juice, and soda poor dental hygiene (say: HI-jeen), meaning not brushing and flossing regularly smoking and other tobacco use Poor oral hygiene leads to bad breath because when food particles ...

  11. Feeling bad and seeing bad

    OpenAIRE

    Brady, Michael S.

    2015-01-01

    The emotions of guilt, shame, disappointment and grief, and the bodily states of pain and suffering, have something in common, at least phenomenologically: they are all unpleasant, they feel bad. But how might we explain what it is for some state to feel bad or unpleasant? What, in other words, is the nature of negative affect? In this paper I want to consider the prospects for evaluativist theories, which seek to explain unpleasantness by appeal to negative evaluations or appraisals. In part...

  12. Bad Drawing

    OpenAIRE

    Burgoyne, Greig

    2016-01-01

    "Only when we move do we see the chains" - Rosa Luxemburg Bad drawing / paper cell is a site-specific drawing performance commissioned for The Prison Drawing Project, Scarborough jail, Yorkshire, presented as a film grafted onto the space that is the cell. It takes the notion of drawing as an act of covering and form of measurement, in an immersive act of attempted liberation. Measuring using rolls of paper, the film chronicles what could be seen as a bad day wallpapering a space, no ass...

  13. Bad Breath

    Science.gov (United States)

    ... floss correctly. Flossing can remove tiny bits of food that can rot and smell bad. Replace your toothbrush every three to four months. Visit your dentist twice a year. He or she will help keep your teeth and your mouth healthy. Eat smart. Avoid foods and drinks that can leave behind strong smells, ...

  14. LDL: The "Bad" Cholesterol

    Science.gov (United States)

    ... There are two main types of cholesterol: LDL (bad) cholesterol and HDL (good) cholesterol: LDL stands for low-density lipoproteins. It is called the "bad" cholesterol because a high LDL level leads to ...

  15. What Causes Bad Breath?

    Science.gov (United States)

    ... Videos for Educators Search English Español What Causes Bad Breath? KidsHealth / For Teens / What Causes Bad Breath? Print en español ¿Qué es lo que provoca el mal aliento? Bad breath, or halitosis , can be a major problem, ...

  16. Bad is stronger than good

    NARCIS (Netherlands)

    Baumeister, R.F.; Bratslavsky, E.; Finkenauer, C.; Vohs, K.D.

    2001-01-01

    The greater power of bad events over good ones is found in everyday events, major life events (e.g., trauma), close relationship outcomes, social network patterns, interpersonal interactions, and learning processes. Bad emotions, bad parents, and bad feedback have more impact than good ones, and bad

  17. Internet Bad Neighborhoods Aggregation

    NARCIS (Netherlands)

    Moreira Moura, Giovane; Sadre, R.; Sperotto, Anna; Pras, Aiko; Paschoal Gaspary, L.; De Turk, Filip

    Internet Bad Neighborhoods have proven to be an innovative approach for fighting spam. They have also helped to understand how spammers are distributed on the Internet. In our previous works, the size of each bad neighborhood was fixed to a /24 subnetwork. In this paper, however, we investigate if

  18. The Badness of Discrimination

    DEFF Research Database (Denmark)

    Lippert-Rasmussen, Kasper

    2006-01-01

    . In this paper I address these issues. First, I offer a taxonomy of discrimination. I then argue that discrimination is bad, when it is, because it harms people. Finally, I criticize a rival, disrespect-based account according to which discrimination is bad regardless of whether it causes harm....

  19. Satellite Contributions to ACPC

    Science.gov (United States)

    Kahn, Ralph

    2017-01-01

    The attached presentation was given at the Aerosols, Clouds, Precipitation and Climate (ACPC) Workshop sponsored by WCRP GEWEX and LEAPS, held April 2-6, 2017 in Bad Honnef, Germany. Organizers of the meeting would like to post the presentations online at http:www.igacproject.org ACPC.

  20. Concept of 'bad death'

    Directory of Open Access Journals (Sweden)

    Marija Vučković

    2016-02-01

    Full Text Available Following previous research on the linguistic concept of а 'bad death' which lexical expression is the word family of the verb ginuti, I focus my attention in this paper on the relationship between language conceptualization of а 'bad death' and the representation of а 'bad death' in traditional and contemporary culture. Diachronically based language corpus makes possible to trace the changes of referential frame and use of verb ginuti and its derivatives. In the traditional culture а 'bad death' is marked in action code by irregular way of burial and beliefs in demons stemming from the 'impure dead'. In the paper I explore the degree of synonymy of the symbols of all three codes: verbal code, action code and code of beliefs. In the contemporary culture the lack of individual control and choice is considered to be the key element of the concept of a 'bad death'. This change of conceptual content manifests itself in the use of its lexical expressions.

  1. Instorting ijshal Bad Reichenhall

    NARCIS (Netherlands)

    Herwijnen, van F.

    2008-01-01

    De dakconstructie van ijshal Bad Reichenhall (D) was met zijn 2,87 m hoge hoofdliggers, uitgevoerd als houten kokerliggers, een bijzondere houtconstructie. Op deze schaal niet eerder uitgevoerd. Een serie fouten, defecten en beschadigingen werd de constructie echter fataal. Op 2 januari 2006 bezweek

  2. Superconductivity in bad metals

    International Nuclear Information System (INIS)

    Emery, V.J.; Kivelson, S.A.

    1995-01-01

    It is argued that many synthetic metals, including high temperature superconductors are ''bad metals'' with such a poor conductivity that the usual mean-field theory of superconductivity breaks down because of anomalously large classical and quantum fluctuations of the phase of the superconducting order parameter. Some consequences for high temperature superconductors are described

  3. Eggs: good or bad?

    Science.gov (United States)

    Griffin, Bruce A

    2016-08-01

    Eggs have one of the lowest energy to nutrient density ratios of any food, and contain a quality of protein that is superior to beef steak and similar to dairy. From a nutritional perspective, this must qualify eggs as 'good'. The greater burden of proof has been to establish that eggs are not 'bad', by increasing awareness of the difference between dietary and blood cholesterol, and accumulating sufficient evidence to exonerate eggs from their associations with CVD and diabetes. After 60 years of research, a general consensus has now been reached that dietary cholesterol, chiefly from eggs, exerts a relatively small effect on serum LDL-cholesterol and CVD risk, in comparison with other diet and lifestyle factors. While dietary guidelines have been revised worldwide to reflect this view, associations between egg intake and the incidence of diabetes, and increased CVD risk in diabetes, prevail. These associations may be explained, in part, by residual confounding produced by other dietary components. The strength of evidence that links egg intake to increased CVD risk in diabetes is also complicated by variation in the response of serum LDL-cholesterol to eggs and dietary cholesterol in types 1 and 2 diabetes. On balance, the answer to the question as to whether eggs are 'bad', is probably 'no', but we do need to gain a better understanding of the effects of dietary cholesterol and its association with CVD risk in diabetes.

  4. Diophantine approximation and badly approximable sets

    DEFF Research Database (Denmark)

    Kristensen, S.; Thorn, R.; Velani, S.

    2006-01-01

    . The classical set Bad of `badly approximable' numbers in the theory of Diophantine approximation falls within our framework as do the sets Bad(i,j) of simultaneously badly approximable numbers. Under various natural conditions we prove that the badly approximable subsets of Omega have full Hausdorff dimension...

  5. Weimar Germany

    DEFF Research Database (Denmark)

    Reckendrees, Alfred

    The Weimar Republic is analysed within the framework of limited and open access orders. Germany had developed into a mature limited access order before World War I, with rule of law and open economic access but only limited access to politics. After the war, Germany developed toward an open access...... order; this process was, however, not sustainable. Two interpretations are discussed, which both pose a challenge to the limited access-open access framework: (1.) Weimar Germany was the first open access order that failed; (2.) sufficiency conditions of the sustainability of open access are not yet...

  6. Limited Surface Observations Climatic Summary (LISOCS) Bad Kreuznach AAF Germany.

    Science.gov (United States)

    1988-02-01

    GE GE GE GE GE GE FEET I IsO 90 80 61 48 𔃾 32 24 2G 16 12 10 8 5 4 0 NO CEIL 1 33.9 35.1 37.4 40.1 40.1 4n.1 40.4 40.4 40.4 40.4 40.4 40.4 40.4 40.4...93.3 93.3 93.3 93.3 93.3 93.3 93.3 GE 27001 68.6 75.1 88.1 94.9 96.1 96.6 97.2 97.2 97.4 97.4 97.4 97.4 97.4 97.4 97.4 GE Iei 1 68.6 75.1 88.1 94.9

  7. Comparative analysis of general characteristics of ischemic stroke of BAD and non-BAD CISS subtypes.

    Science.gov (United States)

    Mei, Bin; Liu, Guang-zhi; Yang, Yang; Liu, Yu-min; Cao, Jiang-hui; Zhang, Jun-jian

    2015-12-01

    Based on the recently proposed Chinese ischemic stroke subclassification (CISS) system, intracranial branch atheromatous disease (BAD) is divided into large artery atherosclerosis (LAA) and penetrating artery disease (PAD). In the current retrospective analysis, we compared the general characteristics of BAD-LAA with BAD-PAD, BAD-LAA with non-BAD-LAA and BAD-PAD with non-BAD-PAD. The study included a total of 80 cases, including 45 cases of BAD and 35 cases of non-BAD. Subjects were classified using CISS system: BAD-LAA, BAD-PAD, non-BAD-LAA and non-BAD-PAD. In addition to analysis of general characteristics, the correlation between the factors and the two subtypes of BAD was evaluated. The number of cases included in the analysis was: 32 cases of BAD-LAA, 13 cases of BAD-PAD, 21 cases of non-BAD-LAA, and 14 cases of non-BAD-PAD. Diabetes mellitus affected more non-BAD-LAA patients than BAD-LAA patients (P=0.035). In comparison with non-BAD-PAD, patients with BAD-PAD were younger (P=0.040), had higher initial NIHSS score (PBAD, the PAD subtype was associated with smoking (OR=0.043; P=0.011), higher low-density lipoprotein (OR=5.339; P=0.029), ischemic heart disease (OR=9.383; P=0.047) and diabetes mellitus (OR=12.59; P=0.020). It was concluded that large artery atherosclerosis was the primary mechanism of BAD. The general characteristics showed no significant differences between the CISS subtypes of LAA and PAD within BAD, as well as between the BAD and non-BAD within LAA subtype. Several differences between PAD subtypes of BAD and non-BAD were revealed.

  8. Weimar Germany

    DEFF Research Database (Denmark)

    Reckendrees, Alfred

    2015-01-01

    The Weimar Republic is analysed within the concept of limited and open access orders. Before World War I, Imperial Germany had developed into a mature limited access order with rule of law and open economic access but lack of competition in politics. After World War I and inflation, Weimar Germany...... developed toward an open access order; open access was not, however, sustainable and collapsed in 1930–31. This case of a failed open access order suggests refining the framework of limited and open access orders in further work. It shows that the political process of “creative destruction” might result...

  9. Bad Astronomy Goes Hollywood

    Science.gov (United States)

    Plait, P.

    2003-05-01

    It can be argued that astronomy is the oldest of all the sciences, so you'd think that after all this time people would have a pretty good understanding of it. In reality, however, misconceptions about astronomy abound, and even basic concepts are misunderstood. There are many sources of these cosmic misconceptions, including incorrect textbooks, parents and/or teachers who don't understand astronomy and therefore spread misinformation, urban legends, and so on. Perhaps the most pervasive source of bad astronomy is Hollywood. Science fiction movies are enormously popular, but are commonly written and directed by people who don't have even a passing familiarity with astronomy. The smash hit "Armageddon" (the number one box office movie of 1998), for example, used vast quantities of incorrect astronomy in the plot. It reinforced such popular misconceptions as huge asteroids impacting the Earth with little warning, small meteorites being hot when they impact, air existing in space, and that a simple bomb can blow up an asteroid the size of a small moon (even when the bomb is buried only 800 feet deep!). However, movie scenes can be used as a hook that engages the student, helping them learn and remember the correct science. In this talk, I will light-heartedly discuss specific examples of common misinformation, using movie clips, diagrams, and a splash of common sense to show just where Hollywood gets it wrong, and what you can do to help students and the public get it right.

  10. Nudging Germany

    DEFF Research Database (Denmark)

    Purnhagen, Kai; Reisch, Lucia A.

    Since 2015 behavioural scientists investigate at the German chancellery how one could regulate better. This piece illustrates the background of this new strategy and possible concequences for regulation and Rechtswissenschaft in Germany. We first discuss the concept of behaviourally informed regu...

  11. Managing away bad habits.

    Science.gov (United States)

    Waldroop, J; Butler, T

    2000-01-01

    We've all worked with highly competent people who are held back by a seemingly fatal personality flaw. One person takes on too much work; another sees the downside in every proposed change; a third pushes people out of the way. At best, people with these "bad habits" create their own glass ceilings, which limit their success and their contributions to the company. At worst, they destroy their own careers. Although the psychological flaws of such individuals run deep, their managers are not helpless. In this article, James Waldroop and Timothy Butler--both psychologists--examine the root causes of these flaws and suggest concrete tactics they have used to help people recognize and correct the following six behavior patterns: The hero, who always pushes himself--and subordinates--too hard to do too much for too long. The meritocrat, who believes that the best ideas can and will be determined objectively and ignores the politics inherent in most situations. The bulldozer, who runs roughshod over others in a quest for power. The pessimist, who always worries about what could go wrong. The rebel, who automatically fights against authority and convention. And the home run hitter, who tries to do too much too soon--he swings for the fences before he's learned to hit singles. Helping people break through their self-created glass ceilings is the ultimate win-win scenario: both the individual and the organization are rewarded. Using the tactics introduced in this article, managers can help their brilliantly flawed performers become spectacular achievers.

  12. Physics for KAON

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    1989-12-15

    The KAON high intensity beam factory project at the Canadian TRIUMF Laboratory in Vancouver, continues to receive favourable ratings by US nuclear science advisory groups. Only the CEBAF Continuous Electron Beam Accelerator Facility under construction at Newport News, Virginia, and the RHIC heavy ion collider proposal at Brookhaven are accorded higher priority. Meanwhile to estimate, stimulate and coordinate physics interest the KAON project team has organized a series of international physics workshops, including one at Bad Honnef in Germany earlier this year.

  13. Cegelec Germany

    International Nuclear Information System (INIS)

    2011-01-01

    Cegelec is a group of companies acting internationally and one of Europe's biggest plant engineering firms in the fields of power generation and distribution with the focus on engineering and technical services. Cegelec's competences in Germany are mainly in planning, installation and maintenance of plants and facilities in all key industries and for public clients. The main areas of activity are industry, infrastructure and power, for which Cegelec offers comprehensive project and service work. While the Industry business area covers chemistry, steel, paper, automotive, re-engineering, and mining industries, Cegelec's Infrastructure unit performs services to airports, in tunnel construction, for railways and waterways. The Power market segment comprises gas, refuse incineration, power supply, sugar, power plants, and nuclear final storage. Cegelec is represented in Germany on roughly 30 locations with a staff of 1,700. The origins of Cegelec are in Germany, i.e. in AEG founded 1896. The Plant and Automation Technology sector was divested in 1996 and moved to Alstom where, in 2001, a management buyout led to the independent Cegelec group of companies. When the strategic partnership between Qatari Diar and Vinci took shape, Cegelec became a subsidiary of the Vinci group in April 2010. (orig.)

  14. Internet Bad Neighborhoods temporal behavior

    NARCIS (Netherlands)

    Moreira Moura, Giovane; Sadre, R.; Pras, Aiko

    2014-01-01

    Malicious hosts tend to be concentrated in certain areas of the IP addressing space, forming the so-called Bad Neighborhoods. Knowledge about this concentration is valuable in predicting attacks from unseen IP addresses. This observation has been employed in previous works to filter out spam. In

  15. Internet Bad Neighborhoods Temporal Behavior

    NARCIS (Netherlands)

    Moreira Moura, G.C.; Sadre, R.; Pras, A.

    2014-01-01

    Malicious hosts tend to be concentrated in certain areas of the IP addressing space, forming the so-called Bad Neighborhoods. Knowledge about this concentration is valuable in predicting attacks from unseen IP addresses. This observation has been employed in previous works to filter out spam. In

  16. Bad Neighborhoods on the Internet

    NARCIS (Netherlands)

    Moreira Moura, G.C.; Sadre, R.; Pras, A.

    2014-01-01

    Analogous to the real world, sources of malicious activities on the Internet tend to be concentrated in certain networks instead of being evenly distributed. In this article, we formally define and frame such areas as Internet Bad Neighborhoods. By extending the reputation of malicious IP addresses

  17. How to Tell Bad News

    Science.gov (United States)

    Long, Nicholas J.

    2012-01-01

    Therapists, physicians, police officers, and emergency staff often are the messengers of bad news. They have to tell a patient, a parent, or a loved one about a death, an accident, a school shooting, a life-threatening diagnosis, a terrorist attack, or a suicide. Usually the messenger bears a heavy responsibility but has little training and seeks…

  18. On badly approximable complex numbers

    DEFF Research Database (Denmark)

    Esdahl-Schou, Rune; Kristensen, S.

    We show that the set of complex numbers which are badly approximable by ratios of elements of , where has maximal Hausdorff dimension. In addition, the intersection of these sets is shown to have maximal dimension. The results remain true when the sets in question are intersected with a suitably...

  19. 42 CFR 413.178 - Bad debts.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Bad debts. 413.178 Section 413.178 Public Health...) Services and Organ Procurement Costs § 413.178 Bad debts. Link to an amendment published at 75 FR 49199, Aug. 12, 2010. (a) CMS will reimburse each facility its allowable Medicare bad debts, as defined in...

  20. Breaking bad news - an interdisciplinary curricular teaching-concept.

    Science.gov (United States)

    Simmenroth-Nayda, Anne; Alt-Epping, Bernd; Gágyor, Ildikó

    2011-01-01

    The concerns of patients suffering from life-threatening disease and end-of-life care aspects have gained increasing attention in public perception. The increasing focus on palliative medicine questions can be considered to be paradigmatic for this development. Palliative medicine became a compulsory subject of the undergraduate curriculum in Germany to be implemented until 2013. The preexisting conditions and qualifications at the medical faculties vary, though. We describe the conceptual process, didactic background, and first experiences with the new interdisciplinary course "Delivering bad news" as a compulsory part of the palliative medicine curriculum. Since autumn 2009, this course has been taught at the University Medical Center Göttingen, consisting of two double lessons in the final year of medical education. Considering the curriculum-based learning goals in Göttingen, the focus of this course is to impart knowledge, attitudes and communication skills relating to "bad news". Although the seminar requires adequate staff and is time-consuming, students have accepted it and gave high marks in evaluations. In particular, the teachers' performance and commitment was evaluated positively. We describe the first experiences with a new course. Didactic structure, theoretical contents, role-plays and usage of media (film, novel) are well- suited to communicate topics such as "bad news". Additional experiences and evaluations are necessary. According to the progressive nature of learning, it might be worthwhile to repeat communication- centered questions several times during medical studies.

  1. Solar retrofitting of a historical brewery plant in Bad Toelz/Upper Bavaria; Solare Erneuerung einer historischen Brauereianlage in Bad Toelz/Obb.

    Energy Technology Data Exchange (ETDEWEB)

    Lichtblau, Wendelin; Lichtblau, Florian [Lichtblau Architekten, Muenchen (Germany); Bruenner, Michael [Ingenieurbuero EST, Miesbach (Germany)

    2010-07-01

    The contribution under consideration reports on a solar renovation of a historic brewery plant in Bad Toelz (Federal Republic of Germany). All energy requirements of this brewery plant were minimized and supplied with renewable energy sources. A visible sign of this is the fully glazed roof with an integrated solar technology for light, air, heat and electricity. The energy concept includes a fully renewable energy supply to the historic building complex under the limiting conditions of the stock.

  2. Cancer: Bad Luck or Punishment?

    Science.gov (United States)

    Lichtenstein, A V

    2017-01-01

    Contrasting opinions on the role of extrinsic and intrinsic factors in cancer etiology (Tomasetti, C., and Vogelstein, B. (2015) Science, 347, 78-81; Wu, S., et al. (2016) Nature, 529, 43-47) variously define priorities in the war on cancer. The correlation between the lifetime risk of several types of cancer and the total number of divisions of normal self-renewing cells revealed by the authors has given them grounds to put forward the "bad luck" hypothesis. It assumes that ~70% of cancer variability is attributed to random errors arising during DNA replication in normal, noncancerous stem cells, i.e. to internal factors, which is impossible either to expect or to prevent. This assumption caused many critical responses that emphasize, on the contrary, the defining role of extrinsic factors in cancer etiology. The analysis of epidemiological and genetic data presented in this work testifies in favor of the "bad luck" hypothesis.

  3. from Germany

    Directory of Open Access Journals (Sweden)

    Shahriar Azizi

    2012-09-01

    Full Text Available The first and most important principle of marketing is focusing on the customer needs and wants, because regardless of that, companies will not be able to survive in today's competitive environment. These days, companies know that providing products and services according to customer needs and demands, is an important competitive advantage to gain more sales and benefit, so identifying customer needs and demands, and adopting appropriate strategies for supplying customers' desires are the most important activities in competitive markets. Considering the competitive environment in e-commerce and importance of focus on customer expectations in electronic markets, this study has been aimed to identify and prioritize the factors affecting customer satisfaction in electronic commerce. For data collection and final testing of the E-SAT model, questionnaire was designed and distributed between 221 people in Germany. Collected data was analyzed by SPSS software. The research model had found out that from six main factors and 25 sub factors, six factors and 17 sub factors affect satisfaction in online shopping. Also in this study, the type of goods, prices of purchased goods and age range of online buyers are investigated.

  4. Giving bad news: a qualitative research exploration.

    Science.gov (United States)

    Aein, Fereshteh; Delaram, Masoumeh

    2014-06-01

    The manner in which healthcare professionals deliver bad news affects the way it is received, interpreted, understood, and dealt with. Despite the fact that clinicians are responsible for breaking bad news, it has been shown that they lack skills necessary to perform this task. The purpose of this study was to explore Iranian mothers' experiences to receive bad news about their children cancer and to summarize suggestions for improving delivering bad news by healthcare providers. A qualitative approach using content analysis was adopted. Semi-structured interviews were conducted with 14 mothers from two pediatric hospitals in Iran. Five major categories emerged from the data analysis, including dumping information, shock and upset, emotional work, burden of delivering bad news to the family members, and a room for multidisciplinary approach. Effective communication of healthcare team with mothers is required during breaking bad news. Using multidisciplinary approaches to prevent harmful reactions and providing appropriate support are recommended.

  5. [Disaster Control and Civil Protection in Germany].

    Science.gov (United States)

    Kippnich, Maximilian; Kowalzik, Barbara; Cermak, Rudolf; Kippnich, Uwe; Kranke, Peter; Wurmb, Thomas

    2017-09-01

    The train crash of Bad Aibling/Germany in February 2016 and the terrorist attacks of the recent years in Europe have demonstrated the urgent need to be prepared for such disastrous events. Disaster preparedness and disaster control are very important governmental duties, as are civil protection and civil defense. In Germany the responsibility for those tasks are divided between the 16 "Länder" and the Federation. While the Federation takes care of the civil protection and disaster assistance, the Länder are responsible for disaster control. The presented article focuses on these issues and gives valuable insights into the German system of disaster control and civil protection with a focus on health protection. Georg Thieme Verlag KG Stuttgart · New York.

  6. 25 CFR 11.421 - Bad checks.

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Bad checks. 11.421 Section 11.421 Indians BUREAU OF... Criminal Offenses § 11.421 Bad checks. (a) A person who issues or passes a check or similar sight order for..., and the issuer failed to make good within 10 days after receiving notice of that refusal. ...

  7. 27 CFR 70.101 - Bad checks.

    Science.gov (United States)

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 2 2010-04-01 2010-04-01 false Bad checks. 70.101 Section....101 Bad checks. If any check or money order in payment of any amount receivable under Title 26 of the... appropriate TTB officer that such check was tendered in good faith and that such person had reasonable cause...

  8. Breaking Bad Habits | NIH MedlinePlus the Magazine

    Science.gov (United States)

    ... of this page please turn Javascript on. Feature: Bad Habits Breaking Bad Habits: Why It's So Hard to Change Past Issues / ... News in Health ( http://newsinhealth.nih.gov/ ) Break Bad Habits Avoid temptations. If you always stop for a ...

  9. Deutsche Bahn. Small hydropower station Bad Abbach directly feeds electrical power into the overhead wire system; Deutsche Bahn. Kleinwasserkraftwerk Bad Abbach speist elektrische Energie unmittelbar in die Oberleitung

    Energy Technology Data Exchange (ETDEWEB)

    Hamerak, Kurt

    2009-07-01

    Even if the installed electrical power of the hydraulic power plant Bad Abbach (Federal Republic of Germany) of Deutsche Bahn AG with only 4,500 kVA is quite modest, a significant planning effort was necessary due to numerous boundary conditions. The construction of this unusual hydraulic power plant signified a very demanding and interesting technical challenge for all concerned. The already existing damming of the river Danube required very little interventions in the environment. Thus the hydraulic power plant satisfied all the requirements also in environmental regard. Due to the cooperation of a Kaplan turbine shaft with a single-phase AC generator for supplying power to the Deutsche Bahn AG and due to the direct supply of electrical energy into the overhead wire system of the railroad, the new hydropower plant Bad Abbach is unique. With Deutsche Bahn AG as a consumer of energy from hydropower plants inter alia on the river Danube a partnership between the Rhein Main Donau AG (Munich, Federal Republic of Germany) and E.ON Wasserkraft GmbH (Landshut, Federal Republic of Germany) was continued in the field of renewable energies.

  10. [Significance of bad habits in orthodontics].

    Science.gov (United States)

    Tarján, Ildikó

    2002-08-01

    The author is concerned with the etiological role of bad habits in the development. Disturbances caused by pacifier habits, finger sucking, various forms of swallowing habits and their therapeutical possibilities are discussed. The role of mouth breathing, nail biting, bruxism and self-mutilation in development of anomalies and their therapy are also mentioned. The attention is called to the fact that dentists have responsibility and task to diagnose as early as can be the oral bad habits and that the adequate therapy in time in co-operation with other specialists helping the child get out of bad habits, preventing the development of severe anomaly.

  11. Reactionary responses to the Bad Lot Objection.

    Science.gov (United States)

    Dellsén, Finnur

    2017-02-01

    As it is standardly conceived, Inference to the Best Explanation (IBE) is a form of ampliative inference in which one infers a hypothesis because it provides a better potential explanation of one's evidence than any other available, competing explanatory hypothesis. Bas van Fraassen famously objected to IBE thus formulated that we may have no reason to think that any of the available, competing explanatory hypotheses are true. While revisionary responses to the Bad Lot Objection concede that IBE needs to be reformulated in light of this problem, reactionary responses argue that the Bad Lot Objection is fallacious, incoherent, or misguided. This paper shows that the most influential reactionary responses to the Bad Lot Objection do nothing to undermine the original objection. This strongly suggests that proponents of IBE should focus their efforts on revisionary responses, i.e. on finding a more sophisticated characterization of IBE for which the Bad Lot Objection loses its bite. Copyright © 2017 Elsevier Ltd. All rights reserved.

  12. Gender inequality: Bad for men's health

    African Journals Online (AJOL)

    2013-03-02

    Mar 2, 2013 ... have attributed this risk to men's poorer health-seeking behaviour, which may prevent them from accessing ART, being ... Gender inequality: Bad for men's health ..... New York: United Nations Development Programme, 2005.

  13. Bad Tolz AAF, Bad Tolz, Germany. Revised Uniform Summary of Surface Weather Observations (RUSSWO). Parts A-F

    Science.gov (United States)

    1972-01-26

    3.9 23 s.4 #1i 0.Q So. I__I- _ W 1,7. 4. 4. 4 -jIj6 -j2 9so ___ 12#? i7 WN & ,7 1 3 I0 to 5 5 8, WNW ISO . .3L .54L al 1 * .1 A.10 4-q 4,___- NNW 06 _0_...146.5 46.3 46.7 46.7 46.7 46.7l 46,9; 4701 2:ooo [42#2 465. 41 46iY 3 46934f 46,91 471 47,_ ___ 7,5 4 4 7 1 27000 ?__ 961 50PI KP3 5o, 5G5 500 50...34ou.g0v : Q3e3 00# 00000~ ~ 00 o 0 Col 00,0 , 00 0 ~0000 Iso a00 733gog 913S Coto0, 0 0 00,0 00,0 00#0 009000top900,0 00 00,0 00,0 12_ 0 )00 7# gg13

  14. Breaking bad news in cancer patients.

    Science.gov (United States)

    Konstantis, Apostolos; Exiara, Triada

    2015-01-01

    In a regional hospital, many patients are newly diagnosed with cancer. Breaking the bad news in these patients and their relatives is a tough task. Many doctors are not experienced in talking to patients about death or death-related diseases. In recent years, there have been great efforts to change the current situation. The aim of this study was to investigate the experience and education of medical personnel in breaking bad news in a secondary hospital. 59 doctors from General Hospital of Komotini, Greece were included in the study. All the doctors were in clinical specialties that treated cancer patients. A brief questionnaire was developed based on current guidelines such as Baile/SPIKES framework and the ABCDE mnemonic. Residents are involved in delivering bad news less frequently than specialists. Only 21 doctors (35.59%) had specific training on breaking bad news. 20 doctors (33.90%) were aware of the available techniques and protocols on breaking bad news. 47 doctors (79.66%) had a consistent plan for breaking bad news. 57 (96.61%) delivered bad news in a quiet place, 53 (89.83%) ensured no interruptions and enough time, 53 (89.83%) used simple words and 54 (91.53%) checked for understanding and did not rush through the news. 46 doctors (77.97%) allowed relatives to determine patient's knowledge about the disease. There were low rates of specific training in breaking bad news. However, the selected location, the physician's speech and their plan were according to current guidelines.

  15. Cinema and the communication of bad news

    OpenAIRE

    Ana Isabel GÓMEZ CORDOBA; Haroldo ESTRADA

    2016-01-01

    Breaking Bad News requires medical professionals possess a range of skills to ensure that the patient has the information required for decision?making, this process occurs without further damage and even has a therapeutic effect, and another, that the doctor is not exposed to legal risk or stress associated with the inability to cope with the feelings of the patient, their families or themselves. This article discusses the aspects of communication of bad news in the field of doctor?patient re...

  16. Breaking bad news in cancer patients

    Directory of Open Access Journals (Sweden)

    Apostolos Konstantis

    2015-01-01

    Full Text Available Objective: In a regional hospital, many patients are newly diagnosed with cancer. Breaking the bad news in these patients and their relatives is a tough task. Many doctors are not experienced in talking to patients about death or death-related diseases. In recent years, there have been great efforts to change the current situation. The aim of this study was to investigate the experience and education of medical personnel in breaking bad news in a secondary hospital. Materials and Methods: 59 doctors from General Hospital of Komotini, Greece were included in the study. All the doctors were in clinical specialties that treated cancer patients. A brief questionnaire was developed based on current guidelines such as Baile/SPIKES framework and the ABCDE mnemonic. Results: Residents are involved in delivering bad news less frequently than specialists. Only 21 doctors (35.59% had specific training on breaking bad news. 20 doctors (33.90% were aware of the available techniques and protocols on breaking bad news. 47 doctors (79.66% had a consistent plan for breaking bad news. 57 (96.61% delivered bad news in a quiet place, 53 (89.83% ensured no interruptions and enough time, 53 (89.83% used simple words and 54 (91.53% checked for understanding and did not rush through the news. 46 doctors (77.97% allowed relatives to determine patient′s knowledge about the disease. Conclusions: There were low rates of specific training in breaking bad news. However, the selected location, the physician′s speech and their plan were according to current guidelines.

  17. [Bad habits and dysgnathia: epidemiological study].

    Science.gov (United States)

    Cordasco, G; Lo Giudice, G; Dolci, E; Romeo, U; Lafronte, G

    1989-01-01

    The authors refer about an epidemiological survey in 651 children in the school-age. The aim of study is to investigate about the frequency of the bad habits and the pathogenetic relations between these and the development of the dento-maxillo-facial deformities. They point out an incidence of these bad habits in the 35,48% with a predominance of mouth breathers (45,45%). After they discuss the necessity of an early detection of anomalous neuromuscular attitudes.

  18. Good and bad practices in pv plants

    OpenAIRE

    Martinez Moreno, Francisco; Helleputte, F.; Tyutyundzhiev, N.; Rabal Echeverria, Daniel; Conlon, Michael; Fartaria, Tomás; Oteiza, David

    2013-01-01

    The PVCROPS project (PhotoVolta ic Cost r€duction, Reliability, Operational performance, Prediction and Simulation), cofinanced by European Commission in the frame of Seventh Framework Programme, has compiled in the “Good and bad practices: Manual to improve the quality and reduce the cost of PV systems” a collection of good and bad practices in actual PV plants . All the situations it collects represent the state-of-the-art of existing PV installations all around Europe. They show how ...

  19. Asymmetric News Effects on Volatility: Good vs. Bad News in Good vs. Bad Times

    OpenAIRE

    Laakkonen, Helinä; Lanne, Markku

    2008-01-01

    We study the impact of positive and negative macroeconomic US and European news announcements in different phases of the business cycle on the highfrequency volatility of the EUR/USD exchange rate. The results suggest that in general bad news increases volatility more than good news. The news effects also depend on the state of the economy: bad news increases volatility more in good times than in bad times, while there is no difference between the volatility effects of good news in bad and go...

  20. 26 CFR 1.166-1 - Bad debts.

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 2 2010-04-01 2010-04-01 false Bad debts. 1.166-1 Section 1.166-1 Internal... TAXES (CONTINUED) Itemized Deductions for Individuals and Corporations § 1.166-1 Bad debts. (a... shall be allowed in respect of bad debts owed to the taxpayer. For this purpose, bad debts shall...

  1. Delivering bad news in emergency care medicine.

    Science.gov (United States)

    Maynard, Douglas W

    2017-01-01

    Forecasting is a strategy for delivering bad news and is compared to two other strategies, stalling and being blunt. Forecasting provides some warning that bad news is forthcoming without keeping the recipient in a state of indefinite suspense (stalling) or conveying the news abruptly (being blunt). Forecasting appears to be more effective than stalling or being blunt in helping a recipient to "realize" the bad news because it involves the deliverer and recipient in a particular social relation. The deliverer of bad news initiates the telling by giving an advance indication of the bad news to come; this allows the recipient to calculate the news in advance of its final presentation, when the deliverer confirms what the recipient has been led to anticipate. Thus, realization of bad news emerges from intimate collaboration, whereas stalling and being blunt require recipients to apprehend the news in a social vacuum. Exacerbating disruption to recipients' everyday world, stalling and being blunt increase the probability of misapprehension (denying, blaming, taking the situation as a joke, etc.) and thereby inhibit rather than facilitate realization. Particular attention is paid to the "perspective display sequence", a particular forecasting strategy that enables both confirming the recipient's perspective and using that perspective to affirm the clinical news. An example from acute or emergency medicine is examined at the close of the paper.

  2. 'BREAKS' Protocol for Breaking Bad News.

    Science.gov (United States)

    Narayanan, Vijayakumar; Bista, Bibek; Koshy, Cheriyan

    2010-05-01

    Information that drastically alters the life world of the patient is termed as bad news. Conveying bad news is a skilled communication, and not at all easy. The amount of truth to be disclosed is subjective. A properly structured and well-orchestrated communication has a positive therapeutic effect. This is a process of negotiation between patient and physician, but physicians often find it difficult due to many reasons. They feel incompetent and are afraid of unleashing a negative reaction from the patient or their relatives. The physician is reminded of his or her own vulnerability to terminal illness, and find themselves powerless over emotional distress. Lack of sufficient training in breaking bad news is a handicap to most physicians and health care workers. Adherence to the principles of client-centered counseling is helpful in attaining this skill. Fundamental insight of the patient is exploited and the bad news is delivered in a structured manner, because the patient is the one who knows what is hurting him most and he is the one who knows how to move forward. Six-step SPIKES protocol is widely used for breaking bad news. In this paper, we put forward another six-step protocol, the BREAKS protocol as a systematic and easy communication strategy for breaking bad news. Development of competence in dealing with difficult situations has positive therapeutic outcome and is a professionally satisfying one.

  3. Biomass in Germany

    International Nuclear Information System (INIS)

    Chapron, Thibaut

    2014-01-01

    This document provides, first, an overview of biomass industry in Germany: energy consumption and renewable energy production, the French and German electricity mix, the 2003-2013 evolution of renewable electricity production and the 2020 forecasts, the biomass power plants, plantations, biofuels production and consumption in Germany. Then, the legal framework of biofuels development in Germany is addressed (financial incentives, tariffs, direct electricity selling). Next, a focus is made on biogas production both in France and in Germany (facilities, resources). Finally, the French-German cooperation in the biomass industry and the research actors are presented

  4. [Breaking bad news in clinical practice].

    Science.gov (United States)

    Herrera, Andrea; Ríos, Matías; Manríquez, José Manuel; Rojas, Gonzalo

    2014-10-01

    Breaking bad news is a complex task that requires multiple communication skills from health professionals. Clinical practice demands to communicate all type of bad news, from a diagnosis of cancer to adverse effects of a treatment. On the other hand, since the beginning of the health reform in 2003, the need to improve the quality of services was proposed, among which the concern about the rights and duties of patients stands out. Therefore, the health care provider-patient relationship becomes again the subject of discussion and study, and a topic of great importance for clinical work. We revise the consequences of breaking bad news for the patient and for the health care provider, as well as the current protocols available for this purpose. The importance of developing communication skills both for future health professionals as for those who currently work in the area is emphasized.

  5. Breaking bad news among cancer physicians

    Directory of Open Access Journals (Sweden)

    Sami Ayed Alshammary

    2017-01-01

    Full Text Available Background: Breaking bad news to patients with cancer diagnosis is not an easy task for physicians. The diagnosis must be explicitly stated and understood, and prognosis must be well-discussed in the most gentle and comfortable manner. It is important that the disclosure is performed in a way that patients will not lose all hope and get very depressed, leading them to undergo an abrupt change of their outlook in life. Objective: The aim of this study was to explore the physicians' perceptions and perspectives of breaking bad news to cancer patients. Methods: A cross-sectional survey of all comprehensive cancer centre physicians currently working in a university teaching hospital in the Middle East was conducted from August to September 2016. Results: Sixty-eight percent responded to the survey. Eighty-four percent were comfortable with breaking bad news, and 70% had training in breaking bad news. Eighty-six percent of responders stated that patients should be told about their cancer. Almost 30% of the respondents stated that they would still disclose the diagnosis to patients even if it would be against the preference of the relatives. Nearly 61% said that they would only tell the details to the patients if asked while 67% of them disagreed that patients should be told about the diagnoses only if the relatives consent. About 51% of physicians wanted to discuss the bad news with the family members and patient together, whereas 24% stated that the patient alone should be involved in the discussion. Conclusion: Physicians face a dilemma when families do not wish the patient to know the cancer diagnosis and this highlights the necessity of taking into consideration the social circumstances in healthcare. When taking these into considerations, curriculum in the medical school must, therefore, be updated and must integrate the acquisition of skills in breaking bad news early in training.

  6. Drugs in East Germany.

    Science.gov (United States)

    Dressler, J; Müller, E

    1997-09-01

    Germany was divided into two parts after World War II. The closed border and a nonconvertible currency in the Eastern part were the factors that did not allow a drug market to develop. Alcohol and medicaments were used as substitute drugs. Since Germany was reunified 5 years ago, there are now the same conditions prevailing for the procurement and sale of drugs in East Germany as there are in the Western German states. This report describes the current state of drug traffic, especially in Saxony, under the new social conditions.

  7. Germany, Russia, and energy

    International Nuclear Information System (INIS)

    Paillard, Christophe Alexandre

    2007-01-01

    This article first recalls and comments the objectives defined in March 2007 by the European Council in terms of energy to struggle against climate change. These objectives relate to the reduction of greenhouse gas emissions, to renewable energies, to energy saving, and to the share of biofuels. It outlines that Germany worries about the political situation in Russia and the capacities of this country to supply Europe with hydrocarbons. Figures related to consumption of primary energy and to sources of production of electricity in Germany show that Germany is facing an increased energy dependency. The issues related to the relationship between the EU and Russia in the field of energy are further discussed, notably from the German point of view, but also from a European point of view as the EU expects a stronger reaction of Germany in front of the Russian situation

  8. Depression Disturbs Germany

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    The suicide of Robert Enke,the goalkeeper of the Germany national football team who had battled depression for years,stunned the country and cast depression into the national spotlight as a disturbing disease.

  9. EMI in Germany

    DEFF Research Database (Denmark)

    Weiss, Felix; Schindler, Steffen

    2017-01-01

    This article discusses effectively maintained inequality considering two different examples from the Germany education system: secondary school attainment and enrolment in highly ranked universities among freshmen. In our analyses of secondary school attainment, we investigate whether considering...

  10. Germany - an immigration country

    OpenAIRE

    Siebert, Horst

    2003-01-01

    Germany has about the same proportion of foreigners in its population as the United States, it is an immigration country. In a way, Germany has let immigration happen, but it did not really have an explicit immigration policy in the past. Now it has to make up its mind on its immigration policy in the future. The paper looks at the experience with immigration in the past, at the integration of foreigners and at the issues of immigration policy.

  11. Germany at CERN

    CERN Document Server

    2001-01-01

    The Eighth Exhibition of German Industry, "Germany at CERN" started this week and offers German companies the opportunity to establish professional contacts with CERN. From left to right in the foreground: Maximilian Metzger (BMBF), Bettinna Schöneseffen (BMBF), Karl-Heinz Kissler (SPL division leader), Horst Wenninger, and Hans Hoffman. Behind and to the right of Karl-Heinz Kissler is His Excellency Mr Walter Lewalter, Ambassador and permanent representative of Germany to the UN office in Geneva.

  12. [Pediatrician's experience in announcing bad news].

    Science.gov (United States)

    Crosnier-Schoedel, C; Trocmé, N; Carbajal, R; Leverger, G

    2018-02-01

    Few studies are available on pediatricians' experience with announcing bad news. Announcing bad news is an important component of medical practice and is even more complex in pediatrics because parents must be associated. We had 20 hospital pediatricians complete a questionnaire containing 30 questions about their own experience announcing bad news to a child or a teenager. In spite of their experience and the time they have spent practicing medicine, there are many limitations stemming from different factors concerning children, teenagers, their families, and themselves. The difficulties encountered by pediatricians are mainly related to the timing of the announcement, the location, the choice of the words used, and the poor understanding of children and families, due to intellectual, cultural, or psychological limitations. Pediatricians question their own capacity to make such an announcement, wondering if the information has actually been well understood. They indicate that they are themselves affected. Most of them develop and implement strategies to refute the emotional instability caused by the announcement of bad news. Yet many of them feel weak, even talking about a deep sense of loneliness and guilt. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  13. 48 CFR 31.205-3 - Bad debts.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Bad debts. 31.205-3... REQUIREMENTS CONTRACT COST PRINCIPLES AND PROCEDURES Contracts With Commercial Organizations 31.205-3 Bad debts. Bad debts, including actual or estimated losses arising from uncollectible accounts receivable due...

  14. 26 CFR 1.166-4 - Reserve for bad debts.

    Science.gov (United States)

    2010-04-01

    ... the bad debts reserves of certain mutual savings banks, domestic building and loan associations, and... 26 Internal Revenue 2 2010-04-01 2010-04-01 false Reserve for bad debts. 1.166-4 Section 1.166-4...) INCOME TAXES (CONTINUED) Itemized Deductions for Individuals and Corporations § 1.166-4 Reserve for bad...

  15. Multiculturalism in Germany

    Directory of Open Access Journals (Sweden)

    Milan Mesić

    2010-12-01

    Full Text Available The paper starts out from the recent statement by the German Chancellor Angela Merkel that multiculturalism in Germany is dead. The author draws attention to the unfavourable conditions for the development of multiculturalism in Germany. The reasons are historical, especially the experience of Nazism as well as the German social state. Namely, foreign workers in Germany, although without political rights and socially non-integrated, enjoyed a high degree of working and social rights, including high employment security. In this respect their position significantly differed from that of American workers (immigrants, which is why the struggle for civil rights was not in the foreground for German immigrants. Therefore, “the crisis of multiculturalism” appeared with the immigrants’ “second generation” (children, who have been first hit in the current times of crisis and the increasing deregulation of the labour market. They have remained socially non-integrated and without civil and political rights. It is interesting that the churches, particularly the Protestant one, lead in Germany in the efforts to begin to look at immigrants in a cultural (human sense as well, and have thus been the first to acknowledge that Germany has become a multicultural society. But this term and concept in Germany have remained sketchy, both in the theoretical and political sense. However, they have gained certain sympathy, mainly in parts of liberal-democratic circles – the Green Party leading the way – but more in a symbolic sense in countering xenophobia and cultural exclusion in German society. When multiculturalism was accused of developing “parallel society”, both the right and the left renounced it in favour of the (seemingly neutral concept of integration. The author proves that Germany has become and has remained multicultural, although not a multiculturalist country.

  16. Germany: Management of decommissioning waste in Germany

    International Nuclear Information System (INIS)

    Borrmann, F.; Brennecke, P.; Koch, W.; Kugel, K.; Steyer, S.

    2007-01-01

    Over the past two decades, Germany has gained a substantial amount of experience in the decommissioning of nuclear facilities of different types and sizes. Many research reactors and all prototype nuclear power plants, as well as a few larger nuclear power plants and fuel cycle facilities, are currently at varying stages of decommissioning. Several facilities have been fully dismantled and the sites have been cleared for reuse. The decommissioning projects comprise 18 power and prototype reactors, 33 research reactors and 11 fuel cycle facilities which are being or have been decommissioned. In the future, further nuclear power plants will be shut down and decommissioned in accordance with Germany?s energy policy to phase out the use of nuclear power for commercial electricity generation as given in the April 2002 amendment of the Atomic Energy Act. Radioactive waste, from operations as well as from decommissioning activities, is to be conditioned in such a way as to comply with the waste acceptance requirements of a repository. In Germany, all types of radioactive waste (i.e., short-lived and long-lived) are to be disposed of in deep geological formations. A distinction is being made for heat generating waste (i.e., high level waste) and waste with negligible heat generation (i.e., low level and intermediate level waste). Radioactive decommissioning waste is waste with negligible heat generation. Waste acceptance requirements of a repository are of particular importance for the conditioning of radioactive waste, including decommissioning waste. The waste acceptance requirements, as they resulted from the Konrad licensing procedure, are being applied by the waste generators for the conditioning of decommissioning waste. Compliance with these requirements must be demonstrated through the waste package quality control, even if the waste will be disposed of in the future. In 2002 the Konrad repository was licensed for the disposal of all types of waste with negligible

  17. Bad phosphorylation as a target of inhibition in oncology.

    Science.gov (United States)

    Bui, Ngoc-Linh-Chi; Pandey, Vijay; Zhu, Tao; Ma, Lan; Basappa; Lobie, Peter E

    2018-02-28

    Bcl-2 agonist of cell death (BAD) is a BH3-only member of the Bcl-2 family which possesses important regulatory function in apoptosis. BAD has also been shown to possess many non-apoptotic functions closely linked to cancer including regulation of glycolysis, autophagy, cell cycle progression and immune system development. Interestingly, BAD can be either pro-apoptotic or pro-survival depending on the phosphorylation state of three specific serine residues (human S75, S99 and S118). Expression of BAD and BAD phosphorylation patterns have been shown to influence tumor initiation and progression and play a predictive role in disease prognosis, drug response and chemosensitivity in various cancers. This review aims to summarize the current evidence on the functional role of BAD phosphorylation in human cancer and evaluate the potential utility of modulating BAD phosphorylation in cancer. Copyright © 2017 Elsevier B.V. All rights reserved.

  18. Nuclear energy in Germany

    International Nuclear Information System (INIS)

    1999-01-01

    Since September 1998 the Federal Government formed by a Red/Green Coalition declared its goal: irreversible phase out of nuclear power plants. The first attempt to stop reprocessing as well as the first attempt to change nuclear law failed. The present situation is as follows: existing nuclear power plants operate in a most satisfying way producing 170 TWh/a. i.e. 35% of total production; transport license is not granted; no new NPP is planned, but Germany will participate in the French European Power Reactor (EPR) project. Concerning fast reactors, no industrial activities exist in Germany. There is no intention to build a facility, but Germany participates in the European CAPRA project. Existing research items are related to neutronics, safety analysis, irradiation experiment TRABANT, accelerator driven systems, thermohydraulics, safety

  19. Recommendations for how to communicate bad news

    Directory of Open Access Journals (Sweden)

    Beatriz Villa López

    2007-11-01

    Full Text Available The communication, along with the control of the symptoms and the emotional support are the basic instruments that are used in the daily development of our profession. To be little capable at the time of notifying bad news can generate an added suffering unnecessary in the person who receives the new and a deterioration in the relation professional-patient.In many occasions, at the time of approaching these situations, the professional of the health usually feels anguish, fear and restlessness, this is because during is scared and restlessness this happens because during his stage of studies in the faculty the student has received a formation based on the binomial health-disease from a totally biological perspective forgetting the abilities communication.Supported in different bibliographical sources, this article tries to analyze the factors that influence when communicating the bad news and, to suggest some preventatives ideas on how giving them trying to prevent the burnout syndrome.

  20. Bad Loans and Loan Write-Offs

    OpenAIRE

    福田, 慎一; 鯉渕, 賢

    2006-01-01

    In this paper, we investigate who bears the burden when writing off bad loans in Japan. Traditionally, Japanese main banks bore large burdens in saving their customers. We still find that some main banks bear a large burden in saving their customers. However, in most cases, main banks became very reluctant to bear large burdens when bailing out their customers. In the transition from the bank-based system to a market-based system, traditional implicit rules are collapsing dramatically. We sug...

  1. Long residence times - bad tracer tests?

    Science.gov (United States)

    Ghergut, Julia; Behrens, Horst; Sauter, Martin

    2015-04-01

    process, and later on during sample aeration); the adsorbed and/or co-precipitated tracer amounts appear to be non-zero, but their accurate metering was not completed to date. Thus, a conservative estimate of cumulative tracer recovery amounts to (at least) 2 parts-per-thousand for the first 700,000 m3 of fluid turnover within the geothermal well doublet. Neither do such recovery values automatically imply 'bad news' (poor inter-well connectivity), nor do they appear as implausibly low (cf. fig. 2 of [3]), considering the possibility of major vertical drainage along the large-scale fault zone that isolates the 'aquifer basin' around the re-injection well from the 'aquifer catchment' around the production well, along with the prospect of transport-effective porosity and/or thickness within these 'aquifers' being rather high, due to extensive fissuring/fracturing. In more general terms, we argue that (a) inter-well flow-path spikings are still worthwhile being conducted even in large-scale hydrothermal reservoirs; (b) results gained from single-well tests [3] can never serve as a substitute for the kind of information (primarily: residence time distribution RTD, or flow-storage repartition FSR) being expected from inter-well tests; (c) tracer species that are 'novel' in terms of thermo-/reactivity/sorptivity/exchange at phase interfaces and thus involve some transport-retarding process cannot alleviate the frustration associated with long RT; (d) augmenting the tracer quantity Minj to use for inter-well spiking might render the tracer signal detectable, say, one or two years earlier, but it does not make FSR available sooner, since Minj cannot alter the RTD of fluids traveling through the reservoir; moreover, for inter-well configurations and reservoir structures typical of the Upper Rhine Rift Valley, the Minj augmenting factors necessary to render tracer signals detectable 1 or 2 years earlier mostly range beyond the limits of the reasonably-recommendable (e. g., for

  2. Germany after Federal elections

    International Nuclear Information System (INIS)

    Niedzballa, G.

    2010-01-01

    The political, economical and social situation in Germany after the election and attitude to nuclear energy are summarised. The Coalition agreement include: 1.Extension of the remaining lifetimes of the nuclear power plants (Nuclear Power considered as “Bridging technology”; Safety first; Skimming of additional profits) 2. No nuclear new builds in Germany 3. Approval and promotion (loan guarantees) of nuclear exports 4. Reversal of the moratorium regarding the exploration of Gorleben salt dome (Completion of the exploration; International Peer Review Group) 5.Further research regarding competence preservation and safety

  3. A short guide to giving bad news.

    Science.gov (United States)

    Mitchell, Jeffrey T

    2008-01-01

    Approaching an individual or a family with bad news, but without an appropriate plan to present the information in a structured manner, is almost a guarantee of greater emotional pain and disruption for the recipients of the news. Crisis interveners must develop a strategic plan for the announcement of bad news. That plan should entail a lead-up phase, a transmission phase, and a followup phase. The lead-up phase encompasses the gathering of accurate, verifiable information and the clear identification of the targets of the information. The transmission phase includes immediate preparation for the presentation of the information, the actual announcement, and the presentation of additional details as questions arise. The follow-up phase includes a range of supportive interventions to assist people in the immediate crisis reaction. It also includes a system of referrals for people who might benefit from additional professional care. This article provides practical guidelines for providing bad news to the loved ones of injured, ill, or deceased people.

  4. Breaking Bad News: Different Approaches in Different Countries of Iran and Germany- an Expert Panel

    Directory of Open Access Journals (Sweden)

    Carl Eduard Scheidt

    2017-10-01

    Full Text Available In this expert panel report which was held in Isfahan, Iran, the participants were Carl Eduard Scheidt, Alexander Wunsch, Hamid Afshar, Farzad Goli, Azadeh Malekian, Mohammad Reza Sharbafchi, Masoud Ferdosi, Farzad Taslimi, and Mitra Molaeinezhad. Professor Scheidt was the facilitator and coordinator of the discussion. Therefore, he started it with a brief introduction. After all is said and done, he ended the discussion with a conclusion.

