WorldWideScience

Sample records for bicameral appropriations politics1

  1. Federalism, Bicameralism, and Institutional Change: General Trends and One Case-study

    Directory of Open Access Journals (Sweden)

    Marta Arretche

    2010-12-01

    Full Text Available The article distinguishes federal states from bicameralism and mechanisms of territorial representation in order to examine the association of each with institutional change in 32 countries by using constitutional amendments as a proxy. It reveals that bicameralism tends to be a better predictor of constitutional stability than federalism. All of the bicameral cases that are associated with high rates of constitutional amendment are also federal states, including Brazil, India, Austria, and Malaysia. In order to explore the mechanisms explaining this unexpected outcome, the article also examines the voting behavior of Brazilian senators constitutional amendments proposals (CAPs. It shows that the Brazilian Senate is a partisan Chamber. The article concludes that regional influence over institutional change can be substantially reduced, even under symmetrical bicameralism in which the Senate acts as a second veto arena, when party discipline prevails over the cohesion of regional representation.

  2. The "bicameral mind" 30 years on: a critical reappraisal of Julian Jaynes' hypothesis.

    Science.gov (United States)

    Cavanna, Andrea Eugenio; Trimble, Michael; Cinti, Federico; Monaco, Francesco

    2007-01-01

    In 1976 Julian Jaynes published his controversial book The Origins of Consciousness in the Breakdown of the Bicameral Mind, introducing the hypothesis of a two-chambered brain-mind model that preceded the evolutionary development of the conscious mind. Jaynes' speculative model gave rise to a huge debate, which has reverberated throughout the current neuroscientific and neurophilosophical literature. Has the bicameral mind stood the test of time? To answer this question, the present paper adopts a multidisciplinary perspective and, after briefly summarizing Jaynes' hypothesis, addresses two main critical issues: the neurological basis of the bicameral model and the philological accuracy of Jaynes' arguments. Finally, the concept of a non-unitary Self is presented as one of the most relevant contemporary legacies of the bicameral mind.

  3. Sub-state interests in bi-cameral legislatures: inter-institutional cooperation in decentralised government

    Directory of Open Access Journals (Sweden)

    Marc NAVARRO

    2013-10-01

    Full Text Available The aim of this article is to study the role of the second chamber in the vertical coordination of interests between national and subnational levels. Firstly, we specify the legislative governance variables which must be analyzed in bicameral countries in order to measure incentives and restrictions to strengthen vertical inter-institutional coordination, deepening political decentralization. Secondly, these variables –symmetry, congruence and political particularism– are broken down and ranked to be tested empirically in the nine bicameral countries existing in Latin America. Finally, with the results obtained, we are in a position to develop a bicameralism index that measures the role of second chambers as the institutional space where subnational interests are taken into the national Legislative body, encouraging vertical relations among institutions.

  4. Collaborative Appropriation

    DEFF Research Database (Denmark)

    Muller, Michael; Neureiter, Katja; Verdezoto, Nervo;

    2016-01-01

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

  5. Análisis del Informe de la Comisión Bicameral Investigadora de las Violaciones de los Derechos Humanos en la provincia de Tucumán (1974-1983)

    OpenAIRE

    Rubén Kotler

    2007-01-01

    El informe de la CONADEP sostiene que a "la provincia de Tucumán le cupo el siniestro privilegio de haber inaugurado la institución centro clandestino de detención.". El presente trabajo se propone analizar el Informe elaborado por la Comisión Bicameral Investigadora de las Violaciones de los Derechos Humanos en la provincia de Tucumán, que da cuenta de cómo la represión ilegal en el "Jardín de la República" comenzó mucho antes de producirse el golpe de Estado el 24 de marzo de 1976. Un infor...

  6. 开放式双套管持续冲洗低负压引流应用于高位肠瘘的护理体会%Using open bicameral perfusion tubes for continuous douche and negative pressure drainage in care of superior position intestinal fistula patients

    Institute of Scientific and Technical Information of China (English)

    张月琴

    2011-01-01

    Objective To explore first - hand experience using open bicameral perfusion tubes for continuous douche and negative pressure drainage in care of patients with superior position intestinal fistula. Methods For 14 diagnosed cases of superior position intestinal fistula patients, we planted open bicameral perfusion tubes for continuous douche and negative pressure drainage. Results In 10 out of the 14 cases, the fistula sealed after continuous douche and negative pressure drainage. The other 4 cases still suffered from high fever, acute diffuse peritonitis, and symptoms of whole body poisoning 3-5 days post therapy, and were subjected to surgery again. Open bicameral perfusion tubes were re- planted, and patients recovered well after continuous douche and negative pressure drainage. Conclusion After the sccessful treatment of 14 cases of superior position intestinal fistula patients, we find that continuous douche and negative pressure drainage using open bicameral perfusion tubes is satisfactory.%目的 探讨开放式双套管持续冲洗低负压引流应用于高位肠瘘的护理体会.方法 对14例高位肠瘘患者,经确诊后置入开放式双套管并行持续冲洗低负压引流.结果10例经持续冲洗引流后瘘口自行愈合,4例因经引流3~5 d后仍出现高热、弥漫性腹膜炎、全身中毒症状而再次手术,术中重新置开放式双套管,术后行持续冲洗引流后治愈.结论 对14例高位肠瘘患者应用开放式双套管持续冲洗低负压引流,效果满意.

  7. Appropriability, services and reputation

    NARCIS (Netherlands)

    Dolfsma, W.A.

    2011-01-01

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

  8. Conceptualization and Appropriation

    DEFF Research Database (Denmark)

    Bossen, Claus; Dalsgård, Peter

    2005-01-01

    and system development. Second, we argue that the process of design extends far into the process of use and that much can be learned by looking at the process of appropriation of a new system. The problems of conceptualisation and appropriation point towards the need to critically examine the mangle...... of practice in which artefacts, actors and organizations intertwine...

  9. Appropriateness of Liver Biopsy

    OpenAIRE

    Thierry Poynard; Vlad Ratziu; Pierre Bedossa

    2000-01-01

    This review aims to discuss the appropriateness of liver biopsy in two frequent liver diseases, hepatitis C and alcoholic liver disease. The medical literature, published between 1965 and 1999, was reviewed by using MEDLINE. Only 0.1% of the publications were devoted specifically to the appropriateness of liver biopsy. Not all studies observed a significant agreement among doctors on the decision to use liver biopsy. Therefore, there is a possibility that hepatologists have significant, heter...

  10. Appropriation of Information Systems

    DEFF Research Database (Denmark)

    Kjærgaard, Annemette Leonhardt; Jensen, Tina Blegind

    2008-01-01

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

  11. Appropriate technology directories

    Energy Technology Data Exchange (ETDEWEB)

    Frankena, F.

    1984-01-01

    An alphabetical and annotated list of 107 directories of appropriate technologies includes the publications of numerous small firms and residential groups as well as government and industry sources. The references cover neighborhood, village, and community efforts to develop decentralized technologies. Some list private and public funding sources, while others deal with legal, technical, and social aspects of renewable and alternative technologies.

  12. Crowding as appropriation

    DEFF Research Database (Denmark)

    Thelle, Mikkel

    2016-01-01

    This article seeks to address the relation between crowds andpublic space as a question of appropriation. With the newliberal constitutions in Europe, several phenomena of crowdingemerge in major cities, of which Copenhagen is taken as anexample. By focusing on the crowd as an agglomeration ofbod...

  13. Media Appropriation and Explicitation

    Directory of Open Access Journals (Sweden)

    Tomas Laurenzo

    2016-12-01

    Full Text Available This paper presents a novel characterization of new media art together with an exploration of some key aspects of its practice: I propose that new media art’s defining characteristics are media appropriation and explicitation. With media appropriation I refer to the dialectal inscription into the art practice of the knowledge that allows for some particular technological production. I also propose that new media art’s language is constructed in part via the explicitation of certain aspects of more ‘traditional’ art, and that this explicitation allows for a construction of a new vocabulary. Examples of this are the explicitation of randomness, interaction, programming, or of the role that tools and instruments play, among others.

  14. Situational appropriation of information

    OpenAIRE

    2015-01-01

    Purpose In contrast to the interest of describing and managing the social processes of knowing, information science and information and knowledge management research have put less emphasis on discussing how particular information becomes usable and how it is used in different contexts and situations. The purpose of this paper is to address this major gap, and introduce and discuss the applicability of the notion of situational appropriation of information for shedding light on this particular...

  15. Appropriate schemata and building blocks

    Institute of Scientific and Technical Information of China (English)

    Yang Haijun; Li Minqiang

    2005-01-01

    Appropriate schemata as a novel concept to characterize building blocks are introduced, and then, the traits of appropriate schemata are presented. The effects of building blocks by search operators are analyzed. Hence, the experiments on RR-8X8 are employed to verify that appropriate schemata construct the building blocks. The validity of appropriate schemata and building blocks from the views of theory and practice is presented.

  16. Value Appropriation in Business Exchange

    DEFF Research Database (Denmark)

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

    2014-01-01

    Purpose – Value appropriation is a central, yet neglected aspect in business exchange research. The purpose of the paper is to generate an overview of research on active value appropriation in business exchange and provide the foundation for further research into value appropriation, as well as s...

  17. Appropriate Technology as Indian Technology.

    Science.gov (United States)

    Barry, Tom

    1979-01-01

    Describes the mounting enthusiasm of Indian communities for appropriate technology as an inexpensive means of providing much needed energy and job opportunities. Describes the development of several appropriate technology projects, and the goals and activities of groups involved in utilizing low scale solar technology for economic development on…

  18. Appropriateness of Percutaneous Coronary Intervention

    Science.gov (United States)

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

    2012-01-01

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

  19. Art,authenticity and appropriation

    Institute of Scientific and Technical Information of China (English)

    James O.Young

    2006-01-01

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

  20. Legislative Branch: FY2014 Appropriations

    Science.gov (United States)

    2013-11-25

    absence of appropriations, and pursuant to opinions issued in 1980 and early 1981 by then- Attorney General Benjamin Civiletti further clarifying the...future years. The Committees look forward to a report of progress being made by the Center’s fundraising program prior to hearings on its fiscal year

  1. Unauthorized Appropriations and Expiring Authorizations

    Science.gov (United States)

    2015-01-15

    or Senate rule are determined by the Speaker of the House or the Presiding Officer of the Senate, respectively, on the basis of advice from the...Appropriations: Not Available United States-Poland Parliamentary Youth Exchange Program Act of 2007P.L. 110-83 Youth exchange program with Poland (sec. 5)* FY

  2. Test Anxiety: Age Appropriate Interventions

    Science.gov (United States)

    Ross, David B.; Driscoll, Richard

    2006-01-01

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

  3. ACR Appropriateness Criteria Crohn Disease.

    Science.gov (United States)

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

    2015-10-01

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

  4. Appropriate technologies for environmental hygiene.

    Science.gov (United States)

    McGarry, M G

    1980-07-28

    Appropriate technologies for environmental hygiene usually centre on the delivery of adequate and accessible water supply, and proper treatment and disposal of excreta and refuse. In the face of the International Drinking Water and Sanitation Decade of 1981-90, several research efforts are under way in the developing countries to develop technologies and approaches for improving environmental hygiene in both rural areas and urban squatter settlements. These are discussed and include the technical development and field testing of infiltration galleries, low-cost slow and fast filtration processes for water treatment, handpumps, on-site excreta disposal using aqua-privy and compost toilets, and excreta treatment and refuse through composting with refuse, biogas generation, fish culture and use of excreta as crop fertilizer. The relevant technology 'hardware' is but one of several components necessary for effective delivery of services. The dearth of qualified manpower at all levels is described as being the major constraint to the Water and Sanitation Decade.

  5. The Appropriateness of Hierarchies (Editorial

    Directory of Open Access Journals (Sweden)

    Denise Koufogiannakis

    2010-09-01

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

  6. Veterans Medical Care: FY2011 Appropriations

    Science.gov (United States)

    2011-03-21

    employees receiving preventative occupational immunizations such as Hepatitis A&B and flu vaccinations. 49 Department of Veterans Affairs, FY2011...such as Hepatitis A&B and flu vaccinations. Veterans Medical Care: FY2011 Appropriations Congressional Research Service 20 Formulation of VHA’s...1,977,000 1,225,000 Emergency appropriations- Gulf Coast Hurricanes (P.L. 109-148) — — — — 198,265 — — 198,265 Emergency appropriations- Avian Flu

  7. Ghost-Story Telling: Keeping It Appropriate.

    Science.gov (United States)

    Weintraub, Jeff

    1996-01-01

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

  8. Developmentally Appropriate Practice: Myths and Facts.

    Science.gov (United States)

    Galen, Harlene

    1994-01-01

    Debunks various myths and misperceptions concerning developmentally appropriate practices. Developmental appropriateness is a philosophy, not a curriculum. Despite using alternative learning strategies such as guided play, teachers are in control, facilitate real academic learning, and build on what they already know. DAP is universal and can…

  9. Using Appropriate Tools Strategically for Instruction

    Science.gov (United States)

    Sherman, Milan; Cayton, Charity

    2015-01-01

    Students' ability to use appropriate tools strategically is an important skill of mathematically proficient students (SMP 5, CCSSI 2010, p. 7). A parallel practice for teachers is using appropriate tools strategically for mathematics instruction. An important element of this practice is that the use of technology depends on the goals of…

  10. Teaching Physics Using Appropriate Technology Projects

    Science.gov (United States)

    Pearce, Joshua M.

    2007-03-01

    Appropriate technologies able to be easily and economically constructed from readily available materials by local craftspeople have a central role in the alleviation of poverty in the developing world. However, research and development of these technologies are generally apportioned relatively modest support by the developed world's institutions, in part because the operation of many of these appropriate technologies is dependent on relatively well-understood science accessible even to introductory college physics students. This paper describes a project-based assignment used to capitalize on this opportunity to motivate students to learn physics by offering them a chance to make concrete contributions to the optimization of appropriate technologies for sustainable development.

  11. 22 CFR 223.11 - Appropriate action.

    Science.gov (United States)

    2010-04-01

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

  12. Appropriation of Digital Competence in Teacher Education

    Directory of Open Access Journals (Sweden)

    Elen Instefjord

    2015-11-01

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

  13. Appropriation of Digital Competence in Teacher Education

    Directory of Open Access Journals (Sweden)

    Elen Instefjord

    2014-12-01

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

  14. Appropriate flow forecasting for reservoir operation

    NARCIS (Netherlands)

    Dong, Xiaohua

    2005-01-01

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

  15. Chautauqua notebook: appropriate technology on radio

    Energy Technology Data Exchange (ETDEWEB)

    Renz, B.

    1981-01-01

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

  16. Ways of art appropriation by the advertising

    Directory of Open Access Journals (Sweden)

    Roberta Fernandes Esteves

    2013-09-01

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

  17. ICT APPROPRIATION: A KNOWLEDGE CREATION PERSPECTIVE

    DEFF Research Database (Denmark)

    Akther, Farzana

    This thesis investigates information and communication tools (ICTs) as instruments of community development processes in the context of a case study conducted in collaboration with a community empowerment program (CEP) of the non-government organization (NGO) BRAC in Bangladesh by conceptualizing...... a learning theory-based model for ICT appropriation. The aim of this research is to understand the conditions of ICT appropriation as a collective knowledge creation process within rural community development projects—and, thus, to provide tools for perceiving and constructing local ICT development...... in organizations. The study claims that ICT capacity building through a collective resource approach (participatory design) may sustain a knowledge-creation process based on hands-on participation and interaction among individuals, communities, and the sharing of artifacts and thereby offers an ICT appropriation...

  18. CRM AS INSTITUTION - IMAGINARY, LEGITIMACY AND APPROPRIATION

    Directory of Open Access Journals (Sweden)

    Christophe Benavent

    2009-10-01

    Full Text Available In this paper, we explore the idea that an IS could act as an institution in itself, if its legitimacy is well established, even the knowledge of the system is weak. This is in line with some theory of appropriation, and against the cognitive approach of the reason action theory. But we explore also one condition to gain legitimacy, which is that the system and proposed usage fit to the imaginary of the adopting population. Imaginary plays also a role along the appropriation process acting as a kind of pre-knowledge.

  19. Pragmatic Distance and Appropriateness of Utterance Politeness

    Institute of Scientific and Technical Information of China (English)

    吴丽丽

    2014-01-01

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

  20. Becoming Maya? Appropriation of the White Shaman.

    Science.gov (United States)

    Montejo, Victor D.

    1999-01-01

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

  1. Rediscovering Enterprise: Developing Appropriate University Entrepreneurship Education

    Science.gov (United States)

    Bridge, Simon; Hegarty, Cecilia; Porter, Sharon

    2010-01-01

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

  2. Nationally Appropriate Mitigation Action: Understanding NAMA Cycle

    DEFF Research Database (Denmark)

    Sharma, Sudhir; Desgain, Denis DR

    There is no internationally defined or agreed Nationally Appropriate Mitigation Action(NAMA) cycle, as was the case, for example, with the Clean Development Mechanisms (CDM) project cycle. However, there are some common steps that NAMA identification, formulation, and implementation will all go...

  3. Teaching Rhythmic Gymnastics: A Developmentally Appropriate Approach.

    Science.gov (United States)

    Palmer, Heather C.

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

  4. Perspectives on Conceptualizing Developmentally Appropriate Sexuality Education

    Science.gov (United States)

    Silvério Marques, Sara; Goldfarb, Eva S.; Deardorff, Julianna; Constantine, Norman A.

    2017-01-01

    Despite recognition of the importance of a developmentally appropriate approach to sexuality education, there is little direct guidance on how to do this. This study employed in-depth interviews with experienced sexuality educators and developers of sexuality education materials to identify how this concept is understood and applied in the field.…

  5. [Appropriate medication prescribing in older people].

    Science.gov (United States)

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

    2015-10-01

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

  6. Homeland Security Department: FY2006 Appropriations

    Science.gov (United States)

    2005-06-29

    continuing resolution.” e. P.L. 101-130, enacted after the Loma Prieta earthquake, appropriated $1.1 billion in supplemental funding for FY1990. In...cooperate with and assist DHS in any investigation or reinvestigation. The authorization would cease to be effective once the President has selected...that investigations for DHS security clearances are done in the most timely and efficient manner once the 9/11 Act reforms take effect .” (Congressional

  7. Defense: FY2014 Authorization and Appropriations

    Science.gov (United States)

    2014-01-08

    indefinite appropriation to this fund each year of whatever amount is deemed necessary by a board of DOD actuaries . Defense: FY2014 Authorization and... actuaries ($6.68 billion in FY2014). At the request of Senate Armed Services Committee Chairman Carl Levin and Senator James M. Inhofe, the committee’s... actuaries ($164 million in OCO funds in FY2014). d. Assumes Congress will transfer to this account an additional $486 million that Congress had added

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

    OpenAIRE

    Johnson, Colin G.; Fuller, Ursula

    2007-01-01

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

  9. Appropriate Use Criteria for Amyloid PET

    Science.gov (United States)

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

    2013-01-01

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

  10. [In-patient smoker? - Providing appropriate intervention].

    Science.gov (United States)

    Pamplona, Paula

    2007-01-01

    Tobacco use is the most avoidable cause of death. Other than provoking multiple diseases requiring hospitalisation, Tobacco Use is also a disease requiring management in the hospital setting, not only in terms of controlling the withdrawal symptoms of the patient, who has been abruptly prohibited from smoking, but also for fulfilling legislation which prohibits tobacco use in the health services, the only efficient way of preventing exposure of non-smokers to environmental tobacco smoke. Treating the in-patient smoker in an appropriate way also provides a window of opportunity for promoting not just a temporary but a complete smoking cessation.

  11. Food appropriation through large scale land acquisitions

    Science.gov (United States)

    Rulli, Maria Cristina; D'Odorico, Paolo

    2014-05-01

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

  12. Selecting appropriate cases when tracing causal mechanisms

    DEFF Research Database (Denmark)

    Beach, Derek; Pedersen, Rasmus Brun

    2016-01-01

    selection guidelines are appropriate for research aimed at making cross-case claims about causal relationships, where case selection is primarily used to control for other causes. However, existing guidelines are not in alignment with case-based research that aims to trace mechanisms, where the goal......The last decade has witnessed resurgence in the interest in studying the causal mechanisms linking causes and outcomes in the social sciences. This article explores the overlooked implications for case selection when tracing mechanisms using in-depth case studies. Our argument is that existing case...... is to unpack the causal mechanism between X and Y, enabling causal inferences to be made because empirical evidence is provided for how the mechanism actually operated in a particular case. The in-depth, within-case tracing of how mechanisms operate in particular cases produces what can be termed mechanistic...

  13. Installing an appropriate information security policy.

    Science.gov (United States)

    Gaunt, N

    1998-03-01

    Security of personal health care is of concern to patients, health care staff and informaticians alike. Nevertheless, their awareness of the appropriate measures for protection of such data have been found wanting. The development and implementation of an information and security policy in the health care environment must therefore take into account the attitudes of staff and their educational needs. The approach adopted in one large District General Hospital was to combine risk analysis with surveys of users attitudes to proposed measures and a participational approach to development of security procedures using an adaptation of the ETHICS soft systems methodology. As a result of several years of effort, a 'security culture' has begun to emerge in the organization. However, this can only be sustained by continual promotion of the policy and a willingness to adapt procedures to suit the operating environment.

  14. Shoosing the appropriate size wind turbine

    Energy Technology Data Exchange (ETDEWEB)

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

    1996-12-31

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

  15. Appropriate medical care for persons in detention.

    Science.gov (United States)

    Idris, I

    2003-03-01

    The people who are in detention are screened by the Medical Officer of the Prison and if they are found to be unwell, these prisoners will be accommodated in the sickbay and medical treatment will be provided. If their sickness needs further investigations and management, they will be sent to the Government Hospital. If the prisoners are found to have infectious or contagious diseases, steps will be taken to prevent the spread of these diseases to other prisoners in the prison. Prisoners are given time to exercise to maintain good health and their clothing are regularly washed to make sure that they will not contract skin diseases, e.g. scabies, ringworm, etc. The Prison Department since 1989 has increasing numbers of HIV positive prisoners. The Department complies with this problem by sending staff for courses, lectures and seminars so that they will be able to handle these prisoners more efficiently in the prison. When these HIV/AIDS prisoners' condition turns bad, they are usually transferred to a Government Hospital. Another of the Prison Department's prominent medical problem among the prisoners is drug addiction. Staff trained with skill and techniques are counselors for the drug related prisoners. Realizing and in anticipation that the sickbays in the prisons are going to be full of HIV/AIDS prisoners and drug related prisoners, special attention will be given to more allocation to upgrade the sickbays in the prison. White attires will be provided to the sick prisoners in the sickbays so that they will look neat and clean. More doctors, medical assistants and nurses will be employed so that appropriate medical care or rather more appropriate medical care can be provided to the sick prisoners in the prisons. The Prison Department is in the process of privatizing medical care for prisoners in the prison and the Department is also trying to convert some prisons to be medical prisons so that adequate medical care can be given to the sick prisoners.

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

    NARCIS (Netherlands)

    Grol, C.E.J.

    2012-01-01

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

  17. Institutional factors, government policies and appropriate technologies.

    Science.gov (United States)

    Watanabe, S

    1980-01-01

    Traditionally the use of inappropriate technologies in the developing countries has been explained by the existence of factor price distortions, e.g. the price of labor being artificially raised by labor legislation, and the price of capital being reduced by subsidies and unrealistic exchange rates. In reality the technological choice is often determined by economic conditions and the local sociocultural/political conditions. The institutional framework of the country may discourage the appropriate technology. The obstacles can be overcome when the following conditions are met: 1) a national consensus about the need for development efforts and importance of policy goals; 2) promising market prospects and/or an effective marketing system; and, 3) sufficient industrial competition in both home and international markets. Institutional problems come from the generation and diffusion of technologies from the supply side which are introduced to people who do not see the need for them. More emphasis on the marketing side ususally results in application of correct technology, especially where governments fund research and development projects and formulate their plans on the basis of a concrete investment or production plan and a clear idea about the target market. Land reforms and agricultural price policies are needed as well as the establishment of an efficient national administrative network.

  18. Is the 80% leak criterion always appropriate?

    Energy Technology Data Exchange (ETDEWEB)

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

    2010-07-01

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

  19. Financial Audit and Spending of Appropriations

    Directory of Open Access Journals (Sweden)

    Ivo Mijoč

    2013-07-01

    Full Text Available Local and district (regional governments receive various forms of revenue. The entitlement to and purpose of this income is determined by law. Likewise for companies owned by local government there are revenues with allocated use, which are also associated with the budget of the local unit. The importance of proper recording of the revenue collected, as well as claims for different types of income is significant because it affects the proper presentation of the financial statements. The presented data are the basis for making decisions, which result in opportunities to meet the needs of local communities. When it comes to the disposal of revenue collected, misconduct or even illegal activities might occur. It is crucial to spot them early on, and here the internal control system and the accounting system have a key role, as they examine the financial and other information for management purposes. The aim of the paper was to investigate irregularities in the use of local funds by examining the data obtained by Financial Audits and to show the movement of appropriations (allocated funds at the county level.

  20. Developing appropriate criteria for Benign Prostatic Hyperplasia Surgery Using RAND Appropriateness Method (RAM

    Directory of Open Access Journals (Sweden)

    R Ostovar

    2009-07-01

    Full Text Available ABSTRACT: Introduction & Objective: Results of different studies show that a relatively large number of healthcare services offered are inappropriate or unnecessary. Benign prostatic hyperplasia is a benign enlargement of the prostate gland. Clinical features of this disease are one of the most common problems encountered by elderly males. The aim of this study was to assess the appropriateness of benign prostatic hyperplasia surgery. Materials & Methods: In this qualitative study which was conducted in 2008-9, in Tehran University of Medical Sciences, the RAN/UCLA method was used, which was designed in 1980 by the RAND institute and the University of California in Los Angeles. Regarding the stages of our method, scenarios and indications for benign prostatic hyperplasia surgery were chosen from the latest approved scientific resources and subsequently sent to urology specialists, who were chosen as members of the specialized panel. Panel members gave scores ranging from 1 to 9 to each indication and scenario based on scientific resources, clinical experiences and patient’s condition in two separate panel sessions. After compilation, the indications were finally grouped as appropriate, equivocal, and inappropriate so that they could be used to determine appropriateness of benign prostatic hyperplasia surgery in hospitals. In this study, the most suitable and most approved clinical guidelines related to benign prostatic hyperplasia, the Guidelines Evaluation and Research Appraisal (AGREE were used.The selected guidelines were used as scientific resources for choosing the indications of benign prostatic hyperplasia surgery. SPSS version 16 and kappa weighted value were used in analysis process of the study. Results: Out of 282 scenarios grouped as 9 conditions related to benign prostatic hyperplasia surgery, which were extracted from scientific sources, 73 cases (25.9% were considered as appropriate, 14 cases (5% as equivocal and 7 cases (2

  1. 7 CFR 15b.22 - Free appropriate public education.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 1 2010-01-01 2010-01-01 false Free appropriate public education. 15b.22 Section 15b... Extension Education § 15b.22 Free appropriate public education. (a) General. A recipient that operates a public elementary or secondary education program or activity shall provide a free appropriate...

  2. 24 CFR 100.143 - Appropriate corrective action.

    Science.gov (United States)

    2010-04-01

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

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

    Science.gov (United States)

    Haig-Brown, Celia

    2010-01-01

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

  4. 16 CFR 614.1 - Appropriate proof of identity.

    Science.gov (United States)

    2010-01-01

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

  5. APPROPRIATENESS OF GIFTED CHILDREN SOCIALIZATION IN CONTEMPORARY SOCIOCULTURAL CONDITIONS

    OpenAIRE

    Rimma Litvak; Tatyana Bondarchuk

    2012-01-01

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

  6. 43 CFR 20.506 - Appropriations, legislation and lobbying.

    Science.gov (United States)

    2010-10-01

    ... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Appropriations, legislation and lobbying. 20.506 Section 20.506 Public Lands: Interior Office of the Secretary of the Interior EMPLOYEE RESPONSIBILITIES AND CONDUCT Other Employee Conduct Provisions § 20.506 Appropriations, legislation and...

  7. Developmentally Appropriate Discipline Practices of Elementary School Principals

    Science.gov (United States)

    Burnett, Donna Silva

    2010-01-01

    Research has indicated that developmentally appropriate practices (DAP) should be applied to manage behavioral problems in school age children. However, little evidence exists on the extent to which elementary school principals apply these practices appropriately in student discipline. The purpose of this phenomenological study was to explore how…

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

    Directory of Open Access Journals (Sweden)

    Francesco Napolitano

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

  9. 14 CFR 1261.403 - Consultation with appropriate officials; negotiation.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Consultation with appropriate officials; negotiation. 1261.403 Section 1261.403 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION... appropriate officials; negotiation. (a) The authority pursuant to § 1261.402 to determine to forego...

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

    NARCIS (Netherlands)

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

    2015-01-01

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

  11. 45 CFR 84.33 - Free appropriate public education.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Free appropriate public education. 84.33 Section..., Elementary, and Secondary Education § 84.33 Free appropriate public education. (a) General. A recipient that operates a public elementary or secondary education program or activity shall provide a free...

  12. 38 CFR 18.433 - Free appropriate public education.

    Science.gov (United States)

    2010-07-01

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

  13. 45 CFR 605.33 - Free appropriate public education.

    Science.gov (United States)

    2010-10-01

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

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

    Science.gov (United States)

    Anderson, Stephen P.

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

  15. Perspectives of Early Intervention Professionals about Culturally-Appropriate Practices.

    Science.gov (United States)

    Lee, Hwa; Ostrosky, Michaelene M.; Bennett, Tess; Fowler, Susan A.

    2003-01-01

    A survey of 123 early intervention professionals found they considered recommendations for providing culturally appropriate services important. However, multiple barriers often hindered implementation. Lack of time was the most common barrier to providing culturally appropriate practices, followed by lack of training and lack of materials.…

  16. Mathematics Preservice Teachers' Beliefs and Conceptions of Appropriate Technology Use

    Science.gov (United States)

    Wachira, Patrick; Keengwe, Jared; Onchwari, Grace

    2008-01-01

    Many preservice teachers report having had little exposure on the use of technology in the teaching and learning of mathematics. Without guidance on the appropriate use of technology, prospective teachers are left to form their own beliefs about what is appropriate technology use. This study assessed preservice teacher beliefs and conceptions of…

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

    Directory of Open Access Journals (Sweden)

    R. Lyle Skains

    2016-03-01

    Full Text Available Appropriation is a common practice in art and literature; electronic literature in particular lends itself readily to appropriation and collaboration, due to its multimodal and born-digital nature. This paper presents practice-based research examining the effects of digital appropriation on two works of digital fiction (a hyperfiction and an interactive fiction, demonstrating how it alters the creative writer’s typical process, as well as the resulting narrative itself. This practice of appropriation results in “implicit collaboration” between the digital creative writer and those whose work is appropriated, an arguable form of shared authorship. Questions regarding the ethics of this practice, including copyright concerns and authorship, are discussed.

  18. APPROPRIATING CREATIVE WORKS PROTECTED BY INTELLECTUAL PROPERTY RIGHTS

    Directory of Open Access Journals (Sweden)

    Cornelia DUMITRU

    2015-07-01

    Full Text Available The ownership, either public or private, is an expression for appropriating goods. Consequently, the appropriation takes the form of private (i.e. private property and common forms (i.e. public property. The common law property defines appropriation as „a deliberate act of acquisition of something, often without the permission of the owner”, but the intellectual property rights do not protect goods. Particularly in this case „the object” of appropriation does not represent a „res nullius” simply because the intellectual property right arises from the act of creation, therefore the appropriation of somebody else’s creation becomes equivalent with stealing (plagiarism. Consequently, if we are to admit that the authors have a right of ownership over them, then ownership in intellectual property law has (it must have other manifestations than those known and accepted in the common law of property.