  5. Antisocial features and "faking bad": A critical note.

    Science.gov (United States)

    Niesten, Isabella J M; Nentjes, Lieke; Merckelbach, Harald; Bernstein, David P

    2015-01-01

    We critically review the literature on antisocial personality features and symptom fabrication (i.e., faking bad; e.g., malingering). A widespread assumption is that these constructs are intimately related. Some studies have, indeed, found that antisocial individuals score higher on instruments detecting faking bad, but others have been unable to replicate this pattern. In addition, studies exploring whether antisocial individuals are especially talented in faking bad have generally come up with null results. The notion of an intrinsic link between antisocial features and faking bad is difficult to test and research in this domain is sensitive to selection bias. We argue that research on faking bad would profit from further theoretical articulation. One topic that deserves scrutiny is how antisocial features affect the cognitive dissonance typically induced by faking bad. We illustrate our points with preliminary data and discuss their implications. Copyright © 2015 Elsevier Ltd. All rights reserved.

  6. Managing Bad Loans of Domestic Banks under Modern Economic Conditions

    Directory of Open Access Journals (Sweden)

    Bolhar Tetyana M.

    2014-01-01

    Full Text Available The article considers main methods of management of bad bank loans under modern economic conditions, conducts analysis of internal and external banking methods used by Ukrainian banks, and specifies and identifies their advantages and shortcomings. In the result of the study the article analyses in detail the use of the methods of rehabilitation and liquidation of bad loans. It considers organisation of internal and external banking methods of liquidation of bad loans, considers mechanism of their conduct and identifies advantages and shortcomings of their application both for a bank and a borrower. Prospect of further studies in this direction is improvement of methods of assessment of bad loans, in particular, development of methodological approaches to identification of assessment of profitability of bad loans as an important element of the system of management of bad loans of a bank.

  7. Managing Bad Loans of Domestic Banks under Modern Economic Conditions

    OpenAIRE

    Bolhar Tetyana M.

    2014-01-01

    The article considers main methods of management of bad bank loans under modern economic conditions, conducts analysis of internal and external banking methods used by Ukrainian banks, and specifies and identifies their advantages and shortcomings. In the result of the study the article analyses in detail the use of the methods of rehabilitation and liquidation of bad loans. It considers organisation of internal and external banking methods of liquidation of bad loans, considers mechanism of ...

  8. Competition in Healthcare: Good, Bad or Ugly?

    Directory of Open Access Journals (Sweden)

    Maria Goddard

    2015-09-01

    Full Text Available The role of competition in healthcare is much debated. Despite a wealth of international experience in relation to competition, evidence is mixed and contested and the debate about the potential role for competition is often polarised. This paper considers briefly some of the reasons for this, focusing on what is meant by “competition in healthcare” and why it is more valuable to think about the circumstances in which competition is more and less likely to be a good tool to achieve benefits, rather than whether or not it is “good” or “bad,” per se.

  9. Video games: good, bad, or other?

    Science.gov (United States)

    Prot, Sara; McDonald, Katelyn A; Anderson, Craig A; Gentile, Douglas A

    2012-06-01

    Video games are a pervasive pastime among children and adolescents. The growing popularity of video games has instigated a debate among parents, researchers, video game producers, and policymakers concerning potential harmful and helpful effects of video games on children. This article provides an overview of research findings on the positive and negative effects of video games, thus providing an empirical answer to the question, are video games good or bad? The article also provides some guidelines to help pediatricians, parents, and other caregivers protect children from negative effects and to maximize positive effects of video games. Copyright © 2012 Elsevier Inc. All rights reserved.

  10. [Tularemia in Germany].

    Science.gov (United States)

    Kohlmann, R; Geis, G; Gatermann, S G

    2014-07-01

    The bacterium Francisella tularensis is known for more than 100 years by now as the etiological agent of the disease tularemia, a zoonotic infection with a worldwide distribution in the Northern Hemisphere. The prevalence of tularemia shows a wide geographic variation, being comparably infrequent in Germany. Tularemia can present itself with multiple clinical manifestations including ulceroglandular, glandular, oropharyngeal, oculoglandular, respiratory and typhoidal forms. Due to the low prevalence and the unspecific symptomatology, a rapid diagnosis and early start of an effective therapy are rarely obtained. Thus, in this article we summarize important aspects concerning etiology, ecology and routes of transmission, recent epidemiologic situation, clinical picture, diagnostics and treatment of tularemia, focusing on the situation in Germany. © Georg Thieme Verlag KG Stuttgart · New York.

  11. Germany at CERN

    CERN Multimedia

    2005-01-01

    From left to right: Maximilian Metzger, CERN's Secretary-General, Hermann Schunck, Director at the German Federal Ministry of Education and Research, and Robert Aymar, CERN's Director-General, talking to Wolfgang Holler from Butting, one of the companies at the "Germany at CERN" exhibition. Far right : Susanne-Corinna Langer-Greipl from BMBF, delegate to the CERN Finance Committee. For three days, CERN's Main Building was transformed into a showcase for German industry. Twenty-nine companies from sectors related to particle physics (electrical engineering, vacuum and low temperature technology, radiation protection, etc.) were here for the ninth "Germany at CERN" exhibition, organised by the German Federal Ministry of Education and Research (BMBF), which gave them the opportunity to meet scientists and administrators from the Laboratory. On 1 March the exhibition was visited by a German delegation headed by Dr Hermann Schunck, Director at BMBF.

  12. Library Consortia in Germany

    Directory of Open Access Journals (Sweden)

    Werner Reinhardt

    2001-07-01

    Full Text Available Looking at the present situation in Germany consortia show a considerable variety of organizational forms. Only in the case of the Friedrich-Althoff-Consortium in Berlin-Brandenburg a corporate body with deed of partnership does exist. In other German states consortia have been formed which are represented by an individual library (e.g. Baden-Württemberg or by a central institution such as the Bayerische Staatsbibliothek in Bavaria or the Hochschulbibliothekszentrum NRW in North Rhine-Westphalia. Rarely contracts for nationwide consortia have been signed; resulting from an initiative of a professional society, the „Gesellschaft Deutscher Chemiker“, an agreement was reached allowing for the use of the Beilstein-Crossfire-database in participating universities all over Germany.

  13. Germany bars nuclear energy

    International Nuclear Information System (INIS)

    Gaullier, V.

    1999-01-01

    Germany wants a future without nuclear energy, the different steps about the going out of nuclear programs are recalled. The real choice is either fossil energies with their unquestionable safety levels but with an increase of the greenhouse effect or nuclear energy with its safety concerns and waste management problems but without pollutant emission. The debate will have to be set in most European countries. (A.C.)

  14. Least bad solutions to the 'drugs problem'.

    Science.gov (United States)

    Mugford, S

    1991-01-01

    This paper examines the current difficulties being faced in Australia by policy-makers attempting to regulate the non-medical use of illegal drugs, and it is suggested that the difficulties centre upon two aspects. First, existing prohibitions are unsuccessful, with use levels rising and, in some arenas (e.g. cocaine use in the USA), quite out of control. On the other hand, a move towards decriminalization or legalization is difficult because past propaganda has been so vehement that a change now apparently risks sending the wrong messages to young people. This dilemma means that there is no solution, including inertia, which is risk-free, nor is there one free of difficulties. It is thus relevant to think in terms of 'least bad' rather than 'best' when formulating a system to face these problems. The exploration of what this least bad solution might be begins with the examination of the prominent myths (such as 'the drug-free society', 'the evil pusher', 'the user as victim' and 'the young person as cultural dope') that hinder our reasoning. Secondly, by suggesting that, in a climate of increasing crime related to drugs, inability of prohibitions to control that use and escalating health risks attendant on use (including the AIDS problem), the central policy thrust must be harm reduction and damage minimization rather than illusory goals such as widespread abstinence. The paper concludes with a discussion of some relevant evidence on alternative options.

  15. Cinema and the communication of bad news

    Directory of Open Access Journals (Sweden)

    Ana Isabel GÓMEZ CORDOBA

    2016-04-01

    Full Text Available Breaking Bad News requires medical professionals possess a range of skills to ensure that the patient has the information required for decision?making, this process occurs without further damage and even has a therapeutic effect, and another, that the doctor is not exposed to legal risk or stress associated with the inability to cope with the feelings of the patient, their families or themselves. This article discusses the aspects of communication of bad news in the field of doctor?patient relationship will be presented. The SPIKES model and discussion of movie segments related to the subject was employed as a thread, such as Doctor, 50/50, The Barbarian Invasions, Wings of Life, Stepmom, Letters to God, Wit, The butterfly blue, The power of friendship, Life without me, Make me laugh, Knockin ‘on Heaven’s Door, My Life, A crazy Loose in Brooklyn, As suicide and not die in the attempt, A lesson of life, and The sacrifice of a mother, as a pedagogical strategy in medical training.

  16. Assessing ectasia susceptibility prior to LASIK: the role of age and residual stromal bed (RSB in conjunction to Belin-Ambrósio deviation index (BAD-D

    Directory of Open Access Journals (Sweden)

    Renato Ambrósio Jr

    2014-04-01

    Full Text Available Purpose: To compare the ability to detect preoperative ectasia risk among LASIK candidates using classic ERSS (Ectasia Risk Score System and Pentacam Belin-Ambrósio deviation index (BAD-D, and to test the benefit of a combined approach including BAD-D and clinical data. Methods: A retrospective nonrandomized study involved preoperative LASIK data from 23 post-LASIK ectasia cases and 266 stable-LASIK (follow up > 12 months. Preoperative clinical and Pentacam (Oculus; Wetzlar, Germany data were obtained from all cases. Mann-Whitney's test was performed to assess differences between groups. Stepwise logistic regression was used for combining parameters.The areas under the Receiver Operating Characteristic (ROC curves (AUC were calculated for all parameters and combinations, with pairwise comparisons of AUC (DeLong's method. Results: Statistically significant differences were found for age, residual stromal bed (RSB, central corneal thickness and BAD-D (p0.05. ERSS was 3 or more on 12/23 eyes from the ectasia group (sensitivity = 52.17% and 48/266 eyes from the stable LASIK group (18% false positive. BAD-D had AUC of 0.931 (95% CI: 0.895 to 0.957, with cut-off of 1.29 (sensitivity = 87%; specificity = 92.1%. Formula combining BAD-D, age and RSB provided 100% sensitivity and 94% specificity, with better AUC (0.989; 95% CI: 0.969 to 0.998 than all individual parameters (p>0.001. Conclusion: BAD-D is more accurate than ERSS. Combining clinical data and BAD-D improved ectasia susceptibility screening. Further validation is necessary. Novel combined functions using other topometric and tomographic parameters should be tested to further enhance accuracy.

  17. Influenza virus induces apoptosis via BAD-mediated mitochondrial dysregulation.

    Science.gov (United States)

    Tran, Anh T; Cortens, John P; Du, Qiujiang; Wilkins, John A; Coombs, Kevin M

    2013-01-01

    Influenza virus infection results in host cell death and major tissue damage. Specific components of the apoptotic pathway, a signaling cascade that ultimately leads to cell death, are implicated in promoting influenza virus replication. BAD is a cell death regulator that constitutes a critical control point in the intrinsic apoptosis pathway, which occurs through the dysregulation of mitochondrial outer membrane permeabilization and the subsequent activation of downstream apoptogenic factors. Here we report a novel proviral role for the proapoptotic protein BAD in influenza virus replication. We show that influenza virus-induced cytopathology and cell death are considerably inhibited in BAD knockdown cells and that both virus replication and viral protein production are dramatically reduced, which suggests that virus-induced apoptosis is BAD dependent. Our data showed that influenza viruses induced phosphorylation of BAD at residues S112 and S136 in a temporal manner. Viral infection also induced BAD cleavage, late in the viral life cycle, to a truncated form that is reportedly a more potent inducer of apoptosis. We further demonstrate that knockdown of BAD resulted in reduced cytochrome c release and suppression of the intrinsic apoptotic pathway during influenza virus replication, as seen by an inhibition of caspases-3, caspase-7, and procyclic acidic repetitive protein (PARP) cleavage. Our data indicate that influenza viruses carefully modulate the activation of the apoptotic pathway that is dependent on the regulatory function of BAD and that failure of apoptosis activation resulted in unproductive viral replication.

  18. Breaking bad news: issues relating to nursing practice.

    Science.gov (United States)

    Warnock, Clare

    2014-07-15

    The breaking of bad news was traditionally regarded to be the time when a doctor and nurse sat down with a patient and family members to provide information about, for example, a life-limiting diagnosis or a poor prognosis. However, breaking bad news is now generally accepted as a process, not a one-off event, and is considered to refer to any bad, sad or difficult information that alters patients' perceptions of their present and future. Nurses have an important role in the process of providing information and helping patients prepare for, receive, understand and cope with the bad news they have been given. This article aims to help nurses understand the process of breaking bad news and discuss the challenges and difficulties that nurses can face when they are involved with patients who have been given bad news. It also provides guidance with regard to preparing for breaking bad news, giving difficult information, responding to possible reactions, and supporting patients and their relatives after they have received bad news.

  19. 48 CFR 2131.205-3 - Bad debts.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 6 2010-10-01 2010-10-01 true Bad debts. 2131.205-3 Section 2131.205-3 Federal Acquisition Regulations System OFFICE OF PERSONNEL MANAGEMENT, FEDERAL... PRINCIPLES AND PROCEDURES Contracts With Commercial Organizations 2131.205-3 Bad debts. Erroneous benefit...

  20. 26 CFR 301.6657-1 - Bad checks.

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 18 2010-04-01 2010-04-01 false Bad checks. 301.6657-1 Section 301.6657-1... Additions to the Tax and Additional Amounts § 301.6657-1 Bad checks. (a) In general. Except as provided in... district director that it was tendered in good faith with reasonable cause to believe that it would be duly...

  1. 48 CFR 1631.205-71 - FEHBP bad debts.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 6 2010-10-01 2010-10-01 true FEHBP bad debts. 1631.205-71 Section 1631.205-71 Federal Acquisition Regulations System OFFICE OF PERSONNEL MANAGEMENT FEDERAL... AND PROCEDURES Contracts With Commercial Organizations 1631.205-71 FEHBP bad debts. Erroneous benefit...

  2. HOW TO MANAGE DATA BADLY (PART 1 & 2)

    Science.gov (United States)

    In a landmark article in The American Statistician, Howard Wainer (1994) presented ideas for (a) "How to Display Data Badly," wherein good data are ruined by bad graphics. Wainer presumed too much. In this essay, I extend his concept by presenting ideas and examples of how scient...

  3. Evaluating Third-Party Bad Neighborhood Blacklists for Spam Detection

    NARCIS (Netherlands)

    Moreira Moura, Giovane; Sperotto, Anna; Sadre, R.; Pras, Aiko; Seon Hong, C.; Diao, Y.; De Turk, F.

    The distribution of malicious hosts over the IP address space is far from being uniform. In fact, malicious hosts tend to be concentrate in certain portions of the IP address space, forming the so-called Bad Neighborhoods. This phenomenon has been previously exploited to filter Spam by means of Bad

  4. Mentoring Graduate Students: The Good, Bad, and Gray

    Science.gov (United States)

    Ballantine, Jeanne H.; Jolly-Ballantine, John-Andrew

    2015-01-01

    Good mentoring of graduate students influences their perseverance and success to completion, whereas bad mentoring can result in negative outcomes, including delayed degree completion or non-completion. What the authors refer to as the gray zone is that which falls between good and bad mentoring. Examples are partial mentoring or changes in…

  5. Bad Public Leadership in South Africa: The Jackie Selebi Case ...

    African Journals Online (AJOL)

    This article scrutinises the literature on bad public leadership and then presents an analysis of a South African case of bad public leadership. Leadership is analysed in terms of contextual as well as conceptual perspectives. The article emphasises that both context as well as conceptual and theoretical factors should be ...

  6. Have we lost the ability to listen to bad news?

    NARCIS (Netherlands)

    van Oorschot, Kim.E.; van Wassenhove, Luk; Sengupta, Kishore; Akkermans, Henk

    2016-01-01

    Research shows that project managers continuously prioritised good vibes (positive, but subjective signals) over bad news (negative, but objective signals), which resulted in decisions of poor quality. Without understanding the root causes that generate the bad news and the good vibes, managers

  7. Positive Organizational Behavior: A Buffer for Bad News

    Science.gov (United States)

    French, Sandra L.; Holden, Tracey Quigley

    2012-01-01

    Most communication research on bad news messages focuses on crisis communication, where attention is often limited to image repair strategies. The authors argue that a key indicator of an organization's effectiveness in communicating "bad news" messages is its organizational culture. Developing an organizational culture that values positive…

  8. Displaying fairness while delivering bad news: Testing the effectiveness of organizational bad news training in the layoff context.

    Science.gov (United States)

    Richter, Manuela; König, Cornelius J; Koppermann, Christopher; Schilling, Michael

    2016-06-01

    Although giving bad news at work is a stressful experience, managers are often underprepared for this challenging task. As a solution, we introduce organizational bad news training that integrates (a) principles of delivering bad news from the context of health care (i.e., bad news delivery component), and (b) principles of organizational justice theory (i.e., fairness component). We argue that both the formal and fair delivery of bad news at work can be enhanced with the help of training to mitigate distress both for the messenger and the recipient. We tested the effectiveness of training for the delivery of a layoff as a typical bad news event at work. In 2 studies, we compared the performance of a training group (receiving both components of training) with that of a control group (Study 1, Study 2) and a basics group (receiving the bad news delivery component only; Study 2) during a simulated dismissal notification meeting. In general, the results supported our hypotheses: Training improved the formal delivery of bad news and predicted indicators of procedural fairness during the conversation in both studies. In Study 2, we also considered layoff victims' negativity after the layoff and found that training significantly reduced negative responses. This relationship was fully mediated by layoff victims' fairness perceptions. Despite preparation, however, giving bad news remained a challenging task in both studies. In summary, we recommend that organizations provide managers with organizational bad news training in order to promote professional and fair bad news conversations at work. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  9. Nuclear power in Germany

    International Nuclear Information System (INIS)

    Schaefer, A.

    1990-01-01

    I want to give some ideas on the situation of public and utility acceptance of nuclear power in the Federal Republic of Germany and perhaps a little bit on Europe. Let me start with public perception. I think in Germany we have a general trend in the public perception of technology during the last decade that has been investigated in a systematic manner in a recent study. It is clear that the general acceptance of technology decreased substantially during the last twenty years. We can also observe during this time that aspects of the benefits of technology are much less reported in the media, that most reporting by the media now is related to the consequences of technologies, such as negative environmental consequences. hat development has led to a general opposition against new technological projects, in particular unusual and large. That trend is related not only to nuclear power, we see it also for new airports, trains, coal-fired plants. here is almost no new technological project in Germany where there is not very strong opposition against it, at least locally. What is the current public opinion concerning nuclear power? Nuclear power certainly received a big shock after Chernobyl, but actually, about two thirds of the German population wants to keep the operating plants running. Some people want to phase the plants out as they reach the end-of-life, some want to substitute newer nuclear technology, and a smaller part want to increase the use of nuclear power. But only a minority of the German public would really like to abandon nuclear energy

  10. Rewriting Germany's nuclear law

    International Nuclear Information System (INIS)

    Roser, T.

    1992-01-01

    In Germany, the private use of nuclear energy for peaceful uses is strictly regulated by a Nuclear Energy Act. Since its enactment back in 1959, this legislation has been overhauled five times - most recently in 1985. Now Klaus Toepfer, Germany's Federal Minister for the Environment, Protection of Nature, and Nuclear Safety, has set out to revise the Act for the sixth time. The present draft bill is intended to reorganise the back end of the nuclear fuel cycle; eliminate public promotion of nuclear power; clarify points of legal dispute. Of the draft bill's three aims, the last two are more parochial. The real novelty lies in the changes to the rules for the back end of the fuel cycle. First, the Federal Government proposes to abandon the priority given to spent fuel recycling. In future, direct disposal will be an equivalent option, and waste avoidance will have top priority. Intimately linked to the back end proposal is the Government's plan to load on the shoulders of nuclear operators the full responsibility for building and operating repositories for the final disposal of nuclear waste. The third aspect of Government's back end plans concerns decommissioning. At present, operators accumulate provisions over the plant lifetime, which for that purpose is estimated at 19 years. The provisions vary from plant to plant but are generally around DM1 billion and are tax free. Under the proposed regulations, this sum must be available from the first day of operation to cover the case of an early shutdown. In practice, this will increase the initial investment for a nuclear power plant in Germany by 10-20% and so make nuclear power less competitive. (author)

  11. Country report for Germany

    International Nuclear Information System (INIS)

    Heusener, Gerhard

    2001-01-01

    The status of the nuclear energy in Germany can be summarised as follows: 19 operating NPPs (22 GWe); electricity production in 200 amounted to 170 TWh (one third of the total production); average availability 91%; goal of the Federal Government is to phase out nuclear energy without paying to the utilities. Fast reactor activities involve participation of FZK in the European Project 'Burning of Pu and MAs in Critical Fast Reactors'; shifting to burning of actinides in subcritical accelerator driven systems (ADS). This includes neutronics, safety analysis, Pb-Bi technology, development of spallation target, corrosion in Pb and Pb-Bi

  12. Environmental policy in Germany

    International Nuclear Information System (INIS)

    Wey, K.G.

    1982-01-01

    Previous forms, emergence, and development of German environ-politics from 1900 to the present day are looked into by means of so far disregarded sources. The main lines of ecological and technological environ-politics are described and the difficulties in formulating and getting through adequate state measures of environment protection are shown quoting cases. The influence of structural pre-conditions, of the constitutional state, political culture and global development of Germany is examined as to its influence on environ-politics. The work must be understood as a historical argument in favor of a more conscious, reasonable political formation of environment in the sense of an ecological concept. (orig.) [de

  13. ECFA SURVEY: Germany

    International Nuclear Information System (INIS)

    Anon.

    1994-01-01

    Few nations can match the scope of German basic physics contributions. Earlier this century, illustrious names (Rontgen, Franck, von Laue, Planck, Sommerfeld, Heisenberg, ) kept Germany among the front runners. Subsequent history has given German physics a very different profile - the country now participates massively in international projects and is the largest single contributing nation in CERN's research programme. At the same time, an impressive high energy programme at the German national Laboratory at DESY, Hamburg, centred around the 6.3 kilometre HERA ring, the world's only high energy electron-proton collider, attracts scientists from all over the world

  14. [Breaking bad news in oncology: the Belgian experience].

    Science.gov (United States)

    Delevallez, F; Lienard, A; Gibon, A-S; Razavi, D

    2014-10-01

    Breaking bad news is a complex and frequent clinical task for physicians working in oncology. It can have a negative impact on patients and their relatives who are often present during breaking bad news consultations. Many factors influence how the delivery of bad news will be experienced especially the communication skills used by physicians. A three-phase process (post-delivery phase, delivery phase, pre-delivery phase) has been developed to help physician to handle this task more effectively. Communication skills and specific breaking bad news training programs are both necessary and effective. A recent study conducted in Belgium has shown their impact on the time allocated to each of the three phases of this process, on the communication skills used, on the inclusion of the relative in the consultation and on physicians' physiological arousal. These results underscore the importance of promoting intensive communication skills and breaking bad news training programs for health care professionals.

  15. Experimental geothermal well at Bad Schinznach. First results; Geothermiebohrung Bad Schinznach. Erste Resultate

    Energy Technology Data Exchange (ETDEWEB)

    Haering, M O [Haering Geo-Project, Steinmaur (Switzerland)

    1997-12-01

    The spa of Bad Schinznach (Canton Argovia, Switzerland) endeavours to cover its heating requirements with geothermal energy. A recently drilled well to a depth of 890 meters encountered the regional acquifer of thermal water (Oberer Muschelkalk, Triassic) in three levels. Preliminary results indicate a productive aquifer in the uppermost level with a wellhead temperature of 42 C. An additional exploitation of the bottomhole formation temperature of 63 C is envisaged. (orig.) [Deutsch] Das Bad Schinznach (Kanton Aargau, Schweiz) moechte im Rahmen der wirtschaftlichen Moeglichkeiten seinen Waermebedarf mit der Nutzung des Thermalwassers aus dem Oberen Muschelkalk (Trias) decken. Eine neulich abgeteufte Bohrung bis auf 890 Meter Tiefe hat die Formation auf drei Niveaus angetroffen. Erste Resultate deuten auf ein nutzbares Vorkommen im obersten Horizont mit einer Austrittstemperatur von 42 C. Eine zusaetzliche Nutzung der hohen Formationstemperatur von 63 C auf Endtiefe wird erwogen. (orig.)

  16. Learn good from bad: Effects of good and bad neighbors in spatial prisoners' dilemma games

    Science.gov (United States)

    Lu, Peng

    2015-10-01

    Cooperation is vital for the human society and this study focuses on how to promote cooperation. In our stratification model, there exist three classes: two minorities are elites who are prone to cooperate and scoundrels who are born to defect; one majority is the class of common people. Agents of these three classes interact with each other on a square lattice. Commons' cooperation and its factors are investigated. Contradicting our common sense, it indicates that elites play a negative role while scoundrels play a positive one in promoting commons' cooperation. Besides, effects of good and bad neighbors vary with temptation. When the temptation is smaller the positive effect is able to overcome the negative effect, but the later prevails when the temptation is larger. It concludes that common people are more prone to cooperate in harsh environment with bad neighbors, and a better environment with good neighbors merely leads to laziness and free riding of commons.

  17. Germany, Pacifism and Peace Enforcement

    DEFF Research Database (Denmark)

    Dalgaard-Nielsen, Anja

    This book is about the transformation of Germany's security and defence policy in the time between the 1991 Gulf War and the 2003 war against Iraq. It traces and explains the reaction of Europe's biggest and potentially most powerful country to the ethnic wars of the 1990s, the emergence of large...... the 1990s. The book debates the implications of Germany's transformation for Germany's partners and neighbours, and explains why Germany said ‘yes’ to the war in Afghanistan, but ‘no’ to the Iraq War. Based on a comprehensive study of the debates of the German Bundestag and actual German policy responses...

  18. Bad Luck or Bad Decisions: College Students' Perceptions of the Reasons for and Consequences of Their Alcohol Overdose

    Science.gov (United States)

    Reis, Janet

    2007-01-01

    Reasons for and immediate consequences of an alcohol overdose were explored for 217 undergraduate students requiring a medical emergency transport because of excessive alcohol consumption. The sample was categorized into 26 students attributing their overdose solely to bad luck and 191 students citing bad decision making as an explanation. A…

  19. Fusarium Keratitis in Germany

    Science.gov (United States)

    Stasch, Serena; Kaerger, Kerstin; Hamprecht, Axel; Roth, Mathias; Cornely, Oliver A.; Geerling, Gerd; Mackenzie, Colin R.; Kurzai, Oliver; von Lilienfeld-Toal, Marie

    2017-01-01

    ABSTRACT Fusarium keratitis is a destructive eye infection that is difficult to treat and results in poor outcome. In tropical and subtropical areas, the infection is relatively common and associated with trauma or chronic eye diseases. However, in recent years, an increased incidence has been reported in temperate climate regions. At the German National Reference Center, we have observed a steady increase in case numbers since 2014. Here, we present the first German case series of eye infections with Fusarium species. We identified Fusarium isolates from the eye or eye-related material from 22 patients in 2014 and 2015. Thirteen isolates belonged to the Fusarium solani species complex (FSSC), 6 isolates belonged to the Fusarium oxysporum species complex (FOSC), and three isolates belonged to the Fusarium fujikuroi species complex (FFSC). FSSC was isolated in 13 of 15 (85%) definite infections and FOSC in 3 of 4 (75%) definite contaminations. Furthermore, diagnosis from contact lens swabs or a culture of contact lens solution turned out to be highly unreliable. FSSC isolates differed from FOSC and FFSC by a distinctly higher MIC for terbinafine. Outcome was often adverse, with 10 patients requiring keratoplasty or enucleation. The use of natamycin as the most effective agent against keratitis caused by filamentous fungi was rare in Germany, possibly due to restricted availability. Keratitis caused by Fusarium spp. (usually FSSC) appears to be a relevant clinical problem in Germany, with the use of contact lenses as the predominant risk factor. Its outcome is often adverse. PMID:28747368

  20. [AIDS prevention in Germany].

    Science.gov (United States)

    Pott, E

    2007-04-01

    In 1987 the national AIDS prevention campaign "Gib AIDS keine Chance" (Don't give AIDS a chance) was started in Germany. After a very difficult and controversial political debate about a probably successful response to AIDS, in the end a political decision was made in favour of the implementation of a long term "social learning strategy". Thus, since then the Bundeszentrale für gesundheitliche Aufklärung (Federal Centre for Health Education, BZgA) has been running the campaign on behalf of the Federal Ministry of Health. The result of this prevention program is a low rate of infections. In Germany there were 2600 newly diagnosed infections in 2005: 59 % in homosexual men, 16 % by heterosexual contacts, 17 % in people from high prevalence countries and 7 % in i.v. drug users. In comparison to the international situation Germany has a relatively low HIV-prevalence even nowadays. However, Germany has also been confronted with an increasing number of newly diagnosed infections in the last few years. When the prevention program was started it was very important to build new structures for a successful implementation of the campaign. That meant for instance to build up an effective infrastructure for cooperation between the governmental and the nongovernmental sector, including organising the coordinated action among the partners at the federal, regional and local levels. Likewise, international networking was of great importance. A key element, relevant for the success of the campaign was the close cooperation at the federal level between the BZgA and the Deutsche AIDS Hilfe (German AIDS Help, DAH), to combine the highreach intervention in low-prevalence populations with intensive interventions for high prevalence groups. An effective national AIDS prevention campaign must reach the whole population; inform the public about the main risks of infection, about methods of protection and about what is not infectious. Moreover groups with a higher level of risk of

  1. Thematic and content analysis of idiopathic nightmares and bad dreams.

    Science.gov (United States)

    Robert, Geneviève; Zadra, Antonio

    2014-02-01

    To conduct a comprehensive and comparative study of prospectively collected bad dream and nightmare reports using a broad range of dream content variables. Correlational and descriptive. Participants' homes. Three hundred thirty-one adult volunteers (55 men, 275 women, 1 not specified; mean age = 32.4 ± 14.8 y). N/A. Five hundred seventy-two participants kept a written record of all of their remembered dreams in a log for 2 to 5 consecutive weeks. A total of 9,796 dream reports were collected and the content of 253 nightmares and 431 bad dreams reported by 331 participants was investigated. Physical aggression was the most frequently reported theme in nightmares, whereas interpersonal conflicts predominated in bad dreams. Nightmares were rated by participants as being substantially more emotionally intense than were bad dreams. Thirty-five percent of nightmares and 55% of bad dreams contained primary emotions other than fear. When compared to bad dreams, nightmares were more bizarre and contained substantially more aggressions, failures, and unfortunate endings. The results have important implications on how nightmares are conceptualized and defined and support the view that when compared to bad dreams, nightmares represent a somewhat rarer-and more severe-expression of the same basic phenomenon.

  2. The good news about giving bad news to patients.

    Science.gov (United States)

    Farber, Neil J; Urban, Susan Y; Collier, Virginia U; Weiner, Joan; Polite, Ronald G; Davis, Elizabeth B; Boyer, E Gil

    2002-12-01

    There are few data available on how physicians inform patients about bad news. We surveyed internists about how they convey this information. We surveyed internists about their activities in giving bad news to patients. One set of questions was about activities for the emotional support of the patient (11 items), and the other was about activities for creating a supportive environment for delivering bad news (9 items). The impact of demographic factors on the performance of emotionally supportive items, environmentally supportive items, and on the number of minutes reportedly spent delivering news was analyzed by analysis of variance and multiple regression analysis. More than half of the internists reported that they always or frequently performed 10 of the 11 emotionally supportive items and 6 of the 9 environmentally supportive items while giving bad news to patients. The average time reportedly spent in giving bad news was 27 minutes. Although training in giving bad news had a significant impact on the number of emotionally supportive items reported (P woman, unmarried, and having a history of major illness were also associated with reporting a greater number of emotionally supportive activities. Internists report that they inform patients of bad news appropriately. Some deficiencies exist, specifically in discussing prognosis and referral of patients to support groups. Physician educational efforts should include discussion of prognosis with patients as well as the availability of support groups.

  3. Uranium mining in Eastern Germany

    International Nuclear Information System (INIS)

    Sauer, H.D.

    1990-01-01

    A problem which simply does not exist in Western Germany is the uranium mining in the South of Eastern Germany (SDAG Wismuth). The cleaning up and control measure which are urgently needed will be a task for more than one generation. (orig./HP) [de

  4. CAS School in Germany

    CERN Multimedia

    CERN Accelerator School

    The CERN Accelerator School (CAS), the Helmholtz Centre for Heavy Ion Research GmbH (GSI) and the Technische Universität Darmstadt (TU Darmstadt) jointly organised a course on General Accelerator Physics, at intermediate level, at TU Darmstadt from 27 September to 9 October 2009.   Participants in the CERN Accelerator School in Darmstadt, Germany. The Intermediate-level course followed established practice, with lectures on core topics in the mornings and specialised courses in the afternoons. The latter provided "hands-on" education and experience in the three selected topics: "RF Measurement Techniques", "Beam Instrumentation and Diagnostics" and "Optics Design and Correction". These proved to be highly successful, with participants choosing one course and following the topic throughout the school. Guided studies, tutorials, seminars and a poster session completed the programme. A visit to GSI and the F...

  5. Germany at CERN

    CERN Multimedia

    C. Laignel / FI-DI

    2005-01-01

    From 1 to 3 march 2005 Administration Building Bldg 60/61 - ground and 1st floor 09:30 - 17:30 Twenty eight companies will present their latest technology at the "Germany at CERN" exhibition. German industry will exhibit products and technologies which are related to the field of particle physics. The main subjects are: mechanical engineering, particle detectors, electrical engineering, electronics, data processing, radiation protection and vacuum and low temperature techonology. The exhibition is organised by the Federal Minister of Education and Research (BMBF), Bonn. There follows: the list of exhibitors A detailed programme will be available in due course at : your Departemental secretariat, the reception information desk, Building 33, the exhibition. A detailed list of firms is available under the following FI link: http://fi-dep.web.cern.ch/fi-dep/structure/memberstates/exhibitions_visits.htm LIST OF EXHIBITORS ACCEL Instruments GmbH APRA-NORM Elektromechanik GmbH BABCOCK NOELL Nucle...

  6. Germany AT CERN

    CERN Multimedia

    C. Laignel / FI-DI

    2005-01-01

    From 1 to 3 march 2005 Administration Building Bldg 60/61 - ground and 1st floor 09:30 - 17:30 Twenty nine companies will present their latest technology at the "Germany at CERN" exhibition. German industry will exhibit products and technologies related to the field of particle physics. The main sectors represented will be: mechanical engineering, particle detectors, electrical engineering, electronics, data processing, radiation protection and vacuum and low temperature techonology. The exhibition is organised by the Federal Minister of Education and Research (BMBF), Bonn. The exhibitors are listed below. A detailed programme will be available in due course: from your Departemental secretariat, from the reception information desk, Building 33, at the exhibition itself. A detailed list of the participating firms is already available at the following FI link: http://fi-dep.web.cern.ch/fi-dep/structure/memberstates/exhibitions_visits.htm LIST OF EXHIBITORS ACCEL Instruments GmbH APRA-NORM Elekt...

  7. Germany AT CERN

    CERN Multimedia

    2005-01-01

    From 1 to 2 March 2005 Administration Building Bldg 60/61 - ground and 1st floor 09:30 - 17:30 Twenty nine companies will present their latest technology at the "Germany at CERN" exhibition. German industry will exhibit products and technologies related to the field of particle physics. The main sectors represented will be: mechanical engineering, particle detectors, electrical engineering, electronics, data processing, radiation protection and vacuum and low temperature techonology. The exhibition is organised by the Federal Ministry of Education and Research (BMBF), Bonn. The exhibitors are listed below. A detailed programme will be available in due course: from your Departemental secretariat, from the reception information desk, Building 33, at the exhibition itself. A detailed list of the participating firms is already available at the following FI link: http://fi-dep.web.cern.ch/fi-dep/structure/memberstates/exhibitions_visits.htm LIST OF EXHIBITORS ACCEL Instruments GmbH APRA-NORM Elekt...

  8. West Germany's nuclear dilemma

    International Nuclear Information System (INIS)

    Dangelmayer, D.

    1978-01-01

    The US 1978 Nuclear Non-Proliferation Act legislated the embargo of enriched uranium supplies from that country to any other country which would not agree to tighter restrictions on a wide variety of their nuclear activities, including the reprocessing of spent uranium to provide separated plutonium. This has resulted in a three month supply cut-off to the EEC countries. However the EEC is now willing to renegotiate supply contracts with the US to accord with the tighter safeguards set down in the Act. Effectively both sides now have an 18 month breathing space for them to seek a compromise on the non-proliferation question. The effect of these strategies on West Germany's energy policy, which seeks to become increasingly energy self-sufficient through the use of nuclear fuel reprocessing and the fast reactor, is discussed. (U.K.)

  9. Environmental Foundations in Germany

    Directory of Open Access Journals (Sweden)

    Thomas Krikser

    2015-05-01

    Full Text Available Foundations in Germany were examined in the context of environmental issues. Data from environmental foundations show that there is huge difference between private and public foundations concerning financial settings. Furthermore, environment is often not the only objective and sometimes not even processed. Our analysis shows that there are different types of foundations with regard to environmental scopes and activities. Although “attractive topics” such as biodiversity and landscape conservation seem to be more important to foundations, less visible topics such as pollution prevention remain merely a “blind spot.” Together, these findings suggest that there is only a limited potential of private foundations compared with public foundations. Nevertheless, there might be an impact on environmental awareness and local sustainability.

  10. Nuclear power in Germany

    International Nuclear Information System (INIS)

    Beckurts, K.H.

    1985-01-01

    On the occasion of the retirement of the Editor-in-chief of 'atomwirtschaft', the author gave a keynote speech on the development of nuclear power in the Federal Republic of Germany at the headquarters of the Handelsblatt Verlag in Duesseldorf on October 30, 1984. He subdivided the period under discussion into five phases, the first of which comprises the 'founding years' of 1955 to 1960. This was the time when activities in nuclear research and nuclear technology in Germany, which were permitted again in mid-1955, began with the establishment of the national research centers, the first Atomic Power Program, the promulgation of the Atomic Energy Act, the foundation of government organizations, including the Federal Ministry for Atomic Energy, etc. In the second phase, between 1960 and 1970, a solid foundation was laid for the industrial peaceful uses of nuclear power in the construction of the first LWR experimental nuclear power stations, the first successful export contracts, the beginnings of the first nuclear fuel cycle plants, such as the WAK reprocessing plant, the Asse experimental repository, the Almelo agreement on centrifuge enrichment. The third phase, between 1970 and 1975, was a period of euphoria, full of programs and forecasts of a tremendous boom in nuclear generating capacities, which were further enhanced by the 1973 oil squeeze. In 1973 and 1974, construction permits for ten nuclear power plants were applied for. The fourth phase, between 1975 and 1980, became a period of crisis. The fifth phase, the eighties, give rise to hope for a return to reason. (orig./UA) [de

  11. Walking Wounded or Living Dead? Making Banks Foreclose Bad Loans

    OpenAIRE

    Max Bruche; Gerard Llobet

    2011-01-01

    Due to limited liability, banks that are essentially insolvent may have incentives to roll over bad loans as a gamble for resurrection, even though it is socially inefficient to do so. This paper considers the problem of making such banks remove and/or foreclose bad loans, when the proportion of loans on a bank’s balance sheet that has gone bad is private information. The private information implies that many plausible schemes are likely to generate windfall gains for bank equity holders, whi...

  12. Female entrepreneurs in trouble: do their bad loans last longer?

    OpenAIRE

    Juri Marcucci; Paolo Emilio Mistrulli

    2013-01-01

    We investigate the duration of bad loans for a unique data set of sole proprietorships in Italy, finding that bad loans for female firms last longer. However, this result is mainly due to the fact that loans granted to female firms are less frequently written off than those to male ones, suggesting that for banks female firms might be more creditworthy than male firms. These findings are robust to censoring, alternative specifications of the distribution of bad loan duration and other bank-sp...

  13. Cycle of Bad Governance and Corruption

    Directory of Open Access Journals (Sweden)

    Mohammed Nuruddeen Suleiman

    2015-03-01

    Full Text Available This article argues that bad governance and corruption particularly in the Northern part of Nigeria have been responsible for the persistent rise in the activities of Jama’atu Ahlis Sunna Lidda’awati wal-Jihad (JASLWJ, Arabic for “people committed to the propagation of the tradition and jihad.” It is also known as “Boko Haram,” commonly translated as “Western education is sin.” Based on qualitative data obtained through interviews with Nigerians, this article explicates how poor governance in the country has created a vicious cycle of corruption, poverty, and unemployment, leading to violence. Although JASLWJ avows a religious purpose in its activities, it takes full advantage of the social and economic deprivation to recruit new members. For any viable short- or long-term solution, this article concludes that the country must go all-out with its anti-corruption crusade. This will enable the revival of other critical sectors such as agriculture and manufacturing, likely ensuring more employment. Should the country fail to stamp out corruption, it will continue to witness an upsurge in the activities of JASLWJ, and perhaps even the emergence of other violent groups. The spillover effects may be felt not only across Nigeria but also within the entire West African region.

  14. Four Bad Habits of Modern Psychologists.

    Science.gov (United States)

    Grice, James; Barrett, Paul; Cota, Lisa; Felix, Crystal; Taylor, Zachery; Garner, Samantha; Medellin, Eliwid; Vest, Adam

    2017-08-14

    Four data sets from studies included in the Reproducibility Project were re-analyzed to demonstrate a number of flawed research practices (i.e., "bad habits") of modern psychology. Three of the four studies were successfully replicated, but re-analysis showed that in one study most of the participants responded in a manner inconsistent with the researchers' theoretical model. In the second study, the replicated effect was shown to be an experimental confound, and in the third study the replicated statistical effect was shown to be entirely trivial. The fourth study was an unsuccessful replication, yet re-analysis of the data showed that questioning the common assumptions of modern psychological measurement can lead to novel techniques of data analysis and potentially interesting findings missed by traditional methods of analysis. Considered together, these new analyses show that while it is true replication is a key feature of science, causal inference, modeling, and measurement are equally important and perhaps more fundamental to obtaining truly scientific knowledge of the natural world. It would therefore be prudent for psychologists to confront the limitations and flaws in their current analytical methods and research practices.

  15. Manifestations of Bad Governance on the Threshold of African ...

    African Journals Online (AJOL)

    2012-10-02

    Oct 2, 2012 ... This orbits around the problems of bad governance ... has become less and less loathed, but rather more and more a business with governance actors like the leaders and representatives not visualizing ethical responsibility ...

  16. Badly approximable systems of linear forms in absolute value

    DEFF Research Database (Denmark)

    Hussain, M.; Kristensen, Simon

    In this paper we show that the set of mixed type badly approximable simultaneously small linear forms is of maximal dimension. As a consequence of this theorem we settle the conjecture stated in [9]....

  17. Are 3-D Movies Bad for Your Eyes?

    Medline Plus

    Full Text Available ... Eye Health A-Z Symptoms Glasses & Contacts Tips & Prevention News Ask an Ophthalmologist Patient Stories Español Eye Health / Tips & Prevention Sections Are 3-D Movies Bad for Your ...

  18. 76 FR 58784 - Bad Boy Enterprises, LLC, Provisional Acceptance of a Settlement Agreement and Order

    Science.gov (United States)

    2011-09-22

    ... CONSUMER PRODUCT SAFETY COMMISSION [CPSC Docket No. 11-C0011] Bad Boy Enterprises, LLC... 1118.20(e). Published below is a provisionally-accepted Settlement Agreement with Bad Boy Enterprises..., Bad Boy Enterprises, LLC (``Bad Boy'') and staff (``Staff'') of the United States Consumer Product...

  19. 26 CFR 1.593-7 - Establishment and treatment of reserves for bad debts.

    Science.gov (United States)

    2010-04-01

    ....593-10. (2) Bad debt losses. Any bad debt in respect of a nonqualifying loan shall be charged against the reserve for losses on nonqualifying loans, and any bad debt in respect of a qualifying real... option of the taxpayer, however, any bad debt in respect of either class of loans may be charged in whole...

  20. BAD and KATP channels regulate neuron excitability and epileptiform activity.

    Science.gov (United States)

    Martínez-François, Juan Ramón; Fernández-Agüera, María Carmen; Nathwani, Nidhi; Lahmann, Carolina; Burnham, Veronica L; Danial, Nika N; Yellen, Gary

    2018-01-25

    Brain metabolism can profoundly influence neuronal excitability. Mice with genetic deletion or alteration of Bad ( B CL-2 a gonist of cell d eath) exhibit altered brain-cell fuel metabolism, accompanied by resistance to acutely induced epileptic seizures; this seizure protection is mediated by ATP-sensitive potassium (K ATP ) channels. Here we investigated the effect of BAD manipulation on K ATP channel activity and excitability in acute brain slices. We found that BAD's influence on neuronal K ATP channels was cell-autonomous and directly affected dentate granule neuron (DGN) excitability. To investigate the role of neuronal K ATP channels in the anticonvulsant effects of BAD, we imaged calcium during picrotoxin-induced epileptiform activity in entorhinal-hippocampal slices. BAD knockout reduced epileptiform activity, and this effect was lost upon knockout or pharmacological inhibition of K ATP channels. Targeted BAD knockout in DGNs alone was sufficient for the antiseizure effect in slices, consistent with a 'dentate gate' function that is reinforced by increased K ATP channel activity. © 2018, Martínez-François et al.

  1. Bad-breath: Perceptions and misconceptions of Nigerian adults.

    Science.gov (United States)

    Nwhator, S O; Isiekwe, G I; Soroye, M O; Agbaje, M O

    2015-01-01

    To provide baseline data about bad-breath perception and misconceptions among Nigerian adults. Multi-center cross-sectional study of individuals aged 18-64 years using examiner-administered questionnaires. Age comparisons were based on the model of emerging adults versus full adults. Data were recoded for statistical analyses and univariate and secondary log-linear statistics applied. Participants had lopsided perceptions about bad-breath. While 730 (90.8%) identified the dentist as the expert on halitosis and 719 (89.4%) knew that bad-breath is not contagious, only 4.4% and 2.5% associated bad-breath with tooth decay and gum disease respectively. There were no significant sex differences but the older adults showed better knowledge in a few instances. Most respondents (747, 92.9%) would tell a spouse about their bad-breath and 683 (85%) would tell a friend. Participants had lop-sided knowledge and perceptions about bad-breath. Most Nigerian adults are their "brothers' keepers" who would tell a spouse or friend about their halitosis so they could seek treatment.

  2. ‘BREAKS’ Protocol for Breaking Bad News

    Science.gov (United States)

    Narayanan, Vijayakumar; Bista, Bibek; Koshy, Cheriyan

    2010-01-01

    Information that drastically alters the life world of the patient is termed as bad news. Conveying bad news is a skilled communication, and not at all easy. The amount of truth to be disclosed is subjective. A properly structured and well-orchestrated communication has a positive therapeutic effect. This is a process of negotiation between patient and physician, but physicians often find it difficult due to many reasons. They feel incompetent and are afraid of unleashing a negative reaction from the patient or their relatives. The physician is reminded of his or her own vulnerability to terminal illness, and find themselves powerless over emotional distress. Lack of sufficient training in breaking bad news is a handicap to most physicians and health care workers. Adherence to the principles of client-centered counseling is helpful in attaining this skill. Fundamental insight of the patient is exploited and the bad news is delivered in a structured manner, because the patient is the one who knows what is hurting him most and he is the one who knows how to move forward. Six-step SPIKES protocol is widely used for breaking bad news. In this paper, we put forward another six-step protocol, the BREAKS protocol as a systematic and easy communication strategy for breaking bad news. Development of competence in dealing with difficult situations has positive therapeutic outcome and is a professionally satisfying one. PMID:21811349

  3. ′BREAKS′ protocol for breaking bad news

    Directory of Open Access Journals (Sweden)

    Vijayakumar Narayanan

    2010-01-01

    Full Text Available Information that drastically alters the life world of the patient is termed as bad news. Conveying bad news is a skilled communication, and not at all easy. The amount of truth to be disclosed is subjective. A properly structured and well-orchestrated communication has a positive therapeutic effect. This is a process of negotiation between patient and physician, but physicians often find it difficult due to many reasons. They feel incompetent and are afraid of unleashing a negative reaction from the patient or their relatives. The physician is reminded of his or her own vulnerability to terminal illness, and find themselves powerless over emotional distress. Lack of sufficient training in breaking bad news is a handicap to most physicians and health care workers. Adherence to the principles of client-centered counseling is helpful in attaining this skill. Fundamental insight of the patient is exploited and the bad news is delivered in a structured manner, because the patient is the one who knows what is hurting him most and he is the one who knows how to move forward. Six-step SPIKES protocol is widely used for breaking bad news. In this paper, we put forward another six-step protocol, the BREAKS protocol as a systematic and easy communication strategy for breaking bad news. Development of competence in dealing with difficult situations has positive therapeutic outcome and is a professionally satisfying one.

  4. GERMANY AT CERN

    CERN Multimedia

    2001-01-01

    13 - 15 November 2001 Administration Building Bldg 60 - ground and 1st floor 09.00 hrs - 17.30 hrs OPENING CEREMONY 10h00 - 13 November GERMANY AT CERN Thirty-three German companies will be demonstrating their supplies and services offered for the construction of the Large Hadron Collider (LHC) and other key CERN programmes. The Industrial exhibition will be enriched with a display of objects of contemporary German art. The official German presentation is under the patronage of the Federal Minister of Education and Research (BMBF), Bonn. There follows : the list of exhibitors, the list of lectures to be given at the exhibition. A detailed programme will be available in due course at : your Divisional Secretariat, the Reception information desk, building 33, the exhibition. LIST OF EXHIBITORS Accel Instruments GmbH Representative: 1.1 Accel Instruments GmbH/CH-8754 Netsal apra-norm Elektromechanik GmbH Representative: 2.1 apra-norm s.n.c./F-67500 Haguenau Babcock Noell Nuclear GmbH Balcke-D&u...

  5. Bad Apples, Bad Barrel: Exploring Institutional Responses to Child Sexual Abuse by Catholic Clergy in Australia

    Directory of Open Access Journals (Sweden)

    Jodi Death

    2015-07-01

    Full Text Available This paper considers constructions of institutional culture and power in the cover-up of child sexual abuse (CSA by clergy in the Roman Catholic Church of Australia. The issue of cover-up has previously been considered in international inquiries as an institutional failing that has caused significant harm to victims of CSA by Catholic Clergy. Evidence given by select representatives of the Catholic Church in two government inquiries into institutional abuse carried out in Australia is considered here. This evidence suggests that, where cover-up has occurred, it has been reliant on the abuse of institutional power and resulted in direct emotional, psychological and spiritual harm to victims of abuse. Despite international recognition of cover-up as institutional abuse, evidence presented by Roman Catholic Representatives to the Victorian Inquiry denied there was an institutionalised cover-up. Responding to this evidence, this paper queries whether the primary foundation of cover-up conforms to the ‘bad apple theory’ in that it relates only to a few individuals, or the ‘bad barrel theory’ of institutional structure and culture.

  6. [Quality of surgical continuing education in Germany].

    Science.gov (United States)

    Ansorg, J; Hassan, I; Fendrich, V; Polonius, M J; Rothmund, M; Langer, P

    2005-03-11

    One of the reasons for young doctors to leave the clinical work to go abroad or into non-clinical fields is insufficient quality of training under bad circumstances. Aim of the study was to evaluate the surgical training in Germany from the viewpoint of the residents. A questionnaire was prepared by residents and consultants and approved by the German surgical societies (Deutsche Gesellschaft fur Chirurgie und Berufsverband der Deutschen Chirurgen). It was sent to surgical residents between June 2003 and June 2004, published in "Der Chirurg BDC" and distributed among residents taking part in courses conducted by the BDC. It could be answered anonymously by email, mail or online. The questionnaire was sent back by 584 surgical residents (about 30 % of all). 58 % of the residents declared that they finished the training in the intended time (6 years). Rotation-systems as part of a structured residency program existed for 43 %. Standard surgical procedures were discussed or explained before the procedure in only 46 %. 61 % of the residents were not satisfied with the teaching assistance by their clinical teachers in the OR. Only 33 % had regular talks with the Chief about their progress in surgical training. 18 % of residents felt, that the hospital is interested in their progress in training. Indication-conferences took place in 52 % and mortality-conferences in only 20 % of programs. Regular seminars on recent issues took place in 62 %, and 61 % of residents did not get financial support to attend congresses. 36 % of residents had to use their holidays to attend congresses. Surgical training structures are not well established in about 50 % of the training hospitals from where we got answers to our survey. The training potential of daily surgical work is not used appropriately. It is therefore imperative to develop guidelines for surgical training, the use of log-books and rotation-programs.

  7. Why good accountants do bad audits.

    Science.gov (United States)

    Bazerman, Max H; Loewenstein, George; Moore, Don A

    2002-11-01

    On July 30, President Bush signed into law the Sarbanes-Oxley Act addressing corporate accountability. A response to recent financial scandals, the law tightened federal controls over the accounting industry and imposed tough new criminal penalties for fraud. The president proclaimed, "The era of low standards and false profits is over." If only it were that easy. The authors don't think corruption is the main cause of bad audits. Rather, they claim, the problem is unconscious bias. Without knowing it, we all tend to discount facts that contradict the conclusions we want to reach, and we uncritically embrace evidence that supports our positions. Accountants might seem immune to such distortions because they work with seemingly hard numbers and clear-cut standards. But the corporate-auditing arena is particularly fertile ground for self-serving biases. Because of the often subjective nature of accounting and the close relationships between accounting firms and their corporate clients, even the most honest and meticulous of auditors can unintentionally massage the numbers in ways that mask a company's true financial status, thereby misleading investors, regulators, and even management. Solving this problem will require far more aggressive action than the U.S. government has taken thus far. What's needed are practices and regulations that recognize the existence of bias and moderate its effects. True auditor independence will entail fundamental changes to the way the accounting industry operates, including full divestiture of consulting and tax services, rotation of auditing firms, and fixed-term contracts that prohibit client companies from firing their auditors. Less tangibly, auditors must come to appreciate the profound impact of self-serving biases on their judgment.

  8. The Lincoln Image in Germany

    Directory of Open Access Journals (Sweden)

    Jörg Nagler

    2016-05-01

    Full Text Available This essay investigates the enduring fascination with the sixteenth President of the United States in Germany. In general, his legacy and its evaluation changed in relation to the determinate historical contexts, beginning with the monarchial system, extending through the Weimar Republic, the Third Reich, and now the Federal Republic of Germany. Certain social and political individuals/groups in Germany used the image and iconography of Lincoln as a projection screen to support their own political objectives. Although there were always multiple layers of Lincoln representations in Germany, the dominant images were: the national unifier, the libertarian universalist, the emancipator, the defender of moral values, the modernizer, the democrat who used the power of the democratic state, the egalitarian self-made man from humble origins, and the defender of social justice and workingmen’s rights.

  9. The Views Of Cancer Patients On Receiving Bad News

    Directory of Open Access Journals (Sweden)

    Hatice Bostanoglu Fesci

    2011-06-01

    Full Text Available AIM: This study was performed in a descriptive matter to determine the views of inpatients at an oncology state hospital on receiving bad news. METHOD: The study sample consisted of 237 inpatients (155 females, 82 males at an oncology state hospital between October and November 2008 who were determined using the random sampling method and accepted participating in the study. The data collection tool used was a survey form that consisted of 24 questions related to the sociodemographic features and views on receiving bad news. RESULTS: The mean age of the study subjects was 53.1±13.9 (min.=18, max.=83. The patients were undergoing the treatment process in 84% and the diagnostic process in 16%. The bad news had been given by the physician in 87.8% and while in the physician's room in 74.8%. The patients had been told while receiving the bad news that 'there is a mass/problem/lesion/tumor and you will undergo surgery' in 47.7% while 24.9% had been told that they had cancer directly. The patients stated that they froze, fainted, were shocked, felt their life was shattered and experienced emotions such as sadness, fear, hopelessness, sorrow, disappointment, desperation, etc. at a rate of 93.7%. We found that 58.2% of the patients had not been given an opportunity to express their emotions when they received the bad news, 67.4% preferred to have a relative with them at the time, 40.9% felt that the bad news should be given in a special environment, 30% wanted the bad news to be given as soon as the diagnosis was known while 36.7% preferred being told everything about the disease when receiving the bad news CONCLUSION: Taking into account the information content, family participation, and the individual preferences of the patients regarding time and place when giving bad news and encouraging them to ask questions and express themselves may make it easier for the patients to cope with bad news. [TAF Prev Med Bull 2011; 10(3.000: 319-326

  10. Wind energy in Germany

    International Nuclear Information System (INIS)

    Molly, J.P.

    1994-01-01

    End of June 1994 429 MW in about 2100 wind energy converters (WECs) have been installed in Germany, able to produce 1.1% of the electrical energy demand of the five German coastal states Lower Saxony, Bremen, Hamburg, Schleswig-Holstein and Mecklenburg-Vorpommern. Determining factor for the again increased installation rate, compared with 1993, is the new 500/600-kW-class which now dominates the market. Dramatically reduced WEC prices during the last two years now allow an economic operation in good wind speed regions even without any subsidy. The goal to reach a total of 2000 MW WEC installations in the year 2000 is suddenly near at hand. In the course of the next seven years an installation rate of 250 MW/year will be necessary, a value which could be reached already in 1994. Nevertheless, there still is a long way to go, if the 2000 MW shall be achieved in the year 2000. New obstacles have arisen due to the increasingly restrictive handling of WEC site permission by conservationists, often in discrepancy with the generally recognized global ideas of the eco-organizations. After more than two years of experience, the WEC quality dependent subsidy as applied in Lower Saxony proofs to be a very effective stimulation for the technical development. WECs are now optimized for maximum energy production and minimum noise emission. The new 500/600-kW class is only half as noisy as could be expected from an extrapolation based on smaller WEC units. The energy cost reduction with the size of the WECs is still going on, indicating that the new Megawatt-WECs in development can offer again an economic advantage for the operator. (orig.)

  11. Factors associated with patient preferences for communication of bad news.

    Science.gov (United States)

    Fujimori, Maiko; Akechi, Tatsuo; Uchitomi, Yosuke

    2017-06-01

    Communication based on patient preferences can alleviate their psychological distress and is an important part of patient-centered care for physicians who have the task of conveying bad news to cancer patients. The present study aimed to explore the demographic, medical, and psychological factors associated with patient preferences with regard to communication of bad news. Outpatients with a variety of cancers were consecutively invited to participate in our study after their follow-up medical visit. A questionnaire assessed their preferences regarding the communication of bad news, covering four factors-(1) how bad news is delivered, (2) reassurance and emotional support, (3) additional information, and (4) setting-as well as on demographic, medical, and psychosocial factors. A total of 529 outpatients with a variety of cancers completed the questionnaire. Multiple regression analyses indicated that patients who were younger, female, had greater faith in their physician, and were more highly educated placed more importance on "how bad news is delivered" than patients who were older, male, had less faith in their physician, and a lower level of education. Female patients and patients without an occupation placed more importance on "reassurance and emotional support." Younger, female, and more highly educated patients placed more importance on "additional information." Younger, female, and more highly educated patients, along with patients who weren't undergoing active treatment placed more importance on "setting." Patient preferences with regard to communication of bad news are associated with factors related to patient background. Physicians should consider these characteristics when delivering bad news and use an appropriate communication style tailored to each patient.

  12. How to Break Bad News: Physicians’ and Nurses’ Attitudes

    Directory of Open Access Journals (Sweden)

    Ali-Akbar Nejatisafa

    2010-11-01

    Full Text Available "nObjective: Bad news disclosure is one of the most complex tasks of physicians. Recent evidences indicate that patients' and physicians' attitude toward breaking bad news has been changed since few years ago. The evidence of breaking bad news is different across cultures. The aim of this study is to evaluate the attitude of medical staff toward breaking bad news to provide a clinical guideline in Iran."nMethods: A descriptive study was conducted during 2008-2009 on a sample of 100 medical staff (50 physicians and 50 nurses at Cancer Institute of Imam Khomeini hospital. The subjects' demographic characteristics and their attitudes toward the manner of revealing the diagnosis were registered in a questionnaire."nResults: The majority of the physicians (86%, n=43 and nurses (74%, n=37 , mostly the older and more experienced, tended to reveal the diagnosis to patients . Only a few physicians (8%, n=4 had been trained how to disclose bad news, which discloused diagnosis more than non trained ones."nPhysicians and nurses preferred to inform the patients about the diagnosis when either the patients were alone or in the presence of their spouse respectively .Only a few physicians (14% and nurses (24% agreed to explain life expectancy to patients."nConclusion: Compared to past, physicians and nurses are more willing to share cancer diagnosis with patients. However, lack of adequate communication skills in caregivers, and their concerns about managing patients' emotional reactions reduce their tendency to disclose bad news to the patients. Therefore, training physicians and nurses to expose bad news to the patients seems to be necessary.

  13. Arthroplasty register for Germany

    Directory of Open Access Journals (Sweden)

    Hagen, Anja

    2009-10-01

    Full Text Available Scientific background: The annual number of joint replacement operations in Germany is high. The introduction of an arthroplasty register promises an important contribution to the improvement of the quality of patient’s care. Research questions: The presented report addresses the questions on organization and functioning, benefits and cost-benefits as well as on legal, ethical and social aspects of the arthroplasty registers. Methods: A systematic literature search was conducted in September 2008 in the medical databases MEDLINE, EMBASE etc. and was complemented with a hand search. Documents describing arthroplasty registers and/or their relevance as well as papers on legal, ethical and social aspects of such registers were included in the evaluation. The most important information was extracted and analysed. Results: Data concerning 30 arthroplasty registers in 19 countries as well as one international arthroplasty register were identified. Most of the arthroplasty registers are maintained by national orthopedic societies, others by health authorities or by their cooperation. Mostly, registries are financially supported by governments and rarely by other sources.The participation of the orthopedists in the data collection process of the arthroplasty registry is voluntary in most countries. The consent of the patients is usually required. The unique patient identification is ensured in nearly all registers.Each data set consists of patient and clinic identification numbers, data on diagnosis, the performed intervention, the operation date and implanted prostheses. The use of clinical scores, patient-reported questionnaires and radiological documentation is rare. Methods for data documentation and transfer are paper form, electronic entry as well as scanning of the data using bar codes. The data are mostly being checked for their completeness and validity. Most registers offer results of the data evaluation to the treating orthopedists and

  14. Patients' Attitude toward Breaking Bad News; a Brief Report.

    Science.gov (United States)

    Aminiahidashti, Hamed; Mousavi, Seyed Jaber; Darzi, Mohammad Mehdi

    2016-01-01

    Delivering bad news is a stressful moment for both physicians and patients. The purpose of this investigation was to explore the patients' preferences and attitudes toward being informed about the bad news. This cross-sectional study was done on patients admitted to Imam Khomeini Hospital, Sari, Iran, from September 2014 to February 2015. Patient attitude regarding breaking bad news was evaluated using a reliable and valid questionnaire. 130 patients were evaluated (61.5% male, mean age = 46.21 ± 12.1 years). 118 (90.76%) participants believed that the patient himself/herself should be informed about the disease's condition. 120 (92.30%) preferred to hear the news from a skillful physician and 105 (80.76%) believed that emergency department is not a proper place for breaking bad news. Based on the results of the present study, most participants believed that the most experienced and skillful physician should inform them completely regarding their medical condition. At the same time they declared that, it is best to hear bad news in a calm and suitable place and time rather than emergency department or hospital corridors during teaching rounds.

  15. Breaking bad news: doctors' skills in communicating with patients.

    Science.gov (United States)

    Ferreira da Silveira, Francisco José; Botelho, Camila Carvalho; Valadão, Carolina Cirino

    2017-01-01

    Breaking bad news is one of doctors' duties and it requires them to have some skills, given that this situation is difficult and distressful for patients and their families. Moreover, it is also an uncomfortable condition for doctors. The aim of this study was to evaluate doctors' capacity to break bad news, ascertain which specialties are best prepared for doing this and assess the importance of including this topic within undergraduate courses. Observational cross-sectional quantitative study conducted at a university hospital in Belo Horizonte (MG), Brazil. This study used a questionnaire based on the SPIKES protocol, which was answered by 121 doctors at this university hospital. This questionnaire investigated their attitudes, posture, behavior and fears relating to breaking bad news. The majority of the doctors did not have problems regarding the concept of bad news. Nevertheless, their abilities diverged depending on the stage of the protocol and on their specialty and length of time since graduation. Generally, doctors who had graduated more than ten years before this survey felt more comfortable and confident, and thus transmitted the bad news in a better conducted manner. Much needs to be improved regarding this technique. Therefore, inclusion of this topic in undergraduate courses is necessary and proposals should be put forward and verified.

  16. Breaking bad news: doctors’ skills in communicating with patients

    Directory of Open Access Journals (Sweden)

    Francisco José Ferreira da Silveira

    2017-05-01

    Full Text Available ABSTRACT CONTEXT AND OBJECTIVE: Breaking bad news is one of doctors’ duties and it requires them to have some skills, given that this situation is difficult and distressful for patients and their families. Moreover, it is also an uncomfortable condition for doctors. The aim of this study was to evaluate doctors’ capacity to break bad news, ascertain which specialties are best prepared for doing this and assess the importance of including this topic within undergraduate courses. DESIGN AND SETTING: Observational cross-sectional quantitative study conducted at a university hospital in Belo Horizonte (MG, Brazil. METHODS: This study used a questionnaire based on the SPIKES protocol, which was answered by 121 doctors at this university hospital. This questionnaire investigated their attitudes, posture, behavior and fears relating to breaking bad news. RESULTS: The majority of the doctors did not have problems regarding the concept of bad news. Nevertheless, their abilities diverged depending on the stage of the protocol and on their specialty and length of time since graduation. Generally, doctors who had graduated more than ten years before this survey felt more comfortable and confident, and thus transmitted the bad news in a better conducted manner. CONCLUSION: Much needs to be improved regarding this technique. Therefore, inclusion of this topic in undergraduate courses is necessary and proposals should be put forward and verified.

  17. Bad habits and bad genes: early 20th-century eugenic attempts to eliminate syphilis and associated "defects" from the United States.

    Science.gov (United States)

    Wilson, Philip K

    2003-01-01

    American eugenists in the early 20th century distinguished "degenerates," including syphilitics, prostitutes, alcoholics and criminals, from the "normal" population by their particular bad habits. From eugenists' viewpoint, these bad habits were derived from bad character, a flaw that stemmed from an individual's bad genes. This essay explores how eugenists during this period characterized syphilitics and those with associated character "defects" in terms of heredity. Additionally, it examines the methods eugenists most frequently advocated to rectify these bad habits. These methods included marriage restriction, immigration control and reproductive sterilization. Overall, eugenists directed their efforts not so much at the "degenerate" as at his or her germ line.

  18. Collaborative Practice Model: Improving the Delivery of Bad News.

    Science.gov (United States)

    Bowman, Pamela N; Slusser, Kim; Allen, Deborah

    2018-02-01

    Ideal bad news delivery requires skilled communication and team support. The literature has primarily focused on patient preferences, impact on care decisions, healthcare roles, and communication styles, without addressing systematic implementation. This article describes how an interdisciplinary team, led by advanced practice nurses, developed and implemented a collaborative practice model to deliver bad news on a unit that had struggled with inconsistencies. Using evidence-based practices, the authors explored current processes, role perceptions and expectations, and perceived barriers to developing the model, which is now the standard of care and an example of interprofessional team collaboration across the healthcare system. This model for delivering bad news can be easily adapted to meet the needs of other clinical units.
.

  19. Bad Data Detection and Identification for State Estimation

    DEFF Research Database (Denmark)

    Khazraj, Hesam; Silva, Filipe Miguel Faria da; Bak, Claus Leth

    2017-01-01

    state estimations. To achieve this object largest normalized residual test (rNmax) is applied to detect and analysis bad data in phasor measurements, power flow and power injections of buses used for the novel PMU-based state estimation. The main advantage of new PMU-based static state estimation......Bad data analysis is an important part of both dynamic and static state estimations. This paper present novel algorithm of phase measurement unit (PMU)-based static state estimation to detect and identify multiple bad data in critical measurements, which is not possible with traditional static...... is that phasor measurements can be added separately into the proposed state estimation. This paper proposes an ideal method to combine the phasor measurements into the conventional state estimator in a systematic way, so that no significant modification is necessary to the existing algorithm. The main advantage...

  20. Position finding 1993 - comments on the situation of mining in Germany

    International Nuclear Information System (INIS)

    Leuschner, H.J.

    1993-01-01

    The lecture delivered on the meeting of the Bavarian mining industry in Bad Reichenhall on October 15, 1993, is centered on the report on the actual situation of the individual branches of mining in Germany. This analysis of the situation of mining is to be seen in front of the background of the present discussion on the prospects of Germany as place of investments. The key question was raised viz. the question of the future of mining and the mining suppliers. The main conclusion reads: The mining industries need a clearly defined framework of conditions decided upon on political level and reliable enough for being a sound basis for long-term investment decisions. (orig.)

  1. MACROECONOMIC DETERMINANTS OF BAD LOANS IN BALTIC COUNTRIES AND ROMANIA

    Directory of Open Access Journals (Sweden)

    Liliana DONATH

    2014-12-01

    Full Text Available The 2008–09 global crisis raised debates concerning the determinants of financial vulnerability. Among these, bad loans have been identified as significantly influencing financial imbalances. After a decade in which borrowing has constantly grown mainly because of the deregulation of financial markets, the crisis highlighted the importance of an effective credit risk management. The purpose of the paper is to study the evolution of bad loans ratio in relation with selected macroeconomic indicators in the Baltic countries (Estonia, Latvia and Lithuania and Romania.

  2. Combating bad weather part I rain removal from video

    CERN Document Server

    Mukhopadhyay, Sudipta

    2015-01-01

    Current vision systems are designed to perform in normal weather condition. However, no one can escape from severe weather conditions. Bad weather reduces scene contrast and visibility, which results in degradation in the performance of various computer vision algorithms such as object tracking, segmentation and recognition. Thus, current vision systems must include some mechanisms that enable them to perform up to the mark in bad weather conditions such as rain and fog. Rain causes the spatial and temporal intensity variations in images or video frames. These intensity changes are due to the

  3. Successful building and sanitation - Energy-saving potentials in house and apartments - Bad Homburg vor der Hoehe. 2. ed.; Erfolgreich sanieren - Energiesparpotentiale in Haus und Wohnung - Bad Homburg vor der Hoehe

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2010-07-01

    Climate protection and high energy costs require a reduction of the energy consumption in new buildings and in existing buildings. In 1995, the city Bad Homburg v.d. Hoehe (Federal Republic of Germany) let draw up an energy concept in order to uncover the potentials to effective climate protection. The brochure under consideration is addressed to house owners which would like to reorganize their buildings professionally and energy-saving and to receive a ''first aid'' with this brochure. This brochure consists of the following contributions: (a) Energy-saving construction and reorganization - an investment into the future; (b) Measures of reorganization and saving potentials; (c) Renewable energies in the house; (d) Electricity: The energy in the background; (e) Financial incentives in the overview. (orig./GL)

  4. Polish adaptation of Bad Sobernheim Stress Questionnaire-Brace and Bad Sobernheim Stress Questionnaire-Deformity.

    Science.gov (United States)

    Misterska, Ewa; Głowacki, Maciej; Harasymczuk, Jerzy

    2009-12-01

    Bad Sobernheim Stress Questionnaire-Brace and Bad Sobernheim Stress Questionnaire-Deformity are relatively new tools aimed at facilitating the evaluation of long-term results of therapy in persons with idiopathic scoliosis undergoing conservative treatment. To use these tools properly in Poland, they must be translated into Polish and adapted to the Polish cultural settings. The process of cultural adaptation of the questionnaires was compliant with the guidelines of International Quality of Life Assessment (IQOLA) Project. In the first stage, two independent translators converted the originals into Polish. Stage two, consisted of a comparison of the originals and two translated versions. During that stage, the team of two translators and authors of the project identified differences in those translations and created a combination of the two. In the third stage, two independent translators, who were native speakers of German, translated the adjusted version of the Polish translation into the language of the original document. At the last stage, a commission composed of: specialists in orthopedics, translators, a statistician and a psychologist reviewed all translations and drafted a pre-final version of the questionnaires. Thirty-five adolescent girls with idiopathic scoliosis who were treated with Cheneau brace were subjected to the questionnaire assessment. All patients were treated in an out-patient setting by a specialist in orthopedics at the Chair and Clinic of Orthopedics and Traumatology. Median age of patients was 14.8 SD 1.5, median value of the Cobb's angle was 27.8 degrees SD 7.4. 48.6% of patients had thoracic scoliosis, 31.4% had thoracolumbar scoliosis, and 20% patients had lumbar scoliosis. Median results obtained by means of the Polish version of BSSQ-Brace and BSSQ-Deformity questionnaires were 17.9 SD 5.0 and 11.3 SD 4.7, respectively. Internal consistency of BSSQ-Brace and BSSQ-Deformity was at the level of 0.80 and 0.87, whereas the value of

  5. The changing consumer in Germany

    DEFF Research Database (Denmark)

    Grunert, Klaus G.; Grunert, Suzanne C.; Glatzer, Wolfgang

    1995-01-01

    Changes in economic, demographic, and cultural factors in West Germany during the past decades are briefly described, as well as changes in consumption patterns and the way the major marketing variables have been used and implemented. Special atte is paid to the upheavals caused by the German reu...

  6. The changing consumer in Germany

    DEFF Research Database (Denmark)

    Grunert, Klaus G.; Grunert, Suzanne C.; Glatzer, Wolfgang

    1995-01-01

    Changes in economic, demographic, and cultural factors in West Germany during the past decades are briefly described, as well as changes in consumption patterns and the way the major marketing variables have been used and implemented. Special atte is paid to the upheavals caused by the German...

  7. Physician assistant education in Germany

    NARCIS (Netherlands)

    M. Dierks; L. Kuilman; C. Matthews

    2013-01-01

    The first physician assistant (PA) program in Germany began in 2005. As of 2013 there are three PA programs operational, with a fourth to be inaugurated in the fall of 2013. The programs have produced approximately 100 graduates, all with a nursing background. The PA model of shifting tasks from

  8. Photovoltaic energy generation in Germany

    International Nuclear Information System (INIS)

    Anon.

    1993-01-01

    An overview is given of the current state of the art regarding photovoltaic research and demonstration programmes in the Federal Republic of Germany. Also attention is paid to the companies and research institutes involved, and the long-term economical and technical prospects of photovoltaic energy. 13 figs., 4 tabs., 10 refs

  9. The Effects of Bad News and Good News on a Newspaper's Image.

    Science.gov (United States)

    Haskins, Jack B.; Miller, M. Mark

    1984-01-01

    Concludes that whether a newspaper carries mostly good news or mostly bad news affects the image of the paper, with bad news having negative effects and good news having positive effects on readers' perceptions of the newspaper. (FL)

  10. Breaking bad news: Effects of forecasting diagnosis and framing prognosis.

    Science.gov (United States)

    Porensky, Emily K; Carpenter, Brian D

    2016-01-01

    Research to support guidelines for breaking bad news is lacking. This study used an experimental paradigm to test two communication strategies, forecasting bad news and framing prognosis, in the context of cancer. In a 2×2 design, 128 participants received bad news in a hypothetical consultation. A videotaped physician presented diagnostic and prognostic information, varying warning (warning shot vs. no warning), and framing (positive vs. negative). Effects on psychological distress, recall accuracy, and subjective interpretations of the news were assessed. Warning was not associated with lower psychological distress or improved recall. Individuals who heard a positively-framed prognosis had significantly less psychological distress, rated their prognosis better, and were more hopeful than those who heard a negatively-framed prognosis. However, they also showed a trend toward reduced accuracy in recalling prognostic statistics. Results contribute to a growing body of literature exploring optimal approaches for communicating bad news in health care. Although research in clinical settings is needed to bolster results, findings suggest that when providers use positive framing to reduce distress about prognosis, they should also consider ways to overcome potential reductions in recall accuracy, such as repeating statistical information or supplementing with written information. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  11. Curiosity Is Not Good--But It's Not Bad, Either

    Science.gov (United States)

    Wong, David

    2012-01-01

    Curiosity is vital quality of the creative work. However, in the classroom, educators seem to view curiosity as alternately amoral, virtuous, or dangerous. Education's stance towards curiosity is, in a word, curious. Conversely, the author says, curiosity is inherently amoral--neither good nor bad--and the subject is ripe for an exploration of the…

  12. Are 3-D Movies Bad for Your Eyes?

    Medline Plus

    Full Text Available ... Tips & Prevention News Ask an Ophthalmologist Patient Stories Español Eye Health / Tips & Prevention Sections Are 3-D Movies Bad for Your Eyes? Leer en Español: ¿Son Malas para los Ojos las Películas en ...

  13. Beta : The Good, the Bad, and the Ugly

    NARCIS (Netherlands)

    Driessen, Joost; van Zundert, J.

    2017-01-01

    This paper decomposes aggregate and individual stock returns into cash flow news, interest rate news, and risk premium news. We then extend the “good beta, bad beta” approach of Campbell and Vuolteenaho (2004) by allowing for a third beta: exposure to interest rate news. Using various stock

  14. Are 3-D Movies Bad for Your Eyes?

    Medline Plus

    Full Text Available ... Sections Are 3-D Movies Bad for Your Eyes? Leer en Español: ¿Son Malas para los Ojos ... if any, effect the technology has on your eyes. Is 3-D technology healthy for your or ...

  15. Breaking bad news: A communication competency for ophthalmology training programs.

    Science.gov (United States)

    Hilkert, Sarah M; Cebulla, Colleen M; Jain, Shelly Gupta; Pfeil, Sheryl A; Benes, Susan C; Robbins, Shira L

    As the ophthalmology accreditation system undergoes major changes, training programs must evaluate residents in the 6 core competencies, including appropriately communicating bad news. Although the literature is replete with recommendations for breaking bad news across various non-ophthalmology specialties, no formal training programs exist for ophthalmology. There are many valuable lessons to be learned from our colleagues regarding this important skill. We examine the historic basis for breaking bad news, explore current recommendations among other specialties, and then evaluate a pilot study in breaking bad news for ophthalmology residents. The results of this study are limited by a small number of residents at a single academic center. Future studies from multiple training programs should be conducted to further evaluate the need and efficacy of formal communication skills training in this area, as well as the generalizability of our pilot training program. If validated, this work could serve as a template for future ophthalmology resident training and evaluation in this core competency. Copyright © 2016 Elsevier Inc. All rights reserved.

  16. Breaking bad news in prenatal medicine: a literature review.

    Science.gov (United States)

    Luz, Rita; George, Astrid; Spitz, Elisabeth; Vieux, Rachel

    2017-02-01

    The diagnosis of a fetal anomaly in perinatal medicine forces expectant parents and healthcare providers to face the difficult process of breaking bad news. This exploratory literature review was aimed at providing a medical and psychological view of the psychological experience in expectant parents and physicians in the context of prenatal diagnosis of a fetal anomaly. An exploratory search of PubMed and PsycINFO/PsycARTICLES databases performed by an interdisciplinary team composed of a physician and psychologists. Search terms were: prenatal diagnosis AND bad news; prenatal diagnosis AND psychological consequences; prenatal diagnosis AND psychological sequelae; prenatal diagnosis AND fetal abnormality. The processing of selected articles followed a standardised five-step procedure. A total of 860 articles were screened of which 32 were retained for analysis. Four main themes emerged from the explanatory content analysis: (1) parents' subjective experience; (2) physicians' subjective experience; (3) encounters between expectant parents and professionals; and (4) ethical challenges in breaking bad news in prenatal medicine. Expectant parents go through a complex and multidimensional experience when the diagnosis of a fetal anomaly is disclosed. Simultaneously, physicians consider breaking bad news as a very stressful event and are poorly prepared in this regard. A better knowledge of factors underlying psychological adjustment of the parental dyad and on the subjective experience of physicians delivering these diagnoses could enable better adaptation for both patients and professionals.

  17. Good and Bad Objects : Cardinality-Based Rules

    NARCIS (Netherlands)

    Dimitrov, D.A.; Borm, P.E.M.; Hendrickx, R.L.P.

    2003-01-01

    We consider the problem of ranking sets of objects, the members of which are mutually compatible.Assuming that each object is either good or bad, we axiomatically characterize three cardinality-based rules which arise naturally in this dichotomous setting.They are what we call the symmetric

  18. Is Sitting Too Much Bad for Your Health?

    NARCIS (Netherlands)

    Huysmans, M.A.; van der Ploeg, H.P.; Proper, K.I.; Spekle, E.M.; van der Beek, A.J.

    2015-01-01

    Office workers spend a large part of their workday sitting down. Too much sitting seems bad for people's health and puts them at risk for premature death. Workstation alternatives that allow desk work to be done while standing, walking, biking, or stepping reduce the total time spent sitting without

  19. Are 3-D Movies Bad for Your Eyes?

    Medline Plus

    Full Text Available ... Español Eye Health / Tips & Prevention Sections Are 3-D Movies Bad for Your Eyes? Leer en Español: ¿ ... computer use and your eyes . Children and 3-D Technology Following the lead of Nintendo, several 3- ...

  20. Bad leadership and institutional failure: foundation of corruption in ...

    African Journals Online (AJOL)

    This study basically assesses the phenomenal rise of corruption in Nigeria. While the study recognizes the varying perspectives of the causes of corruption among developing nations, the study asserts that the dramatic rise of corruption to the present level of impurity is caused by bad leadership and institutional failure.

  1. Here comes the bad news: Doctor robot taking over

    NARCIS (Netherlands)

    Hoorn, J.F.; Winter, S.D.

    2017-01-01

    To test in how far the Media Equation and Computers Are Social Actors (CASA) validly explain user responses to social robots, we manipulated how a bad health message was framed and the language that was used. In the wake of Experiment 2 of Burgers et al. (Patient Educ Couns 89(2):267–273, 2012.

  2. The Effect of Leadership in a Public Bad Experiment

    NARCIS (Netherlands)

    Moxnes, E.; van der Heijden, E.C.M.

    2000-01-01

    With regard to global or regional environmental problems, do countries that take unilateral actions inspire other countries to curtail emissions?In this paper this possibility is investigated by the use of a novel design of a laboratory public bad experiment with a leader.Twelve groups of five

  3. Habits: How to Break the Bad and Cultivate the Good

    Science.gov (United States)

    Bellman, Geoffrey

    1976-01-01

    Every trainer and training director should take a close look at his or her habits--good and bad ones. The author provides a series of questions that, when answered by trainers will help them change or get rid of a habit or develop a new one. (BP)

  4. Business Communication Students Learn to Hear a Bad Speech Habit

    Science.gov (United States)

    Bell, Reginald L.; Liang-Bell, Lei Paula; Deselle, Bettye

    2006-01-01

    Students were trained to perceive filled pauses (FP) as a bad speech habit. In a series of classroom sensitivity training activities, followed by students being rewarded to observe twenty minutes of live television from the public media, no differences between male and female Business Communication students was revealed. The practice of teaching…

  5. The badness of death and priorities in health.

    Science.gov (United States)

    Solberg, Carl Tollef; Gamlund, Espen

    2016-04-14

    The state of the world is one with scarce medical resources where longevity is not equally distributed. Given such facts, setting priorities in health entails making difficult yet unavoidable decisions about which lives to save. The business of saving lives works on the assumption that longevity is valuable and that an early death is worse than a late death. There is a vast literature on health priorities and badness of death, separately. Surprisingly, there has been little cross-fertilisation between the academic fields of priority setting and badness of death. Our aim is to connect philosophical discussions on the badness of death to contemporary debates in health priorities. Two questions regarding death are especially relevant to health priorities. The first question is why death is bad. Death is clearly bad for others, such as family, friends and society. Many philosophers also argue that death can be bad for those who die. This distinction is important for health priorities, because it concerns our fundamental reasons for saving lives. The second question is, 'When is the worst time to die?' A premature death is commonly considered worse than a late death. Thus, the number of good life years lost seems to matter to the badness of death. Concerning young individuals, some think the death of infants is worse than the death of adolescents, while others have contrary intuitions. Our claim is that to prioritise between age groups, we must consider the question of when it is worst to die. Deprivationism provides a more plausible approach to health priorities than Epicureanism. If Deprivationism is accepted, we will have a firmer basis for claiming that individuals, in addition to having a health loss caused by morbidity, will have a loss of good life years due to mortality. Additionally, Deprivationism highlights the importance of age and values for health priorities. Regarding age, both variants of Deprivationism imply that stillbirths are included in the Global

  6. Dual role of proapoptotic BAD in insulin secretion and beta cell survival

    OpenAIRE

    Danial, Nika N.; Walensky, Loren D.; Zhang, Chen-Yu; Choi, Cheol Soo; Fisher, Jill K.; Molina, Anthony J. A.; Datta, Sandeep Robert; Pitter, Kenneth L.; Bird, Gregory H.; Wikstrom, Jakob D.; Deeney, Jude T.; Robertson, Kirsten; Morash, Joel; Kulkarni, Ameya; Neschen, Susanne

    2008-01-01

    The proapoptotic BCL-2 family member BAD resides in a glucokinase-containing complex that regulates glucose-driven mitochondrial respiration. Here, we present genetic evidence of a physiologic role for BAD in glucose-stimulated insulin secretion by beta cells. This novel function of BAD is specifically dependent upon the phosphorylation of its BH3 sequence, previously defined as an essential death domain. We highlight the pharmacologic relevance of phosphorylated BAD BH3 by using cell-permeab...

  7. Breaking bad news issues: A survey among radiation oncologists

    Directory of Open Access Journals (Sweden)

    Milind Kumar

    2009-01-01

    Full Text Available Introduction: Discussion of bad news and resuscitation in terminal cancer is an important but difficult and often neglected issue in day-to-day oncology practice. Materials and Methods: We interviewed 35 radiation oncologists using an indigenous 15-item questionnaire on their beliefs about breaking bad news and resuscitation to terminal cancer patients. Results: Most responders had an oncology experience of three to seven years (20/35.Thirty-two were comfortable discussing cancer diagnosis, prognosis and life expectancy-related issues. A similar number believed all cancer-related information should be disclosed, while only four believed in imparting all information in one visit. All agreed that disclosing sensitive information did not affect survival. When requested by relatives to withhold truth from patients, 11 said they would not comply, 22 agreed to tell the truth only if asked and two agreed to avoid difficult questions. Twenty responders denied having been adequately trained in breaking bad news and were keen on dedicated classes or sessions in this area of practice. Most (33/35 believed that Indian patients were keen on knowing their diagnosis and prognosis. Although all agreed to the importance of discussing resuscitation, only 17 believed patients should be involved. Majority (20/35 agreed that the issue needs to be discussed while the patient was conscious. Patients with unsalvageable disease were deemed unsuitable for aggressive resuscitation by 30 responders while the rest believed it should be offered to all. Most (21/35 admitted to feeling depressed after breaking bad news though only seven felt disclosure was more stressful than untruthful statements. Only four knew of a law regarding resuscitation in cancer. Conclusion: Observing the widely varied beliefs and practices for disclosing bad news, it is recommended that such training be a regular part of medicine curriculum, especially in the Oncology setting.

  8. 42 CFR 413.89 - Bad debts, charity, and courtesy allowances.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Bad debts, charity, and courtesy allowances. 413.89... Categories of Costs § 413.89 Bad debts, charity, and courtesy allowances. Link to an amendment published at 75 FR 49198, Aug. 12, 2010. (a) Principle. Bad debts, charity, and courtesy allowances are deductions...

  9. 19 CFR 125.34 - Countersigning of documents and notation of bad order or discrepancy.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Countersigning of documents and notation of bad... and Receipt § 125.34 Countersigning of documents and notation of bad order or discrepancy. When a... and shall note thereon any bad order or discrepancy. When available, the importing carrier's tally...

  10. 26 CFR 1.593-5 - Addition to reserves for bad debts.

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 7 2010-04-01 2010-04-01 true Addition to reserves for bad debts. 1.593-5... bad debts. (a) Amount of addition. As an alternative to a deduction from gross income under section... a deduction under section 166(c) for a reasonable addition to a reserve for bad debts. In the case...

  11. 26 CFR 1.585-5 - Denial of bad debt reserves for large banks.

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 7 2010-04-01 2010-04-01 true Denial of bad debt reserves for large banks. 1...) INCOME TAX (CONTINUED) INCOME TAXES (CONTINUED) Banking Institutions § 1.585-5 Denial of bad debt... other section for an addition to a reserve for bad debts. However, for these years, except as provided...

  12. Effects of "Good News" and "Bad News" on Newscast Image and Community Image.

    Science.gov (United States)

    Galician, Mary-Lou; Vestre, Norris D.

    1987-01-01

    Investigates whether the relative amount of bad, neutral, and good news on television has corresponding effects on viewers' image of the community depicted and of the carrying newscast. Concludes that bad news creates a bad image for the community but that good news does not produce a more favorable image than neutral news. (MM)

  13. The News Delivery Sequence: Bad News and Good News in Conversational Interaction.

    Science.gov (United States)

    Maynard, Douglas W.

    1997-01-01

    Explores the conditional nature of good and bad news while focusing on three topics: (1) the status of information as news according the participants in a conversation; (2) the valence of this information with regard to its perception as good or bad; and (3) the effect of news on individuals. Notes that good news is privileged over bad news in…

  14. [Fostering of health economics in Germany].

    Science.gov (United States)

    Ulrich, V

    2012-05-01

    Health economics is now well established in Germany with the aim to apply economic tools to answer problems in health and health care. After a short review of the international development of health economics and the development in Germany in particular, the article looks at selected recent topics of health economic analysis in Germany (economic evaluation, industrial economics, health and education).

  15. How many bad apples does it take to spoil the whole barrel? Social exclusion and toleration for bad apples

    NARCIS (Netherlands)

    Kerr, N.L.; Rumble, A.C.; Ouwerkerk, J.W.; Parks, C.D.; Gallucci, M.; van Lange, P.A.M.

    2009-01-01

    In social dilemmas, where personal welfare is in conflict with collective welfare, there are inherent incentives to act non-cooperatively. Moreover, there is evidence that the example of a few uncooperative group members ("bad apples") is more influential than the example of comparable numbers of

  16. Dysregulation of cellular calcium homeostasis in Alzheimer's disease: bad genes and bad habits.

    Science.gov (United States)

    Mattson, M P; Chan, S L

    2001-10-01

    Calcium is one of the most important intracellular messengers in the brain, being essential for neuronal development, synaptic transmission and plasticity, and the regulation of various metabolic pathways. The findings reviewed in the present article suggest that calcium also plays a prominent role in the pathogenesis of Alzheimer's disease (AD). Associations between the pathological hallmarks ofAD (neurofibrillary tangles [NFT] and amyloid plaques) and perturbed cellular calcium homeostasis have been established in studies of patients, and in animal and cell culture models of AD. Studies of the effects of mutations in the beta-amyloid precursor protein (APP) and presenilins on neuronal plasticity and survival have provided insight into the molecular cascades that result in synaptic dysfunction and neuronal degeneration in AD. Central to the neurodegenerative process is the inability of neurons to properly regulate intracellular calcium levels. Increased levels of amyloid beta-peptide (Abeta) induce oxidative stress, which impairs cellular ion homeostasis and energy metabolism and renders neurons vulnerable to apoptosis and excitotoxicity. Subtoxic levels of Abeta may induce synaptic dysfunction by impairing multiple signal transduction pathways. Presenilin mutations perturb calcium homeostasis in the endoplasmic reticulum in a way that sensitizes neurons to apoptosis and excitotoxicity; links between aberrant calcium regulation and altered APP processing are emerging. Environmental risk factors for AD are being identified and may include high calorie diets, folic acid insufficiency, and a low level of intellectual activity (bad habits); in each case, the environmental factor impacts on neuronal calcium homeostasis. Low calorie diets and intellectual activity may guard against AD by stimulating production of neurotrophic factors and chaperone proteins. The emerging picture of the cell and molecular biology of AD is revealing novel preventative and therapeutic

  17. A scoping research literature review to assess the state of existing evidence on the "bad" death.

    Science.gov (United States)

    Wilson, Donna M; Hewitt, Jessica A

    2018-02-01

    A scoping research literature review on "bad death" was undertaken to assess the overall state of the science on this topic and to determine what evidence exists on how often bad deaths occur, what contributes to or causes a bad death, and what the outcomes and consequences of bad deaths are. A search for English-language research articles was conducted in late 2016, with 25 articles identified and all retained for examination, as is expected with scoping reviews. Only 3 of the 25 articles provided incidence information, specifying that 7.8 to 23% of deaths were bad and that bad deaths were more likely to occur in hospitals than in community-care settings. Many different factors were associated with bad deaths, with unrelieved pain being the most commonly identified. Half of the studies provided information on the possible consequences or outcomes of bad deaths, such as palliative care not being initiated, interpersonal and team conflict, and long-lasting negative community effects. This review identified a relatively small number of research articles that focused in whole or in part on bad deaths. Although the reasons why people consider a death to be bad may be highly individualized and yet also socioculturally based, unrelieved pain is a commonly held reason for bad deaths. Although bad and good deaths may have some opposing causative factors, this literature review revealed some salient bad death attributes, ones that could be avoided to prevent bad deaths from occurring. A routine assessment to allow planning so as to avoid bad deaths and enhance the probability of good deaths is suggested.

  18. BCL-2 family protein, BAD is down-regulated in breast cancer and inhibits cell invasion

    Energy Technology Data Exchange (ETDEWEB)

    Cekanova, Maria, E-mail: mcekanov@utk.edu [Department of Small Animal Clinical Sciences, College of Veterinary Medicine, The University of Tennessee, Knoxville, TN (United States); Fernando, Romaine I. [Department of Obstetrics and Gynecology, Graduate School of Medicine, Medical Center, The University of Tennessee, Knoxville, TN (United States); Siriwardhana, Nalin [Department of Animal Science, The University of Tennessee, Knoxville, TN (United States); Sukhthankar, Mugdha [Department of Biomedical and Diagnostics Sciences, College of Veterinary Medicine, The University of Tennessee, Knoxville, TN (United States); Parra, Columba de la [Department of Biochemistry, School of Medicine, University of Puerto Rico, Medical Sciences Campus, San Juan, PR (United States); Woraratphoka, Jirayus [Department of Obstetrics and Gynecology, Graduate School of Medicine, Medical Center, The University of Tennessee, Knoxville, TN (United States); Malone, Christine [Laboratory of Molecular Carcinogenesis, National Institute of Environmental Health Sciences, Research Triangle Park, NC (United States); Ström, Anders [Center for Nuclear Receptors and Cell Signaling, Department of Biology and Biochemistry, University of Houston, Houston, TX (United States); Baek, Seung J. [Department of Biomedical and Diagnostics Sciences, College of Veterinary Medicine, The University of Tennessee, Knoxville, TN (United States); Wade, Paul A. [Laboratory of Molecular Carcinogenesis, National Institute of Environmental Health Sciences, Research Triangle Park, NC (United States); Saxton, Arnold M. [Department of Animal Science, The University of Tennessee, Knoxville, TN (United States); Donnell, Robert M. [Department of Biomedical and Diagnostics Sciences, College of Veterinary Medicine, The University of Tennessee, Knoxville, TN (United States); Pestell, Richard G. [Department of Cancer Biology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA (United States); and others

    2015-02-01

    We have previously demonstrated that the anti-apoptotic protein BAD is expressed in normal human breast tissue and shown that BAD inhibits expression of cyclin D1 to delay cell-cycle progression in breast cancer cells. Herein, expression of proteins in breast tissues was studied by immunohistochemistry and results were analyzed statistically to obtain semi-quantitative data. Biochemical and functional changes in BAD-overexpressing MCF7 breast cancer cells were evaluated using PCR, reporter assays, western blotting, ELISA and extracellular matrix invasion assays. Compared to normal tissues, Grade II breast cancers expressed low total/phosphorylated forms of BAD in both cytoplasmic and nuclear compartments. BAD overexpression decreased the expression of β-catenin, Sp1, and phosphorylation of STATs. BAD inhibited Ras/MEK/ERK and JNK signaling pathways, without affecting the p38 signaling pathway. Expression of the metastasis-related proteins, MMP10, VEGF, SNAIL, CXCR4, E-cadherin and TlMP2 was regulated by BAD with concomitant inhibition of extracellular matrix invasion. Inhibition of BAD by siRNA increased invasion and Akt/p-Akt levels. Clinical data and the results herein suggest that in addition to the effect on apoptosis, BAD conveys anti-metastatic effects and is a valuable prognostic marker in breast cancer. - Highlights: • BAD and p-BAD expressions are decreased in breast cancer compared with normal breast tissue. • BAD impedes breast cancer invasion and migration. • BAD inhibits the EMT and transcription factors that promote cancer cell migration. • Invasion and migration functions of BAD are distinct from the BAD's role in apoptosis.

  19. BCL-2 family protein, BAD is down-regulated in breast cancer and inhibits cell invasion

    International Nuclear Information System (INIS)

    Cekanova, Maria; Fernando, Romaine I.; Siriwardhana, Nalin; Sukhthankar, Mugdha; Parra, Columba de la; Woraratphoka, Jirayus; Malone, Christine; Ström, Anders; Baek, Seung J.; Wade, Paul A.; Saxton, Arnold M.; Donnell, Robert M.; Pestell, Richard G.

    2015-01-01

    We have previously demonstrated that the anti-apoptotic protein BAD is expressed in normal human breast tissue and shown that BAD inhibits expression of cyclin D1 to delay cell-cycle progression in breast cancer cells. Herein, expression of proteins in breast tissues was studied by immunohistochemistry and results were analyzed statistically to obtain semi-quantitative data. Biochemical and functional changes in BAD-overexpressing MCF7 breast cancer cells were evaluated using PCR, reporter assays, western blotting, ELISA and extracellular matrix invasion assays. Compared to normal tissues, Grade II breast cancers expressed low total/phosphorylated forms of BAD in both cytoplasmic and nuclear compartments. BAD overexpression decreased the expression of β-catenin, Sp1, and phosphorylation of STATs. BAD inhibited Ras/MEK/ERK and JNK signaling pathways, without affecting the p38 signaling pathway. Expression of the metastasis-related proteins, MMP10, VEGF, SNAIL, CXCR4, E-cadherin and TlMP2 was regulated by BAD with concomitant inhibition of extracellular matrix invasion. Inhibition of BAD by siRNA increased invasion and Akt/p-Akt levels. Clinical data and the results herein suggest that in addition to the effect on apoptosis, BAD conveys anti-metastatic effects and is a valuable prognostic marker in breast cancer. - Highlights: • BAD and p-BAD expressions are decreased in breast cancer compared with normal breast tissue. • BAD impedes breast cancer invasion and migration. • BAD inhibits the EMT and transcription factors that promote cancer cell migration. • Invasion and migration functions of BAD are distinct from the BAD's role in apoptosis

  20. Nuclear power perspectives for Germany

    International Nuclear Information System (INIS)

    Anon.

    1992-01-01

    Approximately 300 experts from the power industries, of research and politics, from Germany and abroad followed the invitation of the Deutsches Atomforum (DAtF) to meet at the traditional winter meeting held in Bonn on January 28 and 29, 1992, in order to discuss topical political issues, not only relating to nuclear power, but to primary energy supply in general. Bonn having been chosen as the place for the 1992 meeting, there were unusually many members of Parliament and members of the Federal German Government attending the conference. The four sessions of the conference were devoted to the following aspects: Perspectives, the world energy market, current issues of energy policy in Germany, and preventive risk management. (orig.) [de

  1. Fire Risk Assessment in Germany

    International Nuclear Information System (INIS)

    Berg, H. P.

    2000-01-01

    Quantitative fire risk assessment can serve as an additional tool to assess the safety level of a nuclear power plant (NPP) and to set priorities for fire protection improvement measures. The recommended approach to be applied within periodic safety reviews of NPPs in Germany starts with a screening process providing critical fire zones in which a fully developed fire has the potential to both cause an initiating event and impair the function of at least one component or system critical to safety. The second step is to perform a quantitative analysis using a standard event tree has been developed with elements for fire initiation, ventilation of the room, fire detection, fire suppression, and fire propagation. In a final step, the fire induced frequency of initiating events, the main contributors and the calculated hazard state frequency for the fire event are determined. Results of the first quantitative fire risk studies performed in Germany are reported. (author)

  2. Energy supply in East Germany

    Energy Technology Data Exchange (ETDEWEB)

    Shimoyama, Tsutomu

    1988-07-10

    East Germany has abundant brown coal, about 90.4% of primary energy production in 1986. The high dependence upon brown coal has been established since its reevaluation in 1980 and the production is reaching a peak. Its share in power generation is also as high as 83.3% in the year. Therefore, the energy sufficiency of East Germany is about 80%. Problems are arising, however, in deterioration of excavation conditions and coal quality. Domestic energy resources such as the uranium and natural gas are also used to the maximum extent. The nuclear power has about 10% of share in the power generation. The share expansion policy is seemingly maintained even after the accident of Chernoble. Exploration, excavation and reprocessing of the uranium are conducted under the leadership of USSR. The country depends upon the oil in a very low level, less than 1%, as a result of the energy conservation policy in 1980's. (1 fig, 5 tabs)

  3. Germany: energy transition or revolution

    International Nuclear Information System (INIS)

    Boulanger, V.

    2013-01-01

    Germany has decided to phase out nuclear power by 2022 but it wants also to get rid of fossil energies by 2050. Those ambitious goals imply to be able to cut by half the demand for primary energy by 2050 which will be only possible if the need for building heating is cut by 80%, the constraint on transport is less important: one million of electrical vehicles will have to be on the road by 2020 and 3 millions 10 years later. In 2012 the production of electricity was made mainly from coal (44.7%), renewable energies (21.9%), nuclear energy (16%), natural gas (11.3%) and other energies (fuel...) (6.1%). Today the renewable energy sector is a major industrial sector in Germany, it represents about 382000 jobs directly or indirectly, it means more than the sector of conventional energies. (A.C.)

  4. International Student Migration to Germany

    OpenAIRE

    Donata Bessey

    2007-01-01

    This paper presents first empirical evidence on international student migration to Germany. I use a novel approach that analyzes student mobility using an augmented gravity equation and find evidence of strong network effects and of the importance of distance - results familiar from the empirical migration literature. However, the importance of disposable income in the home country does not seem to be too big for students, while the fact of being a politically unfree country decreases migrati...

  5. Water data: bad TPC pads, 3.6 µs and 100 ns problems

    CERN Document Server

    Dydak, F; Nefedov, Y; Wotschack, J; Zhemchugov, A

    2004-01-01

    Out of the 3972 pads of the HARP TPC, about 9% are 'bad' and not useful for the correct reconstruction of clusters. Bad pads comprise dead pads, noisy pads, and pads with low or undefined amplification. Pads may be bad at one time, but not at another. This memo discusses the sources of information which were used to declare a pad 'bad', and gives the list of bad pads for the water data (runs 19146 to 19301). Also, the 3.6 µs and 100 ns problems of the TPC readout are discussed, including the corrective measures which have been taken.

  6. Radioactive waste in Federal Germany

    International Nuclear Information System (INIS)

    Brennecke, P.; Schumacher, J.; Warnecke, E.

    1988-01-01

    The Physikalisch-Technische Bundesanstalt (PTB) is responsible for the long-term storage and disposal of radioactive waste according to the Federal Atomic Energy Act. On behalf of the Federal Minister of the Environment, Nature Conservation and Nuclear Safety, since 1985, the PTB has been carrying out annual inquiries into the amounts of radioactive waste produced in the Federal Republic of Germany. Within the scope of this inquiry performed for the preceding year, the amounts of unconditioned and conditioned waste are compiled on a producer- and plant-specific basis. On the basis of the inquiry for 1986 and of data presented to the PTB by the waste producers, future amounts of radioactive waste have been estimated up to the year 2000. The result of this forecast is presented. In the Federal Republic of Germany two sites are under consideration for disposal of radioactive waste. In the abandoned Konrad iron mine in Salzgitter-Bleckenstedt it is intended to dispose of such radioactive waste which has a negligible thermal influence upon the host rock. The Gorleben salt dome is being investigated for its suitability for the disposal of all kinds of solid and solidified radioactive wastes, especially of heat-generating waste. Comparing the estimated amount of radioactive wastes with the capacity of both repositories it may be concluded that the Konrad and Gorleben repositories will provide sufficient capacity to ensure the disposal of all kinds of radioactive waste on a long-term basis in the Federal Republic of Germany. 1 fig., 2 tabs

  7. Undergraduate medical education in Germany

    Directory of Open Access Journals (Sweden)

    Chenot, Jean-François

    2009-04-01

    Full Text Available The purpose of this article is to give international readers an overview of the organisation, structure and curriculum, together with important advances and problems, of undergraduate medical education in Germany. Interest in medical education in Germany has been relatively low but has gained momentum with the new "Regulation of the Licensing of Doctors" which came into effect in 2003. Medical education had required substantial reform, particularly with respect to improving the links between theoretical and clinical teaching and the extension of interdisciplinary and topic-related instruction. It takes six years and three months to complete the curriculum and training is divided into three sections: basic science (2 years, clinical science (3 years and final clinical year. While the reorganisation of graduate medical education required by the new "Regulation of the Licensing of Doctors" has stimulated multiple excellent teaching projects, there is evidence that some of the stipulated changes have not been implemented. Indeed, whether the medical schools have complied with this regulation and its overall success remains to be assessed systematically. Mandatory external accreditation and periodic reaccreditation of medical faculties need to be established in Germany.

  8. Loss of Bad expression confers poor prognosis in non-small cell lung cancer.

    Science.gov (United States)

    Huang, Yi; Liu, Dan; Chen, Bojiang; Zeng, Jing; Wang, Lei; Zhang, Shangfu; Mo, Xianming; Li, Weimin

    2012-09-01

    Proapoptotic BH-3-only protein Bad (Bcl-Xl/Bcl-2-associated death promoter homolog, Bad) initiates apoptosis in human cells, and contributes to tumorigenesis and chemotherapy resistant in malignancies. This study explored association between the Bad expression level and prognosis in patients with non-small cell lung cancer (NSCLC). In our study, a cohort of 88 resected primary NSCLC cases were collected and analyzed. Bad expression level was determined via immunohistochemical staining assay. The prognostic significances of Bad expression were evaluated with univariate and multivariate survival analysis. The results showed that compared with normal lung tissues, Bad expression level significantly decreased in NSCLC (P Bad expression was associated with adjuvant therapy status. Loss of Bad independently predicted poor prognosis in whole NSCLC cohort and early stage subjects (T1 + T2 and N0 + N1) (all P Bad negative phenotype in NSCLC patients with smoking history, especially lung squamous cell carcinoma (all P Bad is an independent and powerful predictor of adverse prognosis in NSCLC. Bad protein could be a new biomarker for selecting individual therapy strategies and predicting therapeutic response in subjects with NSCLC.