  19. APPROPRIATING CREATIVE WORKS PROTECTED BY INTELLECTUAL PROPERTY RIGHTS

    Directory of Open Access Journals (Sweden)

    Cornelia DUMITRU

    2015-12-01

    Full Text Available The ownership, either public or private, is an expression for appropriating goods. Consequently, the appropriation takes the form of private (i.e. private property and common forms (i.e. public property. The common law property defines appropriation as „a deliberate act of acquisition of something, often without the permission of the owner”, but the intellectual property rights do not protect goods. Particularly in this case „the object” of appropriation does not represent a „res nullius” simply because the intellectual property right arises from the act of creation, therefore the appropriation of somebody else’s creation becomes equivalent with stealing (plagiarism. Consequently, if we are to admit that the authors have a right of ownership over them, then ownership in intellectual property law has (it must have other manifestations than those known and accepted in the common law of property.

  20. Statement for the Subcommittee on Legislative Branch Appropriations of the House Committee on Appropriations, March 22, 1974.

    Science.gov (United States)

    Cooke, Eileen D.

    This statement by the American Library Association (ALA) for the Subcommittee on Legislative Appropriations of the House Committee on Appropriations endorses the Library of Congress request for funding in 1975 and requests that funding be increased for the Office of Superintendent of Documents for the same period. The value and importance of…

  1. 18 CFR 367.2150 - Account 215, Appropriated retained earnings.

    Science.gov (United States)

    2010-04-01

    ... NATURAL GAS ACT Balance Sheet Chart of Accounts Proprietary Capital § 367.2150 Account 215, Appropriated... ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY REGULATIONS UNDER THE PUBLIC UTILITY HOLDING...

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

    Science.gov (United States)

    Hasson, Katie Ann

    2012-10-01

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

  3. ACR appropriateness criteria radiologic management of infected fluid collections.

    Science.gov (United States)

    Lorenz, Jonathan M; Al-Refaie, Waddah B; Cash, Brooks D; Gaba, Ron C; Gervais, Debra A; Gipson, Matthew G; Kolbeck, Kenneth J; Kouri, Brian E; Marshalleck, Francis E; Nair, Ajit V; Ray, Charles E; Hohenwalter, Eric J

    2015-08-01

    The best management of infected fluid collections depends on a careful assessment of clinical and anatomic factors as well as an up-to-date review of the published literature, to be able to select from a host of multidisciplinary treatment options. This article reviews conservative, radiologic, endoscopic, and surgical options and their best application to infected fluid collections as determined by the ACR Appropriateness Criteria Expert Panel on Interventional Radiology. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every three years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals, and the application, by the panel, of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures. In those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.

  4. Korean guidelines for the appropriate use of cardiac CT

    Energy Technology Data Exchange (ETDEWEB)

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

    2015-04-15

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

  5. Beyond Brazilian Coalition Presidentialism: the Appropriation of the Legislative Agenda

    Directory of Open Access Journals (Sweden)

    Rafael Silveira e Silva

    2014-12-01

    Full Text Available Even though they possess several power resources, Brazilian Presidents also elaborate their legislative proposals based upon bills already being processed in Congress through a phenomenon called Appropriation of the legislative agenda. In this paper I examine the conditions under which this phenomenon occurs by means of a typology and a qualitative comparative analysis (QCA. I conclude that Appropriation provides the President with the expansion of the formal support base by controlling the agenda of allied and opposition parties as well as obtaining the "paternity" of several policies already in motion in Congress, thus enabling a public association of the President's actions and his or her party with the possibility of social benefits. Be it in the pursuit of promising agendas or for the maintenance of their own dominance, Appropriation shows that Brazilian Presidents must go beyond coalition presidentialism.

  6. Appropriate Algorithms for Nonlinear Time Series Analysis in Psychology

    Science.gov (United States)

    Scheier, Christian; Tschacher, Wolfgang

    Chaos theory has a strong appeal for psychology because it allows for the investigation of the dynamics and nonlinearity of psychological systems. Consequently, chaos-theoretic concepts and methods have recently gained increasing attention among psychologists and positive claims for chaos have been published in nearly every field of psychology. Less attention, however, has been paid to the appropriateness of chaos-theoretic algorithms for psychological time series. An appropriate algorithm can deal with short, noisy data sets and yields `objective' results. In the present paper it is argued that most of the classical nonlinear techniques don't satisfy these constraints and thus are not appropriate for psychological data. A methodological approach is introduced that is based on nonlinear forecasting and the method of surrogate data. In artificial data sets and empirical time series we can show that this methodology reliably assesses nonlinearity and chaos in time series even if they are short and contaminated by noise.

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

    Directory of Open Access Journals (Sweden)

    J.B Agboola

    2009-07-01

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

  8. Selecting appropriate absorbent products to treat urinary incontinence.

    Science.gov (United States)

    Payne, Drew

    2015-11-01

    Urinary incontinence can have a significant negative effect on a person's life, especially if left unmanaged and untreated. Continence assessment, often carried out by community nurses, is an important element in the management of a person's urinary incontinence, and so is the selection of appropriate absorbent incontinence pads. This article reviews: the causes and effects of urinary incontinence; how to derive the most appropriate information from a continence assessment; strategies for selecting incontinence pads for a person, on the basis of the results of the continence assessment; and some of the problems and risks associated with the use of incontinence pads.

  9. Evaluation of appropriate technologies for grey water treatments and reuses.

    Science.gov (United States)

    Li, Fangyue; Wichmann, Knut; Otterpohl, Ralf

    2009-01-01

    As water is becoming a rare resource, the onsite reuse and recycling of grey water is practiced in many countries as a sustainable solution to reduce the overall urban water demand. However, the lack of appropriate water quality standards or guidelines has hampered the appropriate grey water reuses. Based on literature review, a non-potable urban grey water treatment and reuse scheme is proposed and the treatment alternatives for grey water reuse are evaluated according to the grey water characteristics, the proposed standards and economical feasibility.

  10. Implante de un cardiodesfibrilador bicameral vía vena cava superior izquierda persistente

    OpenAIRE

    Daniel Bagattin; Bruno Strada; Adrián Carlessi; Oscar Didio; Atilio Abud; Raúl Goyeneche

    2009-01-01

    La vena cava superior izquierda persistente (VCSIP) es la anomalía congénita venosa deltórax más frecuente. Se encuentra en el 0,3% de la población general y en el 5-10% de lospacientes con cardiopatías congénitas. Generalmente evoluciona en forma asintomática yno genera trastornos hemodinámicos, pero su reconocimiento es importante, ya que puededificultar la introducción de catéteres para mediciones hemodinámicas, los implantes demarcapasos cardíacos (MCP) y de cardiodesfibriladores automáti...

  11. Appropriate spiritual care by physicians: a theological perspective.

    Science.gov (United States)

    Pembroke, Neil Francis

    2008-12-01

    It is argued that when spiritual care by physicians is linked to the empirical research indicating the salutary effect on health of religious beliefs and practices an unintended degradation of religion is involved. It is contended that it is much more desirable to see support for the patient's spirituality as part of holistic care. A proposal for appropriate spiritual care by physicians is offered.

  12. Even Sewage Is a Resource...for "Appropriate Technology."

    Science.gov (United States)

    Hand, Marge

    1980-01-01

    Recounts highlights of a 1980 weekend course at Queens College Environmental Center (New York) focusing on lessons from history and other cultures in using overlooked resources to develop "Appropriate Technology." Practical and innovative energy alternatives discussed include solar energy, wind power, indoor hydroponic farming, shellfish…

  13. Cultural Appropriation, Performance, and Agency in Mexicana Parent Involvement

    Science.gov (United States)

    Galindo, Rene; Medina, Christina

    2009-01-01

    Parental agency is examined in the creation of a dance performance by a group of Mexican immigrant mothers that combined a mixture of genres into an educational message. The "folklorico" performance resulted from a process of cultural appropriation involving linguistic, cultural, and experiential "translations." This process was concerned with…

  14. Relations between the technological standards and technological appropriation

    Directory of Open Access Journals (Sweden)

    Carlos Alberto PRADO GUERRERO

    2010-06-01

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

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

    Science.gov (United States)

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

    2001-01-01

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

  16. 40 CFR 24.08 - Selection of appropriate hearing procedures.

    Science.gov (United States)

    2010-07-01

    ... complex and are necessary to protect human health and the environment prior to development of a permanent... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Selection of appropriate hearing procedures. 24.08 Section 24.08 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GENERAL...

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

    NARCIS (Netherlands)

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

    2012-01-01

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

  18. Developing an Appropriate Goalball Unit for Secondary Physical Education

    Science.gov (United States)

    Laughlin, Michael K.; Happel, Kathleen

    2016-01-01

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

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

    DEFF Research Database (Denmark)

    Christensen, N.B.; Lawrie, Ken

    2012-01-01

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

  20. Appropriability mechanisms, innovation and productivity: Evidence from the UK

    NARCIS (Netherlands)

    Hall, B.H.; Sena, V.

    2014-01-01

    We use an extended version of the well-established Crepon, Duguet and Mairesse model (1998) to model the relationship between appropriability mechanisms, innovation and firm-level productivity. We enrich this model in several ways. First, we consider different types of innovation spending and study

  1. The Appropriation of Fine Art into Contemporary Narrative Picturebooks

    Science.gov (United States)

    Serafini, Frank

    2015-01-01

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

  2. 34 CFR 104.33 - Free appropriate public education.

    Science.gov (United States)

    2010-07-01

    ... 34 Education 1 2010-07-01 2010-07-01 false Free appropriate public education. 104.33 Section 104.33 Education Regulations of the Offices of the Department of Education OFFICE FOR CIVIL RIGHTS, DEPARTMENT OF EDUCATION NONDISCRIMINATION ON THE BASIS OF HANDICAP IN PROGRAMS OR ACTIVITIES...

  3. 5 CFR 532.217 - Appropriated fund survey jobs.

    Science.gov (United States)

    2010-01-01

    ... Section 532.217 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PREVAILING RATE SYSTEMS Prevailing Rate Determinations § 532.217 Appropriated fund survey jobs. (a) A lead... Material Handler 2 Maintenance Laborer 3 Packer 4 Warehouse Worker 5 Forklift Operator 5 Material...

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

    NARCIS (Netherlands)

    Kwint, H.F.

    2013-01-01

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

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

    NARCIS (Netherlands)

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

    2015-01-01

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

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

    NARCIS (Netherlands)

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

    2015-01-01

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2014-11-15

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

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

    Directory of Open Access Journals (Sweden)

    Anderson de Oliveira

    2014-11-01

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

  9. APPROPRIATENESS OF GIFTED CHILDREN SOCIALIZATION IN CONTEMPORARY SOCIOCULTURAL CONDITIONS

    Directory of Open Access Journals (Sweden)

    Rimma Litvak

    2012-01-01

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

  10. Influence of test and person characteristics on nonparametric appropriateness measurement

    NARCIS (Netherlands)

    Meijer, Rob R.; Molenaar, Ivo W.; Sijtsma, Klaas

    1994-01-01

    Appropriateness measurement in nonparametric item response theory modeling is affected by the reliability of the items, the test length, the type of aberrant response behavior, and the percentage of aberrant persons in the group. The percentage of simulees defined a priori as aberrant responders tha

  11. Influence of Test and Person Characteristics on Nonparametric Appropriateness Measurement

    NARCIS (Netherlands)

    Meijer, Rob R; Molenaar, Ivo W; Sijtsma, Klaas

    1994-01-01

    Appropriateness measurement in nonparametric item response theory modeling is affected by the reliability of the items, the test length, the type of aberrant response behavior, and the percentage of aberrant persons in the group. The percentage of simulees defined a priori as aberrant responders tha

  12. Appropriate Language Assessment in Content and Language Integrated Learning

    Science.gov (United States)

    Morgan, Carol

    2006-01-01

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

  13. 34 CFR 300.17 - Free appropriate public education.

    Science.gov (United States)

    2010-07-01

    ..., elementary school, or secondary school education in the State involved; and (d) Are provided in conformity... 34 Education 2 2010-07-01 2010-07-01 false Free appropriate public education. 300.17 Section 300.17 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF...

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

    Directory of Open Access Journals (Sweden)

    Michael P Thomas

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

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

    Science.gov (United States)

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

    2015-01-01

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

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

    Science.gov (United States)

    Nieusma, Dean

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

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

    Directory of Open Access Journals (Sweden)

    Anna Stegh Camati

    2008-04-01

    Full Text Available Adaptations and vernacular appropriations on page and stage offer alternative readings of Shakespeare’s plays, mediated by heterogeneous forces of race, language and culture Appropriation can take multiple forms, as each generation attempts to redefine Shakespeare in contemporary terms in an ongoing process of mutation (Marsden 9. In an essay entitled “The Postcolonial/Postmodern Shakespeare”, Jyotsna Singh states that the postmodernist tendency to pluralize and decenter all totalizing assumptions of the centre has altered traditional values: “the Shakespearean text is no longer sacrosanct: instead it is invaded by heteroglossia, or multiplicity of styles and forms in the Bakhtinian sense, that disrupt the cultural authority of the official English Shakespeare” (Kerr et alii 39. Adaptations and vernacular appropriations on page and stage offer alternative readings of Shakespeare’s plays, mediated by heterogeneous forces of race, language and culture Appropriation can take multiple forms, as each generation attempts to redefine Shakespeare in contemporary terms in an ongoing process of mutation (Marsden 9. In an essay entitled “The Postcolonial/Postmodern Shakespeare”, Jyotsna Singh states that the postmodernist tendency to pluralize and decenter all totalizing assumptions of the centre has altered traditional values: “the Shakespearean text is no longer sacrosanct: instead it is invaded by heteroglossia, or multiplicity of styles and forms in the Bakhtinian sense, that disrupt the cultural authority of the official English Shakespeare” (Kerr et alii 39.

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

    Directory of Open Access Journals (Sweden)

    Valdir José Morigi

    2016-04-01

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

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

    DEFF Research Database (Denmark)

    Martins, Bruno Oliveira

    2015-01-01

    institutions such as the European Parliament or the Court of Justice of the EU. In this chapter it is argued that the constitutional foundations of the EU play a decisive role in granting legitimacy to EU counter-terrorism law and policy and to ensuring its social acceptability. Combining sociological...... institutionalist theory with insights from the New Haven school, namely its societal and process-oriented conceptions of law, it crosses legal and political science traditions to explore the ways in which EU counter-terrorism law and policy acquire and maintain social appropriateness....... versus justice equation, on the issues of privacy and data protection, and on the broader respect for fundamental rights more generally. In this process, the legitimacy and the social appropriateness of some of these measures have been questioned, both at the societal level and before or by European...

  20. What is the appropriate business continuity management staff size?

    Science.gov (United States)

    Walch, Damian; Merante, Jason

    2008-04-01

    This paper explores the question 'how many professionals does it take to build a resilient enterprise?' The paper describes the various segments of a comprehensive business continuity, disaster recovery and crisis management programme and then delves into the variables that determine the appropriate number of professionals required for the company. It is a thought-provoking examination that can help anybody in the `c-suite' examine their particular requirements, characteristics and culture to determine appropriate staffing levels. The reader will have a quantitative approach for determining the size and structure of a resilient enterprise which can provide a solid foundation for a programme that adapts and adjusts quickly and cost-effectively to disasters and events. It can also help build executive support for a programme management office which could ultimately increase the overall success of the programme.

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

    LENUS (Irish Health Repository)

    Robson, Michael

    2013-04-01

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    1999-02-01

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

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

    Directory of Open Access Journals (Sweden)

    Souad Belkhyr

    2012-08-01

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

  4. Measuring Appropriate Antimicrobial Use: Attempts at Opening the Black Box.

    Science.gov (United States)

    Spivak, Emily S; Cosgrove, Sara E; Srinivasan, Arjun

    2016-12-15

    Indiscriminate antimicrobial use has plagued medicine since antibiotics were first introduced into clinical practice >70 years ago. Infectious diseases physicians and public health officials have advocated for preservation of these life-saving drugs for many years. With rising burden of antimicrobial-resistant organisms and Clostridium difficile infections, halting unnecessary antimicrobial use has become one of the largest public health concerns of our time. Inappropriate antimicrobial use has been quantified in various settings using numerous definitions; however, no established reference standard exists. With mounting national efforts to improve antimicrobial use, a consensus definition and standard method of measuring appropriate antimicrobial use is imperative. We review existing literature on systematic approaches to define and measure appropriate antimicrobial use, and describe a collaborative effort at developing standardized audit tools for assessing the quality of antimicrobial prescribing.

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

    Science.gov (United States)

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

    2016-01-01

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

  6. Diligence in determining the appropriate form of stationarity

    Directory of Open Access Journals (Sweden)

    André Heymans

    2014-02-01

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

  7. HOW TO SELECT APPROPRIATE HUMAN RESOURCE CONTROLLING INDICATORS

    OpenAIRE

    Monika Dugelova; Mariana Strenitzerova

    2015-01-01

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

  8. Defense: FY2012 Budget Request, Authorization and Appropriations

    Science.gov (United States)

    2012-02-13

    Senate versions of the bill would have done). The ships for which most of the total cost is authorized in FY2012 include two Virginia -class submarines, a...New START Treaty: Central Limits and Key Provisions, by Amy F. Woolf . Defense: FY2012 Budget Request, Authorization and Appropriations...Missile Defense and Offensive Arms Reductions: A Review of the Historical Record, by Steven A. Hildreth and Amy F. Woolf . Defense: FY2012 Budget

  9. Defense Authorization and Appropriations Bills: FY1970-FY2016

    Science.gov (United States)

    2016-04-20

    their numbers and votes, vetoes, substitutions, dates of final passage, and public law numbers. Significant definitions are also included. This report...is reported to both houses. Votes on the bill are taken in both chambers. If passed it is sent to the President for his consideration and signature...drawn from the Treasury, but in Consequence of Appropriations made by Law .” CRS-3 Table 1. Authorization Bills, 1970-2016 Authorization—House

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

    OpenAIRE

    Souad Belkhyr

    2012-01-01

    Children’s media products reflect the cultural values of their producers and the social, political and economic conditions under which they were produced. Watching an animated feature, therefore, cannot be regarded as an innocent and simple act of consumption. It rather involves a complex process of coding/decoding and appropriating cultural meanings. The relation between structured patterns of communication under globalization, on one hand, and the local conditions under which Disney cartoon...

  11. Esthetic crown lengthening: appropriate diagnosis for achieving gingival balance.

    Science.gov (United States)

    Kao, Richard T; Dault, Scott; Frangadakis, Kenneth; Salehieh, J J

    2008-03-01

    A gummy smile poses a restorative challenge for dentists attempting to achieve ideal esthetics. Many have advocated the use of a gingivectomy or laser-assisted gingival contouring procedure. However, this simplistic approach can potentially create a mucogingival defect or a biological width violation. To avoid these periodontal-restorative complications, it is important during treatment planning to assess the anatomical relationship that resulted in the gummy smile and choose the appropriate surgical treatment to eliminate this condition.

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

    Institute of Scientific and Technical Information of China (English)

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

    2007-01-01

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2014-02-15

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

  14. Appropriate and inappropriate referrals to a unit of conservative dentistry.

    Science.gov (United States)

    Burke, F J; Goodall, C A; Hayes, F

    1999-10-01

    Inappropriate referrals to secondary care are an unnecessary cost, notwithstanding the effect on waiting lists. It is essential therefore that only those patients whose referrals are appropriate are actually referred for secondary care. This project aimed to determine whether referrals to a unit of conservative dentistry are appropriate. The records of 120 consecutive new patient referrals who had been examined by one consultant in the unit of conservative dentistry at Glasgow Dental Hospital and School were obtained. A pro forma was designed on which synopses of the relevant clinical findings were written. These synopses were examined by four general dental practitioners (GDPs). A referral was considered appropriate if three or four of the GDPs considered it to be so, a referral was considered inappropriate if three or four of the GDPs concurred. Of the 120 cases examined, a majority of the GDP assessors agreed that 54 warranted referral, with 23 of these being referrals for toothwear. Agreement was not reached in 35 cases, while 31 referrals were considered inappropriate. Of the 31 cases which were considered inappropriate, 27 were thought to be within the scope of general practitioners. In conclusion, the results suggest that around one quarter of referrals to a unit of conservative dentistry are inappropriate. It would appear that a number of GDPs are unable or unwilling to treat a variety of simple conditions in practice and it may be that the development of referral guidelines is necessary to ensure that only those patients who merit a specialist opinion are referred for this service.

  15. Pre-service Teachers’ Appropriation of Conceptual Tools

    Directory of Open Access Journals (Sweden)

    Honorine Nocon

    2014-04-01

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

  16. APPROPRIATE ALLOCATION OF CONTINGENCY USING RISK ANALYSIS METHODOLOGY

    Directory of Open Access Journals (Sweden)

    Andi Andi

    2004-01-01

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

  17. The Concept of Appropriateness in Issuing Administrative Acts

    Directory of Open Access Journals (Sweden)

    Iulian Nedelcu

    2011-05-01

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

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

    Science.gov (United States)

    Eckel, Edward J

    2011-09-01

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

  19. Irrigation infrastructure and water appropriation rules for food security

    Science.gov (United States)

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

    2015-01-01

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

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

    Institute of Scientific and Technical Information of China (English)

    HAN Fei

    2013-01-01

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

  1. Improving the radiologist-CAD interaction: designing for appropriate trust.

    Science.gov (United States)

    Jorritsma, W; Cnossen, F; van Ooijen, P M A

    2015-02-01

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

  2. ACR Appropriateness Criteria Low Back Pain.

    Science.gov (United States)

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

    2016-09-01

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

  3. [Appropriate cataract surgery training can promote work of blindness prevention].

    Science.gov (United States)

    Zhang, Mingzhi

    2014-03-01

    Cataract is the first blinding eye disease in the world and China. However, due to various reasons, cataract surgery rate (CSR) in China is much lower than in developed countries and even some developing countries. Properly and standardized training of cataract surgery for ophthalmologists from primary hospital and young eye doctors is one of the key point to improve CSR. For above, we had explored actively to establish an appropriate and suitable training model of cataract surgery. Ophthalmologist in primary hospital can provide high quality medical services to cataract patients in accordance with their own conditions after training and promote the sustainable development of blindness prevention work.

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

    OpenAIRE

    2016-01-01

    This essay explores the role of rewriting in postmodern fiction, whether it goes under such names as appropriation, adaptation or the interaction between a hypotext and a hypertext. The core of the article is concerned with a minute comparison between H. P. Hartley’s novel The Go-Between (1953) and José Emilio Pacheco’s Las batallas en el desierto (1981). Similarities such as the role of a child/adult narrator, his infatuation with a mature woman, the traumatic experience it entails, how a di...

  5. A Pan-sharpening method appropriate to vegetation applications

    Institute of Scientific and Technical Information of China (English)

    Ying Zhang; Binbin He; Xiaowen Li

    2009-01-01

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

  6. The Appropriateness Of Parental Involvement In The Job Search Process

    Directory of Open Access Journals (Sweden)

    Gary S. Insch

    2011-01-01

    Full Text Available This paper explores millennial job seekers and their parental involvement in the job search process. Preliminary work on a scale to measure the “appropriateness” of certain job search behaviors is reported. Ten parental job search behaviors are identified.  The appropriateness constructs of “mentoring” and “meddling” are developed and empirically tested. Results indicate that both meddling and mentoring are valid and initially useful constructs in examining the suitability of parental involvement in the job search process. The possible impact of parental involvement in the job search process is then discussed along with possible managerial responses.

  7. [Appropriateness of referrals for magnetic resonance imaging in Latium, Italy].

    Science.gov (United States)

    Prota, Federica; Rosano, Aldo; San Martini, Elena; Cau, Norberto; Guasticchi, Gabriella

    2012-01-01

    Long wait times for access to Nuclear Magnetic resonance imaging (MRI) examinations are a concern and for this reason the project "Appropriateness of referrals for MRI examinations" has been launched in Latium (Italy). The aim of this preliminary study was to describe the main characteristics of MRI referrals in the region. Findings highlight a large variation in referral rates across the region, with 80% of MRI referrals being ordered by general practitioners and family pediatricians. The latter points to the possibility of inappropriate referrals for MRI imaging in Latium.

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

    Directory of Open Access Journals (Sweden)

    Suneet Gupta

    2016-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Souad Belkhyr

    2012-08-01

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

  10. Drama: an appropriate tool in development support communication.

    Science.gov (United States)

    Moyo, F F

    1997-01-01

    Because it supports progress, drama embodies development and, thus, can be used to support development communication. In fact, drama is the most appropriate medium for effecting change for development because it 1) involves interpersonal communication; 2) broadens the meaning of development; 3) challenges assumptions, demands accountability, suggests remedies, and evaluates the totality of performance; 4) exploits the politics of possibility; 5) is inherently dialogue; 6) allows the target community to participation during the exposition, the conflict, and the resolution; 7) is easy to assimilate; and 8) provides access to any medium. Drama is especially appropriate in South Africa because children carry on a tradition of play-acting, South Africans exhibit politeness to strangers that makes them passively aggressive in resisting change, it allows the temporary removal of cultural barriers among members of households, and it resembles the oral tradition that was pervasive in the culture. Drama can impart greater legitimacy to topics originating from the community or fuse a totally new concept with local culture. It can be used as a tool to criticize political mismanagement, comment on social problems, question culture, debate religious matters, examine economic society, assist educational programs, assist health efforts, raise people's awareness about conservation, and help spread technological advancements. Drama allows more to be done than said and allows communities to be involved in development efforts.

  11. Appropriate methodologies for empirical bioethics: it's all relative.

    Science.gov (United States)

    Ives, Jonathan; Draper, Heather

    2009-05-01

    In this article we distinguish between philosophical bioethics (PB), descriptive policy orientated bioethics (DPOB) and normative policy oriented bioethics (NPOB). We argue that finding an appropriate methodology for combining empirical data and moral theory depends on what the aims of the research endeavour are, and that, for the most part, this combination is only required for NPOB. After briefly discussing the debate around the is/ought problem, and suggesting that both sides of this debate are misunderstanding one another (i.e. one side treats it as a conceptual problem, whilst the other treats it as an empirical claim), we outline and defend a methodological approach to NPOB based on work we have carried out on a project exploring the normative foundations of paternal rights and responsibilities. We suggest that given the prominent role already played by moral intuition in moral theory, one appropriate way to integrate empirical data and philosophical bioethics is to utilize empirically gathered lay intuition as the foundation for ethical reasoning in NPOB. The method we propose involves a modification of a long-established tradition on non-intervention in qualitative data gathering, combined with a form of reflective equilibrium where the demands of theory and data are given equal weight and a pragmatic compromise reached.

  12. Appropriateness of lumbar spine magnetic resonance imaging in Spain

    Energy Technology Data Exchange (ETDEWEB)

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

    2013-06-15

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

  13. HOW TO SELECT APPROPRIATE HUMAN RESOURCE CONTROLLING INDICATORS

    Directory of Open Access Journals (Sweden)

    Monika Dugelova

    2015-09-01

    Full Text Available Human resource controlling represents a company’s strategic method to support its role is planning, checking, and managing—including information supplement for human resources department. Human resource controlling helps with optimization and transformation of human resource functions and with general human resource management. Our survey deals with the implementation of human resource controlling in information technology companies. The selection of appropriate human resource controlling tools is the most important part of implementation. This article deals with the problem of human resource indicators selection as the most frequently used human resource controlling tool. Many international authors have solved the problem of performance appraisal measurement, and there are numerous demonstrations on how to choose key performance indicators. Our motivation to draft the complex methodology of human resource indicators selection is based on non-existing solution among the authors. To solve the problem and find appropriate methodology, we use the methods comparison, abstraction, and concretization. The result is a creation of the right human resource indicators selection in line with human resource controlling aim. We use the Balanced Scorecard, Deloitte human resource strategy framework, and partial solution of Kleinhempel (2010. These results constitute the basis for our future research and for drafting the whole methodology of human resource controlling implementation in information technology companies.

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

    Directory of Open Access Journals (Sweden)

    Maria Angélica Zubaran

    2015-12-01

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

  15. Optimal price subsidies for appropriate malaria testing and treatment behaviour

    DEFF Research Database (Denmark)

    Hansen, Kristian Schultz; Lesner, Tine Hjernø; Østerdal, Lars Peter

    2016-01-01

    , ACT medicines, and cheap, less effective anti-malarials are sold. Assuming that the individual has certain beliefs of the accuracy of the RDT and the probability that the fever is malaria, the model predicts the diagnosis-treatment behaviour of the individual. Subsidies on RDTs and ACT are introduced...... to incentivize appropriate behaviour: choose an RDT before treatment and purchase ACT only if the test is positive. RESULTS: Solving the model numerically suggests that a combined subsidy on both RDT and ACT is cost minimizing and improves diagnosis-treatment behaviour of individuals. For certain beliefs......BACKGROUND: Malaria continues to be a serious public health problem particularly in Africa. Many people infected with malaria do not access effective treatment due to high price. At the same time many individuals receiving malaria drugs do not suffer from malaria because of the common practice...

  16. Appropriate Strategies for Rural Houses In Northwest China

    Institute of Scientific and Technical Information of China (English)

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

    2009-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Jorge Alcázar

    2016-01-01

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

  18. Generating Context-Appropriate Word Orders in Turkish

    CERN Document Server

    Hoffman, B

    1994-01-01

    Turkish has considerably freer word order than English. The interpretations of different word orders in Turkish rely on information that describes how a sentence relates to its discourse context. To capture the syntactic features of a free word order language, I present an adaptation of Combinatory Categorial Grammars called {}-CCGs (set-CCGs). In {}-CCGs, a verb's subcategorization requirements are relaxed so that it requires a set of arguments without specifying their linear order. I integrate a level of information structure, representing pragmatic functions such as topic and focus, with {}-CCGs to allow certain pragmatic distinctions in meaning to influence the word order of a sentence in a compositional way. Finally, I discuss how this strategy is used within an implemented generation system which produces Turkish sentences with context-appropriate word orders in a simple database query task.

  19. The appropriateness of a proton pump inhibitor prescription.

    LENUS (Irish Health Repository)

    Moran, N

    2014-11-01

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

  20. Appropriate electromagnetic techniques for imaging geothermal fracture zones

    Energy Technology Data Exchange (ETDEWEB)

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

    1996-05-01

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

  1. The tricks plants use to reach appropriate light

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

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

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

    Science.gov (United States)

    Menn, Mindy; Don Chaney, J

    2014-05-01

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

  3. The importance of applying an appropriate data partitioning

    CERN Document Server

    Dimitrov, Gancho; The ATLAS collaboration

    2015-01-01

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

  4. AN EFFECTIVE ENGLISH CLASS WITH APPROPRIATE TECHNIQUES AND STRATEGIES

    Directory of Open Access Journals (Sweden)

    Vahidije Kadiu

    2016-09-01

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

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

    Directory of Open Access Journals (Sweden)

    S. Zenginer

    2015-07-01

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

  6. Optimal price subsidies for appropriate malaria testing and treatment behaviour

    DEFF Research Database (Denmark)

    Hansen, K. S.; Lesner, T. H.; Østerdal, L. P.

    2016-01-01

    of presumptive diagnosis. A global subsidy on artemisinin-based combination therapy (ACT) has recently been suggested to increase access to the most effective malaria treatment. Methods: Following the recommendation by World Health Organization that parasitological testing should be performed before treatment......, ACT medicines, and cheap, less effective anti-malarials are sold. Assuming that the individual has certain beliefs of the accuracy of the RDT and the probability that the fever is malaria, the model predicts the diagnosis-treatment behaviour of the individual. Subsidies on RDTs and ACT are introduced...... to incentivize appropriate behaviour: choose an RDT before treatment and purchase ACT only if the test is positive. Results: Solving the model numerically suggests that a combined subsidy on both RDT and ACT is cost minimizing and improves diagnosis-treatment behaviour of individuals. For certain beliefs...