  9. [Construction of BAD Lentivirus Vector and Its Effect on Proliferation in A549 Cell Lines].

    Science.gov (United States)

    Huang, Na; He, Yan-qi; Zhu, Jing; Li, Wei-min

    2015-05-01

    To construct the recombinant lentivirus expressing vector BAD (Bcl-2-associated death protein) gene and to study its effect on A549 cell proliferation. The BAD gene was amplified from plasmid pAV-MCMV-BAD-GFP by PCR. The purified BAD gene fragment was inserted into a lentivirus vector (pLVX-IRES-ZsGreen 1), and the insertion was identified by PCR, restriction endonuclease analysis and DNA sequencing. A549 cells were then transfected with the packaged recombinant lentivirus, and resistant cell clones were selected with flow cytometry. The expression of BAD in A549 cell lines stably transduction with a lentivirus was examined using Western blot. The effect of BAD overexpression on proliferation of A549 cells was evaluated by using CCK-8 kit. Restriction enzyme digestion and DNA sequencing showed that the full-length BAD gene (507 bp) had been successfully subcloned into the lentiviral vector to result in the recombinant vector pLVX-IRES-ZsGreen 1. Monoclonal cell lines BAD-A549 was produced after transfection with the recombinant lentivirus and selected with flow cytometry. Stable expression of BAD protein was verified by Western blot. In vitro, the OD value in BAD group was significantly lower than that of control groups from 120-144 h (PBAD gene had been successfully generated. In vitro, BAD overexpression significantly inhibited A549 cells proliferation.

  10. arXiv The Infrared Physics of Bad Theories

    CERN Document Server

    Assel, Benjamin

    2017-09-28

    We study the complete moduli space of vacua of 3d $\\mathcal{N}=4$ $U(N)$ SQCDtheories with $N_f$ fundamentals, building on the algebraic description of theCoulomb branch, and deduce the low energy physics in any vacuum from the localgeometry of the moduli space. We confirm previous claims for good and ugly SQCDtheories, and show that bad theories flow to the same interacting fixed pointsas good theories with additional free twisted hypermultiplets. A Seiberg-likeduality proposed for bad theories with $N \\le N_f \\le 2N-2$ is ruled out: thespaces of vacua of the putative dual theories are different. However such badtheories have a distinguished vacuum, which preserves all the globalsymmetries, whose infrared physics is that of the proposed dual. We finallyexplain previous results on sphere partition functions and elucidate therelation between the UV and IR $R$-symmetry in this symmetric vacuum.

  11. Are Empathy and Compassion Bad for the Professional Social Worker?

    Directory of Open Access Journals (Sweden)

    Peter Nilsson

    2014-11-01

    Full Text Available Recent studies have shown that social workers and other professional helpers who work with traumatized individuals run a risk of developing compassion fatigue or secondary traumatic stress. Some researchers have hypothesized that helpers do this as a result of feeling too much empathy or too much compassion for their clients, thereby implying that empathy and compassion may be bad for the professional social worker. This paper investigates these hypotheses. Based on a review of current research about empathy and compassion it is argued that these states are not the causes of compassion fatigue. Hence, it is argued that empathy and compassion are not bad for the professional social worker in the sense that too much of one or the other will lead to compassion fatigue.

  12. Human development of the ability to learn from bad news

    Science.gov (United States)

    Moutsiana, Christina; Garrett, Neil; Clarke, Richard C.; Lotto, R. Beau; Blakemore, Sarah-Jayne; Sharot, Tali

    2013-01-01

    Humans show a natural tendency to discount bad news while incorporating good news into beliefs (the “good news–bad news effect”), an effect that may help explain seemingly irrational risk taking. Understanding how this bias develops with age is important because adolescents are prone to engage in risky behavior; thus, educating them about danger is crucial. We reveal a striking valence-dependent asymmetry in how belief updating develops with age. In the ages tested (9–26 y), younger age was associated with inaccurate updating of beliefs in response to undesirable information regarding vulnerability. In contrast, the ability to update beliefs accurately in response to desirable information remained relatively stable with age. This asymmetry was mediated by adequate computational use of positive but not negative estimation errors to alter beliefs. The results are important for understanding how belief formation develops and might help explain why adolescents do not respond adequately to warnings. PMID:24019466

  13. Wind power report Germany 2014

    International Nuclear Information System (INIS)

    Rohrig, Kurt

    2015-01-01

    Record year 2014. In Germany, the expansion figures attained were so high on land and at sea that the overall new installation figure of 5,188 MW surpassed the previous maximum (from 2002) by more than 60%. With an overall capacity of 39,259 MW, for the first time, wind energy in Germany covers 9.7% of gross power consumption. On the global scale a capacity of more than 51,000 MW has been added - another record high for wind energy installations. Power mix. At 161 TWh, renewable energies in Germany covered 27.8% of gross power consumption and provided for the first time more energy than any other energy source. Coming into force of the new REA in August 2014, modified support schemes caused the expansion of biogas plants and large-scale PV installations to falter. The record expansion seen for wind energy can be interpreted as a pull-forward effect due to the tender procedures coming into force in 2017. Grid integration. Loss of production caused by feed-in management measures rose by 44% to 555 GWh as compared to 2012. Wind turbines were affected in 87% of cases but the impact on PV installations is increasing. Power generation must be more flexible and grids expanded to limit loss of production. Of the 23 expansion projects (1,887 km) in the Electricity Grid Expansion Act, just a quarter of them had been realized by the end of 2014 (463 km). In the preliminary analysis results for the 2014 grid development plan, the extent of grid upgrading and conversion was 3050 km. Offshore, the HelWin 1 grid link with a capacity of 580 MW went online. SylWin 1 and BorWin 2, with a total capacity of 1660 MW, are currently being tested in a trial. In the preliminary analysis results for the 2014 offshore grid development plan, grid connections having an overall capacity of 10.3 GW are planned. Onshore. 2014 saw a total of 44 different turbine types installed in Germany. For the first time, virtually the same number of turbines were added in the 3-4 MW class, as in the 2-3 MW

  14. HOLIDAY FROM HELL : Bad travel experiences of Finnish people

    OpenAIRE

    Miettinen, Milja

    2015-01-01

    The topic of this thesis was the bad travel experiences of Finnish people. This thesis is divided into two parts. The theoretical framework consists of Maslow’s hierarchy of needs, tourism consumer behaviour, experience and experience economy. In the empirical part, a survey was used and answers were collected by a questionnaire on the Internet. The link to the questionnaire was published in Facebook and also on Suomi24 forum’s travel section. It was possible to answer to the questionnai...

  15. Microfield «bad smell» in English

    OpenAIRE

    Martyniuk, Aliona; Мартинюк, Альона

    2015-01-01

    The article deals with the lexical units that belong to the microfield of «bad smell»; the results of lexicographical analysis was given and the semantic markers which we can find in the literature. The material of our investigation we took the dictionary entries of five explanatory dictionaries (Oxford Advanced Learner’s Dictionary of Current English, MacMillan English Dictionary for Advanced Learners, Longman Dictionary of Contemporary English, Collin’s English Dictionary, Merriam-Webster’s...

  16. Biochemical and biophysical investigations of the interaction between human glucokinase and pro-apoptotic BAD.

    Science.gov (United States)

    Rexford, Alix; Zorio, Diego A R; Miller, Brian G

    2017-01-01

    The glycolytic enzyme glucokinase (GCK) and the pro-apoptotic protein BAD reportedly reside within a five-membered complex that localizes to the mitochondria of mammalian hepatocytes and pancreatic β-cells. Photochemical crosslinking studies using a synthetic analog of BAD's BH3 domain and in vitro transcription/translation experiments support a direct interaction between BAD and GCK. To investigate the biochemical and biophysical consequences of the BAD:GCK interaction, we developed a method for the production of recombinant human BAD. Consistent with published reports, recombinant BAD displays high affinity for Bcl-xL (KD = 7 nM), and phosphorylation of BAD at S118, within the BH3 domain, abolishes this interaction. Unexpectedly, we do not detect association of recombinant, full-length BAD with recombinant human pancreatic GCK over a range of protein concentrations using various biochemical methods including size-exclusion chromatography, chemical cross-linking, analytical ultracentrifugation, and isothermal titration calorimetry. Furthermore, fluorescence polarization assays and isothermal titration calorimetry detect no direct interaction between GCK and BAD BH3 peptides. Kinetic characterization of GCK in the presence of high concentrations of recombinant BAD show modest (BAD BH3 peptides. These results raise questions as to the mechanism of action of stapled peptide analogs modeled after the BAD BH3 domain, which reportedly enhance the Vmax value of GCK and stimulate insulin release in BAD-deficient islets. Based on our results, we postulate that the BAD:GCK interaction, and any resultant regulatory effect(s) upon GCK activity, requires the participation of additional members of the mitochondrial complex.

  17. Hollywood Science: Good for Hollywood, Bad for Science?

    Science.gov (United States)

    Perkowitz, Sidney

    2009-03-01

    Like it or not, most science depicted in feature films is in the form of science fiction. This isn't likely to change any time soon, if only because science fiction films are huge moneymakers for Hollywood. But beyond that, these films are a powerful cultural force. They reach millions as they depict scientific ideas from DNA and cloning to space science, whether correctly or incorrectly; reflect contemporary issues of science and society like climate change, nuclear power and biowarfare; inspire young people to become scientists; and provide defining images -- or stereotypes -- of scientists for the majority of people who've never met a real one. Certainly, most scientists feel that screen depictions of science and scientists are badly distorted. Many are, but not always. In this talk, based on my book Hollywood Science [1], I'll show examples of good and bad screen treatments of science, scientists, and their impact on society. I'll also discuss efforts to improve how science is treated in film and ways to use even bad movie science to convey real science. [4pt] [1] Sidney Perkowitz, Hollywood Science: Movies, Science, and the End of the World (Columbia University Press, New York, 2007). ISBN: 978-0231142809

  18. Breaking bad news: patients' preferences and health locus of control.

    Science.gov (United States)

    Martins, Raquel Gomes; Carvalho, Irene Palmares

    2013-07-01

    To identify patients' preferences for models of communicating bad news and to explore how such preferences, and the reasons for the preferences, relate with personality characteristics, specifically patients' health locus of control (HLC): internal/external and 'powerful others' (PO). Seventy-two patients from an oncology clinic watched videotaped scenarios of a breaking bad news moment, selected the model they preferred, filled an HLC scale and were interviewed about their choices. Data were analyzed with Chi-square, Kruskal-Wallis and Mann-Whitney tests. Interviews were content-analyzed. 77.8% preferred an "empathic professional", 12.5% a "distanced expert" and 9.7% an "emotionally burdened expert". Preferences varied significantly with HLC scores (patients with higher internal locus of control (ILC) and lower PO preferred the empathic model), presence of cancer, age and education. Patients explained their preferences through aspects of Caring, Professionalism, Wording, Time and Hope. ILC registered significant differences in regards to Wording and Time, whereas PO was associated with Hope and Time. HLC is an important dimension that can help doctors to better know their patients. Knowing whether patients attribute their health to their own behaviors or to chance/others can help tailor the disclosure of bad news to their specific preferences. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  19. Country report for Germany [Fast reactors in Germany

    International Nuclear Information System (INIS)

    Knebel, J.

    2007-01-01

    Full text: The primary energy consumption in Germany in 2005 was about 492.6 MtSKE in total. The distribution on the main energy sources is: mineral oil: 36.4%, natural gas 22.4%, black coal 13.5%, brown coal 11.4%, nuclear energy 12.6%, water and wind 1.2%, others 2.5%. The net electricity production in Germany in 2005 was about 495.9 billion kWh. The distribution is: nuclear energy 32%, lignite coal 28.9%, black coal 23.1%, oil 0.2%, natural gas 9.1%, water 4.7%, others (being biomass, photovoltaics, wind) 2.0%. In 2005, 18 nuclear power plants were in operation in Germany. In May 2005 the KWO Obrigheim was closed due to the new Atomic law which fixes the phase out of nuclear power production. The net installed nuclear power was 20.7GWel, the net nuclear electricity production was 163TWh, the time availability was 88%. Nuclear makes up for about 50% of the base-load electricity production in Germany. In absolute numbers, Germany is number 5 in nuclear electricity production. Among the top ten nuclear power plants world-wide, in 2005 there were 7 German plants including the plant with the highest amount of electricity produced, being NPP Brokdorf with 1440MWel and 11.98TWhel. The net electricity output of the nuclear power plants is constantly increasing due to power upgrading and higher time availabilities. As for the renewable energies, there is no significant absolute increase except for wind. About 50% of the government support for renewable energies from the Environmental Ministry goes to photovoltaics. The Helmholtz-Gemeinschaft (HGF), summarising 15 national research centres, 24.000 employees and a yearly budget of about 2,1 billion Euro is the largest research organisation in Germany. The HGF identifies and works on complex and urgent questions of society, science and economy, especially concentrating on systems of high complexity. There are six research areas, being energy, earth and environment, health, key technologies, structure of matter, traffic and

  20. Some aspects of cool main sequence star ages derived from stellar rotation (gyrochronology)

    Science.gov (United States)

    Barnes, S. A.; Spada, F.; Weingrill, J.

    2016-09-01

    Rotation periods for cool stars can be measured with good precision by monitoring starspot light modulation. Observations have shown that the rotation periods of dwarf stars of roughly solar metallicity have such systematic dependencies on stellar age and mass that they can be used to derive reliable ages, a procedure called gyrochronology. We review the method and show illustrative cases, including recent ground- and space-based data. The age uncertainties approach 10 % in the best cases, making them a valuable complement to, and constraint on, asteroseismic or other ages. Edited, updated, and refereed version of a presentation at the WE-Heraeus-Seminar in Bad Honnef, Germany: Reconstructing the Milky Way's History: Spectroscopic Surveys, Asteroseismology and Chemodynamical Models

  1. Numerical simulation of crystalline ion beams in storage ring

    CERN Document Server

    Meshkov, I N; Katayama, T; Sidorin, A; Smirnov, A Yu; Syresin, E M; Trubnikov, G; Tsutsui, H

    2004-01-01

    The use of crystalline ion beams can increase luminosity in the collider and in experiments with targets for investigation of rare radioactive isotopes. The ordered state of circulating ion beams was observed at several storage rings: NAP-M (Proceedings of the Fourth All Union Conference on Charged Particle Accelerators, Vol. 2, Nauka, Moscow, 1975 (in Russian); Part. Accel. 7 (1976) 197; At. Energy 40 (1976) 49; Preprint CERN/PS/AA 79-41, Geneva, 1979) (Novosibirsk), ESR (Phys. Rev. Lett. 77 (1996) 3803) and SIS (Proceedings of EPAC'2000, 2000) (Darmstadt), CRYRING (Proceedings of PAC'2001, 2001) (Stockholm) and PALLAS (Proceedings of the Conference on Applications of Accelerators in Research and Industry, AIP Conference Proceedings, p. 576, in preparation) (Munchen). New criteria of the beam orderliness are derived and verified with a new program code. Molecular dynamics technique is inserted in BETACOOL program (Proceedings of Beam Cooling and Related Topics, Bad Honnef, Germany, 2001) and used for numeric...

  2. Pigeons can discriminate "good" and "bad" paintings by children.

    Science.gov (United States)

    Watanabe, Shigeru

    2010-01-01

    Humans have the unique ability to create art, but non-human animals may be able to discriminate "good" art from "bad" art. In this study, I investigated whether pigeons could be trained to discriminate between paintings that had been judged by humans as either "bad" or "good". To do this, adult human observers first classified several children's paintings as either "good" (beautiful) or "bad" (ugly). Using operant conditioning procedures, pigeons were then reinforced for pecking at "good" paintings. After the pigeons learned the discrimination task, they were presented with novel pictures of both "good" and "bad" children's paintings to test whether they had successfully learned to discriminate between these two stimulus categories. The results showed that pigeons could discriminate novel "good" and "bad" paintings. Then, to determine which cues the subjects used for the discrimination, I conducted tests of the stimuli when the paintings were of reduced size or grayscale. In addition, I tested their ability to discriminate when the painting stimuli were mosaic and partial occluded. The pigeons maintained discrimination performance when the paintings were reduced in size. However, discrimination performance decreased when stimuli were presented as grayscale images or when a mosaic effect was applied to the original stimuli in order to disrupt spatial frequency. Thus, the pigeons used both color and pattern cues for their discrimination. The partial occlusion did not disrupt the discriminative behavior suggesting that the pigeons did not attend to particular parts, namely upper, lower, left or right half, of the paintings. These results suggest that the pigeons are capable of learning the concept of a stimulus class that humans name "good" pictures. The second experiment showed that pigeons learned to discriminate watercolor paintings from pastel paintings. The subjects showed generalization to novel paintings. Then, as the first experiment, size reduction test

  3. Germany: the electricity bill soars

    International Nuclear Information System (INIS)

    Lauer, Hartmut

    2016-01-01

    As Germany is already one of the European countries where electricity prices are the highest for households (twice more than in France), the author comments the past evolution of these prices and shows that they will probably increase again in 2017 to finance energy transition. This increase is notably due to higher taxes (a comparison with the French CSPE tax is presented and commented), and to a costly grid renewal. As the energy transition appears to be very expensive (about 500 billions euros by 2025), the cost-benefit rate of the German energy transition is disastrous and the de-carbonation of the electricity sector does not progress

  4. Germany after March 11th

    International Nuclear Information System (INIS)

    Wolski, A.

    2011-01-01

    A retrospective since March 11th is presented with stress on the Fukushima accident, political situation in Germany, media and public opinion. Fukushima has devastated the trust in expert opinions about safety of NPPs. Germany’s Turn in Energy - consensus for nuclear phase-out exists between All political parties. The government has already announced adoption of the recommendations of the ethics commission. The 7 oldest units will remain shut-down. Further 7 units will be shut down until 2021. The youngest 3 units will be permanently shut down until 2022

  5. Dual role of proapoptotic BAD in insulin secretion and beta cell survival.

    Science.gov (United States)

    Danial, Nika N; Walensky, Loren D; Zhang, Chen-Yu; Choi, Cheol Soo; Fisher, Jill K; Molina, Anthony J A; Datta, Sandeep Robert; Pitter, Kenneth L; Bird, Gregory H; Wikstrom, Jakob D; Deeney, Jude T; Robertson, Kirsten; Morash, Joel; Kulkarni, Ameya; Neschen, Susanne; Kim, Sheene; Greenberg, Michael E; Corkey, Barbara E; Shirihai, Orian S; Shulman, Gerald I; Lowell, Bradford B; Korsmeyer, Stanley J

    2008-02-01

    The proapoptotic BCL-2 family member BAD resides in a glucokinase-containing complex that regulates glucose-driven mitochondrial respiration. Here, we present genetic evidence of a physiologic role for BAD in glucose-stimulated insulin secretion by beta cells. This novel function of BAD is specifically dependent upon the phosphorylation of its BH3 sequence, previously defined as an essential death domain. We highlight the pharmacologic relevance of phosphorylated BAD BH3 by using cell-permeable, hydrocarbon-stapled BAD BH3 helices that target glucokinase, restore glucose-driven mitochondrial respiration and correct the insulin secretory response in Bad-deficient islets. Our studies uncover an alternative target and function for the BAD BH3 domain and emphasize the therapeutic potential of phosphorylated BAD BH3 mimetics in selectively restoring beta cell function. Furthermore, we show that BAD regulates the physiologic adaptation of beta cell mass during high-fat feeding. Our findings provide genetic proof of the bifunctional activities of BAD in both beta cell survival and insulin secretion.

  6. BAD-mediated apoptotic pathway is associated with human cancer development.

    Science.gov (United States)

    Stickles, Xiaomang B; Marchion, Douglas C; Bicaku, Elona; Al Sawah, Entidhar; Abbasi, Forough; Xiong, Yin; Bou Zgheib, Nadim; Boac, Bernadette M; Orr, Brian C; Judson, Patricia L; Berry, Amy; Hakam, Ardeshir; Wenham, Robert M; Apte, Sachin M; Berglund, Anders E; Lancaster, Johnathan M

    2015-04-01

    The malignant transformation of normal cells is caused in part by aberrant gene expression disrupting the regulation of cell proliferation, apoptosis, senescence and DNA repair. Evidence suggests that the Bcl-2 antagonist of cell death (BAD)-mediated apoptotic pathway influences cancer chemoresistance. In the present study, we explored the role of the BAD-mediated apoptotic pathway in the development and progression of cancer. Using principal component analysis to derive a numeric score representing pathway expression, we evaluated clinico-genomic datasets (n=427) from corresponding normal, pre-invasive and invasive cancers of different types, such as ovarian, endometrial, breast and colon cancers in order to determine the associations between the BAD-mediated apoptotic pathway and cancer development. Immunofluorescence was used to compare the expression levels of phosphorylated BAD [pBAD (serine-112, -136 and -155)] in immortalized normal and invasive ovarian, colon and breast cancer cells. The expression of the BAD-mediated apoptotic pathway phosphatase, PP2C, was evaluated by RT-qPCR in the normal and ovarian cancer tissue samples. The growth-promoting effects of pBAD protein levels in the immortalized normal and cancer cells were assessed using siRNA depletion experiments with MTS assays. The expression of the BAD-mediated apoptotic pathway was associated with the development and/or progression of ovarian (n=106, pBAD-mediated apoptotic pathway is thus associated with the development of human cancers likely influenced by the protein levels of pBAD.

  7. Recycling of plastics in Germany

    International Nuclear Information System (INIS)

    Thienen, N. von; Patel, M.

    1999-01-01

    This article deals with the waste management of post-consumer plastics in Germany and its potential to save fossil fuels and reduce CO 2 emissions. Since most experience is available for packaging, the paper first gives an overview of the legislative background and the material flows for this sector. Then recycling and recovery processes for plastics waste from all sectors are assessed in terms of their contribution to energy saving and CO 2 abatement. Practically all the options studied show a better performance than waste treatment in an average incinerator which has been chosen as the reference case. High ecological benefits can be achieved by mechanical recycling if virgin polymers are substituted. The paper then presents different scenarios for managing plastic waste in Germany in 1995: considerable savings can be made by strongly enhancing the efficiency of waste incinerators. Under these conditions the distribution of plastics waste among mechanical recycling, feedstock recycling and energy recovery has a comparatively mall impact on the overall results. The maximum savings amount to 74 PJ of energy, i.e, 9% of the chemical sector energy demand in 1995 and 7.0 Mt CO 2 , representing 13% of the sector's emissions. The assessment does not support a general recommendation of energy recovery due to the large difference between the German average and the best available municipal waste-to-energy facilities and also due to new technological developments in the field of mechanical recycling

  8. Air crew monitoring in Germany

    International Nuclear Information System (INIS)

    Stegemann, R.; Frasch, G.; Kammerer, L.

    2006-01-01

    Cosmic radiation at high altitudes, especially high energetic neutrons, significantly increases exposure to man. Pilots and flight attendants may receive annual effective doses comparable to doses received in occupations, in which ionising radiation is used or radioactive sources are handled. For this reason, the European Council Directive 96/29 EURATOM requires that air-crew members also be monitored for radiation protection. Flight personnel, receiving an effective dose from cosmic radiation of more than 1 mSv per year are subject to monitoring i.e. radiation exposure has to be assessed, limited and minimized. As the physical conditions causing cosmic radiation doses are well established, it is possible to calculate the expected radiation dose with sufficient accuracy. Several codes for this purpose are available. Since August 2003, the operators of airlines in Germany are obliged to assess the doses of their air crew personnel from cosmic radiation exposure and to minimise radiation exposure by means of appropriate work schedules, flight routes and flight profiles. Approx. 31 000 persons of 45 airlines are monitored by the German Radiation Protection Register. Gender, age and 3 different occupational categories are used to characterise different groups and their doses. The presentation will give an overview about the legislation and organisation of air crew monitoring in Germany and will show detailed statistical results from the first year of monitoring. (authors)

  9. Financing long term liabilities (Germany)

    International Nuclear Information System (INIS)

    2003-01-01

    In Germany the basis for the management of radioactive residues is the polluter-pays principle. All steps of treatment of radioactive waste arising from operation, decommissioning and dismantling including conditioning, interim storage and disposal of radioactive waste have to be financed by the waste producers. The waste producers are responsible for the harmless recycling of the residues or for their orderly management as radioactive waste. The Federal Government is responsible for establishing disposal facilities. Accordingly the waste producers are constructing and operating facilities in which the radioactive residues can be treated and stored until their disposal. As far as the radioactive waste cannot be stored by the producer, waste originating from research, medicine and industry can be stored in surface storage facilities of the federal states. Spent fuel from German NPPs is partly reprocessed in France and UK. The rest has to be disposed off directly in deep geologic formations. Until a repository for spent fuel is available in Germany spent fuel will be stored in interim storage facilities on the sites of the NPPs. The storage will take place in casks in a dry way. In exceptional cases, if the storage at a NPP site is not possible, there are two central storages at Ahaus and Gorleben which are in operation and can be made available as reserve. Radioactive waste returning from the reprocessing of German spent fuel in France and UK is stored in the Gorleben central storage. The Federal Government is aiming to establish a repository in deep geological formations about the year 2030 which shall be available for all types and quantities of radioactive waste. The necessary expenses for the planning and construction of radioactive waste disposal facilities are initially carried by the Federal Government. The Government recovers the costs by contributions or advance payments from the waste producers. The use of storage and disposal facilities is financed by

  10. BAD-Dependent Regulation of Fuel Metabolism and KATP Channel Activity Confers Resistance to Epileptic Seizures

    OpenAIRE

    Giménez-Cassina, Alfredo; Martínez-François, Juan Ramón; Fisher, Jill K.; Szlyk, Benjamin; Polak, Klaudia; Wiwczar, Jessica; Tanner, Geoffrey R.; Lutas, Andrew; Yellen, Gary; Danial, Nika N.

    2012-01-01

    Neuronal excitation can be substantially modulated by alterations in metabolism, as evident from the anticonvulsant effect of diets that reduce glucose utilization and promote ketone body metabolism. We provide genetic evidence that BAD, a protein with dual functions in apoptosis and glucose metabolism, imparts reciprocal effects on metabolism of glucose and ketone bodies in brain cells. These effects involve phospho-regulation of BAD and are independent of its apoptotic function. BAD modific...

  11. The impact of bad fit product line extensions on brand personality

    OpenAIRE

    Lima, Pedro

    2017-01-01

    This work project intended to study the impact of a bad fit product line extension on brand personality. To do that, the focus of the study was narrowed down to one dimension of the brand personality, ruggedness, and another one as a comparative dimension, sophistication. The test consisted in the introduction of a bad fit extension by two brands: Harley-Davidson and Jaguar. The findings show us that a bad fit extension has more impact in the sophistication dimension (increased the dimension ...

  12. A Man Caught Between Bad Anthropology and Good Theology?

    DEFF Research Database (Denmark)

    Pedersen, Else Marie Wiberg

    2010-01-01

    that obscures his purportedly universal principles. This article uncovers some of the ambiguities in luther's approaches to women, theoretically teaching men's authority over women yet simultaneously teaching the mutuality and equality of women and men, and practising such mutuality and equality in his everyday......Martin Luther's view of women is as complex as his authorship is vast, encompassing a diversity of gneres and purposes. Luther seems ambivalent toward women like the tradition before and after him. In his reformation enterprise he appears as torn between his good theology and a bad anthropology...

  13. The good, the bad and the ugly .... of Horava gravity

    International Nuclear Information System (INIS)

    Padilla, Antonio

    2010-01-01

    I review the good, the bad and the ugly of the non-projectable versions of Horava gravity. I explain how this non-relativistic theory was constructed and why it was touted with such excitement as a quantum theory of gravity. I then review some of the issues facing the theory, explaining how strong coupling occurs and why this is such a problem for both phenomenology and the question of renormalisability. Finally I comment on possible violations of Equivalence Principle, and explain why these could be an issue for Blas et al's h ealthy extension .

  14. Food, gender and media - the trinity of bad taste

    DEFF Research Database (Denmark)

    Kjær, Katrine Meldgaard; Leer, Jonatan

    2015-01-01

    Food, Gender and Media – the Trinity of Bad Taste: Since she began working in the field in the mid-1980s, associate professor in media studies at Aarhus University Karen Klitgaard Povlsen has been one of most important scholars in the field of cultural food studies in Denmark. She is particularly...... studies do not enjoy the same prominence today as they did in the 1970s and 1980s, food studies has gained terrain and offers new ways of doing innovative, intersectional analyses of identity and everyday life in contemporary mediatized societies....

  15. The Good and the Bad – Bicyclists’ Experiences In Copenhagen

    DEFF Research Database (Denmark)

    Snizek, Bernhard; Skov-Petersen, Hans; Nielsen, Thomas Alexander Sick

    The Good and the Bad – Bicyclists’ Experiences In Copenhagen In order to design livable cities, a strategy of substituting motorized travel modes with non-motorized ones can be a solution to the problems of crowding/queuing and CO2 emissions. Prior to investing into bike infrastructure, knowledge...... as well as sketch the route itself within an interactive, online questionnaire built on Google Maps. Grouped into sub-classes the bikers’ responses were related to urban indicators such as scenic beauty, terrain, relation to other bicyclists, motorists and pedestrians etc. By relating characteristics...

  16. Neurosurgical Resident Training in Germany.

    Science.gov (United States)

    Stienen, Martin N; Gempt, Jens; Gautschi, Oliver P; Demetriades, Andreas K; Netuka, David; Kuhlen, Dominique E; Schaller, Karl; Ringel, Florian

    2017-07-01

    Introduction  Efficient neurosurgical training is of paramount importance to provide continuing high-quality medical care to patients. In this era of law-enforced working hour restrictions, however, maintaining high-quality training can be a challenge and requires some restructuring. We evaluated the current status of resident training in Germany. Methods  An electronic survey was sent to European neurosurgical trainees between June 2014 and March 2015. The responses of German trainees were compared with those of trainees from other European countries. Logistic regression analysis was performed to assess the effect size of the relationship between a trainee being from Germany and the outcome (e.g., satisfaction, working time). Results  Of 532 responses, 95 were from German trainees (17.8%). In a multivariate analysis corrected for baseline group differences, German trainees were 29% as likely as non-German trainees to be satisfied with clinical lectures given at their teaching facility (odds ratio [OR]: 0.29; 95% confidence interval [CI]: 0.18-0.49; p  hours as requested from the European Working Time Directive 2003/88/EC, and in an international comparison, German trainees were twice as likely to work > 50 hours per week (OR: 2.13; 95% CI, 1.25-3.61; p  = 0.005). This working time, however, is less spent in the operating suite (OR: 0.26; 95% CI, 0.11-0.59; p  = 0.001) and more doing administrative work (OR: 1.83; 95% CI, 1.13-2.96; p  = 0.015). Conclusion  Some theoretical and practical aspects of neurosurgical training are superior, but a considerable proportion of relevant aspects are inferior in Germany compared with other European countries. The present analyses provide the opportunity for a critical review of the local conditions in German training facilities. Georg Thieme Verlag KG Stuttgart · New York.

  17. BCL-2 family protein, BAD is down-regulated in breast cancer and inhibits cell invasion.

    Science.gov (United States)

    Cekanova, Maria; Fernando, Romaine I; Siriwardhana, Nalin; Sukhthankar, Mugdha; De la Parra, Columba; Woraratphoka, Jirayus; Malone, Christine; Ström, Anders; Baek, Seung J; Wade, Paul A; Saxton, Arnold M; Donnell, Robert M; Pestell, Richard G; Dharmawardhane, Suranganie; Wimalasena, Jay

    2015-02-01

    We have previously demonstrated that the anti-apoptotic protein BAD is expressed in normal human breast tissue and shown that BAD inhibits expression of cyclin D1 to delay cell-cycle progression in breast cancer cells. Herein, expression of proteins in breast tissues was studied by immunohistochemistry and results were analyzed statistically to obtain semi-quantitative data. Biochemical and functional changes in BAD-overexpressing MCF7 breast cancer cells were evaluated using PCR, reporter assays, western blotting, ELISA and extracellular matrix invasion assays. Compared to normal tissues, Grade II breast cancers expressed low total/phosphorylated forms of BAD in both cytoplasmic and nuclear compartments. BAD overexpression decreased the expression of β-catenin, Sp1, and phosphorylation of STATs. BAD inhibited Ras/MEK/ERK and JNK signaling pathways, without affecting the p38 signaling pathway. Expression of the metastasis-related proteins, MMP10, VEGF, SNAIL, CXCR4, E-cadherin and TlMP2 was regulated by BAD with concomitant inhibition of extracellular matrix invasion. Inhibition of BAD by siRNA increased invasion and Akt/p-Akt levels. Clinical data and the results herein suggest that in addition to the effect on apoptosis, BAD conveys anti-metastatic effects and is a valuable prognostic marker in breast cancer. Copyright © 2014 Elsevier Inc. All rights reserved.

  18. Delivering Bad News: Attitudes, Feelings, and Practice Characteristics Among Speech-Language Pathologists.

    Science.gov (United States)

    Gold, Rinat; Gold, Azgad

    2018-02-06

    The purpose of this study was to examine the attitudes, feelings, and practice characteristics of speech-language pathologists (SLPs) in Israel regarding the subject of delivering bad news. One hundred and seventy-three Israeli SLPs answered an online survey. Respondents represented SLPs in Israel in all stages of vocational experience, with varying academic degrees, from a variety of employment settings. The survey addressed emotions involved in the process of delivering bad news, training on this subject, and background information of the respondents. Frequency distributions of the responses of the participants were determined, and Pearson correlations were computed to determine the relation between years of occupational experience and the following variables: frequency of delivering bad news, opinions regarding training, and emotions experienced during the process of bad news delivery. Our survey showed that bad news delivery is a task that most participants are confronted with from the very beginning of their careers. Participants regarded training in the subject of delivering bad news as important but, at the same time, reported receiving relatively little training on this subject. In addition, our survey showed that negative emotions are involved in the process of delivering bad news. Training SLPs on specific techniques is required for successfully delivering bad news. The emotional burden associated with breaking bad news in the field of speech-language pathology should be noticed and addressed.

  19. [The relationship study on the relationship between procrastination behaviors and bad personality disposition].

    Science.gov (United States)

    Wei, Yuan

    2006-01-01

    To explore the relationship between procrastinate behavior of college students and bad personality disposition. 566 college students were selected and followed through adopting the measurement on the procrastination scale of college students and Personality Disorders Questionnaire (PDQ-4). Results showed that male and female college students did not have remarkable difference in terms of procrastination. High level procrastinators had a higher level of scores on bad personality disposition. In addition, College students' procrastination had close relationship with bad personality disposition (r = 0.341, P College students' procrastination had close relationship with bad personality disposition which did not match the findings from McCown's results on american college students.

  20. Integrated solid waste management in Germany

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-07-01

    This report covers Germany`s experience with integrated solid waste management programs. The municipal solid waste practices of four cities include practices and procedures that waste facility managers with local or state governments may consider for managing their own day-to-day operations.

  1. Mental health of Turkish women in Germany

    DEFF Research Database (Denmark)

    Bromand, Z; Temur-Erman, S; Yesil, R

    2012-01-01

    The purpose of the present study was to examine the protective and risk factors of mental distress among Turkish women living in Germany.......The purpose of the present study was to examine the protective and risk factors of mental distress among Turkish women living in Germany....

  2. Recent facts about photovoltaics in Germany

    International Nuclear Information System (INIS)

    Wirth, Harry

    2015-01-01

    Germany is leaving the age of fossil fuel behind. In building a sustainable energy future, photovoltaics is going to have an important role. The following summary consists of the most recent facts, figures and findings and shall assist in forming an overall assessment of the photovoltaic expansion in Germany.

  3. Employee share ownership in Germany

    DEFF Research Database (Denmark)

    Ortlieb, Renate; Matiaske, Wenzel; Fietze, Simon

    2016-01-01

    Politicians and scholars alike praise the significant benefits associated with employee share ownership (ESO). However, little is known about the concrete motives of firms to provide ESO to their employees. In particular, it is unknown how these motives correlate with firms’ contexts. Drawing...... on an institutional theoretical framework, this article examines what aims firms pursue through the provision of ESO. The data originate from a survey of firms in Germany. The cluster analytic findings indicate distinctive patterns of relationships between aims and firm characteristics. Aims related to employee...... performance are most important to foreign-owned firms, financial aims are most important to non-public small and medium-sized firms and aims related to corporate image are most important to big firms and to firms that do not provide profit sharing. Aims related to employee attraction and retention are almost...

  4. Renewable Energy CSOPs in Germany

    Directory of Open Access Journals (Sweden)

    Jens Lowitzsch

    2013-01-01

    Full Text Available The Energy-CSOP facilitates broad equity participation of citizens without assets or savings in a regulated public energy utility. As the CSOP is designed for regulated markets with guaranteed prices, regulated market access and long-term relationships between producer and consumer, the energy market is predestined. A CSOP trust can be set up for a renewable energy plant (e.g., a biogas reactor, a solar panel, a windmill or a geothermic drill. European states have set an ambitious target to reach 20% share of energy from renewable sources by 2020. Germany as Europe’s green energy leader could become a pioneer in CSOP implementation. Small communities in Europe would benefit from the increased share of renewable energy resources.

  5. Nuclear power plants in Germany

    International Nuclear Information System (INIS)

    Hennings, U.; Stuermer, W.

    1993-01-01

    Under the influence of the polarization between belief in progress, on the one hand, and the moral rigorism of our society, on the other hand, the risks of modern large technical systems have helped the highest level of technical safety to be attained in Germany. It has been reached especially by opting for maximum quality, maximum utility and reliability, complete documentation, continuous in-service checks during operation and, last but not least, by including man and human fallibility. Our concern should be that this strategy pursued in the Western industrialized countries becomes the rule, at least in its main characteristics, also in the Eastern countries. The hazards associated with reactors in Eastern countries affect us all, and it is especially the safety of those reactors which is causing concern. The experience accumulated with the 417 nuclear power plants now in operation, especially the incidents and accidents, shows that hazard potential management is admissible only with a highly developed safety strategy. (orig.) [de

  6. The Bad Bugs Book Club: Science, Literacy, and Engagement

    Directory of Open Access Journals (Sweden)

    Joanna Verran

    2013-01-01

    Full Text Available The Bad Bugs Bookclub was launched in 2009. It comprises scientists and non-scientists. The aim of the Bookclub is to read and discuss novels where infectious disease forms part of the plot, in order to enhance learning about microbiology. The focus of the discussion is on appreciation of the novel, its scientific (microbiologic accuracy and relevance to contemporary microbiology. There are several potential audiences for the Bad Bugs Bookclub, for example students in a classroom setting, or in a more social environment, and/or the general public.  Meeting reports and reading guides have been posted on a dedicated website. For education purposes, additional project work for assessment is suggested for students reading each novel. Bookclub meetings may be held on particular dates in the microbiologic calendar, coupled with additional public engagement activities and student participation. The approach has significant flexibility in terms of intended audience, assessment and extension work, and provides a refreshing and stimulating alternative means for talking about microbiology.

  7. Reversing one's fortune by pushing away bad luck.

    Science.gov (United States)

    Zhang, Yan; Risen, Jane L; Hosey, Christine

    2014-06-01

    Across cultures, people try to "undo" bad luck with superstitious rituals such as knocking on wood, spitting, or throwing salt. We suggest that these rituals reduce the perceived likelihood of anticipated negative outcomes because they involve avoidant actions that exert force away from one's representation of self, which simulates the experience of pushing away bad luck. Five experiments test this hypothesis by having participants tempt fate and then engage in avoidant actions that are either superstitious (Experiment 1, knocking on wood) or nonsuperstitious (Experiments 2-5, throwing a ball). We find that participants who knock down (away from themselves) or throw a ball think that a jinxed negative outcome is less likely than participants who knock up (toward themselves) or hold a ball. Experiments 3 and 4 provide evidence that after tempting fate, engaging in an avoidant action leads to less clear mental representations for the jinxed event, which, in turn, leads to lower perceived likelihoods. Finally, we demonstrate that engaging in an avoidant action-rather than creating physical distance-is critical for reversing the perceived effect of the jinx. Although superstitions are often culturally defined, the underlying psychological processes that give rise to them may be shared across cultures. PsycINFO Database Record (c) 2014 APA, all rights reserved.

  8. Delivering Bad News: An Approach According to Jewish Scriptures

    Directory of Open Access Journals (Sweden)

    Sody A. Naimer

    2014-07-01

    Full Text Available Despite a preoccupation in the medical literature with developing an effective approach for breaking bad news, the sources are based on personal opinion alone and only in some instances on qualitative research. Recognizing the gravity of this topic coupled with respect for the wisdom of the written and oral Jewish scriptures, this work is an attempt to delve into the diverse ancient writings to draw conclusions regarding a recommended methodology to guide and inform this task. It is interesting to learn that most elements related to this topic have previously been raised in various forms in the scriptures. The issues range from where, when, and how the bearer of bad news should undertake this duty, to details such as the environment, the format, the speed, and depth of the details to be disclosed. The essence of this paper is to enrich the reader using both positive and negative examples found in the Jewish heritage. Adopting these principles will hopefully provide an effective method for performing this unpleasant obligation, with the goal of limiting harmful consequences as much as possible.

  9. Communicating bad news: an integrative review of the nursing literature.

    Science.gov (United States)

    Fontes, Cassiana Mendes Bertoncello; Menezes, Daniele Vieira de; Borgato, Maria Helena; Luiz, Marcos Roberto

    2017-01-01

    describe how the process of breaking bad news is established and identify how nurses approach the task of giving bad news. integrative review of the literature for articles in Portuguese and English published between 1993-2014, in the databases: Bireme, PubMed, Scopus, Web of Science, CINAHL and Embase. Nine articles were included using the selection flow chart. A digital form was completed for each article according to the Consolidated Criteria for Reporting Qualitative Research checklist and the level of scientific evidence was determined. Of the 99 articles in identified, nine were included after applying the selection flowchart. breaking bad news is frequent in the area of oncology and palliative care, with a strong cultural influence on the autonomy of nurses in this process. the approach and skills of the nurse during this task influences the patient's reaction to the message. The theme is scarce in the literature and merits further investigation. Descrever como se estabelece o processo de comunicação de más notícias e identificar como o enfermeiro pratica a comunicação de más notícias. Revisão integrativa da literatura com artigos em português e inglês referente ao período 1993-2014 nas bases de dados Bireme, PubMed, Scopus, Web of Science, CINAHL e Embase. Elegeram-se nove artigos pelo fluxograma de seleção. Para cada artigo foi preenchida uma ficha eletrônica, elaborado um checklist do Consolidated Criteria for Reporting Qualitative Research e verificado o nível de evidência científica. Foram identificados 99 artigos e incluídos nove pelo fluxograma de seleção. Transmitir más notícias é frequente nas áreas de oncologia e cuidados paliativos, com forte influência cultural na autonomia do enfermeiro nesse processo. O modo e a habilidade do enfermeiro durante a ação influenciarão a reação do paciente acerca da mensagem. O tema é escasso na literatura, necessitando ser explorado.

  10. Delivering and Receiving Bad News: What School Psychologists Need to Know

    Science.gov (United States)

    Frost, Megan; Rogers, Margaret R.; O'Bryon, Elisabeth C.; Perry, Kimberly Hill

    2010-01-01

    Delivering bad news to students, teachers, and parents is not an uncommon occurrence for school psychologists. Skillfully communicating bad news requires sensitivity, thoughtful wording, and an awareness of the potential effect on the recipients. Despite the importance of this skill, school psychology has devoted little attention to what is…

  11. The “Bad Labor” Footprint: Quantifying the Social Impacts of Globalization

    Directory of Open Access Journals (Sweden)

    Moana S. Simas

    2014-10-01

    Full Text Available The extent to what bad labor conditions across the globe are associated with international trade is unknown. Here, we quantify the bad labor conditions associated with consumption in seven world regions, the “bad labor” footprint. In particular, we analyze how much occupational health damage, vulnerable employment, gender inequality, share of unskilled workers, child labor, and forced labor is associated with the production of internationally traded goods. Our results show that (i as expected, there is a net flow of bad labor conditions from developing to developed regions; (ii the production of exported goods in lower income regions contributes to more than half of the bad labor footprints caused by the wealthy lifestyles of affluent regions; (iii exports from Asia constitute the largest global trade flow measured in the amount bad labor, while exports from Africa carry the largest burden of bad labor conditions per unit value traded and per unit of total labor required; and (IV the trade of food products stands out in both volume and intensity of bad labor conditions.

  12. BAD-LAMP defines a subset of early endocytic organelles in subpopulations of cortical projection neurons.

    Science.gov (United States)

    David, Alexandre; Tiveron, Marie-Catherine; Defays, Axel; Beclin, Christophe; Camosseto, Voahirana; Gatti, Evelina; Cremer, Harold; Pierre, Philippe

    2007-01-15

    The brain-associated LAMP-like molecule (BAD-LAMP) is a new member of the family of lysosome associated membrane proteins (LAMPs). In contrast to other LAMPs, which show a widespread expression, BAD-LAMP expression in mice is confined to the postnatal brain and therein to neuronal subpopulations in layers II/III and V of the neocortex. Onset of expression strictly parallels cortical synaptogenesis. In cortical neurons, the protein is found in defined clustered vesicles, which accumulate along neurites where it localizes with phosphorylated epitopes of neurofilament H. In primary neurons, BAD-LAMP is endocytosed, but is not found in classical lysosomal/endosomal compartments. Modification of BAD-LAMP by addition of GFP revealed a cryptic lysosomal retention motif, suggesting that the cytoplasmic tail of BAD-LAMP is actively interacting with, or modified by, molecules that promote its sorting away from lysosomes. Analysis of BAD-LAMP endocytosis in transfected HeLa cells provided evidence that the protein recycles to the plasma membrane through a dynamin/AP2-dependent mechanism. Thus, BAD-LAMP is an unconventional LAMP-like molecule and defines a new endocytic compartment in specific subtypes of cortical projection neurons. The striking correlation between the appearance of BAD-LAMP and cortical synatogenesis points towards a physiological role of this vesicular determinant for neuronal function.

  13. Educating the delivery of bad news in medicine: Preceptorship versus simulation.

    Science.gov (United States)

    Jacques, Andrew P; Adkins, Eric J; Knepel, Sheri; Boulger, Creagh; Miller, Jessica; Bahner, David P

    2011-07-01

    Simulation experiences have begun to replace traditional education models of teaching the skill of bad news delivery in medical education. The tiered apprenticeship model of medical education emphasizes experiential learning. Studies have described a lack of support in bad news delivery and inadequacy of training in this important clinical skill as well as poor familial comprehension and dissatisfaction on the part of physicians in training regarding the resident delivery of bad news. Many residency training programs lacked a formalized training curriculum in the delivery of bad news. Simulation teaching experiences may address these noted clinical deficits in the delivery of bad news to patients and their families. Unique experiences can be role-played with this educational technique to simulate perceived learner deficits. A variety of scenarios can be constructed within the framework of the simulation training method to address specific cultural and religious responses to bad news in the medical setting. Even potentially explosive and violent scenarios can be role-played in order to prepare physicians for these rare and difficult situations. While simulation experiences cannot supplant the model of positive, real-life clinical teaching in the delivery of bad news, simulation of clinical scenarios with scripting, self-reflection, and peer-to-peer feedback can be powerful educational tools. Simulation training can help to develop the skills needed to effectively and empathetically deliver bad news to patients and families in medical practice.

  14. Does emotional intelligence predict breaking bad news skills in pediatric interns? A pilot study.

    Science.gov (United States)

    Reed, Suzanne; Kassis, Karyn; Nagel, Rollin; Verbeck, Nicole; Mahan, John D; Shell, Richard

    2015-01-01

    While both patients and physicians identify communication of bad news as an area of great challenge, the factors underlying this often complex task remain largely unknown. Emotional intelligence (EI) has been positively correlated with good general communication skills and successful leadership, but there is no literature relating EI to the delivery of bad news. Our objectives were to determine: 1) performance of first-year pediatric residents in the delivery of bad news in a standardized patient (SP) setting; and 2) the role of EI in these assessments. Our hypothesis was that pediatric trainees with higher EI would demonstrate more advanced skills in this communication task. Forty first-year residents participated. Skill in bad news delivery was assessed via SP encounters using a previously published assessment tool (GRIEV_ING Death Notification Protocol). Residents completed the Emotional and Social Competency Inventory (ESCI) as a measure of EI. Residents scored poorly on bad news delivery skills but scored well on EI. Intraclass correlation coefficients indicated moderate to substantial inter-rater reliability among raters using the delivering bad news assessment tool. However, no correlation was found between bad news delivery performance and EI. We concluded that first-year pediatric residents have inadequate skills in the delivery of bad news. In addition, our data suggest that higher EI alone is not sufficient to effectively deliver death news and more robust skill training is necessary for residents to gain competence and acquire mastery in this important communication domain.

  15. 78 FR 35091 - Requested Administrative Waiver of the Coastwise Trade Laws: Vessel BAD INFLUENCE; Invitation for...

    Science.gov (United States)

    2013-06-11

    ... DEPARTMENT OF TRANSPORTATION Maritime Administration [Docket No. MARAD-2013 0072] Requested Administrative Waiver of the Coastwise Trade Laws: Vessel BAD INFLUENCE; Invitation for Public Comments AGENCY....gov . SUPPLEMENTARY INFORMATION: As described by the applicant the intended service of the vessel BAD...

  16. Reconsiderations: We Got the Wrong Gal--Rethinking the "Bad" Academic Writing of Judith Butler

    Science.gov (United States)

    Birkenstein, Cathy

    2010-01-01

    It is hard to think of a writer whose work has been more prominently upheld as an example of bad academic writing than the philosopher and literary theorist Judith Butler. In 1998, Butler was awarded first prize in the annual Bad Writing Contest established by the journal "Philosophy and Literature," and early in 1999, was lampooned in an…

  17. Public good provision and public bad prevention: The effect of framing.

    NARCIS (Netherlands)

    Sonnemans, J.; Schram, A.; Offermans, T.

    1998-01-01

    An experimental analysis of voluntary, binary contributions for step-level public goods/bads is presented. Alternatively, the situation is presented as the provision of a public good or the prevention of a public bad. From a strategic point of view, these presentations are equivalent. In early

  18. Cue-responding in a simulated bad news situation: exploring a stress hypothesis.

    NARCIS (Netherlands)

    Valck, C. de; Bruynooghe, R.; Bensing, J.; Kerssens, J.J.; Hulsman, R.L.

    2001-01-01

    The stress-coping paradigm of Folkman and Lazarus (1984) was applied to investigate if the communicative reactions of the physician in a bad news transaction are related to the stressfulness of the situation. A standardized video bad news consultation was presented to 88 medical students. To examine

  19. The prevalence of bad headaches including migraine in a multiethnic community.

    Science.gov (United States)

    Thomson, A N; White, G E; West, R

    1993-11-10

    Overall and ethnic specific prevalences of bad headache including migraine, for the New Zealand population, are unknown. A study was carried out in South Auckland to estimate prevalence and to explore ethnic differences in doctor attendance for the diagnosis and management of bad headaches. Telephone interviews were administered to respondents selected by random digit dialing of households. 40.6% of the respondents suffered from bad headaches. 54.5% of these had the characteristics of bad headache with features symptomatic of migraine. Trends in the prevalence of bad headache with features symptomatic of common migraine, peaked between the ages of 30-49 years in both men and women. A difference was seen in the prevalence of bad headache with aura, with or without common migraine features, when ethnic groups and gender were examined. The difference in prevalence of aura was particularly noticeable between Pacific Island men and women. Although there was no difference between ethnic groups in doctor attendance, headaches were more likely to be labelled as migraine in Europeans than in the Polynesian groups. Ways in which people perceive and report their bad headaches have a bearing on management by general practitioners. Although no overall ethnic predominance was seen, there was a gender difference amongst Pacific Island people in reporting bad headaches with aura. The labelling process, and thus the management by general practitioners does demonstrate likely ethnic differences.

  20. Does emotional intelligence predict breaking bad news skills in pediatric interns? A pilot study

    Directory of Open Access Journals (Sweden)

    Suzanne Reed

    2015-08-01

    Full Text Available Background: While both patients and physicians identify communication of bad news as an area of great challenge, the factors underlying this often complex task remain largely unknown. Emotional intelligence (EI has been positively correlated with good general communication skills and successful leadership, but there is no literature relating EI to the delivery of bad news. Purpose: Our objectives were to determine: 1 performance of first-year pediatric residents in the delivery of bad news in a standardized patient (SP setting; and 2 the role of EI in these assessments. Our hypothesis was that pediatric trainees with higher EI would demonstrate more advanced skills in this communication task. Methods: Forty first- year residents participated. Skill in bad news delivery was assessed via SP encounters using a previously published assessment tool (GRIEV_ING Death Notification Protocol. Residents completed the Emotional and Social Competency Inventory (ESCI as a measure of EI. Results: Residents scored poorly on bad news delivery skills but scored well on EI. Intraclass correlation coefficients indicated moderate to substantial inter-rater reliability among raters using the delivering bad news assessment tool. However, no correlation was found between bad news delivery performance and EI. Conclusions: We concluded that first-year pediatric residents have inadequate skills in the delivery of bad news. In addition, our data suggest that higher EI alone is not sufficient to effectively deliver death news and more robust skill training is necessary for residents to gain competence and acquire mastery in this important communication domain.