  7. Popularising and appropriating engineering knowledge: an opportunity for innovation

    Directory of Open Access Journals (Sweden)

    Diana Cristina Ramírez Martínez

    2011-10-01

    Full Text Available Developing disciplines in Colombia, such as engineering, is a fundamental element in developing technological development and innovation. Such discipline generating knowledge and research represents input which must support approaches made to Colombia’s social and economic problems. The present article recognises scientific journals’ role as a support mechanism by controlling the quality of such input, aimed at strengthening technological developments and innovation. It describes the role of broadcasting knowledge and developing engineering, clearly showing the support which it has received in Colombia and the journals’ role as an element for strengthening innovation; in the paper “Ingeniería e Investigation” Journal is emphasised, describing its trajectory from its creation to how it has acquired its present day scientific and technological maturity. Some challenges and perspectives are then proposed for broadcasting and appropriating knowledge from journals.

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

    Directory of Open Access Journals (Sweden)

    Florent Bernaudat

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

  9. ACR Appropriateness Criteria®  Resectable Rectal Cancer

    Directory of Open Access Journals (Sweden)

    Jones William E

    2012-09-01

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

  10. Formal and informal appropriation mechanisms: the role of openness and innovativeness

    NARCIS (Netherlands)

    Zobel, Ann-Kristin; Lokshin, Boris; Hagedoorn, John

    2016-01-01

    This paper analyses how firms’ degree of openness and innovativeness influence their use of formal and informal appropriation mechanisms. Patents, trademarks, copyrights, and design rights are formal appropriation mechanisms. Secrecy, lead-time, and complexity are examples of informal appropriation

  11. An Experience of the Transfer of Appropriate Technology from Fiji to Kenya; The 1987 ISIS-WICCE Exchange Programme on Women and Appropriate Technology.

    Science.gov (United States)

    Bolabola, Cema

    1987-01-01

    The author describes the 1987 exchange program "Women and Appropriate Technology." The program concentrated on appropriate technology in relation to rural women. She also describes a pilot appropriate technology project carried out in Kenya that involved the construction of three community buildings (a laundry and two bathrooms). (CH)

  12. Choosing appropriate temporal and spatial scales for ecological restoration

    Indian Academy of Sciences (India)

    J Baird Callicott

    2002-07-01

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

  13. German hospital database-allocation of patients to appropriate hospitals.

    Science.gov (United States)

    Schneider, Rita; Reiners, Christoph

    2010-06-01

    Effective response to radiological emergencies requires information about available qualified hospitals and defined methods to timely allocate patients to appropriate hospitals. In Germany, updated information about hospitals concerning their qualification and willingness to treat radiological emergency patients is not summarized. The objectives were to identify qualified hospitals, assess hospital capacities and treatment capabilities, to examine willingness to respond to various radiological emergencies and to develop a concept for matching patients to hospitals. A Germany-wide combined postal/Web survey of 99 selected hospitals conducted in 2007 covered relevant organizational characteristics, hospital resources, treatment expertise, and the willingness to accept radiological emergency patients by a self-reported written questionnaire with 57 items. Survey results were documented in a Microsoft Access database. A database-driven Web application was developed to allocate patients to hospitals. Of 99 hospitals, 69 responded and 54 indicated their willingness to accept radiological emergency patients. 17,512 total hospital beds, 2,084 intensive care, and 170 reverse isolation beds were reported. Availability of laboratory and in-patient departments ranged from 14 radiobiology to 47 laboratory medicine departments and from 13 burn care to 52 trauma surgery departments. 48 and 40 hospitals stated treatment competence for local and whole body external exposure, respectively. 34 and 29 hospitals reported treatment expertise for contamination and incorporation, respectively. In this publication baseline data of qualified hospitals concerning capacities and competence to manage radiological emergency patients are presented, and an allocation concept for radiological emergency patients is provided.

  14. Appropriate model selection methods for nonstationary generalized extreme value models

    Science.gov (United States)

    Kim, Hanbeen; Kim, Sooyoung; Shin, Hongjoon; Heo, Jun-Haeng

    2017-04-01

    Several evidences of hydrologic data series being nonstationary in nature have been found to date. This has resulted in the conduct of many studies in the area of nonstationary frequency analysis. Nonstationary probability distribution models involve parameters that vary over time. Therefore, it is not a straightforward process to apply conventional goodness-of-fit tests to the selection of an appropriate nonstationary probability distribution model. Tests that are generally recommended for such a selection include the Akaike's information criterion (AIC), corrected Akaike's information criterion (AICc), Bayesian information criterion (BIC), and likelihood ratio test (LRT). In this study, the Monte Carlo simulation was performed to compare the performances of these four tests, with regard to nonstationary as well as stationary generalized extreme value (GEV) distributions. Proper model selection ratios and sample sizes were taken into account to evaluate the performances of all the four tests. The BIC demonstrated the best performance with regard to stationary GEV models. In case of nonstationary GEV models, the AIC proved to be better than the other three methods, when relatively small sample sizes were considered. With larger sample sizes, the AIC, BIC, and LRT presented the best performances for GEV models which have nonstationary location and/or scale parameters, respectively. Simulation results were then evaluated by applying all four tests to annual maximum rainfall data of selected sites, as observed by the Korea Meteorological Administration.

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

    Science.gov (United States)

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

    2016-01-01

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

  16. Understanding the concept of nationally appropriate mitigation action

    Energy Technology Data Exchange (ETDEWEB)

    Sharma, S.; Desgain, D.

    2013-05-15

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

  17. Producing Appropriation: Negotiating Islam-Sunda in Terebang Sejak

    Directory of Open Access Journals (Sweden)

    Neneng Yanti Khozanatu Lahpan

    2015-04-01

    Full Text Available This article is an ethnographic account of my research on negotiating Islam and Sunda in Islamic Sundanese music. By taking special case of Terebang Sejak, I draw my attention on the issue based on my fieldwork in Cikeusal village, TasikMalaya, West Java. Observations and interviews are the main tools I used in gathering information. By presenting particularity of Terebang Sejak, this paper aims to present complexity and negotiations that are formed from the interaction between Islam and Sunda in the music in the village. In this context, presenting the idea of the truism of marginalizing Islam on local culture is in accordance with the idea of Indonesian modernity, which has parallelism with the mission of modernist Islam. While many scholars describe Islam in Indonesia with the idea of syncretism to depict the religion as ‘not really Islam’, in this article I provide different interpretation of localizing Islam by which people produce their own interpretation and appropriation in response to social and political changes in their environs. This interpretation will contribute to new understanding in addressing the particularity of meanings based on local knowledge, among Cikeusal people that forms what coded as ‘identity’ of being Muslim-Sunda. Here, Islamic text of Kitab Mulud in the music has played an agentive role to acknowledge the music as Islamic, thus continues to be part of ritual. 

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

    Directory of Open Access Journals (Sweden)

    F. Boukadi

    2012-01-01

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

  19. Chin tuck for prevention of aspiration: effectiveness and appropriate posture.

    Science.gov (United States)

    Ra, Jong Yun; Hyun, Jung Keun; Ko, Kyung Rok; Lee, Seong Jae

    2014-10-01

    Chin tuck has been has been widely used to prevent aspiration in the patients with dysphagia. This study was performed to investigate the effectiveness and the degree of optimal neck flexion of chin tuck. Ninety-seven patients who showed aspiration in the videofluoroscopic swallow study (VFSS). Participants were grouped into the effective (patients who showed effect with chin tuck) and ineffective group (those who did not show effect with chin tuck). VFSS was performed in neutral and chin tuck position and findings were compared between the groups. Severity of aspiration was assessed by the point penetration-aspiration scale. Duration of dysphagic symptoms, history of tracheostomy, and other possible contributing factors were also compared. Neck flexion angle was measured to find appropriate posture in which aspiration was prevented with chin tuck. Aspiration was reduced or eliminated in only 19 patients (19.6 %) with chin tuck. Oral transit time, pharyngeal delayed time and pharyngeal transit time were significantly shortened in both groups (p neck flexion was required to achieve an effect with chin tuck. The effectiveness of chin tuck was less than anticipated. Patients without residue in pyriform sinus were more likely to benefit from chin tuck. Sufficient neck flexion was important in chin tuck to prevent aspiration.

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

    Science.gov (United States)

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

    2016-01-01

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

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

    Institute of Scientific and Technical Information of China (English)

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

    2000-01-01

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

  2. Liver transplantation in adults:Choosing the appropriate timing

    Institute of Scientific and Technical Information of China (English)

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

    2012-01-01

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

  3. Translation research: from accurate diagnosis to appropriate treatment

    Directory of Open Access Journals (Sweden)

    Pass Harvey I

    2004-10-01

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

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

    Directory of Open Access Journals (Sweden)

    Kourosh Holakouie Naieni

    2014-03-01

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

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

    Science.gov (United States)

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

    2008-11-01

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

  6. Selection of an appropriately simple storm runoff model

    Directory of Open Access Journals (Sweden)

    A. I. J. M. van Dijk

    2009-09-01

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

  7. Selecting appropriate bedding to reduce locomotion problems in broilers

    Directory of Open Access Journals (Sweden)

    ICL Almeida Paz

    2010-09-01

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

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

    Science.gov (United States)

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

    2013-01-01

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

  9. The Ann Arbor Criteria for Appropriate Urinary Catheter Use in Hospitalized Medical Patients: Results Obtained by Using the RAND/UCLA Appropriateness Method.

    Science.gov (United States)

    Meddings, Jennifer; Saint, Sanjay; Fowler, Karen E; Gaies, Elissa; Hickner, Andrew; Krein, Sarah L; Bernstein, Steven J

    2015-05-05

    Interventions to reduce urinary catheter use involve lists of "appropriate" indications developed from limited evidence without substantial multidisciplinary input. Implementing these lists, however, is challenging given broad interpretation of indications, such as "critical illness." To refine criteria for appropriate catheter use-defined as use in which benefits outweigh risks-the RAND/UCLA Appropriateness Method was applied. After reviewing the literature, a 15-member multidisciplinary panel of physicians, nurses, and specialists in infection prevention rated scenarios for catheter use as appropriate, inappropriate, or of uncertain appropriateness by using a standardized, multiround rating process. The appropriateness of Foley catheters, intermittent straight catheters (ISCs), and external condom catheters for hospitalized adults on medical services was assessed in 299 scenarios, including urinary retention, incontinence, wounds, urine volume measurement, urine sample collection, and comfort. The scenarios included patient-specific issues, such as difficulty turning and catheter placement challenges. The panel rated 105 Foley scenarios (43 appropriate, 48 inappropriate, 14 uncertain), 97 ISC scenarios (15 appropriate, 66 inappropriate, 16 uncertain), and 97 external catheter scenarios (30 appropriate, 51 inappropriate, 16 uncertain). The refined criteria clarify that Foley catheters are appropriate for measuring and collecting urine only when fluid status or urine cannot be assessed by other means; specify that patients in the intensive care unit (ICU) need specific medical indications for catheters because ICU location alone is not an appropriate indication; and recognize that Foley and external catheters may be pragmatically appropriate to manage urinary incontinence in select patients. These new appropriateness criteria can inform large-scale collaborative and bedside efforts to reduce inappropriate urinary catheter use.

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2013-11-15

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2012-11-15

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

  12. Which Metric Is More Appropriate to Evaluate Researchers?

    Directory of Open Access Journals (Sweden)

    Majid Khadem-Rezayian

    2015-06-01

    Full Text Available Iranian medical universities choose their best researchers in each field annually. The protocols of this process have been modified quite often, but the changes were not fundamental and did not lead to all-inclusive evaluation tools. The recent article in Asia Pacific Journal of Medical Toxicology, which proposes a scoring scale for evaluation of scientist's impact called "360-degree researcher evaluation score" (1, not only opens a new window for detailed evaluation of researchers' products and creations, but also provides a basic platform for promoting the research. In community medicine, there is a strict view to primarily address upstream causes of health problems while we look for solutions for downstream ones (2. It seems that this view has been considered in the designing process of this new scale, as for example, some neglected criteria which build capacity for science production (upstream causes of low science production are taken into account.   We really appreciate the holistic view of the scale, but we believe that following suggestions would help to improve its utility: In "science development" domain: It seems that the parameter of "number of downloads of articles" is not an appropriate criterion, because some journals do not report this measure. Besides, its value in scholarly communication is still under debate and it can be easily manipulated by the researcher himself (3. In calculating scores for journal articles, the calculation method is based on dividing impact factor (IF by 30. Many journals have low IFs of just 0.1 or 0.2 and this calculation can make too many decimals. However, the good news is that with this method of calculation, there is more emphasis on the design of the study than the IF of the publishing journal. In "economic impact" domain: The measurement method is based on "ranking in institution". As some parameters only receives 1 score at maximum and there may be several staff members in one department, the

  13. Assessment of Appropriateness of Screening Community-Dwelling Older People to Prevent Functional Decline

    NARCIS (Netherlands)

    Drewes, Yvonne M.; Gussekloo, Jacobijn; van der Meer, Victor; Rigter, Henk; Dekker, Janny H.; Goumans, Marleen J. B. M.; Metsemakers, Job F. M.; van Overbeek, Riki; de Rooij, Sophia E.; Schers, Henk J.; Schuurmans, Marieke J.; Sturmans, Ferd; de Vries, Kerst; Westendorp, Rudi G. J.; Wind, Annet W.; Assendelft, Willem J. J.

    2012-01-01

    OBJECTIVES: To identify appropriate screening conditions, stratified according to age and vulnerability, to prevent functional decline in older people. DESIGN: A RAND/University of California at Los Angeles appropriateness method. SETTING: The Netherlands. PARTICIPANTS: A multidisciplinary panel of

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

    Institute of Scientific and Technical Information of China (English)

    李晓莉

    2014-01-01

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

  15. How Do Value Creation and Competition Determine Whether a Firm Appropriates Value?

    OpenAIRE

    Glenn MacDonald; Michael D. Ryall

    2004-01-01

    How does competition among economic actors determine the value that each is able to appropriate? We provide a formal, general framework within which this question can be posed and answered, and then provide several results. Chief among them is a condition that is both required for, and guarantees, value appropriation. We apply our methodology to (i) assess the familiar notion that uniqueness, inimitability, and competition imply value appropriation, and (ii) determine the value appropriation ...

  16. FY2017 Defense Appropriations Fact Sheet: Selected Highlights of H.R. 5293 and S. 3000

    Science.gov (United States)

    2016-06-17

    FY2017 Defense Appropriations Fact Sheet: Selected Highlights of H.R. 5293 and S . 3000 Pat Towell Specialist in U.S. Defense Policy and Budget...Appropriations Fact Sheet: Selected Highlights of H.R. 5293 and S . 300 Congressional Research Service Summary This Fact Sheet summarizes selected...Appropriations Committee on May 26, 2016 ( S . 3000). Congressional action on the FY2017 defense appropriations act has been fundamentally shaped by the

  17. 20 CFR 404.1537 - What we mean by appropriate treatment.

    Science.gov (United States)

    2010-04-01

    ... mean by appropriate treatment. By appropriate treatment, we mean treatment for drug addiction or... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false What we mean by appropriate treatment. 404... your treatment plan. These settings range from outpatient counseling services through a variety...

  18. 20 CFR 416.937 - What we mean by appropriate treatment.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false What we mean by appropriate treatment. 416... FOR THE AGED, BLIND, AND DISABLED Determining Disability and Blindness Drug Addiction and Alcoholism § 416.937 What we mean by appropriate treatment. By appropriate treatment, we mean treatment for...

  19. 41 CFR 60-300.84 - Responsibilities of appropriate employment service delivery system.

    Science.gov (United States)

    2010-07-01

    ... appropriate employment service delivery system. 60-300.84 Section 60-300.84 Public Contracts and Property... of appropriate employment service delivery system. By statute, appropriate employment service... referrals. The employment service delivery systems shall provide OFCCP, upon request, information...

  20. Processes of spatial appropriation and social inequalities in the Historic Center of Puebla

    Directory of Open Access Journals (Sweden)

    Alfonso Alvarez Moura

    2016-12-01

    Full Text Available Linking forms of intervention in the city and processes of socio- spatial appropriation in the historic center of Puebla. We discuss specific caseloads of dispossession - appropriating space that delve into social inequalities. With all this, we intend to verify the relationship between the use made of the Historical Center and social appropriation class that is the subject

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

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 2 2010-07-01 2010-07-01 false Appropriate bargaining units in the health care industry... Appropriate Bargaining Units § 103.30 Appropriate bargaining units in the health care industry. (a) This... such by either Joint Committee on Accreditation of Healthcare Organizations or by Commission...

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

    NARCIS (Netherlands)

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

    2014-01-01

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

  3. CPD Appropriations

    Data.gov (United States)

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

  4. Constrained Appropriations

    DEFF Research Database (Denmark)

    Wildermuth, Norbert

    2008-01-01

    , that is disparities in the capacity of young Brazilian's to reconfigure and integrate the meanings of ‘external' cultural forms and media texts and to integrate them within local culture and their own identities, is another concrete dimension. However, more than merely describing and typifying some of the distinctive...... cultures of media consumption which unify and divide Brazil's (urban) youth, attention is also given to an  understanding of the relationship between young people and media, as developed in concrete attempts to increase the cultural competences of young, ‘disprivileged' media consumers. The contribution...

  5. Appropriate Pupilness

    DEFF Research Database (Denmark)

    Kofoed, Jette

    2008-01-01

    The analytical focus in this article is on how social categories intersect in daily school life and how intersections intertwine with other empirically relevant categories such as normality, pupilness and (in)appropriatedness. The point of empirical departure is a daily ritual where teams...... for football are selected. The article opens up for a microanalysis of everyday practices at the margins and at the core of what this article terms `pupilness'. The concept of intersectionality is suggested as a useful analytical tool to understand the multiple activities of pupils in everyday school life...

  6. Assessing appropriateness of antimicrobial therapy: in the eye of the interpreter.

    Science.gov (United States)

    DePestel, Daryl D; Eiland, Edward H; Lusardi, Katherine; Destache, Christopher J; Mercier, Renée-Claude; McDaneld, Patrick M; Lamp, Kenneth C; Chung, Thomas J; Hermsen, Elizabeth D

    2014-10-15

    To address the increase of drug-resistant bacteria and widespread inappropriate use of antimicrobials, many healthcare institutions have implemented antimicrobial stewardship programs to promote appropriate use of antimicrobials and optimize patient outcomes. However, a consensus definition of appropriate use is lacking. We conducted a multicenter observational study to compare 4 definitions of appropriateness--a study site-specific definition, use supported by susceptibility data, use supported by electronic drug information resources (Clinical Pharmacology/Micromedex), or study site principal investigator (PI) opinion-among patients receiving 1 or more of 13 identified antimicrobials. Data were collected for 262 patients. Overall, appropriateness with the 4 definitions ranged from 79% based on PI opinion to 94% based on susceptibility data. No single definition resulted in consistently high appropriate use for all target antimicrobials. For individual antimicrobials, the definitions with the highest rate of appropriate use were Clinical Pharmacology/Micromedex support (6 of 7 antimicrobials) and susceptibility data (5 of 7 antimicrobials). For specific indications, support from susceptibility data resulted in the highest rate of appropriate use (4 of 7 indications). Overall comparisons showed that appropriateness assessed by PI opinion differed significantly compared with other definitions when stratified by either target antimicrobial or indication. The significant variability in the rate of appropriate use highlights the difficulty in developing a standardized definition that can be used to benchmark judicious antimicrobial use.

  7. Preservice and Inservice Teachers' Perceptions of Appropriateness of Teacher Self-Disclosure

    Science.gov (United States)

    Zhang, Shaoan; Shi, Qingmin; Tonelson, Stephen; Robinson, Jack

    2009-01-01

    This study investigated preservice and inservice teachers' perceptions of appropriateness of teacher self-disclosure. A sample of 180 preservice teachers and 135 preK-12 teachers participated in the study. Results showed statistically significant differences between the groups of teachers in their perceptions of appropriateness of teacher…

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

    Science.gov (United States)

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

    2011-01-01

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

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

    Science.gov (United States)

    Saifah, Yotsawee

    2012-01-01

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

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

    DEFF Research Database (Denmark)

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

    2009-01-01

    BACKGROUND AND STUDY AIMS: To summarize the published literature on assessment of appropriateness of colonoscopy for screening for colorectal cancer (CRC) in asymptomatic individuals without personal history of CRC or polyps, and report appropriateness criteria developed by an expert panel, the 2...

  11. 42 CFR 456.6 - Review by State medical agency of appropriateness and quality of services.

    Science.gov (United States)

    2010-10-01

    ... and quality of services. 456.6 Section 456.6 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... Provisions § 456.6 Review by State medical agency of appropriateness and quality of services. (a) The... professional health personnel of the appropriateness and quality of Medicaid services. (b) The purpose of...

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

    NARCIS (Netherlands)

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

    2015-01-01

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

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

    Science.gov (United States)

    Sydorenko, Tetyana; Maynard, Carson; Guntly, Erin

    2014-01-01

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

  14. 29 CFR 1608.3 - Circumstances under which voluntary affirmative action is appropriate.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 4 2010-07-01 2010-07-01 false Circumstances under which voluntary affirmative action is... OPPORTUNITY COMMISSION AFFIRMATIVE ACTION APPROPRIATE UNDER TITLE VII OF THE CIVIL RIGHTS ACT OF 1964, AS AMENDED § 1608.3 Circumstances under which voluntary affirmative action is appropriate. (a) Adverse...

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

    Science.gov (United States)

    Middleton, Sue

    2010-01-01

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

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

    Science.gov (United States)

    Samalot-Rivera, Amaury; Vidoni, Carla

    2015-01-01

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

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

    Science.gov (United States)

    Toutkoushian, Robert K.; Shafiq, M. Najeeb

    2010-01-01

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

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

    Science.gov (United States)

    Dewaele, Jean-Marc

    2008-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Geeta

    2012-07-01

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

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

    Science.gov (United States)

    Arnold, Yvonne

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

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

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-12-31

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

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

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-12-31

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

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

    Science.gov (United States)

    Case, Philippa; Sparks, Paul; Pavey, Louisa

    2016-03-01

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

  4. The IRYSS-COPD appropriateness study: objectives, methodology, and description of the prospective cohort

    Directory of Open Access Journals (Sweden)

    Quintana José M

    2011-11-01

    Full Text Available Abstract Background Patients with chronic obstructive pulmonary disease (COPD often experience exacerbations of the disease that require hospitalization. Current guidelines offer little guidance for identifying patients whose clinical situation is appropriate for admission to the hospital, and properly developed and validated severity scores for COPD exacerbations are lacking. To address these important gaps in clinical care, we created the IRYSS-COPD Appropriateness Study. Methods/Design The RAND/UCLA Appropriateness Methodology was used to identify appropriate and inappropriate scenarios for hospital admission for patients experiencing COPD exacerbations. These scenarios were then applied to a prospective cohort of patients attending the emergency departments (ED of 16 participating hospitals. Information was recorded during the time the patient was evaluated in the ED, at the time a decision was made to admit the patient to the hospital or discharge home, and during follow-up after admission or discharge home. While complete data were generally available at the time of ED admission, data were often missing at the time of decision making. Predefined assumptions were used to impute much of the missing data. Discussion The IRYSS-COPD Appropriateness Study will validate the appropriateness criteria developed by the RAND/UCLA Appropriateness Methodology and thus better delineate the requirements for admission or discharge of patients experiencing exacerbations of COPD. The study will also provide a better understanding of the determinants of outcomes of COPD exacerbations, and evaluate the equity and variability in access and outcomes in these patients.

  5. Providing Appropriate Technology for Emerging Markets: Case Study on China’s Solar Thermal Industry

    Directory of Open Access Journals (Sweden)

    Jianghua Zhou

    2017-01-01

    Full Text Available Building on a case study of five Chinese solar thermal companies and one association, our study aims to understand how the innovator’s choices regarding the use of technology and organizational practices for new product development enable companies to design and diffuse appropriate technology in emerging markets. The study uncovers two critical factors that enhance the appropriateness of technology: redefining the identity of technology and building a local supply system. Our analysis shows that synergic innovation in both architecture and component leads to the appropriate functionalities desired by emerging markets. Moreover, modular design and the building of a local supply system enhance the process appropriateness of technology. Our study provides an empirical basis for advocating going beyond minor adaptations of existing products to creating appropriate technology for emerging markets, and extends our understandings of the upstream process of designing appropriate technology. Moreover, the emphasis on the local supply system reflects a holistic framework for shaping and delivering appropriate technology, expanding the existing research focus on the perspective of the technology itself. Our research also has managerial implications that may help firms tap into emerging markets.

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

    Directory of Open Access Journals (Sweden)

    Mehmet Yapıcı

    2006-12-01

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

  7. Use Cases as a Means to Support the Appropriation of Enterprise Social Software

    DEFF Research Database (Denmark)

    Herzog, Christian; Richter, Alexander

    2016-01-01

    Despite the growing use of enterprise social software (ESS) to support internal communication or knowledge management, its successful introduction is still a challenge. Studies have shown that ESS needs to be appropriated by the employees by making sense of the tools and reflecting on its possible...... benefits for individual working practices. To support and accelerate this complex procedure and reduce the risk of non-appropriation, we propose a nascent design theory for use cases as a means to support ESS appropriation. Interviews with 10 department heads, usage observations, and a survey at a medium...

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

    DEFF Research Database (Denmark)

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

    2006-01-01

    blood test. INTERVENTION: Screening colonoscopy. MAIN OUTCOME MEASUREMENTS: Appropriateness according to the European Panel on the Appropriateness of Gastrointestinal Endoscopy (EPAGE) criteria and significant diagnoses (cancer, adenomatous polyps, new diagnoses of inflammatory bowel disease......BACKGROUND: Screening for colorectal cancer (CRC) has been shown to decrease mortality. OBJECTIVE: To examine determinants associated with having (1) a screening colonoscopy, (2) an appropriate indication for screening, and (3) a significant diagnosis at screening. DESIGN: Prospective observational......, and inappropriate in 26%, 60%, and 14% of cases, respectively. Eighty-one significant diagnoses were made, including 4 cancers. Significant diagnoses were more often made for uncertain/appropriate indications (OR 3.20, 95% CI 1.12-9.17) than for inappropriate indications. LIMITATIONS: Although data completeness...

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

    NARCIS (Netherlands)

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

    2014-01-01

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

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

    NARCIS (Netherlands)

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

    2014-01-01

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

  11. 27 CFR 70.42 - Returns prepared or executed by appropriate TTB officers.

    Science.gov (United States)

    2010-04-01

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

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

    NARCIS (Netherlands)

    Raval, Harini; McKenney, Susan; Pieters, Jules

    2011-01-01

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

  13. Evaluation of the effect of appropriate antimicrobial therapy on mortality associated with Acinetobacter nosocomialis bacteraemia.

    Science.gov (United States)

    Kuo, Shu-Chen; Lee, Yi-Tzu; Yang, Su-Pen; Chiang, Mei-Chun; Lin, Yi-Tsung; Tseng, Fan-Chen; Chen, Te-Li; Fung, Chang-Phone

    2013-07-01

    Appropriate antimicrobial therapy is effective for severe infections caused by Acinetobacter baumannii, but efficacy for other Acinetobacter species remains to be established. The current study was designed to determine whether appropriate antimicrobial therapy reduces the mortality of patients with Acinetobacter nosocomialis bacteraemia. A 9-year retrospective study of 266 patients with monomicrobial A. nosocomialis bacteraemia was conducted at a large teaching hospital in Taiwan. Multivariable analysis was performed to evaluate the impact on 14-day mortality according to clinical characteristics, severity of disease and use of appropriate antimicrobial therapy. The influence of APACHE II score on the impact of appropriate antimicrobial therapy was analysed by including an interaction term. The overall 14-day mortality was 9.4%. Multivariable analysis revealed that APACHE II score was the only factor significantly associated with mortality (odds ratio, 1.18; 95% confidence interval, 1.11-1.25; p infections caused by two phenotypically undifferentiated Acinetobacter.

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2013-06-15

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

  15. Developmentally Appropriate Technology in Early Childhood (DATEC) in Botswana: In-Service Teachers’ Perspectives

    OpenAIRE

    BOSE, Kabita

    2009-01-01

    Developmentally Appropriate Technology in Early Childhood (DATEC) aims to identify themost appropriate applications of Information and Communication Technology to support thedevelopment of children under eight years of age. Botswana has a unique spread ofpopulation density and deep-rooted socio-cultural values. There is a need to address thecompatibility of these aspects with the application of Information and CommunicationTechnology in the proposed Early Childhood Education programmes throug...

  16. Facebook and multimedia libraries: between appropriation of professionals and reception of users

    Directory of Open Access Journals (Sweden)

    Emmanuelle CHEVRY PEBAYLE

    2016-12-01

    Full Text Available The purpose of this article is to study the appropriation of Facebook by libraries. Its perspective is twofold. Firstly, it is a matter of seeing how the professionals of public libraries appropriate the digital social network Facebook and how these libraries are present on this medium. Secondly,, the aim of this study is to analyze how users and librarians receive this new form of communication through this collaborative and scalable platform.

  17. Point prevalence of appropriate antimicrobial therapy in a Dutch university hospital

    OpenAIRE

    Akhloufi, H.; Streefkerk, R. H.; Melles, D. C.; de Steenwinkel, J. E. M.; Schurink, C. A. M.; Verkooijen, R. P.; van der Hoeven, C. P.; Verbon, A.

    2015-01-01

    Antimicrobial stewardship teams have been shown to increase appropriate empirical antibiotic therapy and reduce medical errors and costs in targeted populations, but the effect in non-targeted populations is still unclear. The aim of this study was to determine the prevalence of inappropriate antibiotic use in a large university hospital and identify areas in which antimicrobial stewardship will be the most effective. In a point prevalence survey we assessed the appropriateness of antibiotic ...

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

    Directory of Open Access Journals (Sweden)

    Graziela Soares Bianchi

    2013-04-01

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

  19. Selecting Appropriate Spatial Scale for Mapping Plastic-Mulched Farmland with Satellite Remote Sensing Imagery

    Directory of Open Access Journals (Sweden)

    Hasituya

    2017-03-01

    Full Text Available In recent years, the area of plastic-mulched farmland (PMF has undergone rapid growth and raised remarkable environmental problems. Therefore, mapping the PMF plays a crucial role in agricultural production, environmental protection and resource management. However, appropriate data selection criteria are currently lacking. Thus, this study was carried out in two main plastic-mulching practice regions, Jizhou and Guyuan, to look for an appropriate spatial scale for mapping PMF with remote sensing. The average local variance (ALV function was used to obtain the appropriate spatial scale for mapping PMF based on the GaoFen-1 (GF-1 satellite imagery. Afterwards, in order to validate the effectiveness of the selected method and to interpret the relationship between the appropriate spatial scale derived from the ALV and the spatial scale with the highest classification accuracy, we classified the imagery with varying spatial resolution by the Support Vector Machine (SVM algorithm using the spectral features, textural features and the combined spectral and textural features respectively. The results indicated that the appropriate spatial scales from the ALV lie between 8 m and 20 m for mapping the PMF both in Jizhou and Guyuan. However, there is a proportional relation: the spatial scale with the highest classification accuracy is at the 1/2 location of the appropriate spatial scale generated from the ALV in Jizhou and at the 2/3 location of the appropriate spatial scale generated from the ALV in Guyuan. Therefore, the ALV method for quantitatively selecting the appropriate spatial scale for mapping PMF with remote sensing imagery has theoretical and practical significance.

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

    LENUS (Irish Health Repository)

    Naughton, Corina

    2012-09-19

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

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

    Science.gov (United States)

    Longhurst, Max L.

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

  2. A new model for developing and executing culturally appropriate behavior modification clinical trials for African Americans.