  1. Medical students' attitudes towards breaking bad news: an empirical test of the World Health Organization model.

    NARCIS (Netherlands)

    Valck, C. de; Bensing, J.; Bruynooghe, R.

    2001-01-01

    The literature regarding breaking bad news distinguishes three disclosure models: non-disclosure, full-disclosure and individualized disclosure. In this study, we investigated the relations between attitudes regarding disclosure of bad news and global professional attitudes regarding medical care in

  2. Cue-responding in a Simulated Bad News Situation: Exploring a Stress Hypothesis

    NARCIS (Netherlands)

    de Valck, C.; Bruynooghe, R.; Bensing, J. M.; Kerssens, J. J.; Hulsman, R. L.

    2001-01-01

    The stress-coping paradigm of Folkman and Lazarus (1984) was applied to investigate if the communicative reactions of the physician in a bad news transaction are related to the stressfulness of the situation. A standardized video bad news consultation was presented to 88 medical students. To examine

  3. Reducing patients' anxiety and uncertainty, and improving recall in bad news consultations

    NARCIS (Netherlands)

    Osch, M. van; Sep, M.; Vliet, L.M. van; Dulmen, S. van; Bensing, J.M.

    2014-01-01

    OBJECTIVE: Patients' recall of provided information during bad news consultations is poor. According to the attentional narrowing hypothesis, the emotional arousal caused by the bad news might be responsible for this hampered information processing. Because affective communication has proven to be

  4. Addressing Single and Multiple Bad Data in the Modern PMU-based Power System State Estimation

    DEFF Research Database (Denmark)

    Khazraj, Hesam; Silva, Filipe Miguel Faria da; Bak, Claus Leth

    2017-01-01

    utilization in state estimation can detect and identify single and multiple bad data in redundant and critical measurements. To validate simulations, IEEE 30 bus system are implemented in PowerFactory and Matlab is used to solve proposed state estimation using postprocessing of PMUs and mixed methods. Bad...

  5. Breaking Bad Habits: Teaching Effective PowerPoint Use to Working Graduate Students

    Science.gov (United States)

    Vik, Gretchen N.

    2004-01-01

    One interesting aspect of teaching students to use PowerPoint and similar graphics packages effectively is that graduate students who are already in the workforce often have bad presentation habits that they need to break. In this article, the author discusses ways of breaking these bad habits. Using storyboards is one way to keep students from…

  6. The visual arts influence in Nazi Germany

    Directory of Open Access Journals (Sweden)

    Bie Yanan

    2016-01-01

    Full Text Available This article will discuss the influence of visual art in Nazi Germany from two parts of visual arts, which are political photography and poster propaganda, analyzing the unique social and historical stage of Nazi Germany. And it emphasizes the ideology of the Nazis, which in Nazi Germany inflamed the political sentiment of the masses and took the visual art as their important instrument of political propaganda, while Nazi party used visual art on anti-society and war which is worth warning and criticizing for later generation.

  7. Eastern Germany Ahead in Employment of Women

    OpenAIRE

    Elke Holst; Anna Wieber

    2014-01-01

    Almost a quarter of a century after the fall of the Wall, there are still more women in employment in eastern Germany than in the west. Although the disparity is marginal now, the two regions started from dramatically different levels. In 1991, immediately after reunification, the employment rate for women in western Germany was 54.6 percent, but since then it has increased year on year, reaching 67.5 percent in 2012. In eastern Germany, female employment initially plummeted after the fall of...

  8. Farming for Health: Aspects from Germany

    OpenAIRE

    Neuberger, Konrad; Stephan, Ingrid; Hermanowski, Robert; Flake, Albrecht; Post, Franz-Joseph; van Elsen, Thomas

    2006-01-01

    Until now, the term ‘Farming for Health’ is unknown in Germany but it would cover a wide spectrum of different kinds of social agriculture already existing in Germany, such as farms that integrate disabled people or drug therapy into their farming system, or farms that integrate children, pupils or older people. Relevant work in Germany is done in ‘Sheltered Workshops’, where supporting and healing powers of farming and gardening are used for disabled people with a diversity of work possibili...

  9. Electricity prices differences between France and Germany

    International Nuclear Information System (INIS)

    Hensing, I.; Nolden, A.; Riechmann, Ch.; Schulz, W.

    1998-01-01

    High electricity prices in Germany especially as compared to France have played an important role in the electricity liberalization debate in Germany. The price differences can largely be explained by cost differences in electricity generation, the electricity grids, personnel cost and local taxes. Further analysis suggests that efficiency improvements upon market liberalization will only partly remove these price and cost differentials. Parts of the cost differentials are attributable to politically-motivated regulations and the (future) regulation of network functions. This implies that Germany can only expect to arrive at internationally comparable electricity prices if it advances with a reform of political and monopoly regulations alongside liberalizing electricity generation and trade. (author)

  10. A New Efficient Algorithm for the All Sorting Reversals Problem with No Bad Components.

    Science.gov (United States)

    Wang, Biing-Feng

    2016-01-01

    The problem of finding all reversals that take a permutation one step closer to a target permutation is called the all sorting reversals problem (the ASR problem). For this problem, Siepel had an O(n (3))-time algorithm. Most complications of his algorithm stem from some peculiar structures called bad components. Since bad components are very rare in both real and simulated data, it is practical to study the ASR problem with no bad components. For the ASR problem with no bad components, Swenson et al. gave an O (n(2))-time algorithm. Very recently, Swenson found that their algorithm does not always work. In this paper, a new algorithm is presented for the ASR problem with no bad components. The time complexity is O(n(2)) in the worst case and is linear in the size of input and output in practice.

  11. Numerical investigation for one bad-behaved flow in a Pelton turbine

    International Nuclear Information System (INIS)

    Wei, X Z; Yang, K; Wang, H J; Gong, R Z; Li, D Y

    2015-01-01

    The gas-liquid two-phase flow in pelton turbines is very complicated, there are many kinds of bad-behaved flow in pelton turbines. In this paper, CFD numerical simulation for the pelton turbine was conducted using VOF two-phase model. One kind of bad-behaved flow caused by the two jets was captured, and the bad-behaved flow was analysed by torque on buckets. It can be concluded that the angle between the two jets and the value of ratio of runner diameter and jet diameter are important parameters for the bad-behaved flow. Furthermore, the reason why the efficiency of some multi-jet type turbines is very low can be well explained by the analysis of bad-behaved flow. Finally, some suggestions for improvement were also provided in present paper

  12. Numerical investigation for one bad-behaved flow in a Pelton turbine

    Science.gov (United States)

    Wei, X. Z.; Yang, K.; Wang, H. J.; Gong, R. Z.; Li, D. Y.

    2015-01-01

    The gas-liquid two-phase flow in pelton turbines is very complicated, there are many kinds of bad-behaved flow in pelton turbines. In this paper, CFD numerical simulation for the pelton turbine was conducted using VOF two-phase model. One kind of bad-behaved flow caused by the two jets was captured, and the bad-behaved flow was analysed by torque on buckets. It can be concluded that the angle between the two jets and the value of ratio of runner diameter and jet diameter are important parameters for the bad-behaved flow. Furthermore, the reason why the efficiency of some multi-jet type turbines is very low can be well explained by the analysis of bad-behaved flow. Finally, some suggestions for improvement were also provided in present paper.

  13. EMAS declaration 2010 of the Federal Office for Environment Protection in Bad Elser and the updated EMAS declaration 2010 for the sites Dessau-Rosslau, Berlin-Bismarckplatz, Berlin-Marienfelde, Langen and the house 23 in Berlin-Dahlem; EMAS-Umwelterklaerung 2010 des Umweltbundesamtes in Bad Elster und aktualisierte EMAS-Umwelterklaerung 2010 fuer die UBA-Standorte Dessau-Rosslau, Berlin-Bismarckplatz, Berlin-Marienfelde, Langen und das Haus 23 in Berlin-Dahlem

    Energy Technology Data Exchange (ETDEWEB)

    Huckestein, Burkhard (comp.)

    2010-07-01

    Since the Federal Office for Environment Protection (Dessau-Rosslau, Federal Republic of Germany) introduced the EMAS regulation in 2001, the environmental management system continuously developed further. Since 2008, five locations fulfil the requirements of EMAS. The contribution under consideration combines the various activities according to the introduction of the EMAS regulation to Bad Elster (Federal Republic of Germany). The most important developments are described on the basis of key environmental indicators. The environmentally relevant goals and the planned measures are stated for this site. Besides this, this contribution contains the updated environmental explanation for the remaining five EMAS locations of the Federal Office for Environment Protection including the new developments of our environmental management system altogether as well as of updated environmental indicators.

  14. Bad data detection in two stage estimation using phasor measurements

    Science.gov (United States)

    Tarali, Aditya

    The ability of the Phasor Measurement Unit (PMU) to directly measure the system state, has led to steady increase in the use of PMU in the past decade. However, in spite of its high accuracy and the ability to measure the states directly, they cannot completely replace the conventional measurement units due to high cost. Hence it is necessary for the modern estimators to use both conventional and phasor measurements together. This thesis presents an alternative method to incorporate the new PMU measurements into the existing state estimator in a systematic manner such that no major modification is necessary to the existing algorithm. It is also shown that if PMUs are placed appropriately, the phasor measurements can be used to detect and identify the bad data associated with critical measurements by using this model, which cannot be detected by conventional state estimation algorithm. The developed model is tested on IEEE 14, IEEE 30 and IEEE 118 bus under various conditions.

  15. EXERCISE WITH BAD FAITH OF SUBJECTIVE CIVIL RIGHTS

    Directory of Open Access Journals (Sweden)

    NICOLAE GRADINARU

    2012-05-01

    Full Text Available The abuse of rights is qualified as civil offence and it may not be different from that of aquilian responsibility, the purpose of its sanction is to protect the victim and not to punish the author. In the Romanian legal doctrine, the abuse of rights was defined as “the exercise of a civil subjective right by breaching the principles of its exercise.” The Constitutional Court held that the person exercising in bad faith and abusively his/her subjective or procedural rights is punishable by appropriate penalties, such as: dismissal of his/her legal action, obligation to bear the costs, application of certain court fines, etc.

  16. Pluto behaving badly: false beliefs and their consequences.

    Science.gov (United States)

    Berkowitz, Shari R; Laney, Cara; Morris, Erin K; Garry, Maryanne; Loftus, Elizabeth F

    2008-01-01

    We exposed college students to suggestive materials in order to lead them to believe that, as children, they had a negative experience at Disneyland involving the Pluto character. A sizable minority of subjects developed a false belief or memory that Pluto had uncomfortably licked their ear. Suggestions about a positive experience with Pluto led to even greater acceptance of a lovable ear-licking episode. False beliefs and memories had repercussions; those seduced by the bad suggestions were not willing to pay as much for a Pluto souvenir. These findings are among the first to demonstrate that false beliefs can have repercussions for people, meaning that they can influence their later thoughts, beliefs, and behaviors.

  17. Of “Bad Behaviour” and “Dangerous Sex”

    DEFF Research Database (Denmark)

    Kolling, Marie; Schächter Rasmussen, Trine; Oxlund, Bjarke

    2017-01-01

    with these by assuming a moral high ground and becoming role models in their community. The article argues that the research participants draw on a binary moral discourse of good and bad behaviour in which sex is dangerous and should be avoided. From their accounts, it is clear that the message they have adopted...... of sexual abstinence demands a continuous effort on their part to avoid a whole range of temptations and pressures in their daily lives. Moreover, the findings presented in the article reveal that the threat of HIV/ AIDS is just one among many concerns. In the local context, burning issues pertaining to sex......, including issues of sexual assault, transactional sexual relations, early pregnancies and unwanted pregnancies, loomed large and were the primary concern of young people. The article reaches the conclusion that the HIV prevention project did not address these crucial issues, and that the abstinence message...

  18. Wrapping up the bad news – HIV assembly and release

    Directory of Open Access Journals (Sweden)

    Meng Bo

    2013-01-01

    Full Text Available Abstract The late Nobel Laureate Sir Peter Medawar once memorably described viruses as ‘bad news wrapped in protein’. Virus assembly in HIV is a remarkably well coordinated process in which the virus achieves extracellular budding using primarily intracellular budding machinery and also the unusual phenomenon of export from the cell of an RNA. Recruitment of the ESCRT system by HIV is one of the best documented examples of the comprehensive way in which a virus hijacks a normal cellular process. This review is a summary of our current understanding of the budding process of HIV, from genomic RNA capture through budding and on to viral maturation, but centering on the proteins of the ESCRT pathway and highlighting some recent advances in our understanding of the cellular components involved and the complex interplay between the Gag protein and the genomic RNA.

  19. Can't control yourself? Monitor those bad habits.

    Science.gov (United States)

    Quinn, Jeffrey M; Pascoe, Anthony; Wood, Wendy; Neal, David T

    2010-04-01

    What strategies can people use to control unwanted habits? Past work has focused on controlling other kinds of automatic impulses, especially temptations. The nature of habit cuing calls for certain self-control strategies. Because the slow-to-change memory trace of habits is not amenable to change or reinterpretation, successful habit control involves inhibiting the unwanted response when activated in memory. In support, two episode-sampling diary studies demonstrated that bad habits, unlike responses to temptations, were controlled most effectively through spontaneous use of vigilant monitoring (thinking "don't do it," watching carefully for slipups). No other strategy was useful in controlling strong habits, despite that stimulus control was effective at inhibiting responses to temptations. A subsequent experiment showed that vigilant monitoring aids habit control, not by changing the strength of the habit memory trace but by heightening inhibitory, cognitive control processes. The implications of these findings for behavior change interventions are discussed.

  20. Time perception: the bad news and the good

    Science.gov (United States)

    Matthews, William J; Meck, Warren H

    2014-01-01

    Time perception is fundamental and heavily researched, but the field faces a number of obstacles to theoretical progress. In this advanced review, we focus on three pieces of ‘bad news’ for time perception research: temporal perception is highly labile across changes in experimental context and task; there are pronounced individual differences not just in overall performance but in the use of different timing strategies and the effect of key variables; and laboratory studies typically bear little relation to timing in the ‘real world’. We describe recent examples of these issues and in each case offer some ‘good news’ by showing how new research is addressing these challenges to provide rich insights into the neural and information-processing bases of timing and time perception. PMID:25210578

  1. Simulated parents: developing paediatric trainees' skills in giving bad news.

    Science.gov (United States)

    Gough, Jenny K; Frydenberg, Alexis R; Donath, Susan K; Marks, Michael M

    2009-03-01

    In curriculum documents for medicine in undergraduate, post-graduate and continuing professional development, there is now a focus on communication skills. The challenges are to place communication skills in the crowded curriculum and then to construct and sustain a programme that uses an evidence-based approach to the teaching and learning of communication skills. For 6 years, we have conducted a programme that involves simulated parents supporting junior medical staff to refine their skills in communication, particularly in giving parents bad news. The aim of our study was to obtain a better understanding of the trainees' experiences of the programme. Nine junior residents individually worked through two scenarios and received feedback from the simulated parent. They gave bad news to a simulated parent/actor who then gave feedback. A recording of the simulation was provided for discussion with a designated colleague at an arranged time. The tapes were then separately appraised by two independent raters - another actor and a paediatrician. Brief written reports and conducted semi-structured interviews provided more insights into the trainees' experience of the simulation. Other participating medical/medical education staff were interviewed about the simulation programme. Five themes emerged from the qualitative data: timeliness, emotional safety, the complexity of communication, practical usefulness and the challenge of effecting change. In addition, the ratings of the videos helped to clarify those 'parent-centred' communication skills that trainees may neglect in difficult conversations: 'ask about support', 'encourage the parent to ask questions' and 'repeat key messages'. The evaluation highlighted the value of an early-career experiential programme to highlight the importance of communication skills in post-graduate paediatrics practice.

  2. Bad and Bid - potential background players in preneoplastic to neoplastic shift in human endometrium.

    Science.gov (United States)

    Driak, D; Dvorska, M; Bolehovska, P; Svandova, I; Novotny, J; Halaska, M

    2014-01-01

    The most common malignancies of the female genital tract are endometrial carcinomas, whose are generally proceeded by hyperplasia. The maintenance of tissue homeostasis is to great extent governed by apoptosis, whose defects can lead to the preneoplastic and/or cancerous changes. Endometrial apoptosis involves among others three groups of proteins of the Bcl-2 family. First group contains anti-apoptotic proteins (e. g. Bcl-2, Bcl-xL). The other two groups belong to the pro-apoptotic proteins with three (e. g. Bax, Bak) or one (e. g. Bad, Bid) so-called BH domains. Bad and Bid trigger the oligomerization of Bak and Bax protein, which permeabilize the outer mitochondrial wall. Unlike Bid, Bad cannot directly trigger apoptosis. Instead, Bad lowers the threshold at which apoptosis is induced, by binding anti-apoptotic Bcl-2 proteins. However, their mutual counterbalance or synergism in the human endometrium has not been reported yet.In this study, the levels of Bid and Bad were measured using SDS-PAGE and Western blotting with specific antibodies, with the aim to analyse expression of Bid and Bad proteins in normal (NE), hyperplastic (HE) and cancerous (CE) endometrium. We demonstrated that Bid expression in CE reached only 47% and 50% of this observed in NE and HE. Conversely, Bad expression in HE reached only 40% and 36% of this observed in NE and CE, respectively. We detected no significant changes of Bid expression between HE and NE, and levels of Bad protein were not different between CE and NE.Trend of Bid and Bad protein expression is clearly opposite in HE and CE. We hypothesise that disrupted apoptotic program in CE seems to be reduced further by lowering levels of direct apoptotic trigger protein Bid. We suggest that the adenocarcinoma tissue of human endometrium thus tries to strengthen its apoptotic effort by lowering the apoptotic threshold via higher Bad levels.

  3. Targeting proapoptotic protein BAD inhibits survival and self-renewal of cancer stem cells.

    Science.gov (United States)

    Sastry, K S R; Al-Muftah, M A; Li, Pu; Al-Kowari, M K; Wang, E; Ismail Chouchane, A; Kizhakayil, D; Kulik, G; Marincola, F M; Haoudi, A; Chouchane, L

    2014-12-01

    Emerging evidence suggests that the resistance of cancer stem cells (CSC) to many conventional therapies is one of the major limiting factors of cancer therapy efficacy. Identification of mechanisms responsible for survival and self-renewal of CSC will help design new therapeutic strategies that target and eliminate both differentiated cancer cells and CSC. Here we demonstrated the potential role of proapoptotic protein BAD in the biology of CSC in melanoma, prostate and breast cancers. We enriched CD44(+)/CD24(-) cells (CSC) by tumorosphere formation and purified this population by FACS. Both spheres and CSC exhibited increased potential for proliferation, migration, invasion, sphere formation, anchorage-independent growth, as well as upregulation of several stem cell-associated markers. We showed that the phosphorylation of BAD is essential for the survival of CSC. Conversely, ectopic expression of a phosphorylation-deficient mutant BAD induced apoptosis in CSC. This effect was enhanced by treatment with a BH3-mimetic, ABT-737. Both pharmacological agents that inhibit survival kinases and growth factors that are involved in drug resistance delivered their respective cytotoxic and protective effects by modulating the BAD phosphorylation in CSC. Furthermore, the frequency and self-renewal capacity of CSC was significantly reduced by knocking down the BAD expression. Consistent with our in vitro results, significant phosphorylation of BAD was found in CD44(+) CSC of 83% breast tumor specimens. In addition, we also identified a positive correlation between BAD expression and disease stage in prostate cancer, suggesting a role of BAD in tumor advancement. Our studies unveil the role of BAD in the survival and self-renewal of CSC and propose BAD not only as an attractive target for cancer therapy but also as a marker of tumor progression.

  4. Opportunities for smart meters in Germany

    International Nuclear Information System (INIS)

    Wolff, J.

    2010-10-01

    Germany has the ambitious goal of lowering its CO2 emission with 80 percent until 2050 as compared to 1990. Sustainable energy and the deployment of smart meters are starting to play increasingly important roles. [nl

  5. Wind power in Germany - a success story

    International Nuclear Information System (INIS)

    Weller, T.

    1996-01-01

    The successful introduction of wind power to the electric power industry in the Federal Republic of Germany is described using graphic representations to illustrate the industry's growth over the last twenty years. The history of the wind market is discussed, together with the importance of stakeholders as a way of funding the industry. The author concludes that public support for environmentally sensitive power generation was the key factor leading to the success of the wind power industry in Germany. (UK)

  6. Managing ageing workforces: Empirical evidence from Germany

    OpenAIRE

    Drew, H.

    2013-01-01

    Demographic change (ageing populations and falling birth rates) affects all industrialised nations, including Germany. Traditionally, the problems associated with managing numbers of older workers were mitigated by the Altersteilzeitgesetz in Germany. Under this law, firms were offered financial support by the government to offer early retirement (Müller-Camen et al. 2009). As these provisions came to an end in 2010, the need to find alternative solutions to displacing older workers, as well ...

  7. Climate protection policy. On Germany's pioneer role

    International Nuclear Information System (INIS)

    Kuebler, Knut

    2014-01-01

    After a downward trend of many years Germany's energy-related CO 2 emissions have risen again slightly over the past two years. This increase has prompted the federal government to initiate a new climate protection action campaign. After almost 30 years of experience in the field of climate protection policy there is every reason for Germany to be more consistent in using its political scope to act on the unrestrained increase in global greenhouse gas emissions.

  8. Housing Markets in Austria, Germany and Switzerland

    OpenAIRE

    Martin Schneider; Karin Wagner

    2015-01-01

    Running counter to the sharp rise in house prices and housing wealth observed since the mid- 1990s in the vast majority of European countries, real house prices in Germany and Austria were going down in this period and did not start to rise until 2010 or 2007, respectively. This reflects national idiosyncracies in housing markets and motivated the discussion of relevant peculiarities in, and similarities among, Austria and Germany as well as Switzerland. Among the most important structural fe...

  9. Maternal Employment and Childhood Overweight in Germany

    OpenAIRE

    Sophie-Charlotte Meyer

    2015-01-01

    A widespread finding among studies from the US and the UK is that maternal employment is correlated with an increased risk of child overweight, even in a causal manner, whereas studies from European countries obtain less conclusive results. As evidence for Germany is still scarce, the purpose of this study is to identify the effect of maternal employment on childhood overweight in Germany using two sets of representative micro data. Moreover, we explore potential underlying mechanisms that mi...

  10. Radioactive waste interim storage in Germany

    International Nuclear Information System (INIS)

    2015-12-01

    The short summary on the radioactive waste interim storage in Germany covers the following issues: importance of interim storage in the frame of radioactive waste management, responsibilities and regulations, waste forms, storage containers, transport of vitrified high-level radioactive wastes from the reprocessing plants, central interim storage facilities (Gorleben, Ahaus, Nord/Lubmin), local interim storage facilities at nuclear power plant sites, federal state collecting facilities, safety, radiation exposure in Germany.

  11. GERMANY & TURKEY – A PARTNERSHIP PERSPECTIVE

    Directory of Open Access Journals (Sweden)

    Bestenigar KARA

    2015-04-01

    Full Text Available The article shortly deals with economic and commercial relations between Turkey, that keeps close regulary economic, political and cultural relationship and Germany, which is one of six founding fathers of the European Union. The subject of article has been searched within the following framework: Measurement of commercial relations between export and import between, investment relations between Germany and Turkey, mutual distribution sector.

  12. Dental tourism from Switzerland to Germany.

    Science.gov (United States)

    Gheorghe, Raluca; Zürcher, Andrea; Filippi, Andreas

    In recent years the topic of dental tourism has increasingly come into focus of dentists and patients. In the present study an attempt was made to find out, why patients from a restricted region travel to Germany for dental care. In five German dental clinics located in the border area between Switzerland and Germany, 272 women and 236 men ranging in age from 5 to 94 years, who had undergone at least one dental treatment in Germany, were questioned concerning the reasons for their visits. The interviews took place within a period of 6 months and relied on a questionnaire to collect data regarding sociodemographic features and patient behavior. In comparison to residents of Germany, patients residing in Switzerland took on considerably longer travel distances for the dental visit, in some cases more than 50km (9.7%). For patients residing in Switzerland the technical equipment of the practice was more important (pSwitzerland (95.6%) confirmed that dental treatments in Germany were cheaper and that additional family members also came to Germany for dental care (65.0%).

  13. Germany, high-tech country

    International Nuclear Information System (INIS)

    Anon.

    1997-01-01

    The Nuclear Technology Conference organized annually by the Deutsches Atomforum (DAtF) e.V. and the Kerntechnische Gesellschaft (KTG) e.V. was held in Aachen on May 13-15, 1997. Approximately 1000 participants from seventeen countries met to exchange information with experts from industry, research, science, and politics. Unlike earlier events, this one was not disturbed by demonstrations. DAtF President Dr. Wilfried Steuer welcomed Joachim H. Witt, Chief Executive Officer of the city of Aachen, who expressed words of welcome on behalf of his city at the opening of the plenary day of the conference. Energy policy and global competition were the optics of the address by Dr. Norbert Lammert, Parliamentary Undersecretary of State with the German Federal Ministry of Economics. He advocated grasping the changes offered by expanding global markets by reforming the structures of the energy supply sector. The rank of nuclear power in European research policy was explained by Fabricio Caccia Dominioni as representative of the European Commission. The electricity utilities were represented by Dr. Dietmar Kuhnt, Chief Executive Officer of RWE AG, who spoke about the security of energy investments. A thoughtful analysis of Germany as an industrial location was presented by Professor Dr. Herbert Henzler of McKinsey and Company Inc. The President of the European Nuclear Society (ENS), Ger R. Kuepers, sketched the development of nuclear power in the Netherlands, combining national and European aspects and emphasizing, in particular, the important function of ENS. Uranium enrichment as an European project was subject of the report by Dr. Klaus Messer, Urenco Ltd. The General Manager of Tractabel Energy Engineering and Chairman of Belgatom, Guy Frederic, examined the economic viability of nuclear power, appealing to the audience to reduce capital costs by innovation without detracting from safety. (orig./DG) [de

  14. [Cochlear implant treatment in Germany].

    Science.gov (United States)

    Jacob, R; Stelzig, Y

    2013-01-01

    Restoration of impaired auditory function through cochlear implant is possible, with high reliably and great success. Nevertheless, there are regular disputes between patients and insurance companies due to high costs. In Germany, approx. 1.9 Mio. people are severely hearing impaired. It can be estimated that for adequate hearing rehabilitation about 30,000 cochlear implants/year are necessary. Currently, less than 10% of those affected are offered cochlear implant. A handicap is defined if there is deviation from normal hearing for more than 6 months. This sets a time frame for the supply with cochlear implant after sudden deafness. The professional code requires to advice all medical options to a person seeking help for hearing loss. This includes benefit-risk consideration. At this point, the economic aspect plays no role. The indication for medical treatment is only subject to the treating physician and should not be modified by non-physicians or organizations. It should be noted that a supply of hearing aids is qualitatively different to the help from a cochlear implant, which provides a restoration of lost function. In social law (SGB V and IX) doctors are requested to advise and recommend all measures which contribute to normal hearing (both sides). This indicates that doctors may be prosecuted for not offering help when medically possible, just because health insurance employees did not approve the cost balance. The current situation, with insufficient medical care for the hearing impaired, needs clarifying. To do this, patients, health insurance companies, the political institutions, legislation and professional societies need to accept their responsibilities.

  15. TUM Critical Zone Observatory, Germany

    Science.gov (United States)

    Völkel, Jörg; Eden, Marie

    2014-05-01

    Founded 2011 the TUM Critical Zone Observatory run by the Technische Universität München and partners abroad is the first CZO within Germany. TUM CZO is both, a scientific as well as an education project. It is a watershed based observatory, but moving behind this focus. In fact, two mountainous areas are integrated: (1) The Ammer Catchment area as an alpine and pre alpine research area in the northern limestone Alps and forelands south of Munich; (2) the Otter Creek Catchment in the Bavarian Forest with a crystalline setting (Granite, Gneiss) as a mid mountainous area near Regensburg; and partly the mountainous Bavarian Forest National Park. The Ammer Catchment is a high energy system as well as a sensitive climate system with past glacial elements. The lithology shows mostly carbonates from Tertiary and Mesozoic times (e.g. Flysch). Source-to-sink processes are characteristic for the Ammer Catchment down to the last glacial Ammer Lake as the regional erosion and deposition base. The consideration of distal depositional environments, the integration of upstream and downstream landscape effects are characteristic for the Ammer Catchment as well. Long term datasets exist in many regards. The Otter Creek catchment area is developed in a granitic environment, rich in saprolites. As a mid mountainous catchment the energy system is facing lower stage. Hence, it is ideal comparing both of them. Both TUM CZO Catchments: The selected catchments capture the depositional environment. Both catchment areas include historical impacts and rapid land use change. Crosscutting themes across both sites are inbuilt. Questions of ability to capture such gradients along climosequence, chronosequence, anthroposequence are essential.

  16. Atomic energy laws in Germany

    International Nuclear Information System (INIS)

    Lukes, R.H.P.

    1980-01-01

    The regulations of German atomic energy laws are based in large on the fundamental law of the Federal Republic of Germany-the constitution. Atomgesetz of 1959, as amended on October 31, 1976, constitutes the core of atomic energy laws (Atomrecht), and is supplemented by orders (Verordnungen). The Federal Republic has the right to legislate Atomrecht, and the enforcement of such laws and orders is entrusted to each province. The peaceful uses of radioactive materials are stipulated by Atomgesetz and orders. Atomgesetz seeks two objects, first it is to enable the handling of radioactive substances for the acquisition of energy, medical treatment, food treatment and the harmless examination of things by radioactive materials, and secondly to ensure the protection from danger in the handling of such materials. The control of radioactive materials by the state including imports and exports, storage and possession, disposal and processing, etc., is established by the law to secure the protection from danger of atomic energy. The particular indemnification responsibility for the harm due to radiation is defined in Atomgesetz, and only the owners (Inhaber) of atomic energy facilities are liable for damage. The violation of the regulations on the transaction of radioactive materials is punished by fines up to 100,000 German marks of imprisonment of less than five years. Orders are established on roentgen ray, the protection from radiation, the treatment of foods by electron beam, gamma ray, roentgen ray or ultraviolet ray and the permission of medicines. The regulations of the EURATOM treaty have legality as Atomrecht. (Okada, K.)

  17. Radioactive waste management in Germany

    International Nuclear Information System (INIS)

    Brammer, K.J.

    2011-01-01

    The responsibility for the disposal of radioactive waste is regulated in the Federal Republic of Germany in the Atomic Energy Act. Basically, it is the responsibility of the waste producers to carry out all necessary processing steps up to the delivery to a repository. The Federal Republic reserves the right to select, explore and operate the repository (§ 9a, para. 3 AtG). The costs of all necessary expenditures of this task are borne by the waste producers in accordance with § 21 AtG regulation. The waste quantity forecasts have shown that by the year 2080 a total volume of about 300,000 m3 of low- and intermediate-level (non-heat-generating) waste will be generated in research, industry, medicine and in the production of electricity in nuclear power plants. This waste is to be transported to the ‘Konrad repository’ which is under construction. The Federal Office for Radiation Protection (BfS), which is responsible for the construction and operation, intends to commission the repository at 2019. As a repository for heat-generating wastes, i. Approximately 10.000 tSM spent fuel (BE) 7,500 molds (HAW and MAW, corresponding to about 6000 tSM) returned Waste from reprocessing, the Gorleben salt dome has been explored since 1979. The works were resumed on 01.10.2010 after a 10-year break. Federal Environment Minister Röttgen has made it clear that the Federal Government has proposed a transparent procedure and a dialogue and participation procedure for open-ended exploration. (roessner)

  18. How bad were British prison hulks in the Napoleonic wars? : Evidence from captured Danish and Norwegian seamen

    NARCIS (Netherlands)

    Leunig, Tim; Lottum, van Jelle; Poulsen, Bo

    2016-01-01

    This article uses a novel data source to test whether British Napoleonic prison hulks were as bad as many claim, and whether they were perceived to be bad by seamen who risked ending up in them. We find that they were not so bad: death rates of imprisoned Danish and Norwegian seamen were low. We

  19. 26 CFR 301.6511(d)-1 - Overpayment of income tax on account of bad debts, worthless securities, etc.

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 18 2010-04-01 2010-04-01 false Overpayment of income tax on account of bad... bad debts, worthless securities, etc. (a)(1) If the claim for credit or refund relates to an... the deductibility of a bad debt under section 166 or section 832(c), or of a loss from the...

  20. The Digital Age of Mobile Cellular Network in Germany and China :Policies, Technologies and Markets (PartⅠ)

    Institute of Scientific and Technical Information of China (English)

    Mingtao Shi

    2009-01-01

    The German Postal Reform Ⅰ in 1989 introduced competition in the mobile cellular market. German cellular operators, DeTeMobil, Mannesmann, E-Plus and VIAG Interkom, built DI-, D2-, El- and E2-Netze based on GSM standards made in Europe. China Unicom was created in 1994 and China Telecom was separated from MPT in 1995. China Telecom and China Unicorn competed in a duopoly from the mid-1990s onwards and the cellular services provided by them also rely on GSM standards. China Telecom additionally deployed XLT technology (PHS) from the late 1990s onwards. While DeTeMobil and Mannesmarm conquered approximately 80%-90% of the market throughout the 1990s and were the two dominant market players in Germany, China's cellular market was mainly controlled by China Mobile. In Germany, prices related to cellular technology continued the downwards trend as a major result of the process of deregulation, liberalisation and competition. In China, price wars bad led to significant price reductions in the cellular market. Although network operators in both countries strived to deliver differentiated cellular Services, the two national markets in the 1990s were visibly shaped by product homogeneity.

  1. Flood of July 2016 in northern Wisconsin and the Bad River Reservation

    Science.gov (United States)

    Fitzpatrick, Faith A.; Dantoin, Eric D.; Tillison, Naomi; Watson, Kara M.; Waschbusch, Robert J.; Blount, James D.

    2017-06-06

    Heavy rain fell across northern Wisconsin and the Bad River Reservation on July 11, 2016, as a result of several rounds of thunderstorms. The storms caused major flooding in the Bad River Basin and nearby tributaries along the south shore of Lake Superior. Rainfall totals were 8–10 inches or more and most of the rain fell in an 8-hour period. A streamgage on the Bad River near Odanah, Wisconsin, rose from 300 cubic feet per second to a record peak streamflow of 40,000 cubic feet per second in only 15 hours. Following the storms and through September 2016, personnel from the U.S. Geological Survey and Bad River Tribe Natural Resources Department recovered and documented 108 high-water marks near the Bad River Reservation. Many of these high-water marks were used to create three flood-inundation maps for the Bad River, Beartrap Creek, and Denomie Creek for the Bad River Reservation in the vicinity of the community of Odanah.

  2. Breaking Bad News: An Evidence-Based Review of Communication Models for Oncology Nurses.

    Science.gov (United States)

    Bumb, Meridith; Keefe, Joanna; Miller, Lindsay; Overcash, Janine

    2017-10-01

    A diagnosis of cancer is a stressful, difficult, and life-altering event. Breaking bad news is distressing to patients and families and is often uncomfortable for the nurse delivering it. Evidence-based communication models have been developed and adapted for use in clinical practice to assist nurses with breaking bad news.

. The purpose of this article is to provide an overview on breaking bad news and to review the utility of the SPIKES and PEWTER evidence-based communication models for oncology nurses.
. Perceptions of breaking bad news from the nurse and patient perspectives, as well as barriers and consequences to effective communication, will be presented. Clinical examples of possible situations of breaking bad news will demonstrate how to use the SPIKES and PEWTER models of communication when disclosing bad news to patients and their families.
. By using the evidence-based communication strategies depicted in this article, oncology nurses can support the delivery of bad news and maintain communication with their patients and their patients' families in an effective and productive manner.

  3. Nurses' perspectives on breaking bad news to patients and their families: a qualitative content analysis.

    Science.gov (United States)

    Abbaszadeh, Abbas; Ehsani, Seyyedeh Roghayeh; Begjani, Jamal; Kaji, Mohammad Akbari; Dopolani, Fatemeh Nemati; Nejati, Amir; Mohammadnejad, Esmaeil

    2014-01-01

    Breaking bad news is quite often not done in an effective manner in clinical settings due to the medical staff lacking the skills necessary for speaking to patients and their families. Bad news is faced with similar reactions on the part of the news receiver in all cultures and nations. The purpose of this study was to explore the perspectives of Iranian nurses on breaking bad news to patients and their families. In this research, a qualitative approach was adopted. In-depth and semi-structured interviews were conducted with 19 nurses who had at least one year work experience in the ward, and content analysis was performed to analyze the data. Five major categories emerged from data analysis, including effective communication with patients and their families, preparing the ground for delivering bad news, minimizing the negativity associated with the disease, passing the duty to physicians, and helping patients and their families make logical treatment decisions. The results of this study show that according to the participants, it is the physicians' duty to give bad news, but nurses play an important role in delivering bad news to patients and their companions and should therefore be trained in clinical and communicative skills to be able to give bad news in an appropriate and effective manner.

  4. Use of interactive theater and role play to develop medical students' skills in breaking bad news.

    Science.gov (United States)

    Skye, Eric P; Wagenschutz, Heather; Steiger, Jeffrey A; Kumagai, Arno K

    2014-12-01

    Creative arts have been increasingly implemented in medical education. This study investigated the use of interactive theater and role play with professional actors in teaching breaking bad news to medical students. The objectives were to explore the contexts, approaches, experiences, and reactions in giving and receiving bad news. Second-year medical students participated in a required educational session that utilized interactive theater which helps students learn about the issues of breaking bad news to a patient with cancer. Following the interactive theater piece, professional actors provided students role play experiences in small groups with breaking bad news. Anonymous evaluation surveys were given out to all second-year medical students at the conclusion of the breaking bad news session. Surveys contained quantitative and qualitative responses. Three years of evaluations were analyzed. A total of 451 (88 %) students completed the evaluations. Comments were thematically analyzed. Ninety-four percent agreed that the theater piece prompted reflection on patient-provider communications, and 89 % agreed that it stimulated discussion on complex issues with breaking bad news. The two most common themes in student comments concerned the importance of realism in the theater piece, and the value of experiencing multiple perspectives. Use of professional actors during the role play exercises enhances the realism and pushed the students out of their own "comfort zones" in ways that may more closely approximate real life clinical situations. Interactive theater can be a potentially powerful tool to teach breaking bad news during medical school.

  5. Involvement of the Ventrolateral Prefrontal Cortex in Learning Others' Bad Reputations and Indelible Distrust.

    Science.gov (United States)

    Suzuki, Atsunobu; Ito, Yuichi; Kiyama, Sachiko; Kunimi, Mitsunobu; Ohira, Hideki; Kawaguchi, Jun; Tanabe, Hiroki C; Nakai, Toshiharu

    2016-01-01

    A bad reputation can persistently affect judgments of an individual even when it turns out to be invalid and ought to be disregarded. Such indelible distrust may reflect that the negative evaluation elicited by a bad reputation transfers to a person. Consequently, the person him/herself may come to activate this negative evaluation irrespective of the accuracy of the reputation. If this theoretical model is correct, an evaluation-related brain region will be activated when witnessing a person whose bad reputation one has learned about, regardless of whether the reputation is deemed valid or not. Here, we tested this neural hypothesis with functional magnetic resonance imaging (fMRI). Participants memorized faces paired with either a good or a bad reputation. Next, they viewed the faces alone and inferred whether each person was likely to cooperate, first while retrieving the reputations, and then while trying to disregard them as false. A region of the left ventrolateral prefrontal cortex (vlPFC), which may be involved in negative evaluation, was activated by faces previously paired with bad reputations, irrespective of whether participants attempted to retrieve or disregard these reputations. Furthermore, participants showing greater activity of the left ventrolateral prefrontal region in response to the faces with bad reputations were more likely to infer that these individuals would not cooperate. Thus, once associated with a bad reputation, a person may elicit evaluation-related brain responses on their own, thereby evoking distrust independently of their reputation.

  6. The impact of delivery style on doctors' experience of stress during simulated bad news consultations.

    Science.gov (United States)

    Shaw, Joanne; Brown, Rhonda; Dunn, Stewart

    2015-10-01

    The purpose of this study was to investigate the relationship between doctors' bad news delivery style and their experience of physiological stress during simulated bad news consultations. 31 doctors participated in two simulated breaking bad news (BBN) consultations. Delivery style was categorized as either blunt, forecasting or stalling (i.e. avoidant), based on the time to deliver the bad news and qualitative analysis of the interaction content and doctor's language style. Doctors' heart rate (HR) and skin conductance (SC) were recorded in consecutive 30s epochs. Doctors experienced a significant decrease in HR (F(1,36)=44.9, p.05) or SC (F(2,48)=.66, p>.05). Doctors experience heightened stress in the pre-news delivery phase of breaking bad news interactions. Delaying the delivery of bad news exposes doctors to a longer period of increased stress.This suggests that medical students and doctors should be taught to deliver bad news without delay, to help mitigate their response to this stressful encounter. Copyright © 2015. Published by Elsevier Ireland Ltd.

  7. The difficulties experienced by nurses and healthcare staff involved in the process of breaking bad news.

    Science.gov (United States)

    Warnock, Clare; Buchanan, Jean; Tod, Angela Mary

    2017-07-01

    The aim of this study was to explore the difficulties experienced by nurses and healthcare professionals when engaging in the process of breaking bad news. The challenges faced by staff when breaking bad news have previously been researched in relation to particular settings or participants. This study involved staff from diverse settings and roles to develop broader insights into the range of difficulties experienced in clinical practice. The study used a descriptive survey design involving self-reported written accounts and framework analysis. Data were collected using a structured questionnaire containing a free text section that asked participants to describe a difficult experience they had encountered when involved in the process of breaking bad news. Data were collected from healthcare staff from hospital, community, hospice and care home settings attending training days on breaking bad news between April 2011 and April 2014. Multiple inter-related factors presented challenges to staff engaging in activities associated with breaking bad news. Traditional subjects such as diagnostic and treatment information were described but additional topics were identified such as the impact of illness and care at the end of life. A descriptive framework was developed that summarizes the factors that contribute to creating difficult experiences for staff when breaking bad news. The framework provides insights into the scope of the challenges faced by staff when they engage in the process of breaking bad news. This provides the foundation for developing interventions to support staff that more closely matches their experiences in clinical practice. © 2017 John Wiley & Sons Ltd.

  8. Good days and bad days in dementia: a qualitative chart review of variable symptom expression.

    Science.gov (United States)

    Rockwood, Kenneth; Fay, Sherri; Hamilton, Laura; Ross, Elyse; Moorhouse, Paige

    2014-08-01

    Despite its importance in the lived experience of dementia, symptom fluctuation has been little studied outside Lewy body dementia. We aimed to characterize symptom fluctuation in patients with Alzheimer's disease (AD) and mixed dementia. A qualitative analysis of health records that included notations on good days and bad days yielded 52 community-dwelling patients (women, n = 30; aged 39-91 years; mild dementia, n = 26, chiefly AD, n = 36). Good days/bad days were most often described as changes in the same core set of symptoms (e.g. less/more verbal repetition). In other cases, only good or only bad days were described (e.g., no bad days, better sense of humor on good days). Good days were typically associated with improved global cognition, function, interest, and initiation. Bad days were associated with frequent verbal repetition, poor memory, increased agitation and other disruptive behaviors. Clinically important variability in symptoms appears common in AD and mixed dementia. Even so, what makes a day "good" is not simply more (or less) of what makes a day "bad". Further investigation of the factors that facilitate or encourage good days and mitigate bad days may help improve quality of life for patients and caregivers.

  9. How bad is bile acid diarrhoea: an online survey of patient-reported symptoms and outcomes.

    Science.gov (United States)

    Bannaga, Ayman; Kelman, Lawrence; O'Connor, Michelle; Pitchford, Claire; Walters, Julian R F; Arasaradnam, Ramesh P

    2017-01-01

    Bile acid diarrhoea (BAD) is an underdiagnosed condition producing diarrhoea, urgency and fear of faecal incontinence. How patients experience these symptoms has not previously been studied. Bile Acid Malabsorption (BAM) Support UK was established in 2015 as a national charity with objectives including to provide details regarding how BAD affects patients, to improve earlier recognition and clinical management. A questionnaire was collected anonymously by BAM Support UK and the Bile Salt Malabsorption Facebook group over 4 weeks at the end of 2015. It comprised 56 questions and aimed to inform patients and clinicians about how BAD affects the respondents. The first 100 responses were analysed. 91% of the respondents reported a diagnosis of BAD. 58% of total respondents diagnosed following a Selenium-homocholic acid taurine scan, 69% were diagnosed by a gastroenterologist, with type 2 and 3 BAD comprising 38% and 37%, respectively, of total respondents. Symptoms had been experienced for more than 5 years before diagnosis in 44% of respondents. Following treatment, usually with bile acid sequestrants, 60% of participants reported improvement of diarrhoea and most reported their mental health has been positively impacted. Just over half of the cohort felt as though their symptoms had been dismissed during clinical consultations and 28% felt their GPs were unaware of BAD. BAD requires more recognition by clinicians to address the current delays in diagnosis. Treatment improves physical and mental symptoms in the majority of participants.

  10. Collective bads: The case of low-level radioactive waste compacts

    International Nuclear Information System (INIS)

    McGinnis, M.V.

    1994-01-01

    In low-level radioactive waste (LLW) compact development, policy gridlock and intergovernmental conflict between states has been the norm. In addition to the not-in-my-backyard (NIMBY) phenomenon, LLW compacts must content with myriad political and ethical dilemmas endemic to a particular collective bad. This paper characterizes the epistemology of collective bads, and reviews how LLW compacts deal with such bads. In addition, using data from survey questionnaires and interviews, this paper assesses the cooperative nature of LLW compacts in terms of their levels of regional autonomy, regional efficacy, allocation of costs and benefits, and their technocentric orientation

  11. Legal Drugs Are Good Drugs And Illegal Drugs Are Bad Drugs

    Directory of Open Access Journals (Sweden)

    Dina Indrati

    2011-07-01

    Full Text Available ABSTRACT : Labelling drugs are important issue nowadays in a modern society. Although it is generally believed that legal drugs are good drugs and illegal drugs are bad drugs, it is evident that some people do not aware about the side effects of drugs used. Therefore, a key contention of this philosophical essay is that explores harms minimisation policy, discuss whether legal drugs are good drugs and illegal drugs are bad drugs and explores relation of drugs misuse in a psychiatric nursing setting and dual diagnosis.Key words: Legal, good drugs, illegal, bad drugs.

  12. Germany. A pioneer on earthen feet?

    International Nuclear Information System (INIS)

    Michaelowa, A.

    2003-01-01

    Germany is one of the two OECD countries having achieved substantial greenhouse gas reductions in the last decade. While a part was large reductions in industry after the economic crash in East Germany, a relevant share is due to the huge public infrastructure investments in East Germany. The real success of German climate policy in the past decade is the strong reduction of methane and nitrous oxide which has been almost unnoticed. German climate policy is a good example of how lobbying of interest groups leads to a complex maze of hundreds of measures whose effects are difficult to evaluate. Paradoxically, policies have focused on expensive measures and Germany clearly is a pioneer in the most expensive forms of renewable energy. Concerning cost-effective measures and market instruments, Germany is a laggard. Only slowly, policymakers start to notice this distortion and first, shaky steps towards a more cost-efficient policy are made. Several challenges such as nuclear phase-out and trends in household energy consumption will put pressure on government to embrace the Kyoto Mechanisms and to refocus domestic instruments well before the first commitment period

  13. Bad traffic, bad air

    OpenAIRE

    Duca, Edward

    2012-01-01

    Air pollution is one of Malta’s greatest concerns. Transportation is the principal source with over 300,000 vehicles belching out smoke, which damages our environment and health. Emissions from vehicles need to be monitored and controlled, and the information used to improve the current system and ensure an acceptable air quality. By using the pollution data set, Nicolette Formosa (supervised by Dr Kenneth Scerri) mapped the air pollution levels and major sources around Malta. http://www....

  14. Does high antibiotic consumption still reflect bad practices?

    Science.gov (United States)

    Levent, T; Delfosse, F; Lambiotte, F; Dezorzi, S; Gosteau, L; Vasseur, M

    2012-07-01

    The authors had for aim to assess the quality of antibiotic prescription in an intensive care unit because of their high rate of consumption. A prospective 5-month study was made of the first 50 prescriptions of ciprofloxacin, levofloxacin, teicoplanin, vancomycin, and imipenem. Treatment was considered adequate at day 5 if the indication was relevant, with the right doses, and if the prescription was adapted to the antibiogram. Fifty treatments were evaluated (38 patients included). Eighty-four percent (42/50) was adequate at day 5. Glycopeptides and fluoroquinolones accounted for 2/3 of prescriptions. The absence of de-escalation was the most common mistake. The severity of presentations was evident with a mean SSI at 68 (22-113), and a mean BMI at 28 (18.5 - 50). Eighty-four percent (32/38) of patients were exposed to invasive devices, 47% died in the ICU. Most prescriptions were adequate. The patient profile could explain the high rate of antibiotic consumption. Bacteriological monitoring revealed an increased prevalence of resistant bacteria, which could explain a high rate of consumption along with adaptation of the dose to overweight. De-escalation, using aminosides more frequently, and shorter prescribed courses of fluoroquinolones should improve consumption rates does not always reflect bad practices, but may be adequate when considering bacterial ecology and patient profile. Copyright © 2012 Elsevier Masson SAS. All rights reserved.

  15. Recombination: the good, the bad and the variable.

    Science.gov (United States)

    Stapley, Jessica; Feulner, Philine G D; Johnston, Susan E; Santure, Anna W; Smadja, Carole M

    2017-12-19

    Recombination, the process by which DNA strands are broken and repaired, producing new combinations of alleles, occurs in nearly all multicellular organisms and has important implications for many evolutionary processes. The effects of recombination can be good , as it can facilitate adaptation, but also bad when it breaks apart beneficial combinations of alleles, and recombination is highly variable between taxa, species, individuals and across the genome. Understanding how and why recombination rate varies is a major challenge in biology. Most theoretical and empirical work has been devoted to understanding the role of recombination in the evolution of sex-comparing between sexual and asexual species or populations. How recombination rate evolves and what impact this has on evolutionary processes within sexually reproducing organisms has received much less attention. This Theme Issue focusses on how and why recombination rate varies in sexual species, and aims to coalesce knowledge of the molecular mechanisms governing recombination with our understanding of the evolutionary processes driving variation in recombination within and between species. By integrating these fields, we can identify important knowledge gaps and areas for future research, and pave the way for a more comprehensive understanding of how and why recombination rate varies. © 2017 The Authors.

  16. Medical students' reflections on emotions concerning breaking bad news.

    Science.gov (United States)

    Toivonen, Asta Kristiina; Lindblom-Ylänne, Sari; Louhiala, Pekka; Pyörälä, Eeva

    2017-10-01

    To gain a deeper understanding of fourth year medical students' reflections on emotions in the context of breaking bad news (BBN). During the years 2010-2012, students reflected on their emotions concerning BBN in a learning assignment at the end of the communications skills course. The students were asked to write a description of how they felt about a BBN case. The reflections were analysed using qualitative content analysis. 351 students agreed to participate in the study. We recognized ten categories in students' reflections namely empathy, insecurity, anxiety, sadness, ambivalence, guilt, hope, frustration, gratefulness and emotional detachment. Most students expressed empathy, but there was a clear tension between feeling empathy and retaining professional distance by emotional detachment. Students experience strong and perplexing emotions during their studies, especially in challenging situations. A deeper understanding of students' emotions is valuable for supporting students' professional development and coping in their work in the future. Medical students need opportunities to reflect on emotional experiences during their education to find strategies for coping with them. Emotions should be actively discussed in studies where the issues of BBN are addressed. Teachers need education in attending emotional issues constructively. Copyright © 2017 Elsevier B.V. All rights reserved.

  17. [Bad breath--etiological, diagnostic and therapeutic problems].

    Science.gov (United States)

    Reiss, M; Reiss, G

    2000-01-01

    Oral malodor has many etiologies and is a clinical problem for many people. This paper reviews the causes and management of oral malador. In the majority of cases the problem has been shown to originate in the oral cavity. Oral malodor, a generic descriptor term for foul smells emanating from the mouth, encompasses ozostomia, stomatodysodia, halitosis (both pathological halitosis and physiological halitosis) and fetor oris or fetor ex ore. These latter terms, in turn, denote different sources of oral malodor. All conditions that favour the retention of anaerobic, mainly gram-negative, bacteria will predispose for the development of bad breath. In addition to periodontal pockets, the most important retention site is the dorsum of the tongue with its numerous papillae. During the night and between meals the conditions are optimal for odour production. Systemic pathological states, such as diabetes mellitus, uremia and hepatic diseases, induce metabolic products that are detectable as oral smells. It is always easy to recognize halitosis, but identifying the exact cause is more complex. The clinical labelling and interpretation of different oral malodors both contribute to the diagnosis and treatment of underlying disease. Treatment is directed at the underlying cause.