    Science.gov (United States)

    Ard, Jamy D; Carter-Edwards, Lori; Svetkey, Laura P

    2003-01-01

    Past clinical trials addressing behavior modification for cardiovascular disease (CVD) prevention have not been culturally appropriate for African Americans. This supposition is borne out by the continued challenges researchers face not only in recruiting and retaining African Americans in clinical trials, but also in achieving the desired outcomes among this population. Investigators have limited resources to develop culturally appropriate CVD prevention trials. The scientific literature reveals 2 models for implementing culturally appropriate interventions applicable to CVD prevention among African Americans; however, these models are not easily applied to the clinical trial setting. We propose a new model for developing a culturally appropriate clinical trial. The clinical trial is a function of the investigator's cultural framework, meaning that an investigator will have more difficulty designing clinical trials appropriate for use with cultures other than his or her own, a definite limitation when attempting to effectively reach diverse populations. Differences between the cultural frameworks of most clinical trials and African Americans' cultural frameworks lead to intrinsic biases, limiting the ability of African Americans to achieve the desired outcomes for any particular trial. An African-American participant's degree of immersion in traditional African-American culture, or acculturation, influences the magnitude of these biases. Investigators must be aware of, and attempt to mitigate, such biases so that the trial's potential for success is equitable across ethnic groups. In addition, investigators must understand how to effectively address relevant biases of African Americans without challenging their ethnic identity. Steps to decrease biases are described.

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

    Science.gov (United States)

    Kortenkamp, Katherine V; Moore, Colleen F

    2014-01-01

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

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

    DEFF Research Database (Denmark)

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

    2015-01-01

    INTRODUCTION: The MADIT-RIT trial demonstrated reduction of inappropriate and appropriate ICD therapies and mortality by high-rate cut-off and 60-second-delayed VT therapy ICD programming in patients with a primary prophylactic ICD indication. The aim of this analysis was to study effects of MADIT......-RIT ICD programming in patients with ischemic and nonischemic cardiomyopathy. METHODS AND RESULTS: First and total occurrences of both inappropriate and appropriate ICD therapies were analyzed by multivariate Cox models in 791 (53%) patients with ischemic and 707 (47%) patients with nonischemic......-rate cut-off (arm B) and delayed VT therapy ICD programming (arm C) compared with conventional (arm A) ICD programming were associated with a significant risk reduction of first inappropriate and appropriate ICD therapy in patients with ischemic and nonischemic cardiomyopathy (HR range 0.11-0.34, P

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

    Science.gov (United States)

    Huang, Furong; Fan, Jin; Luo, Jing

    2015-06-01

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

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

    Science.gov (United States)

    Lord, B.; Lund, J. R.

    2014-12-01

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

  7. Activists’ appropriations in social networking websites: the collective action dynamics in #forasarney

    Directory of Open Access Journals (Sweden)

    BATISTA, Jandré Corrêa

    2013-01-01

    Full Text Available This paper aims to study the appropriation of Twitter (twitter.com for activists ends. To this end, we intend to present the analysis of intentionality (Thompson, 2000 of symbolic forms perceived in the appropriations social networking site (Boyd and Elisson, 2006 in case # forasarney. From the Depth Hermeneutics of Thompson (2000, the study interprets five intentions: convocacional, informational, divulgacional, feedback and conversational. The messages were classified by analyzing categorical content analysis of Bardin (2009,interpreted in accordance with its purposes.

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

    Directory of Open Access Journals (Sweden)

    Baskerville Neill

    2005-03-01

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

  9. An Empirical Examination of Reverse Auction Appropriateness in B2B Source Selection

    Science.gov (United States)

    2006-01-01

    Measures of Marketing Constructs," Journal of Marketing Research, Vol. 16, No.2, pp. 64 - 73. Cohn, L. (2000), " B2B : The Hottest Net Bet Yet...AND SUBTITLE 5. FUNDING NUMBERS AN EMPIRICAL EXAMINATION OF REVERSE AUCTION APPROPRIATENESS IN B2B SOURCE SELECTION. 6. AUTHOR(S) MAJ HAWKINS TIMOTHY...Examination of Reverse Auction Appropriateness in B2B Source Selection D :7;TZU IUT•ITM STATER,;77TIT A Approved for Puhtic P-•-!,ase Distribution

  10. Person, Place, and Narrative in an Amish Farmer's Appropriation of Nature Writing.

    Science.gov (United States)

    Galindo, Rene; Brown, Constance

    1995-01-01

    Examines written communication within the Amish cultural context. Notes that Amish-authored nature essays were introduced by Samuel Miller, an Amish farmer with an interest in nature study. Suggests that the acceptance of this new genre was due to Miller's particular manner of appropriation that connected it to the Amish cultural value of…

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

    Science.gov (United States)

    Hanell, Fredrik

    2016-01-01

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

  12. The Representation and Appropriation of Indigenous Cultures at Ontario Summer Camps.

    Science.gov (United States)

    Hamilton, Ty

    2003-01-01

    Interviews with directors at five Ontario summer camps found that three camps exposed children to stereotypes of Indigenous peoples and to cultural appropriation. This is inconsistent with goals of educating campers about and showing respect for Indigenous cultures. Given the current issues of land-claims and Aboriginal rights, non-Indigenous…

  13. 'Enlivening' Development Concepts through Workshops: A Case Study of Appropriate Technology and Soil Conservation.

    Science.gov (United States)

    Jones, Samantha

    2000-01-01

    Describes a workshop designed to communicate to students the idea of appropriate technology in soil conservation enabling them to experience concepts in the geography of development. Explains that the workshop was evaluated by students using open and closed style questions. Includes references. (CMK)

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

    Science.gov (United States)

    Tate, James Adam

    2012-01-01

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

  15. ACR appropriateness criteria(®) nasal cavity and paranasal sinus cancers.

    Science.gov (United States)

    Siddiqui, Farzan; Smith, Richard V; Yom, Sue S; Beitler, Jonathan J; Busse, Paul M; Cooper, Jay S; Hanna, Ehab Y; Jones, Christopher U; Koyfman, Shlomo A; Quon, Harry; Ridge, John A; Saba, Nabil F; Worden, Francis; Yao, Min; Salama, Joseph K

    2017-03-01

    The American College of Radiology (ACR) Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer-reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment. Here, we present the Appropriateness Criteria for cancers arising in the nasal cavity and paranasal sinuses (maxillary, sphenoid, and ethmoid sinuses). This includes clinical presentation, prognostic factors, principles of management, and treatment outcomes. Controversies regarding management of cervical lymph nodes are discussed. Rare and unusual nasal cavity cancers, such as esthesioneuroblastoma and sinonasal undifferentiated carcinomas, are included. © 2016 American College of Radiology. Head Neck, 2016 © 2016 Wiley Periodicals, Inc. Head Neck 39: 407-418, 2017.

  16. Cochlear implantation in postlingually hearing-impaired adults : Choosing the most appropriate ear

    NARCIS (Netherlands)

    van den Broek, Emke; Dunnebier, Erwin Alexander

    2009-01-01

    Choice of the most appropriate car for CI in postlingually hearing-impaired adults is becoming more relevant as more patients are considered eligible for intervention. The aim of this stud), is to review factors that influence this choice and to formulate a flowchart. An extensive Medline search was

  17. Training Blind Children to Employ Appropriate Gaze Direction and Sitting Behavior during Conversation.

    Science.gov (United States)

    Raver, Sharon A.

    1987-01-01

    Five congenitally blind children (ages 5-8) were trained to simultaneously employ appropriate gaze direction and sitting behavior while conversing with an adult. Training consisted of discussion, modeling, physical prompting, feedback, and positive reinforcement. All children reached criterion in 19 to 25 training sessions. (Author/DB)

  18. Parental Involvement and Developmentally Appropriate Practices: A Comparison of Parent and Teacher Beliefs

    Science.gov (United States)

    Demircan, Özlen; Erden, Feyza Tantekin

    2015-01-01

    The purpose of this study was to investigate the relationship between developmentally appropriate practices (DAP) and parental involvement beliefs of preschool teachers and the parents of preschool children. Data were collected from 279 teachers and 589 parents via a demographic information questionnaire, "Teachers' Beliefs Scale"…

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

    Science.gov (United States)

    Damashek, Amy; Borduin, Charles; Ronis, Scott

    2014-01-01

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

  20. Vocational Education for the Handicapped: A Model for Appropriate Placement and Effective Teaching.

    Science.gov (United States)

    Arko, Carl; And Others

    Three papers discuss issues in providing vocational education services to handicapped children. In the first, "Vocational Education Speaks to Special Education," G. Rackliffe and N. Pearson consider aspects of appropriate placement and describe a handbook produced to address vocational issues for special educators. The handbook covers such topics…

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

    Science.gov (United States)

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

    2014-01-01

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

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

    Science.gov (United States)

    Betts, Donna

    2013-01-01

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

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

    Science.gov (United States)

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

    2011-01-01

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

  4. How Appropriate Is It to Teach Citizenship through Main Curriculum Subjects?

    Science.gov (United States)

    Syed, Ghazal Kazim

    2013-01-01

    In this article, the author argues that it is more appropriate to teach citizenship through other subjects than to limit it to one statutory subject. The author's argument is based on three important issues. The first issue is that citizenship, being an aim of education rather than a means, deserves to be part of the whole curriculum. This is to…

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

    Science.gov (United States)

    Sahin, Elif Adibelli; Deniz, Hasan

    2016-01-01

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

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

    Science.gov (United States)

    Weerts, David J.

    2014-01-01

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

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

    Institute of Scientific and Technical Information of China (English)

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

    2002-01-01

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

  8. Point prevalence of appropriate antimicrobial therapy in a Dutch university hospital

    NARCIS (Netherlands)

    H. Akhloufi; H.R.A. Streefkerk (Roel); D.C. Melles (Damian); J.E.M. de Steenwinkel (Jurriaan); C.A.M. Schurink (Carolina); R.P.A.J. Verkooijen (Roel); C.P. van der Hoeven (Conrad); A. Verbon (Annelies)

    2015-01-01

    textabstractAntimicrobial stewardship teams have been shown to increase appropriate empirical antibiotic therapy and reduce medical errors and costs in targeted populations, but the effect in non-targeted populations is still unclear. The aim of this study was to determine the prevalence of inapprop

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

    Science.gov (United States)

    Waller, Rachael D.; Higbee, Thomas S.

    2010-01-01

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

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

    NARCIS (Netherlands)

    Kuiper, Wilmad; Bos, Klaas; Plomp, Tjeerd

    1999-01-01

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

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

    Science.gov (United States)

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

    2016-01-01

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

  12. Resource utilization implications of treatment were able to be assessed from appropriately reported clinical trial data

    NARCIS (Netherlands)

    Poole-Wilson, Philip A.; Kirwan, Bridget-Anne; Voko, Zoltan; de Brouwer, Sophie; Dunselman, Peter H. J. M.; van Dalen, Frederik J.; Lubsen, Jacobus

    2007-01-01

    Background and Objective: Published clinical trial data rarely allow assessment of the health care resource utilization implications of treatment. We give an example of how these can be assessed given appropriate tabulation of data. Methods: Data from a trial comparing long-acting nifedipine gastroi

  13. Social Networking Web Sites: Teaching Appropriate Social Competence to Students with Emotional and Behavioral Disorders

    Science.gov (United States)

    Morgan, Joseph J.

    2010-01-01

    The Internet has opened a variety of different avenues for people to interact with each other. As new digital environments are developed, new sets of social skills are needed to appropriately interact. Students with emotional and behavioral disorders often have deficits in social competence and require specialized training in specific social…

  14. What Constrains the Accuracy of Metacomprehension Judgments? Testing the Transfer-Appropriate-Monitoring and Accessibility Hypotheses

    Science.gov (United States)

    Dunlosky, J.; Rawson, K.A.; Middleton, E.L.

    2005-01-01

    We evaluated two hypotheses-transfer appropriate monitoring (TAM) and the accessibility hypothesis-that explain why the accuracy of metacomprehension judgments is commonly low. In 2 experiments, participants read six expository texts, made global judgments about how well they would perform on a test over each text, and made term-specific judgments…

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

    Science.gov (United States)

    2013-08-15

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

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

    Science.gov (United States)

    Polio, Charlene; Shi, Ling

    2012-01-01

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

  17. Perceptions of Canadian dental faculty and students about appropriate penalties for academic dishonesty.

    Science.gov (United States)

    Teplitsky, Paul E

    2002-04-01

    The purpose of this investigation was to a) compare the opinions of Canadian faculty and students as regards to what they felt was an appropriate penalty for particular academic offenses and b) to analyze the results and create a jurisprudence grid to serve as a guideline for appropriate disciplinary action. Two hundred questionnaires were distributed to the ten dental colleges in Canada. Each college was asked to have ten faculty and ten students complete the survey. A response rate of 100 percent was achieved for students and 92 percent for faculty. The questionnaire required respondents to select what they felt were appropriate penalties for a list of fifteen academic offenses and to render judgment on three specific cases. Statistical analysis of survey responses led to the following conclusions: 1) students gave equal or more lenient penalties than faculty for the same offense; 2) extenuating circumstances introduced via case presentations altered penalty choice only slightly; and 3) offenses could be grouped to correspond with appropriate penalties, thereby establishing a jurisprudence grid that may serve as a guideline for adjudication committees.

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

    Science.gov (United States)

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

    2009-01-01

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

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

    NARCIS (Netherlands)

    Los, B.; Timmer, M.P.

    2005-01-01

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

  20. Integrated Index in Consideration of Appropriate Plastic Recycling System in Waste Bank Operation

    Directory of Open Access Journals (Sweden)

    Firdaus Pambudi Noorhan

    2016-01-01

    Full Text Available Several appropriate technology had been developed to maintain plastic waste in society according to minimize environmental impact. Landfill is no longer appropriate to maintain plastic waste based on the environmental impact that might be occurred for instance. However in developing countries such as Indonesia, although plastic recycling technology have been promoted by maintain waste bank policy for support community willingness to exchange their recyclable waste with certain monetary values, there is no guarantee that community will fully accept plastic recycling technology. This research aims to assess the performance of plastic recycling in environmental and social aspects as its integrated index. From that assessment, appropriate strategies in plastic recycling will be delivered in this research. Environmental aspects will be assessed by using life cycle assessment (LCA through MiLCA software and selected by using data envelopment analysis (DEA. Social aspects will be analyzed by using qualitative and quantitative methodology such as observation, interview, secondary data, and questionnaires. Simulation and modelling will also developed by using agent-based modelling (ABM to describe social dynamic of community in supporting waste bank policy. The appropriate system of plastic recycling will be promoted as expected results for this research.

  1. Using Video Modeling to Teach Young Children with Autism Developmentally Appropriate Play and Connected Speech

    Science.gov (United States)

    Scheflen, Sarah Clifford; Freeman, Stephanny F. N.; Paparella, Tanya

    2012-01-01

    Four children with autism were taught play skills through the use of video modeling. Video instruction was used to model play and appropriate language through a developmental sequence of play levels integrated with language techniques. Results showed that children with autism could successfully use video modeling to learn how to play appropriately…

  2. Using a Relational Models Perspective to Understand Normatively Appropriate Conduct in Ethical Leadership

    NARCIS (Netherlands)

    S.R. Giessner (Steffen); N. van Quaquebeke (Niels)

    2011-01-01

    textabstractTo describe leadership as ethical is largely a perceptional phenomenon informed by beliefs about what is normatively appropriate. Yet there is a remarkable scarcity in the leadership literature regarding how to define what is “normatively appropriate”. To shed light on this issue, we dra

  3. Fairness and value appropriation in logistics alliances: a case-study approach

    NARCIS (Netherlands)

    Janssen, G.R.; Man, A.P. de; Quak, H.J.

    2013-01-01

    Firms are not equally capable of capturing value from an alliance. The present research examines how fairness concerns may help appropriation of value jointly created in an alliance. Using case-study methodology, we investigate how justice theory influences partners’ collaborative business models an

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

    Science.gov (United States)

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

    2016-01-01

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

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

    NARCIS (Netherlands)

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

    2009-01-01

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

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

    Science.gov (United States)

    Marshall, David; Goodall, Craig

    2015-01-01

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

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

    NARCIS (Netherlands)

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

    2014-01-01

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

  8. Moving beyond Screen Time: Redefining Developmentally Appropriate Technology Use in Early Childhood Education. Policy Brief

    Science.gov (United States)

    Daugherty, Lindsay; Dossani, Rafiq; Johnson, Erin-Elizabeth; Wright, Cameron

    2014-01-01

    Conversations about what constitutes "developmentally appropriate" use of technology in early childhood education have, to date, focused largely on a single, blunt measure--screen time--that fails to capture important nuances, such as what type of media a child is accessing and whether technology use is taking place solo or with peers.…

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

    Science.gov (United States)

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

    2010-01-01

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

  10. The Appropriate Level of Enforcement in Multilevel Regulation Mapping Issues in Avoidance of Regulatory Overstretch

    NARCIS (Netherlands)

    Heldeweg, Michiel A.; Wessel, Ramses A.

    2016-01-01

    In modern day ‘multilevel’ regulation, legal enforcement of transnational standards usually takes place at another level than where the norm was created in the first place. The quest for smart regulation begs the question which level is most appropriate to proper legal enactment and enforcement. Not

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

    NARCIS (Netherlands)

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

    2002-01-01

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

  12. Appropriate Formulations for Velocity and Pressure Calculations at Gas-liquid Interface with Collocated Variable Arrangement

    Science.gov (United States)

    Ito, Kei; Kunugi, Tomoaki

    A high-precision simulation algorithm for gas-liquid two-phase flows on unstructured meshes has been developed to simulate gas entrainment phenomenon in a sodium-cooled fast reactor. In this study, it became clear that unphysical behaviors near gas-liquid interfaces were caused by conventional algorithms. Then, physics-basis considerations were conducted for mechanical balances at gas-liquid interfaces to derive appropriate formulations. By defining momentum and velocity independently and developing the momentum transport equations for both gas and liquid phases, the physically appropriate formulation of momentum transport was derived, which eliminated the unphysical pressure distribution caused by the conventional formulation. In addition, the physically appropriate formulation was derived for the pressure gradient to satisfy the mechanical balances between pressure and surface tension at gas-liquid interfaces. As the validation test, the rising gas bubble in liquid was simulated by the developed simulation algorithm with the physically appropriate formulations, and the simulated terminal bubble shapes on the structured and highly-distorted unstructured meshes coincided with the experimental data under each simulation condition determined by the Morton and Eötvös numbers.

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

    Science.gov (United States)

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

    2012-01-01

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

  14. Detecting Appropriate Trajectories of Growth in Latent Growth Models: The Performance of Information-Based Criteria

    Science.gov (United States)

    Whittaker, Tiffany A.; Khojasteh, Jam

    2017-01-01

    Latent growth modeling (LGM) is a popular and flexible technique that may be used when data are collected across several different measurement occasions. Modeling the appropriate growth trajectory has important implications with respect to the accurate interpretation of parameter estimates of interest in a latent growth model that may impact…

  15. 12 CFR 3.11 - Standards for determination of appropriate individual minimum capital ratios.

    Science.gov (United States)

    2010-01-01

    .../or affiliate(s); (d) The bank's liquidity, capital, risk asset and other ratios compared to the... 12 Banks and Banking 1 2010-01-01 2010-01-01 false Standards for determination of appropriate individual minimum capital ratios. 3.11 Section 3.11 Banks and Banking COMPTROLLER OF THE...

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

    Science.gov (United States)

    Howard, Steven J.; Okely, Anthony D.

    2015-01-01

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

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

    DEFF Research Database (Denmark)

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

    This guidebook provides an introduction to designing government-led interventions to scale up investment in solar water heater (SWH) markets, showing how these interventions can be packaged as Nationally Appropriate Mitigation Actions (NAMAS). Reflecting the changing balance in global greenhouse...

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

    Science.gov (United States)

    Feldman, David B.

    2006-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Lenny R Vartanian

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

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

    NARCIS (Netherlands)

    Engel, M.F.

    2013-01-01

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

  1. 23 CFR 636.202 - When are two-phase design-build selection procedures appropriate?

    Science.gov (United States)

    2010-04-01

    ... 23 Highways 1 2010-04-01 2010-04-01 false When are two-phase design-build selection procedures appropriate? 636.202 Section 636.202 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION ENGINEERING AND TRAFFIC OPERATIONS DESIGN-BUILD CONTRACTING Selection Procedures, Award Criteria §...

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

    NARCIS (Netherlands)

    Sharifi, M.A.

    1992-01-01

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

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

    Science.gov (United States)

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

    2005-01-01

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

  4. The Impact of Healthcare Providers’ Knowledge on Appropriate Prescribing of Antibiotics

    Directory of Open Access Journals (Sweden)

    Matthias Adorka

    2015-10-01

    Full Text Available Background: In-depth knowledge of antibiotic principles is widely considered a necessary condition for appropriate prescribing of antibiotics. The study aimed at determining the impact of healthcare providers’ level of knowledge in bacteriology and principles of antibiotic prescribing on their abilities to prescribe antibiotics appropriately.Methods: A structured questionnaire survey targeting all doctors, nurses and healthcare providers within Health Service Areas abounding and including five selected public hospitals in Lesotho was carried out. The questionnaire tested respondents’ knowledge in bacteriology of infections and principles of antibiotic prescribing. Relevant data on antibiotic prescriptions were also collected concurrently with the survey. Data were analysed to establish respondents’ level of knowledge and the influence of same on their abilities to prescribe antibiotics appropriately.Results: In inpatient and outpatient departments, 53.3% and 62.5% of respondents demonstrated inadequate levels of knowledge in the bacteriology and treatment of infections, respectively. Of the prescriptions analysed, 57.0% in the inpatient department and 19.1% in the outpatient department were  classified  as  inappropriate.  Appropriateness  of  antibiotic  prescriptions  was  positively associated with healthcare providers’ level of knowledge in inpatient but not outpatient settings.Conclusion: A majority of healthcare providers appear to lack sufficient knowledge in bacteriology of infections and principles of antibiotic prescribing. In respect to antibiotic prescribing among inpatients but not outpatients the study demonstrated a positive correlation between healthcare providers’ knowledge and their abilities to prescribe antibiotics appropriately.

  5. Developmentally Appropriate Technology in Early Childhood (DATEC in Botswana: In-Service Teachers’ Perspectives

    Directory of Open Access Journals (Sweden)

    Kabita BOSE

    2009-06-01

    Full Text Available Developmentally Appropriate Technology in Early Childhood (DATEC aims to identify themost appropriate applications of Information and Communication Technology to support thedevelopment of children under eight years of age. Botswana has a unique spread ofpopulation density and deep-rooted socio-cultural values. There is a need to address thecompatibility of these aspects with the application of Information and CommunicationTechnology in the proposed Early Childhood Education programmes throughout Botswana.The researcher felt that the views of the in-service teachers, (who are now students of theBachelor of Education Programme in the University of Botswana and have specialized inEarly Childhood Education, would be a valuable input towards an appropriate EarlyChildhood Education curriculum. Hence, a study was proposed to assess the views of theteachers, regarding DATEC in Botswana. Forty (40 fourth year students (Level 400 ofBachelor of Education (Primary Programme of University of Botswana, who specialised inearly years and have a good exposure to Information and Communication Technologyconstituted the sample. Their views were obtained from a semi-structured questionnaire.Both quantitative and qualitative approaches were used for analysis of data. The findings ofthe study showed that the respondents strongly believed that an integration of Informationand Communication Technology with the Early Childhood Education curriculum isnecessary to enhance an overall development of young children. Computers with relevantresources were thought to be the best Information and Communication Technologyapplications in Early Childhood Education for a developmentally appropriate programmethat would provide educational concepts, problem solving skills and creativity. However,they emphasised the need to make the technology socio-culturally compatible to citizens ofBotswana (Batswana to facilitate developmentally appropriate education of young children.The study

  6. Energy and water development appropriations bill, 1999. House of Representatives, One Hundred Fifth Congress, Second Session, June 16, 1998

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-12-31

    Mr. McDade, from the Committee on Appropriations, submitted this report. The Committee on Appropriations submits the following report in explanation of the accompanying bill making appropriations for energy and water development for the fiscal year ending September 30, 1999, and for other purposes.

  7. Exegesis seeking appropriation; appropriation seeking exegesis: Re-reading 2 Samuel 13:1−22 in search of redemptive masculinities

    Directory of Open Access Journals (Sweden)

    Gerald West

    2013-09-01

    Full Text Available Exegesis in the traditional sense is concerned with generating as much (scientific detail about a biblical text as possible. Whilst the two primary modes of biblical exegesis � socio-historical and literary-semiotic � do this differently, they share a common concern for the detail of the text as an ancient artefact. Critical distance is a key concept here, with the exegetes bracketing (for a moment their own contexts and concerns. However, such bracketing is impossible to sustain, and so the exegetes� interests (shaped by their contexts and concerns �leak� into the act of exegesis. Most exegetes today recognise this leakage, and whilst some still view such leakage as contaminating the exegesis, others, including the tradition of African biblical scholarship, actively identify the contextual concerns they bring to the task of exegesis, both respecting the detail of the text and desiring to be accountable to their contexts in which the Bible is a significant text. This article explored some of the dimensions of forms of exegesis that actively seek appropriation, using 2 Samuel 13:1�22 as an example. In this case, the article analysed the contextual shift from a focus on women as the victims of sexual violence to an emerging emphasis on masculinities. Reading the same text from these different contextual concerns �activates� particular details of the text, and so both draw on different elements of the text and thus guides the gaze of exegesis.

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

    Energy Technology Data Exchange (ETDEWEB)

    Shonder, John A [ORNL

    2012-06-01

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2009-07-01

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

  10. Determining the Appropriate Crop Rotation Plan in a Farm Scale Using Fuzzy Goal Programming Model

    Directory of Open Access Journals (Sweden)

    A. Alizadeh Zoeram

    2016-03-01

    Full Text Available Introduction One of the important subject in the field of agricultural programming is reaching to a pattern or appropriate crop rotation to plant. Existing constraints, including the amount of available resources, and different goals, makes the decision to optimize the use of resources and production factors a complicated task. Therefore, applying mathematical models can be a grate help in this field. The goal of this study is to determine the appropriate patterns of crop cultivation in a farm in the North Khorasan province. Materials and Methods Implem enting fuzzy goal programming (FGP model based on different scenarios was employed to achieve our goals. According to results ,represented process , constraints and problem goals, four plant patterns are offered based on eight proposed scenarios for crop products in this farm or this study. These proposed cultivation pattern can help to make better decision for determination the appropriate rotation of crops in different conditions and different goals by decision makers. Results Discussion Finally, proposed cultivation patterns were prioritized according to maximum amount of reaching the desired level of total goals. Based on maximum level of reaching goals, different scenarios consisted of income, cost, production resources, income-cost, income-production resources, cost-production resources, income-cost-production resources with equal weights, and income-cost-production resources with different weights have been prioritized and four cropping pattern have been detected. In first pattern, three scenario consisted of scenario 1 (income, scenario 4 (income-cost and scenario 5 (income-production resources have combined. The second pattern have made scenario 2 (cost. In third pattern, scenario 3 (production resources, scenario 6 (cost-production resources and scenario 7 (income-cost-production resources with equal weights have combined. The scenario 8 (income-cost-production resources with different

  11. Appropriate technology for domestic wastewater management in under-resourced regions of the world

    Science.gov (United States)

    Oladoja, Nurudeen Abiola

    2016-11-01

    Centralized wastewater management system is the modern day waste management practice, but the high cost and stringent requirements for the construction and operation have made it less attractive in the under-resourced regions of the world. Considering these challenges, the use of decentralized wastewater management system, on-site treatment system, as an appropriate technology for domestic wastewater treatment is hereby advocated. Adopting this technology helps save money, protects home owners' investment, promotes better watershed management, offers an appropriate solution for low-density communities, provides suitable alternatives for varying site conditions and furnishes effective solutions for ecologically sensitive areas. In the light of this, an overview of the on-site treatment scheme, at the laboratory scale, pilot study stage, and field trials was conducted to highlight the operational principles' strength and shortcomings of the scheme. The operational requirements for the establishing and operation of the scheme and best management practice to enhance the performance and sustenance were proffered.

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

    DEFF Research Database (Denmark)

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

    2012-01-01

    Health promotion for Australian Aboriginal and Torres Strait Islander communities and their people has generally had limited efficacy and poor sustainability. It has largely failed to recognise and appreciate the importance of local cultures and continues to have minimal emphasis on capacity...... building, community empowerment and local ownership. Culturally-Appropriate Health Promotion is a framework of principles developed in 2008 with the World Health Organization (Geneva) and Global Alliance for Health Promotion. It guides community-focused health promotion practice built on and shaped...... by the respect, understanding and utilisation of local knowledge and culture. Culturally-Appropriate Health Promotion is not about ‘targeting’, ‘intervening’ or ‘responding’. Rather, it results in health program planners and policy-makers understanding, respecting, empowering and collaborating with communities...

  13. Are factor analytical techniques used appropriately in the validation of health status questionnaires?

    DEFF Research Database (Denmark)

    de Vet, Henrica C W; Adér, Herman J; Terwee, Caroline B

    2005-01-01

    Factor analysis is widely used to evaluate whether questionnaire items can be grouped into clusters representing different dimensions of the construct under study. This review focuses on the appropriate use of factor analysis. The Medical Outcomes Study Short Form-36 (SF-36) is used as an example...... of methods is crucial for correct interpretation of the results and verification of the conclusions. Our list of criteria may be useful for journal editors, reviewers and researchers who have to assess publications in which factor analysis is applied....... performed. Substantial shortcomings were found in the reporting and justification of the methods applied. In 15 of the 23 studies in which exploratory factor analysis was performed, confirmatory factor analysis would have been more appropriate. Cross-validation was rarely performed. Presentation...

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

    Science.gov (United States)

    Hajong, Subarna; Kumaria, Suman; Tandon, Pramod

    2013-12-01

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

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

    Directory of Open Access Journals (Sweden)

    Hamid Zargham Borojeni

    2012-01-01

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

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

    Directory of Open Access Journals (Sweden)

    anna alaei

    2012-12-01

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

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

    Directory of Open Access Journals (Sweden)

    José R. Maia Neto

    2006-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Timothy Jason

    2013-03-01

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

  19. Targeting Appropriate Interventions to Minimize Deterioration of Drinking-water Quality in Developing Countries

    OpenAIRE

    Trevett, Andrew F.; Carter, Richard C.

    2008-01-01

    In developing countries, it has been observed that drinking-water frequently becomes recontaminated following its collection and during storage in the home. This paper proposes a semi-quantified ‘disease risk index' (DRI) designed to identify communities or households that are ‘most at risk' from consuming recontaminated drinking-water. A brief review of appropriate physical and educational intervention measures is presented, and their effective use is discussed. It is concluded that incorpor...

  20. CONSUMPTION OF ANTIBACTERIAL WITHIN THE SOUTHERN NIGERIAN POPULATION: SOURCES, PATTERN AND APPROPRIATENESS IN RESPIRATORY TRACT INFECTION

    OpenAIRE

    2010-01-01

    The study was designed to assess the sources and pattern of procurement, knowledge and attitude of consumers of antibacterial agents and the appropriateness of use in respect of respiratory tract infections. Buyers at the point of purchase were interviewed with a structured questionnaire. 65 respondents were randomly selected among buyers who had duly signed prescriptions but without prior laboratory tests. Sputum samples were collected for microbiology, culture and sensitivity to match up fo...

  1. Foreign Operations (House)/State, Foreign Operations, and Related Programs (Senate): FY2006 Appropriations

    Science.gov (United States)

    2005-07-01

    Assistance Connie Veillette 7-7127 cveillette@crs.loc.gov Microenterprise Curt Tarnoff 7-7656 ctarnoff@crs.loc.gov Middle East Assistance Jeremy...Eastern Europe (SEED Act), microenterprise programs, and the Peace Corps. exchange organizations. This title also appropriates resources for international...capacity building — $214 million, House (+$15 million from FY2005); ! Microenterprise — $200 million in both bills (same as FY2005); ! American Schools and

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

    OpenAIRE

    2015-01-01

    Appropriation of public lands associated with agricultural frontier expansion is a longstanding occurrence in the Amazon that has resulted in a highly skewed land-tenure structure in spite of recent state efforts to recognize tenure rights of indigenous people and smallholders living in or nearby forests. Growing concerns to reduce environmental impacts from agricultural development have motivated state governments to place greater attention on sustainable land management and forest conservat...

  3. THE EFFECTS OF FIXED-TIME ESCAPE ON INAPPROPRIATE AND APPROPRIATE CLASSROOM BEHAVIOR

    OpenAIRE

    Waller, Rachael D; Higbee, Thomas S.

    2010-01-01

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

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

    Institute of Scientific and Technical Information of China (English)

    REN Jing-ming; HU Rong

    2002-01-01

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

  5. The appropriateness of prescribing antibiotics in the community in Europe: study design

    Directory of Open Access Journals (Sweden)

    Pringle Mike

    2011-10-01

    Full Text Available Abstract Background Over 90% of all antibiotics in Europe are prescribed in primary care. It is important that antibiotics are prescribed that are likely to be effective; however, information about antibiotic resistance in the community is incomplete. The aim of our study is to investigate the appropriateness of antibiotic prescribing in primary care in Europe by collecting and combining patterns of antibiotic resistance patterns and antibiotic prescription patterns in primary care. We will also evaluate the appropriateness of national antibiotic prescription guidelines in relation to resistance patterns. Methods/Design Antibiotic resistance will be studied in an opportunistic sample from the community in nine European countries. Resistance data will be collected by taking a nose swab of persons (N = 4,000 per country visiting a primary care practice for a non-infectious disease. Staphylococcus aureus and Streptococcus pneumoniae will be isolated and tested for resistance to a range of antibiotics in one central laboratory. Data on antibiotic prescriptions over the past 5 years will be extracted from the electronic medical records of General Practitioners (GPs. The results of the study will include the prevalence and resistance data of the two species and 5 years of antibiotic prescription data in nine European countries. The odds of receiving an effective antibiotic in each country will be calculated as a measure for the appropriateness of prescribing. Multilevel analysis will be used to assess the appropriateness of prescribing. Relevant treatment guidelines of the nine participating countries will be evaluated using a standardized instrument and related to the resistance patterns in that country. Discussion This study will provide valuable and unique data concerning resistance patterns and prescription behaviour in primary care in nine European countries. It will provide evidence-based recommendations for antibiotic treatment guidelines that

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

    CERN Document Server

    Mart, T

    2011-01-01

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

  7. Children's Stress Behaviors and Developmentally Appropriate Practice in Family Child Care Homes

    OpenAIRE

    Chang, Chih-Ying

    2000-01-01

    This study investigated and qualitatively compared differences in children's stress reactions across two levels of developmentally appropriate practice in family child care homes. Data were collected through observations. Six children, five boys and one girl from six different family child care homes, between the ages of 36 and 60 months, were observed for the type and frequency of stress behaviors. The six family child care homes were divided into two groups based on more or less use of a...

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

    Directory of Open Access Journals (Sweden)

    Alessi Alexandre

    2008-10-01

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

  9. Projects from Federal Region IX: Department of Energy Appropriate Energy Technology Program. Part II

    Energy Technology Data Exchange (ETDEWEB)

    Case, C.W.; Clark, H.R.; Kay, J.; Lucarelli, F.B.; Rizer, S.

    1980-01-01

    Details and progress of appropriate energy technology programs in Region IX are presented. In Arizona, the projects are Solar Hot Water for the Prescott Adult Center and Solar Prototype House for a Residential Community. In California, the projects are Solar AquaDome Demonstration Project; Solar Powered Liquid Circulating Pump; Appropriate Energy Technology Resource Center; Digester for Wastewater Grown Aquatic Plants; Performance Characteristics of an Anaerobic Wastewater Lagoon Primary Treatment System; Appropriate Energy/Energy Conservation Demonstration Project; Solar Energy for Composting Toilets; Dry Creek Rancheria Solar Demonstration Projects; Demonstration for Energy Retrofit Analysis and Implementation; and Active Solar Space Heating System for the Integral Urban House. In Hawaii, the projects are: Java Plum Electric; Low-Cost Pond Digesters for Hawaiian Pig Farm Energy Needs; Solar Beeswax Melter; Methane Gas Plant for Operating Boilers and Generating Steam; and Solar Water Heating in Sugarcane Seed-Treatment Plants. A Wind-Powered Lighted Navigation Buoys Project for Guam is also described. A revised description of the Biogas Energy for Hawaiian Small Farms and Homesteads is given in an appendix.

  10. The Concept of Appropriation as a Heuristic for Conceptualising the Relationship between Technology, People and Organisations

    CERN Document Server

    Baillette, Pamela

    2008-01-01

    The stated aim of this conference is to debate the continuing evolution of IS in businesses and other organisations. This paper seeks to contribute to this debate by exploring the concept of appropriation from a number of different epistemological, cultural and linguistic viewpoints to allow us to explore 'the black box' of appropriation and to gain a fuller understanding of the term. At the conceptual level, it will examine some of the different ways in which people have attempted to explain the relationship between the objective and concrete features of technology and the subjective and shifting nature of the people and organisation within which that technology is deployed. At the cultural and linguistic level the paper will examine the notion as it is found in the Francophone literature, where the term has a long and rich history, and the Anglophone literature where appropriation is seen as a rather more specialist term. The paper will conclude with some observations on the ongoing nature of the debate, th...

  11. Unveiling common responses of Medicago truncatula to appropriate and inappropriate rust species

    Directory of Open Access Journals (Sweden)

    Maria Carlota eVaz Patto

    2014-11-01

    Full Text Available Little is known about the nature of effective defense mechanisms in legumes to pathogens of remotely related plant species. Some rust species are among pathogens with broad host range causing dramatic losses in various crop plants. To understand and compare the different host and nonhost resistance responses of legume species against rusts, we characterized the reaction of the model legume Medicago truncatula to one appropriate (Uromyces striatus and two inappropriate (U. viciae-fabae and U. lupinicolus rusts. We found that similar pre and post-haustorial mechanisms of resistance appear to be operative in M. truncatula against appropriate and inappropriate rust fungus. The appropriate U. striatus germinated better on M. truncatula accessions then the inappropriate U. viciae-fabae and U. lupinicolus, but once germinated, germ tubes of the three rusts had a similar level of success in finding stomata and forming an appressoria over a stoma. However responses to different inappropriate rust species also showed some specificity, suggesting a combination of non specific and specific responses underlying this legume nonhost resistance to rust fungi. Further genetic and expression analysis studies will contribute to the development of the necessary molecular tools to use the present information on host and nonhost resistance mechanisms to breed for broad-spectrum resistance to rust in legume species.

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

    Directory of Open Access Journals (Sweden)

    Blair Paula

    2016-09-01

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

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

    Science.gov (United States)

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

    2014-01-01

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

  14. Social occasions and the perceived appropriateness of consuming different alcoholic beverages.

    Science.gov (United States)

    Klein, H; Pittman, D J

    1990-01-01

    Based on a national probability sample of 2,401 Americans aged 21 and over (1,069 of whom were deemed "drinkers" on the basis of having drunk at least one alcoholic beverage within the previous 7 days), this study looks at differences in the perceived situational appropriateness of drinking beer, distilled spirits, wine and wine coolers in each of six social occasions. It was found that wine is usually deemed appropriate in integrative, social enjoyment-enhancing situations. Beer use tends to be viewed ambivalently, with a sort of "cross-situational neutrality"; its use is neither strongly condoned nor strongly condemned in any of the six social contexts under study. People's attitudes toward the use of distilled spirits are best described as allowing for a "cautious indulgence" in this beverage. The respondents tend to favor drinking distilled spirits during integrative social occasions, feel ambivalently toward drinking in social contexts that are simultaneously integrative and disintegrative and disfavor drinking during disintegrative and anxiety-reductive social occasions. Wine cooler use is viewed inconsistently, perhaps with a tendency toward being seen as appropriate for consumption during integrative social occasions that involve having a good time. Sex, income and marital status differences were found to be minimal. Age, though, was found to be a discerning variable in many of these relationships, such that people aged 65 or older were less likely than their younger counterparts to endorse drinking in all of the social contexts under study, except for drinking as a perfect complement to a nice dinner.

  15. A TOTAL MANUFACTURING SOLUTIONS TECHNIQUE TO SELECT APPROPRIATE IMPROVEMENT STRATEGY: CASE STUDY OF A FOOTWEAR FACTORY

    Directory of Open Access Journals (Sweden)

    Gezahegn Tesfaye

    2014-09-01

    Full Text Available The Government of Ethiopia is promoting the manufacturing sector to join the global market in a large scale. Due to its comparative advantages, the Ethiopian leather and leather products industry have been given due attention. To fully utilize such advantages, the country shifted its export items from hides/skins to footwear products. Nevertheless, the performance of the leather sector in general and footwear sub-sector in particular is far below the desired standards. The improvement strategies applied hitherto were mainly to tackle a small portion of their total problems. If the Ethiopian footwear companies have to become globally competitive, their entire business spectrum has to be assessed and appropriate improvement strategies must be selected. In this research, we used a Total manufacturing solutions (TMS technique to identify areas of improvement and improvement strategy of one of Ethiopian footwear companies. For this purpose, we conducted two surveys using structured questionnaire. The first survey was to test the TMS technique against the context of footwear industry. The result proved that the original TMS model can be used to measure the performance of footwear companies. The second survey was done to identify company's total problems, map its current position and select appropriate improvement strategy. The result revealed that the company has company-wide problems and its current position is a plodder. For plodders which have company-wide problems, the improvement strategy must include aggressive application of BPR; and the implementation of best practices to develop workers skills that encourages networking and promotion, a market-led manufacturing strategy, employee involvement and team work cultures. According to the findings of this research, we suggested that a BPR technique followed by a continuous improvement programme could be an appropriate improvement strategy for this company. The company requires long-term improvement

  16. Motivation and mobile devices: exploring the role of appropriation and coping strategies

    Directory of Open Access Journals (Sweden)

    Ann Jones

    2007-12-01

    Full Text Available There has been interest recently in how mobile devices may be motivating forces in the right contexts: for example, one of the themes for the IADIS International Conference on Mobile Learning in 2007 was ‘Affective Factors in Learning with Mobile Devices' (http://www.mlearningconf.org. The authors have previously proposed six aspects of learning with mobile devices in informal contexts that might be motivating: control over learners' goals, ownership, fun, communication, learning-in-context and continuity between contexts. How do these motivational features relate to theoretical accounts of what motivates people to use mobile devices and learn in technology- rich contexts? In this exploratory paper we consider two different candidates for such theoretical approaches. One is technology appropriation–the process by which technology or particular technological artefacts are adopted and shaped in use. Two different approaches to technology appropriation are discussed in order to explore the relationship between the different aspects of appropriation and motivation; that of Carroll et al. and that of Waycott. Both appropriation frameworks have been developed in the context of using mobile devices, but neither has a specific focus on learning. By contrast, the second theoretical approach is Järvelä et al.'s model of coping strategies, which is specifically concerned with learning with technologies, although not with mobile technologies in particular. The paper draws on case-study data in order to illustrate and discuss the extent to which these two approaches are helpful in informing our understanding of the motivating features of using mobile devices for informal learning.

  17. A method for selection of appropriate assistive technology for computer access.

    Science.gov (United States)

    Jenko, Mojca; Matjacic, Zlatko; Vidmar, Gaj; Bester, Janez; Pogacnikb, Matevz; Zupan, Anton

    2010-12-01

    Assistive technologies (ATs) for computer access enable people with disabilities to be included in the information society. Current methods for assessment and selection of the most appropriate AT for each individual are non standardized, lengthy, subjective, and require substantial clinical experience of a multidisciplinary team.This manuscript presents and evaluates an objective approach to test and select an appropriate AT for computer access for people with disabilities. Six user interfaces(standard keyboard, mini and large joystick, mini and large trackball, and head-operated mouse and keyboard) were tested on the control group of 29 people without disabilities and on 63 people with neuromuscular and muscular diseases, using purpose-built software for testing the speed of sentence typing. Different criteria for selecting the optimal AT were tested and compared with the skilled clinician's choice. The learning curves of the people with disabilities proved to follow those of the healthy controls, but with lower performance. Daily computer use was not associated with AT selection, but corresponded nearly perfectly to the level of functional ability of upper limbs. Agreement between clinician's choice and learning-based AT selection was noteworthy,but far from perfect. If partial agreement was taken into account, that is, AT was considered as an ordinal variable based on the corresponding functional ability level, and the second best learning-based choice was taken into account,the agreement was high for highest median typing speed as AT selection criterion. In conclusion, the developed method for AT assessment and selection seems to be an efficient guide for an unskilled clinician to choose an appropriate AT.

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

    Directory of Open Access Journals (Sweden)

    Lisetti C

    2009-09-01

    Full Text Available We explore how avatars can be used as social orthotics defined as therapeutic computer-based social companions aimed at promoting healthy behaviors. We review some of the health interventions deployed in helping at-risk populations along with some of the unique advantages that computer-based interventions can add to face-to-face interventions. We posit that artificial intelligence has rendered possible the creation of culturally appropriate dialog-agents for interventions and we identify specific features for social avatars that are important - if not necessary - when applied to the domain of social orthotic systems for health promotion.

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

    Science.gov (United States)

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

    2015-12-01

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

  20. PROMA-A Decision Support System to Determine Appropriate Procurement Method

    Directory of Open Access Journals (Sweden)

    O.J.O. Stephen Okunlola

    2012-02-01

    Full Text Available The aim of this study was to develop computer application software using the weighted sum model equation to assist construction industry practitioners in making analytical decision about building procurement options. A survey of construction industry practitioners in Nigeria was conducted to prioritize the selection criteria and determine the utility factors for the procurement options against selection criteria. The results were used to populate the software. The program uses clients’ consultants’, contractors’ or the combined utility factors for cost categories to recommend an appropriate procurement method for a particular type of building. This makes the program better than earlier works which ignored the effect of cost categories on procurement options’ performance.

  1. A new model for enabling innovation in appropriate technology for sustainable development

    Directory of Open Access Journals (Sweden)

    Joshua Pearce

    2012-08-01

    Full Text Available The task of providing for basic human necessities such as food, water, shelter, and employment is growing as the world’s population continues to expand amid climate destabilization. One of the greatest challenges to development and innovation is access to relevant knowledge for quick technological dissemination. However, with the rise and application of advanced information technologies there is a great opportunity for knowledge building, community interaction, innovation, and collaboration using various online platforms. This article examines the potential of a novel model to enable innovation for collaborative enterprise, learning, and appropriate technology development on a global scale.

  2. Targeting appropriate interventions to minimize deterioration of drinking-water quality in developing countries.

    Science.gov (United States)

    Trevett, Andrew F; Carter, Richard C

    2008-06-01

    In developing countries, it has been observed that drinking-water frequently becomes recontaminated following its collection and during storage in the home. This paper proposes a semi-quantified 'disease risk index' (DRI) designed to identify communities or households that are 'most at risk' from consuming recontaminated drinking-water. A brief review of appropriate physical and educational intervention measures is presented, and their effective use is discussed. It is concluded that incorporating a simple appraisal tool, such as the proposed DRI, into a community water-supply programme would be useful in shaping the overall strategy requiring only a minimum of organizational learning.

  3. L'appropriation du domaine scientifique chez l'eleve togolais

    Science.gov (United States)

    Lalancette, Lucie

    1998-12-01

    Science and technology are essential to sustainable development. They must be endogenous in nature to reduce the dependency and vulnerability of developing countries. Hence we seek to determine how Togolese students appropriate the field of science. Science education should answer fundamental educational needs by aiming for autonomy and individualization, that is, the skills and attitudes necessary to the resolution of, problems (and thus necessary to creativity), the concept of which includes the production of new ideas and adaptation to change. This basic scientific culture allows citizens to understand socioeconomic and environmental imperatives related to science and technology. This study answers the following questions: (1) How is the appropriation of knowledge by Togolese students favored? (2) What are the representations acquired by Togolese students in the science classroom regarding key research concepts, namely education, culture, science, knowledge and development? The objective of this research is to partially describe the context of science learning in the first cycle of the Second Degree in Togo, a French-language developing country of Africa, and particularly to understand the influence of the sociocultural setting on pedagogy and development. We first present our conception of science teaching, followed by the construction of knowledge in context. This research permits clearer propositions in terms of plausible explanations for the observed relationships among the categories of data. Indeed, the framework of the transmission of knowledge considerably influences the appropriation of the field of science by Togolese students. Science is a mythical and mystical field, still perceived as the "white mans's thing", in spite of favorable attitudes developed by students concerning the application of science and technology in their environment. By way of the favored learning methods (which also represent those of the traditional environment) and curricula

  4. Statistics corner: A guide to appropriate use of correlation coefficient in medical research.

    Science.gov (United States)

    Mukaka, M M

    2012-09-01

    Correlation is a statistical method used to assess a possible linear association between two continuous variables. It is simple both to calculate and to interpret. However, misuse of correlation is so common among researchers that some statisticians have wished that the method had never been devised at all. The aim of this article is to provide a guide to appropriate use of correlation in medical research and to highlight some misuse. Examples of the applications of the correlation coefficient have been provided using data from statistical simulations as well as real data. Rule of thumb for interpreting size of a correlation coefficient has been provided.

  5. FY96 appropriations on hold as we enter the new fiscal year.

    Science.gov (United States)

    Maldonado, M

    1995-01-01

    A summary of the House and Senate appropriations proposals concerning AIDS-related program funding for FY96 is presented. The following programs are discussed: the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act, the Substance Abuse Mental Health Services Administration, the Centers for Disease Control and Prevention (CDC), and the Housing Opportunities for People with AIDS Program (HOPWA). Differences in these bills will be addressed in a conference following the October 2-10 recess. Meanwhile, AIDS funding will continue in the new fiscal year, beginning October 1, 1995, under the continuing resolution.

  6. On Employing the Appropriate Error Correction Strategies to Promote Students' English learning in TEFL

    Institute of Scientific and Technical Information of China (English)

    王雪珍

    2009-01-01

    Learning English as a foreign language is a step-by-step process,during which Chinese students will inevitably make some errors.It is important for teachers to know when and how to correct students' errors.By employing error conection skillfully and appropriately,we can develop the students' self-confidence and self-esteem.This paper mainly discusses the interaction and collaboration learning in task-based learning,which has been proved to be scientific and effective,is advocated in English learning and teaching.Accordingly,the self-correction with teacher's help and the peer correction arethemost effective waysfor students' error correction.

  7. Nationally Appropriate Mitigation Action: developing a Multi Criteria Decision Analysis (MCDA ) process for prioritization of NAMAs

    DEFF Research Database (Denmark)

    Sharma, Sudhir; Desgain, Denis DR; Sandbukt, Sunniva

    tool to prioritize NAMAs in the context of national sustainable development, taking into account climate and development priorities. The objective of the publication is to enhance the knowledge of national stakeholders, in particular policy makers and decision makers, to understand the process...... number of options. This tool allows combining some criteria which are valued in monetary terms and others for which market values are not readily available in the economy.It allows the use of a full range of social, environmental, technical, economic, and financial criteria. MCDA is thus an appropriate...

  8. Reducing appropriable quasi rents to combat the hold-up problem in contract agriculture

    DEFF Research Database (Denmark)

    Karantininis, Kostas; Graversen, Jesper Tranbjerg

    2005-01-01

    This paper examines the problem of hold-up in the agri-food sector. Production contracts offered to future Danish Broiler producers give rise to specific investments and appropriable quasi rents. Farmers are vulnerable to opportunistic behaviour by poultry processors which materializes in lower......, when building the broiler house, to prepare a viable future change in production from broilers to pigs. This will increase the bargaining power to farmers and may result in higher producer prices. Based on the general model of the hold-up problem with co-specific investments (Koss & Eaton, 1997...

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

    Science.gov (United States)

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

    2012-01-01

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

  10. Appropriateness criteria for cardiovascular imaging use in clinical practice: a position statement of the ESC/EACVI taskforce.

    OpenAIRE

    Garbi, Madalina; Habib, Gilbert; Plein, Sven; Neglia, Danilo; Kitsiou, Anastasia; Donal, Erwan; Pinto, Fausto; Bax, Jeroen; Achenbach, Stephan; Popescu, Bogdan A; Edvardsen, Thor; Badano, Luigi P.; Stefanidis, Alexandros; Bucciarelli-Ducci, Chiara; Derumeaux, Genevieve

    2014-01-01

    There is a growing interest from the scientific community in the appropriate use of cardiovascular imaging techniques for diagnosis and decision making in Europe. To develop appropriateness criteria for cardiovascular imaging use in clinical practice in Europe, a dedicated taskforce has been appointed by the European Society of Cardiology (ESC) and the European Association of Cardiovascular Imaging (EACVI). The present paper describes the appropriateness criteria development process. Peer ...

  11. Appropriate wastewater treatment systems for developing countries: criteria and indictor assessment in Thailand.

    Science.gov (United States)

    Singhirunnusorn, W; Stenstrom, M K

    2009-01-01

    This paper presents a comprehensive approach with factors to select appropriate wastewater treatment systems in developing countries in general and Thailand in particular. Instead of focusing merely on the technical dimensions, the study integrates the social, economic, and environmental concerns to develop a set of criteria and indicators (C&I) useful for evaluating appropriate system alternatives. The paper identifies seven elements crucial for technical selection: reliability, simplicity, efficiency, land requirement, affordability, social acceptability, and sustainability. Variables are organized into three hierarchical elements, namely: principles, criteria, and indicators. The study utilizes a mail survey to obtain information from Thai experts-academicians, practitioners, and government officials-to evaluate the C&I list. Responses were received from 33 experts on two multi-criteria analysis inquiries-ranking and rating-to obtain evaluative judgments. Results show that reliability, affordability, and efficiency are among the most important elements, followed by sustainability and social acceptability. Land requirement and simplicity are low in priority with relatively inferior weighting. A number of criteria are then developed to match the contextual environment of each particular condition. A total of 14 criteria are identified which comprised 64 indicators. Unimportant criteria and indicators are discarded after careful consideration, since some of the indicators are local or site specific.

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

    Directory of Open Access Journals (Sweden)

    André H. Caron

    2011-12-01

    Full Text Available There is little doubt that students eagerly appropriate new technologies into their lives.  However, the authors wanted to explore what steps would be needed to ensure a proper appropriation of new technologies when applied to academic settings.  This paper presents a 3-country comparison of students reporting on their academic activities and technology use in everyday life. Though the numbers vary slightly within each country, the final results show an overall disconnect between the amount of time students allot to technology use and academic activities. Overall, the findings shed some much needed statistical light on the current reality of students’ technological and academic habits. The authors propose possible next steps to take in order to better understand this phenomenon. Ultimately, this study urges educators and students alike to gather more information about the role social media plays in students’ lives. A better understanding of the situation could eventually lead to the successful integration of new technologies in academia.

  13. Implementing the evidence for language-appropriate health care systems: The Welsh context.

    Science.gov (United States)

    Roberts, Gwerfyl W; Burton, Christopher R

    2013-04-05

    Like Canada, Wales, UK is a bilingual nation: the Welsh language is an important part of its national identity and legislative framework. This has implications for the delivery of public sector services, particularly in the context of health and social care, where responding to the language needs of service users is fundamental to quality health care provision. Nevertheless, despite the strengthening policy commitment for a whole-system approach towards enhancing Welsh language services, there is a paucity of evidence to guide best practice in organizational planning in health care settings. This commentary outlines the context and significance of bilingual health care provision in Wales and the implications for building and embedding the evidence base. It calls for further work to translate our knowledge and understanding of language-appropriate practice to provide more effective and sensitive health care services; and to close the implementation gap between evidence and practice. Given the relevance of this challenge for health care providers in Canada who plan and deliver services for French-language minorities, this approach has resonance across our research communities. Thus, in our common pursuit to establish integrated knowledge translation research for language-appropriate health care systems, this commentary offers a focus for reflection, discussion and collaborative action.

  14. Using differential reinforcement to improve equine welfare: shaping appropriate truck loading and feet handling.

    Science.gov (United States)

    Slater, Charlotte; Dymond, Simon

    2011-03-01

    Inappropriate behavior during common handling procedures with horses is often subject to aversive treatment. The present study replicated and extended previous findings using differential reinforcement to shape appropriate equine handling behavior. In Study 1, a multiple baseline across subjects design was used with four horses to determine first the effects of shaping target-touch responses and then successive approximations of full truck loading under continuous and intermittent schedules of reinforcement. Full loading responses were shaped and maintained in all four horses and occurrences of inappropriate behaviors reduced to zero. Generalization of the loading response was also observed to both a novel trainer and trailer. In Study 2, a changing criterion design was used to increase the duration of feet handling with one horse. The horse's responding reached the terminal duration criterion of 1min and showed consistent generalization and one-week maintenance. Overall, the results of both studies support the use of applied equine training systems based on positive reinforcement for increasing appropriate behavior during common handling procedures.

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

    Directory of Open Access Journals (Sweden)

    Pablo Pacheco

    2015-02-01

    Full Text Available Appropriation of public lands associated with agricultural frontier expansion is a longstanding occurrence in the Amazon that has resulted in a highly skewed land-tenure structure in spite of recent state efforts to recognize tenure rights of indigenous people and smallholders living in or nearby forests. Growing concerns to reduce environmental impacts from agricultural development have motivated state governments to place greater attention on sustainable land management and forest conservation. This paper assesses the political and institutional conditions shaping tenure security and land appropriation in lowland Bolivia and the State of Pará in Brazil, and their links with environmental governance. The two cases show that clarifying and securing tenure rights is considered as the cornerstone for improving environmental governance. Thus, much attention has been given to the recognition of indigenous people and smallholder rights and to legalization of large-scale estates in agricultural frontiers, which have in turn influenced emerging conservation and environmental governance approaches. While policy frameworks share similar goals in the two cases, contrasting implementation approaches have been adopted: more agrarian in lowland Bolivia and more conservationist in the State of Pará.

  16. Nutritional support and cardioprotection with L-carnitine: prescription appropriateness and safety concerns in Mexican neonates.

    Science.gov (United States)

    Gómez-Oliván, Leobardo Manuel; Valdés-Alanis, Analleli; Castro-Pastrana, Lucila I; Galar-Martinez, Marcela; Romero-Castillo, Carolina Angélica

    2011-01-01

    Medication errors are probably more common in neonates than is generally appreciated. In Mexican pediatric hospitals, L-carnitine is mainly used for nutritional support and to treat cardiomyopathy secondary to neonatal asphyxia. Using a longitudinal-retrospective approach we assessed the appropriateness of all L-carnitine prescriptions written during a 12-month period at a NICU of a second-level hospital located in Toluca, Mexico. Reports of adverse reactions possibly related to L-carnitine therapy were collected and characterized. Overall, administration of L-carnitine was considered justified and appropriate only in 18% of patients. 60.7% of L-carnitine prescriptions were rated as inappropriate because the prescribed doses fell outside the recommendations. The overall rate of ADRs calculated from the patient population was 18.03%. All of them were of gastrointestinal type: abdominal cramps (8 cases, 61.54%) and vomiting (5 cases, 38.46%). Our results supported the establishment of an L-carnitine rational use policy at the NICU of the hospital under study.

  17. Hypnosis control based on the minimum concentration of anesthetic drug for maintaining appropriate hypnosis.

    Science.gov (United States)

    Furutani, Eiko; Nishigaki, Yuki; Kanda, Chiaki; Takeda, Toshihiro; Shirakami, Gotaro

    2013-01-01

    This paper proposes a novel hypnosis control method using Auditory Evoked Potential Index (aepEX) as a hypnosis index. In order to avoid side effects of an anesthetic drug, it is desirable to reduce the amount of an anesthetic drug during surgery. For this purpose many studies of hypnosis control systems have been done. Most of them use Bispectral Index (BIS), another hypnosis index, but it has problems of dependence on anesthetic drugs and nonsmooth change near some particular values. On the other hand, aepEX has an ability of clear distinction between patient consciousness and unconsciousness and independence of anesthetic drugs. The control method proposed in this paper consists of two elements: estimating the minimum effect-site concentration for maintaining appropriate hypnosis and adjusting infusion rate of an anesthetic drug, propofol, using model predictive control. The minimum effect-site concentration is estimated utilizing the property of aepEX pharmacodynamics. The infusion rate of propofol is adjusted so that effect-site concentration of propofol may be kept near and always above the minimum effect-site concentration. Simulation results of hypnosis control using the proposed method show that the minimum concentration can be estimated appropriately and that the proposed control method can maintain hypnosis adequately and reduce the total infusion amount of propofol.

  18. Appropriateness of the Health Standards of Houses in Isparta Province Center

    Directory of Open Access Journals (Sweden)

    Ersin Uskun

    2007-06-01

    Full Text Available This study has been carried out in center of Isparta province in order to evaluation the appropriateness of housing health standards of houses and to determine the basic characteristics of inappropriate houses. In December 2005, randomize selected four hundred houses in province center were evaluated in point of building land characteristics, building materials, safe condition, bulk, sunlight and lighting, heating, washroom facilities by using housing evaluation checklist. Distribution of the inappropriate houses was analyzed according to the descriptive characteristics of houses. Descriptive statistics, chi-square and independent t test were used for statistical analyses of data. There was a built blockage of sunlight near 38.5% of houses. Approximately half of them whose windows were not appropriate location to take adequate sunlight. Frequently rental houses or house whose resident have low socioeconomic status were not built using building materials of good quality (p<0.05 and p<0.001; respectively. In this study, the basic problems of houses related housing health standards were determined as no homogeny heat, inadequate fire safety and taking inadequate sunlight. The results of the study have drawn attention to necessary of facilitation politics to hand a healthy house for persons have low economic status especially. [TAF Prev Med Bull 2007; 6(3.000: 151-160

  19. Appropriateness of the Health Standards of Houses in Isparta Province Center

    Directory of Open Access Journals (Sweden)

    Ersin Uskun

    2007-06-01

    Full Text Available This study has been carried out in center of Isparta province in order to evaluation the appropriateness of housing health standards of houses and to determine the basic characteristics of inappropriate houses. In December 2005, randomize selected four hundred houses in province center were evaluated in point of building land characteristics, building materials, safe condition, bulk, sunlight and lighting, heating, washroom facilities by using housing evaluation checklist. Distribution of the inappropriate houses was analyzed according to the descriptive characteristics of houses. Descriptive statistics, chi-square and independent t test were used for statistical analyses of data. There was a built blockage of sunlight near 38.5% of houses. Approximately half of them whose windows were not appropriate location to take adequate sunlight. Frequently rental houses or house whose resident have low socioeconomic status were not built using building materials of good quality (p<0.05 and p<0.001; respectively. In this study, the basic problems of houses related housing health standards were determined as no homogeny heat, inadequate fire safety and taking inadequate sunlight. The results of the study have drawn attention to necessary of facilitation politics to hand a healthy house for persons have low economic status especially. [TAF Prev Med Bull. 2007; 6(3: 151-160

  20. Fingolimod for multiple sclerosis and emerging indications: appropriate patient selection, safety precautions, and special considerations

    Directory of Open Access Journals (Sweden)

    Ayzenberg I

    2016-02-01

    Full Text Available Ilya Ayzenberg, Robert Hoepner, Ingo Kleiter Department of Neurology, St Josef Hospital, Ruhr University Bochum, Bochum, Germany Abstract: Fingolimod (FTY720, an immunotherapeutic drug targeting the sphingosine-1-phosphate receptor, is a widely used medication for relapsing-remitting multiple sclerosis (MS. Apart from the pivotal Phase III trials demonstrating efficacy against placebo and interferon-β-1a once weekly, sufficient clinical data are now available to assess its real-world efficacy and safety profile. Approved indications of fingolimod differ between countries. This discrepancy, to some extent, reflects the intermediate position of fingolimod in the expanding lineup of MS medications. With individualization of therapy, appropriate patient selection gets more important. We discuss various scenarios for fingolimod use in relapsing-remitting MS and their pitfalls: as first-line therapy, as escalation therapy after failure of previous immunotherapies, and as de-escalation therapy following highly potent immunotherapies. Potential side effects such as bradycardia, infections, macular edema, teratogenicity, and progressive multifocal leukoencephalopathy as well as appropriate safety precautions are outlined. Disease reactivation has been described upon fingolimod cessation; therefore, patients should be closely monitored for MS activity for several months after stopping fingolimod. Finally, we discuss preclinical and clinical data indicating neuroprotective effects of fingolimod, which might open the way to future indications such as stroke, Alzheimer’s disease, and other neurodegenerative disorders. Keywords: immunotherapy, bradycardia, progressive multifocal leukoencephalopathy, neuroprotection, stroke, Alzheimer’s disease 

  1. Appropriate timing of uterine cavity length measurement positively affects assisted reproduction cycle outcome.

    Science.gov (United States)

    Madani, Tahereh; Ashrafi, Mahnaz; Abadi, Akram Bahman; Kiani, Kiandokht

    2009-11-01

    An appropriate and easy embryo transfer has a direct impact on pregnancy rates. Proper evaluation of the uterocervical axis and uterine depth are necessary for suitable embryo transfer. The aim of this study was to assess the appropriate time for cervical axis evaluation and uterine measurement. A total of 124 patients undergoing IVF treatment were included in the study. They were divided equally into two groups. In group I (62 women), uterine cavity depth was measured and the uterocervical axis was determined on day 2 or 3 of the menstrual cycle, and in group II (62 women) at the time of oocyte retrieval. There was a statistically significant difference in clinical pregnancy rates between the two groups (P = 0.006). Thirty-four women became pregnant in group I (64.2%) versus 19 women in group II (35.8%). In conclusion, uterine cavity measurement is necessary for suitable embryo transfer. It seems that the time of measurement significantly affects clinical pregnancy rate in IVF cycles. The best time for uterine measurement is on day 2 or 3 of menstruation.