  18. Breaking Bad News: Can We Get It Right?

    Directory of Open Access Journals (Sweden)

    Kurer MA

    2008-01-01

    Full Text Available The health service involves a spectrum of personnel working together towards achieving a common goal, namely the delivery of high quality health care. This involves a large volume of communication between members of staff and patients and their relatives. Doctors are trained to deal with various clinical situations but receive little or no training in communication skills and therefore their communication skills are predominantly instinctive. Patients and their relatives are understandably anxious and vulnerable and it is not surprising that things can go wrong if effective communication is not practiced. Although most doctors communicate effectively, there is increasing evidence that a large number of patients remain unhappy with the amount of information given and the manner of its delivery [1]. Maguire and colleagues found that when doctors use communication skills effectively, both they and their patients benefit [2]. Furthermore, ineffective communication is an important source of complaints and litigations. In a recent Japanese study 81% of litigation involved insufficient or incorrect explanations by the physician [3]. Moreover, in 26% of cases poorly delivered information was found to be the reason that prompted individuals to file a malpractice claim [4]. This article looks into a specific area of communication between doctors, on the one hand, and patients and their relatives on the other; namely “breaking bad news”. It highlights the importance of equipping doctors to effectively communicate with patients and their relatives.

  19. Seroprevalence of toxoplasmosis in antenatal women with bad obstetric history.

    Science.gov (United States)

    Chintapalli, Suryamani; Padmaja, I Jyothi

    2013-01-01

    The occurrence of fetal death is one of the tragedies that confront the physician providing obstetric care. Among the various agents associated with infections of pregnancy, viruses are the most important followed by bacteria and protozoa. Among protozoal infections in pregnancy, toxoplasmosis is reported to have a high incidence, sometimes causing fetal death. The study was intended to observe the seroprevalence of Toxoplasmosis in pregnant women presenting with bad obstetric history (BOH). A total of 92 antenatal women were included in the study (80 in the study group and 12 in control group). The study group comprised of antenatal women with BOH in the age group of 20-35 years. Antenatal women with Rh incompatibility, pregnancy induced hypertension, diabetes mellitus, renal disorders and syphilis were not included in the study. The control group included women in reproductive age group without BOH. All the samples were screened by enzyme linked immuno sorbent assay (ELISA) for Toxoplasma specific Immunoglobulin M (IgM) and Immunoglobulin G (IgG) antibodies. Of the 80 antenatal women in the study group, 36 (45%) were seropositive for Toxoplasma specific IgG antibodies (P habits, illiteracy, socio-economic status and residential status were also studied. We conclude that toxoplasmosis during pregnancy causes congenital fetal infection with possible fetal loss. ELISA was found to be a sensitive serological test for diagnosis of Toxoplasmosis in pregnant women with BOH. Major cause of fetal loss in BOH cases in the study group was abortion.

  20. Does iris(in) bring bad news or good news?

    Science.gov (United States)

    Buscemi, Silvio; Corleo, Davide; Buscemi, Carola; Giordano, Carla

    2017-09-20

    Irisin, a novel myokine produced in response to physical activity, promotes white-to-brown fat transdifferentiation. The name irisin referred to the ancient Greek goddess Iris, the messenger who delivered (bad) news from the gods. In mice, it has been demonstrated that irisin plays a key role in metabolic regulation, energy expenditure and glucose homeostasis. New findings from various studies carried out in both animals and humans suggest that irisin might also have other favorable effects, such as increasing bone cortical mass, preventing hepatic lipid accumulation, and improving cognitive functions, thus mediating many exercise-induced health benefits. However, data on the role and function of irisin in humans have prompted controversy, due mostly to the only recent confirmation of the presence of irisin in humans. Another strong limitation to the understanding of irisin mechanisms of action is the lack of knowledge about its receptor, which until now remains unidentified in humans and in animals. This review presents an overall analysis of the history of irisin, its expression, and its involvement in health, especially in humans. Level of Evidence Level V, review.

  1. Relationships between oncohematopediatrics, mothers and children in communicating bad news.

    Science.gov (United States)

    Afonso, Selene Beviláqua Chaves; Minayo, Maria Cecília de Souza

    2017-01-01

    We present a study about the relations between pediatric oncological haematologists, mothers, and children in sharing bad news (BN) in a public hospital in Rio de Janeiro. The text emphasizes the intertwining of technique and emotions for the treatment of children with diagnoses in which the fatal outcome is always a probability. We used a qualitative approach, privileging participant observation and open interviews with oncologists (at this service all professionals were female) and mothers. We sought to understand the importance of communication which includes expressions and control of emotions; bioethical issues that require sensitivity, serenity, and truth about approaching the end of life; and how the professionals balance proximity to children and families and objectivity in their activity. The main results showed: intense exchanges on BN among professionals; relapse of children who were evolving positively as the most difficult news; constant update of BN facing terminally ill children; quality of communication influencing the treatment; professionals permanently balancing between closeness and distance from patients and evidence of the their irreplaceable role to secure the family and the child.

  2. Siim Nestor soovitab : HUH : energiaöö. Bad Apples / Siim Nestor

    Index Scriptorium Estoniae

    Nestor, Siim, 1974-

    2006-01-01

    Festivali "Hea Uus Heli" hooaja lõpetamisest 15. dets. Von Krahlis Tallinnas. Ansambli Bad Apples heliplaadi "When Colours Become Day and Night" esitlusest 19. dets. Tallinnas teatri NO99 majas Jazziklubis

  3. [Breaking bad news in the emergency room: Suggestions and future challenges].

    Science.gov (United States)

    Landa-Ramírez, Edgar; López-Gómez, Antonio; Jiménez-Escobar, Irma; Sánchez-Sosa, Juan José

    2017-01-01

    The aim of this paper is to describe educational programs that reportedly teach how to break bad news in the emergency department. We also suggest some recommendations on how to communicate bad news based on the research of evidence available in the field. The examined evidence points toward six major components with which physicians should familiarize when communicating bad news: 1) doctor-patient empathic communication, 2) establishing a proper space to give the news, 3) identifying characteristics of the person who receives the news, 4) essential aspects for communicating the news; 5) emotional support, and 6) medical and administrative aspects of the encounter. Finally, we point out several limitations in the studies in the field and future challenges identified in the communication of bad news in emergency room facilities.

  4. LESSONS FROM THE IMPACT OF INTERNAL AND MACROECONOMIC DETERMINANTS OF BAD LOANS IN CEE BANKS

    Directory of Open Access Journals (Sweden)

    Bogdan Florin FILIP

    2017-12-01

    Full Text Available The paper aims identifying and analysing the determinants of bad loans in the banks from Central and Eastern Europe, while their accumulation may lead to malfunctions on macroeconomic level. Analysing 38 of the most representative banks in the region during 2004-2013, we found significant positive linkages of bad loans ratio with cost to income ratio, unemployment and crisis, but also significant negative linkages with bank size, activity mix, bank risk taking behaviour, real GDP growth and inflation. Moreover, using Panel Least Squares Fixed Effects Method, we found that the main determinants of bad loans ratio increase are bank size, crisis, unemployment and cost to income ratio. Contrary, activity mix, bank risk taking behaviour, real GDP growth and inflation proved to act against bad loans accumulation. The results offer important lessons which may be useful in the future both for the banks and also for the governments from this region.

  5. Provisions for containment venting in Germany

    International Nuclear Information System (INIS)

    Wilhelm, J.G.

    1997-01-01

    In this short paper an overlook is given of the systems developed in Germany for filtered containment venting and their implementation in nuclear power plants. More information on the development can be found in the Proceedings of the DOE/NRC Aircleaning Conferences. In Germany, 28.8 % of the electric energy is produced by 19 nuclear power reactors. No new power reactor is expected to be built at least within the next ten years, but France and Germany cooperate in the development of a future European Power Reactor (ERP). This reactor type will be fitted with a core catcher and passive cooling in order to avoid serious consequences of a hypothetical core meltdown accident so that provisions for containment venting are not required. 3 refs., 6 figs., 1 tab

  6. Emission reduction program in the unified Germany

    International Nuclear Information System (INIS)

    Kehr, M.; Emsperger, W.; Termuehlen, H.

    1992-01-01

    High population density and intense industrialization in both parts of Germany resulted in high specific power demands. The domestic availability of hard coal and lignite made coal-fired power plants the backbone of power generation in all of Germany. The unification of Germany has brought together two power generation systems with similar basic needs and concepts. However, forty years existence within different economic systems has resulted in a quite different status in regard to installed generating capacity, availability of various fuels and environmental standards. To bridge the existing gap in a relatively short time is a huge challenge for the utilities, the power generation and distribution industry as well as for the federal and state authorities

  7. AREVA Germany. International competence in nuclear technology

    International Nuclear Information System (INIS)

    Graeber, Ulrich

    2011-01-01

    AREVA NP was created in 2001 by the merger of the French nuclear technology specialist Framatome with the nuclear sector of Siemens. The company is headquartered in Paris and has regional subsidiaries in Germany and the United States. The joint venture's strength lies in its all-round competence in nuclear power plants, from reactor development to power plant services and modernization of operating plants, design and production of fuel assemblies and turn-key construction of nuclear power reactors. Major core competences are located in Germany including the test facilities which are unique in the entire group as well as electrical engineering and instrumentation and control systems. AREVA NP is part of the globally acting AREVA group which pursues a unique integrated business model. The concept covers the entire nuclear fuel cycle from uranium mining to reprocessing used fuel assemblies. At present, AREVA has 48,000 employees worldwide, of which 5,700 are Germany-based. (orig.)

  8. Provisions for containment venting in Germany

    Energy Technology Data Exchange (ETDEWEB)

    Wilhelm, J.G.

    1997-08-01

    In this short paper an overlook is given of the systems developed in Germany for filtered containment venting and their implementation in nuclear power plants. More information on the development can be found in the Proceedings of the DOE/NRC Aircleaning Conferences. In Germany, 28.8 % of the electric energy is produced by 19 nuclear power reactors. No new power reactor is expected to be built at least within the next ten years, but France and Germany cooperate in the development of a future European Power Reactor (ERP). This reactor type will be fitted with a core catcher and passive cooling in order to avoid serious consequences of a hypothetical core meltdown accident so that provisions for containment venting are not required. 3 refs., 6 figs., 1 tab.

  9. Checklist of earthworms (Oligochaeta: Lumbricidae) from Germany.

    Science.gov (United States)

    Lehmitz, Ricarda; Römbke, Jörg; Jänsch, Stephan; Krück, Stefanie; Beylich, Anneke; Graefe, Ulfert

    2014-09-23

    A checklist of the German earthworm fauna (Oligochaeta: Lumbricidae) is presented, including published data, data from reports, diploma- and PhD- theses as well as unpublished data from museum collections, research institutions and private persons. Overall, 16,000 datasets were analyzed to produce the first German checklist of Lumbricidae. The checklist comprises 46 earthworm species from 15 genera and provides ecological information, zoogeographical distribution type and information on the species distribution in Germany. Only one species, Lumbricus badensis Michaelsen, 1907, is endemic to Germany, whereas 41% are peregrine. As there are 14 species occurring exclusively in the southern or eastern part of Germany, the species numbers in German regions increase from north to south.

  10. Legal Drugs Are Good Drugs and Illegal Drugs Are Bad Drugs

    OpenAIRE

    Indrati, Dina; Prasetyo, Herry

    2011-01-01

    ABSTRACT : Labelling drugs are important issue nowadays in a modern society. Although it is generally believed that legal drugs are good drugs and illegal drugs are bad drugs, it is evident that some people do not aware about the side effects of drugs used. Therefore, a key contention of this philosophical essay is that explores harms minimisation policy, discuss whether legal drugs are good drugs and illegal drugs are bad drugs and explores relation of drugs misuse in a psychiatric nursing s...

  11. RICHMOND CROWN - FOR RESTORATION OF BADLY MUTILATED POSTERIOR TEETH : A CASE REPORT

    OpenAIRE

    Yadav; Swetha

    2015-01-01

    Restoration of badly broken endodontically treated teeth is a common problem in restorative dentistry. Such teeth often require additional support from the root canal by means of a post and core restoration. In cases where tooth structure is significantly lost full coverage restorations for posterior teeth are necessary to achieve proper tooth form and function. Badly broken teeth with minimal or no crown structure require added retention and support. The Richmond crown can be a good treatmen...

  12. Bad faith trade mark applications in China : a threat to foreign investment?

    OpenAIRE

    Elftorp, Kristian

    2012-01-01

    In a report provided by the European Chamber of Commerce in China, the problem with bad faith trade mark applications was highlighted. The report concluded that the current application of the law, combined with the procedural background constitutes an incentive rather than a deterrent for bad faith trade mark applications in China. The issue originates in Chinese defrauders conducting research among foreign companies with the intent of un- lawfully registering their trade marks in China. Sinc...

  13. From smoke to bad fish: DTU students invent new uses for sensor technology

    DEFF Research Database (Denmark)

    Lassen, Lisbeth

    2018-01-01

    A sensor that can register smoke from a fire can also be used to register even the faintest odeur of bad fish. This is what a team of students behind the recently started business, Fishent, discovered.......A sensor that can register smoke from a fire can also be used to register even the faintest odeur of bad fish. This is what a team of students behind the recently started business, Fishent, discovered....

  14. GOOD NEWS, BAD NEWS AND GARCH EFFECTS IN STOCK RETURN DATA

    OpenAIRE

    Craig A. Depken II

    2001-01-01

    It is shown that the volume of trade can be decomposed into proportional proxies for stochastic flows of good news and bad news into the market. Positive (good) information flows are assumed to increase the price of a financial vehicle while negative (bad) information flows decrease the price. For the majority of a sample of ten split-stocks it is shown that the proposed decomposition explains more GARCH than volume itself. Using the proposed decomposition, the variance of returns for younger...

  15. The DFG Viewer for Interoperability in Germany

    Directory of Open Access Journals (Sweden)

    Ralf Goebel

    2010-02-01

    Full Text Available This article deals with the DFG Viewer for Interoperability, a free and open source web-based viewer for digitised books, and assesses its relevance for interoperability in Germany. First the specific situation in Germany is described, including the important role of the Deutsche Forschungsgemeinschaft (German Research Foundation. The article then moves on to the overall concept of the viewer and its technical background. It introduces the data formats and standards used, it briefly illustrates how the viewer works and includes a few examples.

  16. 40 Years MAGLEV Vehicles in Germany

    OpenAIRE

    Meisinger, Reinhold; Guangwei, Shu

    2011-01-01

    On May 6th 1971 the worldwide first MAGLEV vehicle was presented by Messerschmitt-Bölkow-Blohm (MBB) in Ottobrunn near Munich, Germany. Till the year 2000 different test and application MAGLEV vehicles followed, but no commercial use in Germany. Since December 31st 2002 the Shang-hai MAGLEV Transportation System is successfully in operation, as the worldwide first and only one commercial used MAGLEV line. The paper in honour of Prof. Dr.-Ing. Eveline Gottzein for her 80th birthday contains in...

  17. Greenhouse gas neutral Germany in 2050

    International Nuclear Information System (INIS)

    Benndorf, Rosemarie; Bernicke, Maja; Bertram, Andreas

    2014-01-01

    In order to answer the question how a greenhouse gas neutral Germany would look like an interdisciplinary process was started by the Federal Environmental Agency. It was clear from the beginning of this work that a sustainable regenerative energy supply could not be sufficient. Therefore all relevant emission sources were included into the studies: traffic, industry, waste and waste water, agriculture, land usage, land usage changes and forestry. The necessary transformation paths to reach the aim of a greenhouse gas neutral Germany in 2050, economic considerations and political instruments were not part of this study.

  18. [Pharmacological aspects of pain research in Germany].

    Science.gov (United States)

    Niederberger, E; Kuner, R; Geißlinger, G

    2015-10-01

    In spite of several approved analgesics, the therapy of pain still constitutes a challenge due to the fact that the drugs do not exert sufficient efficacy or are associated with severe side effects. Therefore, the development of new and improved painkillers is still of great importance. A number of highly qualified scientists in Germany are investigating signal transduction pathways in pain, effectivity of new drugs and the so far incompletely investigated mechanisms of well-known analgesics in preclinical and clinical studies. The highlights of pharmacological pain research in Germany are summarized in this article.

  19. Autophagy postpones apoptotic cell death in PRRSV infection through Bad-Beclin1 interaction.

    Science.gov (United States)

    Zhou, Ao; Li, Shuaifeng; Khan, Faheem Ahmed; Zhang, Shujun

    2016-01-01

    Autophagy and apoptosis play significant roles in PRRSV infection and replication. However, the interaction between these 2 processes in PRRSV replication is still far from been completely understood. In our studies, the exposure of MARC-145 cells to PRRSV confirmed the activation of autophagy and subsequent induction of apoptosis. The inhibition of autophagy by 3-methyladenine (3-MA) caused a significant increase in PRRSV-induced apoptosis, showing a potential connection between both mechanisms. Moreover, we observed an increase in Bad expression (a pro-apoptotic protein) and Beclin1 (an autophagy regulator) in virus-infected cells up to 36h. Co-immunoprecipitation assays showed the formation of Bad and Beclin1 complex in PRRSV infected cells. Accordingly, Bad co-localized with Beclin1 in MARC-145 infected cells. Knockdown of Beclin1 significantly decreased PRRSV replication and PRRSV-induced autophagy, while Bad silencing resulted in increased autophagy and enhanced viral replication. Furthermore, PRRSV infection phosphorylated Bad (Ser112) to promote cellular survival. These results demonstrate that autophagy can favor PRRSV replication by postponing apoptosis through the formation of a Bad-Beclin1 complex.

  20. Evaluation of Mandibular Anatomy Associated With Bad Splits in Sagittal Split Ramus Osteotomy of Mandible.

    Science.gov (United States)

    Wang, Tongyue; Han, Jeong Joon; Oh, Hee-Kyun; Park, Hong-Ju; Jung, Seunggon; Park, Yeong-Joon; Kook, Min-Suk

    2016-07-01

    This study aimed to identify risk factors associated with bad splits during sagittal split ramus osteotomy by using three-dimensional computed tomography. This study included 8 bad splits and 47 normal patients without bad splits. Mandibular anatomic parameters related to osteotomy line were measured. These included anteroposterior width of the ramus at level of lingula, distance between external oblique ridge and lingula, distance between sigmoid notch and inferior border of mandible, mandibular angle, distance between inferior outer surface of mandibular canal and inferior border of mandible under distal root of second molar (MCEM), buccolingual thickness of the ramus at level of lingula, and buccolingual thickness of the area just distal to first molar (BTM1) and second molar (BTM2). The incidence of bad splits in 625 sagittal split osteotomies was 1.28%. Compared with normal group, bad split group exhibited significantly thinner BTM2 and shorter sigmoid notch and inferior border of mandible (P bad splits. These anatomic data may help surgeons to choose the safest surgical techniques and best osteotomy sites.

  1. [Construction and expression of recombinant lentiviral vectors of AKT2,PDK1 and BAD].

    Science.gov (United States)

    Zhu, Jing; Chen, Bo-Jiang; Huang, Na; Li, Wei-Min

    2014-03-01

    To construct human protein kinase B (ATK2), phosphoinositide-dependent kinase 1 (PDK1) and bcl-2-associated death protein (BAD) lentiviral expression vector, and to determine their expressions in 293T cells. Total RNA was extracted from lung cancer tissues. The full-length coding regions of human ATK2, BAD and PDK1 cDNA were amplified via RT-PCR using specific primers, subcloned into PGEM-Teasy and then sequenced for confirmation. The full-length coding sequence was cut out with a specific restriction enzyme digest and subclone into pCDF1-MCS2-EF1-copGFP. The plasmids were transfected into 293T cells using the calcium phosphate method. The over expression of AKT2, BAD and PDK1 were detected by Western blot. AKT2, PDK1 and BAD were subcloned into pCDF1-MCS2-EF1-copGFP, with an efficiency of transfection of 100%, 95%, and 90% respectively. The virus titers were 6.7 x 10(6) PFU/mL in the supernatant. After infection, the proteins of AKT2, PDK1 and BAD were detected by Western blot. The lentivial vector pCDF1-MCS2-EF1-copGFP containing AKT2, BAD and PDK1 were successfully constructed and expressed in 293T cells.

  2. Role, perspective and knowledge of Iranian critical care nurses about breaking bad news.

    Science.gov (United States)

    Imanipour, Masoomeh; Karim, Zahra; Bahrani, Naser

    2016-05-01

    Given the issue of caring critically ill patients, nurses are involved in the process of breaking bad news in critical care units, while little research has been conducted on this challenging issue. The purpose of this study was to determine the role, perspective and knowledge of Iranian critical care nurses regarding breaking bad news. This descriptive study was conducted on a sample of 160 nurses working in critical care units of hospitals affiliated to Tehran University of Medical Sciences. Stratified and quota sampling methods were used. The data collection tool was a four-part questionnaire with validity and reliability confirmed via content validity and test-retest, respectively. The study showed that most critical care nurses were involved in breaking bad news, with different roles. The majority of participants (91.2%) had a positive attitude towards involvement of nurses in breaking bad news. In this study, 78.8% of nurses had moderate knowledge about how to break bad news, and only a few had good level of knowledge (16.2%). According to the findings, while critical care nurses took different roles in the process of breaking bad news and they had positive attitude towards participation in this process, yet their knowledge about this process was inadequate. Thus, designing educational programmes to enhance critical care nurses' knowledge and skills in this area seems necessary. Copyright © 2015 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.

  3. PROGRAMMED CORRECTIVE EXERCISES IN PCYSICAL EDUCATION CLASSES AND LORDOTIC BAD BODY POSITION

    Directory of Open Access Journals (Sweden)

    Zoran Bogdanović

    2008-08-01

    Full Text Available The subject matter of the research was the influence of specially program medphysical education instruction with specific complexes of exercises of corrective gymnastics at the 5th grade pupils at those with lordotic bad body position established by measuring. The aims were to define the number of children with lordotic bad body position and to eliminate or alleviate the existing disturbance until the end of the experimental programme. The experimental programme was carried out among the 5th grade pupils. Total number of pupils included in this experiment was 434. The methods that were used for the estimation of lordotic bad body position are somatoscopy and somatometry. The plumb, ruler and dermograph were necessary instruments. For the estimation of the states of bad body position, the average value of mild criterion is applied. It can be concluded that during experimental programme even 85.93% of the subjects successfully corrected their bad body position; more exactly completely corrected lordotic bad body position. That percentage is certificate of justification and necessity of application of experimental programme of corrective gymnastics with all his organizational characteristics (the setting, the scope of work, load intensity, directing and controlling the experiment. Muscular-bone system of boys shows the high level of adaptation on the applied experimental factor of corrective gymnastics.

  4. Is compensation "bad for health"? A systematic meta-review.

    Science.gov (United States)

    Spearing, Natalie M; Connelly, Luke B

    2011-01-01

    limit access to compensation on the basis that it is "bad for health" are therefore premature, as evidence of such an association is unclear. 2009 Elsevier Ltd. All rights reserved.

  5. Bad Clade Deletion Supertrees: A Fast and Accurate Supertree Algorithm.

    Science.gov (United States)

    Fleischauer, Markus; Böcker, Sebastian

    2017-09-01

    Supertree methods merge a set of overlapping phylogenetic trees into a supertree containing all taxa of the input trees. The challenge in supertree reconstruction is the way of dealing with conflicting information in the input trees. Many different algorithms for different objective functions have been suggested to resolve these conflicts. In particular, there exist methods based on encoding the source trees in a matrix, where the supertree is constructed applying a local search heuristic to optimize the respective objective function. We present a novel heuristic supertree algorithm called Bad Clade Deletion (BCD) supertrees. It uses minimum cuts to delete a locally minimal number of columns from such a matrix representation so that it is compatible. This is the complement problem to Matrix Representation with Compatibility (Maximum Split Fit). Our algorithm has guaranteed polynomial worst-case running time and performs swiftly in practice. Different from local search heuristics, it guarantees to return the directed perfect phylogeny for the input matrix, corresponding to the parent tree of the input trees, if one exists. Comparing supertrees to model trees for simulated data, BCD shows a better accuracy (F1 score) than the state-of-the-art algorithms SuperFine (up to 3%) and Matrix Representation with Parsimony (up to 7%); at the same time, BCD is up to 7 times faster than SuperFine, and up to 600 times faster than Matrix Representation with Parsimony. Finally, using the BCD supertree as a starting tree for a combined Maximum Likelihood analysis using RAxML, we reach significantly improved accuracy (1% higher F1 score) and running time (1.7-fold speedup). © The Author 2017. Published by Oxford University Press on behalf of the Society for Molecular Biology and Evolution.

  6. Addiction as a BAD, a Behavioral Allocation Disorder.

    Science.gov (United States)

    Lamb, R J; Ginsburg, Brett C

    2018-01-01

    Addiction is continued drug use despite its harm. As one always has alternatives, addiction can be construed as a decision to allocate behavior to drug use. While decision making is commonly discussed and studied as if it resulted from deliberative, evaluative processes, such processes are actually only rarely involved in behavior allocation. These deliberative processes are too slow, effortful and inefficient to guide behavior other than when necessary. Rather, most actions are guided by faster, more automatic processes, often labeled habits. Habits are mostly adaptive, and result from repeated reinforcement leading to over-learned behavior. Habitual behavior occurs rapidly in response to particular contexts, and the behavior occurring first is that which occurs, i.e., the behavior that is decided upon. Thus, as drug use becomes habitual, drug use is likely to be chosen over other available activities in that particular context. However, while drug use becoming habitual is necessary for addiction to develop, it is not sufficient. Typically, constraints limit even habitual drug use to safer levels. These constraints might include limiting occasions for use; and, almost always, constraints on amount consumed. However, in a minority of individuals, drug use is not sufficiently constrained and addiction develops. This review discusses the nature of these constraints, and how they might fail. These failures do not result from abnormal learning processes, but rather unfortunate interactions between a person and their environment over time. These accumulate in the maladaptive allocation of behavior to drug use. This Behavior Allocation Disorder (BAD) can be reversed; occasionally easily when the environment significantly changes, but more often by the arduous application of deliberative processes generally absent from decision making. These deliberative processes must continue until new more adaptive habits become the most probable behavior in the contexts encountered

  7. Food-related life style in Germany

    DEFF Research Database (Denmark)

    Grunert, Klaus G.; Brunsø, Karen; Bisp, Søren

    1995-01-01

    Executive summary 1. This report is about an investigation of food-related lifestyle in Germany, based on a representative sample of 1000 households. 2. The German consumers are described by five segments, which differ in how and to which extent they use food and cooking to attain their central l...

  8. West Germany: Federal Structure, Political Influence.

    Science.gov (United States)

    Toogood, Alex

    1978-01-01

    Describes the organizational structure of the broadcasting industry in West Germany which is unique because of the federal, public, and political elements involved. Special problems that arise from this framework are discussed, including financing, programing, creative vs technical advances, concepts of production values, and political balance.…

  9. Agro-environmental policies in Germany

    International Nuclear Information System (INIS)

    Frohberg, K.; Weingarten

    1997-01-01

    Agricultural activities always have impacts on the environment. Whereas soil erosion is a minor problem in Germany water pollution due to modern and intensive agriculture is of major concern. At first the paper discusses to what extent agriculture contributes to environmental pollution in Germany, in particular to the pollution of surface waters (as well as hydroelectric power constructions on the Danube) and groundwater by nutrients and pesticides. Agro-environmental policy in Germany is dominated by command-and-control-measures. Hence, in the second section, recent developments of the most important legal and institutional settings concerning water conservation policies are surveyed with special emphasis on the Federal Water Act and the Implementation of the Nitrate Directive into German legislation by the Fertilizer Ordinance. Thirdly, impacts of alternative water conservation policies are investigated using a regionalized agricultural sector model. Information obtained by this model analysis cover the development of N-balances, potential nitrate concentrations in the recharged groundwater, costs potentially effected by this and resulting agricultural incomes on the country level of the former Federal Republic Germany. The last section focuses on programs promoting environmentally sound farming practices, which gained increasing importance in the Common Agricultural Policy of the European Union in the last years. It is argued that this development will also continue in the future. (author)

  10. Renewable Energy Policy Fact sheet - Germany

    International Nuclear Information System (INIS)

    2017-07-01

    The EurObserv'ER policy profiles give a snapshot of the renewable energy policy in the EU Member States. Main support scheme in Germany: tendering scheme for RES-E, small power plants up to 100 kW are supported by a feed-in tariff. Market Incentive Programme (MAP) for RES-H, Electric Mobility Strategy for the transport sector

  11. The regulation of asset valuation in Germany

    NARCIS (Netherlands)

    Detzen, D.; Hoffman, S.

    2013-01-01

    This article examines the regulatory history of asset valuation in Germany from the fifteenth century to the implementation of the European Economic Community's Fourth Directive in 1986. Aiming to explain regulatory changes by reference to preceding socio-economic and political developments, we find

  12. New Avian Hepadnavirus in Palaeognathous Bird, Germany

    NARCIS (Netherlands)

    Jo, Wendy K; Pfankuche, Vanessa M; Petersen, Henning; Frei, Samuel; Kummrow, Maya; Lorenzen, Stephan; Ludlow, Martin; Metzger, Julia; Baumgärtner, Wolfgang; Osterhaus, Albert; van der Vries, Erhard

    2017-01-01

    In 2015, we identified an avian hepatitis B virus associated with hepatitis in a group of captive elegant-crested tinamous (Eudromia elegans) in Germany. The full-length genome of this virus shares <76% sequence identity with other avihepadnaviruses. The virus may therefore be considered a new

  13. Expansion in Germany; Expansion am Standort Deutschland

    Energy Technology Data Exchange (ETDEWEB)

    Forst, Michael

    2011-05-05

    Germany is one of the key countries of the worldwide solar industry. For more than a decade, more than 100 German businesses have been active in all parts of the solar sector. During the past three years, the situation has changed dramatically, owing to increasing globalization and stronger competition.

  14. Mapping Music Education Research in Germany

    Science.gov (United States)

    Gruhn, Wilfried

    2004-01-01

    This article presents a very general survey of tracks and trends in music education research in Germany and its roots in the 19th century, where the beginning of empirical music psychology can be traced back to "Tonpsychologie" and perception research of scholars such as Helmholtz, Stumpf, Wundt, and Wellek. Focus areas that are…

  15. Recollections of a jewish mathematician in Germany

    CERN Document Server

    2016-01-01

    Abraham A. Fraenkel was a world-renowned mathematician in pre–Second World War Germany, whose work on set theory was fundamental to the development of modern mathematics. A friend of Albert Einstein, he knew many of the era’s acclaimed mathematicians personally. He moved to Israel (then Palestine under the British Mandate) in the early 1930s. In his autobiography Fraenkel describes his early years growing up as an Orthodox Jew in Germany and his development as a mathematician at the beginning of the twentieth century. This memoir, originally written in German in the 1960s, has now been translated into English, with an additional chapter covering the period from 1933 until his death in 1965 written by the editor, Jiska Cohen-Mansfield. Fraenkel describes the world of mathematics in Germany in the first half of the twentieth century, its origins and development, the systems influencing it, and its demise. He also paints a unique picture of the complex struggles within the world of Orthodox Jewry in Germany....

  16. Towards a national ecosystem assessment in Germany

    DEFF Research Database (Denmark)

    Albert, Christian; Neßhöver, Carsten; Schröter, Matthias

    2017-01-01

    We present options for a National Ecosystem Assessment in Germany (NEA-DE) that could inform decision-makers on the state and trends of ecosystems and ecosystem services. Characterizing a NEA-DE, we argue that its cross-sectoral, integrative approach would have the advantages of increased...

  17. Novel lyssavirus in Natterer's bat, Germany.

    Science.gov (United States)

    Freuling, Conrad M; Beer, Martin; Conraths, Franz J; Finke, Stefan; Hoffmann, Bernd; Keller, Barbara; Kliemt, Jeannette; Mettenleiter, Thomas C; Mühlbach, Elke; Teifke, Jens P; Wohlsein, Peter; Müller, Thomas

    2011-08-01

    A virus isolated from a Natterer's bat (Myotis nattererii) in Germany was differentiated from other lyssaviruses on the basis of the reaction pattern of a panel of monoclonal antibodies. Phylogenetic analysis supported the assumption that the isolated virus, Bokeloh bat lyssavirus, may represent a new member of the genus Lyssavirus.

  18. Monetary transmission and bank lending in Germany

    NARCIS (Netherlands)

    Kakes, Jan; Sturm, Jan-Egbert; Philipp Maier, [No Value

    1999-01-01

    This paper analyses the role of bank lending in the monetary transmission process in Germany. We follow a sectoral approach by distinguishing corporate lending and household lending. We find that banks respond to a monetary contraction by adjusting their securities holdings, rather than reducing

  19. France, Germany and the nuclear challenge

    International Nuclear Information System (INIS)

    Turkish, F.

    2004-11-01

    Taking into account the french and german relations concerning the nuclear activities, the nuclear phaseout decided by the german government in 1998 presents inevitable impacts in France. The author discusses the constraints bound to this project (industrial interests, energy dependence...), the short dated phaseout project and the consequences for the relations of the two countries, Germany and France. (A.L.B.)

  20. Policies in Dementia, comparing Germany and Denmark

    DEFF Research Database (Denmark)

    Bjerregaard, Lene Berit Skov

    2017-01-01

    In Short Germany as well as Denmark are focusing on the same issues regarding Dementia, as other European Countries are, too. The key issues in the national strategies are: timely diagnosis, self-determination for the person with dementia, unbroken “care chain”, better possibilities for the relief...

  1. Freshwater reservoir effect variability in Northern Germany

    DEFF Research Database (Denmark)

    Philippsen, Bente; Heinemeier, Jan

    2012-01-01

    Kayhude at the river Alster and Schlamersdorf at the river Trave, both in Schleswig-Holstein, Northern Germany. Measurements on modern materials from these rivers may not give a single reservoir age correction that can be applied to archaeological samples, but they will show the order of magnitude...

  2. Germany forms alliance for terascale physics

    CERN Multimedia

    Feder, Toni

    2007-01-01

    "Germany's high-energy particle physicists have formed a network to increase their international visibility and competitiveness as their field gears up for the start next ear of the Large Hadron Collide (LHC) at CERN and, eventually, the International Linear Collider." (1 page)

  3. Solar energy in Germany: a national commitment

    International Nuclear Information System (INIS)

    Persem, Melanie

    2012-01-01

    This document presents some key information and figures about the development of solar energy in Germany: national energy plan and share of solar energy in the German energy mix, the photovoltaic industry: a dynamic industry which creates jobs, 2006-2012 evolution of photovoltaic power plant costs, solar thermal resource potentialities and effective exploitation

  4. Germany restores funds to grant agencies

    CERN Multimedia

    Schiermeier, Q

    1998-01-01

    Edelgard Bulmahn, the research minister for Germany's coalition government is to make up a shortfall in the budgets of the Max Planck Society (MPS) and the Deutsche Forshungsgemeinschaft (DFG) and will add an extra five per cent to each in 1999.

  5. Football business models: Why did Germany win the World Cup?

    DEFF Research Database (Denmark)

    Cortsen, Kenneth

    2016-01-01

    This article looks into the managerial aspects related to why and how Germany won the 2014 FIFA World Cup.......This article looks into the managerial aspects related to why and how Germany won the 2014 FIFA World Cup....

  6. The Marketisation of Guidance Services in Germany, France and Britain.

    Science.gov (United States)

    Rees, Teresa; Bartlett, Will; Watts, A. G.

    1999-01-01

    Compares developments in Britain, France, and Germany, focusing on the trends toward marketing adult career guidance services. Describes how Germany's centralized system and the quasi-market based system in France might apply in Britain. (JOW)

  7. Local equilibrium

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    1984-12-15

    From 3-6 September the First International Workshop on Local Equilibrium in Strong Interaction Physics took place in Bad-Honnef at the Physics Centre of the German Physical Society. A number of talks covered the experimental and theoretical investigation of the 'hotspots' effect, both in high energy particle physics and in intermediate energy nuclear physics.

  8. International workshop on the 'Physics of interfaces by synchrotron radiation and other high energy probes'

    International Nuclear Information System (INIS)

    Krummacher, S.; Gudat, W.

    1986-05-01

    The present 'book of abstracts' consists of the abstracts of 23 lectures, held at the international workshop on the 'Physics of interfaces by synchrotron radiation and other high energy probes', April 1986, Bad Honnef, FRG. The subjects are: The use of photoemission in the study of interfaces and adsorbates, EEL spectroscopy applications, spin polarization, photoionization processes and EXAFS. (BHO)

  9. Coordimated multi-wavelength observations of Sgr A*

    Czech Academy of Sciences Publication Activity Database

    Eckart, A.; Schödel, R.; Baganoff, F. K.; Morris, M.; Bertram, T.; Dovčiak, Michal; Downes, D.; Duschl, W.J.; Karas, Vladimír; König, S.; Krichbaum, T.P.; Krips, M.; Kunneriath, D.; Lu, R.-S.; Markoff, S. B.; Mauerhan, J.; Meyer, L.; Moultaka, J.; Muzic, K.; Najarro, F.; Schuster, K.; Sjouwerman, L.; Straubmeier, C.; Thum, C.; Vogel, S.; Wiesemeyer, H.; Witzel, G.; Zamaninasab, M.; Zensus, A.

    2008-01-01

    Roč. 131, - (2008), s. 1-15 ISSN 1742-6588. [The Universe under the Microscope – Astrophysics at High Angular Resolution. Bad Honnef, 21.04.2008-25.04.2008] Institutional research plan: CEZ:AV0Z10030501 Keywords : black holes Subject RIV: BN - Astronomy, Celestial Mechanics, Astrophysics

  10. Coordinated mm/sub-mm observations of Sagittarius A* in May 2007

    Czech Academy of Sciences Publication Activity Database

    Kunneriath, D.; Eckart, A.; Vogel, S.; Sjouwerman, L.; Wiesemeyer, H.; Schödel, R.; Baganoff, F. K.; Morris, M.; Bertram, T.; Dovčiak, Michal; Downes, D.; Duschl, W.J.; Karas, Vladimír; König, S.; Krichbaum, T.P.; Krips, M.; Lu, R.-S.; Markoff, S. B.; Mauerhan, J.; Meyer, L.; Moultaka, J.; Muzic, K.; Najarro, F.; Schuster, K.; Straubmeier, C.; Thum, C.; Witzel, G.; Zamaninasab, M.; Zensus, A.

    2008-01-01

    Roč. 131, - (2008), s. 1-7 ISSN 1742-6588. [The Universe under the Microscope – Astrophysics at High Angular Resolution. Bad Honnef, 21.04.2008-25.04.2008] Institutional research plan: CEZ:AV0Z10030501 Keywords : black holes Subject RIV: BN - Astronomy, Celestial Mechanics, Astrophysics

  11. An evolving hot spot orbiting around Sgr A*

    Czech Academy of Sciences Publication Activity Database

    Zamaninasab, M.; Eckart, A.; Meyer, L.; Schoedel, R.; Dovčiak, Michal; Karas, Vladimír; Kunneriath, D.; Witzel, G.; Geissübel, R.; König, S.; Straubmeier, C.; Zensus, A.

    2008-01-01

    Roč. 131, - (2008), s. 1-7 ISSN 1742-6588. [The Universe under the Microscope – Astrophysics at High Angular Resolution. Bad Honnef, 21.04.2008-25.04.2008] Institutional research plan: CEZ:AV0Z10030501 Keywords : black holes Subject RIV: BN - Astronomy, Celestial Mechanics, Astrophysics

  12. Is Germany a model for managers?

    Science.gov (United States)

    Wever, K S; Allen, C S

    1992-01-01

    Most American managers have a hard time making sense of Germany. The country has a fraction of the resources and less than one-third the population of the United States. Labor costs are substantially higher, paid vacations are at least three times as long, and strong unions are deeply involved at all levels of business, from the local plant to the corporate boardroom. Yet German companies manage to produce internationally competitive products in key manufacturing sectors, making Germany the greatest competitive threat to the United States after Japan. The seemingly paradoxical nature of the German economy typically evokes one of two diametrically opposed responses. The first is to celebrate the German economy as a "model" worth emulating--indeed, as the answer to declining U.S. competitiveness. The alternative, more skeptical response is to question Germany's staying power in a new, more competitive global economy. According to Kirsten Wever and Christopher Allen, the problem with both points of view is that they miss the forest for the trees. Observers are so preoccupied with praising--or blaming--individual components of the German economy that they fail to see the dynamic logic that ties these components together into a coherent system. In their review of recent research on the German business system, Wever and Allen argue that managers can learn an important lesson from Germany. In the global economy, competition isn't just between companies but between entire socioeconomic systems. Germany's ability to design a cohesive economic and social system that adapts continuously to changing requirements goes a long way toward explaining that country's competitive success.

  13. [Performance of in vitro fertilization in Germany].

    Science.gov (United States)

    van der Ven, Hans; Montag, Markus; van der Ven, Katrin

    2002-07-01

    In Germany the application of assisted reproductive techniques (ART) is regulated by federal legislation. Compared with the international situation the "German Embryo Protection Law" is very "restrictive" and various methods of ART are prohibited, e.g. oocyte/embryo donation, embryo cryopreservation and Preimplantation Genetic Diagnosis (PGD). Furthermore, in Germany only 1 to 3 fertilized oocytes may be cultured to embryo. All these embryos then have to be transferred into the uterus of a particular patient. Additional fertilized oocytes can only be cryopreserved in a pronuclear state. The success rate of ART has increased significantly over the past few years owing to the introduction of blastocyst cultures and the selection of 1 to 2 good quality blastocysts for embryo transfer. Furthermore, the transfer of only 1 to 2 blastocysts effectively reduces the risk of high rank multiple pregnancies. In Germany, however, the selection of only a few good quality blastocysts for transfer is prohibited by law. New laboratory techniques, e.g. pronuclear scoring and polar body biopsy screening for aneuploidy are in accordance with German law. The application of these methods provides a selection of "good quality oocytes" and seems to increase the overall success rate. Further studies are required, however. The success rate, quality and cost effectiveness of ART in Germany appears compromised when compared with many other countries. What is more, in contrast to the international situation research and development in ART in Germany has been decreasing constantly over the past few years, due to the inappropriate regulations of the German health care system and the insufficient support given to university-based centers.

  14. The outlook for natural gas in Germany

    International Nuclear Information System (INIS)

    Bergmann, B.

    1993-01-01

    In a generally stagnant energy market, gas will be the energy with the highest growth rate in Germany, especially because of its steadily rising shares in the residential and commercial sector. In western Germany there is to be accepted that the demand forecasts, which were raised from one conference to the next, have passed their zenith. Great uncertainty exists as regards the future use of gas for power generation. In the absence of any significant expansion of this market sector, which is considered rather improbable in western Germany, it can be stated that anticipated gas demand up to the year 2005 is already covered by existing import contracts and scheduled domestic production. The picture is completely different in eastern Germany, where a doubling of consumption is quite feasible. To achieve the requisite diversification of supplies, substantial additional imports from western sources will have to be contracted. Russia can and should remain eastern Germany's main supplier in the long run, but Russian deliveries must be placed on a reliable, long-term contractual basis. As far as new gas projects are concerned, deliveries from Norway, to a limited extent from the United Kingdom and above all as part of the new Russian export initiative are under discussion. Generally speaking, transit will be an increasingly significant issue, especially for additional supplies from Russia. The efficiency and reliability of gas marketing companies will become far more important in an environment characterised by growing uncertainties. The reliable customer offering a dependable market outlet will be increasingly sought. With energy prices likely to increase only slightly, the management of uncertainties and the safeguarding of economic driving forces will be the main challenge facing our supply projects. 15 figs

  15. Modelling bare fallow SOM dynamics on a Chernozem soil in Central Germany

    Science.gov (United States)

    Franko, Uwe; Merbach, Ines

    2017-04-01

    The level of our process understanding about carbon and nitrogen fluxes in soils becomes visible at extreme situations like bare fallow soils. The observed dynamics of soil organic carbon (SOC) and total nitrogen (TN) in the top soil on a 28 years old fallow experiment on Haplic Chernozem in Bad Lauchstädt (Germany) was modelled using the Candy Carbon Balance (CCB) model that in its standard version was previously validated with LTFE data from Central Europe and a tillage experiment in Austria. For this study we selected two treatments of the fallow experiment in Bad Lauchstädt where the soil was kept bare with mechanical or chemical treatments. For this extreme land use (no input of fresh organic matter) the CCB model was improved to include the SOC related change of soil physical parameters and a dynamic handling of the physically stabilized soil organic matter (SOM) pool. The results from observation and modelling reflected the increased SOM turnover due to soil tillage for carbon as well as nitrogen and thus confirmed the modelling approach for non-tillage in CCB. The added sub model for the dynamics of physically stabilized SOM was also verified. The long term stabilized SOM is very important on this site. The modelled size of the physically stabilized SOC pool was about 55% of total SOC and reduced only slowly during the nearly three decades but the implementation of this effect resulted in improved simulation results. Thus we conclude that scenarios that lead to bigger changes of SOM stocks require a modelling approach that acknowledges the interaction between SOM and soil physical properties.

  16. SH-wave reflection seismic and VSP as tools for the investigation of sinkhole areas in Germany

    Science.gov (United States)

    Wadas, Sonja; Tschache, Saskia; Polom, Ulrich; Buness, Hermann; Krawczyk, Charlotte M.

    2017-04-01

    Sinkholes can lead to damage of buildings and infrastructure and they can cause life-threatening situations, if they occur in urban areas. The process behind this phenomenon is called subrosion. Subrosion is the underground leaching of soluble rocks, e.g. anhydrite and gypsum, due to the contact with ground- and meteoric water. Depending on the leached material, and especially the dissolution rate, different kinds of subrosion structures evolve in the subsurface. The two end members are collapse and depression structures. For a better understanding of the subrosion processes a detailed characterization of the resulting structures is necessary. In Germany sinkholes are a problem in many areas. In northern Germany salt and in central and southern Germany sulfate and carbonate deposits are affected by subrosion. The study areas described here are located in Thuringia in central Germany and the underground is characterized by soluble Permian deposits. The occurrence of 20 to 50 sinkholes is reported per year. Two regions, Bad Frankenhausen and Schmalkalden, are investigated, showing a leaning church tower and a sinkhole of 30 m diameter and 20 m depth, respectively. In Bad Frankenhausen four P-wave and 16 SH-wave reflection seismic profiles were carried out, supplemented by three zero-offset VSPs. In Schmalkalden five SH-wave reflection seismic profiles and one zero-offset VSP were acquired. The 2-D seismic sections, in particular the SH-wave profiles, showed known and unknown near-surface faults in the vicinity of sinkholes and depressions. For imaging the near-surface ( 2,5, probably indicating unstable areas due to subrosion. We conclude, that SH-wave reflection seismic offer an important tool for the imaging and characterization of near-surface subrosion structures and the identification of unstable zones, especially in combination with P-wave reflection seismic and zero-offset VSP with P- and S-waves. Presumably there is a connection between the presence of large

  17. Interdependence of Bad and Puma during ionizing-radiation-induced apoptosis.

    Science.gov (United States)

    Toruno, Cristhian; Carbonneau, Seth; Stewart, Rodney A; Jette, Cicely

    2014-01-01

    Ionizing radiation (IR)-induced DNA double-strand breaks trigger an extensive cellular signaling response that involves the coordination of hundreds of proteins to regulate DNA repair, cell cycle arrest and apoptotic pathways. The cellular outcome often depends on the level of DNA damage as well as the particular cell type. Proliferating zebrafish embryonic neurons are highly sensitive to IR-induced apoptosis, and both p53 and its transcriptional target puma are essential mediators of the response. The BH3-only protein Puma has previously been reported to activate mitochondrial apoptosis through direct interaction with the pro-apoptotic Bcl-2 family proteins Bax and Bak, thus constituting the role of an "activator" BH3-only protein. This distinguishes it from BH3-only proteins like Bad that are thought to indirectly promote apoptosis through binding to anti-apoptotic Bcl-2 family members, thereby preventing the sequestration of activator BH3-only proteins and allowing them to directly interact with and activate Bax and Bak. We have shown previously that overexpression of the BH3-only protein Bad in zebrafish embryos supports normal embryonic development but greatly sensitizes developing neurons to IR-induced apoptosis. While Bad has previously been shown to play only a minor role in promoting IR-induced apoptosis of T cells in mice, we demonstrate that Bad is essential for robust IR-induced apoptosis in zebrafish embryonic neural tissue. Moreover, we found that both p53 and Puma are required for Bad-mediated radiosensitization in vivo. Our findings show the existence of a hierarchical interdependence between Bad and Puma whereby Bad functions as an essential sensitizer and Puma as an essential activator of IR-induced mitochondrial apoptosis specifically in embryonic neural tissue.

  18. BAD knockout provides metabolic seizure resistance in a genetic model of epilepsy with sudden unexplained death in epilepsy.

    Science.gov (United States)

    Foley, Jeannine; Burnham, Veronica; Tedoldi, Meghan; Danial, Nika N; Yellen, Gary

    2018-01-01

    Metabolic alteration, either through the ketogenic diet (KD) or by genetic alteration of the BAD protein, can produce seizure protection in acute chemoconvulsant models of epilepsy. To assess the seizure-protective role of knocking out (KO) the Bad gene in a chronic epilepsy model, we used the Kcna1 -/- model of epilepsy, which displays progressively increased seizure severity and recapitulates the early death seen in sudden unexplained death in epilepsy (SUDEP). Beginning on postnatal day 24 (P24), we continuously video monitored Kcna1 -/- and Kcna1 -/- Bad -/- double knockout mice to assess survival and seizure severity. We found that Kcna1 -/- Bad -/- mice outlived Kcna1 -/- mice by approximately 2 weeks. Kcna1 -/- Bad -/- mice also spent significantly less time in seizure than Kcna1 -/- mice on P24 and the day of death, showing that BadKO provides seizure resistance in a genetic model of chronic epilepsy. Wiley Periodicals, Inc. © 2017 International League Against Epilepsy.

  19. Prioritizing the patient: optimizing therapy in rheumatoid arthritis. Results of a patient questionnaire in northern Germany

    Directory of Open Access Journals (Sweden)

    Wollenhaupt J

    2013-05-01

    Full Text Available Jürgen Wollenhaupt,1 Inge Ehlebracht-Koenig,2 André Groenewegen,3 Dieter Fricke41Rheumatologikum Hamburg, Schön Klinik Hamburg Eilbek, Hamburg, Germany; 2Center of Rehabilitation, Bad Eilsen, Germany; 3UCB Pharma SA, Brussels, Belgium; 4UCB Pharma GmbH, Monheim, GermanyPurpose: A 40-question postal survey was developed to gain insight into the nature of difficulties experienced by patients due to rheumatoid arthritis (RA, as well as patient perceptions and priorities regarding their RA treatmentPatients and methods: A total of 3000 Lower Saxony, Germany members of Rheuma-Liga (RL, a patient support group for people with RA, were invited to participate between July 1, and August 20, 2009. The questionnaire was divided into four sections: (1 patient demographics, (2 quality of life (QOL, (3 treatment expectations and, (4 patient perceptions of RL. The questionnaire could be completed in writing or via the internet.Results: Of 959 respondents (response rate = 32.0%, 318 had diagnosed RA and were included in the analysis. The respondents were mostly retired (71.2%, female (83.3%, and >60 years of age (63.5%. Members’ responses indicated that most were generally satisfied with their current treatment (67.3%, considered it efficacious (84.0%, and reported minimal (none or little side-effects (61.2%. Patient involvement in treatment decisions, however, was reportedly low (49.6% felt insufficiently involved. Patients’ primary impairments were reflected in their treatment priorities: mobility (97.0%, ability to run errands/do shopping (97.1%, do the housework (95.6%, and be independent of others (94.2%. The primary service provided by RL and used by respondents was physiotherapy (70.6%, which was reported to benefit physical function and mood by over 90.0% of respondents.Conclusion: RA had a detrimental effect upon respondents' quality of life, specifically impairing their ability to perform daily tasks and causing pain/emotional distress

  20. Impacts of the May 2015 bad weather in Western Switzerland

    Science.gov (United States)

    Voumard, Jérémie; Jaboyedoff, Michel

    2016-04-01

    events and their consequences in terms of transportation networks caused by this bad weather event. Damages and consequences of the events were documented during a field visit, obtained from the media and the official reports.

  1. Exploring bacterial outer membrane barrier to combat bad bugs

    Directory of Open Access Journals (Sweden)

    Ghai I

    2017-08-01

    Full Text Available Ishan Ghai,1 Shashank Ghai2 1School of Engineering and Life Sciences, Jacobs University, Bremen, 2Leibniz University, Hannover, Germany Abstract: One of the main fundamental mechanisms of antibiotic resistance in Gram-negative bacteria comprises an effective change in the membrane permeability to antibiotics. The Gram-negative bacterial complex cell envelope comprises an outer membrane that delimits the periplasm from the exterior environment. The outer membrane contains numerous protein channels, termed as porins or nanopores, which are mainly involved in the influx of hydrophilic compounds, including antibiotics. Bacterial adaptation to reduce influx through these outer membrane proteins (Omps is one of the crucial mechanisms behind antibiotic resistance. Thus to interpret the molecular basis of the outer membrane permeability is the current challenge. This review attempts to develop a state of knowledge pertinent to Omps and their effective role in antibiotic influx. Further, it aims to study the bacterial response to antibiotic membrane permeability and hopefully provoke a discussion toward understanding and further exploration of prospects to improve our knowledge on physicochemical parameters that direct the translocation of antibiotics through the bacterial membrane protein channels. Keywords: antibiotics, Gram-negative bacteria, cell envelope, protein channels, nanopores, influx, antibiotic resistance

  2. Poverty, health, and nutrition in Germany.

    Science.gov (United States)

    Helmert, U; Mielck, A; Shea, S

    1997-01-01

    To investigate the relation between poverty and several variables describing health and nutrition behavior in East Germany and West Germany. Data are from the third National Health Survey in West Germany and the first Health Survey for the new federal states of Germany (1991/92). Both health surveys included a self-administered questionnaire ascertaining sociodemographic variables, smoking history, nutritional behavior (using a food-frequency list), physical activity, and a medical examination comprising measurements of height, weight, blood pressure, and blood sampling for serum cholesterol determination. Participants included 4958 subjects in the West Survey and 2186 subjects in the East Survey aged 25-69 years, with a respective net response rate of 69.0% and 70.2%. Poverty was defined as a household equivalence income of 62.5% or less of the median income of the general population. The lowest income group (poverty or near poverty) comprised 11.6% of East German versus 15.9% of West German males and 14.8% of East German versus 19.3% of West German females. For most but not all health and nutrition parameters, less favorable results were obtained for subjects with an equivalence income below or near poverty. The most striking poverty-related differences regarding cardiovascular disease risk factors were found for lack of regular exercise for both genders and obesity in females. No poverty-related differences were found for the prevalence of hypercholesterolemia, despite a much higher prevalence of obesity in persons with an income below the poverty line. Current nutritional behavior and changes in nutritional behavior during the last three years was strongly related to income status, with a more unhealthy status for low-income population groups in both East and West Germany. In Germany, poverty has strong effects on individual health status and nutritional behavior. Because of rising unemployment rates and reductions in social security payments for low

  3. BAD-LAMP controls TLR9 trafficking and signalling in human plasmacytoid dendritic cells.

    Science.gov (United States)

    Combes, Alexis; Camosseto, Voahirana; N'Guessan, Prudence; Argüello, Rafael J; Mussard, Julie; Caux, Christophe; Bendriss-Vermare, Nathalie; Pierre, Philippe; Gatti, Evelina

    2017-10-13

    Toll-like receptors (TLR) are essential components of the innate immune system. Several accessory proteins, such as UNC93B1, are required for transport and activation of nucleic acid sensing Toll-like receptors in endosomes. Here, we show that BAD-LAMP (LAMP5) controls TLR9 trafficking to LAMP1 + late endosomes in human plasmacytoid dendritic cells (pDC), leading to NF-κB activation and TNF production upon DNA detection. An inducible VAMP3 +/ LAMP2 +/ LAMP1 - endolysosome compartment exists in pDCs from which TLR9 activation triggers type I interferon expression. BAD-LAMP-silencing enhances TLR9 retention in this compartment and consequent downstream signalling events. Conversely, sustained BAD-LAMP expression in pDCs contributes to their lack of type I interferon production after exposure to a TGF-β-positive microenvironment or isolation from human breast tumours. Hence, BAD-LAMP limits interferon expression in pDCs indirectly, by promoting TLR9 sorting to late endosome compartments at steady state and in response to immunomodulatory cues.TLR9 is highly expressed by plasmacytoid dendritic cells and detects nucleic acids, but to discriminate between host and microbial nucleic acids TLR9 is sorted into different endosomal compartments. Here the authors show that BAD-LAMP limits type 1 interferon responses by sorting TLR9 to late endosomal compartments.

  4. Variants in KCNJ11 and BAD do not predict response to ketogenic dietary therapies for epilepsy.

    Science.gov (United States)

    Schoeler, Natasha E; Leu, Costin; White, Jon; Plagnol, Vincent; Ellard, Sian; Matarin, Mar; Yellen, Gary; Thiele, Elizabeth A; Mackay, Mark; McMahon, Jacinta M; Scheffer, Ingrid E; Sander, Josemir W; Cross, J Helen; Sisodiya, Sanjay M

    2015-12-01

    In the absence of specific metabolic disorders, predictors of response to ketogenic dietary therapies (KDT) are unknown. We aimed to determine whether variants in established candidate genes KCNJ11 and BAD influence response to KDT. We sequenced KCNJ11 and BAD in individuals without previously-known glucose transporter type 1 deficiency syndrome or other metabolic disorders, who received KDT for epilepsy. Hospital records were used to obtain demographic and clinical data. Two response phenotypes were used: ≥ 50% seizure reduction and seizure-freedom at 3-month follow-up. Case/control association tests were conducted with KCNJ11 and BAD variants with minor allele frequency (MAF)>0.01, using PLINK. Response to KDT in individuals with variants with MAFBAD sequencing data and diet response data. Six SNPs in KCNJ11 and two in BAD had MAF>0.01. Eight variants in KCNJ11 and seven in BAD (of which three were previously-unreported) had MAFBAD do not predict response to KDT for epilepsy. We can exclude, with 80% power, association from variants with a MAF of >0.05 and effect size >3. A larger sample size is needed to detect associations from rare variants or those with smaller effect sizes. Copyright © 2015 Elsevier B.V. All rights reserved.

  5. Statistical Image Properties in Large Subsets of Traditional Art, Bad Art, and Abstract Art.

    Science.gov (United States)

    Redies, Christoph; Brachmann, Anselm

    2017-01-01

    Several statistical image properties have been associated with large subsets of traditional visual artworks. Here, we investigate some of these properties in three categories of art that differ in artistic claim and prestige: (1) Traditional art of different cultural origin from established museums and art collections (oil paintings and graphic art of Western provenance, Islamic book illustration and Chinese paintings), (2) Bad Art from two museums that collect contemporary artworks of lesser importance (© Museum Of Bad Art [MOBA], Somerville, and Official Bad Art Museum of Art [OBAMA], Seattle), and (3) twentieth century abstract art of Western provenance from two prestigious museums (Tate Gallery and Kunstsammlung Nordrhein-Westfalen). We measured the following four statistical image properties: the fractal dimension (a measure relating to subjective complexity); self-similarity (a measure of how much the sections of an image resemble the image as a whole), 1st-order entropy of edge orientations (a measure of how uniformly different orientations are represented in an image); and 2nd-order entropy of edge orientations (a measure of how independent edge orientations are across an image). As shown previously, traditional artworks of different styles share similar values for these measures. The values for Bad Art and twentieth century abstract art show a considerable overlap with those of traditional art, but we also identified numerous examples of Bad Art and abstract art that deviate from traditional art. By measuring statistical image properties, we quantify such differences in image composition for the first time.

  6. Bad splits in bilateral sagittal split osteotomy: systematic review of fracture patterns.

    Science.gov (United States)

    Steenen, S A; Becking, A G

    2016-07-01

    An unfavourable and unanticipated pattern of the mandibular sagittal split osteotomy is generally referred to as a 'bad split'. Few restorative techniques to manage the situation have been described. In this article, a classification of reported bad split pattern types is proposed and appropriate salvage procedures to manage the different types of undesired fracture are presented. A systematic review was undertaken, yielding a total of 33 studies published between 1971 and 2015. These reported a total of 458 cases of bad splits among 19,527 sagittal ramus osteotomies in 10,271 patients. The total reported incidence of bad split was 2.3% of sagittal splits. The most frequently encountered were buccal plate fractures of the proximal segment (types 1A-F) and lingual fractures of the distal segment (types 2A and 2B). Coronoid fractures (type 3) and condylar neck fractures (type 4) have seldom been reported. The various types of bad split may require different salvage approaches. Copyright © 2016 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

  7. Automatic bad channel detection in intracranial electroencephalographic recordings using ensemble machine learning.

    Science.gov (United States)

    Tuyisenge, Viateur; Trebaul, Lena; Bhattacharjee, Manik; Chanteloup-Forêt, Blandine; Saubat-Guigui, Carole; Mîndruţă, Ioana; Rheims, Sylvain; Maillard, Louis; Kahane, Philippe; Taussig, Delphine; David, Olivier

    2018-03-01

    Intracranial electroencephalographic (iEEG) recordings contain "bad channels", which show non-neuronal signals. Here, we developed a new method that automatically detects iEEG bad channels using machine learning of seven signal features. The features quantified signals' variance, spatial-temporal correlation and nonlinear properties. Because the number of bad channels is usually much lower than the number of good channels, we implemented an ensemble bagging classifier known to be optimal in terms of stability and predictive accuracy for datasets with imbalanced class distributions. This method was applied on stereo-electroencephalographic (SEEG) signals recording during low frequency stimulations performed in 206 patients from 5 clinical centers. We found that the classification accuracy was extremely good: It increased with the number of subjects used to train the classifier and reached a plateau at 99.77% for 110 subjects. The classification performance was thus not impacted by the multicentric nature of data. The proposed method to automatically detect bad channels demonstrated convincing results and can be envisaged to be used on larger datasets for automatic quality control of iEEG data. This is the first method proposed to classify bad channels in iEEG and should allow to improve the data selection when reviewing iEEG signals. Copyright © 2017 International Federation of Clinical Neurophysiology. Published by Elsevier B.V. All rights reserved.

  8. Main communication barriers in the process of delivering bad news to oncological patients - medical perspective.

    Science.gov (United States)

    Zielińska, Paulina; Jarosz, Magdalena; Kwiecińska, Agnieszka; Bętkowska-Korpała, Barbara

    2017-01-01

    Delivering bad news is a major aspect of a doctor's work. The literature most often refers to patient's expectations or needs, and methods of delivering bad news, while medical perspective is often skipped. The purpose of this paper is to examine competencies (knowledge, skills and experience) in delivering bad news by medical specialists in the areas related to the causal and symptomatic treatment of oncological patients; identification of major communication problems and obstacles in this specific situation and evaluation of teaching needs for delivering bad news. The study was performed on a group of 61 medical specialists in the areas related to the causal and symptomatic treatment of oncological patients, using a self-generated questionnaire based on other studies in the literature. Topics that are considered most demanding are: delivering news on the termination of causal treatment and preparing the patient/ close ones for death. The most difficult aspect of such discussions for the respondents was associated with the emotions manifested by the patient. On the other hand, doctors were mostly distressed by the feeling of taking the patient's hope away. The study points to the need for education of doctors in the eld of techniques for delivering bad news, particularly in the area of dealing with the emotions manifested by the patient and giving them real hope. The results encourage to conduct studies on a larger group of doctors.

  9. Good and Bad Sleep in Childhood: A Questionnaire Survey amongst School Children in Southern Italy.

    Science.gov (United States)

    Ficca, Gianluca; Conte, Francesca; De Padova, Vittoria; Zilli, Iole

    2011-01-01

    Despite its clinical importance, the issue of subjective sleep quality in children remains unexplored. Here we investigate, in school-aged children, the prevalence of bad sleep perception and its relationships with sleep habits and daytime functioning, to provide hints on its possible determinants. Subjective sleep perception, sleep habits, and daytime functioning were studied through a questionnaire survey in a sample of 482 children (6-12 yrs.). Being "bad sleeper" was reported by 6.9% of the sample. Compared to the "good sleepers", these subjects displayed shorter sleep duration on schooldays, longer sleep latencies, and a more pronounced evening preference, beyond more frequent insufficient sleep. Though no differences emerged in sleepiness, bad sleepers showed higher impairments in daytime functioning, indicated by more frequent depressed mood and impulsivity. These distinctive features might be very important to precociously detect those children who are possibly more vulnerable to sleep disturbances and whose sleep-wake rhythms evolution should be paid particular attention thereafter. "The good people sleep much better at night than the bad people.Of course, the bad people enjoy the waking hours much more"Woody Allen.

  10. Expression and prognostic relevance of MET and phospho-BAD in non-small cell lung cancer.

    Science.gov (United States)

    Sun, Wenze; Ai, Ting; Gao, Ying; Zhang, Yingbing; Cui, Jie; Song, Liping

    2013-01-01

    MET is involved in the progression of several types of human cancers, while phospho-BAD(Ser-136) is a key molecule in apoptosis and might be regulated by MET. The aim of this study was to investigate the correlation between altered expression of MET and phospho-BAD in non-small cell lung cancer (NSCLC) and their association with clinicopathologic parameters and overall survival. MET and phospho-BAD(Ser-136) proteins were evaluated by immunohistochemical analysis in 183 paraffin-embedded specimens and were also assessed by Western blotting analysis in 12 frozen tumor tissue samples, which were representative examples of immunohistochemical staining. Positive expression of MET and phospho-BAD(Ser-136) occurred in 67.2% and 49.2% of the 183 cases of NSCLC, respectively. However, neither MET expression nor phospho-BAD(Ser-136) expression was associated with any clinicopathologic parameter. A significant correlation was found between MET and phospho-BAD(Ser-136) expression levels evaluated by immunohistochemistry (r = 0.268, P BAD(Ser-136)+ phenotype had a poorer prognosis than others (P BAD(Ser-136) expression, and may be an adverse predictor for NSCLC. Activation of the MET/phospho-BAD(Ser-136) signaling pathway might play a role in the development and progression of NSCLC.

  11. Germany's socio-economic model and the Euro crisis

    Directory of Open Access Journals (Sweden)

    Michael Dauderstädt

    2013-03-01

    Full Text Available Germany's socio-economic model, the "social market economy", was established in West Germany after World War II and extended to the unified Germany in 1990. During a prolonged recession after the adoption of the Euro in 1998, major reforms (Agenda 2010 were introduced which many consider as the key of Germany's recent success. The reforms had mixed results: employment increased but has consisted to a large extent of precarious low-wage jobs. Growth depended on export surpluses based on an internal real devaluation (low unit labour costs which make Germany vulnerable to global recessions as in 2009. Overall inequality increased substantially.

  12. Potential and costs of renewables in Germany

    International Nuclear Information System (INIS)

    Albrecht, K.F.; Raede, H.S.

    1995-01-01

    Set off by the oil crisis in the Seventies and nurtured by the critical stance of the public towards nuclear energy and its growing awareness of the climate problem, studies on possible applications of renewables in Germany have played an increasingly important role over the years. A large number of publications have been turned out on this issue. It therefore appears worthwhile to collect the various results given in the literature and compile them for easy comparison. The authors of the present article give a short synopsis of a study to this end that was completed in the autumn of last year. The chief aim of the compilation was to enable the reader to gain a quick overview of the known results and to facilitate his orientation, thus making the problems surrounding the application of renewables in Germany more transparent. (orig.) [de

  13. Second births in western Germany and France

    Directory of Open Access Journals (Sweden)

    Katja Köppen

    2006-04-01

    Full Text Available We compare second birth risks in France and western Germany using data from the Family and Fertility Survey. Second birth risks are higher for highly educated women than for women with lower education in both countries. In western Germany, the positive effect weakens after controlling for the education level of the partner. The positive effect of French women's education remains unchanged, even after controlling for the partners' characteristics. We interpret this finding in the sense that work and family life are more compatible in France, where highly educated women can turn their education more often into work opportunities and income. West German women often have to make a decision between an employment career and motherhood as two exclusive life options. In such a situation, it is primarily the partners' earning potential that influences fertility.

  14. The future of nuclear power in Germany

    International Nuclear Information System (INIS)

    Holzer, J.

    1993-01-01

    The future of nuclear power in Germany is not only a matter of technology, economy and ecology but, above all, a matter of political leadership, the quality of interaction of all groups of society, the need to take ideology out of politico-economico-technical matters, and of firmly standing up for a style of democracy in which majorities, not minorities, decide. The power economy is agreed that nuclear power is indispensable in a powerful electricity supply scheme. These should be the criteria to be met by an energy consensus: No nuclear plants should be sacrificed by being shut down before the end of their technical and economic service life; spent fuel and waste management in Germany should be secured with sufficient interim storage and repository storage capacities. (orig.) [de

  15. [The reception of Heinz Kohut in Germany].

    Science.gov (United States)

    Milch, Wolfgang

    2016-01-01

    First the discussion of Kohut's new ideas in the United States is sketched as a background. The response to these ideas was divided: on the one hand they were hailed as important innovations of psychoanalytic theory, and a circle of colleagues formed around their author; on the other hand they were violently rejected, and old friends distanced themselves from him. In Germany Kuhut's ideas were initially well received. His visits, lectures and supervisions resulted in a lively exchange and a number of friendships. When the differences between Kohutian and classical theory became evident this led increasingly to disillusionment and retreat. De-emphasizing drive and ego psychology had considerable consequences for psychoanalytic technique as well as for the analyst's Menschenbild, his relationship to the patient and his critical self-reflection. In Germany, too, a circle of colleagues emerged, following and elaborating the ideas of Kohut.

  16. [Migrants of high social status in Germany].

    Science.gov (United States)

    Glebe, G

    1997-01-01

    "The accelerating economic globalization has created a growing demand for highly skilled labourers. As a result, there has been an increase in highly skilled and high-status migrants to Germany, especially to the urban agglomerations with global city functions. This migration process is carried mostly by the internal labour and job movement of multinational companies. In the urban centres these groups of migrants follow specific patterns of spatial organization and segregation with regard to their place of residence. But they also have other distinctive difference to the migrants with a lower social status, such as higher social acceptance in their host country, the transitory character of their stay in Germany, and their intentions to return to their home countries." (EXCERPT)

  17. Aquifer thermal energy stores in Germany

    International Nuclear Information System (INIS)

    Kabus, F.; Seibt, P.; Poppei, J.

    2000-01-01

    This paper describes the state of essential demonstration projects of heat and cold storage in aquifers in Germany. Into the energy supply system of the buildings of the German Parliament in Berlin, there are integrated both a deep brine-bearing aquifer for the seasonal storage of waste heat from power and heat cogeneration and a shallow-freshwater bearing aquifer for cold storage. In Neubrandenburg, a geothermal heating plant which uses a 1.200 m deep aquifer is being retrofitted into an aquifer heat storage system which can be charged with the waste heat from a gas and steam cogeneration plant. The first centralised solar heating plant including an aquifer thermal energy store in Germany was constructed in Rostock. Solar collectors with a total area of 1000m 2 serve for the heating of a complex of buildings with 108 flats. A shallow freshwater-bearing aquifer is used for thermal energy storage. (Authors)

  18. Year 2 of Germany's Energy Transition

    International Nuclear Information System (INIS)

    Cruciani, Michel

    2013-01-01

    After a decade characterised by the take-off of renewable energies, Germany decided in 2010 to make them the top priority. At the same time, it decided to make exemplary efforts in terms of energy efficiency and the reduction of greenhouse gases. The audacious nature of this policy was strengthened by the 'turn' taken in 2011 to give up nuclear energy in the wake of the Fukushima accident. Given the initial results for 2012, Germany seems to be on target for reaching its national objective, of 18% renewable energy within total consumption by 2020. Germany is also well placed to reduce its planned cut in electricity consumption of 10%. The country will also meet its commitments, both international and European, concerning greenhouse gas emissions. In contrast, recent trends suggest it will be increasingly difficult for Germany to meet its own, domestic goal of cutting emissions by 40%, by 2020. Furthermore, it is hard to see how Germany will be able to bring down total energy consumption by 20% by 2020 (from 2008 levels), or increase the share of renewables in electricity production above 35%. Success with this latter objective is largely dependent on reinforcing networks, both for transmission over long distances and for local distribution. It is not sure that the delays accumulated in both areas will be made up for by 2020, despite the rapid legislative adjustments that have already been made. By favouring intermittent energy sources - wind and solar power - Germany also faces problems of managing frequent production fluctuations. The long term solution to this lies in storing electricity. However, despite the considerable efforts in research and development, the technologies necessary for this will doubtless not be available on a large scale before the end of the present decade. These efforts could nevertheless provide German industry with interesting advantages in sectors of high potential, such as electric vehicles. Measures to promote renewable energies are

  19. The rise of precarious employment in Germany

    OpenAIRE

    Brady, David; Biegert, Thomas

    2017-01-01

    Long considered the classic coordinated market economy featuring employment security and relatively little employment precarity, the German labor market has undergone profound changes in recent decades. We assess the evidence for a rise in precarious employment in Germany from 1984 to 2013. Using data from the German Socio-Economic Panel (SOEP) through the Luxembourg Income Study, we examine low-wage employment, working poverty, and temporary employment. We also analyze changes in the demogra...

  20. Energy transition in France and Germany

    International Nuclear Information System (INIS)

    Persem, Melanie

    2014-01-01

    This document presents some key figures and comparisons between the French and German energy plans: electricity mix, 2003-2013 evolution of installed power and of renewable electrical production, cost of energy transition (evolution of charges relative to contracts of renewable electricity purchasing agreement), 2004-2013 evolution employment in renewable energies industry, France-Germany power exchanges (France import balance of 9.8 TWh in 2013), electricity goals in the French and German energy transitions

  1. Supplementary income. Direct selling in Germany

    International Nuclear Information System (INIS)

    Roesner, Sven

    2014-01-01

    This document treats, first, of the evolution of the German support mechanisms to renewable energy sources. Then, it presents the legal framework of direct electricity selling (goal, evolution, facilities in concern and eligibility criteria). Next, the operation of direct selling since August 2014 in Germany is presented (producers eligibility, over- and under-production, reference values, income, tariffs). Finally, the perspectives and conditions of direct selling success are summarized in the conclusion

  2. The Societal Integration of Immigrants in Germany

    OpenAIRE

    Fertig, Michael

    2004-01-01

    This paper investigates whether and to what extent immigrants in Germany are integrated into German society by utilizing a variety of qualitative information and subjective data collected in the 1999 wave of the German Socio-Economic Panel (GSOEP). To this end, leisure-time activities and attitudes of native Germans, ethnic Germans and foreign immigrants of different generations are compared. The empirical results suggest that conditional on observable characteristics the activities and attit...

  3. Nuclear licensing and supervision in Germany

    International Nuclear Information System (INIS)

    1996-06-01

    The legal instrument for implementing the licensing and supervisory procedure is specified by statutory ordinances, guidelines and provisions. The licensing requirements for nuclear power plants on the final storage of radioactive wastes in the federal republic of germany are described. The nuclear facilities are subject to continuous state supervision after they have been granted. The appendix gives a brief account of the most important ordinances relating to the AtG and extracts from the Nuclear Safety Convention. (HP)

  4. Pension Systems in Europe. Case of Germany

    Directory of Open Access Journals (Sweden)

    Jarosław Poteraj

    2008-01-01

    Full Text Available The article presents an insight into the old age pensionsystem in Germany. The authors goal was to present both, past and present solutions employed by the Germans pension system, in search for ideas worth consideration in international comparisons. In the summary, the author highlights as a particular German approach, on the background of other countries, the fact of implementing in the German reality the special smart card system for pensioners.

  5. Monetary transmission and bank lending in Germany

    OpenAIRE

    Kakes, Jan; Sturm, Jan-Egbert; Philipp Maier

    1999-01-01

    This paper analyses the role of bank lending in the monetary transmission process in Germany. We follow a sectoral approach by distinguishing corporate lending and household lending. We find that banks respond to a monetary contraction by adjusting their securities holdings, rather than reducing their loans portfolio. Most lending categories even show an increase following a monetary tightening. The main implication of our results is that a bank lending channel is not an important transmissio...

  6. Photovoltaic energy in Germany: experience feedback

    International Nuclear Information System (INIS)

    Persem, Melanie

    2011-01-01

    This document presents some key information and figures about the development of photovoltaic energy in Germany: resource potential, 2000-2010 development, share in the energy mix, market, legal framework and incentives, market evolution and electricity feed-in tariffs, 2006-2011 evolution of photovoltaic power plant costs, households' contribution, R and D investments, industry development and employment, the German national energy plan after Fukushima, the expectations of the German photovoltaic industry

  7. Self-consumption in Germany. Experience feedback

    International Nuclear Information System (INIS)

    Roesner, Sven

    2014-01-01

    This document presents some key information and figures about self-consumption from photovoltaic power plants and cogeneration plants in Germany: share of self-consumption in the overall electricity consumption, definition and economic models, legal aspects and feed-in tariffs, financial incentives for households, tertiary sector and industry, impact on grid dimensioning, challenge of storage on electric system optimisation, economic impact and 'lack of solidarity', possible future legal evolutions

  8. Experience with the SE in Germany

    Directory of Open Access Journals (Sweden)

    Jochem Reichert

    2008-03-01

    Full Text Available A rather significant proportion of the Societas Europaeas (the European Company, or SE formed to date have had German roots. German corporate law has been enriched by an interesting alternative which meanwhile seems to have gained momentum. This contribution focuses on SEs incorporated by German entrepreneurs and provides an interesting account concerning the use of SEs in Germany in practice, such as Allianz, Fresenius, BASF and Porsche. Has the SE been used to circumvent rigid company law provisions or is it a more flexible and effective tool, perhaps, for company mobility? The practical motives behind setting up this company form are also reflected upon. These include: the facilitation of cross-border mergers; transfer of the registered office; the ‘European’ image; a more flexible form of co-determination in large companies (reduction of the number of supervisory board members; avoidance and freezing of co-determination for medium-sized enterprises; the appeal of the one-tier system and its endangerment by German co-determination; and flat and uniform structures for company groups. The author also briefly discusses some of the problems arising from the formation of SEs in Germany. He ultimately concludes that practice has shown that it is possible to work with the legal regime of the SE in Germany, which adds a new company form to those available in that Member State.

  9. [First ciguatera outbreak in Germany in 2012].

    Science.gov (United States)

    Friedemann, Miriam

    2016-12-01

    In November 2012, 23 cases of ciguatera with typical combinations of gastrointestinal and neurological symptoms occurred in Germany after consumption of imported tropical fish (Lutjanus spp.). A questionnaire was used to gather information on the disease course and fish consumption. All patients suffered from pathognomonic cold allodynia. Aside from two severe courses of illness, all other cases showed symptoms of moderate intensity. During a three-year follow-up, seven patients reported prolonged paresthesia for more than one year. Two of them reported further neuropathies over almost three years. This is the first time that long-term persistence of symptoms has been documented in detail. Outbreak cases were allocated to eight clusters in seven German cities. A further cluster was prevented by the successful recall of ciguatoxic fish. Three clusters were confirmed by the detection of ciguatoxin in samples of suspicious and recalled fish. An extrapolation on the basis of ciguatoxic samples revealed twenty prevented cases of ciguatera. Further officially unknown cases should be assumed. During the outbreak investigations, inadvertently falsely labelled fish species and fishing capture areas on import and retail level documents were observed. The ascertainment of cases and the outbreak investigations proved to be difficult due to inconsistent case reports to poisons centers, local health and veterinary authorities. In Germany, many physicians are unaware of the disease pattern of ciguatera and the risks caused by tropical fish. The occurrence of further outbreaks during the following years emphasizes the increasing significance of ciguatera in Germany.

  10. Final storage in Germany. Who is interested?

    International Nuclear Information System (INIS)

    Kuehn, K.

    2002-01-01

    The final storage of radioactive waste and spent fuel in Germany - who, in Germany, has any interest in this subject, especially now that the new Atomic Energy Act has been adopted, and who is going to read this article? The author, Professor Klaus Kuehn, examines this question, analyzing in his contribution the current situation and the points of view of those who may be interested in this topic. In Prof. Kuehn's opinion, the addresses in particular are these: - the federal government, - the opposition in the federal parliament, - the federal states, - the Federal Ministry for the Environment, - the Federal Ministry for Research, - the Federal Ministry of Economics, - the Federal Office for Radiation Protection, - the operators of nuclear power plants, - the Working Group Elaborating Procedures for Selecting Repository Sites (AkEnd). Klaus Kuehn concludes that there is little interest at the present time in the subject of Final Storage in Germany, for reasons explained in detail which result both from the political constellation and from existing constraints. (orig.) [de

  11. Peculiarities of transformation processes in East Germany

    Directory of Open Access Journals (Sweden)

    Marion Dathe

    2011-03-01

    Full Text Available The process of socio-economic transformation of East German lands after the German reunification in 1990 is analyzed, the term "transformation" in frames of planned and market economies is defined. The author studies the historical determinants of the transformation process in Germany. German economic and industrial history in context of the driving forces and their social values, as well as the properties of the planning and economic systems that underlie the transformation of East German mentality, are considered. Further analysis is connected with economic, social and political components of the East German transformation process, "the dominance of the West", the collapse of the Council for Mutual Economic Assistance, privatization etc. Finally, the outcome of already traversed path of transformation of East Germany is considered. It is concluded, that the transformation process is not only historically conditioned situations of both the merging parties in the case of Germany, but also the positive or negative perception of its results and the motivation for its further implementation.

  12. Deep Geothermal Energy Production in Germany

    Directory of Open Access Journals (Sweden)

    Thorsten Agemar

    2014-07-01

    Full Text Available Germany uses its low enthalpy hydrothermal resources predominantly for balneological applications, space and district heating, but also for power production. The German Federal government supports the development of geothermal energy in terms of project funding, market incentives and credit offers, as well as a feed-in tariff for geothermal electricity. Although new projects for district heating take on average six years, geothermal energy utilisation is growing rapidly, especially in southern Germany. From 2003 to 2013, the annual production of geothermal district heating stations increased from 60 GWh to 530 GWh. In the same time, the annual power production increased from 0 GWh to 36 GWh. Currently, almost 200 geothermal facilities are in operation or under construction in Germany. A feasibility study including detailed geological site assessment is still essential when planning a new geothermal facility. As part of this assessment, a lot of geological data, hydraulic data, and subsurface temperatures can be retrieved from the geothermal information system GeotIS, which can be accessed online [1].

  13. RICHMOND CROWN - FOR RESTORATION OF BADLY MUTILATED POSTERIOR TEETH : A CASE REPORT

    Directory of Open Access Journals (Sweden)

    Yadav

    2015-07-01

    Full Text Available Restoration of badly broken endodontically treated teeth is a common problem in restorative dentistry. Such teeth often require additional support from the root canal by means of a post and core restoration. In cases where tooth structure is significantly lost full coverage restorations for posterior teeth are necessary to achieve proper tooth form and function. Badly broken teeth with minimal or no crown structure require added retention and support. The Richmond crown can be a good treatment alternative for restoration of such teeth. The Richmond crown was introduced in 1878 and incorporated a threaded tube in the canal with a screw retained crown. It was later modified to eliminate the threaded tube and was redesigned as a one piece dowel and crown. This case report shows restoration of badly mutilated posterior teeth with Richmond crown.

  14. Washing away your (good or bad) luck: physical cleansing affects risk-taking behavior.

    Science.gov (United States)

    Xu, Alison Jing; Zwick, Rami; Schwarz, Norbert

    2012-02-01

    Many superstitious practices entail the belief that good or bad luck can be "washed away." Consistent with this belief, participants who recalled (Experiment 1) or experienced (Experiment 2) an episode of bad luck were more willing to take risk after having as opposed to not having washed their hands, whereas participants who recalled or experienced an episode of good luck were less willing to take risk after having as opposed to not having washed their hands. Thus, the psychological effects of physical cleansings extend beyond the domain of moral judgment and are independent of people's motivation: incidental washing not only removes undesirable traces of the past (such as bad luck) but also desirable ones (such as good luck), which people would rather preserve.

  15. A mapping of people's positions regarding the breaking of bad news to patients.

    Science.gov (United States)

    Igier, Valérie; Muñoz Sastre, María Teresa; Sorum, Paul Clay; Mullet, Etienne

    2015-01-01

    The objective of this study was to map people's positions regarding the breaking of bad news to patients. One hundred forty adults who had in the past received bad medical news or whose elderly relatives had in the past received bad news, 25 nurses, and 28 nurse's aides indicated the acceptability of physicians' conduct in 72 vignettes of giving bad news to elderly patients. Vignettes were all combinations of five factors: (a) the severity of the disease (severe but not lethal, extremely severe and possibly lethal, or incurable), (b) the patient's wishes (insists on knowing the full truth vs. does not insist), (c) the level of social support during hospitalization, (d) the patient's psychological robustness, and (e) the physician's decision about communicating bad news (tell the patient that the illness is not severe and minimize the severity of the illness when talking to the patient's relatives, tell the full truth to her relatives, or tell the full truth to both the elderly patient and her relatives). Four qualitatively different positions were found. Twenty-eight percent of participants preferred the full truth to be told; 36% preferred the truth to be told but understood that the physician would inform the family first; 13% did not think that telling the full truth is best for patients; and 23% understood that the full truth would be told in some cases and not in others, depending on the physician's perception of the situation. The present mapping could be used to detect the position held by each patient and act accordingly. This would be made easier if breaking bad news was conceived as a communication process involving a range of health care professionals, rather than as a single occurrence in time.

  16. BAD overexpression inhibits cell growth and induces apoptosis via mitochondrial-dependent pathway in non-small cell lung cancer.

    Science.gov (United States)

    Jiang, Li; Luo, Man; Liu, Dan; Chen, Bojiang; Zhang, Wen; Mai, Lin; Zeng, Jing; Huang, Na; Huang, Yi; Mo, Xianming; Li, Weimin

    2013-06-01

    The pro-apoptotic Bcl-2 protein BAD initiated apoptosis in human cells and has been identified as a prognostic marker in non-small cell lung cancer (NSCLC). In this study, we aimed to explore the functions of BAD in NSCLC. Overexpression of BAD was performed by transfecting different NSCLC cell lines with wild-type BAD. Cell proliferation, cell cycle, apoptosis, and invasion were characterized in vitro. Tumorigenicity was analyzed in vivo. Western blot was performed to determine the effects of BAD overexpression on the Bcl-2 family proteins and apoptosis-related proteins. Overexpression of BAD significantly inhibited cell proliferation in H1299, H292, and SPC-A1 but not in SK-MES-1 and H460 cell lines in vitro. BAD overexpression also reduced the tumorigenicity of H1299/SPC-A1 cell in vivo. However, no appreciable effects on cell cycle distribution and invasion were observed in all these cell lines. BAD overexpression also induced apoptosis in all cell types, in which process expression of mitochondrial cytochrom c (cyto-c) and caspase 3 were increased, whereas Bcl-xl, Bcl-2, Bax and caspase 8 expressions did not changed. These findings indicated that a mitochondrial pathway, in which process cyto-c was released from mitochondrial to activate caspase 3, was involved in BAD overexpression-mediated apoptosis. Our data suggested that increased expression of BAD enhance apoptosis and has negative influence on cell proliferation and tumor growth in NSCLC. Bad is a new potential target for tumor interventions.

  17. Energy R and D in Germany; TOPICAL

    International Nuclear Information System (INIS)

    PJ Runci

    1999-01-01

    Germany's total national (i.e., combined public and private sector) funding for R and D stood at$42 billion in 1997. The private sector accounted for nearly 62% ($24 billion) of the total, while the public sector accounted for approximately 38%. Since the late 1970s, when the public and private sectors each funded roughly half of Germany's R and D, the private sector has steadily assumed a larger and larger role as the dominant supporter of R and D activity, while overall government funding has remained essentially flat for much of the past two decades. In addition to declining relative to private R and D expenditures, public R and D expenditures in Germany declined by 4% in real terms between 1991 and 1997, to approximately$15 billion. The reduction in R and D investments in the public sector can be attributed in large part to the financial challenges associated with German reunification and related shifts in social priorities including efforts to address high unemployment and to rebuild basic infrastructure in the eastern states. R and D expenditures have also declined as a percentage of the total public budget, from a peak of 3.4% in 1985 to 2.7% in 1996. Energy R and D has been the hardest hit of all major socioeconomic areas of R and D expenditure funded by the German government. Between 1981 and 1997, public energy R and D fell from approximately$1.6 billion to$400 million--a 75% real decline. The$850 million reduction in Germany's fission R and D budget (which constituted two-thirds of government R and D investment in 1985) explains some 90% of the funding decline. Negative public perceptions regarding the safety and environmental impacts of nuclear energy have reduced nuclear power's viability as a long-term energy option for Germany. Discussions of a complete nuclear phaseout are now under way. At the same time, the German government has slashed its investments in fossil energy R and D by more than 90%. While energy efficiency and renewable energy

  18. Energy R and D in Germany

    Energy Technology Data Exchange (ETDEWEB)

    Runci, PJ

    1999-11-01

    Germany's total national (i.e., combined public and private sector) funding for R&D stood at $42 billion in 1997. The private sector accounted for nearly 62% ($24 billion) of the total, while the public sector accounted for approximately 38%. Since the late 1970s, when the public and private sectors each funded roughly half of Germany's R&D, the private sector has steadily assumed a larger and larger role as the dominant supporter of R&D activity, while overall government funding has remained essentially flat for much of the past two decades. In addition to declining relative to private R&D expenditures, public R&D expenditures in Germany declined by 4% in real terms between 1991 and 1997, to approximately $15 billion. The reduction in R&D investments in the public sector can be attributed in large part to the financial challenges associated with German reunification and related shifts in social priorities including efforts to address high unemployment and to rebuild basic infrastructure in the eastern states. R&D expenditures have also declined as a percentage of the total public budget, from a peak of 3.4% in 1985 to 2.7% in 1996. Energy R&D has been the hardest hit of all major socioeconomic areas of R&D expenditure funded by the German government. Between 1981 and 1997, public energy R&D fell from approximately $1.6 billion to $400 million--a 75% real decline. The $850 million reduction in Germany's fission R&D budget (which constituted two-thirds of government R&D investment in 1985) explains some 90% of the funding decline. Negative public perceptions regarding the safety and environmental impacts of nuclear energy have reduced nuclear power's viability as a long-term energy option for Germany. Discussions of a complete nuclear phaseout are now under way. At the same time, the German government has slashed its investments in fossil energy R&D by more than 90%. While energy efficiency and renewable energy technologies have fared relatively well in comparison

  19. Nuclear third party liability in Germany

    International Nuclear Information System (INIS)

    Raetzke, Christian

    2016-01-01

    The German system of nuclear third party liability has always been, and arguably still is, the object of considerable interest in the international nuclear law community. This may seem surprising since Germany adheres to the Paris Convention and is therefore a party to a community of 15 states all following the same principles enshrined in this Convention. In fact, when implementing the PC, Germany chose the approach ensuring the most literal adherence to the PC's principles: it adopted the PC in its entirety, thus directly transposing the PC text into binding German law, instead of enacting a national law derived from, but not literally translating, the PC. At the same time, perhaps no other nation has made use of the options, choices and margins offered or abandoned by the PC to the national legislators, or kept in store by way of a reservation at signature of the Convention, in such an extended manner, testing - and as has even been contended in the past: stressing - the boundaries of the PC system. Unlimited liability introduced in 1985, the highest financial security of any PC state (EUR 2.5 billion), unlimited territorial scope combined with the principle of reciprocity and liability of German operators even in the force majeure cases of Article 9 of the PC are probably the most interesting decisions made by Germany in this context, established in the Atomic Energy Act (Atomgesetz). These choices betray a certain tendency of the German government to give the greatest possible benefit to victims, and in parallel to achieve a 'normalisation' of the nuclear liability regime, without stifling the industry. Within the compromise underlying the international nuclear liability regime - enabling the nuclear industry to create and sustain an energy sector highly relevant for national electricity production on the one hand and protecting potential victims on the other - Germany has more and more shifted the balance, as far as practically possible, to the

  20. International design competition. Formula student Germany; Internationaler Konstruktionswettbewerb. Formula Student Germany

    Energy Technology Data Exchange (ETDEWEB)

    Liebl, Johannes; Siebenpfeiffer, Wolfgang (eds.)

    2011-11-15

    Within the International Design Competition 2011 at the Hockenheimring (Federal Republic of Germany) the following contributions were presented: (1) Formula Student Germany - Experience the Future (Tim Hannig); (2) Live at the Hockenheimring 2011; (3) Cutaway Model of the FSC Winning Car - The GFR11c by the Global Formula Racing Team of the DHBW Ravensburg; (4) Formula Student Racecar with Selective Cylinder Deactivation (Alexander Titz); (5) Construction of a crankshaft for the RS11 (Stefan Buhl); (6) The Wheel Design of the ARG 11 (Megan Rotondo); (7) Cutaway Model of the FSE Winning Car - The DUT11 by the DUT Racing Team of the Delft University of Technology; (8) Formula Student Electric - E-Scrutineering (Ann-Christin Bartoelke); (9) Development of an E-motor for Formular Student Electric (Urs Leuthold); (10) The Battery Management System of the FHWT04e (Andreas Hagemeyer); (11) Overall Results 2011 at a Glance; (12) Show your Colours; (13) Formula Student Germany visiting China (Alia Pierce).

  1. 32 CFR 887.7 - Persons separated under other than honorable conditions (undesirable or bad conduct) or...

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 6 2010-07-01 2010-07-01 false Persons separated under other than honorable conditions (undesirable or bad conduct) or dishonorable discharge. 887.7 Section 887.7 National Defense... honorable conditions (undesirable or bad conduct) or dishonorable discharge. Those persons whose character...

  2. Preferences and attitudes of the Saudi population toward receiving medical bad news: A primary study from Riyadh city.

    Science.gov (United States)

    Alrukban, Mohammed O; Albadr, Badr O; Almansour, Mohammed; Sami, Waqas; Alshuil, Mussab; Aldebaib, Abulrahman; Algannam, Tamim; Alhafaf, Faisal; Almohanna, Abdulaziz; Alfifi, Tariq; Alshehri, Abdullah; Alshahrani, Muhannad

    2014-05-01

    Breaking bad news is one of the most stressful and difficult things a physician has to do. Good communication skills are required in order to ensure that bad news is delivered in a humane but effective way. This study was designed to explore the preferences and attitude of the Saudi population toward receiving bad news. Second, it was to identify the associations between preferences, attitudes, and sociodemographic characteristics. This was a cross-sectional study conducted during the month of April 2009 in Riyadh. Data were collected from 1013 adult Saudis. Stratified random sampling technique was used through a self-administered questionnaire. In this study, 474 (46.8%) were males and 539 (53.2%) were females. Almost two-third of the participants preferred to be the first to receive the bad news. A majority of the participants 695 (68.6%) preferred to be told the bad news at a private place, whereas, 441 (43.5%) preferred to be told by the head of the medical team. Moreover, almost half of the participants would like the one who breaks the bad news to remain with them to give them some more information about the disease. Significant associations were observed between participants' perception and attitude with age, marital status, gender, and education (P bad news is received. Understanding what is important in the process of breaking bad news may help in determining how best to perform this challenging task.

  3. Bad split during bilateral sagittal split osteotomy of the mandible with separators: a retrospective study of 427 patients.

    Science.gov (United States)

    Mensink, Gertjan; Verweij, Jop P; Frank, Michael D; Eelco Bergsma, J; Richard van Merkesteyn, J P

    2013-09-01

    An unfavourable fracture, known as a bad split, is a common operative complication in bilateral sagittal split osteotomy (BSSO). The reported incidence ranges from 0.5 to 5.5%/site. Since 1994 we have used sagittal splitters and separators instead of chisels for BSSO in our clinic in an attempt to prevent postoperative hypoaesthesia. Theoretically an increased percentage of bad splits could be expected with this technique. In this retrospective study we aimed to find out the incidence of bad splits associated with BSSO done with splitters and separators. We also assessed the risk factors for bad splits. The study group comprised 427 consecutive patients among whom the incidence of bad splits was 2.0%/site, which is well within the reported range. The only predictive factor for a bad split was the removal of third molars at the same time as BSSO. There was no significant association between bad splits and age, sex, class of occlusion, or the experience of the surgeon. We think that doing a BSSO with splitters and separators instead of chisels does not increase the risk of a bad split, and is therefore safe with predictable results. Copyright © 2012 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

  4. 26 CFR 1.381(c)(12)-1 - Recovery of bad debts, prior taxes, or delinquency amounts.

    Science.gov (United States)

    2010-04-01

    ... delinquency amounts. 1.381(c)(12)-1 Section 1.381(c)(12)-1 Internal Revenue INTERNAL REVENUE SERVICE...(c)(12)-1 Recovery of bad debts, prior taxes, or delinquency amounts. (a) Carryover requirement. (1... corporation is entitled to the recovery of a bad debt, prior tax, or delinquency amount on account of which a...

  5. Comparison Between Conventional and Post-Processing PMU-Based State Estimation to Deal with Bad Data

    DEFF Research Database (Denmark)

    Khazraj, Hesam; Silva, Filipe Miguel Faria da; Bak, Claus Leth

    2017-01-01

    simulations, IEEE 30 bus is implemented in PowerFactory and Matlab is used to solve proposed state estimation using post-processing of PMUs. Bad data is generated manually and added in PMU and conventional measurements profile. Finally, the location and analysis of bad data are available by result of largest...

  6. Preferences and attitudes of the Saudi population toward receiving medical bad news: A primary study from Riyadh city

    Science.gov (United States)

    Alrukban, Mohammed O.; Albadr, Badr O.; Almansour, Mohammed; Sami, Waqas; Alshuil, Mussab; Aldebaib, Abulrahman; Algannam, Tamim; Alhafaf, Faisal; Almohanna, Abdulaziz; Alfifi, Tariq; Alshehri, Abdullah; Alshahrani, Muhannad

    2014-01-01

    Background: Breaking bad news is one of the most stressful and difficult things a physician has to do. Good communication skills are required in order to ensure that bad news is delivered in a humane but effective way. Objectives: This study was designed to explore the preferences and attitude of the Saudi population toward receiving bad news. Second, it was to identify the associations between preferences, attitudes, and sociodemographic characteristics. Materials and Methods: This was a cross-sectional study conducted during the month of April 2009 in Riyadh. Data were collected from 1013 adult Saudis. Stratified random sampling technique was used through a self-administered questionnaire. Results: In this study, 474 (46.8%) were males and 539 (53.2%) were females. Almost two-third of the participants preferred to be the first to receive the bad news. A majority of the participants 695 (68.6%) preferred to be told the bad news at a private place, whereas, 441 (43.5%) preferred to be told by the head of the medical team. Moreover, almost half of the participants would like the one who breaks the bad news to remain with them to give them some more information about the disease. Significant associations were observed between participants' perception and attitude with age, marital status, gender, and education (P bad news is received. Understanding what is important in the process of breaking bad news may help in determining how best to perform this challenging task. PMID:24987276

  7. Bad apples and black sheep: Threat of ostracism as determinant of reactions to deviant behavior of ingroup and outgroup members

    NARCIS (Netherlands)

    Ouwerkerk, J.W.

    2005-01-01

    Within a public good dilemma people have a tendency to follow the behavior of a single uncooperative individual (i.e., a bad apple) rather than the behavior of a single cooperative individual. The present research shows that this bad apple effect is stronger when a deviant individual is categorized

  8. Self-Deception in the Classroom: Educational Manifestations of Sartre's Concept of Bad Faith

    Science.gov (United States)

    Blenkinsop, Sean; Waddington, Tim

    2014-01-01

    This article explores an important section of Jean-Paul Sartre's famous early work, "Being and Nothingness." In that section Sartre proposes that part of the human condition is to actively engage in a particular kind of self-deception he calls bad faith. Bad faith is recognized by the obvious inconsistency between the purported…

  9. Khat chewing and acculturation in East-African migrants living in Frankfurt am Main/Germany.

    Science.gov (United States)

    Bongard, Stephan; Nakajima, Motohiro; al'Absi, Mustafa

    2015-04-22

    Khat (Catha edulis, Forsk) is a drug widely used in countries around the Red Sea (East-Africa and Arabian Peninsula). In Germany khat chewing is illegal but nevertheless an often observed habit in immigrants from this region. This study investigates the interrelation between immigrants acculturation processes and traditional khat chewing habits. Sixty-one khat chewers (14 female) from East-African countries were interviewed about their khat chewing habits and acculturation strategy using standardized questionnaires. Results indicate that immigrants׳ khat chewing behaviors are similar to what is common in countries with traditional khat use. But khat chewing tended to be less among immigrants who were relatively more oriented towards their cultures of origin. Chewing khat was subjectively considered to help coping with problems, to forget bad memories and to concentrate better. It was concluded that khat chewing serves a functional use of coping with stressful events in the present or in the past within this sample. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  10. Bad dream frequency in older adults with generalized anxiety disorder: prevalence, correlates, and effect of cognitive behavioral treatment for anxiety.

    Science.gov (United States)

    Nadorff, Michael R; Porter, Ben; Rhoades, Howard M; Greisinger, Anthony J; Kunik, Mark E; Stanley, Melinda A

    2014-01-01

    This study investigated the relation between generalized anxiety disorder (GAD) and frequency of bad dreams in older adults. A secondary analysis from a randomized clinical trial comparing cognitive behavioral therapy (CBT) for anxiety to enhanced usual care (EUC) assessed bad dream frequency at baseline, post treatment (3 months), and at 6, 9, 12, and 15 months. Of 227 participants (mean age = 67.4), 134 met GAD diagnostic criteria (CBT = 70, EUC = 64), with the remaining 93 serving as a comparison group. Patients with GAD had significantly more bad dreams than those without, and bad dream frequency was significantly associated with depression, anxiety, worry, and poor quality of life. CBT for anxiety significantly reduced bad dream frequency at post treatment and throughout follow up compared to EUC.

  11. Bad Dream Frequency in Older Adults with Generalized Anxiety Disorder: Prevalence, Correlates, and Effect of Cognitive Behavioral Treatment for Anxiety

    Science.gov (United States)

    Nadorff, Michael R.; Porter, Ben; Rhoades, Howard M.; Greisinger, Anthony J.; Kunik, Mark E.; Stanley, Melinda A.

    2012-01-01

    This study investigated the relation between generalized anxiety disorder (GAD) and frequency of bad dreams in older adults. A secondary analysis from a randomized clinical trial comparing cognitive behavioral therapy for anxiety (CBT) to enhanced usual care (EUC), it assessed bad dream frequency at baseline, post-treatment (3 months), and 6, 9, 12 and 15 months. Of 227 participants (mean age = 67.4), 134 met GAD diagnostic criteria (CBT = 70, EUC = 64), with the remaining 93 serving as a comparison group. Patients with GAD had significantly more bad dreams than those without, and bad dream frequency was significantly associated with depression, anxiety, worry, and poor quality of life. CBT for anxiety significantly reduced bad dream frequency at post-treatment and throughout follow-up compared to EUC. PMID:23470116

  12. Bad news transmission as a function of the definitiveness of consequences and the relationship between communicator and recipient.

    Science.gov (United States)

    Weenig, M W; Groenenboom, A C; Wilke, H A

    2001-03-01

    There is ample evidence suggesting (e.g., A. Tesser & S. Rosen, 1975) that people are reluctant to transmit bad news. Research on rumors, on the other hand, suggests that people sometimes are less reluctant to transmit bad news. It is argued that differences between the 2 lines of research include the definitiveness of the consequences of the news and the relationship between communicator and recipient. The influence of these 2 factors on news transmission was investigated in 3 experiments. Results showed that bad news with indefinite consequences was transmitted more often than bad news with definite consequences and that both kinds of bad news were transmitted more often if the recipient was a friend rather than a stranger. Differences in feelings of moral responsibility to transmit the news largely accounted for both effects. The 2 factors did not affect the likelihood of good news transmission.

  13. The bad apple effect and social value orientation in public-goods dilemmas: replication and extension of research findings.

    Science.gov (United States)

    Wu, Song; Sun, Jiaqing; Cai, Wei; Jin, Shenghua

    2014-06-01

    Two studies were conducted to replicate and extend previous findings on the effect of uncooperative behavior on group cooperation (the "bad apple" effect). Study 1 (56 women, 40 men; M age = 23.5 yr.) manipulated information about contributions from the bad apple, controlling for overall contributions to a group account. Study 2 (50 women, 34 men; M age = 20.4 yr.) compared the effects of a bad apple and a good apple on cooperation. The social value orientation of participants was measured to explore individual differences in the bad apple effect. The results revealed a bad apple (a) decreased cooperation among individuals with proself and prosocial orientations in Study 1, and (b) had a greater effect than a good apple on those who were proself compared to prosocial in Study 2.

  14. The Twilight of the Public Intellectual: Germany

    Directory of Open Access Journals (Sweden)

    Alison M. Lewis

    2004-07-01

    Full Text Available This essay focuses on the questions of whether German unification resulted in a wholesale retreat of intellectuals from politics and engagement with social issues, as the rhetoric of failure would indicate, or whether the key debates of the period can be read instead as a sign that Germany is on the road to becoming a more 'normal' European nation. Before returning to these issuesat the end of this paper I first provide a broad historical and theoretical context for my discussion of the role of the concerned intellectual in Germany, before offering an overview of the respective functions of literary intellectuals in both German states in the post-war period. I then address a series of key debates and discussions in 1989 and the early nineteen-nineties that were responsible for changing the forms of engagement in intellectual debates in post-unification German society. I argue that the 1990s and early years of the new millennium hastened the disappearance of the writer as a universal intellectual and focused attention on the writer as an individualist and a professional. Today's youngest generation of writer in Germany is a specialist intellectual who intervenes in political and social matters from time to time but who is not expected to take a moral-ethical stance on most issues of national and international concern. S/he is one who frequently writes about personal subjects, but may also occasionally, as witnessed after September 11, turn his or her pen to topics of global concern as in terrorism and Islam. More often than not, however, writers now leave the work of commenting on political affairs to writers of the older guard and to other 'senior' specialist intellectuals.

  15. The Twilight of the Public Intellectual: Germany

    Directory of Open Access Journals (Sweden)

    Alison M. Lewis

    2004-08-01

    Full Text Available This essay focuses on the questions of whether German unification resulted in a wholesale retreat of intellectuals from politics and engagement with social issues, as the rhetoric of failure would indicate, or whether the key debates of the period can be read instead as a sign that Germany is on the road to becoming a more 'normal' European nation. Before returning to these issuesat the end of this paper I first provide a broad historical and theoretical context for my discussion of the role of the concerned intellectual in Germany, before offering an overview of the respective functions of literary intellectuals in both German states in the post-war period. I then address a series of key debates and discussions in 1989 and the early nineteen-nineties that were responsible for changing the forms of engagement in intellectual debates in post-unification German society. I argue that the 1990s and early years of the new millennium hastened the disappearance of the writer as a universal intellectual and focused attention on the writer as an individualist and a professional. Today's youngest generation of writer in Germany is a specialist intellectual who intervenes in political and social matters from time to time but who is not expected to take a moral-ethical stance on most issues of national and international concern. S/he is one who frequently writes about personal subjects, but may also occasionally, as witnessed after September 11, turn his or her pen to topics of global concern as in terrorism and Islam. More often than not, however, writers now leave the work of commenting on political affairs to writers of the older guard and to other 'senior' specialist intellectuals.