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

    Science.gov (United States)

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

    2015-01-01

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

  3. Is Ceftizoxime an Appropriate Surrogate for Amikacin in Neonatal Sepsis Treatment? A Randomized Clinical Trial

    Directory of Open Access Journals (Sweden)

    Peyman Salamati

    2011-08-01

    Full Text Available Neonatal sepsis, a life-threatening condition, presents with non-specific clinical manifestations and needs immediate empirical antimicrobial therapy. Choosing an appropriate antibiotic regimen covering the most probable pathogens is an important issue. In this study we compared the effectiveness of ceftizoxime and amikacin in the treatment of neonatal sepsis both in combination with ampicillin. In a randomized clinical trial, all term neonates with suspected sepsis referred to Bahrami hospital during March 2008 to March 2010 were evaluated. Patients were randomly recruited into two groups; one group receiving ampicillin and amikacin and the other ampicillin and ceftizoxime. Blood, urine and cerebrospinal fluid cultures, leukocyte count and C-reactive protein level were measured in all neonates. A total of 135 neonates were evaluated, 65 in amikacin group and 70 in ceftizoxime group. 60 neonates (85.7% in ceftizoxime group and 54 neonates (83.1% in amikacin group responded to the treatment (P= 0.673 and χ2 = 0.178. Only 24 (18% blood samples had a report of positive blood culture. The most frequent pathogen was coagulase negative staphylococcus with the frequency of 58.32% of all positive blood samples. Ceftizoxime in combination with ampicillin is an appropriate antimicrobial regimen for surrogating the combination of ampicillin and amikacin to prevent bacterial resistance against them.

  4. High Altitude Pulmonary Edema Without Appropriate Action Progresses to Right Ventricular Strain: A Case Study.

    Science.gov (United States)

    Mills, Logan; Harper, Chris; Rozwadowski, Sophie; Imray, Chris

    2016-09-01

    Mills, Logan, Chris Harper, Sophie Rozwadowski, and Chris Imray. High altitude pulmonary edema without appropriate action progresses to right ventricular strain: A case study. High Alt Med Biol. 17:228-232, 2016.-A 24-year-old male developed high altitude pulmonary edema (HAPE) after three ascents to 4061 m over 3 days, sleeping each night at 2735 m. He complained of exertional dyspnea, dry cough, chest pain, fever, nausea, vertigo, and a severe frontal headache. Inappropriate continuation of ascent despite symptoms led to functional impairment and forced a return to the valley, but dyspnea persisted in addition to new orthopnea. Hospital admission showed hypoxemia, resting tachycardia, and systemic hypertension. ECG revealed right ventricular strain and a chest X-ray revealed right lower zone infiltrates. This case demonstrates that HAPE can develop in previously unaffected individuals given certain precipitating factors, and that in the presence of HAPE, prolonged exposure to altitude with exercise (or exertion) does not confer acclimatization with protective adaptations and that rest and descent are the appropriate actions. The case additionally demonstrates well-characterized right ventricular involvement.

  5. APPROPRIATE FEEDBACK:AN IMPORTANT ASPECT OF IMPROVING STUDENTS’WRITING SKILLS

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    There have been numerous studies on the effectiveness ofwriting feedback in recent years,but so far we have found verylittle evidence of improvement in the overall quality of students’writing.So,this article tries to investigate the most effectiveforms of feedback.First,the importance of feedback is stated.Then,three questions are put forward to see whether teachers’feedback really matches students’preferences or not.On thesequestions,two case studies are carried out among the second-yearstudents in Huazhong University of Science and Technology(HUST).We have made an equivalent time-sample design.Thefirst design is made at the middle of the semester,in which thefirst questionnaire is administered to inquire about the types offeedback the students prefer to receive,and the first sampling ofthe teacher’s feedback is made to show any discrepancy betweenteacher’s feedback and the learners’interest.Then,the ways ongiving appropriate feedback are given to teachers.The seconddesign is made at the end of the semester,in which anotherquestionnaire is constructed to obtain what students havebenefited from teachers’feedback,and another sampling is doneto see the changes in teachers’feedback and students’improvements.Finally,this article tries to explore effectiveways on giving appropriate feedback.

  6. Mods, Nay! Tournaments, Yay! - The Appropriation of Contemporary Game Culture by the U.S. Military

    Directory of Open Access Journals (Sweden)

    David B. Nieborg

    2006-01-01

    Full Text Available This paper analyses the official U.S. Army PC-game, America's Army, against the backdrop of the ongoing war on terror and the military-entertainment complex. It considers the dual role of the game as a recruiting tool and a propaganda instrument. The expansion of the military-entertainment complex has significant consequences for the militarisation of the domestic sphere and youth popular culture. Whereas commercial game developers and publishers are eager to tap into First Person Shooter mod communities in order to institutionalise both cultural and economic value-exchanges, it is impossible to modify the official U.S. Army Game in any way. Yet, a closer look at America' s Army and its community shows the appropriation of various other elements of contemporary game culture: for instance, clan culture, LAN-parties and various forms of fan production. The analysis of America's Army and its community demonstrates that the appropriation of game culture has serious political-ideological implications

  7. Effects of tootling on classwide disruptive and appropriate behavior of upper-elementary students.

    Science.gov (United States)

    Lambert, Abigail M; Tingstrom, Daniel H; Sterling, Heather E; Dufrene, Brad A; Lynne, Shauna

    2015-05-01

    The current study assessed the effects of a positive peer reporting procedure known as Tootling on classwide disruptive as well as appropriate behavior with fourth- and fifth-grade students and their teachers in two regular education classrooms. Tootling is a technique that teaches students to recognize and report peers' prosocial behavior rather than inappropriate behavior (i.e., as in tattling), and is also a variation on the expression, "tooting your own horn." Tootling combined with an interdependent group contingency and publicly posted feedback were assessed using an ABAB withdrawal design with a multiple baseline element across classrooms. Results demonstrated decreases in classwide disruptive behavior as well as increases in appropriate behavior compared with baseline and withdrawal phases across both classrooms, with results maintained at follow-up. Tootling was also rated highly acceptable by both teachers. Effect size calculations reflected moderate to strong effects across all comparisons. Limitations of the present study, directions for future research, and implications for practice are discussed.

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

    Directory of Open Access Journals (Sweden)

    Vladislav Brkić

    2013-12-01

    Full Text Available During exploration and production of oil and natural gas, various types of waste must be disposed in a permanent and safe way. There is a range of methods for processing and disposal of waste, such as disposal into landfills, solidification, namely chemical stabilization, thermal processing, appropriate formation injections uncovered by a deep well, disposal into salt domes and bioremediation. The method of waste disposal into appropriate formations is a method where strict geological and technical criteria must be satisfied when applied. A fundamental scientific hypothesis has been formulated whereby economic acceptability of the waste injection method, as a main method for waste disposal, is to be shown by an economic evaluation. The results of this research are relevant since there has been an intention in Croatia and worldwide to abandon wells permanently due to oil and gas reservoirs depletion and therefore it is essential to estimate economic impacts of the waste injection method application. In that way, profitability of using existing wells for waste disposal in oil industry has been increased, leading to the improvement of petroleum company’s business activities (the paper is published in Croatian.

  9. Appropriate conditions or maximizing catalytic reduction efficiency of nitrate into nitrogen gas in groundwater.

    Science.gov (United States)

    Chen, Ying-Xue; Zhang, Yan; Chen, Guang-Hao

    2003-05-01

    This study focused on the appropriate catalyst preparation and operating conditions for maximizing catalytic reduction efficiency of nitrate into nitrogen gas from groundwater. Batch experiments were conducted with prepared Pd and/or Cu catalysts with hydrogen gas supplied under specific operating conditions. It has been found that Pd-Cu combined catalysts prepared at a mass ratio of 4:1 can maximize the nitrate reduction into nitrogen gas. With an increase in the quantity of the catalysts, both nitrite intermediates and ammonia can be kept at a low level. It has also been found that the catalytic activity is mainly affected by the mass ratio of hydrogen gas to nitrate nitrogen, and hydrogen gas gauge pressure. Appropriate operating values of H(2)/NO(3)-N ratio, hydrogen gas gauge pressure, pH, and initial nitrate concentration have been determined to be 44.6g H(2)/g N, 0.15 atm, 5.2 (-), 100 mg x L(-1) for maximizing the catalytic reduction of nitrate from groundwater.

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

    Science.gov (United States)

    Socarrás, Moises Rodríguez; Blanco, Leonardo Tortolero

    2016-01-01

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

  11. The ANA-reflex test as a model for improving clinical appropriateness in autoimmune diagnostics.

    Science.gov (United States)

    Tonutti, Elio; Bizzaro, Nicola; Morozzi, Gabriella; Radice, Antonella; Cinquanta, Luigi; Villalta, Danilo; Tozzoli, Renato; Tampoia, Marilina; Porcelli, Brunetta; Fabris, Martina; Brusca, Ignazio; Alessio, Maria Grazia; Barberio, Giuseppina; Sorrentino, Maria Concetta; Antico, Antonio; Bassetti, Danila; Fontana, Desré Ethel; Imbastaro, Tiziana; Visentini, Daniela; Pesce, Giampaola; Bagnasco, Marcello

    2016-12-01

    Reflex tests are widely used in clinical laboratories, for example, to diagnose thyroid disorders or in the follow-up of prostate cancer. Reflex tests for antinuclear antibodies (ANA) have recently gained attention as a way to improve appropriateness in the immunological diagnosis of autoimmune rheumatic diseases and avoid waste of resources. However, the ANA-reflex test is not as simple as other consolidated reflex tests (the TSH-reflex tests or the PSA-reflex tests) because of the intrinsic complexity of the ANA test performed by the indirect immunofluorescence method on cellular substrates. The wide heterogeneity of the ANA patterns, which need correct interpretation, and the subsequent choice of the most appropriate confirmatory test (ANA subserology), which depend on the pattern feature and on clinical information, hinder any informatics automation, and require the pathologist's intervention. In this review, the Study Group on Autoimmune Diseases of the Italian Society of Clinical Pathology and Laboratory Medicine provides some indications on the configuration of the ANA-reflex test, using two different approaches depending on whether clinical information is available or not. We further give some suggestions on how to report results of the ANA-reflex test.

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

    Science.gov (United States)

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

    2002-04-01

    Appetite measurements were performed in 109 Beninese children aged 18-30 months to develop a tool for appetite evaluation in young children in nutritional intervention programmes. Two test foods were identified as appropriate for these children: a maize porridge (aklui) and rice (riz-au-gras). Ad libitum intakes of the foods served after an overnight fast according to a standardized offering procedure were measured on 3 days. The children's habitual intakes were measured during 3 consecutive days not overlapping with the days when the test meals were provided. Energy intake from the test foods was comparable to breakfast energy intake which was 0.8-1.0 MJ, representing 21% of total daily energy intake. Energy intake from aklui was significantly correlated with daily intake (r=0.41, n=38, pappetite test as calculated from the triplicate measurements was 40% for aklui and 25% for riz-au-gras. This reproducibility is better than that of the habitual breakfast intake (43-45%). In conclusion, the appetite test used in our studies can be considered as an appropriate tool in appetite evaluations.

  13. Stimulant medication use in college students: comparison of appropriate users, misusers, and nonusers.

    Science.gov (United States)

    Hartung, Cynthia M; Canu, Will H; Cleveland, Carolyn S; Lefler, Elizabeth K; Mignogna, Melissa J; Fedele, David A; Correia, Christopher J; Leffingwell, Thad R; Clapp, Joshua D

    2013-09-01

    While stimulant medication is commonly prescribed to treat Attention-Deficit/Hyperactivity Disorder in children and adolescents (Merikangas, He, Rapoport, Vitiello, & Olfson, 2013; Zuvekas & Vitiello, 2012) and is considered an empirically supported intervention for those groups (Barkley, Murphy, & Fischer, 2008; Pelham & Fabiano, 2008; Safren et al., 2005) surprisingly little is known about the efficacy of stimulants in the slightly older emerging adult population. A focus has emerged, however, on illicit stimulant use among undergraduates, with studies suggesting such behavior is not uncommon (e.g., Arria et al., 2013). Unfortunately, details are lacking regarding outcomes and personal characteristics associated with different patterns of stimulant misuse. The current study compares the characteristics of four groups of college students, including those with stimulant prescriptions who use them appropriately (i.e., appropriate users), those who misuse their prescription stimulants (i.e., medical misusers), those who obtain and use stimulants without a prescription (i.e., nonmedical misusers), and those who do not use stimulant medications at all (i.e., nonusers). Undergraduates (N = 1,153) from the Southeastern, Midwest, and Rocky Mountain regions completed online measures evaluating patterns of use, associated motives, side effects, ADHD symptomatology, and other substance use. Both types of misusers (i.e., students who abused their prescriptions and those who obtained stimulants illegally) reported concerning patterns of other and combined substance use, as well as higher prevalence of debilitating side effects such as insomnia and restlessness. Research and practical implications are discussed.

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

    Directory of Open Access Journals (Sweden)

    Joy Nkeiruka Onyeka

    2013-08-01

    Full Text Available Developing economies are very often faced with challenging problems of under development. It becomes necessary therefore, that individuals within these economies are properly guided to face the challenges. Guidance and counselling assist people experience appropriate career choice and development. To achieve this, there must be reliable data. This paper examines the role of evaluation in appropriate career development. WAEC and NECO multiple choice test items in Mathematics were surveyed. The study spanned five years (ie 2000-2004. Nine experts in measurement and Evaluation with Mathematics bias were used to appraise the items randomly selected by the researcher to ascertain the proportion of items that belong to the different cognitive levels. Percentages were used to answer the two research questions and t-test statistics was used to test the two hypotheses of the study. The findings disclosed that both WAEC and NECO items were more of Lower Level Cognitive Skills (LLCS than Higher Level Cognitive Skills (HLCS, thus, students and counsellors were all working with flawed information leading to the rejection of the hypotheses. Recommendations were made including the need for the Counsellor to apply a variety of techniques in order to assist their clients, whether in school or at work.

  15. Book Review: American libraries and the Internet: The social construction of Web appropriation and use

    Directory of Open Access Journals (Sweden)

    Hamid R. Jamali

    2008-06-01

    Full Text Available One can hardly find any aspect of human life that has not been affected one way or another by the Internet. Most of the Internet’s impact is because of the changes it has brought about in the areas of communication and availability of information. Facilitating information availability and information communication are among core activities of libraries. Since the advent of the Internet, libraries have tried to adopt this technology and make the best of it for their services. The Internet has been considered by librarians both as a source of concern and as a gate to fascinating opportunities. It is of much interest to see how librarians have reacted to this technology in its early days and how they have perceived it and made effort to apply it in their libraries. The book ‘American Libraries and the Internet’ by Bin Li, a research-based book, aims to answer questions such as: how do librarians define their roles in the changing environment? How do they understand and appropriate the Web in their profession and workplace? How have they perceived the World Wide Web from its early period of its implementation? And finally how the Web is appropriated and used in libraries?

  16. Analysis of volatile organic compounds in compost samples: A potential tool to determine appropriate composting time.

    Science.gov (United States)

    Zhu, Fengxiang; Pan, Zaifa; Hong, Chunlai; Wang, Weiping; Chen, Xiaoyang; Xue, Zhiyong; Yao, Yanlai

    2016-12-01

    Changes in volatile organic compound contents in compost samples during pig manure composting were studied using a headspace, solid-phase micro-extraction method (HS-SPME) followed by gas chromatography with mass spectrometric detection (GC/MS). Parameters affecting the SPME procedure were optimized as follows: the coating was carbon molecular sieve/polydimethylsiloxane (CAR/PDMS) fiber, the temperature was 60°C and the time was 30min. Under these conditions, 87 compounds were identified from 17 composting samples. Most of the volatile components could only be detected before day 22. However, benzenes, alkanes and alkenes increased and eventually stabilized after day 22. Phenol and acid substances, which are important factors for compost quality, were almost undetectable on day 39 in natural compost (NC) samples and on day 13 in maggot-treated compost (MC) samples. Our results indicate that the approach can be effectively used to determine the composting times by analysis of volatile substances in compost samples. An appropriate composting time not only ensures the quality of compost and reduces the loss of composting material but also reduces the generation of hazardous substances. The appropriate composting times for MC and NC were approximately 22days and 40days, respectively, during the summer in Zhejiang.

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

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-07-01

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

  18. Preservice Teachers' Perspectives on 'Appropriate' K-8 Climate Change and Environmental Science Topics

    Science.gov (United States)

    Ford, D. J.

    2013-12-01

    With the release of the Next Generation Science Standards (NRC, 2013), climate change and related environmental sciences will now receive greater emphasis within science curricula at all grade levels. In grades K-8, preparation in foundational content (e.g., weather and climate, natural resources, and human impacts on the environment) and the nature of scientific inquiry will set the groundwork for later learning of climate change in upper middle and high school. These rigorous standards increase pressure on elementary and middle school teachers to possess strong science content knowledge, as well as experience supporting children to develop scientific ideas through the practices of science. It also requires a set of beliefs - about children and the science that is appropriate for them - that is compatible with the goals set out in the standards. Elementary teachers in particular, who often have minimal preparation in the earth sciences (NSF, 2007), and entrenched beliefs about how particular topics ought to be taught (Holt- Reynolds, 1992; Pajares, 1992), including climate change (Bryce & Day, 2013; Lambert & Bleicher, 2013), may face unique challenges in adjusting to the new standards. If teachers hold beliefs about climate change as controversial, for example, they may not consider it an appropriate topic for children, despite its inclusion in the standards. On the other hand, those who see a role for children in efforts to mitigate human impacts on the environment may be more enthusiastic about the new standards. We report on a survey of preservice K-8 teachers' beliefs about the earth and environmental science topics that they consider to be appropriate and inappropriate for children in grades K-3, 4-5, and 6-8. Participants were surveyed on a variety of standards-based topics using terminology that signals publicly and scientifically neutral (e.g. weather, ecosystems) to overtly controversial (evolution, global warming) science. Results from pilot data

  19. What is an appropriate level of protection? An example considering selenium exposures by aquatic birds.

    Science.gov (United States)

    DeForest, David K; Adams, William J; Chapman, Peter M

    2008-10-01

    Evaluating population-level risks to ecological receptors or developing toxicity thresholds intended to be protective of a population requires a population model to truly understand possible chemical-related impacts to the population of interest. For various reasons (e.g., lack of training in the application of population models to ecotoxicological questions), we often use laboratory-based (more common) or field-based (less common) toxicity data to develop a toxicity threshold that is assumed to be protective of population-level effects. Under this latter approach, an appropriate level of protection against exposure should focus on protecting the viability and productivity of populations of organisms, that is, maintaining approximately the same density of individuals over time. The EC values can be used to set technically defensible levels of protection, with the appropriate effect level being determined on the basis of data- and site-specific considerations and dose-response relationships that are amenable for use as inputs in population models. Even without the use of predictive population models, the ECO10 or EC20 are commonly used values in risk assessment or criteria development with the assumption of adequate protection of populations. In the Se example presented here, there is strong evidence that egg hatchability is the critical toxicity endpoint for birds based on dietary organic Se exposures and that mallards are a sensitive bird species. These factors support that the dietary Se EC10 derived by Ohlendorf (2003) is sufficiently low to not have any measurable effects on aquatic birds in the field. Further, effect levels below the EC10 are likely to be statistically indistinguishable from the controls in most situations (as it was for Se in this example), and, for Se and other naturally occurring elements, it is not unusual for lower EC values to approach or fall below background levels at a site. A determination as to whether higher EC values would also

  20. Rethinking what is "developmentally appropriate" from a learning progression perspective: The power and the challenge

    Directory of Open Access Journals (Sweden)

    KATHLEEN METZ

    2009-01-01

    Full Text Available Learning progressions have recently become increasingly visible in studies of learning and instruction in science. In this essay, I explore the power and considerable challenges in rethinking what may be developmentally appropriate for young children's learning science from the perspective of learning progressions. In particular, I examine the issues of: a the design of promising learning progressions within the vast design space of potential progressions; b identification of cognitive resources relevant to a progression; c analysis of effort / payoff for particular competencies at different points in the progression; d attribution of cognitive limitations and achievements; e coordination and collaboration needed to support the design, utilization, and refinement of the learning progression; and f absence of straightforward correspondence between a learning progression and trajectories of different children's knowledge-development.

  1. Medical appropriateness of adult calls to Danish out-of-hours primary care

    DEFF Research Database (Denmark)

    Nørøxe, Karen Busk; Huibers, Linda; Moth, Grete

    2017-01-01

    BACKGROUND: Optimal utilisation of the out-of-hours primary care (OOH-PC) services remains a concern in public health policy. We need more knowledge on potentially avoidable contacts. This study examines the frequency of medically assessed inappropriate OOH-PC calls from adults, explores factors...... triage delivered by a general practitioner (GP), we included only telephone contacts. A contact was characterised as medically inappropriate when the triage GP assessed that the request from a medical perspective should have been directed to daytime primary care. Appropriateness was examined in relation...... associated with such assessment, and examines the relation to patient-assessed severity of health problem and fulfilment of expectations. METHODS: We performed secondary analyses of data from a large cross-sectional survey on contacts to Danish OOH-PC. As access to Danish OOH-PC is provided through telephone...

  2. Identifying an appropriate Content Management System to develop Clinical Practice Guidelines: A perspective.

    Science.gov (United States)

    Reddy, Sandeep; Herring, Sally; Gray, Allison

    2015-12-03

    Clinical Practice Guidelines are widely used to inform and improve the quality and consistency of clinical practice. Developing and publishing Clinical Practice Guidelines is a complex task involving multiple components. Electronic Content Management Systems are increasingly employed to make this task more manageable. The Content Management System market offers a variety of options for publishing content on the Internet. However, there are limited products that comprehensively address the requirements of publishing Clinical Practice Guidelines. The authors are involved in publishing guidelines for remote clinical practitioners in Australia and present their perspective about identifying an appropriate Content Management System. Several elements essential to addressing their unique editing needs are defined in this article. Unfortunately, customisation is very expensive and laborious: few Content Management System providers can comprehensively meet the needs of Clinical Practice Guidelines publishing. Being pragmatic about the level of functionality a product can offer to support publication is essential.

  3. Providing a more appropriate education for severely handicapped persons: increasing and validating functional classroom tasks.

    Science.gov (United States)

    Reid, D H; Parsons, M B; McCarn, J E; Green, C W; Phillips, J F; Schepis, M M

    1985-01-01

    We evaluated a teacher training and supervision program for increasing the involvement of severely handicapped adolescents and adults in functional educational tasks. The program, consisting of a brief in-service followed by supervisory prompts and feedback, was accompanied by large increases in functional tasks in three classrooms. In addition, generalized increases occurred during nontargeted times in the classroom and the changes during both the targeted and nontargeted times were maintained over a 44-45 week period. In two subsequent experiments, surveys provided social validation for the criteria for functional versus nonfunctional tasks in that: (a) relevant individuals reliably categorized functional tasks as representing typical living, work, social, and leisure situations and (b) experienced clinicians consistently rated tasks previously categorized as functional as being more useful for severely handicapped persons than tasks categorized as nonfunctional. Results are discussed in terms of the relationship of functional classroom tasks in the overall provision of appropriate educational services for severely handicapped students.

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

    Directory of Open Access Journals (Sweden)

    Kate Sofronoff

    2011-01-01

    Full Text Available The study was conducted to examine relationships between affectionate behavior in children with Asperger syndrome and variables likely to influence its expression (e.g., tactile sensitivity, social ability. It also evaluated the impact of a cognitive behavioral intervention that aimed to improve a child's understanding and expression of affection. Twenty-one children, aged 7 to 12 years, participated in the trial. The results showed significant correlations between measures of affection and tactile sensitivity and social ability. After attending the 5-week program, parents identified significant increases in the appropriateness of children's affectionate behavior both towards immediate family and people outside the immediate family, despite reporting no significant changes in their child's general difficulties with affectionate behavior. There was a significant improvement in children's understanding of the purpose of affection. The findings are discussed as well as the limitations of the study.

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

    Directory of Open Access Journals (Sweden)

    Lee Seungmin

    2016-01-01

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

  6. Can pay-for-performance to primary care providers stimulate appropriate use of antibiotics?

    DEFF Research Database (Denmark)

    Dietrichson, Jens; Maria Ellegård, Lina; Anell, Anders

    contribute more to the development of resistance, to less resistance-driving types. In the context of Swedish primary care, we study the introduction of P4P indicators encouraging substitution of narrow-spectrum antibiotics for broad-spectrum antibiotics in the treatment of children with respiratory tract......Resistance to antibiotics is a major threat to the eectiveness of modern health care. This study examines if pay-for-performance (P4P) to care providers stimulates the appropriate use of antibiotics; in particular, if P4P can induce a substitution away from broad-spectrum antibiotics, which...... infections (RTI). During 2006-2013, 8 out of 21 county councils introduced such P4P indicators in their reimbursement schemes for primary care providers. We employ municipality-level register data covering all purchases of RTI related antibiotics and exploit the staggered introduction of pay...

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

    Directory of Open Access Journals (Sweden)

    Steve G. Robison

    2010-01-01

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

  8. Determining an Appropriate Weight attribute in Fraud Call Rate Data Using Case Based Reasoning

    Directory of Open Access Journals (Sweden)

    Musa Bala Shuaibu

    2014-03-01

    Full Text Available Fraud cases are significantly causing huge revenue losses in telecommunication companies around the world. Although previous cases are very important data in dealing with fraud patterns, there are variations in the dataset of different fraud case scenarios which in turns need specific detection system without necessarily involving the domain expert directly. This paper investigates the appropriate weight values for attributes using fraud Call Rate Data that is based on Artificial Intelligence technique (Case Based Reasoning with a meaningful confidence in telecommunication data. The experimental result on the fraud data reports that the weight for all attribute used in this study needs to be set at 0.9 in order to get the best performance of 98.33%.

  9. Dorsal Plating of Distal Radius Fractures Historical Context and Appropriate Use.

    Science.gov (United States)

    Ayalon, Omri; Paksima, Nader

    2017-01-01

    The management of distal radius fractures has evolved over time from a largely nonoperative paradigm to a more commonly performed operative procedures today. Surgical trends have similarly developed, with dorsal plating falling out of favor due to complications involving extensor tendon pathology as well as due to the ubiquity of the volar plate along with the advent of locking plate technology. However, with the improvement in design of newer generation dorsal plates, this technique should be used in the appropriate clinical situation, including dorsal comminution and angulation with concomitant carpal pathology. Outcome data supports dorsal plating and has been shown to be comparable to that of volar plating, with some unique advantages. As such, the technique of dorsal plating should have a role in surgical management of these injuries.

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

    Directory of Open Access Journals (Sweden)

    BELMIRA OLIVEIRA-BUENO

    2008-12-01

    Full Text Available The article explores the relationships between distance education, information and communication technologies and teacher education. Its focus is on the interactive media and its uses in an in-service teacher education program, in Brazil, and on the ways the teachers used the technologies doing their own appropriateness. It departs from the presuppositions of the society of knowledge, that is, the close relationships between new technologies, continuing professional development and social inclusion, arguing that thisparadigm is an ideological discourse. The article shows how the teachers have used the technologies in creative ways, calling the attention to the importance of this teachers’ abilities as a basic skill to facing the challenges of the society of knowledge itself.

  11. Increasing the understanding and demonstration of appropriate affection in children with asperger syndrome: a pilot trial.

    Science.gov (United States)

    Sofronoff, Kate; Eloff, Johann; Sheffield, Jeanie; Attwood, Tony

    2011-01-01

    The study was conducted to examine relationships between affectionate behavior in children with Asperger syndrome and variables likely to influence its expression (e.g., tactile sensitivity, social ability). It also evaluated the impact of a cognitive behavioral intervention that aimed to improve a child's understanding and expression of affection. Twenty-one children, aged 7 to 12 years, participated in the trial. The results showed significant correlations between measures of affection and tactile sensitivity and social ability. After attending the 5-week program, parents identified significant increases in the appropriateness of children's affectionate behavior both towards immediate family and people outside the immediate family, despite reporting no significant changes in their child's general difficulties with affectionate behavior. There was a significant improvement in children's understanding of the purpose of affection. The findings are discussed as well as the limitations of the study.

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

    Science.gov (United States)

    Vingerhoets, F; de Tribolet, N

    1988-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Wongsathit Wisupee

    2011-01-01

    Full Text Available Problem statement: Youth’s ethics tended to be a continuous increased problem and they were in their age without judgment. Youths were very important for national development in future, if their problems were not urgently solved it would overall effect to way of live in their families, communities, socials and Thailand. Approach: This research aimed to study backgrounds, current conditions, problems on management and the appropriate management model of Ethics Camp for the Northeastern Region Youth, Ecclesiastical Region 9. The study was a qualitative research conducted in 4 provinces 1 place of the Northeastern Region Youth, Ecclesiastical Region 9 and Thailand. Observation form, survey form, interview form, focus group discussion and study shop were used as research tools. Triangulation was used to test all data and data was analyzed by descriptive research. Results: The result founded that the background in overall of 4 places were began by making study trips of directors or lecturing monks at famous camp and they, later, brought those models back to establish ethics camps in their own provinces. For current conditions and problems, it was found that; in aspect of personnel-there was lacking of competent personnel, in aspect of budget-there was lacking of budget for expenses, in aspect of material-some place had old and damaged equipments, in aspect of management-there was not enough budget for long-term training and also lacking of lecturing monks, in aspect of marketing-there was lacking of public relation and distinct documents of courses and in aspect of technological innovation-lecturing monks had no knowledge to produce modern technological media. For appropriate management model, it was found that; in aspect of personnel-camp directors should have wide and long vision, intelligence, perseverance, honesty and human relation while lecturing monks must be professional; in aspect of budget-charges for any expenses should be depended on

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

    CERN Document Server

    AUTHOR|(SzGeCERN)648927

    2015-01-01

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

  15. What's in a Name? The Impact of Accurate Staphylococcus pseudintermedius Identification on Appropriate Antimicrobial Susceptibility Testing.

    Science.gov (United States)

    Limbago, Brandi M

    2016-03-01

    Bacteria in the Staphylococcus intermedius group, including Staphylococcus pseudintermedius, often encode mecA-mediated methicillin resistance. Reliable detection of this phenotype for proper treatment and infection control decisions requires that these coagulase-positive staphylococci are accurately identified and specifically that they are not misidentified as S. aureus. As correct species level bacterial identification becomes more commonplace in clinical laboratories, one can expect to see changes in guidance for antimicrobial susceptibility testing and interpretation. The study by Wu et al. in this issue (M. T. Wu, C.-A. D. Burnham, L. F. Westblade, J. Dien Bard, S. D. Lawhon, M. A. Wallace, T. Stanley, E. Burd, J. Hindler, R. M. Humphries, J Clin Microbiol 54:535-542, 2016, http://dx.doi.org/10.1128/JCM.02864-15) highlights the impact of robust identification of S. intermedius group organisms on the selection of appropriate antimicrobial susceptibility testing methods and interpretation.