  16. The energy supply situation in Germany

    International Nuclear Information System (INIS)

    Lederer, P.

    2007-01-01

    The focus is on 4 energy supply issues of decisive relevance to energy supply in Germany, but also in other countries in Europe and worldwide: (1) How will the global energy situation develop? (2) What is the organization, and the development, of the market in which we are doing business? (3) What are the challenges facing the power industry in view of a threatening climate change? (4) Against this backdrop, how do we design the energy mix of the future? Analysis of these 4 points shows that, for a foreseeable time, all types of energy generation are necessary if Germany and Europe are to be supplied energy efficiently, securely, and in a way not polluting the environment. Hence, these concrete conclusions can be drawn: (1) We need more renewable energies in Germany, in Europe, and worldwide. (2) We need the development of 700 C coalfired power plant technology in order to first advance the development of CCS (carbon capture and storage) technology and thus minimize CO 2 emissions from fossil-fired power plants. (3) We need increases in energy efficiency which help us satisfy the steadily growing need for energy with dwindling fossil resources. (4) We need nuclear power because of its ability to produce baseload electricity free from CO 2 . For nuclear power, it is now important that politics and the power industry jointly find ways and means to reassess, in an unbiased way, the plant operating lives laid down in the current Atomic Energy Act. This is required, inter alia, because of the challenges in climate policy and because of global economic boundary conditions. (orig.)

  17. An ecological tax reform in Germany

    International Nuclear Information System (INIS)

    Bakker, L.; Bleijenberg, A.N.

    1992-01-01

    This study, being a part of the large research program 'External Effects of Energy Procurement' and coordinated by PROGNOS, concerns the distributional and macro-economic effects of the internalization of the external effects of the energy supply by means of an ecological tax reform. The PROGNOS study is focused on the costs and effects of energy production, procurement and consumption (in Germany), that are not taken care of by the market. Here a rough estimate is given of the macro-economic consequence and the distributional effects for the industrial sector and households in (West) Germany of an energy tax of which the revenues are 'reinjected' into the economy, mainly by lowering the financial burden on labour. First a description is given of the starting points of the study and the form of the energy tax. Subsequently attention is paid to the macro-economic effects, the sectoral effects, and the effects on the distribution of incomes for households. The model calculations for Western Germany and the Netherlands confirm the expectation that an ecological tax reform leads to the combined realization of employment and environmental objectives. Shifts in the sectoral structure may occur. Energy intensive branches of industry will have to give up a part of their market share in favour of labour-intensive sectors. The results also illustrate that there are several possibilities to prevent a change in the collective burden of regular expenses as a result of a tax or levy on energy, and that the effects of a fuel tax on the income distribution can be corrected. 5 figs., 19 tabs., 5 apps., 15 refs

  18. A Less Ambitious Energy Transition for Germany

    International Nuclear Information System (INIS)

    Beeker, Etienne; Yahiel, Michel; Lenglart, Fabrice; Broca, Olivier de; Senne, Valerie

    2017-08-01

    In the wake of the 2011 Fukushima nuclear disaster, the German authorities launched the country's energy transition, or Energiewende. With near unanimous support of Germany's citizens, it was seen as a society-wide project. The enthusiasm the Energiewende generated soon spread beyond the Rhine. Indeed, for many French people it became the model to follow. Replacing nuclear energy and fossil fuels with renewable energy sources that were local when possible, developing electric mobility and making progress towards a zero carbon economy were all virtuous goals. What's more, it seemed they could be attained over a relatively short period of time and at reasonable cost. Today, the Energiewende's future looks less bright. While Germany produces a third of its electricity from renewable energy, this comes at a high price. The cost of electricity for small consumers more than doubled between 2000 and 2013. At the same time, the country continues to rely on coal to produce a large share of its electricity and still has one of the highest levels of CO_2 per person in Europe. But Germany's population is divided about closing its coal-fired and lignite power plants, not to mention doing so would jeopardize its energy supply. Add to this the fact the massive development of intermittent renewable energy sources has made the German power grid unstable and has necessitated the construction of thousands of kilometers of high voltage lines amidst strong local opposition. Lastly, electrifying the transport sector could serve to compound the series of scandals that have hit the automotive industry. Against this backdrop, the coalition government formed following the September 2017 federal elections could very well lower the bar for the Energiewende. (author)

  19. The effectiveness of stuttering treatments in Germany.

    Science.gov (United States)

    Euler, Harald A; Lange, Benjamin P; Schroeder, Sascha; Neumann, Katrin

    2014-03-01

    Persons who stutter (PWS) should be referred to the most effective treatments available, locally or regionally. A prospective comparison of the effects of the most common stuttering treatments in Germany is not available. Therefore, a retrospective evaluation by clients of stuttering treatments was carried out. The five most common German stuttering treatments (231 single treatment cases) were rated as to their perceived effectiveness, using a structured questionnaire, by 88 PWS recruited through various sources. The participants had received between 1 and 7 treatments for stuttering. Two stuttering treatments (stuttering modification, fluency shaping) showed favorable and three treatments (breathing therapy, hypnosis, unspecified logopedic treatment) showed unsatisfactory effectiveness ratings. The effectiveness ratings of stuttering modification and fluency shaping did not differ significantly. The three other treatments were equally ineffective. The differences between the effective and ineffective treatments were of large effect sizes. The typical therapy biography begins in childhood with an unspecified logopedic treatment administered extensively in single and individual sessions. Available comparisons showed intensive or interval treatments to be superior to extensive treatments, and group treatments to be superior to single client treatments. The stuttering treatment most often prescribed in Germany, namely a weekly session of individual treatment by a speech-language pathologist, usually with an assorted package of mostly unknown components, is of limited effectiveness. Better effectiveness can be expected from fluency shaping or stuttering modification approaches, preferably with an intensive time schedule and with group sessions. Readers will be able to: (a) discuss the five most prevalent stuttering treatments in Germany; (b) summarize the effectiveness of these treatments; and (c) describe structural treatment components that seem to be preferable

  20. 2005 primary energy consumption in Germany

    International Nuclear Information System (INIS)

    Anon.

    2006-01-01

    According to preliminar calculations by the Arbeitsgemeinschaft Energiebilanzen (Working Party on Energy Balances, AGEB), the consumption of an aggregate 486 million TCE of primary energy resources in Germany last year was 1.3% below the level of the year before. Energy consumption was influenced by both the high level of prices and the development of the economy. Hardly any influence was attributable to the level of temperatures, which was largely unchanged compared to the figure of the year before. Oil consumption in 2005 in Germany dropped by nearly 2% to 174.8 million TCE. On the whole, oil with its 36% share in the energy balance remained by far the most important energy resource in Germany. Natural gas consumption of 110.4 million TCE was at the level of the year before. Its share in the primary energy balance rose slightly to 22.7%. Hard coal, because of lower use in power plants and the decline in iron making, showed a 4.6% drop in consumption to 62.8 million TCE. In this way, hard coal contributed 13% to total energy consumption. Lignite consumption dropped by 3.2% to 54.4 million TCE as a result of lower deliveries to power plants. Its 11.2% share in the total consumption of primary energy continued to make lignite the most important domestic energy resource. More than 90% of the lignite produced is used for electricity generation. The contribution to primary energy consumption of nuclear power dropped by more than 2% to 60.7 million TCE. Hydroelectric plants and wind power plants increased their contribution by 3.6%. The contribution to primary energy consumption made by all renewable energy resources rose to 4.6%. AGEB evaluates statistics of all areas of the power economy on the basis of standard criteria in order to combine these data in a comprehensive picture. Since 1994, the energy balances for Germany have been compiled by DIW on behalf of AGEB. (orig.)

  1. Nuclear energy in France and Germany

    International Nuclear Information System (INIS)

    1981-01-01

    The peculiarities and the differences in the development of nuclear energy in the two neighboring countries are described. The development in France could be promoted more easily which was also due to the government structure. Uncomplicated licensing procedures and other factors permitted a less difficult realisation of the nuclear energy programme. Serious economic consequences in our country are pointed out. In this summary, the most important results and statements of a memorandum worked out by the KWU with the headline 'Germany/France - the electricity supply in comparison' are listed. (UA) [de

  2. Detection of radioactivity in scrap in Germany

    International Nuclear Information System (INIS)

    Kugeler, E.; Thierfeldt, S.; Sefzig, R.; Weimer, G.

    1999-01-01

    Although Germany's scrap export exceeds the import, the imports of scrap amount to more than one million Mg per year. Radioactivity has been found mainly in imported scrap in Germany. This radioactivity can consist of surface contamination in scrap e.g. from the oil and gas industry, nuclear and other technical applications or of radiation sources, e.g. from medical or technical irradiation devices where the source has not been removed prior to scrapping. Fortunately really large sources have been involved in only very few occasions. More serious incidents have, however, been reported from other countries. Today, measurement facilities have been installed at the entrances to virtually all German foundries and larger scrap yards. These measurement facilities allow the swift measurement of whole lorry or freight car loads. The lower limit of detection is for some devices as low as ca. 5 nSv/h (dose rate increase above background at the detector) which is achieved by very advanced hardware and software. Additionally, simplified dose rate measurements are performed by German customs officials at the eastern borders for scrap loads to be imported into Germany. When activity is detected in a load, several options exist, like e.g.: (i) sending the scrap back to the sender; (ii) allowing the whole load to be melted down; (iii) careful unloading and separating the load with the aim of localizing and removing the contamination. This paper analyses these various options after detection, discusses the role of the competent authorities and evaluates the possible radiological consequences. Realistic dose calculations show that it is possible that a person may receive doses of several mSv or even 10 mSv if precautionary measures are neglected or if a larger source is not detected at all. This paper further addresses which types and amounts of radioactivity may be detected and which conclusions can be drawn from the dose rate at the detector. The continuous increase in the number

  3. Freshwater reservoir effect variability in Northern Germany

    DEFF Research Database (Denmark)

    Philippsen, B.; Heinemeier, J.

    2013-01-01

    The freshwater reservoir effect is a potential problem when radiocarbon dating fish bones, shells, human bones, or food crusts on pottery from sites near rivers or lakes. The reservoir age in hardwater rivers can be up to several thousand years and may be highly variable. Accurate 14C dating of f...... that can also be expected for the past. This knowledge will be applied to the dating of food crusts on pottery from the Mesolithic sites Kayhude at the Alster River and Schlamersdorf at the Trave River, both in Schleswig-Holstein, northern Germany....

  4. Nuclear emergency preparedness and response in Germany

    International Nuclear Information System (INIS)

    Miska, H.

    2009-01-01

    Off-site nuclear emergency response in Germany is divided into disaster response under the responsibility of the Laender and measures for precautionary radiation protection pursuant to the Precautionary Radiation Protection Act under the lead of federal authorities. Early countermeasures at the regional level require a different management than long-term and comprehensive actions of precautionary radiation protection. As situations may arise in which measures of both approaches overlap with regard to place and time, it is essential to make thorough preparations in order to avoid problems with implementation. (orig.)

  5. Situation concerning the HLW repository in Germany

    International Nuclear Information System (INIS)

    Lempert, J.P.

    1992-01-01

    Final disposal of radioactive waste has been defined in Germany as: maintenance-free, safe emplacement of radioactive waste, time unlimited and no intention of retrievability. The responsibility for final disposal lies in the hands of the German Federal Government, which has assigned a federal authority to plan, erect and operate the federal facilities for long-term storage of nuclear waste. The federal authority has in lack of industrial experience contracted my company DBE which is responsible for the engineering, erection and operation of all German nuclear waste repositories. (author)

  6. Regulatory control of radiation sources in Germany

    International Nuclear Information System (INIS)

    Coy, K.

    1998-01-01

    The regulatory programme governing the safe use of radioisotopes in Germany is based on the federal legislation enacted as Atomic Energy Control Act (Atomgesetz) and Radiation Protection Ordinance (Strahlen-schutzverordnung) and its implementation by the competent authorities of the individual states. Despite this highly decentralized infrastructure of enforcement the basic principles of regulations described in this paper such as authorization criteria, conditions imposed as well as depth and intensity of inspection balanced according to the individual radiation hazard involved are harmonized to the greatest possible extent by regular coordination among the competent authorities as well as a series of technical regulations such as standards and guidelines. (author)

  7. Raw materials policy: implications for Germany

    Energy Technology Data Exchange (ETDEWEB)

    Gaertner, E

    1978-04-01

    The contribution characterizes the situation of the national mining industry in 1977, deals with international raw materials policies within the framework of the North-South dialogue and with the policies of the western industrial countries, points out the dangers of worldwide state-controlled raw materials policies and calls for a) the political risk of enterprise cooperation with developing countries to be covered and b) double taxation to be avoided. Finally, the problems of securing the Federal Republic of Germany's raw materials supplies on a long-term basis are portrayed.

  8. Fuels and alternative propulsion in Germany

    International Nuclear Information System (INIS)

    2005-04-01

    The transportation sector is one of the first responsible of the air pollution in Germany. The kyoto protocol and the european directive led the german Government to set about some measures. To encourage the petroleum industry to develop classical fuels/biofuels mixing, the government exempted from taxes until 2020 the biofuels part. The Government decided also financial incentives for diesel vehicles equipped with particles filters. Among the different fuels, the document presents the advantages and disadvantages of the hydrogen fuels and the hybrid motors. (A.L.B.)

  9. Management of nuclear liabilities in Germany

    International Nuclear Information System (INIS)

    Roser, T.

    1995-01-01

    The management of nuclear liabilities in the Federal Republic of Germany is explored in this article. The intermediate storage and final disposal of spent fuels from the country's twenty nuclear power stations is discussed. Flexible solutions to the changing problems of nuclear fuel cycle economics are needed. Financing the back end of the nuclear power station lifetimes is currently underfunded. Monies should be accumulated during the plant's active life. The political, technical, legal and economic aspects of the nuclear industry must also be included. (UK)

  10. Distance Education at Conventional Universities in Germany

    Directory of Open Access Journals (Sweden)

    Hans-Henning Kappel

    2002-01-01

    Full Text Available Germany’s educational system has undergone a series of transformations during the last 40 years. In recent years, marked increases in enrolment have occurred. In response, admission requirements have been relaxed and new universities have been established.Academic distance education in the former Federal Republic of Germany (West Germany was ushered in by the educational radio broadcasts around the end of the 1960s. Aside from the formation of the FernUniversität (Open University in West Germany in 1975, there were significant developments in distance education occurring at the major universities in the German Democratic Republic (East Germany. After German reunification in 1990, the new unitary state launched programs to advance the development of distance education programs at conventional universities.Germany’s campus-based universities (Präsenzuniversitäten created various entities, including central units and consortia of universities to design and market distance education programs. Hybridisation provides the necessary prerequisites for dual mode delivery, such as basic and continuing education programs, as well as for the combination of distance and campus-based education (Präsenzstudium. Hybridisation also has also opened the door for the creation of new programs.Following an initial phase in which distance education research is expected to centralize a trend towards decentralisation is likely to follow. The German Association for Distance Education (AG-F offers a viable research network in distance education. Two dual mode case studies are also be surveyed: The Master of Arts degree, offered by the University of Koblenz-Landau, with Library Science as the second major, and the University of Kaiserslautern, where basic education will continue to be captured within the domain of the Präsenzstudium or campus-based education.The area in which distance education is flourishing most is within the field of academic continuing

  11. As Bad as They Say? Three Decades of Teaching in the Bronx

    Science.gov (United States)

    Mayer, Janet Grossbach

    2011-01-01

    Rundown, vermin-infested buildings. Rigid, slow-to-react bureaucratic systems. Children from broken homes and declining communities. How can a teacher succeed? How does a student not only survive but also come to thrive? It can happen, and "As Bad as They Say?" tells the heroic stories of Janet Mayer's students during her 33-year tenure…

  12. Love, Hate, and Crystal Meth: Abjection and Teacher Narcissism in Breaking Bad

    Science.gov (United States)

    Lewkowich, David

    2012-01-01

    In this article the author looks at a particular episode of the television show, Breaking Bad, as a means to explore the pedagogical implications of the Kristevan notion of abjection, and its relation to the emotions of love and hate, and the emergence of teacher narcissism as an inevitable offshoot of the antagonisms in learning. This particular…

  13. Breaking Bad News in Healthcare Organizations: Application of the Spikes Protocol

    Science.gov (United States)

    VonBergen, C. W.; Stevens, Robert E.; Loudon, David

    2011-01-01

    Organizational downsizing has increased exponentially worldwide and is also affecting the healthcare industry. It is one thing to speak abstractly of the need to reduce costs and quite another to actually tell a worker the bad news that he or she has been laid off. This paper offers practical advice to healthcare managers on conducting unpleasant…

  14. Balancing Patient Care and Student Education: Learning to Deliver Bad News in an Optometry Teaching Clinic

    Science.gov (United States)

    Spafford, Marlee M.; Schryer, Catherine F.; Creutz, Stefan

    2009-01-01

    Learning to counsel patients in a teaching clinic or hospital occurs in the presence of the competing agendas of patient care and student education. We wondered about the challenges that these tensions create for clinical novices learning to deliver bad news to patients. In this preliminary study, we audio-taped and transcribed the interviews of…

  15. AKT delays the early-activated apoptotic pathway in UVB-irradiated keratinocytes via BAD translocation.

    Science.gov (United States)

    Claerhout, Sofie; Decraene, David; Van Laethem, An; Van Kelst, Sofie; Agostinis, Patrizia; Garmyn, Marjan

    2007-02-01

    Upon irradiation with a high dose of UVB, keratinocytes undergo apoptosis as a protective mechanism. In previous work, we demonstrated the existence of an early-activated UVB-induced apoptotic pathway in growth factor-depleted human keratinocytes, which can be substantially delayed by the exclusive supplementation of IGF-1. We now show that in human keratinocytes, IGF-1 inhibits the onset of UVB-triggered apoptosis through a transcriptional independent, AKT-mediated mechanism, involving BAD serine 136 phosphorylation. Our results show that the early UVB-induced apoptosis in growth factor-depleted human keratinocytes is exclusively triggered through the mitochondrial pathway. It is accompanied by BAX translocation, cytochrome c release, and procaspase-9 cleavage, but not by procaspase-8 or BID cleavage. In human keratinocytes, IGF-1 supplementation inhibits these events in a transcription-independent manner. Both IGF-1 supplementation and the transduction of a membrane-targeted form of AKT result in a shift of the BH3-only protein BAD from the mitochondria to the cytoplasm, paralleled by an increase of AKT-specific Ser136 phospho-BAD bound to 14-3-3zeta protein. These data indicate that AKT-induced BAD phosphorylation and its subsequent cytoplasmic sequestration by 14-3-3zeta is a major mechanism responsible for the postponement of UVB-induced apoptosis in human keratinocytes.

  16. Is Materialism All That Bad? Effects on Satisfaction with Material Life, Life Satisfaction, and Economic Motivation

    Science.gov (United States)

    Sirgy, M. Joseph; Gurel-Atay, Eda; Webb, Dave; Cicic, Muris; Husic-Mehmedovic, Melika; Ekici, Ahmet; Herrmann, Andreas; Hegazy, Ibrahim; Lee, Dong-Jin; Johar, J. S.

    2013-01-01

    The literature in economic psychology and quality-of-life studies alludes to a negative relationship between materialism and life satisfaction. In contrast, the macroeconomic literature implies a positive relationship between material consumption and economic growth. That is, materialism may be both good and bad. We develop a model that reconciles…

  17. Association of Pro-apoptotic Bad Gene Expression Changes with Benign Thyroid Nodules.

    Science.gov (United States)

    Gül, Nurdan; Temel, Berna; Ustek, Duran; Sirma-Ekmekçi, Sema; Kapran, Yersu; Tunca, Fatih; Giles-Şenyürek, Yasemin; Özbek, Uğur; Alagöl, Faruk

    2018-01-01

    This study aimed to investigate the role of the mitochondrial apoptotic pathway in benign thyroid nodules. Paired samples of nodular and normal tissues were collected from 26 patients with nodular goiters undergoing thyroidectomy. Variable expression of Bcl-2, Bax and Bad genes were evaluated by quantitative PCR. Expression level of Bad gene in nodules was found to be significantly decreased compared to normal tissues (p=0.049). A positive correlation was observed between nodule size and Bad expression levels (correlation coefficient=0.563, p=0.004); and this correlation was stronger in hot nodules (n=18, correlation coefficient=0.689, p=0.003). No significant difference was observed between nodular and normal tissue expressions of Bax and Bcl-2. These results suggest that Bad expression correlates with the size of benign thyroid nodules and also its relatively lower expression in nodules, warrant further investigation. Copyright© 2018, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

  18. Bad and Bid - potential background players in preneoplastic to neoplastic shift in human endometrium

    Czech Academy of Sciences Publication Activity Database

    Driak, D.; Dvorská, M.; Bolehovská, P.; Švandová, Iva; Novotný, J.; Halaška, M.

    2014-01-01

    Roč. 61, č. 4 (2014), s. 411-415 ISSN 0028-2685 R&D Projects: GA ČR(CZ) GAP207/12/0919 Institutional support: RVO:67985823 Keywords : Bad * Bid * cancerogenesis * human endometrium Subject RIV: CE - Biochemistry Impact factor: 1.865, year: 2014

  19. Feeling bad about progress does not lead people want to change their health behaviour.

    Science.gov (United States)

    Reynolds, James P; Webb, Thomas L; Benn, Yael; Chang, Betty P I; Sheeran, Paschal

    2018-02-01

    When do people decide to do something about problematic health behaviours? Theoretical models and pragmatic considerations suggest that people should take action when they feel bad about their progress - in other words, when they experience negative progress-related affect. However, the impact of progress-related affect on goal striving has rarely been investigated. Study 1 (N = 744) adopted a cross-sectional design and examined the extent to which measures of progress-related affect were correlated with intentions to take action. Study 2 (N = 409) investigated the impact of manipulating progress-related affect on intentions and behaviour in an experimental design. Study 1 found that, while engaging in health behaviours had the expected affective consequences (e.g. people felt bad when they were not eating healthily, exercising regularly or limiting their alcohol consumption), it was feeling good rather than bad about progress that was associated with stronger intentions. Study 2 replicated these findings. Participants induced to feel good about their eating behaviour had marginally stronger intentions to eat healthily than participants led to feel bad about their eating behaviour. The findings have implications for interventions designed to promote changes in health behaviour, as well as theoretical frameworks for understanding self-regulation.

  20. The power of a bad example : A field experiment in household garbage disposal

    NARCIS (Netherlands)

    Dur, R.; Vollaard, B.A.

    2015-01-01

    Field-experimental studies have shown that people litter more in more littered environments. Inspired by these findings, many cities around the world have adopted policies to quickly remove litter. While such policies may prevent people from following the bad example of litterers, they may also

  1. Discussion of David Thissen's Bad Questions: An Essay Involving Item Response Theory

    Science.gov (United States)

    Wainer, Howard

    2016-01-01

    The usual role of a discussant is to clarify and correct the paper being discussed, but in this case, the author, Howard Wainer, generally agrees with everything David Thissen says in his essay, "Bad Questions: An Essay Involving Item Response Theory." This essay expands on David Thissen's statement that there are typically two principal…

  2. Risky Disclosures on "Facebook": The Effect of Having a Bad Experience on Online Behavior

    Science.gov (United States)

    Christofides, Emily; Muise, Amy; Desmarais, Serge

    2012-01-01

    Social network websites are widely used by adolescents, but disclosing in this environment has inherent risks, as does connecting with others online. In a sample of 256 adolescent "Facebook" users, the authors explore the relationship between having a negative experience, privacy knowledge, and behavior. Their reports of bad experiences on…

  3. Breaking Bad News in Counseling: Applying the PEWTER Model in the School Setting

    Science.gov (United States)

    Keefe-Cooperman, Kathleen; Brady-Amoon, Peggy

    2013-01-01

    Breaking bad news is a stressful experience for counselors and clients. In this article, the PEWTER (Prepare, Evaluate, Warning, Telling, Emotional Response, Regrouping) model (Nardi & Keefe-Cooperman, 2006) is used as a guide to facilitate the process of a difficult conversation and promote client growth in a school setting. In this…

  4. How do patients define "good" and "bad" doctors? - Qualitative approach to the representations of hospital patients

    NARCIS (Netherlands)

    Luthy, C; Cedraschi, C; Perrin, E; Allaz, AF

    2005-01-01

    Questions under study: Knowledge of hospital patients' perceptions of doctors' qualities is limited. The purpose of this study was to explore hospital patients' definitions of "good" and "bad" doctors. Methods: Semi-structured interviews conducted with 68 consecutive hospital patients. The questions

  5. Work of the social effects of automation committee from bad boll to enschede

    NARCIS (Netherlands)

    Withers, R.M.J.; Rijnsdorp, J.E.

    1978-01-01

    The paper summarises the activities of the IFAC Committee on Social Effects of Automation during the period 1974–1977. A workshop was held about ‘Productivity and Man’ at Bad Boll (F.R.G.) in January 1974. A number of Newsletters were published. Factory visits were made to a Steel Rolling Mill, an

  6. Measured Approach or Magical Elixir? How to Tell Good Science from Bad

    Science.gov (United States)

    Willingham, Daniel T.

    2012-01-01

    Distinguishing between good and bad science is not easy. Evaluating whether or not a claim really is supported by good research is like buying a car. There is an optimal solution to the problem, which is to read and digest all of the relevant research, but most people do not have time to execute the optimal solution. What they need is a good…

  7. The PEWTER Study: Breaking Bad News Communication Skills Training for Counseling Programs

    Science.gov (United States)

    Keefe-Cooperman, Kathleen; Savitsky, Devyn; Koshel, Walter; Bhat, Varsha; Cooperman, Jessica

    2018-01-01

    The efficacy of teaching communication skills for breaking bad news in graduate-level counseling programs was examined. A structured model, PEWTER (Prepare, Evaluate, Warning, Telling, Emotional Response, Regrouping; Keefe-Cooperman and Nardi 2004), provides a method for this difficult task. Prior to training in using the model, students reported…

  8. Future Directions in the Study of Close Relationships: Conflict Is Bad (Except when It's Not)

    Science.gov (United States)

    Laursen, Brett; Hafen, Christopher A.

    2010-01-01

    Beneficial and detrimental correlates of interpersonal disagreement have been postulated and documented. The conclusion: conflict is both bad and good. The evidence for these paradoxical effects is summarized. In this article, we argue that the consequences of conflict for individuals depend on its frequency, the way in which it is managed, and…

  9. The impact of assessing simulated bad news consultations on medical students' stress response and communication performance.

    NARCIS (Netherlands)

    Dulmen, S. van; Tromp, F.; Grosfeld, F.; Cate, O. ten; Bensing, J.M.

    2007-01-01

    Seventy second-year medical students volunteered to participate in a study with the aim of evaluating the impact of the assessment of simulated bad news consultations on their physiological and psychological stress and communication performance. Measurements were taken of salivary cortisol, systolic

  10. Screening Mammography: Science, Policy and Politics–The Good, the Bad and the Ugly

    Science.gov (United States)

    Diana Petitti, MD, MPH, FACPM, an epidemiologic expert on women's health and evidence based medicine, with posts as vice chair and spokesperson for the U.S. Preventive Service Task Force, presented "Screening Mammography: Science, Policy and Politics–The Good, the Bad and the Ugly." 

  11. The Number of Hardwood Sawmills Continues to Decrease - Is that Bad?

    Science.gov (United States)

    William G. Luppold; William G. Luppold

    2005-01-01

    The following Guest Editorial, "The Number of Hardwood Sawmills Continues to Decrease - Is that Bad?" is presented by William G. Luppold, Ph.D., of the USDA Forest Service Northeastern Research Station - Forestry Sciences Laboratory. In this article, Dr. Luppold examines many of the key issues surrounding the size and loss of sawmills, which has influenced...

  12. Severe acute respiratory syndrome (SARS) and the rhetorical construction of "bad" scientific work.

    Science.gov (United States)

    Attenborough, Frederick Thomas

    2012-02-01

    How are secondary accounts of "bad" scientific practice constructed? How do they engage with the primary data produced by "bad" scientists? And what happens to those primary data as generations of secondary accounts purporting to describe them accumulate? This paper addresses such questions via a case study of Dr. Hong, a microbiologist accused of "bad" scientific practice by numerous secondary accounts of the 2003 SARS outbreak. Bringing Hong's own account of his own actions into dialogue with one of the most influential secondary accounts of his actions, the paper highlights the gross disparity between the two. Having argued that the rhetorical structuring of the secondary account is, ultimately, responsible for Hong's characterisation as a "bad" scientist, it then moves to explore how subsequent accounts developed their own characterisations. What becomes clear is that as secondary accounts began feeding off one another, references to Hong's account disappeared. Aided by the concepts of the "vanishing" and the "phantasm", the paper concludes with a consideration of how this process left Hong's work with a very peculiar form of existence.

  13. What Is a Bad Kid? Answers of Adolescents and Their Mothers in Three Cultures.

    Science.gov (United States)

    Crystal, David S.; Stevenson, Harold W.

    1995-01-01

    Examined behaviors and personality traits attributed to a "bad kid" by adolescents and mothers of American, Chinese, and Japanese cultures. Five domains of behavior likely to yield cross-cultural differences were society, family, school, interpersonal harmony, and self-control. Adolescents and mothers differed significantly in the…

  14. Detecting Topological Errors with Pre-Estimation Filtering of Bad Data in Wide-Area Measurements

    DEFF Research Database (Denmark)

    Møller, Jakob Glarbo; Sørensen, Mads; Jóhannsson, Hjörtur

    2017-01-01

    It is expected that bad data and missing topology information will become an issue of growing concern when power system state estimators are to exploit the high measurement reporting rates from phasor measurement units. This paper suggests to design state estimators with enhanced resilience again...

  15. Public good provision and public bad prevention: the effect of framing

    NARCIS (Netherlands)

    Sonnemans, J.H.; Schram, A.J.H.C.; Offerman, T.J.S.

    1998-01-01

    An experimental analysis of voluntary, binary contributions for step-level public goods (bads) is presented. In the public good presentation of the dilemma the subjects choose between contributing or not. The public good is provided for all group-members if and only if the number of contributors

  16. Pre-Service Secondary Mathematics Teachers' Reflections on Good and Bad Mathematics Teaching

    Science.gov (United States)

    Dayal, Hem Chand

    2013-01-01

    Researchers suggest that teachers' beliefs about teaching are strongly influenced by their personal experiences with mathematics. This study aimed to explore Pacific Island pre-service secondary mathematics teachers' perceptions about good and bad mathematics teachers. Thirty pre-service teachers, enrolled in a mathematics teaching methods course…

  17. Common meanings of good and bad sleep in a healthy population sample.

    Science.gov (United States)

    Dickerson, Suzanne S; Klingman, Karen J; Jungquist, Carla R

    2016-09-01

    The study's purpose was to understand the common meanings and shared practices related to good and bad sleep from narratives of a sample of healthy participants. Interpretive phenomenology was the approach to analyze narratives of the participants' everyday experiences with sleep. Participants were interviewed and asked to describe typical good and bad nights' sleep, what contributes to their sleep experience, and the importance of sleep in their lives. Team interpretations of narratives identified common themes by consensus. Medium sized city in New York State (upper west region). A sample of 30 healthy participants were from a parent study (n=300) on testing the sleep questions from the Behavioral Risk Factor Surveillance System from the Centers for Disease Control and Prevention. Interpretations of good and bad sleep. Participants described similar experiences of good and bad sleep often directly related to their ability to schedule time to sleep, fall asleep, and maintain sleep. Worrying about life stresses and interruptions prevented participants from falling asleep and staying asleep. Yet, based on current life priorities (socializers, family work focused, and optimum health seekers), they had differing values related to seeking sleep opportunities and strategizing to overcome challenges. The participants' priorities reflected the context of their main concerns and stresses in life that influenced the importance given to promoting sleep opportunities. Public health messages tailored to life priorities could be developed to promote healthy sleep practices. Copyright © 2016 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.

  18. Bad news: an experimental study on the informational effects of rewards

    NARCIS (Netherlands)

    Bremzen, A.; Khokhlova, E.; Suvorov, A.; van de Ven, J.

    2015-01-01

    Psychologists and economists have argued that rewards often have hidden costs. One possible reason is that the principal may have incentives to offer higher rewards when she knows the task is difficult. Our experiment tests if high rewards embody such bad news and if this is correctly perceived by

  19. Physicians' perceptions of breaking bad news to cancer patients and family

    Directory of Open Access Journals (Sweden)

    Sami Ayed Alshammary

    2017-01-01

    Conclusion: Physicians face a dilemma when families do not wish the patient to know about the cancer diagnosis, and this highlights the necessity of taking into consideration the social circumstances in healthcare. When taking these into consideration, curriculum in the medical school must, therefore, be updated and must integrate the acquisition of skills in breaking bad news early in training.

  20. The 'good is light' and 'bad is dark' metaphor in feature films

    NARCIS (Netherlands)

    Forceville, C.J.; Renckens, T.

    2013-01-01

    Light and darkness can be used metaphorically to help structure GOOD and BAD in all media, but film is particularly suitable for exploiting such metaphors. On the basis of examples from three feature films, we discuss in what way the metaphor functions in general and suggest how it allows for a

  1. The Power of a Bad Example - A Field Experiment in Household Garbage Disposal

    NARCIS (Netherlands)

    A.J. Dur (Robert); B. Vollaard (Ben)

    2012-01-01

    textabstractField-experimental studies have shown that people litter more in more littered environments. Inspired by these findings, many cities around the world have adopted policies to quickly remove litter. While such policies may avoid that people follow the bad example of litterers, they may

  2. The Sad, the Mad and the Bad: Co-Existing Discourses of Girlhood

    Science.gov (United States)

    Brown, Marion

    2011-01-01

    Three significant, prevailing and overlapping narratives of teenage girls have dominated North American popular consciousness since the early 1990s: the sad girl, victimized by male privilege and misogyny of adolescence and beyond; the mad grrrls who rejected this vulnerability through music and media; and the bad girls of much current popular…

  3. Breaking bad news revisited: the push for negotiated disclosure and changing practice implications.

    Science.gov (United States)

    Arber, Anne; Gallagher, Ann

    2003-04-01

    This article revisits the ethical, legal, professional and emotional issues involved with disclosing bad news. The authors examine the push for disclosure that has come from a number of quarters in the UK, including ethical and legal challenges, in particular the Bristol Royal Inquiry Report, professional codes of conduct, health policy and the expectations of the public. The contribution of nurses to breaking bad news is not widely discussed in the literature. With the development of new nursing roles and evidence-based practice it is timely to consider the role of nurses in this process. The article highlights some limitations with current guidelines for breaking bad news, in particular, that these guidelines tend to be constructed from a professional standpoint and lack patient-centred evidence. The issue of emotional labour and how it relates to giving bad news is discussed with respect to professional staff and patients. The article concludes by raising some practice implications, including: the importance of context and continuity; the significance of information and support; the desirable qualities of the professional; and issues to consider in determining patient preferences.

  4. Creation and Assessment of a Bad News Delivery Simulation Curriculum for Pediatric Emergency Medicine Fellows.

    Science.gov (United States)

    Chumpitazi, Corrie E; Rees, Chris A; Chumpitazi, Bruno P; Hsu, Deborah C; Doughty, Cara B; Lorin, Martin I

    2016-05-01

    Background  Bad news in the context of health care has been broadly defined as significant information that negatively alters people's perceptions of the present or future. Effectively delivering bad news (DBN) in the setting of the emergency department requires excellent communication skills. Evidence shows that bad news is frequently given inadequately. Studies show that trainees need to devote more time to developing this skill through formalized training. This program's objectives were to utilize trained standardized patients in a simulation setting to assist pediatric emergency medicine (PEM) fellows in the development of effective, sensitive, and compassionate communication with patients and family members when conveying bad news, and to recognize and respond to the patient/parent's reaction to such news. Methods PEM fellows participated in a novel curriculum utilizing simulated patients (SPs) acting as the patient's parent and immersive techniques in a realistic and supportive environment. A baseline survey was conducted to ascertain participant demographics and previous experience with simulation and DBN. Experienced, multi-disciplinary faculty participated in a training workshop with the SPs one week prior to course delivery. Three scenarios were developed for bad news delivery. Instructors watched via remote video feed while the fellows individually interacted with the SPs and then participated in a confidential debriefing. Fellows later joined for group debriefing. Fellow characteristics, experience, and self-perceived comfort pre/post-course were collected.   Results Baseline data demonstrated that 78% of fellows reported DBN two or more times per month. Ninety-three percent of fellows in this study were present during the delivery of news about the death of a child to a parent or family member in the six-month period preceding this course. Fellows' self-reported comfort level in DBN to a patient/family and dealing with patient and parent emotions

  5. Relationship between mandibular anatomy and the occurrence of a bad split upon sagittal split osteotomy.

    Science.gov (United States)

    Aarabi, Mohammadali; Tabrizi, Reza; Hekmat, Mina; Shahidi, Shoaleh; Puzesh, Ayatollah

    2014-12-01

    A bad split is a troublesome complication of the sagittal split osteotomy (SSO). The aim of this study was to evaluate the relation between the occurrence of a bad split and mandibular anatomy in SSO using cone-beam computed tomography. The authors designed a cohort retrospective study. Forty-eight patients (96 SSO sites) were studied. The buccolingual thickness of the retromandibular area (BLR), the buccolingual thickness of the ramus at the level of the lingula (BLTR), the height of the mandible from the alveolar crest to the inferior border of the mandible, (ACIB), the distance between the sigmoid notch and the inferior border of the mandible (SIBM), and the anteroposterior width of the ramus (APWR) were measured. The independent t test was applied to compare anatomic measurements between the group with and the group without bad splits. The receiver operating characteristic (ROC) test was used to find a cutoff point in anatomic size for various parts of the mandible related to the occurrence of bad splits. The mean SIBM was 47.05±6.33 mm in group 1 (with bad splits) versus 40.66±2.44 mm in group 2 (without bad splits; P=.01). The mean BLTR was 5.74±1.11 mm in group 1 versus 3.19±0.55 mm in group 2 (P=.04). The mean BLR was 14.98±2.78 mm in group 1 versus 11.21±1.29 mm in group 2 (P=.001). No statistically significant difference was found for APWR and ACIB between the 2 groups. The ROC test showed cutoff points of 10.17 mm for BLR, 36.69 mm for SIBM, and 4.06 mm for BLTR. This study showed that certain mandibular anatomic differences can increase the risk of a bad split during SSO surgery. Copyright © 2014 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  6. Reversing course: Germany`s response to the challenge of transboundary air pollution

    Energy Technology Data Exchange (ETDEWEB)

    Sprinz, D.F.; Wahl, A.

    1998-03-01

    Perhaps like no other country, Germany has radically changed its policies towards regulating air pollution in the European context. Acting originally as a dragger in the 1970s to regulate transboundary air pollutants due to pessimism about the relationship between causes and effects, Germany responded very decisively to its own damage assessment in the early 1980s. In particular the adverse effects to forests (`Waldsterben` or forest decline) led to the formulation of strict air pollution regulations in the domestic context, efforts to spread the regulatory system within the European Union, and activities within the United Nations Economic Commission for Europe to foster stronger, continent-wide emission reductions. Using three conceptual models (rational actor, domestic politics, and social learning), we show that Germany deviated strongly from the ideal policy cycle consisting of (i) domestic policy formulation, (ii) international negotiations, as well as (iii) implementation and compliance with the provisions of international environmental agreements. Both national policy-making as well as partial implementation have been well on the way towards compliance even before Germany entered international negotiations on substantive protocols. Therefore, one may conclude from this country study that push countries may use the results of their national policy processes to influence the policy of other countries. (orig.)

  7. Terminal Decline in Well-Being Differs between Residents in East Germany and West Germany

    Science.gov (United States)

    Vogel, Nina; Gerstorf, Denis; Ram, Nilam; Goebel, Jan; Wagner, Gert G.

    2017-01-01

    Lifespan research has long been interested in how contexts shape individual development. Using the separation and later reunification of Germany as a kind of natural experiment we examine whether and how living and dying in the former East or West German context has differentially shaped late-life development of well-being. We apply multi-level…

  8. The Role of Western Germany in West European Defense

    Science.gov (United States)

    1966-04-08

    Ralph. Modern German History. New York: E. P. Dutton & Co., Inc., 1964. (DD175 F5) 34. German Research Association. Germany: Franz Steiner Verlag Gmb...and Rudolf , Walter. This Germany. New York: New York Graphic Society Publishers, Ltd., 1954. (DD257 L42) 39. Heidenheimer, Arnold J. The Government...202-07, 243. 47. Lauder, K. H. A Brief Review of Science and Technoloc in Western Germany. London: HIISO, 1955. (Q18 G4G7) 48. Leonhardt, Rudolf Walter

  9. Acanthamoeba keratitis in 194 patients: risk factors for bad outcomes and severe inflammatory complications.

    Science.gov (United States)

    Carnt, Nicole; Robaei, Dana; Minassian, Darwin C; Dart, John K G

    2018-01-03

    To determine demographic and clinical features of patients with Acanthamoeba keratitis (AK) that are independent risk factors both for bad outcomes and for severe inflammatory complications (SIC). A retrospective audit of medical records of AK cases at Moorfields Eye Hospital from July 2000 to April 2012, including 12 earlier surgical cases. Cases with a bad outcome were defined as those having one or more of the following: corneal perforation, keratoplasty, other surgery (except biopsy), duration of antiamoebic therapy (AAT) ≥10.5 months (the 75th percentile of the whole cohort) and final visual acuity ≤20/80. SICs were defined as having scleritis and/or a stromal ring infiltrate. Multivariable analysis was used to identify independent risk factors for both bad outcomes and SICs. Records of 194 eyes (194 patients) were included, having bad outcomes in 93 (48%). Bad outcomes were associated with the presence of SIC, aged >34 years, corticosteroids used before giving AAT and symptom duration >37 days before AAT. The development of SIC was independently associated with aged >34 years, corticosteroids used before giving AAT and herpes simplex virus (HSV) keratitis treatment before AAT. The prompt diagnosis of AK, avoidance of a misdiagnosis of HSV keratitis and corticosteroid use before the exclusion of AK as a potential cause of keratitis are essential to the provision of a good outcome for patients and for the avoidance of SIC. Older age is an unmodifiable risk factor that may reflect differences in the immune response to AK in this patient subset. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  10. Driven polymer translocation in good and bad solvent: Effects of hydrodynamics and tension propagation.

    Science.gov (United States)

    Moisio, J E; Piili, J; Linna, R P

    2016-08-01

    We investigate the driven polymer translocation through a nanometer-scale pore in the presence and absence of hydrodynamics both in good and bad solvent. We present our results on tension propagating along the polymer segment on the cis side that is measured for the first time using our method that works also in the presence of hydrodynamics. For simulations we use stochastic rotation dynamics, also called multiparticle collision dynamics. We find that in the good solvent the tension propagates very similarly whether hydrodynamics is included or not. Only the tensed segment is by a constant factor shorter in the presence of hydrodynamics. The shorter tensed segment and the hydrodynamic interactions contribute to a smaller friction for the translocating polymer when hydrodynamics is included, which shows as smaller waiting times and a smaller exponent in the scaling of the translocation time with the polymer length. In the bad solvent hydrodynamics has a minimal effect on polymer translocation, in contrast to the good solvent, where it speeds up translocation. We find that under bad-solvent conditions tension does not spread appreciably along the polymer. Consequently, translocation time does not scale with the polymer length. By measuring the effective friction in a setup where a polymer in free solvent is pulled by a constant force at the end, we find that hydrodynamics does speed up collective polymer motion in the bad solvent even more effectively than in the good solvent. However, hydrodynamics has a negligible effect on the motion of individual monomers within the highly correlated globular conformation on the cis side and hence on the entire driven translocation under bad-solvent conditions.

  11. Report on nuclear power plant instrumentation and control in Germany

    International Nuclear Information System (INIS)

    Bastl, W.

    1992-01-01

    The paper describes the status of the NPP control and instrumentation in Germany. The general technology underlying most aspects of NPP C and I in Germany has not altered since the last progress report although there has been many improvements in detail. Since the beginning of 1990 the GRS carried out the safety investigations of NPPs in East Germany. The USSR as the vendor of the plants and France were also involved in the project. The following fields are briefly described: Status of nuclear power in Germany; training simulators; backfitting of computers and information systems; operator support/new control rooms. (author). 6 refs, 1 tab

  12. West-East migration in Germany since 1990

    OpenAIRE

    Beck, Grit

    2011-01-01

    Not only did 2.5 million people migrate from East Germany to West Germany between 1991 and 2006, 1.5 million people also moved from West to East Germany. This counter-current movement took placed largely unnoticed by the public and researchers alike. This paper uses both quantitative and qualitative data to first of all examine how the population structure in the New Länder has changed as a result of interregional migration between Länder in East and West Germany. It goes on to study the moti...

  13. Maternal employment and childhood overweight in Germany.

    Science.gov (United States)

    Meyer, Sophie-Charlotte

    2016-12-01

    A widespread finding among studies from the US and the UK is that maternal employment is correlated with an increased risk of child overweight, even in a causal manner, whereas studies from other countries obtain less conclusive results. As evidence for Germany is still scarce, the purpose of this study is to identify the effect of maternal employment on childhood overweight in Germany using two sets of representative micro data. We further explore potential underlying mechanisms that might explain this relationship. In order to address the selection into maternal full-time employment, we use an instrumental variable strategy exploiting the number of younger siblings in the household as an instrument. While the OLS models suggest that maternal full-time employment is related to a 5 percentage point higher probability of the child to be overweight, IV estimates indicate a 25 percentage points higher overweight probability due to maternal full-time employment. Exploring various possible pathways, we find that maternal full-time employment promotes unhealthy dietary and activity behavior which might explain the positive effect of maternal employment on child overweight to some extent. Although there are limitations to our IV approach, several sensitivity analyses confirm the robustness of our findings. Copyright © 2016 Elsevier B.V. All rights reserved.

  14. Status of wind energy in Germany

    Energy Technology Data Exchange (ETDEWEB)

    Gerdes, G.; Molly, J.P.; Rehfeldt, K. [Deutsches Windenergie-Institut, Wilhelmshaven (Germany)

    1996-12-31

    By the end of 1995 in total 3655 wind turbines (WT`s) were installed in Germany with a total capacity of 1,136 MW. In the year 1995 alone the WT installations grew by 1,070 units with 505 MW. About 40% of the 1995 installations were sold to inland states of Germany with their lower wind speed potential. This fast development occurred in parallel to continuously reduced local state and federal subsidies. The further development is based mainly on the guaranteed reimbursement due to the Electricity Feed Law. But since some time the electricity utilities fight back on all legal and political levels to get cancelled the unloved Electricity Feed Law and since two years the building construction law with the foreseen privilege for WT`s is discussed without any result. All these difficulties affect investors and credit giving banks in such a negative way, that the further annual increase in wind power installation for 1996 could be 10 to 20% less than in 1995. Many of the new commercial Megawatt WT`s have pitch control and variable rotor speed which cause better electrical power quality and lower life time loads. From statistical evaluations on technical data of WT`s a good overview of the further development is derived. 8 refs., 10 figs.

  15. Germany, Austria and dissolution of Yugoslavia

    Directory of Open Access Journals (Sweden)

    Vuković Slobodan V.

    2001-01-01

    Full Text Available The article deals with one of the causes of dissolution/breakdown of Yugoslavia. The author first analyses writing of German and Austrian press which has, at the very beginning of the crisis, taken a strong anti-Serb standing, as in 1914 and 1941. Author then analyses the reasons that led Austrian and German diplomacy and governments to actively forging the crisis and then breaking down a sovereign country. Those reasons could be summarized as follows: German and Austrian revenge for two wars lost in these territories; improvement of conditions for fulfillment of old German dream to advance toward Middle East; in order to become a world power Germany 'had to' to annul some of the consequences of the First and Second World War on the symbolic level and acquire a possibility to test its powers, and breaking down Yugoslavia, with help of its internal allies Germany broke down its army without military engagement and removed an obstacle for advancement towards East.

  16. Thuringische builds large PET plant in Germany

    International Nuclear Information System (INIS)

    Alperowicz, N.

    1993-01-01

    East Germany fibers producer Thuringische Faser AG Schwarza (TFS; Rudolstadt) is entering the polyethylene terephthalate (PET) business. The company, owned by India's Dalmia Group (New Delhi), is building an 80,000-m.t./year PET granulate plant, one of the largest in Europe, for completion at the end of 1995. The product will be used to make PET bottles and film for food packaging. TFS will need to buy 70,000 m.t./year of purified terephthalic acid and 27,000 m.t./year of ethylene glycol to feed the new plant. When acquiring TFS, Dalmia's chairman, Sanjay Dalmia, pledged to invest DM150 million ($95.4 million) in the Germany firm and keep 1,200 of the 3,000 workers. John Brown Deutsche Engineering (Essen) has been awarded a contract covering engineering, know-how, and turnkey supply of the complete plant, and will share of the complete plant, and will share the work with Austrian associate, Voest John Brown Industrieanlagenbau (Linz). The company, which completed against Zimmer (Frankfurt), will use its own technology. TFS, with 1992 sales of DM120 million, has capacities to produce 20,000 m.t/year of viscose staple fiber, 18,000 m.t./year of nylon-6 filament yarn, and 6,300 m.t./year of textile-grade polyester granulate, which will be converted to produce bottle-grade PET

  17. [Children-orientated tobacco advertising in Germany].

    Science.gov (United States)

    Pumpe, K

    2002-04-01

    Since 1990 the percentage of smokers among the 12 to 17-year-olds in Germany has risen from 21 % to about 28 %. Most of them start between the age of 11 and 13. 85 % favour a certain brand by the age of 18. Despite the prohibition of tobacco commercials on radio and TV the cigarette industry has continually increased their budget for advertising aimed more and more at women and children. According to the author's knowledge, this report describes for the first time the strategies most frequently applied in Germany to incite children and teenagers to smoking. The publicity campaigns are not restricted to billboards and the printed press, but use the internet also. Indirect conditioning to a certain brand by music videos, movies and merchandising of attractive clothes and trips as well as the sponsoring of special music and sports events are also shown.The report analyses and evaluates examples of messages in printed advertisements aimed at children. With psychological skill interest in smoking is created with teenagers and a conditioning for smoking in certain situations is promoted.

  18. Nuclear energy research in Germany 2009

    International Nuclear Information System (INIS)

    2010-01-01

    Research and development (R and D) in the fields of nuclear reactor safety and safety of nuclear waste and spent fuel management in Germany are carried out at research centers and, in addition, some 32 universities. In addition, industrial research is conducted by plant vendors, and research in plant and operational safety of power plants in operation is organized by operators and by organizations of technical and scientific research and expert consultant organizations. This summary report presents nuclear energy research conducted at research centers and universities in Germany in 2009, including examples of research projects and descriptions of the situation of research and teaching. These are the organizations covered: - Hermann von Helmholtz Association of German Research Centers, - Karlsruhe Institute of Technology (KIT, responsibility of the former Karlsruhe Research Center), - Juelich Research Center (FZJ), - Nuclear Technology Competence Center East, - Dresden-Rossendorf Research Center (FZD), - Rossendorf Nuclear Process Technology and Analysis Association (VKTA), - Dresden Technical University, - Zittau/Goerlitz University of Applied Science, - Institute of Nuclear Energy and Energy Systems (IKE) of the University of Stuttgart. (orig.)

  19. 26 CFR 1.593-2 - Additions to reserve for bad debts where surplus, reserves, and undivided profits equal or exceed...

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 7 2010-04-01 2010-04-01 true Additions to reserve for bad debts where surplus... bad debts where surplus, reserves, and undivided profits equal or exceed 12 percent of deposits or... profits, and reserves at the beginning of the taxable year, a reasonable addition to the reserve for bad...

  20. Substitution treatment for opioid addicts in Germany

    Directory of Open Access Journals (Sweden)

    Gerlach Ralf

    2007-02-01

    Full Text Available Abstract Background After a long and controversial debate methadone maintenance treatment (MMT was first introduced in Germany in 1987. The number of patients in MMT – first low because of strict admission criteria – increased considerably since the 1990s up to some 65,000 at the end of 2006. In Germany each general practitioner (GP, who has completed an additional training in addiction medicine, is allowed to prescribe substitution drugs to opioid dependent patients. Currently 2,700 GPs prescribe substitution drugs. Psychosocial care should be made available to all MMT patients. Results The results of research studies and practical experiences clearly indicate that patients benefit substantially from MMT with improvements in physical and psychological health. MMT proves successful in attaining high retention rates (65 % to 85 % in the first years, up to 50 % after more than seven years and plays a major role in accessing and maintaining ongoing medical treatment for HIV and hepatitis. MMT is also seen as a vital factor in the process of social re-integration and it contributes to the reduction of drug related harms such as mortality and morbidity and to the prevention of infectious diseases. Some 10 % of MMT patients become drug-free in the long run. Methadone is the most commonly prescribed substitution medication in Germany, although buprenorphine is attaining rising importance. Access to MMT in rural areas is very patchy and still constitutes a problem. There are only few employment opportunities for patients participating in MMT, although regular employment is considered unanimously as a positive factor of treatment success. Substitution treatment in German prisons is heterogeneous in access and treatment modalities. Access is very patchy and the number of inmates in treatment is limited. Nevertheless, substitution treatment plays a substantial part in the health care system provided to drug users in Germany. Conclusion In Germany, a