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

    Directory of Open Access Journals (Sweden)

    Joshtrom Isaac Kureethadam

    2015-12-01

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

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

    Directory of Open Access Journals (Sweden)

    Kathy Buckner

    1999-12-01

    Full Text Available The study of learning in collaborative electronic environments is becoming established as Computer Supported Collaborative Learning (CSCL - an emergent sub-discipline of the more established Computer Supported Co-operative Work (CSCW discipline (Webb, 1995. Using computers for the development of shared understanding through collaboration has been explored by Crook who suggests that success may depend partly on having a clearly specified purpose or goal (Crook, 1994. It is our view that the appropriateness of the task given to the student is central to the success or otherwise of the learning experience. However, the tasks that are given to facilitate collaborative learning in face-toface situations are not always suitable for direct transfer to the electronic medium. It may be necessary to consider redesigning these tasks in relation to the medium in which they are to be undertaken and the functionality of the electronic conferencing software used.

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

    Directory of Open Access Journals (Sweden)

    Dejanov Petar

    2015-12-01

    Full Text Available The appropriate biomarkers for oxidative stress (OS in patients with end stage renal disease (ESRD are important in renal pathology. Patients (56 with ESRD were investigated (35 men and 21 women. Patients, with mean age of 45±17 years, defined education, specific HD duration and calculated body mass index (BMI, were exposed to a polysulphone type HD membrane for approximately 4 hours per HD session, 3 times per week. The control group was composed of 31 healthy volunteers. The total antioxidative capacity (TAC and the antioxidative (AO enzymes superoxide dismutase (SOD and glutathione peroxidase (GPx, were assessed. Analyses included Randox Crumlin GB; lipid peroxidation (LP using its end product, malonyldialdehyde (MDA (fluorimetric; and a LDL-ox immunoassay (Biomedica gruppe, Vienna, Austria. The TAS was higher in ESRD patients before HD (1.63±0.1 mmol/L compared to the control group (1.23±0.03 mmol/L.

  19. [Bioethics of Sigmund Freud´s death: euthanasia or appropriation?].

    Science.gov (United States)

    Figueroa, Gustavo

    2011-04-01

    The death of Freud raises the ethical dilemma about euthanasia. It can be characterized as indirect active euthanasia according to the rule of double effect, or terminal sedation, or palliated death. The primacy of the principle of autonomy over non maleficence, conditioned the physician's attitude toward his patient Freud. The physician assisted death was and remains punishable in western medicine. Therefore, a fundamental tradition was infringed. In contrast, the present study attempts to characterize the final position of Freud himself to his death and called it appropriation of his finitude; he assumes his being-unto-death, that is, he now projects his being not as a being-at-his-end but as a being-unto-end, indicating thereby that he understood that the end always penetrated his whole existence.

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

    Directory of Open Access Journals (Sweden)

    Jeremy H. Greenberg

    2016-09-01

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

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

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    Ai-Hwa Chen

    2015-11-01

    Full Text Available Many English as a Foreign Language (EFL college students usually do not have sufficient language skills to generate satisfactory performance on their essay compositions. It is also hard for teachers to assess their progress on writing performance. This study attempted to investigate appropriate assessment criteria employed in a mixed ability EFL writing classroom. The participants were English major students from a private technological university, Taiwan. Based on students’ performance at each learning stage and negotiated evaluation tasks agreed by students and the teacher, the assessment items would be revised to correspond to students’ language skill levels. In addition, the students were asked to provide their opinions after conducting writing activities. The findings indicated that many students had their writing skills improved when they followed the guidelines and the use of reasonable assessment criteria. This implies a need for the teacher and student writers to collaboratively develop structured writing activities relating to assessing writing work.

  2. Vitamin D deficiency: appropriate replenishment therapies and the effects of vitamin D toxicity.

    Science.gov (United States)

    Carlton, Sean; Clopton, David; Cappuzzo, Kimberly A

    2010-03-01

    An 84-year-old patient diagnosed with a vitamin D deficiency was given a prescription for ergocalciferol (vitamin D2) 50,000 units weekly. The prescription was incorrectly filled for ergocalciferol 50,000 units daily. Incorrect therapy continued for two months. The patient's vitamin D level increased from Replenishment using high-dose ergocalciferol is one common replenishment therapy. Patients also are able to supplement with nonprescription vitamin D products of varying strengths. While many older patients can be expected to have vitamin D deficiencies, pharmacists should be aware of appropriate replenishment therapies and correct dosing of different vitamin D products. Pharmacists also should be familiar with possible toxic effects of vitamin D, particularly as public awareness of benefits continues to increase.

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

    Science.gov (United States)

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

    2007-02-01

    Lung cancer is a major cause of cancer death worldwide and is becoming an increasing problem in developing countries. It is important that, in countries where health care resources are limited, these resources are used most effectively and cost-effectively. The authors, with the support of the International Atomic Energy Agency, drew on existing evidence-based clinical guidelines, published systematic reviews and meta-analyses, as well as recent research publications, to summarise the current evidence and to make broad recommendations on the non-surgical treatment of patients with lung cancer. Tables were constructed which summarise the different treatment options for specific groups of patients, the increase in resource use for and the likely additional clinical benefit from each option. These tables can be used to assess the cost-effectiveness and appropriateness of different interventions in a particular health care system and to develop local clinical guidelines.

  4. Estimation of TOA based MUSIC algorithm and cross correlation algorithm of appropriate interval

    Science.gov (United States)

    Lin, Wei; Liu, Jun; Zhou, Yineng; Huang, Jiyan

    2017-03-01

    Localization of mobile station (MS) has now gained considerable attention due to its wide applications in military, environmental, health and commercial systems. Phrase angle and encode data of MSK system model are two critical parameters in time-of-arrival (TOA) localization technique; nevertheless, precise value of phrase angle and encode data are not easy to achieved in general. In order to meet the actual situation, we should consider the condition that phase angle and encode data is unknown. In this paper, a novel TOA localization method, which combine MUSIC algorithm and cross correlation algorithm in an appropriate interval, is proposed. Simulations show that the proposed method has better performance than music algorithm and cross correlation algorithm of the whole interval.

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

    Science.gov (United States)

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

    2015-07-01

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

  6. Appropriation and educational uses of cell phones by students and university teachers

    Directory of Open Access Journals (Sweden)

    Javier Organista Sandoval

    2013-12-01

    Full Text Available Abstract This article presents a study on appropriation and educational uses of cell phones. For the research, a random sample of 954 students and 246 teachers was selected, representing respectively 12% and 24% of the total population in two facilities of UABC in Ensenada, Mexico. Our survey showed that 97% of teachers or students have some kind of cell phone or smartphone. However, we observed that one of every four interactions with the mobile device had a concrete educational purpose. We also found that in general the educational use of the cell phone is mainly aimed to establish communication between the students and to access information via Internet. However, in spite of its limitations, our results show that the cell phone is a technological tool with great pedagogical potential. We suggest that institutional policies are necessary in order to tap that the cell phone potential to adequately support the teaching-learning process.

  7. Research integrity and rights of indigenous peoples: appropriating Foucault's critique of knowledge/power.

    Science.gov (United States)

    Swazo, Norman K

    2005-09-01

    In this paper I appropriate the philosophical critique of Michel Foucault as it applies to the engagement of Western science and indigenous peoples in the context of biomedical research. The science of population genetics, specifically as pursued in the Human Genome Diversity Project, is the obvious example to illustrate (a) the contraposition of modern science and 'indigenous science', (b) the tendency to depreciate and marginalize indigenous knowledge systems, and (c) the subsumption of indigenous moral preferences in the juridical armature of international human rights law. I suggest that international bioethicists may learn from Foucault's critique, specifically of the need for vigilance about the knowledge/power relation expressed by the contraposition of modern science and 'indigeneity'.

  8. 42 CFR 457.495 - State assurance of access to care and procedures to assure quality and appropriateness of care.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false State assurance of access to care and procedures to assure quality and appropriateness of care. 457.495 Section 457.495 Public Health CENTERS FOR MEDICARE... State assurance of access to care and procedures to assure quality and appropriateness of care. A...

  9. 75 FR 55393 - Determination Under Section 1010(a) of the Supplemental Appropriations Act, 2010 (Pub. L. 111-212)

    Science.gov (United States)

    2010-09-10

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

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

    Science.gov (United States)

    Jones, Willis A.

    2015-01-01

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

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

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    Thomas Falk

    2016-02-01

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

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

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    Brian R. Sinclair,

    2012-12-01

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

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

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    Iraj Soltani

    2013-05-01

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

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

    Science.gov (United States)

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

    2016-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Marco Candela

    2013-09-01

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

  16. Industry and the profession of medicine: balancing appropriate relationships with the need for innovation.

    Science.gov (United States)

    Lewin, Jack; Arend, Thomas E

    2011-09-01

    Much has been made over the last few years about conflicts of interest in the health care community's relationships with industry members, including individual physicians, academic medical centers, and professional organizations. Not only has the Department of Justice (DOJ) been investigating questionable relationships, but House and Senate Oversight Committees have also weighed in on real and perceived conflicts. Most recently, the Physician Payments Sunshine Act of 2010 requires companies to begin recording any physician payments, including stock options, research grants, knickknacks, consulting fees, and travel to medical conferences that are worth more than ten dollars in 2012 and report them on March 31, 2013. To date, the American College of Cardiology (ACC) has developed and instituted one of the most stringent policies in the medical community to ensure that support from industry has no influence on any of its clinical documents. Furthermore, the need for the ACC's "Principles for Relationships with Industry," the organization's guide in nine key operational areas, are critical given that, when it comes to industry, properly managed partnerships are absolutely essential to maintaining scientific progress in cardiology and other specialties. The ACC relies on industry funding to advance cardiovascular research, as well as cardiovascular workforce training, practitioner diversity, medical education, and life-long learning. Without this funding, the ACC's ability to provide meaningful, unbiased education and to improve quality of care would be far more limited than that which is currently offered to its members and, ultimately, patients. Rather than restricting industry funding for such activities, the focus should instead be on transparency and actively and appropriately managing industry relationships. Ethical and appropriate partnerships with industry can prove beneficial in funding of education, research, and quality improvement activities. In addition

  17. Pharmacist Remote Review of Medication Prescriptions for Appropriateness in Pediatric Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Moran Lazaryan

    2016-08-01

    Full Text Available Background: One aspect of ordering and prescribing medication is the requirement for a trained professional to review medication orders or prescriptions for appropriateness. In practice, this review process is usually performed by a clinical pharmacist. However, in many medical centers there is a shortage of staff and a pharmacist is not always available.Objective: To determine whether remote review of medication orders by a pharmacist is a plausible method in a pediatric intensive care unit (PICU. Methods: A pharmacist from the pharmacy department reviewed medication orders of patients admitted to our PICU over a 7-month period for appropriateness. A special form for medical orders was filled in and sent to the physician in the PICU, who replied informing whether the recommendation had been accepted. The time spent by the pharmacist for this activity was recorded.Results: The review time for one medical record was 8.9 (95% CI, 6.9-10.9 minutes. Every additional drug prescribed increased the total review time by 0.8 (95% CI, 0.45-1.11 minutes. The pharmacist filled in 186 forms on 117 admissions for 109 children. The median review time was 15 (12.8-18.8 and 12 (9-15 minutes, respectively, for patients with psychiatric-neurologic disorders compared to those without (p=0.032. Usually, a daily workload of 240 minutes was needed for the pharmacist accompanying the round in contrast to 108 minutes per day needed to review all the medical records in 95% of the cases. The physician accepted 51.2%, rejected 11.9% and made no comment on 36.9% of the recommendations. Conclusion: Hospitals facing budget shortages can carry out focused remote reviews of prescriptions by the pharmacist.

  18. Scrutiny of Appropriate Model Error Specification in Multivariate Assimilation Framework using mHM

    Science.gov (United States)

    Rakovec, O.; Noh, S. J.; Kumar, R.; Samaniego, L. E.

    2015-12-01

    Reliable and accurate predictions of regional scale water fluxes and states is of great challenge to the scientific community. Several sectors of society (municipalities, agriculture, energy, etc.) may benefit from successful solutions to appropriately quantify uncertainties in hydro-meteorological prediction systems, with particular attention to extreme weather conditions.Increased availability and quality of near real-time data enables better understanding of predictive skill of forecasting frameworks. To address this issue, automatic model-observation integrations are required for appropriate model initializations. In this study, the effects of noise specification on the quality of hydrological forecasts is scrutinized via a data assimilation system. This framework has been developed by incorporating the mesoscale hydrologic model (mHM, {http://www.ufz.de/mhm) with particle filtering (PF) approach used for model state updating. In comparison with previous works, lag PF is considered to better account for the response times of internal hydrologic processes.The objective of this study is to assess the benefits of model state updating for prediction of water fluxes and states up to 3-month ahead forecast using particle filtering. The efficiency of this system is demonstrated in 10 large European basins. We evaluate the model skill for five assimilation scenarios using observed (1) discharge (Q); (2) MODIS evapotranspiration (ET); (3) GRACE terrestrial total water storage (TWS) anomaly; (4) ESA-CCI soil moisture; and (5) the combination of Q, ET, TWS, and SM in a hindcast experiment (2004-2010). The effects of error perturbations for both, the analysis and the forecasts are presented, and optimal trade-offs are discussed. While large perturbations are preferred for the analysis time step, steep deterioration is observed for longer lead times, for which more conservative error measures should be considered. From all the datasets, complementary GRACE TWS data together

  19. Clinical utility and prognostic value of appropriateness criteria in stress echocardiography for the evaluation of valvular heart disease.

    Science.gov (United States)

    Bhattacharyya, Sanjeev; Kamperidis, Vasilis; Shah, Benoy Nalin; Roussin, Isabelle; Chahal, Navtej; Li, Wei; Khattar, Rajdeep; Senior, Roxy

    2013-09-01

    We examined the prognostic value of stress echocardiography appropriateness criteria for evaluation of valvular heart disease in 100 consecutive patients. Of the studies, 49%, 36%, and 15% were classified as appropriate, uncertain, and inappropriate, respectively. Over a median of 12.6 months, 24 events (12 deaths and 12 heart failure admissions) occurred. The 12-month event-free survival was significantly reduced in patients with appropriate or uncertain studies compared with patients with inappropriate studies (p = 0.04 and p = 0.005, respectively). There was no survival difference between patients with an appropriate or uncertain indication (p = 0.1). The only independent predictors of events were a positive stress echocardiogram (hazard ratio: 15.5, p valvular heart disease provide the ability to differentiate between patients at high- (appropriate group) and low- (inappropriate group) risk of cardiac events. Reclassification of the uncertain group may improve the differential value of these criteria.

  20. Appropriation d’un nouveau protocole antipaludéen au Sénégal

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    Sidy Ba

    2011-04-01

    Full Text Available Cet article documente le processus de mise en œuvre du Traitement préventif intermittent TPI, une stratégie de prévention du paludisme dont l’administration est couplée au Programme élargi de vaccination (PEV dans les services de santé, les réactions des prestataires, des populations et leurs facteurs explicatifs. Les résultats montrent que l’absence de connaissances adéquates à propos du TPI n’a pas empêché son appropriation par les communautés, dans la mesure où les perceptions lui accordent une valeur pratique et l’intègrent dans les besoins ressentis. C’est pourquoi les enfants ont reçu, dans la grande majorité, les médicaments administrés. Certains comportements en décalage s’expliquent plus par des contraintes, des insuffisances du système de santé et de vaccination que par un refus. Chez les prestataires de soins, l’information a été plus disponible du côté les infirmiers étatiques. Cependant, les processus de détournement et les attitudes d’indifférence étaient plus visibles chez ces derniers. En définitive, l’utilité trouvée à la mesure, les contraintes des environnements professionnels et sociaux dans lesquels évoluent les prestataires, ont déterminé les types de comportements ou usages de cette dernière. Cela montre que l’innovation thérapeutique, au-delà de ses dimensions biomédicales et technologiques, est, une fois soumise à application dans les services de santé, enchâssée dans des réalités professionnelles, individuelles qui influencent les conditions et les modalités de sa mise en œuvre et de son appropriation par les prestataires et les bénéficiaires.Appropriation of a new antimalarial protocol in Senegal: Intermittent Preventive Treatment (IPT coupled to Expanded Programme of Immunization (EPIThis article documents the process of implementation of Intermittent Preventive Treatment, a strategy for preventing malaria whose administration is coupled to

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

    Science.gov (United States)

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

    2016-03-01

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

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

    Science.gov (United States)

    Fernandez, M.; Ruegg, J.

    2012-04-01

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

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

    Science.gov (United States)

    Townend, Samuel; Smith, Helen; Molloy, James

    2014-05-01

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

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

    Directory of Open Access Journals (Sweden)

    Salim Sadruddin

    2015-07-01

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

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

    Directory of Open Access Journals (Sweden)

    M.R Mostofi Sarkari

    2011-03-01

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2000-06-01

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

  7. Analysis of fresh fuel critical experiments appropriate for burnup credit validation

    Energy Technology Data Exchange (ETDEWEB)

    DeHart, M.D.; Bowman, S.M.

    1995-10-01

    The ANS/ANS-8.1 standard requires that calculational methods used in determining criticality safety limits for applications outside reactors be validated by comparison with appropriate critical experiments. This report provides a detailed description of 34 fresh fuel critical experiments and their analyses using the SCALE-4.2 code system and the 27-group ENDF/B-IV cross-section library. The 34 critical experiments were selected based on geometry, material, and neutron interaction characteristics that are applicable to a transportation cask loaded with pressurized-water-reactor spent fuel. These 34 experiments are a representative subset of a much larger data base of low-enriched uranium and mixed-oxide critical experiments. A statistical approach is described and used to obtain an estimate of the bias and uncertainty in the calculational methods and to predict a confidence limit for a calculated neutron multiplication factor. The SCALE-4.2 results for a superset of approximately 100 criticals are included in uncertainty analyses, but descriptions of the individual criticals are not included.

  8. Critical issues in the choice of appropriate communication technology by Third World countries.

    Science.gov (United States)

    Sonaike, S A

    1987-01-01

    Recent experience suggests that the most appropriate form of technology for the Third World is an adapted, intermediate (less capital intensive) technology, founded around the needs of the people and utilizing readily available resources. When technology is used to relieve the symptoms of underdevelopment, a technologic misfit manifested in an overemphasis on prestige projects and the urban industrial sector results. Advanced communication technologies such as satellites are generally capital intensive, require high technical skills to install and maintain, and need sophisticated levels of management to function properly. These conditions are not easily met in the Third World, underscoring the need for intermediate technology as manifested in small and medium-sized business enterprises. Such an approach blends traditional technology, minimal capital, simple management structure, ample labor, and humane operation with the gains from sophisticated technology. Intermediate technology can serve as a good training ground for indigenous people in modern business methods and provide jobs for the unemployed. Most importantly, intermediate technology can function as an integral part of the larger society rather than as a loosely attached appendage grafted on by some foreign country. In the field of communication, such an approach would manifest itself in a willingness to operate professionally with simple portable cameras, an acceptance of the importance of rural radio broadcasting and village newspapers, a willingness on the part of trained media professionals to try out locally produced hardware, and an exploration of cheaper ways of producing textbooks.

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

    Directory of Open Access Journals (Sweden)

    Knol Dirk L

    2007-02-01

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

  10. [Selection of appropriate design in the development of interventional and observational research].

    Science.gov (United States)

    Hinotsu, Shiro

    2014-04-01

    Selecting the appropriate study design is crucial when developing clinical research. A fundamental decision is whether to collect data to address the research question using an observational study or to apply an intervention and measure outcomes in a clinical trial. There are two well-known types of observational studies: cohort studies and cross-sectional studies. In the former, a cohort of subjects is observed over time. In prospective cohort studies, observations begin in the present and follow subjects for a given time period. In retrospective cohort studies, information is collected at time intervals in the past. The third potential study design is the case-control study. In such studies, the researcher compares a group of subjects who have a disease or some other outcome with a group without that characteristic. Among clinical trial options, the randomized clinical trial is thought to be higher evidence level than other clinical trials. Developing clinical research begins with the research question, which specifies the primary endpoint, explanatory variables, and the target population. Then, the clinical question and study outline are expanded to the study protocol and case report form. In developing the study protocol, the investigators consider study design, study size, data quality, and feasibility.

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

    Energy Technology Data Exchange (ETDEWEB)

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

    1988-11-01

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

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

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    Dilli Dilek

    2008-01-01

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

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

    Institute of Scientific and Technical Information of China (English)

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

    2008-01-01

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

  14. Sports drinks and energy drinks for children and adolescents: are they appropriate?

    Science.gov (United States)

    2011-06-01

    Sports and energy drinks are being marketed to children and adolescents for a wide variety of inappropriate uses. Sports drinks and energy drinks are significantly different products, and the terms should not be used interchangeably. The primary objectives of this clinical report are to define the ingredients of sports and energy drinks, categorize the similarities and differences between the products, and discuss misuses and abuses. Secondary objectives are to encourage screening during annual physical examinations for sports and energy drink use, to understand the reasons why youth consumption is widespread, and to improve education aimed at decreasing or eliminating the inappropriate use of these beverages by children and adolescents. Rigorous review and analysis of the literature reveal that caffeine and other stimulant substances contained in energy drinks have no place in the diet of children and adolescents. Furthermore, frequent or excessive intake of caloric sports drinks can substantially increase the risk for overweight or obesity in children and adolescents. Discussion regarding the appropriate use of sports drinks in the youth athlete who participates regularly in endurance or high-intensity sports and vigorous physical activity is beyond the scope of this report.

  15. Appropriateness of physicians’ lumbosacral MRI requests in private and public centers in Tehran, Iran

    Science.gov (United States)

    Mohammadi, Navid; Farahmand, Ferial; Hadizadeh Kharazi, Homayoun; Mojdehipanah, Hossein; Karampour, Hossein; Nojomi, Marzieh

    2016-01-01

    Background: Back pain is a common patients’ complaint, and its etiology is important because of different potential treatment approaches (based on causes). For a better diagnosis, magnetic resonance imaging (MRI) is widely used in clinical settings that may result in inappropriate requests. This study aims to evaluate the appropriateness of the lumbosacral MRI requests in patients with back pain in two public/referral and private imaging centers in Tehran. Methods: In this cross-sectional study, 279 patients from both centers were recruited in 2014. A checklist was developed based on the internationally recognized clinical guidelines (NICE, and AHRQ) for determining the indications. An expert panel of related specialties finalized them. Patients’ demographic and some anthropometric measures, as well as MRI reports, were collected. Results: The mean±SD age of patients was 47.9±14.78 years with a dominance of females (M/F=38.4/61.6). About 77% (n=214) of lumbosacral MRIs were requested in accordance with the guidelines. Indicated MRI requests were significantly higher in the private imaging center (p=0.019, OR=2.087, CI 95%: 1.13-3.85). In the private center, 80.6% and in the public center, 70.4% of the MRI requests were in accordance with the guidelines. Conclusion: The proportion of non-indicated MRI requests based on the valid guidelines is about ¼ of all requests that is compatible with some other studies mostly from developed countries. PMID:28210580

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

    Directory of Open Access Journals (Sweden)

    S. Wann

    2007-05-01

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

  17. Disinfection of aircraft : Appropriate disinfectants and standard operating procedures for highly infectious diseases.

    Science.gov (United States)

    Klaus, Joachim; Gnirs, Peter; Hölterhoff, Sabine; Wirtz, Angela; Jeglitza, Matthias; Gaber, Walter; Gottschalk, Rene

    2016-12-01

    For infectious diseases caused by highly pathogenic agents (e. g., Ebola/Lassa fever virus, SARS-/MERS-CoV, pandemic influenza virus) which have the potential to spread over several continents within only a few days, international Health Protection Authorities have taken appropriate measures to limit the consequences of a possible spread. A crucial point in this context is the disinfection of an aircraft that had a passenger on board who is suspected of being infected with one of the mentioned diseases. Although, basic advice on hygiene and sanitation on board an aircraft is given by the World Health Organization, these guidelines lack details on available and effective substances as well as standardized operating procedures (SOP). The purpose of this paper is to give guidance on the choice of substances that were tested by a laboratory of Lufthansa Technik and found compatible with aircraft components, as well as to describe procedures which ensure a safe and efficient disinfection of civil aircrafts. This guidance and the additional SOPs are made public and are available as mentioned in this paper.

  18. The normal distribution as appropriate model of developmental instability in Opuntia cacti flowers.

    Science.gov (United States)

    Helsen, P; Van Dongen, S

    2009-06-01

    Developmental instability (DI) as measured by fluctuating asymmetry (FA) has been proposed to reflect fitness and stress. Furthermore, the associated developmental buffering may reduce morphological variation, conceal the expression of genetic variation and as such play an important role in evolutionary biology. However, observed associations between FA and various forms of stress and quality appear very heterogeneous. Presently it is difficult to interpret the biological relevance of this heterogeneity because little is known about the link between FA and the underlying process of DI, casting doubt whether DI can be viewed as an individual property and how closely FA reflects the underlying process of DI. Therefore, studies that explicitly test the validity of assumptions of the proposed theoretical models and estimate between-individual variations in DI are needed. We present data on Opuntia cacti floral traits confirming that the normal distribution can be viewed as an appropriate approximation of the distribution of DI and that the concept of hypothetical repeatability can provide useful insights into the interpretation of patterns in FA as a measure of DI. Furthermore, we detected significant between-individual variation in DI. Measuring petals from several flowers within individual plants allowed making inference of individual DI.

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

    Directory of Open Access Journals (Sweden)

    Suwarsih Madya

    2007-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Attila L. Bencsik

    2004-11-01

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

  1. The available lexicon: A tool for selecting appropriate vocabulary to teach a foreign language

    Directory of Open Access Journals (Sweden)

    Antonio Manuel Ávila Muñoz

    2017-01-01

    Full Text Available This study aims to provide foreign language professionals with a sound methodology for selecting a suitable lexicon apropos of their students’ level in the language. The justification of said selection is, herein, rooted in a cognitive argument: If we are able to observe the manner in which words are organized within the mind, we will be better able to select the words needed for the natural process of communication. After analyzing over lists of lexical availability compiled by previous analyses, this study puts forth a glossary filtered by way of an objective procedure based on the mathematical concept known as Fuzzy Expected Value. I begin first by rigorously defining the concept of lexical availability and then thoroughly examining and explaining the manner in which I have obtained the results. Next, I employ the cognitive theory of prototypes to expound upon the organizational apparatus which arranges words within speakers’ minds. Subsequently, and in accordance with objective criteria, a lexical selection is proposed. To end, I contemplate and muse upon the significance of a program that would enable us to identify the most appropriate vocabulary according to the students’ level of linguistic competence. In order to further substantiate this study, it will be juxtaposed with the specific notions outlined by the curriculum of The Cervantes Institute. Moreover, it will relate to the teaching levels proposed by the American Council on the Teaching of Foreign Languages (ACTFL and Common European Framework of Reference for Languages (CEFR.

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

    Science.gov (United States)

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

    2009-06-28

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2006-01-01

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

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

    Science.gov (United States)

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

    2014-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Joe Parker

    2012-12-01

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

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

    Directory of Open Access Journals (Sweden)

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

    2011-01-01

    Full Text Available This study was undertaken to investigate the pregnancy outcomes in patients with systemic lupus erythematosus (SLE and the appropriate timing of pregnancy. We performed a retrospective evaluation of 183 pregnancies with SLE at Catholic University Medical Center during the 13-year period from 1998 to 2010. Pregnancy outcomes were compared according to SLE characteristics. The predictive value of the different cut-off points of the stable period before conception on adverse pregnancy outcomes was calculated by ROC (Receiver operating characteristics curve analysis. In multivariate analysis, the presence of antiphospholipid antibodies (aPLs increased the risk of pregnancy loss (p<0.0001 and premature birth (p=0.0040. Active disease at conception increased the risk of premature birth (p< 0.0001 and complications (IUGR, PIH, or both (p= 0.0078. The other predictor of complications was found to be lupus flare (p=0.0252. At a cut-off level of stable period of 4 months before conception, sensitivity and specificity were 70.8% and 53.2%, 71.4% and 61.5%, and 63.6 % and 59.8 %, respectively on reducing pregnancy loss, premature birth, and complications. Pregnancies with aPLs, active disease at conception and SLE flares are at a higher risk of adverse outcomes. It is essential that disease activity remains stable at least 4 months before conception, for favorable pregnancy outcomes.

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2006-09-30

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2007-03-31

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

  9. Performance enhancement among adolescent players after 10 weeks of pitching training with appropriate baseball weights.

    Science.gov (United States)

    Yang, Wen-Wen; Liu, Ya-Chen; Lu, Lee-Chang; Chang, Hsiao-Yun; Chou, Paul Pei-Hsi; Liu, Chiang

    2013-12-01

    Compared with regulation-weight baseballs, lightweight baseballs generate lower torque on the shoulder and elbow joints without altering the pitching movement and timing. This study investigates the throwing accuracy, throwing velocity, arm swing velocity, and maximum shoulder external rotation (MSER) of adolescent players after 10 weeks of pitching training with appropriate lightweight baseballs. We assigned 24 adolescent players to a lightweight baseball group (group L) and a regulation-weight baseball group (group R) based on their pretraining throwing velocity. Both groups received pitching training 3 times per week for 10 weeks with 4.4- and 5-oz baseballs. The players' throwing accuracy, throwing velocity, arm swing velocity, and MSER were measured from 10 maximum efforts throws using a regulation-weight baseball before and after undergoing the pitching training. The results showed that the players in group L significantly increased their throwing velocity and arm swing velocity (p baseball, whereas group R did not (p > 0.05). Furthermore, the percentage change in the throwing velocity and arm swing velocity of group L was significantly superior to that of group R (p baseball substantially enhanced the arm swing velocity and throwing velocity of the adolescent baseball players. These findings suggest that using a lightweight baseball, which can reduce the risk of injury without altering pitching patterns, has positive training effects on players in the rapid physical growth and technique development stage.

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

    Directory of Open Access Journals (Sweden)

    Francesco Ventrella

    2014-09-01

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

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

    Directory of Open Access Journals (Sweden)

    Thaden, Matthias

    2014-08-01

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

  12. Existing FDA pathways have potential to ensure early access to, and appropriate use of, specialty drugs.

    Science.gov (United States)

    Kesselheim, Aaron S; Tan, Yongtian Tina; Darrow, Jonathan J; Avorn, Jerry

    2014-10-01

    Specialty drugs are notable among prescription drugs in that they offer the possibility of substantial clinical improvement, come with important risks of adverse events and mortality, can be complex to manufacture or administer, and are usually extremely costly. The Food and Drug Administration (FDA) plays a critical role in ensuring that patients who could benefit from specialty drugs have access to them in a timely fashion. In this article we review the different strategies that the FDA can use to approve and influence the post-approval prescribing of specialty drugs. When specialty drugs show promise in early clinical trials, the FDA can expedite the drugs' availability to patients through expanded access programs and expedited approval pathways that speed regulatory authorization. After approval, to ensure that specialty drugs are directed to the patients who are most likely to benefit from them, the FDA can limit the scope of the drugs' indications, encourage the development of companion diagnostic tests to indicate which patients should receive the drugs, or require that manufacturers subject them to Risk Evaluation and Mitigation Strategies to ensure that their use is appropriately limited to a restricted population that is aware of the drugs' risks and benefits. Implementing these existing regulatory approaches can promote timely patient access to specialty drugs while preventing expensive and potentially inappropriate overuse.

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

    Science.gov (United States)

    Hernández-Alfaro, F; Guijarro-Martínez, R

    2014-07-01

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

  14. Selecting the most appropriate time points to profile in high-throughput studies

    Science.gov (United States)

    Kleyman, Michael; Sefer, Emre; Nicola, Teodora; Espinoza, Celia; Chhabra, Divya; Hagood, James S; Kaminski, Naftali; Ambalavanan, Namasivayam; Bar-Joseph, Ziv

    2017-01-01

    Biological systems are increasingly being studied by high throughput profiling of molecular data over time. Determining the set of time points to sample in studies that profile several different types of molecular data is still challenging. Here we present the Time Point Selection (TPS) method that solves this combinatorial problem in a principled and practical way. TPS utilizes expression data from a small set of genes sampled at a high rate. As we show by applying TPS to study mouse lung development, the points selected by TPS can be used to reconstruct an accurate representation for the expression values of the non selected points. Further, even though the selection is only based on gene expression, these points are also appropriate for representing a much larger set of protein, miRNA and DNA methylation changes over time. TPS can thus serve as a key design strategy for high throughput time series experiments. Supporting Website: www.sb.cs.cmu.edu/TPS DOI: http://dx.doi.org/10.7554/eLife.18541.001 PMID:28124972

  15. Assessing perceived stress in medical personnel: In search of an appropriate scale for the Bengali population

    Directory of Open Access Journals (Sweden)

    Amrita Chakraborti

    2013-01-01

    Full Text Available Background: The occurrence of stress and stress related anxiety and depression in medical personnel are being increasingly reported in literature. The perceived stress scale (PSS is the most widely used psychological instrument for measuring the perception of stress. It is needed to assess perceived stress in our population using appropriately translated version of PSS. The objectives of study were to prepare a Bengali version of PSS-10 and to establish its psychometric properties in the study population. Materials and Methods: The study was conducted in a teaching hospital among medical students and interns ( N=37. The translated Bengali version and the original English version of PSS-10 were separately handed over to the individual subjects. The scores were compared across different subgroups and psychometric properties of the translated version were assessed using SPSS 16. Results: Internal consistency of PSS English (α=0.79 and Bengali (α=0.80 was satisfactory. Intra-rater reliability was adequate (κ>0.5 for most of the items, but showed an inadequate value (κ<0.5 for four items on the scale. After deleting these four items from the Bengali version, a new six-item PSS in Bengali was derived that showed good internal consistency (α=0.699. Conclusion: This new version needs to be validated in a larger study population. Perceived stress score using PSS-10 was considerably high in our study population, although there was no significant difference between the subgroups (male/female, intern/student.

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

    LENUS (Irish Health Repository)

    Jackson, L M

    2012-02-03

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

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

    Science.gov (United States)

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

    2012-01-01

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

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

    Directory of Open Access Journals (Sweden)

    C Chieh-Fan

    2009-01-01

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

  19. Pourquoi les professeurs ouest-africains s’approprient-ils l’internet?

    Directory of Open Access Journals (Sweden)

    Kathryn Toure

    2014-01-01

    Full Text Available Pourquoi des professeurs de l’enseignement su- périeur en Afrique de l’Ouest s’approprient-ils les technologies de l’information et de la communi- cation (TIC? Cette question est abordée à travers une interprétation socioculturelle d’itinéraires de six professeurs. Les résultats montrent l’intégration active et progressive des TIC dans la pratique péda- gogique, entre autres, par la mise en ligne des cours et l’interaction à distance avec les étudiants. Ils mettent aussi en lumière des aspirations plus pro- fondes comme la participation africaine au monde scientifique et la transformation des relations hu- maines et de la culture. Dans le processus d’appro- priation, les professeurs sont amenés à remettre en question leurs approches pédagogiques, à franchir des frontières entre différents univers de traditions et connaissances et à proposer de nouvelles appro- ches d’apprentissage, de production des savoirs et de construction de l’identité africaine. Ces résultats contextualisés viennent en complément de ceux sur l’utilisation des TIC à l’université et fournissent une base épistémologique pour l’intégration des TIC dans l’éducation en Afrique.

  20. Analysis of Fresh Fuel Critical Experiments Appropriate for Burnup Credit Validation

    Energy Technology Data Exchange (ETDEWEB)

    DeHart, M.D.

    1995-01-01

    The ANS/ANS-8.1 standard requires that calculational methods used in determining criticality safety limits for applications outside reactors be validated by comparison with appropriate critical experiments. This report provides a detailed description of 34 fresh fuel critical experiments and their analyses using the SCALE-4.2 code system and the 27-group ENDF/B-IV cross-section library. The 34 critical experiments were selected based on geometry, material, and neutron interaction characteristics that are applicable to a transportation cask loaded with pressurized-water-reactor spent fuel. These 34 experiments are a representative subset of a much larger data base of low-enriched uranium and mixed-oxide critical experiments. A statistical approach is described and used to obtain an estimate of the bias and uncertainty in the calculational methods and to predict a confidence limit for a calculated neutron multiplication factor. The SCALE-4.2 results for a superset of approximately 100 criticals are included in uncertainty analyses, but descriptions of the individual criticals are not included.

  1. EVALUATION OF NUTRITION AND GLYCEMIC INDEX OF SWEET POTATOES AND ITS APPROPRIATE PROCESSING TO HYPOGLYCEMIC FOODS

    Directory of Open Access Journals (Sweden)

    Made Astawana

    2011-04-01

    Full Text Available Indonesia placed the fourth biggest diabetics in the world after India, China, and the USA with prevalence amounting to 8.6% of the population. Diabetes is an abnormal carbohydrate metabolism. Therefore, nutrition plays a key role in the management of the disease. This study aimed to find hypoglycemic sweet potatoes and appropriate processing to create low glycemic foods. Eight Indonesian sweet potato varieties/clones were used in this experiment, i.e. Kidal, Sukuh, Sari, Ungu, Jago, BB00105.10, B0464, and BB00106.18. Samples were firstly analyzed for their physicochemical and nutritional properties, which then followed by evaluation of their hypoglycemic responses. The selected variety was processed into three different basic processing methods, i.e. boiling, baking, and frying, and then their glycemic indexes (GI were evaluated. Result showed that among eight sweet potato varieties/clones studied, BB00105.10 clone indicated the best hypoglycemic response. The highest hypoglycemic activity was supported with the highest resistant starch content (3.8%, protein content (5.47%, and low starch digestibility (51.4%. The sweet potato tubers contained medium to high amylose (24.94%. Processing methods influenced the GI value of foods. Fried sweet potatoes had the lowest GI (47, followed by the boiled one (GI = 62 and the baked one (GI = 80.

  2. Appropriate modulation of autophagy sensitizes malignant peripheral nerve sheath tumor cells to treatment with imatinib mesylate.

    Science.gov (United States)

    Okano, Munehiro; Sakata, Naoki; Ueda, Satoshi; Takemura, Tsukasa

    2014-04-01

    Malignant peripheral nerve sheath tumor (MPNST), very rare in childhood, is a highly aggressive soft-tissue tumor. We experienced a case of a 7-year-old boy with MPNST who was treated with imatinib mesylate (imatinib) after the identification of platelet-derived growth factor receptor expression in his tumor. We were unable to observe clinical benefits of imatinib in this patient. Therefore, cellular reactions of imatinib were investigated in vitro using 3 MPNST cell lines. Imatinib induced cytotoxicity in vitro with variable IC50 values (11.7 to >30 μM). Induction of apoptosis was not a pivotal mechanism in the inhibitory effects. We found that the treatment of MPNST cell lines with imatinib induced autophagy. Suppression of the initiation of autophagy by 3-methyladenine or small interfering RNA (siRNA) against beclin-1 attenuated the imatinib-mediated cytotoxicity. In contrast, blocking the formation of autophagosomes or the development of autolysosomes using siRNA against microtubule-associated protein light chain 3B, bafilomycin A1, chloroquine, or an MEK1/2 inhibitor (U0126) enhanced the imatinib-induced cytotoxicity in MPNST cells. Our data showed that the imatinib-mediated autophagy can function as a cytotoxic mechanism and that appropriate modulation of autophagy may sensitize MPNST cells to imatinib, which in turn may be a novel therapeutic strategy for MPNST.

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

    CERN Document Server

    Laundal, K M

    2016-01-01

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

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

    Science.gov (United States)

    Choi, Hojoon; Reid, Leonard N

    2014-10-01

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

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

    Directory of Open Access Journals (Sweden)

    Andres Wanner

    2014-12-01

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

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

    Science.gov (United States)

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

    2015-01-01

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

  7. Nonlinear model of a distribution transformer appropriate for evaluating the effects of unbalanced loads

    Science.gov (United States)

    Toman, Matej; Štumberger, Gorazd; Štumberger, Bojan; Dolinar, Drago

    Power packages for calculation of power system transients are often used when studying and designing electromagnetic power systems. An accurate model of a distribution transformer is needed in order to obtain realistic values from these calculations. This transformer model must be derived in such a way that it is applicable when calculating those operating conditions appearing in practice. Operation conditions where transformers are loaded with nonlinear and unbalanced loads are especially challenging. The purpose of this work is to derive a three-phase transformer model that is appropriate for evaluating the effects of nonlinear and unbalanced loads. A lumped parameter model instead of a finite element (FE) model is considered in order to ensure that the model can be used in power packages for the calculation of power system transients. The transformer model is obtained by coupling electric and magnetic equivalent circuits. The magnetic equivalent circuit contains only three nonlinear reluctances, which represent nonlinear behaviour of the transformer. They are calculated by the inverse Jiles-Atherton (J-A) hysteresis model, while parameters of hysteresis are identified using differential evolution (DE). This considerably improves the accuracy of the derived transformer model. Although the obtained transformer model is simple, the simulation results show good agreement between measured and calculated results.

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

    Science.gov (United States)

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

    2016-02-01

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

  9. Science as an ally of religion: a Muslim appropriation of 'the conflict thesis'.

    Science.gov (United States)

    Yalcinkaya, M Alper

    2011-06-01

    John W. Draper's History of the Conflict between Religion and Science (1874) is commonly regarded as the manifesto of the 'conflict thesis'. The superficiality of this thesis has been demonstrated in recent studies, but to read Draper's work only as a text on 'science versus religion' is to miss half of its significance, as it also involved evaluations of individual religions with respect to their attitudes towards science. Due to Draper's favourable remarks on Islam, the Ottoman author Ahmed Midhat translated his work into Turkish, and published it along with his own comments on Draper's arguments. Midhat interpreted Islam using the cues provided by Draper, and portrayed it as the only religion compatible with science. While his Christian readers condemned Draper for his approach to Islam, Midhat transformed the 'conflict thesis' into a proclamation that Islam and science were allies in opposition to Christian encroachment on the Ottoman Empire. This paper analyses Midhat's appropriation of Draper's work and compares it to the reaction of Draper's Christian readers. It discusses the context that made an alliance between Islam and science so desirable for Midhat, and emphasizes the impact of the historico-geographical context on the encounters between and representations of science and religion.

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

    Science.gov (United States)

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

    2015-01-01

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

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

    Science.gov (United States)

    Evans, Theodore Avery; Westergaard, Gregory Charles

    2004-10-01

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2006-04-01

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2005-10-01

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

  14. The importance of prudent negative consequences for maintaining the appropriate behavior of hyperactive students.

    Science.gov (United States)

    Rosén, L A; O'Leary, S G; Joyce, S A; Conway, G; Pfiffner, L J

    1984-12-01

    Teachers use both positive and negative consequences to influence classroom behaviors. Four experiments were conducted to examine the differential affects of these two types of consequences on the maintenance of appropriate behaviors of hyperactive children. Results of Experiment 1 showed that the use of both positive and negative consequences (combined) was associated with high levels of on-task behaviors. Withdrawal of negative consequences caused a significant and dramatic decrease in on-task performance. The withdrawal of positive consequences produced no change in the rate of on-task behaviors. In Experiments 2, 3, and 4, the on-task results of Experiment 1 were replicated using a different teacher, different children, a counterbalanced design, longer phases, and different types of negative consequences. The withdrawal of negative consequences led to decreases in productivity in Experiment 2. The results of Experiment 3 also suggested that a prudent (e.g., calm, concrete, and consistent) approach to discipline was more effective than an imprudent (e.g., loud, emotional, and inconsistent) approach. Some level of mild negative consequences for inappropriate behavior is an important ingredient in effective classroom management, and qualitatively different negative consequences may have drastically different effects on the behavior of hyperactive students.

  15. Early laparoscopic cholecystectomy is the appropriate management for acute gangrenous cholecystitis.

    Science.gov (United States)

    Choi, Sae Byeol; Han, Hyung Joon; Kim, Chung Yun; Kim, Wan Bae; Song, Tae-Jin; Suh, Sung Ock; Kim, Young Chul; Choi, Sang Yong

    2011-04-01

    Treatment of severe acute cholecystitis by laparoscopic cholecystectomy remains controversial because of technical difficulties and high rates of complications. We determined whether early laparoscopic cholecystectomy is appropriate for acute gangrenous cholecystitis. The medical records of 116 patients with acute gangrenous cholecystitis admitted to the Korea University Guro Hospital between January 2005 and December 2009 were reviewed. The early operation group, those patients who had cholecystectomies within 4 days of the diagnosis, was compared with the delayed operation group, who had cholecystectomies 4 days after the diagnosis. Of the 116 patients, 57 were in the early operation group and 59 were in the delayed operation group. There were no statistical differences between the groups with respect to gender, age, body mass index, operative methods, major complications, duration of symptoms, mean operative time (98 vs 107 minutes), or postoperative hospital stay. However, the total hospital stay was significantly longer in the delayed operation group. More patients underwent preoperative percutaneous cholecystostomy in the delayed operation group (3.5 vs 15.3%). Early laparoscopic cholecystectomy for acute gangrenous cholecystitis is safe and feasible. There is no advantage to postponing an urgent operation in patients with acute gangrenous cholecystitis.

  16. Formative research methods for designing culturally appropriate, integrated child nutrition and development interventions: an overview.

    Science.gov (United States)

    Bentley, Margaret E; Johnson, Susan L; Wasser, Heather; Creed-Kanashiro, Hilary; Shroff, Monal; Fernandez Rao, Sylvia; Cunningham, Melissa

    2014-01-01

    Nutritional and developmental insults in the first few years of life have profound public health implications, including substantial contributions to neonatal, infant, and early childhood morbidity and mortality, as well as longer term effects on cognitive development, school achievement, and worker productivity. Optimal development that can lead to the attainment of an individual's fullest potential, therefore, requires a combination of genetic capacity, adequate nutrition, psychosocial stimulation, and safe, clean physical environments. Researchers and policymakers have called for integrated child nutrition and development interventions for more than 20 years, yet there are only a handful of efficacy trials and even fewer examples of integrated interventions that have been taken to scale. While a critical component in the design of such interventions is formative research, there is a dearth of information in both the literature and policy arenas to guide this phase of the process. To move the field forward, this paper first provides an overview of formative research methods with a focus on qualitative inquiry, a description of the critical domains to be assessed (infant and young child feeding, responsive feeding, and child development), and currently available resources. Application of these methods is provided through a real-world case study--the design of an integrated nutrition and child development efficacy trial in Andhra Pradesh, India. Recommendations for next steps are discussed, the most important of which is the need for a comprehensive set of formative guidelines for designing locally tailored, culturally appropriate, integrated interventions.

  17. Induction of appropriate Th-cell phenotypes: cellular decision-making in heterogeneous environments.

    Science.gov (United States)

    van den Ham, H-J; Andeweg, A C; de Boer, R J

    2013-11-01

    Helper T (Th)-cell differentiation is a key event in the development of the adaptive immune response. By the production of a range of cytokines, Th cells determine the type of immune response that is raised against an invading pathogen. Th cells can adopt many different phenotypes, and Th-cell phenotype decision-making is crucial in mounting effective host responses. This review discusses the different Th-cell phenotypes that have been identified and how Th cells adopt a particular phenotype. The regulation of Th-cell phenotypes has been studied extensively using mathematical models, which have explored the role of regulatory mechanisms such as autocrine cytokine signalling and cross-inhibition between self-activating transcription factors. At the single cell level, Th responses tend to be heterogeneous, but corrections can be made soon after T-cell activation. Although pathogens and the innate immune system provide signals that direct the induction of Th-cell phenotypes, these instructive mechanisms could be easily subverted by pathogens. We discuss that a model of success-driven feedback would select the most appropriate phenotype for clearing a pathogen. Given the heterogeneity in the induction phase of the Th response, such a success-driven feedback loop would allow the selection of effective Th-cell phenotypes while terminating incorrect responses.

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2006-12-31

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

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

    Science.gov (United States)

    Pearce, Wendy M; Williams, Cori

    2013-08-01

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

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

    Institute of Scientific and Technical Information of China (English)

    Zhaoyan Liu

    2014-01-01

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2009-12-15

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

  2. Oncology medications prescription in a cancer service: appropriateness to clinical practice guidelines

    Directory of Open Access Journals (Sweden)

    Valeria Palchik

    2016-12-01

    Full Text Available Objective: To assess prescription of oncology medications in municipal public health network of Rosario for its appropriateness to clinical practice guidelines. Methods: Descriptive pharmacoepidemiological study in adult patients in an Oncology Service between January and June 2012. Compliance requirements with clinical practice guidelines were evaluated. Results: 51.8% of diagnoses had at least one prescription medication that did not match recommendation by at least one of the guides considered. Prescriptions of doxorrubicine and ifosfamide did not agree with the recommendation of any reference guides. 5.4% of prescriptions weren´t considered by local guides, nor 7.7% by national on es. Regarding comparison with international guidelines: 4.2% of prescriptions weren ´t considered by the European Society for Medical Oncology guidelines, 2.3% not considered by the American Cancer Society and only 1.9% were not considered by the National Comprehensive Cancer Network ones. Conclusions: Prescription of oncology treatments is closer to international reference guides. One reason could be that there is still no standard definition in the management of tumor diseases by the National State.

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2002-09-01

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

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

    Science.gov (United States)

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

    2008-06-01

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

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

    Science.gov (United States)

    Takezaki, Naoko; Nishihara, Hidenori

    2016-04-25

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2004-07-10

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

  7. Reasons for Not Intensifying Medications: Differentiating “Clinical Inertia” from Appropriate Care

    Science.gov (United States)

    Shewchuk, Richard; Qu, Haiyan; Williams, Jessica H.; Estrada, Carlos A.; Ovalle, Fernando; Allison, Jeroan J.

    2007-01-01

    Background “Clinical inertia” has been defined as inaction by physicians caring for patients with uncontrolled risk factors such as blood pressure. Some have proposed that it accounts for up to 80% of cardiovascular events, potentially an important quality problem. However, reasons for so-called clinical inertia are poorly understood. Objective To derive an empiric conceptual model of clinical inertia as a subset of all clinical inactions from the physician perspective. Methods We used Nominal Group panels of practicing physicians to identify reasons why they do not intensify medications when seeing an established patient with uncontrolled blood pressure. Measurements and Main Results We stopped at 2 groups (N = 6 and 7, respectively) because of the high degree of agreement on reasons for not intensifying, indicating saturation. A third group of clinicians (N = 9) independently sorted the reasons generated by the Nominal Groups. Using multidimensional scaling and hierarchical cluster analysis, we translated the sorting results into a cognitive map that represents an empirically derived model of clinical inaction from the physician’s perspective. The model shows that much inaction may in fact be clinically appropriate care. Conclusions/Recommendations Many reasons offered by physicians for not intensifying medications suggest that low rates of intensification do not necessarily reflect poor quality of care. The empirically derived model of clinical inaction can be used as a guide to construct performance measures for monitoring clinical inertia that better focus on true quality problems. PMID:17957346

  8. Critical importance of appropriate fixation conditions for faithful imaging of receptor microclusters

    Directory of Open Access Journals (Sweden)

    Tess A. Stanly

    2016-09-01

    Full Text Available Receptor clustering is known to trigger signalling events that contribute to critical changes in cellular functions. Faithful imaging of such clusters by means of fluorescence microscopy relies on the application of adequate cell fixation methods prior to immunolabelling in order to avoid artefactual redistribution by the antibodies themselves. Previous work has highlighted the inadequacy of fixation with paraformaldehyde (PFA alone for efficient immobilisation of membrane-associated molecules, and the advantages of fixation with PFA in combination with glutaraldehyde (GA. Using fluorescence microscopy, we here highlight how inadequate fixation can lead to the formation of artefactual clustering of receptors in lymphatic endothelial cells, focussing on the transmembrane hyaluronan receptors LYVE-1 and CD44, and the homotypic adhesion molecule CD31, each of which displays their native diffuse surface distribution pattern only when visualised with the right fixation techniques, i.e. PFA/GA in combination. Fluorescence recovery after photobleaching (FRAP confirms that the artefactual receptor clusters are indeed introduced by residual mobility. In contrast, we observed full immobilisation of membrane proteins in cells that were fixed and then subsequently permeabilised, irrespective of whether the fixative was PFA or PFA/GA in combination. Our study underlines the importance of choosing appropriate sample preparation protocols for preserving authentic receptor organisation in advanced fluorescence microscopy.

  9. An evaluation of the appropriateness and effectiveness of structured reflection for midwifery students in Ireland.

    Science.gov (United States)

    Gallagher, Louise; Lawler, Denise; Brady, Vivienne; OBoyle, Colm; Deasy, Anna; Muldoon, Kathryn

    2017-01-01

    Midwifery students undertaking the undergraduate midwifery education programme in Ireland participate in facilitated reflective sessions that aim to develop their skills of reflecting on and in clinical practice. This paper presents a qualitative evaluation of the appropriateness and effectiveness of the facilitated reflection sessions for pre and post-registration midwifery students in two large Dublin maternity teaching hospitals. The aim was to evaluate structured reflective practice sessions which sought to assist midwifery students to become competent reflective practitioners. Group reflection sessions were conducted weekly in a clinical practice area at the same time each week over one academic year. After the series of structured reflective sessions, midwifery students and facilitating staff were invited to evaluate the reflective process. This evaluation consisted of a self-completion survey to identify the factors that facilitated and impeded student participation in the sessions. Respondents answered a series of questions about the reflective practice sessions and were also invited to enter qualitative data regarding their subjective experiences of the process in free text boxes. The data were then collated into themes by an independent reviewer. The results of the evaluation clearly indicate that midwifery students and facilitators welcomed the opportunity to engage in group reflection sessions as a form of peer support and as a catalyst for learning from clinical practice. Findings suggest that reflective practice can contribute to the development of skilled, self-aware and engaged practitioners.

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2003-09-01

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

  11. Treatment of Household Waste in Small Towns of China: Status, Basic Conditions and Appropriate Modes

    Directory of Open Access Journals (Sweden)

    HE Pin-jing

    2015-04-01

    Full Text Available Small town is the gateway of population migrating from rural areas to urban areas in the process of urbanization. The level of its household solid waste treatment is pivotal to the environmental and sanitary quality of surrounding rural areas. Furthermore, small town is the primary administrative center for rural districts, and will impose important influences on the solid waste management in villages. Therefore, it is necessary to investigate the effects of treatment modes on the household solid waste treatment in towns and surrounding villages. Based on the waste generation in small towns, this study analyzed the current status and existing problems for solid waste treatment, and discussed the related administrative management and financial supporting conditions in small towns. By summarizing the characteristics of the existing modes and comparing the costs for different treatment modes, the present study proposed that the most appropriate mode was“diversion in villages-diversion, transportation or treatment in towns-treatment and disposal in counties”, in which the town was the core node for the treatment of rural solid waste, so that the administrative and financial advantages of small towns could be highlighted and consequentially promoted the management of rural solid waste.

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

    Directory of Open Access Journals (Sweden)

    Seema Dinesh Bargale

    2015-01-01

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

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

    Data.gov (United States)

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

  14. Age-appropriate feeding practices and nutritional status of infants attending child welfare clinic at a Teaching Hospital in Nigeria

    OpenAIRE

    Lawan, Umar M.; Gboluwaga T Amole; Jahum, Mahmud G.; Abdullahi Sani

    2014-01-01

    Background: Appropriate infant feeding is the key to optimum infant and child development and survival. This study investigates age-appropriate infant feeding practices and nutritional status of infants attending the immunization and child welfare clinic at Aminu Kano Teaching Hospital. Materials and Methods: Using a cross-sectional descriptive design, a sample of 300 sets of infants (age ≤12 months) and caregivers was systematically selected and studied. The data were analyzed using the MINI...

  15. Pertinence and Information Needs of Different Subjects on Markets and Appropriate Operative (Tactical or Strategic) Stochastic Control Approaches

    OpenAIRE

    2010-01-01

    In the chapter where we present the conclusion of our research, we also introduce an adequate algorithm (in the form of a graphic and mathematical representation) for the appropriate perception of pertinence and information needs of different subjects on markets. We announce main trends and a great significance of appropriate operative (tactical or strategic) stochastic control (as specific quantitative and qualitative models) approaches in correlation to expected results. Finally, we promote...

  16. Position paper for health authorities: archived clinical pathology data-treasure to revalue and appropriate.

    Science.gov (United States)

    Nwose, E U; Richards, R S; Butkowski, E; Cann, Nathan

    2010-12-01

    Archived clinical pathology data (ACPD) is recognized as useful for research. Given our privileged de-identified ACPD from South West Pathology Service (SWPS), attempt is made to estimate what it would cost any researcher without such privilege to generate the same data. The Ethics Committee of the Area Health Service approved a request for Dr. Uba Nwose to use de-identified ACPD acquired by the SWPS for clinical laboratory-based translational biomedical science research. 10-years (1999-2008) have been pooled to constitute the database. Data include blood sugar, cholesterol, D-dime, ESR, glucose tolerance, haematocrit, HbA 1 c, homocysteine, serum creatinine, total protein and vitamins [C & E] amongst others. For this report, the bulk-billed-cost of tests were estimated based on number and unit price of each test performed. AU$ 17,507,136.85 is the cost paid by Medicare in the period. This amount is a conservative estimate that could be spent to generate such 10-years data in the absence of ACPD. The health/pathology service has not given any financial research grant. However, the support-in-kind is worth more than celebrated competitive research grants. It calls for revaluatrion by academic, research and scientific institutions the use ofACPD. For the countries where such provision is non-existent, this report provides a 'Position Paper' to present to the directorates or institutes of health authorities to appropriate the value of ACPD and approve of their use as a research treasure and resource management tool.

  17. Textbooks for Content and Language Integrated Learning: policy, market and appropriate didactics?

    Directory of Open Access Journals (Sweden)

    María Ángeles Martín del Pozo

    2015-02-01

    Full Text Available The paper begins by approaching the concept of CLIL (Content and Language Integrated Learning providing a brief overview of the history of bilingual education. The influence of the linguistic policies of the European Union is discussed along with some beliefs about language teaching and how both have influenced the celerity of CLIL implementation, momentum and expansion. There are some indicators of the lack of a theoretical framework for CLIL, of insufficient teacher education and or inadequacy of materials. It is necessary to reflect systematically on to what extent commercially published textbooks match the demands of bilingual education. The second section centers on CLIL textbooks, mainly those commercialized by publishers, by referring to some recent studies which attempt to approach systematically their design and use. Since, by definition CLIL includes both content and language, our research question is if content books (in English also include content and language objectives. A corpus of 25 books from different subjects, years, and publishers is analyzed. The analysis shows an insufficient presence of linguistic objectives. Some reflections are made about this scarcity with the warning that this lack could hindrance an efficient implementation of CLIL. Thus, it could be said that these textbooks are not the product of discipline or didactic considerations but the result of the logic of market, publishers and linguistic policy.How to reference this articleMartín del Pozo, M. A., Rascón Estébanez, D. (2015. Textbooks for Content and Language Integrated Learning: policy, market and appropriate didactics?. Foro de Educación, 13(18, pp. 123-141. doi: http://dx.doi.org/10.14516/fde.2015.013.018.007 

  18. An analysis of the importance of appropriate tie breaking rules in dispatch heuristics

    Directory of Open Access Journals (Sweden)

    Jorge M. S. Valente

    2006-04-01

    Full Text Available In this paper, we analyse the effect of using appropriate tie breaking criteria in dispatch rules. We consider four different dispatch procedures, and for each of these heuristics we compare two versions that differ only in the way ties are broken. The first version breaks ties randomly, while the second uses a criterion that incorporates problem-specific knowledge. The computational results show that using adequate tie breaking criteria improves the performance of the dispatch heuristics. The magnitude of the improvement is different for the four heuristics, and also depends on the characteristics of each specific instance. The use of problem-related knowledge for breaking ties should therefore be given some consideration in the implementation of dispatch rules.Neste artigo é analisado o efeito da utilização de regras de desempate apropriadas na eficácia de regras de despacho. São consideradas quatro regras de despacho diferentes, e para cada uma destas heurísticas são comparadas duas versões que diferem no modo como os empates são resolvidos. A primeira versão resolve os empates de forma aleatória, enquanto a segunda utiliza um critério que incorpora informação relativa ao problema em causa. Os resultados computacionais mostram que a utilização de critérios de desempate adequados melhora o desempenho das regras de despacho. A magnitude da melhoria é diferente para as quatro heurísticas, e depende igualmente das características específicas de cada instância. A utilização de informação relativa ao problema em causa para a resolução de empates deve assim ser considerada na implementação de regras de despacho.

  19. Upgrading the definition of early gastric cancer: better staging means more appropriate treatment.

    Science.gov (United States)

    Saragoni, Luca

    2015-12-01

    Since Murakami defined early gastric cancer (EGC) as a "carcinoma limited to the gastric mucosa and/or submucosa regardless of the lymph node status", several authors have focused on the most influential histopathological parameters for predicting the development of lymph node metastases by considering the lymph node status as an important prognostic factor. A few authors have also considered the depth of invasion as one of the keys to explaining the existence of subgroups of patients affected by EGC with poor prognoses. In any case, EGC is still considered an initial phase of tumor progression with good prognosis. The introduction of modern endoscopic devices has allowed a precise diagnosis of early lesions, which can lead to improved definitions of tumors that can be radically treated with endoscopic mucosal resection or endoscopic submucosal dissection (ESD). Given the widespread use of these techniques, the Japanese Gastric Cancer Association (JGCA) identified in 2011 the standard criteria that should exclude the presence of lymph node metastases. At that time, EGCs with nodal involvement should have been asserted as no longer fitting the definition of an early tumor. Some authors have also demonstrated that the morphological growth pattern of a tumor, according to Kodama's classification, is one of the most important prognostic factors, thereby suggesting the need to report it in histopathological drafts. Notwithstanding the acquired knowledge regarding the clinical behavior of EGC, Murakami's definition is still being used. This definition needs to be upgraded according to the modern staging of the disease so that the appropriate treatment would be selected.

  20. Spatial Scaling of Snow Observations and Microwave Emission Modeling During CLPX and Appropriate Satellite Sensor Resolution

    Science.gov (United States)

    Kim, Edward J.; Tedesco, Marco

    2005-01-01

    Accurate estimates of snow water equivalent and other properties play an important role in weather, natural hazard, and hydrological forecasting and climate modeling over a range of scales in space and time. Remote sensing-derived estimates have traditionally been of the "snapshot" type, but techniques involving models with assimilation are also being explored. In both cases, forward emission models are useful to understand the observed passive microwave signatures and developing retrieval algorithms. However, mismatches between passive microwave sensor resolutions and the scales of processes controlling subpixel heterogeneity can affect the accuracy of the estimates. Improving the spatial resolution of new passive microwave satellite sensors is a major desire in order to (literally) resolve such subpixel heterogeneity, but limited spacecraft and mission resources impose severe constraints and tradeoffs. In order to maximize science return while mitigating risk for a satellite concept, it is essential to understand the scaling behavior of snow in terms of what the sensor sees (brightness temperature) as well as in terms of the actual variability of snow. NASA's Cold Land Processes Experiment-1 (CLPX-1: Colorado, 2002 and 2003) was designed to provide data to measure these scaling behaviors for varying snow conditions in areas with forested, alpine, and meadow/pasture land cover. We will use observations from CLPX-1 ground, airborne, and satellite passive microwave sensors to examine and evaluate the scaling behavior of observed and modeled brightness temperatures and observed and retrieved snow parameters across scales from meters to 10's of kilometers. The conclusions will provide direct examples of the appropriate spatial sampling scales of new sensors for snow remote sensing. The analyses will also illustrate the effects and spatial scales of the underlying phenomena (e.g., land cover) that control subpixel heterogeneity.